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Thanks to Joe Paduda at Managed Care Matters for hosting this week's edition of Health Wonk Review: Healthcare Cost Trends, Reform Implementation and Motivations. Don't miss Jonena's post this week: The Billing Codes Merry-Go-Round Related articles Health Wonk Review: Money Tree Edition Health Wonk Review: Health Wonks Tackle New Questions in Healthcare Reform Health Wonk Review: Why Hasn't Spring Sprung? Continue reading

Shouldn’t there be alarms going off in the heads of board members, CEOs, CTOs and CFOs all around our country? I’m still waiting for regulators to DEMAND that EMR and EHR systems HAVE TO BE interoperable to get certified. Continue reading

This latest round about coding is a perfect example of the documentation mess we're in, except in the reverse. Now physicians are getting accused of seeking higher reimbursements because their EHRs are allowing them to more accurately document all the services they are providing - which are legally billable, by the way! Continue reading

Thanks to Hank Stern at InsureBlog for hosting this week's edition of Health Wonk Review: Money Tree Edition. Be sure to read Peggy's post this week: Health Insurance 101: A Primer on Where We’re Going for Those of Us Who “Remember When." She takes a look at health insurance "back in the day" and contrasts it to what it's become (and becoming). Continue reading

Bob Craig Jeff Bezos, Amazon’s formidable CEO, periodically leaves one seat open at conference room tables and lets all those in attendance know that they should consider that seat occupied by their customer, whom he calls “the most important person... Continue reading

Esther Groves, Senior Consultant “Just being available and attentive is a great way to use listening as a management tool. Some employees will come in, talk for twenty minutes, and leave having solved their problems entirely by themselves." — Nicholas... Continue reading

Robert Whipple, LeaderGrow.com A frequent refrain of top managers is that "we need to do a better job of holding people accountable." Accountability seems to be the mantra for organizational get well programs these days. I can agree with this... Continue reading

Peggy Salvatore, HealthSystemEd.com Back Then: When I turned 18, my parents did what all my friends’ parents did: they cut us loose to start paying for our own stuff. Even those of us who went to college were supposed to kick in and help carry the load – we got jobs on weekends and in the summer to help out with expenses. I paid my first health insurance bill for myself before my 20th summer. The bill from Blue Cross and Blue Shield was for $59.60 a month. My parents had always been self-employed and paid our family health insurance... Continue reading

David Scher, MD, DLS Healthcare Consulting Remote patient monitoring may serve patients who are in the post-acute care phase of recovery from a hospitalization as well as those with chronic diseases. Monitoring may consist of communication tools or measurements of medication adherence, glucose measurements for diabetics, oxygen saturation measurements for those recovering from pneumonia or who have chronic lung or heart disease, symptom reporting, and vital sign measurements, and other potential parameters. Most important to consider is that these tools must be used in a context of a comprehensive approach to monitoring. A strategy regarding workflow and dedicated human resource... Continue reading

Bob Craig Ken Blanchard has done a significant amount of researching and writing about business issues and solutions and in his Change Management work he has this statement: Contrary to popular belief, people don’t resist change; they resist being controlled.... Continue reading

Richard Krasner The following virtual dialogue was composed from comments made to me by individuals who have read my White Paper on implementing medical tourism into workers’ compensation, or by individuals in a social media discussion group I participated in late last year. The point comments will primarily come from those who read the paper, and one individual in the group discussion. The counterpoint will come from me and two other individuals in the group discussion, one of whom is a nurse who has her own medical tourism company and provided a few of the point questions as well. Read... Continue reading

Earl Cobb Focused Leadership is a book which provides you a synopsis of the approach I diligently crafted, refined and applied in order to get the leadership results I desired over my 30-year career leading large and small organization in... Continue reading

Richard Krasner The following virtual dialogue was composed from comments made to me by individuals who have read my White Paper on implementing medical tourism into workers’ compensation, or by individuals in a social media discussion group I participated in late last year. The point comments will primarily come from those who read the paper, and one individual in the group discussion. The counterpoint will come from me and two other individuals in the group discussion, one of whom is a nurse who has her own medical tourism company and provided a few of the point questions as well. POINT... Continue reading

Reposted from Lead Change Group blog. When it comes to people working for my company, I made a promise when I first started to be true to myself and my values and to model “loving and kind” actions in dealing... Continue reading

David Scher, MD, DLS Healthcare Consulting In my previous post, I discussed some generalities of remote patient monitoring (RPM). The current value of the RPM market is estimated at $10.6B. There are diverse clinical and non-clinical environments in which RPM might be utilized. The healthcare ecosystem is becoming a continuum of care more than discrete silos of acute care and various post-acute care settings which must interact with each other in order to result in better outcomes and prevent hospital re-admissions. These are the motives for the institution of RPM along this continuum. There are different models of deployment of... Continue reading

Dr. Michael Koriwchak, www.wiredemrdoctor.com The recent HIMSS 2013 meeting witnessed the emergence of mHealth as a significant component of health information technology (HIT). The meeting offered 35 educational sessions on mHealth. One of the meeting’s keynote speakers, Dr. Eric Topol, predicted a revolution in health care based on smartphones. Connecting a smartphone to a currently available bio-sensor allows anyone to monitor and share with a physician his vital signs, heart rhythm, sleep patterns or blood sugar, and soon other physiologic data as well. Eventually these systems will include software that will enable laypersons to interpret data and determine when physician... Continue reading

Bob Craig "I am personally convinced that one person can be a change catalyst, a 'transformer' in any situation, any organization. Such an individual is yeast that can leaven an entire loaf. It requires vision, initiative, patience, respect, persistence, courage,... Continue reading

Thanks to Louise Norris at Colorado Health Insurance Insider for hosting this week's edition of Health Wonks Tackle New Questions in Healthcare Reform. Be sure to read Peggy's post this week. In her post, Cost, Compliance and Safety: Are They Mutually Exclusive?, Peggy compares the aviation industry and the healthcare industry, and wonders if we might be heading down the path towards over-regulation in healthcare. Continue reading

Earl Cobb Focused Leadership is a book which provides you a synopsis of the approach I diligently crafted, refined and applied in order to get the leadership results I desired over my 30-year career leading large and small organization in... Continue reading

Robert Whipple, LeaderGrow.com For most of us, meetings are our most significant time-wasting activity. If you have not found yourself frustrated while sitting in a useless meeting with no escape, you must be a hermit. The interesting thing is that... Continue reading

Richard Krasner Over the last twenty years, the average medical costs associated with lost-time workers’ compensation claims have gone up dramatically. As of last year, the average medical claim cost per lost-time claim was $28,000. This figure does not take into account workers’ compensation policies with high deductibles, nor does it give us any detail about what sort of medical care was provided, or whether any surgery was performed, and if so, what each surgery cost employers and their insurers. As shown in Figure 1, the last 20 years has seen a steady climb in medical claim costs for workers... Continue reading

It is time for all healthcare professionals to take a good look and accept that our world, our patients and healthcare delivery are changing. Hopefully more healthcare professionals will choose improved, transparent, care delivery by involving others, especially holding patients ultimately mutually accountable for our own care. Continue reading

Peggy Salvatore, MBA In aviation, safety has always been the primary concern. In fact, aviation’s safety record is so stellar that it is considered a model for healthcare. That is quite a testament. However, a retired pilot friend recently bemoaned that FAA rules and regulations have overtaken concern about safety, and he postulates that aviation is not better for the change. “Now we’re only concerned about compliance…we have a cast of thousands as support staff. When I started flying in 1964, Part 91 federal regulations were about 30 pages. You could memorize it. Today, it is hundreds, if not thousands,... Continue reading