Healthcare Reform, Key Initiatives – Timing and Implications | healthcare

Healthcare Reform OverviewThe Patient Protection and Affordable Care Act will have a profound effect on healthcare providers, including reductions in reimbursement to hospitals and physicians; focus on value based purchasing – higher quality and lower costs; financial incentives and penalties tied to clinical quality outcomes and a transition away from fee-for-service payment to bundled payments and Accountable Care Organizations (ACOs).Healthcare Providers: Recommended ResponsesHealthcare organizations developing plans to respond to reform initiatives must create a path for the organization that:
Aligns the board, executive staff, medical staff, and clinical staff
Implements measurement, monitoring and benchmarking systems for costs and quality
Streamlines processes to enhance clinical outcomes and reduce costs
Integrates information technology, including electronic health record technology, with clinical and administrative processes to support care management across all settings
Focuses on improving clinical performance through evidence based medicineIt will be critical for organizations to get a clear understanding of their strengths and weaknesses relative to each reform initiative.Thriving under reform initiatives will require organizations to evaluate the entirety of their business, optimizing operations in all areas to enhance net revenues and reduce labor, supply, drugs and other costs. The goal should be to achieve or beat ‘best’ quartile performance.Hospitals must continue to improve quality while increasing cost effectiveness.Hospitals should undertake an in-depth evaluation of what service lines are crucial for their success – and which lines might be scaled back or divested based on funding limitations.Healthcare reform will forever alter the landscape of medical care in the U.S.Hospitals will have to align medical staff to address quality of care and comprehensive performance improvement under healthcare reform measures.An organization’s ability to collaborate with physicians to redesign clinical processes, minimize unnecessary services, lower readmission rates, and reduce hospital acquired conditions will be critical to their success under reform.Hospitals now not only need margins to meet their missions, they need margins to meet the demands of reform.Short-term and long-term savings from critical performance improvements will help position organizations to succeed under reform and beyond.While many of the ramifications of healthcare reform and its effect on hospitals remain to be seen, one thing is certain: there will be less money in the system to go around.

Gambling Addiction – Signals That You Are in Great Trouble | Gambling

There are several bad habits that make man fail in the life as a whole. He will face a total money loss and thus the life ahead become hard to move. One such habit which causes monetary lose is gambling. There are people who are addicted to gambling. The ill results are the total loss of wealth and properties.Man starts most of the bad habits as a matter of entertainment or fun. Gambling is also started in a similar way. Gambling addiction is of no use to the people who are going after it. But when they get an interest after their first trial, they will stick to it. They start believing that it will help them to earn money.There are several instances where people have lost a life’s wealth through gambling. It is difficult to turn away the interest of the gambling addicts. They won’t understand the importance of the advices they receive. The result is that they will have no benefit and only failures.When they try spending their precious time in gambling, their family will have to suffer a lot. Their loved ones start hating them. They will forget their responsibilities and the interest will pull them more towards it. They will be considered as people who are not suited to the society.He won’t have anything productive to do and the entire time and effort will be wasted on gambling. Also, he will start attracting people towards this interest of his. Thus more people will reach gambling. This will affect the total society.Gambling addiction is a disorder that can be overcome or treated. About 2 to 4 percent of Americans are victims of an active gambling problem. They borrow money or take credits. They are more disturbed by losing. They keep on playing in order that they will win and clear all their debts. Third comes the desperation phase, where the gambler starts hating being at home. They often start blaming other for the addiction. Often end up in illegal acts, alcohol, drugs some get arrest or even get divorce or completely breakdown. The last phase is the hopelessness phase where a gambler is not able to clear his debts. They can’t see a hope light to come out of the addiction problem. They commit suicide, 20% of the gamblers at this stage do commit it. Life rarely gives a second chance. Always play safe in life, because life itself is priceless preserve it.Gambling addiction can be cured completely with the help of hypnosis addiction. The hypnosis CD to stop gambling addiction will help the people to recognize the seriousness of their bad habit. The CD and the mp3 can be obtained online.People when hear the CD will concentrate on the instructions and the guidelines and thus will change gradually. They will be taken through different sessions carefully and thus will be taught on how to get rid of gambling. Their interests will be taken to useful jobs and they will start utilizing their time more wisely.Thus any type of bad habit, even though it is gambling can be cured through the effective methods of hypnosis. The individuals are given relaxation to their mind and they will slowly move away from the habits that hinder their growth.