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EyeNetra–Eye Exams in the Palm of Your Hand With a Smart Phone Using Similar Optical Technology as With Bar Codes–Video

This company has evolved out of the MIT labs.  This is amazing that for as little as image$2.00  you can attach a piece of hardware to your smart phone for a quick eye exam.  This is not going to replace the optometrist any time soon but can be used anywhere to calculate your vision.  Not too long ago MIT came out with another inexpensive attachment for the iPhone to detect cataracts, read more at the link below on that one. 

iPhone With Cheap Plastic Lens To Detect Cataract–MIT

This is a cloud based program and with someone who is trained to read the results eye tests can be done anywhere, especially in areas where optometry is not readily available.  Perhaps soon we might even see this at the local drug store to buy off the shelf.  The company has already partnered with Tufts Medical Center. 

eyeNETRA

One of my thoughts here too is the DMV eye tests, can you imagine how this would make changes there?  The entire process takes less than 2 minutes to calculate.  Believe it or not, this is related to the bar codes that we now use on our smart phones with the same type of technology so we are scanning our eyes in essence with a very similar optical reading system.  More on the actual development at the video below.

Cell Phone Optometry

Add this on to the growing list of what your smart phone can do for you.  BD 

There are very few medical devices that cost two dollars, but the Boston based startup eyeNETRA (@eyenetra), has developed a truly jaw-dropping smartphone attachment that costs two dollars and could help billions of individuals around the world currently without access to eye-care.

eyeNetra’s invention (from the MIT Media Lab – surprise surprise) is a way to measure near or far-sightedness by combining a simple optical attachment with software on a mobile phone.

image

According to the eyeNETRA’s information document, the standard method for diagnosing refractive eye conditions is the Shack-Hartman device, which shines a laser into the patient’s eye and measures the refracted light with a wavefront sensor. The company’s Near Eye Tool for Refractive Assessment (NETRA) is the inverse of a Shack-Hartman device. A patient looks at a cell phone screen through a simple pinhole array at a very close range and aligns the displayed patterns.

Since light from these patterns go through different regions of the visual system, the act of aligning them gives a measure of the optical distortions of those regions and the required refractive correction is computed.

http://www.imedicalapps.com/2011/12/a-remarkable-two-dollar-smartphone-attachment-that-can-measure-eyesight-mhs11/

An Unexpected Place for Healing for a Young Woman in a Senior Citizens Home-TED Video

This is a great video that Ramona Pierson tells about her recovery at a Senior Citizens home.  She was a young woman who had been I an induced coma due to imagebeing hit by a car.  She even adds some humor here where she can and talks about the wisdom of the seniors. 

One comment was really cute about a senior with Alzheimer's helping here, but with having to learn to talk all over she said the repetition was good.  She talks about the transition of being blind and how years later she was able to through experimental surgery years later get her eyesight back.  This is truly one inspirational story with generations coming together to help her and bring her back….cuss word scrabble…BD









http://www.ted.com/talks/ramona_pierson_an_unexpected_place_of_healing.html?awesm=on.ted.com_Pierson&utm_campaign=&utm_medium=on.ted.com-static&utm_source=t.co&utm_content=awesm-publisher

Wellpoint to Bankroll Use of IBM Watson at Cedar Sinai Medical Center to Research Cancer Data/Information To Provide Guidance for Physicians

After having made their initial investment with IBM, Wellpoint is looking for areas to use the new “big data” capabilities for processing information.  This could be a good thing here as long as you leave the billing side out of all of this as that’ a mess right now with ICD10 coding coming up.  For quick research and clinical information this could work ok but there is questionable information today too in some of the medical journals and the article states journals will be included here as well.  Hopefully I think we have more credible data in journals rather than the opposite.  More so than Cedars I still think our Congress needs this capability to gather and sort information to make laws.  The US is the only country that ties ICD codes to billing so our Health IT issues are much more complicated than other countries. 

WellPoint Hiring IBM Watson Technologies–Congress Needs to Wrap Their Heads Around Using Technology That Processes 200 Million Pages of Info in 3 Seconds to Make Laws

But as in our usual style on the Hill, it appears they did not recognize a tool when they saw one.  At least they should rent out some computing space from the DOE.

IBM Watson Capabilities Being Pitched to Financial Industry-Congress Must Not Have Felt They Needed This So Further Behind We Fall With Effective Intelligent Lawmaking

Again I mention the revenue cycling part of this should be left out for down the road and when used for clinical research this could be a tool but the doctors seeing patients are the real judges here.  Machine learning is moving ahead and again even with this technology, it can still be garbage in and out.  I just wrote the next chapter in the Attack of the Killer Algorithms and the emphasis there was on “flawed data” and that is the only real danger here with using machine learning beyond clinical research.  Some states have even put governors in their software to block the automated data mining services on the web.  With machine learning we always run some risk of “rogue algorithms” too, happens all the time on the stock market so again something to be aware of with writing the unreadable with data base upon data base now aggregated and joined at the hip to ensure “accurate” data is in fact contained. 

Machine Learning Software Working Behind the Scenes Should Move With Caution in Healthcare-Writing the Unreadable With Rogue Algorithms With No Human Intervention

We have some who believe that an algorithm can predict cardiac arrests and there might be some use here but when people begin to rely 100% on this predictive behavior analytics, we are in trouble as event he Netflix algo that determines what you will like is only 60% accurate. 

An Algorithm Can Predict Cardiac Arrest 24 Hours Before it Happens With “Machine Learning Technologies”

Again if used properly this could be a good tool for doctors to find treatments and therapies they might otherwise over look I am guessing, but when it goes beyond into the payables area, trouble will follow.  We can start naming our own healthcare algorithms, like the “ICD shuffler, the surgeon’s knife or maybe CPT Chaos”, and so on <grin>.  Who knows, will this expense get rolled into the Wellpoint medical loss ratio budget? 

Again, this is a noble move as described here for research but out dead heads in Washington should wake up a see this as a tool to query when it hits them in the face.  Even at some of the big facilities like Cedars, clinical care is being cut in the mental health area due to budgets, etc. so I guess this is also good incentive to help keep insurers in the door as we are now starting to see more big companies negotiate direct contract with leading hospitals too for certain types of procedures as did Johns Hopkins and Pepsi this week.  BD 

Cedars-Sinai Hospital Closing In-Patient and Out-Patient Psychiatry Services–Will Give Grants To Nearby Clinics

Doctors at the Samuel Oschin Comprehensive Cancer Institute will be the first to use the technology, IBM said, and they will help the computer company make tweaks to the system — the first commercial application of the computer since its "Jeopardy!" debut early this year.
Watson, which can process information from 200 million pages of literature in three seconds, will provide doctors with guidance on diagnoses and treatments, IBM says.
The hope is that the technology will be able to comb through patient medical histories, medical journals and clinical trials to provide appropriate treatments, said Manoj Saxena, general manager of IBM's Watson Solutions unit. IBM is looking to expand the use of the supercomputer, roughly the size of a refrigerator, to other industries, including banking and telecommunications.
"I don't see Watson taking the place of a doctor," said Dr. William Audeh, head of the Oschin institute, "but I do see it acting as a super library for a doctor."

The project with Cedars is bankrolled by Indianapolis-based insurance giant WellPoint, parent company of Anthem Blue Cross. Anthem is the state's largest for-profit health insurer.

http://www.latimes.com/business/la-fi-cancer-computer-20111217,0,1691323.story

Flawed Data–Mined by Corporations Online Provides Background Checks Riddled With Errors–Attack of the Killer Algorithms Part 7

Slowly but surely this blog is becoming the “Quack Data” reference I feel.  Here’s another situation to where with current data sharing and aggregation to where we have yet another case of “discrimination by the algorithms” for the 99% group and of course I’m right in there with everyone else.  When will people starting paying attention here as to what is going on with flawed data?

We all want transparency but do we want “flawed” transparency?  The odds are pretty good today that with compiling profiles with “free taxpayer data” that is out there along with data silos of other information that you will find errors in your file, again it depends on the sources and what algorithms are being run. 

This article goes on to say that criminal records to that are supposed to be purged are not and still all kinds of other information makes it on the web too with vital social security numbers, birth dates and so on. The problem:  Data is not being purged as needed and updates are not done. 

People are being denied jobs and places to live due to flawed data as it’s not accurate.   Like I said in another “Attack” chapter, part 6 the middle and lower class here are going to be nothing but “data chasers” pretty soon with correcting flawed data.   As a consumer you can’t touch, see or feel these algorithms running on servers 24/7 making life impacting decisions about you.  Sure the credit folks will let you see things after the fact and then comes the big chase for the consumer to fix everything on their reports that is wrong about it.  Hey last I looked we all have jobs to work too and then we have to find time to fit this in. 

Attack of the Killer Algorithms Part 6–Discrimination With Consumer Credit-Same As Health Insurance Wanting Consumers to Reconstruct Records From Many Years Past As Middle Class Turns Into Data Chasers-Days of Taking Risks to Get Ahead Will Be Limited For Most…Occupy Algorithms

In healthcare this has already been going on to a degree with insurers and you can read more about part 4 and how that occurs here.  You have old agencies like the MIB that can’t get their records fixed to be accurate and some people are denied coverage because of that fact.

Attack of the Killer Algorithms-Occupy Wall Street Part 4 Health Insurance Style - One More App For Folks Who Are Tired of Flawed Algorithms That Require A Ton of Work and Research Time To Create “Perfect” Data Files for Insurers And Others Analytics Processes

Just wait until this kicks in, CoreLogic has formed a partnership with FICO who is already in the process of selling algorithms with mismatched data which connects public information about you and combines it with your credit score to tell if you as a medical patient will take your prescriptions.  Somebody needs to start calling some of these folks on “mis matched data” the discriminates as now we have “Discrimination by the Algorithm” and it’s showing in more places all the time.  Last time I wrote about the FICO mismatched data it all ended up over at the Daily Kos via another publisher as an awareness.  As far as I am concerned the FIOC Medication Adherence Scoring is nothing but mismatched data analytics created to sell software and is the work of some “underground” think tanks on how to generate more money and profits.  You can find my comments too on the Daily Kos on this as another author included them in her column who was in total agreement.  Do you know how common flaws are?  Look at this link and see about the 31k that are “living” but Social Security says they are dead.

Social Security Master Death Index Data Flawed–Over 31,000 Living Found in the Index

I got started on this topic a couple years ago when I found my former doctor, who had been dead for 8 years still listed as alive and well on Healthgrades and still taking new patients, so again “flawed data”. 

HealthGrades And Other MD Rating and Referral Sites List “Dead Doctors” on Their MD Information Pages And Even Include the Insurance Plans the “Dead Doctors” Honor

When I get time I have checked out a few of the other sites and find more dead imagedoctors, doctors on staff at hospitals where they have set foot, and retired doctors.  Actually this post got a visit from the AMA with a nice interview on the topic at the link below.  Now the AMA sells some data too along the line here relative to doctors and prescriptions. 

Dead doctors stubbornly alive on physician-finder sites

The way office workers are trained today and part of this has just grown over the years when looking at computer screens is that when you see a blemish on a report, oh my gosh, whistles and bells go off, this person is not perfect!  I have news for all of you, there will no perfect people by the time data is sold by corporations who collect this from the web.  It’s a big business and pharmacies I swear today only fill prescriptions so they can collect and mine more data about us. 

The more some of this data get aggregated and analyzed, bingo we have the basis to sell more analytics software.  Now there’s good software out there that does a good job and makes us smarter, but I’m not talking about the good stuff, I’m talking about the bad algos, and actually follow @badalgo on Twitter, he puts some good stuff out there with some images on the algos on the stock exchanges, good educational stuff. 

How do we as consumers fight back, start licensing and taxing these folks and have a federal government page of disclosure, what is sold, and to who, and how much are the profits on the sale of this data.  I’m smart enough to know that you can’t create laws to govern how to write algorithms and code but we can sure go for plan B.  Someone needs to enlighten our digital illiterate Congress about this.  Read the article at the red link below and think about that excise tax you pay to put a new tire on your car and this will make sense! 

The Alternative Millionaire’s Tax–License and Tax Big Corporations Who Mine and Sell Taxpayer Data They Get for Free From the Internet-Phase One to Restore Middle Class With Transparency, Disclosure and Money

The mining of data is so bad that 3 states, according to this article had to fight back with more software that blocks automated data mining programs!!  They were not doing it to protect us, but their websites were inundated with mining software coming in for the “free taxpayer data”.   It gets worse too as some states were selling the data and then charged for updates to the data for new information that was added and the data miners wouldn’t pay a few hundred bucks to update and keep sending out even more “flawed data”. 

Up above I wrote about CoreLogic and their new partnership with FICO and their data integrity and wouldn’t you know that North Carolina revoked their license to get information from the public records!  That tells you what kind of crap is being aggregated and abused as the folks were not only making tons of money selling the data but they were too damn cheap to pay for an update, kudos to the state. 

Gee what kind of company is CoreLogic  that is too cheap to pay for an update and what are they going to do with FICO?  Inquiring minds want to know and want it disclosed publicly.  They always come back with “its’ not our fault but rather the data we pull from is not updated.  I heard that with HealthGrades and just recently in the news, guess what, HealthGrades merged with a “marketing” company so I think the data may not be doing so good selling itself with accuracy, so let’s get marketing in here and see how we can whoop it up a bit and get consumers to still buy in,even though we know there are flaws, we just want money when we sell this data.  You can read in the AMA interview link above about the blame shifting for flawed data with Healthgrades, “it’s not our fault”…right!

HealthGrades to Merge with CPM Marketing–Will Their Data and Questionable Algorithms Will Be Improved For Consumers?

I believe in good data, for finding cures for diseases and better treatments and so forth but not the BS environment that is evolving as people cannot live their lives with constantly having to correct information about themselves that is in error. Data mining is making this so very complex and again, license and tax them and “read” that link above as it makes sense and will slow some of this “diseased data mining” down to a reasonable rate and knock out the algorithms designed strictly for profit and desire.  We want accuracy and not stupidity and insanity. 

About 2 years ago I did an interview with Proto with an outside journalist about algorithms in healthcare which did not make it to the press as she and both knew we were ahead of our time and the public was not ready for this, but we talked about algorithms created for “desired” results and those for “accuracy” and how they are not always the same.  I do a few others out there I communicate with that are far smarter than me that also make this case too.  Read this book and learn up.  We have a lot going on sadly with the “dark side”.  I have had people on Twitter tweet me and thank me for this reference too, it opened their eyes. 

“Proofiness–The Dark Side of Mathematical Deception”–Created by Those Algorithms–New Book Coming Out Soon

Or you can listen to a radio cast at this link below, goods stuff that talks about how naïve and gullible we are and how big corporation pull the wool over our eyes.  Math is no longer a 100% methodology to prove accuracy once some creative algorithms are spun. 

“Numbers Don’t Lie, But People Do”–Radio Interview from Charles Siefe–Journalists Take Note, He Addresses How Marketing And Bogus Statistics Are Sources of Problems That Mislead the Public & Government

The big culprits of flawed data are the companies that compile this information so be wary of what you put out there as well as what can appear via public records and check for accuracy.  I guess breaches someday might come in handy to fix the data <grin>.

It’s the old blame game out there with flawed data and digital illiterates don’t know how to work with it and scarier yet employees are not trained on how to work with levels of inaccuracies either and made some bad decisions.  Look no further than the Hill for digital illiterates for that matter.  Read this one paragraph from the article, it spells it out, a faulty algorithm the state of Wisconsin uses kept this man from getting a job.

“Teague sued Wisconsin's Department of Justice, which furnished the data and prepared the report. He blamed a faulty algorithm that the state uses to match people to crimes in its electronic database of criminal records. The state says it was appropriate to include the cousin's record, because that kind of information is useful to employers the same way it is useful to law enforcement.”

This mis use of data and selling it all over is starting to turn normally peaceful folks into those who are not so peaceful.  In healthcare they just put the doctors medical claim information out there for digital illiterates to work with and it is flawed to the hilt!  I guess HHS was worried about the Dow Jones lawsuit filed against them for not putting it out there.  Sometimes people get on a rant and want stuff just because it’s there and that may not always be the best rule of thumb as is with claim data.  Hey I have an idea, let’ aggregate this flawed claim data with some other data base and see what we get?  Do you get the picture and let’s add in some machine learning and we will be back to the case above in Wisconsin with faulty algorithms that humans don’t even control.  

Machine Learning Software Working Behind the Scenes Should Move With Caution in Healthcare-Writing the Unreadable With Rogue Algorithms With No Human Intervention

Back on track here, one woman in this story had to get by on temporary jobs, all she could get due to the “flawed data” in her background check…is this fair!  No!!

THIS IS TRULY THE ATTACK OF THE KILLER ALGORITHMS ON THE MIDDLE CLASS IN THE US TODAY AND WHY THE OCCUPY MOVES EXIST.  IT’S A TOUGH BATTLE AS IT’S ALL SPUN MATH AND FLAWED DATA TO FIGHT AGAINST WHILE CORPORATE AMERICA REAMS IN BIGGER PROFITS THAN EVER.  THE MATH DOES IT FOR THEM.  image

One more quote from the article…she said dinosaurs but we know it’s the algorithms behind the scenes and to quote Kevin Slavin, they have teeth”.  BD 

"It's like Jurassic Park. They come at you from all angles, and God knows what's going to jump out of a tree at you or attack you from the front or from the side," she says. "This could rear its ugly head again — and what am I going to do then?"

Out of work two years, her unemployment benefits exhausted, in danger of losing her apartment, Casey applied for a job in the pharmacy of a Boston drugstore. She was offered $11 an hour. All she had to do was pass a background check.

It turned up a 14-count criminal indictment. Kathleen Casey had been charged with larceny in a scam against an elderly man and woman that involved forged checks and fake credit cards.

There was one technicality: The company that ran the background check, First Advantage, had the wrong woman. The rap sheet belonged to Kathleen A. Casey, who lived in another town nearby and was 18 years younger.

Kathleen Ann Casey, would-be pharmacy technician, was clean.

"It knocked my legs out from under me," she says.

The business of background checks is booming. Employers spend at least $2 billion a year to look into the pasts of their prospective employees. They want to make sure they're not hiring a thief, or worse.

But it is a system weakened by the conversion to digital files and compromised by the welter of private companies that profit by amassing public records and selling them to employers. These flaws have devastating consequences.

http://news.yahoo.com/ap-impact-criminal-past-isnt-yours-182335856.html

The Alternative Millionaire’s Tax–License and Tax Big Corporations Who Mine and Sell Taxpayer Data They Get for Free From the Internet-Phase One to Restore Middle Class With Transparency, Disclosure and Money

I probably won’t make any corporate friends here with this post but somewhere along the line we need to make some changes. Why is it that when I go to buy a tire I have to pay a Federal Excise tax on something I need to drive a car but yet the big corporate companies in the US go scot free when it comes to mining and scraping our data off the web for huge profits?  Some big companies may not have a problem with this as they have publicly said they would pay higher taxes and this seems to be a potential model here as it’s not working with income tax so why not structure this more like a “sales tax”.  I wrote a post back in June about the same topic here as as time is moving on it is becoming more apparent that something needs an adjustment along the line here.  image

Privacy Wanted–So Let’s Require Those Who Sell Web Data to Register and Tax the Transactions and Publicly Disclose Who They Sell To With a Federal Registry

We all know by now that math is no longer the 100% methodology for determining accuracy in all cases when it is spun with algorithms and marketing today and that’s a fact.  In addition we have a lot of “flawed” data spun into some of the algorithms and this leads us to a point of insanity sometimes when we look and say “where did they get those numbers”.  You hear it all the time.  If you don’t get this on how algorithms spin and flaw data use the link below and get educated from an NYU professor/journalist/mathematician. 

“Numbers Don’t Lie, But People Do”–Radio Interview from Charles Siefe–Journalists Take Note, He Addresses How Marketing And Bogus Statistics Are Sources of Problems That Mislead the Public & Government

Second of all a listing of all sources of companies, etc that a registered company sells to would be helpful as well so at least Jane Doe knows where the data goes.  This would be up to the “reseller”, like that word as that is what it is, to maintain an update.  Again with transparency the public should know who’s collecting data and where it goes and a user’s fee for each entity they sell too would be required.  This is just like having a server with “CAL” licenses and that concept has been around for a long time, just a little different and all of this would be public record.

Machine Learning Software Working Behind the Scenes Should Move With Caution in Healthcare-Writing the Unreadable With Rogue Algorithms With No Human Intervention

There would also need to be a “non profit” area to where they would pay for a non profit license and then still be required to list their sources to where they share data, such as a University sharing for research and development as the Science folks are sharing data to find cures mostly and not to market, but again have the license displayed and the disclosure of who they share with as well as what kind of information is shared, anonymous data or data to where actual information is used with HIPAA compliant information. 

We all know about Facebook and the millions they make by selling data and insurers do the same thing with prescription data, and Walgreens said their data selling business is valued just under $800 million which makes one wonder if filling prescriptions is becoming a side business to collect the data?  Pharmacies need to fill scripts to collect data and some of this probably gets internally profiled with whatever else you buy there, a six pack of sodas, candy bars, hair color and so on. 

Another good reason to give this some serious thought is that now High Frequency Traders and Hedge Funds are also selling our data at a pace that was said to outpace Facebook.  These are those folks that have free access to all our taxpayer data floating around out there and they will continue to profit even bigger, so again why not give something back to the taxpayers.  You can’t write laws around this stuff to govern who can write what type of code or algorithms, but you can sure follow a data trail and return some money back to the 99%.  Our digitally illiterate Congress is still stumbling around with this and they don’t get it at all as so many are what I call the “non participants” when it comes to consumer IT. 

“The amount of market data high frequency traders are using as trading indicators continues to grow more rapidly than Facebook can add users or change its privacy policies, and vendors are scrambling to offer new technology that can help firms - and algos - find the data, sort it and leverage it.

So again why is it that I get this tax on a tire and all the data moves around the web for free and makes millions and billions in profits for US companies.  I’m not saying stop the selling but put a healthy license requirement out there and some stealth taxes to start shifting the money back around as otherwise nothing will happen to redistribute the wealth in the US.  Congress can’t seem to get past income taxes for this model and I say we need a new on to make this work. If you don’t understand this concept and data mining, watch this video from Stanford at the link below and see what’s being scraped and sold, it’s all you and I and again we still have to pay that excise tax for tires so doesn’t look very equal out there does it? 

You Are the Product–Privacy Anonymity and Net Neutrality On the Internet - Excellent Stanford University Lecture (Video)

You know now we have the Corzine testimonies going on and how little math did he know?  What can machine learning do for a hedge fund, ask John Corzine with his ignorance and bliss as someone has to direct the programmers on how to make everything function, it’s those algorithms. 

To keep Congress happy, I think that is why they have the authority to do some insider trading too so items like this topic get distracted. I think too this would stand to create some “real” business models for good software too instead of the glut we have out there today and this is big in consumer Health IT, just a glut that few use as consumers have not apparently found much value in it and nobody in government can turn themselves loose to be any kind of a role model either as they are too busy to mess with any of it themselves and it’s for those guys over there. 

Insider Trading Revisited by 60 Minutes–Congress and Their Staff Can Do all the Inside Trading They Want And Some Cashed in With Healthcare (Video)

Here’s what has been circulating around the web when it comes to digital literacy with lawmakers, picture is worth a 1000 words.

image

Digital Illiteracy Still Plagues Law Makers–Severe Focus on Abortion Rights Proves It–Is This Where Our Lawmaking Knowledge Leaves Off or Even Begins? Scary…

So the next time you are out there buying that tire to keep your car rolling, give this some thought on the millions and billions being made by corporate US today from the “free taxpayer data” they mind and scrape for free and all the money they make off the backs of taxpayers, and this should be a way of corporations giving some of it back and would add some real transparency as we don’t know what all they are selling and to who?  In addition it would give law enforcement cyber cops a leg to stand on to squash some of this if they sell without a license or fail to make a public disclosure on a government website which would need to be updated so we all can really what’s going on.  They just write a few algorithms and go town making millions, again while we pay that excise tax on our tires we need and the treads are wearing thin.  

Those Algorithms have big teeth!

This truly is the Attack of the Killer Algorithms taking place all around us.  Back in August of 2009 I pondered the question of whether or not we might need an official US government branch to help us out and so far, nothing has been done and much of that again comes back to a digital illiterate Congress who can’t get their heads around how technology works today.  BD  

“Department of Algorithms – Do We Need One of These to Regulate Upcoming Laws?

http://ducknetweb.blogspot.com/2011/06/privacy-wantedso-lets-require-those-who.html

Fuji Film Buys SonoSite for Close to A Billion- Ultra Sound Point of Care Devices

SonoSite products are appearing all over the place and were installed at the new LA County hospital when it was opened a while back. 

New LA County-USC Trauma Center Redefines Resuscitation Through Integrating Mounted Point-of-Care Ultrasound

The company was also mentioned as one of the users of the Nasdaq Directors Desk software that was hacked and investigated by the FBI but apparently no harm with any of the communications has had an effect here. 

Healthcare Industry Is Not Alone with Hackers, NASDAQ Has Intruders Using Algorithms to Break In-FBI Investigation

The company also partnered with Physio Control for life saving emergency care in the last couple of years.  The ultra sound devices seem to work well and can be mounted or be in a portable setting.  Quickly, paramedics can scan a patient for internal bleeding, and then determine whether they need to call the surgeon to head into the local trauma center.  BD 

SonoSite Developing Partnership with Physio-Control – Emergency Medical Services With Ultrasound

Dec. 15 (Bloomberg) -- Fujifilm Holdings Corp. agreed to buy SonoSite Inc. for about $995 million, including debt owed to note holders, expanding its range of imaging products used in medicine.

Fujifilm, Japan's only maker of photographic film, will pay $54 a share in cash for Bothell, Washington-based SonoSite, the companies said in a statement today. The tender offer, which opens next month, is 28 percent more than SonoSite's closing price of $42.24 in Nasdaq trading yesterday.

SonoSite had net income of $10 million from sales of $275 million last year, according to data compiled by Bloomberg. The company has a $115 million convertible bond maturing in July 2014.

“We had been interested in SonoSite for five or six years, but we approached the company last year,” Koichi Tamai, head of Fujifilm's medical system operations, said at the briefing.

The Japanese company aims overtake General Electric Co. as the dominant supplier of portable ultrasounds machines within two to three years, he said. SonoSite has a 37 percent share of the global market now, Fujifilm said.

http://news.businessweek.com/article.asp?documentKey=1377-acCGwFIXbWb0-36EI6UG3ST5C5NIH8QBV9477PK

DaVinci Robot Fails to Start/Reboot for Prostate Cancer Surgery-1st Reported Issue And No Harm To Patient As The Robot Just Said No

This is a 2 million dollar machine and apparently there were some technical issues, and I am guessing software that lead to the hardware not wanting to operate and even a reboot didn’t fix it so we know what happens then, further search to find out if the drivers or anything else related to the hardware caused a problem.  The machine has been used before so this was not a set up issue and maybe a “system restore” will fix it?  Yes that was a bit of humor there as the parameters of the daVinci devices are a bit more complex of course.  In the OC we have Hoag Hospital now using the robot for gynecologic procedures. 

Hoag Hospital Using daVinci Robot for Gynecologic Surgery imageProcedures

This comes right after the FDA just approved a new addition to the robot for an accessory that allows it to perform gall bladder surgeries.  The patient was connected, sedated and ready to go but the robot was not.  Apparently the problem has been fixed and the surgery has been re-scheduled.  In today’s complex world of software there’s nobody that gets left untouched today and I mean nobody.  I still get fascinated though with $150.00 Kinect device and the robot working together with some early experimentations. 

Kinect And daVinci Surgical Robot Do Simulated Surgery Suturing Together (Video)

Earlier this year one of the hospitals here was doing a road show at the local mall to show consumers what the robot is all about. 

DaVinci Surgical Robot Does a Roadshow At An Orange County Mall

At any rate the good news is that it was an issue that was corrected and the patient was rescheduled for his prostate surgery.  BD 

Mumbai: A robot must obey orders given to it by human beings, says the central law of robotics expounded by science fiction author Isaac Asimov.
But if a recent mishap at Asian Heart Institute is to be believed, the spirit of mutiny is brewing among the androids.
Doctors and anesthesiologists at the Asian Heart Institute got the scare of their lives when the robot they were wielding to perform an advanced prostate cancer surgery went kaput minutes before an incision was made.

Mahendra Shah (name withheld on request) was slated to go under the knife in a robotic-assisted prostrate cancer operation on December 6. The anesthesiologists and surgeons scrubbed in, made preparatory arrangements, and when Shah was out like a light, they retired to their console, from where they were to issue directions to the machine.

"The doctors tried all possible ways to re-start the robot, but it did not respond to their machinations. The surgery had to be aborted and the patient revived from anesthesia," said a source from the hospital.
Speaking to Mid Day, Shah said, "I was under the effect of anesthesia, so I have no recollection of the entire incident. When I came to, my surgeon said that some glitches had cropped up with the robot during surgery. I was crestfallen, and I had been eager to undergo robotic surgery. It is believed to be the best form of treatment, and I didn't want to compromise on quality."

"The company that manufactured the robot said that this was a one-off incident, and that they hadn't encountered any problems in the 6,000 cases worldwide," said Dr Jagdeesh Kulkarni, senior uro-oncologist at Asian Heart Institute. He added that since the inception of the robotic system in August, doctors had performed 25-odd urology related operations with its help.

http://www.ndtv.com/article/cities/robot-freezes-during-prostate-cancer-surgery-158088&cp

Doctor in Oklahoma Gets 17 Day Review and Approval for EZ Vein-Non Invasive Device To Help With Inserting IVs & Finding the Veins

The article says it works even if you don’t have a pulse..not sure why you would imageneed it for a pulseless person.  At any rate it has a pump and cuff to inflate that goes over the arm to redirect blood to the veins and this way it becomes more visible.  The doctor who invented the device is 33 years old. 

The device is non invasive and I have seen other types of vein finders available but this one looks easy and simple, keep it near the blood pressure cuff.  BD 

Robert Perry, MD, a resident at University of Oklahoma Medical Center, has developed a simple device to help clinicians locate vasculature. The EZ Vein device, which  works similar to a blood pressure cuff, redirects blood flow from deep tissue to a selected vein near the surface in order to simplify injection. Unlike tourniquets, the device works in the absence of a pulse. FDA approved the device in only 17 days, reports the Daily Oklahoman.

Perry, a practicing physician develops devices in his spare time. He explained that his product ideas are born out of his practice, where he identifies product needs. “I have a machine shop at house,” Perry told the Daily Oklahoman. “I would see a need and think about, build a prototype and test it and then talk to people in the field, file a patent and come up with a business plan.”

http://www.mddionline.com/blog/devicetalk/medical-device-gets-regulatory-nod-17-days

Johns Hopkins and PepsiCo Sign a Contract To Allow Employees and Their Dependents To Have Certain Surgical Procedures Performed At the Medical Center in Maryland

This covers around 250,000 employees and dependents and the coverage is for orthopedic and cardiac procedures and includes correcting previous knee replacements.  If anyone in the group has a DePuy knee or hip this might be really good news if it is one of the recalled devices.  Pepsi will be footing the bill entirely for this with covering the cost and the deductible.  This is the second such agreement of this type that I am familiar with and Lowes was the first to negotiate their contract with the Cleveland Clinic.  image

Johns Hopkins hopes to build on more relationships and contracts as such.  Pepsi is self funded for their insurance so it works for them.  The article also makes mention that this will make it easier to control cost as in Maryland as the state sets the rates, that sound it would be good for any state to do and follow that example.  Hospitals such as Johns Hopkins who are heavily involved in research are very active and look for potential contracts and partners all the time, especially in their drug discovery areas. My blog sponsor earlier this year, SNNWire had a nice interview with Johns Hopkins at the AdvaMed conference and you can listen to the interview with Helen Montag and she states Hopkins Tech is open for business and this includes more than just Health IT. 

video platformvideo managementvideo solutionsvideo player

Many of the hospitals that have drug and research patents do attend many conferences looking for small biotech companies to work with as well, and SNNWire earlier this year also had a nice interview with Boston Children’s Hospital too who are anxiously reaching out to partner.  In the next copy of the magazine, Micro-Cap Review there will be some additional coverage of some of the medical device and drug companies you may not have seen before as well and the current copy deal with mining and is located under my sponsor and advertising column on the right. 

So the long and short of this is that many big companies might be following the footsteps of Pepsi if they are self insured as it appears to be a win-win with having the procedures done at a top notch hospital and at the same time keep costs down or at least know ahead of time what the actual cost will be.  BD 

PepsiCo has signed a deal that allows employees and dependents across the nation to get certain surgeries at Baltimore's Johns Hopkins Hospital - a cutting-edge arrangement that could grow in popularity as companies look to provide better health care and contain costs.

The world's second-largest soda company will pay for workers and their dependents - about 250,000 people - to travel to Baltimore for cardiac or complex joint surgeries, such as correcting problems in a previous knee replacement. PepsiCo will also cover the deductible and coinsurance for the procedures.

Hopkins in turn will charge Pepsi a set rate for the surgery, rather than separate fees for physician charges, preoperative testing and other related services. The arrangement was announced last week.

Such a health model is rare in the industry, but more companies may consider it as they try to simplify a system where the cost and quality of a procedure can vary widely in some states. Hospital costs in Maryland are more predictable because the state sets rates.

http://www.sfgate.com/cgi-bin/article.cgi?f=/c/a/2011/12/12/BU5K1MBIDC.DTL

Move Over Drug Reps Here Come the Hospital Reps Competing for Time To “Sell” the Doctors But No Fear They Have No “Samples” in Tote

The actual positions are not called sales and marketing though it’s a branded name called “Physician Liaisons” easier to get in the door with that title.  Tenet is hiring ore of them to go around and speak with doctors and many of the Liaisons are in fact former drug reps as they know the routines in getting past he front desk gate keepers and how to cater lunch.  So who says we don’t have the best healthcare system every sold?  Are hospitals going to soon be painted like this house? 

The Greatest Movie Ever Sold” Just Like “The Greatest Healthcare System Ever Sold”- Same Paradigms-Colbert Report (Video)

My senior mother gets marketed constantly and thus even with using celebrities, it still grows old. I don’t mind the education part of it if they could just spin down the marketing and flawed data a bit.

Compliance Police Out In Force for Seniors–Health Plans and Drug Stores Making Phone Calls-Business Models & Caller Behavior Sucks -A Result of Pay for Performance Efforts?

So many hospitals are very close on profit levels with large numbers in the US operating in the red.  Some even are making cuts before they get anywhere near the red, like Cedars with mental health, so you know the current economic status is hitting them hard while corporate America keeps putting more in their profits. 

Cedars-Sinai Hospital Closing In-Patient and Out-Patient Psychiatry Services–Will Give Grants To Nearby Clinics

Practices that are targeted include orthopedics, cardiac care and cancer.  Hospitals need doctors but doctors don’t’ necessarily need the hospitals depending on which field the are in.  The University of Chicago Medical Center is one hospital who is working the program and again they said too that drug reps require less training.  Now we have an interesting word creep in here, “meaningful”…the hospitals want that type of call with the already over loaded doctors..possible…some of course yes but it’s like any other part of sales in you get a lot of “no’s” before you get a “yes”.  The former drug reps according to this article seem to enjoy their new roles, no samples to haul around for one:)  BD 

Sota, 30, is one of four employees the academic medical center has hired in recent months to make "sales calls" on physicians in the hope that they will send more patients to the hospital. "We are trying to build meaningful relationships," said Sota, who was previously a saleswoman for a small medical device company.

The University of Chicago Medical Center is one of a growing number of hospitals nationwide hiring former drug and device sales reps to visit doctors' offices to persuade them to use their services over competing facilities.

Rather than handing out samples of prescription drugs, the sales reps call on doctors armed with the latest information on how their facility is reducing hospital-acquired infections and improving patient-satisfaction scores.

While hospitals have always tried to woo doctors to refer patients to them, the institutions are growing more direct in their efforts. The hospitals mine data to see which doctors have the most profitable, well-insured patients, and then they assign those doctors to a sales rep.

As a result of major cutbacks by pharmaceutical and medical-device companies in the past decade, hospitals have thousands of former medical salespeople to draw from. Tenet's roster of sales associates includes alumni of pharmaceutical and device giants Sanofi-Aventis, GlaxoSmithKline, Johnson & Johnson and Novartis.

http://www.usatoday.com/money/industries/health/story/2011-12-13/hospitals-sales-reps/51887938/1

Aetna Sues Blue Cross/Blue Shield of Michigan Over Hospital Contracts Relative to Unfair Competition And Anti-Trust And There’s Plenty Of This To Go Around…

In other states is has been in the news to where Blue Cross/Blue Shield have negotiated contracts with hospitals, so who knows on this one.  Let’s just make sure these court costs don’t come out out the MLR (medical loss ratio). By the way the image here is a volcano in Italy called Mount Aetna…kind of similar here with imageboth blowing their tops but the volcano I’ll bet doesn’t have an attorney:)

The one that gets me and I am surprised that someone has not called unfair competition against United with their basically giving away free hearing aids when seniors sign up with them for health insurance.  They even created another company to do this and I am no expert and anti-trust but this one just seems so blatant and out there for others to challenge, that is unless they spread the wealth. 

UnitedHealthCare Throws in Free Hearing Aids for Those Who Enroll In AARP Medicare Advantage, HMO & POS Plans in Miami-Dade County From Their New Subsidiary

On Twitter the other day I commented about United’s investment into the low income housing business and someone said is there anything they don’t dive into for profit?  At any rate and maybe this is why they hired former US Assistant Attorney General for General Counsel for the firm? 

United HealthCare Gets In the Medical Device Business–Distributing Cheap Hearing Aides Sold Via Hi HealthInnovations Division –Subsidiary Watch

Back on track here, Aetna says Blue Cross/Blue Shield is paying hospitals more.  Aetna has really changed several of their payment solutions as I am hearing from many doctors of late with really pushing the envelope on analytics.  I know on cardiologist who was doing great with them until he had the “one patient” who needed a specialist and I call this the “super specialist” as when you have a cardiologist referring up, you are going to the super doctor in selected cases.  They are telling my doctor that he’s now, due to the cost on one patient, outside of their analytics range and want him to pay the bill, when he received and got approval to send the patient to the specialist, which by the way saved the patient's life. 

Needless to say this doctor will probably have his contract with Aetna cancelled and who knows whether or not Aetna will try to take him to court to pay for the referral of the specialist.  All it takes is one patient who runs up a tab and the good doctors are now bad doctors on the money side and you may not be able to see them any more, even though they have been accredited with saving your life.  Knowing this and reading about this lawsuit, just looks like more of the Attack of the Killer Algorithms in more ways than one.  BD 

Attack of the Killer Algorithms-Occupy Wall Street Part 4 Health Insurance Style - One More App For Folks Who Are Tired of Flawed Algorithms That Require A Ton of Work and Research Time To Create “Perfect” Data Files for Insurers And Others Analytics Processes

Aetna Inc. has sued Blue Cross Blue Shield of Michigan, alleging the state's dominant health insurer's use of "exclusionary contracts" with hospitals stifles competition in Michigan's health insurance market by inflating prices paid to hospitals by Blue Cross's competitors, including Aetna, and the customers they serve.

Filed in the U.S. District Court for the Eastern District of Michigan, the Connecticut-based Aetna (NYSE: AET), which demands a jury trial, seeks triple the damages it sustained and injunctive relief against the nonprofit Michigan Blues, alleging it violates Section 2 of the federal Sherman Act and Section 2 of the Michigan Antitrust Reform Act.

"Aetna made a significant investment in the state of Michigan in recent years," said Bill Berenson, president of the Michigan market for Aetna, in an email. Aetna contends the most-favored-nation clauses that Blue Cross Blue Shield of Michigan is using "are a violation of the antitrust act and seeks an end to their use, as well as damages for the harm they have done to our business."

http://insurancenewsnet.com/article.aspx?id=312433&type=lifehealth

Lap-Band Surgery Gets the Attention of the FDA–Warnings on Billboard Ads For 1-800-GET-THIN and More

Yes I live out here and see the billboards all the time.  I have a couple friends who have undergone the procedure and there is risk and you do need to change your lifestyle afterwards for sure.  This article was in the LA Times and even the reporters here who have covered the story well have had lawsuits filed against them and judges have dismissed thank goodness.  You can read the December 9th warning from the FDA. 

http://www.fda.gov/ICECI/EnforcementActions/WarningLetters/ucm283312.htm

What good a disclaimer if ones dies having an “elective” surgical procedure?  You can also read below to where the companies are having problems getting insurance coverage for their legal costs.  How does this come into play in the ER one might ask if a patient comes in with problems?  The link below kind of ask that exact question when a patient had surgery at a Beverly Hills center and later dies at a Huntington Beach hospital. 

1-800-GET-THIN and Lap-Band Lawsuit Having Trouble in Southern California With Insurer Covering Legal Expenses For False Advertising Case

The Lap-Band was given FDA approval and is made by Allergan and earlier this year was given approval for more wide spread use.  In 2009 it was approved in Europe and perhaps everyone is not a candidate here and the procedures and conditions seem to be the crux of this issue here in Los Angeles.  Other companies make a similar product that does the same thing and this appears to be the procedure and advertising efforts without full disclosure on the billboards.  BD 

It has taken almost two years, but government regulators finally woke up to the idea that those 1-800-GET-THIN billboards plastered all over Southland freeways may be dangerous to your health.
That's the underlying meaning of the action announced Tuesday by the U.S. Food and Drug Administration against 1-800-GET-THIN and a bunch of affiliated surgical services and clinics. The FDA warned the marketing company and the clinics that they're in violation of federal law by promoting the Lap-Band, a weight loss device that has been implanted in thousands of patients, through "false or misleading" advertising.

Subsequently we reported on several deaths of Southland patients that occurred after surgeries performed at clinics that have been affiliated with the ad campaign, according to lawsuits, coroners' reports and other public records. So far the known toll is four, with a coroner's ruling still pending on the death of a fifth patient, who expired after being rushed to a hospital in September from the surgery center where she had just undergone the procedure.
We've reported on the shocking sanitary and safety conditions at one of the surgery centers affiliated with the ad campaign, and noted questions about whether the surgery centers' insurance billing has been proper.

The public record is brimming with material — including complaints of wrongful death, negligence and irregularities in billing practices — that could fall well within the jurisdiction of several state regulatory agencies. It may be that the FDA has fired the first shot in what could be a barrage. Certainly the message communicated by the FDA warning letters is of paramount importance to Southland motorists: When you pass a billboard advertising 1-800-GET-THIN, keep your eyes on the road.

http://www.latimes.com/health/la-fi-hiltzik-20111214,0,854037.column?

Microsoft Office Now Complies With HIPAA Standards Using the Office 365 Trust Center in the US and the UK For Privacy & Security

This is a big deal as email correspondence has been a huge topic for years with security and ensuring privacy.  For my own use I have parked my own domain of imageducknet. net over at Microsoft and as a “Live” or “Hotmail” user you get the same antiviral protection that they sell to the enterprise.  I remember when they purchased Forefront and attended a few local seminars here in the OC and it has come a long way since then.  In the past I have also recommended the Small Business accounts which has now been evolved into Office 365. 

Again, individual configurations in the cloud with Office 365 are best created with the IT or IS departments but knowing that the HIPAA compliance is there is a huge step forward.  I like the fact that I have choices too with coordinating the cloud with my own familiar desktop Office software too, been doing that for a couple years now.  A while back I spoke with Chris Sullivan at Microsoft on how Office helps the small physician practice so now with HIPAA compliance it seems like the solution has even grown to create even more value.  BD 

Microsoft Talks About Healthcare Provider Solutions – Interview With US Director Chris Sullivan

Microsoft also announced the availability of the Office 365 Trust Center. The site provides in-depth information about the privacy and security practices for Office 365 and was recently redesigned to be more accessible and easy to understand. The new site can be accessed at http://trust.office365.com.image

Today, Office 365 can help hospitals, insurers and clinics confidently empower their staff to be efficient and productive virtually anytime and almost anywhere while substantially reducing their IT operating costs.”

That is, until now. Today, we are excited to announce that Microsoft is helping remove that barrier by embedding privacy and security capabilities in Office 365, our next-generation cloud productivity service. This means that Office 365 is now a cloud-based platform that complies with leading information privacy and security standards for customers operating in the United States and European Union. As part of its contractual commitment to customers, Microsoft will now sign business associate agreements under the U.S.-mandated Health Insurance Portability and Accountability Act (HIPAA).

Why is this such a monumental step in our commitment to the health industry?  Because communication and collaboration is the lifeblood of the health industry and Office 365 makes it easier for people and teams to be efficient and productive anytime and anywhere.  By embedding HIPAA privacy and security capabilities in Office 365, Microsoft is enabling health organizations to confidently empower their staff to communicate and collaborate anytime, anywhere and substantially lower their IT operating costs.

As the first major cloud-based productivity service to obtain certification under ISO/IEC 27001, a rigorous information security management benchmark, Microsoft submits to a yearly audit of its information security policy by an independent expert and shares the results with its customers. Additionally, Microsoft has developed its online services to provide physical, administrative and technical safeguards that facilitate full compliance with HIPAA requirements.

http://blogs.msdn.com/b/microsoft_in_health/archive/2011/12/14/microsoft-office-365-cloud-based-productivity-service-complies-with-hipaa-standards-for-data-protection-and-security.aspx