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Hoarding Patient Data is a Lousy Business Strategy: 7 Reasons Why
Conclusion The bases of competition in healthcare are shifting – away from competing based on misguided attempts to lock-in patients and providers – and toward competing based on providing care that’s high quality, low cost, and a superior patient experience. Sometimes conventional wisdom goes stale…or was never wise in the first place. Vince Kuraitis, JD/MBA (@VinceKuraitis) is an independent healthcare consultant with over 30 years’ experience across 150+ healthcare organizations.  Leslie Kelly Hall (@lesliekellyhall) is a nationally recognized leader in patient engagement advocating for patients in health IT and beyond.
Source: The Health Care Blog - October 17, 2018 Category: Consumer Health News Authors: matthew holt Tags: Data Patients Tech health information exchange HealthIT HIE HIPAA hoarding Information Blocking interop Interoperability patient engagement patient loyalty primary care referral leakage strategy value-based care Source Type: blogs

12 Tips to Help Spousal Caregivers Through Hard Times
While family members providing care for loved ones share many issues, there’s a different emotional dynamic for spousal caregivers than adult children caring for a parent. Betsy E. Wurzel, spousal caregiver for her husband Matt Sloan, can attest to this. Matt was diagnosed with early-onset Alzheimer’s disease (EOAD), at age 56. View full slideshow on HealthCentral about spousal caregiving: By The Candid Caregiver Carol Bradley Bursack who is grateful for input from Betsey E. Wurzel. MedicareFAQ – Medicare Resource Center Support a caregiver or jump-start discussion in support groups with real stories - fo...
Source: Minding Our Elders - October 11, 2018 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

Sensitivity Training for Caregivers: 'Virtual Dementia Tour' Part 1
Please wipe this mess off of my face. Please!  Don't go so fast, I can't swallow! I'm not ready for a drink yet! Is this bite going to be hot or cold?                                     Sweet or bitter?                                     Pureed meat or pudding?                                    P...
Source: Minding Our Elders - October 9, 2018 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

Comforting Those Who Are Grieving
Dear Carol: My dad died after years of living with a cancer diagnosis. My mom, my siblings, and I are all going through our separate grief processes. I spend a lot of time helping Mom, yet I, too, am grieving, which seems to be overlooked by Mom's friends. I can understand that even though it hurts. What’s most strange, though, is that while we are all irritated by different things that people trying to comfort us do, what we agree on is that people either can't or won't take time to listen to us voice our pain. Could you lay out some rules for helping people who are grieving? – MW Read the full column about grie...
Source: Minding Our Elders - October 7, 2018 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

The Top Five Positive Effects of Long-term Caregiving
After decades of caregiving, I’ve experienced some negative effects. However, I've also experienced positive effects that continue to give me pleasure and enhance my life. I saved the positive aspects of caregiving for the second article because, having recently written about the ill effects on our health caused by negative thinking, it seemed more authentic to me as a writer. Also, as a person, when possible I like to concentrate on the positive. Below are a few of the many things that I feel I have gained, and still am gaining, from long-term caregiving. Read the full article on HealthCentral about the top five positiv...
Source: Minding Our Elders - October 6, 2018 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

New Open Enrollment Period for Medicare Advantage
This is the second in an ongoing series of informative Medicare posts courtesy of MedicareFAQ. You will see a ton of what are basically ads pushing Medicare Advantage plans. Few balance the pros and cons because they are saying that these plans offer more coverage. I'd suggest reading this article closely before deciding which type of Medicare is right for your parents, your spouse, or you. You will then be able to make an educated decision. - Carol 2019 starts a new enrollment period for Medicare Beneficiaries that are currently using Medicare Advantage plans, Open Enrollment Period. This new enrollment period...
Source: Minding Our Elders - October 5, 2018 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

7 Pitfalls to Avoid When Visiting Someone Living with Dementia
Whether you’re caring for someone with dementia or visiting them from time to time you’ll want to do your best to make them feel good.   No one will ever hit the right note every time but knowledge helps. With that in mind, here are a few pitfalls that you can avoid in order to help make your time with a friend or loved one who has dementia less stressful. View the full slideshow on HealthCentral with tips on making your visit to someone living with dementia go more smoothly. MedicareFAQ – Medicare Resource Center Support a caregiver or jump-start discussion in support groups with real stories - for...
Source: Minding Our Elders - October 4, 2018 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

Caregiver Asks: Is Dementia As Hard on the Caregiver As the Person with the Disease?
It seems shocking to hear people ask whether dementia, particularly Alzheimer’s since it’s the best known, is as hard on the caregiver as it is on the person with the disease. After all, developing dementia of any kind is one of our greatest fears, even overtaking cancer. A caregiver who asks this question must be incredibly heartless and selfish, right? Yet, people who've never been a caregiver for someone with dementia need to think this through. When a loved one develops dementia, both the care receiver and the caregiver have entered an incredibly challenging time in their lives. Read the full article on HealthCentr...
Source: Minding Our Elders - September 21, 2018 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

Mandated Queries of the Florida Prescription Drug Monitoring Program: Early Experiences from a Cancer Center-based Outpatient Palliative Medicine Clinic
This article describes our e xperiences in the first month of experience with the new law, although we plan to examine queries for a total of three months before closing this QI project.For the purpose of this QI project, we have documented patients ’ demographics, including each patient’s age, gender and limited identifying information, such as patient names and identification numbers; this data will be de-identified for any statistical analysis planned in the future. We also recorded patients’ main diagnosis and pain symptoms, the numbe r of prescribers listed by the PDMP as well as the dose of the patient’s opio...
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 14, 2018 Category: Palliative Care Tags: kollas opioids pdmp quality improvement The profession Source Type: blogs

6 Tips About How To Be Proactive Rather Than Stressing About Disease
Many people are genetically predisposed to developing certain diseases, among them diabetes, cancer, heart disease and Alzheimer’s. It’s natural to worry if you’ve watched family members endure the illnesses. However, the cortisol released in your body by chronic stress, which can be caused by worry, could increase your susceptibility. The fix? Be proactive. Limiting stress may not completely protect you from the disease that you dread, but it can help your overall health and, for some diseases, this could help you avoid a trigger. Where do you start? View slideshow on HealthCentral about how to be proactive rather t...
Source: Minding Our Elders - September 10, 2018 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

New Study Suggest Rampant Healthcare Fraud Regarding Shared Decision Making & Patient Decision Aids
When Medicare agreed to cover Screening for Lung Cancer with Low Dose Computed Tomography (LDCT), it required that the clinician and patent first have a "shared decision making, including the use of one or more decision aids." But in a new study, rese...
Source: blog.bioethics.net - September 3, 2018 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Revealing Dementia Diagnosis Largely Up To Person Diagnosed
Dear Carol: My mom was diagnosed with an early stage of dementia. Unfortunately, she thinks that there’s still a strong stigma surrounding dementia and she doesn’t want her friends to know about her diagnosis. I understand and respect her feelings, but when I asked her if she’d tell them if she had cancer, she said that she probably would. I tried to tell her that this shouldn’t be any different. Since her best friends don’t live close by, and she sounds like her normal self during most phone conversations as well as in her emails, there may be no rush. Still, while I don’t want to go against Mom’s wish...
Source: Minding Our Elders - September 2, 2018 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

There is Significant Quality of Life After a Dementia Diagnosis
Most Alzheimer's organizations have found that, in general, people are more afraid of a dementia diagnosis than finding out that they have cancer. One reason for this fear is the stigma that accompanies dementia. While sympathetic to those who have Alzheimer's and other dementias, people who haven't been close to anyone with the disease often think that any type of satisfying life is out of reach after such a diagnosis. Read the full article on HealthCentral about how a diagnosis doesn't immediately make you different: MedicareFAQ – Medicare Resource Center Support a caregiver or jump-start discussion in support gr...
Source: Minding Our Elders - August 29, 2018 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

End-of-life care and spending
I think I last addressed this issue quite a few years back.Ashish Jha in JAMA provides an opportunity to return to it.' Tis oft observed that about 1/4 of all medicare spending is on people in the last year of life. Many people argue that much of this spending must be wasteful. The alternative fact, which is the true one, is that it ' s much more difficult to reduce spending in the last year of life than you might think.The main difficulty is that contrary to the magical powers often ascribed to physicians, predicting life expectancy is very difficult. The obvious reason why so much is spent on the last year of life is tha...
Source: Stayin' Alive - August 21, 2018 Category: American Health Source Type: blogs

As I ’ve always suspected, Health Care = Communism + Frappuccinos
By MATTHEW HOLT Happy 15th birthday THCB! Yes, 15 years ago today this little blog opened for business and changed my life (and at least impacted a few others). Later this week we are going to celebrate and tell you a bit more about what the next 15 years (really?) of THCB might look like. But for now, I’m rerunning a few of my favorite pieces from the mid-2000s, the golden age of blogging. Today I present “Health Care = Communism + Frappuccinos”, one of my favorites about the relationship between government and private sector originally published here on Jan7, 2005. And like the Medicare one from last we...
Source: The Health Care Blog - August 12, 2018 Category: Consumer Health News Authors: matthew holt Tags: Matthew Holt OP-ED 15th Birthday Celebration Commumism Frappuchinos Source Type: blogs