Evolving Healthcare Trends

May 25, 2017

The model trends in the healthcare system have been changing over the period of time. The old trend gave importance to the individual patients and the emphasis was on treating illness. The goal of the hospitals was to do inpatient admissions, fill up the beds and more emphasis was given to acute inpatient care. The role of managers in the old paradigm was to run the organization and coordinate services. In the old system, all providers were essentially the same. The hospitals, physicians and health plans were separate and not integrated.The newer trends that evolved gave importance to the population as a whole. It not only treated illness, but emphasized on promoting the wellness of the people. The goals of the healthcare system after being transformed over the years is to provide care at all levels which is continued. The role of managers in the new paradigm is more broad. They see the market and help in quality and continued improvement. They not only run the organization, but also go beyond the organizational boundaries. In the evolving system, the providers are differentiated according to their ability. The hospitals, physicians and health plans have formed an integrated delivery system.One of the current trend in the healthcare delivery model is that continued care is emphasized. The key professionals are not only treating patients for their illness, but they are promoting and managing quality of health. For example, a patient with high cholesterol visits a doctor. He is not only given one-on-one medical treatment, but he is also offered to attend a group session where information is provided on how lifestyle and behavioral change can help. The patients learn from the clinicians and also from each other. Another current trend is to take care of the health of the defined population and not only individual patients. All the health needs of the population as a whole are identified and served. It is emphasized that the community uses the health and social services provided. Healthcare has become more population-based. Another trend that has evolved is that the hospitals, physicians and health plans have got connected and have formed an integrated delivery system. More investments are being made with a goal of providing services to the customers and retaining them.There is a beneficial impact in the transformation of healthcare towards emphasizing continued health. The way healthcare has been viewed in the past has been changing. The shifting of care from treating acute illnesses to providing continued care is resulting in enhancement of the health of the people. The only appropriate and feasible model is to provide a continuum of care with the emphasis firmly on the family and community. The health of the population and community is considered as a whole. This is advantageous as it creates value in the healthcare delivery system. The healthcare providers work with the community as a whole and consider to improve the health of the general population. Even though this requires new kinds of ways of organizing and managing healthcare services, it helps in understanding the health needs of the target population. By studying their needs, the right health and social services could be provided to them. Examples of promoting wellness of the whole community are organizing health campaigns and providing preventive education to the people in general. Another example is providing awareness about flu vaccines and encouraging people to get the vaccination.

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Integrating the healthcare delivery system has led to certain advantages to the patients. For example, they can be offered alternative sites of care depending on their convenience. It helps in meeting the needs of the customers and their preferences which is taken into account. The number of providers are expanded and the patients get to have a choice. The relationship between providers and health plans are organized in the current trend and this ensures that the right care is provided in a convenient way to the customers.There are defined budgets and expenditure targets for the populations which implies that there is a need to be efficient and productive. The formation of strategic alliances, networks, systems and physician groups can also add value. There are capitated payments and budgets allotted to the healthcare organizations. These are used to provide care to the defined population. The organization might like to improve on the payments and budgets as the expenditures of the companies increase. This results in the management to make decisions like forming strategic alliances with other organizations and increase the total resources. The growth of such networks will help in providing better care to the customers. Financial resources greatly influence the efficiency and productivity of the organization.The aging population is influencing the healthcare delivery. There is increased demand for primary care of people over 65 years and for chronic care of people over 75. The ethnic and cultural diversity is also influencing the healthcare delivery. This provides a challenge in meeting patient expectations on one hand and diverse workforce on the other. Biological and clinical sciences have met with technological advances and have led to new treatment modalities. This has led to open new treatment sites and manage across the organization. External forces change the supply of certain areas of health professionals like physical therapy and some areas of nursing. The management needs to compensate for such shortages and they need to develop different teams of caregivers at different work sites. Changes in education of health professionals implies that the management be more creative in offering healthcare services. With an increase in diseases like AIDS and morbidity from drugs and violence, there is more and more need to work with community agencies, form social support systems and there is a need for more chronic care management. Advances in information technology is another area where there is a need to train the healthcare employees in new advances. They also need to manage issues of confidentiality and rapid information transfer. Increasing expansion of world economy has led to more competitive management of strategic alliances, care of patients across the nations and of different cultures.Current environmental trends impact the healthcare delivery model. Organization’s success depends on its external and internal environment. The complex environments made up of uncertainties and heterogeneity of components leads to different organizational designs. The current environmental trends influence managerial and organizational decision making. The unique challenges facing the healthcare delivery organizations should be analyzed in order to develop and implement new and effective operational processes and strategies. As an impact of current environmental trends, the healthcare delivery system needs to improve individual, team, and organizational accountability and performance. The impact of advances in medical knowledge and information technology on the process of healthcare delivery should also be examined, and it should be leveraged to improve quality of care, process and cost controls, and revenue. New strategies would need to be identified and implemented for learning and performance improvement to create a culture that supports accountability, safety, and high-quality care. Innovative models in healthcare delivery would also be required in order to develop and implement strategies that promote organizational success and competitiveness.Due to the current environmental trends, more emphasis is given to the customers and there is more of a patient-focused care. The healthcare delivery model has been shifting to the community based care. There has been an increased modification in care processes. The traditional ways are being challenged and more experiments are being performed to fulfill the demands to improve the quality of care. Due to the shift in the environmental trends in the healthcare delivery model, more emphasis is given to quality improvement. This will help improve the performance levels of key processes in the organization. The performance levels are being measured, the defects are eliminated and new features are being added to meet the customer’s need efficiently.There is a new emerging contemporary trend in the U.S. healthcare system. Presently, the management research and assessment have been offered increased recognition. The emerging trend seen is that this is slowly forming an integral part of managerial and organizational effectiveness. With the emerging efforts in information management, it is leading towards clinical and financial networking. The trend seen among the physicians and nurses is that they are being increasingly involved in managerial activities. The managerial trends are also changing with respect to role performance and changing values. The managers role is getting more and more recognized in managing finance and human resources. Management training, lifelong and distance learning is being offered in preparing future managers.The healthcare executives and managers will be faced with the major responsibility and challenge in the years ahead. They will be working with other healthcare providers and will be creating a competitive future for their organizations. They will not only be managing organizations but also a network of markets, services and joint ventures. Formation of more and more strategic alliances and partnerships will lead the management to manage across boundaries. The management will change from managing a department to managing the continuum of care. The management will be following a community-based approach. Trend in management is also shifting from just coordinating services to providing improvements in quality.As the demands in healthcare are increasing, the management is responsible for forming performance standards. The management is also challenged to maximize the productivity and quality to serve the health needs of the community. The management is looking after the demands of the external environment as well as attending to the performance of the internal environment. The management is responsible for the performance of the organization.Healthcare organization leadership will be responding to new trends and competitive forces. It will respond to continuum of care, overall health status of the population and more complex organizational structures. These emerging trends in the healthcare system will effect the organization’s leadership. The future managers would need leadership skills and vision to integrate the organizations and help in providing the best care. The managers will have to be committed to leadership and work on giving their organizations the best place and help their organizations adapt to the changing circumstances. More value will be given to leaders who will be able to lead the change process. As changes are inevitable for the betterment of the organization, the leaders should be able to identify how the change is to be received and how it is to be communicated at all levels of the organization without damaging the implementation process. The leaders might have to deal with increased pressures due to organizational complexity.

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The leader in the organization provides strategic direction to the organization, manages diverse stakeholders, becomes mentors for management, is willing to take risks, helps the organization interact with the external environment and attends to the internal needs as well. Where required the leader will involve physicians in governance process and align physician and organizational interests. There will be a need for formation of learning organizations. Transformational leadership will create the required vision for the organization. Leaders will have a greater role complexity and they themselves will have to adjust rapidly to new situations. The healthcare organization leadership will have to live up to the values of the organization and will help in fulfilling the mission of the organization.Individuals and groups within the healthcare organizations require more and more competencies. An enhanced lifelong learning is required due to the fast, changing environment. The individuals and groups within the healthcare organizations will be benefitted as there will be rapidly developing medical technologies which will result in increased services. More sophisticated health services will be provided to the consumers. The range and quality of services provided will be regulated for the benefit of people requiring home care, long term care and ambulatory care. The anticipated future development will also result in the increased competition among the health services organization. The individuals and groups will be involved more and more with the community for issues like drug abuse, teenage pregnancy and violence.Individuals and groups will be faced with increased strategic planning and management in the healthcare organizations as there will be ever increasing involvement by the trustees and physicians. As the future environment in the organizations will be more complex, the individuals and groups in the healthcare organizations might feel more pressurized. They will need to serve the changing demands of the community as the population of elderly patients will increase. These individuals will require more professional training, increased levels of education and should be taking part in continuing education programs.Due to the anticipated future development in the healthcare organizations, those individuals and groups will be valued, who are adaptable, committed, are able to add value and embrace change. These individuals will be required to experiment more and help in redefining the mission and goals of the healthcare organizations.

Web Directories – Performance, Purpose, Problems – A General Guide to Web Directories

May 24, 2017

The path to building a successful web directory is far from a simple task. It requires a certain amount of devotion to take a web directory script and transform it into a heavily used directory. Web directories contain more complexities than meets the eye, and I have learned first hand that the development of a quality web directory is no walk in the park. But a good web directory is worth its weight in gold, for both webmasters & internet surfers alike. Let us enter the world of web directories.A web directory acts much like a search engine, but on a much smaller scale. Web directories are essentially a categorized index of websites that have been submitted by website owners. Directories normally have search features, allowing users to search through the entire index, just like a search engine. The main differences between a directory and a search engine is that very few directories contain the amount of links that a search engine does. Search engines also collect data from websites, which is used to categorize and rank them. Directories lack the ability to “crawl”, or exam websites as search engines due, therefore the only information a directory contains on a particular website is the information that was submitted by the website owner. Most directories use meta tags and keywords to search for websites, where as search engines use complex algorithms that take into consideration much more than meta tags (the value of meta tags in search engines has actually declined). Web directories are not the most popular internet search tools because huge search engines like Google and Yahoo are much more convenient to use and contain a vast amount of resources available to be searched. The largest and most popular web directory is the Open Directory Project (DMOZ), whose links are indexed by Google, Yahoo, and the majority of other search engines. Google and Yahoo both have their own web directories as well. Though independently owned web directories may not be so popular for internet searchers, they do have their benefits for webmasters & surfers alike.Web directories can have several purposes, it all depends on what the administration’s intended goals are. Some web directories are purely advertising hot spots, while others focus on driving targeted traffic to the directory. Some directories are free, some paid, others both. Directories can have broad topics, or specific topics. Lets start with the different types of web directories.First, we have what is commonly referred to as a “niche” directory. Niche directories have a specific topic, or niche, and the links found within the directory reflect that. Examples of a niche would be automotive directories, sports directories, shopping directories, web promotion directories, etc. Niche directories are most beneficial to internet *searchers; they have a specific topic and therefore *surfers and *searchers have a better chance of finding what they want. In a human edited niche directory, you are very unlikely to find spam sites as well.We will label the next kind of web directory as a “Free for All” directory. Free for all directories have no specific topic. They are very broad in their category selection and links are usually hidden behind several sub-categories. Free for all websites can benefit webmasters so long as the “no follow” tag is not applied (page rank increase), however it is in your best interest to avoid free for all directories for several reasons. Using a free for all directory to search for a website is more likely than not going to require you to sort through heaps of spam. A lot of free for all directories are not human edited due to the massive amount of link requests they receive, and websites are not carefully examined before being approved into the directory. The link quality of some free for all directories is extremely poor. Also, a lot of free for all directories extract data from other directories; how original. No sense in supporting the lack of creativity or devotion in such web directories. Despite a flood of low quality free for all directories, there are some very good ones available. A well organized, human edited (human edited = higher quality links) free for all directory is a great place to search for websites. It also serves webmasters with increased website exposure and if they are lucky, the directory is indexed by Google and other search engines, therefore improving its ranking on search engine result pages.

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The final type of web directories that will be examined are the poorest quality ones. Often referred to as “link farms” these directories are not human edited, due to contain high quality links, lack organization and unique features, and more often than not they become blacklisted from the major search engines. Searching these type of web directories is useless, and it’s highly recommended that you do not support such sites. Furthermore, if you are a webmaster, submitting your website to link farms will substantially decrease your popularity amongst search engines. These directories due more harm then good, and consequently give other directories a bad name.Whether you are submitting a website or searching for one, you will achieve the best results with a high quality niche directory. Webmasters, here are the common submission options for most web directories: Free submission: Submit your website to the directory for free. Simply fill out the form and wait for approval. A “no follow” tag is often placed on free submissions. Regular Submission: A small fee is usually necessary for regular submissions. Regular submissions can sometimes use the “no follow” tag. The main benefit is that submission approval times are significantly faster for regular submissions. Reciprocal Submissions: Free submissions that require a reciprocal link of the web directory to be placed onto the website you are submitting. Reciprocal submissions sometimes use “no follow’ tags, but often do not. Cost is free with reciprocal submissions. Featured Submissions: Paid submissions that grant you premium listing (websites listed in special section of category, generally above regular links), fast submission approval, and paid submissions do not place “no follow” tags on your links, meaning you gain a back link for search engine ranking benefits. Featured and regular submission fees are generally charged per year, and prices vary depending on the directory and the traffic it receives.Web directories have benefits for both webmasters and internet users. For webmasters, web directories main benefit is website exposure. Webmasters submit their websites to directories to increase their exposure. Not only can they receive traffic from people using the directory, but they can also benefit from a back link; a link to their website indexed by Google. Google ranks pages in several ways, but back links is one of the most important. A quality back link to your website increases your Google page rank. Enough quality directory back links, and your on your way to the top spot in Google search results. Bottom line: Web directories can increase your websites exposure by sending targeted traffic your way. For people using web directories as a search tool, web directories can offer you a big advantage over search engines. Search engine indexing is a big contest between website owners and therefore a lot of high quality content gets left out of the search engine result pages. Top results often go to corporations, big business, or highly devoted marketers. What about the little enthusiast and personal websites that contain valuable knowledge otherwise unavailable on the web?Well, a lot of these quality content websites can be found in web directories. If you are having trouble finding what your looking for in search engines, try searching for a niche directory and I bet you will find what your looking for. Furthermore, using web directories supports smaller businesses and helps the little guy out. Not everyone has the time or money to spend on internet marketing or website promotion, and web directories are a great way for these small websites to gain some exposure. Big search engines have monopolized the internet search market, and it makes the relationship between big search engines and website owners way to critical. Google doesn’t like you, and your sales drop 75 %. Now that does not seem right, does it? If more people frequented web directories, directory owners would gain a larger slice of the search engine market.There is a large number of web directories on the internet today that have been blacklisted by Google. It is best to avoid these directories at all costs; having your link listed there will most likely negatively affect your search engine rankings. But how do you know which directories to submit your URL to and which ones to avoid? These guidelines in rating web directories may help:1. Organization- Web Directories should be well organized and categorized.- Categories should be, neither, too broad nor too narrow. Category organization is important, but a directories search feature holds more value for finding links.- Links should be easily accessible.- Links should be posted into the correct category. If they are not, this is a sign of automated link approval, which should never be used in a directory. (Even the largest, most powerful of web directories are human edited).

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– Poor quality and spam links should not be accepted into any decent web directory.2. Advertisements- A quality directory should contain a free submission option, so it is necessary for directories to offer sponsored listings and sale advertisement space. However, the page should not be cluttered with ads. This is a sign that the directory administration is too focused on making a quick buck than enhancing the internet experience.- If the directory has a specific topic, or niche, than the advertisements should pertain to that topic. Off topic and irrelevant ads do not belong on niche directories.3. Page Rank (PR)- Rumor has it that it’s possible to fake some page rank indicators. Make sure your page rank comes from a reliable source when examining the PR of a web directory.- Page rank is important factor in website popularity. However, directories that boast high page ranks, or have their page rank in the directory name or slogan typically use the page rank factor to compensate for their downfalls. It’s like bragging…and you want a modest web directory. Find a directory that shares and uses their page rank to the benefit of directory users, not a directory that clearly lacks in features but boasts a high PR.- Directories that display website links within a category in descending order of PR are less desirable than those that display links based on popularity (unique hits). Most desirable first, not highest PR; very beneficial to new websites attempting to build initial PR.4. No Follow Tag- A web directory that uses “no follow” tags on all links is useless.- “no follow” tags are acceptable on free submissions. Reciprocal & featured submissions should not be tagged as “no follow” links. This gives value and meaning to featured (sponsored) & reciprocal links, while controlling the amount of links indexed by search engines to a reasonable number.- In a quality directory, do not fear a “no follow” on your free submission. A good directory brings in targeted traffic, and though you may be missing out on that back link, there is still a lot of potential for increasing traffic.5. Reviews, Marketing, & Promotion- Search around for reviews and recommendations on web directories. There are some really good resources when it comes to choosing quality directories.- A web directory should be marketed to both webmasters & internet surfers. If a directory only attracts webmasters, what kind of web traffic is it likely to bring? Look into how the web directory is promoted and marketed.
These 5 guidelines can help you distinguish between low quality link farms and high quality, effective web directories. I hope this information helps you in your website’s marketing and promotion campaign, in terms of website directory submission.Teal Reid, SYC Automotive Directory Administrator