Variations in End-of-Life Care across England

I just noticed that England has a tool similar to the Dartmouth Atlas in the United States.  The National End of Life Care Intelligence Network (NEoLCIN) aims to improve the collection and analysis of information related to the quality, volume and costs of care provided by the NHS, social services and the third sector, to adults approaching the end of life. 


The Network's data and statistics “tool” allows the user to run various profiles.  For example, a quick search shows that in Newham 74% of the very elderly die in hospital.  In contrast, in Torbay, fewer than half of the very elderly (36%) die in hospital and fully one-half die at home -- where most people say they prefer to die.  This gap reminds me of similar gaps in the United States between, for example, New Jersey and Utah.


Effective Advance Care Planning: Are Your Advance Directives Worth the Paper They Are Written On?










ABA Continuing Legal Education
ABA-CLE
ABA-CLE


ABA-CLE Home | Calendar | Web Store | Contact
ABA-CLE















Live Audio Webcast
Live Webinar

Tuesday, January 31, 2012

Event Code: CET2EAC
This program will enhance practioners’ knowledge and skills with

respect to:
  • the evolving components of advance care planning and how the emerging “Physician (or Medical) Orders for Life-Sustaining Treatment” (POLST or MOLST) will affect the process as they

    emerge in virtually every state,

  • effectively counseling clients and provide them with the tools they need for meaningful health decisions planning, and

  • drafting more practical and effective advance planning documents

Register
ABA-CLE
Our Expert Faculty
Walter T. Burke, Esq. (Moderator)Attorney

Burke & Casserly PC 

Albany, NY
Charles P. Sabatino, Esq.

Director

ABA Commission on Law and Aging

Washington, DC
Patricia Bomba, MD

Vice President and Medical Director, Geriatrics

Excellus BlueCross BlueShield, New York

Rochester, NY
David M. English 

Professor of Law

University of Missouri Columbia Law School 

Columbia, MO
ABA-CLE
Stay Connected with ABA-CLE

Sign up for the ABA-CLE Calendar edition of ABA-CLE Newsflash to receive monthly updates on CLE programs and products relevant to your practice.

Learn more.
Register
ABA-CLE










Program Time
1:00 PM - 2:30 PM ET
ABA-CLE



Tuition / Fees






$95 Sponsoring Section Members
$150 ABA Members
$195 General Public
$99 Government Attorneys
$75 Each additional registrant using the same connection
ABA-CLE


Sponsors
Commission on Law and Aging,

Criminal Justice Section,

Individual Rights and Responsibilities Section,

ABA Special Committee on Bioethics and the Law,

Senior Lawyers Division,

Young Lawyers Division,

Section of Real Property, Trust and Estate Law,





and 





ABA Center for Continuing

Legal Education
ABA-CLE


Program on CD
The complete program

will be available on CD.

Click here to pre-order your CD.

$125 Sponsoring Section Members





$135 ABA Members





$150 All others

New Pure Hydrocodone Pain Killer Drug Being Developed Talking to the FDA About Application-Targeting 2013 For US Market

This is kind of scary as to where we are going with pain killers.  One good thing though is that there are many new devices on the market coming out that distribute pain killer right to the affected area for recovery from surgery, wounds and so on and I would take that in a heartbeat versus taking pain killers.  I have had surgeries imageto where for a few days where I took Vicodin and I know what it does after a couple of days and that’s about all I am good for as I prefer being alert. 

The case being made here is less liver damage from the acetaminophen found in combination drugs, like Vicodin, but it also puts the drug in a stronger controlled group with regards to refills, etc.  Again myself I couldn’t imagine anything stronger as the combination drug was enough for me for a couple or three days.  This is of course abused drug in the US.  In 2007 the Purdue drug company pleaded guilty to their claims that the drug was not addictive.  The company also makes patches that release opioid controlled substances as well and was approved by the FDA in 2010. 

Purdue Pharma Receives FDA Approval for Butrans™ Transdermal System For Severe Pain Management.

Some of the drugs get recalled too, like this example below. 

FDA Recall: Vicodin (Hydrocodone Bitartrate) in Phenobarbital Bottles Qualitest Pharma-Incorrect Package Labeling

Earlier this year the FDA approved cough and cold medicine to contain hydrocodone so it looks like it’s going to be around for a while and I guess we shall wait and see fi the pure stuff makes it to the market.  BD 

FDA Approves NDA for Two Hydrocodone Cough and Cold Medications From Cypress Pharmaceuticals

NEW YORK -- Drug companies are working to develop a pure, more powerful version of the nation's second most-abused medicine, which has addiction experts worried that it could spur a new wave of abuse.

The new pills contain the highly addictive painkiller hydrocodone, packing up to 10 times the amount of the drug as existing medications such as Vicodin. Four companies have begun patient testing, and one of them – Zogenix of San Diego – plans to apply early next year to begin marketing its product, Zohydro.

If approved, it would mark the first time patients could legally buy pure hydrocodone. Existing products combine the drug with nonaddictive painkillers such as acetaminophen.

Oxycodone is now the most-abused medicine in the United States, with hydrocodone second, according to the Drug Enforcement Administration's annual count of drug seizures sent to police drug labs for analysis.

The latest drug tests come as more pharmaceutical companies are getting into the $10 billion-a-year legal market for powerful – and addictive – opiate narcotics.

Zogenix has completed three rounds of patient testing, and last week it announced it had held a final meeting with Food and Drug Administration officials to talk about its upcoming drug application. It plans to file the application in early 2012 and have Zohydro on the market by early 2013.

Opiates block pain but also unleash intense feelings of well-being and can create physical dependence. The withdrawal symptoms are also intense, with users complaining of cramps, diarrhea, muddled thinking, nausea and vomiting.

Purdue Pharma and Cephalon, a Frazer, Pa.-based unit of Israel-based Teva Pharmaceuticals, are conducting late-stage trials of their own hydrocodone drugs, according to documents filed with federal regulators. In May, Purdue Pharma received a patent applying extended-release technology to hydrocodone. Neither company would comment on its plans.

After a while, opiates stop working, forcing users to take stronger doses or to try slightly different chemicals.

Pure hydrocodone falls into the stricter drug-control category than hydrocodone-acetaminophen medications, meaning patients would have to go to their doctors for a new prescription each time they needed more pills. But Jackson said that's no guarantee against abuse, noting that dozens of unscrupulous doctors have been caught churning out prescriptions in so-called "pill mills."

http://www.huffingtonpost.com/2011/12/26/hydrocodone-painkiller-drug-abuse-experts_n_1170143.html?ncid=edlinkusaolp00000003

Publish Ethics Committee Decisions pt III

A few weeks ago, I argued that ethics committees should publish their recommendations when those recommendations operate as binding decisions.  The complete argument for this position will appear in an article I have yet to write.  



But I was encouraged to see this in the New York State Task Force on Life and the Law 1992 report When Others Must Choose (p169):

"The committee should issue a statement of reasons for its decision, and unlike cases where the committee acts in an advisory manner, committee records of decisions about life-sustaining treatment should be subject to review . . . .  These procedures will afford openness and accountability . . . ."

Christmas Wish Granted: Woman on Organ Support Given 1 More Day

                                   

Merry Christmas from the Medical Quack(s)

You didn’t expect to see anything else here did you?  Have a great holiday and posts will be a little fewer and less frequent in the next week before the new year.  Thanks again to all my readers for another wonderful year!  BD  image

CEO and founder of the French Poly Beast Implant Prothese Wanted by Interpol

The implants are filled with an unapproved non-medical grade material said to be made for mattresses?  The article goes on to say around 40,000 women in the UK imagehave the implants.  You wonder how does this go without notice for so long.  France stated that all women should have them removed and the UK was not as aggressive; however plastic surgeons in the UK felt a little different and said the suggestion from France was not at all out of line. 

The company has been liquidated and the use of the PIP implants has been banned but when women have them removed I would definitely have the silicon tested to see exactly what is in there for sure.  In the meantime the former CEO appears to be in hiding.  We didn’t have the implants in the US but South America was also affected with having used the product.  BD  

Interpol is seeking the arrest of Jean-Claude Mas, the founder of a French company whose breast implants are at the centre of a global health scare.

The international police agency has issued a red notice for Mas. His firm Poly Implant Protheses (PIP), which went into administration last year, supplied implants to tens of thousands of women in Europe and South America.

Interpol's website says the 72-year-old is wanted by Costa Rican authorities for crimes involving "life and health" but gives no further details. France has offered to pay for an estimated 30,000 women in the country to have their PIP implants removed because of risks the products could rupture and leak industrial-grade silicone.

http://www.guardian.co.uk/world/2011/dec/24/french-breast-implant-chief-interpol

FDA Recalls St. Jude’s Riata Defibrillator Leads–Estimated 79,000 Patients in the US Implanted with the Device/Leads

Apparently they found the silicon covering on the leads is the issue and it could shock patients when they don’t need it or not work at all and have a higher failure rate than first anticipated.  St. Jude last year stopped selling the leads.  BD 

St. Jude Medical Inc.’s Riata defibrillator leads, which the company stopped selling last year, were recalled by the U.S. Food and Drug imageAdministration because of their potential to injure or kill patients

The devices remain implanted in an estimated 79,000 U.S. patients. The company voluntarily sent a letter to doctors on November 28 informing them that the wires used to connect the devices to the heart have a higher failure rate than was previously known.

Leads with externalized conductors may develop electrical dysfunction and not work as intended. In the event the device does not work as intended, should a life-threatening heart rhythm occur, pacing or defibrillation therapy may not be delivered as intended. This may result in serious adverse events, including death.
The recall includes the following model numbers:
Riata (8F) Silicone Endocardial Defibrillation Leads
Models: 1560, 1561, 1562, 1570, 1571, 1572, 1580, 1581, 1582, 1590, 1591, 1592
Riata ST (7Fr) Silicone Endocardial Defibrillation Leads
Models: 7000, 7001, 7002, 7010, 7011, 7040, 7041, 7042

http://fortworth.injuryboard.com/medical-devices-and-implants/fda-recalls-st-judes-riata-lead-based-on-risk-of-death.aspx?googleid=296998

Family Requests 1 More Day of LSMT for Brain Dead Patient

                                   

Brain Dead Patient Wakes Up

                                   

Nurses Hold One Day Strike at Long Beach Memorial and Miller’s Children’s Hospital

The nurses have been without a contract for a few months now and are also talking about working conditions and other items needing attention.  One thing I know about the hospital is that “its is busy” like all the time.  They did remodeling and shifting things around in the last couple of years to ease people waiting in the hallways that existed a couple years ago in the ER area. 

What is odd here is that over 75% of the nurses showed for work though.  The Children’s Hospital is new and state of the art and I did a walk through interview with the CFO just before it opened a while back.  BD 

Miller Children’s Hospital Long Beach – Brand New Pavilion Carries Focus on Patients and “Green”

Hundreds of nurses from Long Beach Memorial Medical Center and Miller Children's Hospital staged a one-day strike Thursday over failed contract negotiations and staffing issues.
Equipped with bullhorns and whistles, the nurses stood by the main entrance of the hospitals on Patterson Street and Atlantic Avenue. Many waved picket signs that read: "If nurses are outside, something's wrong inside" and "Safe staffing at all times."
Amid the yelling and cheering for every car horn honk they got, the nurses sang out chants.
The California Nurses Assn. has been working without a contract since Sept. 30 and has been at odds with hospital management over staffing conditions and rising costs of healthcare premiums.

http://www.latimes.com/news/local/la-me-nurses-20111223,0,6707464.story

US Senator Doesn’t Want Us Ingesting Caffeine With Aeroshot Breathable Caffeine

The product says you get the same amount of caffeine as you would in a Starbucks imagecup of coffee which seems harmless enough.  Ok so you take 3 or 4 snorts, some like me drink that many cups daily anyway.  If you really like caffeine, you can bathe in it, suck it down in lollypops and more.  There are geek sites all over the web that sell caffeine in different types of products.   The product doesn’t need FDA approval the article indicates as it has some vitamin supplements included as well.

Caffeine: Shower Shock Caffeinated Body Wash, Javapops

Who can figure out what gets priorities today in Congress?  From reading the web page it sounds like it goes to your stomach actually.  This was invented by a professor at Harvard.  The website also says no caffeine goes to your lungs.  This will be interesting when it comes out in January in Boston and New York and the Senator can certainly find more important issues to address by all means.  BD 

image

According to the senator’s office, the product is not reviewed by the FDA — it apparently skirts regulation by claiming it contains a vitamin supplement.

According to its website, Aeroshot lets the user inhale caffeine in powdered form. It dispenses 100 milligrams of caffeine in a just few puffs. The jolt is equivalent to a large cup of Starbucks coffee.

The product is apparently being marketed to consumers ages 12 and up with the emphasis on helping students stay awake and study.

http://newyork.cbslocal.com/2011/12/22/schumer-fights-sale-of-inhalable-caffeine-product/

Feed The Wards Video From ZDoggMD–His Christmas Wish Granted-Not On Call This Year!

The doctor no problem here with working on a second career!  This so funny and I think one of his best as he an entire collection.  Use the link at the bottom to go his site and see more of the rapping hospitalist.  Pumpkin colored ensure…Santa pulled his central line…<grin>.  BD

Feed the Wards!

But it is the Holidays, so we should probably take a moment to think of those less fortunate than ourselves. People who go hungry while others feast. People without a single shred of hope remaining. I’m talking about healthcare workers taking call during the Holidays.

http://zdoggmd.com/2011/12/feed-the-wards/

Shell Practices that Defraud Medicare–One Good Reason to Clean Up The Flawed Data on the Internet-Hunting Ground for Thieves

If you read the Medical Quack often enough this is fairly common topic that comes up for me to write about as it is such a big problem.  The “shell” practices as they are called can sometimes find provider IDs online, for “dead” doctors and then they go to work billing.  It really makes for a huge problem all the way around without some decent audit trails and checking.  It’s funny we have all the data being sold out there and they grab stuff for free and use it for all kinds of intelligence, but when it comes to simple verification we have little.  Chapter 7 of the Attack of the Killer Algorithms shows how flawed data hurts us from the consumer side. 

Flawed Data–Mined by Corporations Online Provides Background Checks Riddled With Errors–Attack of the Killer Algorithms Part 7

The thieves know how to mine data too unfortunately and run the gambit as I wrote about over a year ago.  As a consumer you may be using the doctor sites to find a doctor, but the other side is looking for flawed data, dead, retired doctors, what ever they can get with folks not updating records. 

Dead Doctors and Inaccurate MD Listings On the Web Can Be a Real Hunting Ground of Information to Mine For Crooks Relative to Fraudulent Medical Billing

Here’s an interesting article from 2010, obviously one of the so called shell companies.

Biggest Prescriber of Medicaid Drugs In New Jersey Charged with Fraud–Only Had 3 Employees

How many women received penis pumps?  Again it’s an auditing algorithm that can be used to catch some of this and HHS is moving in this direction with new auditing software and I would be surprise if one woman received one <grin>. 

Two Florida Business Men–Medicare Fraud For Billing for Penis Pumps for Female and Male Patients–Lot of Transaction Money Made And Who’s Running the Algorithms for Profit?

The key here is though to use the math and queries wisely so legitimate practices don’t get caught in “false positives” as that happens too.  Most of the time though as this investigative article indicated it’s a matter of a few queries, like business licenses and names that can be researched but if nobody looks at the obvious the claims fly.  One of the biggest fraud stories with this well known oncologist in the OC and he got caught twice and in court his attorney said he had a compulsive disorder where he couldn’t help himself as it was so easy, go figure that one out.

Prominent Orange County Oncologist Pleads Guilty to Medicare/Insurance Fraud – Over $1 Million

A few queries and auditing algorithms can help out a lot.  The new algorithms used by CMS should help identify a lot of the obvious before anyone has to step a foot outside a door to investigate.

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

Again as mentioned, there is a downside with the formulas wrenched down too tight for false positives.  Here’s a story from 2010 from San Diego to where the Ingenix algorithms said the dermatologists practices were billing fraudulently and this was ugly and I don’t know the outcome but it was bad the way it was handled and some doctors had to close as there was no money in the way that it was handled and law suits are on going with this one so we went from “shells to skins” in this case.  BD

Skins game With Dermatology Offices in California – All Insurance Carriers Quit Paying For Treatment Within a 5 Day Period

MIAMI/ATLANTA (Reuters) - By the time authorities busted a fake AIDS clinic in Miami, it had bilked Medicare of more than $4.5 million. Still, the man behind the scheme remained far ahead of the agents pursuing him.

Michel De Jesus Huarte, a 40-year-old Cuban-American, hadn't simply avoided arrest. He had hatched a plan to steal millions more from Medicare by forming at least 29 other shell companies - paper-only firms with no real operations. Each time, he would keep his name out of any corporate records. Other people - some paid by Huarte, some whose identities had been stolen - would be listed in incorporation papers.

The shells functioned as a vital tool to hide the Medicare deceit - and not only for Huarte. Hundreds of others have used the veil of corporate secrecy to help steal hundreds of millions of dollars from one of the nation's largest social service programs, a Reuters investigation has found.

Huarte is now behind bars and did not respond to requests for comment. But basic checks by Reuters of Medicare providers in one city - Miami - suggest shell companies remain prime tools in perpetrating fraud. Simply by reviewing the incorporation records of Medicare providers in two buildings there, reporters uncovered information that one government official said could prompt "a serious criminal investigation" of some of the companies.

The fraud rings merge stolen doctor and patient data under the auspices of a shell company and then bill Medicare as rapidly as possible. Other shell companies are often layered on top to camouflage the fraud, law enforcement officials say.

http://www.reuters.com/article/2011/12/21/us-shellcompanies-medicare-idUSTRE7BK0PY20111221

Rasouli Case - Call for Interveners

Now that the Supreme Court of Canada has granted leave to appeal, the appellants have 30 days to file a Notice of Appeal.  [Rule 58(1)(b)]  Within 12 weeks after that, the appellants must file and serve their factum, record, and book of authorities.  [Rule 35(1)].  And within 4 weeks after that, any person interested in the appeal may make a motion for intervention.  [Rules 55-56]  


Given both the public policy importance of the issues in this case and the factual errors made by the Ontario court, I hope that relevant physician associations, hospital associations, and others will prepare motions for intervention.


In a paper published in the Osgoode Hall Law Review last year, professors Alarie and Green concluded that 'interveners matter more than many observers might expect."


One more Johnson and Johnson Recall-Motrin That May Not Work-Where’s the BarCodes to Help Consumers, Drug Chains, Pharmacists, the FDA and So On…

Well they did do a trial on bar codes for baby wipes which give product information imagebut in case of a recall, they information could be updated quickly.  I realize the company is delving deep into quality control but gee look at the other side with consumers and everyone else involved.  A collaborated effort with the FDA could work very well and make it easier for compliance too with a synchronized data base, but we just don’t seem to want to go there.

Johnson and Johnson Puts Microsoft Tag Bar Codes on Baby Wipes But Can’t Do the Same to Give Consumers the Chance to Find Their FDA Recalls - BarCode Baby Steps?

Here’s an image of what the barcodes on the baby wipes look like below:

Furthermore I have seen millions spent on trying to engage consumers with mHealth and they just don’t get as far as needing a vehicle and creating value for the consumer, this is the vehicle to drive it as this is VALUE shown immediately.  People would much rather have this than see that Facebook HHS contest for an emergency app and all the geeks on the web kind of laughed at it with all the privacy issues on the forefront.  So let’s use this tweet below…J and J are you listening…I’ll just keep posting this tweet from a Mom that wanted to be able to scan bottles…I have a few more of them too on the Quack. 

The Milwaukee Journal interviewed me on my thoughts on the barcodes earlier this year as another company with wipes had a huge recall too.  You can read that at the link below…technology is here but we are not using it.

Triad Group Taints Smith and Nephew Device Company With Recalled Wipes How Many More Are Out There Under Private Labels?

Of all the recalls and situations that could be fixed, the stinking drugs was one that could easily be fixed with coatings the pallets outdoors!  I was in logistics for many years and watched that routine occur all over the place with treated pallets indoors.  I used to do business with a J and J distribution center many years ago, was happening then and sure it’s what the stink is all about.  Other companies did it too as I also called on Pfizer distribution centers and few others as well. 

Johnson and Johnson Recalls Stinky Topamax Drug Used for Epilepsy-The Cold Weather Stench That Stole Topamax

How the CEO Bill Weldon goes unscathed over all of this is beyond me as yesterday it was in the news that the former head of the consumer division was set to face charges on all of this.  BD

Johnson & Johnson (JNJ), the health-care company beset by product recalls the last two years, said it was asking retailers to return about 12 million bottles of Motrin over concerns the painkiller may dissolve too slowly.

Tests of product samples showed some caplets may not dissolve as quickly as intended when near their expiration date, J&J’s McNeil Consumer Healthcare unit said in a statement on its website today. While consumers don’t have to return any bottles, it’s possible there may be “a delay in relief” after taking the drug, Bonnie Jacobs, a spokeswoman, said in a telephone interview. J&J is based in New Brunswick, New Jersey.

McNeil agreed in March to give U.S. regulators stepped-up oversight at three manufacturing plants, after the division had to pull tens of millions of packages of over-the-counter drugs for quality concerns. Today’s recall covers Motrin distributed in the U.S., Puerto Rico, Fiji, Belize, the Bahamas, St. Lucia and Jamaica, according to the statement.

http://www.bloomberg.com/news/2011-12-21/j-j-recalls-12-million-bottles-of-motrin-that-may-not-dissolve.html?cmpid=yhoo

Rasouli Case Will Be Heard by Supreme Court of Canada

Earlier today, the Supreme Court of Canada granted the critical care physicians' petition for leave to appeal from the Ontario Court of Appeal's June 2011 ruling in Cuthbertson v. Rasouli.  


If the briefing is sufficiently robust, this could be the most significant judicial examination of medical futility - ever, in the world.  


Free Online Class - The Aging Population, Alzheimer’s and Other Dementias: Law & Public Policy

The University of Iowa's National Health Law and Policy Resource Center is offering a new course this spring (January - April 2012) titled "The Aging Population, Alzheimer’s and Other Dementias: Law & Public Policy."  


It will be available free and online to anyone. Law students as well as graduate students from other colleges may enroll in the Colloquium for course credit or may audit the Colloquium.  Non-students may participate via the internet.


This course is taught by an all-star cast of experts.  For example:
  • Legal Needs of the Aging Population and the Practice of Elder Law - Lawrence A. Frolik

  • Legal Approaches to Determination of Diminished Capacity and Assessing Clients with Diminished Capacity - Charles P. Sabatino

  • Adult Guardianships - Erica F. Wood



Audit Shows Medicaid Payments for the Dead

I have written about how public payers should not cover medical treatment for those in a persistent vegetative state or for those with an infinitesimal prospect of benefit.  But surely, an even easier case can be made that public payers should not pay for medical treatment for individuals who are dead.  Unfortunately, a non-insignificant amount of money is spent for the treatment of such individuals.


The Maryland Department of Legislative Services' Office of Legislative Audits released an audit earlier this month showing that Maryland's Medicaid agency has not ended payment of Medicaid fees for all enrollees who die outside the state.  Auditors found that the state paid at least $426,403 in Medicaid fees between Jan. 1, 2008, and Aug. 31, 2011, relating to the coverage of 10 people who had died.  Most of the improper payments were monthly capitation fees paid to Medicaid managed care organizations.  (HT: Am Med News)


POLST - Now in New Jersey Too

New Jersey Governor Christie has signed the revised POLST bill.  Of course, legislation is just the first step in the long, long journey of implementation.


Heartbeat Bills and End-of-Life Decisions

I do not regularly follow legal developments concerning reproduction.  But I have long been aware that the politics of end-of-life decision making and the politics of reproductive decision making are intertwined.  Reviewing some of the materials on pending "heartbeat bills" drives this home.  


At least in a significant subset of cases, the rationales are parallel.  Just as decisions to withhold or withdraw LSMT at the end of life are driven by the patient's potential quality of life, many abortions are prompted by concerns about the fetus' potential quality of life.  


The heartbeat bills elevate the intrinsic value of biological life above its quantity or quality.  I am concerned that the passage of such bills could create a dangerous vitalist wedge for still further encroachments on patient choice.


Massachusetts Nurses Association Protesting Private Equity Company Cerberus Who Operates Steward Healthcare With More Concern for Profits Than Care

Many nurses made the trip to the Cerberus offices in New York to promote an “Occupy” type demonstration with discontent over many working and pension conditions since Steward, who is owned by Cerberus took over and purchased several hospitals in Massachusetts. One item in particular pointed out was the skimping on bread and juice used to stabilize patients at Norwood Hospital and Good Samaritan Hospital.  There have been a greater number of private investments in healthcare and apparently it has become so large in number they had to create a “non profit” group to talk about how to “profit”…kind of an oxymoron?  BD 

How Big Are Private Equity Investments in Healthcare – Large Enough to Create a “Non-Profit” Trade Association To Talk About How to “Profit”

From the Website:

“Cerberus Capital Management, L.P., along with its affiliates, is one of the world's leading private investment firms. Through its team of investment and operations professionals, Cerberus specializes in providing both financial resources and operational expertise to help transform undervalued companies into industry leaders for long-term success and value creation. Cerberus holds controlling or significant minority interests in companies around the world.
Cerberus is headquartered in New York City with affiliate and/or advisory offices in the United States, Europe, the Middle East and Asia.”

Janet DeMoranville is standing up against a private equity investment firm that now owns Morton Hospital, where she has worked for 13 years, saying the company is more concerned about profits than patients.

“They are just out to make money,” said DeMoranville, describing the motives of Cerberus, which has bought 10 hospitals in Massachusetts, including Morton, as part of Steward Health Care.

“They don’t care how they do it, or what cuts they have to make to get it. They have to realize that health care is not a money-making business. It’s a patient care industry. That’s what it needs to be about.”

DeMoranville was one of five Morton nurses who joined more than 100 other nurses from the Massachusetts Nurses Association (MNA) and hundreds from other states to protest Cerberus at the firm’s corporate headquarters in New York on Tuesday afternoon.

Representatives for the MNA singled out Steward and Cerberus for one issue, slamming them for skimping out on bread and juice used to stabilize patients at Norwood Hospital and Good Samaritan Hospital in Brockton. MNA spokesperson David Schildmeier said that is unacceptable for Cerberus, which bought Chrysler in 2007 before another company bought it last year and has become involved in the arms industry, said that this was ridiculous.

“When the owner of Chrysler can’t provide a loaf of bread to patients, that symbolizes something being very wrong,” Schildmeier said.

http://www.tauntongazette.com/news/x1157704454/Morton-Hospital-nurses-Cerberus-more-concerned-with-profits-than-patients

Prestige Brands to Acquire 17 Consumer Over the Counter Brands From Glaxo

This seems to make sense as Prestige already had a large number of consumer products already and that appears to be their primary business.  The over the counter products seem to a bit of a mixed bag with both drugs and other types of consumer products.  BD 

IRVINGTON, N.Y., Dec 20, 2011 (BUSINESS WIRE) -- Prestige Brands Holdings, Inc. (NYSE-PBH) today announced the signing of a definitive agreements with GSK to acquire 17 over-the-counter (OTC) imagepharmaceutical brands sold in North America for a total of $660 million in cash. The transactions are expected to be completed in the first half of calendar year 2012 subject to customary legal and regulatory closing conditions, including clearance under the Hart-Scott Rodino Antitrust Improvements Act of 1976, as applicable, and the Company closing on its committed financing for the acquisitions.

Among the brands the Company agreed to acquire are the BC(R), Goody's(R), and Ecotrin(R) brands of pain relievers; Beano(R), Gaviscon(R), Phazyme(R), Tagamet(R) and Fiber Choice(R) GI brands; and the Sominex(R) sleep aid brand.

http://www.marketwatch.com/story/prestige-brands-holdings-inc-signs-definitive-agreements-with-gsk-to-acquire-17-consumer-otc-healthcare-brands-in-north-america-2011-12-20

Hawaii Medical Center Closes Emergency Rooms As New Buyer for the Facility Fell Through And Facilities Will Be Closed When All Patients Have Been Transferred

Back in October the hospital stated they may have to close and the ER rooms are imagethe first stage of this with paramedics stationed outside and there are no doctors on staff to see anyone.  About 1000 employees are affected and patients are being transferred to other hospitals.  As you can read below, no more transplant surgeries.

Hawaii Medical Center Searching for Buyers–If Not Center Could Close As Early as November-Only Hospital in the State Capable of Performing Transplant Surgeries

We are just about bleeding the hospitals dry of money in many area and with the next year it’s almost sad to say we will see more stories like this as there are a couple in New York looking from the red side and getting very close.  This is not a very happy holiday for the employees or the patients by all means.  I don’t know what more we have to endure with cutting hospitals back on money but it’s just not working very well as even hospitals like Cedars Sinai have cut out their mental health services too here in Los Angeles.  BD 

LILIHA and EWA (HawaiiNewsNow) - "We're just trying to be the safety net for the community to make sure that all their needs are being addressed as they roll up," said Kelly Yamamoto, a District Chief with the City & County of Honolulu's Emergency Medical Services.

Posted signs warned the public, then at 7 o'clock Monday morning the doors to both Hawaii Medical Center's Ewa and Liliha emergency rooms were closed to the public. No doctors inside, but paramedics were outside.

"It's a crisis for everyone and everybody is just kind of trying to do their part and make sure that our community is well cared for," said Yamamoto.

Paramedics were there to provide triage or to call for an ambulance if needed. Emergency Medical Services (EMS) hasn't brought anyone to HMC ERs since Friday and it's beefed up its ambulance presence in the community to help.

Hawaii Pacific Health officials say no official negotiations are underway to acquire the bankrupt HMC hospitals and their assets from its largest creditor, St. Francis Healthcare, but the company is monitoring the financial situation closely. HPH Chief Executive Officer, Chuck Sted said, "We continue to stay in touch with the debtor, secured creditors and unsecured creditors to determine if we are able to play a role in the future of these facilities."

 http://www.hawaiinewsnow.com/story/16354395/hawaii-medical-center-emergency-room-closed-monday

HealthVault Free Mobile App For Windows Phone Is Out from the Zune Store To Download & Got My Ducks Updated

This is pretty neat and loaded it up on my phone and off I go.  It’s pretty straight forward and works fine.  I didn’t have a lot of time to go through all of the screens yet but will do later one.  image

The screens are very similar to what you see on the computer just smaller and if you are used to mobile apps already, then you will get it.  It was very simple to sign in and so forth.  I have my mother on the account and all her information is available for me as well and actually she has more in there than I do.  Just yesterday I posted about a new MIT program that uses a $2.00 piece of hardware that uses the same bar code technology that phones use to scan too, so a lot going with smart phones today.  I might guess in time this might be something to incorporate into HealthVault too.

EyeNetra–Eye Exams in the Palm of Your Hand With a Smart Phone Using Similar Optical Technology as With Bar Codes–Video

image

I found this other little application while connected where I can watch moles and take pictures so I’m using version which allows only one individual and 3 pictures to see if I like it.  I don’t have ton of moles so will check this out.  I looked through the other apps and again there’s tons of them that do “one thing” and most I don’t feel are worth the time and effort.  HealthVault will have the information from connected devices available so again with doing more than one thing I see some value here.  So how many moles have you seen on a duck?  Maybe I need a feather chaser <grin>. 

image

And after the healthcare stuff, time for me to check out some ducks so one more duck hunter game, and yes my ring tone is a quack and I wanted to also see what “what’s up with the drunk ducks” too. 

image               image

Last but not least, have to load up my favorite browser, “DUCKDUCKGO”.  You can figure out why I like this one.  Actually is is not bad and is private so right up my ally there with private browsing.  I use it on my main computers too and will be checking out the phone version.  What a Quack I can be at times and the having the current state of affairs on a duck’s health seems to be right up my alley.  BD 

image

http://blogs.msdn.com/b/familyhealthguy/archive/2011/12/15/healthvault-now-fun-size.aspx

 
Support : Creating Website | SEO Template | Free Template
Copyright © 2011. What Is Medical - All Rights Reserved
Proudly powered by Blogger