News

Posted on December 20, 2013

A TALE OF TWO HOSPITALS:

This the story of two hospitals.  Looking at the buildings from the parking lot, they looked very similar. Walking into the emergency room or riding the elevators and there were no big differences. But the outcomes for patients , in these two hospitals, were as different as day is to night. Hospital A was lead […]

Posted on December 11, 2013

DESIGNING EXIT STRATEGIES IN THE MIDST OF CHAOS:

End of life management can become very complex because of the deep emotions involved, the uncertainty of the outcome, and the conflicting ideas about how to best manage the patient Case Study: The client was an 91 year old grandmother who had been in the ICU for 10 weeks. She had irreversible multi-system failure.  There was […]

Posted on December 8, 2013

Toronto Woman Turned Back At The US Border Because Of Mental Health Illness:

On Nov 28, 2013, the Toronto Star reported that Ellen Richardson, who had paid $6,000 for her March of Dimes cruise, was denied entry to the US  because she had been hospitalized for depression in 2012. The border agent told her that he was acting in accordance with the United State Immigration and Nationality Act […]

Posted on December 4, 2013

QUALITY OF CARE BIGGEST FEAR ABOUT GROWING OLD! UK STUDY FINDS

  The quality of care in old age is the biggest fear people in their 50s and 60s have about growing old, a poll has found. This came ahead of concerns such as NHS treatment and pensions, the charity Age UK found. Seven out of 10 people approaching retirement said they did not feel confident […]

Posted on November 29, 2013

EARLY INTERVENTION FOR ABSENCES FROM WORK ARE IMPORTANT:

Life satisfaction ratings highlight importance of early absence intervention: People off sick from work have the lowest life satisfaction scores People who are economically inactive due to being temporarily sick or long-term sick have the lowest average life satisfaction and the highest average anxiety ratings. According to data from the Office of National Statistics, the […]

Posted on November 21, 2013

MANAGING ENTERPRISE HEALTH RISK

Managing risk to the enterprise is the job of the highest priced talent at the enterprise. There are many sources of health risk to the enterprise. The risks range from a pandemic which can close the doors for months or forever to the risk of hiring a new employee who ends up on long term […]

Posted on November 18, 2013

VALUE BASED DESIGN OF BENEFITS PROGRAMS: Drs Mark Fendrick and John Ayanian

 Smarter Consumer Cost Sharing Using Clinical Nuance   The Harvard Business Review Insight Center features a blog on smarter “clinically nuanced” consumer cost-sharing by Drs. Mark Fendrick and John Ayanian,Directors of the University of Michigan Center for Value-Based Insurance Design and Institute for Healthcare Policy and Innovation.The Harvard Business Review Insight Center post recommends that the focus of the health care […]

Posted on November 18, 2013

CHRONIC DISEASE IN THE WORKPLACE: Nelofar Kureshi MD, MHI.

Chronic Disease in the Workplace Nelofar Kureshi MD, MHI Case Manager and Clinical Researcher Rupert Case Management Inc. More than 40% of Canadians say they live with at least one chronic disease including heart disease, chronic obstructive pulmonary disease, high blood pressure, arthritis, cancer, diabetes, and mood disorders. The incidence of chronic illness in youth aged […]

Posted on November 4, 2013

AGILE SCIENCE 101: Nelofar Kureshi MD, MHI.

Nelofar Kureshi MD, MHI. Clinical Researcher and Case Manager Rupert Case Management Inc. Agile Science and Research Traditionally, software development has followed a sequential design process or waterfall model, in which events occur progressively through various phases.  The original waterfall model was conceptualized by Winston W. Royce in 1970, where he described seven phases of […]

Posted on November 3, 2013

Neuromodulation Can Make You Smarter Than The Average Duck:

An experimental method of applying 1 or 2 milliamps of direct current to your scalp, can make you smarter and improve your mood. Doesn’t seem possible but here goes. The technology is called transcranial direct current stimulation or tDCS. This uses less than 1% of the electrical energy used for electroconvulsive or shock therapy. The […]

Posted on November 3, 2013

THINKING ABOUT HOW MEDICAL DECISIONS ARE MADE?

It is unusual for anyone to think about the quality of medical decision making. It is assumed that the process works perfectly. Unfortunately, it does not always work to the patient’s benefit. We are interested in how medical thinking and deciding can be improved. Daniel Goleman, the author of a FOCUS, The Hidden Driver of […]

Posted on October 22, 2013

INTEGRATED DISABILITY MANAGEMENT:

Integrated Disability Management Nelofar Kureshi Case Manager and Health Information Researcher Rupert Case Management Inc. Integrated disability management (IDM) is an underutilized yet effective solution for an employer’s disability benefits program.  In its simplest form, IDM is the harmonization of both public and private programs which contribute to the overall management of an employee’s health, […]

Posted on October 14, 2013

ECONOMIC COST OF CANCER: STAGGERING AMOUNT!

True extent of economic cost of cancer revealed- It is a staggering amount. Health Insurance Daily Oct 14 2013 European countries losing billions to cancer. Cancer costs countries in the European Union €126bn (£107bn) a year, according to the first EU-wide analysis of the economic impact of the disease. The staggering sum is a combination […]

Posted on October 13, 2013

MEDICAL DEVICES: HAVING OPTIONS IS IMPORTANT

Medical devices can prove to be very important for patients.  They can give the patient quality of life where there was none. Case Study: A 46 year old female presented with severe disabling pelvic pain.  No cause was found. She was desperate. Our survey of the top experts in North America pointed to the use […]

Posted on October 7, 2013

OUTCOMES BASED PAYMENTS IN HEALTHCARE- IT IS COMING TO YOUR NEIGHBOURHOOD SOMEDAY.

Claiming the $1 trillion prize in US health care By tying payments more aggressively to patient outcomes rather than to services rendered, the US health-care system could deliver substantial savings over the next decade. September 2013 | byTom Latkovic McKinsey and Partners As divisive as the debate has been, there is a clear consensus across political parties […]

Posted on October 7, 2013

TELOMERE SHORTENING, BIOLOGICAL AGING AND WORKPLACE BURNOUT: HOW ARE THEY RELATED?

Telomere shortening, biological aging, and workplace burnout: How are they related? Nelofar Kureshi  Clincal Researcher and Case Manager Rupert Case Management Inc. Aging is complex process, with multiple environmental and genetic factors influencing longevity and senescence. Scientists have been interested in uncovering the secrets of longevity since the 1920’s and over the years several theories […]

Posted on September 29, 2013

CANADA’S AFFORDABLE CARE ACT: I am not kidding.

The state medical insurance exchanges in the US have been launched. This will bring affordable health care insurance to the many millions who were previously uninsured. It will also improve how insurance will work by eliminating pre-existing conditions in the insurance contracts. The exchanges will offer 4 levels of plans: bronze, silver, gold and platinum. […]

Posted on September 21, 2013

DRUG PLAN DESIGN- SAVE MONEY BUT TRASH THE TALENT

Drug plan design is all the rage. Everyone is jumping in to save lots of money. Here is how it works. A consultant will analyze the group’s drug data including type, class and cost of medications. Then, the consultant will make recommendations about how to save money. This seems easy. If you substitute a generic […]

Posted on September 19, 2013

PSYCHIATRY MOVES FROM PSEUDO TO REAL SCIENCE:

Psychiatry is changing and moving into the realm of real science with an emerging understanding of the brain’s complex neural circuitry. In depression, this brain circuitry is dysfunctional.  In essence, the plumbing is broken. Advanced brain imaging is being used to identify the parts of this important neural circuitry. One is Area 25 ( the […]

Posted on September 19, 2013

MAKING PSYCHIATRY ACCESSIBLE IN RURAL CANADA:

Accessing psychiatric services in rural communities is very difficult. There is an unmet and rapidly growing need for these essential services. To solve this problem, Rupert Case Management Inc. (RCM) provides rural  clients with high quality mental health services using out of the box thinking. Here’s A Case Study: A 45 year old mother of […]

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