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Healthcare Innovation in a Brave New World – Breakaway Thinking
The following is a guest blog post by Carrie Yasemin Paykoc, Senior Instructional Designer at The Breakaway Group (A Xerox Company). Check out all of the blog posts in the Breakaway Thinking series. Healthcare providers are faced with a two-pronged challenge of satisfying government regulations and being profitable within a competitive and dynamic marketplace. Organizations that prosper take advantage of what’s going on in Washington and offer innovative products and services to their patient population. At the forefront of healthcare innovation is utilizing data from Electronic Health Records (EHRs) to provide better a...
Source: EMR and HIPAA - December 18, 2013 Category: Technology Consultants Authors: John Lynn Tags: EHR Electronic Health Record Electronic Medical Record EMR Healthcare HealthCare IT 3-D Printing Breakaway Thinking Carrie Yasemin Paykoc Charles Fred EHR Simulations EHR Training The Breakaway Group Xerox Xerox Healthcare Source Type: blogs

Open EMR’s Death, Collaborative Health Record, and Improving EMR
Will Open EMR Die? http://t.co/IuIN84Mn6V – I agree with this post by @drchrono 100% — Nrip Nihalani (@nrip) December 29, 2013 It seems a little ironic that an EMR vendor would write about wanting an open source EMR to die. Although, I couldn’t help but read the irony that this person chose not to be involved in the open EMR community because people weren’t getting involved in the community. A good old chicken and egg problem. Instead of contributing to the community so that it would be more vibrant, they chose to go out and develop EVERYTHING. The reality is that this person just wanted to build a...
Source: EMR and HIPAA - December 30, 2013 Category: Technology Consultants Authors: John Lynn Tags: EHR Electronic Health Record Electronic Medical Record EMR Healthcare HealthCare IT Charles Webster Collaborative Care Record EHR Switching EMR Switching Open EMR Open Source EMR Source Type: blogs

50 Years Ago Today Charles Dotter Invented Angioplasty
It was 50 years ago today that Dr. Charles T. Dotter, a radiologist in Portland, Oregon, performed the first angioplasty. But it wasn't in the heart; it was in the leg. An 82-year-old woman was suffering from great pain in her left foot because of blocked circulation in her leg. Her toes had become gangrenous and there was an non-healing ulcer. Amputation was recommended by the physicians at Oregon Health Sciences University, but the woman refused. A video clip from my documentary "Explorers of the Heart" tells more.
Source: Burts Stent Blog : The Voice in the Ear - January 16, 2014 Category: Health Medicine and Bioethics Commentators Source Type: blogs

The Dangers Of Quality Improvement Overload: Insights From The Field
Editor's note: This post is also co-authored by Ksenia O Gorbenko, Catherine van de Ruit, and Charles Bosk of the University of Pennsylvania. Quality improvement (QI) and patient safety initiatives are created with the laudable goal of saving lives and reducing “preventable harms” to patients. As the number of QI interventions continues to rise, and as hospitals become increasingly subject to financial pressures and penalties for hospital-acquired conditions (HACs), we believe it is important to consider the impact of the pressure to improve everything at once on hospitals and their staff. We argue that a strategy...
Source: Health Affairs Blog - March 7, 2014 Category: Health Medicine and Bioethics Commentators Authors: Joanna Brooks, Ksenia Gorbenko, Catherine van de Ruit, and Charles Bosk Tags: All Categories Effectiveness Hospitals Nurses Patient Safety Physicians Quality Research Workforce Source Type: blogs

How Many of Obamacare’s New Enrollees Were Uninsured Last Year? Why It Doesn’t Matter
Charles Gaba, the enrollment guru who has been tracking Obamacare sign-ups since October, now estimates that by April 15, some 17 million Americans will have purchased their own insurance policies either in the Obamacare Exchanges (8 million) or off-Exchange (9 million) But how many of them were uninsured and how many were simply replacing policies that Obamacare had forced insurers to cancel?  This is the question conservatives ask.  After all they argue, if most of these folks already had coverage, we have just wasted a great deal of time and money moving them from a policy they chose to one that President Obama prefer...
Source: Health Beat - April 7, 2014 Category: American Health Authors: Maggie Mahar Tags: Affordable Care Act Charles Gaba enrolling in Obamacare how many were uninsured underinsured Source Type: blogs

Medical Licensing in the States: Some Room for Agreement-and Reform
Charles Hughes Even before Obamacare, many states faced the prospect of a doctor shortage due to an aging population and a limited supply of physicians. Obamacare will exacerbate this shortage by expanding insurance coverage to some degree, which will further increase the demand for care. One study projects that this increased demand will require between 4,300 and 7,000 more physicians by 2019. Earlier this week, the New York Times reported that state medical boards across the country “have drafted a model law that would make it much easier for doctors licensed in one state to treat patients in other states, whether in ...
Source: Cato-at-liberty - July 1, 2014 Category: American Health Authors: Charles Hughes Source Type: blogs

Medical Licensing in the States: Some Room for Agreement—and Reform
Charles Hughes Even before Obamacare, many states faced the prospect of a doctor shortage due to an aging population and a limited supply of physicians. Obamacare will exacerbate this shortage by expanding insurance coverage to some degree, which will further increase the demand for care. One study projects that this increased demand will require between 4,300 and 7,000 more physicians by 2019. Earlier this week, the New York Times reported that state medical boards across the country “have drafted a model law that would make it much easier for doctors licensed in one state to treat patients in other states, whether in ...
Source: Cato-at-liberty - July 1, 2014 Category: American Health Authors: Charles Hughes Source Type: blogs

Are Patient Privacy Laws Being Abused to Protect Medical Centers?
By CHARLES ORNSTEIN This story was co-published with NPR’s “Shots” blog. In the name of patient privacy, a security guard at a hospital in Springfield, Missouri, threatened a mother with jail for trying to take a photograph of her own son. In the name of patient privacy , a Daytona Beach, Florida, nursing home said it couldn’t cooperate […]
Source: The Health Care Blog - July 24, 2014 Category: Consumer Health News Tags: THCB Charles Ornstein Deven McGraw HIPAA Hospitals LA Times patient information VA Source Type: blogs

We Shouldn’t Follow Germany on Minimum Wage
Charles Hughes President Obama included a much discussed proposal to increase the national minimum wage to $10.10, from its current level of $7.25.  To date, the proposal has gone nowhere in Congress. In the meantime, some cities and states have introduced or approved increases in their minimum wage rates. Ten states and the District of Columbia have enacted increases in the 2014 session so far. In June, the Seattle City Council unanimously voted to increase their minimum wage to $15. In San Francisco, Mayor Ed Lee followed suit and has introduced a ballot measure to increase their minimum wage to $15 an hour. German...
Source: Cato-at-liberty - July 28, 2014 Category: American Health Authors: Charles Hughes Source Type: blogs

Years After the Recession, Welfare Rolls Hit New Highs
Charles Hughes New Census data shows that the number of households receiving welfare benefits hit a record high of almost 33.5 million in the fourth quarter of 2012. While part of the surge was due to the recession, the proportion receiving benefits has increased from 25.2 percent to 27.4 percent since the recession officially ended in June 2009. These inflated welfare rolls are not just a temporary response to an economic downturn, and could instead become the new normal. This poses a problem not only for the country as a whole, but for the individuals beneficiaries as well.  These welfare programs could eventually ...
Source: Cato-at-liberty - August 26, 2014 Category: American Health Authors: Charles Hughes Source Type: blogs

Obamacare Enrollment 2015: How Many People Will Sign Up Next Year? (Public Support for Obamacare Is About to Turn a Corner) Part 1
Thanks to the Affordable Care Act, some 10 million previously uninsured adults gained coverage during the open enrollment period that began on October 1, 2013. Last month, the New England Journal of Medicine reported that the share of Americans who are “going naked” has plummeted from 21 percent in September of 2013 to 16.3 percent in April of this year. Even though open enrollment officially ended on March 31, 2014, people are continuing to sign up. Anyone who experiences a major life change (getting divorced, losing a job, having a baby) can still purchase insurance on the Exchanges this summer. Others are dropping o...
Source: Health Beat - August 26, 2014 Category: American Health Authors: Maggie Mahar Tags: Charles Gaba and attrition enrollment and word-of-mouth Jeffrey Young and trouble sign up as many uninsured Jeffrey Young and Obamacare and 2015 Medicaid expansion Mikey Dickerson Obamacare and attrition Obamacare and customer satisfaction Source Type: blogs

Years After the Recession, Welfare Rolls Hit New Highs
Charles Hughes New Census data shows that the number of households receiving welfare benefits hit a record high of almost 33.5 million in the fourth quarter of 2012. While part of the surge was due to the recession, the proportion receiving benefits has increased from 25.2 percent to 27.4 percent since the recession officially ended in June 2009. These inflated welfare rolls are not just a temporary response to an economic downturn, and could instead become the new normal. This poses a problem not only for the country as a whole, but for the individuals beneficiaries as well.  These welfare programs could eventually ...
Source: Cato-at-liberty - August 26, 2014 Category: American Health Authors: Charles Hughes Source Type: blogs

Administration Drastically Lowers the Bar for Second Year of Enrollment
Charles Hughes Broken promises and lowered expectations littered the first year of the Affordable Care Act. When the law was being debated, Obama promised the law would cut health care premiums for a typical family by $2,500. Instead, premiums everywhere continued to rise, in some places they skyrocketed. Supporters claimed the law would reduce the deficit, citing a score from the Congressional Budget Office. More recent calculations with a full ten years of implementation show that it will increase budget deficits. The now infamous “if you like your health care plan, you can keep it” pledge, which Politifact dubbed i...
Source: Cato-at-liberty - November 12, 2014 Category: American Health Authors: Charles Hughes Source Type: blogs

Under Proposed Rules, Government Could Choose Insurance Plans for Millions of People
Charles Hughes The administration is considering a rule change that would allow the government to automatically change some people’s exchange plans to a cheaper alternative. HHS recently proposed regulations that would let exchanges offer alternative default options for enrollees. Under current law, most enrollees who did not revisit the exchange website are automatically re-enrolled in their plans (a few states do not allow automatic renewal). The new proposed rules would let exchange enrollees choose whether their default option would be to automatically renew the same plan or to let the government switch them into a ...
Source: Cato-at-liberty - December 1, 2014 Category: American Health Authors: Charles Hughes Source Type: blogs