Article 8 of 12Major changes in society can come about through various means. This includes changes in such institutions as the Health Care Industry.Although most changes in the health care system are promoted from within, that does not necessarily have to be the case. In fact there are major advantages to new health care system concepts being developed from outside the medical industry. The proposed national medical information system being discussed in these articles was designed by an individual completely outside the medical professional. This provides more freedom of design, especially if you prefer to favor the public’s interests over the interests of the medical profession. without the influence of medical industry in the background influencing the design the public’s best interest may well be more easily served, ending up with a more balanced system. We may find this to be especially true where new applications using the latest in technology are involved.For example, again take the proposed disease prevention system. Because of the sharp reduction in the level of chronic disease, such a system would have a dramatic short term financial effect upon the medical industry. Conservative estimates are 40% deduction in disease levels within the first few years of operation and a high as 70%, or more eventually.Although there are advantages to such designs by individuals, there are also limitations. An individual would likely be unable to sustain the continual promotion such a system over a substantial period of time–providing a far shorter window of opportunity to establish the system before it likely fades from the picture.This would be especially true if the design of the system was presented in the form of a published book not available in book stores. As a result the book, the author and designer could be forced from the picture in a relatively short period of time if there was a lack of public interest and support. If this were to happen, this type of system may not again be brought forth for decades if ever.Although we are constantly bombarded, with all the medical research breakthrough media hype, including all the promises of the future that never seem to arrive, one thing we have to keep clearly in mind is that we rarely ever hear about the extremely high levels of chronic disease in the United States and the enormous amount of suffering it causes with millions of people. Nor does the hype include the additional suffering that also goes on because of the enormous health care costs. These costs that are having a devastating effect on the country, including the government, businesses and individuals. We are able to witness this suffering on a personal basis through our loved ones, friends and neighbors. The question is, are we willing to live with that? Is that level of disease acceptable?There is another consideration involved here. Whenever we receive anything of value usually there is a financial cost we have to consider–cost verses benefit. With this system, however, that too is also very unusual. Here there are amazing benefits in both directions, both in health care and costs.Ironically on top of that, with even a limited amount of interest, it can easily be determined that the proposed system does have a very solid basis for success and in fact it would be difficult to see how it could be unsuccessful due to the core underlying basis of the design.As discussed earlier in theses articles and in the book, the underlying basis of the proposed system is the use of a carefully designed computer processing system taking full advantage of the very latest in clinical laboratory science technology. This data would be processed through the use of the latest computer technology (including large supercomputer systems) in correlating massive amounts of proven reliable clinical laboratory data to human health and the individual human environment.Sometimes, as individuals, we are afforded rare opportunities for a limited period of time to dramatically improve our lives.
Is the Medical Care System the Cause of the Rising Cost of Health Care?Medical Care Costs will exceed the average household income by 2030, according to a recent study published in the Annals of Family Medicine. We dedicate over 16 percent of our economy; $2 trillion a year to medical care.Both public and private medical expenditures are growing at rates which outpace comparable countries. Despite this higher level of spending, the United States does not achieve better outcomes on many important health measures. Kaiser Family Foundation April 2011.Background – How did we get to where we are today with a medical care system out of control with no end in sight? Let’s look at how we got here and what might be some of the components of the system that need changing.Physicians started out in the early years as general practitioners which meant they prescribed medicine and did surgery. Over time some physicians sought more schooling and became specialists. In addition to the prestige of being a specialist they are paid more money.Although physicians are mostly in solo practice there is movement to small specialty groups. The incentive for this is the opportunities to decrease practice expenses and, especially for specialists, to enhance revenues from profitable services.The use of Nurse Practitioners and Physicians Assistants has helped physicians meet the growing demand for services. Since most care is delivered at the primary care level, to meet the need for primary care a new specialty called Family Practice was developed. However there are a growing number of people seeking care from alternative medicine practitioners, e.g. acupuncturist, chiropractors, massage therapists, and naturopaths. I feel this latter trend will broaden the base of services and help to reduce costs by providing less expensive alternatives to the more expensive services of traditional medicine.Prescription Drugs are important to preventing and treating illness and can help avoid more costly treatment. However, prescription medication abuse is probably the most common form of drug abuse in our country at this time.Although prescription drug costs are relatively small compared to hospital and physician cost they are rising at a higher rate. Insurance is paying a greater portion of drug costs and patients are paying less out of pocket for their prescriptions, which makes them less concerned about prescription costs.Medical Insurance – It started out with payments made directly to physician from patient. Then medical insurance in mid-1930’s and then 1965 the government became a major payer through Medicare for elderly and Medicaid for the indigent. The coverage by a third party has taken the patient out of the control of payment. This has led to a lack of concern for the cost of care by the patient, a factor in the rising expenditure for care.Compensation tends to drive the business model. Since the bulk of services are paid for on a fee-for-service basis there are built in incentives to produce more services thereby increasing costs.Preventative Services – Services that can save lives are not given the attention they need. A January, 2012 study published by the American Journal of preventive Medicine finds that Doctors are not performing the preventive services the patients need. There are a number of reasons these tests are not performed: it doesn’t pay as much as treatment services and usually these services are not covered by insurancePatient Centered Care – Today with the change in disease from acute infectious to chronic requires patient participation. Most of the major diseases have a behavioral component which means the patient treatment involves behavior changes that only the patient can do.The Solution – to rising costs is to decrease the number of sick people and increase the number of healthy people. To do this requires we look at a New Health System Model which means includes adding environmental, heredity, behavioral, and nutritional health components, in addition to our medical care system.
Patient health care providers continue to offer their dedicated service through their patient care standards. Transformational changes that were driven by multitudes of quality of care and economic factors enabled investments in technology that is utilized for providing support. All operational aspects of providers like clinical, financial, and administrative information needs to be shared throughout each revenue cycle that will facilitate transactions for the supply chain. The future of the healthcare industry is heavily dependent on new informative health technology.CRM BenefitsMaintaining a healthcare CRM solution is imperative for future calculations. Studies show that through the use of a CRM solution, providers have lowered cost care and medication errors, and the outcome of patient care has improved. The health care industry has adopted an electronic system for patient health records. The electronic system is very beneficial and will provide a better tracking system for patients.Online SolutionsThe Obama Administration recognizes the healthcare CRM potential benefits for implementing standards nationally through utilizing stimulus package expenditures to obtain health care CRM online providers. The benefits for providers will simplify billing procedures, allow better solutions for business intelligence and provide standardized industry solutions for health care CRM online transactions. Medicare is proud to say that they are now offering incentives financially for those who utilize e-prescribing.Online Patient RecordsThis industry is changing due to the new US laws and regulations. The market for the need of the patient health care records is growing and there has been an increase in competition. Integrators, vendors and developers are merging to incorporate their revenues. The effort of the commercial endeavors may produce excellent standards for interoperability, portability and security. The challenges of the financial stress is overwhelming for some. However, there are companies that are prudent and produce investments with high-returns. The capabilities of the advanced system must be on every healthcare company’s must-have list. The long-term benefits will empower a company to be a better competitor in the healthcare market.Information Technology SystemChoose a health information system that organizes and supports your business and clinical needs. When searching for the specific needs of your business you must search the marketplace for solutions that are customized. Search for ways to reduce operating expenses and the overall costs that are associated with expenses of operating the innovative technology. Your new health care system should run smoothly with minimal effort so your focus can be on providing excellent health care.