We’re the matchmaker between #Healthcare Job Seekers and Employers. The Yenta, from Fiddler On The Roof.
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A picture is worth a thousand words” comes from a 1911 newspaper article. What does this picture say about your #Healthcare organization? Is your Job Posting helping attract that hard-to-fill CNOR #Registered Nurse?
Each rural hospital closure has a dramatic effect on its regional economy as well as the populations’ health. I find it amazing that Congress can allow this to occur and the President’s Affordable Care Act ignores the problem. Telehealth isn’t the the answer if there’s nobody on the ground.
More experts are predicting that telehealth will grow to 50% of all healthcare transactions by 2020. Provider shortages, including physicians, nurse practitioners, physician assistants and registered nurses, will become increasingly acute. The Affordable Care Act and future legislation will continue to drive down healthcare costs. Videoconferencing capability is already standard for all computers and most smartphones. It’s a no brainer!
The only downsides are easily solved with legislation.
Medical malpractice reform, such as the safe harbor rules proposal, will satisfy the liability issue.
Medicare reimbursements are artificially restricted geographically. Quality and cost is a clear win in rural healthcare. Next step is to add depressed cities (Detroit) and regions hit by disasters (New Orleans), followed by everyone else!
Medicaid reimbursements: States should also welcome telemedicine for their population after the quality of care to cost ratios are a proven win.
Congratulations to the Oregon Health and Science University and Doernbecher Children’s Hospital for their national ranking in the U.S. News Best Hospitals 2013-14!
U.S. News surveyed nearly 10,000 specialists and sifted through data for approximately 5,000 hospitals to rank the best in 16 adult specialties, from cancer to urology. Death rates, patient safety, and hospital reputation were a few of the factors considered.
U.S. News surveyed 179 pediatric centers to obtain clinical data in 10 children’s specialtiesand asked 150 pediatric specialists in each specialty where they would send the sickest children. Eighty-seven hospitals ranked in at least one specialty.
Hospitals (Adult Specialities)
Nationally Ranked Specialties
Oregon Health and Science University
#49 in Cancer
#42 in Diabetes & Endocrinology
#24 in Ear, Nose & Throat
#32 in Geriatrics
#44 in Gynecology
Legacy Good Samaritan Hospital
Providence Portland Medical Center
St. Charles Medical Center
Providence St. Vincent Medical Center
Rogue Valley Medical Center
Legacy Emanuel Hospital
PeaceHealth Sacred Heart Medical Center
Kaiser Permanente Sunnyside
Hospitals (Children’s Specialties)
Nationally Ranked Specialties
Doernbecher Children’s Hospital
#19 in Pediatrics: Cancer
#42 in Pediatrics: Cardiology & Heart Surgery
#30 in Pediatrics: Diabetes & Endocrinology
#28 in Pediatrics: Nephrology
#40 in Pediatrics: Neurology & Neurosurgery
#49 in Pediatrics: Orthopedics
#50 in Pediatrics: Pulmonology
#26 in Pediatrics: Urology
Oregonians should be proud of our state’s excellent healthcare systems.
Mayo Clinic developed a smartphone Cardiac Rehab app to see if it would help heart attack patients who received a stent, in their recovery. The patient uses the app to log daily measurements, such as weight, blood pressure, blood sugar levels and activity. The app also includes links to healthy living educational information.
The study only included 44 people but the results were drastic. 20% of the people using the app visited the E.R. or were readmitted. 60% of those without the app visited the E.R. or were readmitted.
Entering their data every day increases awareness and can flag potential problems, which makes the app even more valuable in a rural community or with seniors who are isolated or on fixed incomes.
Not many will argue that our Medical Malpractice system is broken. “Safe harbor” rules, where the physician is protected as long as accepted clinical guidelines are followed, may not provide the protection physicians think they’re going to get. Furthermore, quality of care is likely to improve!
In an Oregon study, over 900 cases (between 2002 and 2009) were reviewed assuming the safe harbor rule was law.
3 claims against physicians would have been overturned (physicians win)
14 claims for physicians would have been overturned (patients win)
41 claims against physicians would have never been filed, because the patient wouldn’t have been harmed, if the Physicians had followed accepted clinical guidelines (patients really win)
41 out of 900 is a 4.5% quality improvement, for ‘simply’ following accepted clinical guidelines!? That should get the C suite’s attention, especially in our new ACA world.
I love Telehealth! Probably because there’s a lot of rural America in our family trees. If I bought stocks (which I don’t) it would be in Telehealth. It’s a no brainer! The population is aging and retiring, increasing the demand, and decreasing the supply of quality providers. I envision private VIP networks for executives and entertainers.
But the social value is more than just rural America. Think about the advantages in cities suffering through depression and natural disasters, such as Detroit and New Orleans.
There is no ‘origin’ to Telehealth since the simplest form was two docs on the phone. Today, internet based medical interpreters are commonplace. Electronic records and digital imaging are already surpassing geographic boundaries. And our countries demographics will continue to force it’s evolution and permutation throughout our healthcare system.