CONTEMPLATING HEALTH ECONOMICS, CODING AND REIMBURSEMENT IN ORTHOTICS, PROSTHETICS AND PEDORTHICS

Reimbursement to U.S. healthcare service providers is largely transitioning from fee for service to fee for value for those clinicians who code using current procedural terminology and through their coding, describe their professional services. The Orthotic, Prosthetic and Pedorthic profession (O&P), currently codes using a system that describes the devices they evaluate for, fabricate, fit and maintain and their professional services are incorporated into their codes. These O&P codes, in contrast to those for other healthcare disciplines, are predominantly product based rather than service based, focusing on product features and function more than clinical service. This editorial manuscript provides a brief overview of the system the US O&P profession uses currently, particularly in the context of other healthcare professions transitioning to value based coding and reimbursement and culminates in a call to action for the profession to academically consider the strengths and weaknesses of the current system relative to alternative systems. Article PDF Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/36125/28316 How To Cite: Highsmith MJ, Fantini CM, Smith DG. Contemplating health economics, coding and reimbursement in orthotics, prosthetics and pedorthics. Canadian Prosthetics & Orthotics Journal. 2021; Volume 4, Issue 2, No.5. https://doi.org/10.33137/cpoj.v4i2.36125 Corresponding Author: M. Jason Highsmith, PhD, DPT, CP, FAAOPSchool of Physical Therapy & Rehabilitation Sciences, Morsani College of Medicine, University of South Florida. Florida, USA.E-Mail: [email protected] ID: https://orcid.org/0000-0001-8361-7345

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PUBLIC SECTOR SERVICE INNOVATION COMPARISON

Jurnal Khazanah Intelektual ◽

10.37250/newkiki.v4i2.72 ◽

2020 ◽

Vol 4 (2) ◽

pp. 826-844

Author(s):

Ellyza Octaleny

Keyword(s):

Public Sector ◽

Service Providers ◽

Employee Performance ◽

Work Load ◽

Employee Welfare ◽

Low Education ◽

And Function ◽

Public Sector Service ◽

Sector Service

Abstrak Inovasi merupakan suatu hal penting yang harus dimiliki oleh sebuah organisasi pemberi layanan sektor publik. Instansi pemerintah sebagai pemberi layanan dituntut memiliki inovasi untuk meningkatkan kualitas pelayanan kepada masyarakat. Penelitian ini bertujuan untuk membandingkan inovasi pelayanan sektor publik di RSUD Prof. Margono dan Lembaga Permasyarakatan Nusakambangan Cilacap. Metode penelitian yang digunakan adalah metode deskriptif kualitatif. Teknik pengumpulan data melalui wawancara, observasi, dan dokumentasi. Temuan dalam penelitian ini adalah: 1). Kurangnya personil pegawai yang sesuai dengan tugas dan fungsinya; 2). Kuangnya kesejahteraan pegawai sehingga kinerja pegawai rendah dan tidak berkualitas; 3). Pegawai berpendidikan rendah sehingga tidak sesuai dengan beban tugas dan fungsinya. Rekomendasi untuk kedua Lembaga sector public tersebut dalam penelitian ini adalah: 1). Penambahan personel pegawai sesuai dengan tugas dan fungsinya sehingga cakupan kewenangannya luas; 2) Lebih memperhatikan kesejahteraan pegawai sehingga pegawai termotivasi untuk bekerja dengan baik dan berkualitas; 3) Memberikan Kemudahan kepada pegawai yang ingin melanjutkan pendidikannya kejenjang yang lebih tinggi sehingga kualitas Pendidikan personel lebih seimbang dengan beban kerja. Kata Kunci: Inovasi, Pelayanan, SektorPublik Abstract Innovation is an important thing that must be owned by an organization that provides public sector services. Government agencies as service providers are required to have innovations to improve the quality of services to the community. This study aims to compare public sector service innovations in hospitals. Prof. Margono and the Nusa kambangan Penitentiary. The research method used is descriptive qualitative method. Data collection techniques through interviews, observation, and documentation. The findings in this study are: 1). Lack of employee personnel in accordance with their duties and functions; 2). The lack of employee welfare so that employee performance is low and not qualified; 3). Employees have low education so that it is not suitable with their work load and function. The recommendations for the two public sector institutions in this study are: 1). The addition of employee personnel in accordance with their duties and functions so that the scope of their authority is broad; 2) Pay more attention to employee welfare so that employees are motivated to work well and quality; 3) Providing convenience to employees who want to continue their education to a higher level so that the quality of personnel education is more balanced with the workload. Keywords: Innovation, Service, Public Sector

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Patients’ Satisfaction on Services of Border Guard Hospital, Guimara, Bangladesh

Journal of Armed Forces Medical College Bangladesh ◽

10.3329/jafmc.v15i1.48632 ◽

2020 ◽

Vol 15 (1) ◽

pp. 13-15

Author(s):

Md Abdul Wahab ◽

Farzana Zafreen ◽

Mohsen Uddin Ahmed ◽

Md Habibur Rahman ◽

Md Abdur Razzak

Keyword(s):

Service Providers ◽

Armed Forces ◽

Cross Sectional Study ◽

Professional Services ◽

Waiting Room ◽

Cross Sectional ◽

Medical College ◽

Patients Satisfaction ◽

Attitude Behavior

Introduction: Patients’ satisfaction is one of the established yard sticks to measure success of the hospitals. To improve the quality of services, health organizations use patient satisfaction survey to evaluate their processes delivered. A satisfied patient is more likely to develop a deeper and longer lasting relationship with their medical service providers, leading to improved compliance, continuity of care, and ultimately better outcomes. Objectives: To assess the patients satisfaction with services provided and the infrastructure facilities of Border Guard Hospital, Guimara (BGHG), of Khagrachari district Bangladesh. Materials and Methods: This descriptive cross sectional study was conducted among the patients who attended the outpatient department of BGHG from January to December 2017. Total 1340 patients aged more than 18 years, irrespective of sex, having no serious complications and willing to participate were selected by convenient sampling. Data were collected by semi-structured questionnaire by face to face interview and analyzed by SPSS 21.0. Results: Out of 1340 respondents 53.7% were serving BGB members, 18.3% were BGB families and 28.0% respondents were local residents. Majority of the patients stated that the general basic facilities at the hospital were adequate. Regarding cleanliness 94.7%, waiting room sitting facilities 91.9%, drinking water availability 88.4%, lighting arrangement 96.7%, ventilation arrangement 88.1% and toilet facilities 91.1% respondents reported that the hospital facilities were adequate. Most of the respondents were satisfied with the quality of professional services by all type of staffs of the hospital. Highest 84.9% of the respondents were satisfied with doctors’ attitude, behavior and cooperation. About other staffs; 72.9% respondents were satisfied with attitude, behavior and cooperation of nurses, 71.9% with pharmacists, 71.1% with registration clerk, 75.3%, with information desk, 70.2% with guards and 73.8% with supporting staffs. Conclusion: Patients attended at BGHG was highly satisfied about the infrastructure and the services provided the hospital. But few percentages of patients expressed their dissatisfaction. BGHG authority should keep it up and try to improve further. Journal of Armed Forces Medical College Bangladesh Vol.15 (1) 2019: 13-15

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Chronic opioid therapy among a high-risk cancer survivor population.

Journal of Clinical Oncology ◽

10.1200/jco.2020.38.15_suppl.e19107 ◽

2020 ◽

Vol 38 (15_suppl) ◽

pp. e19107-e19107

Author(s):

Talya Salz ◽

Jessica A. Lavery ◽

Allison Lipitz-Snyderman ◽

Denise Boudreau ◽

Natalie Moryl ◽

...

Keyword(s):

Opioid Dependence ◽

Opioid Therapy ◽

Repeated Measurements ◽

Early Years ◽

Fee For Service ◽

Chronic Opioid Therapy ◽

Increased Risk ◽

The Difference ◽

High Risk Cancer ◽

And Function

e19107 Background: Head and neck cancer (HNC) survivors are at increased risk of opioid dependence, due to exposure to opioids during treatment, history of tobacco and alcohol use, and substantial pain after treatment. Chronic opioid therapy (COT) is a risk factor for dependence, and rates of COT vary widely between populations of cancer survivors. We hypothesized that COT use is greater among HNC survivors than among those who never had cancer. Methods: We used SEER-Medicare to identify adults ≥66 years diagnosed with HNC between 2008 and 2015. HNC survivors were matched 1:3 at date of diagnosis on age, sex, comorbidity, and region with cancer-free controls. Survivors and controls had complete coverage with fee-for-service Medicare Parts A, B, and D for each year after matching. Survivors and controls with no COT in the year prior to matching date and were followed for COT use through 2016. The presence of claims for opioid dispensings over ≥90 consecutive days (COT) was calculated for each year after cancer diagnosis among survivors alive at the start of each year and for controls. We computed odds ratios (OR) for COT use for HNC survivors compared to matched controls in each year after matching date, using a hierarchical logistic regression model accounting for matching and repeated measurements across years. Results: The population of HNC survivors declined from 5,107 in the year after diagnosis to 604 in Year 6. Among HNC survivors, COT use remained relatively steady each year after diagnosis. (Table). For the first 5 years after matching date, rates of COT among HNC survivors exceeded that of controls, with the difference between survivors and controls declining each year (OR 4.36 for Year 1, OR 2.60 for Year 2, OR 2.18 for Year 3, OR 1.85 for Year 4, and OR 1.35 for Year 5, all p-values < 0.05). By Year 6, rates of COT use did not differ between HNC cases and controls. Conclusions: In the first year after diagnosis, HNC survivors have more than 4 times the odds of COT use compared to cancer-free controls. Cancer-associated COT use declines over time. Strategies for appropriate pain management for HNC survivors should balance the risk of opioid dependence, particularly in the early years after diagnosis, with the benefit of improved comfort and function. [Table: see text]

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Empirical study of relationship value in industrial services

Journal of Business and Industrial Marketing ◽

10.1108/08858620810865807 ◽

2008 ◽

Vol 23 (4) ◽

pp. 228-241 ◽

Cited By ~ 69

Author(s):

James Barry ◽

Tamara S. Terry

Keyword(s):

Structural Equation ◽

Service Providers ◽

Professional Services ◽

Equation Modeling ◽

Cross Culture ◽

Content Type ◽

Building Relationships ◽

Industrial Services ◽

Services Sector ◽

Relationship Value

PurposeThe purpose of this paper is to assist industrial service providers in building relationships that maximize value to their customers. The study aims to add to relationship value research by examining its dimensions, antecedents, outcomes, and cross‐culture relevance.Design/methodology/approachUsing structural equation modeling, the study examines the influence that relationship value has on commitment and intentions, as well as the determinants of value encompassing the core offering, sourcing process and buyer operations. The sample covers 42 countries for cross‐cultural perspectives.FindingsBy understanding the factors creating relationship value, providers are more likely to build enduring relationships with their buyers. Findings confirm that commitment and intentions are influenced by relationship value, which, in turn, is impacted by benefits such as performance, efficiency, and reliability as well as comparative costs and switching costs.Research limitations/implicationsThe study is oriented more towards industrial services. Further research is encouraged that extends the study domain to consumer and professional services.Originality/valueThe research demonstrates the mediating influence that relationship value has on behavioral outcomes. Especially important to global service providers, this knowledge is then extended beyond the traditionally studied single‐country settings to a world perspective, while extending the field of relationship value into the largely ignored industrial services sector.

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Determinants and impacts of outsourcing pest and disease management

China Agricultural Economic Review ◽

10.1108/caer-01-2017-0011 ◽

2018 ◽

Vol 10 (3) ◽

pp. 443-461 ◽

Cited By ~ 3

Author(s):

Dingqiang Sun ◽

Michael Rickaille ◽

Zhigang Xu

Keyword(s):

Disease Management ◽

Disease Control ◽

Service Providers ◽

Household Head ◽

Professional Services ◽

Rice Production ◽

Farm Size ◽

Control Cost ◽

Content Type ◽

Rice Yields

Purpose The purpose of this paper is to investigate the determinants and impacts of outsourcing pest and disease management on rice production in China. Design/methodology/approach A multinomial endogenous treatment effects model which accounts for selection bias was used. Findings The results show that outsourcing decisions are driven mainly by the size of the farm, the age of the household head and other household characteristics. Further, the authors find that outsourcing labor for pest and disease control has no significant effect on pest control cost and rice yields, though it reduces the number of pesticide applications. Conversely, outsourcing of professional services can increase rice yields by 4.1 percent, and at the same time it increases pest and disease control costs by 50.6 percent. However, it is found that outsourcing of professional services exerts no significant impact on the farm profitability. Practical implications This study suggests that households with large farm size are more likely to outsource professional services and, therefore, service providers and governments should target those farmers to provide incentives and create greater awareness of the benefits from the outsourcing of professional services. Moreover, the increase in yields along with the government subsidy justifies the outsourcing of professional services by farmers. However, service providers and policy makers have a lot of leeway to come up with cheaper methods for pest and disease management in rice production. Originality/value This study is the first attempt to simultaneously evaluate the determinants and impacts of outsourcing pest and disease management on rice production in China.

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SS04. Variation in Peripheral Vascular Disease Treatment Between Salaried and Fee-For-Service Providers

Journal of Vascular Surgery ◽

10.1016/j.jvs.2016.03.017 ◽

2016 ◽

Vol 63 (6) ◽

pp. 47S-48S

Author(s):

Rebecca Scully ◽

Wei Jiang ◽

Stuart Lipsitz ◽

Joel Weissman ◽

Peter Learn ◽

...

Keyword(s):

Vascular Disease ◽

Peripheral Vascular Disease ◽

Service Providers ◽

Fee For Service ◽

Peripheral Vascular ◽

Disease Treatment

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Guidance For The Audit Committee: Acquiring Professional Services

Journal of Applied Business Research (JABR) ◽

10.19030/jabr.v20i3.2216 ◽

2011 ◽

Vol 20 (3) ◽

Author(s):

Janet L. Colbert

Keyword(s):

Audit Committee ◽

Service Providers ◽

Internal Audit ◽

Professional Services ◽

Audit Committees ◽

Professional Service ◽

Font Size ◽

External Audit ◽

Sarbanes Oxley ◽

The Board Of Directors

Outside firms are often called upon to provide an entity with professional services.  Such services might include external audit, systems, accounting, appraisal and valuation, actuarial, consulting, tax, or agreed-upon procedures work.  The audit committee of the Board of Directors is typically the party within the entity responsible for hiring and overseeing these outside professional service providers.   The Sarbanes-Oxley Act of 2002 mandates that certain professional services, which may have previously been performed by the firm engaged to do the external audit, cannot be performed by that public accounting firm.  Thus, audit committees may be forced to contract with other professionals for services previously provided by the external auditors.  The task of locating, contracting with, and overseeing the work of qualified firms for these professional services may seem daunting to the audit committee.   This article presents steps the audit committee should take in selecting a professional service provider and overseeing that firm’s work.  Also given are ways in which the entity’s internal audit activity can provide significant assistance to the audit committee undertaking its tasks.

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South Florida Hospital Consertium for Infection Control: Structure and function

American Journal of Infection Control ◽

10.1016/0196-6553(87)90076-9 ◽

1987 ◽

Vol 15 (1) ◽

pp. 36-41 ◽

Cited By ~ 5

Author(s):

N. Joel Ehrenkranz

Keyword(s):

Infection Control ◽

Control Structure ◽

Structure And Function ◽

South Florida ◽

And Function

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Description of oral-motor development from birth to six years of age

Revista de la Facultad de Medicina ◽

10.15446/revfacmed.v62n4.45211 ◽

2015 ◽

Vol 62 (4) ◽

pp. 593-604 ◽

Cited By ~ 3

Author(s):

Rosa Mercedes Sampallo Pedroza ◽

Luisa Fernanda Cardona Lopez ◽

Karen Eliana Ramirez Gomez

Keyword(s):

Muscle Strength ◽

Motor Development ◽

Scientific Literature ◽

Professional Services ◽

Motor Patterns ◽

Oral Motor ◽

Stomatognathic System ◽

Developmental Age ◽

Dysphagia Therapy ◽

And Function

This document seeks to present bibliometric research into characterizing the behaviors of each of the stomatognathic functions of a child based on developmental age and expected development until the age of six. The investigation collected the information provided in scientific literature regarding the development of oral-motor postural patterns, environmental influences, sensitivity, tone, muscle strength, use of feeding tools, anatomy, physiology, and the neurology of the anatomical structures of the stomatognathic system. As a result, the major milestones of oromotor development from birth to the age of six are described in this document. Also, a more detailed manual was written to be used by Speech-Language Pathologists. The research concludes that oral motor patterns emerge according to the maturation and function of the different stomatognathic structures. It is of prime importance for Speech-Language Pathologists to be experts in normal oromotor development in order to provide the best professional services when treating children in need of feeding, sucking and dysphagia therapy.

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Defective co-creation

European Journal of Marketing ◽

10.1108/ejm-07-2012-0411 ◽

2015 ◽

Vol 49 (1/2) ◽

pp. 238-261 ◽

Cited By ~ 40

Author(s):

Dominique A. Greer

Keyword(s):

Critical Incident ◽

Consumer Behaviour ◽

Service Providers ◽

Professional Services ◽

Professional Service ◽

Service Encounters ◽

Service Dominant Logic ◽

Content Type ◽

Dominant Logic ◽

Depth Interviews

Purpose – This study aims to explore the scope of consumers’ defective co-creation behaviour in professional service encounters. One of the founding premises of service-dominant logic (Vargo and Lusch, 2004, 2008) is that consumers co-create the value they derive from service encounters. In practice, however, dysfunctional consumer behaviour can obstruct value co-creation. Extant research has not yet investigated consumers’ defective co-creation behaviour in highly relational services, such as professional services, that are heavily reliant on co-creation. Design/methodology/approach – To investigate defective co-creation in professional services, 164 critical incidents were collected from 38 health-care and financial service providers using the critical incident technique within semi-structured, in-depth interviews. Thematic coding was used to identify emergent themes and patterns of consumer behaviour. Findings – Thematic coding resulted in a comprehensive typology of consumers’ defective co-creation behaviour that both confirms the prevalence of previously identified dysfunctional behaviours (e.g. verbal abuse and physical aggression) and identifies two new forms of consumer misbehaviour: underparticipation and overparticipation. Further, these behaviours can vary, escalate and co-occur during service encounters. Originality/value – Both underparticipation and overparticipation are newly identified forms of defective co-creation that need to be examined within the broader framework of service-dominant logic (SDL).

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