Category General Health

Unmet Medical Needs of Population in Emerging Economies will Support Acute Care Management

Unmet Medical Needs of Population in Emerging Economies will Support Acute Care Management

Unmet Medical Needs of Population in Emerging Economies will Support Acute Care Management

Unmet Medical Needs of Population in Emerging Economies will Support Acute Care Management

Unmet medical needs in emerging economies will support acute care management. Acute care is a branch of secondary health care in which short term treatment is provided to patients for their various medical conditions such as severe injury and recovery from surgery. Acute care medical services are usually provided to patients by health care professionals including medical and surgical specialties. Acute care may necessitate stay of a patient in hospital emergency department and ambulatory surgery center...

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What Should I Know About Long Term Care Insurance

What Should I Know About Long Term Care Insurance

What Should I Know About Long Term Care Insurance

What Should I Know About Long Term Care Insurance

The question is often asked, what should I know about long term care insurance. Long term insurance coverage is part of a plan leading to a financially stable and safe future in case of a long term care event. However, if you do not have any provisions in place, then you should begin to look into LTC insurance to help make your life, and the lives of your family, more secure.

There are many factors to look for when you are getting long-term care insurance coverage, and we will cover the most important in this article...

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Is Long Term Care Insurance Affordable?

Is Long Term Care Insurance Affordable?

Is Long Term Care Insurance Affordable?

Is Long Term Care Insurance Affordable?

Is long term care insurance affordable in todays market place? Insurance is a wonderful thing. It gives us the peace of mind knowing that someone has our back, and it provides us with the security we need in the event of an accident that can alter the course of our lives. Long term care insurance is no different, but many feel they cannot get it because they do not know how they will afford long-term care insurance. The question then comes up about who can afford LTC insurance.

Many will wait for their near retirement to get LTC insurance, because at that point the prospect of needing help with activities that ...

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When You Feed A Rat Some Junk food

When You Feed A Rat Some Junk food

When You Feed A Rat Some Junk food

When You Feed A Rat Some Junk food

What happens when you feed a rat some junk food?Do you have rats in your house? If you do, stop feeding them junk food. Scientists say it’s bad for their health. And if you have children in your house, you might want to learn about what a diet of too much junk food did to rats, because there’s reason to believe it could be doing the same to them.

A pair of researchers were wondering what would happen if they fed rats a regular diet consisting of the same sort of junk we humans consume on a regular basis. They decided to try it to see. They found that when rats are fed a diet consisting exclusively of junk food, it alters ...

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Privacy Treat Data Breaches

Privacy Treat data breaches

Privacy Treat data breaches

Privacy Treat Data Breaches

The greatest privacy threat: data breach. These breaches in security are happening all of the time, in all phases of our life. Smart-television maker Vizio agreed to pay millions in penalties for spying on 11 million customers. The Federal Trade Commission recognized that Vizio captured second by second information on its customers and combined this in formation with gender, age and income demographics and sold it to third parties.

These types of breaches have become more common as we interconnect all of our devices...

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Health Benefits of Wine

Health Benefits of Wine

Health Benefits of Wine

Health Benefits of Wine

The health benefits of wine are somewhat unclear. The latest evidence suggests that it may help your heart. What is also clear is that drinking in moderation is the key to wine being healthy and not harmful.

All of the studies have concluded that to reap the benefits of wine you must drink with moderate consumption: one drink per day for a women and up to two drinks per day for a men. Men are allowed more because they are generally larger in size and they metabolize wine differently then women. A glass is considered to be no more than five (5) ounces...

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Home Health Agencies Under New Rules

Home Health Agencies Under New Rules

Home Health Agencies Under New Rules

Home Health Agencies Under New Rules

Home health agencies under new rules as of last month. New conditions for 12,600 home health agencies to participate in Medicare and Medicaid have been published and they go into effect this July. The new rules may be delayed as the Trump administration has asked for time to review them before implementation. The estimated cost associated with implementation that the agencies will have to absorb is $293 million in year one and $234 million a year thereafter.

Home health services under Medicare are available to seniors or adults with disabilities who are home bound and have a need that has been certified by a physician...

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Nurse Practitioner’s Growing Role in LTC

Nurse Practitioner's Growing Role in LTC

Nurse Practitioner’s Growing Role in LTC

Nurse Practitioner’s Growing Role in LTC

Nurse practitioner’s growing role in LTC is primarily based on the higher patient acuity we are seeing that requires a greater clinical presence. NP’s are capable of meeting the Centers for Medicare and Medicaid Services goals of improving quality of care, patient satisfaction and cost of care. In the LTC setting they can act as a gate keeper with the goal of reducing readmissions to hospitals.

Nurse practitioner’s have been authorized to provide Medicare services to subacute and long term care facilities for over 30 years. They receive 85% of a doctors reimbursement...

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Physicians Order for Life-Sustaining Treatment

Physicians Order for Life-Sustaining Treatment

Physicians Order for Life-Sustaining Treatment

Physicians Order for Life-Sustaining Treatment

Physicians order for life-sustaining treatment (POLST) is being used more frequently for patients in the long term care setting. The long term care industry (LTC) over the past decade has been focused on person centered care. The industry has not dealt with what it means to die well.

Misconceptions still exist regarding documentation for end of life decision making, including what the various forms permit and don’t permit. A patient might have completed do not resuscitate (DNT) form, a living will, an advanced directive, physicians Order for life-sustaining treatment (POLST) form or any combinati...

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Work Place Shortage-PHI Launches Campaign

Work Place Shortage-PHI Launches Campaign

Work Place Shortage-PHI Launches Campaign

Work Place Shortage-PHI Launches Campaign

Work place shortage-PHI (Paraprofessional Health Institute) launches Campaign to solve this nation wide problem. PHI has instituted a new educational program to address the growing shortage of qualified health care works at a time when the need is growing, as the population ages.

The new campaign raises 60 Caregiver issues and strives to develop 60 new ideas to strengthen the direct care workforce. Their goal is to inspire policy makers, workers and long term leaders to recognize issues and then find solutions.

PHI has pledged to work closely with nursing facility operators to deal with multiple reasons for...

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New C. Diff Treatment Reduces Infections

New C. Diff Treatment Reduces Infections

New C. Diff Treatment Reduces Infections

New C. Diff Treatment Reduces Infections

A new C. diff (Clostridium difficile) treatment reduces recurrent infections by nearly forty percent ( 40%) according to a recent study.

C. diff(Clostridium difficile) is a bacterium that attacks the bowl, it most commonly causes diarrhea in hospital, nursing facility and subacute patients. The use of standard antibiotic treatment often leads to a recurrence, and hospital readmission which can be fatal.

Researches have found that by adding a drug called Bezliotoxumab to the usual antibiotic protocol they can reduce repeat infection by nearly thirty seven percent (37%)...

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Patient Access to Non-Approved Drugs

Patient Access to Non-Approved Drugs

Patient Access to Non-Approved Drugs

Patient Access to Non-Approved Drugs

The new administration has expressed support for permitting patients to access non-approved drugs when they have a terminal diagnosis. Vice President Pence met with advocates of “Right to Try” legislation this week. The group advocates legislation in support of letting terminally ill patients to try drugs that have reached the third FDA approval phase.

The Vice President expressed the administrations support for the Right to Try law, which designed to give terminally ill patients hope by giving them access to experimental drugs that have already met FDA safety standards...

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LTC Immigration Policy

LTC Immigration Policy

LTC Immigration Policy

LTC Immigration Policy

LTC immigration policy is crucial for the entire health care sector.

The long term and post acute sectors have traditionally had staffing shortages. Semi skilled foreign workers have been used to fill empty slots, for certified nursing assistants, registered nurses.

The healthcare industry must be careful not to over react to the recent temporary executive order blocking refugees from seven countries from entering the United States. The order is temporary and it will not have a long term effect on the staffing of facilities. Currently these countries do not supply the majority of immigrant works for healthcare.

Political beliefs aside the indust...

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New Antibiotic Federal Requirements

New Antibiotic Federal Requirements

New Antibiotic Federal Requirements

New Antibiotic Federal Requirements

New antibiotic federal requirements go into effect in November 2o17. The federal government is requiring skilled nursing facilities and post acute care facilities to implement new systems into their infection control programs to combat antibiotic resistance. This new requirement was part of a series of provisions the Centers for Medicare and Medicaid Services (CMS) issued this past October. These new requirements are a condition of participation in Medicare and Medicaid for long term care and post acute care facilities.

These new CMS requirements call for facilities to designate an infection preventions by November 2019...

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Patient Satisfaction Part of Quality

Patient Satisfaction

Patient Satisfaction

Patient Satisfaction

Patient satisfaction as part of quality measurements may be the next frontier. In a hospital setting this might seem pretty straightforward, asking patients how they are feeling, how their treatment is going, how is the staff performing and is your doctor explaining your care and answering your questions seems reasonable. Even in the post acute or subacute setting this seems relatively to accomplish.

The Government Accountability Office recently concluded that adding resident satisfaction ratings to Nursing Home Compare, would be a more direct measure of nursing facility patient care. The American Health Care Association has supported this concept a...

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Nursing Facility Fraud a Focus

Nursing Facility Fraud a Focus

Nursing Facility Fraud a Focus

Nursing Facility Fraud a Focus

The new Trump administration is expected to keep nursing facility fraud a focus of the Department of Justice according to sources in the administration.

They are even expected to preserve several Obama policies. Fraud investigation and the eventual prosecution of more individuals will be initiatives continued under the new administration.

The issue of holding individuals liable for corporate wrongdoing has received support from both sides of the isle to date. The new Attorney General nominee Senator Jeff Sessions, (R-AL) is a former prosecutor who has generally been tough on white-collar crime.

Post acute care facilities with pro...

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Drug Resistant Bugs Winning the War

Drug Resistant Bugs Winning the War

Drug Resistant Bugs Winning the War

Drug Resistant Bugs Winning the War

Most epidemiologists would admit that drug resistant bugs are winning the war in the acute and post acute setting.

Nursing facilities are in the forefront of the battle where environmental services and housekeeping are constantly under pressure the defeat the enemy and eliminate the germs from their facilities. From 2008 to 2012 the number of citations under F-tag 4412 rule from the Centers for Medicare and Medicaid Services (CMS) has doubled. Leading one to believe that infection control has not been a top priority in nursing facilities. Limited resources and staff turnover are certainly contributing factors.

Accordin...

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Reducing Hospital Readmissions

Reducing hospital readmissions is a challenge for the entire healthcare continuum. It is all too common and it is costly and in many cases avoidable. Skilled nursing facilities and subacute facilities are not currently being hit with financial penalties for hospital readmissions. The Centers for Medicare and Medicaid Services (CMS) will change this policy in October of this year. Currently hospitals bear the brunt of these financial penalties for readmissions, as they are the facilities partner it is in everyone’s best interest to reduce the readmissions whenever and wherever possible.

This is an opportunity for hospitals and skilled facilities to develop a new and better model, which shou...

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Legal Pot Usage growing

Legal Pot Usage Growing

Pot Usage Growing

Pot Usage Growing

Twenty nine state (29) now permit the legal medicinal use of pot. Pot Usage is growing nationally.

Voters in California, Massachusetts, Nevada and Maine all approved recreational use of marijuana on election day. Voters in Florida, Arkansas, North Dakota and Montana gave the thumbs up for the medicinal use of pot, singling a real change in the countries views on the use of pot. Voters in Arizona rejected the expanded use of pot for recreational purposes.

Even though marijuana is still considered an illegal drug by the federal authorities...

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Annual Wellness Visit

Annual Wellness Visit

Annual Wellness Visit

Annual Wellness Visit

Medicare (CMS) has made higher quality healthcare possible with the advent of the “Annual Wellness Visit”. It is now possible to provide these visits to your Medicare patients every year under the new CMS guidelines.

This Annual Wellness Visit should not be mistaken for the annual physical that Medicare offers to its participants. The Annual Wellness Visit takes approximately 45 minutes to an hour to complete. The Annual Wellness Visit is not a physical and in fact is not performed by the physician. A member of the practice other than the physician who is trained is supposed to perform the visit...

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Emergency Room Surprise Billing

Emergency Room Surprise Billing

Emergency Room Surprise Billing

Emergency Room Surprise Billing

For most people a visit to an emergency room carries sufficient stress. As many as twenty percent (20%) of emergency room patients receive additional trauma in the form of an unanticipated medical bill– in more than a few cases for thousands of dollars.
Patients who are forced to use the emergency services in a hospital, even one that is within their insurance network have a twenty percent (20%) of seeing an out-of-network ER doctor who may bill them for his services according to the New England Journal of Medicine.
The article was based on a sample size of over 2...

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Talk So Your Doctor Will Listen

Talk So Your Doctor Will Listen

Talk So Your Doctor Will Listen

Talk So Your Doctor Will Listen

Patients need to talk so your doctor will listen.When there is little or no dialogue between doctor and patient it is much more likely that the patient will leave the office frustrated and the chances of a missed diagnosis will be substantially greater. Studies have shown that doctors listen to their patients for on average for 23 seconds before they cut them off. The feeling of not being listened that patients have expressed is probably a correct one.

There are some strategies that may help you maximize your doctors visits.

Make a human connection, ask the doctors “How the day is going”? before telling him your medical ...

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CMS to Pay for Care Coordination

CMS to Pay for Care Coordination

CMS to Pay for Care Coordination

CMS to Pay More for Care Coordination

CMS to pay for more care coordination. Doctors in 2017 will be paid more for care coordination, disease prevention and mental/behavioral health care services.

Under the final physician fee schedule the Centers for Medicare and Medicaid Services has allocated an additional $140 million on these services. It is estimated that fees for these services could reach $4 billion, according to CMS Acting Administrator Andy Slavitt. Clinicians will be paid more for coordinating patient care and spending more time managing their patients beyond the office visit. CMS is recognizing in their payment codes primary care, care management

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EHR Usage Below Expectations

Electronic health Records

Electronic Health Records

Electronic Health Records Usage Slow

The adoption of electronic health records (EHR) in nursing facilities, subacute facilities, assisted living facilities and other senior living sites has not met federal or state health department expectations.

Vendors have been working over time to develop EHR’s that they expect to be the cornerstone of health care going forward. Despite their efforts to develop new bells and whistles, new features and efficiencies the provider community has been reticent to adopt the EHR.

Providers have three real issues with developing the EHR in their facilities, money, time and resources...

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Collaboration Improves Treatment

Treatment

Treatment

Collaboration Improves Treatment

Collaboration between Dental and medical providers improves patient care for the elderly. The elderly often suffer with complex medical issues that are magnified by dental conditions. Recent research suggests that coordination between dentists and physicians helps improve patient care and produces better outcomes.

A collaborative model that involves community based physicians and dentists have increased access to care, improve health outcomes, and reduce disease and the cost of care associated with those living with chronic disease.

Collaborative models have been developed to look at a range of chronic conditions such as diabetes, heart disease, hea...

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Strokes, Spot the Signs and Act

Strokes, Spot the Signs and Act

Strokes, Spot the Signs and Act

Strokes, Spot the Signs and Act

It is important for everyone to recognize the signs of a stroke and to act quickly. The loss of blood flow to the brain only gives the victim minutes to react. Lifesaving treatment can reduce damage to the brain and reduce recovery time.

Symptoms may occur suddenly. Recognizing them and getting help fast might save the life of a loved one or at minimum reduce the risk of long term disability. Here are the things to look for.

F Face. Check the persons ability to smile. Is it uneven? Does one side droop? Is there numbness?

A Arms. Can they raise both arms. Does one arm drift downward? Is there weakness or numbness?

S Speech...

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The Definition of the Term Hospitals

The Definition of the Term Hospital

A hospital is defined as a health care institution providing patient treatment with specialized medical and nursing staff and medical equipment. The best-known type of hospital is the general hospital, which typically has an emergency department to treat urgent health problems ranging from fire and accident victims to a heart attack. A district hospital typically is the major health care facility in its region, with large numbers of beds for intensive care and additional beds for patients who need long-term care. Specialised hospitals include trauma centres, rehabilitation hospitals, children’s hospitals, seniors’ (geriatric) hospitals, and hospitals ...

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