My friend Laura Locke interviewed the FaceBook CEO Mark Zuckerberg. I think if I met anyone that successful that young I’d be forced to beat them up on principle. But Laura instead asked some sensible questions about The Future of Facebook.
Given the fast growth in Facebook, it’s probably well worth watching as a kind of slighlty more grown up social network than MySpace, and one that may have implications for health care.
Under broad direction from the Product Director, LMR, and the Director of CIRD, the LMR Product
Design Manager serves to provide leadership for product design to the development and implementation of a key clinical information system at Partners Healthcare System – the Longitudinal Medical Record (LMR).
Consumerism And Controversy: A Conversation With Regina Herzlinger
Will read and comment later….
No difference in my on-rushing likelihood of heart disease–according to the latest iteration of the Framingham study—the long running study of 9,000 patients in Massachusetts.
Might as well go back to the chocolate malts….
Some of the successful CEOs I’ve ever met can barely talk, let alone read! And we all know many overly-academic types who are well read but haven’t got two farthings to rub together. But apparently it’s the deep academic nature of reflective life that means makes CEOs the success they are today. According to the Times a C.E.O’s library reveals the keys to their success. Funnily enough the “CEO” they focus on is not a CEO but a VC and a former journalist.
Fawning over the luck of the super wealthy and calling it something else other than an accident of birth and opportunity seems to be the NY Times latest fad this month. This one follows a disgustingly crass article about the richest of the rich, which went on and on about Sandy Weil of Citicorp without mentioning one pertinent minor fact that Uwe Reinhardt noticed about him. Despite his fabulous wealth Citicorp shareholders paid some $61,000 to cover his family’s out of pocket health expenditures and paid the tax on top of it. (The NY Times letters page beats up Weil and his ilk pretty well—not that he’d care)
I wonder how many of these libraries contain books about humility? Not many that get referred to when the subject of executive compensation comes up.
New York attorney
general Andrew M. Cuomo sent a letter to UnitedHealthCare
demanding that the insurer cancel
the launch of an online service that would rate doctors by the quality of
care they provide and the cost of their services. Linda Lacewell, an attorney
on Cuomo’s staff, noted that the program could be used to push patients toward
selected doctors. “To compound the situation, we understand that employers may
act on these ‘ratings’ to offer financial inducements such as lower co-payments
or deductibles to promote ‘cost-effective’ doctors to their employees."
The Wall Street Journal reports that state and federal officials are continuing
to ask tough questions about the status of non-profit hospitals. Yesterday,
the IRS released a study that notes that "many" hospitals spend less
than three percent of revenues on charitable care. The analysis is based on a survey of 500 non-profit hospitals. Meanwhile, Senator Charles Grassley
released a memorandum in response that suggests that Congress may set new rules governing how
much charity care non-profits are required to provide.
Dr. Anna Pou, the New Orleans surgeon charged with second degree homicide in the deaths of four patients in
her care in the days after Hurricane Katrina, filed
a lawsuit accusing Louisiana attorney general Charles Foti of using the
case against her to "advance his political career." The suit argues
that Foti would better serve the state’s residents by investigating the inept
official response to the disaster."The real cause of loss of life is the
government’s abandonment of the patients and the doctors," the lawsuit
notes. "There can be no doubt that this will be the central issue in the
defense of this matter."
The thread on Dr. Pou and her case, which began more than a year ago when we ran a brief item about
the defense fund set up to help pay her legal expenses, has been surprisingly active for a long time. Various posters and acquaintances — including many doctors and other healthcare workers who have worked with her – have left messages of support,
encouragement and criticism. Many have had nasty things to say about Charles Foti.
Bill writes in claiming to have an inside angle the case. (Note: These claims have not been verified.) He says:
"Anna is also my friend and I promised her I would not talk about the
things we have talked about. I wish I could tell you more, but I made a
promise and I am therefore bound to keep it. What I can tell you is this: Foti was not the principle in the original investigation. Instead Jullie Cullen, Director of the Criminal Division of the Attorney General’s Office spearheaded the original investigation. The case against Anna will not go further than the Grand Jury. There will be no court case and the charges will be dropped. I wish I could tell you more, but I cannot. But please know this: what happened on the seventh floor was done out of love."Val responds: "First of all I am an MD and I did go through Katrina and I do know Anna
Pou. But trying to be objective and somewhat logical here no one is
allowed or justified to "play God" and decide when another’s life
should end. However, we are bound to reduce suffering whenever
possible. It is completely bogus to say that you cannot give versed and
morphine together– we do it all the time in ICU or the OR etc."Jonathen sounds more Perry Mason-like. "The charges were based not just on the eye witness statements that
indicated Dr. Pou, in her own words, told them she was going to
administer lethal doses but on the original autopsy reports which
showed high levels of morphine, including a morphine overdose test, and
Versed and Ativan. Mr. Foti was doing his job. And as for Anna, this
case is not about whether she is a nice or not nice person, whether she
is a competent or incompetent doctor.This is a case about a doctor who
told multiple eye witnesses that lethal injections where going to be
administered to the remaining patients on the seventh floor."
The Center for Science in the Public Interest’s Merrill Goozner drew
attention to a post last week by Beth Israel Deaconess Medical Center CEO Paul Levy discussing a new treatment for severe asthma. Goozner noted
that that BDMIC is both
a clinical trial site for the procedure and a
consultant to the device’s maker, Ashtmatx of Mountain View California. Levy mentioned neither fact in his post. Medical
journals have rules that disclosure of potential conflicts. So do newspapers.
Yet "the blogosphere operates without rules, even when the blogger runs
one of the nation’s leading teaching hospitals," Goozner writes. Levy says
he was "unaware of the relationship" at the time he wrote about the treatment.
Two years ago, the University of Pittsburgh Medical Center ignored
the advice of consultants and pushed ahead with an ambitious $402 million IT
services contract with IBM. The deal was one of the most talked about of the
year. Did it pay off? UPMC CIO Daniel Drawbaugh says yes.
In Vermont, government
officials think "socialized data" could help develop a
new model for fighting chronic diseases. Government Health IT News examines
the ways that the Vermont Information Technology Leaders program, a
public/private partnership, is combining the regional health information
organization with traditional disease management methods. The article
examines similar efforts around the country, noting projects in Kentucky and Calgary. Orion Health’s Dr.
Chris Hobson, the star of a recent THCB podcast, makes an appearance to talk
about the company’s technology, which is being used in both Calgary and Vermont. [Full disclosure Orion is a THCB sponsor.]
Over at The Doctor Weighs In Brian Klepper talks about the transparency conundrum. Should We Have Health Care Performance Transparency? By Whom? And How?. Should transparency be left in the hands of untrustworthy health plans with their own proprietary techniques? Probably not. Is that a reason for abandoning the whole concept? Not exactly.
Meanwhile, I have a hell of a travel day today, and I’m miles behind on some other stuff. I will though be back with an interesting set of updates about Health2.0–User Generated Healthcare on Monday, so please check in then.
I never wrote too much about Walter Reed at the time of the scandal. But this week’s resignation of the VA Secretary, reported by the AP as being connected to Walter Reed, is now being used by some on the right to re-attack the concept of universal health care. It’s bad enough that I have to range the web to combat this misinformation. It’s almost worse that it comes from a fellow columnist at my “lay people’s site, Spot-on. So I’m up over there saying, Don’t Blame The VA.
I like to combat the odd Republican in my columns in Spot-on, but it’s fairly unusual that the object of my humorous chiding is a fellow Spot-on-er. But this week Scott Olin Schmidt reworks the tired argument over Walter Reed Army Medical Center saying that since the hospital was revealed as a disaster some months back the government has no hope of competently running health care facilities, and by extension no hope of successfully running any type of health care organization including health insurance.
The evidence that Scott introduces – based on a somewhat misleading Associated Press story – is that Jim Nicholson Secretary of the Department of Veterans Affairs (VA) has resigned, apparently because of the Walter Reed scandal. Scott then makes the huge leap to say that if you don’t want to see the kind of problems Walter Reed represents, then you should be opposed to the very notion of universal health-care. And for good measure, he suggests that it is all Hillary Clinton’s fault as she "would apply the VA model for healthcare to everyone with one single-payer."
The problems at Walter Reed were indeed severe, but they were mostly concerned with the incredibly disorganized treatment of outpatients, and their being housed in shameful conditions, while the system essentially ignored them. No one is denying that these were terrible problems, or that whoever was in charge should have fixed them. But blaming this on the VA as a knee-jerk reaction reveals a teeny tiny error.
Walter Reed is not a VA-run hospital. More
Come back here to comment. UPDATE: Other THCB posts on Walter Reed and the VA worth noting: "In Defense of the VA" by Maggie Mahar
"The VA and Health IT. A model that works" by Maggie Mahar
"A National Disgrace" by John Irvine
"Army pledges fixes at Walter Reed" by John Irvine "Debating the Quality of VA care" by Eric Novack
For those who remember the endless headlines of "50% of All
Bankruptcies Due to Medical Debt", and particularly for those who have
based many calls for national, single-payer health care, on that paper
by Single-payer zealot David Himmelstein, here is a must read. Law
professor Todd Zywicki, testifying at the US House of Representatives
Judiciary Committee, this week. The link to the testimony is a downloadable word file… all 21 pages are worth reading.
We are
looking for someone with media experience, but who is also savvy in the ways of
start ups. Great comp and even better working environment. We are located in
SOMA area of SF, just off Embarcadero and almost under the lights of AT&T
Ball park where Giants play.
THCB's Podcasts
Listen to them on Itunes or Spotify
