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Howard Gitlow Uses Real-World Examples to Teach his Healthcare MBA Students Print E-mail
Written by FHInews   
Monday, 30 September 2019 14:00

Imagine if you could save your healthcare system or your own healthcare practice millions of dollars without losing quality of care. Howard Gitlow helps his students do just that. Gitlow is a professor with The University of Miami’s Business School Executive MBA in Health Management & Policy program. US News & World Report ranks it the No. 1 Health Care Executive MBA program in the U.S.

Gitlow’s course focuses on quality management and process improvement. His students are required to design and implement a project at their workplace that improves processes and saves money. He says there have been many success stories, including an oncology practice that saved $9.5 million by taking what the student learned and applying it in the real world.

“The student flow-charted his current process, saw how it was doing, found the weak points and was able to dramatically decrease the time it took to see patients, thereby saving money,” says Gitlow.

You might think that by speeding up processes quality would suffer, but Gitlow says it’s just the opposite.

“If you improve your process and get rid of delays, re-works and mistakes, you go faster with higher quality,” he says. howard gitlow

The MBA program is a three-day weekend, monthly course taught over 23 months. Participants, most of whom are busy executives and clinicians, attend from around the country and sometimes from around the world. It is accredited by the Association to Advance Collegiate Schools of Business (AACSB) and by the Commission for Accreditation in Management Education (CAMHE). It also is a member of the highly prestigious Business School Alliance for Health Management (BAHM), which is by invitation only.

“It is the flagship program of the business school,” says Gitlow. “We have some of the best faculty who know a lot about healthcare. Our students are mature and ready to soak up what is laid out before them.”

Gitlow, who has been teaching at UM for 42 years, has written numerous books and academic articles about how to improve processes. He also serves as an advisor to UM’s Lennar Foundation Medical Center.

“We focus on cooperation more than competition within the organization. We don’t demand results, we help them improve their processes to get results. We do this through the use of extrinsic and intrinsic motivators,” says Gitlow. “By using this process improvement management system they are, by far, the most profitable and productive component of the medical system.”

He teaches students ways to reduce patient no-show rates, the amount of time it takes to get a patient in and out the door, as well as wait times.

Gitlow does much of his teaching through storytelling and real-world examples, which his students not only find enjoyable, but also relevant to their own lives. Students call his examples “unique” and “entertaining” and his subject knowledge “extraordinary.”

“This is not a course you forget; this is a transformational course that you can take with you in all aspects of your life,” he says.

Last Updated on Tuesday, 01 October 2019 14:12
 
If E-Cigs Were Romaine Lettuce, They'd Be Off the Shelf, Vaper's Mom Tells Congress Print E-mail
Written by FHInews   
Tuesday, 24 September 2019 00:00

Allison Aubrey reports for Health News Florida on Sep 24, 2019:

Dr. Anne Schuchat, a top official with the Centers for Disease Control and Prevention, warned federal lawmakers Tuesday that a new generation of e-cigarettes now on the market is "even more addictive," than early versions of vapes, and the number of vaping-related lung diseases is continuing to rise. Ruby Johnson, the mother of a college-aged student hospitalized last month with severe respiratory problems linked to vaping, also testified at the hearing. Teens have been used as guinea pigs, she told the members of Congress. Tuesday's was the first of two days of public hearings conducted by the  House Committee on Oversight and Reform to examine vaping's risks.

 
Florida Hospitals File Lawsuit Against Opioid Manufacturers and Distributors Print E-mail
Written by FHInews   
Wednesday, 18 September 2019 00:00

On the front lines of the opioid crisis, hospitals experience significant financial and operational harm


A group of 27 Florida hospitals have filed a civil lawsuit against the manufacturers, distributors and retailers of opioid-based drugs. Florida hospitals have experienced significant financial and operational harm as they’ve fought and treated the complications of addiction on the frontlines of the nation’s opioid epidemic. The Florida hospitals are among hundreds across the U.S. that have filed similar lawsuits.

The complaint, filed in Circuit Court of the Seventeenth Judicial Circuit in and for Broward County, Florida, alleges negligence, fraud and civil conspiracy by the defendants, which include Purdue Pharma, Johnson & Johnson, Abbott Laboratories and almost 20 other companies and individuals involved in the manufacturing, distribution and sales of prescription opioids.

The filing alleges the unlawful actions are part of a decades-long practice in which the defendants made false assurances about the addiction risks associated with opioid products and used other deceptive marketing tactics to persuade physicians and other health care providers to broaden their prescribing patterns. The result has been widespread addiction, suffering, and loss of life in communities across the country, with hospitals bearing the financial burden of care and treatment for the victims.

In May 2017, Florida Governor Rick Scott declared the opioid crisis a state public health emergency. Months later, the U.S. Department of Health and Human Services determined a public health emergency exists nationwide. But the seeds of the epidemic were sown more than a decade earlier; data compiled by the U.S. Drug Enforcement Agency shows there were more than 5.5 billion prescription pain pills supplied to Florida from 2006 to 2012. In 2018, there were 5,922 drug-related deaths in Florida; of those, 2,733 were opioid-related.

A recently release study from the U.S. Census Bureau indicates that 13 percent of Floridians lacked health insurance in 2018, compared with a national average of 8.5 percent. Both the state and national figures were up from the prior year.

The filing claims many facilities have also been forced to make capital investments in their facilities to accommodate increased security measures and create new treatment areas for overdose patients and those experiencing acute and chronic diseases that result from opioid abuse.

“No party is better positioned, given the appropriate financial resources, to lead us out of this public health crisis than our hospitals,” said William R. Scherer, founder and managing partner of Conrad & Scherer, L.L.P., representing the Florida hospitals. “They have measurable damages and must be active participants in any opioid settlement discussions.”

Last month the American Hospital Association urged a judge hearing one of the opioid cases “to ensure that needed funds are directed to the hospitals and health systems that are on the forefront of caring for the victims of this epidemic. 

With additional resources, hospitals can broaden access to post-overdose treatment in emergency departments, increase training of physicians to treat substance use disorders, cover the costs of lengthy stays and follow-up care for infants with neonatal abstinence disorder, and invest in electronic health information systems to improve coordinated care and prevent overprescribing.”

The case is number #95754861 in Circuit Court of the Seventeenth Judicial Circuit in and for Broward County.

Hospital List
Coral Gables Hospital
Hialeah Hospital
Larkin Community Hospital 
North Shore Medical Center
Palmetto General Hospital
Delray Medical Center
Good Samaritan Medical Center
Palm Beach Gardens Medical Center
St. Mary's Medical Center
Bayfront Health
Tampa General Hospital
Venice Regional Bayfront Health
Shands Lake Shore Regional Medical Center
Shands Live Oak Regional Medical Center
Shands Starke Regional Medical Center
North Okaloosa Medical Center
Santa Rosa Medical Center
Heart of Florida Regional Medical Center
Lake Wales Medical Center
Central Florida Health
Lower Keys Medical Center
Seven Rivers Regional Medical Center
Broward Health
Physicians Regional Medical Center
Flagler Hospital
Halifax Hospital Medical Center

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ABOUT CONRAD & SCHERER
Conrad & Scherer, LLP was founded in 1974 by Managing Partner William R. Scherer and began as a small, local law firm comprised of trial attorneys.  Today, Conrad & Scherer stands is a preeminent litigation law firm with a national and international reach.  The firm maintains offices in Fort Lauderdale, FL, New York, NY, Brevard, NC, and Quito, Ecuador, providing clients a wide range of legal services. 

Media Contact: 
Don Silver and Jennifer Clarin
Boardroom Communications, Inc.
(954)370-8999/ (954)629-7523
donsil@boardroompr.com/jclarin@boardroompr.com

Last Updated on Thursday, 19 September 2019 10:25
 
Medical Practices & MedSpa Startups: Corporate Considerations Print E-mail
Written by Chase Howard   
Monday, 09 September 2019 17:08

Deciding you want to open your own medspa or start a medical practice is the first and most important step in creating something unique and building a brand. Understanding how to properly “start” that business from a legal perspective, and doing so correctly can be the difference between success and failure.

As a physician in a private, solo-practice, or the business owner of a medspa startup, proper strategy is key. Understanding your corporate structure, developing a business plan, and compliance with the laws will help eliminate pesky obstacles that will slow your growth.

When working with start-ups the following steps should be given plenty of time and attention.
  1. Corporate Structure
  • Choosing the appropriate corporate form will have both tax and liability implications. Decisions have to be made between choosing an LLC, an Inc., or a PA. Once you choose the appropriate type of corporation, obtaining sound tax advice will permit you to limit tax liability and take advantage of certain deductions. For clients opening multiple locations or owning significant equipment, multiple corporations may be beneficial depending on the goal.
  1. Obtaining an EIN/TID
  • Before you can open a business bank account, or even do business in your city, you will need to obtain an Employer Identification Number or Tax ID for your business. Improperly obtaining the EIN/TID can bring about a myriad of issues with the IRS.
  1. Licensing
  • As a physician, you are already know you have to be licensed by the Florida Board of Medicine but as a business owner, state, county, and city governments have additional requirements just to do business.
  • The type of business or practice you are operating will dictate the types of licenses you need.
  • As a stand-alone medical spa, you may need a laser facility license, a massage facility license, resale tax certificates, laser registrations or other specific licenses based on services provided.
  1. Business Planning
  • Starting a successful practice or business begins months before with business planning. Eliminate early headaches by meeting with advisors to develop a business plan, understand day to day operations, prepare for financing options, develop practice culture, assess partnerships, and other tasks.
  • Location selection is overlooked by many start-ups but can be the difference in the success of your business. For practices, insurance panels may be oversaturated in some areas, which could cause reimbursements to be lower. Choosing an area with the type of clientele needed is essential.
  1. Trademarks and Branding
  • Branding is everything. People recognize brands by their logos, name, service, or specialists.
  • Protecting your brand is just as important as building your brand. Utilizing Federal trademark protections is just one method of building and creating your brand, especially if your goal is to expand across the State.
  • Early consideration is necessary as the process of protecting your brand can take months, if not years.
  1. Corporate Compliance
  • Once you’ve built the foundations of your start-up, protecting it should be high on your priority list.
  • As a solo practitioner, you want to take all the necessary steps to ensure your company looks like and functions as an entity separate from yourself individually.
  • With partners and investors, the right agreements and contracts will ensure that interests are protected, as well as individual liabilities are minimized and limited.
The risk and stress of opening a practice or business demands time, attention, and experience. Before expending too much energy and financing, it is highly recommended that you gather an experienced team to handle the task and help ensure your start-up is geared for success.
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About the author: Chase Howard is an attorney at the Florida Healthcare Law Firm in Delray Beach, FL. 

Last Updated on Tuesday, 10 September 2019 05:47
 
My hand surgeon should have been paid $4.5 billion. Instead, he didn't get even $1,000. Print E-mail
Written by Jay Crawford, MD | KevinMD   
Wednesday, 04 September 2019 08:09

I believe that health care providers aren't paid anything close to what they are worth to society. I don't mean this in the sappy emotional sense in which the "value of any human's life is infinite," or any other subjective standard. I am talking about real-world, measurable economic impacts. Using the entrepreneurs' 10% reward as a guide, health care providers create astronomical value for which they are paid a small token. In 2016, self-made billionaire Naveen Jain asked and answered: "If you want to make $1 billion, all you have to do is solve a $10 billion problem." That 10% reward for an entrepreneur's creation is a useful rule of thumb: Jeff Bezos is worth $100 billion because he created a $1 trillion solution to retail sales. I applied this scale to a hand surgeon using a real-world patient - me - and was surprised by the results.

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