America has among the best healthcare services and expertise available in the free world. That is if you can pay for it. There’s no other developed country in the world that pays more per capita for healthcare, yet they are also one of the few countries on the face of the planet that does not provide universal healthcare.
Rural Americans would prefer to die rather than pay for healthcare, citing the “socialist” agenda. In reality, the “socialist” agenda is actually a product of a far right-wing agenda that denies Americans basic health services.
So what happens when you do happen to need health services, specifically a trip to the hospital? How do you deal with the massive inflation of prices? Why does a band-aid cost $50? Everything not including the air you breath has a price tag.
Turns out you have a few options on top of your insurance provider. You should advocate for yourself, and press hard to have any bill itemized.
Continue reading Always get itemized bills in the American health care system
Burnout is a problem for any healthcare profession. Particularly acute are underfunded and overworked departments that fast high paced environments. For example, ER Nurses.
Continue reading Burnout in the ER
Anti-vaxxers with their pseudo science are causing public health problems wherever they exist. Parents, themselves have been vaccinated, are no longer vaccinating their children. When generations emerged who have never seen the adverse and cataclysmic effects of disease, stupidity and privilege reign supreme.
Worst worst part is the victims are always children (and sometimes the elderly). Children of uneducated parents who are susceptible to easily preventable diseases, and children who cannot be vaccinated (perhaps due to age).
Unfortunately a change in the anti-vaccination movement won’t come until there is a widespread epidemic that will decimate children in small population counties. It’s eerie to consider that the “best” case scenario would be for outbreaks to be contained in highly religious or anti-science communities. But containment for infectious disease in highly populated areas is difficult. It’s only a matter of time before a lot of children get sick.
Despite spending almost double most developed economies per person (as a percentage of GDP), America’s healthcare system continues to operate in shambles. Spending continues to grow, reaching a staggering $3.5 trillion in 2017. This amidst tens of millions of Americans remaining uninsured, and many more millions unable to afford needed care.
The American health system is a demonstrable demonstration of how a “free-market” health care program operates. It’s far more expensive for less coverage. Yet as a whole, America can’t seem to get a grip on a way forward. Many suffering from the ideology of anti-“socialism”, decrying any form of single payer system that would provide health coverage to all citizens. The same people are fine with trillions of dollars to the military, but struggle with “socialist” healthcare.
The trouble with this approach is quite simple, Americans pay the most, yet the receive staggeringly less health care than any other developed nation on the face of the planet.
Continue reading USA Healthcare Spending Continues to Outstrip All Developed Economies
We know that in all of the developed countries in the world, America pays the most money per capita yet receives worst coverage as a whole. Those who have healthcare coverage tend to see the doctor too many times, and those who do not have coverage never see the doctor. That has pushed America down in terms of standard of living.
Here’s an interesting grout that depicts the level of healthcare coverage by state.
Continue reading Who has the least health coverage – USA by State
The percentage figures are for the level of non compliance. Honestly, if we included some level of IT systems there would be further non compliance. Our sense is that is another place of weakness in many organizations.
1. The hospital provides and maintains systems for extinguishing fires — 86 percent
2. The hospital manages risks associated with its utility systems — 73 percent
3. The hospital provides and maintains building features to protect individuals from the hazards of fire and smoke — 72 percent
4. The hospital reduces the risk of infections associated with medical equipment, devices and supplies — 72 percent
5. The hospital established and maintains a safe, functional environment — 70 percent
For the complete list visit JC.
And this stunning graph that should raise a few eyebrows. (What are Americans spending their tax revenues on?)
Firstly, all countries in this graph have followed an upward trajectory (life expectancy increased as health expenditure increased), but the U.S. stands out as an exception following a much flatter trajectory; gains in life expectancy from additional health spending in the U.S. were much smaller than in the other high-income countries, particularly since the mid-1980s. And secondly, the gains for all countries (except for the U.S.) were not diminishing, as in the previous graph. This suggests that there are many other factors affecting life expectancy, that are not determined by healthcare spending. Indeed, as we have pointed out before, healthcare is just one of many inputs to produce health.
Source: Esteban Ortiz-Ospina and Max Roser, Financing Healthcare, 2017. Published online at OurWorldInData.org.
Additional insight on this data and more http://www.moneyandbanking.com/commentary/2017/3/12/improving-us-healthcare-and-coverage
And some another article on negative side of upcoming Republican healthcare plan. http://www.thefiscaltimes.com/Columns/2017/03/13/Why-Republican-Health-Care-Plan-Destined-Fail
The December 2016 issue of Perspectives clarified the position on text messaging orders saying, “although its prior data privacy and security concerns had been addressed, concerns remained about transmitting text orders even when a secure text messaging system is used”, and therefore texting orders is not permitted. Specifically, TJC, with CMS’s input, found that:
Joint Commission requires organizations to have a written policy addressing the privacy of health information, and this requirement applies to the privacy of health information transmitted through text messaging.’
Part of the document.
Continue reading Joint Commission Text Messaging Orders Saga Ends
The Joint Commission anticipates the new and revised National Patient Safety Goals will improve patient safety and quality of care by reducing morbidity and mortality, as well as health care costs and length of stays associated with CAUTIs. The R3 Report is available here.