Nursefriendly.com: Healthcare

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Friday, February 18, 2011

Released hospital patients' many unhappy returns

Patients who are released from the hospital too early or without proper planning and instructions often wind up back in the hospital after a few days, a problem that's costly to taxpayers and distressing to patients.

A study released today calculated that reducing hospital stays by a single day for Medicare and Medi-Cal patients in California adds up to $227 million a year.

An estimated 81,000 Medicare patients in California - or 20 percent - end up back in the hospital within 30 days of being discharged for some reason related to the same condition, the study found.

"Right now, when you go to the hospital, it's the do-it-yourself model. It's up to you to figure out what to do," said David Grant, author of the study for the California Discharge Planning Collaborative, a group of labor, senior and other advocacy organizations.

Patients, especially those who are elderly and lack social support, are often readmitted because they don't understand their discharge instructions, fail to take their medications or have complications that they can't handle.

via sfgate.com

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Tuesday, February 15, 2011

Obama budget targets brand name medicines, Health.Yahoo.net

Big pharmaceutical companies could face increased competition from generic drugmakers under two proposals put forth by the Obama administration on Monday despite earlier savings extracted from drugmakers as part of last year's healthcare law.

President Barack Obama, as part of his 2012 budget proposal, called for cutting the number of years drugmakers could exclusively market brand-name biologic drugs to 7 years from 12.

He also set his sights on ending controversial "pay-for-delay" deals that affect traditional, chemical drugs by giving the U.S. Federal Trade Commission power to block them. Under such pacts, brand-name and generic drugmakers settle patent challenges with payoffs that delay lower-cost rivals from reaching the market.

The proposals face a tough challenge of getting through the divided Congress, but could alter the landscape for consumers' access to cheaper medicines.

They quickly drew industry protests.

via health.yahoo.net

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Wednesday, February 9, 2011

Healthcare jobs now make up 10.7 % of U.S. employment, study says

Private-sector healthcare now comprises a higher percentage of total U.S. employment than ever before, reaching 10.7 percent, according to a new report from the Altarum Institute.
That figure represents an increase of more than one percentage point since the start of the recession in December 2007, when private-sector healthcare represented 9.5 percent of total employment. The study was done by the Altarum Institute’s Center for Studying Health Spending. The analysis is based on data from the U.S. Bureau of Labor Statistics.
The growth in healthcare jobs contrasts with the rest of the economy. The study shows that while healthcare employment increased 6.3 percent since December 2007, non-healthcare employment has fallen by 6.8 percent.
Charles Roehrig, director of Altarum’s Center for Studying Health Spending, said in a statement that while healthcare jobs have helped offset the declines in other sectors, the health sector is likely to peak in the near future.
“Although health employment will continue to rise, we expect non-health employment will grow more rapidly so that health employment’s share of the total will stabilize,” he said.

via medcitynews.com

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House GOP looks at tough health insurance realities - Marin Cogan - POLITICO.com

Ask any House Republican about repealing President Barack Obama’s health care law, and you’ll get the same fiery, self-assured talking points about tearing down what Speaker John Boehner has called a “monstrosity.”
But talk to some of the 16 freshman lawmakers who have declined their government health benefits, and you’ll hear a different side of the story — about tough out-of-pocket expenses, pre-existing conditions and support for health reforms that would help those who struggle with their coverage. As they venture into the free market for health insurance, these lawmakers — many of whom swept into office fueled by tea party anger over the health care law — are facing monthly premiums of $1,200 and fears of double-digit rate hikes.

The experience has caused some of them to think harder about the “replace” part of the “repeal and replace” mantra the GOP has adopted regarding the health care law.
“I have a niece who has pre-existing conditions, and I worry about her if she was ever to lose her job,” said Florida Rep. Richard Nugent, one of the freshman lawmakers who declined federal health insurance benefits.
Every single House Republican voted to repeal the health care law last month.

via politico.com

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Many Emergency Department Visits Could Be Managed At Urgent Care Centers And Retail Clinics — Health Aff

Americans seek a large amount of nonemergency care in emergency departments, where they often encounter long waits to be seen. Urgent care centers and retail clinics have emerged as alternatives to the emergency department for nonemergency care. We estimate that 13.7–27.1 percent of all emergency department visits could take place at one of these alternative sites, with a potential cost savings of approximately $4.4 billion annually. The primary conditions that could be treated at these sites include minor acute illnesses, strains, and fractures. There is some evidence that patients can safely direct themselves to these alternative sites. However, more research is needed to ensure that care of equivalent quality is provided at urgent care centers and retail clinics compared to emergency departments.

via content.healthaffairs.org

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Hello Doctor! (Can I Call You M.D.?) - Health Blog - WSJ

The medical profession feels like it is under siege. The traditional MD trained, post residency doctor was trusted and looked up to as a pillar of knowledge and achievement.
In a vast array of ways there have been efforts to dislodge these professionals from their perch. Obfuscation of roles, privilege creep, payer acceptance, degree inflation, DTC advertising along with mid-level focused detailing(generally more corruptible), push of “universal health care”, push of generic terminology such as “providers” used in ways to commoditize then devalue the services. The push of EHR and protocol driven care, etc are all parts of the efforts to this end.
The problem is that this is leading to fall in standards, unfortunately not just in affiliated providers but even amongst MDs in my observation over the years. The approach of younger doctors appears to be that “if I am merely a provider I will just show that level of commitment” . Many no longer take out of hours call. They choose lifestyle specialties, prefer shift work, generally refuse anything more than minimal responsibility etc.
The old guard is aging and as they are phased out, the true unfortunate ramifications of this will become clear. We are being very short sighted undercutting such a venerable profession in such ways.

via blogs.wsj.com

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Tuesday, February 1, 2011

Use of Alternative Medicine Rises Sharply, Study Shows | National Nursing News

Significantly higher numbers of people began using complementary and alternative medicine therapies during the past decade, according to a new analysis.
Dejun Su, PhD, director of the South Texas Border Health Disparities Center at the University of Texas-Pan American, and colleagues examined data from the 2007 National Health Interview Survey. The survey included interviews with more than 23,000 adults.
In addition to overall use, researchers were interested in the rates of increases for different demographics. Between 2002 and 2007, CAM use increased by 18.1% for whites, 17.2% for Asian Americans, 6.6% for African-Americans and 1.01% for Hispanics.
Overall, according to the survey, 33% of whites use at least one CAM therapy, not including prayer. About 32% of Asian Americans, 20% of African-Americans and 17% of Hispanics use at least one such therapy.
The study was first reported by Health Behavior News Service, part of the Center for Advancing Health.
Su said rising healthcare costs may lead people to try CAM therapies — acupuncture, chiropractic care, massage, herbal medicine and meditation — when they have nowhere else to turn. More than a third of respondents who reported trying CAM in 2007 stated that they had an untreated medical condition or had put off getting care.
Going forward, Su said, researchers must try to determine the effectiveness and possible risks of CAM therapies, as well as how they interact with conventional medicine.

via news.nurse.com

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Friday, January 28, 2011

Healthy Habits Are Hard to Maintain—Even if You Know What Lies Ahead - Healthcare Headaches (usnews.com)

"It's about that time of the month," a physician colleague of mine said to me a few days ago, "when our patients start to let go of their New Year's resolutions." That is, all those well-intentioned promises we make to ourselves year after year to eat more fresh fruits and vegetables, to spend 30 minutes in the gym each day, or to start a walking program. Breaking unhealthy habits and starting healthy ones is hard, and most people require several attempts to succeed. As I discussed in a previous blog post, there's good evidence that even multiple intensive lifestyle counseling sessions led by trained professionals are only mildly helpful.

Compounding matters is the fact that every individual is different. You probably know people who’ve lived to ripe old ages in perfect health despite having eaten eggs every day of their lives or not exercising. My great-grandfather smoked cigarettes for 80 years, but died peacefully in his sleep in his late 90s. (Maybe he would have made it to the century mark if he'd quit.) Some researchers have suggested that a more effective way to motivate patients to change their lifestyles could be to give them personalized information about their risk for common chronic conditions such as cancer and heart disease. Others, though, have worried that this knowledge could encourage complacency among those who learn they’re at below-average risk. Why quit smoking, for example, if you think your genes will protect you from lung cancer?

[6 Ways to Boost Willpower]

via health.usnews.com

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Tuesday, January 18, 2011

In Defense Of Overhaul, Administration Says Preexisting Conditions Are Common : Shots - Health News Blog : NPR

Look at your friends and family. Look at yourself in the mirror.

Chances are good that quite a few people in your social circle have health trouble that would make it a lot more expensive or impossible to get health insurance, according to an analysis the Department of Health and Human Services released Tuesday morning.

Enlarge AP
Starting in 2014, insurers can no longer carve out needed benefits, charge higher premiums, set lifetime limits on benefits, or deny coverage due to a person’s preexisting condition.

AP
Starting in 2014, insurers can no longer carve out needed benefits, charge higher premiums, set lifetime limits on benefits, or deny coverage due to a person’s preexisting condition.

The report, timed to come out just as the Republican-controlled House moves ahead with a bill to repeal the federal health overhaul, estimates that as many as 129 million Americans younger than 65 have some sort of preexisting condition.

All told, 19 to 50 percent of those people have a health issue that would complicate the purchase of private health insurance. Asthma and high blood pressure could drive the costs up. More serious health problems could scotch private insurance altogether.

via npr.org

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5 Ways Social Media Can Help Nurses - Nursing Link

1. Learn About Industry Trends and Breakthroughs

Social media is largely about learning. While some of us are leveraging social media as marketing or micro-blogging tools, many nurses are banding together and sharing important information about trends happening in their industry today.
Great ways to learn about what’s happening in healthcare now:
• Follow and fan professional organizations like the CDC, Mayo Clinic, or ANA for reliable information. You can usually find links to their social media profiles on their homepage.
• Follow and fan your favorite nurse bloggers to see what they are saying online. Chances are they’re offering their expertise and perspective on what’s happening in the profession today.
• See what nurses are saying in the Twitter chats. You’ll find everything from new ideas to opinions about hot-button issues.

via nursinglink.monster.com

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The Politics of Health Care : National Health Service Corps Gets $290 Million Boost from Affordable Care Act

Program helps primary care clinicians repay student loans in exchange for two years of service in underserved areas.
The Department of Health & Human Services (HHS) announced on Nov. 22 the launch of a new application cycle for the National Health Service Corps (NHSC) Loan Repayment Program. The NHSC offers primary care medical, nursing, dental and mental health clinicians up to $60,000 to repay student loans in exchange for two years of service at health care facilities in medically underserved areas.

According to HHS, this year's investment in the program, which includes $290 million from the Affordable Care Act, seeks to address shortages in the primary health care workforce and translates into greater access to health care for those who might otherwise go without.

The Affordable Care Act also provides more flexibility in how NHSC administers the loan repayment program. In addition to monetary awards that are higher than previous years, NHSC will give members the option of working half-time to fulfill their service obligation and provide credit for some teaching hours.

via community.advanceweb.com

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Wednesday, January 12, 2011

OrganizedWisdom Finds Free Experts Make for SEO Success - NYTimes.com

With Demand Media currently planning a high-profile IPO and issues being raised about the impact of “content farms” on search results, there is a lot of attention being paid to the question of content aggregation and its effect on the web. OrganizedWisdom Health, a health-resource service, now believes it’s better — and more profitable — to organize free content rather than pay for low-wage material.
The New York-based startup has spent most of the past four years building up an index of “wisdom cards:” topical health entries that were written by contributors for a small fee. At any given moment, OrganizedWisdom contracted with 100 writers, who covered a wide array of medical topics. But exactly one year ago, the company dropped the paid-content route and embraced a free expert model. So where does the content come from? The startup keeps track of some 5,000 doctors and health experts who use social media, and collects their contributions into wisdom cards.

via nytimes.com

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Monday, January 10, 2011

When Insurers Put Profits Before People - NYTimes.com

Late in 2007 I found myself riveted by a case playing out at the University of California, Los Angeles, the medical center where I trained and had once worked as a transplant surgeon. A 17-year-old girl named Nataline Sarkisyan was in desperate need of a transplant after receiving aggressive treatment that cured her recurrent leukemia but caused her liver to fail. Without a new organ, she would die in a matter of a days; with one, she had a 65 percent chance of surviving. Her doctors placed her on the liver transplant waiting list.

Nataline’s case was not all that different from the more than 200 liver patients I had seen successfully transplanted every year at that institution. She was critically ill, as close to death as one could possibly be while technically still alive, and her fate was inextricably linked to another’s. Somewhere, someone with a compatible organ had to die in time for Nataline to live.
But even when the perfect liver became available a few days after she was put on the list, doctors could not operate. What made Nataline different from most transplant patients, and what eventually brought her case to the attention of much of the country, was that her survival did not depend on the availability of an organ or her clinicians or even the quality of care she received. It rested on her health insurance company.

via nytimes.com

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HealthCare.gov (Healthcare Reform, Affordable Care Act)

Your Rights and Protections Under the Affordable Care Ac...

By Richard Sorian, Assistant Secretary for Public Affairs

Under the new health care law, you will see an end to some of the worst abuses of the insurance industry. New rules will put you – not your insurance company – in control of your health care.…Continue Reading →

Myths vs. Facts: Repeal Would Be Bad for Americans’ Heal...

By Richard Sorian, Assistant Secretary for Public Affairs

You may have read in today’s New York Times that the health care law enacted nine months ago is in jeopardy. Nothing could be farther from the truth. Let’s take these issues one at a time and talk about facts.

Making Living Independently A Reality for People with Di...

By Henry Claypool, Director of the Office on Disability

Many Americans with disabilities face challenges in accessing the fundamental right to determine where and how they want to live their lives. Thanks to a new inter-agency partnership, more people living with disabilities will have that choice.

Keeping an Eye on Proposed Premium Hikes

By Jenny Backus, Principal Deputy Assistant Secretary for Public Affairs

via healthcare.gov

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Preventing Heart Ailments at Their Roots - Childhood - NYTimes.com

Two studies published Monday suggest that the road to hypertension and heart disease starts in childhood and that prevention should start there, too.

Related

Health Guides: Heart Disease | High Blood Pressure

One analysis found that parental smoking increases the risk for high blood pressure in preschoolers, and the other that excessive sugar consumption in teenagers is associated with multiple factors known to increase the risk for cardiovascular disease. Both reports appear in the February issue of the journal Circulation.
The first study looked at 4,236 children in Germany, where 5-year-olds undergo a compulsory physical and cognitive assessment before starting school. During the period of the study, 2007-8, more than 28 percent had at least one parent who smoked. Even after correcting for body mass index and parental hypertension, having a smoker as a parent substantially increased the likelihood that a child would have blood pressure readings in the top 15 percent of the sample.
Parental smoking was not the only association, or even the strongest. Being overweight and having a parent with hypertension were also associated with high blood pressure in the children. But the lead author, Dr. Giacomo D. Simonetti, said smoking was probably the easiest risk to modify.

via nytimes.com

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Friday, January 7, 2011

Health Care Spending Declines to 50-Year Low - Nursing Link

U.S. health care spending in 2009 grew at the slowest rate in 50 years, as the recession and high unemployment caused outlays for nearly all medical goods and services to slow or decline, according to a new government report released Wednesday.

Unlike previous recessions, when spending for health services began to slow some two years after an economic downturn, the effect of the Great Recession was swift and profound on insurers, health care providers and patients in both 2008 and 2009.

Total public and private spending for health services grew by 4 percent to $2.5 trillion, or $8,086 per person in 2009.

That’s up from $7,845 per person in 2008 when annual health outlays increased only 4.7 percent, which was the second-slowest growth rate in the last half a century, the Department of Health and Human Services reported.

Fueling the spending slowdown in 2009 was a 3.2 percent decline in private health insurance enrollment as 6.3 million people lost job-based health coverage that year. That loss of private coverage also curbed growth in out-of-pocket spending by patients, many of whom delayed medical care because of a lack of cash.

via nursinglink.monster.com

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More young people are winding up in nursing homes - Yahoo! News

Adam Martin doesn't fit in here. No one else in this nursing home wears Air Jordans. No one else has stacks of music videos by 2Pac and Jay-Z. No one else is just 26.

It's no longer unusual to find a nursing home resident who is decades younger than his neighbor: About one in seven people now living in such facilities in the U.S. is under 65. But the growing phenomenon presents a host of challenges for nursing homes, while patients like Martin face staggering isolation.

"It's just a depressing place to live," Martin says. "I'm stuck here. You don't have no privacy at all. People die around you all the time. It starts to really get depressing because all you're seeing is negative, negative, negative."

The number of under-65 nursing home residents has risen about 22 percent in the past eight years to about 203,000, according to an analysis of statistics from the Centers for Medicare and Medicaid Services. That number has climbed as mental health facilities close and medical advances keep people alive after they've suffered traumatic injuries. Still, the overall percentage of nursing home residents 30 and younger is less than 1 percent.

Martin was left a quadriplegic when he was accidentally shot in the neck last year by his stepbrother. He spent weeks hospitalized before being released to a different nursing home and eventually ended up in his current residence, the Sarasota Health and Rehabilitation Center. There are other residents who are well short of retirement age, but he is the youngest.

via news.yahoo.com

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Thursday, January 6, 2011

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Connecticut Nurses, Nursingentrepreneurs.com, Nurse-Owned Businesses

Add URL, Contact Us (Ask a Nurse), NursingMail.com, Linking Policy
Online/Offline Graduate/Undergraduate Education, Nursing Degrees, LPN-RN, RN-BSN, RN-MSN, and more!

J C Levis and Associates LLC:"We are a Professional Service Organization providing Legal Nurse Consulting services for Attorneys and Consulting & Educational services for Health Care Organizations. Contact for more information about how we can best serve your needs."
J C Levis and Associates LLC.
PO Box 608 Oxford, CT. 06478-0608
Tel/Fax 203.888.0535 E-Mail jclevis@aol.com
http://www.jclevis.com
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John R. Fisher Legal Nurse Consulting, LLC:"John R. Fisher Legal Nurse Consulting currently has over six years of experience with retrospective medical chart review and examination to ensure that patients have received quality patient care and the application of appropriate current standards of care to all patient populations. Accurate medical record review can be completed for most cases in under 5 hours as a preliminary screening, and with over twenty years experience in the healthcare industry in a variety of critical care and emergency settings problems are quickly identified. This experience qualifies me as an expert in many areas, and when working as a consulting expert I am able to add different areas of value to your cases. Please browse through these pages for additional information, and if you have any questions, please contact John R. Fisher Legal Nurse Consulting for additional information."
32 Chatfield Drive
Lakeville, CT 06039
Telephone 866-435-8002, 860-463-1462
Fax / Phone: 860-435-8002
Electronic mail: jfisher@jfisherlnc.com
http://www.jfisherlnc.com
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Diane Marangelo, RN, BSN, MBA, CLNC, DM Consulting:"DM Consulting offers professional services that will enable you to develop your cases quickly and cost effectively including: Reviewing and screening cases to keep you from wasting your time on non Meritorious cases; Reviewing and analyzing medical records for deviations from the medical and nursing standards of care that can affect the outcome of your case; Summarizing medical records and preparing brief opinion reports to bolster your position; Preparing in depth medical and nursing literature searches that provide the theoretical foundation for your case development;"
Diane Marangelo, RN, BSN, MBA, CLNC, DM Consulting:
Phone: 203-925-9234 Fax: 203-925-9234 Email: diane@dmconsulting.org
http://www.dmconsulting.org
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RN Associates-A Legal Nurse Consultant Group:"Member of the National Alliance of Certified Legal Nurse Consultants, Associate Member of The Connecticut Chapter of the American Association of Nurse Attorneys Preserve and maximize your valuable time and resources when preparing your medical malpractice/ negligence, personal injury, or disability case. Utilize our legal nurse consultants to develop and define the medical aspects while you and your staff focus your expertise on the legal points and considerations."
Lynne B. Woodside, RN, CLNC
84 Rogers Lake Trail
Old Lyme, CT 06371
Tel: 860-434-7563
Toll Free.: 866-542-7563
Fax: 860-434-7564
Email: RNAssociates@snet.net
http://www.rn-associates.com/
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Nursingentrepreneurs.com is a networking and resource directory for Nurse-Owned businesses and nurses looking for an alternative to working at the bedside. Start here on your road towards nurse entrepreneurship.
If you explore the site a bit, you'll find profiles of hundreds of nurse entrepreneurs around the country. We encourage you to browse around, find a business category you are interested in, then contact the nurse directly. We're available for questions as well. This website is Owned-Operated by Andrew Lopez, RN a Medical/Surgical/Telemetry nurse.
Has your Nurse-owned business been written up in the news? Do you send out a newsletter or regular press releases? We'd like to hear about it!

Our Newest article is from an Arizona Nurse Entrepreneur:
Should You Incorporate Your Registry Business? By Joseph Caracci, RN:"The short answer is yes! When starting a new nurse registry business, you are entering into a legal business environment that requires you to take steps to protect your personal assets, such as your home, your savings, and your retirement. With this in mind, you need to determine which legal form you are going to take for your new registry. Some of the common choices are a sole proprietorship, a partnership, a limited liability partnership (LLP), a limited liability company (LLC), and a corporation."
http://www.nursingentrepreneurs.com/incorporate
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The #1 question, we've been receiving lately is about Starting A Nursing Agency, resource sites & manuals

Please choose from the following:

1. Register for the directory (Includes website, business cards, etc).

10 Free Starting a Business Books, Smallbizbooks.com
20 low-cost homebased businesses, Smallbizbooks.com:
25 businesses you can start and run from home.:'Here are a variety of businesses that you can start and operate from the comfort of your home."

Advertising Resources: Advertising Networks and Merchants that support the Nursefriendly and keep us a free website to visitors. Look here for income sources for your own site.

Affiliate Programs: Make Money From Any Type of Website! Here we link you with advertisers ready to pay you for hosting their links. If you're not sure which type of program would work best on your site, we'll review it and make some suggestions.

Are You Making Any of These 10 Deadly Small Biz Mistakes?
Associations For Entrepreneurs, Small Businesses, Business Basics

Career Alternatives For Nurses:

Discusss Nurse Entrepreneur Opportunities, Issues and Concerns

Franchise Opportunities: Allow you to purchase a business with an established name, product or service building on a reputation they have already established.
Health Insurance: Medical, Dental, Prescription, Vision Coverage, Employed & Self-Employed

How To Earn Money With Any Kind of Website
Nurses In Business, Articles About Nurse-Owned Businesses:

Our Newest Nurse-Owned Businesses (look here for your listing after you register).: We research and receive new nurse entrepreneur directory listings daily (they are free for nurses). These are the newest.

Review Nursing Entrepreneurs by State:

Review Nursing Entrepreneurs by Category:

Starting A Nursing Agency, How To Start

Traits & Qualities That Make Nurses Excellent Entrepreneurs

Turn Your Knowledge & Experience Into Revenue!
What Exactly Is A Nurse Entrepreneur
What Made You Decide To Start Your Own Business?

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Please note, Listings in this directory are FREE permanently to Nurse-Owned businesses.
If you're just starting out a business and are not sure how to go about it, feel free to give us a call or send us an E-mail.
We're available 9am to 9pm for calls EST.
If you have a lot of questions, we'd suggest getting a cell phone with lots of national minutes (smile).
We can walk you through step by step from deciding
what type of business organization is right for you to, payroll, marketing, etc.
Call Andrew Lopez, RN, President & CEO of Nursefriendly, Inc. at 856-415-9617 or E-mail.
If you don't see a category or state your business belongs in, we'll create it!
We're very supportive of nurses looking to start or expand their nurse-owned businesses.
If you have questions, please contact us. In our directories, we've organized resources to help you start, build and grow your business.
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Article Index:

Eight Tips for Aspiring Healthcare Entrepreneurs by Megan Malugani, Monster.com:"You may dream about being your own boss, but are you really ready to take the plunge into healthcare entrepreneurship? Besides having a winning idea or service to offer, you must be self-motivated, persistent and energetic, say successful healthcare entrepreneurs. Faye Berger Mitchell, a nutritionist in private practice since 1988 in Chevy Chase, Maryland, and Thom Golden, a former emergency room nurse who founded Doctor Baby Proofer in 1986 in Dallas, offer eight tips to aspiring entrepreneurs:
http://allhealthcare.monster.com/benefits/articles/2298-8-tips-for-aspiring-healthcare-entrepreneurs

How to Use Other People's Money for Your Business, By Matthew Lesko

The New Power of Advertising, By Jay Conrad Levinson
The Story of the Hypnotic Writing Monkey, by Joe Vitale

The Truth Must Be Told, Ted Nicholas

Interesting Reading For Nurse Entrepreneurs, Actual or Soon To Be:
Nurse Entrepreneurs: Tales of Nurses in Business:"This book is vey inspiring! Learn how 50 different nurses brought their vision to reality! Learn some great tips on starting your own business. Nurses don't have to just work at the bedside. Read this book and you will be thinking of how you can make your dream a reality!"
Own Your Own Corporation: Why the Rich Own Their Own Companies and Everyone Else Works for Them:"Rich Dad's-"Own your Own Corporation" is a must read for anyone comtemplating a new business-or someone who already owns their own business. Garrett's direct yet simplistic explanations of the different business entities,the proper and best suited entity for your business-is followed by real-life scenarios which helps drive home the importance of corporate ownership in today's business world. Use Garrett's legal expertise to establish a successful, legally responsible and fiscally protected business...And understand the why's and how's of that ownership."
21 Success Secrets, Success Secret #4- "Do What You Love to Do." Get your FREE CD and find out the other 20 secrets of self-made millionaires.:"Order your FREE CD ($4.95 S&H) from Brian Tracy's acclaimed 21 Success Secrets series. Start with 21 Success Secrets of $elf-Made Millionaires - full of techniques practiced by all men and women who go from rags to riches in one generation. Brian Tracy is a noted success expert. He's trained over 2 million people in 23 countries how to achieve their financial goals faster than ever before."

Business To Business:

Subscribe to our newsletters to learn how to make any site sell! Please enter your e-mail address into the box and click on the "Subscribe" button.

Click Here To Start accepting credit cards online! Surefire Premium Processing ($100,000 and over)

Make Your Knowledge Sell!:""Make Your Knowledge Sell!" makes it possible for Y-O-U to develop and sell your infoproduct! My co-author Monique Harris started out pretty much like you. She didn't use rocket science to achieve her tremendous e-publishing success."

Make Your Net Auction Sell:"As a business, Net auctions are truly a whole new kind of opportunity. To sell at auction just a few years ago, you had to be a Sotheby's, a business liquidator, a car dealer… or some other kind of "traditional" business. Or pay them to do the job."

Make Your Price Sell:"Know Your Perfect Price™ in 50 Minutes "Why is the Perfect Price™ so important?" That depends on whether you are considering a new product concept, launching a new product, or managing existing ones... Considering a new product concept? Not sure if it will fly? Imagine if you could know how much people would pay. You'd know if this new idea was worth pursuing... or not (think of the dollars and time saved)."

Make Your Site Sell:"Starting a major new business on the Net? Want to improve upon results from an existing Web presence? Or merely looking to build a solid second income stream? Whatever your e-commerce goals, we'll OVERdeliver, no matter how lofty your expectations are. As you will soon see, SiteSell.com products are globally acclaimed by major authorities as best of breed. Yet they are priced so that you can afford them... easily."

Make Your Words Sell:"What Do YOU Sell? Want to Sell More? Selling software on the Net? Infoproducts? A service? Million dollar cables for suspension bridges? If you want to sell more... Use the right words. Because words sell, not graphics. If you have any doubts, try this simple experiment."

Site Build It :"Site Build It! is the complete, all-in-one traffic-building system. It builds income by giving you all the software, tools and techniques that you need to build targeted traffic... all tied together into a terrific, time-saving, step-by-step process."

Please select from the following, see also Doing Business Resources:

Make Money From Any Type of Website! Webmasters will want to check out our Paid Link Affiliate Programs Directory

The Uniform Resource Locator (URL) or Internet Street Address of this page is:
http://www.nursingentrepreneurs.com/directory.entrepreneurs.connecticut.nurse...

Send comments and mail to Andrew Lopez, RN Last updated by Andrew Lopez, RN on Monday, March 2, 2009

via nursingentrepreneurs.com

Any questions, please drop me a line.

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What Repealing the Affordable Care Act Will Cost Families, Seniors, Small Businesses, States… | The White House

This week, Republicans in the House of Representatives unveiled a bill that will repeal the Affordable Care Act and take us back to the days when insurance companies controlled the health care people could receive. This doesn’t come as a surprise, as Republican leaders have been threatening repeal since President Obama signed the reforms into law on March 23, 2010. But what is surprising is how carelessly they are disregarding the consequences of taking away the new freedoms, control over health care decisions, and the cost savings the law provides the American people, including

Unprecedented accountability and transparency in the insurance market;

Reduced prescription drug costs for seniors; tax credits for small businesses to defray the costs of employee coverage;

Protection against double-digit premium increases; preventive care without cost sharing; support for working class families by providing them tax credits to help pay for coverage;

Improved quality health insurance coverage for all Americans by creating competitive new state based health insurance marketplaces called Exchanges; and

Affordable, quality health coverage for all Americans regardless of their age and gender, or if they have a pre-existing condition.

via whitehouse.gov

To read the rest of the article, click on the link above:

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Friday, February 18, 2011

Tuesday, February 15, 2011

Wednesday, February 9, 2011

Tuesday, February 1, 2011

Friday, January 28, 2011

Tuesday, January 18, 2011

1. Learn About Industry Trends and Breakthroughs

Wednesday, January 12, 2011

Monday, January 10, 2011

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