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Tainted Tortillas in Chicago – FDA Requiring Food Safety Plan from the Factory

We have not recovered from peanuts yet, and now we have tortillas making folks sick.  So far, it is only the flour tortillas and the rest of the products will continue to be produced.  Federal Officials are suing the factory in court.  Wisconsin and Massachusetts were the 2 states named with individuals getting sick from the product.  We really need those quality checking “servers” over the web to start checking this and help the existing FDA agents out a bit.  With every consumable factory sending in batch numbers to state the drugs or food items are within tolerance, it will make a much better check and balance system, technology can help.  BD 

CHICAGO (AP) — Federal officials sued a Chicago food company Friday, alleging unsanitary conditions in producing flour tortillas that were linked to sicknesses in schoolchildren.

Del Rey Tortilleria Inc. immediately agreed to a consent decree under which it will stop making flour tortillas pending Food and Drug Administration approval of its safety program.

Among other things, Del Rey Tortilleria must hire two FDA-approved safety experts. The company will continue to manufacture tostadas, fried tortilla chips and masa, or corn flour.

The Associated Press: Tortilla maker agrees to stop making some products

UCI Medical Center Opens the Doors this Week – New State of the Art Facility

A couple months ago I did a post with a video showing the new facility and all the sinks they have, emphasis by the the facility manager, have lots of sinks available.  Here’s the video again to see the new modern facility.  UCI Irvine has had its troubles over the years, but let’s hope better days are on the way.

Also in the news of recent, speculation of Dr. Charles Rosen from UCI perhaps in the running for Surgeon General?  You can read more on that topic here.  He’s also been known as a whistle blower, but by today’s terms, that’s not a bad thing as we all are looking for honesty and the truth. 

Hoping to turn a page on its problem-plagued past, UC Irvine Medical Center this week opens the doors to its new state-of-the-art imagefacility, a milestone for Orange County's flagship public hospital. The moment is being observed with restrained optimism given the institution's 15 years of persistent problems, from fertility doctors who stole patients' eggs and embryos to failures in the liver transplant program that led to more than 30 patient deaths.

At the helm of the new hospital on an interim basis is Terry Belmont, former chief executive of Long Beach Memorial Medical Center and Miller Children's Hospital.


His hope is that the new building will help UCI escape past stigmas and focus on its hallmarks, like its Cancer Center, the county's only regional burn center and its Neonatal Intensive Care Unit.

UCI Medical Center to open new hospital - Los Angeles Times

Related Reading:

Charles Rosen of UCI – Association for Medical Ethics leader, perhaps our next Surgeon General?

Thank You to UCI Irvine for Noticing!

New UCI hospital – the explanation behind the design to promote better healing and healthcare

UCI Medical Center plans to reduce pediatric care
UCI Medical Center put under state supervision - California
UCI Irvine Medical Center Makes “Best Hospitals List” – service workers striking the facility
UC settles liver transplant suits for $7.5 million - Los Angeles
Medical lab automated at UCI

Eric Schmidt, CEO of Google Speaks with Charlie Rose

Interesting to learn that 98% of the revenue here is advertising.  Also interesting is the explanation of Moore’s Law to Charlie Rose as well.  Charlie imageeven goes so far to ask about mapping the human genome, that one surprised me a bit to hear the conversation go in that direction.

Science and Education funding are also mentioned as a primary focus of the stimulus plan.  He also states as well that we are losing out in the US, Healthcare and Education the 2 big focuses. 

The entire interview takes an hour to watch, worth watching if you have some time.  Below the video I took some of the highlights and made mention of what I considered to be some of the important areas discussed.  If you want to see the entire transcription, use the link at the bottom and go to TechCrunch to read the entire interview. 

Technology people are different and I agree wholeheartedly here, but it’s a good thing as he states at the last of the interview.  BD 

Talking about the 20% Working Rule – 20% can be spent as they desire at work…

“We think the 20 percent time is really the only way we’ve been able to maintain our innovation as we have gotten larger. What normally happens with technology companies is the initial founding team gets older, you bring in traditional management, and although it becomes a better managed company, much of the creativity and the flair and the joy did get lost in the process. By establishing the principal that engineers could spend 20 percent of their time working on whatever they found interesting, we created a culture where there’s this constant flow of innovation. Literally every day there’s another fun surprise. Now, before we get too excited about the 20 percent time, these are engineers. They don’t vary that far from their area of interest. But it gives them an opportunity –”

This is funny talking about phones and I think he is correct with people not knowing how to get the pictures out of the phones…

We think it will be one of the most defining aspects of the internet. Because if you think about it, everybody has phones and every phone has a still camera, and every one of those phones is going to have a movie camera pretty soon. And indeed if you think about it, a lot of the news that you see you’ll see some phone camera video of low quality. Well, five years from now, those will be very high quality videos as the technology gets better. And the joke is that the vast majority of photographs now taken are kept in people’s phones because they can’t get them out of them.

A little about transparency and honesty…which is true with all the technology and data today..someone will find truth.

Well, the most interesting thing to me is that transparency is how you keep societies honest. And we’ve now because of the internet and because of the digital revolution given people — we’ve essentially given them the ability to see everything. So you can now take photographs, take videos of everything you see in your world and people discover it. And there are whole communities of people who are interested in these kinds of aspects. And they serve as a form of check and balance on the powerful, the rich, the people who might exploit others. It doesn’t necessarily mean for a different outcome, but it means that everybody can’t hide. They have to actually tell the truth. To me, that’s a great step forward.

On Politics and Congress…the BS Detector…a search on Googleimage

….The important point here is that politicians today are well aware of YouTube and its phenomena and they’re more careful. And being more careful is probably good. Indeed, if they are going off and saying things to small audiences, and they go to other audiences saying something very different, I want to know that as a viewer. There are many things as you can imagine in the future. The one I like the most is the politicians BS detector, where basically the — Google is sitting there, and the politician says something, and you can type it in, that’s true or false.

The Exploding Growth of Cell phones

There are on the order of 250 million users in China of the Internet which is more than the number of users that we have in the United States today. And that’s an important milestone. And they have many, many hundreds of millions to go. There are about 500 million mobile phone users in China.

On how one Venture Capitalist functions…

Eric Schmidt:
So I have friends — I have a friend who is a venture capitalist, Bill Joy, who described how he does venture capital. He uses Google to search for all the new ideas. He reads the papers so he figures out what the search query is. He reads the paper, and then he calls the people to say what’s new? What’s innovative?

Charlie Rose:
Wait, this is important to me. He looks at the papers, then — he goes online and looks at newspapers or he reads them –

Eric Schmidt:
He starts off — he starts off with a search. I’m interested in hydrodynamics. And he learns by digging — by repetitive searching until he finds the papers that are authoritative. He looks for who the authors are, and he calls the authors. These are people no one ever calls. So they return his call.

On Predicting Flu Outbreaks…

In our case, we built a system which took anonymized searches so you couldn’t figure out exactly who it was, and that’s important. And we get six imagemonths ahead of the other reporting mechanisms so we could identify the outbreak. Many people believe that this device can save 10, 20, 30,000 lives every year just because the healthcare providers could get earlier and contain the outbreak.

On Reading…I say the same, many do not do enough…

And I think that with an educating — with an educator audience, it’s important that we start with reading. If you look at all of the IQ testing and all of the tracking testing, it’s early reading with young parents literally, you know, with small children that really make the difference.

The US does not have the Pandora’s Box of Innovation and Intellect

Eric Schmidt:
If you’re a person who believes that America is the only country and America is always right, I have news for you. It’s not going to be true in the future. Because the Chinese and the Indians and the sum of the Europeans will have their own stake on what’s right and what they think the future is.

Charlie Rose:
So we’re looking to a shared world.

Eric Schmidt:
We’re moving into a world where you actually talk to them.image

About the people who work with technology…and this is very true, tech folks have been sharing for years and are used to it, the rest of the world is just now catching up with collaboration. 

Charlie Rose:

Technology — are people in technology different?

Eric Schmidt:
Yes.

Charlie Rose:
They are? What is it?

**Eric Schmidt:**
Technologists as a group tend to be more analytical, more data driven, more personally liberal,
more willing to tolerate the differences between people.
More global in their focus. And I think that’s across all political parties. People in technology believe that you can create whole new businesses. In my dealings with other businesses, they often seem to be locked in a paradigm that was given to them by their grandfather. You know, this is the economic structure. This is the industrial structure.

This is how it’s always been done. Technology as a group, I believe that you can literally change the world from technology.

http://video.google.com/videoplay?docid=8240499345320964787&hl=en

Hat Tip:  TechCrunch

Hollywood Hospital to Close – Hospital and Nursing Home Facility for Actors and Actresses

The facility is located in the San Fernando Valley and will require moving 100 patients and has been run by the Motion Picture Relief Fund and was a place for the “needy” to retire and be taken care of.  The hospital facility is one more victim of today’s economy.  Recently in the news there were picket lines and around 300 people will be looking for work.  BD 

In 1940, Hollywood humanitarian Jean Hersholt purchased 48 acres of walnut and orange groves in the far reaches of the San Fernando Valley for a hospital to be run by the Motion Picture Relief Fund.image

Hersholt, a popular character actor of the day, was president of the fund, which had been founded 20 years earlier by Charlie Chaplin, Mary Pickford and others to aid needy members of the film industry.

After a delay caused by World War II, the Woodland Hills hospital was finally completed in 1948. Among those attending the opening ceremonies were Robert Young, Shirley Temple, Ronald Reagan and Hersholt, who is probably best known today as the namesake of a special Oscar recognizing charitable work - most recently given to Jerry Lewis.

Reports of the closure, which will displace more than 100 long-term patients and eliminate some 300 jobs by the time it's complete at the end of the year, sparked a recent picket line of 200 people at the MPTF's nearby headquarters. Among the protesters was John Schneider of "Smallville" and "Dukes of Hazzard" fame.

"Many people look forward to coming here and I am one of them," Schneider said. "This decision was indeed a fiscal decision. We didn't lose the debate. We weren't even invited to the debate."

Hollywood pulling plug on hospital for its own - Entertainment - Bradenton.com

Robin Williams to have Heart Surgery

Aortic Heart Surgery options have certainly changed today and there is the option to have the full on open heart procedure, or some of the catheter imagetype procedures available today.  This is an option for most patients; however with the procedure done with the full on procedure, you are cured and done, but when done with a less invasive method via a catheter, you have a trade off in the fact that return visits will be required to ensure the catheter is still properly in place, functioning, etc. I learned that a while back with my interview with Dr. Muhs of Yale University a few months ago.  

The related reading below has some links that describe some of the newer less invasive techniques that are options.  Many times a patient who may not survive a full on surgery procedure can be helped with less invasive procedures.  BD 

imageDespite a personal history of alcoholism, a family history of heart failure and being forced to cancel a comedic tour due to a heart-related problem, 57-year-old Robin Williams will likely emerge safely from his upcoming heart surgery, heart doctors agree.

In a statement issued Thursday, Williams' publicist, Diane Rosen, said that the renowned comedian and actor needs an aortic valve replacement -- the same type of surgery that former first lady Barbara Bush underwent on Wednesday. Bush is reportedly recovering well from her operation.

But though details remain scarce, heart doctors said aortic valve replacement today is a fairly routine procedure and that Williams will likely emerge unscathed. image

"The prognosis is actually quite good, assuming that the procedure is limited to the aortic valve they are replacing," said Dr. Timothy Gardner, president of the American Heart Association and medical director of the Center for Heart and Vascular Health for the Christiana Care Health System.

"There is no connection between alcoholism or alcohol abuse and aortic valve problems," he said. "It is also very unlikely that his past alcohol abuse has affected his heart because we see him having been fully functional and fine before this."

ABC News: Robin Williams' Heart Surgery: What's the Prognosis?

Related Reading:

Heart valves implanted without having open-heart surgery

A New Valve With No Open-Heart Surgery – Breakthrough Technology…

New Information Resource added to the site - Heart Valve Surgery Online

Interview with Bart E. Muhs, M.D., Yale School of Medicine – Aneurysm Repair Surgery

Medtronic to Buy 2 Heart-Valve Companies

Google Health Information Can be Shared - New Vendors and Services have been added

The news came out this week about sharing Google Health Records, so it was time I opened up my account and do a little research and testing.

Why Use a PHR – Because It is there and it stands to help decrease medical errors

The first item as hand was to check out the process and see how “sharing” works.  In the example below I shared my files with myself for demonstration purposes.  Notice I did not use a Gmail account to share, however, when you choose to share, the other individual will need to create a Gmail account to be able to view the files.  It expires in 30 days if not answered. 

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This is the email notice I received, and again it states that I need to establish a Gmail account so everything can be tracked through the system.

image

I also decided to create another profile, which I called “test relative” and this is now a permanent part of my records with Google Health, but I can delete the profile at any time as well. 

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In addition some new vendor services have been added.  Epocrates has added a service whereby you can register to authorize your physician to view your Google Health Account.  Your physician will need to supply you with an Epocrates ID for you to use.  Many physicians are familiar and already set up with Epocrates.  I have used the free version for years on my cell phone to check insurance coverage, alternative generic drugs, etc. just so I have the information with me at all times, and this can be done from the web as well. 

I also have a Quick Look Up for Epocrates on the blog, so if you are on the site, it’s a free and quick look up service for medications

 

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You can find the quick look up window underneath the quick links for $4.00 Generic Drugs. 

image 

In addition, another vendor of interest is Unival, which will help you get your health records organized and put them into a Google Health format.  This is useful in take an image of a document or perhaps a pdf file and having someone organize it for you so the information can be shared and viewed by others. 

image 

You can also use your Google Health Account to find clinical trials, based on the records contained in your Google Health Account.  This is nice and can be a timesaver instead of having to search the entire US Gov directory and it is specific to the conditions and current medications you are taking which may qualify or disqualify you for a trial, again saving time and not having to figure all of this out on your own. 

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In addition, if you want to just run a short check without registering and using your Google Health Records, I have a widget on the blog that works pretty good.  It is plain and simple, just put the condition in, select a state and go.  Once the next screen opens you will be able to modify your search and take advantage of some advanced preferences as well.  Again, the ideal situation is to connect your Google Health account to avoid the searching process, but either way you can find the information you are looking for with Clinical Trials.  If you are an investigator, there’s a section to sign up as well to allow patients the opportunity to connect, at their option. 

image 

NEPSI, the free e-prescribing service for physicians will also allow you to import your medications, and your physician will need to be set up to use it, this is a good tool for offices who are not using electronic medical records yet and are without a software solution.  Your doctor will need to give you a PIN number to use once he/she has an account established and is using e-prescribing. 

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There’s a permanent link on my site to enable physicians to get started.

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I added some additional links to my account today, one in particular is the Patient Assistance link, where I can get help and find free drugs if I need them.  With the cost of pharmaceuticals today, this is probably a good site to think about adding and I didn’t need to establish an account, it is just there although there is an option to do so for additional services for free. 

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You can also follow Patient Assist on Twitter for updates and announcements. 

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Here are my 2 new connected profiles with Google Health. 

The second account I added, Destination RX will help me find pharmacies, compare prices, etc. so perhaps a good reference to have connected. 

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I added a medication to my Google Health account that may conflict with a medication I am currently taking, thus I have received an alert to be sure and check with my doctor.  This was a very simple example using penicillin and keflex as they are both from the same family of drugs and put down that I was allergic to penicillin. 

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Below are a couple other links of interest to check out. 

Import Medical Records to Google Health

This is Google’s privacy statement as posted with their personal health records. 

Google Health - Privacy Information

Medical Quack featured on Reuters last year talking about Google Health. 

Related Reading:

New PHR Requirements in Stimulus Bill for breach notifications

Keep clinical trial patients ‘in the loop’, say the researchers – Use a PHR to get the job done with some Algorithms

CVS Drug Stores – CEO Talks about Recession Plans

Google PHR and Continua Health Alliance working together with IBM

Personal Health Records (PHR), I don’t do technology said the CEO, “it’s for those guys over there”

Personal Health Records – Who’s in the Know and Who has one?
Why Use a PHR – Because It is there and it stands to help decrease medical errors
Harvard Physician Suggests Getting a Personal Health Record Account
Department of Defense Launches Personal Health Record Pilot – MiCare to Integrate with Google Health and HealthVault
Healthcare leaders favor personal networks (Personal Health Records) to RHIOs for data exchange

TrialX.org – Clinical Investigator Sign up Now Available – Integrates with HealthVault and Google Health PHRs to locate available clinical trials based on health records

Clinical Trials and Personal Health Records – New Resources on the Medical Quack

Google Health Online Services – Connections Beyond Medications – Personal Health Records

Department of Defense Launches Personal Health Record Pilot – MiCare to Integrate with Google Health and HealthVault

CMS names four PHR vendors for Medicare pilot program and includes Google Health
The Health Cloud – Personal Health Records

Blue Cross Blue Shield of Massachusetts partners with Google Health

eClinicalWorks Users Annual Meeting – Integration and the Future of EHRS and PHRs
Quest Diagnostics and Google Empower Patients and Physicians to Share Diagnostic Test Results Online

E-Prescribing Reminder – Effective January 1, Medicare will pay 2% bonus to those who use a “Qualified” program or system

Google Health Vendors you can connect with and import records – Personal Health Records

Family Health Portrait from the US Surgeon General – Duplication of Efforts

We have a New Federal CIO - Cybersecurity Director Resigns

Two tech related interesting events occurred this week, the first national CIO Secretary and the Director of Cybersecurity resigns.  Vivek Kundra is the new National CIO and has some kind worlds on his preferences with some of the software as a service from Google in the video below. 

“Rod Beckstrom's decision to step down as director of the National Cybersecurity Center comes as the White House is conducting a broad 60-day review of how well the government is using technology to protect everything from classified national security data to key financial systems and air traffic control.”

One of Ron Beckstrom’s big complaints about the Cybersecurity Center - shortage of money for the center and a difference of opinions on how the National Security Agency should be involved as well.  This might be one big initial challenge for the new CIO to unravel and figure this one out.  Normally in the business sector, the CIO of most organizations has security under their area of responsibility and this could also fall under the new Chief Technology position as well. 

None the less, some new level of structure and chain of command will be immanent somewhere along the line, who will be in charge and in charge of what?  BD 

Live On Video: Federal CIO Vivek Kundra In His Own Words - Wolfe's Den Blog – InformationWeek

http://www.google.com/hostednews/ap/article/ALeqM5jS0ZQTLpeZoyy1MtWIcs9dyHv_NAD96OSIBO0

Here are 10 questions to help our new federal CIO gain some focus from another post on the web, I included 3 of the question I thought were ones that may be addressed quickly, based on what has been seen thus far with nominations. 

1) Who's your boss?

2) How many CIOs will be reporting to you?

10) Before you immerse yourself too deeply into some severely hairy projects that you and you alone in all the world are capable of overseeing, we must ask: have you paid all your income taxes?

Medical Justice Service – To Protect Doctors Online With Patient Reviews and Comments

This is interesting, a service suggesting a EULA, similar to one we all see for software, a service for fee to help stop patients from writing bad reviews on the internet, called Medical Justice

From what I see on the site, the physician gets notified of anything that could constitute a potential lawsuit, but it’s better if you read the information for yourself as there seems to be more than one service available.  The item discussed here references the Anti-Defamation Protection from the site.  BD

Over 2,000 US doctors have joined a service that supplies them with EULAs for their patients to sign, EULAs that forbid the patients from writing bad reviews of their treatment online: image

Segal said such postings say nothing about what should really matter to patients — a doctor's medical skills — and privacy laws and medical ethics prevent leave doctors powerless to do anything it.

His company, Medical Justice, is based in Greensboro, N.C. For a fee, it provides doctors with a standardized waiver agreement. Patients who sign agree not to post online comments about the doctor, "his expertise and/or treatment."

"Published comments on Web pages, blogs and/or mass correspondence, however well intended, could severely damage physician's practice," according to suggested wording the company provides.

Segal's company advises doctors to have all patients sign the agreements. If a new patient refuses, the doctor might suggest finding another doctor. Segal said he knows of no cases where longtime patients have been turned away for not signing the waivers.

Doctors are notified when a negative rating appears on a Web site, and, if the author's name is known, physicians can use the signed waivers to get the sites to remove offending opinion.

Doctors force patients to sign gag orders forbidding online reviews - Boing Boing

Toe Rings Improve Posture, Burn Fat Faster

This was just too strange not to include.  Read on and see what you think.  It costs $34.00 to find out if they will work.  I have posted all types of information on weight loss, but this one takes the cake.  BD 

Now here comes the science: Each ring has a bump that you position downward so that each time your toe touches the ground, you'll feel it and instinctively adjust your stride. Sort of like walking on eggshells; without the mess.  

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Your new, unfamiliar walking style may not be noticeable to others (one would hope, at least) but on the inside where it counts, muscles not normally used in walking get a serious workout. How nice it is that those hard-working muscles burn the fat right where dieters need to slim down... the belly and thighs!

Toe Rings Improve Posture, Burn Fat Faster

Microsoft U.S. Public Sector CIO Summit – Opinion and Review

 From Chad Vander Veen, Associate Editor of Government Technology, who just attended the Summit, this is his opinion and thoughts on what imageMicrosoft is doing to work with and help the public sector, CIOs.  One comment I found interesting here though is the problems that the states will have in properly and quickly implementing IT systems with the funds that are pouring out, a new problem, but a good one.

Addressed is the “Cloud” and how to best utilize services where local data management on local servers is not necessary, Web 2.0 stuff.  I am a small consultant, but I have used Microsoft Office Live/Small Business now for a year and it works well for me.  Yesterday at a meeting at Microsoft, I was also talking about how much I liked it and how convenient it has been for me, just having my email available and connecting to my desktop version of Outlook on any of my computers and being in synch is huge, no more having to use any 3rd party software to synch at all. 

One other item of note for students, don’t forget the Big Steal for $59.99 – Office Ultimate which is normally around $600.00 and available for current students with an EDU email address extension and runs through December 2010.  BD 

I just got back from Microsoft HQ in Redmond, Washington, having attended the annual Microsoft U.S. Public Sector CIO Summit. The very well attended event featured a number of Microsoft bigwigs who detailed the role the company is looking to play as the American Recovery and Reinvestment Act (ARRA) kicks into high gear. The conference was also meant to explain what Microsoft's plans are for IT in the public sector and in general. 
The event, which ran from Tuesday through today, was most meaty in the middle, with speakers like Microsoft's Vice President of U.S. Public Sector Curt Kolcun, General Manager of Industry Unit Joel Cherkis, and even the big man himself, Steve Ballmer.

McKee said many of Microsoft's customers were struggling with the magnitude of the economic downturn as well as the enormity of the monies headed their way. Commenting on the Elevate America program, McKee added that if those looking for work could get Microsoft Certified, a number of well-paying jobs are or will be available.
One of the challenges, it was agreed, is that never before have states had the problem of potentially getting so much aide from the federal government that they may be unable to spend it fast enough or adequately enough. Filtering through funding streams, McKee said, is going to be difficult and agencies are looking to companies like Microsoft to deploy solutions to help.

The discussion eventually headed back into the cloud. I was informed pharmaceutical giant Glaxo-Smith Kline had recently partnered with Microsoft for a large-scale cloud computing rollout.  She said Microsoft is doing its own work to understand how funding is going to work and that the company is talking with states to see what their key areas are.

She also told me about her recent visit to the National Governor's Association. She lauded the nation's governors for having what she said was an excellent grasp on the critical role IT will play as ARRA rolls out. Health IT was a top-of-mind issue for most governors, she said. "Putting the citizen more in control of their health," she noted, was roundly called for at the NGA. She added that connected HHS is a big Microsoft initiative, with the company's HealthVault playing a major part.

My takeaway from the event was that, were I a public CIO, there is definitely technology and expertise at Microsoft that deserves my attention.

Blog: Microsoft U.S. Public Sector CIO Summit

Related Reading:

Microsoft to soon sell full range of Web software – I use and like Office Live for Small Business and Office Live Workspace
Microsoft Offers Free Web-Based Office Extension - Software as a Service
Microsoft Delivers Office Live Workspace Beta
Windows Live Services – Wave 3 – Free Download
Microsoft Store Opens On The Web For U.S. Shoppers – Software and Hardware
Microsoft BizSpark – Free help, Software, Venture Capitalists and Angel Connections

Gupta and Larry King Chat – I’ll Stay Where I’m At

Use the link to read the entire article.  I might guess a pay cut to go along with the title maybe could have some influence as well as the added responsibility of serving as the Surgeon General.  Lifestyle and family commitments tell all.  We still need someone from the “smart” store, one who maybe doesn’t have a gig with CNN (grin) for starters, although as he mentioned he was flattered for the offer as anyone would be.  BD 

LOS ANGELES, California (CNN) -- Dr. Sanjay Gupta, CNN's chief medical correspondent, withdrew his name from consideration as surgeon general of the United States on Thursday. He spoke to CNN's Larry King about the decision and President Obama's health care plans. Here is an edited transcript:

Larry King: But, first, breaking news about CNN's own Dr. Sanjay Gupta, long rumored to be the main candidate for U.S. surgeon general. He's taken himself out of the running. Joins us now here in Los Angeles to talk about it. Why?

Dr. Sanjay Gupta: Well, first of all, it was a really tough decision, and a long decision and a long process for sure. And I was incredibly flattered, humbled by the consideration even for the position.

Transcript: Gupta talks to King about surgeon general decision - CNN.com

Dennis Quaid Returns to Hospital – Discussion on Oprah March 10, 2009

Two of the biggest causes today for medical errors are lack of information and distraction, yes distraction can very well do it.  As we are all so much imagebusier today with tough economic times and the additional flow of information to handle, we need “good filters”, as earlier in another post I had declared the year 2009 as the “year of the filter”.  Any of us can be distracted at any time and make a mistake, but healthcare is where we don’t want this to occur.

Actually in an earlier post, Kaiser has a low tech solution as they found the best solution was to have the nurses simply wear a yellow reflective strap around their chest that warns others to leave them alone when administering medications.  That is a solution worth a look, but what happens when we all start wearing yellow ribbons so as not to be disturbed? 

Tuesday, March 10th is the day to watch Oprah.  The related reading links below have additional details on posts from the past on how the entire scenario evolved.  Many forms of technology also come to the rescue to help us today as well, whether it’s a new system at the hospital pharmacy that helps check and monitor medications or an electronic medical records system that sends out alerts when prescribing.  Just yesterday I posted on the latest technology update at Cedar Sinai.

One thing we can all do for ourselves and to help the doctors and nurses who take care of us, is to get an online Personal Health Record. When you go to see a doctor, he/she is looking for credible information and this is done easily and for free from Google Health and the Microsoft HealthVault.  Let those doctors see what you are allergic too and what your health history is, they can make better decisions, and this is especially needed in the ER room.  With the stimulus package, everything is in motion as far as funds to get the hospitals communicating.  In an interview done recently, with Steve Shihadeh, VP of Microsoft Health Services, we discussed their Amalga software solution and the success it is seeing in connecting hospitals in Wisconsin, initially all the ER Rooms.  If you have not seen the post, well worth a look to see what is going on.

Steve Shihadeh, VP Microsoft Health Solutions Group – The Amalga Software Solution for Aggregating Hospital Information (Interview)

I have an entire section devoted here to Personal Health Records and it is all in layman’s terms and links to get started. HealthVault has devices that connect so entering your glucose or blood pressure numbers require no typing, just a usb connection to your computer and in to the HealthVault it goes. 

You can also visit the Quaid Foundation for additional information and view stories from others posted at the site.  Nice we have some celebrities helping bring this issue to light as it can affect any of us anytime, anywhere, so be sure and catch the update on Oprah.  BD

Dennis Quaid has made an emotional return to the Los Angeles hospital where his baby twins almost died after a blunder by medics.

The star and his wife Kimberley were awarded $750,000 in damages in December, after staff at L.A.'s Cedars-Sinai Medical Center  mistakenly gave their newborns Thomas and Zoe a near-fatal amount of blood thinning drug Heparin, leaving them fighting for their lives

SFGate: Daily Dish : Quaid Returns to Hospital for Oprah

Related Reading:

HIMMS Healthcare IT Conference and Exhibition 2009 – Dennis Quaid Keynote Speaker
Dennis Quaid tours Dallas hospital
Medical device makers' worst fear: Dennis Quaid
FDA Chief Relents, Asking Congress to Fund More Foreign Inspections
Dennis Quaid Acts on Medical Errors
Hospital in Fremont fined for fatal error; Los Angeles hospital cited in case involving actor Dennis Quaid's twins
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Beth Israel Deaconess Medical Center Trimming Expenses - Boston

If you have kept up on the news of late, some of the hospitals in the Boston area were caught up in the Madoff scheme and lost funds, and Beth Israel is one that has been affected, but the issues go deeper.  Paul Levy, the hospital CEO is known for his blog and for being very transparent about issues and this one is no different.  I’m sure it’s a bridge he didn’t want to cross. 

Bottom line is money, people are putting off surgeries in fear of losing their jobs, insurance compensation is down, and all the way around the imagenumbers are not maintaining with the economic times we are facing today.  BIDC is a teaching hospital for Harvard.  You can also read more at his blog, Running a Hospital, where he talks with the blogging world and others and it is open for comments.

In addition, the local television station also has an online video interviewing Paul Levy and well worth watching, as these issues are not limited to Boston, it’s all over the US, we have plenty in California for that matter.   It’s nice in the fact that he has put the issue out to everyone seeking ideas and contributions, two or more heads are always smarter than one, especially in the times we are living in today.  The University itself has also been taking a hard look at their financial state as in the news of recent too.  You can always find his blog under the blog roll section on the site.  BD

Beth Israel Deaconess Medical Center, facing a $20 million loss this year, says it is cutting expenses by freezing salaries for some employees and reducing top executives' pay, and also considering layoffs.

In an e-mail to employees, chief executive Paul F. Levy said the expense cuts are necessary because of state cutbacks on Medicaid payments, a disappointing contract with Blue Cross and Blue Shield of Massachusetts, and an unexpected drop in patient volume.

In addition, many hospitals depend on charitable donations from wealthy philanthropists, as well as income from investments. Between the Bernard Madoff scandal and the plunge in the stock market, much of that income has evaporated for many institutions. Many Boston hospitals also hold annual fund-raising activities in Palm Beach, Fla., where numerous residents have been affected by the Madoff scandal.

Last month, Dr. Edward J. Benz Jr., president of Dana-Farber Cancer Institute, spelled out cost reductions, including eliminating 100 of 3,575 full-time jobs, slowing the growth of capital spending in 2009 and beyond, and postponing plans to lease 100,000 square feet in a new research tower on Longwood Avenue.

In face of $20m loss, Beth Israel Deaconess moves to trim expenses - The Boston Globe

Related Reading:

The Madoff Whistleblower - Lack of motivation, interest, education and use of modern technology failed a whole bunch of people, including many in healthcare

Madoff Scam Hits Harvard Medical School Grants and affiliate Beth Israel Medical Center
Non-Profit Cancer Center Closes In Newton Massachusetts – Madoff Fall Out

Hospital Marketing in Massachusetts and some California Marketing

Wall Street Greed and Fraud Hits Boston Hospitals and Healthcare - donors bilked out of millions

Hospital Branding – Is the Most Expensive Always the Best?

FDA Fast Track Process – Perhaps in Need of a New Business Model

If you read this entire article entirely, what a mess.  Every device is different and there’s a limited number of processes that every device needs to meet before individualization begins to creep in, just like in genomics, same thing, looking for more predictable methods in science when they just don’t exist yet.  If they don’t exist, transparency I believe is the better avenue though, rather than to develop a flurry of special interests and lobby groups, as it appears some of that existed with this product, a long story.

I can also see the pressure from the manufacturer of the device, either it gets approved or they hang up their hats, lay people off and potentially close down, so one hates to see the latter happen, but on one side of the coin at least, someone has made a decision.  If the device doesn’t work and is approved, you can still get sued. 

This product falls into an area called regenerative medicine, something most are perhaps not real familiar with and I’ll have more on that topic later with a couple interviews done recently.  In the meantime you can view this video from the TED convention this year and see what regenerative medicine is all about.

Speaking from a total outsider’s viewpoint and with only the information contained in this post, it sounds like technology could have been a real asset here with some Share Point Servers and perhaps a dashboard that would keep all informed at the same time as it sounds like there was one heck of a lot of wasted time running around here.  I would guess there’s some type of software in place somewhere along the line like Microsoft Project or something else along that line to do the general follow up and story on the entire process, but is is shared?  The article here just doesn’t seem to allude to that fact, but again speaking only from what I have read. 

Last year I found some articles that stated some studies were still being written in longhand at the FDA.  Perhaps the new Sentential Program will aid in this process as well as I’m not sure how the business intelligence is structured as it relates to medical devices, but any new and upgraded technology to filter and get the needed information shared and in front of those who need it is certainly a step in the right direction.  BD  

WASHINGTON -- The recent approval of a new device to treat knee injuries followed a lobbying campaign that overcame repeated rejections by scientists within the Food and Drug Administration, agency documents show.

The FDA's internal dissent over Menaflex, which targets the most-common knee injury afflicting everyone from high-school athletes to baby boomers, is straining a government agency that oversees a quarter of the U.S. economy. Some senior FDA staff members complained in documents that the handling of Menaflex, made by ReGen Biologics Inc., shows how political and industry pressure can influence scientific conclusions.

Political Lobbying Drove FDA Process - WSJ.com

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Medicine is a Low Tech Business - Clinical Studies still done on paper too!
FDA Reform Planned
FDA Head: We're Boosting I.T.
Study Calling For Medical Device Information To Better Serve Patients And Doctors from the FDA
FDA May Need Major Restructuring – Catch up with Technology

Lawsuits are ok with personal claims in State Courts – FDA Approval has no bearing on Labels

Nancy-Ann DeParle and Kathleen Sebelius – Business Intelligence?

NIH Posts Call for $200M in Stimulus Grants – Electronic Health Data to be Considered as Well

The deadline is the end of April 2009 for those under the Stimulus Grants.  Read the last sentence in this post, data, yes data and forms of electronic health data is included!  It is all about software. 

Electronic Medical Records are in fact beginning to play a major role with Clinical Trials and Research, Science and Clinical coming together under common grounds as it no longer stands to be separated as that only defies the ability of both areas to progress.  Recently I wrote about Amalga, the hospital aggregator program from Microsoft doing exactly that relative to clinical trials with my interview with Steve Shihadeh, Vice President of Microsoft Health Solutions Group.  BD

You can also follow the NIH Updates on Twitter like I do, more information here.  BD

NEW YORK (GenomeWeb News) – The National Institutes of Health has put out a call for certain new grants it will fund with money from the American Recovery and Reinvestment Act, and it is outlining some areas it will support with the funds.

These grants are designed to help investigators "to address these unique challenges by addressing new avenues of research in defined areas where progress would produce a significant impact on biomedical or behavioral science and/or health research," NIH explained.

These programs will vary but could include development and use of clinical registries, clinical data networks, and other forms of electronic health data.

NIH Posts Call for $200M in Stimulus Grants | GenomeWeb Daily News | GenomeWeb

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NIH to Finally get Funds – 10 Billion

Former US NIH Director Joins the Bill and Melinda Gates Foundation
Regenerative Medicine – Material and Cell Based Regeneration of the Human Body
Medical research funds stall at the NIH – FNIH boosting their efforts and looking for partners
Peter Neupert, Corporate Vice President, Health Solutions Group, Microsoft and 4 Others Join the Foundation for NIH
NIH Reviewing New Rules for Grantees
NIH Updates Timeline for New Peer Review Systems
FDA and NIH Using Twitter for Updates – The Government Twitter Battle has been won

Cedars-Sinai Goes Live with the full Epic revenue cycle suite – Health IT

This was quick work by their CIO who only image left Boston to come to Cedar Sinai about 2-3 years ago from the CTO position at Boston Medical Center.  We have to find out IT folks in Massachusetts too sometimes.

I also found this humorous video with the update report done in January, singing, but gets to the point.  BD

Cedars-Sinai. Grand kudos to the folks at Cedars-Sinai as they went live this weekend with the full Epic revenue cycle suite. It is the biggest Epic install for revenue cycle ever (except of course Kaiser Permanente). This is a huge success by all measures, but mostly for new CIO Darren Dworkin. The word is they are closing the command center early as support calls have slowed to a drizzle.”

Epic Revenue Cycle Information

Cedars-Sinai medical Center Uses Ensemble Software for Rapid Integration and Fast Development

News 3/6/09

Nancy-Ann DeParle and Kathleen Sebelius – Business Intelligence?

I hope we have 2 individuals with some brass tactics experience with Health IT here.  The responsibilities for both positions has changed so much in getting reliable systems and data in place for the agencies to function.  Without some first hand Health IT knowledge I’m afraid of what the ending results could be.  Again, nothing personal here, just my opinions on what I feel is needed for success.

Software rules 95% of the decisions we all make today and we need leadership that has the ability and knowledge on how to use Business Intelligence to create the decision making process, otherwise we are just grabbing at straws.  In all fairness, we have had to grab at straws of late as there was no “Business Intelligence” software solutions in place to create several “what if” scenarios, and that is what Business Intelligence can do, again loaded with the needed information and queries and algorithms do the work.  We are long past the era of “Magpie HealthCare” today and need real numbers and statistics to work with, and leaders that know how to use it as well.

I ran across another blog which was an opinion and gave background information on DeParle, and where she has been and her investments with various companies.  Just from a quick review of the post, she appears to be rewarded well and hopefully political ties are not an issue here.  Cerner Healthcare is listed as one of her past and present affiliations, namely with with health information systems and I truly hope there is some “hands on” or first hand knowledge here on how their products work and network with other systems too, since this is the big focus with the stimulus package and electronic medical records, since it has been since 2001 when she began and still sits on the Cerner's board compensation committee.  You can read the post and make your own assumptions.  

As a side note, I just recently posed this article about a free online test where one can become certified in Health IT as well:

Free Online Course Available for Health IT Certification – EHR, HIE, PHRs and HIT

One area that I didn’t seem to see enough mention with either candidate was the merging science/clinical area of genomics and hopefully those areas will be encompassed here too, as it’s more than just straight risk management with insurers today, we also need the funds to pay for personalized medicine and again, this just seems like it was not mentioned to a very large degree.  NIH has new funds, which is great, but do either of these candidates comprehend how it will need to mesh with risk management and the importance it has to our healthcare of the future? 

Scientists gather to chart out a 'total reboot' for medicine – Science and Medicine Coming Together

Genomics is science and new breakthroughs are announced every day, again we are once more back to software, R and D, as the breakthroughs all depend on software, no 2 ways about it.  Again, my question here is, so do we have potential candidates that can also bring this into the fold and be able to use Business Intelligence guidance on how to do this, as the picture does and will change every day. 

Business Intelligence Provides Support for Difficult Times – Hospitals

Down the ladder is the FDA Commissioner, a very tricky position these days with all the upheaval and changes, as that department had fallen way behind with their use of technology and is in the process of playing catch up.  Will we have a leader here that will also use some Business Intelligence for decision making?  One thing for sure, who ever lands the job will certainly need it, first hand, again without “Magpie Healthcare”.  None of us want to see a replay of what happened with the SEC, nobody understanding or knowing what to do with knowledge offered. 

Obama’s Proposed Budget Includes Billions to Bolster FDA — About Time

Computer-Designed Drugs Created with Algorithms to help create new and new variant antibiotics

Technology upgrades are all over, even with Social Security working to upgrade their Cobol based system, and here we have another agency relying and touching on Health IT that will need to work with HHS as well. 

US Loses it’s Cutting Edge on Innovation – Time to Wake Up…

This last year we witnessed tons of many “dead doctors” get paid from Medicare, again just something that shows how far we need to go and upgrade Health IT all over the place, and how leaders with hands on knowledge are needed. 

In a recent interview, Fred Smith talks about how FedEx gained and used their innovation, in other words, they were all over it, not afraid to try and were not afraid of technology. 

Hopefully we will have those leaders so I can bury this post forever:

The 2 New Hot Words in Healthcare: Algorithms and Whistleblowers

To be successful as a country we need to start shopping at the “smart” store and not the political store.  BD 

Obama named DeParle to the post during an East Room ceremony this afternoon, where he also formally named Kansas Gov. Kathleen Sebelius as his secretary of health and human services.
Together, Sebelius and DeParle will be charged with helping to craft and sell the administration's ambitious effort to revamp the nation's health care system to both extend access and rein in runaway costs. In his remarks, Obama reaffirmed his commitment to push ahead on the initiative, despite objections from some Republicans and others who say that it will be too costly, especially given the nation's other fiscal problems.

Nancy-Ann DeParle and Kathleen Sebelius Announced to Lead Obama Health Effort | 44 | washingtonpost.com

Related Reading:

Madoff's Scheme – One Reason To Put the “Smart People” in the Right Places So We Don’t Get Fooled Again

A.I.G. To Get 30 Billion more in Bail Out Money from the Government
Concerned over Wall Street CEO Pay – How About Health Insurance CEOs?

Will Greed lead to Meltdown of the Health System?

Health Insurers Pondering Some New Business Models
Health Care Insurers Suggest Algorithms and Business Intelligence solutions to provide health insurance solution

Beware of Geeks Bearing Formulas

How Wall Street Lied to Its Computers – Software and Programming
Michael Moore – New Movie and looking for Wall Street Informers and Whistleblowers

Kathleen Sebelius, Kansas Governor for HHS – Please not! Put the “Smart” People in these key positions