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Monthly Overview of State Legal Updates from CEDR

Your Monthly Overview of State Updates

A Compliance Alert from CEDR HR Solutions, a MedResults Network Preferred Vendor Partner

Below is an overview of the states that have recently passed law changes. Please read carefully as you may be affected and will need to update your employee handbook depending on what state you’re in. The following updates need to be made immediately:           

  • Vermont Paid Sick Leave Minimum Increase – January 1, 2019: Vermont employers should already be providing paid sick leave to their employees, as the state sick leave law went into effect almost two years ago. The law initially required all employers to provide at least 24 sick leave hours per year, but that increased to 40 hours on January 1, 2019.  
  • NYC Requires Greater Accommodations for Nursing Mothers – March 18, 2019: A new amendment requires employers to make greater accommodations for nursing mothers, including having a designated lactation room meeting specific requirements.
  • Connecticut Offering Mandatory Retirement Plans for Employees – Effective January 1, 2019: CT has created a state-sponsored retirement benefit program for employees. Read more about the status of this program, and how it impacts you as an employer
  • Illinois had several updates that have been included below:

    • Expense reimbursements – increased obligation to reimburse employee expenses; Mileage: If you require your employee to drive their car, you need to reimburse mileage. Note that this is for business travel and NOT for regular commutes to work. Remote work: If you have an employee who works from home, you may need to reimburse them for a portion of their Internet and cell phone costs.
    • Sexual harassment prevention – mandatory poster and handbook policies; The law has been expanded, and now requires employers to have specific information about sexual harassment in their written policies, and to display a new sexual harassment poster.
    • Nursing mothers – right to take paid breaks during the workday; the law clarifies that employees have the right to take breaks to pump for up to one (1) year after the child’s birth, and that those breaks need to be paid time.
    • Military rights – employees in the military get increased protection; All Illinois employers are now subject to the Illinois Service Member Employment and Reemployment Rights Act (ISERRA), which took effect January 1, 2019.  This law goes beyond the existing protections of federal law.
    • Equal pay rights – expansion of this law to address race as well as gender; Since 2003, Illinois has prohibited all employers from paying women less than men.  Now the Equal Pay Act has been amended to clarify that employers are also prohibited from paying African-American employees less than non-African-American employees for the same or substantially similar work.
    •  Cook County sick leave – some towns are opting back into the law; The Cook County sick leave law caused great confusion for months back in 2017, as many municipalities with home rule authority voted to opt out of the law – and then sometimes opted back in. The dust still has not settled, as 2018 saw some towns opt back into the law. Then the November 6th ballot included a voter question on the law, with the results showing overwhelming support for it. This has caused some towns to reconsider their opt-out status, so employers in Cook County should be on the lookout for potential changes.

It’s very important that you consider updating your policies for these new laws, and if an issue arises related to these laws, it’s critical to have access to HR professionals to advise you. That’s why the CEDR Solution Center exists. For a low, one-time fee for a custom employee handbook and a monthly membership fee, you can gain access to unlimited HR support AND automatic handbook updates. 

If you have any questions or if you need guidance on your current employee handbook or creating a new one, email CEDR at info@cedrsolutions.com or visit their MedResults Member landing page RIGHT HERE.

CEDR HR Solutions is a Preferred Vendor Partner of the MedResults Network and offers discounts on employee handbooks and HR support!

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An Aesthetic Provider’s Guide to Identifying the Brown Spots You WANT to Treat: SKs!

Learn How to Identify, Treat, and Become Profitable When Addressing SKs

A board-certified dermatologist is a medical doctor who specializes in the diagnosis and medical and cosmetic treatment of skin, hair and nail conditions. However, many of the same patients who visit Dermatologists are the same patients that walk through the doors of a medical spa or plastic surgery practice. As an aesthetic medical provider, especially one who treats other skin conditions or offers cosmetic procedures, it’s critical to know the difference between Seborrheic Keratoses (SKs, raised brown spots or age spots) and potentially harmful skin conditions. With nearly 80% of the patients who walk through your door affected by SKs, it’s also an exciting opportunity to offer a new treatment which can reduce or remove the appearance of brown spots or age spots.

SO, WHAT ARE SEBORRHEIC KERATOSES?

SKs are common, benign skin growths that can occur anywhere on the body. Although anyone can develop SKs, they’re typically more prevalent with age. SKs, more commonly known as raised brown spots or ‘age spots’, can vary in size, appearance and coloration although they tend to have a waxy, stuck-on-the-skin appearance. SKs may also look like other common skin growths including warts, actinic keratoses (which are generally dry and/or scaly growths and can become harmful), moles, and of course, melanoma. If you have any question as to whether a spot is an SK or another type of skin condition, it’s always recommended that you send your patient to a board-certified dermatologist.1

WHO GETS SKs AND WHERE DO PATIENTS FIND THEM?

SKs typically occur in middle age or later and may appear in anyone (or any skin type) at any time. They’re most commonly found on the chest, back, scalp, face and neck although they can appear almost anywhere on the body, with the exception of the palms of the hands and the soles of the feet.1  

WHY DO PATIENTS GET SKs?

The number of SKs found on a patient tends to increase with age, but the exact cause of SKs is unknown.1

WHAT’S THE BEST WAY TO TREAT SKs?

In a recent study, 73% of participants said they were mostly or slightly bothered by the appearance of SKs around their face, neck or hairline2. With this becoming a more popular (or widely-discussed) skin condition, many patients look to remove their visible or irritated SKs. In-office options for removing SKs include cryotherapy (freezing), electrosurgery or curettage (electric currents or scraping), topical treatments (hydrogen peroxide), and laser treatments, all of which have the risk of scarring and/or infection.1

BETTER RESULTS AND BETTER RETURNS WITH THE NEWEST SK TREATMENT

Until very recently, providers have not had access to a painless topical solution that has proven to successfully clear SKs. ESKATA, developed by Aclaris, is the first and only FDA-approved topical treatment indicated for SKs. With fewer side effects and better outcomes, it is quickly becoming a popular treatment not only in Dermatology practices, but in other types of aesthetic medical facilities.  As ESKATA can be administered by both physicians and mid-level providers, it offers a unique opportunity to provide a solution to a large portion of aesthetic patients with a 2:1 return (better than injectables).

To learn more about the clinical and financial benefits of using ESKATA, please contact us at info@medresultsnetwork.com or visit us here. Members receive a 15% quarterly rebate on ESKATA purchases.  

Reference 1: American Academy of Dermatology. Seborrheic Keratoses. 2018
Reference: 2. Data on file. Aclaris Therapeutics, Inc. 2018.

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Motivation

Staying Motivated in the Workplace

A Quick Guide on Staying Motivated Inside and Outside of the Workplace

Staying motivated in the workplace can be difficult at times. Everyone has moments or even entire days where they feel like they cannot conjure up the motivation to get anything done. We’re people after all and we can get depleted both mentally and physically. If you feel like you’ve hit a motivational plateau in your life, this piece may be able to lend itself to new perspectives and practices to help push your reset button. While much of the advice pertaining to motivation might seem like common sense or even come across a bit clichéd, there’s often a reason for that. Many of these methods are not necessarily difficult ones to understand, but rather they take mindfulness and effort in order to produce a noticeable difference in your drive when it comes to getting productive things done.

One thing you can start actively working on is discipline. Many times, what people think is a motivational issue is actually a problem with self discipline. We’ve all had times where we procrastinated on a big project, watched Netflix for hours in a day, ditched a workout routine or skipped a healthy meal for junk food. Discipline isn’t a one and done thing, it’s something that you have to constantly work on and cultivate. As a way to test your current level of discipline, try setting a very specific meal-plan, sleep schedule and workout regimen for one whole week and try and not deviate from it. Take note of any points where you felt like giving up and use it as an indicator that you might need to spend some extra attention in the category to refine yourself. And just as a rule of thumb, being on a set diet/sleep regimen has numerous benefits that manifest themselves not just physically, but mentally as well so it wouldn’t be a bad idea to start here!

Next, let’s touch your social sphere. The people you keep around you are hugely influential on what you’re going to put focus on and what you’re motivated towards. Ideally, it’s best to keep those around you whose goals are at least slightly similar to yours and with who have some crossover in the same interests as you. If you’re an aspiring athlete and you’re constantly around partiers who drink and partake in vices all the time, you probably won’t achieve your goals or grow your motivational drive very optimally. Expanding on that example, if you’re an athlete trying to make it, you might want to be around other people who are taking sports seriously, or at the very least keep active and encourage you to do the same. This mindset of keeping compatible people in your social sphere directly correlates to efficiency at work and the drive to want to better yourself and achieve those things that will make you feel truly fulfilled.

Finally, we’re going to briefly examine time management. It can be all too easy to get sucked into a leisurely activity, especially if it’s engaging like a TV show you’re invested in or an immersive book. What you need to do is start setting limits on these activities and understand that while overindulgence in relaxation will feel great in the moment, it will ultimately serve to work against you in the long run. If there’s something you need to get done or work on and it just seems like a big wall, try segmenting it if possible and work on it a little bit each day rather than trying to take it on all at once. For example, a lot of people want to start working out, but they put if off due to either not knowing where to start, being confused on the specifics of certain workout/diet and just about everything in between. Instead of working yourself up and building this task into a something intimidating, try instead to break it down and start with a couple quick, simple workouts and some minor meal adjustments per day that are easy to learn stick to instead of jumping face first into it. Doing it this way has a higher success rate since you don’t have to do as much while you’re just starting out and gives you a lot of room to build up and be more efficient as time goes on. Obviously the example I provided was geared towards exercise, but this mindset can apply to anything that involves pesky tasks that you’re not inherently motivated to do. By managing your time and keeping the workload small each day, it’s easier to keep your motivation high enough to complete what you need to do now, while keeping some in the tank for the next day.

Click here for the original article.

Contributed by The Medical Business Academy, an exclusive MedResults Partner. Happy New Year! Get a head start on your education for 2019!  For a limited time only, receive 20% off our bronze membership, which will give you unlimited access for you and your staff to our business courses and training platform. Use Promo Code: MEDRESULTS20 *only applicable for new members.
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10 Step Financial Checklist: How to Better Prepare Your Finances for 2019

10-Step Financial Checklist: How to Better Prepare Your Finances for 2019

December 5, 2018

With the end of the year approaching it can be a bit daunting to get your affairs in order for the new year. That’s why we’ve created a 10-step financial checklist on how to better prepare your finances for 2019.

  1. Get Organized
    1. Even during the busy holiday season you need to take the time to get organized. Take time to declutter your practice. Get rid of old papers and files by shredding, do a deep clean and steam clean your carpets, order holiday cards and write thank you notes for you employees and loyal clients. Don’t wait until the new year to start organizing!
  2. Run an Inventory Check
    1. Depending on your accounting methods, you may be eligible to claim additional deductions on your inventory. You don’t want to miss out on these potential savings before the year ends.
  3. Annual Review
    1. Now is the best time to get a full review of your business. How did your employees perform? What were the best sales tactics and what treatments/packages sold the most? Be sure to sit down with each of your employees as well to get a better insight into what they think worked successfully or didn’t throughout the year. Also, take into account any holiday scheduling and request their schedules for next year to begin mapping out your hours.
  4. Review Policies
    1. After speaking to your team be sure to take their feedback into consideration and integrate with your current policies if deemed necessary. It’s important to review your policies each year to ensure your customer service (and revenue stream) remains 5-star year round.
  5. Donate to Charity
    1. A charitable contribution is not only good for the soul, but also your small business finances. You can donate either money or goods to claim additional deductions during tax season.
  6. Be Tech Savvy / Website Updates / SEO / New Software
    1. Now would be a good time to review your website to ensure it’s up to date and no edits need to be made. How up to date is the software you are currently using? Do you need to consolidate any software or systems? There may be a more cost effective system out there that can save you money (and headaches) by combining your current systems into one. Explore all of the options!
  7. Employee Check Up
    1. Never a fun task, but take a moment to review your employees. Who performed the best? Who didn’t? Who deserves a promotion, pay raise, a demotion or possibly even being let go? What about holiday bonuses? Be sure to read up on another article on how to thank your staff.
  8. Make Purchases
    1. Another tax deduction hack! See what supplies your business needs before the year ends. It can be office supplies, new equipment or upgrades, even vendor payments.
  9. Reconcile Your Books
    1. No matter when your financial year ends it’s a good idea to begin reconciling your books before January. For example, f any expenses need to be discussed with a fellow team member you want to ensure they are around and not on holiday vacation.
  10. Plan. Plan. Plan.
    1. Have you reviewed your current marketing strategy? What worked? What didn’t? Did any promotions this year work better than you anticipated? Take everything into consideration as you strategize and begin mapping out your sales and marketing plan for the new year.

Contributed by The Medical Business Academy, an exclusive MedResults Partner.

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