MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'compliance'. Sat, 03 Sep 2011 01:53:11 +0100 http://www.medworm.com/index.php?rid=5159833&cid=t_105196_150_f&fid=35777&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPharmalot%2F%7E3%2FSUw2xkpf29g%2F Hired someone new and exciting? Promoted a rising star? Finally solved that hard-to-fill spot? Share the news with us and we’ll share with it others. That’s right. Send us your announcements and we’ll find a home for them. Don’t be shy. Everyone wants to know who is coming and going, especially with all the layoffs. Despite the downsizing, there is movement. Here are some of the latest changes. Recognize anyone? And here is our regular feature. Send us a photo and we will spotlight a different person each week. This time around, we note that Astellas US named Percival Barretto-Ko as senior vp of corporate strategy and government affairs. Before that, he was executive director, corporate strategy and communications at Astellas Pharma Europe. Prior to joining Astellas, he held senior... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=5159833 Fri, 26 Aug 2011 12:11:26 +0100 5159833 http://www.medworm.com/index.php?rid=5062245&cid=t_105196_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fnew-blood-thinner-shifts-responsibility-to-patients%2F2011.07.24 I recently came across a very important blog post on the use of the novel new blood-thinner, dabigatran (Pradaxa). Fellow Kentucky cardiologist, and frequent TheHeart.org contributor, Dr. Melissa Walton-Shirley wrote this very detailed case presentation involving a cantankerous non-compliant rural patient with AF (atrial fibrillation) that sustained a stroke while “taking” dabigatran. Dr. Walton-Shirley details the very commonly done procedure of cardioversion (shock) for AF. As she clearly points out, the most important safety feature of shocking AF back to regular rhythm entails adequate blood thinning before and after the procedure. Thin blood prevents the possibility of clots dislodging after restoring normal contraction to the top chambers of the heart (atria). Herein lies the rub... Better Health blogs http://www.medworm.com/rss/comments.php?id=5062245 Sun, 24 Jul 2011 18:00:37 +0100 5062245 http://www.medworm.com/index.php?rid=5036228&cid=t_105196_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fconfusing-compliance-with-engagement-in-our-health-care%2F2011.07.17 Twenty percent of people who leave their doctors’ offices with a new prescription don’t fill it. Up to one-half of those who do fill their prescriptions don’t take the drugs as recommended. These individuals are considered non-compliant. But does that mean they are not engaged in their health care? Engagement and compliance are not synonyms. I am compliant if I do what my doctor tells me to do. I am engaged, on the other hand, when I actively participate in the process of solving my health problems. This new prescription is an element in that process. If I am engaged in my care, I might want to learn about this medication. Such as:  what it can and cannot do to ease my pain or slow the progress of my disease; what side effects it might produce and what I should do about them; how l... Better Health blogs http://www.medworm.com/rss/comments.php?id=5036228 Sun, 17 Jul 2011 18:00:40 +0100 5036228 http://www.medworm.com/index.php?rid=4975833&cid=t_105196_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FFJsb-MgrxMU%2F By Walter OlsonLast December the Consumer Product Safety Commission (CPSC) adopted new standards for crib design, a step mandated by the famously overreaching Consumer Product Safety Improvement Act of 2008 (CPSIA). The commission decided to go well beyond a set of voluntary design standards that had been widely adopted the year before; it also chose to make the new rules retroactive, rendering unlawful the sale of many existing cribs whose overall safety record is otherwise acceptable—no one would think of subjecting them to a recall, for instance. Commissioner Nancy Nord: The day care industry did protest that the rule, as proposed, would result in approximately a $1/2 billion hit to a group that could not immediately absorb costs of such magnitude, especially on the heels of having ju... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=4975833 Tue, 28 Jun 2011 13:26:01 +0100 4975833 http://www.medworm.com/index.php?rid=4952804&cid=t_105196_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2F04p9GU35RGM%2F By Daniel J. MitchellOne of the tax increases buried in Obamacare was an onerous and intrusive “1099″ scheme that would have required businesses to collect tax identification numbers for just about any vendor and then send paperwork to the IRS whenever they did more than $600 of business. Send one of your sales people to New York for a couple of nights? They would have to get the tax ID for the hotel and submit a form to the IRS. Buy a printer for the office? The printer company would need to provide a tax ID and the purchaser would have to submit a form to the IRS. o Have a retirement dinner for somebody in the accounting department? Get the restaurant’s tax ID and submit another form to the IRS. This system was seen as a nightmare, even leading to rather amusing cartoons mocking ... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=4952804 Mon, 20 Jun 2011 15:55:16 +0100 4952804 http://www.medworm.com/index.php?rid=4921422&cid=t_105196_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Ftreatment-success-depends-largely-on-patient-participation%2F2011.06.10 Ten days ago a post here mentioned the 14th ICSI / IHI Colloquium. I said the Society for Participatory Medicine was well represented, including: Jessie Gruman, four time cancer patient and founding co-editor of our journal, gave an important breakout session, about which I’ll be writing soon. (Jessie is founder and president of the excellent Center For Advancing Health.) Jessie’s talk was so good it had me going nuts on Twitter – I couldn’t keep up with all the “tweet-worthy” things that came out of her mouth. Well, I’ve just re-read her text, and it brought back why I went nuts. I was going to write about it, but I’m just going to post the full text. For those who don’t know, last fall Jessie underwent surgery for her fourth cancer; she has some experience. (more&#8... Better Health blogs http://www.medworm.com/rss/comments.php?id=4921422 Fri, 10 Jun 2011 16:00:53 +0100 4921422 http://www.medworm.com/index.php?rid=4911824&cid=t_105196_150_f&fid=35777&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPharmalot%2F%7E3%2FAutTWJ-YZYs%2F Faced with growing challenges in clinical trials, manufacturing and drug safety - among many other issues - the FDA has decided to elevate the Office of Compliance to a so-called Super Office on a par with others in the Center For Drug Evaluation and Research, such as the Office of New Drugs, the Office of Pharmaceutical Science and the Office of Surveillance and Epidemiology. The responsibilities will include ensuring compliance with requirements for good manufacturing practice, good clinical practice, human subject protection, adverse event and drug quality reporting, REMS, drug labeling, drug approval, drug importation, and supply chain integrity, among others, according to a memo from CDER director Janet Woodcock. And the new super compliance office will also have three officewide func... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=4911824 Tue, 07 Jun 2011 12:06:07 +0100 4911824 http://www.medworm.com/index.php?rid=4862546&cid=t_105196_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fno-single-intervention-can-cure-poor-medication-adherence%2F2011.05.25 You are sick with something-or-other and your doctor writes you a prescription for a medication.  She briefly tells you what it’s for and how to take it.  You go to the pharmacy, pick up the medication, go home and follow the instructions, right?  I mean, how hard could it be? Pretty hard, it appears.  Between 20 percent to 80 percent of us – differing by disease and drug – don’t seem to be able to do it. There are, of course, many reasons we aren’t.  Drugs are sometimes too pricey, so we don’t fill the prescription. Or we buy them and then apply our ingenuity to making them last longer by splitting pills and otherwise experimenting with the dosage. Some drugs have to be taken at specific times or under specific conditions, posing little challenge when you are taking only ... Better Health blogs http://www.medworm.com/rss/comments.php?id=4862546 Wed, 25 May 2011 12:00:37 +0100 4862546 http://www.medworm.com/index.php?rid=4753691&cid=t_105196_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fbeware-of-fake-social-media-experts-offering-to-help-you-create-an-institutional-policy%2F2011.04.26 They’re here: Creeping researchers who see the opportunity that’s social media.  Publications, position papers, professional guidelines and policies on social media are appearing faster than you can say ‘ARA grant opportunity.’  A simple search will show that some of these authors have little more than a token feel of what its like to be a doctor in the social space.  And they’ve got just enough of a footprint to fool the editors.  “They’ve actually got a Twitter account.  They must know what they’re talking about.” The next time you see a policy or a guideline coming from a society or medical professional organization, deep search its authors.  Look to see if they have the experience and social scars to guide you as a professional.  If you’re a professional soci... Better Health blogs http://www.medworm.com/rss/comments.php?id=4753691 Tue, 26 Apr 2011 19:00:36 +0100 4753691 http://www.medworm.com/index.php?rid=4723792&cid=t_105196_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FG4RMdp2wHCI%2F By Daniel J. MitchellSince it is tax-filing season and we all want to honor our wonderful tax system, let’s go into the archives and show this video from last year about the onerous compliance costs of the internal revenue code. Narrated by Hiwa Alaghebandian of the American Enterprise Institute, the mini-documentary explains how needless complexity creates an added burden – sort of like a hidden tax that we pay for the supposed privilege of paying taxes. Two things from the video are worth highlighting. First, we should make sure to put most of the blame on Congress. As Ms. Alaghebandian notes, the IRS is in the unenviable position of trying to enforce Byzantine tax laws. Yes, there are examples of grotesque IRS abuse, but even the most angelic group of bureaucrats would have... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=4723792 Mon, 18 Apr 2011 13:03:38 +0100 4723792 http://www.medworm.com/index.php?rid=4684481&cid=t_105196_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2FqLSXubohIbg%2F Guest Poster: John Brewer is the founder of HIPAAaudit.com.  He and his team help physicians run HIPAA Compliant practices in the simplest, most pain free way. So far we’ve covered Information System Activity Review & Sanction Policy. The next item to tackle for the HIPAA side of Meaningful Use is the Risk Analysis.  This may also be referred to by some as the Risk Assessment also. The Risk Analysis is simply a look at the way your practice operates as it pertains to PHI and your computer network. Your risk analysis shouldn’t be a handful of questions.  It should be a set of targeted questions – partly to see that your practice is doing things correctly and partly to invoke conversation to ensure you fix other areas of how your practice does business. The risk analysis we ... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=4684481 Wed, 06 Apr 2011 17:35:53 +0100 4684481 http://www.medworm.com/index.php?rid=4631444&cid=t_105196_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F03%2F24%2Fjournal-of-public-health-2011-vol-33-no-1%2F Fade Fave: Social inequalities in quitting smoking: what factors mediate the relationship between socioeconomic position and smoking cessation? Fade Skinny: Thid article looks at whether smokers from lower socio-economic groups are less likely to be successful in a quit attempt than more affluent smokers, even while accessing smoking cessation services. (Print subscription held at Fade Library – contact the library if you would like a copy) Filed under: Current Awareness Tagged: Inequalities, Medication Compliance, Smoking Cessation, Socioeconomic Status, UK (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=4631444 Thu, 24 Mar 2011 12:50:42 +0100 4631444 http://www.medworm.com/index.php?rid=4627018&cid=t_105196_150_f&fid=35777&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPharmalot%2F%7E3%2FGDgziD-nSo4%2F If you are a drugmaker with a poor track record of complying with so-called Good Manufacturing Practices, the FDA wants you to know that you are more likely to be targeted for further scrutiny. And to make good on this promise, an FDA official says the agency is developing better ways to track manufacturer compliance in order to more efficiently focus investigations, FDA News writes. The FDA must “be able to shift our resources to the high-risk areas, which means the high-risks firms. We should be looking at those companies with a history of non-compliance. They deserve more scrutiny, and they will have more scrutiny. And we are looking at ways to better track a company’s history over time,” FDA associate commissioner for regulatory affairs Dara Corrigan told the International G... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=4627018 Wed, 23 Mar 2011 15:35:28 +0100 4627018 http://www.medworm.com/index.php?rid=4605903&cid=t_105196_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2Fc4yur-JENV4%2F Guest Poster: John Brewer is the founder of HIPAAaudit.com.  He and his team help physicians run HIPAA Compliant practices in the simplest, most pain free way. As previously mentioned, the Sanction Policy is an integral part of Meaningful Use. What exactly is a Sanction Policy? Quite simply, it is clarification to your staff…all staff…yes, this includes the physicians, that there are ramifications for breaking company computer policies, specifically HIPAA violations. First, your practice must have policies.  Without knowing the rules, nobody will know if they are breaking them or not. The computer policies of a practice are the foundation on which your office will operate.  The computer policies are different than human resource company policies…actually, they are different, ... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=4605903 Wed, 16 Mar 2011 15:55:33 +0100 4605903 http://www.medworm.com/index.php?rid=4560252&cid=t_105196_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FIbBKouCMHwQ%2F By Daniel J. MitchellOne of my many frustrations of working in Washington is dealing with perpetual-motion-machine assertions. The classic example is Keynesian economics, which is based on the notion that you magically create additional economic activity by having the government spend money instead of allowing the private sector to decide how it gets spent (in an especially bizarre display of this thinking, Nancy Pelosi actually said that subsidizing unemployment was the best way to create jobs). Another example of this backwards analysis can be found in the debate over the IRS budget. The President is resisting a GOP proposal to modestly trim the IRS's gargantuan $12.5 billion budget and his argument is that we should actually boost funding for the tax collection bureaucracy since that wi... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=4560252 Mon, 07 Mar 2011 13:54:23 +0100 4560252 http://www.medworm.com/index.php?rid=4552057&cid=t_105196_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Ffirst-monetary-hipaa-fine-issued%2F2011.03.05 Via the Threatpost article “HIPAA Bares Its Teeth: $4.3m Fine For Privacy Violation“: The health care industry’s toothless tiger finally bared its teeth, as the U.S. Department of Health and Human Services (HHS) issued a $4.3 m fine to a Maryland health care provider for violations of the HIPAA Privacy Rule. The action is the first monetary fine issued since the Act was passed in 1996. … A copy of a penalty notice against Cignet depicts a two-year effort in which HHS struggled with what appears to be a dysfunctional Maryland provider unaware of the potential impact of HIPAA non-compliance, and unwilling or unable to cooperate with HHS in any way. When first reading the title I was willing to rail against HIPAA, as I’m tired of it. Then I read the post. Wow. It’s like ... Better Health blogs http://www.medworm.com/rss/comments.php?id=4552057 Sat, 05 Mar 2011 18:00:37 +0100 4552057 http://www.medworm.com/index.php?rid=4549939&cid=t_105196_150_f&fid=35777&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPharmalot%2F%7E3%2FzIiicEuNJck%2F Hired someone new and exciting? Promoted a rising star? Finally solved that hard-to-fill spot? Share the news with us and we’ll share with it others. That’s right. Send us your announcements and we’ll find a home for them. Don’t be shy. Everyone wants to know who is coming and going, especially with all the layoffs. Despite the downsizing, there is movement. Here are some of the latest changes. Recognize anyone? And here is our regular feature. Send us a photo and we will spotlight a different person each week. This time around, we note that IBM Global Business Service hired Neil Patel as an associate partner in the Life Sciences R&D Practice. Prior to joining IBM, he was with PricewaterhouseCoopers in the Pharma Life Sciences Practice as a director and, before that, he worked... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=4549939 Fri, 04 Mar 2011 13:10:43 +0100 4549939 http://www.medworm.com/index.php?rid=4536051&cid=t_105196_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FPzWOR-NmY5s%2F By Daniel J. MitchellHere's a new mini-documentary from the Center for Freedom and Prosperity, narrated by Natasha Montague of Americans for Tax Reform, that explains why the process of tax competition is a critical constraint on the propensity of governments to over-tax and over-spend. The issue is very simple. When labor and capital have the ability to escape bad policy by moving across borders, politicians are more likely to realize that it is foolish to impose high tax rates. And they oftentimes compete for jobs and investment by lowering tax rates. This virtuous form of rivalry helps explain why so many nations in recent years have lowered tax rates and adopted simple and fair flat tax systems. Another great feature of the video is the series of quotes from winners of the Nobel Prize... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=4536051 Tue, 01 Mar 2011 20:41:13 +0100 4536051 http://www.medworm.com/index.php?rid=4489635&cid=t_105196_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FRX7stlKncCc%2F By Daniel J. MitchellHere's a video arguing for the abolition of the corporate income tax. The visuals are good and it touches on key issues such as competitiveness.   I do have one complaint about the video, though it is merely a sin of omission. There is not enough attention paid to the issue of double taxation. Yes, America's corporate tax rate is very high, but that is just one of the layers of taxation imposed by the internal revenue code. Both the capital gains tax and the tax on dividends result in corporate income being taxed at least two times. These are points I made in my very first video, which is a good companion to the other video. There is a good argument, by the way, for keeping the corporate tax and instead getting rid of the extra layers of tax on dividends and capital ... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=4489635 Thu, 17 Feb 2011 21:13:01 +0100 4489635 http://www.medworm.com/index.php?rid=4331264&cid=t_105196_160_f&fid=38218&url=http%3A%2F%2Fwaronwarts.com%2Fgenital-warts%2Fhpv%2Fnew-york%2Flong-island%2Fgeneral-info%2Fadherence-to-schedule-for-hpv-vaccination-series-low%2F Adherence to recommended schedules for human papillomavirus (HPV) quadrivalent vaccine is relatively low, and even lower among blacks, raising concerns about disease disparity, according to research published online Dec. 13 in Pediatrics. To determine the level of adherence to the recommended schedule for vaccination and to identify factors associated with completing the three-dose series, Lea E. Widdice, M.D., of the Cincinnati Children’s Hospital Medical Center, and colleagues reviewed data on 3,297 females aged 9 to 26 who initiated HPV vaccination. Sixty-seven percent of the females self-identified as black and 29 percent as white. The researchers found that more than 50 percent of the doses were received late and fewer than 3 percent were received earlier than recommended. Compl... War On Warts blogs http://www.medworm.com/rss/comments.php?id=4331264 Mon, 10 Jan 2011 20:46:09 +0100 4331264 http://www.medworm.com/index.php?rid=4179520&cid=t_105196_150_f&fid=35777&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPharmalot%2F%7E3%2FEhLvTt5hga8%2F In this world of fraud, bribes and huge fines, what do companies doing business in Europe anticipate when they hear the word compliance? In short, lots of change. A new survey finds 93 percent believe regulatory compliance will be a big challenge and 82 percent say new regulations - such as the US Foreign Corrupt Practices Act and the UK Anti-Bribery law, which becomes effective next April - are going to have a measurable impact. More specifically, 62 percent say that implementing transparency guidelines will prompt decreases in promotional spending. And 53 percent expect to spend more on transparency efforts to increase. The survey, by the way, was conducted by Cegedim, a consulting and market research firm, which queried 117 people - 83 percent from drugmakers; 8 percent from device comp... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=4179520 Thu, 18 Nov 2010 15:22:39 +0100 4179520 http://www.medworm.com/index.php?rid=4125280&cid=t_105196_150_f&fid=35777&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPharmalot%2F%7E3%2FfB8CHD15wQY%2F In a scathing report, the US General Accountability Office has determined that the FDA failed to implement earlier recommendations that would close the gap between the agency’s approach to inspecting domestic and foreign drug manufacturing facilities. Consequently, the GAO writes that it is unclear if steps being taken by FDA “will prove successful” and there is an “urgent need” to better protect public health by putting GAO suggestions into practice. Here are some key findings: The FDA boosted its budget for foreign inspections to $41 million in fiscal 2009 compared with $12 million in fiscal 2008 and $10 million in fiscal 2007, and increased the number of foreign inspections. In fiscal year 2009, for instance, the FDA conducted 424 foreign inspections, compa... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=4125280 Mon, 01 Nov 2010 15:29:16 +0100 4125280 http://www.medworm.com/index.php?rid=3993881&cid=t_105196_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FevdN6f_RRzU%2F By Daniel J. MitchellOur tax system in America is an absurd nightmare, but at least we have some ability to monitor what is happening. We can’t get too aggressive (nobody wants the ogres at the IRS breathing down their necks), but at least we can adjust our withholding levels and control what gets put on our annual tax returns. The serfs in the United Kingdom are in much worse shape. To a large degree, the tax authority (Inland Revenue) decides everyone’s tax liability, and taxpayers have no role other than to meekly acquiesce. But now the statists over in London have decided to go one step farther and have proposed to require employers to send all paychecks directly to the government. The politicians and bureaucrats that comprise the ruling class then would decide how much to... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=3993881 Tue, 21 Sep 2010 20:54:30 +0100 3993881 http://www.medworm.com/index.php?rid=3976713&cid=t_105196_150_f&fid=35777&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPharmalot%2F%7E3%2FJsk5uZLlKbk%2F Good morning, everyone. Another shiny day here on the Pharmalot corporate campus, where the short people are scampering and the dogs are barking. As always, there is much to do, especially as yet another diet pill will be reviewed today by an FDA panel. And so let the races begin. Have a great day and catch you later… Insurers Try Incentives To Improve Med Adherence (Health Leaders) Sanofi CEO Says Chance Of Genzyme Deal Is Reasonable (Bloomberg News) Acne Depression Link May Not Be Due To Drugs (Reuters) Avandia Is A PR Mess, Not A Financial Mess (Fortune) FDA Staff Backs High-Dose Of Boehringer Clot Drug (Reuters) Montana Governor Says Drugmakers Avoid Taxes (Bloomberg News) Genzyme Sees End To Fabrazyme Rationing (The Wall Street Journal) UK’s NICE Says No To Glaxo Leukemia ... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=3976713 Thu, 16 Sep 2010 12:16:31 +0100 3976713 http://www.medworm.com/index.php?rid=3929218&cid=t_105196_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FcIecKUx-rM0%2F By Daniel J. MitchellHere’s a Reuters story about the Australian Tax Office harassing Paul Hogan, better known to Americans as Crocodile Dundee, because of a tax dispute. The grinches at the tax office took advantage of Hogan’s return for his mother’s funeral to hold him hostage, refusing to let him leave the country until he coughs up some cash. It appears that the tax police in Australia are just as politicized and above the law as the IRS. Hogan has never been charged with tax evasion and there are plenty of signs that the bureaucrats want to make him a high-profile victim to justify the amount of money that has been squandered in a probe of supposed offshore evasion. Actor Paul Hogan, star of the “Crocodile Dundee” movies, has vowed to continue fighting ... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=3929218 Thu, 02 Sep 2010 17:02:34 +0100 3929218 http://www.medworm.com/index.php?rid=3913177&cid=t_105196_118_f&fid=34702&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fmspblog%2F%7E3%2Fzy70aGWc-a8%2F This intriguing job ad was posted a few weeks ago by a large health system.  It would seem that this hospital is ahead of the curve when it comes to understanding the need for resources dedicated to the data requirements of the organized medical staff. Performs related functions for tracking and data analysis of JHH Medical Staff and Affiliate Staff as it relates to compliance with Hospital requirements and Joint Commission standards. Will track staff quality data, initiate requests on a scheduled basis for related information, perform high-level analysis through use of sophisticated database software and other tools, identify problems and perform all necessary follow-up to resolve problems.  Will independently be responsible for making sure that all appointed staff are in compliance wit... MSSPNexus Blog blogs http://www.medworm.com/rss/comments.php?id=3913177 Sat, 28 Aug 2010 12:38:40 +0100 3913177 http://www.medworm.com/index.php?rid=3833454&cid=t_105196_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F08%2F07%2Freal-mental-health-is-healthyplace%2F Who runs Real Mental Health? Who owns Healthy Place.com? Are they one and the same? These are interesting questions to ask, because you can’t find such information on their websites. What makes it even more interesting is what recently happened to the Real Mental Health website that demonstrates a behind-the-scenes connection between these two sites — a connection not acknowledged anywhere on either site. Real Mental Health is a small mental health community built upon a third-party social networking suite of tools. The website used to reside at realmentalhealth.com. But at the end of May, the site suddenly went away without notice to its members. That’s when the intrigue began. It came back a week later at a different URL (realmentalhealthsite.com), with little explana... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=3833454 Sat, 07 Aug 2010 11:56:00 +0100 3833454 http://www.medworm.com/index.php?rid=3740595&cid=t_105196_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fno-forgetting-to-take-your-meds%2F2010.07.09 Normally, the patient calls the pharmacy for a prescription. Now, the prescription is doing that by itself. GlowCaps, a prescription bottle cap made by Vitality, has assumed control for medication compliance. The bottle cap fits prescription bottles, but has uses cellphone technology to tap into wireless networks. Once connected, the pill bottle does everything imaginable to remind patients to take their pills. There’s lights — plenty of them. The bottle cap really does glow and make noise to remind patients. Plug-in units wirelessly connected to the bottle cap can be placed anywhere there’s a wall socket. Oh, and it will call you, too, if you forget. The company calls this “Reminders Ramp from Subtle to Insistent.” (Add “relentless” to that.) Ulti... Better Health blogs http://www.medworm.com/rss/comments.php?id=3740595 Sat, 10 Jul 2010 03:47:23 +0100 3740595 http://www.medworm.com/index.php?rid=3737111&cid=t_105196_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2Foa_7zo0PHzE%2F Trent Peters from Umbrella Medical Systems added an interesting comment on my previous post about Domain Controlled Networks and HIPAA that I thought really added to my original post. Plus, Trent goes into a nice list of other benefits of having a “Management” server in an office. It gets a little technical for some of my readers I’m sure, but is valuable if you’re office is embarking on this adventure. Here’s Trent’s comment: This is an interesting question and can be argued either way, but again it comes down to what’s “reasonable and appropriate”. A little background, my company is a IT Consultant group that works specifically in the healthcare arena offering services to medium-sized and small healthcare organizations, we have plenty of EMR impl... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=3737111 Thu, 08 Jul 2010 16:16:09 +0100 3737111 http://www.medworm.com/index.php?rid=3726764&cid=t_105196_147_f&fid=39202&url=http%3A%2F%2Fnicolaziady.wordpress.com%2F2010%2F07%2F05%2F5-twitter-tips-for-hospital-marketers%2F [1] HIPPA compliance :: Dont mention information which can identify patients. Dont write anything where a patient could identify themselves. [2] Share information :: If you find a good article share it! ReTweet blogs or relevant information. Respond and acknowledge mentions … you have earned them! [3] Think easy & simple :: Try not to use medical jargon. Patients dont always understand. Dont use a big complicated word when a shorter and simpler one will do. If you need to clarify a complex procedure link to your blog or healthcare website. [4] Know your patient base :: Determine who your follower will be before you start your blog or website. Aim your posts or articles to align to what they would like to hear. Your twitter account may rank high in search engine results so you wan... Nicola Ziady blogs http://www.medworm.com/rss/comments.php?id=3726764 Tue, 06 Jul 2010 01:35:23 +0100 3726764 http://www.medworm.com/index.php?rid=3659153&cid=t_105196_150_f&fid=34889&url=http%3A%2F%2Fpharmamkting.blogspot.com%2F2010%2F06%2Ftake-your-medicine-win-lottery-void.html New England Healthcare Institute (NEHI), a nonprofit research organization with ties to the pharmaceutical industry, health insurers and academia, estimates that one third to one half of all patients in the U.S. do not take their medications as prescribed by their doctors. [Actually, regarding that percentage, NEHI may be quoting the World Health Organization, which may be getting its figures from the pharmaceutical industry, which may just be making them up.]"Adherence" is the technical term used by the pharma industry for "following doctor's orders" about taking medication. NEHI suggests many reasons for the poor "adherence" behavior of Americans, including:costside effectsthe challenge of managing multiple prescriptions (polypharmacy)patients’ understanding of their diseaseforgetfulne... Pharma Marketing Blog blogs http://www.medworm.com/rss/comments.php?id=3659153 Mon, 14 Jun 2010 12:11:00 +0100 3659153 http://www.medworm.com/index.php?rid=3585697&cid=t_105196_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2FVjqU-dMkK3I%2F Anyone that has worked in healthcare has the palpable fear of the word HIPAA. Any time the word’s mentioned, I have this visceral emotion shoot threw my body. I’m sure it’s the same for many people. HIPAA is like the nasty word that no one can argue with. Just say something is a HIPAA violation and no one can argue with you (assuming you’re right). In the clinics I’ve worked in, there really is a desire to try and follow the HIPAA rules as best as possible. They all hate it, but they all try in good faith to follow the HIPAA rules. They likely do this because of fear of the dreaded HIPAA audit. Check out this interesting comment made on a previous post I did which puts the HIPAA audit in a new light: Same goes for the HIPAA rules. We all spend so much effort a... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=3585697 Wed, 19 May 2010 16:56:32 +0100 3585697 http://www.medworm.com/index.php?rid=3534099&cid=t_105196_150_f&fid=35777&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPharmalot%2F%7E3%2FIjCt-KrTGj4%2F This is the sort of supervision that sales reps just can’t stand. As part of the $81 million settlement that two Johnson & Johnson units paid to resolve criminal and civil lawsuits over illegally promoting the Topamax epilepsy drug, J&J’s Ortho-McNeil compliance personnel must ‘ride along’ with reps and “directdly observ(e) all meetings” between reps and health care providers. “The observations shall be scheduled throughout the year, randomly selected by compliance personnel and other appropriately trained (compliance) representatives as described above, include each therapeutic area and actively promoted product, and be conducted across the United States,” according to the Corporate Integrity Agreement that was part of the settleme... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=3534099 Wed, 05 May 2010 13:27:14 +0100 3534099 http://www.medworm.com/index.php?rid=3526973&cid=t_105196_160_f&fid=36189&url=http%3A%2F%2Fwww.skinmdblog.com%2F17%2Facne-and-facials%2F A lot of people have the idea that getting facials or having acne surgery done regularly will cure their acne.   Actually, acne surgery is really just sort of a quick fix because it helps you get rid of those existing zits in 15 minutes. However, it doesn’t prevent new pimples from coming up again. It isn’t a cure. Ultimately, it all boils down to having effective topical and/or oral medications which your good dermatologist can recommend and good patient compliance with the medications. Even without having acne surgery patients will get clearer skin with just the medications.  So why do dermatologists still do acne surgery when pimples can disappear even with medications?  There are two reasons why: To increase patient compliance – it usually takes from 2 to 4 weeks... Skin MD blogs http://www.medworm.com/rss/comments.php?id=3526973 Thu, 29 Apr 2010 01:42:43 +0100 3526973 http://www.medworm.com/index.php?rid=3479836&cid=t_105196_131_f&fid=34989&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FGeneticsHealth%2F%7E3%2Fb2o-HKX8rt8%2F The Cost of Not Breastfeeding: Mother Jones reports that “non-compliance” with breastfeeding recommendations costs $13 billion per year in health care costs nationwide. Post from: BlissTree (Source: Genetics and Health) Genetics and Health blogs http://www.medworm.com/rss/comments.php?id=3479836 Fri, 16 Apr 2010 16:14:38 +0100 3479836 http://www.medworm.com/index.php?rid=3346720&cid=t_105196_150_f&fid=35777&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPharmalot%2F%7E3%2FbbBnDo7jzTI%2F The drugmaker is adding four new senior positions to “promote highly ethical and compliant behaviors” as part of a settlement of two shareholder lawsuits stemming from off-label promotion of its Zyprexa antipsychotic and other drugs. You may recall that last year, Lilly paid $1.4 billion to settle criminal and civil complaints (see here). Lilly is also upgrading policies and procedures “to ensure that objective scientific inquiry, analysis and communication in matters affecting patient safety and benefit shall be of paramount importance,” according to a filing with the Securities and Exchange Commission. The shareholder suits claimed the drugmaker breached its fiduciary duty and Lilly agreed to pay about $8.7 million to settle. The new positions being created are v... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=3346720 Tue, 09 Mar 2010 18:00:26 +0100 3346720 http://www.medworm.com/index.php?rid=3251401&cid=t_105196_151_f&fid=35818&url=http%3A%2F%2Frecoveryissexy.com%2Facceptance-and-surrender%2F Compliance and Acceptance; Submission and Surrender By Dr Harry Tiebout, an early friend of AA who wrote extensively about alcoholism and AA. This edited article illustrates an often subtle but devastating state of mind in recovering alcoholics. Dr Harry Tiebout In alcohol treatment and recovery one fact must be kept in mind, namely the need to distinguish between submission and surrender. In submission, an individual accepts reality consciously but not unconsciously. He accepts as a practical fact that he cannot at that moment conquer reality, but lurking in his unconscious is the feeling, “There’ll come a day” — which implies no real acceptance and demonstrates conclusively that the struggle is still going on. With submission, which at best is a superficial yieldi... Recovery Is Sexy.com blogs http://www.medworm.com/rss/comments.php?id=3251401 Mon, 08 Feb 2010 13:08:41 +0100 3251401 http://www.medworm.com/index.php?rid=3185557&cid=t_105196_133_f&fid=35082&url=http%3A%2F%2Fblog.gbrettmiller.com%2Fcompliance-or-engagement-which-do-you-prefer-for-your-kids%2F Like many parents, I always enjoyed taking my sons to their first day of school when they were young. One year in particular stands out. My elder son was just starting the second grade, his second year at this school. As we walked in on the first day of class, it seemed as if a party were going on. Kids were roaming the halls, teachers and staff were talking to each other and the kids, asking how them about their summer and telling them what a great year it was going to be. Amazingly, they even talked to me, asked me how my summer was, if there was anything they should try to get my son to talk about from his summer vacation. In other words, “we’re glad you’re here, we’re going to take good care of your son.” The next day I took my younger son to his first day... 29 Marbles blogs http://www.medworm.com/rss/comments.php?id=3185557 Tue, 19 Jan 2010 12:44:24 +0100 3185557 http://www.medworm.com/index.php?rid=3105096&cid=t_105196_109_f&fid=36089&url=http%3A%2F%2Fthesituationist.wordpress.com%2F2009%2F12%2F19%2Fsituationist-comedy%2F How would the behavior of 100 people influence you? * * * * * * For a sample of related Situationist posts, see “Solomon Asch’s Famous Compliance Experiment,” “Solomon Asch’s Conformity Experiment . . . Today,” “Journalists as Social Psychologists & Social Psychologists as Entertainers,” “Gender Conformity,” “The Situational Effect of Groups.” (Source: The Situationist) The Situationist blogs http://www.medworm.com/rss/comments.php?id=3105096 Sat, 19 Dec 2009 04:01:48 +0100 3105096 http://www.medworm.com/index.php?rid=2974182&cid=t_105196_136_f&fid=39025&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Feverythingchangesbook%2F%7E3%2FEd4jXvDH8-U%2Fcancer-patient-compliance When it comes to following prescription drug dosing and directions, I’m like a teacher’s pet.  I’m terrified of potential drug side effects – almost to a neurotic and paranoid level.  And I do exactly what my doctor says.  But many patients don’t or can’t.  Especially with the economy in the crapper, I know a lot of people who are splitting pills or skipping out of medications all together. There have been times, however, when I’ve made educated decisions to go against my doctors’ orders for procedures.  I don’t have a medical degree, but I do have a ton of common sense and research the hell out of my disease.   And sometimes it makes more sense to me to disobey what my doctor is recommending. Here’s an example: The last time my doc ordered a biopsy of nodes that... Everything Changes blogs http://www.medworm.com/rss/comments.php?id=2974182 Mon, 09 Nov 2009 08:45:27 +0100 2974182 http://www.medworm.com/index.php?rid=2899194&cid=t_105196_150_f&fid=35777&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPharmalot%2F%7E3%2F_wiRtPXnyts%2F Tucked into a Pfizer press release this morning about the rosy future that lies ahead - now that Wyeth is securely in its clutches - is this interesting nugget: the big drugmaker has formed an executive compliance committee. Did someone say compliance? This innovative notion comes hard on the news that Pfizer paid a record-setting, ground-breaking, chair-swiveling, eye-rolling, jaw-dropping, $2.3 billion fine for illegally marketing several drugs, including Bextra, Zyvox, Geodon and Lyrica, over several years - even as other corporate integrity agreements were in force. One has to wonder - what took them so long? Maybe it was an ugly round of publicity and lots of cash - that might otherwise be used to retain a few research projects - to prompt ceo Jeff Kindler and his advisors (McKinsey, ... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=2899194 Fri, 16 Oct 2009 12:40:43 +0100 2899194 http://www.medworm.com/index.php?rid=2846511&cid=t_105196_125_f&fid=34820&url=http%3A%2F%2Fwww.dentalblogs.com%2Farchives%2Fadministrator%2Fmandatory-flu-shots-for-medical-dental-workers%2F There is a drive on for all healthcare workers to receive both seasonal influenza and H1N1 vaccinations. New York is the first state to require all healthcare workers, who have direct patient contact at hospitals, hospices, health centers or even home care, to get flu shots – both the seasonal flu and the H1N1 when it becomes available in October. The logic used here is based on the fact that traditionally only about 50 percent of all healthcare are vaccinated during a normal flu season, even though their patients, obviously have a tendency to be more susceptible to the complications of the flu. Additionally, the Hospital Corporation of America is requiring 120,000 employees to be vaccinated as well as MedStar with 25,000 employees. These required inoculations are being met with resistan... dental blog for dentists about dentistry blogs http://www.medworm.com/rss/comments.php?id=2846511 Wed, 30 Sep 2009 13:01:07 +0100 2846511 http://www.medworm.com/index.php?rid=2814628&cid=t_105196_134_f&fid=34841&url=http%3A%2F%2Fwww.diabetesmine.com%2F2009%2F09%2Fcompliance-vs-compassion.html Of all the things I heard at the Transform symposium at the Mayo Clinic last week, there was just one notion that pierced the heart of all this healthcare reform talk, if you ask me. It was the statement by Christi Dining Zuber, Innovation Director at Kaiser Permanente, that healthcare needs to be about compassion [...] (Source: Diabetes Mine) Diabetes Mine blogs http://www.medworm.com/rss/comments.php?id=2814628 Mon, 21 Sep 2009 13:00:37 +0100 2814628 http://www.medworm.com/index.php?rid=2800482&cid=t_105196_109_f&fid=36089&url=http%3A%2F%2Fthesituationist.wordpress.com%2F2009%2F09%2F16%2Fsolomon-aschs-famous-compliance-experiment%2F From Wikipedia: Solomon Asch . . . . became famous in the 1950s, following experiments which showed that social pressure can make a person say something that is obviously incorrect. This experiment was conducted using 123 male participants. Each participant was put into a group with 5 to 7 “confederates” (People who knew the true aims of the experiment, but were introduced as participants to the naive “real” participant). The participants were shown a card with a line on it, followed by another card with 3 lines on it labeled a, b, and c. The participants were then asked to say which line matched the line on the first card in length. Each line question was called a “trial”. The “real” participant answered last or penultimately. For the first ... The Situationist blogs http://www.medworm.com/rss/comments.php?id=2800482 Wed, 16 Sep 2009 04:01:59 +0100 2800482 http://www.medworm.com/index.php?rid=2774742&cid=t_105196_125_f&fid=34820&url=http%3A%2F%2Fwww.dentalblogs.com%2Farchives%2Fadministrator%2Fthe-n95-respirator-dental-mask-of-the-future%2F On September 3, 2009, the Institute of Medicine issued recommendations that had been requested by the Centers for Disease Control and Prevention that the use loose paper masks are deemed inadequate because the H1N1 virus could pass through and put healthcare workers at risk. The recommendation for healthcare workers is to switch to the N95 respirator, which forms an airtight seal around the nose and mouth. The key issue with this switch will be the proper fitting and how the mask is worn. If properly used, the new mask filters out over 95% of the particulate matter (down to 0.3 micrometers – smaller than a virus). The Institute of Medicine provides independent, evidence-based advice to the healthcare industry, key leaders, health professionals, and the public. It remains to be seen wheth... dental blog for dentists about dentistry blogs http://www.medworm.com/rss/comments.php?id=2774742 Tue, 08 Sep 2009 14:17:48 +0100 2774742 http://www.medworm.com/index.php?rid=2741498&cid=t_105196_125_f&fid=34820&url=http%3A%2F%2Fwww.dentalblogs.com%2Farchives%2Fadministrator%2Fdentists-should-know-about-new-hipaa-rules%2F In February, the Health Information Technology for Economic and Clinical Health Act (HITECH) was passed as under the American Recovery and Reinvestment Act of 2009 (ARRA). The purpose of the act was to create a nationwide information technology infrastructure that would allow controlled electronic dissemination of health information (EMR). HITECH rules, which are currently being promulgated by HHS, will place more responsibilities on covered business entities and their business associates. On August 18, a new regulation will go into effect which requires covered entities and their business associates to provide notice of breaches or unauthorized disclosures of protected health information (PHI) within 60 days. Covered entities would be required to provide notification to the breached indiv... dental blog for dentists about dentistry blogs http://www.medworm.com/rss/comments.php?id=2741498 Fri, 28 Aug 2009 13:54:49 +0100 2741498 http://www.medworm.com/index.php?rid=2535195&cid=t_105196_109_f&fid=36089&url=http%3A%2F%2Fthesituationist.wordpress.com%2F2009%2F06%2F27%2Fgender-conformity%2F The following 3-minute video (from Sarah Lisenbe)  illustrates the power of gender roles, signage, and mindless compliance. * * * For a sample of related Situationist posts, see “Zimbardo on Milgram and Obedience – Part I,”  “The Case for Obedience,” “Solomon Asch’s Conformity Experiment . . . Today,” and “Solomon Asch’s Classic Group-Influence Experiment.” (Source: The Situationist) The Situationist blogs http://www.medworm.com/rss/comments.php?id=2535195 Sat, 27 Jun 2009 16:01:59 +0100 2535195 http://www.medworm.com/index.php?rid=2441536&cid=t_105196_107_f&fid=36698&url=http%3A%2F%2Fminingdrugs.blogspot.com%2F2009%2F05%2Fwe-know-that-scientific-collaboration.html We know that scientific collaboration is important, but what is holding people back to contribute to web 2.0 communities (of people, like you!) ?This question was raised on FriendFeed (another web 2.0 platform, a good one). Though I answered parts of this question earlier, here a focus on the increasing number of compliance regulations, especially for people in industry (e.g. drug design). Beside, please check also the dangers in health/medicine 2.0.Science And Compliant CommentingView more OpenOffice presentations from Joerg kurt Wegner. (Source: Mining Drug Space) Mining Drug Space blogs http://www.medworm.com/rss/comments.php?id=2441536 Tue, 26 May 2009 20:18:00 +0100 2441536 http://www.medworm.com/index.php?rid=2367358&cid=t_105196_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F04%2F15%2Fmedicines-adherence-involving-patients-in-decisions-about-prescribed-medicines-and-supporting-adherence%2F Title: Medicines adherence: involving patients in decisions about prescribed medicines and supporting adherence Source: NICE The Skinny:  Guidance about enabling patients to make informed choices by involving and supporting them in decisions about prescribed medicines. It explains guidance (advice) from NICE (the National Institute for Health and Clinical Excellence) to the NHS in England and Wales. Documents For healthcare professionals: CG76 Medicines adherence: NICE guideline (30p, 204.99) CG76 Medicines adherence: NICE guideline (MS Word format) (30p, 659.5 Kb) CG76 Medicines adherence: full guideline (364p, 1.27 Mb) CG76 Medicines adherence: quick reference guide (12p, 348.46 Kb) CG76 Medicines adherence: full guideline, appendix A (9p, 100.32 Kb) CG76 Medicines adherence: full guid... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2367358 Wed, 15 Apr 2009 09:35:42 +0100 2367358 http://www.medworm.com/index.php?rid=2121705&cid=t_105196_150_f&fid=34889&url=http%3A%2F%2Fpharmamkting.blogspot.com%2F2009%2F01%2Fadherence-programs-start-by.html (Source: Pharma Marketing Blog) Pharma Marketing Blog blogs http://www.medworm.com/rss/comments.php?id=2121705 Tue, 20 Jan 2009 19:12:00 +0100 2121705 http://www.medworm.com/index.php?rid=1924710&cid=t_105196_150_f&fid=35777&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FPharmalot%2F%7E3%2F437284446%2F Hmm… Here you have five people spinning around on Ambien CR, the Sanofi-Aventis sleeping pill, as seen on a new web site. And if you look very closely in the right-hand corner, in hard-to-read gray lettering, Sanofi confesses this is “not actual pill size.” Who would have known? Seems that in this era of increasing pressure to comply with disclosure regs, an over-anxious lawyer must have told the marketing team to make sure there was a disclaimer. As if we couldn’t have figured it out for ourselves. Hat tip to ePharmaRx (Source: Pharmalot) Pharmalot blogs http://www.medworm.com/rss/comments.php?id=1924710 Thu, 30 Oct 2008 20:04:37 +0100 1924710 http://www.medworm.com/index.php?rid=1917969&cid=t_105196_134_f&fid=34841&url=http%3A%2F%2Fwww.diabetesmine.com%2F2008%2F10%2Fmy-life-as-a-compliance-analyst-the-case-for-pharma-reps.html I met Alexis at the recent BDI luncheon for women with Type 1 diabetes. She seemed bubbly and smart, and I felt an instant connection.  When I discovered her job title was “Compliance Analyst,” I just had to hear more about that.  Turns out it’s not quite what you think, but fascinating nevertheless. A Guest Post [...] (Source: Diabetes Mine) Diabetes Mine blogs http://www.medworm.com/rss/comments.php?id=1917969 Wed, 29 Oct 2008 14:14:51 +0100 1917969 http://www.medworm.com/index.php?rid=1892585&cid=t_105196_165_f&fid=37959&url=http%3A%2F%2Fhealthskills.wordpress.com%2F2008%2F10%2F22%2Ftwo-strikes-and-youre-out-referrals-and-readiness%2F I’m in a bit of a dilemma. As you know, health resources are scarce and it’s not easy to get an appointment for treatment of a chronic condition. There’s something to be said for making sure that our precious health care time isn’t wasted by people who would rather not be there. On the other hand, there is also something to be said for people being in the right headspace, or in more technical terms, the right stage of readiness to engage in therapy. If the person is referred for treatment before they’re ready, it’s going to be difficult for them to engage - and they may very well do the resistance thing that we see so often ‘yes, but’, ‘OK but’ or not actually do what we’ve suggested they do to help manage their condition. T... HealthSkills Weblog blogs http://www.medworm.com/rss/comments.php?id=1892585 Tue, 21 Oct 2008 18:29:33 +0100 1892585 http://www.medworm.com/index.php?rid=1788990&cid=t_105196_109_f&fid=36089&url=http%3A%2F%2Fthesituationist.wordpress.com%2F2008%2F09%2F13%2Flaw-psychology-morality-abstract%2F Kenworthey Bilz and Janice Nadler have posted their manuscript “Law, Psychology & Morality.” (forthcoming in Moral Cognition and Decision Making (D. Medin, L. Skitka, C. W. Bauman, & D. Bartels, eds., Academic Press, 2009)) on SSRN.  Here’s the abstract. * * * In a democratic society, law is an important means to express, manipulate, and enforce moral codes. Demonstrating empirically that law can achieve moral goals is difficult. Nevertheless, public interest groups spend considerable energy and resources to change the law with the goal of changing not only morally-laden behaviors, but also morally-laden cognitions and emotions. Additionally, even when there is little reason to believe that a change in law will lead to changes in behavior or attitudes, groups see... The Situationist blogs http://www.medworm.com/rss/comments.php?id=1788990 Sat, 13 Sep 2008 04:01:39 +0100 1788990 http://www.medworm.com/index.php?rid=1704714&cid=t_105196_150_f&fid=34889&url=http%3A%2F%2Fpharmamkting.blogspot.com%2F2008%2F08%2Frethinking-value-of-dtc-advertising.html This study says this happens only in 0.6% of visits! (See "Advertisers Don't Know How DTC Works. Say wha?").Keep in mind that not all those undiagnosed conditions will be treated by the advertised brand -- there may be generic brands available or the brand may not be appropriate for a particular patient or the condition may not lend itself to treatment by any drug at all!If you think about it, all this means that DTC advertising is a terribly inefficient method of getting people diagnosed and treated with the products that are advertised.Why then does the drug industry spend $5 billion annually on DTC advertising?Considering that some of the best minds in DTC advertising claim that they do not know how DTC works, I'd like to offer this:DTC is not an efficient means for generating new presc... Pharma Marketing Blog blogs http://www.medworm.com/rss/comments.php?id=1704714 Thu, 14 Aug 2008 11:50:00 +0100 1704714 http://www.medworm.com/index.php?rid=1671561&cid=t_105196_131_f&fid=34976&url=http%3A%2F%2Ftalk.dnadirect.com%2F2008%2F07%2F31%2Fdna-direct-is-confirmed-to-be-in-compliance-with-state-law%2F It’s official: DNA Direct has received a formal letter from the California Department of Public Health (CDPH) stating that we are operating in compliance with state laboratory law. Specifically, the letter states that DNA Direct’s tests are performed only with a physician order and are conducted at licensed laboratories, and that DNA Direct gives validated [...] (Source: DNA Direct Talk) DNA Direct Talk blogs http://www.medworm.com/rss/comments.php?id=1671561 Thu, 31 Jul 2008 21:49:04 +0100 1671561 http://www.medworm.com/index.php?rid=1522082&cid=t_105196_112_f&fid=34799&url=http%3A%2F%2Fmwwak.blogspot.com%2F2008%2F06%2Fcompliance-and-social-contract.html I've been having a post about compliance bubbling around my head for a while. And my recent pseudo-(or actual) non-compliance is probably a good reason to post about it.Anyway, patient compliance. There's sort of an unwritten contract between the sick and the well. The well will try to fill in for the sick. The sick will do whatever they need to do to get well. That's why it is annoying to see a co-worker in a movie theater when they've called in sick and pushed their responsibilities off on to you.I feel like there's a similar social contract in medicine. The patients pay (or not, really) docs for advice about how to protect their health or how to get better. The doctors, in return, come up with a plan with/for the patient. In the best of all worlds, the doctors and patients work together... Midwife with a Knife blogs http://www.medworm.com/rss/comments.php?id=1522082 Sat, 14 Jun 2008 22:03:00 +0100 1522082 http://www.medworm.com/index.php?rid=1429315&cid=t_105196_150_f&fid=35777&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FPharmalot%2F%7E3%2F286169422%2F Five years after the HHS Office of Inspector General issued its compliance guidance for pharma, 92 percent of drugmakers surveyed say the guidelines “significantly impacted” the structure of their medical affairs teams - for instance, have since shifted medical science liasons and thought-leader development teams away from commercial development. Meanwhile, 8 percent indicate the guidelines had caused a complete overhaul, according to Cutting Edge Information. And none of the 14 drugmakers that responded - a group that included Bayer, Glaxo and Novartis - believes the guidelines failed to have a serious impact. (Source: Pharmalot) Pharmalot blogs http://www.medworm.com/rss/comments.php?id=1429315 Thu, 08 May 2008 16:00:55 +0100 1429315 http://www.medworm.com/index.php?rid=1409734&cid=t_105196_150_f&fid=34889&url=http%3A%2F%2Fpharmamkting.blogspot.com%2F2008%2F04%2Finvasive-compliance-bitter-pill-to.html A World Health Organization (WHO) report—"Adherence to Long-Term Therapies"—estimates that between 30 and 50% of medicines prescribed for long-term illness are not taken as directed. "It is undeniable," says the WHO report, "that many patients experience difficulty in following treatment recommendations."No doubt this lack of Compliance and Adherence represents lost income to pharmaceutical companies. Yet, the industry spends very little marketing effort to capture this income by improving compliance and adherence. There are, of course, some exceptions. See the Pharma Marketing News article "Accomplishing Adherence," which chronicles Shire's effort to boost adherence in the attention deficit hyperactivity disorder (ADHD) market. [Also see this article: "Effective Pharma Adherence Progr... Pharma Marketing Blog blogs http://www.medworm.com/rss/comments.php?id=1409734 Wed, 30 Apr 2008 12:02:00 +0100 1409734 http://www.medworm.com/index.php?rid=1322424&cid=t_105196_150_f&fid=35777&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FPharmalot%2F%7E3%2F257003360%2F A recent survey indicates that pharma’s medical affairs departments aren’t reporting to marketing as much as in the past, most likely due to compliance concerns. Back in 2002, 43 percent of the department were under the marketing roof, but this dropped to 7 percent this year, according to the Cutting Edge research firm, which queried 14 drugmakers, including Amgen, Glaxo, Bayer, Biogen Idec and Novartis. Medical affairs, by the way, was defined as including these functions: thought leader development, MSL programs, medical publications, medical education, medical information, investigator-initiated, medical grants, advisory boards and advocacy, pharmacovigilance, patient assistance, Phase IV research, or clinical trials. Of course, some will argue these functions continue to se... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=1322424 Mon, 24 Mar 2008 12:16:54 +0100 1322424 http://www.medworm.com/index.php?rid=1258110&cid=t_105196_87_f&fid=34595&url=http%3A%2F%2Fnhsblogdoc.blogspot.com%2F2008%2F02%2Fcrippen-diary-2008-february-3.html What do you want to do when you grow up...February 2008 (3)I am not a health police officer. If I advise a patient to have a medical test and they decline that, as far as I am concerned, is the end of the matter. (Provided always they are adult, sentient etc etc).I last saw Annabelle eight months ago. She is 51 years old, a senior sales assistant with a large retailer, happily married, two adult children, and she rarely comes to the doctor. She came last July with a history of a change in bowel habit. Bit constipated all of a sudden. Been going on for a couple of weeks. No blood. No weight loss. Otherwise well. No family history of bowel cancer. There was nothing to find examining her abdomen, her rectum was empty and there was no blood on the glove. You can argue long into the night about... NHS Blog Doctor blogs http://www.medworm.com/rss/comments.php?id=1258110 Tue, 26 Feb 2008 15:07:00 +0100 1258110 http://www.medworm.com/index.php?rid=1022191&cid=t_105196_150_f&fid=34889&url=http%3A%2F%2Fpharmamkting.blogspot.com%2F2007%2F11%2Faccomplishing-adherence-highlights-from.html Yesterday, I attended eyeforpharma's Patient Adherence and Persistence Summit and eCommunications/Online Marketing conferences in Philadelphia, PA. While there I met the usual suspects and reconnected with some old friends.Shire, Shire, ShirePeople from Shire -- specifically the Vyvanse (for children with ADHD) marketing folks -- were there in force making at least 3 presentations. Recall that Mike Boken, Senior Product Director at Shire, spoke about creating synergy between PR and marketing at a previous conference I attended (see "J&J Blog, Shire PR: The Whole Story and Nothing But the Whole Story!").I think the Shire people are out there laying the groundwork for Vyvanse, the new formulation of Adderall, which has lost patent protection. The big news is that Vyvanse will likely be a... Pharma Marketing Blog blogs http://www.medworm.com/rss/comments.php?id=1022191 Tue, 13 Nov 2007 11:34:00 +0100 1022191 http://www.medworm.com/index.php?rid=815354&cid=t_105196_150_f&fid=35777&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FPharmalot%2F%7E3%2F146908796%2F In an e-mail to employees at Bristol-Myers Squibb this week, ceo Jim Cornelius tries to get upclose and personal in a warm and fuzzy kind of way. The idea, of course, is to address the anxiety following his recent disclosure that the drugmaker will reorganize and eliminate an undisclosed number of jobs. He won’t reveal specifics, but Jim does say that he reads every employee note; no longer wants to approve every promotion, retirement or firing; and that two employees in different parts of the company were recently fired for violating unspecified policies after complaints showed up on the compliance hotline. He also implores everyone to wear the Bristol-Myers uniform. Here’s the e-mail…. Jim Cornelius Update For Employees Dear Colleagues: In the weeks following my recent ... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=815354 Wed, 22 Aug 2007 13:19:44 +0100 815354 http://www.medworm.com/index.php?rid=806575&cid=t_105196_133_f&fid=35098&url=http%3A%2F%2Fclub166.blogspot.com%2F2007%2F08%2Fshocking-american-export.html photo credit- J.StarWhy is it that it seems that only the worst of American culture is exported from its shores? It's no wonder to me that America and Americans are villified around the world, when it seems the best we can export are the likes of Britney Spears and Michael Jackson.But it seems that we have sunken to a new low. I've touched before on the abominable treatment that goes on at the Judge Rotenberg center (JRC)in Massachusetts, where electric shocks and other tortures are used on autistics in order to "train" them not to misbehave.Now it seems that it's not enough to have this shameful treatment here in the states. We have to try to drag the rest of the world down with us. An article that appeared this week on NineMSN out of Sydney, New South Wales, Australia looks at the electr... Club 166 blogs http://www.medworm.com/rss/comments.php?id=806575 Sat, 18 Aug 2007 09:33:00 +0100 806575 http://www.medworm.com/index.php?rid=805911&cid=t_105196_87_f&fid=34867&url=http%3A%2F%2Fwww.thediabetesblog.com%2F2007%2F08%2F17%2Foral-lyn-has-the-big-idea%2F Filed under: Type 1, Type 2, Childhood, Adult Onset, Drugs, Research, Products, Allie BeattyThe results are looking good for the first-round of human testing for Oral-lyn, Generex's flagship product. The oral insulin, delivered into the body through the oral cavity (with no deposit in the lungs), is as effective as injected insulin. The efficacy of Oral-lyn for controlling blood sugar was decidedly as good as multiple insulin injections. The research found that regular insulin and Generex Oral-lyn had similar effects on lowering blood sugar in subjects with type 1 diabetes. The subjects received twice-daily insulin analogue for basal coverage. So this might rewind some of us old timers to the days long-gone where we could get by with two shots. Period. If Oral-lyn makes it to the local pha... The Diabetes Blog blogs http://www.medworm.com/rss/comments.php?id=805911 Fri, 17 Aug 2007 04:00:00 +0100 805911 http://www.medworm.com/index.php?rid=726260&cid=t_105196_87_f&fid=34866&url=http%3A%2F%2Fwww.thecardioblog.com%2F2007%2F07%2F10%2Fteens-score-cigarettes-at-convenience-stores%2F Filed under: Smoking, Children Heart HealthThough signs are plastered all over convenience store counters and registers warning that IDs will be checked, it appears that gas stations are still the easiest place for minors to buy a back of cigarettes. Compliance checks, which are required for states to receive federal substance abuse funding, found that 1 in 10 teens could buy cigarettes at convenience stores. A smaller percentage were able to purchase cigarettes at tobacco stores, restaurants, and grocery stores. Teen cashiers were more likely to sell to other teens than older employees.One theory is that the distraction of gas sales causes employees to be less diligent about checking IDs. When IDs were checked during the study, the sale was less likely to be made. Obviously, there are oth... The Cardio Blog blogs http://www.medworm.com/rss/comments.php?id=726260 Tue, 10 Jul 2007 04:00:00 +0100 726260 http://www.medworm.com/index.php?rid=690014&cid=t_105196_150_f&fid=34889&url=http%3A%2F%2Fpharmamkting.blogspot.com%2F2007%2F06%2Fcan-in-home-electronic-pillbox-solve.html Do seniors really need a $200 per month machine that looks like a bread maker -- and which looks bigger than a bread box -- to dispense pills?Will an in-home electronic pillbox solve this country's medication error problem?Maybe the only two entities that think so are the company that invited the machine and the FDA."The device can be programmed to dispense individual doses of up to a month's worth of 10 different drugs, according to its manufacturer, INRange Systems Inc. The Web-connected medication box allows pharmacists, doctors and nurses to tweak both the dosing schedules and dosages of drugs loaded into the device in special blister cards. The company-described 'electronic nurse' alerts patients when it's time to take a drug with visual and audible alerts."The bread-box-sized device ... Pharma Marketing Blog blogs http://www.medworm.com/rss/comments.php?id=690014 Fri, 22 Jun 2007 11:29:00 +0100 690014 http://www.medworm.com/index.php?rid=682723&cid=t_105196_133_f&fid=35098&url=http%3A%2F%2Fclub166.blogspot.com%2F2007%2F06%2Fselective-outrage.html While driving in to work today I heard a story on the radio regarding a special needs children's orphanage in Iraq that was recently raided. According to the story, a routine military patrol in Baghdad happened to look over a wall, and saw the following:...Inside the building, a government-run orphanage for special needs children, the soldiers found emaciated little bodies tied to the cribs, CBS News reports exclusively. They had been kept this way for more than a month, according to the soldiers called in to rescue the dying boys. ......"The kids were tied up, naked, covered in their own waste — feces — and there were three people that were cooking themselves food, but nothing for the kids," Lt. Stephen Duperre said. ...The tone of the article was one of shock and dismay. As if, in a ... Club 166 blogs http://www.medworm.com/rss/comments.php?id=682723 Wed, 20 Jun 2007 02:16:00 +0100 682723 http://www.medworm.com/index.php?rid=591179&cid=t_105196_87_f&fid=34866&url=http%3A%2F%2Fwww.thecardioblog.com%2F2007%2F05%2F05%2Fmanaging-your-heart-health%2F Filed under: Diet, Prevention, Research, Exercise, BlogsIn the interest of full disclosure, the blog post I am going to site for this piece was written by my father, Thomas L. Creer, PhD. He runs the blog called Manage Your Illness, which is a resource for people with chronic illness of all kinds. My father has spent his entire career as a clinical psychologist working with patients to manage their health.In his post Self-management and heart failure, he discusses the results of a study about self-management of heart disease and hospital admissions. Patients who take responsibility for their own health, who implement preventions, and who are compliant with their heart medications have fewer hospitalizations due to their heart problems, and health care costs in general are greatly reduced. ... The Cardio Blog blogs http://www.medworm.com/rss/comments.php?id=591179 Sat, 05 May 2007 04:00:00 +0100 591179 http://www.medworm.com/index.php?rid=509645&cid=t_105196_134_f&fid=35158&url=http%3A%2F%2Fwww.kweaver.org%2Farchives%2F2007%2F03%2Fpatient_grip_ba.html If you haven't figured it out already, I'm "morbidly obese".  As a result, medical professionals feel the need to suggest Bariatric surgery. Okay, they don't suggest it.  They practically demand I do it and do it now.  And they won't take a polite: "Yes, I've researched it, and it is not the answer right now."  Often once I disagree with that treatment plan, I am immediately treated as a noncompliant patient. Here's the deal.  I've met with a surgeon and I didn't like him.  Yes, there are other surgeons but I've looked at my insurance and I don't like the amount of money that will have to come out of my pocket. And that's if it is successful.  I also don't like what my body will probably look like when I'm done, and I'm talking ab... Living With Diabetes blogs http://www.medworm.com/rss/comments.php?id=509645 Thu, 29 Mar 2007 17:29:56 +0100 509645 http://www.medworm.com/index.php?rid=487193&cid=t_105196_133_f&fid=35098&url=http%3A%2F%2Fclub166.blogspot.com%2F2007%2F03%2Fbad-newsgood-news.html What I've really been thinking about are the weighty issues raised on Kristina Chew's website, as well as elsewhere. But I'm just not up to tackling those things today. So we'll keep it a bit closer to home.I haven't totally figured out how Buddy Boy is "graded" every day. Every day we get feedback from the school as to how he has done during each period of the day. He gets either a green light, yellow light, or red light. Besides getting a "light" for each period, there will also usually be explanations of his behavior for either yellow or red lights.Last week Buddy Boy started "inclusion" for one or two periods each day in his assigned first grade classroom (he hasn't been there all year-instead he has been in a self contained sp. ed class). The first few days went well (novelty usually ... Club 166 blogs http://www.medworm.com/rss/comments.php?id=487193 Wed, 07 Mar 2007 04:13:00 +0100 487193