BOARD CERTIFICATION EXAM STUDY GUIDES Lower Extremity Trauma
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Posted on October 19, 2023 by Dr. David Edward Marcinko MBA MEd CMP™
By Bertalan Mesko MD PhD
“The Medical Futurist”
Microsoft introduced new tools in Microsoft Fabric and Azure AI for healthcare organizations.
These can combine data from sources such as electronic health records, images, lab systems, medical devices, and claims systems so organizations can standardize it and access it in the same place.
Posted on September 5, 2023 by Dr. David Edward Marcinko MBA MEd CMP™
A JOE BIDEN PROPOSAL
By Staff Reporters
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WASHINGTON (Reuters) – President Joe Biden’s administration just proposed setting federal minimum staffing levels for nursing homes, a move aimed at addressing longtime complaints about abuse and neglect in the industry that were highlighted during the COVID-19 pandemic.
Biden pledged last year to protect American seniors’ lives and life savings by cracking down on nursing homes that commit fraud or endanger patients’ safety and address the chronic under staffing at long-term care facilities that was exposed during the pandemic.
The nursing home industry takes in nearly $100 billion a year from U.S. taxpayers, yet many under staff their facilities, the White House said. The new rule proposes that facilities have a registered nurse (RN) on site around the clock. It says each resident should receive 2.45 hours (two hours and 27 minutes) of care from a nurse aide every day, plus at least 33 minutes of care from an registered nurse every day.
EDITOR’SNOTE: Dr. Zubin Damania, MD is a UCSF/Stanford-trained hospital doctor and host of The ZDoggMD Show, dedicated to Alt-Middle sense-making in healthcare and beyond. Videos are informational and are not medical advice, more info: https://zdoggmd.com/terms
Just now, CVS got a taste of its own medicine after Blue Shield of California said it will replace CVS’s pharmacy benefit manager system [PBMs] with other companies, including Amazon Pharmacy and Mark Cuban’s Cost Plugs Drugs business, to supply cheaper drugs to its members.
Synchronous care is the most common form of real-time, virtual, direct-to-patient appointment.
Synchronous telehealth happens in live, real-time settings where the patient interacts with a provider, usually via phone or video. Providers and patients communicate directly, often resulting in a diagnosis, treatment plan, or prescription.
Synchronous telehealth can also include additional at home devices such as a blood pressure or heart rate monitor, thermometer, oximeter, camera, or scale to help the provider more accurately assess the patient’s health status.
Benefits for entrepreneurial health care providers
Providing easy access to patient-centered care offers obvious benefits for patients. Synchronous direct-to-consumer telehealth also has many advantages for health care providers.
Reduce patient no-shows: On-demand telehealth allows patients to take less time away from work or care for dependents like children. As a result, patients are more likely to keep scheduled virtual appointments.
Increase patient retention: The convenience of telehealth lets patients make appointments when needed — with shorter wait times. Telemedicine appointments are sometimes cheaper for the patient and offer more privacy. This approach increases patient satisfaction and retention, leading to more revenue for your practice.
Create new business opportunities: Offering appointment times before or after the traditional workday can meet patient needs and extend billable hours beyond the standard schedule. It is a chance to reach new patients, increase revenue, and expand care beyond your immediate neighborhood or city.
Deliver care from home: Providers can see patients from a private space inside or close to home. This allows providers to adjust their hours to better meet patient needs and reduces the amount of time spent commuting to an off-site health setting.
Tip: Before serving patients that live outside of state lines, make sure to research licensing requirements.
The 4% Rule is a practical rule of thumb that may be used by retirees to decide how much they should withdraw from their retirement funds each year; according to Investopedia.
The purpose of adopting the rule is to keep a steady income stream while maintaining an adequate overall account balance for future years. The withdrawals will consist primarily of interest and dividends on savings.
CHALLENGE: But, experts like Mike Kitces are divided on whether the 4% withdrawal rate is the best option. Many, including the creator of the rule, say that 5% is a better rule for all but the worst-case scenario.
Dr. Michel Accad is a practicing cardiologist who blogs for a medical audience at alertandoriented.com
Conclusion
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Posted on June 13, 2023 by Dr. David Edward Marcinko MBA MEd CMP™
THE COMMON BRIDGE
By Richard Helppie
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20 years ago, as HIV and AIDS threatened vast populations in sub-Saharan Africa, Haiti, Guyana and Vietnam, the US Government made the largest investment in battling a pandemic. Known as the President’s Emergency Plan for AIDS Relief (PEPFAR). May 27th marked the 20th anniversary of the creation of this bipartisan program which coordinated the work of government agencies and local governments to reduce the infections. Dr. Deborah Birx, who had a significant role in the program visits The Common Bridge to talk about PEPFAR’s renewal. Don’t be surprised when the discussion takes a turn to more current events.
In part 2, Dr. Birx responds to Rich’s questions about the decline in scientific credibility.
Posted on April 27, 2023 by Dr. David Edward Marcinko MBA MEd CMP™
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By Kevin Pho MD
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“Teaching medical students entrepreneurial and business skills is invaluable as the need for leadership in medicine grows in every single sector. Many physicians already engage in managerial and entrepreneurial-like practices without labeling these skills. By formalizing these skills into medical education, physicians will be able to take their ambitions and ideas about how to best run existing health care institutions and translate them into innovations for the future of the field.”
Sofia Yunez is a medical student.
She shares her story and discusses her KevinMD article, “To be effective leaders, physicians need to be trained as entrepreneurs and encouraged to innovate.”