Publication: Health Care Renewal

First reported 13 hours ago - Updated 13 hours ago - 1 reports

InformaticsMD in Podcast by Neil Versel

Neil Versel is a journalist specializing in health IT, mobile health, patient safety, quality of care and the business of healthcare.  He is a prolific writer of the web site Meaningful HIT News and others ( http://www.informationweek.com/author-bio.asp?author_id=690 ... [Published Health Care Renewal - 13 hours ago]
First reported 15 hours ago - Updated 15 hours ago - 1 reports

Judy Faulkner and EPIC, Show us your EHR screens

At " Congressional committee releases timeline detailing how Presbyterian treated Ebola patient Thomas Eric Duncan ", Dallas News, Oct. 17, 2014 there is a link that provides acccess to documents released by the U.S. House of Representatives' Energy and ... [Published Health Care Renewal - 15 hours ago]
First reported Oct 15 2014 - Updated Oct 16 2014 - 1 reports

Are Million Dollar Plus Business Trained Managers the Right People to Lead Health Care in the Time of Ebola?

You can guess my opinion on the answer. Introduction News and opinions about Ebola virus are swirling around the US, fueled by a tragic epidemic in West Africa, and fears that more infections could appear here.  On October 6, 2014, I posted my concerns ... [Published Health Care Renewal - Oct 15 2014]
First reported Oct 15 2014 - Updated Oct 15 2014 - 1 reports

If we had an outbreak of virulent, drug-resistant Bubonic Plague in another country, would we ban travel from that country to ours?

Bubonic plague is known to have killed massive numbers of people in the 6th century and after ( http://en.wikipedia.org/wiki/Bubonic_plague ).... The first recorded epidemic ravaged the Byzantine Empire during the sixth century, and was named the Plague ... [Published Health Care Renewal - Oct 15 2014]
First reported Oct 09 2014 - Updated Oct 10 2014 - 1 reports

The Mystery of the Discharged Ebola Patient - Where is Sherlock Holmes When We Need Him?

As discussion, if not outright panic, about Ebola infections increases in the US, it is still hard to figure out what heath care professionals and the health care system need to do to protect patients and the public in a very changed world.One pressing ... [Published Health Care Renewal - Oct 09 2014]
First reported Oct 07 2014 - Updated Oct 07 2014 - 1 reports

Speculation about EHR role in Texas Ebola debacle vs. real evidence - will it take a lawsuit to know what's real? Probably.

In the past several days the media has been abuzz with stories about the admission, then the following retraction, by a Texas hospital that and EMR "flaw" had caused a man who had been in West Africa and was infected with the Ebola virus to be sent home, ... [Published Health Care Renewal - Oct 07 2014]
First reported Oct 06 2014 - Updated Oct 07 2014 - 1 reports

Can Our Dysfunctional Health Care System Contain Ebola?

Not to bury the lede, I think it can, but it will be a lot harder than the talking heads on television predict.I have been writing about health care dysfunction since 2003 .  Lots of US politicians would have us believe we have the best health care system ... [Published Health Care Renewal - Oct 06 2014]
First reported Oct 04 2014 - Updated Oct 04 2014 - 1 reports

Dallas Hospital reverses EHR-related explanation for fumbling Ebola case

At my Oct. 2, 2014 post " Did Electronic Medical Record-mediated problems contribute to or cause the current Dallas Ebola scare?" ( http://hcrenewal.blogspot.com/2014/10/did-electronic-medical-record-mediated.html ) I questioned a possible role for an ... [Published Health Care Renewal - Oct 04 2014]
First reported Oct 03 2014 - Updated Oct 03 2014 - 1 reports

A Little Sunshine Peeking Through the Clouds? - the Sunshine Act is Finally Implemented, Sort of

"Conflicts of interest" is probably the most frequently used Health Care Renewal tag.  We believe conflicts of interest are a major causes of health care dysfunction.  Therefore, I felt that one of the truly reformative aspects of the US Accountable ... [Published Health Care Renewal - Oct 03 2014]
Entities: Healthcare, Drugs, Database
First reported Oct 02 2014 - Updated Oct 03 2014 - 1 reports

Did Electronic Medical Record-mediated problems contribute to or cause the current Dallas Ebola scare?

This story merits special scrutiny in relation to EHR dangers (see for instance http://hcrenewal.blogspot.com/2014/04/fda-on-health-it-risk-reckless-or.html ): http://bigstory.ap.org/article/44a12c35649f4f6782fcb3c9f476da09/ebola-case-stokes-concerns-liberians-dallas ... [Published Health Care Renewal - Oct 02 2014]
First reported Sep 30 2014 - Updated Sep 30 2014 - 1 reports

Price Fixing, Regulatory Capture, Crony Capitalism - Will the New Public Citizen Report Succeed in Outing the RUC?

Just last month the RUC made it back into the headlines.  Then we posted  Politico made another attempt to shed some light on this obscure committee and its outsize effect on health care. Now the watchdog organization Public Citizen has stepped ... [Published Health Care Renewal - Sep 30 2014]
First reported Sep 26 2014 - Updated Sep 26 2014 - 1 reports

Shire Settles Claims of Deceptive Marketing of Multiple Drugs for $56.8 Million, No Individual Held Responsible

Here we go again.  A big drug company has settled claims of deceptive marketing, yet no individual was held accountable.  The most extensive coverage came from the Philadelphia Inquirer , presumably since the announcement came from the local US Attorney.The ... [Published Health Care Renewal - Sep 26 2014]

Quotes

...on the actual screen(s) the physicians had up at one time or another on the monitor, that made up the "portions" of the EHR they "accessed"? "  In other words, was the positive travel history from Africa "illuminating the phosphor", or illuminating the LED arrays for a modern computer monitor, of an actual screen in actual eyesight of the physicians that was a subset of the "portions of the EHR" they accessed? Or (and I believe this quite possible):(2)  Does "available" mean that the travel history was available as data on disk or on RAM, and thus potentially on a screen for a physician to see, but that the specific screen never actually illuminated the LED arrays on the physicians' monitors? (E g., such screen(s) were a component or subcomponent of the EHR "portions" they accessed, but the specific screen(s) in those "portions" had to be navigated to in order to see the travel data.)In other words, was the case that the travel information taken by the nurse never appeared visually to the physicians, but only resided in the computer as data where it was invisible as intangible bytes on a disk or in RAM ?  (This does not happen with a paper chart - the paper is tangible .)Further, was there a meaningful alert drawing the physician to a screen that did then present the travel data to them?There is no way to know by parsing the words, but based on their semantic blur I suspect the second scenario.Unfortunately, what  really is essential to understand the EHR interaction are screenshots of precisely the screens viewed by the physicians, not "available" to the physicians.Note that, for example, my Windows System Event log is "available" to me at all times in "portions" of Windows I may look at - by right-clicking "My Computer" and clicking the "manage" menu item that appears -  and only then if I actually then navigate to find it."
According to the Dallas/ Fort Worth Healthcare Daily , Mr Hawthorne was inducted in 2014 into the Texas Business Hall of Fame.  At that time,  " A healthcare visionary , Mr. Hawthorne is at the helm of one of the largest faith-based, nonprofit health care delivery systems in the United States, Texas Health Resources the Hall said in a release announcing the induction.Yet Mr Hawthorne had no direct patient care experience, public health experience, or biomedical or clinical science experience.  Mr Hawthorne is on the board of directors of the LHP Hospital Group Inc, a for-profit that provides capital and services to non-profit hospitals.  The official bio , posted by LHP stated his educational background only includedB.S and M S degrees in healthcare administration from Trinity University in San Antonio.Furthermore, as we mentioned earlier , the current CEO of Texas Health Resources, Mr Barclay E Berden, who has only been on the job since September 1, 2014, also was hailed by system board of trustees for his "unique leadership strengths."  His current compensation is unknown, but I would guess is likely over $1 million/year.  He highest degree is a MBA, and like his predecessor, had much experience in hospital management, but apparently none in clinical care, public health, or biomedical science.  Summary Texas Health Resources' recent CEOs have been paid millions, and hailed for their brilliance, despite a lack of any direct experience in health care, public health, or biomedical science.  Leaders convinced of their own brilliance may live in bubbles that prevent penetration of any ideas or facts that may challenge that brilliance, making them thus susceptible to hubris. So should we have been surprised that the leadership of the first US hospital system to directly confront Ebola de novo seemed more concerned with polishing their supposed brilliance than with transparently providing the information that other people who have to confront Ebola in the future so greatly need?No, but one tiny silver lining to the time of Ebola is that it may make it glaringly obvious that we need true health care reform that focuses on reforming the leadership of big health care organizations. In particular, we need leadership that is well-informed about health care and public health; that upholds the values of health care professionals, specifically by putting patients' and the public's health ahead of their own remuneration; is willing to be held accountable; and is honest and unconflicted.Allowing the current dysfunction to continue, while it will be very profitable to the insiders who run the system, will continue to enable tragic outcomes for patients and the public.  "
...called on Texas Health to open up: 'A failure by a hospital to be open about what went wrong in a major medical case such as this," Levy said, " does a major disservice to everyone else in the health care industry ." Similarly, the editor of FierceEMR wrote , The Texas Health situation may be setting a dangerous precedent...
...alified,'He brings a well-rounded perspective and unique leadership strengths to the CEO position,' board Chair Anne Bass said in a news release. "At the same time, he represents stability and continuity that will be critical to advancing our strategy as we confront the challenges of a rapidly changing healthcare environment ." Nonetheless, the hospital systems seems to have had trouble confronting the challenges of the change in environment due to Ebola...

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InformaticsMD in Podcast by Neil Versel [Published Health Care Renewal - 13 hours ago]
Judy Faulkner and EPIC, Show us your EHR screens [Published Health Care Renewal - 15 hours ago]
Are Million Dollar Plus Business Trained Manage... [Published Health Care Renewal - Oct 15 2014]
If we had an outbreak of virulent, drug-resista... [Published Health Care Renewal - Oct 15 2014]
The Mystery of the Discharged Ebola Patient - W... [Published Health Care Renewal - Oct 09 2014]
Speculation about EHR role in Texas Ebola debac... [Published Health Care Renewal - Oct 07 2014]
Can Our Dysfunctional Health Care System Contai... [Published Health Care Renewal - Oct 06 2014]
Dallas Hospital reverses EHR-related explanatio... [Published Health Care Renewal - Oct 04 2014]
A Little Sunshine Peeking Through the Clouds? -... [Published Health Care Renewal - Oct 03 2014]
Did Electronic Medical Record-mediated problems... [Published Health Care Renewal - Oct 02 2014]
Price Fixing, Regulatory Capture, Crony Capital... [Published Health Care Renewal - Sep 30 2014]
Shire Settles Claims of Deceptive Marketing of ... [Published Health Care Renewal - Sep 26 2014]
Being a Health Care CEO Means Never Having to S... [Published Health Care Renewal - Sep 24 2014]
Health Care Renewal Bloggers to Present [Published Health Care Renewal - Sep 22 2014]
Value Extractors, "Super-Managers," Vampires an... [Published Health Care Renewal - Sep 18 2014]
You Say You Want Some Revolutions? - Famed Acad... [Published Health Care Renewal - Sep 16 2014]
Higher Authorities? - Pharmaceutical Companies,... [Published Health Care Renewal - Sep 11 2014]
Does organized medicine need to "man up" on hea... [Published Health Care Renewal - Sep 08 2014]
Logical Fallacies in Defense of the PARADIGM - ... [Published Health Care Renewal - Sep 05 2014]
EHR safety, a false sense of security, and epis... [Published Health Care Renewal - Sep 05 2014]
Sacubitril - Valsartan, a "New Threshold of Hop... [Published Health Care Renewal - Sep 03 2014]
The RUC. "an Independent Group of Physicians?" ... [Published Health Care Renewal - Aug 28 2014]
Now Politico Tries RUC Raking [Published Health Care Renewal - Aug 26 2014]
Move Along, No Health Care Corruption to See Here [Published Health Care Renewal - Aug 21 2014]
Yet another health IT "glitch", that warm, fuzz... [Published Health Care Renewal - Aug 20 2014]
Merging Finance and Health Care Leadership - Ro... [Published Health Care Renewal - Aug 19 2014]
Don't worry, your information's safe. Community... [Published Health Care Renewal - Aug 18 2014]
Desperate, Vulnerable Research Subjects, Cost-C... [Published Health Care Renewal - Aug 13 2014]
Retrospective on the Blumsohn - Procter and Gam... [Published Health Care Renewal - Aug 08 2014]
Medicare Pays $220 Million a Year for Acthar Wi... [Published Health Care Renewal - Aug 05 2014]
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sort by: Date | Relevance
InformaticsMD in Podcast by Neil Versel [Published Health Care Renewal - 13 hours ago]
Neil Versel is a journalist specializing in health IT, mobile health, patient safety, quality of care and the business of healthcare.  He is a prolific writer of the web site Meaningful HIT News and others ( http://www.informationweek.com/author-bio.asp?author_id=690 ...
Judy Faulkner and EPIC, Show us your EHR screens [Published Health Care Renewal - 15 hours ago]
At " Congressional committee releases timeline detailing how Presbyterian treated Ebola patient Thomas Eric Duncan ", Dallas News, Oct. 17, 2014 there is a link that provides acccess to documents released by the U.S. House of Representatives' Energy and ...
Are Million Dollar Plus Business Trained Manage... [Published Health Care Renewal - Oct 15 2014]
You can guess my opinion on the answer. Introduction News and opinions about Ebola virus are swirling around the US, fueled by a tragic epidemic in West Africa, and fears that more infections could appear here.  On October 6, 2014, I posted my concerns ...
If we had an outbreak of virulent, drug-resista... [Published Health Care Renewal - Oct 15 2014]
Bubonic plague is known to have killed massive numbers of people in the 6th century and after ( http://en.wikipedia.org/wiki/Bubonic_plague ).... The first recorded epidemic ravaged the Byzantine Empire during the sixth century, and was named the Plague ...
The Mystery of the Discharged Ebola Patient - W... [Published Health Care Renewal - Oct 09 2014]
As discussion, if not outright panic, about Ebola infections increases in the US, it is still hard to figure out what heath care professionals and the health care system need to do to protect patients and the public in a very changed world.One pressing ...
1 2 3 4 5 6 7 8 9 10 ...
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