The document discusses several issues related to health insurance across state lines, including narrow networks, balance billing, and the Affordable Care Act. It notes that allowing insurance sales across state lines is not a viable solution and could lead to a "race to the bottom" as insurers try to attract healthier customers. It also examines problems with narrow provider networks, balance billing for out-of-network emergency services, and factors like premiums, payments, number of enrollees, network size, and reimbursement rates that influence the US healthcare system.
Lots of talk about new medicaid rules, data, metrics, scores, MLR, network adequacy and more. Lots of new data sources on the way in and out MSIS and TMSIS, oh my! Here's something just for fun we thew together. Wonder how medicaid docs do versus medicaid doctors? Is supply aligned with demand (prevalence and provider coverage)? How about unnecessary spend and no value care? Crazier still, think they could succeed in risk arrangements?
Universal Life • Whole Life • Critical Illness • Group Term Life • Short-Term Disability
Out-of-Pocket Medical Expense Indemnity • Hospital Indemnity
Accident • Cancer • Vision • Legal Plan
Why Would I Want a Revocable Living Trusts in OklahomaLarry Parman
A closer look at revocable living trusts in Oklahoma and some of the benefits this type of trusts offer. Learn more about revocable living trusts in Oklahoma in this presentation.
Direct to Employer - Dealing With Narrow Networks in the 'New Exchange World'McKonly & Asbury, LLP
This webinar was hosted by Tyler Wenger and Suzanne Sentman from McKonly & Asbury with special guest host Ernie Tsoules from Rhoads & Sinon.This presentation addressed the fact that self-insured employers are increasingly seeking to reduce employee health care costs. A new model of achieving this goal is taking hold in the market by employers contracting directly with new types of health care provider networks, commonly referred to as “narrow networks." This session explored the evolution of these new arrangements and its impact on employers, health care providers and employees. The session also addressed the key business and legal issues that are important to consider in developing these new relationships.
Check out our Upcoming Events page for news and updates on our future seminars and webinars at http://www.macpas.com/events/
Lots of talk about new medicaid rules, data, metrics, scores, MLR, network adequacy and more. Lots of new data sources on the way in and out MSIS and TMSIS, oh my! Here's something just for fun we thew together. Wonder how medicaid docs do versus medicaid doctors? Is supply aligned with demand (prevalence and provider coverage)? How about unnecessary spend and no value care? Crazier still, think they could succeed in risk arrangements?
Universal Life • Whole Life • Critical Illness • Group Term Life • Short-Term Disability
Out-of-Pocket Medical Expense Indemnity • Hospital Indemnity
Accident • Cancer • Vision • Legal Plan
Why Would I Want a Revocable Living Trusts in OklahomaLarry Parman
A closer look at revocable living trusts in Oklahoma and some of the benefits this type of trusts offer. Learn more about revocable living trusts in Oklahoma in this presentation.
Direct to Employer - Dealing With Narrow Networks in the 'New Exchange World'McKonly & Asbury, LLP
This webinar was hosted by Tyler Wenger and Suzanne Sentman from McKonly & Asbury with special guest host Ernie Tsoules from Rhoads & Sinon.This presentation addressed the fact that self-insured employers are increasingly seeking to reduce employee health care costs. A new model of achieving this goal is taking hold in the market by employers contracting directly with new types of health care provider networks, commonly referred to as “narrow networks." This session explored the evolution of these new arrangements and its impact on employers, health care providers and employees. The session also addressed the key business and legal issues that are important to consider in developing these new relationships.
Check out our Upcoming Events page for news and updates on our future seminars and webinars at http://www.macpas.com/events/
Presentation by Daria Pelech, an analyst in CBO’s Health Analysis Division, at the Center for Health Insurance Reform McCourt School of Public Policy, Georgetown University.
Telehealth: Saving the Health Insurance IndustrySheldon Lee
There could not be a more timely benefit program than telehealth. An estimated 100 million Americans will be enrolled in a telehealth benefits plan by 2015. What are you doing to help these people?
Please review the attached Powerpoint then lets get you contracted to get this out to your clients ASAP!
Presentation on transparency of doctor performance at Health Datapalooza 2015 by Josh Rosenthal, PhD
Applications of Transparency: From Visibility to Action
As transparency in health care has emerged as a crucial enabler towards achieving the Triple Aim, myriad sources and types of information have become available in the last few years. Join this session to learn new ways of understanding the behaviors of patients and providers, and novel approaches to payment and delivery already underway.
Moderator: Ben Harder, U.S. News & World Report
Panelists: Elizabeth Mitchell, NRHI; Jeanne Pinder, ClearHealthCosts; Josh Rosenthal, PhD, RowdMap, Inc.
You combine their practical, real-world experience in cancer patient medical billing services with action-driven results it's clear that those billing personnel are well-suited to turning your progressive practice in to profit shelling center.
Detecting health insurance fraud using analytics Nitin Verma
Any Healthcare organization that exchanges money with service providers, customers and vendors are prone to health insurance fraud and abuse. Health plans around the world are losing more money than the amount of the Medical Loss Ratio (MLR). Examples of fraud include: billing for services not rendered, misrepresenting the diagnosis to fraudulently collect payment, soliciting, offering, or receiving a kickback, unbundling or "exploding" charges and the never ending list goes on and on forever.
The real difference between fraud and abuse is the person's intent. Both acts have the same impact: they detract valuable resources from the Health Plans that would otherwise be used to offer economical plans and provide efficient services to the subscribers and higher reimbursement to the providers.
The Break-Even Equation and Profit CalculationSubmit written r.docxmehek4
The Break-Even Equation and Profit Calculation
Submit written responses to these questions.
1.What are the formulas for: ◦The basis break-even equation
◦The basis breakeven equation expanded to include indirect costs and desired profit?
2.Explain the relationship between step-five costs and the relevant range.
3.Based on the product margin, when is it in the best interests of an organization to continue or drop a service?
4.Laurie Vaden is a nurse practitioner with her own practice. She has developed contracts with several large employers to perform routine physical, fitness for duty exams, and initial screening of on-the-job injuries. She currently sees 150 per month, charging 450 per visit. Her total costs are $7,500, of which $1,500 is for supplies. She has decided that she needs to increase profit, so she is considering raising her fee to $65. She expects to lose 10 percent of her business to competitors that charge an average of 460 per visit. Determine her current and predicted: 1) revenues, 2) variable costs, and 3) total contribution margin. What do you recommend she do? Why?
5.Janet Gilbert is director of labs. She has some extra capacity and has contracted with some small neighboring hospitals to run some of their lab tests. She has recently had a study conducted and has determined that her costs of these contracts are $10,000 of which $7,000 are for supplies and items related to each test. She currently charges an average of $10,00 per lab test. She is thinking of lowering her price by 20 percent in hopes of raising her current volume of 10,000 tests by 15 percent. Determine her current and predicted: 1) revenues, 2) variable costs, 3) total contribution margin, and 4) net income. What do you recommend she do? Why?
6.Shady Rest Nursing Home has 100 private pay residents. The administrator is concerned about balancing the ratio its private pay to non-private pay patients. Non-private pay sources reimburse an average of $100 per day whereas private pay residents pay average 100 percent of full daily charges. The administrator estimates that variable cost per resident per day is $25 for supplies, food, and contracted services and annual fixed costs are $4,562,500. ◦What is the daily contribution margin of each non-private pay resident?
◦If 25 percent of the residents are non-private pay, what will shady Rest charge the private pay patients in order to break even?
◦What if non-private pay payors cover 50 percent of the residents?
7.The owner of Shady Rest Nursing Home insists that the facility earn $80,000 in annual profits. How much must the administrator raise the per day charge for the privately insured residents if 25 percent of the residents are covered by non-private pay payors?
Short essay 3: The Internet is a Dangerous Place
The Wave of Ransomware Attacks
Introduction
Ransomware is fetal software that encrypts or removes access to computer files until a ransom payment is made. Ransomware has been around since 1989, but ...
Why Hospitals Want Patients to Pay UpfrontBy John Tozzi Septem.docxalanfhall8953
Why Hospitals Want Patients to Pay Upfront
By John Tozzi September 25, 2014
Tozzi is a reporter for Bloomberg Businessweek in New York.
URL: http://www.businessweek.com/articles/2014-09-25/why-hospitals-want-patients-to-pay-upfront
Melody Rempe spends much of her day telling people who are about to go into the hospital how much they’ll have to pay. As a patient financial counselor at Nebraska Methodist Health System, she calls patients about a week before they go in for procedures with estimates of their bills and what portion insurance will cover. Although many are grateful, some cry or yell. “Sometimes you’re talking to them about the biggest thing in their life,” she says. Rempe says most calls end well when she walks patients through the hospital’s payment-plan options or other financial assistance.
Hospitals have good reason to be concerned about their patients’ finances: Even people with insurance are increasingly responsible for a big portion of their medical bills. Among Americans who get health coverage at work, 41 percent have deductibles of at least $1,000 they must meet before insurance starts paying. That’s up from 10 percent in 2006, according to the Kaiser Family Foundation. Those with employer coverage are joined by 7 million new enrollees in Obamacare plans, which typically make patients share a large chunk of costs. The average deductible in the most popular “silver” tier of coverage is $2,267, according to an analysis by the Robert Wood Johnson Foundation.
Raising deductibles helps employers and insurers limit premium hikes. It also shifts more of the risk onto individuals. That in turn boosts the chances that doctors and hospitals won’t get paid. If a patient has a $2,900 deductible, “it’s far more difficult to get that $2,900 from an individual patient than it is from the Medicare program or from Blue Cross Blue Shield,” says Richard Gundling, vice president of the Healthcare Financial Management Association, a trade group. A March report on hospitals from Moody’s (MCO), the credit-rating firm, was blunt: “Today’s high deductibles are tomorrow’s bad debt.”
Hospitals’ total cost of uncompensated care reached $46 billion in 2012, equal to about 6 percent of their expenses, the American Hospital Association says. Large for-profit chains such as LifePoint Hospitals (LPNT), which operates more than 60 medical centers in 20 states, have felt the impact of rising deductibles. LifePoint’s bad debt related to copays and deductibles is running at $25 million per quarter this year, up from $15 million per quarter in 2013, Leif Murphy, the company’s chief financial officer, said on an earnings call in July. He blamed the increase in part on the growing prevalence of high-deductible plans.
As the mechanics of insurance policies become more complicated, Americans are having a harder time understanding how their plan choices will affect their finances. Only 14 percent of insured adults correctly understand insurance jargon such as de.
http://ekinsurance.com/personal/how-to-buy-long-term-care-insurance/
Statistics indicate that over half of all people over age 50 will require long-term care.
Presentation by Daria Pelech, an analyst in CBO’s Health Analysis Division, at the Center for Health Insurance Reform McCourt School of Public Policy, Georgetown University.
Telehealth: Saving the Health Insurance IndustrySheldon Lee
There could not be a more timely benefit program than telehealth. An estimated 100 million Americans will be enrolled in a telehealth benefits plan by 2015. What are you doing to help these people?
Please review the attached Powerpoint then lets get you contracted to get this out to your clients ASAP!
Presentation on transparency of doctor performance at Health Datapalooza 2015 by Josh Rosenthal, PhD
Applications of Transparency: From Visibility to Action
As transparency in health care has emerged as a crucial enabler towards achieving the Triple Aim, myriad sources and types of information have become available in the last few years. Join this session to learn new ways of understanding the behaviors of patients and providers, and novel approaches to payment and delivery already underway.
Moderator: Ben Harder, U.S. News & World Report
Panelists: Elizabeth Mitchell, NRHI; Jeanne Pinder, ClearHealthCosts; Josh Rosenthal, PhD, RowdMap, Inc.
You combine their practical, real-world experience in cancer patient medical billing services with action-driven results it's clear that those billing personnel are well-suited to turning your progressive practice in to profit shelling center.
Detecting health insurance fraud using analytics Nitin Verma
Any Healthcare organization that exchanges money with service providers, customers and vendors are prone to health insurance fraud and abuse. Health plans around the world are losing more money than the amount of the Medical Loss Ratio (MLR). Examples of fraud include: billing for services not rendered, misrepresenting the diagnosis to fraudulently collect payment, soliciting, offering, or receiving a kickback, unbundling or "exploding" charges and the never ending list goes on and on forever.
The real difference between fraud and abuse is the person's intent. Both acts have the same impact: they detract valuable resources from the Health Plans that would otherwise be used to offer economical plans and provide efficient services to the subscribers and higher reimbursement to the providers.
The Break-Even Equation and Profit CalculationSubmit written r.docxmehek4
The Break-Even Equation and Profit Calculation
Submit written responses to these questions.
1.What are the formulas for: ◦The basis break-even equation
◦The basis breakeven equation expanded to include indirect costs and desired profit?
2.Explain the relationship between step-five costs and the relevant range.
3.Based on the product margin, when is it in the best interests of an organization to continue or drop a service?
4.Laurie Vaden is a nurse practitioner with her own practice. She has developed contracts with several large employers to perform routine physical, fitness for duty exams, and initial screening of on-the-job injuries. She currently sees 150 per month, charging 450 per visit. Her total costs are $7,500, of which $1,500 is for supplies. She has decided that she needs to increase profit, so she is considering raising her fee to $65. She expects to lose 10 percent of her business to competitors that charge an average of 460 per visit. Determine her current and predicted: 1) revenues, 2) variable costs, and 3) total contribution margin. What do you recommend she do? Why?
5.Janet Gilbert is director of labs. She has some extra capacity and has contracted with some small neighboring hospitals to run some of their lab tests. She has recently had a study conducted and has determined that her costs of these contracts are $10,000 of which $7,000 are for supplies and items related to each test. She currently charges an average of $10,00 per lab test. She is thinking of lowering her price by 20 percent in hopes of raising her current volume of 10,000 tests by 15 percent. Determine her current and predicted: 1) revenues, 2) variable costs, 3) total contribution margin, and 4) net income. What do you recommend she do? Why?
6.Shady Rest Nursing Home has 100 private pay residents. The administrator is concerned about balancing the ratio its private pay to non-private pay patients. Non-private pay sources reimburse an average of $100 per day whereas private pay residents pay average 100 percent of full daily charges. The administrator estimates that variable cost per resident per day is $25 for supplies, food, and contracted services and annual fixed costs are $4,562,500. ◦What is the daily contribution margin of each non-private pay resident?
◦If 25 percent of the residents are non-private pay, what will shady Rest charge the private pay patients in order to break even?
◦What if non-private pay payors cover 50 percent of the residents?
7.The owner of Shady Rest Nursing Home insists that the facility earn $80,000 in annual profits. How much must the administrator raise the per day charge for the privately insured residents if 25 percent of the residents are covered by non-private pay payors?
Short essay 3: The Internet is a Dangerous Place
The Wave of Ransomware Attacks
Introduction
Ransomware is fetal software that encrypts or removes access to computer files until a ransom payment is made. Ransomware has been around since 1989, but ...
Why Hospitals Want Patients to Pay UpfrontBy John Tozzi Septem.docxalanfhall8953
Why Hospitals Want Patients to Pay Upfront
By John Tozzi September 25, 2014
Tozzi is a reporter for Bloomberg Businessweek in New York.
URL: http://www.businessweek.com/articles/2014-09-25/why-hospitals-want-patients-to-pay-upfront
Melody Rempe spends much of her day telling people who are about to go into the hospital how much they’ll have to pay. As a patient financial counselor at Nebraska Methodist Health System, she calls patients about a week before they go in for procedures with estimates of their bills and what portion insurance will cover. Although many are grateful, some cry or yell. “Sometimes you’re talking to them about the biggest thing in their life,” she says. Rempe says most calls end well when she walks patients through the hospital’s payment-plan options or other financial assistance.
Hospitals have good reason to be concerned about their patients’ finances: Even people with insurance are increasingly responsible for a big portion of their medical bills. Among Americans who get health coverage at work, 41 percent have deductibles of at least $1,000 they must meet before insurance starts paying. That’s up from 10 percent in 2006, according to the Kaiser Family Foundation. Those with employer coverage are joined by 7 million new enrollees in Obamacare plans, which typically make patients share a large chunk of costs. The average deductible in the most popular “silver” tier of coverage is $2,267, according to an analysis by the Robert Wood Johnson Foundation.
Raising deductibles helps employers and insurers limit premium hikes. It also shifts more of the risk onto individuals. That in turn boosts the chances that doctors and hospitals won’t get paid. If a patient has a $2,900 deductible, “it’s far more difficult to get that $2,900 from an individual patient than it is from the Medicare program or from Blue Cross Blue Shield,” says Richard Gundling, vice president of the Healthcare Financial Management Association, a trade group. A March report on hospitals from Moody’s (MCO), the credit-rating firm, was blunt: “Today’s high deductibles are tomorrow’s bad debt.”
Hospitals’ total cost of uncompensated care reached $46 billion in 2012, equal to about 6 percent of their expenses, the American Hospital Association says. Large for-profit chains such as LifePoint Hospitals (LPNT), which operates more than 60 medical centers in 20 states, have felt the impact of rising deductibles. LifePoint’s bad debt related to copays and deductibles is running at $25 million per quarter this year, up from $15 million per quarter in 2013, Leif Murphy, the company’s chief financial officer, said on an earnings call in July. He blamed the increase in part on the growing prevalence of high-deductible plans.
As the mechanics of insurance policies become more complicated, Americans are having a harder time understanding how their plan choices will affect their finances. Only 14 percent of insured adults correctly understand insurance jargon such as de.
http://ekinsurance.com/personal/how-to-buy-long-term-care-insurance/
Statistics indicate that over half of all people over age 50 will require long-term care.
Who Knew Health Care Could Be This Complicated?Cedric Dark
A talk I gave to the Spring Branch Democrats (Houston, TX) just as the "Skinny Repeal" was released to the public and hours before it's ultimate failure.
Presentation by Cedric Dark, MD, MPH & Rosalia Guerrero-Luera
for the Third Annual Policy Prescriptions® Symposium
Cedric Dark is the founder and executive editor at Policy Prescriptions® and an assistant professor at Baylor College of Medicine Section of Emergency Medicine
The symposium is designed for clinicians, healthcare workers, and healthcare executives interested in exploring the major themes that will emerge in health policy throughout the year. This year, the symposium will emphasize value in healthcare, health information technology, gun violence, insurance choices, the Affordable Care Act, and the viewpoints of the Presidential candidates on health care.
The Big Bang Theory: Evidence-Based Strategies to Reduce Gun ViolenceCedric Dark
Presentation by Bich-May Nguyen, MD, MPH for the Third Annual Policy Prescriptions® Symposium
Bich-May Nguyen is an assistant professor at Baylor College of Medicine, Department of Family Medicine
The symposium is designed for clinicians, healthcare workers, and healthcare executives interested in exploring the major themes that will emerge in health policy throughout the year. This year, the symposium will emphasize value in healthcare, health information technology, gun violence, insurance choices, the Affordable Care Act, and the viewpoints of the Presidential candidates on health care.
The Affordable Care Act: An Evidence-Based UpdateCedric Dark
Presentation by Seth Trueger, MD, MPH for the Third Annual Policy Prescriptions® Symposium
Seth Trueger is an assistant professor at the University of Chicago, Section of Emergency Medicine.
The symposium is designed for clinicians, healthcare workers, and healthcare executives interested in exploring the major themes that will emerge in health policy throughout the year. This year, the symposium will emphasize value in healthcare, health information technology, gun violence, insurance choices, the Affordable Care Act, and the viewpoints of the Presidential candidates on health care.
Defining Value in Healthcare through Price and Cost TransparencyCedric Dark
Presentation by Laura Medford Davis for the Third Annual Policy Prescriptions® Symposium
Laura Medford-Davis is a Robert Wood Johnson clinical scholar at University of Pennsylvania and a practicing emergency physician.
The symposium is designed for clinicians, healthcare workers, and healthcare executives interested in exploring the major themes that will emerge in health policy throughout the year. This year, the symposium will emphasize value in healthcare, health information technology, gun violence, insurance choices, the Affordable Care Act, and the viewpoints of the Presidential candidates on health care.
Time for a Reality Check on Health InsuranceCedric Dark
Presentation by Elena Marks, JD, MPH for the Third Annual Policy Prescriptions® Symposium
Elena M. Marks is the president and chief executive officer of the Episcopal Health Foundation and a nonresident fellow in Health Policy at Rice University’s Baker Institute for Public Policy.
Marks previously served as the director of Health and Environmental Policy for the City of Houston. Prior to joining the mayor’s staff, Marks practiced trial and appellate law with major law firms, started and directed a successful legal placement firm, and developed strategic, long-range, and operating plans for service lines and system centers at a major health system.
The symposium is designed for clinicians, healthcare workers, and healthcare executives interested in exploring the major themes that will emerge in health policy throughout the year. This year, the symposium will emphasize value in healthcare, health information technology, gun violence, insurance choices, the Affordable Care Act, and the viewpoints of the Presidential candidates on health care.
Presentation by Megan Douglas, JD for the Third Annual Policy Prescriptions® Symposium
She is the associate director of Health Information Technology Policy in the National Center for Primary Care at Morehouse School of Medicine.
The symposium is designed for clinicians, healthcare workers, and healthcare executives interested in exploring the major themes that will emerge in health policy throughout the year. This year, the symposium will emphasize value in healthcare, health information technology, gun violence, insurance choices, the Affordable Care Act, and the viewpoints of the Presidential candidates on health care.
Competition or Collaboration - 2015 Policy Prescriptions® SymposiumCedric Dark
The symposium is designed for clinicians – physicians, nurses, nurse practitioners, physician assistants, and students – and healthcare executives interested in expanding their scope of knowledge about currently popular health policy topics.
How to Cover the Last...Millions - 2015 Policy Prescriptions® SymposiumCedric Dark
The symposium is designed for clinicians – physicians, nurses, nurse practitioners, physician assistants, and students – and healthcare executives interested in expanding their scope of knowledge about currently popular health policy topics.
Leveraging Telemedicine to Improve Health - 2015 Policy Prescriptions Symposium®Cedric Dark
The symposium is designed for clinicians – physicians, nurses, nurse practitioners, physician assistants, and students – and healthcare executives interested in expanding their scope of knowledge about currently popular health policy topics.
The Near Future of Healthcare Delivery - 2015 Policy Prescriptions® SymposiumCedric Dark
The symposium is designed for clinicians – physicians, nurses, nurse practitioners, physician assistants, and students – and healthcare executives interested in expanding their scope of knowledge about currently popular health policy topics.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
62. We can think of the extraordinarily high overhead
imposed on insured individuals and patients in the
United States as the price they seem to be willing to
pay for the privilege of choice among health insurers
and, for each insurer, among multiple different
insurance products. US consumers seem so fanatic
about this choice that to keep it, they have been willing
to give up their erstwhile freedom of choice among
physicians, hospitals, and other clinicians and health
care facilities. Citizens of most other countries have
made that trade-off in exactly the opposite direction.
One can only hope that for the high price US
consumers seem willing to pay for choice among
insurers, they get their money’s worth in extra benefits.
Uwe Reinhardt, PhD
82. 1) the average amount negotiated with
in-network providers for the emergency
service furnished
83. 1) the average amount negotiated with
in-network providers for the emergency
service furnished
2) the amount for the emergency service
calculated using the same method the
plan generally uses to determine
payments for out-of-network services
(such as the usual, customary, and
reasonable charges)
84. 1) the average amount negotiated with
in-network providers for the emergency
service furnished
2) the amount for the emergency service
calculated using the same method the
plan generally uses to determine
payments for out-of-network services
(such as the usual, customary, and
reasonable charges)
3) the amount that would be paid under
