Written by Jeremy Carter.

The alarming truth, so to speak, is that healthcare practices lose a big chunk of their rightful revenues every day. Medical practices lose 5-10% of revenues, it is said, from operational inefficiency, billing errors, administrative oversights, etc. The figures could swell to between $100,000 and $200,000 in lost revenue for a practice generating $2 million annually, money which could be sunk into patient care, staff training, or practice development.

Revenue leaks mean much more than money in the healthcare industry, they mean missed opportunities to uplift patient care and operational efficiency while building a sustainable practice. Identification of areas prone to leaks and the subsequent implementation of strategic measures can turn the financial fortunes and operational skills around for a practice.

The Anatomy of Revenue Leaks

Revenue losses in healthcare operations are caused by many factors, each demanding its own special attention and accompanying solution. The most common offenders are coding errors where incorrect or obsolete medical codes cause claims to be denied or underpaid. 

Another big leak occurs in insurance verification. This leak surfaces when patient coverage is not confirmed before services are rendered, resulting in claims being denied and difficult collection times from the patient.

Scheduling inefficiencies generate significant revenue loss through no-shows, late cancellations, and less than optimal appointment booking. When patients do not show up for appointments, not only do practices lose revenue, they also lose the value of that time slot in opportunity cost. 

Similarly, poor follow-up of outstanding accounts receivable causes legitimate claims to age beyond the collection window and become write-offs.

This presents another very important point for revenue leak: documentation errors. Medical records that are incomplete or insufficient can result in claim denials, audit failures, and litigation issues. 

The Hidden Costs of Revenue Leaks

Beyond the obvious financial impact, revenue leaks create cascading effects throughout healthcare practices. Staff productivity suffers when team members spend excessive time on rework, claim corrections, and patient payment collection. This diverts valuable human resources from patient care and practice growth initiatives.

Patient satisfaction deteriorates when billing errors create confusion, unexpected charges, or collection issues. Patients who receive surprise bills or experience billing complications are more likely to seek care elsewhere, impacting long-term practice revenue and reputation.

The administrative burden of managing revenue leaks also increases operational costs. Practices must invest additional time and resources in claim resubmissions, appeals processes, and collection efforts. This creates a vicious cycle where revenue loss leads to increased expenses, further eroding practice profitability.

Implementing Robust Prevention Strategies

Preventing revenue leakage requires an orderly approach focused on addressing each failure point. It all starts with ensuring that the staff is fully trained in accurate coding, insurance verification protocols, and documentation requirements. Ongoing training is conducted so team members are up to date on the recent changes in regulations and best practices.

Technology integration plays an important role in prevention. Most modern practice management systems reduce manual handling of routine tasks, thereby reducing human error and increasing process efficiency. Electronic health records equipped with coding assistants assist providers in choosing codes appropriately and guaranteeing that documentation is complete. Automating insurance verifications also serves to alert coverage issues prior to services being rendered so as to dismiss denials on a claim.

The creation of workflows and establishing protocols ensures consistency in operations. When patient registration, insurance verification, service documentation, and claim submission operate under standard procedures, variability is effectively limited, and subsequent error rates minimized. Conducting audits on these processes regularly will help to expose any weaknesses or areas for improvement.

Optimizing Claims Management

Claim management quite literally means working with a claim through denial. But effective management of claims truly begins before the patient even walks into the physician’s office. Pre-service activities include insurance verification, benefit and deductible confirmation, and authorization procurement. Prior handling of a claim on a proactive note prevents many downstream issues, which otherwise cause claim denials.

During the service delivery, real-time documentation matters most for ensuring accuracy and completeness. During the delivery of treatment, service providers should document services immediately before they risk losing specific information. Such immediate documentation reduces coding errors and guarantees charge capture for all the services rendered.

Post-service claim management consists of submission after acceptance review, submission since follow-up status tracking, and also collecting denials. Practices should have fixed limits or timeframes for submission of claims with systematic approaches for dealing with denial. Several healthcare systems have had a big success partnering with comprehensive accounts receivable solutions that allow them to increase collections.

Leveraging Technology for Revenue Protection

Modern healthcare practices must embrace technology to compete effectively and protect revenue streams. Practice management systems offer powerful tools for appointment scheduling, patient communication, and billing management. These systems can identify patterns in no-shows, track claim status, and generate reports on key performance indicators.

Artificial intelligence and machine learning technologies are increasingly valuable for revenue cycle management. These tools can identify potential coding errors, predict claim denial risk, and suggest optimization strategies. Automated prior authorization systems reduce administrative burden while ensuring compliance with payer requirements.

Patient engagement platforms improve communication and reduce no-show rates. Automated appointment reminders, online scheduling capabilities, and patient portals enhance the patient experience while reducing administrative costs. These tools also facilitate better collection efforts through online payment options and automated payment plans.

Building a Culture of Revenue Awareness

Creating sustainable revenue protection requires developing organizational culture that prioritizes financial stewardship. Staff at all levels should understand how their actions impact practice revenue and be empowered to identify and address potential leaks.

Regular training sessions should cover not only technical skills but also the business impact of accurate coding, thorough documentation, and efficient processes. When staff understand the connection between their work and practice success, they become active participants in revenue protection efforts.

Performance metrics and incentive programs can reinforce positive behaviors. Tracking key indicators such as claim denial rates, collection ratios, and patient satisfaction scores helps identify areas for improvement and recognize outstanding performance.

Measuring Success and Continuous Improvement

Effective revenue leak prevention requires ongoing measurement and refinement. Practices should establish baseline metrics for key performance indicators and track progress over time. Important metrics include first-pass claim approval rates, average collection time, patient satisfaction scores, and overall practice profitability.

Regular analysis of these metrics helps identify trends and emerging issues. Monthly reviews of key performance indicators enable proactive problem-solving and continuous improvement. Practices should also benchmark their performance against industry standards to identify opportunities for enhancement.

Continuous improvement requires willingness to adapt and evolve. Healthcare regulations, payer requirements, and patient expectations change regularly. Successful practices stay informed about industry developments and adjust their processes accordingly.

Conclusion

Preventing revenue leaks in healthcare practices requires comprehensive strategies that address multiple operational areas. From accurate coding and thorough documentation to efficient scheduling and effective claims management, every aspect of practice operations impacts revenue performance.

The investment in revenue leak prevention pays dividends through improved cash flow, reduced administrative burden, and enhanced patient satisfaction. Practices that implement systematic approaches to revenue protection position themselves for long-term success in an increasingly competitive healthcare environment.

Success in preventing revenue leaks isn’t achieved overnight but requires consistent effort, ongoing education, and continuous refinement of processes. By addressing these challenges proactively, healthcare practices can protect their revenue streams while improving patient care and operational efficiency.

Author Bio: Jeremy Carter is a healthcare researcher and writer with over five years of experience. He writes about medical billing, revenue cycle management, and healthcare trends.

Please also review AIHCP’s Health Care Manager Certification program and see if it meets your academic and professional goals.  These programs are online and independent study and open to qualified professionals seeking a four year certification

Written by Ari Barnes

When you’re in the healthcare or wellness industry, patient outcomes are a top priority. However, the most effective practice can’t just focus on results; it needs to prioritize a positive patient care experience before, during, and after their visit. An excellent physician should be communicative and approachable to improve patient comfort; if their bedside demeanor is stiff and rude, a patient may struggle with trusting them. A nursing team may be great at patient care once they’re in the clinic, but struggling to follow up can result in lost patients. It can be tricky to manage every aspect of patient care, but some habits and practices can make the process significantly easier. Learning these habits can help you create a better practice that boosts patient satisfaction without sacrificing your business or team’s well-being.

Listen and Engage

It’s no secret that you’ll usually have more medical training than the patient. Even if you’re extremely certain what the patient’s plan of action needs to be, you will want to stop and fully listen to your patients’ concerns. Make sure they’re finished speaking before you get started with a treatment plan. Engage in active listening by asking follow-up questions and confirming your understanding of the issue before moving on. Make sure you and the patient are on the same page. When patients are dismissed and rushed through an appointment, they’ll lack confidence in your practice and will likely seek out a second opinion. You also never know when a patient might reveal a symptom or concern that can drastically affect how you manage them.

Implement Thorough Training Protocols

Managing patients can be stressful for administrative or nursing staff. A lack of adequate training may result in staff members behaving rudely or inappropriately toward patients. New staff may be less familiar with your practice’s rules and standards, resulting in inconsistent communication or standards of care. You want to mitigate the chances of communication or service errors by making sure your staff knows what the best approach is to all types of patients they might see. They should know your practice’s approach to every kind of patient, from old to young, from angry to happy. Staff should also be sufficiently trained in emergencies; not all emergencies are medical, and you want to keep both patients and staff safe at all times. The more training your staff receives, the more efficient and satisfactory your patients will find their level of care.

Update Your Software

Technology can make practice management a breeze, but if you’re not up to date with this tech, it will severely limit your advantage over the competition. Make sure you’re using efficient medical business software that automates appointment scheduling, payment processing, patient communication, and more. With a streamlined and efficient software system, you can manage all aspects of your practice from one screen. Patients will be more satisfied with a quick and easy check-in and check-out process. Your staff members will also have to deal with a less frustrating workload; they’ll be able to use their skills where they are needed most, instead of with mundane tasks like sending out bills. Medical management software isn’t just for physicians, either. Any business in the wellness or health industry can benefit, like medical spas, pharmacies, and more. Research the best medical spa software or hair salon appointment management systems that can improve productivity. You’ll want to train your staff on how to use this software efficiently as well. AI technologies can also help you communicate, transcribe, and automate processes more easily.

Avoid Medical Jargon

Most patients won’t know intricate medical terms. If you’re explaining a condition or treatment to a patient, you’re going to need to be skilled in providing information in simpler terms. Using analogies or metaphors that the patient will likely understand can help, especially when patients are younger or lack formal education. You’ll have a wide variety of people coming through the doors; don’t assume they can read or speak English or always understand what you’re talking about. For language barriers, you may want to hire an interpreter, especially if you live in a location where language barriers are common. Patients should still be able to generally understand the risks, side effects, and consequences of a treatment plan, even if they’re not medically trained. If you’re not sure if a patient understands, ask them. They may feel more comfortable admitting confusion when directly confronted politely and gently.

Be Honest

It’s difficult to share bad news with a patient, but it’s even worse when they’re not fully informed about a specific medication, test result, or condition. Make sure you clearly communicate your findings to your patient, even if it’s not news you want to deliver. Know how to deliver bad news to patients without causing undue harm. You’ll also want to be transparent about your practice’s rules, billing, and general processes. They don’t want to be hit with a surprise bill because you didn’t explain how bloodwork is billed. You should be able to give patients price range estimates for your services as well. Let patients know about any delays in care they may need to know about as well. Transparency and honesty are among the most crucial elements of a helpful healthcare practice, as they can better protect you, your patients, and your staff members.

Avoid Waiting Room Delays

There isn’t much that patients dislike more than a waiting room delay. They scheduled an appointment time with you for a reason, and when they’re stuck in the waiting room well past their appointment time, they likely will feel like their time isn’t important to you. Healthcare practices and facilities often experience delays and backups. Acknowledge the delay instead of ignoring it and letting it fester. If an appointment time is delayed for longer than an hour, you’ll definitely want to let the patient know and give them an opportunity to reschedule. Try to mitigate waiting room backup by not overloading your schedule or overbooking. You want to make sure each patient isn’t rushed through their appointment, so you may want to give yourself more buffer room for delays. Patients may not enjoy waiting, but they’ll appreciate your practice a lot more when they know there’s a wait and that you’re truly sorry for it.

Follow Up Often

You obviously care about your patients once they leave your practice, but it can be difficult for patients to know this. Make sure you send a call or email to your patients to thank them for their time and to ask if they have any questions or concerns. Following up is especially important if they’re starting a new medication or you have test results to share with them. They’ll know you’re concerned and staying on top of their healthcare even when you’re juggling other patients. Give the patient opportunities to ask questions or even contact you on their own if needed. Patient portal messaging systems can be excellent for this purpose. When you follow up and show your dedication to their health, they’re more likely to come back.

Ask for Feedback

You may not know what works well in your healthcare practice until you ask. Some patients may not be comfortable offering critique about your approaches until specifically requested. For this reason, provide patients with multiple methods to give feedback. Online reviews, anonymous surveys, AI assistants, or one-on-one follow-up calls are all great examples of different approaches to soliciting feedback. When you receive feedback, study common pain points or consider different approaches to your practice to make things run smoother. You won’t be able to please everyone, but patients will feel heard when you respond and engage with the feedback they provide.

Offer Affordable Care

Not every patient has medical insurance or a lot of expendable income, but that shouldn’t limit their ability to use your practice or services. You should have a payment option in place for those with limited income or who don’t have medical insurance (if applicable to your practice). Sliding scale fee policies work excellently for this; the patient will be charged a specific amount based on their income range. Payment plans are also another option, especially for more costly procedures. Some practices, such as dental or medical spa facilities, will offer in-house insurance or payment plans to make things easier. Think of ways you can attract and keep patients who may have limited income.

Conclusion

In the health and wellness industries, you need to provide accurate and timely patient care along with excellent customer service. If your practice dips in quality in one category or another, you will lose patient trust and ultimately, their business. On the bright side, there are numerous ways you can prioritize patient care and satisfaction, most of which will help reduce your team’s workload and frustration as well. Try to eliminate patient wait times by being transparent and limiting overbooking. Invest in your patients’ concerns and make sure you’re on the same page with them. Train your staff to understand your practice’s protocols and approaches. Use updated software to automate mundane tasks whenever possible. You can’t please every patient, but you can adapt to feedback for a more efficient practice.

Author Bio: Ari Barnes is a freelance copywriter with a formal education in creative writing and sociology. With a decade of professional research skills and half a decade in professional writing under their belt, they have a passion for communicating truthfully and engagingly for those in need.

Please also review AIHCP’s Health Care Manager Certification program and see if it meets your academic and professional goals.  These programs are online and independent study and open to qualified professionals seeking a four year certification

Written by Mark San Jaun,

Healthcare is one of the most important fields of every society, and fortunately, it’s evolving daily, continuing to advance, all thanks to proper education. Today we’re looking specifically at phlebotomy (drawing blood from patients with the intent of testing, transfusions, and/or donation).

Working in healthcare, in general, means you need to continue your education ( basically in perpetuity) – meaning getting specialized certifications and getting as much real-world experience as you can while training and throughout your career. But, like in every other branch, there are obstacles and limitations such as a lack of clinical placements and overburdened healthcare systems, making it difficult for students/professionals to progress.

The solution for phlebotomists? Mobile phlebotomy. 

These services allow certified phlebotomists to work in other avenues such as homes, clinics, long-term care facilities, and labs (just to name a few), which creates more chances for much-needed hands-on learning and skill-building.

Why Practical Training Matters in Healthcare

Learning blood collection procedures, safety guidelines, and patient rapport is not something that can be learned just from textbooks. Phlebotomy, like many of the allied health professions, is largely a practical experience. 

It requires:

• Technical precision (venipuncture, equipment handling)
• Adherence to high standards of cleanliness and safety
• Instant decision-making
• Patient communication and emotional intelligence

The majority of the certification bodies, such as program-affiliated organizations under AIHCP, emphasize practical experience as a critical requirement. 

But keep in mind that not all students have access to good clinical placements.

There’s also another problem. The point isn’t just to find placements but to find ones that actually give students solid experience. Some placements are so overcrowded that students end up watching more than doing. Mobile phlebotomy can change that because it can open up new environments where students can get their hands on real work instead of standing on the sidelines. 

And let’s not forget that real patients aren’t like practice arms or textbook situations. You’re dealing with people who are scared of needles, have tricky veins, language barriers, and then there are times when things simply don’t go as planned. 

That’s the kind of real-world practice that makes students sharper and more confident. 

3 Ways Mobile Phlebotomy Aids Education Programs

Mobile phlebotomy service providers now have a wide range of clients, from individual patients to big hospitals. While doing this, they also open up new learning/training opportunities for healthcare workers.

Here are three examples of how they’re contributing:

1. Supplementing Clinical Rotations

Certain mobile phlebotomy groups partner with learning programs to provide shadowing and supervised fieldwork. Here, the students are able to move along with certified phlebotomists on rounds, be observers on procedures outside of the hospital, and learn how to manage all the patient populations, from the youngest ones to geriatric care.

This kind of ‘direct exposure’ is especially useful in rural areas and/or underserved areas with fewer clinical rotation opportunities. 

But not only that; they’re also extremely valuable in metropolitan areas where traffic and access issues make it harder for clients to get to clinics – so healthcare workers come to them instead.

It’s a win-win, really. Students get more variety in their training, and patients who can’t travel still get care. Plus, if they can follow a mobile phlebotomist around, students can learn how to think on their feet in all kinds of settings, be that a tight living room, a nursing home, perhaps even a correctional facility. 

Each environment has its quirks, and learning how to handle them is something no hospital rotation can fully prepare you for. 

2. Access to Real-World Training Situations

Traditional clinical placement is generally hospital or lab-centered, but mobile services, on the other hand, can easily reach:

• Homebound patients
• Assisted living facilities
• Correctional facilities
• Community health clinics

Each setting poses unique challenges and has different patient concerns. Learning the skill of adapting procedures and communication from one setting to another increases flexibility and improves broader patient care skills, making healthcare professionals more prepared for similar situations in the future, plus it’s helping them develop critical thinking – a highly required skill when working under pressure.

Think about it. If you’re drawing blood from someone in their kitchen, it’s a whole different vibe from a hospital room. There could be bad lighting, nervous family members hovering, or a patient who has never had a medical professional in their home. Experiences like these push students to figure things out in real time, which is exactly what healthcare is like outside the classroom. 

It’s also an eye-opener for students to see how social issues affect healthcare. For example, some patients live far from clinics or don’t have transport, so the mobile team is their only option.

3. ‘Best Practice’ Methods Beyond the Classroom

Education doesn’t stop once you get your certification. On the contrary, that’s where it begins. 

Mobile phlebotomy offers practical training, skill refreshers/updates, and even peer-led mentorship for continuing education. This is especially useful for nurses, medical assistants, or lab techs who might need to take blood but have little or no current practice.

Some mobile phlebotomy providers also use apps and digital tools to help trainees log their cases and get instant feedback. It’s like you have a supervisor right there in your pocket! This kind of tech can make the learning process go smoother and help students spot areas where they can improve before bad habits set in.

They’re also great for teaching updated techniques and safety tips. For example, students can learn how to work with patients who have fragile veins or how to safely use the latest needleless systems. Traditional programs often skip things like these but, in the field, they’re essential. 

Benefits for Healthcare Institutions

Training programs are not alone in getting the benefits of this shift. Healthcare organizations, labs, and long-term care facilities all have something to gain when they partner up with enterprise phlebotomy providers.

Most labs and hospitals that aim to reduce inefficiencies without compromising clinical standards look for enterprise phlebotomy services, as these solutions adapt to hospital requirements, while also aligning with staff training and ensuring all patients move smoothly through all the steps of care (check-in, treatment, discharge).

On top of that, these services improve patient satisfaction because what’s not to like about that kind of convenience? And happier patients mean fewer missed appointments and less stress on staff. 

Another perk is that healthcare facilities can save money if they outsource blood draws to mobile teams. They won’t need as much extra staff during busy periods and it frees up full-time employees for tasks that are more complicated. 

Mobile Clinical Education Models

You can go beyond just phlebotomy. In fact, phlebotomy is just the start because other healthcare fields are also picking up on this model. Mobile ultrasound units, physical therapy programs, and even dental care can all bring training and services directly to communities.

What’s even better is that students benefit from this, as well. If there are different types of mobile teams working together on outreach projects, students can learn how to collaborate across professions. Talk about a good way to build teamwork skills in the real world! 

Compliant with Continuing Education Standards

These types of groups, such as the American Institute of Healthcare Professionals (AIHCP), are concerned not only with clinical experience, but continuous updates and learning. Since healthcare still evolves, professionals need to have access to settings that allow for practical learning, not formal information.

Mobile phlebotomy falls into this category. It enables healthcare workers to meet continuing education requirements while offering field-appropriate experience.

More and more states are starting to recognize these mobile training hours for continuing education credits. That’s huge because it means healthcare workers can stay certified and up-to-date without putting their lives on hold. 

Preparing Students for Real-World Complications

Mobile phlebotomy gives students an opportunity to experience real patient cases that classroom training (usually) can’t provide. From treating mobility-impaired patients to adapting to non-clinical environments, students gain practical understanding of challenges they’ll face in practice. Observing certified professionals at work boosts confidence, critical thinking, and adaptability. Those are all skills that go beyond technical proficiency.

It’s also where students learn the ‘soft skills’ that make or break patient interactions, like how to calm someone who’s nervous, how to handle an angry family member, or how to keep things professional when things get cramped or stressful. These aren’t things you can fully teach in a lecture hall.

Conclusion

Clinical practice is no longer just the domain of hospitals and training labs. Mobile phlebotomy is creating new teaching options that are affordable, easily expandable, and tied directly to real patient care. 

The more training programs and healthcare organizations recognize the benefit of the model, the more it’s only going to be a normal component of how the next generation of healthcare providers learn and grow.

Author’s Bio

Mr. Mark San Juan is an accomplished writer, storyteller, and creative thinker whose passion for the written word has captivated readers worldwide. With a keen eye for detail and a gift for weaving compelling narratives, Mark explores themes of resilience, transformation, and the human experience.

Please also review AIHCP’s Health Care Manager Certification program and see if it meets your academic and professional goals.  These programs are online and independent study and open to qualified professionals seeking a four year certification

Written by Lucy,

An emergency medical situation is often unanticipated, but it always requires quick thinking and action. That often comes from bystanders and first responders. 91% of adults who have been trained in “any form of emergency response skill” indicate that they are prepared to step in until professionals arrive at the scene of a medical emergency, a national poll from the American College of Emergency Physicians (ACEP) and Morning Consult revealed. While bystanders and emergency medical personnel play crucial roles in emergency situations, there are critical ways in which individuals can prepare for an unforeseen event. From natural disasters to everyday scenarios, patient-carried medical information serves as the foundation for proper care in the case of an emergency.

Multi-situation preparation — the role of unpredictability 

Unpredictability is a major factor in medical emergencies, especially when it comes to situations where emergency medical records (EMRs) are inaccessible. While patient-carried medical information typically won’t involve the complete picture regarding a person’s medical history, they can inform bystanders and first responders of the basic, need-to-know information that could save a life in an emergency. This typically includes the patient’s name, medical condition, allergies, necessary medications, as well as emergency contact information. This insight can help medical professionals determine the correct course of action and can prevent any preventable mishaps. A medical ID that indicates an allergy to a medication, for instance, will prompt a first responder to use a more appropriate alternative based on the situation at hand.

Patient-carried medical information can prove to be an asset in a number of situations. In air travel, flight attendants and medical professionals on board will be able to better determine the intricacies of the situation when this information is present. For example, should a traveler lose consciousness due to severely low blood sugar, a medical ID bracelet could provide valuable insight about the patient’s underlying condition (hypoglycemia). The same could be said for a patient who experiences a severe allergy, heart condition, or other medical occurrence in which the individual is unable to verbally communicate their condition and needs.

In natural disasters, patient-carried medical information can serve as a valuable resource for those aiding a victim, especially when considering the unpredictable nature of various disaster scenarios. For example, tornadoes, hurricanes, tsunamis, earthquakes, and even severe thunderstorms can all result in debris that can easily render an individual unconscious. Should an individual have an underlying medical condition (like diabetes), medical professionals will be able to address exterior wounds as well as take their medication needs into consideration. It’s worth noting that patient-carried information can prove to be especially beneficial in areas where natural disasters are typical for the area, like California, where threats like earthquakes and wildfires are always present. A Public Policy Institute of California (PPIC) statewide survey that focused on wildfires revealed that just 35% of adults report that they are “personally prepared for a disaster.” While preparations for a natural disaster like a wildfire include such measures as prepping an emergency first aid kit, preparations can extend to medical ID solutions as well.

Medical jewelry — an easily identifiable choice

Patients have a myriad of choices when it comes to effective medical ID. Wearables are just one timeless solution that can easily facilitate patient-carried information, and there are a variety of options to choose from. Engraved jewelry pieces are common choices, and can range from those that depict a clear medical symbol to those that are more discreet. Often crafted with stainless steel, medical ID jewelry is a durable choice that medical professionals and bystanders can easily spot.

Dog tags are a classic option, and have a long history as a prime form of identification with roots that can be traced back to the military (specifically the Civil War). While silver dog tags serve as a form of general identification for each member of the military, dog tags characterized by a red hue serve another purpose. Red dog tags play a crucial role in order to successfully identify that an injured soldier has an underlying medical condition or allergy with ease. Similar to military red medical dog tags, civilian medical jewelry is often characterized by distinctive markings like a red Caduceus for a distinctively identifiable piece when out in public.

From wrists to wallets — valuable secondary options

Many individuals today may prefer a more modern and tech-driven approach to patient-carried medical information, like a smartphone app or even a smartwatch. While such avenues do have a few drawbacks like limited battery life, there are several advantages to keep in mind. Smartphone integrated features like the smartphone emergency medical identification tool (SEMID), for instance, is an accessible and simple way for individuals to store up-to-date, valuable medical information on their device. This includes details such as blood type, medical history, current medications, contact information, and other important healthcare notes. For patients who used this feature on their smartphone, a study led by the University of Rochester researchers discovered that the information “was useful and relevant to patient care in 75% of cases.”

This emergency medical ID feature extends to wearable devices, like popular brands of smartwatches. In addition to a screen that displays traditional emergency medical information, certain features can prove to be an asset in an unforeseen situation. Fall detection, low blood sugar warning, and emergency calling are just a few that can help a patient to better navigate a variety of situations. However, medical professionals and patients alike must consider the potential concerns associated with this type of technology in emergencies. For example, while traditional medical ID jewelry can often be an obvious sign that medical professionals and bystanders seek out, a smartwatch alone may not be universally recognized as a form of medical ID by many — especially if the individual is unable to verbally communicate. This is just one significant factor that underlines the importance of modern details in emergency service and response training, which can help heighten awareness among those in the field.

Generally speaking, traditional wearable medical IDs can serve as the most recognizable form of ID for bystanders and medical personnel when in an emergent situation, though there are other forms of ID that can act as a backup. A medical ID card that can be kept in a wallet can be a great way for patients to keep important information close by in the event of an emergency. However, due to the fact that these are not always accessible in every situation. For example, an individual may not have their bag or wallet nearby when a natural disaster or other emergency occurs, or may get separated from their ID in the commotion of a frantic event. Even when present, a medical ID card that is tucked away in a wallet could potentially go unnoticed. It’s crucial to note, however, that wallet cards can present a key advantage over traditional medical IDs due to their ability to display more information. This includes additional contact numbers and specifics about medication or a condition that can shed even more light on an individual and their needs in an emergency.

Emergency medical situations are never anticipated, though there are simple and effective ways that individuals can prepare. Medical ID solutions such as wearable devices, classic ID jewelry pieces, and even identification cards can all help provide bystanders and medical professionals with the right information in the event of an emergency.

Author bio

Lucy is a freelance writer who enjoys contributing to a range of publications, both in print and online. She spent almost a decade working in the care sector with vulnerable people before taking a step back to start a family and now focuses on her first love of writing.

Please also review AIHCP’s Health Care Manager Certification programs and see if it meets your academic and professional goals.  These programs are online and independent study and open to qualified professionals seeking a four year certification

Written by Muhammad Numan

Healthcare in 2025 would look totally different to someone who had practiced in the 90s. In fact, we do not even need to go back that far in the past. The rise of AI post-COVID has changed everything, including healthcare. Thanks to the many technological innovations, doctors are now spending more time with patients and less time on administrative tasks.

Among these technological inventions, cloud-based Electronic Health Record systems (EHRs) have revolutionised healthcare practice management. Unlike traditional EHRs, cloud-based EHRs marked a paradigm shift to a more accessible, secure, and patient-centred approach.

For professional healthcare providers, cloud EHRs offer a tactical advantage in managing the complexities of modern healthcare. Healthcare systems, like EHR for small practices, offer uninterrupted access to patient data, scalable solutions to administrative workload, and, most importantly, compliance with regulatory bodies.

Let’s dive into the blog to learn how a web-based EHR system can revolutionize healthcare practice management, improving patient care through EHR!

Challenges That Most Doctors Face Today

Are you a professional healthcare provider who wants to ensure adequate healthcare for your patients, but still finds it challenging sometimes? Most doctors are buried under paperwork that eats into their patient time and energy. And this affects their relationship with patients.

Here are some challenges you might encounter in ensuring optimal patient care!

1.    Fragmented Patient Data

One of the biggest hurdles of healthcare management is fragmented interoperability and data silos. Interoperability has real-world consequences, especially for healthcare professionals.

Around 18% to 20% of EHR-related patients’ safety concerns arise from the data exchange issues between the key stakeholders. Such disruptions are a fragmented workflow that significantly threatens patient safety.

Modern cloud EHRs can tackle this problem greatly by introducing FHIR (Fast Healthcare Interoperability Resource). This enables the system to eliminate data silos by supporting SMART on FHIR apps that let clinicians access longitudinal data across systems.

2.    Administrative Workload

Administrative workload remains another challenging and arduous task for professional healthcare providers, especially when using conventional Electronic health record systems. The excessive documentation burden often forces healthcare providers to spend more time charting than providing healthcare services.

Research shows that doctors spend twice as much time on traditional EHRs as on in-person consultations, leading to clinical burnout. This problem is further exacerbated by inefficient interfaces, ample digital health records, persistent task interruptions, and a lack of mechanisms for timely task delegation.

Cloud EHRs, on the other hand, offer various compelling solutions by integrating AI tools, real-time access to information, and role-based responsibilities. These tools allow the practitioners and administrative staff to access patient data, streamline workflow, and minimize disruptions.

Moreover, a centralized cloud-based infrastructure designs innovative interfaces, and supports real-time analytics and language to reduce the administrative workload for practitioners. Such benefits can reduce clinical burnout and enhance patient care.

3.    Information Overload

Information overload is observed to be one of the most influential factors when impeding the efficiency of any web-based EHR system. It can lead to clinical inefficiency and delayed decisions by seasoned healthcare professionals.

Research shows that bloated notes and vast amounts of information regarding lab results and medication force physicians to filter out all the irrelevant information, requiring them to invest 20 to 30% of each patient encounter time.

Physicians also complain that they spend nearly 70 minutes daily only reviewing the inbox of the EHR patient portal, with an average of 57 alerts. This does not contribute to clinical burnout but rather to daily mental fatigue.

Such a data overflow is significantly reduced via EHR implementation, which enables your system to automatically filter unnecessary information from your database and presents a more organized structure. It employs advanced search and filtering capabilities, cloud-hosted voice and AI tools, and integrates team-based inbox workflow systems.

Why Choose a Cloud-Based EHR?

Cloud-based EHR for small practices promises to provide various services to professional healthcare providers, ensuring accessible and quality healthcare. Here are some of the main cloud EHR benefits doctors have noticed after switching to reliable healthcare practice management software, like Practice EHR:

1.    Provision of Real-Time Analytics and Optimization

Retrospective reports are often generated by conventional EHRs, but such reports might not be sufficient for high-tempo decision-making settings. On the contrary, cloud-based platforms support real-time dashboards that continuously monitor clinician activity or documentation time, enabling timely and data-driven intervention.

For instance, a study by Albert Milstein in Health Affairs shows that the healthcare organizations integrated with real-time analytics and optimization show better healthcare outcomes, significantly improving operational metrics and overall efficiency of the clinical decisions.

Real-time analytics and optimization also mitigate alarm fatigue by analyzing alert response patterns and modifying thresholds accordingly.

Cloud-based EHR for small practices offers some of the most transformative capabilities, including real-time analytics. Physicians and administrative staff can use data-driven insights to improve patient care in addition to operational efficiency.

2.    Security, Redundancy, and Regulatory Compliance

As cybersecurity threats and regulatory compliance intensify, it has become imperative for web-based EHRs to ensure security, redundancy, and regulatory compliance.

Unlike traditional EHRs based on outdated infrastructure, cloud EHRs have a multi-layered security architecture, guarantee regulatory compliance with HIPAA, GDPR, and SOC 2, and enhanced security against data breaches and illegal activities.

Healthcare Organizations with web-based EHR systems are less prone to data breaches if they show compliance with various certifications and third-party requirements, such as SAS70 Type II, PCI DSS Level 1, ISO 27001, and the US Federal Information Security Management Act (FISMA).

Lastly, Role-Based Access Control (RBAC) is a multi-factor authentication tool that cloud vendors provide to safeguard patient data in the clinical workflows. Web-based EHRs are also gaining popularity because their recovery time (in the case of a data breach) is low. In high-stakes settings, such features ensure regulatory compliance and show massive resilience against cyber threats.

3.    Patient Centric Care and Engagement

Cloud EHR systems are designed to ensure patient care at every stage, offering secure and accessible personal healthcare information. This feature of EHR systems has empowered patients to keep a check on their health status by reviewing their lab results, treatment plans, and feedback from physicians.

A review of 18 studies shows that direct patient access to EHR systems has significantly enhanced patient engagement by developing self-management, self-care, and adherence to treatment plans among individuals.

Additional evidence on web-based EHR shows that patient portals have significantly increased preventive care rates and reduced the need for manual scheduling, as portals provide self-scheduling services. According to reports by the Office of the National Coordinator (ONC), about 60% of patients use patient portals to schedule meetings with their physicians and access their medical data storage.

By empowering patients, cloud EHRs are not only reducing their healthcare costs but also making them adopt a healthy lifestyle in the long run.

4.    Future-Proofing Healthcare Practice Management

Cloud-based EHRs have become a strategic imperative in the rapidly evolving healthcare landscape and can provide an adaptable foundation for transformative innovation.

Cloud EHRs are interoperable enough to integrate cutting-edge technologies such as ambient clinical intelligence, AI-powered decision support, real-time imaging analytics, and telehealth-native workflows. Such platforms offer continuous updates, enabling the health systems to bring innovations that disrupt the seamless workflow of clinical operations.

A recent Philip Future Health Index report shows that over 43% of healthcare leaders have integrated Artificial Intelligence (AI) solutions across various healthcare platforms. AI integration into web-based EHRs is done to support clinical decisions for in-hospital patient monitoring.

Cloud-based environments have also integrated ambient voice technology to improve documentation efficiency and patient care. Cloud EHRs also serve as a springboard for a modern digital health ecosystem aimed at integrating data from wearables, remote access to patient data, counselling, and genomics.

AI Solutions at Practice EHR

In the era of conventional EHRs, cloud EHRs give AI solutions for most administrative and health-related work, and Practice EHR takes the lead here. AI EHR, such as Practice EHR, promises to provide the benefits of AI in healthcare systems that improve patient care and provide cost-effective EHR solutions.

Healthcare professionals can simplify their manual work with AI EHR tools, which can automate the documentation process. Some AI-powered tools offered by Practice EHR are:

1.    AI Scanner

The AI Scanner feature of PracticeEHR successfully removes the hassle of manual paperwork, streamlining the workflow with automation. With Practice EHR’s AI Scan, your staff can populate patient data within seconds by just scanning a patient’s driver’s license or insurance card.

2.    AI Scribe

AI Scribe from Practice EHR provides hands-free, patient-focused care by turning every patient-provider conversation into precise notes during the visit. This tool ensures a meaningful connection with your patients by avoiding lengthy typing and distractions.

Moreover, AI Scribe recommends accurate CPT and ICD codes based on the notes created at the end of the visit. This can bring relief for the billing department and speed up the claims submission process.

Conclusion

Cloud-based EHRs are beyond technological upgrade! They represent a complete shift in healthcare delivery and management. Highly skilled healthcare professionals are using web-based EHR for modern clinical realities.

Unlike conventional EHR systems, which cannot scale and remain adaptable, cloud-based EHRs are scalable EHR systems that use robust platforms for real-time analytics, regulatory compliance, and other cross-system collaborations.

A 2020 study published in Sensors argues that it is high time that clinical systems realize the need to integrate robust and innovative cloud-based systems for reducing burnout, a protective shield against breaches, and fast-paced data sharing without loss.

Author’s Biography

Muhammad Numan is a healthcare writer and Content Marketing Executive at Practice EHR, where he has spent the past two years creating impactful content for healthcare professionals. With a Master’s degree in Pharmacy, he brings a unique blend of clinical knowledge and marketing expertise to help health tech companies communicate more clearly and effectively. His work focuses on bridging the gap between complex healthcare concepts and accessible, audience-friendly messaging.

Please also review AIHCP’s Health Care Manager Certification programs and see if it meets your academic and professional goals.  These programs are online and independent study and open to qualified professionals seeking a four year certification

By Daria Lalaiants.

Currently, technology is at the center of new and developing ways of delivering and managing care in today’s ever-advancing healthcare landscape. Custom medical software development has become essential for healthcare providers, enabling faster time-to-market, improved patient engagement, and seamless integrations with telehealth devices and healthcare IT systems. By addressing key industry challenges such as delayed feature delivery, high churn rates, and manual workflows, custom healthcare solutions drive operational efficiency, ROI growth, and data-driven decision-making, transforming care delivery into a personalized and results-oriented process.

What is Custom Medical Software Development?

Medical software development involves designing and building specialized digital solutions exclusively for the healthcare sector. Unlike off-the-shelf products, custom solutions are developed from the ground up to fit specific healthcare needs, ensuring they align with unique clinical workflows, patient care models, and operational goals.

Patient management systems, telehealth platforms, diagnostic applications, and more and more advanced tools for medical research can be part of these tools. If there is any line of code, any feature, or any interface that isn’t thought about through the lens of the end user, then we are constantly failing at what we set out to make great stuff, and it has never been more important to think about the user.

Enhancing Patient Care

The simple purpose of custom medical software lies in improving the quality of patient care. These solutions integrate advanced technology with everyday medical practices to make the daily work of the healthcare professional faster, more efficient, and time-saving, providing personalized services.

Electronic health records (EHR) systems appropriate for a clinic may be customized to a clinic’s specific operation, enabling physicians to retrieve and update patient data instantaneously. As telemedicine apps look to be somewhat automatic, especially with apps designed with intuitive interfaces, they allow you to be able to help sick patients in remote or underserved areas.

Custom software simplifies the work of healthcare providers, focusing less on the administrative hurdles and more on delivering high-quality care.

Streamlining Operations

Beyond clinical use, custom medical software is powerful in streamlining the operational side of healthcare. Easily, hospitals, clinics, and research facilities face complex processes that can become bottlenecks needing the right system in place.

These processes can be automated and optimized, even down to appointment scheduling, billing, and inventory management, and staff coordination can be automated and optimized. An example is the scheduling system of a clinic, which could be a multi-specialty clinic, which can affect patients’ wait time and resource utilization at the same time.

Not only does this mean cutting costs, but it also means that medical facilities are well-oiled machines.

Driving Medical Research

Custom medical software has a very important role in research. These solutions use data analytics, machine learning, and artificial intelligence to allow researchers to use complex datasets that cannot be processed with a human mind to find insights otherwise unreachable.

So, you can build custom platforms to track clinical trials and analyze patient outcomes (or outcomes of simulating a medical scenario) that are way more precise and efficient. These tools enable greater progress in treatment, diagnosis, and prevention, which will ultimately benefit patients everywhere.

Compliance Navigating Challenges

Healthcare is a highly regulated industry, which means not only are there provincial laws such as HIPAA and GDPR, but doing something as simple as changing the domain of patient login credentials can cause you a company compliance problem. This area often falls short with off-the-shelf software as it often provides generic solutions that do not meet specific compliance requirements.

However, we have been very aware of this from the start when designing custom medical software, and we have incorporated these regulations into our design by building with them in mind. Every feature is built to ensure safe data encryption to audit trails and user access controls to protect patient information and to remain compliant with the law.

Healthcare providers are provided peace of mind from data breaches and regulatory penalties that may result from a reactive approach to data security.

Advanced Technology Leveraged

Healthcare organizations can utilize the latest technologies with custom development too. These innovations of AI and blockchain, the Internet of Things (IoT) and augmented reality can all be seamlessly integrated into an entirely bespoke software solution.

Such devices can then continuously monitor patient vitals, sending this data to a custom-built platform to which medical professionals are able to track trends and respond to anomalies as they arise. Just as AI-driven diagnostic tools can perform with incredible accuracy to analyze medical images, helping doctors make a quicker and more trustworthy diagnosis.

Through custom medical software staying at the forefront of technology an organization doesn’t remain just as the other bidders, it puts its patients as leaders in the health field.

Empowering Collaboration

A cornerstone in healthcare collaboration, custom medical software helps stakeholders in better communication and data sharing.

For instance, integrating platforms can connect specialists, primary care physicians, and the patient so that all parties in a patient’s care can see the same, up-to-date information. This holistic approach lessens errors, improves results, and delivers a better experience for the patient.

Custom tools in research settings can enable scientists from across institutions to work across the boundaries of their institutions more effectively sharing data, methodologies, and findings.

In the Long Run Can Be Cost-Effective

While the cost of initial custom medical software development may be high, it represents a substantial long-term saving. Recurring subscription fees, limited scalability, etc., are often part of generic solutions.

Custom software solves all problems by offering a solution tailored to your precise requirements. It also has scalability that guarantees its continued growth with your organization avoiding future expenses for upgrades or replacements.

This custom approach works, and works well because it is more effective, and it is more economical, by design, attracting a higher return on investment over time.

Future-Proofing Healthcare

The field of healthcare is a dynamic one, and new challenges, rules, and technologies come every day. Custom medical software is perfectly poised to cope with these changing circumstances in order to keep organizations afloat and ready for the next generation.

Custom solutions are flexible enough to pivot through an ever-changing environment that may demand you to add new compliance standards, adapt to the latest medical devices, or scale to keep up with growth.

Choosing the Right Development Partner

A good starting point for creating effective custom medical software is choosing the right development partner. Search for outcomes metrics and make sure your team has experience not just with healthcare, but with technology too — and a great understanding of how healthcare works.

To build a successful partnership we need to have open communication, be transparent, and be committed to innovation. If you have a skilled development team you can work closely with to create a solution that fulfills your current needs and positions you for long-term success.

Conclusion

Custom medical software development — it’s more than just a technological solution, it’s a spark to uncover pathways to progress in healthcare. These tools help healthcare providers address unique challenges and unlock new possibilities to deliver better, streamlined care, and stay ahead in a rapidly evolving industry.

Custom medical software is a step towards a future in which personalized, efficient, and innovative healthcare becomes the demand.

Author’s Bio

Daria Lalaiants – CEO & Founder, Darly Solutions

Daria Lalaiants is a highly experienced CEO in the healthcare sector. With over 4 years of experience dealing with healthcare business development problems through customized software solutions, he collaborates with organizations on implementing advanced technologies that will enhance care delivery, internal process optimization, and operational efficiency.

Daria has expertise in healthcare software development and strategic planning to guide businesses through challenges in improving patient experiences and achieving sustainable growth through technology.

Please also review AIHCP’s Health Care Manager Certification programs and see if it meets your academic and professional goals.  These programs are online and independent study and open to qualified professionals seeking a four year certification

Written by Jeremy Carter

When deciding whether to keep billing in-house or outsource it, it’s important to consider all the costs involved. While handling billing in-house might seem cheaper because you control staffing and payroll, there are hidden costs that can affect your practice’s finances.

Direct costs include:

• staff wages,
• taxes, benefits,
• software,
• clearinghouse fees,
• and the statement fee or postage

These can add up quickly, especially if your team requires ongoing training and updates on payer regulations. In addition, there are indirect costs. In-house billing might lead to the following:

• more rejections and denials,
• lower net collections and cash flow,
• and higher patient bad debt

So, your practice needs to stay updated with changing insurance rules. But this can be a daunting task while taking care of your patients. You may miss reimbursement opportunities, which can lead to financial losses.

The best strategy to overcome these challenges is to outsource your physical therapy medical billing services to a reliable billing company. Thinking about how to choose the right one? Don’t worry, this blog will help you with that!

The Benefits of Outsourced Physical Therapy Medical Billing Services

Outsourcing your physical therapy medical billing services can make a huge difference for your practice, both in terms of your finances and the overall efficiency of your operations. Here’s a breakdown of why it might be worth considering:

1.      Aligned Incentives

When you outsource billing, the company handling it will generate more revenue for your practice because they successfully process claims. This means they are highly trained to tackle even the trickiest claims with care.

For example, if you are dealing with a complicated insurance claim, a billing company with a stake in the outcome will put in the extra effort to ensure it gets processed correctly. In-house staff might not have the same incentive, which could result in less thorough handling of complex cases.

2.     Expertise and Specialization

Billing companies specializing in physical therapy coding. They stay updated on the latest changes, which means they can accurately code your claims and submit them on time. For example, they will be aware of new codes or changes in reimbursement rates that you would otherwise overlook if you handled billing in-house.

3.     Increased Revenue and Cash Flow

Outsourcing physical therapy medical billing services can actually help boost your revenue. Billing specialists use tried-and-true methods to maximize your reimbursements and minimize denials. Many practices see a 5-10% increase in net collections when they switch to outsourced billing.

For example, a practice that regularly struggles with denied claims might see those numbers drop significantly, leading to a more stable cash flow.

4.    Scalability and Flexibility

As your practice grows, so does your billing workload. An outsourced billing company can easily scale up to handle more claims as your practice expands. If you open a new location or add more therapists, the billing company can adapt without the need for you to hire and train additional staff.

5.     Improved Efficiency and Productivity

Offloading billing tasks to a specialized company allows your team to focus on what they do best: taking care of patients. This shift can lead to higher patient satisfaction and, potentially, more referrals. For example, your front desk staff can spend more time addressing patient needs rather than getting bogged down with billing issues.

6.    Compliance and Risk Mitigation

Billing companies are experts at keeping up with the latest regulations and avoiding common risks. They help ensure that your claims are compliant. It reduces the risk of denials, penalties, and audits. This means you can rest easier knowing that your billing practices are in line with current standards.

Choosing the Right Billing Company

When selecting a physical therapy billing company, consider the following:

1.      Experience and Reputation

Look for a company with a solid track record in physical therapy billing. Check out their experience, client reviews, and their success rate in securing reimbursements. A billing company with a strong reputation is more likely to deliver reliable results.

2.     Technology and Software

Make sure the billing company uses advanced software that integrates well with your existing systems. You don’t want any errors in the payment process, so it’s worth testing how smoothly everything works together before committing.

3.     Services Offered

Beyond basic billing, see if the company offers extra services like insurance verification, claim scrubbing, denial management, and detailed reporting. These additional services can be incredibly valuable in efficiently managing your practice’s billing.

4.    Communication and Support

Choose a company that communicates clearly and responds quickly to your needs. They should keep you updated regularly and handle any patient questions about their bills professionally.

5.     Pricing and Return on Investment (ROI)

Understand how the billing company structures its fees and whether they align with your financial goals. A good billing company should be transparent about pricing and show you how their services will positively impact your bottom line. Many practices find that outsourcing can lead to a 95%–99% net collection rate and improve overall collections by 20-25% compared to average in-house billing.

Questions to Consider When Choosing a Physical Therapy Billing Company

Before hiring a physician billing company, you should consider the following questions:

• Is this physical therapy billing company HIPAA-compliant?
• Do their employees and services have affiliations with the Healthcare Business Management Association (HBMA)?
• Are they well-versed in the latest industry standards and regulations?
• How much do they charge to provide these physical therapy medical billing services?
• Who will be responsible for using the correct modifiers?
• Have they worked before with practices similar to your size and scope?
• Do they allow smooth integration of software with your existing one?
• Are the majority of their services electronic?

The Bottom Line

Outsourcing physical therapy billing services to a reputable billing company in the USA has numerous advantages. Your physical therapy practice will experience a revenue boost, improved efficiency, cost savings, and compliance assurance. Assess the needs of your practice, partner with a billing company, and track KPIs to collect the maximum amount for the services rendered.

Remember, the best strategy is to move forward with a proactive approach so that you can save your practice from any penalties.

Author Bio: Jeremy Carter is a healthcare researcher and writer with over five years of experience. He writes about medical billing, revenue cycle management, and healthcare trends.

Please also review AIHCP’s Health Care Management Certification programs and see if it meets your academic and professional goals.  These programs are online and independent study and open to qualified professionals seeking a four year certification

Written by Mark San Juan.

When one places a family member in a nursing home, the emotions felt are likely complex (on both sides). There’s a sense of relief that the family member is being taken care of and is safe, yet there is a sense of melancholy/abandonment, knowing that the person is advanced in years and will not be in the home they’ve been living in for years.

And if we’re being completely frank, most people don’t want to live in a nursing home, so you’re worried about whether the person you just left there is unhappy. The point is, even in the best case scenario, where the facility is top-notch, this takes some adjusting and getting used to before everybody’s okay with the new situation.

When rooms aren’t that clean, meals seem… Not too edible, and the staff is indifferent? This is why you, as a family member, have to be able to recognize red flags.

We’ll show you all the subtle (and not-so-subtle) signs to look out for and what to do if you think there’s reason to worry.

What Standards to Expect from Nursing Homes

In all honesty, the standards you should expect from a nursing home aren’t anything over the top; you want it to be clean, safe, your loved one to feel respected, and for the staff to do their job. Nothing crazy, so you’d think all nursing homes can stick to this.

Sadly, the reality is different, so let’s get into more details on the standards.

1. Cleanliness and Safety

There’s a reason why cleanliness/safety takes the number one spot on this list. The nursing home has to be clean (and safe, of course).

The rooms should be kept in an organized manner without any clutter; bathrooms should be hygienic while use of common hallways should not be obstructed by any clutter and should not have any unpleasant odors. This means, the rooms have to be maintained and tidy, the bathrooms have to be hygienic, and common areas can’t be cluttered or smelly.

Linens, bedding, and clothes (this goes for both the staff and the residents) have to be clean, too, and everything has to be washed on a regular basis.

Safety is another top concern. You want all the proper procedures in place (e.g., handrails, lighting, anti-slip flooring, etc.) throughout the entire facility.

Each room should have emergency buttons and safety features (grab bars, entrances accessible by wheelchairs, etc.).

Beyond just “everything needs to be clean and safe”, there’s a deeper reason for the extra caution. And that is to avoid possible infections. The reason is that old people (usually) have weakened immune systems, and are more prone to getting infected.

This is why the COVID-19 protocols actually did a great job in securing such facilities. Hand sanitizers, frequent surface sanitation, staff hygiene, frequent hand washing, gloves, and masks (when necessary).

Not only does this help minimize the chances of an infection, but it also helps minimize the spread of microorganisms.

2. Sufficient Staff

If the facility is understaffed, the residents don’t get quality care because they just can’t get enough attention from their caregivers. This impacts the seniors’ quality of life, so it’s non-negotiable. It NEEDS to be up to standard.

3. Resident Rights and Dignity

Quality care also means that all residents are treated with respect. Their privacy needs to be protected and they need to feel dignified.

Those in charge of caregiving should knock prior to making an entry to any of the resident rooms (privacy is important), observe the areas occupied by the patients, and allow them to make their own decisions concerning their everyday activities such as what to eat and what to do.

4. Proper Management and Procedures for Administration of Drugs-Prescription

In most cases, patients residing in a nursing home are required to take medications within certain intervals of time, which implies that there have to be established procedures that’ll ensure all the medications are taken at the right time without fail (people forget, even refuse, take the wrong dosage, etc. – it needs to be controlled).

Another important thing is for the staff to review the medications every once in a while so that there’s no unnecessary prescriptions, especially with psychoactive drugs.

6 Red Flags

Now that you know what standards every nursing home has to meet, make sure not to compromise on any of them.

But apart from being informed on the standards, you also need to know what red flags to watch out for; let’s take a look.

1. Sudden Changes in Health or Behavior

Big changes in physical or mental health is usually a sign that something is wrong. If the resident is losing weight quickly, seems depressed, or has bruises or injuries they don’t have a normal explanation for, it’s probably due to neglect.

Pressure sores are another surefire sign of neglect because they occur because of prolonged immobility, so it means that the staff didn’t reposition the resident enough.

2. Overworked, Tired Staff

Take a look at the staff; do they seem happy and energetic or tired and cranky? If ‘tired & cranky’ is the situation, then the staff members likely under great pressure and stress as a result of being overworked, and if that is the case, then it’s almost certain that they cannot adequately care for their residents.

So, even though this might not be the fault of the employees, it is still the residents who will be the most affected anyway.

3. Hight Staff Turnover Rate

This is not something that will be obvious, but it is more of something that you’ll find out as time passes. Naturally, if there are a lot of caregivers being streamed through the facility, that means that (most likely) something is wrong. To be fair, it could mean nothing. But, in most cases, it is a call for caution.

High turnovers are usually the result in poor management, poor working conditions, inadequate training, or simply low salaries/high amount of hours. It could also be linked to the previous point, overworked, tired staff.

All of those things, while at first seemingly don’t look like it is YOUR problem to deal with, it actually is. The residents of the facility are going to be the ones that get the short end of that stick. Low morale in workers, means poor living conditions for the residents.

Talk to the current workers (not management) and see how long they’ve been there. If they are new, try finding out why the last person left. You might get no information, or misinformation in the form of gossip/rumors, but nonetheless, you’ll know more than before. You could also talk to some of the residents and ask them if they are happy with the staff, and work from there.

4. Missing/Misplaced (Personal) Items

If any personal items are being misplaced, or have completely gone missing – this is a huge concern. It could indicate that there’s a lack of organization and security in the facility, or that personal items aren’t being respected.

Regardless of whether the culprit is a staff member, or another resident, personal items should be dealt with respect. It is an issue, and it is not on the victim’s hands to try and deal with it.

If it’s a staff member that’s at fault, management should resolve the issue. If we are looking at another resident/residents, then again, it’s the management or the staff directly who should ensure this isn’t happening.

If the issue persists, then definitely consider contacting an attorney who has experience in this area.

5. Restrictive Visiting Policies

If a nursing facility (usually) has restricted visiting hours, this could point toward some underlying problems, like understaffing or an unwelcome attitude towards family involvement. Or something worse.

Either way, be wary of such restrictions, and think about how that would affect your elderly loved ones in the long term.

6. Negative Evaluations and/or Low CMS Ratings

Should the institution fall short of expectations in the ratings system, such as that of the Centers for Medicare & Medicaid Services (CMS), those will be a clear indication to keep away from that establishment.

A few negative comments can always come from an angry customer that didn’t get their way (even though they were in the wrong). But too many negative comments are (usually) a giant red flag.

Just look at the case of Casa Real Nursing Home failure to meet health standards and you’ll see how low ratings are usually tied to big deficiencies. Casa Real has received repeated citations in basic care areas, and consistently low CMS ratings are one of the biggest red flags ever.

If you’re in a position where your elderly are in a similar nursing home, and you’ve found yourself powerless to take action after your pleas/concerns about any of the red flags were all ignored. Then, you can contact a law firm that specializes in such specific situations.

Conclusion

Everybody deserves to be cared for properly, but especially our fragile seniors.

Unfortunately, they’re easy to take advantage of and if their family isn’t involved or doesn’t visit often, the staff can see that as a chance to not work properly, which leads to neglected, depressed, possibly even sick residents.

Make sure to visit a lot, ask questions, and observe everything around you to see if there’s anything you should be concerned about.

Author’s Bio

Mark San Juan is a distinguished author and health care professional with a passion for transforming health care delivery through innovative approaches. With over two decades of experience in the field, Mark has established himself as a leading voice in health care reform and patient-centered care.

Please also review AIHCP’s Health Care Manager Certification programs and see if it meets your academic and professional goals.  These programs are online and independent study and open to qualified professionals seeking a four year certification