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Saturday, September 30, 2017

Financial strength indicators


In order to take break from heavy confused information about healthcare finance. There are questions about what is the link between some rich countries and present medical problems regarding medical care and regular medical services. As a matter of fact that most of healthcare gaps and financial convoluted problems emitted mainly from rich inflated communities. Whilst in growing and poor managed healthcare systems own better improvement and prosperity benchmarks. How does it work?!, the majority of populations put judgments of the finance of the society depending on the amount of salaries and quantities of banknotes the citizens and other resident can get from jobs. It is really sad to admit that has been never right to matching finance terminology and economy strength of that society. Money professionals and financial affairs experts know this truth by heart. The positive picture of having good salary only when prices is much affordable and inflation rate in control and such model few countries over the world could achieve and they always link their currency to the community such as gold. While other countries which use no reference for the money they suffered from excessive inflation and inferior purchase power and continuous devaluation of local currency without even central government intervention.

The point own two parts; one political (that will not mentioned here) and another monetary and that will be my concern. When you look to any country with low value of local currency then you find most of them have industrial and exportation power and when you check their out trading balance. Easily you can define there is industrial force in that society where high value of local currency defined importation power of that society and the central bank keen on working on to decrease the amount of money escapes from the local banks, in other mean decrease the negative cash flow of importation!. But in case of low currency value the central back likes to increase the amount or volume which going to enter the society from exportation and at the parallel line keep labour wages lower than surrounding countries to enhance the investment opportunities in future.

It is really not deniable that by high value currency the population enjoy welfare life more even with high importation scale than those who living in societies with devaluated local currency. The difference is actually big but the core still the same and there is not advantages or disadvantages on the level of citizens living standards because they do not pay much attention regarding the whole monetary and finances of the countries budget. They care more about daily life and monthly payment with likable will to cover needs and demands. The third and most risky model of currency that characteristic feature of heavy debtor nations that achieve false high value currency of local monetary dealing (it means inside the society) while its value actually dropped abroad and to avoid the obligatory subjugation to the real currency valuation in the international financial markets. Therefore; they always export the currency as a monopoly tool of money transactions.  

Financial obligations of healthcare located between government role of work and affordability expenditure of households. Actually; level of affordability carries impact on sort and quality of introduced services. Lack of balance between inflation and household income will produce gaps. Moreover; create new society segment suffered from inferior care profiles and in the worse conditions escaping from the healthcare coverage. Although; this work is not in medical professionals duties but it is really preferable to know about and understand the whole monetary cycle of community and how it works. Full health J
Financial Benchmarks for medical care reforms


We are coming back to the basic problem of healthcare for decades. But in this post review the appropriate strategic benchmark for reform that by which could be better and more fit in control. As a hint for those who a bit far from finance terminology and concepts; any healthcare systems suffer from funding difficulties must be there is something behind with who manage and handling the business cycle of care operations. Why I say that because many studies by statistics proved that process of healthcare is nearly self sufficient under normal conditions. There is big high demand on the medical care always whether insurance covered or self-financed. That makes the revenue current on peak for long time especially seasonally and in emergency situations. So, the liquidity of healthcare is high even with high unnecessary expenditures from medical staffs. In order to know that my inference about is right; easily deducted the money amount of your salary publicly and privately insured and fold them in the number of whole country population then subtract 70% of that money who already fit and in production age between 18-54 years where they occasionally use to check for seasonal ailment. You will happy when you found number never seen before produced as revenue every month for whole country healthcare duties for sure excluded the governmental budget share and research medical projects between different medical institutions plus universities!.
But anyway; this benchmark creates some sort of building reform strategy to overcome any fund misused and resource poor allocations;

A. Informal sector coverage: include most basic services and basic care regulations, Portability of coverage (geographical, employment status).
B. Insurance for formal sector: encourage populations to be in formal sector, decrease workers resistance and increase mandatory enrolment.
C. Family coverage for enrolled workers.
D. Drug coverage and medical transportation costs.
E. Uniform services provision among the same target segment of society population.
F. Integrating various schemes for best utilization of those workers.

Every point of this benchmark has many more complicated text and identification processes. But I preferred to keep them open points for talent imagination and fertile ground to get more effort and innovative ideas of future implementations. It is not hidden for experts that kind of Benchmark that it needs extraordinary transparency and necessarily honesty with analysis and also with the approach for reforms. Because human kind are not angels and sometime purposely misuse or gap of implantation time in order to hide corruption and illegal facts occurred. For this reason; preferred separate approach teams work on to declare and confirm if there are suspicious hidden fact of the medical system!. Full health J

Benchmarks care for strategic medical reforms


With community population increment and massive changes carried out on the nature and style of most of western and eastern societies. The matter of approved benchmarks for development and progress without improper consequences became the core of change and change policy management. Moreover; among jungles of debates and discussions from modest and less trained medical workers who claimed professionalism by elegant appearance and colourful ties!. Explanation precisely about parameters and keys of reforms became matter of urgency rather than stagnant talks about future. Standards based reform many of benchmarks should be followed. Indeed; there are setbacks and clear gaps in citizen affordability of life and care expenditures in inflated environment of spending. but still there some backbone selected in order to do future better implementations. Reforms decrease and increase according to capacity of population and their acceptance flexibility toward them. Therefore, any benchmark of medical reform takes the population pits of deprivation as a whole and dealing with in a one package procedure. It means it is not possible solve medical problem and apply benchmarks of reforms far away from social and societal correctness.

Benchmark one and work axis: Inter-sectoral public health:
A. Reform increases percent of population and demographically differentiated and properly distributed in compliance with gives on the ground;
-Basic Nutrition
-Housing: Crowding, Homelessness, Physical adequacy of population.
-Environmental Factors: Clean water and water treatment, Sanitation and Vector Control, Clean air, Reduced Exposure to workplace and Environmental Toxins.
-Literature and health education: Literacy, Basic education, Health literacy, Nutritional education, Sex education and promotion, Substance abuse education, Anti-smoking education, Anti-drug and alcohol abuse education

-Public safety and violence reduction: Vehicular accident reduction, Violence reduction (homicide, rape), Domestic abuse (women, children)
B. Foundation of Informative infrastructure for monitoring health status and inequality cases:
-Regular investigations about inequality and fairness deficiency standards
-Research and build favourable indicators to detect and identify inequality
C. Engagement of multiple sectors effort together on the levels of local, regional and national level of improvement national population health and welfare medical conditions. 

This Benchmark is considered the simplest and more approved among several communities who like to see and create brilliant productive future for their citizens and reallocate the topographical distribution of certain segment of people. It seems branched work and multiple tasks for execution but good news; it is work of teams not one person. Actually it is not the only strategic reform of medical care of society positively exaggeration; there are other and more could be better to implement for other domains and sectors of work such as financial and associated expenditure reforms. Full health J
Benchmarks analysis and associated approach



Benchmarks approach analysis differs from fairness standards implementation; the first dealing with already existed system. While the second dealing with implementation possibilities and consequences for development of poor design or managed system. If you want more details about the difference and further explanations please check previous post. Benchmarks scoring and strategic evaluation of fairness standards are the key and movable part of the study of benchmarks analysis. Why movable?!, because this part is the most flexible and owns high tendency to change and be adapted to any future progress of the medical system. Policy analysis and determination to proper approach procedures would lead to accurate scoring bench approach to the existed standards. Moreover; the opposite is not true and will not work when you evaluate the level of fairness standard implementations and degree of implanted among system operation unites to never give you appropriate scoring of benchmarks for future reforms. That why for sure the researchers should be in need to calibrate the system versus successful one otherwise in order to check and visualize the level and degree of adaptation of the care provision and amplitude of affordability of household contributions.

I guess the picture needs more purification because this point carries slight sensitivity among most of academic researchers, the real problematic issue occupied most of developers for decades that there is no back reference standards whether for fairness and for benchmarks analysis for reforms. It means most of suggestions and ideas even still have some sort of doubtful to be executive on the work ground. Some procedures were efficient in certain societies and gave stunning results for adaptive analysis. Where the same policy analysis and associated benchmarks procedures applied in other communities gave different and wide gaped deviated feedback and unexpected pits in between. Lack of awareness about nature of land and community abilities and local people custom leaded to such results and whatever had been happened that kept one fact about benchmark analysis and associated procedures that nothing fixed and all subject to continuous changes.

The core for this dilemma and whirl that would better and sometime perfect to deal differently with each community shared similarities in group of living standards. I will not go deeper in this point but freely anyone can put certain parameters of communities according to race, temperature, local habits and not forgettable general health status. Subsequently; it would be easier to design proper and favourable references for work with in process of benchmarks analysis and fit the adaptation procedures. 

In order to make that code of work with less effort could be better where that be built in groups of countries rather than everyone solitarily. Each group of parameters carries the same individuality belong to certain area of the world should form one fixed code of analysis suited to work and deal over there. Efficiency and affordability of community individuals form the raw materials of defined benchmarks approach and analytical adaptability. If done well; the healthcare system will be always the fertile land for improvement and prosperity of all new and modern ideas. In the next post we are reviewing some samples of common benchmarks played a role in definition, correction and evaluation of deviated standards among contextual meaning of analysis process. Full health J


Benchmarks of healthcare reform as a tool for progress


The concept of benchmark is well known among business and related business jobs. The many think that benchmark is the starting point of work and others guess that the term is related to threshold of support and dimension of work space. Actually all of them in some points of personal perspective may right even if it was a bit far from the precise meaning but anyway the proper and most appropriate explanation of benchmark overall regardless certain domains and specific task is more close to measurement of progress than nature of work. Accordingly; vast of benchmarks of fulfilled of any domain of study that give you the ability to identify and define properly the kind and accurately determinants of intended directions of improvement thereof. Why I started to this short introduction?!, good question because soon we are going to discuss the benchmarks of reforms of applied and implemented strategies as a tool and tangible indicator for progress of such system. Majority of current medical systems take approval as a calibrator and measurement tool of progress what make them act as a solid base to evaluate and determine the rest of implanted seeds for progress and future development. This method might be good and easier to apply for those who seeking for new fast and effective way to define system setbacks and deviations but the point here. If such calibre system suffered from any hidden or unannounced problems resulted from the central management unites and other controllers. It means the benchmark approach you are going to do of such the medical system is defaulted and that carries serious illusive consequences later. Benchmarks approach of working strategies are crucial and most importance on any level of medical system evaluation and improvement.

 In coming points we will reveal the way that by which give a good result of approach analysis. The favourable approaches of reform strategy differ with the difference of target purpose and associated work objects. By other word there are different approach for each strategy of development serve the aim and target from involved work. Colombia, Mexico, Pakistan and Thailand adapted their reforms of insurance policy to take USA medical system as a model of future improvement. Benchmarks of fairness is the core value of this way of calibration between advanced developed and poor developed system even with the comparison and share working points and targets; the fairness and fairness approach considered the best way to get the proper favourable statistics about the systems and other indicators.  Although this is good productive approach for benchmarks of reform and strategic analysis and adaptations, still there are others that might be suitable for other work purposes. In order to get the full meaning about benchmarks approach and other engaged methodologies regarding the concept, should be explained more about history of the benchmark approach.

Benchmarks history founded when researchers wanted to build a bridge between fairness and reforms that was not easy to find and be fit with many medical systems. Fairness briefly as concept care about standards efficiency of care gaps and accessibility, care reform and associated risk factors, financial share contributions and maximize resources allocation with fit utilization and eventually provider accountability and patient autonomy. Reforms are then gave the necessary scoring to schedule the process of progress.  Benchmarks create the needed bridge of improvement a support on the disciplinary divisions that keep the analyst aware where the reforms should be and which procedures could be followed. Full health J