Daily News Updates - Health Insurance News

Health Insurance/Care Overhaul, Pt.9 – Provider training and IT infrastructure.

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We are now moving past the ‘Accreditation’ axiom and its 6 dimensions or attributes, if you will, of ‘Inter-communication’, ‘Inter-coordination’, ‘Inter-accountability’, ‘Inter-accessibility’, ‘Clear accountability’ and ‘sharpening the saw’.

The next ideal health insurance/care system axiom of the seven listed in ‘Article Five’ of this series is ‘Provider Training’. The business world has evolved, by necessity from competition, into highly effective units called ‘small groups’. These act like cells in the human body and serve very efficiently at what they do. It has also been proven that the best of these evolve into teams. Both their effect and efficiency are nonpareil. If our huge health insurance/care infrastructure is to ever overcome it’s inherent inefficiency overhead, it will need to start at the cell level. Otherwise, the fabric is too weak to support the great forces it must deal with. Of course, the most basic unit should be the core of the purpose, that is, an efficient and effective health insurance/care system. The basic unit then, should be the ‘hands-on’ people (kind of like the ‘ground-troops’). To do this will require effective training to form teamwork between the health insurance industry and the medical industry at the point where they directly interact with each other.

Jumping to axiom seven for having a high-performance health insurance/cars system, because it’s brief, is ‘Health Information Technology’. Although this could prove to be a monumental task (as the good people at Veterans Affairs have learned), it must be done, it were to achieve that high-performance health insurance/cars system. It has already been done quite successfully at several medical institutions throughout of country but, unfortunately, not in a way that ‘plays well with others’. Universal structures have been created, such as MUMPS (MGH Utility Multi-Programming Systems) named by Massachusetts General Hospital, which nicely integrate the many diverse successful medical platforms currently in use around the world. The projected requirement here is to have a national system that will unify all the various systems in use today within a five-year time period.

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