Healthcare Retrospect Part 3: Achieving The Triple AimBESLER
In part three of this three part series, John Dalton, Advisor Emeritus at BESLER Consulting, discusses the effects of the PPACA and the path towards achieving the triple aim.
Preventable Medical Errors is the 3rd leading cause of death in America. US hospitals are penalized for poor quality. Doctella.com helps hospitals improve patient safety, education, education and empowerment.
Healthcare Fraud: Illegal Kickback Schemes in Medicare & Medicaidlawsuitlegal
The amount of medicare and medicaid fraud is staggering.
This Lawsuit Legal data snapshot exposes how healthcare kickback schemes work.
Qui tam bounties for relators can reach outrageous amounts, and it's no wonder when you look at the scale of fraud in healthcare.
The schemes run the gambit from false claims, illegal referrals, false reimbursement claims, patient referrals and purchasing decision fraud. All in the name of defrauding these lucrative government programs.
In this case we look at what the False Claims Act has to say about kickbacks, and what the law states for people who get greedy and try to break the rules.
In addition, we'll briefly touch on what qui tam whistleblowers can do to put a stop to it, if they have knowledge of fraud.
It's always worth keeping in mind the bounties paid out to relators for money recovered in government actions.
Take a look at the illegal kickbacks common in the healthcare industry, who the most common offenders are, and what to look out for here.
#quitamclaims #whistleblowerlaws
Healthcare Retrospect Part 3: Achieving The Triple AimBESLER
In part three of this three part series, John Dalton, Advisor Emeritus at BESLER Consulting, discusses the effects of the PPACA and the path towards achieving the triple aim.
Preventable Medical Errors is the 3rd leading cause of death in America. US hospitals are penalized for poor quality. Doctella.com helps hospitals improve patient safety, education, education and empowerment.
Healthcare Fraud: Illegal Kickback Schemes in Medicare & Medicaidlawsuitlegal
The amount of medicare and medicaid fraud is staggering.
This Lawsuit Legal data snapshot exposes how healthcare kickback schemes work.
Qui tam bounties for relators can reach outrageous amounts, and it's no wonder when you look at the scale of fraud in healthcare.
The schemes run the gambit from false claims, illegal referrals, false reimbursement claims, patient referrals and purchasing decision fraud. All in the name of defrauding these lucrative government programs.
In this case we look at what the False Claims Act has to say about kickbacks, and what the law states for people who get greedy and try to break the rules.
In addition, we'll briefly touch on what qui tam whistleblowers can do to put a stop to it, if they have knowledge of fraud.
It's always worth keeping in mind the bounties paid out to relators for money recovered in government actions.
Take a look at the illegal kickbacks common in the healthcare industry, who the most common offenders are, and what to look out for here.
#quitamclaims #whistleblowerlaws
The alleged Medicaid fraud covered by the settlement lasted for more than four years, from July 16, 2001 through at least December 31, 2005. The complaint was brought in 2003 under the qui tam provisions of federal and state False Claims Acts, after whistleblower relator Bernard Lisitza uncovered the conduct and reported the problem to the government. The investigation and prosecution was led by the Attorneys General Offices in Florida, Illinois, Ohio, Texas and several other states, and by the United States Attorney’s Office in Chicago. Qui tam Relator Lisitza pursued the case with the assistance of his attorneys, Michael I. Behn and Linda Wyetzner, of Behn & Wyetzner, Chartered, in Chicago.
California fails to raise medical malpractice cap by floyd arthurFloyd Arthur
California fails to raise medical malpractice cap by floyd arthur
http://carmoongroup.com
Is California’s Medical Malpractice Cap Too Low?
The California initiative was co-authored by Bob Pack, a father whose two children were struck and killed by a woman who was driving while under the influence of prescription pain killers and the muscle relaxant Flexeril in 2005. After the incident, Pack and his wife, who was also injured in the accident, learned that the woman had been arrested four times in the past for DUI. Incensed, they tried to sue the doctors who had supplied her with the drugs.
No attorney would take the Pack’s case, citing the state’s low non-economic damage cap as the cause. (Attorney’s typically take cases like the Pack’s on contingency, taking a portion of any award as their fee.)
Nor is the Pack’s case unusual. California’s “pain and suffering” cap is often given as the reason why attorneys avoid medical malpractice cases involving the poor, children or the elderly, who are unlikely to recover substantial economic awards. (The state has no cap on economic or punitive damages.)
Proponents of Prop. 46 pointed to cases like Pack’s as reason enough to change the law, adding that California’s draconian damage cap—the lowest in the nation—has been in effect since 1975. By contrast, most states have non-economic damage limits in the range of $300,000 to $600,000, and 15 states and the District of Columbia have no caps at all.
Nonetheless, opponents of the measure warned that quadrupling the state’s medical malpractice cap all at once would have disastrous results, resulting in more lawsuits and higher malpractice insurance premiums for physicians. Further, they claimed, higher premiums for doctors would drive up health care costs and even force some of physicians to leave the state. A barrage of advertisements, funded in part by physician groups, told consumers that the law could increase health insurance premiums by $1,000 per year.
Floyd Arthur #floydarthur
http://floyd-arthur.com
Panelist PPT. Presented at the Safety Net Summit, June 23, 2009, hosted by Health & Medicine Policy Research Group (HMPRG) and the U.S. Health Resources and Services Administration (HRSA)
Sunset Commission To Recommend Abolishing Anabolic Steroid Testing Programisteroidscom
According to a report released by the University Interscholastic League’s Anabolic Steroid Testing Program, no student-athlete at Texas public high schools tested positive for anabolic steroids during the 2013-14 school year.
Social BPM - Combining social Web and BPM for improving enterprise performanceemanuelemolteni
Social BPM fuses BPM practices with social networking applications, with the aim of enhancing the enterprise performance by means of a controlled participation of external stakeholders to process design and enactment. The purpose of this participation is the exploitation of the operational value of the company, hidden within the personal behaviours and relations. In the presentation we address three main points:
- The motivation and requirements associated with Social BPM
- The concrete objectives that organizations can earn in terms of efficiency improvement, including: exploitation of weak ties and implicit knowledge; increase of transparency in process execution; user participation and engagement; distribution of decision and activity execution; feedback collection; and knowledge sharing
- The status of the Social BPM offer and the coverage of the above objectives
For each objective, pros and cons of the various solutions are discussed and concrete examples are used for describing the problem. Practical and innovative techniques are introduced too (e.g., crowdsearching, gamification, social network analysis, extended BP modeling notations, agile cycles for process improvement).
The alleged Medicaid fraud covered by the settlement lasted for more than four years, from July 16, 2001 through at least December 31, 2005. The complaint was brought in 2003 under the qui tam provisions of federal and state False Claims Acts, after whistleblower relator Bernard Lisitza uncovered the conduct and reported the problem to the government. The investigation and prosecution was led by the Attorneys General Offices in Florida, Illinois, Ohio, Texas and several other states, and by the United States Attorney’s Office in Chicago. Qui tam Relator Lisitza pursued the case with the assistance of his attorneys, Michael I. Behn and Linda Wyetzner, of Behn & Wyetzner, Chartered, in Chicago.
California fails to raise medical malpractice cap by floyd arthurFloyd Arthur
California fails to raise medical malpractice cap by floyd arthur
http://carmoongroup.com
Is California’s Medical Malpractice Cap Too Low?
The California initiative was co-authored by Bob Pack, a father whose two children were struck and killed by a woman who was driving while under the influence of prescription pain killers and the muscle relaxant Flexeril in 2005. After the incident, Pack and his wife, who was also injured in the accident, learned that the woman had been arrested four times in the past for DUI. Incensed, they tried to sue the doctors who had supplied her with the drugs.
No attorney would take the Pack’s case, citing the state’s low non-economic damage cap as the cause. (Attorney’s typically take cases like the Pack’s on contingency, taking a portion of any award as their fee.)
Nor is the Pack’s case unusual. California’s “pain and suffering” cap is often given as the reason why attorneys avoid medical malpractice cases involving the poor, children or the elderly, who are unlikely to recover substantial economic awards. (The state has no cap on economic or punitive damages.)
Proponents of Prop. 46 pointed to cases like Pack’s as reason enough to change the law, adding that California’s draconian damage cap—the lowest in the nation—has been in effect since 1975. By contrast, most states have non-economic damage limits in the range of $300,000 to $600,000, and 15 states and the District of Columbia have no caps at all.
Nonetheless, opponents of the measure warned that quadrupling the state’s medical malpractice cap all at once would have disastrous results, resulting in more lawsuits and higher malpractice insurance premiums for physicians. Further, they claimed, higher premiums for doctors would drive up health care costs and even force some of physicians to leave the state. A barrage of advertisements, funded in part by physician groups, told consumers that the law could increase health insurance premiums by $1,000 per year.
Floyd Arthur #floydarthur
http://floyd-arthur.com
Panelist PPT. Presented at the Safety Net Summit, June 23, 2009, hosted by Health & Medicine Policy Research Group (HMPRG) and the U.S. Health Resources and Services Administration (HRSA)
Sunset Commission To Recommend Abolishing Anabolic Steroid Testing Programisteroidscom
According to a report released by the University Interscholastic League’s Anabolic Steroid Testing Program, no student-athlete at Texas public high schools tested positive for anabolic steroids during the 2013-14 school year.
Social BPM - Combining social Web and BPM for improving enterprise performanceemanuelemolteni
Social BPM fuses BPM practices with social networking applications, with the aim of enhancing the enterprise performance by means of a controlled participation of external stakeholders to process design and enactment. The purpose of this participation is the exploitation of the operational value of the company, hidden within the personal behaviours and relations. In the presentation we address three main points:
- The motivation and requirements associated with Social BPM
- The concrete objectives that organizations can earn in terms of efficiency improvement, including: exploitation of weak ties and implicit knowledge; increase of transparency in process execution; user participation and engagement; distribution of decision and activity execution; feedback collection; and knowledge sharing
- The status of the Social BPM offer and the coverage of the above objectives
For each objective, pros and cons of the various solutions are discussed and concrete examples are used for describing the problem. Practical and innovative techniques are introduced too (e.g., crowdsearching, gamification, social network analysis, extended BP modeling notations, agile cycles for process improvement).
14ALLIED MEDICAL WASTE TRANSPORT VETERINARIAN DIVISIONRob.docxmoggdede
14
ALLIED MEDICAL WASTE TRANSPORT: VETERINARIAN DIVISION
Robert E. Stevens
John Massey Professor of Business
John Massey School of Business
Department of Management and Marketing
1405 N. 4th Ave. PMB 4118
Southeastern Oklahoma State University
Durant, OK 74701
Phone: 580-745-3181
Fax: 580-745-7479
E-mail: [email protected]
Lawrence S. Silver
Associate Professor of Marketing
Southeastern Oklahoma State University
John Massey School of Business
Department of Management and Marketing
1405 N. 4th Ave. PMB 4118
Durant, OK 74701-0609
(580) 745-3190 (Phone)
(580) 745-7479 (Fax)
E-mail: [email protected]
C. W. Von Bergen
John Massey Endowed Chair in Management
John Massey School of Business
Southeastern Oklahoma State University
Durant, OK 74701-0609
Phone: 580-745-2430
Fax: 580-745-7479
E-mail:[email protected]
ALLIED MEDICAL WASTE TRANSPORT: VETERINARIAN DIVISION
Kathy West, Vice President of Marketing at Allied Medical Waste Transport of Oklahoma, sat at her desk reading her boss’s request for a strategic marketing plan for the next three years including pro forma income statements for the newly started veterinary division of the company. She had thought about this project off and on for the past couple of months and now faced the daunting task of actually creating the overall strategy and the mix of personal selling and advertising. The home office expected substantial growth from the veterinary operation and Ms. West searched for growth options to meet the desired sales/profit levels.
Background
Medical waste first came to the attention of the general public several years ago when it washed up on New Jersey beaches. Because of the media exposure of this event and others pertaining to undesirable disposal practices as well as fear of AIDS, public hysteria resulted and pressure was put upon regulatory officials to develop comprehensive regulations to prohibit such occurrences. HR3515 (The Medical Waste Tracking Act of 1988) was passed requiring the federal Environmental Protection Agency (EPA) to begin an investigation to determine whether federal legislation was necessary. The EPA provided their findings in 1991 that led to federal regulations on medical waste disposal.
Also, the Occupational Safety and Health Administration, OSHA, has begun to fine waste generators for improper disposal practices within their facilities and most states have adopted some type of regulation pertaining to infectious waste disposal requirements. The concern was not just for human medical waste but also animal medical waste since farmers and ranchers inoculated animals including beef, pork, and poultry.
The MWTA initially applied to facilities in Connecticut, New Jersey, and New York. Illinois, Indiana, Michigan, Minnesota, Ohio, Pennsylvania, and Wisconsin also were included within the original scope of the MWTA but were permitted to, and each elected to, opt out of coverage. The federal government permitted other states to opt into cove ...
Human Trafficking
Monet Dean, Kristi Fisher, Krista Hammond, Ilham Mejahed
Full Practice Authority For NP In California-AB 890 Bill
Name: Sukhjit Dhaliwal
Sumar Abu-Samrah
Janice Dawson
Institution: United States University
10-18-2021
‹#›
ASSOCIATION MEMBER INTERVIEW
https://drive.google.com/file/d/1g5dbfxVjOPEL0jqhfqqsybdYoGTdgW8c/view?usp=sharing
Dr. Marketa Houskova Executive Director ANA, Policy Expert, Top Influencer.
(american nurses association - Google zoeken, n.d.)
Dr. Marketa Houskova is one of the biggest influence for the American Nurses Association. It was a surprise to see how quickly she responded and how helpful and passionate she is about nurses expressing their voices and advocating for high quality health care.
References
American nurses association - Google zoeken. (n.d.). American Nurses Association. Retrieved 2021, from https://www.google.com/search?q=american+nurses+association&tbm=isch&ved=2ahUKEwiTnOGs1MrzAhUH5J4KHddBBDAQ2-cCegQIABAA&oq=american+nurses+association&gs_lcp=CgNpbWcQAzIHCCMQ7wMQJzIHCCMQ7wMQJzIFCAAQgAQyBQgAEIAEMgUIABCABDIFCAAQgAQyBQgAEIAEMgUIABCABDIFCAAQgAQyBggAEAUQHjoECAAQGDoGCAAQCBAeOgQIABAeUKUaWLskYPIlaABwAHgAgAGsAYgBgwiSAQM0LjWYAQCgAQGqAQtnd3Mtd2l6LWltZ8ABAQ&sclient=img&ei=BohoYZOBK4fI-wTXg5GAAw&bih=746&biw=1536#imgrc=ggsEiG2uVVm_dM
Interview with the Registered Nurse Leader
As the executive director of the American Nursing Association Dr. Houskova’s:
Mission:
Advance the quality of health care such as access to care and to ethical practice in society through education, legislation, and policy advocacy.
Advocating for Nurse Practitioners to independently practice
https://drive.google.com/file/d/1PSiNh1-wojHYT_o-CnKVikg50kEQ5bTQ/view?usp=sharing
Provider gap. (2021). [ANA]. https://closetheprovidergap.com/
In the interview with Dr. Houskova, she mentioned the supporting the AB 890 act which will allow Nurse practitioners to practice independently without the supervision of a physician (Bill Text - AB-890 Nurse Practitioners: Scope of Practice: Practice without Standardized Procedures., 2019). As the provider grab continues to grow in California because of the shortage of primary care physicians, leaving access to health care difficult. According to the California Health Workforce Commission, after one year of analyzing health care delivery, recommendations were made and one included the full practice authority for NP’s as primary care providers (Expanding the Role of Nurse Practitioners, 2021). In hopes of joining the other 28 states what already changed their legislation allowing nurse practitioners to practice as primary care providers.
References
Bill Text - AB-890 Nurse practitioners: scope of practice: practice without standardized procedures. (2019). AB-890 Nurse Practitioners: Scope of Practice: Practice without Standardized Procedures. https://leginfo.legisla ...
March 2015 presentation on the impact of federal health care reform on the practice and business of medicine. AACU and AUA Joint Advocacy Priorities including USPSTF Reform, IPAB Repeal, Graduate Medical Education Funding. Particular focus on policies the threaten to devalue physician training and degrade professional standards.
Leveraging Public Health Capacity to Increase Health System EfficiencyNASHP HealthPolicy
Presenter Sharon Moffatt Chief of Health Promotion and Disease Prevention with the Association of State and Territorial Health Officials, leading on prevention, access to care and health reform
Health Care Fraud Investigations: What to Do When the Government KnocksEpstein Becker Green
Webinar with moderator Marcia Nusgart, R.Ph., of the Alliance of Wound Care Stakeholders, and attorneys George B. Breen, David E. Matyas, and Lynn Shapiro Snyder of Epstein Becker Green. August 17, 2016.
This webinar will provide insight into expanding government investigations and offer ways to enhance your compliance efforts including:
* High risk health care fraud issues
* How to manage a 'touch' by the government enforcement players such as the receipt of a subpoena, and
* The current enforcement climate
http://www.ebglaw.com/events/health-care-fraud-investigations-what-to-do-when-the-government-knocks/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
2015 Lobby Day Official Policy Statement FINAL VERSION
7 medicinereturninitiativesinwa shield
1. “ Get the Old Meds Out” Workshop” U. WI Extension. May 19, 2010 Medicine Return Initiatives in Washington State Margaret Shield, Policy Liaison Local Hazardous Waste Management Program in King County
15. Key Issues & Stakeholders on Secure Medicine Return
16.
17. Contact Info & Resources Margaret Shield, PhD Policy Liaison Local Hazardous Waste Management Program in King County margaret.shield@kingcounty.gov / 206-263-3059 Washington Medicine Return Website www.medicinereturn.com Northwest Product Stewardship Council www.productstewardship.net