Wednesday, November 1, 2017

The Importance of Physician Leadership

The goal of many healthcare providers is the Triple Aim-better care at a lower cost with a focus on a positive patient experience. Providers with these goals need strong physician leaders to help them reach the goals. More provider organizations are beginning to recognize the importance of physician leadership to be successful.

The American Medical Association states in its whitepaper Integrated Leadership for Hospitals and Health Systems: Principals for Success that healthcare administrators must work with physician leaders to reach their goals. A relationship based upon mutual trust between physicians, clinical staff and administrators is vital to deliver care that focuses on the patient. To quote the article: "It is possible that integrated leadership would benefit patients by focusing on developing new channels for patient engagement, and delivering care in a manner that eliminates overuse, underuse and misuse of resources while increasing physician professional satisfaction, building trust relationships and financial stability for both physicians and hospitals."

It is a principal of lean healthcare and lean manufacturing that the best measurable outcomes occur when those closest to the patients or clients provide input into the process of care or manufacturing. It is sensible, then, that physicians, who along with other clinical staff are closest to patients, can provide significant insights into the best processes to deliver care that is effective while preventing waste and duplication, thus saving costs. Integrating physicians into leadership positions ensures that such insights are incorporated into care processes.

Recently I was discussing physician leadership with my own primary care physician, Dr. Daniel Harro of Mercy Health Physicians Partners. He said that it has been important to him and his fellow physicians that they are represented by Dr. David Blair as president and chief medical officer of Mercy Health Physician Partners. They find it important that he still meets patients weekly. Dr. Blair has helped this group navigate from being a group of independent physicians to a partnership with Trinity Health of Livonia, Michigan. He has also guided the primary care physicians into becoming accredited as patient-centered medical homes with many of the offices achieving level 3 designation.

In December, 2016, the Harvard Business Review in an article titled Why the Best Hospitals Are Managed by Doctors noted that the best quality hospitals are led by physicians. According to U.S. News and World Report the best hospital is Mayo Clinic. It is run by highly skilled physician John Noseworthy. The second highest ranking hospital, Cleveland Clinic, is run by physician Delos "Toby" Cosgrove. The article states further that of the top 100 hospitals in the U.S. the ones that are led by physicians have a 25% higher quality score than those that are not.

The Medical Group Management Association emphasizes the importance of physician leadership too. In a survey of its members it found that about 60% of those responding stated that they use a dyad management style at their sites. The leaders are a practice manager and a physician. Because each share responsibility for the success of the group, it is extremely important that the two integrate effectively to provide leadership and direction to the sites, most of which are ambulatory. MGMA suggests that the two leaders first consider how their leadership styles complement each other and where they might conflict. In doing so, they should strive to present a united front to staff. As Stephen Covey states in The 7 Habits of Highly Effective People the two leaders should Think Win-Win when considering what direction to lead the staff of the practice. MGMA recommends that the two leaders focus on several skills in order to be successful:

· Have a vision and stick to it. As Stephen Covey says, Begin with the End in Mind

· View change as an opportunity. Change seems to be accelerating presently and leaders must be nimble in adapting to responding to changes thrust upon the practice and should also explore what changes can improve the outcomes for the practice.

· Understand risks. Leaders should be able to assess the risks facing the practice and should lead the practice in overcoming risks and profiting from the risks.

· Unify the staff. Be sure that each staff member understands the importance and responsibilities of their roles in the practice. The leaders should develop teamwork among the staff.

· See the practice as a business. In order to provide the best care at a lower price the leaders need to see that the practice is run as an efficient business. The healthcare business model is unique and complex.

Physicians as leaders must see the whole structure of the organization that provides the care. At an ambulatory site, for instance, the physician leader must see beyond the clinicians providing direct care to patients. They must also understand the processes of the front office-the receptionist and sign-in personnel-the billing and collection staff, the administrative leaders and other staff that are important in providing services that support the clinicians and the business structure of the organization. While understanding and being involved in the processes outside of clinical care, the physician leader also needs to assert that the physician staff be able to provide effective care to patients without interference from administration. That is, the physicians need to feel free to provide clinical care that is patient-centered and conforms to best medical practice using the unique skills of each physician. Physician leaders need to build trust among administrative leaders that the clinical staff is providing patient-centered care.

Wednesday, October 4, 2017

How Hypnosis Could Drastically Cut the Costs of Canada's Medicare

What if there was a simple, effective way to drastically reduce the costs of Canada's Medicare program? There is. It's called hypnosis.

Hypnosis could:

Lower the number of patients
Shorten hospital stays
Reduce the amount of prescribed medications

Hypnosis, or more precisely, hypnotherapy, is an ideal complement to medical care. Here are some of the ways in which it could drastically reduce visits to family doctors, emergency rooms and hospitals:

Stop smoking
Lose weight
Reduce anxiety (including panic attacks)
Compliance with prescribed meds
Reduce stress (and therefore heart attacks etc)
Encourage exercise
Change eating habits
End phobias of needles and MRIs

For example, a study conducted at Mount Sinai School of Medicine in New York found that when women participated in a hypnosis session before breast surgery, they experienced less nausea and required less pain medication than the control group. Patients in the hypnosis group also cost the hospital $772 less.

Potency

What a doctor or nurse says to her patients carries a powerful impact. When medical professionals learn how to talk in a positively hypnotic manner to patients:

Conversations will be quicker, thus saving the health care people time.
Patients will better absorb information about their prognosis.
Pre-operation hypnotic explanations will reduce patients' anxiety.
Patient anxiety and blood pressure will be significantly reduced.
Patients will be more compliant.
Nurses and doctors will be less stressed, and
Most of all, patients will recover faster.

Hypnotic Self-help for Patients and Staff

Patients who are taught simple self-help hypnotic techniques will have less need for medical aid and hospitalizations.

Similarly, doctors and nurses who use hypnosis to relax themselves, to handle stress on the job, to deal with difficult patients and colleagues, will be more efficient. Thus time will be saved, less overtime required and staff will enjoy their work more.

How To Implement This Safe, Simple Solution

Twenty-two years ago while I was recovering from an 8-bypass operation I listened to a hypnotic recording created by a colleague. The Head Nurse told my wife "I don't know what he's listening to, but everyone should have one." Sadly, the Head Nurse never followed up.

But now, as the health care crisis heats up in Canada and we can look forward to either the collapse of a Medicare overburdened with elderly people, or increases in taxes on an already heavily-taxed population, surely the time has come to apply the safe process of hypnotherapy to the sick vehicle of social medicine.

An easy way to train doctors, nurses and the public at large in the easy-to-learn hypnotic techniques that could revolutionise health care in Canada would be to ask hypnotherapists across this great country to put on free workshops in hospitals and clinics.

A second tactic would be to teach high school students (the medical professionals and patients of the future) the benefits of lowering their own stress levels and building healthy habits with self-hypnosis.

The Internet is awash with hypnotic MP3s, DVDs, eBooks and CDs, many of them free. This is the 21st century way for patients and health care providers to enjoy self-hypnosis -- and therefore better physical and mental health.

All it would take for students, nurses and doctors is one hour to acquire hypnotic self-help techniques that would last a lifetime.

Monday, September 18, 2017

10 Life Hacks for Seniors Which May Prevent Insomnia

1. Make Changes in the Bedroom
Family caregivers should make sure their loved one`s bedroom is the most comfortable place for them. Your loved one`s sleeping area should be comforting and all the outside lights should be blocked by using curtains which may not cause sleep disruption.

2. Don`t Consume Heavy Meals
Eating heavy meals and high fat foods may leads to a distressful sleep in some seniors. Your loved ones can choose whole grain foods, smoothies, and drink more water which may provide a comforting sound sleep.

3. Avoid Electronic Device around the Bed
Seniors may have a hard time sleeping if they have a TV or laptops in their bedroom. These electronic devices may distract your loved one`s sleep and may change their sleeping patterns. These devices may also enhance stress level of your loved ones.

4. Create a Routine before Going to Bed
To enhance melatonin which is a sleep inducing hormone, your loved ones may create soothing changes every night before going to bed. Yoga may help some seniors in getting their body and mind relaxed. Family caregivers can also suggest their loved ones to have a warm shower which may boost a comforting sleep.

5. Avoid Stimulants if Not Necessary
Caffeine, alcohol, energy drinks and high sugar foods are some of the stimulants which may cause insomnia in some seniors. Drinking coffee or black tea may prevent your loved ones from having a good night sleep. If your loved one has a habit of drinking tea everyday then he or she can consume it 6 hours before going to bed. In this way their habit may not cause sleep disruption.

6. Reduce Stress
Minimize the things which may cause stress and anxiety in your loved one`s life. Family caregivers should not put things in their loved one`s bedroom which are work reminders or sleep distracters. Stress and depression may also cause insomnia in some seniors and may make it difficult for them to sleep longer.

7. Consult a Doctor
One of the best ways to decrease insomnia in seniors is to consult a doctor. In this way your loved ones can receive an expert`s advice on treating insomnia and may reduce the stuff that is enhancing it. The doctor may go through your loved one`s medications and can provide a tailored routine and lifestyle changes for them to follow to decrease insomnia.

8. Limit Sleeping During Daytime
Senior adults who may face difficulties in sleeping at the night can limit their afternoon sleep. This may help them in feeling sleepier during the night. Your loved ones can avoid daytime sleep entirely which may make them more likely to sleep longer at night.

9. Exercise
To reduce insomnia in seniors, exercise may help in regulating their sleeping patterns. Your loved ones can start aerobic exercises such as running, cycling, and doing sports which may assist them in decreasing insomnia.

10. Adapt Ways to Slow Down Brain Activity
Your loved ones can avoid mind stimulating things like TV, computer, work load pressure, and stress to ensure good sleep and to tackle insomnia. Seniors can perform calming activities before going to bed which may help in turning off their brain.

Medicaid Targets Physicians Offering Low Cost Options for Patients

The medical practice I began using in 2010 set up a discount plan to provide better care for patients and to help them save money, especially those customers without insurance. I pay a fixed monthly fee to be a member. That membership allows me to go in for any service offered, including yearly physical examinations, mammograms, pap tests, immunizations, blood tests, X-rays, casts for broken limbs, even minor surgery, for less than $30 a visit. The practice hired extra medical professionals, such as a psychologist and a physical therapist, to meet a wide variety of needs. They also provide extended hours.

As the saying goes, however, "No good deed goes unpunished." Two days ago, the state made sudden rule changes affecting Medicaid patients who are not participants of the discount membership at their practice or any others with similar affordable plans. Medicaid allegedly claims these clinics are offering health insurance.

As a result, the state refuses to reimburse such clinics for many medical services rendered to their Medicaid patients, even long-established ones. Need immunizations? Go to the health department. Blood work? Go elsewhere for a draw. Sick after hours? Go to one of the few Medicaid-approved clinics or the ED (Emergency Department). This is a special hardship for sick, elderly, or disabled patients who must go to different locations for tests offered on site by their chosen physicians.

My current health provider offers the best care I remember receiving in my many adult years. The practice tries to help patients falling between the cracks of our increasingly inefficient health care system. These individuals don't have employer-based coverage and can't possibly pay the ACA's high premiums and deductibles.

Yet the government allegedly targets these clinics with innovative plans to meet customer needs, including those of their Medicaid patients. Is it any wonder that many more physicians and facilities are refusing Medicaid patients?

Why punish low-income patients eligible for Medicaid coverage and the shrinking numbers of caring, competent providers still willing to accept them as patients? Why shouldn't individuals be allowed to purchase discount plans? The clinic memberships and co-pays are drastically less expensive than the skyrocketing deductibles of coverage they can't otherwise afford.

I want to do just that - buy into Medicaid for catastrophic care, and keep my doctor (remember that promise?) and clinic discount plan. I would only use Medicaid for any needed surgeries, hospital stays, or dental and vision care exceeding cost limits. Why shouldn't patients be allowed to make such decisions? Is it because they make common sense?

Across the state, Colorado physicians and clinics have designed flexible, affordable discount plans for low-income patients. Many of those same practices want to continue serving those with Medicaid coverage. The state's inexplicable overreach will not only penalize those patients and providers. It will drive more qualified physicians and clinics from accepting Medicaid customers at all.

Wednesday, August 9, 2017

Top 7 Proven Home Remedies for Leucorrhea Treatment

Excessive vaginal discharge, foul smell, spotting on underwear - yes we are talking about the leucorrhea. Leucorrhea is one in most filthy female vaginal infections. This condition is enough to make the women feel peeved and uncomfortable. It is awful but these days it has become a common problem among the females. To manage this vaginal infection, leucorrhea natural treatment is fruitful.

It is scientifically proven that to treat the leucorrhea naturally, use of home remedies is quite effective.

Why does leucorrhea haunt the females?

Female's genital parts are moist and covered most of the times that's why females are highly prone to this infection.

Possible causes of leucorrhea

Poor genital hygiene
Hormonal imbalances
Improper lifestyle
Unhealthy eating habits
Bacterial and fungal infections
Genital wounds due to excessive itching
Diseases like menorrhagia and diabetes
Indigestion
Constipation
Anemia
Stress and anxiety
Here we are listing the Top 7 Proven home remedies for Leucorrhea Treatment

Banana

Bananas are considered as an effective home remedy to treat leucorrhoea naturally. Being disinfected in action Banana helps to extrude the harmful microorganism from a vagina.

Directions to use

One can consume one to two overripe bananas daily.
Repeat it until you observe the noticeable change.
Ladyfinger (Okra)

Ladyfinger also comes in the category of effective home remedies for leucorrhoea. Mucilaginous nature of ladyfinger helps in the elimination of mucus from a body. In leucorrhea, it works well to reduce the vaginal discharge.

How to use

Take ladyfingers, wash them and cut into small pieces.
Boil these pieces 15-20 minutes in the water until water is reduced to half.
Allow cooling and strain it.
Add some honey and consume 2-3 times in a day.
Pomegranate

Therapeutic properties of this fruit help to ward off the vaginal infections. Fruit, its leaves, and rind are very helpful to treat the leucorrhea. Hence, it is an effective home remedy to treat leucorrhoea naturally.

How to use

Consume one glass of fresh pomegranate juice daily for one month.
Grind 25-30 fresh pomegranate leaves with 8- 10 black pepper.
Add this mixture in half glass of water.
Strain and drink it two times every day until you observe a noticeable change.
Another option makes powder of dried rind of a pomegranate.
Make the powder of dry the rind of pomegranate.
Mix 1/2 to one tablespoon of this powder in 3-4 cups of water.
Use this solution as a vaginal spray.
Fenugreek Seeds

Fenugreek seeds are loaded with the immunity booster properties. In leucorrhea, this helps to balance the pH level and micro flora in a vagina.

Directions to use

Take two- three teaspoons of fenugreek seeds in 3-4 cups of water and boil for 25-30 minutes.
Strain and let it cool.
One can use this water as a vaginal wash many times daily until the symptoms get lessen.
Indian Gooseberry (Amla)

Being a good source of vitamin c, it helps to boost up the immune system. Moreover, Amla is loaded with the antimicrobial properties that help to ward off vaginal infections.

How to use

Make a thick paste by mixing one - two teaspoons of Indian gooseberry powder with honey. Consume it two times in a day.
Another option is to boil one teaspoon of dried Indian gooseberry root powder in one cup of water until it reduced to half. One can add little sugar or honey as per taste. Eat it on an empty stomach every morning.
Cranberry

Cranberries packed with the antimicrobial, antifungal and antioxidant properties. These properties help to fight against the bacterial, viral and fungal infections. In leucorrhea, cranberry helps to eliminate the bacteria from vaginal wall.

How to use

Drink one glass of fresh cranberry juice once or twice for best results.
Fig

To manage the leucorrhea, consumption of figs is very good. Laxative action of figs helps to eliminate the toxins and waste materials from the body. They work in an amazing way to resolve the problem of excess white vaginal discharge.

How to use

Soak 5-6 figs in overnight in one cup of water. Next step in morning is to blend the soaked figs in water. Consume this solution on an empty stomach.
Alternatively, you can grind the equal quantities of the bark of the fig tree and banyan tree to make a fine powder. Add half -one tablespoon of this powder in two-three cups of water. Use this solution as a vaginal wash.
Additional tips

Maintain the proper hygiene.
Wash your undergarments daily and let them dry under the sun.
Don't wear dirty, tight or synthetic undergarments
Change undergarments at least 3-4 times daily.
Wash the vaginal area and surrounding area.
Wipe from front to back after using the toilet.
Avoid oily foods.
Avoid coffee, alcohol and aerated drinks.
Dr. Vikram Chauhan (MD - Ayurveda) Is an expert herbal practitioner based in Chandigarh and participating in Mohali, India. He is spreading the knowledge of ancient healing treatment of Ayurveda not only in India but also abroad. He has researched age old formulas from ancient Ayurvedic text books to restore health and save human beings from the worst side-effects of chemical based treatments. He is the author of 'Ayurveda- God's Manual For Healing', an informative book for people interested in learning the basics of Ayurveda, diet and principles of healing according to Ayurveda.

Guide To Finding The Best Hospital

When you get sick, you want the best healthcare. To help you out, here are some of the factors you should consider when choosing a hospital:

Nature of the facility

How does the facility look like? As rule of thumb, it should be equipped with all the necessary equipment. It also should have fully functional laboratories. The hospital will be better off if it has laboratories that cater for a particular condition. For example, if should have an ear laboratory, abdominal laboratory and so on. Some of the must have facilities include: CT scan, dialysis, and cardiac catheterization lab.

You also should consider the quality standards of the hospital. For peace of mind that the facility provides you with the best care, ensure that it meets the quality standards. If you are looking for a hospital for a loved one, ask for brochures that show the facility's credentials.

The other thing you need to consider is the reputation of the hospital. The cool thing is that you can tell this by simply reading the online reviews of the institution. If there are many negative reviews, avoid the hospital.

Patient infections are common in hospitals. To avoid the infections, you need to ensure that the hospital you are looking to go is clean.

It's common for patients suffering from complex conditions to be admitted. To make sure that you get the best care, take a look at the nature of the wards. Are they clean? Is there enough food? How many people sleep on the same bed at the same time?

Quality of the doctors

The quality of the doctors is critical for your well-being. The last thing you want is to work with an unqualified doctor. You should research the qualifications of the doctors before you attend the facility. The cool thing is that you can easily tell the skills of the doctors by simply reading the information given on the hospital website.

In addition to the qualifications, also consider the ratio of the physicians to patients. While the doctors might be qualified, they won't give you a great service if there are many patients to attend to. In addition to the doctor being overworked thus tired, he/she might not have enough time to work with you. To get excellent and personalized care, join an institution with enough doctors.

Ease of access

This comes in handy when the patient is too sick. A hospital that is easy to access also makes it easy for patient visits. Although, not mandatory, you will be better off working with a hospital that is close to the main road.

Cost

How much does the hospital cost? This is crucial. While quality service always comes at a cost, you don't have to spend a lot of money all the time. There are many good quality hospitals that charge less. All you need to do is to do enough research to identify them.

Conclusion

These are some of the factors you should consider when choosing a hospital for yourself or a loved one. For a great service, work with a reputable health facility.

Thursday, July 6, 2017

Important Factors You Cannot Forget When Buying An Essential Oil Diffuser

Essential oils have gained so much popularity because of their numerous benefits. They are largely used for aromatherapy and this kind of therapy is no longer limited to spas, but has found its way into homes. Most people love the calming effects of essential oils and use them not only to control moods, but to also enjoy restful peaceful nights.

A diffuser is used to release the selected essential oil or oils in just the right amounts and intervals depending on the preferences of the user. With the increased popularity of the oils, different kinds of diffusers have been created. It can be confusing if you are not very familiar with the diffusers, but using a few helpful factors it becomes easy to select the best.

Diffuser type

The mode of operation is what determines the type of diffuser. Generally there are ultrasonic diffusers which create ultrasonic vibrations that break down essential oil particles released into the air; nebulizing diffusers which work by blowing air on the surface of the oil creating fine spray or mist. There are also heat diffusers which heat the oils leading to their dispersal and evaporation at rapid rates and evaporative diffusers that blow air on pad saturated with the essential oils. Look at each of the options and the advantages of each to make an informed decision in the end. It is also important to remember that some of the diffusers work silently whereas some may produce noise as they operate.

Area coverage

Diffusers are not as large and hence finding the right spot for them in your home should not be that hard to do. However, it is important to consider how much of the space in the room they will be able to diffuse and circulate the essential oils to. A diffuser that covers a considerable amount of space is better than getting multiple devices to cater to your needs. Know the exact needs you have as far as coverage goes and you will be able to select the device that suits your space best.

Cost

When it comes to cost, the type of diffuser, the brand and the size may determine the prices attached. The design of the diffuser can also determine the amount you pay for it. It helps to do a comparison between the best essential oil diffusers so you are able to choose one that falls within your budget and one that is also bound to serve all your needs effectively.

Quality

Aromatherapy is something you may want to enjoy for a long time to come and this means that you need to settle for a high quality diffuser. Look at the materials used in making the diffuser so you can choose a durable piece. It may not be very advisable to go for very fragile materials considering you are prone to knocking it over, especially if you love it on your bedside stool. Think long term when weighing between best oil diffuser options.

Essential oil diffuser reviews can be helpful in getting you the best one for your home. Consider all options when looking for the best aromatherapy diffuser including the mode of operation and it will be easy to settle for a good device.