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X PRIZE Blog Rally: $10M for Health Care Innovators

Scott Shreeve, MD, Senior Health Advisor at The X Prize Foundation and frequent THCB contributor, has asked the health care blogosphere to take part in this blog rally in order to raise awareness about the Healthcare X Prize Foundation competition and encourage public participation in the prize design.  Pass the word around and feel free to post this to your own blog if possible.

We are
entering an unprecedented season of change for the United States health
care system. Americans are united by their desire to fundamentally
reform our current system into one that delivers on the promise of
freedom, equity, and best outcomes for best value. In this season of
reform, we will see all kinds of ideas presented from all across the
political spectrum. Many of these ideas will be prescriptive, and don’t
harness the power of innovation to create the dramatic breakthroughs
required to create a next generation health system.

We believe there is a better way.

This
belief is founded in the idea that aligned incentives can be a powerful
way to spur innovation and seek breakthrough ideas from the most
unlikely sources. Many of the reform ideas being put forward may not
include some of the best thinking, the collective experience, and the
most meaningful ways to truly implement change. To address this issue,
the X PRIZE Foundation, along with WellPoint Inc and WellPoint Foundation as sponsor, has introduced a $10MM prize
for health care innovators to implement a new model of health. The
focus of the prize is to increase health care value by 50% in a 10,000
person community over a three year period.

Continue reading…

Money-Driven Medicine—N.Y. Premiere of Film, June 11

At last, Money-Driven Medicine is finished.  This  90-minute documentary was produced by Alex Gibney, best known for his 2005 film, Enron: The Smartest Guys in the Room  and his 2007 Academy Award Winning documentary, Taxi to the Dark Side.The film was directed by Andy Fredericks, and is based on my book, Money-Driven Medicine: The Real Reason Health Care Costs So Much (Harper Collins).The Century Foundation and the New York Society for Ethical Culture are co-hosting the New York premiere on June11,  7p.m.  at the New York Society for Ethical Culture, 2 West 64th Street at Central Park West. Doors open at 6:30.  Admission is free.  If you’re planning to attend, please RSVP  Loretta Ahlrich, ********@*cf.org“>ah*****@*cf.org or (212) 452-7722 so that we can have a rough idea of how many people will be coming.

Alex Gibney will be there to talk about the film, and following the screening, I’ll take questions from the audience about healthcare and healthcare reform.

About the Film: Money-Driven Medicine explores how a profit-driven health care system squanders billions of health care dollars, while exposing millions of patients to unnecessary or redundant tests, unproven, sometimes unwanted procedures, and over-priced drugs and devices that, too often, are no better than the less expensive products they have replaced. As I have said on this blog, this isn’t just a waste of money. It’s ‘hazardous waste’—waste that is hazardous to our health.In remarkably candid interviews both doctors and patients tell the riveting, sometimes funny, and often wrenching stories of a system where medicine has become a business. “We are paid to do things to patients,” says one doctor. “We are not paid to talk to them.”Patients,and physicians star in the film. They include Dr. Don Berwick, author of Escape Fire and founder of the Institute for Health Care Improvement , and Dr. Jim Weinstein, Director of Dartmouth’s  Institute for Health Policy and Clinical Practice.  ( Dr. Jack Wennberg,  the founder of what I often refer to as “the Dartmouth Research” passed the torch to Weinstein  in 2007.)Lisa Lindell, a HealthBeat reader, patient advocate and author of  108 Days, also appears in the documentary, talking about her husband’s experience in a Texas hospital after he was seriously burned in a freak industrial accident.

How Physicians Inspired Money-Driven Medicine: I narrate the film, and in the course of the narration, recall how the story began:“When I started writing the book, I began phoning doctors, explaining the project, and asking for interviews. To my great surprise the majority  of them returned my calls.  In most cases, I didn’t know them. I expected responses from perhaps 20 percent. Instead, four out of five called back.“‘We want someone to know what is going on,’ explained one prominent physician in Manhattan. ‘But please don’t use my name. You have to promise me that. In this business, the politics are so rough—it would be the end of my career.’”They were right. Everyone needs to know.

Maggie Mahar is an award winning journalist and author. A frequent contributor to THCB, her work has appeared in the New York Times, Barron’s and Institutional Investor. She is the author of  “Money-Driven Medicine: The Real Reason Why Healthcare Costs So Much,” an examination of the economic forces driving the health care system. A fellow at the Century Foundation, Maggie is also the author the increasingly influential HealthBeat blog, one of our favorite health care reads, where this piece first appeared.

Sword-swallowing and health care?

I have no idea why this was at HealthcampNashville today, but here’s sword swallower Dan Meyer swallowing a huge sword with change:healthcare’s Chris Parks removing it!

 

More tweets from HealthcampNashville here

Beyond Wikipedia

No surprise, these days more and more doctors are searching online for medical information. What is surprising, however, is that in a recent study, nearly 50% of physicians indicated that they use Wikipedia—the open-access encyclopedia that allows anyone to edit articles—as their source for medical information.

The study, conducted by Manhattan Research, and reported on here found that although physicians were visiting Wikipedia for medical conditions and other health information, only about 10% of the 1,900 physicians surveyed created new posts or edited existing posts on the encyclopedia.

“The number of physicians turning to Wikipedia for medical information has doubled in the past year alone,’ said Meredith Abreu Ressi, vice president of research at Manhattan Research. ‘Physicians, just like consumers, are heavily search engine reliant, and often Wikipedia results are what come up in the top of the organic results.’

Abreu Ressi noted the concern about accuracy regarding Wikipedia, which allows its users to create content for the site essentially without restriction. Articles are subject to perpetual editing by Wikipedia’s readers. Inevitably, false information sometimes slips through the cracks.”

Wikipedia is not a reliable source of medical information for doctors.

Continue reading…

How to Waste a Boatload of ARRA Money

Cindy on BusI want to take a moment to make sure we are all on the same page here with the business of health care  reform.  This is inanely simple.  When it comes to health care, keep doing things the same way.  It’s a proven business model. Here are a few specific pointers.1) Don’t Involve ConsumersThis is really critical.  Do *not* ask consumers what they want.  Whatever you do, don’t ask consumers to define “meaningful use.”  These kinds of rhetorical debates are best left to academics and bureaucrats inside the beltway. Every time a consumer mentions anything resembling meaningful use or a “personal” health record, change the subject immediately.2) Act Like Privacy Issues are InsurmountableThe possibilities here are endless.  The more you can distract consumers with potential privacy issues, the less they will pay attention to the ways in which they would benefit from having true ownership of their health care data.

3) Don’t Learn from Other IndustriesDon’t bother reading that book by Clay Christenson.  He has spent a decade studying the inefficiencies of the health care system.  Inefficient by whose standards?  Let the academics put their two cents in when it comes to meaningful use, but don’t listen to any of that Harvard B-school innovation nonsense.4) Act Like Open Source Doesn’t ExistFortunately, most people have long forgotten that once upon a time, software was free and/or inexpensive.  They continue to blindly support proprietary software, even during a prolonged recession.  They even purchase new computers to run this bulky, expensive software!This ties into the next point. 5) Think Short TermThe time to think through any major conceptual problems is not now.  Come up with brilliant, yet strangely expensive health care solutions (remember, they must be proprietary).  Don’t worry about long term sustainability or stupid things like sharing your source code.  Having proprietary solutions is exactly the leverage you need to maintain your involvement in perpetuating, I mean solving, the problem.  This is advice you can (both literally and figuratively) take to the bank.Oh, yeah, speaking of the bank, by the time tax payers realize what you’ve done, you will have already deposited your bonus check and had a fabulous spa treatment.

Cindy Throop is a University of Michigan-trained social science researcher specializing in social policy and evaluation.  She is one of the few social workers who can program in SAS, SPSS, SQL, VBA, and Perl.  She provides research, data, and project management expertise to projects on various topics, including social welfare, education, and health. www.cindythroop.com

Bringing Patients into the Health IT Conversation About “Meaningful Use”

The Obama health team at HHS and ONC are gradually establishing the rules that will determine how approximately $34 billion in ARRA/HITECH funds are spent on health IT over the next several years. But there is a “missing link” in these deliberations that, so far, has not been addressed by Congress or the Administration: how the patient’s voice can be “meaningfully used” in health IT. After all, we, the taxpayers, will pay for all this hardware, software, and associated training. There are many more consumers of health care than doctors or health care professionals. Shouldn’t we have a say in what matters – in what is meaningful – to us?

It may have been an oversight, but patients and consumers have been left very much on HITECH’s sidelines. The attention and the money is squarely aimed at the health care providers – doctors, clinics, and hospitals. The Act’s intention is to create “interoperable” electronic health records that, in the future, will be more accessible to them: doctors, clinics, and hospitals.  This is a policy that is tied unnecessarily to an outdated vision. It is provider-centered, paternalistic and top-down. But it could be re-imagined to take advantage of the new ways millions of consumers, patients, and care giving families are using information and communications technologies to solve problems, form online communities, and share information and knowledge.

Continue reading…

Healthcare IT Checkup

Web-based Tool Equips Healthcare IT Professionals with a National Benchmark on Clinical Application and IT Infrastructure Investment

CDW Healthcare, part of the public sector subsidiary of CDW Corporation and a leading provider of technology products and services to healthcare organizations, today announced the release of the IT Checkup Self-Assessment Tool, a Web-based program which enables hospital IT managers to evaluate their clinical application and IT infrastructure investment and receive an instant score indicating how their healthcare organization compares to averages from across the U.S.  The tool is based upon the results of the CDWHealthcare IT Checkup, a national survey of healthcare IT professionals, which CDW Healthcare reported in March.

Using the self-assessment tool, hospital IT managers, CIOs and senior leadership answer 19 questions about the sophistication and capacity of their clinical applications and IT infrastructure.  The questions highlight indicators of relative strength or weakness in both areas and provide results that are meant to guide discussions between IT managers and senior leadership about the importance of pursuing a balanced approach to clinical IT implementations.  No findings based upon individual usage of the Self-Assessment Tool will be made publicly available.  The CDWHealthcare IT Checkup Self-Assessment Tool is online at http://www.healthitcheckup.com.

AMA Manual of Style is Now Online

Oxford University Press is proud to present the launch of the online version of AMA Manual of Style (launching June 2009), an essential tool for everyone involved in medical or scientific publishing.  The online version is written and updated by a committee of editors from JAMA and the Archives Journals, making researching quick and convenient. And as many in the scientific and medical communities know, being able to find information quicker via browsing and searching a website instead of flipping through a manual saves a lot of time, however users are also offered numerous other online features, including: 

  • Style policy changes highlighted and explained
  • Learning and training resources
  • An SI conversion calculator
  • Commentary from editors of JAMA and the Archives Journals
  • Open URL bibliographic references

http://www.amamanualofstyle.com/home

 

Directus – Create your own CME with the sources you trust

Whether you spend a few minutes or an hour
researching online, Directus is the most straight forward way earn AMA/PRA Category 1 Credits™ for your efforts. Wherever your
research is focused – from drug protocols to patient symptoms to medical journals – Directus lets you quickly state
your objectives and expectations, measure your success and submit your time for CME credit.

https://www.directus.cme.edu/

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