Archive for October, 2011

Medical Home or Health Hub: A New Health Reform Paradigm Needs New Language

Thursday, October 20th, 2011



The Affordable Care Act has put forth the concept of a “medical home”. The intention of this concept is that health costs could be reduced by having a central place where a multidisciplinary healthcare team would address the multifaceted health needs for you and your family.

The purpose in a “medical home” is to address multifaceted issues that can become illness before they happen. While the intended focus of a “medical home” implies an effort toward primary care, that is, identifying risk factors before symptoms appear. The word “medical” still implies the presence of symptoms. Why would you go to a medical home, if you didn’t have a medical condition?

In order to change the paradigm toward the intended focus on health promotion, wellness and disease prevention, a change in language is required. This author proposes the term “health hub” as a more appropriate alternative.

The word “health”, changes the focus toward factors known to improve health instead of symptoms of a medical condition. The word “hub” brings to mind the image of a wheel with many spokes or facets contributing to health that could be addressed to improve health. At the center of the wheel (the hub) is the person or family whose health is the center of attention. Thus, “health hub” describes a place where the family or person as the center of focus is assessed holistically toward maintaining or improving health.

Ideally, your health hub would be the place where you can learn skills to improve your health, obtain screenings and assessments that identify health issues early, get referrals for appropriate treatment as needed and have your care coordinated through one central location. The spokes of the wheel represent the various facets or aspects that might need coordination for optimum health. These might include medical care, dental care, social services, vocational or school concerns, nutrition, physical therapy, health information, psychological care, hospital or acute care, management of chronic conditions, public health concerns and more.

The benefits of ongoing health assessment and coordinated care at a “health hub” include reduced health costs, reduced complications due to medical errors or fragmented care and overall improved health. This fulfills the intention of the medical home concept more effectively and efficiently because the language more accurately focuses attention of the multidisciplinary team on the “health” of the person and family who are at the “hub” of the system.

Your health hub could be located in a community health center, wellness center, school, or family focused employee health program. What’s important is that the health coordinator at the “health hub” is educationally qualified and equipped with the tools to assess the contributing factors which are known to improve or restore health through the lifespan, has effective relationships with the providers you may need, and an effective system for following up and coordinating your care.

Using the term “medical home” continues to imply that you have a medical concern requiring a medical professional, i.e., a physician or nurse practitioner to address. This does not change the paradigm our current health care system. Using the term “health hub” implies a proactive approach to maintaining, improving, and coordinating health care, which is the known antidote to rapidly rising healthcare costs and chronic conditions in America today.

Continuing to focus on curing symptoms of medical conditions by using the term “medical home” does not support the primary intention of the Affordable Care Act. Changing the terminology to “health hub” more accurately supports a changing paradigm toward better health at an affordable price by encouraging early “health” assessment at the “hub” of coordinated care.

Choosing The Right Medical Center

Friday, October 7th, 2011



For some people choosing the right medical center is a matter of life and death. For others it is a matter of quality of life. For a few it really does not matter all that much. If you fall into the first or second category and if you are choosing from hospitals in the Chicago area you may be considering Riverside Medical Center. You may find that Riverside Medical Center offers excellent choices when it comes to medical services that can save your life and provide a higher quality of life after medical procedures. They have a philosophy of providing good customer service by providing the latest technology, great physicians, excellent support staff, exceptional facilities, out of box thinking when it comes to holistic care and a place to retire and enjoy your life after working so long.

With regards to technology they offer the use of a daVinci robot in their cancer treatments and cardiac treatments. The daVinci robot is controlled by a surgeon which allows a more precise incision and a smaller incision to do the same operation as before the robot existed. The benefits of this include less blood loss, less scarring, less damage to surrounding tissue and nerves, less invasion to the human body, quicker recovery, less pain and more accuracy. These are important to the patient in terms of the surgery itself and also in terms of the quality of life after the surgery. If you need a robotic prostatectomy for instance, then you are probably concerned with nerve and muscle damage in the area surrounding the prostate. With the use of the daVinci robot, the surgeon is less likely to damage them due to the precision available with the robot.

Also, the technique is used in cardiac surgery. Those who need robotic heart surgery will find the Rush-Riverside Heart Center is the best in Illinois for surgery. The benefits of the robotic assisted surgery are the same in cardiac operations as in cancer treatment surgery. Less intrusion, less blood loss, less scarring, quicker healing time, and less likely damage to tissue around the heart are all results of having the daVinci robot on your side. The surgeon is able to be more precise and thus the patient benefits. The cardiac rehab program is also exceptional so after having the precise operation the rehab program allows the patient to recuperate and possibly have a better quality of life. You’ll find the Heart Center is a wise choice for those who need to have help getting their heart health back on track.

For those who are looking for a place to retire, the retirement program at Riverside is next to none. They are very progressive and make the environment one where life is celebrated and lived to the fullest. A person can not only thrive but can live and grow by continuing to live a life of learning and fulfillment. You’ll find a quality of life that will allow a person to be independent or have the luxury of assisted living when necessary. Riverside Medical Center is a place for helping you back to health and for living a quality of life that allows you to maintain that quality.