This is a great demonstration as to what is going on at the
Kaiser Garfield Center. A few years ago I had the opportunity to interview their head of innovation at the center and what a job he has with challenges and also being off the wall a bit to create solutions, or maybe I should say out of the box but I thought I would change that old saying as things are not always in boxes anymore. To further sharing of ideas and creating solutions, Chris and Kaiser Permanente are also members of the ILN, the Innovation Learning Network which consists of Kaiser and other healthcare institutions, all again working in the same directions on the same and similar types of projects.
Innovation and Learning at Kaiser Permanente – Interview With Chris McCarthy
I also talked with one of their Pediatricians on how medical records and personal health records helps her do her job and involve patients.
Kaiser Permanente Pediatrician Patricia Richards Explains How The Use of Electronic Medical Records Enhances Knowledge With Obesity and Adds Focus to the “Let’s Move” Obesity Prevention Campaign
So moving forward a bit we now have the center full of robots and who would have ever thought. The video below shows some of what’s going on with helping patients. One thing to keep in mind is where some of this technology gets it’s start, the NIH funding.
I’m glad that they touched on this subject with the NIH as now we are looking at potential budget cuts and we don’t want to lose our science, so there’s an answer with licensing and taxing data sellers that make billions selling our data. This would kill a few birds with one stone as consumers would have a federal site to look up and see who sells what kind of data and who do they sell it too. There’s no consumer transparency on this at all it’s a game where billions are made. Walgreen made short of $800 million selling data in 2010 so again this would be a win-win.
Time Has Come to License and Tax the Data Sellers of the Web, Companies, Banks, Social Networks..Any One Making a Profit-Latest Microsoft/Google Privacy War Helping the Cause –Consumers Deserve to Know What Is Being Sold and To Who in a Searchable Format
This could also help to give some 
relief to the US device companies who make their products here as they create jobs, and the algorithmic data sellers do not, they just rake in billions. Taxing data sellers would spread the tax element out over banks, companies, social networks and more so we can keep our science funded.
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
Also there would be enough in the till to help the FDA and many other healthcare agencies. Again as you see here the da Vinci robot has it’s start with NIH funding and we don’t want to see this slow down to a crawl and again the video makes such a nice presentation as to what is being done to help patients. There are many other device companies too that got their start with funding from the NIH. BD
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
The untold story is that Intuitive Surgical did not invent the technology. The research that eventually led to the development of the da Vinci Surgical System was performed in the late 1980s at non-profit research institute SRI International, funded by NIH. The original product was driven by the US military which was interested in the system for its potential to allow surgeons to operate remotely on soldiers wounded on the battlefield. Guidant had first crack at commercializing the system and turned down the opportunity. John Freund, who had recently left Acuson, ultimately negotiated the tech transfer and first VC funding for the system, thus incorporating Intuitive Surgical.
http://www.beaker.com/blog/index.php/2013/02/09/robots-healthcare-and-the-untold-story-of-da-vinci/
omalyst, or pomalidomide, was approved for multiple- myeloma patients who have tried and failed on at least two other drugs, including Celgene’s Revlimid and Takeda Pharmaceutical Co.’s Velcade, according to a 
c diff fecal transplants who knows? I wonder how many bathrooms they have in the house. They both work from home so they can do their thing whenever they want. Hilarious watch them go to the store and how picky they are about the flavors…I didn’t think that happened at that end:) I could go on there but I’ll stop. I guess if it works for them and they can adhere to this …well knock yourself out. It’s a good thing they are both in this together as if they were not, the other partner might not be as excited about the idea. 
very cool. With the computing power that Watson has, this is great. This is a model case to where the insurer does cover the treatment and all goes just fine. Ok so let’s go to the next scenario and this will happen in real life as to when the doctor’s choice for care is not approved…lot of work to be done there as it always is with payers. Will a hospital administrator get involved at that point? Will a mortality risk be purchased for review relative to the patient? Those are just questions and a lot of this goes on already. From the clinical side though it looks great and the ability to use speech recognition to enter notes all enclosed is super. The partnership was announced in March of 2012 and this where they are with the work. 
Keep in mind that Watson is machine learning so what you give it to reference is extremely important. This is machine learning so at some point you are getting to the “unreadable” levels with data and technologies compiling. Too bad our government can’t see this as a tool to make better laws and learn how to model better yes I know I have written about that several times and we have 
as hospital administrators don’t interfere too much in the payment and budget side and with high cost cases it will open those doors and one would have to be oblivious to not see this as analytics are overburdening us today in one form or another. Payers have transitioned much of the work flow in EMRs today so let’s hope in this case it stays pure and remains a good tool for doctors when they need it. BD
called AcerMed that left a bad taste in everyone’s mouth as one day they were gone and it was not a cheap system to buy. Again, it is better today but also it’s more complex as we are talking web based records and in those days it was pretty much all still client server as computers were not yet fast enough to allow for the speed we have today. All that changed though when the the hardware was improved to web based medical records but there are still many solid client/server medical record systems out there. 
“hands on” so they know the mechanics of building a system well, top of the line and they integrate and wrote a lot of their own integration software as well. That’s one of the reasons why the good Doctor/CIO is tops in this business and he’s a great hybrid being a doctor and a CIO, now that we have his genome maybe we can clone him (just kidding). I only had hands on with an ambulatory system, but we see things a lot differently than one who is only a user or one with limited exposure to the mechanics of one. 
dirty areas in Health IT, look to the payer side as nobody questions them and basically they run circles around the government and they use models and math to do it. Nobody looks or doubts United Healthcare and their formulas, which in the past they used for 15 years to pay doctors and hospitals short. Me being a data person, I see keep a look out as if someone did something like that once, they might do it again and the AAFP had an interesting find lately. It is scary when the other side is so far ahead of you, it makes you head spin and fear sets in and crazy letters like the one at the link above go out. Everyone at the other end scratches their heads. I think the 3rd party consultants are the areas to really watch and hey some of those are owned by insurance companies too, so those with many subsidiaries run business intelligence if there’s more than one entity involved to model how a change in one will reflect another subsidiary, it’s business intelligence. Most of the time every is obvious as to who owns the consultants too. 
see what level of intelligence the government and those who work there are dealing with…they are way, way ahead and calculating, and all I want is some effort on the other side to grab some of this intelligence and battle back. It’s not the government you need to worry about with data, it’s private industry and they have been doing it for years and it’s to the point you can’t ignore it any more. I have actually had the pleasure of exchanging a few tweets with Derman, bright man. Computer programs here reference banks but this stands for all businesses, wake up please. As a side note, I can relate to the programmer here, spending hours and hours writing code as whether it’s financial software or an EMR, its all time consuming. AGain this is how business and models work today and why we have attorneys in key spots is beyond me as they can’t think and act quick enough, no hands on with them. 
IT business and as long as people are writing tons of code to make things work, it’s not going away but at the same time sure we need to be alert, not be snowed and not try to turn this entire situation into a few bullet points because you cant’ do that. Take all these reports that promise trillions of savings and know they are not true and excuse that falsified sense of urgency they create along with the report, not going to happen. There will be savings and plenty of bright spots but remember the report are created from publicly traded companies who are there to serve shareholders. I wonder if that is why Dell went private to get out from underneath digital illiterate shareholder:) 
screwed seeing these legal policy statements on websites and then if you want something you sign it all away, what’s up with this being any kind of privacy? Have you read the news about the FDA and NIH being cut on funds? This is a good reason to license and tax data sellers to keep our science going and with such good cause, banks and companies should not complain with the billions and billions of dollars they make mining and selling data. Read all the links in here, they are from the Quack. 
the bionic man. The developer of the robot was born without a hand and thus his interest in creating the bionic man. Good questions asked, should people who have limbs replaced be allowed to have a much more powerful hand than what is human? In time as crazy things go, would people begin having an arm removed to get one that is robotically superior? They just about have and implantable working kidney so of course this will hopefully be moved over into other areas of technology, the one Rex has now it not quite there. 
ion of the future. Rex is a humanoid robot, as close as we’ve come to a bionic man—a composite of all the advances medical engineers have made in creating functional artificial human organs.
have changed a bit making it a little more generous. Up to $120,000 towards a school loan is given for a commitment to work 3 years in an under developed area or 6 years part time. This is certainly one way to get your medical degree loan paid for and I would think a big incentive as the cost of medical school is growing out of reach for many without help. At the end of last year, David Geffen in Los Angeles gave out over $100 million to expand opportunities for medical students where they can get their education 100% free. BD 
in the news, as just yesterday I posted the link below telling everyone to “hurry up”. Digital illiteracy and not being on the same path and lack of comprehension as to what brings this all together shows it’s illiterate face all the time. A lot of why this happens is due to those calling for the “’rush” in actuality are “non participants” themselves, otherwise they would get a clue and understand a little better:) 
processes, chain the programmers and developers to the desk and stand there with a whip and chain? Again, digital literacy with executives that understand the process is really helpful. There are others in government departments that make digital illiterate statements in the press, like Homeland Security Chief Napolitano saying she doesn’t use email. She just gave a ton of consumers the incentive to opt out of technology and she didn’t even realize what she did, not smart. From my angle we go back to “its for those guys over there” as if she were a real participant, she wouldn’t have said that:) Sure we all have problems and to 
say that she doesn’t even use a web based email program for casual personal use, well you get the picture…she’s hanging on to old paradigms and using it as an excuse not to be a bigger participant herself. Again like Bloomberg said, look for nonsense as reported in the papers sometimes and that comment was utter nonsense on her part. Its said she had no clue on how she made herself look at all in tech just shook their heads and, well there’s another one of those with loose lips:) 
to do this and made a commitment that developers couldn’t fulfill on the time schedule the CEO wanted and where’s he at today, no longer the CEO. I read an article the other day and I thought it was a good one, “if you are not a Geek or into technology, don’t start a technology company” and you know that makes perfect sense. You can’t just run around with a “simple” vision anymore and say this is what I want when there are constraints, IT Infrastructure snags, integration, you name it out there. Secondly don’t blame the developers for delays as we all have them today. My suggestion here is to “grow up” and get a little knowledge from somewhere on the timing elements here and quit putting out useless statements like this, it means nothing other than I’m showing everyone I’m doing something, well what is it? 
as you can see all are working as fast as they can and there’s a lot to this and simplistic statements with “hurrying” the process are not vogue anymore. To do this blog I use some free predictive services like 
but it doesn’t always work out in the real world. The quants in the video make that point loud and clear too. Sure he has a big buzz when everyone is using his software and all developers get a bit of this of “being smarter” and better than others as they write the code that turns the wheels. No code, no wheels turn and he’s not the bad guy here, it’s the people who used it and how they used the software. It’s buying a copy of MS Word to do your work, Microsoft is not responsible for what you do with it. 
this mean more money to speed up the process too? It’s a question worth asking as Health IT is getting more expensive all the time as the complexities of integration grow. There’s more out there to integrate and more upgrades and work that has been done since 2010 of course as is with any systems today. IT infrastructure and costs run it all. Audit this:) In the meantime other areas such as the Coast Guard have chosen Epic medical records for their EHR. 
information on the patient relative to injuries sustained while serving, etc. and that sounds like much of the effort addressed here to make that available sooner. It’s a lot of money and time for sure. In the meantime the VistA system from the VA also has their pilot programs with sharing information with commercial systems such as Epic and being both are using a version of the MUMPS data base, that helps with some commonalities and standards. 
You can buy all kinds of insurance here..and it 
You can also see which Universities are currently members, and again if this is new how did they all get on here? Did I miss something or is it just the research institute part of it that is new as it states the UHC was been around since 1984, and again Ingenix was around then and of course they were used by non profits all over the place for clearinghouse and billing software services. I looked at 
delivery system. The UHC Research Institute is composed of two centers offering a unique approach to prioritizing and delivering actionable health care solutions: the Center for Economic Research and Strategy and the Center for Innovation and Clinical Effectiveness. The complementary centers address two critical needs of UHC's AMC members: improving effectiveness and efficiency in clinical care, particularly related to unnecessary variation in care, and demonstrating value in care delivery that results in tangible points of market differentiation. "The UHC Research Institute™ offers a systematic and integrated approach to driving measurable value for UHC members by supporting their work to redesign and improve the delivery of patient care," states Irene M. Thompson , UHC president and chief executive officer. 
e talk about his weight. Letterman asked does your family every talk about your weight, every day he says. What is good here is that he takes the joking in stride and doesn’t get bullied at all and uses common sense. He also on a serious note talks about the people and businesses that still need help in New Jersey. 42,000 families are still homeless and 82,000 businesses are still out of commission. He says his cholesterol and blood pressure are normal. 
around:) Ok so much for gamification that everyone talks about. The question being posed here is “would you buy this game”. The hand doing the surgery doesn’t look too steady either. These are the developers asking for suggestions, do you want a brain transplant module? Better they stay with programming. Maybe they should ask Dr. Oz about this one:) BD 
download at the 
![EZClaim[4]](http://lh4.ggpht.com/_v3zjJigoAPE/TG1-9etl5ZI/AAAAAAAAgqg/CRMlet5Pi5k/EZClaim44.png?imgmax=800 "EZClaim[4]")
Math–This Could be a Subject for Michael Moore to Explore and Document In a Movie
Screenings Too–Killer Algorithms Part 12–Medical Billing Codes Style
Assessing Consumer Credit Scores–Attack of the Killer Algorithms Chapter 21 With Flawed Data
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
