Evolving Healthcare Trends

The model trends in the healthcare system have been changing over the period of time. The old trend gave importance to the individual patients and the emphasis was on treating illness. The goal of the hospitals was to do inpatient admissions, fill up the beds and more emphasis was given to acute inpatient care. The role of managers in the old paradigm was to run the organization and coordinate services. In the old system, all providers were essentially the same. The hospitals, physicians and health plans were separate and not integrated.The newer trends that evolved gave importance to the population as a whole. It not only treated illness, but emphasized on promoting the wellness of the people. The goals of the healthcare system after being transformed over the years is to provide care at all levels which is continued. The role of managers in the new paradigm is more broad. They see the market and help in quality and continued improvement. They not only run the organization, but also go beyond the organizational boundaries. In the evolving system, the providers are differentiated according to their ability. The hospitals, physicians and health plans have formed an integrated delivery system.One of the current trend in the healthcare delivery model is that continued care is emphasized. The key professionals are not only treating patients for their illness, but they are promoting and managing quality of health. For example, a patient with high cholesterol visits a doctor. He is not only given one-on-one medical treatment, but he is also offered to attend a group session where information is provided on how lifestyle and behavioral change can help. The patients learn from the clinicians and also from each other. Another current trend is to take care of the health of the defined population and not only individual patients. All the health needs of the population as a whole are identified and served. It is emphasized that the community uses the health and social services provided. Healthcare has become more population-based. Another trend that has evolved is that the hospitals, physicians and health plans have got connected and have formed an integrated delivery system. More investments are being made with a goal of providing services to the customers and retaining them.There is a beneficial impact in the transformation of healthcare towards emphasizing continued health. The way healthcare has been viewed in the past has been changing. The shifting of care from treating acute illnesses to providing continued care is resulting in enhancement of the health of the people. The only appropriate and feasible model is to provide a continuum of care with the emphasis firmly on the family and community. The health of the population and community is considered as a whole. This is advantageous as it creates value in the healthcare delivery system. The healthcare providers work with the community as a whole and consider to improve the health of the general population. Even though this requires new kinds of ways of organizing and managing healthcare services, it helps in understanding the health needs of the target population. By studying their needs, the right health and social services could be provided to them. Examples of promoting wellness of the whole community are organizing health campaigns and providing preventive education to the people in general. Another example is providing awareness about flu vaccines and encouraging people to get the vaccination.Integrating the healthcare delivery system has led to certain advantages to the patients. For example, they can be offered alternative sites of care depending on their convenience. It helps in meeting the needs of the customers and their preferences which is taken into account. The number of providers are expanded and the patients get to have a choice. The relationship between providers and health plans are organized in the current trend and this ensures that the right care is provided in a convenient way to the customers.There are defined budgets and expenditure targets for the populations which implies that there is a need to be efficient and productive. The formation of strategic alliances, networks, systems and physician groups can also add value. There are capitated payments and budgets allotted to the healthcare organizations. These are used to provide care to the defined population. The organization might like to improve on the payments and budgets as the expenditures of the companies increase. This results in the management to make decisions like forming strategic alliances with other organizations and increase the total resources. The growth of such networks will help in providing better care to the customers. Financial resources greatly influence the efficiency and productivity of the organization.The aging population is influencing the healthcare delivery. There is increased demand for primary care of people over 65 years and for chronic care of people over 75. The ethnic and cultural diversity is also influencing the healthcare delivery. This provides a challenge in meeting patient expectations on one hand and diverse workforce on the other. Biological and clinical sciences have met with technological advances and have led to new treatment modalities. This has led to open new treatment sites and manage across the organization. External forces change the supply of certain areas of health professionals like physical therapy and some areas of nursing. The management needs to compensate for such shortages and they need to develop different teams of caregivers at different work sites. Changes in education of health professionals implies that the management be more creative in offering healthcare services. With an increase in diseases like AIDS and morbidity from drugs and violence, there is more and more need to work with community agencies, form social support systems and there is a need for more chronic care management. Advances in information technology is another area where there is a need to train the healthcare employees in new advances. They also need to manage issues of confidentiality and rapid information transfer. Increasing expansion of world economy has led to more competitive management of strategic alliances, care of patients across the nations and of different cultures.Current environmental trends impact the healthcare delivery model. Organization’s success depends on its external and internal environment. The complex environments made up of uncertainties and heterogeneity of components leads to different organizational designs. The current environmental trends influence managerial and organizational decision making. The unique challenges facing the healthcare delivery organizations should be analyzed in order to develop and implement new and effective operational processes and strategies. As an impact of current environmental trends, the healthcare delivery system needs to improve individual, team, and organizational accountability and performance. The impact of advances in medical knowledge and information technology on the process of healthcare delivery should also be examined, and it should be leveraged to improve quality of care, process and cost controls, and revenue. New strategies would need to be identified and implemented for learning and performance improvement to create a culture that supports accountability, safety, and high-quality care. Innovative models in healthcare delivery would also be required in order to develop and implement strategies that promote organizational success and competitiveness.Due to the current environmental trends, more emphasis is given to the customers and there is more of a patient-focused care. The healthcare delivery model has been shifting to the community based care. There has been an increased modification in care processes. The traditional ways are being challenged and more experiments are being performed to fulfill the demands to improve the quality of care. Due to the shift in the environmental trends in the healthcare delivery model, more emphasis is given to quality improvement. This will help improve the performance levels of key processes in the organization. The performance levels are being measured, the defects are eliminated and new features are being added to meet the customer’s need efficiently.There is a new emerging contemporary trend in the U.S. healthcare system. Presently, the management research and assessment have been offered increased recognition. The emerging trend seen is that this is slowly forming an integral part of managerial and organizational effectiveness. With the emerging efforts in information management, it is leading towards clinical and financial networking. The trend seen among the physicians and nurses is that they are being increasingly involved in managerial activities. The managerial trends are also changing with respect to role performance and changing values. The managers role is getting more and more recognized in managing finance and human resources. Management training, lifelong and distance learning is being offered in preparing future managers.The healthcare executives and managers will be faced with the major responsibility and challenge in the years ahead. They will be working with other healthcare providers and will be creating a competitive future for their organizations. They will not only be managing organizations but also a network of markets, services and joint ventures. Formation of more and more strategic alliances and partnerships will lead the management to manage across boundaries. The management will change from managing a department to managing the continuum of care. The management will be following a community-based approach. Trend in management is also shifting from just coordinating services to providing improvements in quality.As the demands in healthcare are increasing, the management is responsible for forming performance standards. The management is also challenged to maximize the productivity and quality to serve the health needs of the community. The management is looking after the demands of the external environment as well as attending to the performance of the internal environment. The management is responsible for the performance of the organization.Healthcare organization leadership will be responding to new trends and competitive forces. It will respond to continuum of care, overall health status of the population and more complex organizational structures. These emerging trends in the healthcare system will effect the organization’s leadership. The future managers would need leadership skills and vision to integrate the organizations and help in providing the best care. The managers will have to be committed to leadership and work on giving their organizations the best place and help their organizations adapt to the changing circumstances. More value will be given to leaders who will be able to lead the change process. As changes are inevitable for the betterment of the organization, the leaders should be able to identify how the change is to be received and how it is to be communicated at all levels of the organization without damaging the implementation process. The leaders might have to deal with increased pressures due to organizational complexity.The leader in the organization provides strategic direction to the organization, manages diverse stakeholders, becomes mentors for management, is willing to take risks, helps the organization interact with the external environment and attends to the internal needs as well. Where required the leader will involve physicians in governance process and align physician and organizational interests. There will be a need for formation of learning organizations. Transformational leadership will create the required vision for the organization. Leaders will have a greater role complexity and they themselves will have to adjust rapidly to new situations. The healthcare organization leadership will have to live up to the values of the organization and will help in fulfilling the mission of the organization.Individuals and groups within the healthcare organizations require more and more competencies. An enhanced lifelong learning is required due to the fast, changing environment. The individuals and groups within the healthcare organizations will be benefitted as there will be rapidly developing medical technologies which will result in increased services. More sophisticated health services will be provided to the consumers. The range and quality of services provided will be regulated for the benefit of people requiring home care, long term care and ambulatory care. The anticipated future development will also result in the increased competition among the health services organization. The individuals and groups will be involved more and more with the community for issues like drug abuse, teenage pregnancy and violence.Individuals and groups will be faced with increased strategic planning and management in the healthcare organizations as there will be ever increasing involvement by the trustees and physicians. As the future environment in the organizations will be more complex, the individuals and groups in the healthcare organizations might feel more pressurized. They will need to serve the changing demands of the community as the population of elderly patients will increase. These individuals will require more professional training, increased levels of education and should be taking part in continuing education programs.Due to the anticipated future development in the healthcare organizations, those individuals and groups will be valued, who are adaptable, committed, are able to add value and embrace change. These individuals will be required to experiment more and help in redefining the mission and goals of the healthcare organizations.

Why Good Nutrition and Physical Fitness Is Vital to Good Health?

Health, nutrition and fitness are the three interrelated areas that determine an individual’s sense of happiness and well being.

Health
Health involves the physical, mental and spiritual levels of the individual. A physically healthy person is one who can carry out normal daily physical activities and respond to emergencies with out undo fatigue or pain. The health part of health, nutrition and fitness is achieved through a balanced program of good nutrition, healthy physical activity, continuous education and mental activities, and social and spiritual activities. Your choices of the food you eat and your physical activities affect both your short term and long term health (how you feel now and in the future). You may be getting plenty to eat, but if it is not a proper balance of choices from all five of the basic food groups you may be adding fat to your body without generating the energy to burn the calories and energy to the cells to carry out their functions. Healthy physical activity helps burn off any excess calories you consume, and keeps muscles and joints flexible and strong. Your efforts of continued education (reading, attending seminars, as well as attending formal education classes), and spiritual activities (social activities, attending devotional services, meditation, etc) provides you with a sense of accomplishment and well being. An important part of good health is being physically fit and maintaining proper body weight. Maintaining good health requires following a nutritional diet, and exercising to build and maintain muscles, and to burn of any excess calories.

Nutrition
The nutritional health part of health, nutrition and fitness deals with the food we consume to maintain our health and provide energy to carry on our daily lives. Nutrition is the process of nurturing or being nourished; the total of all the processes that a plant or animal uses to take in and process food substances to maintain a healthy life. A healthy nutrition life style requires a balanced diet of food selected from the five basic food groups, fruits, vegetables, naturally calcium rich dairy products or calcium enriched products, whole grains, and protein (lean meat fish, peas and beans). Other nutritional factors should also be considered. Most fruits and vegetables are better if they are consumed raw because heating destroys some of the healthy nutrients. Steaming and broiling food is better than boiling or frying foods. Preparing fresh fruits and vegetables is better than processed or prepared foods.

The prepared foods generally contain more salt (sodium) than necessary and other flavor enhancing substances. Some of these additives do not add any nutritional value to the food and may even be harmful to your health. More nutritional factors to consider are the variety of the fruits and vegetables in our diet. Nutritional data shows that dark green vegetables (romaine lettuce, kale, broccoli, etc.), and orange vegetables (carrots, sweet potatoes, pumpkin and summer squash) provides more nutritional value than some of the less colorful vegetables. Here are even more nutrition facts. Some foods contribute to burning fat. Green tea contributes to fat burning by increasing the body’s metabolism and increasing energy level. Foods high in protein are more difficult to digest so they require more calories in the digestive process. Good nutrition practices may not be sufficient for some people they may require unique supplements such as CoEnzimeQ10 or others.

Physical Fitness
Physical fitness part of fitness, health and nutrition is the ability to carry out daily activities, enjoy leisure activities and have a healthy immune system to resist disease and infection. Developing and maintaining good physical fitness requires a balance of good nutrition and varied physical exercise. There are there elements to physical fitness: specific fitness the ability to perform daily functions related to work or recreation, general fitness the ability to enjoy leisure time and a sense of peace with the environment, preparedness the ability to over come or avoid emergencies.

There also three factors in achieving good physical fitness good nutrition, physical exercise and restful (sleep). The nutrition maintains the health of the cells and provides the energy to perform the exercises. Physical exercise may be used to accomplish work to earn a living, participate in athletic events, develop and maintain healthy cardiovascular system, or control body weight. Physical fitness and how physical fitness is achieved varies depending on individual. If a person is involved in an occupation that requires vigorous activity and has good nutrition possibly no other exercise is needed to maintain a fit body.

However, even people who are who work hard at their occupation may need additional cardiovascular exercise to keep their heart and blood vessels in optimum condition. People whose profession does not require vigorous physical exercise special effort is required to achieve and maintain physical fitness. A good nutritional diet is the obvious starting point. Some easy things are use stairs rather than elevators, park a little farther from the office or store entrance, throw away the television remote, change channels the old fashion way, and walk to near by offices or neighbors rather than using the telephone. These efforts will help, but more vigorous physical exercise is needed for good physical fitness.

For cardiovascular health a routine of physical exercise over a period a minimum of 20 minutes three times per week is required. The best and generally most convenient cardiovascular exercise is walking. Another good cardiovascular exercise is swimming. Swimming will also help in building and toning muscles. The other factor in developing and maintaining physical fitness is strength exercise to build and tone muscle and to burn fat. Strength exercises are good for weight management because they stimulate muscle growth even after the exercise has been completed. This means that the body continues to burn fat for an extended period of time.

Mental Health
Mental health, as it applies to health nutrition and fitness, is the way we think, how we feel and how we act as we interact with our surroundings. Our mental health contributes to our relations with other people, how we make decision, make choices and how we cope with stress. People with good mental health are able to control their emotions, feelings and behavior. Keeping the mind active through reading, playing games, and an active social life contributes to good mental health.

Spiritual Health Spirituality can be defined as sensitivity or attachment to religion, or as a state condition of being spiritual. Some people ignore or overlook the importance of spirituality in relation to health nutrition and fitness, because they relate spirituality only to religion. Through out history man has struggled with the concept of spirituality. Basically spirituality is the struggle to become the most perfect person or individual. The path to achieve this goal may be through seeking external help through religion of some form, or internal through meditation and study of both present and past human interactions. The above is based on personal study, experiences and observations through out my life.

Consequences of Defaulting on Hard Money Loans

Hard money loans are a common way to fund a real estate project. In many cases, these loans can be used to buy properties that banks won’t finance because of their riskier nature. However, if you default on one of these loans there will be consequences. This article discusses the repercussions of not paying back a hard money loan and how they differ from other types of financing options.

You May Lose Your Property

If you can’t make your payments on a hard money loan, the lender has the right to take possession of the property that serves as collateral for the loan. This means you could lose your home or business if you can’t come up with the cash to pay back your debt.

You’ll Likely Face Legal Action

Hard money lenders are typically more aggressive than traditional banks when it comes to collecting on loans. If you default on your loan, the lender is likely to pursue legal action in order to recoup their losses. This could lead to wage garnishment, asset seizure, and even bankruptcy.

Your Credit Will Suffer

A hard money loan is a high-interest, short-term loan. This means that if you can’t make your payments, you’ll end up with a high-interest debt that will damage your credit score. This could impact your ability to get future loans and may even prevent you from renting an apartment or buying a car.

You’ll Waste a Key Investment Opportunity

Hard money loan financing is expensive. If you can’t pay back your debt, it will represent a significant waste of potential income that could have been used to grow your business or fund future investments.

You May Lose Your Equity

When you take out a hard money loan, you’re typically required to put up some form of collateral. If you can’t make your payments, the lender has the right to sell that collateral in order to recoup their losses. This could mean losing all or part of the equity you’ve built up in your property.

You’ll End Up in a Stressful Situation

If you default on your hard money loan, things are likely to get very stressful. You may face legal action that will require hiring an attorney and could lead to bankruptcy or foreclosure proceedings against your property.

This is why it’s so important for borrowers to make their payments on time; if they can’t do this, there’ll be significant consequences down the road.

You May Need Hard Money Loans Again in the Future

The repercussions of not making timely repayments with a hard money lender may prevent you from getting loans in the future. This means that even if you manage to save up enough capital for another project, borrowing funds might become extremely difficult without good credit history and high-income levels.

You Can Ruin Your Business Relationship With the Lender

If you have a good relationship with your hard money lender, it may be possible to work out a repayment plan that allows you to avoid some or all of the consequences listed above. However, if you don’t repay your debt as agreed upon, you could ruin this relationship and make it difficult to borrow money from them in the future.

As you can see, there are several consequences for defaulting on loan, paying on time will help you avoid all of these unfortunate outcomes and save your business.