Heart surgery survival chances ‘better in the afternoon’

Heart surgery.jpg

Open heart surgery appears to be safer in the afternoon because of the body’s internal clock, scientists have said.

The body clock – or circadian rhythm – is the reason we want to sleep at night, but it also drives huge changes in the way our bodies work.

The research, published in the Lancet, suggests the heart is stronger and better able to withstand surgery in the afternoon than the morning.

And it says the difference is not down to surgeons being tired in the morning.

Doctors need to stop the heart to perform operations including heart valve replacements. This puts the organ under stress as the flow of oxygen to the heart tissue is reduced.

The doctors and researchers looked for complications including heart attacks, heart failure or death after surgery. They found:

  • 54 out of 298 morning patients had adverse events
  • 28 out of 298 afternoon patients had adverse events
  • Afternoon patients had around half the risk of complications
  • One major event would be avoided for every 11 patients operated on in the afternoon

One of those involved in the research, Prof Bart Staels, from the Institut Pasteur de Lille, told the BBC News website: “We don’t want to frighten people from having surgery – it’s life saving.”

He also said it would be impossible for hospitals to conduct surgery only after lunch.

But Prof Staels added: “If we can identify patients at highest risk, they will definitely benefit from being pushed into the afternoon and that would be reasonable.”

Obesity and type 2 diabetes have been shown to increase the risk of complications after surgery.

Heart health is already known to fluctuate over the course of a day.

The risk of a heart attack or stroke is highest first thing in the morning, while the heart and lungs work at their peak in the afternoon.

 The risk of a heart attac.jpg

Dr John O’Neill, from the UK Medical Research Council’s Laboratory of Molecular Biology, said: “Scientifically it is not hugely surprising, because just like every other cell in the body, heart cells have circadian rhythms that orchestrate their activity.

“Our cardiovascular system has the greatest output around mid/late-afternoon, which explains why professional athletes usually record their best performances around this time.”

Other possible explanations for the findings included surgeons being tired in the morning or their own body clock affecting their surgical skill, particularly if they are not “morning people”.

Read More: http://snip.ly/lr9h9#http://www.bbc.com/news/health-41763958

Gaining The Upper Hand In The New Healthcare Marketing Landscape

Corey Quinn is the CMO at Scorpion, an internet marketing company with offices located across the U.S.

Patient behaviors and expectations are changing rapidly — and as a result, so is the world of healthcare marketing.

With the rise of urgent care centers, retail clinics and telemedicine in recent years, consumers now have access to a more diverse array of healthcare options. They are also more involved with their care decisions due to higher health insurance premiums and co-pays. Furthermore, they have grown accustomed to finding answers to their healthcare-related questions in a matter of moments thanks to the internet.

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Unfortunately, there are still many healthcare organizations that have failed to adapt. Is yours one of them? If so, this has placed you at a significant disadvantage in your industry, which is only becoming increasingly competitive. Today, healthcare providers need to stay 10 steps ahead with healthcare marketing strategies or risk becoming irrelevant — or at least less visible — to prospective patients.

Let’s explore three key strategies your organization can implement to gain the upper hand in the new healthcare marketing landscape.

1. Be present where the attention is: online.

There’s no doubt about it — attention has shifted to the internet. Consider the fact that 88% of U.S. adults use the internet today, compared to just 52% in 2000, according to data from Pew Research Center. And this trend isn’t limited to younger generations: Americans age 65 and older have been identified as the demographic with the fastest internet usage adoption rate since 2000.

Prospective patients are now more inclined to use the internet to look up information related to their healthcare. Google reported that one in every 20 Google searches are for health-related information, and a Pew Research Center survey found that 62% of smartphone owners have looked up health information on their phones within the past year.

https://d-33668301202314900860.ampproject.net/1508794187431/frame.html

With the upswing in popularity of mobile devices, accessing the internet has become easier than ever — making it inevitable that patients will continue to rely more heavily on digital media.

The best way for healthcare organizations to reach their ideal audiences and increase brand awareness is to go where patients are already dedicating their attention. They need to invest in more online marketing efforts and claim a presence across various digital channels, from their websites to search engines to social media platforms like Facebook and Instagram.

2. Think about the patient’s online experience.

Remember, online user experience matters — just like patient satisfaction matters in the treatment room. In many cases, prospective patients will research your healthcare services and facilities online before scheduling an appointment. If their first experience interacting with your organization is a negative one (even if it’s online), they may be left with a poor impression and choose another provider.

Here are a few questions to consider:

Does my website have a modern and mobile-friendly design?

https://d-33668301202314900860.ampproject.net/1508794187431/frame.html

Is it easy and intuitive to navigate?

Does it immediately answer the visitor’s most important questions?

Are my social media posts and ads relevant to my target audience?

Are my posts and ads actually driving engagement?

Forbes Communications Council is an invitation-only community for executives in successful public relations, media strategy, creative and advertising agencies. Do I qualify?

Analysis: Single-payer would drastically change American health care; here’s how it works

Analysis Single-payer would

As Republican efforts to repeal and replace the Affordable Care Act continue in the background, some Democrats are starting to eye a new health policy goal: implementing a single-payer system. Sen. Bernie Sanders, I-Vt., introduced a single-payer bill in mid-September with 16 Democratic co-sponsors — 16 more than he got when he introduced the bill two years earlier. But how is the health care system funded now, and how would “single-payer” change that?

How health care systems are funded

There are three major components to every health care system, single-payer or not: a patient, a payer (typically an insurance company or the government) and a provider. Here’s how money moves between them:

How multipayer systems work

Virtually all health care systems follow this general pattern, but who the payers are can vary widely. In the U.S. private insurance market, patients typically purchase coverage from one insurance company among many competing insurers. Because different people end up with different insurers, there are multiple payers throughout the U.S. health care system.

How single-payer systems work

In a purely single-payer system, there is, as the name would indicate, just one payer — typically the government. This is analogous to how the United States administers some portions of Medicaid: The government provides coverage, and no private insurers are involved.

Sanders’ bill takes universal coverage close to this extreme: The government insurance would cover so many services with such small copays that private insurance would be almost universally unnecessary. Accordingly, it would also be quite expensive — $32 trillion over 10 years, according to an Urban Institute report. That’s more than a 50 percent increase in federal spending — all federal spending — according to spending projections by the Congressional Budget Office. That would be partially offset by people no longer needing to pay premiums to private insurers, however, and the government’s monopoly could allow it to implement cost-saving measures.

Read More: http://snip.ly/mt3iy#http://www.chicagotribune.com/business/ct-biz-how-single-payer-health-care-works-20171018-story.html

Healthcare’s Dangerous Fee-For-Service Addiction

Healthcare's Dangerous Fee-Fo

For its many users, healthcare’s fee-for-service reimbursement methodology is like an addiction, similar to gambling, cigarette smoking and pain pill abuse. Doctors and hospitals in the clutches of this flawed payment model have grown dependent on providing more and more healthcare services, regardless of whether the additional care adds value.

I don’t use this metaphor lightly, nor wish to trivialize our nation’s growing problem with addiction. Rather, as a physician and former healthcare CEO, I am increasingly concerned with the impact this payment structure is having on American health. And I worry about whether providers are willing to “kick the habit” before it’s too late.

Addictive Qualities

The Affordable Care Act, signed into law March 2010, included several provisions encouraging doctors to focus on increasing value (instead of simply maximizing the volume) of healthcare services. And yet, seven years later, between 86% and 95% of U.S. healthcare providers are still paid for each individual test, procedure and treatment they provide, an arrangement that continues to drive up healthcare costs with little to show for it. According to the latest Commonwealth Fund report, the United States spends more on healthcare than any other industrialized country but ranks at or near the bottom in almost every measure of comparative quality.

As with any addiction, America’s dependence on fee-for-service has dire financial and health consequences. This year, the estimated cost of care for an insured family of four will reach nearly $27,000, paid for through a combination of employer health insurance ($15,259), payroll deductions ($7,151) and out-of-pocket expenses at the point of care ($4,534). Year over year, patients are on the hook for a higher percentage of their total healthcare costs, which rose 4.3% compared to just a 1.9% increase in the U.S. GDP last year. This is a major warning sign. If medical costs continue to surge 2% to 3% higher than our nation’s ability to pay, the healthcare system will soon reach a breaking point. Businesses, the government and insurers will have no choice but to ration care or slowly eliminate coverage for the nation’s poor, middle-class and elderly populations.

As with all addictions, the fee-for-service model has mind-altering effects, distorting the perceptions of its users in ways that make them unaware of their growing dependence. When providers are paid for doing more, that’s what they do: They increase utilization of services and ratchet up the cost of care without even realizing they’re part of the problem. According to one study, just 36% of practicing physicians were willing to accept “major” responsibility for reducing healthcare costs. Of course, the first step, as with other habits, is to recognize the problem. Only then can we explore treatment options.

 

Read More: http://snip.ly/hlh5h#https://www.forbes.com/forbes/welcome/?toURL=https://www.forbes.com/sites/robertpearl/2017/09/25/fee-for-service-addiction/&refURL=&referrer=

Role of ‘technology’ in home health care

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At present, home-based health care is gaining significant traction and poised for transformation. Once recognized as a fragmented and unorganised sector, it is gaining ground through progressively capturing interest of entrepreneurs and investors.

It is a known fact that there is tremendous pressure on hospitals in delivering services at their facility, especially in Critical Care, something that can be easily outsourced today.

However, it has to be recognised that healthcare services being delivered in the home environment are at a remote location – unlike a hospital where it is a centralised facility. Therefore, monitoring and continuous feedback on key parameters, as relevant to the patient, are critical to have an impact on the outcome of the treatment.

This is eminently possible with appropriate use and incorporation of various technology elements.
With advancements in technology, both in IT and integration with Medical Electronics, it is possible to provide high quality care in the vicinity of a known and comfortable environment.

Technology can play an important role and impact the following areas:

1. Creating positive patient experiences

2. Creating an environment and providing data for better outcomes of the treatment

3. Enable home healthcare to be delivered in remote areas

The goal of technology-enabled home care also encompasses helping reduce need for institutional care, while alleviating financial and emotional burden that medical procedures come with. Its kernel of success lies in the common knowledge that chronic diseases can be treated in the home of the patient through appropriate and continuous monitoring. This monitoring could then trigger medical interventions that may be required, most of which can be implemented in a home care setting at a lower cost to the patient.

 

Read More: http://snip.ly/dzc56#http://health.economictimes.indiatimes.com/news/health-it/role-of-technology-in-home-health-care/60419997

Top Healthcare Webinars You Can Get for $10

The cost of learning a new skill in regulatory compliance1Used to paying over $250 for a high quality healthcare webinar from a leading expert on the topic from a reputable provider of professional trainings? Let us change your habit! You no longer have to pay this much. So, how much do you think you need to be paying for top healthcare webinars? $200? $150? $100? None of these. All that you have to pay for a top healthcare webinar is $10!

Yes, no spelling errors here. It is indeed $10. That is all you need to pay for a healthcare webinar from GlobalCompliancePanel, a leading provider of professional trainings for all the areas of regulatory compliance. There is a whole list of top healthcare webinars you can get for $10. There are just so many on offer; you will be spoilt for choice:

Healthcare reform is one of the hot areas of healthcare today, what with many regulations that keep coming up from time to time about this critical sector of the economy. This top healthcare webinar you can get for $10 equips you with many facets of the Affordable Care Act, or what we have come to call Obamacare. What impact will it have on employees and employers? Find out through this webinar.

Healthcare is an area in which FMEA applies very strongly. When something goes wrong at the healthcare provider’s location; it throws the whole system out of gear. Carrying out a thorough failure mode and effects analysis is a great antidote to these problems. Want to find out how to do it? This top healthcare webinar you can get for $10 has the answers.

But one question has not been answered yet: Why is GlobalCompliancePanel doing this? Why is it having this offer now? Well, it is because it wants to ensure that the community of regulatory professionals grows, and grows well. Having been in the professional trainings area for ten years now; it feels this is something it needs to do in order to draw more people into the regulatory trainings network. By offering top healthcare webinars you can get for $10; GlobalCompliancePanel wants to contribute its mite to enhancing and expanding the learning community.

Isn’t this offer of top healthcare webinars you can get for $10 the ideal means to growing up in your career? After all, we spend this amount on myriad things that could be of some use to us, but does this use compare with the enormity of the utility a healthcare webinar gives? These top healthcare webinars you can get for $10 each help you climb your professional ladder. This in turn could help your organization make a name as a responsible and ethical provider of quality products. It could earn it a reputation in the market. When you can accomplish all these through top healthcare webinars you can get for $10, what are you waiting for?

Contact Details:

https://www.globalcompliancepanel.com/webinars_home?wordpress-seo-gcp-webinar-offer-2017

John.robinson@globalcompliancepanel.com

Support@globalcompliancepanel.com

+1-800-447-9407