Healthcare can be confusing and costly but there are many things individuals do not understand in regards to finances and healthcare. Healthcare affordability is a big issue with the coming election and prices and payment policies are always at the front of voter’s minds.
The article, “Four Myths About Healthcare Affordability” by Bird Blitch looks at payment options and ideas surrounding healthcare. He states,
“Even when we’re not dealing with a global pandemic and the subsequent economic crisis, paying healthcare bills is often confusing and overwhelming for patients. To make matters worse, there are many misconceptions patients have about healthcare finances, which adds to the confusion. Now is the time to debunk these common myths, some of which may be preventing patients from scheduling the care they need.”
Healthcare can be costly but how we finance it can make it easier. Please also review AIHCP’s multiple programs in healthcare, most notably AIHCP’s Healthcare Case Management Certification and see if you qualify.
Healthcare sectors have been hit hard by COVID 19. Many resources have been utilized to meet the needs of the pandemic. Project managers have emerged as aides in helping healthcare face its growing challenges.
The article, “How project managers can help the healthcare industry prepare for the next crisis” by Moira Alexander discusses how project managers can play a role in the next crisis. She states,
“Virtually every industry was hit hard by COVID-19, but the medical sector suffered the greatest and still continues to feel the strain. Whether it’s hospitals, care centers, dentists, or private medical practices, there are opportunities for improvement—and that’s where project management professionals (PMPs) can play a pivotal role. ”
The current global health crisis is doing more than wreaking physical havoc; it is also affecting data security, exposing potentially sensitive patient data and putting the efficient functioning of healthcare organizations at risk. In some parts of the world, there has been a 150% increase in cyber attacks in recent months, with the stress of the pandemic causing many organizations to lose sight of cyber security at a time in which it is most under threat from new advancements in AI and other technologies that make attacks swifter and wider in scope. What are the main threats to data security in the healthcare sector and what steps can be taken to reduce them?
Prior to the COVID-19 outbreak, many organizations – including the Oregon Department of Human (ODHS) Services – fell prey to phishing attacks. Indeed, the latter suffered a breach affecting some 645,000 patients, compromising over two million emails after just nine employees responded to a phishing email. In order to counter this threat, organizations need to rely on technology such as multi-factor authentication to prevent malicious emails from making it to employees’ inboxes. Employee training is equally important in preventing cyber attacks; in some organizations, simulated phishing software is being used to train and test employees’ abilities to respond to such a threat. Investing in training is a highly efficient way to combat a problem that is costing companies hundreds of billions of dollars every year.
Research by Egress has found that about 63% of healthcare data breaches are caused by human error, while around 20% are caused by sending information to the wrong recipient. The famous UW Medicine breach (which exposed the data of around 947,000 patients) was caused by a misconfigured server that made private documents accessible to the public. Healthcare organizations should set up identity access management rules to be followed strictly by staff. They should also implement controls covering the printing of sensitive documents. New content aware print management tech tracks information on who printed a document, where it was printed, and the contents of a document. This can boost compliance and minimize security breaches.
Research by MarketsandMarkets indicates that the cloud model is increasingly appealing for healthcare decision makers, as most organizations need solutions to deal with an exponential growth of patient data. The benefits of the cloud are indubitable, yet alongside them comes a host of new threats — including malware and ransom attacks. Solutions to the problem include performing regular backups (these should be stored offline or in a separate network from the main one), encryption, and the conduction of a full cyber risk assessment on all third party vendors and contractors.
The healthcare industry is increasingly relying on digital sources for the storing of sensitive data. Some of the main threats it faces include phishing, insider breaches, and cloud security issues. These can be tackled both through education of personnel and through the adoption of effective solutions such as efficient IT management services, a regular backup system, encryption, and the reliance on a professional IT team that is on the beat when it comes to new developments in cybersecurity threats – including AI-based threats.
Care Management has a variety of functions, from disease management to utilization management. These management techniques help increase patient outcome and reduce cost. Case Management is hence a key part of the healthcare system and something many companies and facilities invest thousands of dollars in. This is especially the case in training healthcare professionals in healthcare management
The article, “What We Talk About When We Talk About Care Management” by Leah Marcotte and Joshua Liao looks at healthcare management strategies. They state,
“Emphasis on care management has become ubiquitous in the era of value-based payment. At the vanguard of the movement, policy makers such as Medicare have emphasized care management via a variety of initiatives, ranging from payment models that encourage longitudinal care management1 to billing codes that reimburse clinicians for coordinating the care of patients who have chronic conditions”
Please also review AIHCP’s Healthcare Case Management Program. The program is designed to help train professionals in the area of case management. Care and case management are key ingredients to healthcare and AIHCP’s programs continue to be essential in training professionals in Care Management.
An important element in healthcare is coordination. Good case management requires coordination between different departments and professionals. Everyone needs to be on the same page and working towards one common goal. This increases patient recovery and also minimizes unneeded expenses and relapses.
The article, “Five Key Steps for Better Healthcare Coordination” by Robin Figueroa discusses the necessity of team work and departments working together and coordinating. She states,
“While “care coordination” can mean varying things to people, ultimately it’s about having a patient-centric approach that consistently anticipates and meets the needs of patients and their caregivers. Think of great care coordination as “seeing around corners” on behalf of patients—helping them know what’s next in their care and paving the way for care to happen more smoothly.”
Chronic care for those recovering from heart failure need a variety of social aspects that go well beyond the office visit at the clinic. Care involves also touching base with family care givers and the promotion of better healthy lifestyles and a fulfillment of diet and medical plans necessary to recovery. Case Management plays a big role in watching the overall recovery effort and helping the chronic condition become better.
The article, “Chronic Care Must Account for SDOH Needs, Family Caregivers” by Sara Heath states,
“Nearly 6.5 million people across the country have been diagnosed with heart failure, a disease that can be manageable with medications for some time but hinge on an ideal set of living circumstances to help the patient thrive. Central to that are the social determinants of health, or social factors that affect a patient’s ability to achieve wellness, and family caregivers. Both factor deeply into the patient journey and demand more attention going forward, AHA wrote in its two policy statements.”
Better patient outcomes and overall health is key in healthcare. Primary caregivers want the best for their patients. Hospitals want to see patients follow procedure and recover properly. The cost of monitoring better outcomes is far less than millions spent on later complications.
Various apps and other devices allow patients to become more active in their health. It allows them to have access to important data regarding their health. With such ready available data, they can better work with their physician to achieve superior health outcomes.
The article, “Why patients and providers need a model patient data use agreement” by Bill Siwicki looks at agreements that go with these apps and digital plans. He states,
“A model patient data use agreement with terms that empower individuals can provide people with the opportunity to truly manage and control their aggregated health data. Personal agency over data may also increase patient engagement and activation, improve self-management and outcomes, and improve the breadth and depth of data available for shared decision-making, care management and research”
Good digital plans and agreements with patients can enhance overall health. It is important to have a more active patient in one’s health and a good model patient data plan can play a big role. It leads to better outcomes and recovery. Please also review our Healthcare Case Management Program and see if it matches your academic and professional goals.
Some of the most expensive patients in healthcare are dealing with homelessness and addiction. These factors contribute to the patients not finding immediate resolution of the issue, as well as frequent re-admissions. This results in higher prices and more difficult coordinated healthcare care management. Case Managers find themselves in difficult positions trying to help the patient find a permanent resolution to the medical issues experienced.
The article, “These Patients Are Hard to Treat” by Reed Abelson looks at these two types of patients and better ways to help them and also reduce cost. She states,
“These individuals, frequently struggling with addiction or homelessness, have extremely complicated medical conditions. By finding them and connecting them to the right doctors and social services, dozens of costly hospital stays could be avoided. The idea has been adopted in numerous communities around the country.”
Please also review our Healthcare Case Management Certification. The program is online and independent study and can help prepare medical professionals for the field of case management. Please review the program and see if it matches your academic and professional goals.
Success within the healthcare market can be a challenging thing. Healthcare professionals and healthcare organizations have stiff competition but by meeting primary goals they can meet success and carry on a successful model for patients, employees and overall health of the community.
The article, “Defining Success in Healthcare” by Keith Loria looks at some things that determine the success for those involved in healthcare. He states,
“Success in these measures will be defined by stakeholders including patients, providers, and employers having a better understanding and view of their healthcare costs; stable or reduced costs of healthcare that patients and employers actually feel through premiums and cost share; and improvement in the perception of health plans and PBMs by the public,” says Jeremy Schafer, PharmD, senior vice president of New York-based Precision for Value, a group of consultants providing payer insights”
One important and critical element to success in healthcare is good case management. Case and care managers can help patients through admission to recovery increasing positive patient experience and reducing costs for the clinic or hospital. Please review the American Academy of Case Management and its Healthcare Case Management Certification. The program is online and independent study, open to healthcare professionals looking to enter into the case management field.
Care Management is crucial to patient health and recovery as well as cost saving elements within an institution. Care management is key to these elements and case managers play key roles in maintaining standards of quality that benefit both patient and hospital.
The article, “3 Strategies to Transform Care Management” by Jessica Scruton reviews three ways that one can transform care management. She states,
“Care coordinators or care managers are the foundation for any accountable care organization (ACO) or other such integrated delivery networks for managing patient populations. Robust, integrated and artificial intelligence-powered information technology is certainly essential for helping these teams work efficiently and productively.”
Care coordinators are a critical element in healthcare and care management. To read the entire article, please click here