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Friday, June 30, 2017

Healthcare system productation


The term productation of healthcare is new, that because the term does not refer to the healthcare production, absolutely not. It refers to dealing with the healthcare system as a whole product has the capability to be sold and build up again in other countries on demand through collaborations and partnerships. The products of industrial era were restricted mainly on certain categories and mostly in commodities, oil, mining, ….etc. while in our information era the game principles completely got different than before although with maximum belief still in commodities as a vehicle of societies enrichment. But with new era of information the product converted from consuming tool of personal satisfaction into the informative tool of knowledge and big data resources around became earning source of society. It means how to build a strong current of positive cash flow for many governments became main target and even for societies if we are going to talk on level of individuals. But the important question how that could be carried out far from traditions rules and routine piles. 

Cash flow is basic magic word for rich maintained along decades with different figures of work; flow from rent and flow from subscribing and could exceed more to say flow on the level of government. Any government succeeded to create positive cash flow on numerous working levels; that could help aggressively in the nation welfare and wealth journey. We described before how healthcare market is a kind of huge market with centralized base branched stakeholders serving the subcategory markets to central aim basement of individual care welfare. The same when you sell whole systems package to other community and under supervision of government there, build and found other nation healthcare systems with keep the leadership of implementation and regular maintenance found vast opportunities of benefits and the first positive cash flow to the seller government.

There are many of counties till now run the traditional healthcare systems with millions used to go for maintenance and correct the setback of system oldness. With system productizing could be open the door to set the full infrastructure, equipments, working tools, and moreover; use the know how to implement and achieve the client government goals and work object smoothly. International commerce got more close to information and sell know how with keep intellectual property rights for the original builder and system designers outright. Partnership among countries ever been new but help other countries to improve medical care systems would be favourably serve not only for the seller of the system but also for millions of their individuals who had and have still dream to get good healthcare devoid of inconveniences and high costly services. As business experts always say that selling value is much better and more profitable than selling solitary products, and there is not valuable and precious than health society welfare. Full health J
Policy reforms and recommendations



To achieve my promise that the blog dedicated to talk more about healthcare and associated systems than politics, but in this post would like smoothly to touch policy of healthcare and most common strategies pathways. The matter of policy is a wide subjective topic but numerating the core points that own a significant role on medical care and associated work. It means there is no one opinion right or other not, all under experiments and proved experiences where end result would be define what is fit for that society and does not work in awaited yields. Moreover; there are some working strategies proved previously with certain communities while failed with other, there is no regular and fixed standards actually could control the process more than demanded and required results and how far those results are useful to attain the care and health welfare of the society members. In other word, different results with different policies can lead to less valuable results whereas the same policies and proved pathways will produce more valuable gains. Up or down; there are meaningful context among governments and authorities matching each of their society needs.

In coming paragraphs reviewing different work policy models could achieve basic demands and gains for who interest in implementation  fair high experienced strategic policies in healthcare with proved formerly gains;

-Promoting a flexible payment reform strategy in public programs: commercial payers could support flexible payment strategies and government should work on keep the variances in services as near as possible with gaps in daily dealing work. Government exaggerate could accept paying per service, robust paying per performance and also hybrid and dual form of payment approaches. Again; paying per performance payment approaches works well in many communities if over there some tools and mechanisms have the ability to do appropriate measurements to the nature and level of performance precisely although; paying per service more recommended and more commercial in nature. Following case rate and capitation based contract the main attributes of the policy, from other side creating incentive bundles of centralized gate service promote the integration among the service providers and build competition spirit for proper implementation.

-Promoting public reports: public reports allowed the patient to be central part of the whole care process and exaggerate the self awareness of care and empower the patient to be authorized to manage and monitoring case needs. Through well structured reports reviewing the patient efforts and implemented hand in care management would be synergistic impact between the care provider and the patient. Government could participate to open the platform for feedbacks and demanded needed corrections with public innovative recommendations.

-Develop a commission to oversee system innovations: open the door for innovation and creation in healthcare serve the demographical distribution among the society citizens and also enrich the process of constructive criticism which guiding the research to solve the problem outside the tradition boxes. 

-Provide government of accountable sight organization (ACO):  as mentioned before that accountable Care Organizations (ACOs) are groups of doctors, hospitals, and other health care providers, who joined  together voluntarily to give coordinated high quality care to their Medicare patients on certain service standards. Although there are many involved ACO program successfully applied in US such as; Medical shared savings programs, advanced payment ACO model and pioneer ACO model. There is necessarily to measure end results variances for each that would reach high bench market standards of provided service and keep supporting the integration with centralized pattern. Full health J
Market establishment of modern healthcare delivery

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As known for many that when work system proves itself and achieves the awaited expected targets without deteriorations and error inconveniences. Therefore; productize the system to be exported abroad and implemented with other systems in different countries or integrated to be a part of whole operation unite belong to the continent. But before productize the system of some country there are followed steps preferably to be taken in order to get eventual significant results.  One of them and considered the most important is strengthen the role of the system through strong market establishment. By creating and building high service awareness among the patient subsequently pushing to consume and experience the services and with good quality pattern, the process of retention then occurred and when retention point got clear the second would be loyalty of the care and some books they mention different term as ‘service adhesion’ and ultimately the medical customer reach the point of trust in whatever care decision going to be. Any misleading and poor management to those steps fall the whole process even if was not on purpose. Patients are very sensitive to the medical care issues and especially with children and elderly service provision. Once the quality and package value for end user already picked up, the patient satisfaction chart will be upward figure. That might be new for some that healthcare industry and expenditures estimated $ 3.24 trillion in 2015 and projected to soar to $ 3.78 trillion in 2018 that mean we dealing with heavy market with high demand levels. In other word; healthcare market is considered the strong vehicle for many products and industries.

Vehicle for therapeutic industries and associated research, pharmacognosy business, diagnostics and their reagents, distributors whether wholesale and retails, and pharmacies and their behind business from packaging and labelling. I will not mention here the genomics and molecular engineering that be and will be the biggest financially funded project ever in any country and doing to create different sort of liquidity known yet. Here could be slightly imaginative to think how many millions of jobs going to be created in future because of healthcare industries with associated infrastructural companies and cooperative IT enterprises. Actually; I can’t find a proper English word describes the volume of market of healthcare and even if we are going to use word huge does not fit well but it still expressive. 

Depending on what formerly mentioned; using the society abilities to create strong market will serve core growing economy of that society. We are not exaggerate in our description when say that future of growth to any nation determined by ability to create healthcare work process effectively lack of deformities. In coming post there is a description in details about the linkage between the government policy and their applied strategies and strengthen market phenomena in which for many unexplainable. Eventually; I would like to say that creating market is the core value not only to the healthcare business but also to the whole country authorities. Thence, it is not new or strange to tell many of big nations existed at present took long years to attract other country citizens to live and work and one of strategic objects was to create metropolitan population market. Full health J
Healthcare payment reform


The reforms associated with the full system integration branched and own different rout of modification than one fall end gate. The point of financing the systems entirely through insurance and financial institutions might be work for beginning of operation and later the government should hold the hands of operations rather than allows the other stakeholders to control the destiny of medical care of the country. Totally privatization of the medical provision put the whole process of medical care for any society under big risk and even we call it uncalculated one because simply no one could ever expect what going to be in near future from their management or operation policies. The history prove in many countries with different living standards that massively depending on the private financial institutions increase the operations cost, capitalization debit risk, earning inflation and of course over productize the medical care serves by unnecessary products and services. Moreover; the quality and performance of the medical services got inferior as a result of focusing on the work revenues more than patient satisfaction rate and value packages provided outright.

Paying per services, paying per performance and hybrid model of medical systems reimbursement formerly discussed. Many studies proved that paying per performance does not fit with majority of systems and did not effectively improve care either. Lack of proper judgment, expressive work parameters and evaluation assessment indicators explains why. From other side; focusing on revenues of medical care may create good current of profits but also decrease quality and satisfaction of the patients. Paying per services gave good and valuable impact among many of healthcare providers and at the same time doing better to minimize the wasteful expenditures in order to condensate the work with working medical staffs for skills improvements and creating valuable received package of services. By which; when the medial operating system going to be attractive for private enterprises, to enter the business process with government guidance, the maximum surge of capitalization going to carried out lack of Capitalism control.

Private enterprise play the valuable role everywhere and with every working system, but being a business process partner serves  the strategic country goals; such as enhance capitalization rate, decrease earning dilution with inflation, increase equity (liquidity) in the healthcare market and appropriate management synchronization between the private and public sectors. Accordingly; following the performance only neglecting the quality of care provision does not work favourably in the positive side of whole system integration. There are many countries appeared on the world scene adopted the high quality standards of medical care and implementation processes with successful productize the care. Subsequently; wide market already founded to create new current of therapeutic tourism and present examples around us are many. 

There are many complicated talk about healthcare financial reforms with long deep explanation details but would be perfect to get the main guidelines of conceptual purpose and I am full of interest in further questions and enquiries. Full health and happy summer J
The future of healthcare delivery


Delivery of healthcare services and values to the patients carries numerous challenges even with modern innovative methodologies of communication. Moreover; cost of errors and human made mistakes cost more than in former traditional procedures. That put implicit barrier in front of working teams and clinicians, at the time, should be processed precisely toward more acclimatization of existed information systems. Dealing with modern new technologies pushed our awareness to sharpen alertness for more adaptive work steps, could not fit before, in order to do proper overcoming excessive cost and misleading processes. Data management and modern care programs could not be enough alone to avoid work human mistakes and current systems errors without innovative way of implementation. Therefore; problem could be considered more to discover the compass of misunderstanding among medical workers and professionals. Medical system integration attained huge work revolution and simplified the processes cascade and procedures of implementation, but optimism still far from the point we are looking for.

Modern systems integration is going to be fit more and reach somehow optimism if we able to manage a parallel data sources act as a cushion, decrease or might be prevented in some cases setbacks of modern technologies overlapping. Clearly; tradition business process of medical service provision does not work in some points with medical system integrations. Accordingly; aspect of the service delivery and associated business process under the umbrella of systems integration determined basically on set of enhance the ability to provide the service efficiently and form some sort of care coordination with working data tools and minimize the hospitalization rate as possible.

That could be happened easily with some regulations such as; reduction of preventable admission of patients with chronic diseases, reduction of readmission of recently hospitalized patients and using the administration modern systems in more effective setting aspects.  Future of medical delivery systems mainly determined by level of ability to prove the services and decrease the costs associated that service. Appropriate data systems, care coordination aspects, high ability to provide standard qualified values accepted by the patents leading to less fees-for-visits, build attractiveness of care system,  set up the concept of ‘No visit’ which relieve the whole system from unnecessary work administrations.  Future of delivery medical systems could be wealth to the government if properly managed and considerate patient needs and demands according to their schedules.

Delivery channels of any systems is core work and linchpin, without hard to find what been waited and would be there a lot of luck if could manage and process the future setbacks whether human made mistakes or system itself produced some errors as a result of improper handling. Plus thereby patients are going to see the medical care as a burden not a solution provider. Building the easiest steps should be embraced as a mantra of the system, complications and mislead information to the patients forbidden and in some countries massively punished. Ultimately; as life always in change; working systems do the same means adaptation is necessary to overcome continuous modified demands and improvement has obligatory force to face the increasingly care needs. Full health J