Categories
Physician Executive

The Mentor® Model: care management in the 21st century

The Mentor® Model: care management in the 21st century – Patient Care Richard B. Birrer Quality of care has become increasingly important over the last three decades, driven by the growth of managed care, increased customer expectations, changing demographics, intensified governmental regulation, the Balanced Budget Act and the Leapfrog Initiative. (1) New technologies and pharmaceuticals, […]

Categories
Physician Executive

Physicians can ease nursing shortage

Physicians can ease nursing shortage Leo M. Henikoff The nursing shortage continues to plague American hospitals and health care services, and no reliable solution appears on the horizon. The 5.8 percent increase in nursing school enrollments in 1989, the first increse in five years, will have a relatively small impact on the supply of nurses […]

Categories
Physician Executive

Is the business of health care hurting the profession?

Is the business of health care hurting the profession? – Big Business/Noble Profession Robert Klint I NEARLY MISSED MY exit on Interstate 95. The spirited conversation on the radio about concierge care was fascinating, even though I firmly believe that health care, its delivery to patients and its management, are something rather special. Health care […]

Categories
Physician Executive

Revenue cycle management-part 1

Revenue cycle management-part 1 – Practice Management Rick E. Weymier When discussing issues important to practice administrators and physicians, financial performance always is mentioned as one of the top three most important concerns for the medical group. The ability to cover practice expenses and meet physician income expectations is continuously strained by pressures on reimbursement […]

Categories
Physician Executive

Strong career plan helps turn dreams into reality – Leading Questions

Strong career plan helps turn dreams into reality – Leading Questions – effective physician executives Scott Ransom ********** Physician executives have come a long way in a short time. Within just a few years, many physicians transformed themselves from pure clinicians to executives and leaders of health care organizations. But there’s still a long way […]

Categories
Physician Executive

California heats up: will a jury decide the future of medicine?

California heats up: will a jury decide the future of medicine? – Managed Care on Trial Earl R. Washburn THE CALIFORNIA health care scene is getting nastier and more contentious as conflict resolution shifts from negotiation to litigation. Major players are deciding that they have little to lose and potentially much to gain by going […]

Categories
Physician Executive

Freedom or chaos? Dealing with change

Freedom or chaos? Dealing with change – in medical management practices Richard A. Watson For those of us in medical management, the past several years have proved hectic and quixotic, often marked by quicksilver instability and unnerving disorder. “Change,” they say, “is changing faster than it has ever changed before.” Our only certainty, it would […]

Categories
Physician Executive

Management competencies required on ambulatory care settings

Management competencies required on ambulatory care settings – Physician Executive Management Competencies Paul P. Brooke THE INTEGRATION OF FINANCING AND HEALTH services delivery under the explosive growth of managed care has become a dominant characteristic of American health care. (1, 2, 3 Massive, market-based reform has rapidly transformed the traditional, provider-driven, loosely associated system of […]

Categories
Physician Executive

Life at the edge of chaos

Life at the edge of chaos – Health Care Applications of Complexity Science Curt Lindberg SINCE THE DEMISE OF THE CLINTON HEALTH PLAN, market-driven health care system evolution has been proceeding across the U.S. at a rapid pace. As the health care system undergoes unprecedented change, both clinical and institutional leaders find themselves under extraordinary […]

Categories
Physician Executive

is “honest physician” a 21st century oxymoron?

Lantern of Diogenes: is “honest physician” a 21st century oxymoron? Richard E. Thompson Concern about unethical physicians is nothing new. Fee splitting, legal drug dealers bribing doctors to prescribe their products, and sweetheart deals between doctors and hospitals are as old as the hills. However, new to the scene are higher stakes, lower physician fees […]