The document discusses integrating occupational health practices into primary health care in the Netherlands. Currently, the two systems are separate, with general practitioners providing primary care and company doctors providing occupational health services. The summary is:
1) There are advantages and disadvantages to the separate Dutch systems, such as GPs not being pressured to provide sick notes but also a lack of communication between the sectors.
2) The document proposes integrating company doctors into primary care to address issues like overlooking work-related causes of illness and providing a point of contact for those without regular occupational services.
3) Examples are given of clients successfully treated by a primary care company doctor by addressing both health and work-related issues. The integration could improve
The document provides information about the Wantveld Health Centre in the Netherlands, including its services and staff. It discusses the current separate systems for primary healthcare and occupational healthcare, noting advantages and disadvantages. Reasons are provided for joining these systems, including more focus on work and functioning for clients. Experiences of a "company doctor in primary care" are shared. The referral processes between practitioners are outlined for several client cases.
This document discusses various issues related to patient care, nursing management, and nurse employment. It identifies key issues such as patient rights, legal and ethical concerns, staffing shortages, workload pressures, and exploitation of migrant nurses. The document also examines approaches to address these issues, including improving nurse-to-patient ratios, increasing salaries, developing nursing curriculums, and establishing clear employment contracts. Overall, the document aims to outline important challenges in nursing and potential solutions to help standardize and improve the profession over time.
The document discusses physical therapy consultation. It defines consultation as providing professional advice or expert opinion for a fee. There are four levels of consultation based on the relationship with the client, from service-based to trust-based. Physical therapy consultants can help clients with issues like inadequate staffing, objective perspectives, business management, and periods of change. Building a consulting business requires preparing financially and developing a plan. Consultants must follow codes of ethics and consider legal aspects of employment status when providing advice to clients.
Home health care involves providing medical care and services to individuals in their homes. It allows patients to receive skilled care while maintaining independence. The nursing process is used to assess patients' needs, develop care plans, implement care, and evaluate outcomes. Services typically include skilled nursing, therapy, and home health aide visits. Home health care allows patients to heal in a comfortable environment and reduces health care costs. It is a growing sector both in the US and India due to aging populations and increased chronic conditions.
The document discusses several vignettes involving boundary violations by psychiatrists, including a practitioner injecting themselves prior to surgery, developing feelings for a patient, and engaging in a sexual relationship with a patient. It also covers topics like mandatory reporting requirements, exploitative behaviors, and approaches to rehabilitation for clinicians who have committed boundary violations.
Legal and ethical issues in critical care nursingNursing Path
This document discusses several key ethical and legal issues faced by critical care nurses, including informed consent, use of restraints, end-of-life decisions around life-sustaining treatment, organ donation, and resolving ethical problems. It outlines important ethical principles like autonomy, beneficence, and justice. It also addresses issues like medico-legal cases, documentation, and the most concerning ethical issues reported by nurses.
The document provides information about the Wantveld Health Centre in the Netherlands, including its services and staff. It discusses the current separate systems for primary healthcare and occupational healthcare, noting advantages and disadvantages. Reasons are provided for joining these systems, including more focus on work and functioning for clients. Experiences of a "company doctor in primary care" are shared. The referral processes between practitioners are outlined for several client cases.
This document discusses various issues related to patient care, nursing management, and nurse employment. It identifies key issues such as patient rights, legal and ethical concerns, staffing shortages, workload pressures, and exploitation of migrant nurses. The document also examines approaches to address these issues, including improving nurse-to-patient ratios, increasing salaries, developing nursing curriculums, and establishing clear employment contracts. Overall, the document aims to outline important challenges in nursing and potential solutions to help standardize and improve the profession over time.
The document discusses physical therapy consultation. It defines consultation as providing professional advice or expert opinion for a fee. There are four levels of consultation based on the relationship with the client, from service-based to trust-based. Physical therapy consultants can help clients with issues like inadequate staffing, objective perspectives, business management, and periods of change. Building a consulting business requires preparing financially and developing a plan. Consultants must follow codes of ethics and consider legal aspects of employment status when providing advice to clients.
Home health care involves providing medical care and services to individuals in their homes. It allows patients to receive skilled care while maintaining independence. The nursing process is used to assess patients' needs, develop care plans, implement care, and evaluate outcomes. Services typically include skilled nursing, therapy, and home health aide visits. Home health care allows patients to heal in a comfortable environment and reduces health care costs. It is a growing sector both in the US and India due to aging populations and increased chronic conditions.
The document discusses several vignettes involving boundary violations by psychiatrists, including a practitioner injecting themselves prior to surgery, developing feelings for a patient, and engaging in a sexual relationship with a patient. It also covers topics like mandatory reporting requirements, exploitative behaviors, and approaches to rehabilitation for clinicians who have committed boundary violations.
Legal and ethical issues in critical care nursingNursing Path
This document discusses several key ethical and legal issues faced by critical care nurses, including informed consent, use of restraints, end-of-life decisions around life-sustaining treatment, organ donation, and resolving ethical problems. It outlines important ethical principles like autonomy, beneficence, and justice. It also addresses issues like medico-legal cases, documentation, and the most concerning ethical issues reported by nurses.
Medical transcription, pharmacy technician, medical coding and medical assistance are some of the fastest growing allied healthcare professions. What stands out about these occupations is the fact that they hold immense amount of potential, but require only minimal training. All of these occupations can be secured with postsecondary vocational training available at career schools.
This document discusses the members of a healthcare team. It explains that healthcare requires teamwork with different providers playing specialized roles. The core members of a team include physicians, nurses, pharmacists, dieticians, psychologists, and therapists. Physicians can be primary care doctors or specialists. Nurses provide clinical care and education. Other members like pharmacists, dieticians, and psychologists also have roles in treating patients and ensuring their overall well-being. Administrative staff, social workers, spiritual leaders, and volunteers also form an important part of the healthcare team.
The document discusses the role of physical therapists in patient/client management. It describes the five key elements of patient management as examination, evaluation, diagnosis, prognosis, and intervention. Evaluation involves creating a problem list for the patient. Diagnosis categorizes the problems into defined clusters or syndromes. Prognosis predicts the patient's expected improvement, timeline, and outcomes. Discharge and discontinuation processes determine when physical therapy services are concluded. Outcomes analyze the overall impact of interventions on the patient.
Some of the most commonly occurring legal issues that impact on nursing and nursing practice are those relating to informed consent and refusing treatment as previously detailed, licensure, the safeguarding of clients' personal possessions and valuables, malpractice, negligence, mandatory reporting relating to gunshot....
This document provides background information and context for a case study about implementing lean principles at HomeCare, a large Canadian home health care organization. It summarizes that HomeCare was facing issues like poor service, long scheduling times, and low employee satisfaction due to siloed processes and lack of coordination. HomeCare leadership brought in consultants to redesign the entire service process from a lean perspective. The consultants conducted interviews and surveys, and recommended piloting redesigned processes in two districts before expanding organization-wide. The pilots were very successful, dramatically improving key metrics like scheduling times. This provided proof and momentum to redesign additional districts using the lean methodology.
This document contains a reflection on the student's educational journey, resume, and reflections on coursework. The high-level summary is:
1) The student reflects on completing their education over 23 years while raising a family, noting challenges like algebra and dissecting piglets in biology labs.
2) The resume outlines the student's work history in administrative, accounting, and managerial roles in healthcare and food industries, and education including a bachelor's degree and pursuing a master's degree.
3) In reflection, the student remembers challenges like algebra and strengths in psychology courses, and acknowledges help from their husband in passing statistics.
Home health nursing services allow individuals to receive healthcare in their own homes, providing comfort and dignity. Services may include skilled nursing, physical therapy, occupational therapy, social services, and more. Care is provided through developing a treatment plan with the patient's physician, making regular visits to work towards goals, and documenting progress for quality assessment.
Institutional types & practice environmentsPierre Lopez
The document describes various settings where physical therapy may be provided, including acute care hospitals for short-term treatment, primary care physician offices, specialized outpatient clinics for secondary care, high-tech hospitals for tertiary care, skilled nursing facilities for subacute care, rehabilitation hospitals, and in patients' homes through home health agencies. Physical therapists also work in school systems to help students with disabilities and may own private outpatient clinics.
Filex 2012 building referral networks presentationMax Martin
This document discusses building successful referral networks between the fitness industry and health sector. It provides an overview of the recent history of fitness programs in Australia that have aimed to improve population health. While initiatives have increased awareness, a systematic and effective referral approach is still lacking. The document proposes developing a multi-disciplinary exercise referral system within new primary care networks to help address current barriers to referrals between fitness providers and healthcare professionals. Practical tips are offered for standardizing screening, managing liability concerns, and strengthening relationships with allied health professionals.
Medical professionalism & motivation for doctors- Dr Vijay SardanaVijay Sardana
The document discusses various aspects of doctor-patient relationships and medical professionalism. It covers topics such as definitions of success for doctors, stages of a medical career, maintaining patient satisfaction, communication skills, dealing with violence against doctors, and maintaining professional responsibilities and ethics.
This document discusses client education in physiotherapy. It defines client education as a planned learning experience using teaching, counseling, and behavior modification techniques to influence a client's knowledge and health behaviors. The document outlines the types of clients that may receive education, including individual patients, families, healthcare providers, and the general public. It also describes different types of client education such as patient education, health education, community education, and health promotion. The key aspects of client education discussed include consultation, providing information and advice to help clients achieve their goals, and education, which enables clients to modify their lifestyles and environments to improve health.
Ethical And Legal Aspects Of Health CareLajpat Rai
This document outlines several key ethical issues in telemedicine practice including maintaining patient confidentiality and avoiding harm, obtaining informed consent, establishing fees, maintaining accurate records, and ensuring access to healthcare. It also discusses privacy concerns regarding personal information disclosure and storage as well as technological risks associated with telemedicine like equipment quality and inadequate guidelines.
This document discusses several legal issues related to nursing practice. It begins by explaining the importance of nurses being aware of the legal aspects of patient care. It then covers various topics of law that nurses must understand, including their duty to advocate for patients, ensure informed consent, maintain confidentiality and proper documentation, among other responsibilities. Nurses can be held liable for negligence, malpractice or other issues if they fail to meet the appropriate standards of care.
This document discusses various ethical issues that arise in critical care medicine. It outlines key principles of medical ethics like autonomy, beneficence, nonmaleficence, and justice. Common ethical conflicts discussed include end-of-life management and withdrawing or withholding life-sustaining treatment, informed consent, rationing of limited resources, and conflicts of interest between doctors and industry. The document emphasizes that ethical conflicts usually stem from clashes in values and interests, and are difficult to resolve due to strong convictions on all sides.
Nurses working in hospitals have important legal responsibilities when caring for patients. Nurses are responsible for patient care but sometimes feel frightened by complex medical issues or have inadequate knowledge. They need additional training through their curriculum and refresher courses. Hospital administrators must ensure nurses are properly trained to care for patients safely and in accordance with the law.
The Healthcare Team as the Healthcare Provider: A Different View of the Patie...guesta14581
Presentation to the Ohio State Society of Medical Assistant's annual convention about the Patient Centered Medical Home and the role of the medical assistant
This document discusses various ethical issues that arise in neonatal intensive care units. It begins by stating that the goal of NICU care should be survival with an acceptable quality of life, not just survival alone. It then discusses challenges around determining when not to initiate or continue intensive care for extremely premature newborns or those with severe conditions. The document also addresses ensuring parental autonomy while balancing medical facts, distributing limited resources fairly, and minimizing patient pain and suffering. Throughout, it emphasizes the importance of open communication with parents and shared decision-making.
1. The document outlines the code of medical ethics and regulations for physicians in India, covering their duties to patients, other physicians, and the public.
2. Physicians must maintain patients' confidentiality, act with integrity, provide competent care, and avoid conflicts of interest regarding payment for services.
3. When consulting or referring patients, physicians must communicate appropriately and avoid criticizing or interfering with the care provided by other doctors.
- Coastal erosion has been an issue at Quinns Beach, Western Australia since 1973. An artificial headland and groynes were previously constructed but erosion continued.
- In 2012 a review was conducted to evaluate mitigation options. Option 1 proposed relocating the headland and adding/relocating groynes along with renourishment. Option 2 proposed managed retreat. Option 3 proposed adding an offshore headland and repairing existing groynes.
- Cost estimates were conducted for the options. Option 1 had the highest initial cost but similar long-term maintenance costs to Option 3. Option 2 had the lowest initial cost but potential high costs if severe erosion continued. The recommended solution aimed to mimic natural processes to minimize
Medical transcription, pharmacy technician, medical coding and medical assistance are some of the fastest growing allied healthcare professions. What stands out about these occupations is the fact that they hold immense amount of potential, but require only minimal training. All of these occupations can be secured with postsecondary vocational training available at career schools.
This document discusses the members of a healthcare team. It explains that healthcare requires teamwork with different providers playing specialized roles. The core members of a team include physicians, nurses, pharmacists, dieticians, psychologists, and therapists. Physicians can be primary care doctors or specialists. Nurses provide clinical care and education. Other members like pharmacists, dieticians, and psychologists also have roles in treating patients and ensuring their overall well-being. Administrative staff, social workers, spiritual leaders, and volunteers also form an important part of the healthcare team.
The document discusses the role of physical therapists in patient/client management. It describes the five key elements of patient management as examination, evaluation, diagnosis, prognosis, and intervention. Evaluation involves creating a problem list for the patient. Diagnosis categorizes the problems into defined clusters or syndromes. Prognosis predicts the patient's expected improvement, timeline, and outcomes. Discharge and discontinuation processes determine when physical therapy services are concluded. Outcomes analyze the overall impact of interventions on the patient.
Some of the most commonly occurring legal issues that impact on nursing and nursing practice are those relating to informed consent and refusing treatment as previously detailed, licensure, the safeguarding of clients' personal possessions and valuables, malpractice, negligence, mandatory reporting relating to gunshot....
This document provides background information and context for a case study about implementing lean principles at HomeCare, a large Canadian home health care organization. It summarizes that HomeCare was facing issues like poor service, long scheduling times, and low employee satisfaction due to siloed processes and lack of coordination. HomeCare leadership brought in consultants to redesign the entire service process from a lean perspective. The consultants conducted interviews and surveys, and recommended piloting redesigned processes in two districts before expanding organization-wide. The pilots were very successful, dramatically improving key metrics like scheduling times. This provided proof and momentum to redesign additional districts using the lean methodology.
This document contains a reflection on the student's educational journey, resume, and reflections on coursework. The high-level summary is:
1) The student reflects on completing their education over 23 years while raising a family, noting challenges like algebra and dissecting piglets in biology labs.
2) The resume outlines the student's work history in administrative, accounting, and managerial roles in healthcare and food industries, and education including a bachelor's degree and pursuing a master's degree.
3) In reflection, the student remembers challenges like algebra and strengths in psychology courses, and acknowledges help from their husband in passing statistics.
Home health nursing services allow individuals to receive healthcare in their own homes, providing comfort and dignity. Services may include skilled nursing, physical therapy, occupational therapy, social services, and more. Care is provided through developing a treatment plan with the patient's physician, making regular visits to work towards goals, and documenting progress for quality assessment.
Institutional types & practice environmentsPierre Lopez
The document describes various settings where physical therapy may be provided, including acute care hospitals for short-term treatment, primary care physician offices, specialized outpatient clinics for secondary care, high-tech hospitals for tertiary care, skilled nursing facilities for subacute care, rehabilitation hospitals, and in patients' homes through home health agencies. Physical therapists also work in school systems to help students with disabilities and may own private outpatient clinics.
Filex 2012 building referral networks presentationMax Martin
This document discusses building successful referral networks between the fitness industry and health sector. It provides an overview of the recent history of fitness programs in Australia that have aimed to improve population health. While initiatives have increased awareness, a systematic and effective referral approach is still lacking. The document proposes developing a multi-disciplinary exercise referral system within new primary care networks to help address current barriers to referrals between fitness providers and healthcare professionals. Practical tips are offered for standardizing screening, managing liability concerns, and strengthening relationships with allied health professionals.
Medical professionalism & motivation for doctors- Dr Vijay SardanaVijay Sardana
The document discusses various aspects of doctor-patient relationships and medical professionalism. It covers topics such as definitions of success for doctors, stages of a medical career, maintaining patient satisfaction, communication skills, dealing with violence against doctors, and maintaining professional responsibilities and ethics.
This document discusses client education in physiotherapy. It defines client education as a planned learning experience using teaching, counseling, and behavior modification techniques to influence a client's knowledge and health behaviors. The document outlines the types of clients that may receive education, including individual patients, families, healthcare providers, and the general public. It also describes different types of client education such as patient education, health education, community education, and health promotion. The key aspects of client education discussed include consultation, providing information and advice to help clients achieve their goals, and education, which enables clients to modify their lifestyles and environments to improve health.
Ethical And Legal Aspects Of Health CareLajpat Rai
This document outlines several key ethical issues in telemedicine practice including maintaining patient confidentiality and avoiding harm, obtaining informed consent, establishing fees, maintaining accurate records, and ensuring access to healthcare. It also discusses privacy concerns regarding personal information disclosure and storage as well as technological risks associated with telemedicine like equipment quality and inadequate guidelines.
This document discusses several legal issues related to nursing practice. It begins by explaining the importance of nurses being aware of the legal aspects of patient care. It then covers various topics of law that nurses must understand, including their duty to advocate for patients, ensure informed consent, maintain confidentiality and proper documentation, among other responsibilities. Nurses can be held liable for negligence, malpractice or other issues if they fail to meet the appropriate standards of care.
This document discusses various ethical issues that arise in critical care medicine. It outlines key principles of medical ethics like autonomy, beneficence, nonmaleficence, and justice. Common ethical conflicts discussed include end-of-life management and withdrawing or withholding life-sustaining treatment, informed consent, rationing of limited resources, and conflicts of interest between doctors and industry. The document emphasizes that ethical conflicts usually stem from clashes in values and interests, and are difficult to resolve due to strong convictions on all sides.
Nurses working in hospitals have important legal responsibilities when caring for patients. Nurses are responsible for patient care but sometimes feel frightened by complex medical issues or have inadequate knowledge. They need additional training through their curriculum and refresher courses. Hospital administrators must ensure nurses are properly trained to care for patients safely and in accordance with the law.
The Healthcare Team as the Healthcare Provider: A Different View of the Patie...guesta14581
Presentation to the Ohio State Society of Medical Assistant's annual convention about the Patient Centered Medical Home and the role of the medical assistant
This document discusses various ethical issues that arise in neonatal intensive care units. It begins by stating that the goal of NICU care should be survival with an acceptable quality of life, not just survival alone. It then discusses challenges around determining when not to initiate or continue intensive care for extremely premature newborns or those with severe conditions. The document also addresses ensuring parental autonomy while balancing medical facts, distributing limited resources fairly, and minimizing patient pain and suffering. Throughout, it emphasizes the importance of open communication with parents and shared decision-making.
1. The document outlines the code of medical ethics and regulations for physicians in India, covering their duties to patients, other physicians, and the public.
2. Physicians must maintain patients' confidentiality, act with integrity, provide competent care, and avoid conflicts of interest regarding payment for services.
3. When consulting or referring patients, physicians must communicate appropriately and avoid criticizing or interfering with the care provided by other doctors.
- Coastal erosion has been an issue at Quinns Beach, Western Australia since 1973. An artificial headland and groynes were previously constructed but erosion continued.
- In 2012 a review was conducted to evaluate mitigation options. Option 1 proposed relocating the headland and adding/relocating groynes along with renourishment. Option 2 proposed managed retreat. Option 3 proposed adding an offshore headland and repairing existing groynes.
- Cost estimates were conducted for the options. Option 1 had the highest initial cost but similar long-term maintenance costs to Option 3. Option 2 had the lowest initial cost but potential high costs if severe erosion continued. The recommended solution aimed to mimic natural processes to minimize
The document is a survey for attendees of the Triad Senior Safety Academy to provide feedback on topics discussed, guest speakers, and information learned at the event. It asks respondents to rate their level of agreement with statements and provide suggestions for future Academies, including preferred topics and speakers. Attendees are also given space to leave additional comments before providing their optional name.
This document provides a list of free online resources for various topics and purposes, along with brief descriptions of their appropriate uses. It recommends evaluating websites for coverage, objectivity, authorship, currency, and accuracy. While acknowledging Wikipedia's limitations, it suggests Wikipedia can be used for quick introductions, pop culture topics, and author/artist background. Alternatives to Google and YouTube that don't track searches are also presented. The document then lists free resources for books, history, science, language learning, careers, research, health, genealogy, and a general "one-stop shop".
The document discusses the history and purpose of the HABS/HAER/HALS programs, which were established to document America's architectural and engineering heritage. It notes that the programs were created to preserve a wide range of structures through measured drawings, photographs and written records. The document also summarizes the standards and guidelines that govern the documentation work, including the use of large-format photography, accurate drawings and the digital archiving of materials.
Este documento trata sobre los conceptos de aprendizaje y sus diferentes tipos. En resumen:
1. Define el aprendizaje como un proceso mediante el cual se adquieren habilidades, conocimientos o estrategias a través de la experiencia.
2. Explica que existen diferentes tipos de aprendizaje como el memorístico, significativo, por descubrimiento, por modelamiento y repetitivo.
3. Señala que el aprendizaje implica cambios conductuales duraderos a través de procesos cognitivos individuales y
The document describes an intelligent mortgage platform (iMP) that aims to disrupt the mortgage industry by automating over 70% of the loan process through a single, data-driven platform. The iMP uses a rules-based system and business process management to drive workflow based on data rather than relying on human discretion. This allows for faster closing times, increased consistency, and a more transparent experience for consumers.
Are Your Healthcare Benefits Baffling Your Employees?RalfHeyer
While healthcare for most individuals isn’t usually straightforward, health benefits for employees are notoriously complex, often leaving the recipient unable to understand the level of care they’re entitled to, what the coverage includes and where to find the appropriate provider, let alone able to navigate the insurance claims process.
The document provides information on return to work programs for injured employees. It discusses:
- The objective of returning injured workers to full duty as soon as medically possible through modified work duties, restricted work, or temporary assignments.
- The importance of communication between management, employees, medical providers, and insurance carriers for a successful return to work program.
- The role of a medical case manager in facilitating an injured worker's return to work through coordinating medical care and communicating with all parties.
Absence management is designed to support employee health needs, provide guidance on absence procedures, detail appropriate sick pay schemes, and factor in legal positions on unauthorized absence. Getting absence management wrong can be costly due to a lack of employee support and honesty about absences. Employers should implement clear absence policies, return to work procedures, sick pay information, and support employee health through flexible working, employee assistance programs, and reasonable accommodations.
IN THIS SUMMARY
Many healthcare organizations struggle to communicate effectively with physicians and engage them, particularly when dealing with change implementation. In Inside the Physician Mind, Joseph S. Bujak provides an insider's perspective on how physicians think, outlining beliefs and behaviors specific to physicians and identifying barriers that inhibit productive relationships. Armed with this information, healthcare organizations can improve communication and help physicians and organizational staff members establish the trust necessary for effective change initiatives to take place.
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http://www.bizsum.com/summaries/inside-physician-mind
The document discusses the potential benefits of pre-employment medicals for employers and employees. It argues that pre-employment medicals can [1] help employers hire candidates who are physically able to perform the job duties with an acceptable health risk level, [2] identify existing health issues that could impact work performance or lead to future claims, and [3] statistically reduce injury rates, compensation claims costs, and absenteeism compared to non-screened employees. However, it also notes pre-employment medicals must be tailored to specific job requirements rather than a "one-size-fits-all" approach to avoid potential downsides like unnecessary tests or baseline health measures that could increase liability.
This document provides a 10-minute guide to understanding health reform in the United States. It is divided into several sections that explain the basics of how health reform works, clarify common misconceptions about the law, and provide examples of how different people can access health insurance under the new system. The guide aims to help readers understand what changes health reform means for them and their access to affordable health insurance plans.
HIU: They Healthhealth Should Be Part of Every Cost-Containment StrategyweBranding
Telehealth involves accessing medical care remotely via phone or online. It provides timely and convenient treatment for minor illnesses, reducing costs for both individuals and employers. Telehealth has the potential to save over $300 per year for individuals and over $1,000 for families by reducing doctor's visits, urgent care visits, and ER visits. However, telehealth utilization has been lower than expected due to employees being unfamiliar with the service and reluctant to pay the typical $35-$40 fee. In order to increase telehealth usage, companies should build the doctor visit fee into program costs so employees face no barrier to access, and conduct an ongoing education campaign to increase awareness of the benefits of telehealth.
Group health insurance is a popular employee benefit offered by many companies. When structuring a group health insurance plan, companies should select the right insurance partners, figure out participant numbers, and provide effective employee communication. An insurance broker can help companies design the optimal plan by providing personalized quotes from top insurers, managing enrollment and claims assistance, and advising on benefit strategy and cost containment. The basic covers that can be included are coverage for the employee, spouse, children and sometimes parents, along with benefits like maternity coverage, dental, OPD visits and pharmacy reimbursement. Companies typically provide a minimum sum insured of Rs. 200,000 but some set higher limits or corporate buffer amounts. Claim ratios, premium costs and the demography
The document discusses the roles and responsibilities of a medical administrative assistant. It describes their duties such as registering new patients, communicating with various medical professionals and organizations, and handling clerical tasks like bookkeeping and phone calls. Most training programs for these roles take 1-2 years at vocational or community colleges and include internship opportunities. The field is expected to continue growing through 2018 with satisfying work helping in healthcare settings. Responsibilities can vary but often include greeting patients, collecting insurance information, accessing patient records, and scheduling follow-up appointments.
Employee benefit Insurance policies guide for Indian CompaniesSusheel Agarwal
Group health insurance is a popular employee benefit offered by many companies. When structuring a group health insurance plan, companies should select the right insurance partners, figure out employee numbers, and provide effective employee communication. An insurance broker can help companies design the optimal insurance program by providing personalized quotes from top insurers, managing enrollment and claims assistance, and recommending strategies to control costs while ensuring employee satisfaction. The core elements of a group health plan include covers for employees, spouses, children, and sometimes parents, as well as benefits like maternity coverage and room cost caps. Premiums are impacted by the number covered, demographics, included covers, and prior claims experience.
The document provides an overview of the history and duties of health administrators. It discusses how the first health administration program began in 1934 in response to the growing need for trained managers as hospitals expanded. Health administrators plan, direct, and coordinate medical services, managing facilities, departments, or medical practices. They work to improve efficiency and quality of care while ensuring compliance with healthcare laws and regulations. The field is expected to grow substantially through 2022 with the aging population driving increased demand for healthcare services and administrators to manage facilities and staff.
Telehealth provides timely access to licensed physicians via phone or online for minor illnesses, reducing costs for employers and employees. It can handle 70% of doctor's visits and 50% of ER visits at a lower cost. Telehealth addresses issues of access, costs, and quality care, but utilization has been low due to employees paying consultation fees and lack of education. Making consultations free and increasing awareness through marketing and word-of-mouth could improve utilization and lead to significant savings in healthcare costs and productivity losses for employers.
Depression supporting the return to work of employeesMichel Newman
Depression is a common and serious mental health condition that can affect employees in the workplace. Supporting employees who experience depression and facilitating a successful return to work is beneficial for both the employee's well-being and the organization. When an employee returns to work after time off due to depression, employers should develop a return to work plan in consultation with the employee and their healthcare providers. The plan should outline adjusted duties and responsibilities, as well as support measures, to help the employee smoothly transition back to their role. Maintaining confidentiality, clear communication, and reasonable workplace adjustments are key to supporting employees with depression in the workplace.
doctors and nurses can be differentiated in an effortless manner. Doctors study and cure disease, while nurses study and heal people. Too know more visit: https://at.tumblr.com/medicalsaffairsusa/what-can-nurses-do-that-doctors-cannot/31c42h37gaen
This document discusses absenteeism in the workplace. It begins by defining absenteeism and explaining that while some absences are expected, excessive absences can negatively impact productivity, finances, and morale. It then lists common causes of absenteeism like illness, stress, family responsibilities, and disengagement. The document also outlines the high costs of absenteeism for companies in terms of lost productivity and wages. Finally, it discusses strategies employers can use to reduce absenteeism like implementing paid sick leave, wellness programs, and incentives for attendance as well as procedures for addressing excessive absenteeism.
An in-depth look into the life of a medical assistant. We explore the opportunity and growth potential for the health care industry and specifically for the career as a medical assistant.
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The Physician Network provides independent medical reviews of disability claims to determine work capacity. Their physicians are trained to objectively evaluate function based on medical evidence rather than advocate for patients. Through attending physician interviews and peer-to-peer discussions, their reviewers are effective at obtaining agreement on medically supported restrictions and limitations. Data shows the Physician Network successfully consults with treating physicians in 86% of cases, with the physician agreeing with the reviewer's findings in 67% of cases without dispute. Their written reports are also completed faster than industry benchmarks.
1) The document discusses implementing preventive healthcare programs in commercial sectors in China to create a healthier workforce. It outlines setting up educational programs to promote lifestyle changes and regular health checks.
2) A three-pronged approach is proposed involving a knowledge center, consultancy center, and planning center focused on education, monitoring, and implementation. This includes collecting health data, providing lifestyle advice and follow-up programs.
3) The presenter offers to help design educational programs, set up data collection systems, train on data analysis, and solve cultural challenges to transform approaches to preventive healthcare.
The document discusses managing employee health and well-being to increase work productivity. It provides examples of programs an energy company implemented, such as health tours, functional restoration, and stress/mental health support. Common barriers to returning to work like myths and difficult cases are also addressed. The company experienced positive results like reduced absence and earlier interventions.
This document discusses integrating occupational health services into primary health care. It argues that while some countries have made progress expanding occupational health services, coverage remains low globally. Most workers, especially in informal sectors and small businesses, lack access to even basic services. The document calls for strengthening primary health care systems based on the principles of the 1978 Alma Ata Declaration, including providing universal access to essential health interventions and services. Integrating occupational health into primary care could help extend coverage of basic services to more workers and their communities through workplace and community-based delivery models.
Rt 2 occupational health and primary care hague 11 29-11Health and Labour
The document discusses shifting the focus of primary care from episodic, disease-based care to holistic, patient-centered care that addresses social determinants of health like occupation and work. It outlines the large number of work-related injuries and illnesses in the U.S. each year and how integrating occupational health into primary care settings could help improve diagnosis, treatment, and prevention for many patients. Barriers and opportunities for strengthening collaboration between occupational health and primary care professionals and institutions are also examined.
This document summarizes Dr. Issa Said Al Shuaili's presentation on integrating occupational health services into primary health care in Oman. It discusses Oman's workforce demographics and existing occupational health regulations. It then outlines Oman's experience integrating occupational health into primary care through training primary care doctors, promoting health education in workplaces, and planning to attach doctors to workplaces. Finally, it identifies capacities needed like assessing local contexts, developing human resources, and establishing evaluation systems to support a people-centered occupational health model in primary care.
1. The role of primary care centers in workers' health is to provide prevention, treatment, disability assessment, and collaboration with occupational health specialists. Electronic health records and tools can help integrate occupational health data.
2. Strengthening collaboration requires training primary care and occupational health providers together, identifying stakeholders, and removing administrative and financial barriers.
3. Supporting workers' health involves empowering workers and communities through health education, ensuring access to occupational health services, and addressing legal issues. Involving workers and unions is important.
This document outlines discussions from Round Table 2 on people-centered care. The round table focused on identifying strategies and actions to protect and promote worker health. Key questions discussed included: [1] defining the role of primary care centers in worker health; [2] strengthening collaboration between occupational health and primary care; [3] empowering workers and communities to care for their own health; and [4] actions to advance people-centered care for workers at all levels. Suggestions focused on training, guidelines, identifying stakeholders, research, and ensuring access to occupational health services.
Rt 1 The different dimensions of universal coverage and access to careHealth and Labour
Presentation by Prof. Dr. J. De Maeseneer, MD, PhD, FRCGP (Hon) Department of Family Medicine and PHC- Ghent University, Belgium at the WHO/TNO/Dutchgovernment Congres 'Connecting Health and Labour' 29 - 1 December 2012
This document outlines the agenda for four parallel working sessions at a conference on occupational health and safety. Roundtable 1 focuses on universal healthcare coverage strategies. Roundtable 2 discusses people-centered care and the roles of primary care and occupational health. Roundtable 3 addresses participatory governance and considering worker health in healthcare reforms. Roundtable 4 explores integrating worker health into non-health policies and national occupational health programs through primary care.
Presntation by Zorayda E. Leopando, MD, MPH
Professor of Family and Community Medicine University of the Philippines Manila at the WHO/TNO/Dutchgovernment Congres 'Connecting Health and Labour' 29 - 1 December 2012
The document summarizes discussions from Round Table 4 on enhancing consideration of workers' health in non-health policies. Key questions discussed include how to strengthen intersectoral collaboration on workers' health, how to design and link national workers' health profiles and action plans to primary care, the benefits of strategic health impact assessments, and actions to include workers' health in other policies. Suggestions focused on stakeholder analysis, education, legal frameworks, local solutions, data collection, and addressing knowledge gaps.
This document summarizes the discussions from Parallel Working Session Round Table 3 on participatory governance. The round table addressed 4 questions: 1) To what extent should worker health be considered in healthcare reforms? 2) Should new health leadership engage in dialogue with worker representatives, employers, and labor ministries? 3) What health information is needed to ensure primary care can address work-related issues? 4) What actions should be taken to advance participatory governance for worker health? Suggested answers to each question were provided.
This document summarizes discussions from Round Table 1 on universal coverage of a conference on occupational health. [1] Key questions discussed included how to finance universal coverage and ensure equity, essential interventions for preventing work-related diseases, and options when expertise is insufficient. [2] Presentations were given by several representatives on related topics. [3] The group discussed strategies like targeting highest risk populations universally and providing basic occupational health services through primary health care.
Empowering workers through occupational health and safety training, the east ...Health and Labour
Presentation by prof Nabil Y Kurashi, Wonca East Meditterenean, dept of family medicine, university of Damman at the WHO/TNO/Dutchgovernment Congres 'Connecting Health and Labour' 29 - 1 December 2012
Primary Health Care, Objectives, Principles and Policy DirectionsHealth and Labour
Presentation by Dr.Hans Kluge e.a., director of Health Systems, WHO-Euro at the WHO/TNO/Dutchgovernment Congres 'Connecting Health and Labour' 29 - 1 December 2012
This document outlines discussions from Round Table 2 on people-centered care. The round table focused on identifying strategies and actions to protect and promote worker health. Key questions discussed included: 1) the role of primary care centers in worker health and how this role can be expanded, 2) how to strengthen collaboration between occupational health and primary care, and 3) how to empower workers and work communities to care for their own health. Suggested actions included training healthcare providers, removing barriers to care, researching collaboration models, and developing legislation and infrastructure to expand access to occupational health services worldwide.
1. Connecting health and labour
The integration of occupational health practices into primary curative health care
By Jeanette Hemke
In The Netherlands, primary health care and occupational health care are two totally
separate systems. For a century now, the general practitioners in Europe have been told that
they had to provide a statement in writing if a client was too ill to work. In all other
European countries, it is still the GP who writes this sick note for the employer. Only in
Holland were the doctors strong, stubborn and superior enough to refuse to do this. Thus,
we are the only country in Europe where the company doctor -- instead de GP -- assesses
the employee’s ability to function.
Anyone can visit a general practitioner: the physician who functions as the gatekeeper for
secondary health care. General health care in The Netherlands is financed by health
insurance and nationally regulated by health laws. A company doctor is hired and paid by an
employer. When comparing both health systems, we see that the funding and the medical
education program -- as well as the patient records -- are completely separated. This has
many advantages, but also some disadvantages.
Advantages and disadvantages of the Dutch system
One of the advantages of separate systems is that the GP will not be placed in a
difficult position if a patient needs him/her to write him a note that he is unable to work.
The trust relationship between patient and GP could come under pressure if the request
cannot be honored.
In case of problems during work, the employer provides a specialized doctor who has
knowledge of work-related diseases. A company doctor is aware of the working conditions
and relationships within a company. The company doctor, therefore, is well able to judge
whether or not the client is able to work in certain specific working conditions in regard to
disease or limitations.
Moreover, if a client is not able to do his own job, the company doctor is aware of
other job opportunities within the company and takes into account the possibilities that the
client still has.
In larger companies, where occupational health care is properly regulated, the
company doctor is often easily approachable and accessible.
In case of problems arising during work -- due to illness or social issues -- the
company doctor can function as a mediator between employer and client. He can also
accompany the client and can coordinate the care provided. The GP, on the other hand, can
lose sight of the client once he/she is referred to secondary care. Moreover, health care
shouldn’t just promote health and welfare, it should also influence functioning and behavior
in a positive manner.
An effective cooperation between the company doctor and the employer plays an
important role, especially when adjustments or changes in work conditions are needed in
order to allow the client to continue to function. Recognizing problems within a company,
signaling these problems and advising management staff gives the company doctor added
value.
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2. One disadvantage might be, for example, that the primary curative caregivers do not
link work situation and related issues to the client’s health problems, which can result in
overlooking basic causes of complaints and illness. This can be followed by an intervention
by the GP, focusing more on the recovery of health and wellbeing, and less on functioning,
behavior or coping mechanisms with respect to work situations.
The client may be faced with different -- or even contradictory -- opinions from the
curative health sector and labor sector. Alternatively, the client could pit the doctors against
each other.
There could even be a double diagnosis or dual interventions, partly because, due to
lack of time, little or even no consultation between curative health sector and labor sector
takes place.
Because the company doctor is paid by the employer, the image is formed that the
company doctor is an extension of the company itself. This may create the idea that the
company doctor is unable to act independently, without interference from the employer.
Also, there is a clear difference of opinion. In the eyes of the labor sector, rest is a
negative state; in the eyes of the curative sector, rest heals. A GP might choose for a “wait
and see” approach, while the occupational health sector is more inclined to apply
interventions more quickly for certain disorders. This intervention is often quite simple: for
example, stimulating people with mental health problems to become active so the
progression of the disease can be prevented in an early stage, or, in another situation,
keeping someone with personal problems from thinking about them by providing work. This
is not only beneficial for the employer, but even more so for the employee who then
remains active and can find some distraction. Often, changes in work or working hours are
needed, which can be quickly and easily achieved by the company doctor because of
sufficient cooperation with the employer.
Another disadvantage of the current system is that only that client who is employed
and has consent of the employer has access to the occupational health services.
Developments in The Netherlands
That brings me to a number of changes and developments in recent years. With
regard to health policy, until 2005 all employers were obliged to join an occupational health
service. All employees had the right to visit their company doctor, to receive information
about work-related issues, functioning at work and health problems that could affect
functioning. This was done not only for those unable to work due to illness, but in the
context of disease and accident prevention, as well.
Since 2005, employers can regulate health policy themselves. The employer is
required to call in a company doctor if an employee fails to show up for work for 6 weeks.
This liberalization places the responsibility for health care and the quality of care in the
hands of the employer. This usually goes well and, especially within the larger companies,
the occupational health services are often well organized. Moreover, employees may also
contact the company doctor for advice about disease and accident prevention.
For a large number of the Small and Medium-sized Enterprises (SME’s), the safety and health
care is still reasonably good, although not optimal. The company doctor is only contacted
when the client has failed work for five to six weeks, which makes a quick intervention
impossible. Prevention has become an issue among many SME's, because employees must
often ask permission to visit the company doctor.
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3. Unfortunately, there are many smaller companies (where working conditions are
often unsatisfactory) that do not call in a company doctor, even for longer-term absences.
Some employees are even prohibited from visiting a company doctor. This means that these
employees must contact their GP about their problems. The GP, however, has no experience
in work-related problems, has not been informed about working conditions and relations
and has no advisory function with respect to the employer. Therefore, the GP is generally
not able to bring about an optimal solution when the problems are work-related or affect
the functioning of the employee.
Due to a number of other social developments, health centers must now deal with
occupational health issues and work or labor problems much more often.
We see, for example, the increasing rise of the freelancer/self employed people. In
Holland, we know that there are currently about 700.000 freelancers, who often lack full
insurance, have arranged no occupational care and do not even know a company doctor. It is
a large, high-risk group because of their enthusiasm, the work pressure and the current
economic uncertainty.
This also applies to many small businessmen, who also have not arranged proper
occupational health care for themselves.
Volunteer healthcare workers, who provide care to those who need it and are unable
to get it from the social care system (mostly elderly and people with chronic diseases), are
often heavily burdened, especially if they also have paid employment. If this volunteer
caregiver drops out, the costs will be high, not only for the employer, but also for the council
and /or health insurer. The person cared for by the volunteer will then have to be cared for
by the system. This group is not in a position to visit the company doctor. Moreover, even if
they have an employer, they don’t realize they can go there to ask advice.
And then we have those people who have been receiving welfare or unemployment
benefits for a long period of time, with or without restrictions and limitations, or senior
citizens at the age of 50 -65 years old. The pressure to return to work is increasing, but
because they have no employment, they cannot turn to a company doctor for advice and
guidance. The catch here is that, to find suitable employment, this visit to the company
doctor is sometimes necessary.
Employees are now expected to work for a longer period of time. Moreover, early
retirement is discouraged and the retirement age is rising. In the case of unskilled laborers
with moderate to heavy physical work and poor working conditions, proper occupational
health guidance is necessary to adjust work in time and to prevent permanent damage,
making sure these employees can do their jobs properly until they reach retirement age.
Such employees often have little knowledge of their rights and obligations and they are
generally barely able to stand up for themselves. Unfortunately, in practice, many small
enterprises do not provide an occupational health and safety service for these employees, or
even take preventive measures to enable employees to work as long as possible in good
health.
Importance of the company doctor as a primary caregiver
Thus, as you see, there are many reasons why we think a company doctor acting as a
“primary caregiver” has major social importance and is of great value to the health and
income insurer.
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4. The presence of a company doctor creates awareness in the other staff at the
primary health center for the importance of paying attention to work and functioning.
It can also prevent contradictory opinions from being given, double diagnoses or
unnecessary referrals from being made. It can stimulate, where necessary, rapid
interventions including placing the focus on functioning and behavior.
To prevent that psychological or social complaints become medical problems, the
basic causes must be identified so intervention can be done in time. The company doctor
can focus on addressing underlying issues (working conditions and employee relations,
workload and personal problems), and has the knowledge and skills to deal with them within
the primary health care sector.
It is now possible, if there are uncertainties about work, health, functioning and
participation, to contact an expert in that area -- one who is close to home, in familiar
surroundings and easily accessible -- without the fear that the recommendations are
influenced by the employer or insurance company.
This does not replace the regular occupational health services, since counseling,
coaching and signalizing management is not possible in this setting. It could be a good and
decent safety net for those who are unable to use the regular occupational health services.
These could include freelancers and small business owners, volunteer caregivers, people
receiving welfare benefits, employees who are not given permission from their employer to
visit the regular company doctor, and also students and volunteers.
The added value of a company doctor in primary care is not restricted by knowledge
of work and functioning. The present problem could also be analyzed in another way.
The GP looks at a person’s health problems and tries to solve them; the company doctor
looks at the implications regarding functioning, the client’s remaining possibilities, behavior
and coping style.
Thus, we augment each other beautifully: we can increase the quality of health care,
we can expand the knowledge and skills within primary care and we will be able to reduce
costs, as well.
Experience as a company doctor within the primary care
Over the past years, some of the patients have simply come in for advice, with
questions regarding laws and regulations, rights and obligations. Currently, the largest group
of clients visiting the primary company doctor has psychological problems. These clients
have gained a bit of insight and knowledge into their own possibilities and are stimulated to
pick things up and to tackle the underlying issues and problems. This will result in
acceptance and implementation of recommendations solely because they have their own
solutions, which also makes the recommendations sustainable. Clients learned to analyze
and, subsequently, to solve their problems themselves.
The company doctor works with the GP’s patient records and is part of a healthcare
chain that deals with clients with mental health problems within the health center.
Moreover, every morning there is the opportunity to consult with each staff member. Thus,
there is a very well organized consultation system surrounding the client.
In the future, the primary company doctor’s task could be expanded to include treating
clients suffering from musculoskeletal diseases heart and lung problems, diabetes mellitus
and other chronic diseases such as rheumatism or, for example, pregnancy or skin diseases
caused by contact allergies, and so on.
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5. At this point, our project to integrate occupational health care into the primary
health care system is unique in The Netherlands. There have been many attempts at creating
a better collaboration between occupational and primary care and even to integrate
occupational care into primary care. Until now, we have not been very successful.
We could achieve an improvement in healthcare -- as well as in cost effectiveness --
for a great number of different parties. Nevertheless, it has been extremely difficult to find a
party prepared to take this project to the next level. The problem seems to be: everybody’s
interest, but nobody’s concern.
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6. A few examples of referrals
Referral from Practical nurse practitioner-Public Mental Health Association:
Ms. X is the wife of a small businessman, contributing to a rapidly growing company. She
presented with rather severe burnout symptoms combined with symptoms of depression
due to prolonged work overload. A few years ago, she was a part-time administrative
assistant, now she is working over 50 hours a week. There was no time left for hobbies or
other leisure pursuits. She is a woman who tends towards perfectionism and has a great
sense of responsibility and loyalty.
We started by helping her find out where the biggest problems were. Working together with
us, she, for example, changed her workplace so she would not be constantly interrupted by
customers with all sorts of questions. She wrote up a job description, a new administrative
assistant was hired and certain tasks were allocated to others. A second car was bought so
the woman was no longer dependent on her husband’s working hours. She resumed her
hobbies and went to the gym once a week to get some exercise. She and her husband had
not done anything but work and talk about the company for a long time. They decided to do
some relaxing things together again. The woman kept working, even though she temporarily
worked fewer hours than she normally would have and probably at a lower level than
previously. The recovery took almost a year and 11 appointments with the company doctor.
Afterwards, she not only felt well again and was functioning much better, but also, the social
problems between her and her husband had been largely resolved.
As a company doctor, I tried to provide this woman with an understanding and awareness of
her current – personal and business – problems. By asking her questions and giving her
homework assignments, I could help the woman to think about what exactly the problems
were, what needed to change and how that was possible within this company in order to
create a healthy working environment. It was she who proposed the solutions and how to
implement them. This is called empowerment and it occurs when people gain back control
by gaining awareness and insight into their problems. This not only means that the solutions
are almost always successful because they are accepted by the client, it also means that the
recovery is sustainable, both during work and in private situations. One positive aspect here
is that, by counseling her, a great number of things changed within the company itself, as
well. Her husband and his partner have also taken on a few of the recommendations and
have changed a few aspects of their work methods.
Referral from the physiotherapist:
This client presented with recurrent complaints of the right arm, despite apparently
successful treatment. During the consultation, it appeared that the client had an incorrect
posture when working at home. After only one consultation, during which she received
advice, the complaints were finally resolved by the physiotherapist. Moreover, this advice
was also passed onto physiotherapists, making them more alert to such causal factors.
Referral by the GP:
An older woman presented with extreme hypertension which did not respond to medical
therapy. She was feeling quite emotional and had a few other stress-related complaints,
such as difficulty sleeping, and troubled thoughts. It turned out that she has a son who had
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7. had a CVA 6 years ago. He was still struggling with some physical limitations. He was
unemployed, divorced, and took care of his daughter every other week. Over time, his house
and garden had become a total chaos and financially he was a complete mess. He had now
borrowed for over 7000 Euros from his mother. This son was the cause of her stress.
We were able to temporarily register the son in this practice, even though he lived in The
Hague. He has now been referred for a neuropsychological examination at an institute in
Amsterdam specializing in labour and reintegration. The expectation is that there will both
neuropsychological and psychosocial issues. A study will be made to see which job
opportunities are possible, and whether additional therapy is useful. He will probably be
given a recommendation to join a council program for training or retraining and to sign up
for job-coaching. Because of speech problems, a job interview always seemed to turn into a
big disappointment. In this case, a job-coach can be of great value and can aid in the
solution. This process is ongoing.
Meanwhile, the mother is already feeling much better simply because she has the idea that
someone with knowledge of the possibilities is counseling her son. The attention that he is
getting makes the son more active, because he now realizes that something really has to be
-- and can be – done in his situation.
My personal statement is:
“Work is a wonderful medicine, but it should, like the medicine, be safe,
appropriate and well-dosed.”
More information/ contact:
Jeanette Hemkes, company doctor
e-mail: Jeanette.Hemke@achmea.nl
Achmea Vitale
P.O. Box 182
2270 AD Voorburg
The Netherlands
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