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Survey on the President’s Speech This Week on Healthcare

This is a survey that was sent to me and I thought I would share the information gathered.  Below is the content unedited as presented with no edits.  

Now I had my own impression and did a short post on what I thought of the speech, leaving out most of the politics and giving credit to the President as due for imagehis speech, intelligence, focus and professionalism.    You can read my comments at the link below.  I figured there were enough others out there going to analyze, thus the departure from the normal Monday Morning Quarterback routine.

I Like The Way He Thinks – President Obama

The one idea I would perhaps suggest to the Republican group holding up the paper bills would be to perhaps consider a Tablet PC, Kindle, or some other type of E-book, at least to signify they are staying up with the times instead of reams of paper, hold up your information in “electronic format” to make your point.  Even back in the days of President Bush, he was even orchestrated enough to hold up a Tablet PC with his “E-Bill”, so let’s see those E-Bills on some portable electronics, ok? Of course we didn’t get to see him use it, but it made a statement. 

Using some new technology when in front of the US citizens can go a very long way to help change old paradigms and that can apply to everyone, we see the President holding his BlackBerry, which represents change and embracing technology, so how about the rest of the government?

An E-Bill printed on paper, killing trees is not really an E-Bill in the correct format.  This is a little perception from a healthcare geek’s point of view(grin).  BD

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Majority of Democrats have better perception of healthcare reform after speech, Republicans unmoved and Independents split


Flemington, NJ, September 10, 2009 – A new national media study among 951 viewers of President Barack Obama’s speech from September 9, 2009 where he addresses the Congress on his plan for healthcare reform revealed that over half of viewers across all political parties reported that Obama’s speech was “effective.”

The study was conducted by HCD Research using its MediaCurves.com® website during September 9-10, to obtain viewers’ perceptions of President Barack Obama’s speech from September 9 where he discusses U.S. healthcare reform. To view detailed results go to: www.mediacurves.com.

The study also revealed that most Democrats have a better perception of healthcare reform after viewing Obama’s speech, while Republicans’ perceptions are unchanged and Intendments are split on their reactions to the speech.

Among the findings:

Please indicate how effective you think President Obama’s speech was this evening.

 

Democrats

Republicans

Independents

Extremely effective

49%

9%

27%

Somewhat effective

42%

43%

46%

Not at all effective

9%

49%

27%

Has President Obama’s speech this evening changed your perception of the current plan for healthcare reform?

 

Democrats

Republicans

Independents

Yes, for the better

63%

20%

35%

Yes, for the worse

6%

25%

14%

No change

32%

55%

51%

Please indicate how confident you are that President Obama’s current plan for U.S. health care reform is headed in the right direction.

 

Democrats

Republicans

Independents

Extremely confident

39%

4%

16%

Somewhat confident

42%

21%

33%

Somewhat unconfident

12%

29%

27%

Extremely unconfident

7%

47%

23%

Please indicate how favorable you are of President Obama’s plan for health care reform in the United States.

Democrats

Republicans

Independents

Extremely favorable

49%

6%

21%

Somewhat favorable

36%

22%

33%

Somewhat unfavorable

10%

27%

24%

Extremely unfavorable

5%

45%

23%

Editors/Reporters: For more information on the study, or to speak with Glenn Kessler, president and CEO, HCD Research, please contact Vince McGourty, HCD Research, at (908) 483-9121 or (vince.mcgourty@hcdi.net).  You can also receive updates from MediaCurves.com by following us on Twitter:  http://twitter.com/mediacurves and Facebook: http://www.facebook.com/pages/Flemington-NJ/MediaCurves/86691908820
HCD Research, a marketing and communications research company headquartered in Flemington, NJ.  The company's services include traditional and web-based research.  For additional information on HCD Research, access the company’s web site at www.hcdi.net or call HCD Research at 908-788-9393. MediaCurves.com® (www.mediacurves.com) is a media measurement website that provides the media and general public with a venue to view Americans’ perceptions of popular and controversial media events and advertisements.

Information on the Public Insurance Option from Former Labor Secretary Robert Reich

This is a busy day for healthcare reform and Brave New Films has released another video discussing the the Public Insurance Option, as mentioned in the President’s speech this week.  Healthcare reform is needed and how it is going to end up is still so very much up in the air.  In a prior post there’s a group of physicians still working on promoting a single pay system at MadasHellDoctors.com. 

One thing for sure is that so many are not happy with the current system and can’t afford it, so doing nothing is not the answer either.  However it turns out though it looks like the big profits known by drug and insurance companies are starting to slowly move down the ladder a bit as to provide good healthcare, it’s almost impossible to support the big time costs of both industries who are 2 vital parts of our system.  Almost every industry today has taken a hit on earnings and profits today, so is it a matter of just being their turn?  I don’t know the answer on that one, but both industries are tied to healthcare at the hip like no others are, so difficult it is when it appears profits tend to be in conflict with providing good care. 

The new documentary “Money Driven Medicine” takes a look and talks with doctors on the subject and is well worth watching as the one point made is “if you want profit, do more'”, a good question to ponder.  BD 

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Former Labor Secretary Robert Reich explains what a public option for healthcare coverage really means for working people.

PharmaGossip: The Public Option - pass this on

Mad As Hell Doctors.com – Doctor’s Group Pushing for Single Pay System

This is one doctor’s group, Mad As Hell Doctors, that is working to build support for a Single Pay system.  You can visit the website to see more information.  The group has created a van that will be visiting different cities to rally and build support.  As healthcare reform continues to be debated and heats up, this group is imagecommitted to a single pay system, which appears to have lost momentum, but is not dead. 

They are having their own Town Hall meetings ending up in Washington DC on the 30th of September for a demonstration with the trailer.  One of the strong points they are making in their campaign is the continuation of Medicare part D in being too expensive and not taking care of the problem.  BD

From the website:

“We are a small group of Oregon-Based doctors who care.  We believe there is only one way to control costs, one way to remove profiteering from the system, one way to reclaim the care of our patients, and one way to be sure everyone is covered: we must replace our current pay-or-die system and with a comprehensive, publicly financed, privately delivered, Single Payer system that puts people first.  Our moment to take a stand for Single Payer is NOW. We may not have another opportunity like this in our lifetime. Please support this unprecedented road trip to real health care reform.”

RICHLAND -- Dr. Paul Hochfeld is telling America he's mad as hell about the nation's health care system.

Hochfeld, an emergency room physician from Corvallis, told an audience of about 50 at Shalom United Church of Christ in Richland on Wednesday that the biggest problem with the system is that its primary goal is profit, not wellness.

"In the big picture, what we've got now in health care is a system -- as it is designed at all -- that is designed to serve the insurance industry and the pharmaceutical companies," he said.

image

 The Theme Song for the Group

His answer? Take the insurance companies out of the equation and put health care in the hands of the government.

Hochfeld is one of a group of doctors who set off on a "Care-A-Van" on Tuesday that takes them from Portland across the nation to Washington, D.C., where they hope to convince President Obama and Congress to put a single-payer option back on the table in health care reform discussions.

Doctor group pushes single-payer option | The News Tribune - Northwest | Seattle-Tacoma News, Weather, Sports, Jobs, Homes and Cars | South Puget Sound's Destination

Wrong Side Kidney Surgery Leads to Court Case – Riverside, California

It still keeps happening and making the news.  According to the story, the chart was clearly marked that it was the left and the right kidney was the one to be removed.  This brings back the question once more of the “time out” and if that procedure was followed.  The doctor named also performs kidney transplants as a former malpractice suit indicated. 

Now he had to endure dialysis the rest of his life as surgery was required on the other kidney a month after the botched surgery.  BD 

RIVERSIDE -- A man is suing a Riverside hospital claiming the surgeon removed his healthy kidney instead of his diseased one, leaving him imageto endure dialysis treatments every three days.
Francisco Torres, 72, underwent surgery at Parkview Community Hospital Medical Center on July 14 and was supposed to have his left kidney removed, according to the lawsuit filed last Friday in Riverside County Superior Court.

The kidney was being removed because doctors discovered what was thought to be a cancerous mass, according to Torres' attorney Shirley Watkins. 
Instead of removing the diseased organ, his surgeon, Dr. H. Erik Wahlstrom, removed Torre's healthy right kidney before realizing his mistake, Watkins said.

Watkins said Torres' chart was absolutely clear that it was his left kidney that was infected. According to medical records supplied by Watkins, a hospital nurse and Dr. Wahlstrom both wrote notes in Torres' chart the day before surgery, indicating that his right kidney was to be removed.
Torres, who does not speak or read English, says he didn't know which kidney was to be removed, but that he trusted the hospital. image

According to records from the Medical Board of California, Dr. Wahlstrom settled a previous malpractice lawsuit for nearly $2 million after a 2005 kidney transplant he performed became infected, requiring its removal.
Torres' lawsuit accuses the hospital and Dr. Wahlstrom of malpractice, battery and failure to disclose the doctor's record with the Medical Board of California.

Man Claims Hospital Removed Wrong Kidney

The CodePlex Foundation - New Open-source Non Profit Foundation Funded by Microsoft

The mission of the foundation is to help the exchange of code and understanding, to involve software companies and open source communities.  It is completely separate from Microsoft.  The software hosted on CodePlex is not to compete with other open source communities, but rather to imageenhance and add value with offerings.  Microsoft has donated 1 million to get the Foundation going, which is non profit with it’s own board of directors. 

The CodePlex site itself has been around for a while and is home to the Common User Interface which I have posted about many times here.  The Common User Interface is a front end that could be adopted by any EMR/EHR company and further developed.  A lot of work on the project has been done in the UK already. 

Microsoft Common User Interface for Health Applications- Silverlight...and Windows Presentation Foundation

I played around with the demonstration and did a short video on how the screens navigate with Silverlight.  With as complicated as medical record technology is getting today, would it not be nice to see the same or very similar screens for data entry at every hospital and the same for doctor’s offices?  That is the whole idea of having the software open for development.  One MD told me he had to learn 5 different medical record systems to get through his internship.  Here’s an example of a physician/developer in New Zealand who is working with the software with developing medical records technology. 

Not too long ago I did an interview with Mike Naimoli, US Director of Microsoft Life Sciences and we discussed CodePlex and how it comes into play with their customized solutions too.  BD 

Microsoft has cofounded and is providing the funding for a new foundation aimed at bringing open-source and proprietary software companies together to participate side by side in open-source projects.

According to its Web site, the new CodePlex Foundation "will complement existing open source foundations and organizations, providing a forum in which best practices and shared understanding can be established by a broad group of participants, both software companies and open source communities."

CodePlex has for some time been the name of the site on which Microsoft hosts open-source projects.

 image

Microsoft Forms, Funds New Open-source Foundation by PC World: Yahoo! Tech

Related Reading:

Common User Interface – Update and walk through

Microsoft HealthVault and Common User Interface

Electronic Health Records Not Enough – Aggregation and Better ...

Pretendatrin – Everyone Deserves to Be Medicated…

Mild Discomfort Disorder – whatever is not wrong with you is being treated!  If you have good genetic health, this may be for you (grin).  BD

 

http://pharmagossip.blogspot.com/2009/09/pretendatrin-because-everyone-deserves.html

Via: http://michaelguzzo.blogspot.com/

Technorati Tags: ,,,

The CRIMSON Initiative - Physician Performance Data Management Platform Developed By Physicians

This business intelligence system appears to be growing rapidly.  As you can read below, the software was developed by physicians and has been acquired by The Advisory Board.  The Advisory Board has several areas of expertise with various types of studies and information on how to improveimage performance and keep the cost down.  I see in the comments below too one of the local Los Angeles hospitals is sold on it. 

Crimson is a web-based physician profiling application, including best-practice performance improvement.  Patient billing, cost accounting, clinical information systems, data reporting software, and care management databases are aggregated and presented in a “dashboard” application whereby the performance of the physician can be analyzed and compared with peers.  It can allow for projecting length of stays for patients and along with other information available to analyze, it can bring in pay for performance incentives where applicable.  Business Intelligence is big and useful information for hospitals and now at the physician level it is down to the individual performance charting and data.  Even peer reviews are on the move to being paperless as well.  BD

Peer Reviews at Hospital going Paperless – Pilot program

WASHINGTON, Sept. 9 /PRNewswire/ -- The Advisory Board Company's CRIMSON Initiative welcomes Baptist Health South Florida, a multi-hospital system based in Coral Gables, to a 100-strong cohort of health systems, including Baylor Health Care System, Cleveland Clinic, Intermountain Health Care, Inc., Memorial Hermann Healthcare System, OSF Healthcare System and Robert Wood Johnson Health System. These member health systems use the web-based CRIMSON physician profiling application to increase physician performance data transparency and reduce care variance.

CRIMSON Software, Inc. was founded in 2003 in Austin, Texas in close collaboration with early hospital partners who helped refine the tool for maximum physician appeal, with the goal of improving physician performance through automating the compilation and presentation of physician performance data. One key initial collaborator, Houston-based Memorial Hermann Healthcare System, a National Quality Forum national quality award winner specifically cited for the degree to which they have embraced transparency in performance to date with their medical staff, realized savings of $3.7 million, or $358 per admission within 18 months of using CRIMSON.

"If I had the ear of President Obama, I would tell him that we need two things, a national fishing holiday and the CRIMSON application. CRIMSON provides the strategic pillars for moving a company forward. CRIMSON is a diamond in the rough," said Jeff A. Nelson, Chief Executive Officer, Hollywood Presbyterian Medical Center, Los Angeles, CA.

In its new case study, Unlocking Physician Performance Data in an Era of Reform, the CRIMSON Initiative highlights cost savings and quality gains at four member hospitals

StreetInsider.com - The CRIMSON Initiative - the First Physician Performance Data Management Platform Developed By Physicians For Physicians - is Now Working With Over 200 Hospitals and Over 25,000 Doctors

What Does Viagra Cost?

  I never thought much about it, but BNET recently published an article talking about how the price continues to rise.  10 years later it has doubled in imageprice - $1400+ for a bottle of 100 tablets.  It’s not cheap so for those of you getting free drugs from Pfizer due to being laid off with their special program, this is the value.  BD

The price of Pfizer’s Viagra has doubled since it was launched, according to a list of wholesale acquisition costs paid by pharmacies, obtained by BNET. In May 1999, a 100-count bottle of the blue diamonds cost $700. Today, that same bottle costs $1,457.61

Price of Viagra Has Risen 108% Since Launch; 100 Pills Now Cost $1,400 | BNET Pharma Blog | BNET

Medical Quack Streams a Little Video from the Cell Phone After Web 2.0 Meet Up

I did a presentation today on web 2.0 “free applications” for a group of doctors at a local hospital in Long Beach.  Also in attendance making a presentation was Vivek from TrialX, the Clinical Trial software that works with HealthVault and Google Health.  Afterwards, we did a short video saying hello and basically I wanted to see if I could use the software and really stream useful information, and it worked!  Not too bad for a blonde at work and I hope to provide more of these in time!

Dr. Mike makes some kind comments along with Vivek afterwards.  What is also nice is to hear voices and actually get to see the people too!  We discussed Twitter, PHRs, E-Prescribing and TrialX today with brief overviews.  I went through a visual description of HealthVault and how devices connect.  Dr. Mike, speaking here is in cardiology and his field is definitely one of the first to be impacted with consumer interest and use with medical devices that record and transmit data and we talked about how a PHR is the gathering place instead of having to use several different software programs to track the information. 

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Be kind here, I’m just getting started!  Today was an introduction as I called it to start using the “free” software, including Twitter to read medical journals before jumping into an EMR.  Twitter in itself can save time and money to target the reports that the physician wants to read and not have to filter through articles that are not of interest to their field.  BD

Electronic Medical Records – Many Choices and Integration/Aggregation Need to Be at the Top of the List

It is a tough spot to be in today with many choices, but the one focus when looking at a system is to look at one that will “talk” to other systems, perhaps one that will enable communication with a hospital.  Years ago when the early systems came on to the market, everything was self contained in the office, not so by today’s standards.  Since this time we also have the PHRs, personal health records that have entered the game, and this imageemerging process will become stronger and adapted more as time moves forward.  I wrote an EMR during those early times and when web 2.0 became the focus, well it was a job much larger than one single consultant could handle as far as support, etc.  Here are a couple links to systems below that offer integration.  I have covered both here on the blog as well as other systems.

HealthVault Connects with eClinicalWorks EHR, NextGen EHR/EMR Systems and more…Shop Wal-Mart (Sam’s Club) in the Spring

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Practice Fusion EMR to Sit on Salesforce.com’s Cloud

One other item worth mentioning as well is the hardware being used in the office, don’t try and use computers that are over 5 years old to do the job, they don’t have the speed and processing power to handle modern day systems, upgrade!  My own personal preference too is to consider a Tablet PC for entry and mobility around the office and a cell phone for when you are mobile.  Mobility and having information at your fingertips when you are outside the office is also an emerging area. 

Dr. Crounse at Microsoft recently wrote about a visit to his doctor, who had a system that was structured more for working at the hospital level and the frustrations his doctor has currently.  Record systems that work well for hospitals may not be the answer for a practice with the way the office functions, thus an integrated system where the practice and hospital “talk” to each other can provide the best of both worlds, and in the long run, the best data available for taking care of the patients, the number one concern above all of this. 

Two keywords to keep in mind today are:  Integration and Aggregation.

These 2 processes are what makes the data world go around and you need both.  Ask someone who can break this down into “plain English” for you, and be open to learn a few new tricks as you move through this process.  Work with some of the Web 2.0 free software programs and experiment, that will help you get a handle on where all of this is moving today and maybe “baby step” it so the entire concept and experience is not overwhelming.  BD

On one proposal for health care reform at least, there is a rare bipartisan consensus: the push to computerize patient records.

So even as the Obama administration and Congress struggle with broad health policy legislation, the technology industry is pursuing the opportunity in digital health records as never before. Although most of the government money will not start flowing until next year, the companies hoping to get their share include technology giants like General Electric, I.B.M. and the big telecommunications company, Verizon. Also in the hunt are smaller health technology specialists like Athenahealth, eClinicalWorks and Practice Fusion.

On Thursday, Dell, the personal computer maker, plans to join the scramble in earnest, announcing its plan to form a partnership with hospital groups around the country to offer electronic health records — hardware, software, consulting services and financing — to their affiliated physicians. Dell, like the other players, sees the big opportunity as being in offices with 10 doctors or fewer, where three-fourths of the nation’s physicians practice medicine.

Faster networks, improved wireless connections and more affordable tablet PCs or small desktops promise to make the shift to digital patient records less cumbersome these days. But technical assistance and user guidance are also needed. And several companies plan to offer bridge financing to doctors to ease the burden of initial investment costs until the government begins making payments, which can be up to $44,000 for each doctor, from 2011 to 2015.

EClinicalWorks has added four data centers in the last year, bringing the total to 10, for hosting electronic health records as a service over the Internet. The company offers its records both as conventional PC software and as a Web service. “The software as a service is where the biggest growth is,” said Girish Kumar Navani, president of eClinicalWorks.

Tech Companies Push to Digitize Patients’ Records - NYTimes.com

I Like The Way He Thinks – President Obama

This has probably been the roughest time for any President to endure, and we are only a few months into his term, but tonight was his night to imagespeak and it was done brilliantly, with control and confidence.  We had the rude interruption of the Representative from South Carolina, which I’m sure may even be bigger news tomorrow once it hits all the talk shows.

What I saw this evening was a person with confidence and a passion, speaking from the heart with first hand experience.  Healthcare is personal to the President as we have heard, he witnessed the grief and strife with his own mother on her dying bed, fighting insurance companies.  There’s no substitute for first hand experience, you don’t forget, so there are others who may not share this passion as they have not experienced what it is like to be in need of care and worry about whether or not you will receive care, based on if you can afford it or not. 

You almost sometimes get the feeling when you hear others speak that they are trying to hide or cover up what is really happening, or just sitting in plain denial, but not our President, we have the real McCoy here. 

He is a smart, intelligent man, believes in technology and is faced with more of it than anyone one else in office has ever experienced and it’s a constant flow that changes every day.   Nobody will be 100% happy with any plan, but as he said to do nothing is worse.  He spoke strongly and convicted to the cause.  This is not a war in some other country where spending money is concerned, it is right here.  These are just my own observations with my perception, but body language says a lot and he’s got the knowledge no doubt and it made those in the “peanut gallery” holding up paper look, well, somewhat small and a bit behind (where were their BlackBerries).   Teamwork is a priority and that was mentioned in more than one way, even to giving John McCain credit for one of his ideas.   The human side is there and not forgotten, unlike we see so often today with greed and profits being prioritized. 

Smart people work this way, they listen and to give the speech he gave tonight, there’s been an extreme amount of listening and research, otherwise it would not have come off as so well given.  One of my favorite posts I have on the blog relative to the Executive Office is the one below, the promising new start up of 2009.  When you stop and think of all the catching up that has to be done throughout government, there’s a lot of work to be done.

Promising new startup of 2009 - Executive branch of the US federal Government

He hung to that BlackBerry, a symbol of “I’m going to lead with technology” and take us out of the dark ages.  Protocols are new and they work with the times we live in and the goals for transparency are set.  People get nervous around smart people too and we saw some of that unfortunately during the speech with one who could not contain himself, but the challenge to those is to catch up, as if you put forth the effort to also listen and learn, you can have it too.  Nobody knows it all today and the key is teamwork and that message was as strong as it could be.  It was all over Twitter tonight too, we were all very proud of our President!  BD 

In a joint speech to Congress heralded as vital to his push for a health care overhaul, Obama offered his most detailed outline for legislation while challenging Republican opponents to build on issues of agreement rather than play politics to exploit differences.

Obama calls for Congress to face health care challenge - CNN.com

Halo Monitoring Device/Service Now Connects to Microsoft HealthVault – Panic Button Has Evolved

I have seen the devices that have a “panic” button to push in case of an emergency but Halo takes it a step further, let’s say you fall and are imageunconscious or the device with the button falls out of reach.  The Halo device uses wireless body sensor technology to detect a fall and can send an alert to a caregiver.  Now with connecting to the HealthVault, the information about a fall or emergency situation can be added to your personal health records and shared with family or your doctor. 

This could have some very important information included if there was real damage done with a fall and give the doctor the information on what, who and what kind of a response you received as well as time elements.  The panic button has evolved. 

For more information on Personal Health Records, check out the PHR section with over 200 posts relative to PHRs.  BD 

Huntsville, AL (September 9, 2009) - Halo Monitoring, Inc. , makers of wireless healthcare technology, announced today the integration of its advanced personal health monitoring and alert system, myHalo with Microsoft HealthVault, a personal health technology platform that allows people to privately and securely collect, store and share health information. At their discretion, myHalo subscribers can now opt-in and securely transmit personal health data to HealthVault, allowing approved users, including family, caregivers and professional healthcare providers, to access their health information securely and on demand. 

image

Halo Monitoring product, myHalo, is a Personal Emergency Response System (PERS) and is the most advanced personal health monitoring and alert system currently available for seniors; it immediately detects when the senior user falls and automatically transmits the alert to casual or professional caregivers, or to Emergency Medical Services (EMS). It is the only medical alert system of its kind performing automatic fall detection and combined health monitoring.

Halo Monitoring, Inc connects with Microsoft HealthVault to Provide a More Complete Personal Health Picture for Seniors | mobihealthnews

Related Reading:

Social Security likes PHRs too – wanting to work with EMR and PHR software with pilot program

HealthVault’s George Scriban talks wireless health – Interview at Mobile Health News

I want HealthVault now Video – A Nice Story Format on How It All Works
HealthVault Goes Viral - IAmEnabled.com – Social Networking, Marketing and Education

Health Issues on Vacation, Call Your Insurer and Have Information with You in a Personal Health Record

WalMart Going Paperless Employees Get Paid on a Debit Card - We are Still Working at EMRs….

Well paperless is on the move in more areas than just medical records.  There is a transaction fee though associated with all of this and they get one free one, so I guess you can go get your cash if that is what you want to do.  The obvious solution is to bite the bullet and get direct deposit and then you don’t have to worry about any of this. 

Also mentioned is Social Security and their card.  I posted about this back in March of 2008, so it’s been around a little while.

Social Security Disability - New Debit Card, Going Paperless

At any rate, this is on more indication of where technology is leading us and again reiterates the need for electronic medical records too.  I’ll bet in time they will have that card integrated to pay for medical bills out of their PHR too.  BD

NEW YORK – Calling it a “cost-saving move,” Walmart announced that is eliminating paper payroll checks and transferring workers’ earnings to a debit card if they decline direct deposit, reports The Wall Street Journal.

“Electronic payroll is the right choice for our associates, our company and the environment,” said Tom Schoewe, executive vice-president and CFO. “It provides our associates with fast, convenient and safe access to their pay. The program's ability to reduce paper usage is right in line with Walmart's commitment to eliminate waste wherever we can.”

Walmart estimates that will save 257,572 pounds of paper a year. The retailer is not alone in the move to get rid of paper checks: the Social Security Administration is using similar cards “to dispense payments to benefit recipients.”

Walmart to Pay Employees With Check...Cards

Healthcare Loves Twitter

image Healthcare is finding some very good uses for Twitter these days, all you have to do is look around a bit and see all those members in healthcare.  I know I would be lost without it today.  You are never too old to use Twitter either, in a somewhat related story, this 104 year old woman uses both Twitter and Facebook.

 The Medical Quack: Healthcare on Twitter Feed – Added to the Medical Quack

If you scroll down to the right hand side of this blog, you can see healthcare conversations going on in real time with Twitter. 

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Also mentioned is TrialX, which has been featured many times on the blog and if you are looking for a simple way to locate and participate in Clinical Trials, this is it, and they also have a Twitter application.  

TrialX and CenterWatch Partner to Help Locate Additional Clinical Trial Information - Integrate with Personal Health Records

As a physician, do you read journals, use Twitter, it will make the process much easier.  You can read major newspapers this way too.  These are just a couple quick examples on how you might use Twitter, reading material.   I talk to many physicians and others in healthcare who are finding the value of what Twitter has to offer.  BD

Twitter has found its place in healthcare, according to a report in Telemedicine and e-Health, which notes that doctors, hospitals and health agencies have started to deliver medicine via Tweet. Indeed, the federal Centers for Disease Control and Prevention, hospitals such as the University of Maryland Medical System, and individual physicians have all taken to contacting patients through the popular microblogging platform.

The site's healthcare reach has caught the attention of vendors, too. Since March, a service called TrialX has been connecting patients with clinical trials, using Twitter.

"The company integrated with two online personal health record providers: Google Health and Microsoft’s HealthVault," the report states.

Healthcare putting Twitter to good use | MobileHealthWatch

Related Reading:

TrialX Mobile – Find Clinical Trials with an IPhone Coming Soon with Work in Progress
Tweeting for Trials – TrialX Wins New York Entrepreneur Week Venture Competition Award
Clinical Trials in the US – Begin involving the physicians and patients at the point of care to achieve greater success and participation with Personal Health Records
Clinical Trials in the US Running Low on Patients – Need to Integrate EHRS and PHRs in the Process
TrialX.org – Clinical Investigator Sign up Now Available – Integrates with HealthVault and Google Health PHRs to locate available clinical trials based on health records

More about the Pfizer WhistleBlower Case - Zoloft for Failed Cheerleaders and Viagra for Women

Depressed cheer leaders, that one sounds like right out of the OC.  Look at the one comment below, “targeted doctors would see 2 or 3 different Pfizer reps a day”, that is a lot, and they are out there, I see them all over and maybe a bit of duplicated effort, but they all seem to bring lunch!  Well I guess maybe the Pfizer rocket was an omen of some sort.  Let’s not forgetimage some of the good things though about the free drugs for those who have lost their jobs. 

Pfizer to Offer Free Drugs for Up to a Year for those who have lost their job

Back to the other side of the coin when it came to expenses, the return of $10 for every $1 spent is interesting.  I worked in sales for many years for Fortune 500 companies and for what I did, those are low numbers, as I was in logistics.  The numbers are supplied by pharmacy benefit companies so the sales representatives can see who is prescribing, the same information that we can use for a PHR.  Use of such information has been in the news a lot lately as to who can have access and how some companies sell it too.  You can read more about that end of it here.  BD

Former Pfizer sales rep Blair Collins‘ whistleblower lawsuit contains a detailed guide to how some of Pfizer’s reps allegedly promoted their drugs. Among the tactics they allegedly used were recommending the antidepressant Zoloft for girls who failed to make the image cheerleading squad; and staging talks in which doctors recommended prescribing Viagra for women who had difficulty reaching orgasm.

Blair begins his suit — which was settled by Pfizer as part of the $2.3 billion Bextra deal with the Department of Justice — by describing the budgets that Pfizer’s reps and marketing staff had at their disposal on an annual basis. The suit gives these numbers

Pfizer expected a $10 return on every $1 it spent on its marketing, Collins alleges, and targeted doctors would see two or three different Pfizer reps every day.

Pfizer Rep Claims Zoloft Touted for Failed Cheerleaders; Viagra for Women | BNET Pharma Blog | BNET

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ICD9 Look Up on Medical Quack

One small feature added on the right hand side, need a quick look up while you are on the blog, well it can be done.  This works for both OCD9 and HCPCS searches.  Just a note to let you know it is available.  BD

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Also, don’t forget the page is loaded with Answers.com,  just double click on any word anywhere on the site and a small pop up window will give you additional information, dictionaries and Wikipedia without having to leave the site.

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We Can't Afford to Wait – REM Music Score and MoveOn.Org

This is very well done and you can’t not be touched by watching each individual with their sign as the music plays.  It reminds you what healthcare is all about, humans, and those who need care now and can’t wait.  BD  

MoveOn.org members and R.E.M. speak out for health care reform.

http://www.youtube.com/watch?v=8GoFj8Fc9iM

Open Identity Comes to the Government – 10 Companies in Pilot Program

This will make it much easier to connect with government agencies, National Institute of Health included.   You can read more from the executive director here at the website.  imageHats off to the participants, as we all know the growing number of passwords and log ons continues to grow and when authentication can securely take place without having to store as much in the human memory, we are all happy!  BD

Promising new startup of 2009 - Executive branch of the US federal Government

A group of ten technology and information companies on Wednesday said they will support pilot programs to make government Web sites easier to interact with, in keeping with the White House's Open Government initiative. 

AOL, Acxiom, Citi, Equifax, Google (NSDQ: GOOG), PayPal, Privo, VeriSign, Wave Systems, and Yahoo said they would act as digital identity providers by supporting OpenID and Information Card technologies at government Web sites. OpenID is an authentication protocol that allows Internet users to register at different Web sites using the same OpenID user name. Information Cards provide a digital identity that can be used in conjunction with OpenID authentication.

For example, the National Institutes of Health (NIH) plans to use OpenID and Information Cards to allow customized library searches, access to training materials, conference registration, and use of medical research wikis while maintaining strong privacy protections for users.

Ten Companies Bring Open Identity To Government -- InformationWeek

Money Driven Medicine – Taking Back Healthcare from the Bill Moyer Show

I finally had time to watch the Bill Moyer show and see the portions of the film shown on PBS.  Maggie Mahar who wrote the book the movie is based imageon stated she started making calls and was amazed at how many doctors wanted to talk as she didn’t think she was going to get many and actually had 5 out of 6 respond.

MONEY-DRIVEN MEDICINE – The Movie (Official Trailer)

There are many areas covered in the video and basically says if you want profit, “do more”, which is what our system does.  The interventional cardiologist who spoke wished things were easier and he could just focus on taking care of patients and shows him in a consultation and in surgery too with the catheters.  He is operating in an area where technology has changed the entire way surgical procedures are done. 

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He asks:  Are we doing things just to do them, and maybe not necessarily because it is the right thing to do. 

Medicare is compared with states that average more than 25% over the national average and those 20% under the national average and the statistics quoted said the outcome is the same.

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HMO's worked on cost and not quality, and thus it caved in.  Premiums skyrocketed when HMOs stopped managing care. 

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When patients were allowed to participate in the decision making processes surgery rates went down 25% and satisfaction level went up along with better outcomes.

Hospitals and Doctors competing, marketing in a big key to the interference running today.  Patient should be at the center and not the victim of competition, which is what is happening, then, add in the health insurance nightmare on top to get paid. 

One physician in the film said:

The official bird of healthcare is a “Crane” look on top of any hospitals and that is what you see, a crane adding on.

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Healthcare is about love and the relationship between the patient/doctor and all the marketing, competition, gets in the way.  Dr. Weinstein talks about his own daughter’s battle with cancer and her eventual loss and questioning the process, even to when the physicians threatened him, a doctor that they would sue him if care was not done, apparently when he began asking questions. 

Overall the portions from the Bill Moyer show were good and the movie does a good job of talking about “what it is” from the words of doctors and patients.  It talks about how hospitals have gone corporate and lost the meaning of giving care.  Hospitals need doctors more than doctors need hospitals and overall the patient is being left out in the cold and not getting better care with the disruptive system that exists today.  More profit, and doing more, the movie states is what is happening, and there are casualties with procedures and treatments not getting done that should.  It certainly makes a case for healthcare reform.  BD

From the website:

“Money-Driven Medicine provides the essential introduction Americans need to become knowledgeable participants in healthcare reform, now and in the years ahead. Produced by Academy Award winner Alex Gibney (Taxi to the Dark Side; Enron: The Smartest Guys in the Room) and based on Maggie Mahar's acclaimed book, Money Driven Medicine: The Real Reason Health Care Costs So Much, the film offers a behind-the-scenes look at how our 2.6 trillion dollar a year healthcare system went so terribly wrong and what it will take to fix it.”

imageIn Money-Driven Medicine frustrated doctors and outraged patients testify to the tragedies which can happen when profit trumps patients’ needs. Veteran physicians stress that reform must begin with a new doctor-patient partnership based on consistent, informed, shared decision-making. “Before patients can reclaim their rightful place at the center of our healthcare system,” Maggie Mahar notes, “we must empower doctors and nurses to practice patient-centered care based, not on corporate imperatives, but on the best scientific research available.”

Money-Driven Medicine will encourage health professionals and patients to work together to take control of American medicine back from the MBAs. The film will alert viewers that universal coverage is just the first step in a long and arduous battle for comprehensive reform continuing well after whatever bill Congress passes this Fall. We have seen that the industry’s lobbyists will resist every measure aimed at cost-containment and results-based care.

http://moneydrivenmedicine.org/

DVDs of Money-Driven Medicine can be purchased now for institutional use at www.newsreel.org or by calling 877-811-7495.  Home use DVDs are not offered.
Digital rental for home use will be available at Newsreel.org/Amazon after August 28 for $2.99.