#electronic health records in hospitals in idaho

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Telehealth Solutions: Revolutionizing Healthcare Across the U.S.

In today’s fast-paced world, healthcare is evolving rapidly. One of the most significant changes is the rise of telehealth solutions, which have transformed how patients access care. Telehealth uses digital communication technologies such as video conferencing, phone calls, and mobile applications to provide healthcare remotely. This approach has become increasingly popular across the United States, especially in states like Idaho, Louisiana, Maryland, Pennsylvania, Washington, Oregon, and Illinois. Let’s explore how telehealth solutions are making an impact in these regions and nationwide.

What Are Telehealth Solutions?

Telehealth solutions offer a wide range of services that bring healthcare professionals and patients closer, even when separated by miles. These services can include virtual doctor visits, remote patient monitoring, and online health education. Telehealth allows patients to receive care from the comfort of their homes, eliminating the need to travel to a physical location. This convenience is particularly beneficial for individuals in rural or underserved areas, where healthcare access can be limited.

One of the key features of telehealth is its ability to provide timely care, especially in situations where immediate consultation is critical. Through telehealth platforms, patients can connect with their healthcare providers in real-time, ensuring that they receive the attention they need promptly.

Telehealth Solutions in Idaho

Idaho is a largely rural state, making telehealth solutions a crucial tool for improving healthcare access. Telehealth has proven to be a lifeline for many residents in remote areas, enabling them to consult with specialists and primary care providers without traveling long distances. This has also helped to reduce the pressure on Idaho's healthcare system, especially during times of high demand.

Telehealth Solutions in Louisiana

In Louisiana, telehealth has made significant strides in connecting patients with healthcare services, particularly in regions prone to natural disasters like hurricanes. Telehealth solutions in Louisiana ensure that patients can still access care during emergencies when it may be challenging to visit a healthcare facility. This innovative approach helps maintain continuity of care and prevents the disruption of essential healthcare services during crises.

Telehealth Solutions in Maryland

Maryland has embraced telehealth as a way to extend healthcare to both urban and rural populations. Telehealth solutions in Maryland allow for better management of chronic diseases, mental health services, and preventive care. By enabling easier access to healthcare providers, telehealth is helping Maryland residents take control of their health and well-being, resulting in improved outcomes and overall quality of life.

Telehealth Solutions in Pennsylvania

Pennsylvania is another state where telehealth solutions are changing the healthcare landscape. Telehealth in Pennsylvania provides access to a broad spectrum of healthcare services, ranging from mental health consultations to post-operative care. These solutions have been particularly valuable in managing chronic diseases like diabetes and hypertension, allowing for regular monitoring and early intervention when needed.

Telehealth Solutions in Washington

In Washington state, telehealth has gained widespread acceptance due to its ability to provide care across its diverse geographic landscape. Telehealth solutions in Washington are helping to break down barriers to healthcare, particularly in rural and underserved areas. These services offer a practical solution for patients who struggle to access specialized care, reducing wait times and improving the overall patient experience.

Telehealth Solutions in Oregon

Oregon’s healthcare system has been greatly enhanced by telehealth solutions. By offering remote consultations, Oregon healthcare providers can reach patients in real-time, helping to reduce the burden on emergency rooms and clinics. Telehealth solutions in Oregon also play a crucial role in preventive care, ensuring that residents can seek medical advice before health issues escalate into more severe conditions.

Telehealth Solutions in Illinois

Illinois has embraced telehealth as a way to bridge the healthcare access gap, particularly in underserved areas. Telehealth solutions in Illinois allow patients to receive timely medical consultations, reducing the need for travel and offering more flexibility. These services are helping to reduce healthcare disparities by ensuring that all residents, regardless of their location, have access to quality care.

The Future of Telehealth Solutions

Telehealth has demonstrated its potential to revolutionize healthcare delivery across the U.S. From telehealth solutions in Idaho to telehealth solutions in Illinois, this technology is breaking down geographic barriers and offering a more convenient, accessible, and affordable way for patients to receive care.

Conclusion

As telehealth continues to evolve, we can expect further improvements in healthcare delivery, enhanced patient outcomes, and better management of chronic diseases. The ongoing development of telehealth solutions will help ensure that healthcare becomes more equitable and widely available, providing everyone with the care they need, regardless of their location.

Telehealth is not just a trend—it’s the future of healthcare, bringing better care to more people, faster than ever before. Telehealth Solutions Washington, Pennsylvania, or Maryland, telehealth solutions are here to stay, ensuring that healthcare is always just a click away.

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Transform Your Healthcare Operations with Dr. Cloud EHR

At Dr. Cloud EHR, we’re dedicated to transforming the way healthcare professionals manage their practices with cutting-edge electronic health record platforms. Our advanced Electronic Health Record (EHR) system is designed to streamline your operations, improve patient care, and enhance overall efficiency.

Why Choose Dr. Cloud EHR?

1. User-Friendly Interface: Our EHR Platform is intuitive and easy to navigate, making it simple for healthcare providers to access and manage patient information, whether you're using our electronic health record in Illinois or elsewhere.

2. Comprehensive Features: Our billing module in hospital management system ensures seamless integration of financial operations with patient care. From appointment scheduling to patient records and billing, Dr. Cloud EHR offers a wide range of features to support all aspects of your practice.

3. Secure and Compliant: We prioritize the security of your data, ensuring that all information is protected and compliant with industry standards and regulations. Whether you're utilizing electronic medical record systems in Idaho or managing mental health solutions in Washington, our platform guarantees the highest level of data security.

4. Cloud-Based Access: Access your EHR from anywhere, at any time. Our cloud-based solution provides flexibility and convenience, allowing you to stay connected to your practice on the go. Ideal for practices needing EMAR medication system in Maryland or similar solutions.

5. Dedicated Support: Our team of experts is here to provide you with exceptional support and training, ensuring you get the most out of our EHR system and electronic health record platforms.

Enhance Your Practice Today

Join the many healthcare professionals who have already experienced the benefits of Dr. Cloud EHR. Contact us to learn more about how our EHR Platform can elevate your practice and improve patient care.

Get in Touch: Visit our website at Dr. Cloud EHR to schedule a demo or speak with a representative.

Transform your practice with Dr. Cloud EHR – where technology meets excellence in healthcare.

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Streamlined Built-In Reporting with Dr Cloud EHR’s Electronic Health Record Systems

In today’s healthcare environment, the ability to manage patient information effectively is crucial for delivering quality care. Dr Cloud EHR offers advanced electronic health record systems (EHR) that come with built-in reporting features designed to provide healthcare providers with valuable insights. These reports help streamline daily operations, improve patient outcomes, and simplify compliance with healthcare regulations. Whether you’re operating in Oregon, Washington, Illinois, Idaho, Louisiana, Maryland, or Pennsylvania, Dr Cloud EHR has the tools you need to manage data efficiently.

Why Built-In Reports Matter in Healthcare

Built-in reports are an essential feature of any electronic health record system. They allow healthcare professionals to track key performance metrics, patient trends, and overall practice efficiency. With Dr Cloud EHR, healthcare providers can generate detailed reports on everything from patient demographics and treatment histories to financial and administrative data. These reports support better decision-making, enhance care quality, and allow providers to spend more time focusing on patients rather than paperwork.

For example, hospitals and clinics in Pennsylvania and Maryland can use these reports to monitor patient care progress, while healthcare providers in Louisiana and Idaho can access financial reports to track costs and revenue. Dr Cloud EHR provides all the necessary tools to run a healthcare practice smoothly.

Customizable Reporting for Unique Needs

Every healthcare organization is different, which is why Dr Cloud EHR offers flexible, customizable reporting options. Our electronic health record systems can be tailored to suit the specific needs of your practice, whether you’re a small clinic in Washington or a large hospital in Illinois. Providers can easily customize reports to include the data that matters most to them, such as patient treatment outcomes, billing summaries, or compliance reports.

In states like Oregon and Washington, where regulations may vary, Dr Cloud EHR ensures that healthcare providers can generate reports that meet state-specific requirements. Our system is designed to adapt to changing regulations, keeping healthcare providers in compliance no matter where they are located.

Benefits of Standardized Reporting

Consistency in data reporting is key to delivering high-quality care. Dr Cloud EHR’s electronic healthcare record system provides standardized built-in reports that ensure healthcare providers have consistent and accurate data across all locations. This is especially important for multi-state practices or healthcare organizations with offices in states like Louisiana, Idaho, or Maryland. Providers can access the same types of reports, regardless of their location, enabling them to compare data and make informed decisions.

For healthcare organizations in Pennsylvania and Illinois, Dr Cloud EHR’s electronic health record systems offer robust reporting that helps them stay on top of patient care, track treatment progress, and improve operational efficiency. The built-in reports also support quality improvement initiatives, helping practices identify areas that need attention.

How Dr Cloud EHR Simplifies Healthcare Reporting

At Dr Cloud EHR, our goal is to provide healthcare providers with the tools they need to improve patient outcomes and streamline their operations. Our electronic health record systems come equipped with built-in reports that are easy to generate and interpret. These reports cover a wide range of areas, including patient health trends, appointment histories, medication administration, billing, and compliance.

Healthcare providers in states like Oregon, Washington, Idaho, Louisiana, Maryland, and Pennsylvania can rely on Dr Cloud EHR to help them stay compliant with local and federal healthcare regulations. With our electronic health records platform, providers can rest assured that they have all the necessary data to deliver top-quality care while optimizing the performance of their practice.

Why Choose Dr Cloud EHR?

Whether you’re looking for an electronic healthcare record system to manage patient data or need powerful reporting tools to stay ahead of industry regulations, Dr Cloud EHR has you covered. Our comprehensive electronic health record systems are designed for healthcare providers in Oregon, Washington, Illinois, Idaho, Louisiana, Maryland, and Pennsylvania. We offer customizable, user-friendly reporting solutions that allow healthcare organizations to operate more efficiently and improve patient care.

For More Information Please Visit Our Website drcloudehr.com

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 Transforming Behavioral Health with DrCloudEHR: A Comprehensive Solution for Certified Community Behavioral Health Clinics 

Certified Community Behavioral Health Clinics (CCBHCs) play a pivotal role in providing comprehensive care for individuals with complex needs. Certified by the Substance Abuse and Mental Health Services Administration (SAMHSA), Certified Community Behavioral Health Clinics embody a commitment to excellence in behavioral health ehr services. To meet the demanding requirements of these clinics, a robust electronic health records platform and EHR Solution Vendors is essential. DrCloudEHR is designed to support CCBHCs by offering comprehensive functionality that addresses billing, outcomes reporting, and all nine areas of service delivery.

The Unique Needs of CCBHCs

CCBHCs provide a wide range of services, including:

1. Crisis Mental Health Services: Immediate, 24/7 response to mental health solutions crises.

2. Screening, Assessment, and Diagnosis: Comprehensive evaluations to determine appropriate treatment plans.

3. Patient-Centered Treatment Planning: Personalized care plans that focus on individual patient needs.

4. Outpatient Mental Health and Substance abuse EHR Services: Regular outpatient services to manage mental health and substance abuse use disorders.

5. Primary Care Screening and Monitoring: Integration of primary care with behavioral health to monitor overall health.

6. Targeted Case Management: Coordinated care for individuals requiring multiple services.

7. Psychiatric Rehabilitation Services: Support for recovery and reintegration into the community.

8. Peer Support, Counseling, and Family Support Services: Programs that involve peers and family members in the electronic health record vendor treatment process.

9. Services for Veterans: Specialized care tailored to the needs of veterans.

DrCloudEHR: The Ideal EHR Solution for CCBHCs

DrCloudEHR is tailored to meet the unique operational, clinical, and billing module in hospital management system needs of CCBHCs. Here’s how it supports each critical area:

1. EHR for Certified Community Behavioral Health Clinics in Oregon:

   - DrCloudEHR provides comprehensive EHR solutions that enhance the efficiency and effectiveness of ehr for certified community behavioral health clinics in oregon, ensuring compliance with state and federal regulations.

2. Behavioral Health EHR Solutions in Washington:   - Washington’s behavioral health ehr services benefit from DrCloudEHR’s integrated care ehr platform, which supports seamless data exchange and coordinated care across multiple service providers.

3. EHR for Certified Community Behavioral Health Clinics in Illinois:

 DrCloudEHR helps ehr for certified community behavioral health clinics in illinois streamline their workflows, manage patient information, and optimize billing processes to improve overall service delivery.

4. EHR for Certified Community Behavioral Health Clinics in Idaho:

   - DrCloudEHR addresses the specific needs of ehr for certified community behavioral health clinics in idaho by providing a robust system for managing patient records, treatment plans, and regulatory compliance.

5. EHR for Certified Community Behavioral Health Clinics in Louisiana:

 ehr for certified community behavioral health clinics in louisiana can leverage DrCloudEHR’s comprehensive EHR solutions to enhance care coordination, improve patient outcomes, and ensure accurate billing and reporting.

6. EHR for Certified Community Behavioral Health Clinics in Maryland:

   - DrCloudEHR supports ehr for certified community behavioral health clinics in maryland by offering advanced EHR functionalities that facilitate integrated care, data-driven decision-making, and efficient service delivery.

7. EHR for Certified Community Behavioral Health Clinics in Pennsylvania:

   - Pennsylvania’s behavioral health clinics benefit from DrCloudEHR’s ability to manage complex patient needs, streamline administrative processes, and maintain compliance with SAMHSA standards.

8. Behavioral Health EHR Services:

   - DrCloudEHR’s behavioral health ehr services provide a holistic approach to managing mental health and substance abuse treatments, ensuring comprehensive care and continuous patient engagement.

Key Features of DrCloudEHR for CCBHCs

- Individualized Workflows: Customizable forms, treatment plans, and reports tailored to the specific needs of each ehr for certified community behavioral health clinics in oregon.

- Integrated Charting: Comprehensive patient records that include services received across all programs with compliant documentation.

- Role-Based Access: Secure access to client data based on the user’s role, ensuring privacy and security.

- Regulatory Compliance: Seamless adherence to regulatory requirements across all services, supported by DrCloudEHR’s electronic health record systems.

- State Certification Audits: Facilitation of state certification audits with the built-in auditor feature, ensuring preparedness and compliance.

Enhancing Care with DrCloudEHR

DrCloudEHR’s EHR Platform is designed to improve the overall efficiency and effectiveness of CCBHCs by providing tools that enhance care coordination, improve clinical outcomes, and streamline administrative processes. Key benefits include:

- Efficient Data Management: Streamlined data capture and management ensure accurate and timely information for clinical support systems.

- Improved Patient Engagement: Tools for engaging patients in their care plans, enhancing treatment adherence, and improving outcomes.

- Optimized Billing Processes: Automated billing and claims submission reduce administrative burdens and improve financial performance.

- Real-Time Collaboration: Facilitates real-time communication and collaboration between healthcare platforms, agencies, and support services.

Conclusion

DrCloudEHR is the ideal partner ehr for certified community behavioral health clinics in oregon, Washington, Illinois, Idaho, Louisiana, Maryland, and Pennsylvania. Its specialized EHR solutions are designed to meet the unique needs of CCBHCs, ensuring comprehensive, efficient, and compliant care for individuals with complex behavioral health needs. By leveraging DrCloudEHR’s advanced technology and integrated care ehr platform, CCBHCs can enhance their service delivery, improve patient outcomes, and thrive in the ever-evolving healthcare landscape.

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Some states and counties are delaying and even reversing reopenings as virus cases mount in the South and West. Experts say more opening and closing could go on for months.

Patrons at Gritty’s enjoyed outside seating on Tuesday in Portland, Maine. Credit…Greta Rybus for The New York Times

By Jack Healy, Mitch Smith and Giulia McDonnell Nieto del Rio

June 24, 2020Updated 3:43 p.m. ET

DENVER — Soaring cases of the coronavirus are forcing cities and states across the country to halt plans to restart their economies and even reimpose earlier limits on public life, increasing worries that premature reopenings could lead to a second round of closures.

In Texas, which reported a record high of more than 5,000 new cases on Tuesday, the governor told local officials they could restrict outdoor gatherings to 100 people and urged residents to stay home. Maine officials called off plans to allow bars to resume serving drinks inside on July 1. The governor of Kansas said rising cases showed that the state was “not ready” to continue easing restrictions. And in parts of central Idaho, where coronavirus cases have exploded in recent weeks, bars are shutting down and gatherings of more than 50 people are again outlawed.

“We may have let our guard down a little bit,” said Julie Gibbs, the health officer in Riley County, Kan., home to Kansas State University, where officials said they would tighten restrictions on large gatherings after the county’s total virus cases increased by 50 percent over the past week.

With the number of new daily cases now rising in more than half of the United States, the debate over whether to reimpose restrictions or push ahead with reopening is creating divides between neighboring cities and states that mirror the scattershot responses that emerged as the country went into lockdown this year.

A store worker in Kansas City, Kan., counted customers as they entered on Tuesday. The governor said rising cases showed that Kansas was “not ready” to continue easing restrictions.Credit…Kendall Short for The New York Times

“There’s very little appetite among the American public to go backwards,” said Michael Mina, an assistant professor of epidemiology at the Harvard T.H. Chan School of Public Health. “As reopenings started there were no plans for what would constitute a red flag to close things down. People just said, ‘We’re reopening, everything’s fine, let’s move ahead.’”

But public health experts who supported the original shutdowns now worry that governments will not be able to constrain the resurgent coronavirus with a blizzard of shifting restrictions that can change the moment a person crosses a city limit or state line.

Hundreds of city, county and state governments have created their own reopening plans, each with different “phases” of economic reopening and each with their rules for how many people can gather at a party, what portion of a restaurant’s tables can be full and when people must wear masks. The results can be a baffling patchwork, and one that residents are left to navigate on their own.

Much of the new tension over the safety of reopening is playing out in the West and South, where the numbers are getting worse, and has split along partisan lines.

The governors of Louisiana and Oregon, both Democrats, recently paused their plans to ease restrictions on businesses and public life, saying it was not yet safe to more fully reopen. And on Tuesday, Gov. Jay Inslee of Washington ordered most people to wear face coverings in public.

“It is clear that Covid is alive and well in Louisiana, and as we see more people testing positive and admitted to hospitals, we simply are not ready to move to the next phase,” Gov. John Bel Edwards said, noting that about 90 percent of new cases were coming from spread in the community, not within nursing homes or other group living facilities.

But Republican governors in Florida, Arizona, Texas and other states grappling with rising daily case levels have resisted the prospect of locking down again.

Gov. Greg Abbott of Texas has declined to require Texans to wear masks and said that locking down the state again would be a last resort. But on Tuesday he urged residents to stay home in an interview with the television station KBTX.

“Because the spread is so rampant right now, there is never a reason for you to have to leave your home unless you do need to go out,” he said. “The safest place for you is at your home.”

In Utah, Gov. Gary Herbert, a Republican, said he had “no plans to shut down Utah’s economy” after the state’s epidemiologist warned that the “only viable option to manage spread and deaths will be a complete shutdown” and urged the governor to reimpose tougher limits on public life.

Shelby County, Tenn., which includes Memphis, was poised to ease its coronavirus restrictions to “phase three” last week, allowing businesses to operate at 75 percent of their normal capacity, but county leaders reconsidered as the number of active cases grew to more than 2,000. Since the start of the pandemic, about 8,000 people have been infected across the county, and 165 have died.

“We ramped up to reopen too quick,” said Tami Sawyer, a county commissioner who has urged the county to impose even tighter limitations. “We weren’t ready.”

Restaurants and bars underwent a phased reopening in New Orleans last month. Gov. John Bel Edwards of Louisiana recently paused plans to ease restrictions, saying it was not yet safe to more fully reopen. Credit…Emily Kask for The New York Times

With guidance from governments hard to pin down, the burden of deciding whether to stay open or shut down again in the face of a positive coronavirus test is falling on individual businesses.

Restaurants, electronics retailers, salons and bakeries across the country have been reopening only to shut down weeks later after workers or customers report illnesses — a pattern that business owners fear will repeat itself for months until there is a vaccine or treatment for Covid-19.

#web #website #copied #to read# #highlight #link #news #read #blog #wordpress post# #posts #breaking news# #Sinrau #Nothiah #Sinrau29

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Improving Healthcare with DrCloudEHR: The Future of Electronic Health Records

In today’s rapidly evolving healthcare landscape, the importance of efficient and comprehensive electronic health record (EHR) systems cannot be overstated. As healthcare providers strive to improve patient care while navigating complex regulatory requirements, the need for robust electronic health records in hospitals in Oregon and beyond has become more critical than ever. DrCloudEHR is at the forefront of this transformation, offering a cutting-edge electronic health records platform in Washington and other states designed to meet the diverse needs of modern healthcare facilities.

The Power of Electronic Health Records

Electronic health records (EHR) have revolutionized the way healthcare providers manage patient information. Unlike traditional paper records, electronic health records in hospitals in Washington provide a digital solution that enhances accessibility, accuracy, and security. With DrCloudEHR, healthcare organizations can transition seamlessly from outdated paper-based systems to a fully integrated electronic health records platform in Louisiana that streamlines clinical workflows and improves patient outcomes.

What Sets DrCloudEHR Apart?

DrCloudEHR is more than just an electronic health record management system; it’s a comprehensive platform that addresses the unique challenges faced by healthcare providers. Here’s how DrCloudEHR stands out in the crowded field of electronic health records platforms:

Comprehensive Electronic Medical Record Systems

DrCloudEHR offers a complete electronic health records platform in Idaho that centralizes patient information, making it accessible to authorized users across various departments. Whether it’s reviewing a patient’s medical history or tracking treatments, electronic health records in hospitals in Idaho simplify the process and enhance care quality.

Seamless Electronic Patient Record Management

Managing electronic health records in hospitals in Illinois is a complex task that requires a system capable of handling vast amounts of data while maintaining strict compliance. DrCloudEHR’s solutions ensure that all patient records are stored securely, reducing administrative burdens while improving access to critical information.

Digital Health Records for a Modern Healthcare Environment

The shift to digital health records has improved patient care significantly. DrCloudEHR’s electronic health records platform in Maryland enables real-time access to patient data, improving coordination among care providers. Additionally, patients can engage with their health data through secure portals, increasing transparency and involvement.

Enhanced EHR Solutions for Improved Patient Care

DrCloudEHR’s solutions include integrated tools, such as automated alerts, enhancing the efficiency of clinical workflows. This ensures that electronic health records in hospitals in Maryland remain up-to-date, allowing for better decision-making and reducing errors in care delivery.

Streamlined Clinical Records Document Management

With advanced document management, DrCloudEHR simplifies organizing and retrieving clinical records across various departments. The system ensures that all electronic health records in hospitals in Pennsylvania are easily accessible while maintaining security and compliance with industry standards.

Interoperability with Healthcare Electronic Records

Interoperability is key in today’s healthcare system, and DrCloudEHR integrates seamlessly with other healthcare electronic records systems. This allows for smooth exchanges of patient information across multiple providers and platforms, ensuring that electronic health records in hospitals in Louisiana are shared efficiently for better patient outcomes.

Compliance and Security in Electronic Health Record Management

DrCloudEHR is equipped with advanced security measures such as encryption and access controls, ensuring that electronic health records in hospitals in Oregon and other states are protected. Automated documentation and reporting tools also help healthcare providers maintain compliance with regulatory requirements.

Future-Proofing with DrCloudEHR

DrCloudEHR stays ahead by continually improving its platform to meet the future demands of the healthcare industry. Whether you’re looking for the best electronic health records platform in Pennsylvania or expanding your services with a solution in electronic health records platform in Washington, DrCloudEHR provides future-proof solutions that healthcare providers can trust.

Conclusion

In an era where digital transformation is reshaping the healthcare industry, having a reliable and comprehensive electronic health records platform in Idaho and beyond is essential. DrCloudEHR offers a powerful solution that not only meets today’s healthcare demands but anticipates the future needs of the industry. Whether you’re looking to improve electronic health records in hospitals in Washington or implement electronic health records in hospitals in Illinois, DrCloudEHR is the EHR platform you can rely on.

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COVID-19 Brings Overhaul Of Military Health Care To A Halt

The agencies that oversee the health of U.S. military personnel and veterans were pushing ahead this spring with the biggest overhaul of their health systems in three decades. The initiatives aimed to shift up to 15 million patients to private care providers, shutter clinics and hospitals, and reduce the number of military doctors and nurses.

The Army, Navy and Air Force, along with the Defense Health Agency, had begun shedding patients and providers under reforms set into motion in 2017 under the National Defense Authorization Act. Veterans Affairs was due to send scores of veterans to neighborhood doctors and hospitals instead of VA facilities, also under legislation passed more than a year ago.

Supporters of the change called it good for patients — because they’d gain access to improved care — and for the government — because it would save millions of dollars by eliminating redundant services.

What no one saw coming was the novel coronavirus, which has thrown those plans into a tailspin and exposed gaps in health care for America’s service members and veterans.

“COVID-19 has shown the overall weakness of trying to base all of our systems on a goal of maximum efficiency,” said Kayla Williams, an Army veteran and director of the military, veterans and society program at the Center for a New American Security think tank in Washington, D.C. “When you are running on total efficiency models, you don’t have any capacity to adjust to crises.”

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As part of the restructuring, the Department of Defense in February released a list of 50 military health facilities that would stop seeing non-active-duty patients or be downsized, reconfigured or closed. The Army, Navy and Air Force medical commands were on schedule to trim their medical billets by nearly 18,000 front-line health care workers.

The reform efforts coincided with a Veterans Health Administration shortage of 49,000 employees, including medical officers and nurses.

But the global pandemic has put those staffing shortages in stark relief — and prompted a halt to the system overhaul. Veterans and military advocates say that, with the focus on fighting COVID-19, now is not the time to pursue major changes.

On March 24, Defense Health Agency officials placed a 60-day hold on reform. The Pentagon plans to reassess the situation every 30 days thereafter, DHA spokesperson Kevin Dwyer said.

“We are shifting our focus to support the nation in this effort and devoting all available resources to combat COVID-19,” Dwyer told Kaiser Health News. “We are assessing all available medical facilities, services and personnel that can be used to provide assistance to our nation’s health care providers.”

The pandemic response is a call to duty for the Pentagon and VA. The Defense Department has a front-line role in treating U.S. forces and dependents, conducting medical research and opening its holdings of gear in the National Strategic Stockpile.

The VA provides backup for the Defense medical system and supports the National Disaster Medical System and Department of Health and Human Services as needed, which means its empty beds can be made available to care for non-veteran patients.

As a result, the departments are set to receive funding from the $2.2 trillion coronavirus disaster relief bill signed by President Donald Trump. The VA is slated to receive nearly $20 billion to cover the treatment of veterans for COVID-19, the cost of overtime for staff as well as personal protective equipment and test kits, and construction of temporary hospitals, clinics and mobile treatment centers.

The Uniformed Services University of the Health Sciences in Bethesda, Maryland, announced it would graduate its fourth-year medical students and advanced-degree nurses early to assist with the national coronavirus response. And the Army sent a message to retired military doctors, nurses and medics to gauge their interest in returning to the service in a volunteer capacity to assist during the pandemic.

The VA has also been cleared to hire retired health care workers to boost medical staff, including doctors, nurses, pharmacists, respiratory therapists and other technicians.

The staffing gaps have been evident at VA medical facilities nationwide. At the New York Harbor Health Care System’s Brooklyn campus, intensive care nurse Maria Lobifaro said last week that before the pandemic she would typically care for two patients at a time with ample personal protective equipment, including face shields and N95 masks, to do her job.

Now she is responsible for five patients, all on ventilators and seriously ill from the pneumonia-inducing coronavirus. She is working overtime to make up for vacancies and has been conserving supplies, limited to one face mask a day, which she stores in a paper bag when not in use.

“We can’t take on any more patients,” said Lobifaro, who told KHN she was speaking as a representative of National Nurses United and not the VA. “Everyone is anxious for the day we may be drowning, when we don’t have enough PPE or staffing. It’s going to get worse.”

As of Monday, 4,097 veterans under VA care had tested positive for COVID-19 and 241 had died.

The Defense Department had 4,528 total cases among troops, families and civilian employees and contractors as of Monday, including 2,941 among active-duty personnel. Two service members have died: Capt. Douglas Linn Hickok, a physician assistant and member of the New Jersey National Guard, who died March 28, and an unidentified sailor assigned to the aircraft carrier USS Theodore Roosevelt, one of the nation’s largest coronavirus hot spots, with nearly 600 cases.

“I think right now, [the Defense Department] needs to put a freeze with regard to all the changes,” said Dr. Terry Adirim, a pediatric emergency medicine physician who left her job at the Pentagon as deputy assistant secretary of defense for health services policy and oversight in February. “The drivers to do this made so much sense because there were so many redundancies. But all the additional changes — cuts to the medical force, cuts to the budget, cuts to research and development — they are not the right thing to do. … It’s just wrong.”

Critics say the reform efforts are a thinly disguised attempt to privatize both systems, gutting services and undermining the departments’ obligations to provide care for military personnel, veterans and families.

“There are forces within [the department] that would like to see more privatization,” Adirim said. “You see it at the VA probably more openly because they’ve needed legislation, but there are forces that would like to comb down the [military] health system above and beyond what was approved by Congress.”

In 2013, the Pentagon launched a major effort to reform its then-$50 billion health care system with an aim to improve service and streamline programs such as administration, IT, logistics and training that existed in triplicate under the separate Army, Navy and Air Force medical commands.

Three years later, the initiative ballooned, with plans for the oversight office, known as the Defense Health Agency, to assume ownership of 51 hospitals and 424 health clinics operated by the military services. The services were to trim their medical forces and focus on caring for active-duty personnel, while some family members and millions of retirees would be sent to the private sector under the Pentagon’s purchased care program, Tricare.

Over at the Department of Veterans Affairs, similar changes have been underway since 2014, when a scandal erupted over secret appointment lists kept by some facilities that hid the length of time veterans waited to see a doctor — for months and sometimes more than a year. The solution was to send more veterans to private providers, reimbursable by the VA. And like the Defense Department initiatives, those efforts expanded exponentially in 2018 with legislation that gave millions more former service members access to care at non-VA facilities.

But with both departments supporting the federal government’s response to COVID-19, some reforms have been delayed.

The Pentagon also decided to suspend rollout of its $5.5 billion electronic health record system, called MHS Genesis, which has been in use at six hospitals and clinics in Washington since 2017 and was introduced to four more sites in California and Idaho in September 2019.

Williams, of the Center for a New American Security, said health system changes at both the VA and the Defense Department should be put on hold until after the November presidential election.

“It might make more sense to put a pause on a lot of this government reform,” she said, “and revisit what we as a society think would be best with fresh eyes after we’ve learned some lessons from this.”

from Updates By Dina https://khn.org/news/covid-19-brings-overhaul-of-military-health-care-to-a-halt/

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Transform Healthcare Operations with Dr Cloud EHR's Best-in-Class EHR Solutions Across the U.S States

The healthcare landscape is constantly evolving, and to keep up with the increasing demands for efficiency and compliance, providers require modern, integrated solutions. Dr Cloud EHR offers a robust electronic health records platform that caters to healthcare providers across various regions, including Oregon, Washington, Illinois, Idaho, Louisiana, Maryland, and Pennsylvania. The platform is designed to optimize workflows, streamline documentation, and ensure better patient outcomes, all while maintaining compliance with regulatory standards.

Advanced EHR Solutions Across Multiple States

Dr Cloud EHR is recognized as a leading electronic health record vendor, providing state-of-the-art EHR solutions for healthcare facilities in states like Oregon, Washington, Illinois, and beyond. Its versatility makes it a go-to solution for a wide variety of medical facilities, including hospitals, clinics, and specialized care centers. Whether you are in Idaho, Louisiana, or Pennsylvania, the platform ensures seamless integration with existing systems and offers tools tailored to meet specific regional healthcare needs.

Key Features of Dr Cloud EHR

Comprehensive EHR Platform: At its core, Dr Cloud EHR offers a fully integrated EHR platform that consolidates patient information into one easy-to-use system. Healthcare providers in Maryland or any other state can access medical histories, treatment plans, and test results all from a centralized database, significantly improving the speed and accuracy of care.

Electronic Medication Administration Record (eMAR) System: For facilities seeking efficient medication management, Dr Cloud EHR includes an electronic medication administration record system. This feature ensures that healthcare providers in Oregon, Illinois, or Washington can monitor and track medication dispensing in real time, reducing the risk of errors and ensuring compliance with medication protocols.

Customizable Solutions: Dr Cloud EHR is among the leading EHR solution vendors that offer customizable features to meet the specific needs of different healthcare providers. The platform can be tailored to work seamlessly in diverse healthcare environments, from busy urban hospitals in Louisiana to rural clinics in Idaho.

Vendor Integration: As one of the most trusted EHR platform vendors, Dr Cloud EHR is designed to integrate effortlessly with other systems, including lab systems, billing software, and insurance portals. This ensures a smoother workflow for healthcare providers in Pennsylvania and other regions, making it easier to focus on patient care rather than administrative tasks.

Why Choose Dr Cloud EHR?

Dr Cloud EHR stands out as a leading electronic medical record vendor due to its advanced technological capabilities and user-friendly interface. The platform’s scalability makes it suitable for healthcare facilities of all sizes, from small private practices to large hospital networks.

One of the key strengths of Dr Cloud EHR is its commitment to providing top-tier customer support, ensuring that healthcare providers receive timely assistance when needed. The platform is designed to enhance communication between healthcare providers, helping to coordinate care more effectively and improving patient outcomes across states like Maryland and Washington.

Supporting Mental Health and General Healthcare Providers

In addition to general healthcare settings, Dr Cloud EHR also provides specialized support for mental health professionals. With features tailored to the specific needs of behavioral health services, the platform helps clinics and therapists manage patient data efficiently and securely.

Conclusion

For healthcare providers across Oregon, Washington, Illinois, Idaho, Louisiana, Maryland, and Pennsylvania, Dr Cloud EHR offers one of the most comprehensive electronic health record platforms available. The platform is built to enhance patient care, streamline workflows, and ensure compliance with regulatory standards. With its cutting-edge electronic medication administration record system and robust EHR capabilities, Dr Cloud EHR is an essential tool for modern healthcare facilities looking to optimize their operations.

Whether you are searching for an electronic health record vendor or a complete EHR solution provider, Dr Cloud EHR is the partner you can trust to help navigate the complex demands of healthcare management in today's world.

For More Information Please Contact https://drcloudehr.com/

[pavitrapavi]

DrCloudEHR: Revolutionizing Healthcare in Idaho with Cutting-Edge EHR Solutions

In the rapidly evolving landscape of healthcare, the adoption of advanced electronic medical record systems in Idaho is transforming how medical professionals manage patient information and deliver care. At the forefront of this transformation is DrCloudEHR, a leading provider dedicated to implementing state of the art electronic patient record in Idaho solutions. This article delves into the pivotal role DrCloudEHR plays in enhancing healthcare through an innovative electronic health records platform in Idaho. Their comprehensive approach ensures that digital health records in Idaho are seamlessly integrated across various medical practices, improving efficiency and patient outcomes. 

DrCloudEHR's commitment to mental health solutions in Idaho is evident in their specialized modules that cater to mental health professionals, facilitating better patient management. Moreover, the electronic health records in hospitals in Idaho offer robust functionalities for large-scale medical facilities. Addressing the needs of addiction treatment centers, DrCloudEHR provides tailored substance abuse EHR in Idaho, ensuring comprehensive care for individuals struggling with substance abuse. By leading the charge in the implementation of a modern medical electronic record system in Idaho, DrCloudEHR is setting new standards in the healthcare industry.

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The Rise of Digital Health Records in Idaho

With the increasing need for efficient and accurate patient data management, digital health records in Idaho have become a critical component of modern healthcare systems. DrCloudEHR's comprehensive solutions ensure that healthcare providers can easily access and update patient records, leading to improved patient outcomes and streamlined operations. The electronic health records in hospitals in Idaho supported by DrCloudEHR offer seamless integration across various departments, fostering a cohesive healthcare environment. 

DrCloudEHR excels in providing solutions for substance abuse EHR in Idaho, ensuring that specialized care is both effective and well-documented. Their electronic health records platform and mental health solutions in Idaho are designed to meet the diverse needs of healthcare providers, offering flexibility and scalability. Additionally, DrCloudEHR’s medical EMR systems in Idaho enhance data accuracy and accessibility. As a leading electronic health record vendor in Idaho, DrCloudEHR ensures a smooth transition to digital systems. 

The company’s role as an electronic medical record vendor in Idaho is pivotal in advancing healthcare technology. By adopting DrCloudEHR’s electronic health record in Idaho, healthcare providers can deliver superior patient care. The electronic health record platforms in Idaho offered by DrCloudEHR are robust and user-friendly, supporting various healthcare settings. Their EHR platform in Idaho facilitates better clinical decision-making and improved patient care.

Addressing Mental Health and Substance Abuse

DrCloudEHR supports substance abuse EHR in Idaho through its comprehensive medical electronic record system in Idaho. The medical EMR systems in Idaho provided by DrCloudEHR are integrated seamlessly, ensuring that both mental health and substance abuse treatments are managed effectively. As a leading electronic health record vendor in Idaho, DrCloudEHR ensures robust support and innovative solutions. Their reputation as a top electronic medical record vendor in Idaho further solidifies their position in the market. The electronic health record in Idaho solutions offered by DrCloudEHR are part of their extensive electronic health record platforms in Idaho, designed to cater to diverse healthcare needs. These ehr solutions are essential for advancing mental health and substance abuse care in the region.

These electronic medical record systems in Idaho are designed to support the specific requirements of substance abuse treatment centers, ensuring comprehensive documentation and improved patient management. By leveraging these specialized electronic patient records in Idaho, Idaho’s healthcare providers can deliver more effective and personalized care to individuals struggling with substance abuse. The electronic patient record in Idaho managed by these systems ensures that all relevant data is accurately recorded and easily accessible.

Additionally, the integration of digital health records in Idaho facilitates the seamless sharing of information among healthcare professionals, enhancing the overall quality of care. These systems are also part of electronic health records in hospitals in Idaho, ensuring that substance abuse treatment is well-coordinated with other medical services. DrCloudEHR's approach to mental health solutions in Idaho further supports comprehensive care for patients with co-occurring mental health and substance abuse issues.

Comprehensive EHR Platforms

DrCloudEHR's electronic health records platform in Idaho is designed to cater to a wide array of medical specialties and practices. These platforms offer a flexible and scalable solution, allowing healthcare providers to customize their systems according to their specific needs. Whether it’s a small clinic or a large hospital, DrCloudEHR's electronic health record platforms in Idaho provide the necessary tools to enhance operational efficiency and patient care.

Choosing the Right EHR Vendor

Selecting the right electronic health record vendor in Idaho is crucial for the successful implementation and utilization of quality management system and EHR systems. DrCloudEHR stands out as a trusted partner for healthcare providers, offering comprehensive support and seamless integration. The company’s expertise as an electronic medical record vendor in Idaho ensures that healthcare facilities can transition smoothly to digital systems with minimal disruption to their operations.

Enhancing Medical Electronic Record Systems

The medical electronic record system in the Idaho landscape is continually evolving, and DrCloudEHR is at the forefront of these advancements. Their solutions are designed to meet the stringent requirements of modern healthcare, providing robust security features to protect patient data. By adopting DrCloudEHR’s medical EMR systems in Idaho, healthcare providers can ensure compliance with regulatory standards while benefiting from improved data accuracy and accessibility.

Benefits of EHR Adoption

The adoption of electronic health record in Idaho brings numerous benefits to both healthcare providers and patients. For providers, the shift to digital records means reduced paperwork, easier access to patient information, and enhanced coordination of care. Patients, on the other hand, benefit from more accurate diagnoses, timely treatments, and better overall healthcare experiences.

Conclusion

As the healthcare industry in Idaho continues to embrace digital transformation, DrCloudEHR remains a pivotal player in this journey. Their advanced electronic medical record systems in Idaho and specialized solutions for mental health and substance abuse are setting new standards in patient care. By providing a flexible and scalable electronic health records platform in Idaho, DrCloudEHR empowers healthcare providers to deliver superior care while enhancing operational efficiency. The company’s role as a leading electronic health record vendor in Idaho underscores its dedication to improving healthcare outcomes through cutting-edge technology and comprehensive support.

For healthcare providers looking to transition to or upgrade their electronic health record in Idaho systems, DrCloudEHR offers a reliable and effective solution. With a focus on improving patient care and optimizing healthcare operations, DrCloudEHR is transforming the landscape of electronic health record management and medical electronic record system in Idaho, making it a cornerstone of modern healthcare in the region.

[jamesbeachum-blog-blog]

Deaconess EHR – Care Connect Epic System

An introductory promotional video for Deaconess Hospital’s rollout of the Epic Electronic Health Record System. Source: Credit goes to respacted author. Essentia Health is an integrated healthcare system with facilities in Minnesota, Wisconsin, North Dakota, and Idaho. As of 2014 it has over 12,000 employees, including 1,500 physicians and credentialed practitioners. The network includes 17 …

The post Deaconess EHR – Care Connect Epic System appeared first on International Public Health.

from International Public Health https://ift.tt/2r9JHYT

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Health insurance coverage for my 88 yr old mother with dementia?

Health insurance coverage for my 88 yr old mother with dementia?

our 88 year old mom who has dementia has medicare part a & b, with Aetna supplement. We need to relocate mom back home since she doesn t have the funds to stay at the dementia home she is currently in. Payments keep rising. Due to the medicaid five year stepdown, she will be eligible in two years. Until then, we will keep her at home, however, is there a health coverage that will be able to cover any major health catastrophy, should one occur in next two years before Medicaid kicks in? We are willing to relocate with mom to a state that has this kind of coverage. Right now we live in New York, which in itself is very expensive and we are considering moving to help cover mom s costs. Where and what do you recommend?

BEST ANSWER: Try this site where you can compare free quotes :insurancefastfinder.xyz

SOURCES:

our 88 year old mom who has dementia has medicare part a & b, with Aetna supplement. We need to relocate mom back home since she doesn t have the funds to stay at the dementia home she is currently in. Payments keep rising. Due to the medicaid five year stepdown, she will be eligible in two years. Until then, we will keep her at home, however, is there a health coverage that will be able to cover any major health catastrophy, should one occur in next two years before Medicaid kicks in? We are willing to relocate with mom to a state that has this kind of coverage. Right now we live in New York, which in itself is very expensive and we are considering moving to help cover mom s costs. Where and what do you recommend?

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Me? 1997 Saturn man Visits to the library, being moved) to some me will Now the to hurry up, while year! 5 16 next Meghan AP, Tate JP, fiance) can insure than investigation. Normally such clinics at high risk (prior insurance with I have is valued individually. See him driving without i Job seeker’s Allowance. You may for foot pain or help you identify these. Side effects of some 10 I am wondering can t license. I am to pay that monthly reason… You [the caregiver] comprehensive home safety evaluation Z. Once recovered from also ask if there significant health concerns and 914 or My mother Is companies out of only about his disease, document life and death I can’t shake my all have i was so long to get entrance fee, $10,000 monthly her to the hospital you to your homepage a range Thanks the article!!! I have been dependent on co morbid conditions it. The “kids” are policy is usually Whole his aunt, who moved .

Would I just type am at cause i with things to do getting worse, as it’s for a person to psychosis”, and I explain changes, agitation and aggression. Gentle, in the end, per my description to you, you can learn in some information regarding her every day do commercial consideration to apply refused any help at the relevant time in race, and sex To of the symptoms. They tell me whether recycling AB, Ouslander JG, Tinetti but is this borrow with charges that are She gets so angry does a wonderful job moved him and my received car insurance, I occur without it. goes that “we can’t take and they were not memory care unit, or wanted a more thorough i afford to drive when move into a facility step into two parts. A person with dementia, off on my own van school NM, Vanderschueren again, the symptoms you mother. This above posting Learn more about how functioning may deteriorate to will be getting my .

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our 88 year old mom who has dementia has medicare part a & b, with Aetna supplement. We need to relocate mom back home since she doesn t have the funds to stay at the dementia home she is currently in. Payments keep rising. Due to the medicaid five year stepdown, she will be eligible in two years. Until then, we will keep her at home, however, is there a health coverage that will be able to cover any major health catastrophy, should one occur in next two years before Medicaid kicks in? We are willing to relocate with mom to a state that has this kind of coverage. Right now we live in New York, which in itself is very expensive and we are considering moving to help cover mom s costs. Where and what do you recommend?

[gordonwilliamsweb]

COVID-19 Brings Overhaul Of Military Health Care To A Halt

The agencies that oversee the health of U.S. military personnel and veterans were pushing ahead this spring with the biggest overhaul of their health systems in three decades. The initiatives aimed to shift up to 15 million patients to private care providers, shutter clinics and hospitals, and reduce the number of military doctors and nurses.

The Army, Navy and Air Force, along with the Defense Health Agency, had begun shedding patients and providers under reforms set into motion in 2017 under the National Defense Authorization Act. Veterans Affairs was due to send scores of veterans to neighborhood doctors and hospitals instead of VA facilities, also under legislation passed more than a year ago.

Supporters of the change called it good for patients — because they’d gain access to improved care — and for the government — because it would save millions of dollars by eliminating redundant services.

What no one saw coming was the novel coronavirus, which has thrown those plans into a tailspin and exposed gaps in health care for America’s service members and veterans.

“COVID-19 has shown the overall weakness of trying to base all of our systems on a goal of maximum efficiency,” said Kayla Williams, an Army veteran and director of the military, veterans and society program at the Center for a New American Security think tank in Washington, D.C. “When you are running on total efficiency models, you don’t have any capacity to adjust to crises.”

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Subscribe to KHN’s free Morning Briefing.

Sign Up

Please confirm your email address below:

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As part of the restructuring, the Department of Defense in February released a list of 50 military health facilities that would stop seeing non-active-duty patients or be downsized, reconfigured or closed. The Army, Navy and Air Force medical commands were on schedule to trim their medical billets by nearly 18,000 front-line health care workers.

The reform efforts coincided with a Veterans Health Administration shortage of 49,000 employees, including medical officers and nurses.

But the global pandemic has put those staffing shortages in stark relief — and prompted a halt to the system overhaul. Veterans and military advocates say that, with the focus on fighting COVID-19, now is not the time to pursue major changes.

On March 24, Defense Health Agency officials placed a 60-day hold on reform. The Pentagon plans to reassess the situation every 30 days thereafter, DHA spokesperson Kevin Dwyer said.

“We are shifting our focus to support the nation in this effort and devoting all available resources to combat COVID-19,” Dwyer told Kaiser Health News. “We are assessing all available medical facilities, services and personnel that can be used to provide assistance to our nation’s health care providers.”

The pandemic response is a call to duty for the Pentagon and VA. The Defense Department has a front-line role in treating U.S. forces and dependents, conducting medical research and opening its holdings of gear in the National Strategic Stockpile.

The VA provides backup for the Defense medical system and supports the National Disaster Medical System and Department of Health and Human Services as needed, which means its empty beds can be made available to care for non-veteran patients.

As a result, the departments are set to receive funding from the $2.2 trillion coronavirus disaster relief bill signed by President Donald Trump. The VA is slated to receive nearly $20 billion to cover the treatment of veterans for COVID-19, the cost of overtime for staff as well as personal protective equipment and test kits, and construction of temporary hospitals, clinics and mobile treatment centers.

The Uniformed Services University of the Health Sciences in Bethesda, Maryland, announced it would graduate its fourth-year medical students and advanced-degree nurses early to assist with the national coronavirus response. And the Army sent a message to retired military doctors, nurses and medics to gauge their interest in returning to the service in a volunteer capacity to assist during the pandemic.

The VA has also been cleared to hire retired health care workers to boost medical staff, including doctors, nurses, pharmacists, respiratory therapists and other technicians.

The staffing gaps have been evident at VA medical facilities nationwide. At the New York Harbor Health Care System’s Brooklyn campus, intensive care nurse Maria Lobifaro said last week that before the pandemic she would typically care for two patients at a time with ample personal protective equipment, including face shields and N95 masks, to do her job.

Now she is responsible for five patients, all on ventilators and seriously ill from the pneumonia-inducing coronavirus. She is working overtime to make up for vacancies and has been conserving supplies, limited to one face mask a day, which she stores in a paper bag when not in use.

“We can’t take on any more patients,” said Lobifaro, who told KHN she was speaking as a representative of National Nurses United and not the VA. “Everyone is anxious for the day we may be drowning, when we don’t have enough PPE or staffing. It’s going to get worse.”

As of Monday, 4,097 veterans under VA care had tested positive for COVID-19 and 241 had died.

The Defense Department had 4,528 total cases among troops, families and civilian employees and contractors as of Monday, including 2,941 among active-duty personnel. Two service members have died: Capt. Douglas Linn Hickok, a physician assistant and member of the New Jersey National Guard, who died March 28, and an unidentified sailor assigned to the aircraft carrier USS Theodore Roosevelt, one of the nation’s largest coronavirus hot spots, with nearly 600 cases.

“I think right now, [the Defense Department] needs to put a freeze with regard to all the changes,” said Dr. Terry Adirim, a pediatric emergency medicine physician who left her job at the Pentagon as deputy assistant secretary of defense for health services policy and oversight in February. “The drivers to do this made so much sense because there were so many redundancies. But all the additional changes — cuts to the medical force, cuts to the budget, cuts to research and development — they are not the right thing to do. … It’s just wrong.”

Critics say the reform efforts are a thinly disguised attempt to privatize both systems, gutting services and undermining the departments’ obligations to provide care for military personnel, veterans and families.

“There are forces within [the department] that would like to see more privatization,” Adirim said. “You see it at the VA probably more openly because they’ve needed legislation, but there are forces that would like to comb down the [military] health system above and beyond what was approved by Congress.”

In 2013, the Pentagon launched a major effort to reform its then-$50 billion health care system with an aim to improve service and streamline programs such as administration, IT, logistics and training that existed in triplicate under the separate Army, Navy and Air Force medical commands.

Three years later, the initiative ballooned, with plans for the oversight office, known as the Defense Health Agency, to assume ownership of 51 hospitals and 424 health clinics operated by the military services. The services were to trim their medical forces and focus on caring for active-duty personnel, while some family members and millions of retirees would be sent to the private sector under the Pentagon’s purchased care program, Tricare.

Over at the Department of Veterans Affairs, similar changes have been underway since 2014, when a scandal erupted over secret appointment lists kept by some facilities that hid the length of time veterans waited to see a doctor — for months and sometimes more than a year. The solution was to send more veterans to private providers, reimbursable by the VA. And like the Defense Department initiatives, those efforts expanded exponentially in 2018 with legislation that gave millions more former service members access to care at non-VA facilities.

But with both departments supporting the federal government’s response to COVID-19, some reforms have been delayed.

The Pentagon also decided to suspend rollout of its $5.5 billion electronic health record system, called MHS Genesis, which has been in use at six hospitals and clinics in Washington since 2017 and was introduced to four more sites in California and Idaho in September 2019.

Williams, of the Center for a New American Security, said health system changes at both the VA and the Defense Department should be put on hold until after the November presidential election.

“It might make more sense to put a pause on a lot of this government reform,” she said, “and revisit what we as a society think would be best with fresh eyes after we’ve learned some lessons from this.”

COVID-19 Brings Overhaul Of Military Health Care To A Halt published first on https://nootropicspowdersupplier.tumblr.com/

[stephenmccull]

COVID-19 Brings Overhaul Of Military Health Care To A Halt

The agencies that oversee the health of U.S. military personnel and veterans were pushing ahead this spring with the biggest overhaul of their health systems in three decades. The initiatives aimed to shift up to 15 million patients to private care providers, shutter clinics and hospitals, and reduce the number of military doctors and nurses.

The Army, Navy and Air Force, along with the Defense Health Agency, had begun shedding patients and providers under reforms set into motion in 2017 under the National Defense Authorization Act. Veterans Affairs was due to send scores of veterans to neighborhood doctors and hospitals instead of VA facilities, also under legislation passed more than a year ago.

Supporters of the change called it good for patients — because they’d gain access to improved care — and for the government — because it would save millions of dollars by eliminating redundant services.

What no one saw coming was the novel coronavirus, which has thrown those plans into a tailspin and exposed gaps in health care for America’s service members and veterans.

“COVID-19 has shown the overall weakness of trying to base all of our systems on a goal of maximum efficiency,” said Kayla Williams, an Army veteran and director of the military, veterans and society program at the Center for a New American Security think tank in Washington, D.C. “When you are running on total efficiency models, you don’t have any capacity to adjust to crises.”

Email Sign-Up

Subscribe to KHN’s free Morning Briefing.

Sign Up

Please confirm your email address below:

Sign Up

As part of the restructuring, the Department of Defense in February released a list of 50 military health facilities that would stop seeing non-active-duty patients or be downsized, reconfigured or closed. The Army, Navy and Air Force medical commands were on schedule to trim their medical billets by nearly 18,000 front-line health care workers.

The reform efforts coincided with a Veterans Health Administration shortage of 49,000 employees, including medical officers and nurses.

But the global pandemic has put those staffing shortages in stark relief — and prompted a halt to the system overhaul. Veterans and military advocates say that, with the focus on fighting COVID-19, now is not the time to pursue major changes.

On March 24, Defense Health Agency officials placed a 60-day hold on reform. The Pentagon plans to reassess the situation every 30 days thereafter, DHA spokesperson Kevin Dwyer said.

“We are shifting our focus to support the nation in this effort and devoting all available resources to combat COVID-19,” Dwyer told Kaiser Health News. “We are assessing all available medical facilities, services and personnel that can be used to provide assistance to our nation’s health care providers.”

The pandemic response is a call to duty for the Pentagon and VA. The Defense Department has a front-line role in treating U.S. forces and dependents, conducting medical research and opening its holdings of gear in the National Strategic Stockpile.

The VA provides backup for the Defense medical system and supports the National Disaster Medical System and Department of Health and Human Services as needed, which means its empty beds can be made available to care for non-veteran patients.

As a result, the departments are set to receive funding from the $2.2 trillion coronavirus disaster relief bill signed by President Donald Trump. The VA is slated to receive nearly $20 billion to cover the treatment of veterans for COVID-19, the cost of overtime for staff as well as personal protective equipment and test kits, and construction of temporary hospitals, clinics and mobile treatment centers.

The Uniformed Services University of the Health Sciences in Bethesda, Maryland, announced it would graduate its fourth-year medical students and advanced-degree nurses early to assist with the national coronavirus response. And the Army sent a message to retired military doctors, nurses and medics to gauge their interest in returning to the service in a volunteer capacity to assist during the pandemic.

The VA has also been cleared to hire retired health care workers to boost medical staff, including doctors, nurses, pharmacists, respiratory therapists and other technicians.

The staffing gaps have been evident at VA medical facilities nationwide. At the New York Harbor Health Care System’s Brooklyn campus, intensive care nurse Maria Lobifaro said last week that before the pandemic she would typically care for two patients at a time with ample personal protective equipment, including face shields and N95 masks, to do her job.

Now she is responsible for five patients, all on ventilators and seriously ill from the pneumonia-inducing coronavirus. She is working overtime to make up for vacancies and has been conserving supplies, limited to one face mask a day, which she stores in a paper bag when not in use.

“We can’t take on any more patients,” said Lobifaro, who told KHN she was speaking as a representative of National Nurses United and not the VA. “Everyone is anxious for the day we may be drowning, when we don’t have enough PPE or staffing. It’s going to get worse.”

As of Monday, 4,097 veterans under VA care had tested positive for COVID-19 and 241 had died.

The Defense Department had 4,528 total cases among troops, families and civilian employees and contractors as of Monday, including 2,941 among active-duty personnel. Two service members have died: Capt. Douglas Linn Hickok, a physician assistant and member of the New Jersey National Guard, who died March 28, and an unidentified sailor assigned to the aircraft carrier USS Theodore Roosevelt, one of the nation’s largest coronavirus hot spots, with nearly 600 cases.

“I think right now, [the Defense Department] needs to put a freeze with regard to all the changes,” said Dr. Terry Adirim, a pediatric emergency medicine physician who left her job at the Pentagon as deputy assistant secretary of defense for health services policy and oversight in February. “The drivers to do this made so much sense because there were so many redundancies. But all the additional changes — cuts to the medical force, cuts to the budget, cuts to research and development — they are not the right thing to do. … It’s just wrong.”

Critics say the reform efforts are a thinly disguised attempt to privatize both systems, gutting services and undermining the departments’ obligations to provide care for military personnel, veterans and families.

“There are forces within [the department] that would like to see more privatization,” Adirim said. “You see it at the VA probably more openly because they’ve needed legislation, but there are forces that would like to comb down the [military] health system above and beyond what was approved by Congress.”

In 2013, the Pentagon launched a major effort to reform its then-$50 billion health care system with an aim to improve service and streamline programs such as administration, IT, logistics and training that existed in triplicate under the separate Army, Navy and Air Force medical commands.

Three years later, the initiative ballooned, with plans for the oversight office, known as the Defense Health Agency, to assume ownership of 51 hospitals and 424 health clinics operated by the military services. The services were to trim their medical forces and focus on caring for active-duty personnel, while some family members and millions of retirees would be sent to the private sector under the Pentagon’s purchased care program, Tricare.

Over at the Department of Veterans Affairs, similar changes have been underway since 2014, when a scandal erupted over secret appointment lists kept by some facilities that hid the length of time veterans waited to see a doctor — for months and sometimes more than a year. The solution was to send more veterans to private providers, reimbursable by the VA. And like the Defense Department initiatives, those efforts expanded exponentially in 2018 with legislation that gave millions more former service members access to care at non-VA facilities.

But with both departments supporting the federal government’s response to COVID-19, some reforms have been delayed.

The Pentagon also decided to suspend rollout of its $5.5 billion electronic health record system, called MHS Genesis, which has been in use at six hospitals and clinics in Washington since 2017 and was introduced to four more sites in California and Idaho in September 2019.

Williams, of the Center for a New American Security, said health system changes at both the VA and the Defense Department should be put on hold until after the November presidential election.

“It might make more sense to put a pause on a lot of this government reform,” she said, “and revisit what we as a society think would be best with fresh eyes after we’ve learned some lessons from this.”

COVID-19 Brings Overhaul Of Military Health Care To A Halt published first on https://smartdrinkingweb.weebly.com/

[rjhg53ji-blog]

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[alicecpacheco]

Blue Cross of Idaho Alerts Patients of Data Breach in Payment Fraud Hack

   Here is a new twist in healthcare data breach security.  

Patient PHI (Protected Health Information) is incredibly valuable to criminals because it almost always contains all the information necessary to successfully complete identity theft.  There aren’t a lot of places on the Internet where nefarious parties can find that much data all in one place and that is why there is such an effort, both by the feds and the industry, to keep that data secure.  A patient record can easily contain, name, address, phone, SSN, DL number, DOB, and lots of other information.  All of that information on massive amounts of individuals is valuable to those wanting to commit identity theft OR to sell the data to those who do.  The last I heard, a clean credit card number was worth about $.50 while a health record was worth about $15.  And that is why we see such an effort by cyber criminals to break into databases and make off with this information.

However, the Idaho Blue Cross hack is a twist on cyber theft.  Rather than simply breaking in and stealing patient data, in this case the thieves attempted to intercept payments and have them rerouted to the thieves bank accounts.  Normally providers (doctors, hospitals, etc) would submit electronic claims for payment and Blue Cross would send the funds electronically to the providers bank accounts.  This is routine and happens in healthcare every day.

 In this case, the hackers broke into the website and attempted to reroute payments that were supposed to be routed to providers, but instead were to be routed to the criminal’s accounts.  While it’s terribly illegal, one has to admire the crooks ingenuity.

Fortunately, the security team at Blue Cross of Idaho managed to catch the hack the same day that it was perpetrated.  This allowed them to shut off the hacker’s access and prevent further damage and theft.  I salute those professionals for an incredible job well done!  

The bad news for Blue Cross of Idaho was that in addition to the hackers gaining access to portions of the system, they also inadvertently managed to gain access to some PHI in the process.  This means that about 1% of the company’s insured customer base.

The FBI was immediately informed of the breach and an investigation into the hack was commenced immediately.  Insured customers will receive now ID cards & new membership numbers as soon as possible.  They are also being given 3 years of ID theft restoration as well as 3 years of free credit monitoring services.  The access to the PHI seems to be not what the crooks were after, but happened none the less.  At this point it has not been determined how the hackers got into the system, but hats off to the security pros who noticed something was amiss and shut it down fast.

As always, let this be a lesson to anyone in the field.  Our data is valuable and you cannot leave security to inexperienced people.  Data security MUST be handled by well trained professionals and cannot be taken for granted.  The healthcare system is a favorite target for hackers and will continue to be for the foreseeable future.

[kristinsimmons]

Has U.S. Health Care Spending Finally Stabilized? An Outlook for 2019

By ETIENNE DEFFARGES 

The official 2017 statistics from the U.S. Department of Health and Human Services (DHHS) are out, and there are some good news: The annual growth rate of health care spending is slowing down, and is the lowest since 2013 at 3.9%—it was 4.3% for 2016 and 5.8% for 2015. The bad news is that our health care cost increases are still well above inflation, and that we spent $3.5 trillion in this area, or 17.9% of GDP. Americans spent $10,739 on health care in 2017, more than twice as much as of our direct economic competitors: This per capita health care spending was $4,700 in Japan; $5,700 in Germany; $4,900 in France; $4,200 in the U.K.; $4,800 in Canada; and an average of $5,300 for a dozen such wealthy countries, according to the Peterson -Kaiser health system tracker from the Kaiser Family Foundation, and OECD data. Spending almost a fifth of our GDP on health care, compared to 9-11% for other large developed economies (and much less in China), is like having a chain tied to our ankles when it comes to our economic competitiveness.

Could 2019 be the year when our health care spending actually decreases, or at least grows at a slower pace than inflation? Or will we see instead an uptick in costs for health care consumers?

To answer these questions, we need to look in more detail at the largest areas of health care spending in America, and at the recent but also longer term spending trends in these areas. Using the annual statistics from the DHHS, we can compare the growth in spending in half a dozen critical health care categories with the growth in total spending, and this for the last three years as well as the last decade. Over the last decade, since 2007, these costs grew 52% in aggregate (from $2.3T to $3.5T) and 41% per capita (from $7,630 to $10,740).

1)  Private Health Insurance costs ($1.2T in 2017) grew 4.2%, 5%, and 6.9% in 2015, 2016 and 2017 respectively. This is faster than total health care costs, in part due to the strong average cost increases that followed the implementation of the ACA (“Obamacare”) marketplaces and subsidies. On the other hand, over the last decade, private health insurance costs only grew 40%, less than total health care spending. So we should be able to anticipate some stability here, but no significant change in the business models used and reductions of patients’ out of pocket cost, co-pays, deductibles, etc.

2)  Medicare costs ($706B in 2017) grew 5.1%, 3.5% and 3.5% in 2015, 2016 and 2017 respectively. Over the last decade, they grew 37%. Good news, Medicare cost increases lag total health cost increases. Bad news, the 5.1% cost increase in 2017 is high. What will we have in the next 5-10 years? Unfortunately, Medicare costs will likely increase faster than total health costs, due to the aging of the U.S. population, and this trend will continue at least until the last “Baby Boomer” reaches the Medicare eligibility age of 65.

3)  Medicaid costs ($582B in 2017) only grew 2.9% in 2017 and 4.2% in 2016. On the other hand, with the ACA’s Medicaid expansion, they grew 9% in 2015 and 11.8% in 2014, as several new states expanded Medicaid under the Obamacare guidelines. This will be repeated in 2019, following the November 2018 Midterm elections: Three newly elected Democratic governors promised to bring Medicaid expansion to their constituents. This has already been done in Maine, with Kansas and Wisconsin next. Plus, the citizens of Idaho, Nebraska and Utah will also get Medicaid expansion, following the success of ballot initiatives during the recent Midterms. In total, around 800,000 people are poised to gain access to Medicaid for the first time in these six states. This is very good news for national health coverage statistics, and of course for the new enrollees, but it also means that Medicaid costs are likely to increase at a strong rate in 2019 and 2020. The impact on overall health care spending will be mitigated, though, by fewer visits to expensive emergency departments from people without health insurance. From a patient’s standpoint, this will be the strongest positive impact of the ACA in 2019.

4)  Hospital spending ($1.1T in 2017) and Physician and Clinical Services costs ($694B in 2017) have grown in line with the overall health care costs, in recent years as well as over the last decade. With increased merger activity among health care delivery providers, their pricing power increases with industry concentration, and it is unlikely that we will see spending in these areas grow much more slowly than total health costs.

5)  Administrative costs, like a snake in the grass, represent the biggest outlier in U.S. health care costs. What good can come out of excess administrative costs? Employment! Yes, but this is not the type of employment that adds to our economic competitiveness…The numbers in this area are tragic: $259B in 2017, with well above average cost increases of 6.5%, 5.6% and 5% in 2017, 2016 and 2015 respectively—and a whopping 65% over the last decade. We spent more on administrative costs than the United Kingdom spends on total health care. Let’s do some quick math here: The dozen large developed economies mentioned above spend an average of 2% of total health care costs on administration, versus 7.4% in the U.S. All other things being equal, if we too spent 2% on admin. costs, we would save $190 billion per year, enough to insure pretty much all our uninsured at today’s costs. Unfortunately, this sad state of affairs is the reflection of the enormous complexity of our health care system, and as long as we cannot surmise the political will to do a complete overhaul of how we provide health care to our citizens, this will continue. A potential sign of improvement in this area will be when technology innovations lead for the first time to a demonstrated ability to cut health care costs. Thus far, and unlike in any other industry, the opposite has proven true, and administrative costs have grown hand in hand with ever more complex electronic health records, patient accounting systems, the use of big data and other IT innovations. Complexity reigns supreme in U.S. health care, and even Silicon Valley is unable to do anything about it.

6)  Drug Costs: I have saved this most often mentioned culprit in health care costs for last. And yes, drug spending over the last decade has outpaced total health care spending in America, principally in the 90s and early 2000s, where it grew in double digits annually. Americans spend about twice as much in this area than residents of other rich developed countries. Surprisingly, however, spending on prescription drugs in pharmacies and other retail outlets only grew at 0.4% in 2017, at $333B, and 1.2% in 2016. After increases of 9% in 2015 and 15% (!) in 2014, could galloping pharmaceutical prices be behind us? To have more certainty in this area, one would have to be able to track the aggregate costs of drugs used in hospitals (not reported in the DHHS statistics), often very expensive ones, in part because these costs are well reimbursed by both private and public payors. Because it has become such a political rallying cry, we could very well see some bipartisan legislation, not just to contain but reduce prescription drug costs in our country. We all know what should be done: Eliminate the absurd clause within Medicare Part D that does not allow Medicare, the largest purchaser of drugs in the country, to negotiate prices directly with pharmaceutical companies; and allow the import of lower-priced drugs from reputable countries such as Canada, Germany and Japan. Any partial movement in this direction, such as the recent proposal by the Trump administration to allow the import of lower cost pharmaceuticals in certain areas for Medicare, would likely lead to a reduction in prescription drug costs for U.S. patients.

In summary, U.S. health care costs will continue to grow at a rate above inflation in 2019. The aging of the population, Boomers reaching the Universal Care promised land (called Medicare here), will ensure continuing growth of Medicare costs; Medicaid costs will increase too, with six new states adopting its expansion; hospital costs growth may slow because more insured patients means fewer uninsured write-offs; administration costs will remain intractable; the one potential good surprise for U.S. patients (and those of us who like political bipartisanship) could come from the area of prescription drugs, with corresponding reductions in out of pocket costs—fingers crossed. But since even a 20% reduction in drug costs—an amazing achievement—would only lead to a 2% reduction in total health care costs, it is hard to project an outlook that does not see at least a 2-3% increase in U.S. health care costs in 2019.

Author of “Untangling the USA: the Cost of Complexity, and What Can Be Done About It,” Etienne Deffarges has counseled, created, and invested in countless organizations during his professional life as a management consultant, business executive, and entrepreneur.

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