Showing posts with label Technology. Show all posts
Showing posts with label Technology. Show all posts

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

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

Wells Fargo Bank Files Suit Against Medical Development Intl Over Loan Defaults And Asked Judge to Appoint Receiver–Business Analytics Tactics and Algorithms Questioned

With $55.3 million in assets and $74.9 million in liabilities the money analytics are alive and running.  Medical Development according to the article here says that Well imageFargo became a “corporate raider” to divert company assets. 

Part of their business is in the Healthcare Analytics area with consulting for provider solutions.  The site states they have been a government contractor for years and has built healthcare networks and has a contract with the VA and also offers solutions for self funded employers. 

From the website below:

“MDI works along with healthcare payers to provide custom care networks, efficient administration and powerful analytics solutions. Our products and services allow administrators and healthcare professionals to:

  • Identify actionable items to reduce costs and manage risk
  • Create custom networks and plans for your clients
  • Eliminate overspending on duplicate or incorrect medical claims image
  • Evaluate complex health data in interactive, easy-to-use platforms
  • Create custom health programs for high-risk patients and disease groups
  • Predict future spending from the individual patient to the corporate level

All of our services are backed by dedicated cross-disciplinary support teams who provide IT assistance and personalized customer service, ensuring you'll always be equipped with the knowledge and ability to make practical, informed decisions.  This one appears to be one worth watching as perhaps their algorithms for analytics are either not making enough money or Wells Fargo perhaps was not providing adequate direction for them…who knows.  Now the company is also suing Wells Fargo too and is seeking $15 million in damages.

Banks and Health Insurance companies locking horns here and I bet the battles comes down to who’s business analytics algorithms caused the damage.  BD

Wells Fargo & Co. (WFC), the fourth- largest U.S. bank by assets, sued prison-service provider Medical Development International Ltd. in Delaware Chancery Court (1400L) seeking to recover $30 million in loans.

Wells Fargo said in complaint filed today in Wilmington that Medical Development, based in Ponte Vedra, Florida, has been in default on the loans “for quite some time” and asked a judge to appoint a receiver.

The company and affiliates have “also engaged in a series of self-dealing transactions including, among other things, so- called ‘loans’ to executives” for a “working farm,” a biographical screenplay and payments for “a Tesla Roadster,” lawyers for San Francisco-based Wells Fargo said in the complaint.

http://www.bloomberg.com/news/2012-03-23/wells-fargo-sues-medical-development-international-over-loans.html

FDA Considering Digitally Driven Kiosks for Self Diagnosis With Specific Conditions Via Algorithmic Processes

If you have heard or read the news of late it has been all over that the FDA is considering making certain drugs available over the counter that are now prescription only.  With that thought they are also investigating to see if a Kiosk imagewould be able to assist with helping patients find the correct medications along with doing a self diagnosis.  We have seen the kiosks that tele connect but these would be without the pharmacist and all done by the machine.  You can see what they have done in the UK with tele-pharmacists at the link below.

MedCentre Prescription Kiosk ATM-Like Machines May Give Pharmacies Some Competition in the UK – Installed at 5 Hospitals in the UK

The concern though is the usual error factor and mis interpretations and patients getting the wrong medication.  In essence though when you think about it this is not much different than today and buying the wrong thing when we self diagnose for the flu and other ailments we may have, except this is offering more knowledge available and if some of the current prescription drugs become OTC this is a concern as we are talking new drugs out there.  The targeted conditions/drugs presently being looked at are asthma, diabetes, high blood pressure, high cholesterol and migraines so there’s plenty of room for discussion here as well as development of an algorithm that could do the job without risking safety. 

I’m not sure we may see this anytime soon for some of the conditions as there’s a lot of work involved here with writing the code, testing and so forth.  I could see it initially available to perhaps do refills as a starting point.  The FDA has a way to go here with this project, but nothing will occur until decisions are made about which drugs come off the prescription list I would guess and there’s still the question of enough engineers at the FDA.  BD 

FDA and Medical Devices-Who Doesn’t Get This, They Are Looking for Engineers Just Like Technology Companies Are Doing- Get Some Congressional Digital Literacy in Place

Certain prescription drugs may soon be available to consumers through digital kiosks, rather than a doctor's diagnosis, underscoring the methods technology is transforming healthcare.

The Food and Drug Administration is mulling digitally-driven patient kiosks where people can self-diagnose for specific conditions through an algorithm-based survey. The process would drop the prescription requirement for certain treatments and common ailments.

Self-diagnosis would let users get medical care in a more convenient way. The kiosk concept under FDA consideration indicates the regulatory agency is taking a serious step towards using digital technology to deliver healthcare, moving away from relying on third-party app developers.

As the FDA hashes out its plans to eliminate the need for prescriptions, relying on modern technology is one way to streamline a process to help save medical professionals valuable resources in an overburdened system. But to make sure patient care remains a top priority, the FDA and industry professionals are sure to carefully determine how to make the process work without compromising a potentially life-changing diagnosis.

http://www.mobiledia.com/news/134007.html

CVS/Caremark Sends Letters to Tufts Members Containing Personal Information Like Medical Conditions/Meds Info to Wrong Patients–Attack of the Killer Algorithms Chapter 24

This is chapter 24 addressing flawed data this time.  The article said that CVS would not discuss this, well if you are in technology you know what happened, it was a rogue algorithm, in other words a programming error and this is what “The Attack of the Killer Algorithms” is all about.  This time it was private information sent to the wrong people but what’s it going to be next time.  If you read my series on the “Attacks” there’s tons more like this.  This why we need not rush the programming that takes place with developers.  Companies who put rushed deadlines on developers of software and push for releases before their time are fools, but it happens.

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

There’s one story above about people who don’t get jobs because data is flawed or mismatched and this is becoming more frequent and let’s not forget the huge profits made here with CVS selling data too.  There’s a few lawsuits floating around out there on this subject and the data sellers should be taxed as they make billions selling data they get for free.  How times do rogue algorithms like this attack the data they sell?  That’s a good question to ponder and it does and is getting to be more frequent. 

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
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

So the patients at Tuffs were screwed with privacy and they get an “I’m sorry” for the mistakes the CVS algorithms made, but let’s don’t talk about the maybe billion dollars they made “selling’ your data too..don’t forget that happens.  The lawsuits below implicate the SEC 2010 statement from Walgreens on their intangible data profits. 

Walgreens And CVS Accused of Selling Customer Prescription Data in 2 Separate Law Suits-Sales for Marketing Data Continues and the Data Bases Gets Larger with Technology

This case fits the “Killer Algorithms” because what to do the recipients do?  They can’t talk to that algorithm and it made decisions and sent out flawed information, matched to the wrong person.  If you haven’t figured it out yet, this is why the entire Occupy movement got started as it’s not what you see but it’s rather the intelligence that runs in the background you DON’T see.  That’s the problem and issue as we base too much of the economy today on algorithms and making money selling data rather than investing in manufacturing and using more technology there. 

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

So there you have it, Chapter 24 of the Killer Algorithms and stay tuned for Chapter 25 when I find it..sadly the chapters will keep coming.  BD 

CVS Caremark Corp. said Friday that it mistakenly sent letters to about 3,500 Tufts Health Plan members, giving them personal information about the medical conditions and medications of other members enrolled in a supplemental Medicare plan managed by Tufts.

The mistake was due to an unspecified “programming error,” CVS Caremark, pharmacy benefits manager for the Tufts Medicare Preferred Plan, said in a statement.

“We are monitoring this situation and CVS Caremark’s response and outreach to Tufts Health Plan’s Medicare Preferred Plan members,” said Sonya Hagopian, vice president at Tufts Health Plan, which is based in Watertown and operates in Massachusetts and Rhode Island.

CVS Caremark spokeswoman Christine Cramer said the company would not discuss the incident beyond what it said in the statement.

http://www.boston.com/Boston/businessupdates/2012/03/cvs-caremark-mistakenly-sends-personal-information-about-drugs-and-medical-conditions-wrong-members-medicare-prescription-plan/yuPzeD7N7uwbJkLSbWrJnO/index.html?p1=News_links

IBM Watson Going to Work at Memorial Sloan-Kettering Cancer Center–Data Loading and Training To Begin

This is actually very good to compile cancer data and we can certainly learn from it.  The process will take a while as the data has to be fed in.  When used for diagnosis knowledge, patient input, drugs, and so forth this is great.  Even big data has the same issues though as what we have used for years and that is being assured of what data you load as it’s still a machine.  At the end of 2011 it was also announced that on the west coast that Cedar Sinai was going to explore the system for the same or similar purposes. 

Wellpoint to Bankroll Use of IBM Watson at Cedar Sinai Medical Center to Research Cancer Data/Information To Provide Guidance for Physiciansimage

For research this is great but hold your breath before bringing in the coding and billing portions of all of this as that’s where caution is needed.  If you read the news today how many stories, and there are tons of them with coding, billing and reimbursement thus if one leaves the work of Watson to research and clinical areas without that mess, we might have some good intellectual break throughs.  I commented on that a while back as when you have multiple layers of new code running through the machine does what it learns and is taught and you run close of getting to a bottomless pit at times, but again for research and clinical use this is a good deal. 

Machine Learning Software Working Behind the Scenes Should Move With Caution in Healthcare-Writing the Unreadable With Rogue Algorithms With No Human Intervention

As the article states it’s going to be a while before the Watson processes are going to be available for use and data integrity along with credibility is going to be key in the preparation.  On the other side of the coin though in the financial areas, something for consumers to be aware of with big data as nobody checks the math of banks and a lot of the big investment firms so more place to hide code to enable desired results more so than accurate results as we know what happens when money is involved.  The SEC certainly is going to need some “big data” capabilities soon or as consumers we are sunk.     

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

When left to it’s own, and not regulated and audited, we get what I have written about below with formulas running a muck and hurting consumers.  BD

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

WHITE PLAINS, N.Y. — The medical training of IBM’s speedy Watson computer will continue with a residency at a renowned Manhattan cancer hospital.

IBM and Memorial Sloan-Kettering Cancer Center said Thursday that they will add the latest in oncology research — and the hospital’s accumulated experience — to Watson’s vast knowledge base, and keep updating it.

Watson will be fed textbooks, medical journals and — with permission — individual medical records. Then it will be tested with more and more complicated cancer scenarios and assessed with the help of an advisory panel, Kohn said. It’s expected to speedily suggest diagnoses and recommend treatments, ranking several alternatives.

Watson can even be instructed about individual patient preferences, Kohn said. When evaluating treatments, for example, it could take into account that a patient feels strongly about not losing her hair.

http://www.washingtonpost.com/national/health-science/ibms-famed-watson-computer-to-be-trained-in-cancer-to-diagnose-treat-patients-at-ny-hospital/2012/03/22/gIQA2RPtSS_story.html

Robotic Tek Mobilization Device Could Someday Make Wheelchairs Obsolete–The Device Moves Like A Segway and Supports and Uplifts User to Standing Position

The device was created in Turkey and they are looking to market in the US and the price in the article here said around $15k would the cost and so I don’t think the imageScooter Store has to worry too soon about immediate competition.  This would be nice if insurance and Medicare get in the act here with considering the device.

The man in the video has no use of his legs and the chair does it all as far as moving him from a sitting to a standing position. It has controls so you can call it to your bedside or where ever you need to it respond.  This is great watching him get around and go up and down as needed.   It has been through a full set of clinical trials so it’s just about ready to go and will be sold in Turkey this week.  BD 

Wheel Chair substitute

The young man in this video looks like he's riding a Segway. But Yusuf Akturkoglu was paralized after falling from a horse five years ago, and he's being mobilized by an amazing device invented by Turkish scientists. It's going to change lives.image

It's called the Tek Robotic Mobilization Device, and it not only allows people who can't walk get around more independently than any device has before, but it also helps them stand up on their own, which is crucial for maintaining basic health functions in people who have spinal cord injuries.

Instead of entering from the front like a normal wheelchair, people using the Tek RMD enter from the back of the device. That way they don't have to hoist themselves with a momentum that can be dangerous and is next to impossible to do alone. By attaching a thick padded strap around the hips, Yusuf maneuvers himself into the Tek RMD on his own.

The makers of Tek RMD says it's the most compact device of its kind, which allows Yusuf to navigate crowded grocery aisles, libraries, and who knows, Coachella, maybe? All without knocking into the people and things around him. Users still need ramps in place of stairs, but the device eliminates the need for special bathroom stalls and other facilities that allow space for bulky wheelchairs.

http://gizmodo.com/5894489/segway+style-device-for-paraplegics-puts-wheelchairs-to-shame

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 

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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/

New Computer Algorithm Developed at Stanford Finds an Average 329 Side Effects For Most Drugs–Some Algorithm- Found Side Effects Are Added by the FDA to Drug Labels

This is pretty interesting as when you see 329 you must assume we have quite a few rare side effected included.  The software was developed at Stanford and uses information from the FDA and Canadian data bases.  Most drug labels list imagearound 69 and could you imagine if all of 300 plus were added.  This is another good place to add some bar codes when the information gets lengthy.

In view of the report though it is still wise for doctors to use their clinical common sense knowledge to determine if any of the new side effects are significant.  The next level is to develop an algorithm that can come through medical records to gather information for patterns as such that may be hidden.  BD 

On average, the program found 329 side effects for every drug, when most drug labels list an average of 69 effects. The new program, developed at Stanford University, combs through millions of doctor and patient reports to the U.S. Food and Drug Administration, Canada's MedEffect and similar databases.

Though it seems obvious to check the FDA's report database for new side effects, it's been difficult to do because the people in the database are too different from one another to conduct proper scientific studies. Outside of lab, real life is messy. "It's hard to compare one patient with another because each patient is so unique in their medical history, in their personal health," Tantonetti told InnovationNewsDaily. Because people in the database aren't comparable with each other, it's difficult to find true, new side effects.

Theoretically, that means the matches the new algorithm makes aren't as close as those from other programs. When Tantonetti checked his program, however, he found his results were as accurate or better than others', because his program doesn't need to ignore as much data, he said.

In the past, the FDA has added algorithm-found side effects to drug labels, Tantonetti said, though usually there is other corroborating evidence as well.

http://www.mnn.com/health/fitness-well-being/stories/computer-program-uncovers-thousands-of-new-drug-side-effects

$2.8 Million Federal Grant will Create 363 New Healthcare Jobs, Provide Training for Additional 400 Workers in the Long Beach Area

This is nice and year back I did some data work and consulting for Community Hospital in Long Beach which is now part of the Memorial System.  Community always had a good share of outreach programs on their agenda and one of them I worked with the students from Cal State where by they offered free nutrition classes teaching anyone interested on how to eat better along with some exercise programs.  I never knew food was that complex until I set up a SQL server program for entries and so forth so all could track and this was a number of years ago and now we all have that on our phones.  If you live in the area, contact information is listed below.  BD  

Community Hospital of Long Beach Officially Becomes Part of The Memorial Care System

Press Release:

LONG BEACH, Calif., March 13, 2012 – Pacific Gateway, the region’s workforce development agency, has been awarded $2,816,000 from the U.S. Department of Labor to upgrade skills, certifications and training needs in the healthcare sector. This important project was developed through a public-private partnership with Long Beach Memorial, Miller Children’s Hospital Long Beach and Community Hospital Long Beach, which are part of the MemorialCare Health System.

The grant, made nationally through the H-1B Visa Skills Training Grant Program, will provide customized training to unemployed job seekers for 363 new positions within Long Beach Memorial, Miller Children’s, Community Hospital Long Beach, the MemorialCare Health System and other healthcare sites. An additional 400 MemorialCare employees will receive updated training and certifications to help them advance in their career pathways.

“This federal grant is huge for more than 700 people who will now be fully employed or will add additional training to advance their careers,” said Mayor Bob Foster. “In addition, it will strengthen the local economy while supporting local businesses and their employees. I want to thank Long Beach Memorial, Miller Children’s Hospital Long Beach and Community Hospital Long Beach for their partnership to help bring this grant to our city.”

“We are so pleased with the announcement. Pacific Gateway has been an integral partner in helping identify and educate our nurses and allied healthcare positions,” says Diana Hendel, CEO, Long Beach Memorial, Miller Children’s and Community Hospital Long Beach. “We look forward to our continued success together. This partnership has contributed not only to the services we can provide but also to keeping up employment in our community.”

Employment opportunities include patient care assistants, surgical sterilization technicians, clinical lab scientists, phlebotomists and other positions. Many of the jobs created during the four-year grant period will be new occupations, developed in response to upcoming changes in healthcare law. Joint investment from MemorialCare will help Long Beach City College and Los Angeles Harbor College develop new patient care and medical billing training designed to both maintain Long Beach Memorial’s, Miller Children’s and Community Hospital Long Beach’s award-winning level of care and bring about operational efficiencies. These innovative practices will be studied for possible replication at other hospitals.

Participants in the program also will have access to personalized academic counseling to help them continue their community college education to earn additional certifications or work toward degrees in healthcare. The first cohort of 10 participants began on November 7, 2011. The project builds upon a longtime collaboration between Pacific Gateway, the region’s workforce development agency, and Long Beach Memorial, Miller Children’s, Community Hospital Long Beach and the MemorialCare Health System as a whole.

“This will be incredibly transformational for our customers,” said Larry Rice, a Board Member representing the Pacific Gateway Workforce Investment Board. “These are good jobs with an employer that has made a significant investment in their futures, and in the future of the region.”

The grant is funded through the U.S. Department of Labor to address the U.S. H-1B Visa program, which raises the technical skills of American workers in occupations and industries that have seen shortages of skilled workers.

Individuals interested in these job opportunities are encouraged to begin by visiting one of Pacific Gateway's three Career Centers: Long Beach (3447 Atlantic Ave., Long Beach, 90807),
San Pedro (1851 N. Gaffey St., Suite F, San Pedro, 90731) and Torrance (1220 Engracia Ave., Torrance, 90501) or by calling (562) 570-WORK.
 

About Pacific Gateway:
Administered by the City of Long Beach, Pacific Gateway Workforce Investment Network is the region's public workforce agency, serving the communities of Long Beach, Torrance, Signal Hill, and Lomita, as well as the communities of San Pedro, Wilmington, and Harbor Gateway through a partnership with the City of Los Angeles.  Pacific Gateway, one of 49 Workforce Investment Boards in California, is dedicated to helping job seekers find quality employment through a variety of programs, and to helping businesses thrive by connecting them to skilled workers. Last year, Pacific Gateway helped more than 3,000 adult and youth jobseekers find employment. 

About Long Beach Memorial, Miller Children’s Hospital Long Beach and
Community Hospital Long Beach:

Long Beach Memorial, Miller Children’s Hospital Long Beach and Community Hospital Long Beach are a part of the MemorialCare Health System, a nationally recognized not-for-profit integrated delivery system with top ratings for quality and safety.  Long Beach Memorial has been providing compassionate care with the latest state-of-the-art technology for more than 100 years and is the region's first choice for comprehensive care in virtually every medical and surgical specialty. Miller Children’s Hospital Long Beach provides specialized pediatric care for children and young adults, with conditions ranging from common to complex—as well as maternity care for expectant mothers—all under one roof. Community Hospital Long Beach has been providing warm and personalized top-quality medical care that its patients have come to treasure and trust since first opening its doors in 1924, offering state-of-the-art imaging, a comprehensive cancer care center, cardiovascular diagnostics, behavioral health, women's heart screenings, occupational medicine, wellness and diabetes services and more. Visit MemorialCare.org for more information.

Blue Collar Labor Robots In Hospitals–Providing Services Delivering Drugs and Linens and They Clean the Floors Too

This is yet another way that hospitals cut costs.  They don’t take breaks and carry linens and medications throughout.  I have covered many of these over the years at the Quack and some even ride the elevators and talk.  They have sensors so they don’t crash into you if you step into their path.  Here’s one that blasts bacterial in a hospital room. 

Hospital Robot Blasts Bacteria With One UV Swoop to Disinfect Rooms And All the Contents

Some already have CPT codes like this one for use at home.  This one at the link below has a video that looks like Rose the Robot from the Jetsons. 

New CPT Codes - Billing Codes for Robot and Home Monitoring Services – Telemedicine

How far will it all go, here’s one that gives sponge baths…not sure if I would be ready for this one yet.

Robots Giving Sponge Baths In the Hospital –Proto Type at Georgia Tech

In Scotland here’s a hospital that has a pretty big fleet of them including their own parking spots in the garage.  The robots use laser technology to find their way around. The technology is similar to that already used in car plants and industrial shop floors as well as in hospitals in some parts of Europe and the USA.  The machines will be loaded and unloaded in a basement area and make their deliveries to wards via a number of special lifts.  BD

Scottish Hospital Using Robots to Perform Tasks Such as Cleaning, Delivering Supplies And Dispensing Drugs

http://online.wsj.com/video/robots-take-over-hospitals/9DFFAA55-D89A-4A84-B128-F53D76C86802.html

 
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