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Setting aside ideology/fear-based arguments (socialism, endless waits, death panels, etc.), what are some calmly considered arguments against single payer HC finance (such as proposed by Sanders) as borne out by experiences of other nations?

[Setting aside ideology/fear-based arguments (socialism, endless waits, death panels, etc.), what are some calmly considered arguments against single payer HC finance (such as proposed by Sanders) as borne out by experiences of other nations?]In no particular order:The transition will be painful. We’re talking about reorganizing a lot of jobs, re-routing something around 16% of our annual GDP. Our current system’s configuration creates a lot of bullshit jobs: Doctors have to hire billing people to argue with insurance, Insurers hire insurance people to argue back. Employers hire benefits specialists and accountants to comply with the tax implications of all the money and tax incentives involved. They all hire lobbyists to ensure that the tax breaks and regulations are favorable.A shift to a government-administered public insurance service funded out of payroll taxes (most of which are automated already) will render a lot of jobs and their associated paperwork… redundant.At the same moment, all the money all those companies have been spending to fund those jobs… will become available under the same salary cap. It will be the biggest game of job-changing musical chairs since the World Wars.Americans are bad at holding government accountable for anything at all. The prospect of putting health care into the hands of whoever managed to get themselves elected in our system of government… is a sobering one.Face it, we elect white-collar criminals to high office, and then we complain about how ‘government is the problem’ and drop out of politics. The bar for getting elected any more is being less-evil (in enough peoples’ view) than the next alternative.For us, it’s ‘just normal’ when big business writes many-figure checks to PACs in order to influence lawmakers. It’s so common, there’s no point in arguing that it’s obviously corrupt. (in most countries, that sort of thing is called ‘bribery’ and does not happen nearly as much or quite so openly)If we want a better America, we’re going to need to be better Americans, and unfortunately we haven’t been even adequate Americans for decades. I mean… <gestures broadly at, well, everything>On balance, I think the upsides of taxpayer-funded Universal Health Coverage outweigh the risks and downsides- our current system is expensive, morally problematic, and squanders so much of its potential.

Do hospitals need an electronic health record system (EHR) and an ERP system?

The data system for hospitals turned an integral a part of Health care. It is linked to Health care info technology, which focuses totally on the executive functioning of hospitals and clinics or sufferers’ houses. It has numerous implementations and is an integrated and sturdy info system designed to ship to the healthcare business each administrative process.In latest years, hospital information programs or system have been transformed into laptop built-in digitized systems, whereas the normal file cupboards and paper works take a backstage. A computerized health info system consists of steps such because the enter, encoding, output and boundary of information. The health information are offered to the pc system are processed with a purpose to produce the desired outputs with the parameters in place to affect these outputs.Thus, the ever rising emphasis on a computerized info system for hospitals implies that the inclusion of ERP software program suites is inevitable. The core traits of a profitable integration of ERP software program right into a enterprise organization is elevated effectivity, complete robustness, accuracy, and elevated processing velocity. All of those advantages are extremely wanted for hospital data techniques because it means ending the gridlock usually skilled by hospital directors making an attempt to deal with a lot affected person, physician or doctor, and stock information. Breaking this gridlock can certainly imply smoother hospital operations and lives saved.IMPORTANCE OF ERP SYSTEMS FOR HOSPITALSIn the healthcare business the market standards of ERP software program are not any totally different. Globally, health care suppliers are struggling to attain twin objectives: high quality affected person care and vital value containment. To this finish, healthcare establishments are frequently investing in updating their ERP programs to make patient care more obtainable and safer. Furthermore, minimizing scientific errors and rising productiveness for health care suppliers are key motivations for adopting ERP solutions. The ever rising fee of patents and totally different technologies made it mandatory for hospitals and different healthcare institutions to combine the patient database with crucial physician or doctor and worker data.Doctors and clinicians want updates on the medical outcomes of their sufferers in actual time to facilitate communication and make their analysis and interventions more profitable. Furthermore, a number of hospital departments want integrated techniques to include their core services, help services, and back office operations. One of the principle causes for decreasing working costs and overhead is the profitable integration of ERP software program suites. It is necessary to streamline data by means of pharmacy, laboratory system, radiology, picture archiving and communication system (PACS), and digital medical information (EMRs) for sufferers. On the opposite hand, sufferers are given entry to the summarized particulars from their medical experiences with a purpose to prepare appointments in good time and make selections promptly.The main causes for introducing ERP systems in hospitals are thus scientific and administrative; expense management, operational effectivity, affected person enchantment, and the enhancement of scientific and medical outcomes from treating sufferers. Emerging impetus for incorporating ERP software could at occasions be strategic within the fashionable healthcare system or is applied simply as a method of bettering facilities as a part of an overarching country-wide infrastructure. Raising the effectiveness of a myriad of organizational processes to assist organizational progress and enhancing compliance with regional and international legal guidelines and rules can be a serious purpose of implementing ERP Software in healthcare.BENEFITS OF IMPLEMENTING ERP SYSTEM IN HEALTHCARE IN BRIEFAn ERP software gives healthcare suppliers with distant entry to important information and data for patients. This additionally helps the sufferers make knowledgeable and timely therapy selections. The superior, automated software program makes it simpler to schedule future tests and medical procedures. ERP software ensures important patient data is accessible throughout a number of systems. The effectivity of processes will profit from ERP as a part of the IT automation system. ERP brings with it totally different capabilities, equivalent to payroll, finance and account, HR, and places them right into a shared database. This helps simplify numerous back-end processes equivalent to payroll administration, account administration, and stock administration. Furthermore, ERP techniques be certain that the premiums are honest from a number of managed care suppliers which ends up in a win-win situation for each the suppliers and payers.The most elementary and most necessary ERP system profit is that healthcare establishments can efficient handle all insurance policies and procedures referring to issues equivalent to member advantages, enrollments, and supplier networks which retains them up to date with greatest business practices. A hospital or any healthcare organization could fully fall behind or they might even lose their working licenses if they don’t undertake revised pointers and the perfect business practices. Finally, the integration of an EPR system permits healthcare suppliers to enormously enhance security by making the contact between doctor and patients crystal clear as many healthcare organizations and hospitals interpret an integrated ERP as a primary organizational requirement to carry a couple of thriving and budding work tradition that respects and values affected person security very a lot.CONCLUSIONImplementing the ERP system helps carry healthcare suppliers, insurance coverage suppliers and patients beneath one platform and retains centralized the entire essential info. Easy-to-use and progressive ERP system from totally different suppliers assist healthcare professionals deal with their key considerations; high quality patient care, and security. Healthcare organizations are swiftly adopting ERP system to achieve aggressive edge and enhance their finish consequence. Increasing accountability and transparency necessities have sped up ERP adoption and main hospitals and healthcare organizations all over the world use the ERP software to stick, permitting them to shortly evolve. ERP approaches skilled widespread adoption throughout a variety of industries over time. ERP system helps in breaking information silos throughout a number of organizational capabilities, streamlining data throughout totally different departments and automating duties. ERP system has confirmed capabilities for rising productiveness and maximizing profitability. Thus, when dealing with key organizational capabilities equivalent to stock administration, HR management, data and data administration, and finance administration, ERP applications positively assist.Apagen is a digital transformation agency primarily based in india.

How can a start-up without solar experience become a channel partner for JNNSM under MNRE?

MNRE (Ministry of New & Renewable Energy)-The process of em-paneling a channel partner is rigorous and systematic process.The Jawaharlal Nehru National Solar Mission (JNNSM) is one of the eight National Missions launched by the Government of India as part of the India’s National Action Plan on Climate Change. JNNSM aims to promote ecologically sustainable growth, while addressing India’s energy security challenge.Guidelines to entities to become Channel Partners under Off Grid and Decentralized Solar applicationsSection-1Any of the following entities can apply to become channel partner1.1 Manufacturers of modules, inverters, batteries, pumps, luminaries and system integrators of solar systems1.2 NGOs registered under Society Registration ActThe eligibility conditions are1.3 The company/NGO must be having all approvals to carry out activitieswhich are envisaged under the programme1.4 The channel partner must have reputed auditors who will the audit theaccounts on annual/half yearly basis1.5 The company net worth must be positive. The assets and liabilities of thecompany must be clearly specified by rating agencies.1.6 Application process: Any entity who fulfill the above criteria mayapproach rating agencies to get the rating. After getting rating theentities may forward the rating report with application to register them aschannel partner1.7 Rating agencies: Reputed rating agencies in the country which may bespecified by MNRE including those who registered with RBI and SEBIare eligible to rate the agencies. The following is the levels of rating1A 1B 1C 1D 1E2A 2B 2C 2D 2E3A 3B 3C 3D 3E4A 4B 4C 4D 4E5A 5B 5C 5D 5E1 to 5 depicts the technical strength with 1 being the highest. A to Edepicts the financial strength with A being the highest.1.8 Period to receive applications: The Ministry will receive applications from the entities to become channel partners between 1st January and 31stMarch in every calendar year. Applications throughout year are notentertained.1.9 Tenure: the tenure of channel partner is initially for two years. Aftersatisfactory achievement in meeting the elected targets the tenure willbe extended to another two years. After the end of four years the entitieswill have to approach the rating agencies to get fresh ratingSection-2:Targets and sanction of projects2.1 After entities are approved by the Ministry to become channel partners,the entities have to choose the targets between the target bands1A 3000 to 5000 kWp1B/1C 2500 to 4000 kWp1D/1E 1000 to 3000 kWp2A/2B 1000 to 2000 kWp2C/2D/2E 750 to 1500 kWp3A/3B/3C 500 to 1000 kWp3D/3E 300 to 750 kWp4A/4B/4C 200 to 500 kWp5A/5B/5C 100 kWp2.2 After selecting targets the entities have to fulfill the targets any of thefollowinga. direct approvals from MNREb. Through State tendersc. Tenders through SECId. own generated business without subsidyf. Through other Govt. agencies2.3 Sanction of projects: Based on the availability of funds the Ministry willcall applications from Channel Partners. In absence of any call or lesssanction the channel partners are advised to implement the projectswithout subsidy by advising users to avail AD wherever possible.2.4 Appraisal: The Project Appraisal Committee (PAC) will meet in regularintervals to clear the received proposals before the end of each quarter.2.5 No of applications to be received: Each channel partner is entitled tosubmit one application in each quarter only after inviting applications.The application may consists projects at multiple locations2.6 Time limit to execution: the time limit to execution of projects is as perguidelines of the programme. Once project is sanctioned no change ofsite or swapping of sites are allowed. The channel partner have toprovide systems /components as per the standards of the programmeeven without MNRE subsidy. In case use of any substandard qualitycomponents by channel partner comes to the notice of the Ministry, theMinistry will cancel the empanelment of channel partner.Secrion-3 :Monitoring3.1 Self monitoring: Channel partners have to have to install own servers tomonitor systems online for all projects of 10kWp and above withimmediate effect. The limit of mentoring will reduced be to 5kWp by2016 and to 1kWp by 2017. The monitoring data have to send to theNISE on bimonthly basis. A separate cell will be created at NISE toanalyze the data. The same date must be placed on the channel partnerwebsite.3.2 Monitoring by MNRE: The ministry will monitor the systems initiallybefore releasing the funds. The same systems will be inspected by theofficials after few years after commissioning.3.3 Third party monitoring: Apart from these monitoring, the Ministry will get these systems inspected through third party monitoring by reputedagencies after two or three years of installation.3.4 Monitoring of older systems: The systems of 10 years old will beinspected through independent monitors by the MinistrySection-4 :Release of fundsFunds will be released after satisfactory installation and commissioningof systems. The channel partners have to raise invoice net of MNREsubsidy. A copy of raised invoice must be submitted with the completiondocuments. All systems will be inspected before release of funds.Section-5 :Service networkSince all systems installed by channel partners are with five years AMCthe channel partner must have representative office in the area/statewhere the systems are installed. The channel partner must be in positionto attend the complaint if any within 48 hrs.Section-6:WebsiteThe channel partner must have own website. Details of all systemsinstalled by channel partners must be placed on website. In additiongeneration data must be placed on website. Channel partner have tohave complaint redressal mechanism. This must be reflected in thechannel partner website.Section-7:TrainingThe channel partner will have to develop training capacities. MNRE willcome with plan to train local persons to ensure service near the user.Channel partners will have to implement the plan. They must also have aplan of their own. The details of trained manpower must be placed onchannel partner websiteSection-8 :Manpower8.1 Channel partners must have technical manpower on its payrolls. Thiswill reflect in the rating reports given by the rating agencies.8.2 Literature: The channel partner must have literature for installers and users. They must have pamphlets giving company information,company information, to whom complaint to be placed for service. Thesemust be distributed to all users along with manuals of inverters and otherinformation to the userSection-9:ReviewThe Ministry will review the programme in an interval of every year. Anymodification required will be effective from 1st April of the financial yearAny other related details can be assessed through MNRE official website.Thanks!

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