RHIO Progress

Quote of the day:
For a successful technology, reality must take precedence over public relations, for Nature cannot be fooled. - Richard Feynman

At times I have been disappointed in the slow progress of NHIN and RHIOs.  However I think about the development of other communications systems. Our national and international telephone networks evolved over many decades, using now obsolete switches, wiring and non digital systems. 

The most recent reports reveal some progress and growth of functioning RHIOs even though about seven became defunct in the same time period. 

WASHINGTON - Regional health information organizations and health information exchanges may not be the answer to a nationwide network, according to David Westfall Bates, MD, an internist at Brigham & Women's Hospital in Boston who teaches at Harvard Medical School.

Bates, who serves as medical director of clinical and quality analysis of information systems for the Partners Healthcare System (of which Brigham & Women's is a part), says the process of creating and sustaining statewide and regional exchanges has been too slow.

Will RHIOs be able to fulfill the vision of electronic health information exchange across the country? That I think remains to be seen. I think the model is working, but I think the successes have been modest," he said.

Bates spoke Thursday at an online forum organized by eHealth Initiative, a not-for-profit organization that promotes quality care through use of IT. Technology companies 3M and ICW, which work with data exchange organizations, sponsored the forum.

The discussion highlighted early findings of eHI's 2008 survey on health information exchanges. The survey compares the state of exchange organizations in 2007 with 2006.

Jennifer Covich Bordenick, vice president of eHI, told the audience the survey shows there were 32 operational organizations across the country in 2007 compared with 26 in 2006.

Fully operational organizations exchange data on outpatient episodes, lab results, inpatient episodes, radiology results, information on enrollment and eligibility, dictation and transcription, pathology and emergency department episodes.

"There's really exciting stuff happening in these mature organizations," Bordenick said.

The data exchange organizations also reported on the most difficult challenges. At the top of the list - as in 2006 - is developing a sustainable business model.

Most organizations - 53 percent - are receiving funding from hospitals. Forty-four percent say they have funding from the federal government, and 43 percent from state government. Thirty-two percent derive some funding from payers, and 31 percent from foundations and other philanthropic organizations.

Start-up funding is usually less than $200,000.

"Hospitals continue to be a big funder," said Bordenick."They continue to step up and play a major role here."

Westfall said it's possible that hospital funding could "slow things down."

"Enabling clinical data exchange could hurt them competitively," he said.

West raised the possibility of providing more public funding, since RHIOs and HIEs are being created for the public good.

"More organizations are sustaining themselves," Bordenick said. "It's definitely a positive trend. It's slow, though."

next issue:  funding for RHIOs and sustainability

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Prayer for The Day

Each morning when I arise the first thing I do is go to my home page to read the "prayer for the day".  I do this no matter what urgent thing of the day is happening....be it a crisis bill to be paid, a sick wife, child, patient or something else deemed to be the most important item of the day by someone else. Having accomplished this, I can move on to the rest of the day with renewed energy and faith to carry on.

Quote of the day:
When you look at yourself from a universal standpoint, something inside always reminds or informs you that there are bigger and better things to worry about. - Albert Einstein

There used to be a time when one thing was fairly certain,  your doctor and his caring manner and most of the time the ability to support you through whatever it was you were going through, emotionally, physically and otherwise. And these were during times when things were much more uncertain. The government, nor the payors are our problem.  To these folks it is always about the bottom line, not your  health or welfare. They will manipulate the system to  make their books balance and/or have a budget item that the OMB can justify.  Not only are we fighting a "war on terror" and a "war on  drugs" as well as a "war on illegal immigration".  During a Presidential election year is a very bad time to make a long standing decision about our health  care system. Believe it or not, those in decision making roles know bupkas about healthcare.

This is why it is critical for all physicians to become active in setting policy and aggressively as individual advocates for our  patients.

The Health Care Blog, written by Matthew Holt, describes several issues that are current.  He quotes Bob Laszewski in his BLOG about the SGR and the 18 month hold of fee reductions, only to rear it's head in 2010 with a 21% fee cut. Sounds like poker to me...."double or nothing".

As Bob describes it is the SYSTEM, not the fees and this is an issue only physicians can work out....this cannot be a 'divide and conquer' issue for  us. Without going into great detail here check out my links.

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Passing of Michael Debakey M.D.

Quote of the day:
The beginning of knowledge is the discovery of something we do not understand. - Frank Herbert

Dr. Michael Debakey, a true pioneer of cardiac surgery, statesman, innovator and teacher passed away yesterday.

His memories and stories will linger amongst his students.

Michael Debakey records of accomplishments, honors, and humility stand alone.

The world has lost a great human being.

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Special Trains for Special People

Quote of the day:
Everyone is as God has made him, and oftentimes a great deal worse. - Miguel de Cervantes

Today on California Healthline, the following information:

Prison Health Receiver Moves Ahead on Plans for Three New Facilities

On Thursday, the court-appointed receiver for California's prison health care system signed construction design documents to commit the state to spending $2.5 billion on three new health care facilities for inmates with chronic medical and mental health conditions, the Ventura County Star reports.
J. Clark Kelso was appointed by Federal District Court Judge Thelton Henderson to bring the state's prison health care system up to constitutional standards after a class action lawsuit found that state officials failed to improve conditions at the facilities.
Kelso said he filed notices under the California Environmental Quality Act to evaluate the construction projects at two planned facilities in San Diego and Stockton. He said he has not yet filed notices for a third site, potentially in Camarillo.
Each of the three health care facilities will contain 1,500 inmates.

Now I am not against adequate health care for incarcerated patients, and adequate facilities for prisoners. I imagine these prisoners might qualify as part of the 'underinsured'  It is interesting that the state may be willing to spend 2.5 billion dollars in capital alone to build the new hospitals. Factor in cost overuns and the eventual operating expenses, new salaries and it will probably run into more billions of dollars for tax payors.

This comes at a time when our Governor terminator is attempting to cut billions of dollars of insurance coverage for poor or uninsured citizens of the state.  We live in a egalitarian society...where health care for prisoners overides healthcare for children, and people who cannot afford health insurance for one reason or another.  I think I will go out and rob a bank.......three squares a day, health insurance and a nice bed....I may even get some tatoos.  And besides I can dance!

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Compensation Packages for CEOs

I found that one of my posts here did not appear. Must have something to do with the 4th of July.  Or perhaps it is much like our disappearing reimbursements.  This week we are facing the lastest 'crisis' contrived by our inadequate incompetent legislators and administrators.  They never seem to be in sync.

It now appears that many physicians have announced they will not be accepting new medicare patients as of July 1st. This is the annual battle of the SGR formula. If you don't know what that is, I am sure you can google it. That would be a better learning experience than my giving the answers away here.

The lastest evaluation of CEOs reimbursement packages  for Payors revealed the following

 

When: 2007
How: Based on analysis of compensation of top executives of S&P 500 companies. Median total compensation was $8.8 million for executives overall, and $9.1 for CEOs of six publicly traded health plan CEOs.

Where: Everywhere there is concern among stockholders that compensation may have no relationship to performance. So far in 2007, publicly traded HMO stocks are up about 15%, from a mean of 53 to a mean of 61.

Who: Total compensation is said “not to be out of line by Wall Street standards,” and included the following health plan CEOs.
• H. Edward Hanway, Chair and CEO, Cigna, $25,839,777
• Ron Williams, Chair and CEO, Aetna, $23,045,834
• Dale B. Wolf, CEO, Coventry Health Care, $14,889,823
• Stephen Hemsley, $13,164,529
• Mike B. McCallister, President and CEO, Humana, $10,312,557
• Angela F. Braly, President and CEO, Wellpoint, $9,094,771
• Jay M. Gellert, PRESIDENT AND ceo, Health Net, $3,686,230

 

The WSJ states that these figures are not out of line when compared to other industries.  So medical and hospital care is just another industry.  Personally I cannot compare a pencil pusher that sits at meetings, gives speeches and worries more about his companies profit figures and equate it with a surgeon's worth, or a primary care provider's abilities to care for patients.

Next time you want your hernia repaired or your cataract removed, or your heart defibrillated....make an appointment to see the payor's CEO.....(don't trip over the golden parachute on your way in.

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Physician Signatores of the Declaration of Independence

Quote of the day:
Character is what you have left when you've lost everything you can lose. - Evan Esar

The 4th of July seems a good time to reflect upon our liberties and also to reflect upon what physician's contributed as well

Matthew Thornton practiced for years in rural New Hampshire. When he went to Philadelphia for the Continental Congress, he had himself innoculated against smallpox and wrote of the ensuing ordeal. His satire described a Dr. Cash (”we saw no more of him, till I paid his bill of 18 dollars”); Dr. Critical Observer (”told me he would critically observe every stage … came once in two or three days, and stayed about a minute”); and Dr. Experience (”a merchant, who had the Small Pox, visited us every day, and gave a much truer account of the Small Pox, than all the doctors.”)

Josiah Bartlett was a practicing physician who became governor of New Hampshire and was one of the framers of the Constitution. But the practice of medicine remained important to him. In 1793, two years before he died, he wrote a letter to the New Hampshire state medical society (which he helped charter) expressing his hope that the group would crack down on quackery by “discouraging ignorant & bold pretenders from practizing [sic] an Art which they have no knowledge.”

Lyman Hall worked as a minister until, for reasons unknown to history, he was charged with “immoral conduct” and dismissed. He became a doctor, left his native Connecticut and ultimately landed in Georgia, where things seemed to improve for him — in 1783, he became governor of the state.

Oliver Wolcott was the son of a Connecticut governor who trained as a physician and may have practiced briefly, but spent most of his life in public office. For a while, he held the appealing sounding title of “high sheriff” in Litchfield County.

from the WSJ  July 3, 2008

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That's My Opinion

Quote of the day:
Look for the ridiculous in everything and you will find it. - Jules Renard

 

It's the 4th of July, so I am kicking back, firing up the barbecue, putting on the sun block and writing today's episode.

It is only early July and my wonderful spouse just told me she has heard enough about the Presidential candidates. I guess that means no more newspapers, FOX news, MSNBC, CNN, etc etc. I will take those off my FAVs on the cable remote.

We live right by a national cemetery and there will be a procession of cars, and flags.  Living here it does not take a special day to remember how our country was won, and how it has been maintained.  Yes, we are guilty of many atrocities, stealing lands and lives from native Americans as our country expanded westward. Liberals will be quick to point that out, but they forget their ability to speak out has been bought with the blood of their fellow Americans.  I can see both sides of this argument, however when compared to the rest of the world I leave the final judgment open.

At one time I was a liberal, some new things and some changes are for the better, and some things are better left alone. The liberal establishment has left the tracks.  Conservatives too, have left the tracks.  Both sides seem to be missing the point.

I digress here (too many beers, I suppose).

We may examine and compare our health system to other countries reflecting on statistics which must be placed in the framework of our culture and history.

I do not believe important decisions regarding our health system should be made during an election year. We don't need medical decisions influenced by black and white  yes's or no's. Health care is too important to mix it in with liberal vs. conservative issues, national defense, the price of oil, mortgage crises., gay marriage, tax cuts and/or tax increases.   Politicians will be pandering to their constituents to become elected. Do you really want a politician making your  healthcare decisions?

 

I leave you with this:  Happy Fourth of July

Stars and Stripes Forever

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