TTIMES WORLD: Health News Report

Sunday, October 13, 2019
Washington, DC, USA


Prepare For January Deductibles Problems
That Time of the Year is Just Around the Corner


Expand Your Patient Plans for the High Deductible Season

January is just around the corner and patients will be starting over with new and potentially higher deductibles and copays. Are you ready to accept every form of payment? It only makes sense that patients will pay more and sooner if you offer them multiple ways and times to do so. With a full payment platform, you will capture more revenue as you collect payments before, during and after appointments. Patients love their options, too!

Join our patient payment expert to learn how easy-to-use tools:

  • Allow multiple point-of-service payment options to save staff time and improve collections
  • Give patients a way to pay 24/7 online, accepting multiple payment methods
  • Automate recurring payment plans that accept e-checks, credit cards and debit accounts

"Let the Healthcare800 payments specialist help you.. it is a forward-thinking approach for healthcare revenue that gets the results today. Contact us

Julie H.
Director of Business Services
Large physician group

How Healthcare Providers Can Maximize Success in a Recruitment Services
Tips That Can Help


Success in a recruitment services partnershipA major shortage of healthcare workers, coupled with growing demand for patient care services, has placed healthcare providers in one of the most competitive hiring markets in our nation’s history.

Faced with this challenge, many have sought the expertise of Recruitment Services experts. A quality provider of Recruitment Services, sometimes known as RPO, can deliver a robust candidate database, advanced sourcing techniques, best practice recommendations, clinical experience, benchmarking, and management know-how to help today’s healthcare providers succeed in hiring the best talent in the most cost-effective, efficient and timely manner.

But what can the healthcare provider do to best position themselves for success in working with a Recruitment Services team? The following are tips for getting more out of your partnership:

Communicate Your Goals to Internal Staff

One of the areas that often gets overlooked in initiating a Recruitment Services partnership is ensuring consistent and proactive communication with internal team members, including talent acquisition staff, hiring managers and executives. To ensure their comfort and buy-in to the process, your staff needs to understand why you are looking to a Recruitment Services provider, what the program is going to entail, how it is going to benefit them, and what are the desired outcomes. Ensuring everyone is on the same page – creating a sense of “team” -- will go a long way to achieving a good working relationship and a high level of program success.

Onboard the Recruitment Services Team

Just as you provide orientation for a new recruiter, your staff needs to be available to onboard the Recruitment Services team. This means providing training materials, introduction to systems, access to hiring managers and education, particularly about your organization’s culture. The Recruitment Services team needs to understand your employee value propositions, the selling points of your health system, your career development opportunities, and the community.

Define Roles and Responsibilities

Agreeing up front who is responsible for what part of the process is an important part of successfully integrating the Recruitment Services provider with your team. Delineating the Recruitment Services roles from internal staff roles can help avoid mix ups. This may involve such things as the type of requisitions and departments to be supported by the Recruitment Services team and how they’re going to carry out these functions. Internal staff should understand that the Recruitment Services team is truly an extension of the internal team brought in to supplement the efforts of existing talent acquisition functions.

Select a True Strategic Partner

In addition to aiding your recruitment and hiring, a quality Recruitment Services provider should serve in a consultative role and act as your organization’s strategic long-term partner. This means offering ways to improve your employment brand, working to expand your internal candidate database and recommending process improvements to your systems and recruiting processes. As experts in the field, a quality provider will bring an industry-wide view, with extensive knowledge of best practices and strategies that can be statistically compared with your data. This can provide valuable insights that lead to more cost-effective and efficient strategic decisions.

Agree Upon an Escalation Path and Other Management Issues

With every type of recruiting, occasional challenges will arise. Having a predefined escalation path is key. For example, you and your Recruitment Services partner should agree up front on a structure for resolving hiring issues. A quality Recruitment Services company will recommend a management system customized to your specific needs. For instance, a management system may include a scheduled meeting cadence that says every week both parties will meet to review data or every month you will gather to go over strategy. It can also spell out a report structure with dates for delivering significant information to your organization. Service level agreements that track quarterly performance against agreed upon targets can also be part of this structure.

Hypertension and Blood Pressure Control
Priority on Controlled Pressure

Blood Pressure Control is Priority
What You Must Do

Controlling blood pressure has to be a priority.

Why is blood pressure control so important to health?

When your blood pressure is high:

You are 4 times more likely to die from a stroke
You are 3 times more likely to die from heart disease
Even blood pressure that is slightly high can put you at greater risk.

Most people with uncontrolled high blood pressure:

Know they have high blood pressure
See your doctor for control monitor
Take prescribed medicine
Each of these is important, but there is much more to do. What’s needed now is for doctors, nurses and their patients to pay regular and frequent attention to controlling blood pressure.

Archives of Health Care History
Remembering the Flu Epidemic of 1918

1918 Pandemic (H1N1 virus)

We Heard the Bells: The Influenza of 1918

The 1918 H1N1 influenza pandemic was the most severe pandemic in recent history. The origin of the virus causing this pandemic is unknown. It spread simultaneously through North America, Europe, and Asia in three waves during 1918-1919. In the United States, it was first identified in military personnel in spring 1918. It is estimated that about 500 million people or one-third of the world’s population became infected with this virus. The number of deaths was estimated to be 50-100 million worldwide and 675,000 in the United States. Mortality was high in people younger than 5 years old, 20-40 years old, and 65 years and older. The high mortality in healthy people, including those in the 20-40 year age group, was a unique feature of this pandemic. While the 1918 H1N1 virus has been synthesized and evaluated, the properties that made it so devastating are not well understood. With no antibiotics to treat secondary bacterial infections that can be associated with influenza infections or vaccine to protect against influenza infection, control efforts worldwide were limited to non-pharmaceutical interventions such as isolation, quarantine, good personal hygiene, use of disinfectants, and limitations of public gatherings.

4 Main Areas of your Body
Mostly Affected by Diabetes

Diabetes Mellitus is a metabolic disorder in which inadequate production of the hormone insulin or a resistance to its actions in the body can lead to high blood sugar levels. Insulin is needed to get sugar into cells of the body, where it is used for energy. When sugar cannot get into cells, it remains in the blood at high levels. Complications of diabetes arise from long-term exposure to high blood sugar. The cardiovascular, nervous, visual and urinary systems are most commonly affected by chronically high blood sugars.

1. Heart and Blood Vessels

The cardiovascular system includes the heart and blood vessels. High blood sugar and increased blood fat levels commonly found in people with diabetes contribute to fatty deposits called plaques on the inner walls of blood vessels, causing inflammation. This leads to decreased blood flow and hardening of the blood vessels called atherosclerosis. High blood sugar also results in glycation, where sugars attach to proteins, making them sticky. This occurs on proteins found in blood vessels, also resulting in inflammation. When this occurs in the heart, it can lead to cardiovascular disease. According to a 2016 report from the American Heart Association, 68 percent of people with diabetes older than 65 die of heart disease.
Nervous System

2. Brain and Nerve damage:

Popularly called diabetic neuropathy, this damage is common in people with diabetes. Symptoms typically appear after several years but may be present when diabetes is diagnosed, as the disease may have gone undetected for many years. Diabetic nerve damage known as peripheral neuropathy is most common in the legs and feet. According to a 2005 statement by the American Diabetes Association, up to 50 percent of people with diabetes have peripheral neuropathy. This typically starts as numbness or tingling that progresses to loss of pain and heat and cold perception in feet or hands, making it difficult to sense an injury. Another type of nerve damage called diabetic autonomic neuropathy affects nerves regulating the heart, blood vessels, and digestive and other systems. This condition can lead to problems with blood pressure, heart rhythm and digestion, among others.

3. Eye

The Centers for Disease Control and Prevention reports that in 2005 to 2008, 28.5 percent of adults with diabetes 40 years or older had diabetic retinopathy. This eye disease is caused by high blood sugar levels leading to blood vessel damage and fluid leakage in the vision-sensing part of the eye called the retina. Diabetic macular edema is a complication of diabetic retinopathy wherein the center of the retina, which is responsible for detailed vision, is affected. These conditions can eventually lead to blindness. High blood sugar can also lead to an increased risk of cataracts and glaucoma. These eye disorders occur earlier and more often in people with diabetes, compared to those without the disease.

4. Kidney and the Urinary System

In 2011, CDC reported that diabetes was the primary cause of kidney failure in 44 percent of people newly diagnosed with the condition. High levels of blood sugar can damage the kidneys. The result is an illness known as diabetic nephropathy that can eventually lead to kidney failure. High blood sugar levels initially damage the blood vessels in the kidneys. As diabetic nephropathy progresses, there is thickening of kidney tissue and scarring. When the kidneys are damaged, they cannot filter the blood properly. This results in waste and fluid buildup in the blood, and leakage of important blood proteins into the urine.

A Study on Asthma and Residence in Inner Cities
By Elizabeth C.Matsui MD, and Elizabeth C.Matsui MD,

Although it is thought that inner-city areas have a high burden of asthma, the prevalence of asthma in inner cities across the United States is not known.

We sought to estimate the prevalence of current asthma in US children living in inner-city and non–inner-city areas and to examine whether urban residence, poverty, or race/ethnicity are the main drivers of asthma disparities.

The National Health Interview Survey 2009-2011 was linked by census tract to data from the US Census and the National Center for Health Statistics. Multivariate logistic regression models adjusted for sex; age; race/ethnicity; residence in an urban, suburban, medium metro, or small metro/rural area; poverty; and birth outside the United States, with current asthma and asthma morbidity as outcome variables. Inner-city areas were defined as urban areas with 20% or more of households at below the poverty line.

We included 23,065 children living in 5,853 census tracts. The prevalence of current asthma was 12.9% in inner-city and 10.6% in non–inner-city areas, but this difference was not significant after adjusting for race/ethnicity, region, age, and sex. In fully adjusted models black race, Puerto Rican ethnicity, and lower household income but not residence in poor or urban areas were independent risk factors for current asthma. Household poverty increased the risk of asthma among non-Hispanics and Puerto Ricans but not among other Hispanics. Associations with asthma morbidity were very similar to those with prevalent asthma.

Although the prevalence of asthma is high in some inner-city areas, this is largely explained by demographic factors and not by living in an urban neighborhood.

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