I have a passion for healthcare, and look forward to the day when we more effectively balance the competing interests of stakeholders for the benefit of all.
I've been in the healthcare IT industry for about ten years, and in IT for almost thirty. I'm also a psychologist, and made the career switch by way of a special area of artificial intelligence: knowledge acquisition.
I've got advanced academic degrees, written books, had great jobs, and so on. But mainly I want to see the advances in HIT do more than just make the next best widget: I want to see us move from a system of disease management to one of health. Come along for the ride!
Congress finally resolved its differences last Thursday after a 16-day federal governmment shutdown that may have cost Republicans some voters and without a doubt cost the American people beaucoup bucks.
Jim Brule's insight:
The significant back-channel news is - no delay for Stage 2.
A variety of specialists have weighed in on Obama's new health care package. The Allergists were in favor of scratching it, but the Dermatologists advised not to make any rash moves. The Gastroenterologists had sort of a gut feeling about it, but the Neurologists thought the Administration had a lot of nerve. Meanwhile, Obstetricians felt certain everyone was laboring under a misconception, while the Ophthalmologists considered the idea shortsighted.
Pathologists yelled, "Over my dead body!" while the Pediatricians said, "Oh, grow up!" The Psychiatrists thought the whole idea was madness, while the Radiologists could see right through it. Surgeons decided to wash their hands of the whole thing and the Internists claimed it would indeed be a bitter pill to swallow. The Plastic Surgeons opined that this proposal would "put a whole new face on the matter". The Podiatrists thought it was a step forward, but the Urologists were pissed off at the whole idea. Anesthesiologists thought the whole idea was a gas, and those lofty Cardiologists didn't have the heart to say no.
In the end, the Proctologists won out, leaving the entire decision up to the assholes in Washington.
WASHINGTON—With lawmakers still at an impasse over increasing the debt ceiling, a special team of 40 eighth-grade civics teachers was air-dropped into Washington earlier today in a last-ditch effort to teach congressional leaders how the...
Senator John Thune and several of his asked HHS)Secretary Kathleen Sebelius for a one-year extension for health care providers to complete the second stage of the Electronic Health Records (EHR) incentive program. Providers who are ready to attest to Stage 2 in 2014 should be able to do so consistent with current policy, and the senators believe the administration must continue to push for interoperability.
Jim Brule's insight:
This could work... although it will slow the train...
America, get ready. You’re about to wake up to a whole new world of healthcare. We are moving from a healthcare system of the 1950’s into a model better suited for a population of the 21st century. The old-fashioned hospital is about to be integrated into a regional system of specialized facilities that will streamline care, avoid duplication of services and deliver better outcomes. And that’s only one of many changes.
Many hospitals are making mistakes that are tripping them up during Meaningful Use audits, according to audit expert Jim Tate, who identifies some of the "worst practices" hospitals, health systems and physician practices employ.
Young, healthy people are the targets, crucial to the success of the nation’s new federal health care law. They rarely see a doctor and would pay premiums for years to come. Their money would help cover the care of older and sicker customers.
Jim Brule's insight:
(1) Healthcare is currently paid for by the acutarial model - you need lots of folks who don't use it much to pay for those who do.. This is a basic concept that must be grasped.
(2) Should we take a lesson for patient engagement and offer patients pizza?
Glitches hold up elements of health-care sign-up process: Small-business health exchanges run by the federal government will not open for online enrollment until November, the Obama administration said Thursday.
A new Reuters/Ipsos poll of 1,053 uninsured Americans, and detailed interviews with 51 of the respondents, shows... Obamacare may attract enough of the young healthy adults it needs to buy insurance to offset the costs of covering sicker Americans and keep the system afloat financially.
Some of the nation's poorest residents may not get any healthcare assistance at all because of the income eligibility and coverage vagaries of the Affordable Care Act--a fact that could wind up impacting hospitals in specific regions of the country.
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