Showing posts with label Other Items of Interest. Show all posts
Showing posts with label Other Items of Interest. Show all posts

Fist Fight and Love Triangle In Pennsylvania Costs One CEO His Job -


A job paying $4.5 million a year is not easy to come by, at least in my area of the world it’s not.  He used to have clout and now with this all over the media, I guess time will tell imageif it stays or goes away.  This is bizarre as his mistress as she is called moved out from her home with her husband, and then the former CEO, Melani hired a private detective to follow her.  Something must have been cooking as he showed up and the husband was there and it sounds like that’s what erupted into a fist fight.  Highmark as a company also has this battle in place with UMPC. 

Hospitals and Insurance Company Competing for Patients In Pittsburgh–Contracts In Question


From the website:


“Our history of helping families and companies with their health insurance needs dates to the 1930s, when our predecessor companies were established to helpimage Pennsylvania's residents pay for health care.

Highmark was created in 1996 by the consolidation of two Pennsylvania licensees of the Blue Cross and Blue Shield Association — Pennsylvania Blue Shield (now Highmark Blue Shield) and Blue Cross of Western Pennsylvania (now Highmark Blue Cross Blue Shield). We are now one of the largest health insurers in the United States.”

In addition Highmark and the Blues Group, which was their origin also bought NaviNet which is a Health IT technology company that connects medical records. So there was a lot going on for sure business wise and otherwise.  BD 

Blue Cross/Blue Shield Insurers and Highmark Acquire NaviNet Transactional Portal And Medical Records Vendor–Subsidiary Watch

Video below and is appears they both the husband and the doctor had bleeding faces and the board of directors held a meeting hours after the assault.  BD



He held the CEO post of one of the largest health care providers in PA and now he is facing serious allegations following a sex scandal.
Here in Central PA, thousands are employed by Highmark and shocked to hear the news that higher-ups fired CEO Doctor Kenneth Melani Sunday morning.

Dr. Ken Melani is out as CEO of Highmark, a post that paid $4.5 million a year and gave him serious clout in the industry.
Melani is accused of getting into a fist fight in a neighborhood near Pittsburgh with the husband of Highmark employee Melanie Myler who he was allegedly having an affair with.
“The reports are scandalous in nature, it isn’t flattering,” stated attorney Robert del Greco.
Melani’s attorney went onto say they don’t know if he was fired under moral grounds or something else entirely.



http://www.whptv.com/news/local/story/Highmark-CEO-fired-over-love-triangle-brawl/ki_NJGqU1EKAeKFIwW16sg.cspx

Over Diagnosing for Breast Cancer? Report Suggests Some Treatments Were Not Needed

This is one that I know about through my mother as we had this happen.  It turned out she did not have breast cancer and a “mass” was found.  I’ll make this brief but she imagewas over-diagnosed when the x-ray was blown up to further investigate.  That lead to a biopsy which was also messed up and if she would have gone for treatment for this tiny miniscule mass they found with radiation, she may not be here today at age 87 and this was about 3 years ago when all this occurred. 

Upon consulting with a veteran surgeon who went over everything in detail he said yes she has a mass but it was not cancer and he has done a ton of surgeries for breast cancers so he was experienced. 

He gave her the choice though of having it removed or not and when we discussed it we decided against it and keep in mind too this was at a time when propofol was hard to get all the time and he informed her he would need a “special anesthesiologist” to work with another drug and keep her “under” time down to an absolute minimum as even he knew after seeing her chart that her health was a bit on the fragile side with a long history of blood pressure, heart problems and diabetes. 

After all was said and done the insurance company went back to investigate the original oncologist and radiologist. 


The radiologist had called my mother about her experience with the oncologist as well and about the office since they were new partners.  The radiologist left and went elsewhere and the insurance company ended up fining the oncologist who seemed to be more interested in making my mother a case study than treating her cancer.  This is not representative of most doctors thank goodness and the pressure to sign up after the consult from the messed up biopsy was horrendous.  She could not get out the door without making her appointment for the treatment with the brand new Mammosite machine they had just purchased. 

FDA Clears Hologic's MammoSite(R) Multi Lumen Radiation Therapy – Breast Cancer


She made the appointment, went home and then cancelled the next day and the girl in the office was scared half to death over her job as she was evaluated on her patients relations and bookings for treatments for productivity.  So much for pay for performance at this level I said. 
 

So in summary screenings are still good in my opinion; however involving the patient here as we were with my mother lead to a very different outcome and results from the moment that she was told she had cancer.  Of course she signed all the releases for the doctors stating that she was declining radiation treatment.  After our experience with weighing everything and especially after the consult with the surgeon we felt we made the right decision. 

Again this was a very tiny spot and the following year her mammogram was clear!  But wait, 2 years later next mammogram and they again find a tiny spot and again blew it up to investigate and again I’m not picking apart the procedure or doctors at all, but, it was good to have case history and see almost the exact same thing as what set off whistles and bells 3 years prior and again we stopped there once more and opted out for surgery.  She’s still here today and again I can’t emphasize enough that each case is its own and we were and are lucky but I also understand that this is just her case and everyone needs to get all the information they can and make their own decisions.   BD

(Reuters Health) - A new report suggests that when a breast cancer screening program was rolled out in Norway, up to 10 women were diagnosed and treated for cancer unnecessarily for every breast cancer death that was prevented.

That’s because when doctors screen for cancer in women who don’t have symptoms, it’s impossible for them to tell whether a tumor picked up by mammography will grow quickly into advanced cancer or will only progress slowly or not at all, said lead author Dr. Mette Kalager.


You have to really consider the benefit and the harm against each other, and really think through: what is my risk of dying from breast cancer, and what is my risk of being overdiagnosed?" she said.

http://www.reuters.com/article/2012/04/02/us-breast-cancer-idUSBRE83112U20120402

Oracle Buys Cloud Based Clinical Trial Application Company–ClearTrial

It was not too long ago that Oracle Larry Ellison received an award for his contributions

to Health IT from the NIH.  We see the move with analytics all over healthcare today so this makes sense for Oracle to be in this business.

image

Oracle and Clear Trial will continue to operate as separate companies and biopharmaceutical, device and diagnostic companies are under more pressure than ever today to keep things in a budget for sure.  BD

 

Larry Ellison Announced As Distinguished Medical Informatics Awardee for His Contributions to Health IT and the Ellison Foundation From the Friends of the National Library of Medicine (NIH)

Summary: Oracle plans to combine its analytics resources to ClearTrial’s imagecloud-based clinical trial operations applications to produce a single, cheaper option for biopharmaceutical and medical device companies.

Oracle is beefing up its health sciences suite (and its cloud-based solutions portfolio) with the acquisition of ClearTrial.

ClearTrial is a provider of cloud-based clinical trial operations applications intended to facilitate the planning, sourcing, and tracking of clinical projects while ensuring a more accurate and faster financial performance. Its customer base ranges from emerging companies to top-tier biopharmaceutical companies

.

http://www.zdnet.com/blog/btl/oracle-acquires-cloud-based-clinical-apps-provider-cleartrial/72748

Orange County Oncology Doctor Who Couldn’t Stop Defrauding Medicare Will Get His License Back After He Serves Time & House Sold for Just Under $10 Million

This was the oncologist that couldn’t help himself and made millions and on top of this the government seems to have messed up with the auctioning of his big house.  The sale of his house was supposed to pay off damages and give the government some money back but the government liens were not filed against the Justices as individuals so the trustee says they will get zero.

The house by the way sold for just under $10 million so the defrauding business was good while it lasted and this was his second go around as he was slapped on the hands basically the firs time.  If there were big payments due on that house, no wonder he couldn’t help himself maybe?  BD

 

Orange County Oncologist Gets Sentenced to 18 months Prison – Diagnosed With “Co-Dependency”- Couldn’t Stop Fraudulently Billing Medicare

A technical glitch overlooked by federal prosecutors may impede the U.S. government from collecting nearly $7.6 million owed by an Orange County physician convicted of Medicare fraud.

The sale of Dr. Glen Justice’s beachfront Corona del Mar house was supposed to pay off damages and restitution he owes the government.

But a court-appointed trustee maintains that the government should get nothing from a sale now in the works because government liens were filed against the Justices as individuals and not against the trusts named on the deed.

Justice pleaded guilty in 2010 to five counts of fraud for billing the government and private insurers for expensive cancer drugs that were never given to patients.

http://lansner.ocregister.com/2012/03/23/did-feds-goof-in-convicted-doctor-case/160064/

The Wrath of Dr. Khan–ER Versus Medicine Video (Humor)

This is just too funny…only an ER doctor…and glad he has a sense of humor too.

 

Wrath of Dr. Khan

 

 

We certainly need a break now and then.  BD

BATS Stock Exchange IPO Rogue Algos–Attack of the Killer Algorithms Chapter 25–See How Other Killer Algorithms Occur in Every Day Life With Healthcare & Credit

If you haven’t figured this one out yet, it’s about computer code and “rogue” algorithms and this can happen at any time, any place and so forth.  Most all in tech know that even the best engineers cannot predict when and where but they do imagehappen and you can reflect back on the big Amazon cloud disruption that took place last year.  We don’t like it of course but it’s something we have to live with and the folks at BATS were smart in shutting it down immediately and not seeing a a self heal function would take place.  In addition, the circuit breaking “code” algorithms kicked in, which is a good thing.  Smart engineers made the right decisions at BATS and they will have to regroup and make their come back.

This is just one example on how we as consumers are all at the mercy of the Killer Algorithms at some point in time.  When you have servers running 24/7 making life impacting decisions about you that you can’t see, touch or talk to, it is frustrating for sure.  In healthcare, insurance companies live and die by their algorithms which analyze information and categorize almost everything about us. 

The big problem today is “flawed data” gets in there either by accident or by human error, or by a rogue algorithm.  Below is a digest of links and a great video that debunks a lot of the reports and methodologies used at times and how some of the marketing for profits created “designed” algorithms that specifically move money and you don’t even see it. Context is everything today and when we roll in some big data and we have some flaws in the integrity of what gets rolled in, then sometime we can’t see the bottom or the top.  Ever wonder why it takes so long to get errors fixed?  Some folks don’t update frequently enough too.  You just never know when the algos are going to bite. 

Attack of the Killer Algorithms–Digest & Links for All Chapters–How Math and Crafty Formulas Today Running on Servers 24/7 Make Life Impacting Decisions About You–Updated 3-11-2012

This also looks like a good spot to repeat the TED video from Kevin Slavin who talks about how algorithms shape our world.  If you have not seen this video, take a look now at this mini crash and see how Nanex and other companies study these rogue algorithms to find out how the machines with no input do a lot of this.  It’s machine talking to machine and again when human is in there with potential flaws, time to pay a little attention here.

“It’s a bright future if you are an algorithm” but we can’t say the same for humans right now.

This is a good time for me to repeat a link to a post I made 2 years ago and I think we are almost here in needing a Department of Algorithms or something like it very soon.  Business trumps government every time when it comes to algos for profit sadly.  BD

“Department of Algorithms – Do We Need One of These to Regulate Upcoming Laws?
How Algorithms Shape the World

Not only has BATS CEO Joe Ratterman released a letter to investors and clients, when you visit the Lenexa, Kansas firm's web page, you have the option of downloading a PDF explaining what caused the meltdown. If this self-inflected wound weren't damaging enough, the BATS meltdown also drove down Apple's stock price an estimated 9 percent with it before the circuit breakers kicked in.

The BATS IPO auction system glitch played a role in an issue resulting in the halting of Apple Inc.'s stock for five minutes. Three erroneous prints occurred that triggered a single stock circuit breaker for the AAPL ticker. Normal trading in AAPL resumed after the five minute trading pause and the three erroneous trades were later broken.

While it was unfortunate that our issues impacted another security, the industry's single stock circuit breaker system worked as planned and proved that recent improvements in U.S. equity market structure are working as intended.

http://www.advancedtrading.com/blogs/232700223?cid=twt_AT

Discussion on Supreme Court Hearing on Healthcare Reform–How Will This Play Out With Current Day Algorithms of Commerce And Unintended Consequences-Video

Do we think that they are immune from politics is one of the questions discussed here.  Granted there are changes to be made and amendments but to throw out Healthcare revision totally is not wise. When you stop and think of all the unintended consequences that will arise, it’s scary.  Again I go back to reviewing how it will play out with IT infrastructure as that’s what’s running the country anyway once it is put in place. 

You do have to admit as complicated as things are today you have to do your best to look at each portion and what changes would take place.  The business and banking areas are prepared as they always are to adjust their algorithms to maintain profit levels and THEY WILL RUN THEIR ANALYTICS and probably already have done some work in this area with projecting several different outcomes so they can move quickly in whatever direction they need.  It is what it is today with intelligence and formulas.  One health insurance company United recently hired the former US Assistant Attorney General from Minneapolis as a general counsel so that somewhat signals an area of preparedness on the part of big business here. 

Supreme Court Likely to Rule on Healthcare Law Early Next Year–This Gives The Justices Time to Rent Some Computing Space from the DOE As They Will Need It

With other attempted rulings we have had judges with potential conflicts of interest arise and this was mainly due to the fact that there seemed to be a huge neglect of mergers and acquisitions within the industry, which is pretty much still ignored to a degree and not discussed enough. 

3 Judges in Health-Care Lawsuits Caught Up In Potential Conflict of Interest-It’s Called Subsidiary Watch-Be Aware of Your Investments With Mergers and Acquisitions

Last year too I did raise the question of any judge being capable of a decision as it’s not easy and how will the language be interpreted.  Once the text goes into place, next stop is the IT infrastructure and I know many don’t like to hear this or talk about it much but again it’s the reality of world we live in today. 

Healthcare Reform Law– Is Any Judge Fully Capable of A Decision on a Law That is Challenged By Constantly Changing Algorithms?

If the ruling is not modeled correctly with looking at how each part would change and affect consumers and those in the industry, we are in for a huge roller coaster ride and perhaps more of a return to the Wild West.

The Good and the Killer Algorithms will move forward based on rulings and decisions made so again I hope the court is cognizant of this fact in what ever they choose. 

Attack of the Killer Algorithms–Digest & Links for All Chapters–How Math and Crafty Formulas Today Running on Servers 24/7 Make Life Impacting Decisions About You–Updated 3-11-2012

How many laws come to think of it are “unworkable” today?  Intellectual arguments can be made but the ultimate answer here I think is to embrace a single pay system as the bandaids are not working and again economic times have changed since the law was put in place, so to strike it down completely would also be foolish at this point.  We don’t live in times any longer where laws last forever as passed.  BD 

Does Congress have the power to mandate that everyone in the U.S. have health insurance? The Manhattan Institute's Avik Roy and Columbia University's Gillian Metzger discuss the Supreme Court's hearing of the case with WSJ Legal reporter Ashby Jones.

http://online.wsj.com/video/the-constitutionality-of-health-insurance-mandate/5714E905-AFB2-4F72-91DB-51F40A352358.html

US Chamber of Commerce Working on Full Scale Mission With Seeking Life Sciences Opportunities in Israel

You can see some of the major companies included in this area and when you think imageof it a lot of the Intel technologies for chips has come from Israel for a long time; however in this instance the focus is Life Sciences.  Biotech conventions in Israel are also very hot and I do website that features interviews with many of the CEOs of Israeli companies and you can view a collection here.  

Another example is the Mayor of Akron who attended the ILSI BioMed Conference last year, getting educated and seeing what biotech interests he could bring back to hospitals in his city.  BD 

video platformvideo managementvideo solutionsvideo player

The U.S. Chamber of Commerce on Sunday embarked on its first full-scale mission to Israel, with the focus on the nation’s burgeoning life-sciences sector.

The U.S. Israel Business Initiative, a special section of the U.S. Chamber of Commerce launched in 2010, is meeting with key Israeli business and political leaders. A dozen high-ranking executives from major U.S. companies, including General Electric [GE 19.78  -0.07 (-0.35%) ], Boston Scientific [BSX 5.97  -0.03 (-0.5%) ], Oracle [ORCL 28.55  -0.08 (-0.28%) ], Merck [MRK 38.005  0.41 (+1.09%) ], and MedImmune, are on the tour. Myron Brilliant, senior vice president of the Chamber of Commerce’s international division, is leading the delegation.

One of the main goals of the trip is to facilitate investment and cooperation between American companies and Israeli leaders in life-sciences industry, including companies that specialize in medical devices, bio-pharmaceutical firms, and genetic research. Over the next few days, executives on the Chamber's mission will meet with leaders in Israel’s life-sciences sector directly.

“There’s a real entrepreneurial spirit in Israel,” said Marc Perlman, global vice president, health care and life sciences, for Oracle. “It’s clear Prime Minister Netanyahu is very excited about Israeli innovation. When it comes to bringing investment into this country he gets it.”

http://www.cnbc.com/id/46850417

Small Businesses Question Health Insurance Tax Being Affordable–Economics Have Changed Since Law Was Written-Tax “Millionaire Data Sellers” Instead - Much Bigger Pot To Make Up for Lost Budget Funds

If you read here often enough you may have stumbled across my little campaign to tax the profits that banks, corporations, high frequency traders, drugs store chains and so on make getting “data for nothing and the profits for free”.  The potential is huge if Walgreens made just under $800 million on their SEC statement in 2010 and I would almost guess they could have broke a billion in 2011. 

Why should the big conglomerates profit so heavily and the “algorithmically generated profits” be so high?  There’s no incentive to set up factories and hire people when a company can grab a couple programmers, write the web mining algos and start running a few queries and reports and sell the data which they get for free.  We try and base too much of our economy today on algorithms and while we need them, we all need balance with manufacturing too.  You know the best part of this idea is that insurance companies make millions selling data too so maybe a nice little revenue/tax bonus here and they still make enough to keep shareholders happy to boot. 

Here’s my thoughts on this topic and the average consumer has no clue that all this is made as you can’t see, touch, feel or talk to those algorithms but they have teeth and take your money and your data behind scenes if written to “maximize financial dollar profits” whether they are accurate or not.

Start Licensing and Taxing the Data Sellers of the Internet Making Billions of Profit Dollars Mining “Free Taxpayer Data”–Attack of the Killer Algorithms Chapter 17 - “Occupy Algorithms”– Help Stop Inequality in the US

Small businesses are being pinched and this is no exception.  It’s not that the Healthcare Law was bad but the economy evolved and a few modifications are needed, and especially in the math areas.  Nobody is accountable there and with some of the big data capabilities coming in it’s hard to get to the bottom with multiple layers of code running.  By the way thanks to all who are now searching for “The Attack of the Killer Algorithms” on search engines as it looks like that’s becoming a keeper. 


There are many very good provisions of the Healthcare law and who’s the fool that thinks this doesn’t need to be revisited and adjusted all the time, it’s the world we live in so a total repeal like some folks talk just shows a lot digital illiteracy with politicians and lawmakers. 

I said a while back that our new consumer protection chief better have some good understanding of math and algorithms as big business is using all of it for profit. I have no problem with companies making profits but when technological formulas are widening the inequality someone needs to dig in here and get with the math and algos.  The link below has about 20 chapters on the Attack of the Killer Algorithm examples if you want to dive in further and see how formulas that run on servers 24/7 make life impacting decisions about out with a bunch of flawed data in the works.  BD 

President Appoints Richard Cordray as New Consumer Financial Protection Chief - Hope He Knows And Understands Correcting Flawed Math and Formulas To Battle the “Financial Attack of Killer Algorithms” On Consumers With Banks and Corporate USA

Small businesses are very mindful of their spending especially when it comes to healthcare. The Health Insurance Tax that's included in the Patient Protection and Affordable Care Act is raising eyebrows among business owners.

He's talking about the Health Insurance Tax that's included in the Patient Protection and Affordable Care Act.

http://www.khastv.com/news/local/Tax-143727746.html

Worried If your ACO Is Going to Be Too Costly? HCP Offering Accountable Care Reinsurance–Once You Figure Out What Your ACO Model Is…

It didn’t take long for this to pop up especially with so many unknown factors that are out there today as even the best laid plans with analytics are in a model, technology can show up tomorrow and throw a left hook at any time.  We have a lot of created and non-created disruptions in healthcare and some good and some not so good.image

ACO Stop Loss Reinsurance is the actual name and there premiums paid and it can be spread over a number of payments.  Many managed care organizations have purchased re-insurance policies as well and sells malpractice insurance to doctors as a primary business. 

Last year in the Cayman Islands, Aetna took out a reinsurance policy in case their medical operating loss numbers went over 104%.  BD 

Aetna Takes Out Reinsurance Deal In The Cayman Islands- $150 Million to Kick When Medical Loss Ratio Hits 104%

HCP National Insurance Services, Aliso Viejo, Calif., is now offering accountable care organization reinsurance for participants in the Medicare Shared Savings Program.

The company, which also specializes in providing medical malpractice insurance, described reinsurance for ACOs as “a big growth area” for the company in a news release.

http://www.modernhealthcare.com/article/20120322/NEWS/303229960/

Healthgrades Hospital Report is Out and Still Think Their Algorithms Needs Work…

This time they appeared not to even touch Massachusetts is appears as last time MDs from some great hospitals were upset they were either not on the list or not ranked properly.  Healthgrades said themselves a while back that their algorithm needs work and now they merged with a marketing company but I wonder how long the rankings here will continue to be of public interest.  I know it’s sure slowed down a lot with consumers I talk to. 

HealthGrades to Merge with CPM Marketing–Will Their Data and Questionable Algorithms Will Be Improved For Consumers?

They have their share of flawed data out there like many who report on healthcare and they were just ahead of the rest when I found my former doctor who has been deceased for 8 years still on their listings.  I know she’s no longer on there but it brought attention to what we get out on the web as far as aggregated data sometimes.  I didn’t see any of the Kaiser Permanente hospital on there either for that matter.  BD 

HealthGrades 'Best Hospital' List Algorithm Needs Work Again - Flawed Data

DENVER, CO – HealthGrades, a provider of consumer healthcare information, named America’s best 50 and 100 hospitals for 2012 in a report issued today.

These hospitals demonstrated superior and sustained clinical quality, ranking them in the top five percent of all hospitals in the nation, according to a press release issued by the company.

Key report findings include:

  • America's 50 and 100 best hospitals are located in 88 cities in 25 states.
  • The majority of America's 50 and 100 best hospitals are nonprofit (87 percent), 7 percent are for profit, and 6 percent are government owned.
  • America's 50 and 100 best hospitals range from 100 beds to more than 500 with 45 percent having less than 350 beds and 55 percent having more than 350 beds.

"As our nation seeks to elevate the quality of care at all hospitals, these elite facilities provide a roadmap for success," said Arshad Rahim, MD, HealthGrades director of accelerated clinical excellence, in a written statement. "Consumers increasingly are demanding greater transparency and quality when selecting healthcare providers. These hospitals are delivering. We commend them for their dedication to excellence in patient care."

http://www.healthcarefinancenews.com/news/healthgrades-names-americas-top-hospitals?page=0,0&topic=19

Kaiser Permanente Opens New Medical Center in Gaithersburg, MD With Dual Monitors So Patient Views Same Chart Information as Physicians in Real Time

This is a good size facility for sure and again as noted in the title here, patients can see the exact same information as the physician in real time whether it’s their chart or perhaps other educational information that would be relative.  There are 72 provider offices and over 350 physicians and staff members.  They are right with the dual screens though as far as engaging the patient.  I don’t know if they do this out side of California but here they use Bloom Box fuel Cells for energy just as Google and EBay do.  image

Kaiser Permanente to Install Bloom Box Fuel Cells at California Facilities

A while back I had the chance to interview one of their physicians from the Atlantic region and our focus was on how the electronic medical records helped her with giving better care in her area of pediatrics. 

Kaiser Permanente Pediatrician Patricia Richards Explains How The Use of Electronic Medical Records Enhances Knowledge With Obesity and Adds Focus to the “Let’s Move” Obesity Prevention Campaign

Last year they also opened this state of the art center in the DC area which is also a learning center and a nice video to watch and see what they do.  In addition here in California outside of Bakersfield they now have a mobile unit that also goes around to offer primary care services and it is connected to the medical records system so everything done is documented on the spot.  BD 

Kaiser Permanente Opens State of the Art Facility in Washington DC-Kaiser Permanente Capitol Hill Medical Center

ROCKVILLE, Md. — Kaiser Permanente of the Mid-Atlantic States, a leading not-for-profit health plan and care provider, opens the doors to its new Gaithersburg Medical Center today, March 19, 2012, offering Montgomery County, Md. members more medical services conveniently located under one roof.

“The new Gaithersburg Medical Center is Kaiser Permanente’s largest medical center in Montgomery County and is situated in a key location convenient to our members,” said Marilyn Kawamura, president, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. “We are committed to the health of Montgomery County residents and are thrilled to be opening our doors.”

Designed with the member in mind, medical center exam rooms are fully wired with Kaiser Permanente HealthConnect®, the most advanced electronic health record system available today, featuring dual monitors allowing patients to view the same information, in real time, as their physician, further enhancing the member experience.

http://xnet.kp.org/newscenter/pressreleases/mas/2012/031912gaithersburgopening.html

And Now A Word About Medical Data Privacy-Something To Think About Today as The Data Selling Business Explodes and Accountability is Diminishing–Video

Yes this is the age old topic once again but it’s not going away.  Today with data mining and selling on the rise, it would be nice to have a federal disclosure page where all who distribute and sell data would list what and who they sell to.  You imagecan’t make any sense today out of the very crafty written by attorneys privacy pages on websites and it’s mean to be that way.  Here’s a good example where privacy got out of hand and where Wall Street investors were looking at actual patient medical records from 3 hospitals…it was the 3rd party consultant who is now being sued, which is a good thing for all those folks who’s records were exposed.  If it was not for the stolen laptop, we would have never known.

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?

We actually had consent until 2002 until the government took it away and with the way data runs and is mined through out healthcare today, which is on steroids compared to the year 2002, we need it as math and algorithms confuse all of us depending on how naïve and gullible we are.

Privacy Medical Records

Depending on how honest this 3rd party was with their algorithms, people may have not received the care they needed in the name of saving money.  It is time to license and tax the folks selling data and get some transparency out there along with asking patients for their permission.  There’s tons of tax money potential there with using the Walgreens SEC 2010 statement to where they made just short of $800 million selling data, intangibles so you wonder are prescriptions just a side line business in order to capture data for sale?  Sure there are folks that say there is no privacy and in part it’s true but we can fix the US budget with the tax revenue that makes corporations rich with selling data they get for free and in the meantime consumers suffer with no privacy at all.  There needs to be a balance and soon. 

If we had disclosures that told the real story on what is sold and where it goes then could make better decisions as consumers and patients too instead of being in the dark.  Next week I’m sure we will have yet one more item in the press that says how stupid consumers are again as that topic floats in and out. 

The Alternative Millionaire’s Tax–License and Tax Big Corporations Who Mine and Sell Taxpayer Data They Get for Free From the Internet-Phase One to Restore Middle Class With Transparency, Disclosure and Money

You can read more on the topic of “The Attack of the Killer Algorithms” at the link below but it makes corporations rich and keeps consumers poor in essence, and we do need a say in all of this.  BD

Attack of the Killer Algorithms–Digest & Links for All Chapters–How Math and Crafty Formulas Today Running on Servers 24/7 Make Life Impacting Decisions About You–Updated 3-11-2012

The U.S. government is spending billions of dollars to help move everyone's health care records onto electronic databases. There are many good things about this: electronic health care records can be accessed from anywhere, they take up less physical space and they are very portable.

However, with these benefits come severe privacy concerns as well. The Health Insurance Portability and Accountability Act of 1996 (or HIPAA, for short) claims to protect your medical data from probing eyes. The problem is, its language is weak. Your records are already an open book to millions of providers, employers, government agencies, insurance companies, billing firms, transcription services, pharmacy benefit managers, pharmaceutical companies, data miners, creditors and more. This is considered “routine” use, and is not covered by HIPAA.

In fact, in 2002 HHS actually amended the HIPAA “Privacy Rule” to eliminate the patient's “right of consent” altogether. So, you do not own your data, someone else does. It's time we changed this.

http://www.pop.org/projects/medical-privacy

Next Version of Connect Gateway for the Nationwide (NwHIN) Exchange Will be Called Connect+ Making It Easier for Organizations to Put in Place

This is a nice welcome as it will enable more providers, hospitals and so forth to connect and share medical information securely.  From a data standpoint this is imageinteresting that the two areas of code are being separated so I am guessing we have a little bit more on the back end with changing the front end to have fewer working parts as far as creating the ability to use the NwHIN network.  Below is a map that shows some of the work in progress with practices and other healthcare IT entities connected t the NwHIN system.  BD 

image

Hospitals and Providers Using NHIN (Nationwide Health Information Network) To Connect and Share Medical Records With the VA and DOD And Even With Each Other

One does not need the CONNECT protocol to connect to the NwHIN but an open source project that all can contribute to is certainly a winner.  BD 

“CONNECT is an open source software and community that promotes IT interoperability in the U.S. healthcare system. CONNECT enables secure electronic health data exchange among healthcare providers, insurers, government agencies and consumer services. CONNECT 3.3 includes new features, support for new NwHIN technical specification for health information exchange, and more.

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ARLINGTON, VA – The Office of the National Coordinator for Health IT has made available the next version of the Connect gateway software that incorporates the most up-to date technical standards and descriptions for the nationwide health information network (NwHIN) Exchange to support functions like patient discovery and query for and retrieve documents.

Connect gateway and adapter software uses NwHIN standards and services to enable healthcare organizations and federal agencies to share patient information securely through the Internet.

We plan to separate out the gateway from the adapter lines of code, which are fairly tightly coupled. That means it’s been difficult to implement for many organizations,” Thompson said at a March 15 conference about military electronic health records (EHRs).

The NwHIN Exchange has been an organization for advanced exchange for primarily federal agencies and large healthcare organizations because of a requirement that limited participants to federal contractors or grantees.image

It has 25 partners including DOD and VA, which uses NwHIN to share information at 11 virtual lifetime electronic record (VLER) sites, and the Social Security Administration, which has 300 provider organizations exchanging data to accelerate disability determinations.

More changes are coming. By December, ONC will move Connect out of its purview to a distributed development program in an open source community and is considering a variety of organizational approaches, including adopting a custodial agent process, similar to the Veterans Affairs and Defense Departments to develop their integrated EHR.

http://www.govhealthit.com/news/onc-advances-connect-exchange-tools

What’s the Value of Social Networking Today And Where the Jobs Are…Healthcare Social Networkers Should Be at the “Premium” End of Compensation..

This is a little off topic here for the Quack but the study is interesting to look at as we have many views of social networking from companies that have used it successfully to grow their business and web presence to those who don’t understand it’s value and where the light bulb has not gone on yet.

Being I am both a blogger and a for hire social networker I thought the graphic supplied here was very much of interest to see what folks in this business get paid.  I say it’s not really rocket science in essence but rather a bit of psychology involved with this as well as you “play to the crowd” to increase readership.  I see many folks out there who don’t get this and use it more so as just “bragging rights” and readers lose interest with those folks quickly as I see it.  Sure there’s some of that to where it is appropriate for announcements, etc. but we see those who do it day in and day out and really don’t get “social” and they end up falling by the wayside much of the time.

It’s a changing field, all the time and the job descriptions for the various areas kind of re-write themselves every day too.  Myself I am always looking for new trends, methodologies, etc. in what I do.  I have a business focus and thus the networks I use may be different than others.  I don’t use Facebook as it ended up taking too much time for me and has a little ROI for traffic in what I do.  Twitter is my favorite and the one I consider that “gives” me time, while most of the others “take” my time.  I am still playing with Google plus as well and it has value as well, but again nobody seems to beat the efficiencies of Twitter with allowing me to work quickly and drill down to relative topics. 

When you look at the pie chart too you will see how this has grown to include various specialty jobs with social networking as well, in other words with big companies as an example you will see more than just “one social networker” who has a focus on a specific area, i.e. you have an over all manager as well as a strategist.  Of course in all of this the SEO specialist plays an important role too as when you have someone who is right in there on the web every day, they are aware of the changes and shifts that sometimes move very quickly. 

Of course in healthcare social networking, due to privacy issues also has some other rules and regulations to be aware of as well.  Last year I did a presentation at e-MDs annual meeting, who is a medical records vendor and we have some real lively discussions and great questions too on how different entities in healthcare can use social networks to increase their business and we talked a lot from the small provider office viewpoint which you really don’t see enough of today as far as discussion as the big business focuses seem to be every so present.

What made this presentation special too was Dr. Deborah Peel was in imageattendance who represents patient privacy efforts and the next Health Privacy Summit scheduled in Washington DC on June 7, 2012 and you can read more here. 

In healthcare, privacy is a big deal with social networking and we had a lot of questions in that area.

e-MDs Annual Meeting - Social Networking In Healthcare Presented By the Medical Quack

At any rate, take a look at the chart below and see how this area is growing and I might mention too that social networkers in healthcare should absolutely be at the premium end of compensation, again due to more rules and regulations to be aware of so as not to violate privacy and other laws out there.  BD 

Social Media Jobs and Salaries Guide
© 2012 Onward Search

Introducing the new Onward Search Social Media Jobs Salary Guide - a comprehensive look at the best job markets, the most in-demand job titles and salary ranges for social media professionals in the top 20 U.S. cities.

http://www.onwardsearch.com/Social-Media-Salaries/

Dying Patient With Inoperable Brain Tumor Kicked Out of Hospital for Medical Marijuana–Video

The video here is with a news station and right in the middle of it she has a seizure imageand they call 911.  I don’t know what type of medical marijuana she had but I am guessing it was the smoke from the tone of all of this and that it could not be vaporized in some fashion. 

At any rate she was taken to another hospital and she was also very much involved in getting the California law written and sadly doesn’t have much longer to live. BD 

A California woman who says she is dying from a brain tumor was kicked out of a California hospital this week for using doctor-prescribed medical marijuana.

Angel Raich told NBC Bay Area that the UCSF Medical Center in San Francisco asked her to leave after she refused to stop using the drug.

“I’m in a state university hospital in the state of California,” she explained. “And I have a right to have the same medical care that any other patient does, and [the pharmacist] says, ‘We’re going to have to ask you to leave then if you’re not going to not use your cannabis.’”

As Raich was speaking to the NBC Bay Area reporter outside of UCSF Medical Center, she had a seizure and was taken to St. Mary’s Medical Center in San Francisco.

UCSF Medical Center released statement saying that their smoke-free policy extended to marijuana use.

http://www.rawstory.com/rs/2012/03/13/dying-cancer-patient-booted-from-hospital-for-medical-marijuana/

CEO Indicted For Human Trafficking In the Nursing Business-Lured Foreigners To Work in the US For Jobs That Did Not Exist and Then Put Them To Work In Long Term Nursing Homes & Kept Half Their Pay

Foreign Healthcare Professional Group (FHPG) was the name of the company he operated the immigration scheme here and those from other countries also had to imagepay up front as well for their services.  It sounds as though they were promised some high paying jobs and ended up in nursing homes and then the company kept half their pay.  Talk about a captive audience when coming in from another country here with what they could do and rights they might have.

He also had an accomplice who is still at large that created a fake University that was where the folks were to work upon coming to the US.  In addition, he also had a company where he is the CEO and chairman called Global Energy Initiatives that manufactures and send hydro-kinetic power generators to Brazil and he attended a White House briefing in September.  When you go to the website you get a window that says this account has been suspended.  BD   

A Colorado CEO is accused of luring foreigners to the United States to work for a nonexistent university and then stealing portions of their salaries after setting them up with other jobs in what the government has called an "elaborate scheme."

Kizzy Kalu, 47, of Highlands Ranch, Colo., allegedly enticed foreign nurses to work as teachers at an Adam University in Denver, an institution that Kalu's alleged accomplice, Philip Langerman, 77, of McDonough, Ga., made up, according to a federal indictment.

Langerman was also indicted, but remains at large. Kalu is being held by U.S. Marshals, and phone calls to his companies were not returned.

Kalu promised a salary of between $68,000 and $72,000 annually for the fictional teaching positions through the Foreign Healthcare Professional Group (FHPG), a company he operated, according to the indictment. The fictional positions were considered to be "specialty occupations" under U.S. immigration regulations.

The foreign nationals had to pay fees to FHPG and Kalu in exchange for assistance in obtaining the visas, according to the indictment.

Once they were in the United States, Kalu informed them that the aforementioned positions were no longer available, and put them to work at various long-term care facilities, the indictment states.

Kalu also operates the Global Village Hope Foundation, an international voluntourism program whose motto is "You are the hope for the hopeless."

On the foundation's website, supporters are asked to send donations to 5630 Wickerdale Lane in Highlands Ranch, Colo., Kalu's residence.

http://abcnews.go.com/US/colorado-man-indicted-human-trafficking-money-laundering/story?id=15897558

Attack of the Killer Algorithms–Digest & Links for All Chapters–How Math and Crafty Formulas Today Running on Servers 24/7 Make Life Impacting Decisions About You–Updated 3-11-2012

If you have not caught up with this yet, I started this series by accident as an awareness outreach, I know just like everyone else has out there, but having been a former software writer, hopefully some of this will explain in layman’s terms how some of this works behind the scenes it may offer some answers.  It’s not going to make you happy but it will open your eyes as to how the world of technology functions today with decision making and perhaps give you an idea of where it’s headed too.

I like technology and how it makes me smarter and more observant but as with everything today, there’s the dark side of how formulas and math are used for profit with some very intelligent and crafty programmers and developers out there and we get fooled.  Everything in here is all public knowledge so there was no digging for any exclusive interviews and so forth, just stuff you can find on the web as well and I’m just connecting some “big dots” to where you may not see this otherwise. 

This blog can be a source of discomfort at times as along with years ago in learning about math, code and formulas, it transitioned me into something very scary indeed, a female that uses logic <grin>. 

So if you have wondered why the Medical Quack is different, there you have it and I have to laugh at myself too as I never intended to become logical and think back quite bit of the days before logic entered the picture and those are some fine memories too.  So there you have it, what’s wrong with this blog…<grin> a female using logic.  I have also been pondering this question since August of 2009….this is a “one duck” think tank <grin>.

 

 
“Department of Algorithms – Do We Need One of These to Regulate Upcoming Laws?

 

 

 

 

 

 

 

 

 

 

So without further chat, here’

 

 

s

 

 

the Attacks as I see them as it’s all in the math and formulas…Nothing will happen until new code runs through those servers and I feel this is truly the backbone of what started the “Occupy” movement, frustration and nowhere to go for answers as we have leaders in denial that don’t have a clue of how all of this works.


Occupying Wall Street–It’s All About the “Attack of the Killer Algorithms”–The Unfair and Marketing Exploit of Ethics Using Math–This Could be a Subject for Michael Moore to Explore and Document In a Movie

 

 


 
“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

 
“Attack of the Killer Algorithms” Part 3–Vatican Doesn’t Like It Either–Occupy Wall Street Belongs in New York As They Don’t Do Code or Algorithms in Washington–Only Find time To Talk Abortions

 
Attack of the Killer Algorithms-Occupy Wall Street Part 4 Health Insurance Style - One More App For Folks Who Are Tired of Flawed Algorithms That Require A Ton of Work and Research Time To Create “Perfect” Data Files for Insurers And Others Analytics Processes

 
“Occupy Algorithms”–”The Attack of the Killer Algorithms Part 5” - Nothing Will Improve Until Audits and Actions Takes Place To Correct Formulas Built for Profit Only by Corporations And We Battle Back With Math

 
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

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

 
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

 

Freddie Mac Found to be Betting Against Home Owners Being Able to Refinance - “Attack of the Killer Algorithms” On Consumers Part Nine–Home Mortgage Style


 

Komen Reverses Decision With Planned Parenthood–Hard Lesson on How Business Analytics Are Misunderstood And/Or Abused–Attack of the Killer Algorithms Chapter 10


 

Gamification–You Have Won and Now We Know All About You - It Didn’t Cost One Cent-Insurance Companies Have Games To Find Out More About You Too– “Attack of Killer Algorithms” Chapter 11


 

Colonoscopies–The Bait and Switch on Screenings–If Polyps Are Found You Get A Bill-Some Other Screenings Too–Killer Algorithms Part 12–Medical Billing Codes Style

 

Attack of the Killer Algorithms Part 13–Bank of America Style - Flawed Data With Credit Scoring Agencies–Dead Man Banking And Currently A Consumer Under Attack

 
Insurers to Provide User Friendly Summaries of What’s Covered–Good Luck As Constant Revisions Will Be Required as Business Intelligence Algorithms For Profit Change–Attack of the Killer Algorithms Chapter 14

 

Story of Duke University - The Sad Case of Flawed Data Published in Medical Journals That Was Declared Inaccurate 60 Minutes –Attack of the Killer Algorithms Chapter 15

 

Medicare Low Safety Rankings At Harvard Teaching Hospitals Disputed and Flawed–Attack of the Killer Algorithms Chapter 16

 

Start Licensing and Taxing the Data Sellers of the Internet Making Billions of Profit Dollars Mining “Free Taxpayer Data”–Attack of the Killer Algorithms Chapter 17 - “Occupy Algorithms”– Help Stop Inequality in the US

 

Pharmacies File Suit Against Texas Human and Health Services Commission - Managed Care Contracts Begin Delegating Reimbursements Too Soon – Attack of the Killer Algorithms Chapter 18


 

AMA Announces Doctors And Patients Can Expect To See the UnitedHealthCare/Ingenix Class Action Settlement Checks In the Mail Soon - Out of Network Short Payments–Attack of the Killer Algorithms Chapter 19

 

Healthcare Blogger Gets Spammed by Hedge Fund Using Internet “Reputation Restore” With Some Really Bad Algos–Attack of the Killer Algorithms Chapter 20


 

Senator Introduces Bill to Prohibit Companies From Using Medical Debt With Assessing Consumer Credit Scores–Attack of the Killer Algorithms Chapter 21 With Flawed Data


 

IBM Watson Going to Work At Citigroup on Wall Street–Congress Didn’t See Big Data As A Tool (Hadoop Framework) When They Had Their Chance…For Consumers The Attack of the Killer Algorithms–Chapter 22

 

Independent Pharmacies Not Able to Compete with Big Chains and Fear Going Out of Business–They Don’t Have Same High Levels of Data To Sell to Profit- Attack of the Killer Algorithms Chapter 23

 


I think there’s a little bit of something in here for everyone and again I do this as an awareness and how we and our government moves forward with this reality, it remains to be seen if we can scoot around the big white elephant in the living room that nobody can see, touch or talk to <grin> but it roars.  Richard Cordray has his work cut out for him and that is an understatement.   

Also because it belongs here and is on the same topic, when you have time listen in here and see how someone with greater intelligence than myself will help explain how this process works too with marketing, media and flawed data as simple math is no longer 100% credible for proving accuracy.  This is a great lecture given at Google’s offices in New York.  It’s hard to tell the difference sometimes between the good stuff and the algorithms created solely for profit as again their crafters are very good and collaborate with media to ensure we have a full diet every day.  BD 

Context is Everything–More About the Dark Arts of Mathematical Deception–Professor Siefe Lecture Given at Google’s New York Office–Big Healthcare Focus

NYU Siefe talks at Google
 
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