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Wednesday, 03 May 2017 11:03

The Critical role of Physician CEO

Physicians are considered to be the ideal leaders in healthcare as they have been through tough training for many years and they are in charge of 100% of the healthcare dollars spent. They know medicine but unfortunately, they lack management skills such as strategic planning, negotiation, budget and financial decisions.

There is a big need for these skills to be taught and doctors to be trained to fill this gap. For better healthcare management, physicians have to be involved and engage more with extra mentoring . Only few physicians take on the leadership positions and become successful . Those physician leaders will communicate, coordinate, advise and lead so as to achieve their target goals of their particular institution.

In addition to their clinical skills,they need Information Technology skills and conflict management skills which they will be better suited for . As the non physician CEO may sometimes be treating doctors as their adversaries rather than a physician CEO who will treat fellow physicians as partners alleviating a lot of friction especially when doctors feel that have lost autonomy as they are constantly told to increase ( productivity) by increasing the number of patients seen during the work day with some doctors do not get to have a lunch break or even go to the bathroom because of the increasing work load and tasks assigned to them. Then comes other intrusive issues as they are told what medications to order ( the cheaper ones even if patients can not tolerate them, what tests to order and even which sub specialists to refer to !

A real story comes to mind about a very well respected colleague who had a very big private practice for about 24 years and when the acquisition mania started few years back, hospitals started buying small and medium size medical practices and those doctors became hospital employees. Once this senior physician who became a hospital employee and requested a physician to physician communication within the company regarding issues related to patient care. He was intercepted by a young administrator ( younger than the physician son) who found about about it and came reprimanding the senior physician that he should not have bypassed him and the doctor has to go through him ( the administrator)first!

When the senior physician explained that this is a physician to physician discussion and that the administrator is not a doctor , then the administrator simply fired the good doctor on the spot and the doctor was given only 15 minutes to clear his desk and take his belongings, but he was not allowed to have access to his patient charts from his own private practice that he spent his life building as they became hospital owned and was the good doctor was left out in the cold!

Needless to say, he suffered a very severe psychological trauma and he now had to start from scratch all over again more than 25 years later. Similar stories have been reported with some physicians resigned and went out to start their private practice one more time.Some, with Concierge Medicine to escape stress and mental torture of being controlled by a non-physician CEO who may not understand or appreciate what doctors have to go through on daily basis taking care of their patients. 

Physician CEOs in addition would appreciate autonomy that fellow physicians need to make decisions that would be good for patients and good for business most of the time. They will be better qualified as trained leaders to lead towards evidence-based, cost effective healthcare which we are all need now more than ever.

Dr Adel Eldin,MD, FACC,FACP

Board Certified Cardiologist

Founder, CEO

www.brooksvillecardiology.com

Affordable Quality Healthcare Program

Founder, CEO

www.floridamedicaltourism.com

Wesley Chapel , Florida

Tel 877-DR ELDIN

LinkedIN www.Linkedin.com/in/dreldin

Twitter. Adel Eldin @LCQHealthCare

President ,Society of Physician Entrepreneur, Tampa Bay Chapter

www.sopenet.org

Published in Medical Tourism

February is American Heart Month, and, as a passionate doctor fighting heart disease and stroke, I wanted to first share some facts about heart disease in America.

It is still the No. 1 cause of death in the country and is No. 1 killer among African-American, Hispanic and white people, claiming more lives than all cancers combined. The most common cause: coronary artery disease, claiming 400,000 lives annually.

There is a heart attack every 34 seconds, and every minute someone dies of a cardiovascular cause. Many heart attack victims do not make it to the hospital and die of cardiac arrest. Only about 10 percent survive as a result of successful resuscitation with early defibrillation.

With regard to women, one out of three American women will die of heart disease while one in 31 will die of breast cancer. But heart disease in women gets only a fraction of the attention and education it deserves.

There are an estimated 43 million women with heart disease in America, but only a few realize that they need to be educated. More women die of heart disease than men, and this can be partially explained by the fact that women tend to have more risk factors, such as hypertension, high cholesterol or triglycerides, diabetes and depression, in addition to late presentation with typically smaller-sized coronary arteries compared to men. Women also have atypical symptoms such as shortness of breath, pain in the arms, fatigue or feeling light-headed, so it is easy to be missed or brushed off.

This is the opposite of men, who have typical chest pain symptoms. Because of that, most women ignore symptoms and do not seek medical help early.

Essential preventive measures for women include: regular exercise, weight reduction, stop smoking and stress management.

Broken heart syndrome is seen mostly in women with severe emotional trauma who are post-menopausal, leading to temporary severe congestive heart failure (or stress cardiomyopathy).

Women and men with heart disease can benefit equally from various treatments, including angioplasty, stents, coronary bypass surgery and cardiac rehabilitation.

Everyone should know that heart disease is mostly preventable, and thus we could save billions of dollars through early detection and intervention to modify risk factors, especially by lowering lipid levels to stop the progression of the atherosclerotic plaque that causes hardening of the arteries. This is the approach we adopted and have been delivering through our Health and Wellness Program, now in its seventh year.

Clinical trials have confirmed similar outcomes for optimal medical therapy versus implanting coronary stents for the treatment of stable chronic coronary artery disease.

This will have drastic implications that will limit the number of stents deployed, which will be reserved for the treatment of acute coronary syndrome or acute myocardial infraction.

The American Heart Association's "Life's Simple 7" is a composite measure of seven modifiable heart-healthy factors: cigarette smoking, physical activity, diet, body mass index, blood pressure, and cholesterol and glucose levels.

Happy Heart Month. everyone.

Dr. Adel Eldin owns Brooksville Cardiology in Wesley Chapel.

Published in Medical Tourism

It sounds like everyday conversation with my patients regarding various choices of therapeutic options including medications for various medical conditions, procedures or surgeries. The discussion that usually takes place about the established guidelines regarding the specific issue with its indications,safety profile explaining side effects which could be potentially experienced as well as the expected benefits of being complaint with intake of this medication.

After all, a well informed patient is much more likely to be complaint with diet, exercise, intake of medications at the prescribed times and the route of administration. He or she will have better outcome with less cost. The opposite is true as well , patients who do not take charge of their health are mostly non complaint with more adverse clinical outcome which is obviously very costly as well

Simply, patient engagement is is a key to better healthcare and can make a big difference from being stable and doing well medically to going back to hospital with its subsequent high cost . So, patients are encouraged to shop for good Doctors, good Hospitals and Surgery Centers to compare Services, prices and Customer Service because they are the customers and without them , there will be no healthcare industry.

So, This is how it should work, doctors will share their expertise and knowledge with their patients informing them about what needs to be done ( proper nutrition, life-style changes,such as stop smoking and avoid excessive drinking, regular exercise and take medications when indicated. Certainly, patients have to do their homework for the plan of care to work. This is why ( Direct Care Medicine or Concierge Medicine) is the best way to achieve the desired health goals, spend the needed time without rushing patients, answer their questions and give them reassurance and psychological support which they need as well.

I found throughout my medical career if you show your patients genuine concern about their health, patients can feel and appreciate that concern and respond in a very positive way. For example, some patients have been smoking for 1-2 packs per day for 40-50 years as I never give up on any one and take the time to explain the devastating health effects due to smoking and its associated cost. After a candid conversation with the patients, we had as high as 99% success rate in getting people to quit smoking and stay off smoking.

Those patients when seen in follow up visits feel so good about their accomplishment and show desire to share their experience with others. Technology can play an important role ( for example sending reminders ) to patients to review their Medical Notes( Open Notes) which helped patient engagement, compliance and outcome.

With Direct Care Medicine, there is more time spent on actual patient care rather than Computer care checking many boxes to justify payments. Thus empowering patients to be active participants in their care and encourage open communications channels with the healthcare team through technology with Tele Medicine will certainly lead to achieving the goal of better healthcare delivery with less cost ! 

Dr Adel Eldin,MD, FACC,FACP

Board Certified Cardiologist

President, Clinical Appeals Services

www.appealsspecialists.com

Founder, CEO

www.brooksvillecardiology.com

Affordable Quality Healthcare Program

Founder, CEO

www.floridamedicaltourism.com

Wesley Chapel , Florida

Tel 877-DR ELDIN

LinkedIN www.Linkedin.com/in/dreldin

Twitter. Adel Eldin @LCQHealthCare

President ,Society of Physician Entrepreneur, Tampa Bay Chapter

www.sopenet.org

Published in Medical Tourism
Wednesday, 03 May 2017 10:56

Emerging Role of Digital Medicine

Patients are the Healthcare consumers and thus, they expect and demand to be treated as such. Therefore, they are the major force behind technology used to serve them.

EMR, ( Electronic Medical Records ) can actually cause so many problems if not implemented properly, for example, it can slow down rather than facilitate the work flow., frustrate staff and providers, and may end up doing ( computer/Technology -care) rather than patient care!

Successful technology thus has to be guided by input from those who actually delivering the care ( the doctors).

There is an expected failure when trying to implement new system having complete disconnect between Technology and Medicine. It is certainly easy to get lost with ( Big Data) and thus better to focus on most practical and clinically relevant data to track down, analyze and ultimately incorporate into patient care to be safe, effective and reliable in a standardized fashion. For example, it is clinically useful to have an EKG ( Electrocardiogram) tracing to assess Heart Rhythm, then tracing get collected electronically and analyzed to be used in a meaningful way to mange the patients accordingly. For example, Pedometers used to tract the number of steps walked and assess fitness level, or having a wrist band with unique Bar Codes to enable uploading patient data into the patient health records via WI-Fi access.

Other useful use is the remote access for consults or follow up and management of various illnesses as well as caring for chronic diseases or immobile patients. Tele Medicine would be a great tool connecting patients with their trusted providers on 24/7 basis.The critical voice of the physicians to be heard as they give their important input in shaping Digital Medicine and its future success in improving access to effective healthcare delivery. They have to be a part of the conversation and decision making alongside the traditional players including Insurance and Pharmaceutical companies.

There is a real demand for mobile healthcare applications ( to manage chronic diseases) with efficiency having a human being as a back up helping patients when a digital service fails to provide patient specific needs. Digital Medicine can help not only the immediate treatment but can predict and prevent various diseases via root-cause analysis. For example, high salt intake is associated with elevated blood pressure especially in the African American population as they seem to be more salt-sensitive. Another example of regular intake of NSAIDs , Non-Steroidal Anti-Inflammatory drugs such as Motrin, Advil, Naproxyn , Aleve and others will certainly lead to Kidney damage, Gastritis, bleeding Ulcer, Congestive Heart Failure, salt and water retention, simply avoiding the regular intake of these NSAIDs would prevent all these costly and devastating complications. Similarly, regular intake of steroids would cause Diabetes, salt and water retention, delayed wound healing, osteoporosis resulting in bone fractures and depressed immune system leading to repeated infections. Avascular necrosis of the head of the femur which is a serious complication in those on chronic steroid therapy resulting in collapse of the head of the femur.

So, Digital Medicine would be advantageous in answering simple , non emergent questions through customer service center, online portal, chat window, make online appointment, or make a use of a mobile APP. So, the role of Digital Medicine is to improve patient access, customer service, compliance and outcome, but never intended to replace your doctor. We have seen what happened with attempted driver-less cars, it failed big times!

  • Dr Adel Eldin,MD, FACC,FACP
  • Board Certified Cardiologist
  • President, Clinical Appeals Services
  • www.appealsspecialists.com
  • Founder, CEO
  • www.brooksvillecardiology.com
  • Affordable Quality Healthcare Program
  • Founder, CEO
  • www.floridamedicaltourism.com
  • Wesley Chapel , Florida
  • Tel 877-DR ELDIN
  • LinkedIN www.Linkedin.com/in/dreldin
  • Twitter. Adel Eldin @LCQHealthCare
  • President ,Society of Physician Entrepreneur, Tampa Bay Chapter
  • www.sopenet.org
Published in Medical Tourism
Wednesday, 03 May 2017 10:55

Invest in Your Health

Everyone agrees that without Health, any amount of Wealth has no value. Also, everyone hopefully agrees that Physical Health is closely linked to Financial Health . So, adopting healthy life styles at home,work and everywhere have been proven to be a good investment to combat stress, lower incidence and complications of chronic diseases, improve productivity and minimize waste. This means also job security with good health versus loosing the job over being too sick or unfit for the job health-wise!

 Physical activity incorporated in the daily schedule decreased incidence of many obesity-related diseases such as heart disease, arthritis,diabetes, high lipids, Sleep Apnea ...etc . By Limiting time spent watching TV,as it was found that more than 3 hours daily watching, was associated with increased incidence of premature death( could be related to snacking while watching). Similarly, sedentary office work was found to be associated with 5.3 million deaths globally higher than 5.1 million deaths globally due to smoking!

Research from Eastern Kentucky University showed companies spend more than $300 Billion dollars on healthcare and lost productivity due to missed work as a consequence of workplace stress. According to the survey used, 73% of those surveyed reported psychological symptoms such as being irritable, angry, nervous, lack of energy and emotional outbursts. Also 77% of those surveyed encounter physical symptoms such as fatigue, headache, upset stomach, feeling muscle aches.

Many companies adopted solutions such as personal Resilience Program, Yoga Classes in addition to having regular social events to help manage workplace stress. The good thing here is that no one can go on ignoring stress and the importance of reducing it as no one can get rid of 100% of stress!

Even when people approach their retirement age , they are often reminded to plan for covering medical expenses and put aside saving to cover health expenses calculated an average person above 65 years of age to reach about $200 thousand dollars.

We believe in the Concept of Comprehensive Health and Wellness being physically, emotionally, socially and spiritually will be the ultimate investment. That is why we implemented those Wellness Components in our Concierge Medicine Program which has kept enrolled members healthy, saved each one thousands of dollars( between 7k to 10k per person enrolled per year). The Program kept them away from going to Hospitals as none of these members was admitted to hospital over the past 7 years and patients feel great especially for those who used to be admitted to hospital two to 4 times a year on an average every year, not anymore. It is simple, we work with our patients to improve nutrition, have regular exercise routine, get rid of bad habits such as smoking and excessive alcohol consumption, limit salt and sugar intake and have a positive approach to daily challenges which will ultimately minimize stress. Having direct contacting between patients and doctors for trusted care will simplify life,cut cost, get rid of unnecessary hassle causing stress during challenging economic times for so many hard working middle class Americans. They patients pay so much out of pocket with deductibles, co payments and added ( patient responsibility portion of the bill on top of their Insurance premiums). Just about all patients complain of the unbearable costs. So, the advise here to all my patients and everyone reading this important blog is to pay cash and save so much money and headache. This is our solution for healthcare crises for individuals, small and medium size-Businesses to get relief felt immediately after making a small investment in your health. Our Wellness program is time tested, with proven efficacy and recession prof. You, the consumer now will make an informed decision about your investment.

  • Dr Adel Eldin,MD, FACC, FACP
  • Board Certified Cardiologist
  • President, Clinical Appeals Services
  • www.appealsspecialists.com
  • Founder, CEO
  • www.brooksvillecardiology.com
  • Affordable Quality Healthcare Program
  • Founder, CEO
  • www.floridamedicaltourism.com
  • Wesley Chapel , Florida
  • Tel 877-DR ELDIN
  • LinkedIN www.Linkedin.com/in/dreldin
  • Twitter. Adel Eldin @LCQHealthCare
  • President ,Society of Physician Entrepreneur, Tampa Bay Chapter
  • www.sopenet.org
Published in Medical Tourism
Friday, 29 July 2016 09:48

Do you practice Honest Medicine?

Do you practice evidence-based Medicine? or you feel you were put in a situation where patient best interest is not being looked at as first priority. But rather as revenue generating for job security especially in the employed physician category!

To put it all in prospective, here are real examples to illustrate this challenge. A 58 year old female patient with persistent dry cough , a tickle in the throat who has seen multiple consultants including Ear, Nose and Throat specialist, then allergy specialist, then a Gastroenterologist ( stomach doctor) who saw patient and performed upper Endoscopy and gave patient anti-reflux medication, but cough continued and a fourth consultant was added being a lung doctor , He did work up including CT scan of the chest which was negative and so was the multiple allergy testing done was negative.

Then I saw the patient and went over carefully  her medication list that she was currently taking and Bingo , it was clear that these symptoms were obviously due to side effects of one of the medications she was taking causing her dry cough and tickle in the throat symptoms . This medication belonged to a class of drugs called ACEI , or Angiotensin -Converting Enzyme Inhibitors which after being switched to a different class of medications called ARB or Angiotensin Receptor Blockers  that does the same therapeutic benefit without the side effects. Wow, the patient after the switch of medications, dry cough ,throat irritation  and the need to clear her throat every couple of minutes miraculously gone!  Only, if this was done earlier , could have saved tens of thousands of dollars of unnecessary healthcare money and procedures and achieving better outcome for only few dollars spent instead!

The same can be seen in cholesterol lowering therapy that prevents progression of atherosclerotic plaques  or hardening and clogging of the arteries which if left untreated will certainly lead to subsequent clinical events such as Angina or chest pain first on exertion and if left untreated will lead to Unstable angina and acute heart attacks , strokes and peripheral vascular disease leading to gangrene and amputation . That is why we all should address these issues seriously and aim to achieve target numbers for cholesterol and triglyceride lowering by diet, exercise, life style modification with smoking cessation,limit alcohol intake and medications to prevent close to 80% of cardiovascular morbidity and mortality affecting millions of Americans and costing billions of dollars.

86% of every healthcare dollar spent goes to chronic disease management which is largely preventable and achievable on outpatient ambulatory basis with empowering patient through education and advocacy.

The fast changes dynamics of healthcare will dictate the adoption of evidence -based Medicine for cost saving while improving outcome. Similar examples including unnecessary IV therapy including vitamins such as B12 and others , iron, fluids, antibiotics ..etc which can be given orally effectively unless than patient has a malabsorption syndrome and can not hold anything down due to uncontrolled vomiting or diarrhea which is the only justifiable indication then. This will help patient to avoid unnecessary complications such as IV site infection with the risk of introducing Staph infection into the blood stream especially in cases where patient has hardware like pacemakers, defibrillators , artificial heart valves, or joints. This risk increases with every time the  integrity of the skin is compromised with needle and catheter insertion plus the so many trips that patient make with some of whom are elderly, frail and can not drive . Adding enormous stress on patients making these trips to justify billing the third parties for these services.  And in many cases, the patients are stuck with the bill for unnecessary IV therapy or its complications putting additional stress on the already stressed patient. Believe me, those patients tell me their unfortunate stories.

In brief, patients are fed up with the non sense and they need and appreciate their honest doctor who will tell the truth and support them no matter what!

Dr Adel Eldin,MD, FACC, FACP

Board Certified Cardiologist

Founder, CEO

www.brooksvillecardiology.com

Affordable Quality Healthcare Program

Founder, CEO

www.floridamedicaltourism.com

Wesley Chapel , Florida

Tel 877-DR ELDIN

LinkedIN

Twitter. Adel Eldin @LCQHealthCare

President ,Society of Physician Entrepreneur, Tampa Bay Chapter

www.sopenet.org

Published in Dr. Adel Eldin
Monday, 06 June 2016 11:15

Fasting for better Health and Life!

شركه فلوريدا العالميه للسياحه الطبيه تهنا العالم العربي و الاسلامي بمناسبه حلول شهر رمضان المعظم Florida Medical Tourism wishes you a very Happy Blessed Month of Ramadan

Very exciting recent research from the University of South California and previously at University of Utah showed that intermittent  fasting would not only improve health, lipid profile, blood sugar levels, loose weight and thus decrease blood pressure and cardiovascular morbidity and mortality as well as many of chronic diseases( obesity, arthritis, type 2 diabetes, hyperglycemia, and increase energy level by reducing the calories taken. Chronic disease contribute to 86% of total healthcare dollars spent. Fasting also gives the body the opportunity to get rid of dead cell as there is a continuous cell turnover taking place known as ( Apoptosis) or programmed cell death as they replaced by young healthy cells.

Intermittent fasting increases body responsiveness to natural Insulin secreted by the pancreas which is the opposite to when the sensitivity to Insulin decreases leading to diabetes and heart failure.
Many of us turn to eating when stressed which becomes a bad habit , thus fasting helps us to handle stress better with many psychological benefits of peace and tranquility as well.

Longer hours of fasting will lower levels of IGF , a growth factor hormone linked to aging and cancer risk. Other studies showed improved cognitive function with fasting. Also fasting helped regeneration of stem cells which helped repair damaged old immune system.
Fasting shifts the body from using glucose as its primary source of energy to fat , thus start burning fat for fuel.

Honoring a global guest as the Holy Month of Ramadan approaches, many can join the health benefits of fasting and it does not have to be without food or drink from Sunrise to Sunset as observing Muslims do , but can try to limit calories, skip a meal or use liquid like shakes instead of solids and still get the benefit of fasting.

Physical and psychological wellness are not the only good things that come with fasting, but also opportunity to appreciate what we have as so many in the world fast every day without a choice as they do not have the resources or means!

The wonderful traditions of the very fast passing by month of Ramadan includes fasting from sunrise to sun set, then have late evening prayers called ( Taraweeh) or Joy of the heart prayer. Giving so much charity to less fortunate fellow human beings. Share the joy of moment of fast breaking at Sunset for which any one can walk over to any Mosque and have a free dinner in a meal called ( IFTAR). There is a also spiritual fast from sins like hate, envy, jealousy,selfishness as get rid of bad habits such as smoking.  It is time to reach out to friends, family, neighbors and all humanity seeking God forgiveness and Mercy encompassing the entire globe.

The dream of a very special night ( Night of Power) most likely taking place any of the odd nights during the latter third of the money which is better than a thousand month of a life time . If you do the math correctly, this one night will be better than 84.6 years!

There is certainly a paradox of energy surge and enormous happiness with fasting , praying, reciting the Holy Quran and engaged in reflection on true purpose of life and doing the most good.

The grand prize with accepted deeds during the month of Ramadan is to be completely forgiven from all previous sins and be saved from hill fire as the spirit of Ramadan continues while having mixed feeling to see Ramadan end but also sense of accomplishment and excitement about the Feast that follows the end of Ramadan with exchange of gifts and celebration and prayers to live through the next Ramadan Season. Surprisingly, these amazing scientific data about physical,psychological benefits of fasting have confirmed what the Holy Quran 1500 years ago has indicated  in Chapter 2 Verse 184 ( If you fast, it would be better for you addressing all mankind if they only knew)!

Dr Adel Eldin,MD, FACC,FACP

Board Certified Cardiologist

Founder, CEO

www.brooksvillecardiology.com

Affordable Quality Healthcare Program

Founder, CEO

www.floridamedicaltourism.com

Wesley Chapel , Florida

Tel 877-DR ELDIN

LinkedIN

Twitter. Adel Eldin @LCQHealthCare

President ,Society of Physician Entrepreneur, Tampa Bay Chapter

www.sopenet.org

Published in Medical Tourism

United Health Care CEO Stephen Hemsley announced on April 19th that the company will pull out from most of Obama Care exchanges in 2017 citing a billion dollar loss in 2015 and 2016.  This loss was largely due to having a large pool of sicker patients enrolled in the Affordable Care Act( ACA). And he  admitted it was a mistake to join the exchange in the first place.

Wall Street applauded the news with subsequent rise in United Healthcare shares and helped company revenues exceed forecasts. The United Health Care pull out from ACA would mean simply two important consequences to the consumers namely higher premium and less choices or even one choice left in places like Lee and Collier Counties in Florida where people will be left being( Florida Blue).
Thus, United Healthcare would suspend marketing and reduce or eliminate paying commissions in most markets as a part of exit strategy so no one would say they were not informed!

It looks like the same circumstances that led the Nation's largest Healthcare Insurer to abandon Obama Care would be the same for other  smaller Insurers as well which could create some doubt on the future of ACA. It also seems that most of patients are becoming more convinced that the traditional insurance model is unsustainable with more hikes in premium expected in 2017 up to 15% or more with less coverage and more out of pocket cost shift to the consumer.

Some folks consider ( Single Payer System) , State of Colorado could be the first State in the Country to implement such system where there would be no insurance premium or co payments as the program is all paid through payroll deductions covering all inpatient and out patient diagnostic and therapeutic healthcare needs.

Recent study showed the same sicker patient pool consume most of healthcare dollars spent many of whom had low income. This was directly linked to reduced life expectancy. This simply means fighting poverty and making quality healthcare really affordable is the best investment strategy in cost saving and improved health outcome.

So many agree that doctors and patients should work together to improve the quality of healthcare and reducing the cost at the same time. This is clearly doable in the ( Direct Contracting  or  Direct Care Model). Both are well studied with very impressive outcome in achieving better healthcare with less money spent. We see  these models of Concierge Medicine working in our own program as well as across the county to fill the Hugh gap in healthcare delivery shortage.
Direct Doctor-Patient/Consumer relationship without the third party hassle, additional administrative cost and control in an ethical, evidence- based medicine with price transparency will be very attractive to so many consumers seeking personalized service in a fresh and free healthcare market across America. People will demand nothing less than that for their health.

Dr Adel Eldin,MD, FACC,FACP

Founder, CEO

www.brooksvillecardiology.com

Affordable Quality Healthcare Program

Founder, CEO

www.floridamedicaltourism.com

Wesley Chapel , Florida

Tel 877-DR ELDIN

LinkedIN

Twitter. Adel Eldin @LCQHealthCare

President ,Society of Physician Entrepreneur, Tampa Bay Chapter

www.sopenet.org

Published in Medical Tourism

Retail Clinics have had a substantial growth over the past few years and are expected to have an even faster growth rate in the upcoming years.

Retail Clinics are booming as consumers seek new ways to get convenient, cost  effective healthcare which constitute a formidable challenge to traditional practice. As a matter of fact, some insurers like Kaiser Permanente partnered with Target to Staff retail Clinics in some California stores.

Up to 60% of patients seen in Retail Clinics do not have established Primary Care Provider with more than 10 million patient visits to Retail Clinics every year mostly utilizing low acuity care for self-limiting conditions. But with convenience and reassurance , most consumers find those clinics to be a much cheaper alternative than being seen in the Emergency Room.

The Affordable Care Act ( ACA) which added millions of patients into the already strained Primary Care Capacity , created great opportunity for the Retail Clinics. Most of these Clinics are concentrated in the metropolitan areas but Tele Medicine is proposed to provide care for the rural communities in America giving 46,000 current physician shortage which will hit 94,000 by 2025!

Drive-Thru style of healthcare offered by Retail Clinics in Shopping Centers, Malls and Supermarkets was actually preferred by Millennials compared to  Senior patients . The majority of these Clinics are staffed by Nurse Practitioners not Physicians and because of the possible delay of few days to be seen by the physician due to shortage and scheduling issues, consumers now choose to go to Retail Clinics as walk-in  and be seen the same day.

In addition to physician shortage, the Affordable Care Act, and higher out of pocket cost are all factors fueling the growth of Retail Clinics. So, patients prefer low cost visits ( average $75) per encounter rather than very high out of pocket cost when seen in the Emergency Room. Patients are also getting to be more educated consumers of healthcare as they shop around and compare prices for various healthcare services. Some Retail Clinics are taking advantage of managing chronic diseases as they constitute the biggest burden of healthcare cost ( up to 86% of total money spent) and are getting the Electronic Medical records connected with other Health-System affiliate to capture the chronic disease management market and filling this gap in healthcare delivery. Our Concierge Medicine model offers patients another viable option to deliver Cost effective  Quality Healthcare with convenience and personalized continued Care.  Thus,  we can count on more and more Retail Clinics growth but hope to have a positive impact on lowering overall healthcare cost and working in harmony with traditional physician offices , Concierge Medicine Providers and hospitals to best serve our patients!

Dr Adel Eldin,MD, FACC,FACP

Founder, CEO

www.brooksvillecardiology.com

Affordable Quality Healthcare Program

Founder, CEO

www.floridamedicaltourism.com

Wesley Chapel , Florida

Tel 877-DR ELDIN

LinkedIN

Twitter. Adel Eldin @LCQHealthCare

President ,Society of Physician Entrepreneur, Tampa Bay Chapter

www.sopenet.org

Published in Medical Tourism
Monday, 09 May 2016 16:54

Cost of Chronic Diseases

Chronic diseases rising cost is a major drain of US economy since 86 cents of each dollar spent on healthcare goes to treating chronic disease. It is estimated that there is 133 million Americans with chronic disease and about 45% of population have at least one chronic disease. Chronic diseases also put huge burden on US work force making US less competitive in the global market as nearly one out of two working adults aged( 45-64) having more than one chronic condition to treat and suffer lost productivity.

We can not lower overall healthcare cost without controlling and preventing chronic diseases which are mostly preventable. Higher cost goes with  the number of chronic diseases. For one chronic condition, spending is almost 2.5 times that of someone without it, similarly someone with 3 chronic diseases has 6 times more to spend and for someone who has 5 or more chronic conditions, there will be 13.5 times more healthcare dollars to spend.

The list of chronic diseases include hypertension,  heart disease, stokes, cancer,type 2 diabetes, obesity , asthma and arthritis.

A close link between Health risk behaviors and the development of chronic diseases is well established with factors such as physical inactivity, tobacco abuse, drinking too much alcohol, poor nutrition. For example, failure to screen common health problems such as hypertension( high blood pressure), high cholesterol, high triglycerides and diabetes which will lead to hardening of the arteries( atherosclerosis) in a diffuse way from head to toe leading to very high rate of cardiovascular morbidity and mortality. Similarly with cancer screening such as mammograms for breast cancer and colonoscopy for colon cancer, PSA test for prostatic cancer according to established guide lines. This effort also could delay the progression of Alzheimer disease which is another important disease on the list as well.

Poor nutrition, high sugar content, high rate of red meat consumption were related to diabetes, cancer and heart disease. Smoking and high alcohol consumption will cause so many diseases such as liver cell failure, up to 20 different types of cancer and heart failure with cardiac arrhythmias most common of which is atrial fibrillation leading to strokes.

So, the effective solution is early screening and detection of all risk factors and start life-style modification by eating healthy, regular exercise with more physical activity 30 minutes a day , stress management, get rid of bad habits such as smoking and excessive alcohol drinking. Regular check for important parameters such as Body Mass Index ( BMI ) to achieve optimal body weight. Ban artificial flavors, ban artificial trans fats to eliminate toxins from food supply, avoid high calorie low nutrition food . Improve access to quality healthcare that is truly affordable!

Improve doctor-patient relationship and this is exactly what we have done in our Health and Wellness Program which saved each patients thousands of dollars on medications, blood work and diagnostic testing. The Wellness Program  improved health outcome, prevented costly hospitalizations and procedures as well as ER visits thus alleviating the stress and burden of the high cost and out of pocket expenses as there is no co payment, no pre authorization and no referral necessary. https://www.facebook.com/Heart-Health-and-Wellness-Program.

We also found patient education, active engagement is important in the successful management of the patient chronic diseases beyond the acute illness  management. Motivating Americans to proactively prevent, detect and manage their chronic disease by tracking their own health, learn about their chronic disease condition and treatment will help make significant savings of billions of dollars spent on chronic diseases while improving outcome.

Dr Adel Eldin,MD, FACC,FACP

Founder, CEO

www.brooksvillecardiology.com

Affordable Quality Healthcare Program

Founder, CEO

www.floridamedicaltourism.com

Wesley Chapel , Florida

Tel 877-DR ELDIN

LinkedIN

Twitter. Adel Eldin @LCQHealthCare

President ,Society of Physician Entrepreneur, Tampa Bay Chapter

www.sopenet.org

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