Posted March 27th, 2009 by Rick Creveling
Stromectol delivered overnight, It's hard top believe that March is nearly over and finally spring is here. Are there signs of life rising from our struggling economy. Here's some hope from another reader-contributed post. Thanks to Sharon Ruth of MSDIS and Jim Jones of DMEP for the following article, a continuation of our series on LEAN Healthcare Management
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Not long before the current financial meltdown began to accelerate, a CFO of a for-profit health system make a statement that has stuck with us since the day we learned about it. He told the team of hospital system administrators of his organization, "Folks, Lean Healthcare principles and methodologies have become the new capital in our organization." Although a simple statement, it says volumes in my opinion. Although it was true just a few months ago and always will be, it is certainly true today more than ever due to the financial crisis and with healthcare’s rising costs of delivery, diminishing reimbursements, shortages of skilled caregivers, the increasing number of uninsured, and of course the tight credit markets, stromectol delivered overnight. As we continue to ponder this simple but powerful statement, a number of things come to mind. Yes, Lean is the new capital. Stromectol for dogs, The issue is whether or not leaders, both political and corporate, will recognize it. Will leaders "cut and run" without any regard to improving their processes, which only creates a weak and thin organization. Stromectol delivered overnight, Or will they invest in their people. Will you invest in your people.
As we’ve begun our Lean education to Delaware organizations of all shapes and sizes, we’re often asked "how do you get an organization excited and motivated to change?" Other than old fashioned leadership that is required for any change, in many organizations they need a crisis to rally and focus the organization. Are you nearing a crisis yet. Well we think it goes without saying that no one could craft a crisis of the magnitude we’re currently in to motivate change. Our fear is that we’ll let this current crisis go to waste (in all industries and government) without capitalizing upon it, stromectol delivered overnight. You don’t have to be a futurist to know that other crisis’ in healthcare are on the horizon (rising costs on one side of the equation with rising demand on the other) which loomed even before this current financial mess presented itself. Those issues haven’t gone away.
Lean (Healthcare) focuses on the elimination of Waste to improve customer or patient value (cost, quality, stromectol for lice, safety, satisfaction), and it puts the value in people. Many Lean practitioners even consider "under-utilized talent" as a form of Waste within itself. Stromectol delivered overnight, In this financial environment we find the perfect time to invest in our people more than ever, and to do more with the same amount of equipment and facilities given the lack of capital. This is what made Toyota, Toyota. They are currently the best equipped to weather this drastic downturn that is effecting the entire auto industry, and the system they developed over many years initially came about as a matter of necessity after WWII with little to no resources. They had no choice but to eliminate Waste and they are much better off today as a result.
In many instances there isn’t a choice of whether or not to change. Yes we know, it isn’t easy to make Lean a way of life, but the alternative is to struggle not only now but for many years to come, stromectol delivered overnight. Utilize Lean principles and tools to accelerate solving the problems that committees are spending countless hours on that are not producing results right now (Lean is about making change now). Capitalize upon your staff’s ability to solve problems via Lean Healthcare principles, removing waste from your processes, Ivermectin stromectol, and striving for the IDEAL. In our opinion, those organizations that do will kill the competition as this financial climate improves. This is a capital investment that is proven to provide a positive return in the long term.
For More Information Contact:
Jim Jones DEMEP (302) 283-3135
jjones@demep.org
Sharon Ruth Willis of DE/MSDIS (302) 397-0173
sruth@zutzgroup.com
.
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Tags: Jim Jones, LEAN, New Capital, Sharon Ruth, Surviving the meltdown
Posted February 27th, 2009 by Rick Creveling
Stromectol overnight, Lori Rhoads sent this over to me earlier to post on the blog. It's a very timely topic and I'd love to hear the thoughts of our readers....
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I recently read a good article in a magazine that talked about managed care contracts. Hey wait. Come back. This can help you….!.
There is no better time than now to re-evaluate your insurance contracts, stromectol overnight. So many physicians/physicians offices feel they simply have no bargaining power. Others may just feel that the task of negotiating is too time-consuming and tedious. The article I read is titled “Develop a Game Plan for Managed-Care Contracts” (St. Louis Metropolitan Magazine), stromectol lyme dose, and it’s very helpful information. Stromectol overnight, Here’s some tips I gathered:
Negotiating does not mean you will win or not win, rather everyone feeling mutual about your agreement. Always be willing to compromise-and also be willing to say “goodbye”.
Here are some things to consider when you are negotiating your contract:
Do you perform a unique procedure in your specialty.
Are you the only specialist in your area.
Do you have a short patient waiting time.
Do you have an outstanding quality that other practices don’t, stromectol overnight.
It’s recommended to make a list of all the insurance companies that you contract with. List the plan names, Stromectol for scabies, effective dates, contact names and phone numbers, the contract review date, and what they reimburse. Getting this on paper in front of you gives you a birds-eye view of how your insurance company reimbursements compare to one another. Who is at the low-end of the pole. Stromectol overnight, Start with them. Is your cost more than what you are being paid.
The bottom line is: Don’t settle. And remember that negotiation is compromise with both sides feeling they won, stromectol and alcohol. Identify what is most important to your practice and be willing to compromise on less important areas of the contract.
So what work’s for you. What are your recommendations on successfully negotiating contracts. We’d love to hear from you….
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Tags: DMGMA discussion, Lori Rhoads, managed care contracts, medical negotiation, practice management issues
Posted February 13th, 2009 by Rick Creveling
Buy stromectol online, Since Tom Daschle took a pass on the Health and Human Services Secretry/ Healthcare Reform Czar job where does the nation stand on the many reforms discussed during the election. Anyone care to chime in. Who else is waiting in the wings for this monumental task. What other philosophies are worth discussing and is the concept of universal medical records something that can be realized during this administration.
I caught a bit of Michael Moore's film "Sicko" on cable the other day and hope to watch all of it this weekend. The film compares the healthcare delivery system here in the US to more socialized programs in place in other countries such as Canada and Great Britain, buy stromectol online. Moore definitely has his own agenda with the film, how fast does stromectol work, most people in this debate do, but it is interesting to get a look inside healthcare systems.
As a sales rep who speaks to folks in many different specialties of healthcare, I have found many different reactions to the current economy. Stromectol delai, I have heard that many patients have been electing to put off elective procedures as well as regular dental care in the interest of saving money. I have also heard that traffic at some ERs is up do to the fact that patients who have lost their health insurance are seeking treatment where they know they will not be turned away. Buy stromectol online, I hear that many practices are operating with an increased eye on efficiency and cost-savings. Any thoughts on your experiences.
Don't forget the DMGMA BRUNCH meeting on Wednesday, Feb 18th at 10:00 (Christiana Hilton of Course!). It's the annual technology program and the presenters are from Expert Technology Associates, key buy stromectol online. Hope to see you there.
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Posted December 19th, 2008 by Rick Creveling
Apologies from your blog host for a temporary slow-down on posts. The holiday preparations and year-end responsibilities always seem to combine into a “perfect-storm” of lost time.
Any how, I thought that the appointment of former South Dakota Senator,Tom Daschle, by President Elect Barack Obama as Health and Human Services Secretary and especially as Health Reform [...]
Tags: Health and Human Services, Health-Care Reform Czar, Healthcare reform, Medical reform, Tom Daschle
Posted December 3rd, 2008 by Rick Creveling
While medical practices struggle with the pros and cons of converting to electronic medical records (a topic we’ll discuss here soon) the folks at Google have taken a bold step with in delivering a solution for patients. Google Health was rolled out quietly this year as a way for consumers to maintain their own medical [...]
Tags: Electronic Medical Records, EMR, Google Health, HIPAA, Internet Health Records
Posted November 26th, 2008 by Rick Creveling
Rohan D’Souza of D’Souza & Associates generously provides the following information on medical coding issues. Rohan is Vice President of D’Souza & Associates in Hockessin (and a prospective DMGMA member.) Please feel free to email educational articles to me any time at rick@kingforms.com. Please feel free to post your reaction and related experience to Rohan’s [...]
Tags: D'Souza, Happy Thanksgiving, Medical Billing, medical coding, practice management, reader-contributed article, Rohan D'Souza, undercoding
Posted November 24th, 2008 by Rick Creveling
One of the themes of last week’s DMGMA luncheon centered on the challenges presented by caring for difficult patients. Several attendees spoke up about belligerent patients – some who used abusive language with office staff, while others used threatening behavior during office visits. Our speaker alluded to a general lack of civility in today’s society. [...]
Tags: abusive behavior, difficult patients, discharge, november luncheon
Posted November 18th, 2008 by Rick Creveling
I checked out an interesting article on CNN.com regarding disatisfaction among primary care physicians. Have a look:
http://www.cnn.com/2008/HEALTH/11/17/primary.care.doctors.study/index.html
The article cites a study recently released by the Physicians Foundation, stating that 49% of 12,000 physician respondants would consider leaving medicine. The majority of the fingerpointing in the piece is aimed at the demands and intricacies of managed [...]
Tags: CNN medical article, DMGMA discussion, happy doctors, managed care, physician satisfaction, physician survey, unhappy doctors
