The nuances of the English language give “pay” and “cost” many meanings. When a person has no health insurance and no access to healthcare, what is the cost to their health? When the state pays for healthcare, when is “rationing” considered acceptable? Should non-smokers pay with their taxes to treat smokers’ illnesses? The ethics of healthcare financing are considerable. When we contemplate


Meet HealthManagement.org's new E-i-C for EXEC and find out what she hopes to bring to readers including providing a platform for healthcare executives to promote, share and learn from each other on emerging issues in the sector. HealthManagement.org is pleased to introduce the new Editor-in-Chief for EXEC, Ann Marie O'Grady. O’Grady is Chief Executive of Leopardstown Park Hospital, Dublin, a special

Management Matters

There is a pressing need for intelligent leaders who are able to deal effectively with today’s challenges and demands—and those of the future. But intelligence alone is not sufficient. It is simply a “blunt” tool that enables leaders to get things done. Too often leaders are intelligence giants but maturity dwarfs. This has far reaching, detrimental consequences. Leadership maturity is a l


Value Based Healthcare and HIT It has been more than 10 years since Michael E. Porter and Elizabeth Teisberg published their seminal book Redefining Health Care, which laid down the foundation for the revolutionary and evolutionary concept of Value Based Healthcare (VBHC). Both starting and ending with the patient experience, VBHC has since become a driving force in the economic, clinical, commerci

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Alternative financing at hospital level can make a difference. In an environment of budget cuts and increasing pressure on healthcare services how does your hospital cope? In Belgium, and also I think globally, governments and other payers will not be able to keep up with expensive needs, such as an ageing population, personalised medicine, new anti-cancer drugs etc. There are various possible answers.

How can health and social care commissioners in England reinvent the tools of their trade to make funds go further? In England, health and social care commissioners compelled to save money often feel little choice but to reach directly for frontline services. Their various attempts to do so are charted by hostile reports of restrictions on in vitro fertilisation, rationing of hip and knee operations, and

A win-win for the simultaneous involvement of both public and private funding in the provision of global healthcare. In a casual suburb of Hyderabad, India, a growing family is struggling to cope with the main breadwinners’ gastrointestinal disorder. Help arrives from a new concept of day care where major endoscopic surgical procedures can be done without need for hospitalisation. In Ho Chi Minh,

The relationship between finance and IT can be a delicate one that varies from hospital facility to hospital facility. We have entered a time where traditional IT cycles have shortened dramatically. The situation is even made more complex by a fast-changing landscape, consolidation of the market on one side and emerging technologies and swiftly-growing startups on the other. HealthManagement.org spoke t

Since its introduction into the Danish healthcare landscape, telehealth has shown that it can lead to better outcomes and reduced costs. Hans Erik Henriksen, of Healthcare Denmark, writes about the difference telehealth has made to the senior population in recent years. Over recent years, Denmark has conducted a number of telehealth pilot projects, which has given them the knowledge to launch three la

Tech outfit Factom has just won a Gates Foundation grant to develop Blockchain use in healthcare security. The company speaks about its potential. Blockchain, the Bitcoin technology, has been taking the Healthcare Information Technology (HIT) world by storm because of its capabilities to offer impregnable security and tackle the hacking threat. As part of its ongoing humanitarian efforts, The Bill

The Global Health Care Anti-fraud Network (GHCAN) promotes partnerships and communications between international organisations in order to reduce and eliminate healthcare fraud around the world. HealthManagement spoke to representatives, Simon Peck (UK), and Leigh McKenna (USA) to find out more. What is the range and scope of healthcare fraud? Common healthcare fraud schemes include: Upcoding: bill

Special Edition on e-Learning

Offering healthcare professionals high-quality continuous education means leveraging excellence in healthcare performance. The healthcare industry is demonstrating high growth rates in both developing and developed regions around the world. The Bureau of Labor Statistics (BLS) projects that the healthcare and social assistance sector will grow at an annual rate of 2.6% between 2012 and 2022, adding fiv

Best Practice

When cybersecurity is breached and sensitive data is compromised, who should be held responsible - the hacker or the victim? When money is deposited into a U.S. bank and someone steals it, the money remains secured and the bank must honour its obligation to return the funds. Even if the bank goes out of business or into bankruptcy, each customer is protected by the federal government (i). This set up w

The Digital Health Hub is a joint project of Sitra, the Finnish Innovation Fund and The Ministry of Social Affairs and Health. The project goal is to facilitate the use of national data reserves and design of the one-stop shop for health and social care data. The mention of data exploitation may sound scary, but at its best it can mean new, more effective, targeted medicines when whole genome data sets

Top tips for selecting and implementing an enterprise viewer to allow clinicians to access and store medical images across the healthcare organisation. What are the key criteria for selecting an enterprise viewer? 1. Enables access to all images An enterprise viewer should give access, from within the electronic medical record, to all the images an institution has for a patient, not only radiology imag

Computerisation of data collection in a multicentre clinical trial allows fast and easy conduct of the study. Cloud computing is a viable solution for storing patient data in virtual archives accessible by different hospitals. The adoption of an IT platform for centralised review of images and clinical reports in trials saves resources and time. Multicentre clinical trials allow rapid collection of dat

RAD-AID is a non-governmental organisation with a mission to promote radiology in global health with emphasis on sustainability through education. According to the World Health Organization (WHO), approximately 3-4 billion people are at risk for widespread loss and death that could be treated or avoided if radiology was available. Additionally, 6.3 million children under five died in 2013, succumbing t

Mobile devices are used by most students, residents and radiologists in everyday life. They allow fast and convenient access to all internet resources and to data stored on the devices. Entire bookshelves of information can be transported easily and are at the device user’s fingertips. The interactivity of mobile devices allows new techniques of knowledge presentation to be introduced. During the past ye

HealthManagement.org is pleased to bring you a flavour of Dr. Heywang-Köbrunner’s keynote lecture to the EUSOBI 2016 annual scientific meeting, to celebrate the 30th anniversary of contrast-enhanced breast MRI. In 1984, with colleagues I first began to investigate magnetic resonance imaging (MRI) of the breast without contrast to discriminate between benign and malignant lesions using different pulse

The main goal of this study was to assess the viability of the bismuth breast shield in chest computed tomography (CT ) examinations. Dose measurements on a phantom (Cardinal Health 76 415) with an ionisation chamber were performed with and without bismuth breast protection in different configurations using the routine chest CT protocol. Image quality control was performed using a phantom (Gammex 464). In

Sharper medical images using a new US device combined with 3D printed lenses promise to make focused US treatment more accurate. A new ultrasound device has been developed by scientists at Nanyang Technological University (NT U) that can generate sharper medical images with the use of 3D printed lenses. The precise images can help doctors and surgeons have greater control and precision during noninvas

How can affordable cost 3D printed kidney phantoms assist nuclear medicine treatment planning and radiation dose optimisation? Please briefly describe your research on 3D kidney phantoms. Why did you set up this study and what were the main findings? Nuclear medicine is a medical specialty that uses radiopharmaceuticals for diagnosis and treatment of disease. In the last years, driven by major advanc

Identification of the genetic basis of the therapeutic response obtained in mice models is important for patient stratification in clinical trials. Technological advances in molecular imaging will have a large impact on personalised medicine, and make animal reduction and refinement possible during experimentation In recent years, many advances have been made in cancer kno

Induced pluripotent stem cells (iPSCs) are derived from somatic cells obtained from human subjects. iPSCs can be used for disease modelling, drug screening, and regenerative therapy. iPSCs have the potential to revolutionise patient care as part of precision medicine tailored to the individual. Derived from terminally differentiated cells, iPSCs avoid the ethical problems of embryonic stem cells (ESCs)

Cholesterol Lowering (R)evolution, TAVI and More... The latest cardiology research was presented at the American College of Cardiology meeting: transcatheter valve implants emerge as an alternative in less than high risk severe aortic stenosis patients; can iFR define whether your coronary artery requires a stent? Extremely low LDL-cholesterol levels at a price point – but does it translate into better ou


A hundred days into the Trump administration, don't expect the vaunted changes to drug prices after the corporate execs get to Trump. After being caught up during the campaign by the media fetish over shameful drug price hikes, President Trump promised to lower drug prices. Given deep public outrage directed at high drug prices, this price lowering would be quite popular with his base, as well as all o

I-I-I Blogs

CEO , Zoeticx, San Jose, USA The buck stops here Management Tip: Treat people with respect, build trust, demonstrate caring, exude integrity, display dependability and character. Read Thanh Tran’s blog on Can A Health Collaboration Ecosystem Lead To Patient Homeostasis? at https://iii.hm/9pk

Patient Advocate, Inspire2Live, Amsterdam, the Netherlands If about us, not without us Healthcare exists because we patients exist and therefore we should not only be asked about what we want, we should also decide about all matters in healthcare. Simply for the sake of the patients and their loved ones and for the sake of lower costs in healthcare. I’m convinced and have done resea

Data Scientist, Hospital UNI VERSITARIO Rafael Méndez, Lorca, Spain Data is here so search for its insights. Don’t focus on the problem, look for the solution. To do this we need to have a hackers' spirit and the pride to overcome challenges Career Highlight: When I went from Management Chief of IT to being a data scientist and discovered the power of the data and machine learning. Read

Confident Voices in Health Care Boston, USA Medical improv is an exciting teaching tool that can be used to promote emotional intelligence, communication, teamwork, and leadership skills in healthcare professionals Management Tip: If you want to build assertiveness in staff, ask them what they need to accomplish a goal or contribute to an organisational initiative. Then listen and validate! Read

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