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The Message Is The Medium

GooznerEmory University psychologist and political consultant Drew Westen in the weekend Washington Post offers a troubling view of the public’s role in health care reform. While reform’s reality involves complicated technical issues like insurance exchanges, public plan governance, physician and hospital payments and who will pay higher taxes, the public’s understanding of these issues is virtually non-existent, Westen assumes.

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The EHR TimeBar: A New Visual Interface Design

The EHR TimeBar functions as a high-level overview of the patient record, as a query device, and as an intuitive navigation tool.  Each EHR file (event) for the patient is represented by an icon. The set of icons and their labels are displayed in column format on the right side of the screen.

EHR TimeBar -- JPEG

The icons are connected to the TimeBar by vertical lines. Because the vertical lines accurately position each event on the TimeBar, the date of each event is usually omitted in order to reduce clutter.Continue reading…

Data to the People

I have been a strong proponent of the creation of a National Health Record (NHR), but will it increase the quality of care for each citizen? Without 100 percent compliance by all healthcare providers the establishment of the NHR will bear little fruit for its expense. Proponents of a NHR site the achievements of the VHA. VHA patients include highly mobile active and inactive soldiers. Ubiquitous methods for viewing clinical data are critical, however Joe Outpatient doesn’t move around in this manner nor does he stray far from the facilities where he receives care.

 

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It’s Not Just Doctors in Short Supply

Policy-makers involved in healthcare reform are making a mistake in disproportionately emphasizing ourWartman current doctor shortage while neglecting serious shortages of care providers in other fields of health.  Rather than continuing a failed, piecemeal approach, the nation needs to establish a multi-professional, multi-disciplinary, national planning body charged with carrying out a comprehensive and coordinated national health workforce policy.  National healthcare reform cannot be realized without effective national health workforce reform.

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Op-Ed: A Social Democrat Weighs in on a Government Health Plan

David hansen 09

I was born into a Berkeley family of Social Democrats—my father studied Swedish economic  policies—then I trained in social-democratic Economics in Scandinavia, before cutting my career teeth in a Norwegian Labor Party think tank. I thereby personify the threat trumpeted by Republicans: the sinister spread of Social Democracy.

So I am cheering wildly for establishing a federally owned health plan, right? Wrong.

Not that I’m particular opposed, either: It’s just not a big deal. Either way, new government-run plan or not, there won’t be much impact on our nation’s enormous health care problems.  Our health care dilemmas—high costs, poor access, and mediocre outcomes–stem from much more fundamental issues than who sits on the board of yet another insurance plan.

These include the perverse incentive structures for key decision makers in the industry, including insurers, providers and patients. Insurers earn money by serving the well rather than the ill who need their assistance most, providers don’t become rich by managing care over time but by medically over-treating the critically sick, and consumers are incented to both stay out of the insurance pool until they’re sick and to seek medical help late.Continue reading…

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