This article talks about “undereducated” boards when it comes to IT and you can read the news if you are IT savvy and see a story on
some of those types of comments any week on the web. Most of those stories end up with a very narrow and defensive view of IT and it does no good as sometimes the right decisions are not made. The one comment here from a CIO in this article that really makes sense is “If they don't know about technology," she says, "they can't imagine what I'm imagining”. That is such a true statement as I run into that as well just consulting and sometimes I encounter some board members and they have no clue let alone the patience for me to explain to help them understand.
The “short order code kitchen” that I referenced in the title is an old paradigm that you just call in the CIO or the IT bunch or both and they build what you want and how you want it, worked in the early days but not exactly that way today with integration of data systems and more working on the web, but they still think so. It was easier for me too back then to build as when you have nothing anything is an improvement and when your information is on a single SILO, security is much easier too and that area has grown in the last couple of years as the bad guys are getting smarter too.
Today boards have to spend more time on technology issues and that’s an issue too with government as complexities grow. Sometimes they end up going with legal advice only and that’s only half of the puzzle. IT folks are pretty much on top of what they can do legally but they get overridden at times and then nothing gets done. Again government, same issues and just look at the SEC, headed by someone watching the legal doors and a bit clueless as far as the actual technology and how it works. Even various public CIOs have had to become a lot more aware of technology, as after all folks it’s an IT infrastructure of the biggest kind running all of this.
Healthcare Reform Putting Additional Pressure on Public and Medicaid CIOs-The Health IT Bubble Gets Closer As Money And Digital Literacy is Scarce
What makes matters worse is that some
board members have never met or had occasion to hear what the CIO has to say and they design it that way and they are the losers. Having a board member that has tech savvy is good thing and it’s not always the CEO of a tech company as many of those at the top are “executives” that can be as lost as the other board members. Again those companies that plan to grow should realize that a good CIO can be worth more value than the CEO when it comes to planning, why? There’s no company out there running without an IT infrastructure and who better to advise than the CIO. BD
CIO — Even as companies are relying more on technology to come up with innovative business models and fresh ideas for finding new revenue, many boards of directors don't understand enough about IT to keep up. Few CIOs sit on boards and, according to PricewaterhouseCoopers, just 1 percent of directors have any technology background at all. Discussion of IT issues in meetings around the mahogany table can be measured in minutes.
There's a dangerous lack of confidence in the board's digital literacy, revealed in our exclusive survey of 250 IT leaders. Sixty-four percent say the board "doesn't do its homework" about technology matters and 57 percent say directors rely heavily on what they read in the press to evaluate IT strategy. Some 40 percent say board members "don't really care about IT."
One $5.5 billion healthcare company has no technology committee on its board, but the board calls on the CIO often to make presentations or answer ad hoc requests, says the CIO, who asked not to be quoted. The board has asked for her views on topics such as new industry partnerships and startups, the company's competition and what it needs to stay strong into the future.
That the board consults the CIO about such core issues shows that both it and the IT leader are enlightened, Metayer says. "I don't know any company not struggling with some technology issue. Diversity of thought at the board level is an important way to approach those struggles."


and if you visit the website there’s an image of an infant to promote it which is probably a good idea as depending on the baby, this might be easier than using a thermometer that required inserting into a body orifice. The company that makes the product is located in China. It uses blue tooth wireless to connect. This appears to be a consumer app and just earlier today I wrote about a hospital in Los Angeles testing a wireless device to monitor more vitals than just temperature. The peel and stick sensor business seems to be making some major progress of late. I like technologies like this that actually “do something” and provide a purpose versus a lot of the other somewhat “useless” apps that are floating around out there. BD
already received the European CE approval and over 2,000 people outside the US have already been implanted with the device. The device is primarily for those who are waiting for a heart transplant that have end state left ventricular heart failure. The first hospitals to get the device are those that participated in the clinical trials in the US. This was monitored by the FDA and more on that topic can be read below and the device has been available outside the US since 200
awaiting a heart transplant.
system to monitor patient vital signs. Normally at least every 6 to eight hours when in the hospital a patients vitals are checked. Obviously if one were in intensive care this would not be the case but this is rather for patients who are not critical and alerts can be configured to be sent to mobile devices for doctors and nurses. Patients also can be mobile while being monitored, i.e. being moved from one area to another.
which continuously monitors the patient's heart rate, respiratory rate and temperature whilst in hospital. The monitor significantly increased patient surveillance compared to current practice, which involves manual measurement of vital signs every six to eight hours.
township of Colts Neck, NJ; the Big Emory Baptist Association of Harriman, TN; and Landmark, International Trucks, Inc. of Knoxville, TN to deliver much-needed food and supplies to Hurricane Sandy victims in Union Beach Borough, NJ.Items will be delivered by RAM's Reach Across AMerica program managers on a 53' truck, the use of which has been donated by Landmark, International Trucks, Inc. RAM will also cover fuel costs. The NJ township of Colts Neck has adopted the shore community of Union Beach Borough, NJ after Hurricane Sandy devastated the area. Mayor Jarrett Engel and Col. James Sfayer (US Marines, ret.) are leading the effort in Colts Neck to re-build and revitalize Union Beach. 
providing an actual service he says. Social Media gets rid of value for anyone…The Onion has a winner with this one as a parody. “Creating fake Twitter accounts that are bots will increase followers…real human users will eventually go away and we will have a whole new group of robots who will market and sell to other robots”
i.e. IBM Watson, to help them create laws.
Medical and this tax and had a lot of nice responses saying thanks and that somebody gets this. I do numbers and report on how they ethics and we are certainly stabbing ourselves in the foot with this tax when it could be easily had from other sources, the damn millionaires who create algorithms, not jobs, to sell out consumers and turn into “data chasers” to fix all their errors.
I have never added a second driver in almost 20 years and have been with the same insurer for that amount of time too, so no changes there. A few months ago I sold my home and it was interesting to see the name of the second driver that was “automatically” added to my policy. A couple purchased my home and it was name of the wife on my policy. Again the sale is a few months old now and strange how this got there.”
watch this video as Christopher Steiner explains where you interact with these algorithms in every day life. He’ right on the money here with the use of algorithms, how and where will we use them. Where do you draw the line between utility and “menace”…and that is so true…so I should say the Attack of the Killer Algorithms focus more on the “menace” side and he says who’s in charge is the big question here and that will be the battle of the future with the use of big data.
a frigging break relative to the part of the risk assessment of the employees and endangering the public every time a call is made…again bean counter and over worked algorithms here with a lack of humanism obviously as you read this. Sure the calls will be reduced but other fire departments have more of a humanistic approach and are increasing their services…so what the heck and who let this bean counter out to talk to this reporter with trying to sell risk assessment here with endangering the firefighters, truck and public with them being exposed by being on the street if needed…someone got duped with this explanation. BD
rom the intangible data selling only so how big is this pot, huge. I have been beating this horse around here for a while now and we don’t seem to have folks in DC who can come to terms with this as it’s not visible and doesn’t create the stir that talking about abortions created, so when the digital illiterates get over their heads, this is the useless rhetoric we get and it’s pathetically all over the news and folks that know better just shake their heads in disgust, self included here as it represents no productivity at all and nothing for the “good” of mankind, just a bunch of old crabby folks out of touch that are stuck in the 70s.
same thing. What is amazing though is the cost of the surgery with no money to put out by the patient to come down to the “beach”, Newport Beach that is for surgery versus staying in Las Vegas. Newport Beach is a great place to visit by all means an in the main hospital all rooms have a view of the ocean. There’s also the facility in Irvine, which does not have the same view but is equally as nice an newer as they gutted out a former hospital building there and established a second location for Hoag.
Back then there were only a few of us and social networks didn’t exist yet so we all piled around one forum and conversed. Amazing Charts still has a very active user forum and every time I stop in they always welcome me, a great group of doctors. Last time I wrote about Amazing Charts goes back to when they created their Ipad application.
record (EHR) and practice management solution, to 100 physicians who provide charity care to the needy in ten cities across the country. The selected physicians will receive a free 26-month license to the software, which typically carries a $399 per month fee for each physician– making the total McKesson reward worth $1,037,400.
knew which dogs received the real treatment and which ones were placebos. This reminds me of the Geron clinical trial which is still ongoing for a few individuals but no new participants have been enrolled since Geron decided to focus on Cancer research a short while back. This is yet another reminder of the fact that we need to fund research and how tough it is for biotech companies. The chase for social algorithms has somewhat overshadowed the need for life saving technologies sadly to say. Both Stanford and UCI were active participants in this trial too.
I have captured a couple images here that are easy enough to understand just to show that there is a method now to use to look for
decided to let the Feds take over with health insurance exchanges. A lot has happened since Healthcare Reform passed, and I mean a lot and thus things look a little different today especially in view of the depressed economy. Louisiana has been in a battle of it’s own with just getting insurance set up for State employees so they know what this is going to be all about. I might mention here too at the link below it’s the same two players again with United doing their same old thing with protesting and remember last year they sued the government to get the western Tri-Care contract. What a mess that was and they are taking over a few of the Blue Cross subsidiaries in the process or giving them contracts at least for a while.
for the exchanges was recently extended as to an answer on the commitment. Well you have to say the GOP is not most digital literate bunch out there but in this case it’s I’m sure it’s part dreading another go around of having to negotiate with all the insurance carriers that are going to participate. Some of the insurance carriers also own a subsidiary that has a private exchange, like Blue Cross, so in California this gets interesting as MDs there will be paid around 30% less if purchased via the exchange. Now what happens when a consumer buys from their own Blue Cross owned exchange? I think this is a good question…BD
may qualify for other open positions in the company. This is interesting too with the education and retraining program that will be offered that will keep employees paid and insured for up to a year. If I were one getting laid off this would certainly be the number one option I would look at for sure. As it goes in healthcare as some areas become automated, openings come up in other areas when jobs are eliminated so taking advantage of being trained in a new area that is growing is certainly an opportunity not to miss. 






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Math–This Could be a Subject for Michael Moore to Explore and Document In a Movie


Duping” Society Combined With A World of Rogue Algorithms & Flawed Data Continues In Markets As Seen With Knight Capital This Week-Attack of the Killer Algorithms Chapter 36
Study Fraud With EHR Technologies, Namely Medical Records/Billing Software Used by Hospitals– HHS And SEC Continue Getting Their Non-Algorithmic Fannies Kicked–Attack of the Killer Algorithms Chapter 46
SilverScript Senior Drug Program Sanctioned by Medicare Until the Payment And Billing Algorithms are Cleaned Up-Killer Algorithms Chapter 53
