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Some CIOs Say Corporate Directors Are Clueless About IT–“ Short Order Code Kitchen Burned Down Years Ago and Some Directors Missed the Virtual Fire Sale”

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 imagesome 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."



http://www.cio.com/article/721456/CIOs_Say_Corporate_Directors_Are_Clueless_About_IT?page=1&taxonomyId=3174

FDA Approves iPhone Connected Thermometer Device–Peel and Stick Sensor that Monitors Body Temperature in Real Time

The device will record 72 hours of body temperatures imageand 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 

Pilot for Wireless Digital Vital Signs Monitoring System Begins at St. Johns Hospital in Santa Monica–A Disposable FDA Approved Plaster Attaches Similar To Using A Band-Aid



A Beijing-based medical device company called Raiing has been granted 510(k) FDA clearance for the Raiing Wireless Thermometer, a peel-and-stick contact thermometer sensor that continuously transmits body temperature readings to a companion iPhone app, which is already available in the iOS AppStore. The app is called Vitals Monitor and is currently available for a free download, but the device itself does not appear to be commercially available yet.

http://mobihealthnews.com/19110/fda-clears-iphone-enabled-body-thermometer/

Heartware Finally Receives FDA Approval for HVAD Mini Heart Pump–Ventricular Assist Device

The Heartware system is finally available in the US.  It hasimage 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



HeartWare Receives Approval From the FDA Authorizing 94 Additional Patients for Clinical Trials with the HVAD Mini Heart Pump

image
The power sources are external.  This is really an engineering feat to say the least.  The pump is the size of  a golf ball.  An external controller is worn like a belt or over the shoulder like purse.  The video below tells you a bit more about how this works and compliance and debugging the device is needed by the patient.  BD 



The Food and Drug Administration on Tuesday approved a new heart pump for patients with severe heart failure who areimage awaiting a heart transplant.

Regulators approved HeartWare's Ventricular Assist System, a battery-powered device that is implanted in the chest, where it helps the heart's lower left chamber pump blood throughout the body.

The FDA has previously approved similar devices, known as ventricular assist devices, but HeartWare's device is smaller and may be easier to implant in some patients.

http://www.foxnews.com/health/2012/11/21/fda-approves-heartware-device-for-transplant-patients-awaiting-organs/#ixzz2CviumSUc

Pilot for Wireless Digital Vital Signs Monitoring System Begins at St. Johns Hospital in Santa Monica–A Disposable FDA Approved Plaster Attaches Similar To Using A Band-Aid

Sensium Vitals is the name of the product and it is a wirelessimage 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. 

Thus far at St. Johns Hospital the feedback has been positive as interventions can be made sooner if needed, based on patient’s numbers.  It has a battery life of 5 days and after such time you just throw it away and get another one if needed.  Outside of the hospital development continues for home monitoring and the use of a system as such for clinical trials for pharmaceutical use.  BD    



Toumaz Limited (AIM: TMZ, 'Toumaz', or 'the Group'), a UK-based pioneer in low cost, ultra-low power wireless technology, has started the pilot of its digital vital signs monitor, SensiumVitals, at St. John's Health Center, Santa Monica, California; a major US hospital.

The SensiumVitals monitor is a disposable, ultra-thin plaster imagewhich 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.

Any deterioration in condition can be detected by the SensiumVitals monitor and dealt with immediately, thereby reducing the number of patients admitted or readmitted to intensive care and the overall hospital spend.

"This disruptive wireless monitoring technology is the world's first FDA cleared and fully disposable vital signs monitoring solution for general use in hospitals. SensiumVitals represents a breakthrough in how patient care is delivered, setting a new, cost effective standard for hospitals and also benefitting patients' recovery.

http://www.4-traders.com/TOUMAZ-LD-4005134/news/Toumaz-Ld-Toumaz-Starts-US-Hospital-Pilot-of-Wireless-Vital-Signs-Monitoring-System-Achieving-Maj-15449452/

Remote Area Medical (RAM) Coming to New York With Free Clinics December and Food and Supplies for New Jersey After Thanksgiving Holiday

First of all this message is their first effort of filling up a 53 foot trailer with donations and after your Thanksgiving dinner if you have anything to donate here’s the information on how and what to donate as the truck will leave Monday morning and they are taking donations all the way up to Sunday night, November 25th. 

REMOTE AREA MEDICAL is joining forces with theimage 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.

A representative from Colts Neck recently contacted RAM regarding the hard-hit community, and agents from TN businesses and non-profit organizations have been coordinating logistics with Colts Neck representatives since that time. The Big Emory Baptist Association (BEBA), working as a part of the TN Baptist Convention, have begun collecting much-needed items (see list on right or below) for Hurricane Sandy victims, and will continue collecting them from now through Sunday, November 25. The RAM team will leave Knoxville for NJ on Monday, November 26.”

YOU CAN HELP BY DONATING NEEDED SUPPLIES 
NOW THROUGH SUNDAY NOVEMBER 25!

Non-perishable food items
Baby food
Baby diapers
Hygiene Items
(soap, deodorant, toothpaste, etc.)
Cleaning supplies
Paper Towels

PLEASE BRING ITEMS TO:
Big Emory Baptist Association
1216 Ruritan Road
Harriman, TN 37748
8AM-4PM

Now through Sunday November 25!



Now for the free clinic information in the New York area

RAM has been very helpful in the Los Angeles area over the years and there’s no such separation any more with “rural” and clinics as we have seen RAM in other major metropolitan areas and yes I have heard people say it makes us look like a 3rd world country and maybe this is yet the strong message that still needs to get through to lawmakers.  Here’s the schedule for the free clinics coming in December for the Flushing and Jamaica areas.  

image
To volunteer for the free clinics in New York, here’s the link….

http://www.ramvolunteers.org/register/

They are looking for both professional (doctors, dentists, nurses) and non professional volunteers.  I would guess this is going to be a full event and the timing is about right as many who have been displaced may not have had the opportunity for any medical care since Sandy. 

“RAM will be giving free medical and vision services only. All professionals must be licensed in the state of New York. Only students in Ophthalmology, Optometry, or Optician fields will be accepted. There is limited space available for medical and nursing professionals. Support volunteers limited to vision experienced only. Locations are expected to be in Jamaica and Flushing, but are subject to change. Volunteers will receive details via e-mail. Times are TBD but are expected to be 7AM – 5PM daily.



Below is a video that will tell you about RAM and what they do. 



Remote Area Medical Founder Receives 2010 Inamori Ethics Prize – RAM Returning to Los Angeles April 27th

Remote Area Medical Making An Unprecedented 2nd Clinic Appearance in the Los Angeles Area April 27-May 3, 2010

Using Social Media To Cover For Lack of Original Thought (Video) Onion Humor

This is way too funny!   My firm charges lots of money without imageproviding 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” 

Well hopefully I’ll be around for a while longer as the Medical Quack is not a bot, although it maybe lots of other things, but quacking bots could really be a nuisance:)  BD



http://www.youtube.com/watch?feature=player_embedded&v=CK62I-4cuSY

Stryker Medical Device Company Cutting 1170 Jobs–It’s that Excise Tax on Device Companies But Device Companies Provide US Jobs, While Data Sellers Just Provide Algorithms for Billions With Intangible Profits

  I guess it’s time to hit this one again as our folks in Congress I don’t think have the brain capacity nor the technology investments, i.e. IBM Watson, to help them create laws.  IBM Watson is going to work at other places like Citibank so they can figure out how to get more of your money.  IBM Watson also had some good installation with using clinical information like the Cleveland Clinic too so it’s not all bad by any means, but DC should be using a tool like theirs to make laws and with speech recognition, even the lowest common denominator we elect with tech skills could still participate and query.  There’s something there for everybody and gosh knows they need information technology help for making laws and it’s beyond the white hope Ryan thinks he is. 

Back on target here, this is the continued fall out and when the healthcare law was constructed things looked different but the shift that has taken place in the last couple of years requires a new look at this plan.  They are all Algo Duped in one way or another.  Sure some device companies sell data but they would be in there with everyone else, banks, companies, social networks you name it for paying for a license and paying quarterly taxes on the billions they make every quarter selling data and this activity does not create very jobs at all, as the algorithms do the work.  Here’s more on the topic below.  I have written about this so many times and it doesn’t seem to reach a high enough level of intelligence for some reason. 

One More Good Reason to Tax the Data Sellers– Create Additional Funding for the NIH and FDA From Sources That Otherwise Are Too Greedy to Share & Contribute

”Hey dude let’s crunch some numbers and see if we can come up with some analytics to sell” is what we get as Congress is still trying to “control” this and you need to go to plan B and create a win-win.  The old farts though can't seem to grasp this.  See this guy below making millions selling yours and my data and as a consumer you can’t even see what he has or what he sells it for as he operates outside of federal regulation by design. 


E-Scoring Credit Algorithms Invisible To Consumers Used to Market and Evaluate, Does Not Fall Under Federal Law And Such Are Used by Insurance Companies - How Will This Work With Exchanges –Attack of the Killer Algorithms Chapter 42

Data has value of course but the bankers have rolled this value way beyond belief and where it should be and they use fictional formulas for their business plans to generate more money and sometimes that means using formulas and algorithms that you don’t see or understand to do that..been going on for years but the number of folks doing this is at an all time high.  You want jobs with companies that make stuff, give them a break and realize that your plan devised 2 –3 years ago is already dated and is now more detrimental than good.  You can read this post below and even Nielsen commented me favorably with that one. 

Big Data, Flawed Data, Business Intelligence, Where’s The Future and What Has Been Our Past…A World With ”Algo Duping” of Society and Consumers

A couple months back I did a rather long post about Cook 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. 

Cook Medical Cancels Plans for Factory Expansions–We Need Companies That Create Tangible Products As They Create Jobs–Tax The Data Sellers/Brokers Who Make Billions With Data Mining “Killer Algorithms” And Give the Device Companies a Break


That’s happening to me today with errors and here’s a good example..what in the heck are they mining and selling out there..just took an address match on sold data for this error to take place…I know this stuff as I used to be a big data base person so believe it. 



Insurance Company Data Mining With Automated Transactions? What Is Being Done With Consumer Data–My Flawed Corporate America Data Shows Up -Attack of the Killer Algorithms Chapter 45


“Ok so I look over the form and see a 2nd driver added.  imageI 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.”


Fact is predictive analytics will hold some real education for us and give us knowledge but, and this is a big but, it also stands to be one of the biggest areas for Algo Duping and fraud with spinning data and using fictional formulas with business models. 

You see it now as the banks are laying off as the fiction is coming out.
  Just watch the videos on the left hand side of this blog for a real education that is if you want it. 

So once more we should tax where the money is and recoup it from those who are selling us out, making it difficult to get accurate credit information, etc.   I have a friend who works for a big company and she’s in charge of credit and collections and she even says so much of the stuff that runs through is garbage and her department now requires extra time to again straighten it out for the company, so imagine what your odds are here with flawed data. 

Get smart Washington and work with the device companies that create jobs and device companies use your intelligence to sway them over to the taxing the data sellers as they are not capable of thinking or diverting to a new direction themselves.  BD

Attack of the Killer Algorithms–Digest & Links for All Chapters–on How Math and Crafty Formulas Today Running on Servers 24/7 Make Life Impacting Decisions About You




Medical supply giant Stryker is the latest company to announce job cuts in anticipation of coming costs associated with ObamaCare, even though the man who inherited a fortune from the company's founder is a fan.

The company will cut 1,170 jobs, or five percent of its worldwide workforce, despite the fact that the founder's grandson was one of the largest contributors to President Obama’s re-election campaign. Medical tech scion Jon Stryker, whose net worth is currently estimated at $1.2 billion, contributed $2 million to the Priorities USA Action super PAC and has given $66,000 in contributions to Obama and the Democratic Party. Stryker does not run the company.

A "medical device excise tax" included in the mandate imposes a 2.3 percent levy on medical device manufacturers and suppliers, which critics say will raise prices on everything from pacemakers to prosthetics to stents. Companies will be required to pay the tax regardless if they have a profit or loss for the year. The tax is estimated to cost the medical device industry $20 billion.

Jon Stryker has been active in politics before the recent election; he contributing millions to help Democratic candidates in his home state of Michigan. He also has given nearly $250 million of his personal wealth to groups supporting gay rights and the conservation of apes, which led to a newly found species being named after him. In 2010, the discovered Myanmar Snub-nosed monkey was named Rhinopithecus strykeri by the research teams that were funded by Stryker’s Arcus Foundation.


http://www.foxnews.com/politics/2012/11/16/medical-supply-giant-stryker-corp-makes-pre-emptive-strike-against-pending/#ixzz2Cn31Egb0

Algorithms Are Taking Over the World…Automate This (Video)

If you have read my series on the Attack of the Killer Algorithms, imagewatch 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. 

Attack of the Killer Algorithms–Digest & Links for All Chapters–on How Math and Crafty Formulas Today Running on Servers 24/7 Make Life Impacting Decisions About You


Programmers, scientists, quants, technologists all face the same issue and the people on Wall Street can’t draw the line between utility and menace.  Where do the lines get drawn and who gets to draw them.  If you need more on the “menace” concept then use the link below and watch the documentary, “Quants the Alchemists of Wall Street” to see the menaces at work that have have taken your money and the fiction they write into the formulas of of business models.  You will understand more as to why you see CEOs like Jamie Dimon say “I don’t know” when asked about their models.  When fiction and the real world collide where does the money go, only your algorithm knows for sure…well maybe. 



Quants: The Alchemists of Wall Street Video Documentary - Why It Needs to Matter What Companies Do and Not Focus Only On the Price of Stock With So Called Value - Attack of the Killer Algorithms Chapter 44



Just this week Steven Colbert talked to him about his book and the algorithms…is this the matrix?   



http://www.youtube.com/watch?feature=player_embedded&v=H_aLU-NOdHM#!

Fire Department Uses Risk Assessment for Emergency Response Criteria, Cutting Types of Responses So As Not To Over Expose the Firefighters And the Trucks to Risk…Who Let This Geek Out of His Room?

And we wonder why people are not as helpful as they used to be!  Firefighters don’t care for it if you read the article.  This is the work of bean counters and over working data if you will.  Real story here is that they had to lay people off so this is the story and services offered to somehow justify those actions, and it stinks, written like a true bean counter data geek. 

There is an out though if one absolutely insists and I guess is hanging on to dear life.  I can understand some of this but give me imagea 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

Attack of the Killer Algorithms – “Algo Duping 101″




Emergency medical calls eliminated from the list requiring automatic response from fire division:

Allergic reactions/stings, bites

Chest pains (non-traumatic)

Convulsions/seizures

Diabetic problems

Heat/cold exposure

Overdose/poisoning (ingestion)

Pregnancy/childbirth

Stroke

*Traffic/transportation incidents

Unconscious/fainting (near)

Unknown problems (man down)


DANVILLE — As of Oct. 1, the Danville Fire Department does not automatically respond to certain medical emergencies, like allergic reactions, chest pains and diabetic problems, but the new policy concerns members of the firefighter's union.

It is troubling to the Associated Firefighters of Illinois, according to association President Pat Devaney. Speaking on behalf of Danville members of the association, Devaney said most communities are finding ways to offer additional, or a higher level of, emergency medical services rather than reducing them. He said firefighters and fire stations are strategically located, so they can respond more quickly than ambulances.

"It's something we (association members) don't view favorably, nor should the citizens of Danville, in my opinion," said Devaney, who is also a lieutenant with the Champaign Fire Department.

Thomason said the reasons for the policy change are safety of fire personnel, safety of the public and preservation of fire equipment. He said the policy would reduce the department's number of calls by 50 percent.

"Every time one of those engines goes out, it's subject to an accident," said Thomason, adding that an accident puts fire personnel and the public at risk of injury and equipment and other property at risk of damage.

"If a call requires resources beyond our capabilities, then putting the safety of our personnel, the safety of the public and the protection of our resources at risk is inappropriate," he said.

Devaney said other communities that have increased the medical level of their fire departments have gone to providing an intermediate level of medical service or advanced life support engines, especially as the population is aging.

He said it's rare for communities to consider scaling back on the number of types of EMS calls to which they respond. Devaney said he also questions whether it will always be obvious from the 911 call whether a situation truly is life-threatening. Doing that type of screening over the phone, he said, callers might not be able to adequately explain their condition.

http://www.news-gazette.com/news/courts-police-and-fire/2012-11-19/danville-cuts-fire-department-response-some-medical-emergenci

Wake Forest Baptist Hospital to Eliminate 950 Jobs–Cuts In Federal Research Funding Cited As Well As Deep Cuts in Medicare and Medicaid–Is This the Return of Desperate Hospitals?

Back a few years ago after the bottom fell out of the markets we had tons of layoffs and in the last few days I see them cropping up again.  950 is a pretty large number and Wake Forest is where they do all the research for growing organs.  They grow bladders there and have many other potential life saving projects that are on going so I hate to see any of those come to a close.

Hospitals are laying off and all we get as consumers are a bunch of crappy mobile apps that everyone has been writing about that pretty useless.


Urethras Grown at Wake Forest–6 Years Later Five Young Men Are Doing Fine


Over in California we have 114 jobs being cut at Memorial in Modesto.  Over the weekend Kaiser Permanente announced some layoffs as well.

Kaiser Permanente Laying Off 530 Employees in Southern California

In Orlando, Orlando Health is cutting hundreds of jobs and everyone says that the layoffs will not affect patient care.  They all say that.  Government reimbursement drops also cited.   Layoffs loom at Carney Hospital in Massachusetts. 

These are just a few and there are more if you search but again the pinch is coming and again I will make my case for taxing the data sellers that get the data for nothing and the profits for free.  This could fund the FDA and the NIH as well as other areas of healthcare.  It’s obscene that in the media all I see is bitching and gloom and doom and nobody goes any farther.  Granted we have a problem here and those same stinking folks who mine data and make billions would certainly want to have good care if they took ill. 

One More Good Reason to Tax the Data Sellers– Create Additional Funding for the NIH and FDA From Sources That Otherwise Are Too Greedy to Share & Contribute

Again I’ll use my Walgreen example here that showed in 2010 that the corporation made short of $800 million, from 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. 

Need more proof, read the link below…guy’s making a killing with millions in profits with collecting and selling data about you that is not even under federal law. 

E-Scoring Credit Algorithms Invisible To Consumers Used to Market and Evaluate, Does Not Fall Under Federal Law And Such Are Used by Insurance Companies - How Will This Work With Exchanges –Attack of the Killer Algorithms Chapter 42

Someone has to introduce some creative thinking here as it certainly is not getting done in Washington.  I don’t want to do another series on Desperate Hospitals and digital illiteracy is sinking the entire country.  That fear of Math thing must really exist in DC as we don’t have a soul that seems to be able to talk a little math.  Wall Street gets richer as we feel the pain of a Congress that is afraid of '”real math” and have been duped to their eyeballs.  

“Algo Duping” – PLOS One Journal Publication Explains Why The Fear of Math Plays a Big Role As One Underlying Reason We All Get Duped And Those Who Don’t Fear Math Take All the Money, Gradually, Using “Mathematical Formulas & Algorithms”

Get that tax out there and let’s start funding what is needed and the rich will have to be just a little less rich. And for the men reading here, Wake Forest is where they grow those rabbit penises that hopefully will be available for humans one day so hope that regenerative research goes on hold as well.  That’s one for the women who read this blog:)  BD


Regenerative Medicine News – Fully Functional Rabbit Penis Created That Works



WINSTON-SALEM, N.C. (AP) — Wake Forest Baptist Medical Center will lay off 76 employees this week and cut a total of 950 jobs by the end of next June, the center's chief executive said Wednesday.

Dr. John McConnell said most of the cuts are administrative positions, but some faculty members could lose their jobs due to cuts in federal research funding. He also said 2012-13 revenue is being affected by "deep cuts in Medicare and Medicaid payments, which constitute nearly half of our health-care reimbursements.

Michael Walden, an economics professor at N.C. State University, said he considers Wake Forest Baptist's action a "major layoff and a signal of challenges facing many hospitals who are being prompted to increase efficiency."

"I think this is a bellwether announcement likely to be repeated across the state and nation," Walden said.

http://www.sfgate.com/news/article/Wake-Forest-Baptist-Hospital-to-eliminate-950-jobs-4037841.php#ixzz2CjSWjJgZ

Hoag Hospital in the OC–One More Hospital Working With Domestic Medical Tourism in the US

This is an interesting article and I was not really expecting to see Hoag in the tourism business but they are.  Really though it’s not unusual at all though as you see Johns Hopkins and the Cleveland Clinic doing the 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.

Hoag also benefits from a lot of local gifts from individuals and then has several money raising events, one being the PGA Toshiba classic which I have donated my time on the golf course as a walking score keeper in the past.  Earlier this year both Hoag and St. Joseph we having conversations about how to improve care in the OC, and both are non profits.  If you say Cedars Sinai in Los Angeles, the equivalent  is Hoag in the OC. 

Two Big Non Profits, Hoag Hospital and St. Joseph Announce An Affiliation For Better Healthcare in the OC

I did some checking around the web and found Hoag listed on the website “Online Medical Tourism” and that may not be the connection used by the patient in this article but they are there.  People from other countries can look at coming to the US.  It’s a strange world we live in at times as we find ourselves at times having to travel else where in the US or outside the US and then we have those traveling here to get medical services they can’t get where they live. 

Carol and Ed Vogel enjoyed a weeklong all-expenses-paid trip to a Newport Beach resort last month, and they're scheduled to return in a couple of weeks.

The Nevada couple didn't need frequent-flier miles or credit card rewards to get free airfare and hotel stay as well as $1,000 in spending money. It was all because of Carol Vogel's ailing hips and an employer's frustration with the high cost of U.S. healthcare.  BD



Her husband's employer, newspaper publisher Stephens Media, sends employees and their family members needing hip and knee replacements to a handful of hospitals across the country, including one in Orange County, that agreed to a low, fixed rate for surgery and scored well on quality of care. 

This year, grocery giant Kroger Co. has flown nearly two dozen workers to Hoag Orthopedic Institute in Irvine and several other hospitals across the U.S. for hip, knee or spinal-fusion surgeries in an effort to save money and improve care. Starting in January, Wal-Mart Stores Inc. will offer employees and dependents heart, spine and transplant surgeries at no cost at six major hospital systems across the nation, with free travel and lodging.

In Newport Beach "this was 100% paid for," Vogel said. If she stayed closer to home in Nevada, "I would have been out $8,000 or $9,000 easy on my insurance."  Hoag Orthopedic Institute's bundled fees for knee and hip replacement range from about $20,000 at an outpatient surgery center to roughly $30,000 or more in the hospital. The surgery location depends largely on the patient's medical condition.

http://www.latimes.com/business/la-fi-bargain-surgery-20121117,0,7250543,full.story

Amazing Charts EHR Purchased by Pri-Med

Amazing Charts was one of the first EMRs to come on the scene when they were new and actually were around when I was writing my program.  imageBack 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. 

Amazing Charts EHR Now Has An IPad/IPhone Mobile Application


This is interesting as it now puts Pri-Med in the medical records busness and over the years I have been to a few of their conferences here in Anaheim, California and you will find most medical record vendors there along with other educational companies as well as the drug companies, basically anything to do with education and also quite a few device companies maintain booths.  I might bet that Amazing Charts might get preferential treatment on their choice of booths in the future:)  What they want is to make themselves available for doctor feedback and suggestions.  The price for Amazing Charts has always been very minimal and they were one of the first EMRS to offer an off site back up, years ago they that.  I’m sure the extra money will help them along as again it’s hard today to keep the product up to date and affordable at the same time.  Ask any EMR vendor about the money they burn through with the complex programming needed today.  BD 



Boston-based Pri-Med, which provides professional medical education to over 260,000 clinicians, said today it has purchased Amazing Charts, an electronic health records provider to independent medical practices.

Amazing Charts founder Dr. Jonathan Bertman will continue to serve as president, with Kathleen Repoli serving as senior vice president. Other terms of the deal were not disclosed.

Amazing Charts is based in North Kingstown, R.I. The company will operate as an independent subsidiary of Pri-Med.

http://www.bostonherald.com/business/technology/general/view/20221119hub-based_pri-med_buys_amazing_charts/

McKesson $1 Million Dollar EHR Give-Away - Free Practice Choice Software to 100 Physicians Who Provide Charity Care To the Needy in 10 US Cities

Ok so if you live and practice in one of the 10 designated cities and substantiate the fact that you do provide charity care, you canimage get a 26 month free license which normally costs $399 a month per physician.  This is not for doctors who work for hospitals but rather for the private practices with an MD count of 1 to 10.  McKesson will establish a committee to determine the recipients so if you are a doctor in one of these cities providing charity care, it will stand to save you money. 

Doctors need to be practicing primary care, internal medicine, family practice, gynecology, or pediatrics to qualify.  Also a history of charity care for at least 6 months is required and you need a high speed internet connection and most offices have that today even if still using paper charts.

 



To qualify for the software, physician practices must be either primary care, internal medicine, family practice, gynecology, or pediatric practitioners; be in private practice, (not hospital employed); work in a 1-10 physician practice; have a demonstrated history of providing unreimbursed care to the low-income community for six months or more; and have broadband or high speed Internet connectivity in the location where the physician expects to use the software.  Here’s the link to the application.  BD 


One good deed deserves another. It is in that spirit that McKesson Corporation plans on providing McKesson Practice Choice™ software, a Web-based, integrated electronic healthimage 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.

A McKesson committee will select physicians from applicants in the ten metropolitan areas with the largest impoverished populations to receive the free software. These cities include: Detroit, Cleveland, Buffalo, Milwaukee, St. Louis, Miami, Cincinnati, Philadelphia, Memphis, and Newark.



You’ve given of your time and expertise to those who need it most.  McKesson wants to thank you for it, and help you continue to bring better health to America’s neediest citizens.

Perhaps you hold infant care classes for new mothers in the inner city…maybe you provide diabetes screenings to residents at homeless shelters…or possibly, you teach the indigent how to manage their blood pressure…or maybe you just hold office visits for the needy at no cost.  Whatever benevolent healthcare services you provide, you’ve done so to better the lives of those with the least access to care.  McKesson thanks you for your commitment to better health, and wants to help you help others.

Qualifying physicians will meet all of the following minimum requirements:
  • Specialize in either primary care, internal medicine, family practice, gynecology or pediatrics
  • Serve the under- or uninsured population in one of the ten large cities with the largest low-income populations: Detroit, Michigan; Cleveland, Ohio; Buffalo, New York; Milwaukee, Wisconsin; St. Louis, Missouri; Miami, Florida; Cincinnati, Ohio; Philadelphia, Pennsylvania, Memphis, TN and Newark, New Jersey.
  • Work in a one-to-ten physician practice
  • Work in private practice, (are not employed by a hospital)
  • Do not currently use a McKesson electronic health record
  • Have provided free healthcare to the target population for 6 months or more
  • Have broadband and/or high-speed internet connectivity wherever the software will be used

In addition, at this time, McKesson Practice Choice and accompanying personalized support are available only in English, so the physician and his/her office staff will need to be conversant in English.



http://mckessongivesback.com/

National Football League (NFL) Signs 10 Year Agreement with E-ClinicalWorks for an EHR (Medical Records System) for the Players

A couple weeks ago it was the NBA joining forces with Cerner and this week we have the NFL working with e-ClinicalWorks for an EHR for the players.  There’s always plenty going on at e-ClinicalWorks and it was just a couple months ago they announced their “Join the Network” plan and will be expanding Peer to Peer sharing via the NHIN network.  Now when the NFL is up and going with e-ClinicalWorks this means that the doctors within the network could set up to share and receive patient records from other doctors using the system too.  The patients however, will still decide how and where their records will be shared and will have access on smartphones. 

EClinicalWorks Launches “Join the Network”–Invests $10 Million Over the Next Year to Expand Peer to Peer Sharing Via NHIN Program for Users with eClinicalWorks and For Those Using Other EHRS

e-Clinical has probably been one of the most aggressive medical record companies with using aggregation and integration with other systems, such as HealthVault for one for PHRs.  Now all players will have a record that can be accessed by team doctors anywhere and the information in the records will also work with research areas to perhaps even build some better helmets in time.  It will take about 2 seasons to fully implement the system.  BD
image



The National Football League is kicking off a league-wide effort to digitize health records. The NFL will use eClinicalWorks' electronic health record (EHR) platform to streamline coordination of care for players.

Announced Nov. 19, the multimillion dollar deal will allow NFL doctors and trainers to access health records and radiology images and share them with second-opinion physicians, said Girish Kumar Navani, CEO and co-founder of eClinicalWorks.

In addition to typical EHRs, which include information on patient medical conditions, digital records for the NFL will help doctors and trainers track players' rehab and physical therapy, Navani told eWEEK.

http://www.eweek.com/cloud/nfl-to-use-ehrs-for-care-coordination-injury-tracking/

Stem Cell Transplant For Paralyzed Dachshund Enables Him To Walk Again–Hope for Humans (Video)

This is a cool story in  more ways than one.  The article mentions that no dogs were paralyzed for this trial and I believe it being a dachshund owner myself.  Not my current dog but the one before him has 2 back surgeries with disc repairs and it wasn’t easy or cheap to say the least and if something like this treatment would have been around, I would have been all over it.  These are the greatest little dogs and here’s my current one who guards my auxiliary hard drives as a dog’s work is never done":)

More importantly it gives us faith that one day this could be an answer for humans using stem cells to help those who are not able to walk due to injuries in the spinal cord area.  This little guy had not been able to walk since 2008, a long time for a doggie.  This was a double blind trial to where nobody, the dog owners nor the researchers imageknew 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. 

Geron To Focus on Cancer Programs Discontinues Internal Development of Spinal Stem Cell Programs-66 Jobs Go Away–Biotech Gets Shot in the Foot With Funding While the Ridiculously Valued Chase for Social Algorithms Intensifies

So what’s the answer for funding?  License and tax the billions of dollars made by the data sellers and help out both the NIH and FDA as that’s where all of this takes place.  I’m talking about the companies, banks, etc. that get their data for nothing and their profits for free.  Everyone complains and recognizes this fact but does nothing to suggest how to fund it, so I’m being a little different here as this tax would also help address privacy issues and give consumers a disclosure on who sells what kind of data to who.  Without that law enforcement could shut them down along with non payment of license and tax fees.


One More Good Reason to Tax the Data Sellers– Create Additional Funding for the NIH and FDA From Sources That Otherwise Are Too Greedy to Share & Contribute


A paralyzed dachshund has learned to walk again after cells taken from his nose were used to bridge the breaks in his spinal cord.

Jasper, who has been unable to walk since 2008, has now been described as his owner as “whizzing around the house”.



The study offers new hope for paralyzed human beings and is the first demonstration of effective spinal cord repair in “real life” injury cases.

Professor Robin Franklin, one of the study leaders from Cambridge University, said: "Our findings are extremely exciting because they show for the first time that transplanting these types of cell into a severely damaged spinal cord can bring about significant improvement."

Many of the dogs were dachshunds, which are especially prone to this type of injury. Unlike humans, dogs can suffer serious damage to their spinal cord just by having a slipped disc.

"It's a great example of collaboration between veterinary and regenerative medicine researchers that has had an excellent outcome for the pet participants and potentially for human patients."

http://www.huffingtonpost.co.uk/2012/11/19/paralysed-dachshund-jasper-nose-cell-transplant-hope-humans_n_2157343.html?utm_hp_ref=tw

PLOS One Abstract–Methodology for Detecting Manipulation of “P Values” To Show Significant Statistical Value, “Inappropriate Fiddling” Which Can Lead to “Algo Duping” Situations And Numbers

First of all the abstract funding states neither the NIH nor Coca-cola have any interests (in other words it was not completed for any particular case).  I’m sure the NIH might find this abstract of interest as would many who are involved in clinical trials for one. It goes into some pretty extensive detail and even beyond what I can explain in portions of this so imageI 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 P Values that may have been “fiddled with”.  If this is making you uneasy, check out the link below with the PLOS One Journal study why the fear of math makes you feel pain:)  It’s a real study but at some point it’s probably in the best interest of all to overcome just a little bit of the fear factor as those who don’t fear math create formulas and algorithms to take your money in the financial world.   

“Algo Duping” – PLOS One Journal Publication Explains Why The Fear of Math Plays a Big Role As One Underlying Reason We All Get Duped And Those Who Don’t Fear Math Take All the Money, Gradually, Using “Mathematical Formulas & Algorithms”

Everything is context and this video below will help you understand the vary basics of P Values and it’s in layman’s terms and is done very well.  Professor Siefe by the way wrote the book “Proofiness, the Dark Arts of Mathematical Deception” and what better person to speak on this topic.  You can always find this video on the Quack on the left hand side if you ever want to come back and view it again, as it’s there with a couple of other educational videos done by people smarter than me, but explain how code and math can lead to Algo Duping. 



Here’s one more which gives a very simple example of the P Value in layman’s terms so after watching this you might think twice about all the studies you see in the news and wonder, “What is the P Value” especially when you see all the ones about coffee, etc.  So again this is good that FINALLY the spoof on values and numbers is finally getting some real attention, otherwise we all go crazy.  BD

 


“Much has been written regarding p-values below certain thresholds (most notably 0.05) denoting statistical significance and the tendency of such p-values to be more readily publishable in peer-reviewed journals. Intuition suggests that there may be a tendency to manipulate statistical analyses to push a “near significant p-value” to a level that is considered significant. This article presents a method for detecting the presence of such manipulation (herein called “fiddling”) in a distribution of p-values from independent studies. Simulations are used to illustrate the properties of the method. The results suggest that the method has low type I error and that power approaches acceptable levels as the number of p-values being studied approaches 1000”.



image

image

“Our proposed method involves examining the distributions of p-values reported in collections of literature to detect the inappropriate manipulation of statistical analyses to produce p-values that appear to be significant when the initial analyses produced results that were nearly, but not quite, statistically significant. The focus of the proposed tests is to determine whether there is a noticeable pattern in the number of p-values between 0.05 and 0.075 versus those between 0.075 and 0.1 (any intervals of equal length could be used). P-values are assumed to have been collected from N independent studies. As a random variable, a valid p-value has a uniform distribution on the interval 0 to 1 under the null hypothesis, and it has a distribution that should be monotonically decreasing on this interval if the alternative hypothesis is true (see [6] for more discussion of this). Thus, if no fiddling has occurred, there is an “expected relationship” between the number of p-values between 0.05 and 0.075 and those between 0.075 and 0.1. If this relationship is not what is expected, then there is evidence that fiddling has occurred among the studies collected for analysis”

http://www.plosone.org/article/info:doi/10.1371/journal.pone.0046363?imageURI=info:doi/10.1371/journal.pone.0046363.g001#abstract0

http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0046363&imageURI=info%3Adoi%2F10.1371%2Fjournal.pone.0046363.g001

More GOP Governors Asking the Feds to Set Up State Insurance Exchanges, “Negotiating Insurance Contracts are a Bitch Part Two”

Featured on this article is the Governor of Louisiana, Bobby Jindal and several others to include Rick Perry in Texas have imagedecided 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. 

State of Louisiana Rejects United Healthcare’s Protest Over Awarding Blue Cross/Blue Shield Contract To Manage State Employee Health Insurance–Battle of the Insurance Algorithms Continues..


My best guess here is that some might be saying enough is enough and let the Feds do it for us so the reasoning here has changed.  Here’s an example from the doctor’s view (link below) on what is happening with Blue Cross in California as the state works to begin getting the exchange set up.  I owe this little bit of information below to a doctor that caught me up. 

Blue Cross in California Automatically Opts Doctors In for Insurance Exchange Participation And Reimbursement Looks To Be Around 30% Less Than They Receive Now For Individual Policies - Employer Provided Insurance Is Not Affected

Health Insurers in California Prepare to Negotiate Contracts with “Covered California” the Branded Name for the California Insurance Exchange–Complexities of Contracts Today Running on Corporate Servers 24/7 Opens the Door for More Sophisticated Algorithms

In Texas they also have this issue to deal with…

Feds Cut Texas Medicaid Funds Over Exclusion of Planned Parenthood–Stupid Political Battle Over Women’s Health–The “Default” Topic of Digital Illiterate Politicians And Lawmakers Rises Again…


We all read about complexities, and they are now here and the next step is to work and deal with them now that the media has announced their arrival in many columns.  The time due date imagefor 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 



Bobby Jindal’s got a funny way of showing how much he hates Obamacare and Washington bureaucracy: The Louisiana governor’s about to invite the feds to set up a health insurance exchange right in his backyard.

So is Rick Perry in Texas. Ditto for John Kasich in Ohio. And Scott Walker in Wisconsin.



The Republican governors of several big states, including Florida’s Rick Scott, New Jersey’s Chris Christie and Arizona’s Jan Brewer, remain in the undecided column. That may have factored into federal health officials’ decision to postpone Friday’s planned deadline for signing up until mid-Decembe

r.

http://www.politico.com/news/stories/1112/83992.html#ixzz2Ce2fEO1e

Kaiser Permanente Laying Off 530 Employees in Southern California

The exact locations of all the layoffs is not known, only that the layoffs will be in offices and hospitals from Kern County all the way to the Mexican border.  Some employees could be rehired next year and some imagemay 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. 

A statement made said the layoffs come to be able to keep the company in a position to meet and implement provisions of the Affordable Care Act.  BD


Kaiser Permanente - one of the nation's largest HMOs - will lay off 530 employees in Southern California this weekend, including some in the Inland Empire, a company official has confirmed.
Kaiser Permanente said the layoffs – covering less than one percent of its staffing – will be spread across its 65,700 employee workforce in offices and hospitals from Kern County to the Mexican border. The HMO serves nearly 3.5 million members in Southern California.

In a statement, Kaiser Permanente said health care in America is in the midst of “exciting and challenging” times, and that the company had undertaken cost-reduction initiatives – including layoffs - to ensure it could meet “these changing dynamics.”

http://www.scpr.org/news/2012/11/17/34959/kaiser-permanente-confirms-530-layoffs-southern-ca/