Posts Tagged ‘health’

Which Health Policies Actually Work?

We spend a lot of money on healthcare. How much if goes toward good studies of the health policies we implement. Not much. An almost natural experiment in Oregon has been revealing.

Related HCT episodes:
Wellness Programs Don’t Stand Up to RCT: https://youtu.be/gtUYKGz1v-c

Be sure to check out our podcast!

Other Healthcare Triage Links:
1. Support the channel on Patreon: http://vid.io/xqXr
2. Check out our Facebook page: http://goo.gl/LnOq5z
3. We still have merchandise available at http://www.hctmerch.com
4. Aaron’s book “The Bad Food Bible: How and Why to Eat Sinfully” is available wherever books are sold, such as Amazon: http://amzn.to/2hGvhKw

Credits:
John Green — Executive Producer
Stan Muller — Director, Producer
Aaron Carroll — Writer
Mark Olsen – Art Director
Meredith Danko – Social Media

#healthcare #healthcaretriage #medicaid

Be the first to comment - What do you think?  Posted by admin - October 16, 2019 at 3:21 pm

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Is Our Health Care Spending Actually Worth It?

Many people know by now that the United States spends much more on health care than any other country, and that health outcomes are not a lot better (and in many instances worse). That raises the question: Is our health care spending actually worth it?

Related HCT episodes:
1. Why Does the US Still Spend so much on Healthcare? High, High, Prices: https://www.youtube.com/watch?v=tFtAohYPSFc

Be sure to check out our podcast!

Other Healthcare Triage Links:
1. Support the channel on Patreon: http://vid.io/xqXr
2. Check out our Facebook page: http://goo.gl/LnOq5z
3. We still have merchandise available at http://www.hctmerch.com
4. Aaron’s book “The Bad Food Bible: How and Why to Eat Sinfully” is available wherever books are sold, such as Amazon: http://amzn.to/2hGvhKw

Credits:
John Green — Executive Producer
Stan Muller — Director, Producer
Aaron Carroll — Writer
Mark Olsen – Art Director
Meredith Danko – Social Media

#healthcare #hctriage #UShealthcare

Be the first to comment - What do you think?  Posted by admin - October 15, 2019 at 11:20 am

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Joe Flower Explains Healthcare Economics In 5 Minutes

(For more on what’s behind the healthcare headlines, go to http://www.ImagineWhatIf.com)

Healthcare Econ 101: Why it costs so much, yet we still don’t get what we want and need—better healthcare that is cheaper.

Joe: First rule of economics: people do what you pay them to do.
Second rule of economics: people do exactly what you pay them to do. They really notice what it is. I’m sure that all of you know exactly what can get you fired, in some detail. And you know exactly what you can do in your jobs to really advance in your jobs, get better at it, make sure of a promotion, make sure they keep you on. You’re very, very clear on that.

Well, so is everyone in the healthcare system. So are the doctors, the nurses, the hospitals, the device manufacturers, the pharmacy manufacturers—they’re very clear on what we’re paying them to do. If we’re not getting them the results that we want, it’s because we’re not clear on what we’re paying them to do.

So, let’s look at Healthcare Econ 101.

Traditional economics, we start with a buyer and a seller. I want to buy a rug, I go to the marketplace, there’s all these guys selling rugs. I haggle with them. If his price is too high, his quality is too low, I go to this guy over here and we come to some kind of agreement. Right? No problem. So, the market is—it’s what people talk about [as] a free market, where it’s kind of self-leveling. We arrive at what the actual value of that rug is in this market, at this time.

Now what happens if you have an insurance supported, fee-for-service system?

See, that actually names what we’re paying them for.
If I go to a restaurant, am I paying someone to fry things or to put ice in them? No, I’m paying for a meal. I don’t care what they do back there to prepare it—a lot about it I [probably] don’t know how to do—but I’m paying for a meal.

This is not what we’re doing. We’re paying fee-for-service.

Now what happens in that fee-for-service system?

Well, the first thing is the buyer gets split in two. The entity that’s paying for it becomes different from whoever that’s choosing it. What we’re saying—yes, we need an MRI here, we need a new hip, we—is not the person who is actually paying for that. Insurance supported, fee-for-service system.

But there’s something—there’s a little complication.
Who’s doing the choosing?

It’s the patient and the provider, together. My doctor and I are doing the choosing, and someone else is paying for it. Or at least paying for most of it.

But there’s another complication to this. What’s this?

The seller is also the provider. So, the doctor’s also a salesman, in the sense that they’re selling their time—they’re doing fee-for-service—and they’re helping me make the choices.

So, the usual feedback loops of a free market system, are not there. A lot of these changes that we’re seeing in the insurance system are attempts to put at least some of that feedback loop back in, so that the person making the decision have at least some of the payment. They have to do some of the payment themselves so we begin to do rational economic decisions, instead of just making them up out of thin air with the advice of the people who are actually going to do the service for us.

So, it’s a very complicated problem.

We try to control cost the entire time—and I’ve been in healthcare for 30 years—and I started around the time that they began trying to do various cost controls and basically, these cost controls have not worked. There is no evidence that we have controlled cost at all over all these years.

So, what cost controls looked like over those many years—there’s been various, lots of different ways of controlling unit cost. We will only pay you so much to see a patient. We will only pay you so much for this drug.

What happens—suppose you’re selling TVs. What happens if the market dictates in some way that the amount that you can charge on this TV is depressed? You can’t charge as much. What are you going to do?

Woman: Sell more.

Joe: Sell more. You’re going to make it up on volume. What’s the other thing that you’re going to do? You’re going to upsell. “You ma’am do not look like the type of person who could use a mere TV. You need a whole entertainment system! Five-sided sound! We got bass cabinets the size of a mini-bus for you.” You know? And you pay like $5800 for this huge thing.

Does that sound like something that we’re doing in healthcare?
Now, many of the new things that we can do that we couldn’t do twenty, thirty years ago, are very helpful. But not all of them. Some of them are not. And we don’t really have a mechanism in place for saying what is helpful and what’s not.

The executives of the companies that you work in. the healthcare executives are being asked to do something they have no experience in doing. They have no training in it. They barely know what it means. They have difficulty seeing their way from where they sit, that they can do this: controlling system cost.

Be the first to comment - What do you think?  Posted by admin - October 14, 2019 at 11:21 pm

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Health Care with No Waiting

A Parade and Cleveland Clinic survey looks at how Americans are getting virtual medical services.

Be the first to comment - What do you think?  Posted by admin - October 13, 2019 at 11:21 pm

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Historical Overview of U.S. Health Care Delivery

This lecture is part of the U.S. Health Care Lecture Series by Monika Wahi.
Try Monika’s data science courses on LinkedIn Learning: https://linkedin-learning.pxf.io/YY6xO
Want more student resources? Download the slides from Monika’s blog here: https://dethwench.com/overview-united-states-healthcare-system-lectures/

Be the first to comment - What do you think?  Posted by admin - October 12, 2019 at 7:20 pm

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Is the future of healthcare preventive medicine?

Is the future of healthcare preventive medicine? Lab100 at Mount Sinai uses precision diagnostics to empower patients and help scientists advance our understanding of human health. In this episode of Mount Sinai Spotlight, Sarah Pesce, Clinical Director of Operations at Lab100, discusses how Lab100 is dedicated to providing patients with the most comprehensive assessment of their health while using state-of-the-art technology.

Be the first to comment - What do you think?  Posted by admin - October 9, 2019 at 11:21 pm

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Evolution of Healthcare Technology Since 2009 to Present | Tomas Gregorio | TEDxNJIT

The presentation tracks how healthcare reform has impacted healthcare IT and the innovations that have transpired during that period.

Tomas Gregorio EMBA‘09, a veteran health care executive experienced in building IT networks for regional hospitals, is Senior Executive Director of Healthcare Systems Innovation at the New Jersey Innovation Institute (NJII), an NJIT corporation. Gregorio has been instrumental to NJII’s efforts to spur innovation and growth by leveraging the resources of industry, government, and higher education in the healthcare sector. He works with the university’s research and development arm to establish and build organizations such as the New Jersey Health Information Technology Extension Center (NJ-HITEC), a non-profit, self-sustaining division within NJII that is working with more than 8,000 Garden State providers to collect, digest, use, and share their electronically stored patient data. NJ-HITEC was originally funded by the federal government.

This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at http://ted.com/tedx

Be the first to comment - What do you think?  Posted by admin - at 11:21 am

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Does More Social Spending Reduce Healthcare Costs?

We spend a lot of money on social programs. Studies indicate that a lot of those programs work to improve health outcomes for people who receive the benefits. So, does that social spending reduce healthcare costs? Not really. But cutting social spending doesn’t help with health. As usual, it’s complicated, but there’s a lot of evidence these programs are doing good. Spending is worth it sometimes.

Related HCT episodes:
Social Determinants of Health: https://www.youtube.com/watch?v=UgAQ5W7YTXc&list=PLkfBg8ML-gImSJ5T_vnwNRGCKi5O77k44&index=6

Be sure to check out our podcast!

Other Healthcare Triage Links:
1. Support the channel on Patreon: http://vid.io/xqXr
2. Check out our Facebook page: http://goo.gl/LnOq5z
3. We still have merchandise available at http://www.hctmerch.com
4. Aaron’s book “The Bad Food Bible: How and Why to Eat Sinfully” is available wherever books are sold, such as Amazon: http://amzn.to/2hGvhKw

Credits:
John Green — Executive Producer
Stan Muller — Director, Producer
Aaron Carroll — Writer
Mark Olsen – Art Director
Meredith Danko – Social Media

#healthcaretriage #healthcare #socialprograms

Be the first to comment - What do you think?  Posted by admin - at 3:22 am

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WIHI – Who’s Your Health Care Proxy?

A clip from the April 7th WIHI broadcast – Who’s Your Health Care Proxy?

Featuring:

Suzanne Salamon, MD, Associate Chief, Gerontology Division, Beth Israel Deaconess Medical Center

None of us likes to imagine being unable able to speak for ourselves when it comes to our health care. But situations arise throughout our lives when we need a trusted person to communicate with doctors and nurses on our behalf. And, if we are facing care decisions near the end of life, a trusted proxy can play a crucial role ensuring our wishes are respected. So, does everyone have a documented health care proxy? In all likelihood, no, or not yet, which is why there are numerous efforts underway to close this gap.

The Conversation Project, a five-year-old grassroots initiative based at IHI, has just published a new, free resource it believes can help: How to Choose a Health Care Proxy & How to Be a Health Care Proxy. We learned more about this latest proxy kit and the issues surrounding choosing a health care proxy on the April 6 WIHI: Who’s Your Health Care Proxy?

Full broadcast available via itunes or on the WIHI archive page at ihi.org (http://www.ihi.org/wihi)

Visit The Conversation Project and learn more about the health care proxy starter kit at at http://www.theconversationproject.org

Be the first to comment - What do you think?  Posted by admin - October 8, 2019 at 7:26 pm

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Bringing mindfulness to healthcare | Bob McClure | TEDxSanDiegoSalon

This talk was given at a local TEDx event, produced independently of the TED Conferences. The digital medicine revolution is a convergence of information technology, medical research, and the practice of medicine. It will personalize healthcare and create incredible new tools for wellness, but it also will add a layer of complexity and technological challenge to receive care and practice medicine.

Drawing from contemplative traditions and recent scientific research, secular mindfulness and compassion skills are tools that allow us figuratively to reach inside ourselves. In a sense these tools are mirror images of the technology that shapes our everyday lives.

Robert McClure LCSW, CEAP, is the manager for the Employee Assistance Program for Sharp HealthCare, San Diego CA., an integrated healthcare system with seven hospitals and 15,000 employees. Mr. McClure was trained by Stanford University’s Center for Compassion, Altruism, Research and Education (CCARE) in its Compassion Cultivation Training (CCT) program, which he teaches to employees as part of Sharp’s mission to transform health care.

About TEDx, x = independently organized event In the spirit of ideas worth spreading, TEDx is a program of local, self-organized events that bring people together to share a TED-like experience. At a TEDx event, TEDTalks video and live speakers combine to spark deep discussion and connection in a small group. These local, self-organized events are branded TEDx, where x = independently organized TED event. The TED Conference provides general guidance for the TEDx program, but individual TEDx events are self-organized.* (*Subject to certain rules and regulations)

Be the first to comment - What do you think?  Posted by admin - at 11:20 am

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