Question by Red Fox Ace: What does the medical community itself think about Obama’s health care reform?
So much hubbub has been made in the media, but what do doctors, physicians, nurses, and surgeons themselves think about Obama’s health care reform?
Strongly in favor? Strongly opposed? Split?
Answer by Scott
Of the doctors I have talked to much of the staff in hospitals in upstate new york, I have noticed that an overwhelming number of them strongly oppose the health care reform. This is simply due to the fact that since everyone gets free health care, people will go to family physicians and hospital emergency rooms for the common cold. This racks up the money spent on treating them and takes time away from patients who truly need help. It also causes shortness of staff and shortness of supplies.
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Medicare is health insurance coverage for those over the age of 65, under the age of 65 with specific disabilities and any person with permanent kidney failure. To be eligible, you must have entered in the United States in a way recognized by law and lived for 5 years. The need for a medical program for seniors became apparent in the 1950s, but it was not until 1965 when Congress passed the laws that created Medicare. Just like Social Security, those individuals contribute to Medicare during the years they work. It is a federal program so guidelines for eligibility and services are very similar in all states.
Medicare is made up of two parts:
Medicare Part A – This helps to pay for care if you are a patient in a hospital, nursing home or hospice and for care in your home under certain conditions. Many do not pay a month premium for this because it is paid for by taxes that you have paid while working.
Medicare Part B – This helps to pay for doctors services and outpatient care that is medically necessary. It pays for preventative services like the flu shot and for some services to keep illnesses from worsening. In 2008, the standard monthly premium was $ 96.40.
For the first seven months after your 65th birthday, there is a period where enrolling in Medicare is free. After this enrollment period, it may cost to enroll. Those covered by Medicare are called beneficiaries. Medicare will pay for most of their health care, but not all. That means it will cover most serious medical conditions, those in which the patient will usually recover from. Medicare does not cover the cost of care given to a patient at home, in a nursing facility, for those with recurring disability or longtime illness.
Medicare also provides Advantage Plans, although it is not available in every state. These plans offer prescription programs to the beneficiaries. Specific details depend on the program you choose and your eligibility.
You will receive your Medicare card, in the mail, three months before your birthday. If you are receiving Social Security benefits before you turn 65, you will be enrolled in Part A and Part B automatically the month you turn 65. Signing up for Medicare is simple, as long as you are aware of the different plans and enrollment periods.
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Because of the nature of healthcare, it is imperative that all aspects of medical care are performed in an efficient and accurate manner. From direct patient contact down to administrative and clerical tasks, such as medical transcriptions, the process must happen quickly and be error free. Due to the complex nature of medical care, a patient’s medical records from several physicians may have to be consulted when making a diagnosis and treatment decisions. It is therefore extremely important that these records are completely accurate. In order to assure accuracy and timeliness, a medical transcriptionist company may use a software package to better manage their workflow and integrate it into the healthcare delivery process.
Typically when using workflow integration software, a physician provides a medical dictation. This can be done using either a traditional recording device, or can be relayed over a telephone line. The dictation is then logged into the workflow integration software and sent out to a transcriptionist. Depending on the specifications of the software, there may be quite a bit of information logged before the dictation is even sent out.
At a minimum, the software can allow the company to track when the dictation was received, and when the finished transcript is needed. After the transcript is sent to the transcriptionist, many other metrics are recorded. The transcriptionist’s error rate and time it takes to produce the transcript are tracked. Software also allows supervisors or managers to see how long ago a dictation was sent to a particular transcriptionist. This allows even companies with employees who work from home or offsite to see what work is pending, what work has been sent out, and which finished products have been returned. This software also allows the company to easily track which transcriptionists produce the best transcripts in the least amount of time. This data can be used to assure medical providers that their finished transcripts are produced by experienced, professional transcriptionists.
After the transcript is completed, it is relayed back to the medical provider. Due to many technological improvements, this can be a very quick process. Most transcription companies relay the finished work to the hospital or physician’s office electronically, either by using the Internet or by sending a data file directly to the provider. This file can then be read and printed out in a matter of seconds from when it is received.
By using these technological improvements, it is easy to see exactly where a dictation is in process. Depending on the parameters of the software, it may be possible for the medical provider to track the transcript at every point in the process, from raw dictation to finished process. Accountability is assured, as there is a log of everyone who comes in contact with the dictation file, and what they do. This is also a wonderful way of assuring patient privacy and HIPAA compliance.
This article was written by Larry Edward who follows medical workflow trends. He invites you to consider
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