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The Best Tips for Healthcare Professionals to Fight Flu Season

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Healthcare professionals run a much higher risk of becoming ill during flu season than the average person, simply because they are exposed to many more people who are sick. Now that H1N1 has made the flu a more serious issue, particularly for young children and aging seniors, it is a bigger public health concern than in past years. Healthcare professionals have many options for fighting the flu this time of year, but the three big ones are immunization, immune system boosting and hand washing.
Immunization
The United States Food and Drug Administration has approved a trivalent vaccine, which prevents influenza A, influenza B and H1N1. The FDA recommends that all healthcare workers get vaccinated before flu season to avoid getting sick when the illness peaks. All other people who live with or care for people who are at high risk for getting the flu are also urged to get immunized. Children under the age of five and seniors over the age of 65 are considered the biggest -at-risk- groups among the general population.

Immune System Boosters
There are many ways to keep your immune system strong during flu season. The most common-sense piece of advice for any healthcare professional is to take care of yourself. If you fail to get enough rest, eat enough, drink enough water or spot illnesses early on and act appropriately, you run the risk of running your body ragged. It’s particularly important to eat a balanced diet before and during flu season. Antioxidants, B vitamins, vitamins A and C, folate-rich foods and other immune system boosters will work wonders for combating the flu, colds and other illnesses. And while you’re at it, a little exercise never hurt anyone. It helps keep your body strong and resilient. .

Don’t Forget to Wash your Hands
Hand washing is an absolutely essential component of avoiding influenza. As a healthcare professional, you already have to wash your hands multiple times every day at work – pretty much every time you touch something or someone – but the hand washing shouldn’t stop when your shift is over. The habit of frequent hand washing in warm, soapy water may often be taken for granted, but it should never be forgotten. It is especially important to wash your hands every time you touch your eyes, nose or mouth. Keep some antibacterial hand-wipes around just in case – you won’t be sorry.

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Fraud And Abuse A Major Reason For Waste In The Us Healthcare Spending

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Health care fraud and abuse is an important and conspicuous factor in the resource and finance drain in the US healthcare system and is responsible, to an extent, for the escalating healthcare costs.

According to a report by Thomson Reuters on US healthcare spending, the US healthcare system wastes between $505 billion and $850 billion every year, out of which the waste caused due to Fraud and abuse constitutes $200 billion, or 22% of healthcare waste every year.

The following chart shows the percentage of waste caused due to different parameters in the US healthcare spending.

Source: Healthcare analytics, Thomson Reuters

What is healthcare fraud and abuse?

Health care fraud is a criminal act in which a consumer or physician(s) deliberately misrepresents facts or information, for the purpose of undeserved or greater reimbursement. Health care abuse is a reckless disregard or conduct that goes against and is inconsistent with acceptable business and/or medical practices resulting in greater reimbursement.

How to prevent it?

Health care fraud and abuse has played such a vital role in increasing the cost of health care and has become a pertinent issue for the government as well as the general public. The question is how to prevent it?

Both Consumers and physicians have to be alert to the possibility of fraud and abuse and work to prevent it. Consumers need to get involved with their health care beyond the point of going to the doctor and taking medication. They need to be educated on their insurance plan, how much they pay, the proper names of their ailments, and they need to keep track of the services they receive and why they receive them. Simple tips that may help prevent fraud and abuse include:

“Review Explanation of Benefits to ensure accurate dates of service, name of providers, and types of services reported
“Protect insurance card and personal information at all times
“Count pills each time they pick up a prescription
“Research providers with state’s medical boards
“Report suspected fraud and abuse as soon as possible

Along with consumers, physicians too must check for any unintentional fraud and abuse happening around them. They can have training and awareness amongst their staff to prevent unintentional fraud. These joint efforts would definitely check the fraud and abuse rate in the United States and ultimately bring down the overall cost of healthcare.

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Healthcare Compliance Understanding Hipaahitech Regulatory Controls

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Security is a major cause of concern in today”s techno savvy global corporate environment. With organizations and healthcare facilities going towards a paperless environment, most of the information transfer and storage is in digital formats. Organizations, healthcare institutions and hospitals are faced with security challenges of their records and personnel. The need to protect the privacy of employees or patients involves a critical issue of the access to the electronic information.

Through a forward looking approach with view to address the current problems of IT compliance and security requirements of the healthcare industry and corporate sectors, various regulatory controls were put in place. This includes healthcare compliance in the form of Health Information Technology for Economic and Clinical Health (HITECH) Act, signed as a part of the American Recovery and Reinvestment Act of 2009. The Act, besides adding requirements for security breaches, has also laid down security standards for maintaining electronic health records. This Act also expands the privacy provisions beyond the Health Insurance Portability and Accountability (HIPAA) Act.

Tthe HIPAA act was enacted in 1996 in the United States among other things to protect the health insurance coverage for employees and their next of kin in case of change of workplace or retrenchment. With the widespread use of electronic data exchange, HIPAA also made provisions for health care providers, insurance companies and employers to confirm to national standards in electronic health care transactions, so as to maintain high level of security. However, since the integrity of data is at risk by technological enhancements, the HIPAA healthcare act has transaction and code rules besides a number of standards and guidelines for the organizations to maintain the privacy and security of sensitive health information.

Though considered a boon to the security of healthcare information, these regulatory systems offer the entities a number of challenges too. The use of compliance management software developed by experts in the field will help organizations streamline and automate compliance initiatives. Further organizations have also made use of smart cards to identify access to the electronic documents. Such holistic enterprise-wide approach is needed for effective controls

Conformance to HIPPA/HITECH regulatory controls ensure Information security and healthcare regulatory compliance. These Acts address the security and privacy issues in healthcare industry. HITECH applies to the business associates too. Under such provisions, the business associates are also accountable for any data breaches and face penalties for non-compliance.

Healthcare Law Means Changes for Nurse Management Jobs

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Would it surprise you to know that President Obama’s health care law goes well beyond simply providing insurance to those who don’t have it? Indeed, the Affordable Care Act (affectionately known as ObamaCare) contains an entire litany of new regulations that will affect everything from who receives care to how services are bought and paid for.

A good example of the burdensome regulations applies directly to nurse management jobs. There is a provision in the law requiring medical facilities to allow breaks for employees who are also nursing mothers, in order to allow them time to express milk. For a nurse manager this presents a whole new set of problems.

For instance, the law states breaks must be “reasonable” in terms of length. But who decides what “reasonable” is? If one nursing mother can express her milk in 15 minutes while another takes 30, there will be questions about fairness and equal time. Then there’s the question of workers who have babies brought to the workplace to nurse rather than expressing milk and putting it in the refrigerator.

Just this one little regulation is already causing a lot of headaches for nurse managers. It provides further evidence that the health care overhaul is not all it’s cracked up to be.

Nurse Management Jobs Still Worthwhile

Despite the changes in the healthcare regulations, don’t be discouraged if you want to get into the healthcare field. Nurse management jobs are still very attractive for a variety of reasons. They offer excellent pay, a good working environment, and room for professional advancement.

Furthermore, working as a nurse manager brings with it a measure of personal satisfaction by being able to help make the lives of patients better. By your willingness to put your best foot forward your nursing staff will be encouraged to do the same and your patients will benefit.

You and Your Staff

To excel as a nurse manager requires a way of thinking that’s slightly different from what you did as an active floor nurse. In other words, before moving into management your primary focus was your patients. As a nurse manager you’re still focused on patient care, but you’re more focused on your staff as the vehicle to provide that care.

Nurse management jobs are therefore more about encouraging the success of your staff. When you’re nurses are doing well, so will your patients. When your nurses are not performing up to standards patient care will suffer.

Nurse Managers also have the added responsibility of representing their staff before upper management and other members of the healthcare team. This requires a certain amount advocacy which some nurse managers find difficult. Nonetheless, it’s part of building a solid team.

In the United States there is currently a significant shortage of nurses and nurse managers. There are nurse management jobs available in big cities, small towns, and through temporary staffing agencies. If you’re qualified and want to work, it’s out there for the taking.

Medical Alert Systems and In Home Care Can Combat Rising Healthcare Costs

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A medical alert system can bring children of aging parents the peace of mind of knowing that their parents, who may live alone, can reach help if they experience a fall or other accident. The most common reason for purchasing a medical alert is wanting to make sure that an elderly loved one who is generally able to live independently is able to reach help when they need it. But can this tool for independent living also be a weapon in the fight against rising healthcare costs in the United States?

The population of the United States includes 39 million individuals over the age of 65 as of 2008, and by the year 2030, this number is expected to skyrocket to 72 million, as “Baby Boomers” reach the age of 65.

So, the aging population is growing. The individuals of the “baby boom” generation are reaching senior age, causing the senior population to increase dramatically. Not only that, but healthcare advances have allowed people to live longer; there are many more people reaching their 80s, 90s and even past 100. Those who reach these ages are, on average, suffering a large number of physical ailments and as a consequence, they consistently incur high medical expenses.

More seniors, fighting more physical ailments means a higher healthcare cost amongst our increasingly senior population. In fact, by the year 2030, health care for seniors is predicted to account for 25% of all the nations health care expenditures.

This is where a medical alert system can help. The price of equipment rental and monitoring can be less than $1 per day; a long hospital stay costs much more than that. The longer a senior waits to receive help after a fall, the more complications they will experience.

If a senior citizen falls, and is unable to summon help within the first hour, they are extremely likely to lose their independence, and most in this situation are ultimately placed in nursing homes.

With a medical alert system, an individual can get quick help, which often eliminates the need for a lengthy hospital stay, and prevents seniors from experiencing complications from their fall that land them permanently in a nursing home or care facility.

In conjunction with in-home care provided either by a professional service or a member of the seniors family, a medical alert system can keep an elderly individual out of a hospital, out of a nursing home, and can extend the amount of time in which he or she can live at home safely.

The average cost of nursing homes can top an average pricetag of $83,585/year, or $229/day. A medical alert system rental and monthly monitoring service costs less than $1/day.

While the rapidly rising population of seniors in the United States as well as recent changes to Medicare almost certainly guarantee a drastic spike in healthcare costs, this increase can be slowed. Preventative measures are the key to lowering healthcare costs in the United States, as it decreases the amount of costly emergency care and the many expenditures that come when an individual is no longer able to live in their homes.