Wednesday, September 9, 2009

Affordable Health Care Options For Portland's Uninsured

Being self-employed artists for nearly a decade, my husband and I know what it means to go without health insurance and health care. We practice preventative medicine such as exercising, eating healthy foods and taking vitamins, and we are both relatively healthy. Fortunately for us and many others like us, when we have had health-related problems, we are residents of Portland, Oregon. In Portland there exists a wealth of medical resources for low income families, from dentistry to chiropractics to alternative medicines. One such resource is The Coalition of Community Health Clinics, a group of 13 clinics that offer quality health care to Portland residents who are uninsured, underinsured and who would otherwise have no access to health care or necessary treatments. Most of the clinics bill patients on a sliding scale based on household income and many offer free emergency services for those who cannot afford to pay for medical care.

Here are just a few of the affordable options available to those who do not currently have health insurance or are underinsured:

The West Burnside Chiropractic Clinic is a teaching clinic of the Western States Chiropractic College, located in downtown Portland. They care for people with both acute and chronic musculoskeletal (back/neck) pain and the services are free or by donation. I discovered WBCC in 2005, while suffering from a herniated disc in my lower back. I was unable to sit for almost 6 months, and received treatment each week of that 6 months without charge. I continued to go for maintenance and flare-ups for the next few years. In 2008 I was back again with debilitating low back pain and, again, I received excellent care. This time, I was back to my old self within 6 weeks.

OHSU Family Medicine at Richmond is also a teaching clinic and is located in SE Portland. This clinic provides general medical services as well as chiropractic and acupuncture. Office visits for qualifying patients cost $25. Compare that to $120, which is what I paid the last time I took my child to a pediatrician for an ear infection!

The Outside In Medical Clinic, also located downtown, focuses mainly on Portland's homeless youth and adults, as well as other low-income patients. They provide social, medical and mental health services, and a variety of disciplines including western, Chinese and naturopathic. They charge a $10 minimum sliding scale fee per visit.

The goal of The Coalition of Community Health Clinics is to improve access to quality health care for underserved populations in Portland and the surrounding area. For more information, please visit www.coalitionclinics.org.

Mary Potts is a freelance writer who resides in Portland, OR. Her skills include copy writing, article writing and creative writing on a variety of subjects from parenting to health care for low income families. She also contributes a once a month blog about handmade home decor at http://www.designstyleguide.blogspot.com (she is a clock designer in her 'spare' time).

Medical Billing Training - How Do I Know If Medical Billing is Right For Me?

If you've been thinking about getting medical billing training to become a medical billing specialist or enter the billing and/or coding field, you may be wondering if it's right for you. Here are a few tips on what you should think about before you get any training.

First of all you may not be familiar with what billers or specialists do. The best way to find out what they do and if you would like the work is to visit a medical billing company or large medical clinic that keep the work in-house, and talk to the specialists there.

Find out if you can observe one of their workdays, even an hour would help. If not, talk to a specialist and find out what they like about their job and what are the pluses and minuses. What do they like most and least about their job.

This may not sound like the usual Internet advice but it's the best way to find out if you would like the work. You don't want to spend your hard-earned money on training for a job or career you won't like. So make sure to find this out first.

Secondly, find out all you can about the training that's involved. How long it will take, how much it will cost and can you actually afford to get the training needed, although you may be able to get financial assistance.

Medical billing training is offered in many colleges, vocational colleges and universities. You can also get training online. What you need to know first is what courses you need to take to fulfill the requirements. Some schools encourage you to sign up for more courses than you need, raising the cost of your training. So make sure to eliminate those courses that aren't absolutely necessary to bring your costs down.

Secondly, you may be able to get financing if you need it. Some federal government money is available for online courses. If you take your courses through a community or vocational college, check with the financial aid counselor to see what funds are available.

Now while you're doing this checking you want to get ahold of the textbooks used and look them over to get an idea what you'll be learning to know if medical billing is right for you. Or ask to take a look at the course material if it's online instead.

Find out all you can through the billing companies in your area and from looking through the text material in order to make a decision on whether it's right for you. Specialists also take a national exam to get certification. Just make sure you would be happy working in a medical biller job or a career before you go ahead. Doing so will save you a lot of time and money. Medical billing training can be inexpensive or expensive depending on how you approach it. Do plenty of research to make sure you're making the right decision.

For secrets and tips on how to start a medical billing business or as a career, choosing the best medical billing training, finding the best medical billing business schools, online courses, college, work at home and financing go to a nurse's website: http://www.MedicalBillingTrainingInfo.com

The Mayo Clinic Grapefruit Diet - A 30 Year Diet Scam

If want to lose weight by trying the Mayo Clinic Grapefruit Diet you are in for a surprise... this diet wasn't made by the Mayo Clinic at all!

That's right, this 30 year old crash diet was never created by the Mayo Clinic. In fact, on their website they say that this diet can be downright dangerous for some people. I don't know how this scam started or how this reputable medical clinic got their name dragged into it... but if you are interested in trying this diet I suppose that doesn't matter.

What does matter is what you're allowed to eat... and what you're not allowed to eat.

Allowed Foods:

Eggs, grapefruits, pickles, meats, radishes, cheese, green vegetables, cucumbers, red onions, spinach, lettuce, bell peppers, mayonnaise, broccoli, nuts, cabbage, green onions, and tomatoes.

Forbidden Foods:

Potatoes, peas, white onions, cereal, corn, bread, carrots, celery, rice, and fruit (other than grapefruits).

This diet plan is based around eating salads, vegetables, grapefruit, meats, and eggs. Here's a sample diet menu for a day on this plan:

The Mayo Clinic Diet Menu

Breakfast:

1/2 grapefruit

2 slices of bacon

2 eggs

Tea or coffee (no sugar)

Lunch:

1/2 grapefruit

Salad

Meat

Dinner:

1/2 grapefruit

Meat

Vegetables

Tea or coffee (no sugar)

3 Important Rules:

(1) Don't eat between meals.

(2) Eat until you are full.

(3) Drink eight cups of water a day.

Should you use this diet for fat loss? Personally, I don't think so. It's just another fad diet. Don't be fooled by the name, there is nothing medical about this dieting plan.

This weight loss program is not even recommended by the famous medical clinic it's falsely named after. And as I said earlier, they even say it's downright dangerous for some people. You may lose a little weight on the Mayo Clinic Grapefruit Diet but you will gain it all back... that's what always happens with crash diets.

Medical Practice Marketing - All Doctors Need PR

Consumers want the latest style in automobiles, the latest fashions from Paris, and the cutting edge in technology. But patients are gun-shy about embracing experimental medicine or cutting edge technology when it comes to improving their health or enhancing their bodies.

That’s why doctors on the cutting edge in their area of specialty need public relations. The message of safety, convenience, and success must be conveyed because medical consumers are much more reluctant to be among the first to accept a new medical technique than are buyers of automobiles, computers, furniture or fashion.

Of course, sick people want to be treated with the very latest drug, equipment or method. They just don’t want to be the first! And so an innovative doctor introducing new equipment or a new treatment method needs the assistance of a public relations/marketing professional to be successful.

No one will agree to eye surgery without being convinced the procedure is absolutely safe. No woman will ever agree to breast augmentation or vaginal rejuvenation without feeling absolutely comfortable about the practitioner. The more sensitive the procedure the greater the need for public relations.

It has been my experience that a well-thought out and executed public relations/marketing plan will overcome reluctance by patients to embrace medical innovations. In my practice that certainly has been the case.

While working with prominent doctors over the past several years, I have developed successful marketing campaigns for plastic surgery, LASIK surgery, dental surgery, liposuction and BOTOX. Among the most successful methods is to arrange for radio, television and sports personalities to have the surgery or treatment free and then give testimonials on how great this new surgery or treatment has been for them. I’ve also arranged for endorsements by popular sports, TV and radio celebrities to help convince customers that it is safe and desirable to use the elective medical procedure.

One of my earliest medical clients, who serves as an insightful test case for the theme of this article, is the Windsor Laser Eye Institute (WLEI) founded by Dr. Fouad Tayfour who today is a household name in the Detroit-Windsor market.

But when the WLEI became my client Dr. Tayfour was not a household name in Southeast Michigan. The FDA had not yet approved laser eye surgery and so it was only available in Canada. Dr. Tayfour, a pioneer in Canada and the U.S., opened a clinic in Windsor across the river from Detroit. Thus, because of Windsor’s close proximity to Detroit, Dr. Tayfour wanted to reach out to the Greater Detroit metropolitan area.

While there was interest in laser vision as a substitute for prescription glasses or contact lenses, initially there was not a flood of traffic over the Ambassador Bridge to the clinic. People are very sensitive about their eyes and very hesitant about being among the first to embrace this revolutionary approach. What about side effects or complications down the road? How uncomfortable is the procedure? How long will the correction last? Will it damage my eyes? And added to these concerns was the fact that the procedure did not have FDA approval and was not covered by health insurance.

One of the first steps was to prepare a set of documents for a press kit to explain what the laser procedure involved, what the benefits were, and facts to overcome concerns about side-effects, pain, discomfort, etc. The press kits were distributed to television, radio and newspaper reporters, and to sports figures, talk show hosts, and other celebrities in the Detroit market. News reports were filed and radio celebrities began talking about this new procedure across the river. Dr. Tayfour then performed the procedure free of charge to sports figures, celebrities, and media personalities who then spread the word further. These well-known and respected celebrities also issued endorsements for laser vision. As part of this campaign I arranged for two laser vision surgical procedures to be televised live, which really had a positive impact on patients!

We created a buzz campaign and soon everyone was talking about laser vision and how wonderful it was. The trips became so frequent from Detroit to Windsor that when the immigration officials in the booth asked, “Why are you coming to Canada” and heard “to get laser eye surgery” they just waved them on by Dr. Tayfour then launched an intense television advertising campaign that cemented his status as a household word in the region. But the groundwork to that happening was a targeted media campaign and selected endorsements.

This was not just a classic textbook approach to media promotion and niche marketing where you tear out a page and cover the bulleted points. The media coverage particularly was successful because I have invested the hard time needed cultivating media contacts and establishing their trust. Now when they get a pitch from me, the editor/reporter trusts me and knows the facts presented will be accurate. If you don’t establish the relationship and trust first, your carefully planned press kit when landing on the editor’s desk will end up in the wastebasket within 20 seconds. PR is not about gloss and glitter; it’s about relationships and trust.

As part of cultivating media relations I regularly attend major media events in New York City where I have face-to-face meetings with journalists, editors, writers and producers from top national magazines, newspapers and radio/TV programs. I have successfully pitched such media outlets as 20/20, Prime Time, CNN, People, Good Morning America, Newsweek, Time Magazine, Dateline NBC, The View, Oprah's O magazine, Cosmopolitan, Fox News, Good Housekeeping, Newsweek to name a few.

The same things that worked for Dr. Tayfour also worked for:

 The TLC Laser Eye Centers of Michigan to arrange FOX and ABC TV coverage promote their new Custom LASIK procedure,

 Dr. Joseph Berenhotz, Director of the Laser Vaginal Rejuvenation Institute of Michigan promoting a new vaginal laser treatment covered by the Detroit Free Press, NBC and ABC TV in Detroit, and an Indianapolis TV station

 To promote Plastic Surgeon Dr. Gregory Roche of Bloomfield, Michigan, when he launched BOTOX in Michigan

 Media coverage and advertising for Dr. Fiander of the Farmington Laser Eye Clinic

 For laser plastic surgeon Dr. Lawrence Castleman I placed dozens of articles, and arranged TV and radio news coverage, and gained newspaper coverage for everything from Ultrasonic Liposuction to BOTOX for sweating, and hair transplants

 Targeted marketing for Cosmetic Surgeon Dr. Michael Gray when he launched an endoscopic breast augmentation program in Michigan

 And placed print articles and arranged TV news coverage on dental implants and a tooth friendly Easter Basket for Dr. Timothy Kosinski, DDS

(By the way, I never represented two LASIK surgeons or two plastic surgeons at the same time. My company and personal code of ethics does not allow representing clients who are in competition).

In addition to PR and marketing campaigns aimed at television, radio, newspapers, professional and trade publications internet marketing is very effectivce. One of the first things I check when meeting with new clients is whether they have a web site and how good it is at marketing their product, service or message. Nine times out of ten one of the first things we schedule is a redesign and revamping of the content to make the web site the viable marketing tool it should be.

With that done, I then strategically place electronic press releases and EzineArticles on the Internet and employ sound, state-of-the-art search engine techniques and drive traffic to the client’s web site. The increased traffic to the newly rejuvenated web site will subsequently result in phone calls or email inquiries to the client’s medical practice that then drives new traffic to the medical clinic.

Another technique that is key to promoting professionals in the medical fields is to establish the client as an expert in his/her field of specialty. The executive biography included in the press kit is geared toward promoting the client’s expertise. I also make sure that the client is listed as an expert in a valuable online expert service. Editors consult this service when looking for experts on developing stories. To gain an interview in a news story as an expert in the field is worth a pot of gold and that makes subscribers to this service, such as my firm, a valuable ally to the media by providing just what they need… an expert.

A major strategy in establishing a medical professional as an expert is to schedule interviews on television, radio, and radio talk shows. To do this the client must be equipped to deal with the media, and most clients are not skilled in being interviewed. Therefore, while the client’s web site is being boosted, and the press kit is being developed, I sign the client up with a well-respected media coach.

Media training will give doctors, dentists and surgeons the skills to learn how to use the media, not just to convey their message but to compel people to try the medical procedure or treatment plan. As a marketing expert, I can pitch a doctor’s story and line up a TV or Radio interview but the author won’t be able to amaze listeners and capitalize on the interview without being trained by a media coach

Before investing in a PR firm it is prudent to find a PR professional who knows his or her way around the newsroom and has body of work with successful medical placements in all forms of media. When shopping for a PR firm consider the following:

• Does the firm have a track record of medical and health placements?

• Does the firm have extensive media contacts and an ongoing relationships?

• Does the firm have a good reputation with journalists?

• Are the sample press kits from other medical clients professionally written?

At the end of the day, sign up with someone who can demonstrate the results you want. My clients have been featured by Good Morning America, CNN, ABC Nightly News, The New York Times, Nightline, TIME, PBS, Los Angeles Times, USA Today, Washington Post, Family Circle, Woman's World to name a few.

Take Advantage of Direct Mail Campaigns For Your Hospital, Office Or Medical Clinic

A sluggish economy probably doesn't affect the Healthcare Industry quite as much as others, such as consumer electronics or entertainment. There might be a slight decrease in elective surgery or treatments, and some folks might opt to neglect their health in order to save money, but for the most part I think "business" will remain essentially constant for the medical professionals. Regardless, hospitals, doctors, clinics and pharmacists still need to market their services and products.

Why?

Because people rarely think about which physician or facility they would choose if they needed to have something done that wasn't an emergency. (In emergencies, most people are concerned that the facility is "close," and that's about it.) Imagine the conversation at the kitchen table if the opposite were true.

"Honey...if I ever need to have a hemorrhoid removed, I think I'll go to St. Fred's hospital across town. It looks like a nice building, doesn't it?"

His wife replies, "Why? Are you having a problem?" "No. I was just thinking about it in case I ever need that kind of treatment. It's always good to have a plan, you know."

(I can't believe I actually wrote that.)

Seriously

Patients have the option to choose the facility in many cases. They are becoming a much more savvy and educated about their health, and the choice of hospitals or doctor is often being laid at their feet. Like any other business, a medical professional must compete with all his peers in the area. So...why allow them to get all the business? Advertising pays. One proven method of effective marketing is the direct mail campaign.

Direct Mail

It consists of mailing or distributing a postcard or flyer to entire neighborhoods, cities or geographic areas. In the past, direct mail products were made of paper. People get so much of that kind of product in the mail and in magazines that it is becoming less effective. People are becoming immune to its effect. There is a new product that capitalizes on direct mail's success, but reduces the chance that your mailer will be ignored.

What Is It?

The magnetic direct mailer is a recent innovation that has taken it one step further. Instead of a simple paper postcard, this one has an attractive, informative refrigerator style magnet attached to it. Instead of tossing it in the trash, the recipient is intrigued by the magnet and peels it off. Now they have something that has some intrinsic value. They aren't going to throw it away. Instead, they'll most likely attach it to the fridge, or stick in on their computer case at work, or put it on the metal cabinet in the office break room. In any case, the magnet is seen by everyone in the home or workplace, and on a regular basis. Eventually, when one of those viewers needs your services, they will recall the magnet and refer to it. The next thing you know, they will be calling your facility or walking into the admitting office.

Find a good supplier of magnetic direct mailers, often called Magna-Peel, and have then set up a direct mail campaign for your hospital, healthcare clinic or office.

Robert is currently working for ESP Promotions supplying magnetic promotional products for the Health Care Industry.

Medical Assistant Schools Train For Important Jobs

Those who would enjoy an important position in the health care industry should look into medical assistant schools. Medical assistants are a vital component to the professional operation and administration of a medical clinic, and a medical assisting course instructs students in how to perform administrative and clinical duties for a medical office. Medical assistants could hold the most crucial positions in the health care field, aside from doctors and nurses.

The professional medical assistant is often responsible for both office and clinical duties. They may be called upon to explain treatment procedures to patients, take patients' medical histories, and prepare patients for examination. They are often required to answer telephones, schedule patients, and perform other administrative duties. In some cases, the medical assistant will work alongside the physician during the patient examination or medical procedure (depending on individual state laws and regulations).

A medical assistant school can teach you to perform routine administrative and clinical duties to help maintain a smooth operation in a medical clinic. You may learn a variety of skills, such as scheduling patient appointments, performing patient intakes, updating and maintaining medical records, helping with hospital admissions, completing insurance documents, and medical billing and coding. You will learn to work with insurance companies, HMOs, Medicare offices, and other health care professionals.

The professional medical assistant is generally supervised by a physician or other health practitioner. As a medical assistant, you will not be qualified to examine, diagnose or treat patients; however, you will be trained to draw blood, collect laboratory specimens, sterilize medical instruments, instruct patients about medications and special diets, authorize drug refills as directed by a physician, call-in prescriptions to pharmacies, prepare and administer prescribed medicines, dispose of contaminated supplies. Remove sutures and change dressings, prepare patients for x-rays or other procedures, and perform electrocardiograms.

In some cases the medical assistant can begin his or her career in an office setting and receive on-the-job training. In such a case, some experience in the health care field would be a great advantage. But, professional training from a medical assistant school could make the difference between working exclusively in an office setting and being a vital part of a medical team. A formal education in medical assisting would qualify you to apply for a medical assisting position that includes both clinical and administrative duties.

If you would like to learn more about Medical Assistant Schools, please visit our website today, where you can contact schools directly and find out what you need to know to join the health care profession.

DISCLAIMER: Above is a GENERAL OVERVIEW and may or may not reflect specific practices, courses and/or services associated with ANY ONE particular school(s) that is or is not advertised on SchoolsGalore.com.

Copyright 2007 - All rights reserved by Media Positive Communications, Inc.

Notice: Publishers are free to use this article on an ezine or website, provided the article is reprinted in its entirety, including copyright and disclaimer, and ALL links remain intact and active.

Michael Bustamante is a staff writer for Media Positive Communications, Inc. Find Medical Assistant Schools and training in Medical Office Administration, as well as Colleges, Universities, Vocational Schools, and Online Schools at SchoolsGalore.com.

The Components of an Effective Medical Weight Loss Program

In order for a medical weight loss program to be effective it must contain certain essential components. First, it must involve medical professionals trained to deal with patients with weight problems that may or may not be the cause of their medical conditions.

The main part of such a program is that each person receives an individualized diet plan. This diet plan includes foods that you normally eat and does not involve buying or preparing meals containing foods you do not like. The first step is the consultation process in which you are weighed and a calculation is made of the body mass index, (BMI). Other possibilities may be discussed as well; mesotherapy and/or fastin may be some of these topics discussed.

After the initial consultation, you will also have a scheduled visit with a physician at the medical clinic to ascertain that you are in good health or that you need to have special considerations included in your weight loss plan.

As part of your individualized diet plan, a medical weight loss program also includes fitness instructions. In order for any weight loss plan to be effective you do need to exercise for twenty minutes at least three times a week. If you are not used to exercising, the program will lead you into this starting you off with easy exercises that will gradually increase in intensity and the number of minutes you spend exercising each day.

You will also receive the coaching and counseling you need to keep you going when times get tough on the diet and you want to revert to your old ways. Taking care of your psychological well-being is a component of a medical weight loss program. Having a positive attitude towards weight loss is very important.

The personnel at the clinic you use will help you set realistic goals for weight loss and will work with you to help you achieve these goals. For example, if you want to lose 40 pounds in one month, they will advise you that in order to achieve this goal you will be putting your overall health at risk.

Once you start following the diet on a medical weight loss program, you can make regular visits to the clinic to weigh in and check with the counselors as to your progress. You can also talk with these people by telephone or online if you are not able to actually visit the clinic as many of these programs are available online.

The goal of a medical weight loss program is behavior modification in the types of foods that you eat and how much you consume at one sitting. Through the program you will learn the benefit of drinking plenty of water to wash the burned out calories from your body. You will also learn how to determine the size of portions you should have and how to plan a healthy balanced diet using the foods from the four food groups.

Most medical weight loss programs also involve dietary supplements that will help suppress your appetite so that you won't crave foods high in fat between your meals. There are also weight loss protein shakes you can purchase to use as snacks in between your meals that will help raise your body's metabolic rate helping you to have more energy and burn more calories. Overall, you will develop a healthy lifestyle that will help you maintain your weight loss goal so that you feel and look the way you want.

Sarah Martin is a freelance marketing writer based out of San Diego, CA. She specializes in aesthetic medicine, beauty treatments, and medical weight loss. For a specialized program or to learn more about other options in weight loss such as mesotherapy, please visit http://www.vfhcinc.com/.

The Truth About Medical Billing Jobs

For some reason medical billing has become the focal point for scam operators offering instant business income earned at home. The Federal Trade Commission issued a public warning in April of 2009 about the advertisements in newspapers, late night television and supermarket ads for medical billing opportunities with an 800 number included in the copy.

The facts about medical billing are that most of it is done by health care providers themselves, or by firms with whom they contract. If you see a job advertisement placed by a hospital or HMO, that's going to be the real thing. But if you are considering an educational opportunity in medical billing because of the promise of a lucrative in-home job, you need to do more research on the employment market.

Medical billing and coding is a necessary function that provides the communication of financial and treatment information between a health care provider and a health insurance company. The coding referred to is universal code that conveys information about the treatment provided, and also about the diagnosis. There is a lot of medical information that is included in medical coding, and much of it falls under the HIPAA rules for protection of patient privacy.

Professionals in this business may assemble records from a number of sources, depending on where they work. If they are employed by a medical clinic, there may be billing information from a primary doctor, a referred physician and a pathology or X-ray lab. The information from each of those sources provide billing for the insurance company along with medical information. In many cases, pre-approval for medical procedures is required by insurance companies. The medical biller may be asked to call and obtain that pre-approval.

You should also know that medical billing and coding professionals work for insurance companies as well as for health care providers. Within an insurance company there are clerks that function much as medical billers do in health care facilities, informing patients of the treatment coverage with computer generated correspondence and placing the coded medical information in to an insured patient's record.

The billing and coding profession is going to grow as health care continues to become bureaucratized and as the government gets increasingly involved. However competition for these jobs is significant, so if you are interested in this career arm yourself with a thorough educational background. Vocational schools and colleges offer certificate programs and associate's degrees for the medical billing profession.

Bob Hartzell writes about careers for GetDegrees.com. On the website you'll find comprehensive information about medical billing degrees as well as information on educational opportunities for hundreds of other professions.

Medical Marijuana - The Debate Goes On

With every debate you would've people on both sides of the fence, arguing strenuously for or against certain issues. The marijuana medication is not all that different, it seems to have riled up everyone but for different reasons. For those completely satisfied with the use of medical cannabis, there are an equal number, backed by so called pseudo scientific evidence, trying hard to discourage the use of Marijuana as a medicine. While many clinics like a Colorado Marijuana Clinic may support the use of medical cannabis as an effective herb, not everyone is ready to accept change, the way it comes. Marijuana has been controversial ever since it existed in countries like Greece and India. It's not hard to come across those who insist on using the herb as an effective medicine and its legalization but opposition always exists. Just like every coin has two sides, usage of medical cannabis has its supporters and those who are stark opposed to the very idea.

Even as the debate goes on, there are clinics around the world like a Colorado Marijuana Clinic where certified and experienced doctors make use of medical marijuana. Clinics like this do work hard to help its patients and by doing so, they end up propagating the message of effective marijuana usage. With patients being treated for acute pain, symptoms of Alzheimer's and various cancers, the relief they get becomes a testimony to the survival and establishment of these clinics. Lives can be transformed by the usage of this herb as science has established its role in prevention of deposits which ultimately leads to Alzheimer's and promotes neuron growth. Marijuana as medicine is no longer a myth and has been accepted as a reality world over.

Arguments will never cease, but research can be done and the effects of the herb can be established. Medicine has always been controversial but there are cures and medicines that can make or break diseases. Our world today, is in dire need of help and the government needs to get its act in order, reeducate the public on the benefits of the medicine. It could opt to use the various agencies in order to set the record straight on the credibility of Marijuana. Laws and amendments can be passed later. Lives need to be saved and people need to be relieved and cured, and if a locally found drug can do that, why forbid it?

The Finance and Selection of an EMR in the Ambulatory Care Medical Clinic Setting

The adoption of an electronic medical record (EMR) or electronic health record (EHR) in an ambulatory care medical clinic is effectively a re-engineering of clinical processes, in order to achieve (via digital information technology), enhanced quality and efficiency in the delivery of medical services.

To achieve a return on investment, the adoption of such major organizational change must create a positive effect on the organization's income statement. The organizational leaders of the EMR adoption must demonstrate that the initial capital outlay (which may be financed over a reasonable period of time), and, the ongoing maintenance costs associated with EMR or EHR adoption, will bring benefit to "the bottom line".

Most ambulatory care medical clinics already have a smaller network of computers in place used for practice management software functions. EMR adoption will require extension of this network into all clinical exam rooms and all clinical stations. Thus, in addition to initial and maintenance EMR software costs, an analysis of the cost side of the cost-benefit calculation must include an estimation of anticipated initial and maintenance hardware costs, and an estimate of the initial and maintenance network support (IT labor) costs. The organization may obtain a reasonably accurate estimate of such costs using the services of a reputable local network administrator, on a fee for service basis. Of course, electronic medical record software (initial and maintenance) costs may be obtained directly from the EMR vendor.

While the analysis of impact on the cost side of the income statement is relatively easily quantified, the analysis of the savings or benefit is rarely "clear cut" and speaks to heart of the issue - the effectiveness of the EMR in the delivery of clinical services with enhanced quality and enhanced efficiency.

More to the point: physician or ancillary providers are the largest line item cost in the clinic's income statement. Should EMR software not enhance the quality and efficiency of the physician's function, the plan is a lost cause. It is for this reason that the successful adoption of most EMR's is usually led by a physician "champion". Such a physician "champion" will no doubt be seeking an EMR which offers the artificial intelligence to enhance his/her own clinical acumen, while at the same time, facilitating the many tedious tasks associated with the documentation and implementation of the health care plan. No human being free from error, however, the thoughtful physician "champion" will seek an EMR which may be flexible enough to incorporate and remind him/her of the changing standards of clinical care while conforming well to his style of practice.

The efficient EMR may accrue to the practice savings in the realms of transcription costs, support staff use and medical record supplies. Nevertheless, such savings must not be made at the expense of physician dissatisfaction with clinical EMR function. In most cases, the replacement of a dissatisfied but good and productive physician may be more costly than his/her initial recruitment, orientation and training.

Furthermore, the replacement of a failed EMR may well be more costly than its initial adoption costs.

The selection of an EMR or EMR is a monumental financial decision for the average ambulatory care medical clinic. At stake is the long term integrity of the organization. Due diligence is mandatory.