Healthcare: Hospitals in the State of Wyoming

There is a reason Americans call it "Big Wonderful Wyoming." Wyoming is a very large state with towns and cities spread out hundreds of miles away from each other. This is a good thing for ranchers and people who like open country, but at times the distance can be a burden for the elderly and sick or injured people who are in need of healthcare treatment.

Wyoming covers 97,818 square miles of wide open space, and sometimes people must travel from one hospital to the next to get the proper treatment that is needed. This article is designed to help guide people to the hospitals in their region. We will divide this rectangle in to four main parts and explain what hospitals are available in each part of the state.


Northeast Wyoming is able to access:

  • Memorial Hospital in Gillette
  • Memorial Hospital of Sheridan County in Sheridan
  • Johnson County Health Care Center in Buffalo
  • Weston County Health Service in Newcastle
  • Crook County Medical Service in Sundance

Southeast Wyoming is able to access:

  • Cheyenne Regional Medical Center in Cheyenne
  • Carbon County Memorial Hospital in Rawlins
  • Community Hospital in Torrington
  • Memorial Hospital of Converse County in Douglas
  • Wyoming Medical Center in Casper
  • Ivinson Memorial Hospital in Laramie
  • VA Medical Center Cheyenne in Cheyenne
  • Niobrara Health and Life Center in Lusk.

Southwest Wyoming is able to access:

  • Evanston Regional Hospital in Evanston
  • Castle Rock Hospital District in Green River
  • Sweetwater County Memorial Hospital in Rock Springs
  • Wyoming State Hospital in Evanston (mental health institute)
  • Lander Valley Medical Center in Lander
  • Star Valley Medical Center in Afton
  • South Lincoln Medical Center in Kemmerer.

Northwest Wyoming (Yellowstone) is able to access:

  • Hot Springs Memorial Hospital in Thermopolis
  • Riverton Memorial Hospital in Riverton
  • South Big Horn County Hospital in Basin/Greybull
  • St. John's Medical Center in Jackson (near Jackson Hole Mountain Resort)
  • Washakie Medical Center in Worland
  • West Park Hospital in Cody

Most Wyoming health insurance policies are accepted at all these hospitals as WY is a friendly state when it comes to insurance. It is recommended to spend a good amount of time researching the hospitals in your area and checking your insurance coverage to make certain they do take all hospitals in your area. Furthermore, if you must be transported from one hospital to another, it is best to ask which hospitals they are best affiliated with. This is an easy way to simplify medical bills and claims and maybe save money on your out of pocket expenses.

Healthcare: Hospitals in the State of Wyoming

Call 307-885-1499 if you need health insurance in Wyoming. If you live in another state, call 877-305-9083.

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The Role of a Leader in Health Care - Key Factors in Productivity and Outcomes

There are numerous types of leadership styles in business today. Throughout my career I have experienced several of them up close. It has always amazed me to see how employees continue to work in environments or for supervisors that are mean, hateful, inconsiderate, and negative. A leader is just that, someone who leads. Leads a team of players to success. Who doesn't like to succeed?

But this is easier said then done. Right? To lead you need several ingredients. You can't make biscuits without flour! A leader needs to know what direction their leading a team. The Team needs to know what the goals are. What each member is doing and how long they have to get there. A leader needs to know who he has playing the game. I heard a phrase many years ago and it has stuck with me throughout my career: "Surround yourself with talented people who are smarter then you in their profession and put them together with other talented people from their professions and they will make results happen". A lot of times leaders are afraid to hire teammates that are smarter then them because of their own insecurities. Their afraid that the smarter person will take their job from them. That type of fear can help and/or hurt a business.


Fear of losing your job could encourage you to better yourself, study more, show up for work early and stay late. Or it could cause negative morale and a bad culture. Either way the leader has to pay close attention to the moods and efficiency of their people. Getting to know your employees on an emotional level will help you connect their performance to the company outcomes. Emotional self awareness is important when establishing this type of relationship with people. You need to be tactful, have empathy and confidence. These components are key factors in productivity and outcomes. Competency research suggests that about one-third of top performers out perform under performers 12 times and out perform 85% of average performers. The difference is not due to technical skill and cognitive ability but emotional competence (Goleman, 1998).

Being a leader at a local senior care facility(Long term and Rehab), I have started applying these key ingredients to creating a successful team It is essential to have members in the team all striving for the same goal, mission, and vision of the company. In caring for individuals and loved ones, it is vital that we have the best team providing the best quality care for our residents.

Goleman, D. (1998). Working with emotional intelligence. New York: Bantam.

The Role of a Leader in Health Care - Key Factors in Productivity and Outcomes

Signature HealthCARE of Marietta, GA - Signature HealthCARE's vision is to radically transform the landscape of long term care by creating a revolutionary approach to resident freedom, award winning quality of life programs, creative business solutions, innovative programs, and work force learning initiatives. The company is founded on three core pillars: intra-preneurship, learning, and spirituality. Together these three pillars are the driving force for Signature to fulfill its mission and vision.

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Lean Methodology in Health Care Quality Improvement

Lean production (Lean) is a type of quality improvement methodology which has been implemented in many industries. Its principles and practices also have been applied to health care organizations with success. This has been accomplished with refinement for the nuances of health care. Lean is a process management philosophy which has its roots in manufacturing and technology. It was developed as part of the Toyota Production System for the process assembly of automobiles (Toyota Motor Corporation, 2009). The Toyota System is comprehensive and spans a large number of methods and practices. It was initially influenced by the work of W. Edwards Deming and Henry Ford and was also inspired by innovation in the American grocery store industry of the 1950s (Keller, 2006). This is reflected in the Just-in-Time philosophy of productivity improvement, which emphasizes producing quality products efficiently through the complete elimination of waste, inconsistencies, and unreasonable requirements (Toyota Motor Corporation, 2009). Though the Lean methodology was initially developed as part of an overall system focusing on the production of automobiles, its principles also have been adapted for health care. As certain case studies indicate, Lean thinking and tools have been successfully applied to specific health care settings. The scope and value of Lean production within this field will be explored in this paper.


Health Care

A significant component of Lean is the concept of value: the theoretical concept of value, the measurement of value, and the tangible processes behind delivering value. Lean is unique in that it accounts for the reduction of waste in order to achieve both real and potential value. Recovering this value can present itself in the form of saved costs or other tangibles. Lean thinking dictates that the expenditure of resources for any purpose other than delivering value to the customer is considered to be wasteful. The reduced expenditure of time, money, and resources is thought to bring additional bottom-line benefit to the customer. The customer-centric focus of Lean thinking is especially relevant to health care. Broader levels of patient/customer satisfaction are constantly being sought. This mode of thinking has been brought on by increased competition among organizations and the need to differentiate services. It is recognized that providing complete customer satisfaction can be vastly beneficial to health care organizations. Customer satisfaction can be an equally important measure of an organization's performance as the delivery of quality health outcomes. This is a factor which is exemplified in Noriaki Kano's model. Lean thinking dictates that processes and methods must be efficiently optimized with the needs of customers in mind in order for organizations to be fully effective.

Problem Addressed: Waste

Lean focuses on the maximization of process velocity through the reduction of waste. It provides tools for analyzing process flow and delay times at each activity in a process. The focal point is the separation of "value-added" from "non-value-added" work. This is complemented by tools which aide in the identification and elimination of root causes of non-valued activities. The primary problem addressed by Lean is waste, which can affect value in a number of ways. It may result in lower quality products, higher costs, less favorable customer experiences, excessive time or effort expended to complete goals, or fewer resources available for innovation which could provide potential value at a future date. Waste can be found in people, processes, tangibles, and other areas. Eliminating waste through the lens of Lean production can help to achieve the goals of health care organizations. There are eight generally identifiable centers of waste: overproduction, waiting (time on hand), unnecessary transport or conveyance, over-processing or incorrect processing, excess inventory, unnecessary human movement, defects, and unused employee creativity (United States Army, 2009). There are variations on these categories of waste depending on the setting or industry. For the purpose of health care Caldwell (2005) slightly refines these measures into seven categories of waste. These consist of "in-quality/out-of-quality staffing or overcapacity, overcorrection, over processing, excess inventory, waiting, motion of patients or staff, and material and information movement (Caldwell, 2005, p. 46)." Regardless of the differences in terminologies used, there are common centers of waste in health care which can be targeted for elimination. These can be identified through Lean processes which focus on root cause analysis.

Process: Root Cause Analysis

A crucial process in Lean is the identification of waste through root cause analysis. Root cause analysis in Lean involves a method called 5-Whys (Toyota Manufacturing Kentucky, 2003). This method rapidly identifies root causes and aides in determining the relationship between multiple root causes. It can be learned quickly and does not require statistical analysis. This method is especially effective for an implementation team in the initial stages of problem exploration. The application of this strategy involves asking a series of why-related questions to drill down into a problem area. Asking progressive questions about a perceived difficulty forces team members to think critically about the actual sources of waste and inefficiency. It is suggested that at least five questions (5-Whys) are posed to arrive at the root cause, though a root cause may be discovered in more or less inquires.

The following is an example of a 5-Whys exercise used in a hypothetical hospital setting:

(Q1) Why are patients being diverted to neighboring hospitals?

(A1) Because wait times for our hospital are exceeding industry norms.

(Q2) Why are our wait times exceeding industry norms?

(A2) Because patient volume is exceeding capacity.

(Q3) Why is patient volume exceeding capacity?

(A3) Because not enough hospital beds are available.

(Q4) Why are not enough hospital beds available?

(A4) Because hospital patients are not being discharged efficiently.

(Q5) Why are hospital patients not being discharged efficiently?

(A5) Because ER staff is not following best practices for proper discharge.

In this example, waste in the throughput process comes from incorrect processing. Once hospital management determines the root cause they can implement further training, ensure compliance with existing standards, or eliminate other barriers. In this case the hospital might consider implementing a training program to ensure that ER staff is following best practices for patient discharge. The hospital might also conduct additional 5-Whys analyses to uncover other problem areas. Once root causes of waste are uncovered, the elimination of waste or other related action plans can be executed.

Sources of waste

Sources of waste vary greatly by industry. The majority of waste encountered by health care organizations occurs in flow and throughput. As a result, Lean implementations in this field are primarily focused on the elimination of waste in staffing and staff/patient processes. Unlike manufacturing industries most health care organizations have very little inventory. Thus, some of the Lean concepts related to inventory control are less applicable to health care. Health care organizations typically spend a larger percentage of operating expenses on overhead and labor costs. This can account for 50 percent of the operating costs while inventory is in the range of 2 percent (Caldwell, 2005). Understanding waste in throughput entails a comprehension of the relationships between process variables and costs. Costs are not causes of waste but are indicators of interrelationships between processes. While the ultimate goal of most Lean implementations is to recover costs as tangible benefits, eliminating costs without fully understanding processes is problematic. Looking at the types of cost recovery is essential to determining an action plan.

Solution: Cost Recovery

The ultimate goal of most Lean implementations is to attain a tangible benefit, often in the form of a cost recovery. However, not all process improvement opportunities will result in immediate returns. The actual realization of a benefit depends on the nature of the improvement as well as the additional steps that management takes to achieve it. Caldwell (2005) cites three types of cost recovery through the elimination of waste: Type 1, Type 2, and Type 3. In a Type 1 situation the process throughput improvement will yield a direct cost recovery. For example, a process improvement that reduces length of patient stay would recover costs in the form of reduced resources expended. In a Type 2 situation, the process improvement saves time but does not result in cost recovery without additional hours worked per unit of service. A provider may spend less time per patient because of reduced length of stay but scheduling will need to be adjusted in order to capitalize on the benefit to workflow. Lastly, Type 3 yields savings in the form of immediate optimization of capacity. In this situation a process improvement in an emergency room, for example, may allow a provider to see more patients in the same staffed time without additional action taken by management. This is similar to a Type 2 recovery but with no changes to scheduling. This can occur if the provider is willing to see more patients per unit of time and sufficient patient volume exists to achieve capacity. Maximum velocity is achieved without additional action needed to be carried out by management. These examples show that throughput improvement may not achieve an immediate benefit without other factors. It also brings to light the fact that throughput improvement may yield different benefits such as recovered costs, time saved, or increased revenues. Regardless of the actual benefit achieved and the way that it is realized, the ultimate outcome must increase bottom-line value and satisfaction to customers in some way.

Examples of Lean implementation in Healthcare

The study of actual Lean implementations in health care is essential to understanding their application. One example of a successful implementation is outlined by Fairbanks (2007) at a medical center in Vermont. This implementation dramatically improved overall throughput processes within the organization. An implementation team was assembled and delved into all steps of the processes they were analyzing in order to determine the sources of waste. They utilized various Lean steps and methodologies to conduct root-cause analyses and prioritize process improvements. The team measured time involved, identified activities, and made rapid improvements through the elimination of non value-added activities. A large part of their improvements involved the elimination of redundancy. The topic of redundancy shows the importance of analyzing all processes, even those which are perceived to contribute to customer value. Even though a particular function may provide value in an organization it is possible that a redundant function may exist which can be eliminated. In another case example Lean methodology was used to streamline the physical space and inventory areas of a Denver-area hospital (Gabow, Albert, Kaufman, Wilson, & Eisert, 2008). The implementation team utilized the 5-S approach to organize physical work spaces within the hospital. 5-S is a Lean improvement which incorporates visualization management to organize objects and supplies. The five Ss stand for sort, set in order, shine, standardize, and sustain. These steps involve tasks ranging from simple clean-up and organization to the implementation of detailed visual controls. In a 5-S environment there is "a place for everything and everything in its place, when you need it (Lean Innovations, 2003)." The Denver hospital used this approach in a series of projects focusing on individual offices, nursing stations, entire laboratories, and financial services departments. These spaces were reorganized to achieve optimal work flow and good space management. The successful outcomes included reclaimed physical work space, improved lab turnaround time, reduced time in locating equipment, and better processes which could improve patient care (Gabow et al, 2008). The 5-s method is an excellent first step in implementing Lean programs in a health care organization. Improvement of physical work space can positively affect mindset and mental perception of work. Another case example of a successful 5-S implementation involves a rural health clinic in Georgia. Lean techniques were used in this organization to resolve problems with bottlenecks, turnaround times, customer satisfaction, and overworked nurses (Cross, 2009). 5-S is one of many Lean tools which can provide immediate benefit.


Lean is a multifaceted approach to quality improvement which has tangible benefits to health care organizations. There are aspects which focus on reducing non value-added work and waste to achieve value in various ways. Successfully implementing Lean in health care depends on the setting involved and the motivation of management and teams. Health care encompasses a wide range of organizations and each has unique characteristics which must be considered in light of Lean processes. Important considerations in implementing lean in any environment can be reduced to a few key points: Understanding the concept of value Understanding waste and its sources Learning how to determine and analyze root causes Prioritizing multiple root causes Devising methods to eliminate waste Determining ways to recover costs or achieve benefits Analyzing effectiveness and repeating steps if necessary In addition, it is important to note that eliminating waste through a Lean process may not immediately result in tangible benefit. Management must thoroughly analyze action plans and make adjustments based on actual outcomes. Additional steps may need to be taken following initial process improvements. This is especially relevant in health care where process throughput improvement and staffing are areas which are commonly targeted. These areas may involve more challenges when trying to extract benefit. Freeing time for providers cannot always be capitalized upon without other capacity and throughput improvements. Scheduling or work flow functions may need to be overhauled in order for providers to increase overall process velocity and maximize value per unit for time. It is also crucial to realize that humans are not machines. Theoretical methods of quality improvement in Lean may not always be feasible to achieve at maximum levels. The Lean methodology developed by Toyota is very cognizant of respect for people. It is reflective of a collective culture and a holistic concept rather than a series of parts or steps. This is a fact which cannot be overlooked by management and teams when planning an implementation. People perform processes with normal human variation and improvements must be sensitive, appropriate, and sustainable.

Lean Methodology in Health Care Quality Improvement

Christopher Majdi - Certified Healthcare Business Consultant

Transition Consultants -

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Health - How Do You Know What You Mean?

Are you Healthy - or just not Sick? If this sounds like a trivial question, then but how do you answer it? isn't it interesting that we can easily and specifically talk about our Ill-health at length, but we can't talk about Health in a way that evokes unambiguous understanding of what is meant? Does it even matter if there is a definition of the rather amorphous term? Well - we wouldn't dare to go and see a physician in absence of a "symptom" - an exception of your "normal" look or feeling? Of course not, health-care systems do not care about Health, they care about the mending  manifest diversions from the "Normal" condition. In other words, health-care should be more aptly referred to as "sick-care", because the system has no answers for the Healthy. Consequently, the definition of "sick" is rather obvious, it is the visible or experienced reduction of normal physical or mental condition or function. There are many different ways of expression, but the essence is unequivocally the same.

Now try to define "Health" and "being healthy" by a term that evokes a universally equivalent understanding. Obviously a challenge, most dictionaries confine the term as something like "the absence of disease". But isn't there much more to Health than the absence of an identifiable ailment? Apart from evident Physical Health, what about more concealed Mental Health, Emotional Health, Spiritual Health, Social Health, Intellectual Health - isn't all that essential to a state of well being? But does that mean "Health" is the absence of any and all (perceived) problems and concerns - would then "Health" be synonymous with Happiness? Even reduced to Physical Health there is a wide spectrum of ambiguity, if you feel tired or fatigued - are you sick or are you healthy? Is weight gain a disease or just a sign of hedonism? Are you ill because you need reading glasses? What about wrinkles and sagging skin - is aging a disease? This thought open a Pandora's box: what is the normal rate of aging - where is - and who is the authority for setting the benchmark for "normal"?


Are you absolutely or relatively Healthy?

Researchers at Rice University have tried to define the parameters for measuring Health. They conclude that Health is measured in terms of

l) absence of physical pain, physical disability, or a condition that is likely to cause death

2) emotional well-being, and

3) satisfactory social functioning.

But they admit that there is no single standard of measurement of health status of Individuals or Groups, which may be assessed by an observer. It follows that "Health" assessed in this way is relative and subjective, while what we really want to know is:

Am I absolutely Healthy - objectively measured, not subjectively assumed by relative comparison with Others. We don't compare our pain or disfigurement with the neighbors arthritis or cancer. Quite the opposite: we visualize and strive to look as young and slim as the person on the cover of a magazine. Such natural cravings are the very foundation of an ever growing Beauty and Anti-Aging industry, even in absence of objective standards.

That is exactly the point: if we can't define Health but only Ill-health - we'll never look like that Idol no matter what! Because if we measure our Health by its weaning, we'll wait to act until we can define the symptoms, thereby depriving ourselves from gaining and sustaining utmost Vitality and stunning Appearance.

If we succeed in establishing a globally valid definition for absolute Health - we can actually begin to provide of real Health-care, that is caring for the preservation - or revival of the benchmark Health.


Rice University: Measurement of Health Status

Knowing how Healthy you are

Health - How Do You Know What You Mean?

Heinz R Gisel has built up laser and medical companies from start through IPO's in the US, Europe and Japan. He is a Nutrition Concepts and Medical Devices Innovator, based in San Diego and Tokyo. He is the Founder and CEO of Vitality Concepts Corporation and VitalityXpress predictive Health Services, the first truly preventive health analysis with no radiation exposure. He developed patented procedures to restore and protect health and vitality naturally. He believes that Nutrients belong into food and beverages and not capsules and pills and he has developed proprietary concepts to reintroduce specific nutrients into natural foods they way Nature intended - and is wholesome for body and mind. He is a best-selling author and public speaker on many health and quality of life topics. His most recent Book is "In Foodture We Trust", published 2009

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The Future of Healthcare - The Impact of Technology

The advances in the technology and pharmaceutical products have resulted in a lot of innovations in the healthcare industry. New medicines are being developed in order to treat, manage and prevent many diseases and aging conditions of baby boomer population. Based on molecular and genetic tests new medical treatments and discoveries are being made. The future of healthcare seems to be bright as advances are being made in the health care technology and more individualized and targeted tests are being made, which reveal how people respond to different drugs.

Future of healthcare will also be impacted by the recently started electronic medical records. With the advancement of technology, the electronic medical records are sure to be affected and improved, thereby making the process of maintaining the patient related data in a more enhanced and sophisticated way. Eventually all the paper based patient related data will be converted to electronic medical records, thereby eliminating the need to maintain paper based records. At present thirty eight percent of the physicians have made a switch to the electronic medical record system and this percentage is expected to rise in the near future.


Telemedicine is another interesting aspect that is bound to gain a lot of focus in the future of healthcare industry. Telemedicine is a process of connecting physicians and patients through modern day technology, such as the internet. Telemedicine allows the physicians to interact with the patients via internet in a real time situation, thereby eliminating the need of making an office visit. This not only saves a lot of time but also cuts down on the expenses. With the advancements in technology, telemedicine is sure to gain a lot of advantage. It is a growing trend that will maintain its progress even in the future.

Robotic surgery is another important aspect of future of healthcare sector. In the recent years, more and more robots have been assisting the surgeons in the operation rooms and this is a trend that is bound to gain a lot of focus in the coming years. Be it a surgery related to a prostrate cancer or heart, robotic surgery is an efficient solution. Though highly expensive, the usage of a robot for a surgery results in a shorter recovery time, since the surgery procedure is less invasive. Another surgery that a robot can efficiently perform is the hysterectomy. The process of removing the uterus for a wide variety of reasons is known as hysterectomy and this is one of the surgeries that a robot can perform very efficiently. Since, most of the women do not like the scars, which surface after the surgery, robotic surgery is the solution for them. As the robots perform the surgery with very less invasion, there are very less scars and even the recovery time is very short.

The future of healthcare has a lot of potential in discovering alternative medicines, new treatments and prevention techniques, etc. The more common the technology becomes, the less expensive will it be.

The Future of Healthcare - The Impact of Technology

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Sleep: 10 Ways to Get a Good Night's Sleep

Sleep - are you getting enough? For some people, enough is four to six hours. Other people just don't feel right with less than eight hours. People need more or less sleep at different phases in their life. Women may need more or less sleep at different phases of the month.

The simplest way to tell if you're getting enough is by noticing every morning - do you feel rested? Do you wake up without an alarm clock and feel ready to get right out of bed and start your day?


Not getting enough sleep is one of the most direct ways that we self-sabotage our success and well-being. When we are better rested we not only feel better, but are calmer, smarter, more rational, nicer to be around and we look better. Why wouldn't we choose to have that every day??

1. Set the Stage - turn off the computer and television at least one hour before you'd like to fall asleep, and turn on some music that you find relaxing. Test what your stereo system will do when the recording is finished - does it SNAP! or does it "wrrrr" - this will make a difference as you're drifting off. My CD player makes a very soft "wrrrr" noise (though I honestly can't remember the last time I was still awake when the CD was over).

2. Music without words - words can provoke and direct your thoughts more than instrumental music or pure vocal sounds.

3. Music with natural "breaths" - music where the soloist takes natural pauses to breathe can help you to slow down your own breath - try flute, other wind instruments or voice (either with no words or words in a language you don't understand).

4. A good book - For bedtime reading, try to stay away from material that gets you thinking about things you deal with during the day. Magazines or stories that distract you from your own life may help you to drift into sleep.

5. Imagery - If you find that your mind is racing when you are trying to sleep, picture a viewpoint where you're traveling down a road. See your thoughts as signposts that you're passing. Concentrate on letting them pass right by.

6. Progressive muscle relxation - Imagine that a ball of light is traveling along your body, beginning at the top of your head, going down to the tips of your toes, and then coming up again. As it passes your muscles, they fill with light and relax.

7. Take a nap - If your sleep has been interrupted or there've been unavoidable late nights, an afternoon nap can help you catch up. Experts advise that naps should be taken earlier in the afternoon, rather than later, and that we should keep them to 30 minutes or less. This will avoid disrupting your sleep at night.

8. Lavender Bath - Take a hot bath and add a couple of drops of lavender oil. Lavender has naturally occurring relaxing properties.

9. Chamomile Tea - Calms the nervous system and helps to promote restful sleep.

10. Take 500 mg Calcium with 250 mg Magnesium at bedtime - The calcium has a calming effect, and the magnesium works along with it.

The advice and information in this article is not meant to replace medical advice. If you suspect you have a serious sleeping problem such as sleep apnea, or if you experience insomnia or extreme fatigue, please consult a healthcare professional.

(c) Copyright 2005, Genuine Coaching Services.

Sleep: 10 Ways to Get a Good Night's Sleep

Linda Dessau, the Self-Care Coach, is the author of “The Everyday Self-Care Workbook”. To receive one of her free monthly newsletters, subscribe at

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Health Care, Why Do They Call It That?

Is being disease-free the same as being truly healthy? Some people seem to think so but let's take a closer look.

A person can suffer from symptoms like migraine headaches, chronic constipation, one cold after another, digestive problems and feel tired most of the time and still get a clean bill of health from the doctor.

Health Care

How is that possible? Within the accepted parameters of his profession and according to his training no disease or chronic problem is discernable.

Does that mean the doctor is incompetent? No, he is simply doing as much as his training and education equip him to do. If the tests results say everything is ok and his examination does not prove otherwise then you must be fine.

The truth is that allopathic doctors are trained to detect and fight disease in very specific ways. They are not trained to help you maintain optimal health. Doctors generally do not get involved until a patient's health has been seriously compromised or tests indicate an impending health risk.

For some reason our culture has confused fighting disease with being healthy. They even call it "health care." Perhaps it would be more accurate to call it "lack of health care." Real health care implies that a healthy person is taking steps to maintain or care for their healthy condition. While we're at it, the term health insurance is also misleading. The real truth is we don't need it as long as we are healthy.

Being healthy obviously includes the absence of disease. But a truly healthy person does not suffer from symptoms like migraine headaches, constipation, catching one cold after another, persistent digestive problems or feeling tired all the time.

These types of symptoms may or may not indicate the presence of disease but they certainly do indicate a health problem. Our body is telling us we need to care for our health and if we refuse to listen that's when "lack of health care" comes in.

When we are blessed with good health we feel good. That is because health is not limited to our physical condition. Our mental emotional and physical conditions all come under the general category of personal health.

Good physical health has a positive impact on our emotions and outlook just as poor health has a negative impact on these same areas.

Think back to a time when you were sick for several days or even weeks. How did you feel emotionally? After awhile did you start to feel depressed wondering if you would ever feel good again?

Most people can remember such an experience and would prefer to avoid repeating it. That memory is not based solely on the physical discomfort they experienced but the mental and emotional discomfort as well.

Doesn't it stand to reason that the opposite is also true? When we feel vibrantly healthy and energetic we also feel happy and mentally alert.

The memories of good health usually do not stand out because when we feel good we tend to keep busy with activities that capture our attention. It's only when we feel poorly and are forced to abandon those activities that we focus on our health.

Now let's imagine how easily we could elevate the quality of our everyday life with genuine health care. That means taking steps on a daily basis to appreciate and care for our personal health instead of ignoring it until there is a problem to be fixed.

In reality, the responsibility for our personal health is our own. If we try to push that responsibility off on a doctor who is trained to fight disease we will probably be disappointed with the results.

If we are willing to accept that responsibility ourselves, then satisfying results are much more likely.

Yes, this will require that we put forth some additional effort. First we need to acquire the knowledge necessary to make competent decisions about our own health. Then we must be willing to take positive action based on our newly acquired knowledge.

Is the effort worthwhile? That really depends on whether you want to enjoy your life or just suffer through it. When someone asks you, "how do you feel?" will you to be able to say with all honesty "I feel great" or will you be satisfied with the reply "well, I have not been diagnosed with any disease so I guess I am healthy enough." As always, it's up to you.

Health Care, Why Do They Call It That?

Jonathan Wells is on a quest to eliminate the confusion and frustration surrounding the field of personal health and well being. Want to learn how you can take control of your own health? Sign up for a trial subscription to his informative newsletter without cost or obligation at

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Capital Budgeting in the Healthcare Industry

Over the past few months, the proposed healthcare reform has been the subject of much discussion and the healthcare industry has come under intense scrutiny as a result of the administration's efforts to curtail the increasing cost of healthcare. As an offshoot of the increasing cost of healthcare now more than ever hospitals have been placed in a situation whereby capital budgeting has become a necessary tool; Not only for sustenance but mostly for survival. Absence of a sound capital budgeting policy might potentially spell disaster for hospitals because an increase in cost accompanied by a decrease in revenue negatively impacts the bottom line and when funds are limited, it is essential to have a game plan of how the funds are to be used otherwise the hospital might find itself in a precarious situation.

Capital budgeting refers to the analysis of investment alternatives involving cash flows received or paid over a certain period of time. More often than not, the best alternative is usually the one that yields the greatest cash flow over time. This point can be disputed because other hospitals might place much emphasis on non-monetary results. In such cases, the best alternative is usually the one that comes as close as possible to yielding results that catapults the hospital closer to its objectives. Capital budgeting is a complicated process in the sense that great care has to be taken in the selection process and competing forces makes it the more challenging. Where there is competition, the possibility of politics being a factor is heightened and politics often times has its drawbacks especially when the voice of the minority is drowned out by the majority or the louder voice.


In order to better understand how capital budgeting works in the healthcare industry, we'll explore three different scenarios that do play out every once in a while in most hospitals throughout the country. For instance, Human Resources propose a day care facility for employees with children. Justification being: turnover rate of employees will be minimized and more nurses will potentially be attracted to the hospital because of the day care services offered. Turnover is costly to the hospital. Therefore, even though the project does not increase revenue, the project will get to benefit the hospital through reduced costs.

The second scenario is the Imaging Services Department proposes the purchase of an additional CT scanner to ease the bottleneck and the backlog of work in the department. Purchase of a scanner is quite costly and therefore, if the present one is functional is there a need for a second one? One might argue that the high demand for usage creates tension between employees, wear and tear of the machine increases maintenance costs, overtime pay for the technicians' increases overhead costs and the hospital is left vulnerable in the event that the current scanner seizes to function. These are all valid considerations. However, one wonders; does the total benefit exceed the total cost?

The last scenario is a group of doctors working for the hospital propose the purchase of a special machine that eliminates the need for in house hospitalization of patients. With the new machine comes the benefit of reduced hospitalization. With reduced hospitalization of patients, the hospital might be better placed to reduce variable costs associated with the use of the facilities and safety might be enhanced because the possibility of the hospital exceeding capacity will be greatly reduced by having fewer patients in the facilities. The only drawback is the massive costs involved. The machine requires a large capital outlay upfront. Therefore, in as much as the purchase sounds good, the other alternatives sound equally as good if not better.

Faced with the three alternatives, a financial manager in the healthcare industry should determine the opportunity cost of capital. Opportunity cost of capital works on the fundamental law of finance that states that a dollar today is not the same as a dollar tomorrow. Therefore, when analyzing the three alternatives, the time value of money should not be ignored because one might come to a wrong conclusion if one doesn't consider the time value of money in the analysis. Future cash flows are discounted to the present value using a stated interest rate. Once the present value of all the alternatives is established, then the alternative that yields the highest present value is considered to be the best option. This method of analysis is known as the discounted cash flow method and from a personal standpoint; this method should be used widely in the healthcare industry because it is guided by the important law of finance stated above. I acknowledge the fact that each hospital is unique and estimating the future cash flow is difficult in other instances. In this case, other methods should be considered. However, discounted cash flow method though imperfect at times should be given first priority if all else is clear and all the variables are known.

Capital Budgeting in the Healthcare Industry

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Colon Cleansing Photos - Discover the Shocking Truth About Colon Cleansing Photos

Colon cleansing photos provide a very clear indication of how much toxic buildup can occur in our bodies is healthy. While cleansing the colon can be fairly easy, it certainly is not definitely not pretty. The colon cleanse pictures that we have all seen on the Internet are enough to make even veteran health care professionals very uncomfortable. In many cases when people first see internal detox results on film their first reaction is horror.

Colon cleansing photos reveal the years of built up waste material from the colon. The material has hardened and become toxic which is why it has such a negative effect on the overall health of a person. This is the debris which is removed using an all natural herbal colon cleansing supplement.

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When the waste material finally comes out of the colon the results are often not very pretty. There are photos of people holding three foot long pieces of waste that look exactly like seaweed. This waste material was expelled by someone using a colon cleansing system. When people see these types of photos they are much more likely to begin a colon cleansing regiment just to get that waste out of their body.

Some experts estimate that up to fifteen pounds of waste material is stuck in the average colon. This material has had a chance to harden and bond together over time. There is little wonder that when it is finally forced from the colon when a colon cleansing agent is introduced that it comes out in a rather disgusting form.

Some people choose to believe that the colon cleansing photos are doctored simply because they cannot accept that the waste material they see in the pictures is residing in their body.

The fact that literally thousands of people have seen the same material expelled after a colon cleanse should be reason enough to believe the pictures are real, but if not wouldn't you try a colon cleanser just to see for yourself?

Colon Cleansing Photos - Discover the Shocking Truth About Colon Cleansing Photos

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Finding Affordable Health Insurance Florida Choices - What To Look Out For To Decide

Health insurance in Florida is something that all of us Floridians need at some point in our life but unfortunately, it is something that we can rarely afford. It wasn't all that long ago that we could easily obtain insurance through our employer or perhaps on our own and not have an extremely high premium to worry about. Today, many individuals are having a difficult time finding any affordable health insurance Florida has to offer.

The fact of the matter is, the affordable health insurance Florida offers is not always the easiest to find. The reason why this is the case is because inexpensive insurance is often buried under a lot of different options. The basic insurance in itself is not all that expensive compared to a regular insurance policy. Unfortunately, we may not be covered for many other options but we are covered in case something catastrophic should happen to us. A hospital stay can eat up a lot of your money and put you in tremendous debt if you have no insurance.


The first step in finding affordable health insurance is actually knowing where to look. If you are having a difficult time financially, you may be able to get some kind of assistance for yourself and your children through the state of Florida itself. There are several plans in place which can help in these instances. If you do not qualify for this assistance, however, you can still find these affordable health insurance plans through almost any major outlet. The real key is knowing what questions to ask and keeping the options low.

Finding Affordable Health Insurance Florida Choices - What To Look Out For To Decide

Dee Cohen is a licensed social worker and runs at a blog at How to Choose Health Insurance where you can visit and learn more about taking care of yourself at

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