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FDA Approves Second Sight Bionic Eye

I have been following this one along for a couple years now and great to see the approval here. 

The system works with a pair of eyeglasses aiding the process, but gee, what’s a pair of glasses when you can’t see at all.

The glasses have a transmitter that sends that information wirelessly to a receiver attached to the surface of the eye. 

After than happens there’s a tiny cable to an electrode array implanted in the retina, stimulating it to emit electrical pulses. The pulses trigger signals in the retina that travel through the optic nerve to the brain, which perceives patterns of light and dark spots that correspond to the electrodes stimulated. In May of 2011 the device was approved in Europe. 

 
Argus II “Artificial Retina” Wins European Approval


"Bionic" eye restores vision after for a 73 year old man after 30 Years of no sight

This is great to see what partial sight has added and the video explains the surgical process needed to use the device.  So far it only sees black and white but this is great compared to zero sight. BD 


 


http://www.nytimes.com/video/2013/02/14/science/100000002039719/the-fda-approves-a-bionic-eye.html?smid=tw-nytimeshealth&seid=auto

EHR Records Again Being Investigated and Discussed for Upcoding and Yet Nothing Brought to the Table–3rd Party Consultants With Efficiency Algorithms Might Be A Good Place to Look

imageCome on folks bring something to the table or some data. We have same problem with studies out all over the web that won’t give you the data either to verify models. NISS and I have discussions over some of the material they research, study with no data meant in one case over a million available models.  Remember Accretive, a 3rd party that even went to far as to show Wall Street executives actual patient files and got busted when they lost their notebook in addition to a few other non ethical activities. See what I keep saying, having folks around with some background in coding, health IT helps a lot so when news comes out, those folks know where to go look, better than a “guessing perception”.

Accretive Health Debt Collector Employee Has Laptop Stolen With Non Encrypted Patient Data from 2 Hospitals And Had Access to All the Data Via Revenue Cycling - Patient Information Was Shared With Wall Street Investors – Algorithms For Profit Again?


I read that letter back in September and myself and others on the web said the same thing then, show us something.  Copy and paste is  needed portion of entering chart records and like anything else it can be abused but again it depends on the design of the medical records and doctors are supposed to enter notes “as they see it”.  A little copy and paste of relevant material beats the heck out of a big long template any day as you are getting the doctor’s interpretation that way.  A template with words other than the ones produced by the doctor are also easy to find as well.  A little copy and paste as I have seen it may only be a portion of the chart note too, only what applies…anybody remember “auto text” on Word documents, been around for a long time and some doctor still do their notes this way.  I used to watch them do it when they didn’t have an EHR, so we can’t boycott “Word” too can we? 

HHS and DOJ Send Letters to Hospital Trade Associations Warning of Gaming Billing System Via Use of Electronic Medical Records–Hospitals Just Learned How to Bill Better & Hired Consultants–Case of Being Algo Duped With Numbers?

You can read more at the link below as I used to help doctors bill for extended visits when they legally did the work and EHRs do imagemake the documentation easier.  Sure there’s cheaters everywhere but most are not so let’s go after those guys and cut out the blanket accusations.  Just because one doesn’t understand the mechanics of an EHR, ask first.  Here’s your most common area right here with the 99213 for ambulatory and you can see pre-audits are coming on those.  Geez when I integrated my program with a billing program I literally had a visual of a super bill screen they could use and put in their ICD9 codes  and it went right to the billing software and created a claim.  Back a few years ago the visual of a super bill helped in the move to electronic records as it was something all were familiar with seeing.  Today you still see it but it’s not needed as another combined screen makes it more efficient. 


Medicare Contractors to Expand Prepayment Audits To Include Office Visits Beyond a 99213 To Ensure Documentation for 99214 and 99215 Is In Order For Higher Level Extended Visits and Exams


Most of the systems have options too, and consultants come in and lend a hand there with configurations. It’s like me buying a copy of “Word” to use, and Microsoft is not liable for what I do with it.  One thing too seniors do require more time.  A doctor friend of mine says that all the time and that it was more fun when he was younger as his base of patients did not have as many seniors and he felt the diagnosis processes were easier, which they were for a couple of reasons, younger people don’t have as many chronic conditions and we more identified of them identified today plus getting old sucks and the older we get, the more issues we are likely to have.  I don’t think I need a study for that as it’s common sense as getting old sucks.  Patient demographics changed a lot for him in twenty years. 

So you do have two legal items that will result in higher billing to a degree with older patients needing more time and the doctor being able to chart and document versus having a paper chart.  That fear of going beyond a 99213 is real and many doctors would not bill for their actual time for the fact that it would stall and delay claims getting paid.  There’s more than me that will tell you that, I heard it plenty of times and again part of the benefits of an EHR is the ability to actually bill for the real time spent and have the needed documentation.  There’s nothing that a practice hates worse than having claims stalled as now you go into gosh knows how long before it may get paid.

Yes there are cheaters as it is not a perfect world and the new fraud prevention software will and already is a big help there.  Those folks do need to be caught and we have come a long ways as it’s not as easy anymore for folks to commit some the blatant fraud as the software catches a lot of it.  Clearinghouse services help providers as well with catching real mistake too.

EHR Vendors to Focus on Usability? What a Surprise, Many Systems Have Done This For Years, EHR Systems Owned By Insurers Though Might Be Subject to Different Flavors and Goals

Again I go back to the low hanging fruit out there with big conglomerates like HCA who is said to be so far ahead of the average. 


How is HCA a For Profit Hospital Chain, Making All That Money–Billing in the ER a Contributing Factor for Reimbursements–The Algorithms Move Money and Created Some Very Large Profits And Others Generated ER Care Parameters for the Facilities

Let’s not forget the other side of the coin here that comes up with insurers using their algorithms to where their math was denying compensation and we have a 3rd party involved here, where I think the hunt will end up most of the time, so compensation is dependent on the algorithms on the other side.

Med Solutions ended up with a Senate investigation and found that sure there were some denied appropriately but how about the ones inappropriately denied, like in this case.  Medicare has contractors that are subsidiaries of insurance companies so is there an incentive to watch for this?  It’s just a question worth pondering as insurers when they do their own might be watching the pennies a little closer but to cut the amount of claims and bills down when they get paid for processing might take a little money out of the over all till? 

Med Solutions and Blue Cross Caught On the Stress Test Denial Algorithm (video)

Again I think the new software that HHS is running should pin point a lot of abuse and that’s the best tool to algorithmically search and find patterns.  I really just don’t get it with EHR vendors on the whole being the cause and I will say this that when a 3rd party vendor promises additional income or savings at a certain percentage, well we have a little history on a few of those as to what can happen.  Was this just not in the news a couple days ago?

Government Recovers $4.2 Billion in Medicare and Medicaid Fraud–With Numbers This Good Using Anti Fraud Analytics To Help Identify Patterns, Maybe Some Cheating Obsessions Might Lighten Up A Little


It certainly is not going to be buried in some “hard” coding in a software program but again parameters can be set as well as the parameters of any 3rd party supplied software. I realize too the average person is not going to have the same perception and facts that I talk about as they have never written code and everyone who doesn’t understand the mechanics out there guesses and and doesn’t have a “mechanical perception” on how this all works.  Many folks work with various versions of  spreadsheets with code added to their functionality for their analytics but remember some developer wrote those too:)  BD   


 

The Obama administration is forging ahead with a multi-billion dollar plan to shift from paper to electronic medical records, despite continuing concerns the program may be prompting some doctors and hospitals to improperly bill higher fees to Medicare. An investigation into those billing questions — which convened a hearing Wednesday — has yet to produce much in the way of results, and critics are questioning the seriousness of the efforts.  

“There is a lot we don’t know about that,” Farzad Mostashari, the National Coordinator for Health Information Technology, said Wednesday at a hearing of policy experts studying the billing issue. “We don’t know if the shift (in higher billing) reflects appropriate coding or inappropriate coding.” He added: “We don’t know if this leads to an increase in costs … or has other impacts.”

At the hearing’s conclusion panel chair Paul Tang, of the Palo Alto Medical Foundation in California, said that the group had little information about whether digital records improperly contributed to rising health care costs.

“We don’t have any data, positive or negative, that would be useful,” he said.

http://www.publicintegrity.org/2013/02/13/12208/electronic-medical-records-probed-over-billing

GenMed (Fake Generic Drug Company) Founders And Others Arrested for Manipulation and Stock Fraud As the Feds Arrest 14 Individuals–It Was All On the Internet

The arrests were related to GenMed and for an ad agency, FrogAds.  There were additional fake press releases that went along with all of this.  GenMed was fake company which was represented toimage develop and manufacture generic drugs.  The actors in the videos were for hire and didn’t have any part of the fraud scheme.  I guess the only thing we can say here is to watch who you endorse.   The stocks traded over the counter so no exchange representation there as if one is trying to hide I guess that is part of the game.

What they did was convince investors that the companies had great potential for profits and built an entire fake scenario around the two companies and this was not the first time for a couple of the individuals.  Here’s the video introducing the “fake generic drug” company.  They even paid a stock analyst to promote the stock and hid money in offshore accounts.  BD



U.S. Attorney release: 14 Arrested For Market Manipulation Schemes that Caused Thousands of Investors to Lo... by


Federal authorities arrested 14 individuals on Thursday for allegedly masterminding a far-reaching stock manipulation scheme that defrauded 20,000 investors out of $30 million, entailed the use of offshore accounts and shell entities with names like "Dojo," "Picasso" and "Big Dog" — and used actors Pamela Anderson and Eric Roberts as unwitting promoters of the scam.

Anderson appeared in a 33-second video for FrogAds.com, which appeared on YouTube. (FrogAds.com's CEO, Julian Spitari, was one of the men arrested.) FrogAds.com "purported to operate an online bulletin board for classified advertisements," according to a statement from the office of the U.S. Attorney's office. According to U.S. attorney for the Central District of California, André Birotte Jr., she had no idea that she was participating in fraud.

Superficially, the scheme the defendants are charged with perpetrating resembles a classic "pump and dump" market-manipulation scam.

Along with Anderson's video, Roberts appeared in a longer video, just over four minutes, for Genmed, "which purported to develop, manufacture and distribute generic pharmaceuticals," according the same U.S. Attorney's statement. Roberts was also an unwitting participant.

http://www.scpr.org/blogs/economy/2013/02/14/12563/pamela-anderson-and-eric-roberts-unwittingly-pitch/

FedEx Talks Social Media–Get the Text Out of the Box, More Likes and More Tweets Not Expanding Business for Radiator Valves (Hilarious)

This is great and in humorous way you look at the silly focus some folks have with social media.  Sure it has a place and I do my share of it of course, but when you see management that have no clue address it like this, the laugh is really on the management:)

I have to laugh my fanny off myself sometimes when I see some of the stuff that goes on.  I even had Google plus tell me my name didn’t meet with their name policies after having been there since beta day.  How dare machine learning technology!  It has to learn about ducks so don’t trust everything on your screens these days to be accurate.  Now back to FedEx and his funny video that reminds you of the human and personal touch that gets lost with all caught up in the text.  I often say friends don’t reduce real friends to text and email as a primary means of communication…it’s true too.  BD



http://www.youtube.com/watch?v=e17hOzO4lWs&feature=youtu.be

Someone Creates Yet Another EHR, Put a Sock In It–Opinion…

Ok with the title I said it and I just might guess there’s a few others that might embrace that thought:)  The point is that we are getting more fragmented as time goes on and whoopee do, more algorithms and queries with a new EHR-not! image Or this one has a new type of screens, have we all seen that out there?  Software is eating up the Health IT business for sure.  I’m sure there’s a few that don’t agree with that statement either.  When you understand the mechanics, the time elements needed to create software, someone like me who’s been on that side too will never share the same opinion as users.  We do understand the users and most software programmers and developers work hard to make sure it works for the users, but there are certain parameters we have to operate within too so it’s not always Burger King where you can have it “exactly” your way. 

Back in May of 2010 (link below)  I posted this article using the TED video from Juan Enriquez he too said the same thing…no more medical records systems, did anyone give it any thought?  Probably the EHR vendors already in the business agreed.  This too was 3 years ago and the area of life sciences has exploded as well and still needs more people writing code over there.  Actually life sciences with genomics is now spilling into the medical record side where we are integrated information to have the best of both worlds together for better patient care.  So when you stop and think about it this is exciting but is it wise to keep creating new silos to put it in? 

We Don’t Need Any More Medical Records Systems – Code For Cures And Move Over to Life Sciences To Hack Genes

Even before that again in the earlier days of sequencing I spoke with the Chief Science officer of Helicos which today is not doing very good as other companies have created new technologies for sequencing however I think they still have some important IP around in this area. Software and code builds on itself everywhere.  Point of brining this up is that Dr. Milos and I were talking code and math before it was cool:)  I find it interesting to back once in a while to see what the conversations were then compared to where we are now.  It does give you a real good idea on how fast everything is moving and how complexities have evolved. 

Helicos BioSciences and Personalized Medicine - Featured Interview with Dr. Patrice Milos

How many computer languages are we using today versus just a few years ago, a lot.  Sometimes when you look at job openings for computer scientists as they are called these job descriptions look like they were modeled like a job opening for a secretary or typist.  Oh yeah they want proficiencies in 5 languages or more, proficiency in SQL and also a good handle on Hadoop which is still new. Again the people writing these have no clue as to what all of this is but have rather gone down a list and said we need, that  and oh add this one for this person we want to hire:)   So let’s come back around here with the explosion of computer languages…”who cares about that new EHR and what language did they use this time to write and compile”?

Ok so moving forward, where’s all this danger in the user interface, step on it, I need this information now! (grin).  Never mind the fact that nobody really works together on GUIs but they could have years ago, but money won’t let that happen, so the poor folks at the government are scratching their heads, can’t you go any faster? 

Government Urges Software Companies to Find and Document Patient Harm Resulting From Electronic Medical Records–Checking Algorithms & Hey, Whatever Happened to the Common User Interface?

Consumers get a taste of this too with so many software programs that do what other software does, let’s face it how BMI calculators and pedometer software programs are out there..quite a few and using this as an example.  To take this further, who has time to look at all of them?  I had someone the other day, a non tech consumer tell me “Barbara I have to have a life too”…and I consider myself very “mild” and I’m not out there shoving more software down their throats but when something other than repetition comes along I mention it and let me imagetell you I’m much less of that today as I have to have a life too:)  Now we have yet another new item to deal with when it comes to software, you want to use our software, sign up here for our new Hold Harmless agreement….we don’t exactly know what it’s going to do, but it’s good stuff, but don’t come back and sue us if it’s not what you think it is (grin).   This again makes the statement on complexities today as developers can’t guarantee like we used to. 

ICD10 Software Being Sold With “Hold Harmless” Clauses–Sign of the Software Development Times?

Along this same line of thinking this situation caught my eye too with the government again saying “hurry up”get Health IT moving faster…exactly why we need executives in key positions that have a little IT background as they can’t see it or understand the business for what it is.  Yes I’m like Andy Rooney at times but I said back in 2009 that Health IT was going to eat up HHS in  few years and would be the big focus…well guess what here we are as nothing in healthcare runs without an IT Infrastructure and software that operates within in. This goes for other government areas like the SEC too as folks without the mechanics background as such will keep stumbling over themselves and there’s no way they could any perception close to what an innovative computer science or some experience in IT could see as a solution. 

Speed Up Rate of Change in Health IT?–“Short Order Code Kitchen Burned Down a Few Years Ago and There Was No Fire Sale”..IT Infrastructure Chance and Revisions Takes a Lot of ”Code”, “Time” and “ Most Importantly Money”

Insurance companies though have huge IT infrastructures and they use to provide services, analytics and remember these are for profit and anything out of those areas will be to generate money as primary focus and clinical will fit in there somehow as they design their systems.  Nobody checks their math or models so they can make other software acquisitions or release their own developed Algorithms on their schedule or also have the luxury of pushing the EHR and HIT folks to meet their schedules with software so you always have this scramble of the payer side pushing as money runs all. 

Somewhere along the line too we forget that in all of this humans work with technology to make it happen.  UCSF received a grant and using analytics with humans came up with a good program to help reduce re-admissions, so get all hospitals a grant and move on it…but again on the other side there are the Algo Duped out there that sill think “the algorithm fairy” still exists to have one stop “math” fix..doesn’t work that way.  Over the years one sits back and watches some nonsense on what is important and I go back to that silly Facebook contest when we have other issues that are more complex and relay directly to getting care to patients. 

UCSF Medical Center Reduced Readmissions With Heart Failure And It Was Not That Magical Flipping Algorithm Everyone Is Looking for That Did the Trick

You can go back to the election on Algo Duping if you want with all the talk about a re-do on Medicare with vouchers.  I wasn’t the only one sitting back and watching the side show and the fear created with changing Medicare as the time and money required was the first thing standing in the way.  Mr. Ryan had his numbers all together on cost savings but had not a clue on the time and money end of it, and anyone in Congress if they saw a “real” estimated cost and program would absolutely choke as software builds on itself.  A great example of this is the recent VA decision to integrate.  Holy cow to rewrite from the bottom up…Congress would be having nightmares looking at that budget not to mention the time!   Now the VA and DOD has to do some real extensive “code searching” to see if a rewrite was possible too, so that took time too.  We would all at times like a nice clean write up but not always possible.

VA and DOD To Work to Accelerate EHR Integration - CACI International Was Awarded $91 Million Dollar 5 Year Contract in 2010 to Provide the Services-Big IT Infrastructure As Such Requires a Lot of Time/Money


Again these are all perceptions that consumers don’t have a clue on so I try to bring some sense to light here as best I can.  Folks that work with spreadsheets and analytics all the time will have number crunching down to a better science than developers because that’s all they do, but they forget there were developers that wrote their number crunching software.  Doctors that used my EMR for another example knew the user side of it better than me, just the way it is.

So you think yet one more EHR has some value right now…stick a sock in it:)  We have too many other items to address today, especially in the area of “flawed data” where 60 Minutes did a great expose on the reality of what is happening and it’s in healthcare too, what I call the Attack of the Killer Algorithms.  The last big “magic algorithms” that were written for money were the ones used in the mortgage refinance scheme and watch the videos on the left hand side of this blog to learn about that as it all could not have occurred without models and computer code.  Trillions were made in profits. We just need to wake up here to come to face the reality that nothing works out there today without IT infrastructure to support it period.  Give that some thought when listening to the promises of politicians…did they really do their home work or am I getting duped on yet one more promise with some lip service? 


Inequality and jobs are the number one priority and to get there this part of the puzzle needs attention and executives that understand this so they can honestly address the public.  Code and algorithms move money and this is where the corrections need to be made on those servers running 24/7, a much higher priority than have to suck down and see another electronic medical records program:)  Be aware of big corporations and their business models too as they all want developers to work on the “cheap” and you get what you pay for. 

Big Data/Analytics If Used Out of Context and Without True Values Stand To Be A Huge Discriminatory Practice Against Consumers–More Honest Data Scientists Needed to Formulate Accuracy/Value To Keep Algo Duping For Profit Out of the Game

Corporate USA has also figured out how to get cheap code in some of the contests that they run with hanging a carrot out there. Let’s face it on most of these contests you are going to be getting people participating who already have a job and will mess with this on the side.  It’s hard to break out new innovation today with some of the start ups an accelerators as remember the odds of making it are against you due to competition. I think this is still why the VC model (bigger dollars invested here) will still prevail as you are getting more than throwing it against the wall to see if it sticks:)  Some call that innovation but I don’t always think so just based on what I see.  The losers, “ones that don’t create a stand alone venture” maybe wrote some good code and insurance and other entities are there as sponsors to buy it up.  So now what, the developer moves on to yet another accelerator?  Those doing this on the side will tire quickly and thus you end up with others participating who are trying to put food on the table too.

Is this job creation?  You can answer that for yourself…doesn't appear to be a very strong plan to me.  Shoot I’m just glad we don’t have “code for cash for more EHRs” at this point:)  Sure it is expensive to develop everything in house but it’s going to cost and when you do look at the EHRs out there today with staying power and user confidence, you do have to look at Epic and Cerner as there’s gold in that code when you are not having to rely on integrating something from outside and APIs are making that easier today, but your core product has to be good.  So the alternate option is Code for Cash and again I ask what jobs are being created here? 

Verizon Latest to Enter “Code for Cash” Prize Format With $1 Million Top Pay Out for Writing Healthcare Apps That Use Their Platform, Is This the New “Corporate Business Model” To Yield Inexpensive Code?

So we are eaten alive with software and I used to really like to write about some new technology that would bring down the barn but as we have evolved is there today?  Over the last year no a lot since we are now into the world of analytics for the primary focus and it just is what it is.  With big data we will learn about what is important and what is not and learn to walk away from queries and algorithms and models that don’t have value.  Right now it’s a scramble with seeing what sticks to the wall and believe me new EHRs are not a sticky issue. 

There’s value in years of development and time will tell if the business world can see this as well as evolve and use open source where the two can work together.  In some of the data searches  we will find good stuff in there but there’s the Algo Duping along the way that has to be sorted out.  Wild code and models will appear when someone thinks they can make a big buck but really is it there today with all the integration we have in business.  The last Algo Dupe was the software and models used on Wall Street and hopefully we won’t see anything like that again.

We have economists using their analytic tools to project and try to predict but in all of this remember one thing, the tools imageeconomists use were created by Quants and developers who know the mechanics of what software can do.  So in essence their abilities are only as good as the tools created for them to use and the control and algorithms that run today and power that goes along with the code running on servers 24/7 is all created by folks with talent and math beyond their wildest dreams, and for most part nobody’s out there keeping score on accuracy when the dollar takes over. 

So to summarize this little bit of a rant…don’t create any more EHR software, we have a mess with what we have out there today to sort out and work to do with collaboration on standards, the way to the future.  BD

WellPoint Hires New CEO, Will It Make A Ton Of Difference, Probably Not A Lot As Shareholders Become More Familiar With Current State of Affairs of the Health Insurance Business

How excited does anyone get anymore when a new CEO is named?  The CEO himself is probably more excited than anyone as it’s usually a move for more money:)  Today with the way the health insurance is infiltrated with IT infrastructures that run the entire businesses,image most of the big decisions come around acquisitions from what I have seen, which many have been in the Health IT business.  WellPoint is number two a far as size compared to United Healthcare who has such a whopping big group of companies they own, it’s hard for others to compete in some areas.  I have posted quite a few articles with the two of them duking it out over contracts in various states.  Also the Blue Cross group has the upcoming Tri-Care contract loss which was highly disputed and Untied ended up suing to get the contract after a big effort by Tri-Care employees and the Blue Cross subsidiary trying to keep it.

Tri-West Won’t Challenge Tri-Care Military Contract Loss To United Health - Legal Decisions & Contract Awards Allow Machines To Move Money for Profit As Company Will Likely Close Down-Subsidiary Watch

Update: UnitedHealthcare Sues Department of Defense Over Tri-Care Contracts–They Said They Would Do This – Is This A Case Of My Algorithms Are Better Than Yours?

The former HHS executive who was slated for writing and creating most of the healthcare reforms is now on the United payroll and prior to HHS he worked for Amerigroup which is now owned by WellPoint. These guys just float around so is WellPoint going to try to lure him back with the new CEO in place, who knows. One thing we know I think is Steve Larson probably won’t be going back to HHS


 

WellPoint is also somewhat banking on their IBMWatson analytics to bring additional business and time will tell.  Software technologies build upon themselves and once a certain bit of it is in place, there’s almost like no going back anymore to rebuild as nobody can afford it, even the US government found that out with the talk of repealing the law, Congress would choke on the cost of retooling a Medicare system so all that was hot air in the wind.  BD


IBMWatson and Sloan Kettering Produce Simulated Oncology Case Showing Value With Locating Related Clinical Data While Charting With an EHR (Update) WellPoint To Become a Watson Reseller Soon


(Reuters) - WellPoint Inc named Joseph Swedish, the top executive in a large non-profit hospital system, as the health insurer's new chief executive officer after a half-year search that began when former CEO Angela Braly abruptly stepped down in August.

The No.2 U.S. health insurer faces a challenging year in healthcare reform as the Affordable Care Act brings more changes in 2014, including the introduction of electronic marketplaces where insurers will sell directly to consumers.



http://news.yahoo.com/health-insurer-wellpoint-names-joseph-swedish-ceo-000111511--finance.html

Oncologist Will Teach Math and Science at Ocie Hill in Ohio, Marissa Mayer (Yahoo CEO) States He Inspired Her to Study Symbolic Information Systems At Stanford

He’s going to teach children how math relates and applies in imageevery day life states the article.  Too bad he can’t get the Speaker of the House in a couple of classes:)  If he inspired Marissa Mayer back in the early 90s, he’s been around for a while.  The doctor lectures around the country at National Youth Science Foundations and says he feels honored that he had an impact on Marissa’s education choices. BD



People may wonder why an Ivy League-educated physician who once inspired the CEO of Yahoo would spend his free time teaching mathematics, science and engineering to boys and girls at the Ocie Hill Neighborhood Center in Mansfield’s north end.

He graduated from Harvard University magna cum laude with highest honors in engineering and applied sciences; earned a medical doctor degree and a doctorate in biomedical engineering from Dartmouth; became a North Atlantic Treaty Organization post-doctoral fellow to Denmark; completed internship, residency and post-doctoral fellowship in radiation oncology at Yale University; and was awarded a U.S. patent for one of his inventions.

“I want to encourage these students to do three things: build something, think about what they do, and reason about the world around them,” said the doctor, who hopes to show boys and girls the relevance of mathematics in every day life.

People think mathematics is about numbers, but it’s really about reasoning and understanding the relationship of things that often cannot be directly seen.” said Dr. Nguyen, who also wants to impart the message that it’s OK to make mistakes. To illustrate, he opened his math notebook and showed a page crossed out with a large X because although the equations there were all correct, the idea they represent is wrong.

http://www.mansfieldnewsjournal.com/article/20130211/LIFESTYLE/302110001/Oncologist-will-teach-math-science-Ocie-Hill

Banner Hospital in Phoenix Uses Dogs to Assist With Security

Other hospitals across the US are also considering beginning Canine imagepatrol programs.  The hospitals have gone to the dogs.  They can sniff out drugs or help in potentially violent situations.  The dogs don’t understand English for commands and are imported from Europe where they have under gone training.  The go strolling through the ERs and they are 99% a presence deterrent  just being present is enough.  Dutch, German or Czech are the languages they understand.  While working and on duty, the dogs must be muzzled.  BD



PHOENIX (AP) — If you visit Banner Desert Medical Center in Mesa, you may see a K-9 team patrolling the halls: a majestic, 68-pound Belgian Malinois imported from Holland and his handler, security Officer Brandon "Rudy" Morgan.
The dog, Stuka, is named after a type of World War II German bomber plane.
Stuka's calming presence is used in the emergency room when someone on street drugs, spice or "bath salts" comes in angry and aggressive. The dog is used in the neonatal intensive-care unit when a mother gets angry that her infant is being taken from her by Child Protective Services. Stuka also has searched rooms for illicit drugs and weapons.
But mainly just his presence is enough.

The Banner dogs are imported from Europe and are trained to receive commands in their native languages of Dutch, German or Czech.

At Banner Desert, Morgan said, if a person becomes aggressive with a doctor, Morgan or another officer intervenes with the dog.


http://www.sfgate.com/news/article/Canines-make-rounds-at-Mesa-hospital-4264888.php

Kaiser Permanente Using Oracle Access and Identity Manager for Healthcare Security And Some Other Oracle Solutions at Harvard and University of Maryland

Kaiser is the largest privately owned integrated management companies in the US.  The company has been using Oracle products for a number of years.  Provisioning access for nurses and doctors was the issue and needed automation.  Certifying access to networks is done a much quicker fashion.  They now have a single source of “truth” for all their identities which they did not have before.  Applications can be brought on faster and the choice of Oracle has saved money and made compliance costs by about 50%.  It took Oracle 10 years to rewrite and fully integrate all their products completely, so next time you want something in a hurry, give that some thought as complexity rules today no matter what you do.   

Security is on everyone’s mind today so it’s interesting to see what is being installed throughout healthcare. 



Here’s another video on Oracle Event Flow with imagelooking at analyzing electronic medical records. This is how it works with the University of Maryland and Oracle gave the University a gift as the University also relies on funding from the NIH. We talk a lot about big data and finding missing jewels and here’s one solution.



Also at Harvard Medical Oracle is also working to find solutions imagefor doctors and patients help reach a diagnosis solution.  We always hear e-Patient Dave talk about wanting his data and this is certainly a way to gain patient involvement in their care, the visuals help a lot.  Money to fund this from Oracle has been very helpful here too as you hear in the video.  I do enjoy listening to the woman who builds data bases and of course she’s key to how this is developed and works. 



So in short, do you think Oracle will come up with a “speed’ based imagesolution to compete with IBM Watson?  I think so as about 3 years ago he said he wanted to be T.J. Watson:)  You can hear what he said 3 years ago  (video below) and he’s right on target with the Sun Acquisition and combining hardware and software.  Now if you want to move 3 years forward video at the link below. We want to beat IBM, that’s our goal. The video below was before he made his one infamous tweet.  BD 

Larry Ellison The Full and Uncut Interview At the All Things Digital Conference–The Good Stuff - How Larry Thinks and and Works – “Men Who Know Code”




http://link.brightcove.com/services/player/bcpid62612523001?bctid=2125192686001&playerType=single-social&size=c23

Crimson Lied –Jon Stewart The Test Was A Take Home, Open Book, Open Internet, Open Note, And Students Still Cheated–What Class and Test Material Was It - Good Enough Reason to Cheat? Hilarious!

imageMy first thoughts until I listened further was I hope this is the medical school (grin), and of course it was not.  You have to love this though as everything was open for research and some we too lazy to research, oh well.  So Jon has his day here with his comments and you know what the class was?  This is the funniest part of the video yet: 

And the the Subject of the Test was: Government 13, Introduction to Congress, and if that is not ironic and funny, I don’t know what is…were they afraid to use any websites of those currently serving in Congress?  Maybe that’s why they cheated (grin) as those sites didn’t offer any quality information  (grin)?    Now go back and read something serious where you get cheated all the time where algorithms live and bite:)  I think I can say though that neither the House nor the Senate can recognize a good law modeling too when it’s put in their face and stuck on their nose.  Yup, we get back to “its for those guys over there” once again. Maybe they could write their own grant?  Was this a message from the students perhaps too in a back door fashion?  All good questions.  BD  
 

Where Should Watson Go Next-The House and Senate For Some Needed Additional Intelligence for Data Mining and Searches




http://www.thedailyshow.com/watch/mon-february-11-2013/crimson-lied?xrs=synd_twitter

MyMedicalRecords.Com Adds WebMD To Their Patent Infringement List While Some Entities Have Proceeded With Signing License Agreements

In this case U.S. Patent No. 8,301,466 is the subject of the violation.  Below is an embedded list of the MMR Global patents for reference from a prior post for look up.  In addition outside of the US, the National E-Health record system in Australia is also in question of violating international patents the company holds.  A complaint was also recently filed against Walgreens for MMRGlobal patent violations.


MMRGlobal Provides Listing of Health IT Patents As They Pertain to Personal Health Record Technologies

You can also read my interview from a couple months ago with Bob Lorsch as I asked him some general questions about the patents and the company as a whole as wanted to see how their “Pro” version of the medical records worked.  This discussion was before any of the complaints of recent had been filed.

 

MMRGlobal Patent Portfolio, Bob Lorsch, CEO Answers Questions Relative to Patented Technologies

A couple of companies, Interbit Data Systems and 4Medica Medical Records for example have already entered licensing agreements with MMRGlobal.  Interbit’s technology works with both MEDITECH and Siemens information systems and have signed an agreement with Catholic Health East to use their NetSafe platform across all their hospitals and not being a patent expert I can’t say whether or not this is the area in question.  4Medica is an EHR vendor in the Los Angeles area who signed an agreement to license the MMRGlobal technologies and prior to that announcement the two companies had announced an up and coming integration between the 2 software systems relating to lab and prescription data sharing. 

MMRGlobal And Interbit Data Enter License Agreement To Sell MMR Patented PHR Technologies With MEDITECH EMR Systems As Relates To MyMedicalRecords.Com With Interbit Solutions

4Medica Electronic Medical Records Company Signs Agreement With MMRGlobal (MyMedicalRecord) To License Health IT Patents

According to the release with WebMD negotiations go back to 2007 for MMRGlobal.  Bob Lorsch, MMRGlobal CEO  told me the same thing when we spoke about most of the patent discussions and actions he has had with most,  they began several years ago.  The software in question is the private patient portal WebMD offers called the WebMD Health Manager.  From what I covered in December relative to WebMD, they might want to move fast on this one if they want to recover any royalties as the WebMD revenue continues to decline over there due to loss of advertising and not too long ago they acquired a new CEO.   BD

Things are Even Tough Over At WebMD–Laying off 250 Employees to Save $45 Million–Web Algorithms Will Need To Do More With Fewer Humans…


The complaint alleges that WebMD provides health information services to consumers and healthcare providers, as well as employers and health plans through both their private and public portals. The public portal, such as the one accessible at www.webmd.com, also allows consumers to review a variety of health and wellness information. Starting in 2007, MyMedicalRecords began meeting with WebMD. 

At that time, WebMD's private patient portal, called WebMD Health Manager, allowed patients to enter certain health information into an account and run a self-assessment. Since that time, WebMD has changed WebMD Health Manager into an integrated, untethered and consumer-controlled Personal Health Record (PHR), incorporating features and functionality that are the subject of MMR's patents.

http://www.marketwire.com/press-release/mymedicalrecords-files-patent-infringement-complaint-against-webmd-otcqb-mmrf-1755773.htm

EHR Vendors to Focus on Usability? What a Surprise, Many Systems Have Done This For Years, EHR Systems Owned By Insurers Though Might Be Subject to Different Flavors and Goals

I go back to the pre ONC days when I was developing.  Did I focus on usability, you bet I did.  In those days everything had not yet moved to the web but your number one client is the user, the doctor.  With integration I can see how some of this was los in the translation and there have been numerous articles on the web on how this was lost beside me talking about it.  I really liked the idea of the Common User Interface, so when you talk about the #1 client, is it not  a good idea to have the same or similar interface so doctors can feel at ease and immediately recognize work flows screens anywhere they go? 

EHRs need Standard Templates – So Let’s Look at the Common User Interface Project, a lot of the work is already in progress and partially completed


Of course it was a good idea and I even consumer/patients I chatted with on Twitter say the same thing, so I pointed them to the “lost” project of the Common User Interface that hardly anyone outside the NHS and a couple other small developers used.   NHS had a lot of good developers in there and it was all open source..tada!  It was kind of funny though when I pointed the patient/consumers over to this site as they scratched their heads too as here they got to see “their” idea too, just sitting there so they too recognized we had a little shortage in the collaboration department.  I ran around HIMSS in 2008 with the demo on a tablet and it was funny as all the EHR vendors were asking me “who’s system is that”, of course nobody wanting to be missing anything there with a potential new system, was funny:)  So when it come to safely on medical records, most vendor have done their homework as far as design, etc.  Again the only ones who may have lost some focus here as I see it are the ones owned by insurance companies as money and algorithms for profit is what drives their business. 

Government Urges Software Companies to Find and Document Patient Harm Resulting From Electronic Medical Records–Checking Algorithms & Hey, Whatever Happened to the Common User Interface?


I posted this back in 2008 about a doctor/developer I knew in New Zealand and his work.  He emulated it and didn’t use the Code-Plex language either, so how hard was that?  Personally I think all the safety talk is being way overdone and again most EHR companies that I have seen owned by doctors never lost the focus of the doctor being the #1 client.  Come on folks these are just the screens that run the processes which now are at the back end a change from when I wrote and had to put embedded code in the forms, easier now. 

Common User Interface – EHR Development Work in Progress


Electronic health records (EHRs) have to be usable and useful by physicians and integrate with hospitals’ or practices’ other systems to benefit providers or else the money spent on them is just wasted.  I feel I have to rub a little salt here and gee look at how the Common User Interface even works with HealthVault, the PHR, but very few listened.  Sure I’m giving Microsoft credit here as it should be as they had this one right.  Let’s dig this presentation out of the coffers here and see where this was in 2009, ahead of it’s time.  I am making a point here that those companies without ties to payers have long had this interest and projects out there, just nobody listened.  The presentation below was done in the UK and discusses both platforms. 

Microsoft HealthVault and Common User Interface Presentation from the UK - Slideshow




So at this point maybe we should be saying “gee I could have had a V8” if you remember that old television commercial. Sure it had Silverlight but you replace it with HTML5 and off you go and write some new code and change out modules.  See even I could do a demonstration easily enough, from the 2008 archives again so keep in mind this was almost 5 years ago. 



So there’s my rant today on wasted efforts that could have made a difference from years ago and it’s funny we are somewhat back on the very same idea today when talking the National Institute of Technology with framework, duh?  Maybe money and greed won’t take over this time.  BD



EHRs were widely adopted, there wasn’t a demand for usability, according to David Blumenthal, MD, former national health IT coordinator and current president and CEO of The Commonwealth Fund.

The National Institute of Standards and Technology (NIST) is developing a framework to think about the use of EHRs in relation to adverse events and patient safety. Lana Lowry, NIST project lead on usability and human factors for health IT, believes that in addition to a set of technical requirements for functionality, systems need to have the same set of user requirements for how a user performs with the system.

http://www.govhealthit.com/news/ehr-vendors-focusing-usability

Santa Clara Valley Medical Center Projecting Close to a $24 Million Dollar Shortfall–Can’t the Billionaires of Silicon Valley Help Their Hospitals Out a Little, Tattoo Parlor Fee Increases Won’t Cover It

Well I don’t think the Tattoo parlor fees will be able to make muchimage of a dent here to help the hospital out.  This is the home of Intel, EMC and bunch of others and soon the 49ers.  The article says the uptick in cost was due to a large number of elderly (remember tech folks you’ll get there too one day:) and disabled patients.  Due to that fact doctors are being paid a little over time.  It appears there was a planned targeted savings here of $11 million that was figured into a budget.  Medi-Cal care went up quite a bit. 

Who’s providing the budgeting software here?  The article also says due to public safety that on that side they haveimage $26 million more than planned, that would help and leave $ 2 million in change, right?   I realize this is a public hospital that offers residency programs and would think with all the money rolling around Silicon Valley that this hospital should be ok, right?  The website also says it has VIP suites.  BD



In the first five months of the fiscal year, Santa Clara Valley Medical Center’s on-call and overtime pay for doctors took a staggering leap, going from an average of less than $20,000 a month in 2011-12 to $967,000 this fiscal year. The Board of Supervisors will discuss the $1 billion health agency’s drastic uptick in costs—4,835-percent increase in per-month, on-call wages— as well as other issues at Tuesday’s meeting.

For the first several months of the fiscal year, the agency’s expenses surpassed its budget, resulting in a net operating loss that totaled $35.8 million by the last count in November. Amazingly, that would still be a $2 million improvement from the previous fiscal year. However, changes have been made and VMC officials expect to end this fiscal year with a $23.9 million budget gap.

Outpatient medical costs this fiscal year jumped $11 million over budget, mostly because of an uptick in the number of seniors and disabled people needing outside services.

http://www.sanjoseinside.com/news/entries/2_11_13_valley_medical_center_board_supervisors_budget/

ICD10 Software Being Sold With “Hold Harmless” Clauses–Sign of the Software Development Times?

The courts are full of software disputes as complexities grow it’s harder to get to the very bottom at times as today there’s always aimage disconnect between the end user and the developers.  This is not be design but rather the complex world we live in today and all goes back to perception.  Developers and end users don’t share the same perception all the time and both learn from each other too.  So is this a trend in healthcare software?  Could be. 

Software has now become more of a legal ground than it ever has.  We don’t know what’s going to happen sometimes with new technology since we all used data platforms anymore.  When it was on the desktop we had a lot more control but things have changed and they are not reverting back any time soon.

Right now too it’s a big question as to how much safety ONC certifying bodies for Meaningful Use will have.  That is going to be interesting when they get that one figured out and then test the plan.  We need good models today and there’s no guarantee those will work or if you have the right model.  One thing is for sure though is that the delay with implementation does increase to ensure all possible areas of concern are covered.  Right now event the certification software used by entities to certify EHRS is not working either, I guess a Northrop Grumman issue there.  In California this week, $90 million down the drain as they can’t get the SAP software to work properly and do payroll, and I’m sure part of that is on the state’s side too with the integrity of the data a stuff gets corrupted a bit after years of us humans access records and updating information, can’t avoid that. 

Well we can add this “hold harmless” on to the useless privacy statements that come along in some areas of healthcare I guess:)  Is your EHR that you just spent millions of dollars on coming with a new “hold harmless” clause?  Just a thought that crossed my mind.  BD



For some healthcare organization, the conversion from ICD-9 to ICD-10 may seem like the latest Y2K problem – fail to get it right and the consequences could be fatal. So many are being cautious by developing hold-harmless clauses to protect against any consequences of errors with the new conversion.

The biggest concerns raised during contract negotiations, she said, relate to negligent or intentional acts or omissions during the conversion that cause downstream problems. “These provisions come down to risk shifting and the amount of liability that [each] party is comfortable taking on,” Swank said.

http://www.physbiztech.com/news/hold-harmless-clauses-trending-icd-10-contracts

Emergency Room Physicians Prefer Specialty EHRs Versus Enterprise Solutions Such as Wellsoft, Picis (A Wholly Owned Subsidiary of United Healthcare), T-System and More But the Enterprise Solution Will Normally Win Out

I found this article interesting as it kind of sheds a little light on imageyet a bit diversity out there with medical record systems as now unless a full on enterprise EHR is in place you could yet have more EHR systems in the same hospital.  A few years ago United bought Picis which is an entire analytics system.  You find them also in use at the VA, so again more portion to where United gets a cut of the healthcare revenue out there via a subsidiary.


Ingenix (Subsidiary of UnitedHealthGroup) Buys Picis Hospital Software Analytics Company – Algorithms of Healthcare Continue To Grow


VA Awards Contract to Picis, Subsidiary of Ingenix for Anesthesia Record Keeping Software

Hospitals using Epic for example though insist on an all or nothing for obvious reasons and actually that is the smarter way to go but again reading this tells you everyone has their own special interest areas and screens and work flow they like.  It’s a nightmare and lot of extra code work though to make multiple systems talk and no CIO wants more of that today as their plate is full.  BD



Emergency department physicians who use "best of breed" (BoB) electronic health record systems rated their experience 59% higher than did ED physicians who have EHRs that are part of enterprise systems, a new KLAS Research report reveals.

But many healthcare organizations still impose enterprise EHRs on their EDs because it's simpler to have a single integrated system.

The top-rated EHRs in the KLAS survey -- all BoB products -- were Wellsoft, Picis, T-System and Medhost. Epic, the top-selling enterprise system, was next in order behind the BoB leaders. Enterprise solutions from Cerner and Allscripts fell far below Epic, and Meditech came in dead last, with a 29% approval rating.

http://www.informationweek.com/healthcare/electronic-medical-records/physicians-prefer-best-of-breed-emergenc/240148286

Government Recovers $4.2 Billion in Medicare and Medicaid Fraud–With Numbers This Good Using Anti Fraud Analytics To Help Identify Patterns, Maybe Some Cheating Obsessions Might Lighten Up A Little

It took a while but in the last year HHS now enjoys some of the same algorithmic fraud detection methods as used by commercial insurers.  Of course it pays off as the alternative without this type of mining claims is that a lot more fraud gets through when hidden.  This is better than what we heard back in September of 2012 when all we accused of cheating with nothing brought to the table but I assume this was generated only by the point that recent news at that time showed higher expenditures in Medicare.  The government responses are getting uncannily similar to watching the bots on the stock market bot jumping around, as they react to what's in the news too except these are people and not bots:)  With numbers and algorithms they are up and down when you look at real time.

HHS and DOJ Send Letters to Hospital Trade Associations Warning of Gaming Billing System Via Use of Electronic Medical Records–Hospitals Just Learned How to Bill Better & Hired Consultants–Case of Being Algo Duped With Numbers?

 


Last week we had this, hurry up and write that code:)  Believe me every vendor that could do it faster would so what was up with this..more folks that don’t understand the short order code kitchen burned down a few years ago and these things take time. I said back in 2009 that it would take a 2-3 years before the job of HHS secretary would be about 80% Health IT related and here we have it today. 

Lack of IT or computer science here of late seems to be chasing a lot of folks out of jobs as it’s not easy to be a chief these days without some of this and be a non participant.  Today Small Business Exec announced leaving, so again it’s hard up at the top when you can’t walk and chew a little code now and then:)
  If you don’t have a little of this in your background then you think different too and data mechanic perceptions as to what is possible and time elements get way off.  I have had years of that and still see it today all over the social networks with perceptions from folks outside the industry way off from digital reality.  It’s not their job to know all oft this either but people in the industry should try to offer the layman a “real” explanation so one can learn a little and not have to rely on powdered up OMG media stories.  The PBS Frontline documentary looked bad too with the prosecutor, at least on the screen didn’t show any real body language of confidence, saw it in the first 5 minutes of talk.

Speed Up Rate of Change in Health IT?–“Short Order Code Kitchen Burned Down a Few Years Ago and There Was No Fire Sale”..IT Infrastructure Chance and Revisions Takes a Lot of ”Code”, “Time” and “ Most Importantly Money”

Back in July of 2012 there was this about the Office of the Inspector General learning their way around the software and it’s not much different in query that what some of the clearinghouse functions are, but you do see immediate patterns and can grab more low hanging fruit.  It works. 

HHS Office of Inspector General Learning Their Way Around Business Intelligence Algorithms to Detect and Find Fraud With An Analytics Approach

Tough at times to get Medicare contractors to kick in more as sometimes with all the subsidiaries insurers own today some may interact with others so by lowering money in one area it could shorten the intake in another subsidiary.  Some of the recovered money could have come right off methods like getting paid sooner by insurers too. 

 

Medicare Federal Investigators Getting Algorithms to Analyze And Find Fraud-Good Move as Contractors Efforts Are Weak With Risking Loss Of Transaction Revenue

Insurers Made $450 Million with Interest Income by Holding Medicare Funds for Around 46 Days Before Releasing Payment


One the process is in place a little longer the amount will level off with dollars saved as again the low hanging fruit with patterns will be found, although there’s always someone cooking up something new but history tells you that it will level at some point and then as you tighten down the parameters of the queries care is needed so as not to create mountains of false positives.  In addition there’s the most wanted list too and that’s good plus to have visuals out there an very visible. 

HHS Creates 'Most Wanted' List Website for Healthcare Fraud - Office of the Inspector General




For every dollar spent investigating healthcare fraud over the past three years, the government recovered $7.90, according to a report released on Monday by Attorney General Eric Holder and Health and Human Services Secretary Kathleen Sebelius.

This was the highest three-year average return on investment in the 16-year history of the federal Health Care Fraud and Abuse Program, the report said.

The Obama administration has stepped up investigations under the program, making the prevention of fraud and waste in healthcare a top priority. The Patient Protection and Affordable Care Act authorized additional tools to fight fraud, including tougher eligibility screening for Medicare providers, increased data sharing among government agencies and greater oversight of private insurance abuses.

http://www.reuters.com/article/2013/02/11/us-healthcare-fraud-idUSBRE91A0ZO20130211?feedType=RSS&feedName=healthNews&utm_source=dlvr.it&utm_medium=twitter

60 Minutes Confirms the Super Attacks of the Killer Algorithms With Consumer Credit Information With Flawed Data and the Inability to Algorithmically Fix Errors Which Really Makes a Huge Case for Licensing and Taxing All Data Sellers in the US–Chapter 54

 
If you read here very often then you may have seen the 50 some Chapters I have on the Attack of the Killer Algorithms.  There’s always a link on the left hand side under my educational information for consumers that I post.  This has been going on a long time and now it is getting worse.  In addition you may have seen some of my posts about “licensing and excise taxing” the data sellers and this is one big group that should be taxed.  Why?  Government needs more revenue and by having such a provision we would now open the the ability to regulate these folks as lawmakers would have a foot to stand on, they don’t have that now.  Caught selling without a license, not paid your quarterly tax, and we could add some addition fines for violation of not providing timely information for consumers.  My latest post is here and the companies make profits in the BILLIONS, ONCE MORE BILLIONS.  Also you cannot create an efficiently modeled law without bringing privacy too.  I watch and listen to the “no balls laws” that are being proposed and all are nonsense. 

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

Here’s where the privacy issue comes in, (link below) as who would not want to be able to go to a federal website and do a quick look up on a company, a bank, etc. to find out what kind of data they sell and to who, everyone wants this.  If  we get transparent though they are afraid of losing money and if they are doing it correctly they have nothing to hide. 


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
 

The same applies to HIPAA with coming out of the silo and we talk on this site about integrating medical records all the time so how about it with a “decent” law model and integrate HIPAA in an overall privacy law too.  It makes sense as you see HIPAA covered material in places where it did not exist before so we need HIPAA rules integrated with laws where it has never been before as well.  Of course we are not talking moving anything from HIPAA and HHS, rather integrating like we do with medical records so complete access of the provisions of various area of the law as relates to privacy is easily available and to ensure that HIPAA laws work in unison with other laws and we don’t have contradictions and unintended consequences that could have been avoided.  This might give some members of Congress fits of frustration as it would require better law modeling and not everyone coming in with their own set of numbers.  We need laws that understands IT infrastructure that monitors privacy and data selling together. 




According to the video out of five people have errors on their credit scores and yes I have written the FTC on this matter myself.  The FTC says everyone is going to get mad and I’m sure my Attack of the Killer Algorithms posts that talk about this has made people mad too.  They not doing anything.  Consumers get stuck and when it comes time to get mistakes corrected, it’s on our dime to fix the flawed data.  They want the money from selling the data to make billions in profit and don’t want to spend the money to correct.

Watch Steve as he calls customer service and gets nowhere and gets India on the line.  Watch the stories of the nightmares of people with issues.  Now you will learn that there’s a difference between what you see and what they report to insurers or banks.  What our lawmakers cannot bring themselves to see is how all this data is connected, they live in bliss.  Here’s my Chapter 42 about a company called e-Scoring and I have had lots of hits on this post as the company completely operates outside of any jurisdictions of the law and sells data they collect and makes millions due to how he classifies his business.

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

I don’t know about you but I’m tired of flawed data and nobody wants the expense and time to fix it.  If you look at what Ticketmaster did for the Presidential Inaugural Ball, same thing.  They made a mistake and put tickets on sale early and when customers who were ready to buy on the date they published as available, tickets were all gone as they put them on sale by mistake ahead of the date.  All who were ready to buy on the announced date were screwed and could not get tickets.  The erroneous algorithms that were turned loose early screwed everyone, except those who happened to visit the website by browsing or whatever for information

 

Listen to the story with the trauma nurse from Cleveland and she’s been stuck since 1999.  Wait until you hear all the “flawed data” on her reports that she had never seen.  Where the transparency?  Not there.  She was connected too all types of data that was not hers.  Here’s a similar story from the Killer Algorithm series from 2011.

“Killer Algorithms: Part 2” Disturbing News for Consumers With Credit Scoring Adding New Data Analytics–Some of the Same Methodologies Used by Insurers With Flawed/Potential Erroneous Data–One More Reason to Continue Occupying Wall Street


And yet another couple Killer Algorithm posts with credit and insurers. We are just free labor data chaser and the credit folks have a captive audience as unless we make all the lengthy efforts we are screwed so the middle class has become nothing but free labor data chasers so big corporate USA can make billions in profit. 

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

This post below tells where North Carolina kicked out Core Logic.  The states already license the data seller to run their bots to collect public information; however the number of bots were slowing down servers to a crawl and consumers like you and me could not get through.  So the next step was for the state to buy software to limit the number of data mining bots.  CoreLogic was not paying and updating their information quarterly either, so they kicked them out and removed their license.  There’s one more reason as to why it takes so long to get errors fixed. 

 

Consumers Lose More Privacy With New CoreLogic Credit Reporting–”Score” Marketed For Insurers and Employers To Gain Information-California Prohibits Potential Employers – From Using As Jan 1 - Killer Algorithms Part 8

And you can look this up on the blog here but check out the bogus FICO analytics they sell using your credit score combined with other data they mine, it’s fraud when they say this information can be used to score you to determine if you will be a compliant patient and take your prescriptions.  Here’s a post last year that even the Nielsen company commented on.  You are being duped with flawed data every way you turn.  Wait until you get caught in the auto refill algorithms of CVS…another nightmare and attack of the Killer Algorithms.  The CVS issue was generated from a pay for performance issue with pharmacists being pressured to meet “goals” for numbers of refills and they get incentive money from United Healthcare too for signing you up in their wellness or other plans.  I mention CVS as that is a transaction too when your prescription is billed when the pharmacists bills it not when picked up and big companies, i.e. Walgreens made short of $800 million selling data in 2010. 

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


Back to the video the nurse had to hire an attorney to fix the flawed data, all created by “Algorithms for Profit”.  It’s all math and code folks that does this and corporate USA just steps all over you and this keep inequality growing too for that matter as taking time out to fix data eats into their profits.  Believe me they have business models that only allow for a certain percentage of time, labor, cost to fix things and when it goes over and eats into profits, well you know what happens.  When you see the end on how disputes were handled in the video you will absolutely croak.  Cheap help and told to “code” the complaints, they couldn’t do anything.  Bad algorithms and a bad model…models behaving badly to quote Emanuel Dermon.  The employees say the creditor was always right, who investigate, what!

THIS IS THE BIGGEST RIP AGAINST CONSUMERS, ALL CONTROLLED BY ALGORITHMS AND BILLIONS ARE MADE WITH PROFITS. 


Probably the most important of my links here, and they are all from the Medical Quack is this last one.  Big data used out of context and this is happening right and left and we have a bunch digital illiterate lawmakers that prefer to waste their time on women’s health issues that remain in bliss and can’t lift a finger to learn anything about this and help consumers.  They are for the most parts “non participants” when it comes to technology and so we continue to get screwed.  I had my own Killer Algorithms with my car insurance, why did they list the new owner of my home I sold six months later as second drivers on my policy…Killer Algorithms mining that data with flawed query makers, where the machines erroneously filled in information they thought I had left out!   Ok you big data fans, are you completely ready to rumble with growing error factors? 

Big Data/Analytics If Used Out of Context and Without True Values Stand To Be A Huge Discriminatory Practice Against Consumers–More Honest Data Scientists Needed to Formulate Accuracy/Value To Keep Algo Duping For Profit Out of the Game Killer Algorithms Part 47


I feel we also have lame cabinet members, many of which are in the same boat, HHS that wans developer to code faster Health IT, a chief of Homeland Security that doesn’t use email (tech non participant) a DOJ that sides with HHS thinking doctor and hospitals are cheating, and SEC that has no clue on trading code and how it works…and the list goes on.  I have never in my life seen such a sorry group that can’t at least make an effort to educate themselves of the reality of what is happing with flawed data, technology and algorithms. 

This takes in both parties as being disappointments and why Wall Street out games them over day and night.  If you watched the Frontline story on the DOJ and big banks, it makes you choke when you saw Manny, the head prosecutor with not exhibiting one lick of confidence in his work, he couldn’t spot a dirty model and code if you paid him 10 times his salary.  Watch the videos on the left of this blog please and you will get educated.  What have I said about reports, 60 Minutes gets one thrown in their face that the survey from the creditor business themselves says 95% of the consumers are satisfied…believe it?  Not me as algorithms have teeth.

All I can really say from an opinion at this point to the politicians and lawmakers we elect is for God’s sakes get over yourself and participate in some form of technology and get rid of the paradigms imageof “it’s for those guys over there”…before the Attack of the Killer Algorithms get worse.  The White House job council disbanded, it had the wrong focus as nothing happens until you get right down to what is rolling over servers 24/7 and climb out of that cloud of bliss, as more and more the ignorance shows.  Please get a law in place binding with the appropriate IT infrastructure  to regulate, license and excise tax the data sellers making billions and you know, we can do good things with that money, like fund the NIH and the FDA and keep our science research alive.

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


Last but not least, a big thank you 60 Minutes for a story that way overdue, good job.  Maybe this will finally help with getting this straight and stop inequality from growing.  BD  

http://www.cbsnews.com/video/watch/?id=50140748n