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  • Tom Boyd

The best moves…

Seniors Account for 1 in 3 Hospital Stays

HealthLeaders Media, December 23, 2010

People over age 65 represent 12% of the U.S. Population but use 34% of the nation’s healthcare dollars, a report from the Agency for Healthcare Research and Quality finds.


“2011 Career Plan: The Best Moves Now for a Solid Future.” (excerpt)

AOL 12/21/10 by Laurence Shatkin, Ph.D

According to Shatkin and information from the U.S. Department of Labor, the following 11 fields are projected to grow fastest through 2018.

  1. Management, scientific and technical consulting services.

  2. Computer systems design and related services.

  3. Social assistance, except child day care.  Hot jobs in this field: social workers; occupational therapists.

  4. Software publishers

  5. Scientific research and development services.

  6. Health care.  Hottest jobs in this field: physician assistants; physical therapist aides; speech-language pathologists; physical therapist assistants and physical therapists.

  7. Employment services.  Hottest jobs in this field: accountants and auditors.

  8. Construction.

  9. Child day care services.

  10. Advocacy, grantmaking and civic organizations compliance officers.

  11. Educational services.


DO YOU KNOW. . . the 4 ethical dilemmas every exec will face?

Dr. Rush Kidder, in his book How Good People Make Tough Choices, defined an ethical dilemma as a choice between right vs. right; different from a moral choice between right and wrong.  He identified four classical ethical dilemmas:

One vs. Many:  The needs of an individual or group conflict with the needs of a larger group or society as a whole.

Short-term vs. Long-term:  Immediate needs/desires run counter to future goals/needs.

Truth vs. Loyalty:  Honesty or integrity vs. commitment or responsibility.

Justice vs. Mercy:  Fairness or established rules conflict with compassion or empathy.


The Improper Medicare Fee-For-Service Payments Report—November 2009, shows that 7.8 percent of the Medicare dollars paid did not comply with one or more Medicare coverage, coding, billing, or payment rules.  This equates to $24.1 billion in Medicare overpayments and underpayments annually.  This report can be reviewed at on the CMS website.


Upcoming Events

Medicare Training & Consulting, Inc.



March 17-18, 2011

San Antonio, Texas

Click here for more info


Top 12 Nursing Stories of 2010 (excerpt)

HealthLeaders Media, December 28, 2010

1.  Has the Nursing Shortage Disappeared?

Many rejoiced that the days of hiring bonuses and begging nurses to join an organization were behind them.  But the end of the nursing shortage is just an illusion created by hiring freezes and older nurses postponing retirement.

2.  Nursing’s Growing Role

To be successful, they must be well-educated, well-trained, and able to lead patient care.

6.  Stop Losing Experienced Nurses

The nursing workforce is aging.  The average age of licensed RNs is 47 and nearly 45% of RNs were 50 years of age or older in 2008.

7.  Nurse Whistleblower Case Sets Dangerous Precedent

Justice finally prevailed in this disturbing case in Texas where a nurse observed a physician displaying serious lapses in competence and judgment that put patients at risk.  Although eventually being found innocent, the case displayed the danger all healthcare whistleblowers feel when standing up to powerful interests.

10.  Nurse-on-Nurse Hostility Remains an Issue

Back-stabbing, intimidation, and sabotage are all too common.


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