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The Features Of A Bundled Payment For Care Improvement ProjectEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Many health care provider organizations have not been overly eager to jump onto the Accountable Care Organization (ACO) bandwagon, citing high startup costs and uncertain returns on investment given the complexity of the program.  Well, recently, the CMS Center for Innovation has announced the Bundled Payment for Care Improvement initiative.  This initiative incorporates elements of earlier CMS demonstration projects — the gainsharing demos and ACE (acute care episode) bundled payments demonstrations which the HealthBlawger has helped a number of clients around the country qualify for in the past — and builds...
Source: Better Health - September 1, 2011 Category: Health Medicine and Bioethics Commentators Authors: DavidHarlow Tags: Health Policy News Accountable Care organization ACO Bundled Payment Care Improvement CMS Fee-For-Service System FFS Health Reform Hospitals Massachusetts Massachusetts global payments Pay For Performance Physicians Source Type: blogs

FDA Urges Remote Monitoring Of Clinical TrialsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
As technology makes the world smaller, monitoring clinical trials no longer requires traveling to a destination to check up on the investigators. Much of this work can be done remotely and the FDA, in fact, wants to encourage sponsors to undertake more of what the agency calls risk-based monitoring in order to match international standards articulated by the International Conference on Harmonisation. And so the agency has just issued new guidance for drugmakers and contract research organizations, or CROs, to help sort out the variables that would determine when centralized monitoring would be preferable over on-site monit...
Source: Pharmalot - September 1, 2011 Category: Pharma Commentators Authors: Ed Silverman Tags: Uncategorized Clinical Trials Contract Research organization CRO EDC Electronic Data Capture FDA Source Type: blogs

Best Procrastination Tip EverEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Post written by Leo Babauta. Your first thought as you look at this article will be, “I’ll read this later.” But don’t. Let the urge to switch to a new task pass. Read this now. It’ll take you two minutes. It’ll save you countless hours. I’ve written the book on ending procrastination, but I’ve since come up with a very simple technique for beating everyone’s favorite nemesis. It is incredibly easy, but as with anything, it takes a little practice. Try it now: Identify the most important thing you have to do today. Decide to do just the first little part of it — ...
Source: Zen Habits - August 29, 2011 Category: Life Coaches Authors: Leo Tags: Productivity & organization Source Type: blogs

Pharmalot… Pharmalittle… Good MorningEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Welcome back. This was a long weekend thanks to the hurricane that swept past the Pharmalot corporate campus and inundated the surrounding region. We are slowly returning to our usual form and reviving our spirits with a needed cup of stimulation. We hope those of you who suffered the storm are doing well. As the Morning Mayor used to say: Every brand new day should be unwrapped like a precious gift. Meanwhile, as we get into gear, here are a few items that should be of interest… Roche Sees Government Austerity Bolstering Diagnostics Unit (Bloomberg News) FDA Asks Novartis For More Data On Gout Drug (Reuters) Pfizer ...
Source: Pharmalot - August 29, 2011 Category: Pharma Commentators Authors: Ed Silverman Tags: Uncategorized Contract Research organization CRO Diagnostics Gout Johnson & Johnson Lung Cancer Novartis Nucynta Pfizer Piramal Roche Xalkori Source Type: blogs

Bundled Payments for Care Improvement initiative announced by CMS Center for InnovationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Many health care provider organizations have not been overly eager to jump onto the Accountable Care Organization (ACO) bandwagon, citing high startup costs and uncertain returns on investment given the complexity of the program.  Well, recently, the CMS Center for Innovation has announced the Bundled Payment for Care Improvement initiative.  This initiative incorporates elements of earlier CMS demonstration projects -- the gainsharing demos and ACE (acute care episode) bundled payments demonstrations which the HealthBlawger has helped a number of clients around the country qualify for in the past -- and builds on the b...
Source: HealthBlawg :: David Harlow's Health Care Law Blog - August 25, 2011 Category: Medical Lawyers and Insurers Authors: David Harlow Tags: Accountable Care organization Health care policy Health Law Health Reform Hospitals Pay for performance Physicians Source Type: blogs

Time to thinkEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
i’m working on chapter 6 of our book and have decided to include a section called “time to think.” the end of a marketing cycle is assessment, and that step feeds right back into the next cycle’s first step, project description. my mind has run through the literature on assessment and i’ve been hoping to see quotes that say things like, “part of assessment is to sit there and think about what you’ve accomplished,” or “reflect, you’ve earned it,” or “celebrate your completion of this process.” i’m including a section about this in my book b...
Source: Organization Monkey - August 22, 2011 Category: Medical Librarians Authors: Marie Kennedy Tags: management marketing organization tips writing Source Type: blogs

Quiz: Do You Make Other People Happy?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
As put forth by the Second Splendid Truth: One of the best ways to make yourself happy is to make other people happy; One of the best ways to make other people is to be happy yourself. Everyone accepts the Second Splendid Truth, Part A; the Second Splendid Truth, Part B often isn’t as clear to people. But to focus on Part A here — how do you know if you’re making other people happy? What are some signs? Are the following statements true for you: Do people seem to feel comfortable confiding in you? Do people follow your recommendations? Are you a source of material comfort or security for someone else? Do p...
Source: World of Psychology - August 17, 2011 Category: Psychiatrists and Psychologists Authors: Gretchen Rubin Tags: Brain and Behavior General Happiness Mental Health and Wellness Self-Help Birthday Presents Blind Dates Co Worker Focus Gestures Gratitude Happy People Material Comfort Milestone Mother\'S Day Negativity Bias organization G Source Type: blogs

Partners Health Care acquiring Neighborhood Health Plan: The 800-Pound Gorilla and the Fig Leaf?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Partners Health Care (the dominant provider network in Greater Boston) and Neighborhood Health Plan (a local mostly-Medicaid HMO) just announced that the former intends to acquire the latter, and maintain it as a separate operating entity.  No money will change hands between the parties, but an unspecified amount of money will be given by Partners as grants to community health centers where NHP members receive much of their health care services. Gary Gottlieb, CEO of Partners, graciously allowed that it would not seek to interfere with the current referral patterns of NHP members to the two local safety-net hospitals (whi...
Source: HealthBlawg :: David Harlow's Health Care Law Blog - August 14, 2011 Category: Medical Lawyers and Insurers Authors: David Harlow Tags: Accountable Care organization Health care policy Health Law Health Reform Hospitals Managed Care Massachusetts Medicaid Medicare Physicians Source Type: blogs

Good at Life: Try Keeping A Time DiaryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I’ve been re-reading my favorite how-to-be-good-at-life book, Laura Vanderkam‘s 168 Hours: You Have More Time Than You Think, and it’s no less inspiring the second time around. The book’s basic thrust is that the whole ‘not enough time in the day’ gripe, and the idea that we’re all over-worked and under-leisured, is a myth (time use studies have even shown that we tend to over-estimate time spent working and underestimate time spent on other things, like surfing the internet or watching TV). We all have 168 hours in a week—if you subtract 40 hours of work a week, eight hours of s...
Source: Healthbolt - August 11, 2011 Category: Health Medicine and Bioethics Commentators Authors: Elizabeth Nolan Brown Tags: FEEL stress books Good At Life organization quick tip time management tips Source Type: blogs

Pharmalot… Pharmalittle… Good MorningEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Top of the morning to you. And what a morning it is. A lovely sun is shining overhead and a cool breeze is wafting through the Pharmalot corporate campus. This calls for a celebratory cup of stimulation. Nonetheless, meetings and deadlines loom. So let us all get started. A few interesting items can be found below. Meanwhile, if you hear of anything interesting, drop us a line. Have a great day, everyone… FDA OKs Gilead And J&J Once-Daily HIV Pill (Reuters) Pfizer Pays First Compensation To Nigerian Trovan Victims (BBC) Vioxx Lawyers Get More Fees After Filing Objections (Bloomberg News) Pfizer To Shed 130 Jobs ...
Source: Pharmalot - August 11, 2011 Category: Pharma Commentators Authors: Ed Silverman Tags: Uncategorized AIDS Amylin Pharmaceuticals Argentina Bydureon Complera Contract Research organization CRO Eli Lilly FDA Gilead Sciences HIV JJ jobs Johnson & Johnson Medicaid Medicare Part D Merck Nigeria Pfizer Source Type: blogs

The Little Productivity Tip of a Zen MasterEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Post written by Leo Babauta. A little while back I ran into a friend, Susan O’Connell (Zen Master and Vice President of the San Francisco Zen Center), and she did something old fashioned. When I said we should have tea sometime, she immediately went to her bag and got out her paper calendar, and suggested we make a date right then. I said, “No, you’re busy, we can set a date later.” She said she tries to only deal with something once. It’s an old-fashioned piece of productivity advice, and something that I’ve done in the past, but it works. Deal with something once. Do it now. Then it’s off your mind, and you...
Source: Zen Habits - August 6, 2011 Category: Life Coaches Authors: Leo Tags: Productivity & organization Source Type: blogs

Reevaluating Studies: A CRO & A Coincidence?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Last week, the FDA announced that any clinical tests conducted between April 2005 and June 2010 by a contract research organization called Cetero Research may have to be reevaluated because two FDA inspections and an outside audit found falsified data and manipulated samples. In explaining its move, the agency maintained there were “significant instances” of misconduct. The agency says Cetero failed to conduct an adequate internal investigation to determine the extent and impact of the violations, and did not take sufficient steps to assure data integrity during those five years. And so drugmakers must check their data...
Source: Pharmalot - August 1, 2011 Category: Pharma Commentators Authors: Ed Silverman Tags: Uncategorized Cetero Research Contract Research organization CRO FDA Gilead Sciences INC Research MDS Pharma Services Source Type: blogs

India And EU Reach A Deal On Generic SeizuresEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Three years after a dispute erupted over the seizure by EU authorities of Indian-made generics as they were being shipped through Europe, India and the European Commission have struck an interim deal that restricts the 27 member EU states from seizing meds unless there is evidence that drugs will be diverted in the European Union, according to a statement from the Prime Minister’s office in India. The seizures were made after EU authorities in various countries, starting with The Netherlands, maintained the generics violated intellectual property rights and were, therefore, counterfeit. The actions infuriated Indian ...
Source: Pharmalot - August 1, 2011 Category: Pharma Commentators Authors: Ed Silverman Tags: Uncategorized Free Trade Generics India World Trade organization WTO Source Type: blogs

FDA Says CRO Studies Should Be ReevaluatedEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
THIS POST RAN LAST NIGHT, BUT FOR THOSE WHO DID NOT KNOW… This is every drugmaker’s nightmare. The pharmaceutical industry has been put on alert by the FDA that any clinical tests conducted between April 2005 and June 2010 by a contract research organization called Cetero Research may have to be reevaluated because two FDA inspections and an outside audit found falsified data and manipulated samples. There were “significant instances” of misconduct, the FDA says. “This misconduct appears to be significant enough to cast doubt on the data generated…If the foundation of the laboratory is corru...
Source: Pharmalot - July 27, 2011 Category: Pharma Commentators Authors: Ed Silverman Tags: Uncategorized ANDA Bioequivalence Cetero Research Clinical Trials Contract Research organization CRO Pharmacokinetic Testing Source Type: blogs

Clinical Trial Costs Are Rising RapidlyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
As drugmakers scramble to replenish their pipelines, they are encountering all sorts of difficulties, including rising costs for clinical trials. And this is happening across all phases. Why? There is increasing competition for trial sites and clinical research organizations that can yield reliable, high quality data, according to a recent survey. And so, 32 percent of those surveyed pointed to higher costs for enrolling patients and 25 percent cited vendor fees. Expenses for recruiting trial sites was named by 14 percent, followed by 12 percent who fingered technology costs, according to Cutting Edge Information, which su...
Source: Pharmalot - July 26, 2011 Category: Pharma Commentators Authors: Ed Silverman Tags: Uncategorized Cardiovascular Central Nervous System Clinical Trials CNS Contract Research organization CRO Diabetes Oncology Patient Enrollment Patient Recruitment Source Type: blogs

About Alcoholics AnonymousEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Image via Wikipedia A Few Basic Facts About AA Alcoholics Anonymous is well-known as an organization for people who want to stop drinking. At the same time, there are some points about A.A. that may be unclear to the general public and even to professionals working to help problem drinkers. Founded in the United States in 1935, when one alcoholic discovered he could stay sober by helping another alcoholic, Alcoholics Anonymous now has more than two million members in some 180 countries. A.A.’s sole purpose is helping people recover from the disease of alcoholism, and it has no affiliation with any other group or orga...
Source: Recovery Is Sexy.com - July 23, 2011 Category: Addiction Authors: Sparrow Tags: Alcoholics Anonymous Alcoholism disease of alcoholism religious organization Source Type: blogs

Sleep Tight? EMA Restricts Glaxo Pandremix VaccineEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Several months after a curious link was observed between the GlaxoSmithKline pandemic flu vaccine known as Pandremix and unexplained cases of narcolepsy emerged in Finland and Sweden, the European Medicines Agency has decided to restrict usage. Specifically, those younger than 20 years old should use Pandemrix only in the absence of seasonal trivalent flu vaccines, and if immunization against H1N1 swine flu is still needed. An example would be those at risk of complications from infection, according to the EMA (read here). However, the EMA notes that, for now, the benefits continue to outweigh the risks. Over 31 million do...
Source: Pharmalot - July 22, 2011 Category: Pharma Commentators Authors: Ed Silverman Tags: Uncategorized EMA European Medicines Agency Finland Flu GlaxoSmithKline H1N1 Influenza Narcolepsy Pandemic Pandremix Sweden Vaccines WHO World Health organization Source Type: blogs

Are doctors just specialised knowledge workers ?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Lots of people believe that healthcare today is "mismanaged" - and that better management would allow more efficient and effective medical care to be provided ! After all, how can any argue against the statement that management is better than mismanagement - isn't this a no-brainer ?If you want to manage medical care, you need to manage doctors - and if doctors can be treated as "knowledge workers", then it's possible to use what we have learnt from the experience of managing engineers and computer programmers and then apply it to medicine. After all, aren't doctors just experts who deal with patients, just like computer p...
Source: The Patient's Doctor - July 21, 2011 Category: Obstetricians and Gynecologists Tags: Medicine Health Health care India Business organization Knowledge worker Doctor-patient relationship Source Type: blogs

Farmers, doctors and societyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I was just reading a great book called, Food for Thought – Towards a Future for Farming. This is what the blurb on the back cover had to say. “ The French radical farmers union Confederation Paysanne.., has led the world in demonstrating the possibility of a socially progressive future for training. Rejecting the increasing intensification and industrialization of agriculture, the Confederation has argued for the need for local food production by small, independent farmers-both for the sake of the quality of the food we consume and to support the kind of societies we want to live in. .. the WTO’s Agreement on Agricul...
Source: The Patient's Doctor - July 19, 2011 Category: Obstetricians and Gynecologists Tags: Atlas Shrugs Medicine Local food India Non-governmental organization Farmer Agriculture Source Type: blogs

Sexist Pathogens: How E. coli Favors WomenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The recent outbreak of lethal E. coli in Germany is noteworthy for many reasons. While this time the source was sprouts and the location was Germany, we do not know what or where the next outbreak will be. However, the risk of this or the next outbreak are not equally borne by all in Germany, all in Europe, or all in the U.S.   The heightened impact of E. coli in women means it joins a growing list of diseases and disorders that have distinct effects on women, perhaps for no other reason than her sex.  Women are experiencing more severe illness during the current E. coli outbreak than men and the only explanation bein...
Source: Disruptive Women in Health Care - July 11, 2011 Category: Health Medicine and Bioethics Commentators Authors: dw at disruptivewomen.net Tags: Publc Health Women's Health Escherichia coli infectious disease World Health organization Source Type: blogs

Yet More U.S. Trade Policy IncoherenceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
By Daniel IkensonIn hailing this week’s ruling by a World Trade Organization dispute settlement panel that certain Chinese government restrictions on raw material exports violate China’s WTO commitments, U.S. Trade Representative Ron Kirk made the point that such restrictions hurt U.S. manufacturers who rely on those imported raw materials. Today’s panel report represents a significant victory for manufacturers and workers in the United States and the rest of the world. The panel’s findings are also an important confirmation of fundamental principles underlying the global trading system. All WTO Members – whether...
Source: Cato-at-liberty - July 7, 2011 Category: Health Medicine and Bioethics Commentators Authors: Daniel Ikenson Tags: International Economics and Development Trade and Immigration antidumping measures competition exports Manufacturing Enhancement Act world trade world trade organization Source Type: blogs

Regina Herzlinger speaks with David Harlow about health care reform and other health care innovationsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I spoke with Harvard Business School professor Regina Herzlinger this week about health reform – the good, the bad and the ugly – touching on ACOs and demonstration projects under the Affordable Care Act; innovations coming down the pike in the private sector either because of the law or because of market forces; social media in health care; and two key fixes to the ACA that she believes are absolutely necessary in order to make it work, or work as best it can. First of all, she expressed her delight at the passage of a federal law nudging us ever closer to universal coverage, combined with dismay at its failure to ad...
Source: HealthBlawg :: David Harlow's Health Care Law Blog - July 7, 2011 Category: Medical Lawyers and Insurers Authors: David HarlowDavid Harlow Tags: Accountable Care organization CMS Consumer-Directed Health Health 2.0 Health care policy Health Law Health Reform Interview Podcast Social Media Source Type: blogs

Up And Down The Ladder… Job ChangesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 Arno Therapeutics hired Alexander Zukiwski as chief medical officer. Most ...
Source: Pharmalot - July 1, 2011 Category: Pharma Commentators Authors: Ed Silverman Tags: Uncategorized AbelsonTaylor Arno Therapeutics BIO BioCryst Pharmaceuticals Biomedical Research Alliance of New York Biotechnology Industry organization Catalent Pharma Solutions Celerion Council of State Bioscience Association Cubist P Source Type: blogs

Patient “Leakage”: Rethinking Two Field of Dreams Assumptions About ACOsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A study released last week by the Massachusetts Attorney General contains surprising data to challenge two commonly held ACO (accountable care organization) ”Field of Dreams” assumptions. These assumptions relate to patient ”leakage” — out-of-network patient care and referrals. 1) Hospital administrators assume that tighter physician-hospital integration (e.g., through employment of physicians) will result in ”captive referrals” by physicians back to the mother-ship hospital. 2) Medicare administrators are assuming that Medicare Shared Savings ACOs will be able to coordinate patie...
Source: e-CareManagement - June 27, 2011 Category: Technology Consultants Authors: Vince Kuraitis Tags: Care Providers & Care Coordination accountable care organization ACO leakage Medicare physician alignment newtag Source Type: blogs

The Massachusetts Experiment Analyzed: Are We Ready for Global Payments?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Massachusetts Attorney General Martha Coakley released her office's second annual report, An Examination of Health Care Cost Trends and Drivers (PDF; see also press release), which contains a wealth of critical data analysis -- and also highlights how little we know about certain things -- providing some important context for the discussion of the proposed Part III of Massachusetts health reform, a bill filed by Governor Patrick which would create all-payor ACOs and a system of global payments. At this late date, few would argue against a move a way from fee-for-service reimbursement for health care, or adding quality met...
Source: HealthBlawg :: David Harlow's Health Care Law Blog - June 24, 2011 Category: Medical Lawyers and Insurers Authors: David Harlow Tags: Accountable Care organization Health care policy Health Law Health Reform Massachusetts Medicaid Pay for performance Source Type: blogs

Is Medicaid Paying Too Much For Less Effective Meds?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Is Medicaid getting good value for its money? A new study suggests the federal healthcare program may be paying more than is necessary for drugs and not offering the most effective options for patients. Why? The authors suggest Medicaid is apparently ignoring the World Health Organization’s 2009 Essential Medicines List, which offers biannual updates on meds that are safe and effective. The researchers compared Medicaid Preferred Drug Lists in 40 states with the WHO list from 2009 Essential Medicines List (see the latest here) and found that drugs automatically paid for by state-run Medicaid vary widely among the states ...
Source: Pharmalot - June 23, 2011 Category: Pharma Commentators Authors: Ed Silverman Tags: Uncategorized Essential Medicines Formularies Medicaid Preferred Drug Lists WHO World Health organization Source Type: blogs

Upcoming speaking engagements - health care social media, ACOs and moreEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I spoke recently at a MassMEDIC conference about the FDA and social media, and on a webinar presented by the Mayo Clinic Center for Social Media (with which I am associated, as a member of its external advisory board) and Ragan Communications, and I will be speaking at a number of upcoming conferences.  It occurred to me that it would be worthwhile to share information about these events for those who may be interested. Feedback I've received from some program participants is that topics covered in an hour-long session on health care social media sometimes get short shrift.  For those who may be interested in more in-de...
Source: HealthBlawg :: David Harlow's Health Care Law Blog - June 23, 2011 Category: Medical Lawyers and Insurers Authors: David Harlow Tags: Accountable Care organization Health care policy Health Law Health Reform HIPAA Privacy Social Media Source Type: blogs

NPO Allows Medical Professionals To Get Feedback On Rare Health ProblemsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Human Health Project is  a non-profit organization funded by donations aiming at giving feedback on medical cases uploaded by medical professionals. Here is the description: The Human Health Project began in California in 2006 as a non-profit organization when its founder, Dr. Phil Harrington, M.D., decided to create a platform for medical professionals to discuss rare and unusual health problems. The idea came from personal experience – for three years he went from doctor to doctor and struggled to find a diagnosis for his own illness. Even with access to modern healthcare and a background in medicine, the answers were...
Source: Better Health - June 21, 2011 Category: Health Medicine and Bioethics Commentators Authors: Berci Tags: Video Feedback Human Health Project Medicine Medicine 2.0 Non-Profit organization NPO Rare Health Problems Unusual Health Problems Web 2.0 Source Type: blogs

My Standing Desk ExperimentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Editor’s note: This is a guest post by Corbett Barr of CorbettBarr.com and ThinkTraffic.net. For the past three weeks I’ve been standing while I work, instead of my usual sitting. I have some interesting results to share with you in a moment, but first let me tell you why I’ve been doing all this standing. It all started after a couple of tweets came across my radar in the same day about the negative health effects of sitting. It turns out that sitting all day every day for work might not be good for your health and wellness. Who would have thought? The studies and experiments I found really caught my att...
Source: Zen Habits - June 16, 2011 Category: Life Coaches Authors: guest Tags: Health & Fitness Productivity & organization Source Type: blogs

Lilly To Settle Fight Over Drug SeizuresEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To settle a bitter dispute over seizures of generic meds at a Dutch airport, Eli Lilly is about to make an undisclosed payment to several Indian generic drugmakers, The Financial Times writes. Several big drugmakers, in fact, benefited when the lower-cost drugs were impounded, since the move thwarted distribution of the generics throughout the European Union. The seizures in 2008 and 2009 were made in response to claims that the meds violated intellectual property rules protecting patents within the EU. But the move also prompted fierce criticism from health activists and non-governmental organizations that argued the gene...
Source: Pharmalot - June 8, 2011 Category: Pharma Commentators Authors: Ed Silverman Tags: Uncategorized Cipla Eli Lilly EU European Union Generics Intellectual Property Patents The Netherlands World Trade organization WTO Zyprexa Source Type: blogs

Don't Kick a Unicorn When it's DownEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
There has been a significant outcry against the proposed ACO regs: everything's wrong and nothing's right about them, or so some would have us believe.  (The comment period is still open, and CMS is still soliciting input; much of the outcry is a form of posturing and negotiation ... not that there's anything wrong with that.) Today's "nattering nabobs of negativism" focus on: the estimated price tag for complying with the regulatory requirements (IT and other infrastructure incuded), the slim chance of success by ACOs in righting the wrongs of decades of bloat in the health care system, the premature pledging of allegia...
Source: HealthBlawg :: David Harlow's Health Care Law Blog - June 3, 2011 Category: Medical Lawyers and Insurers Authors: David Harlow Tags: Accountable Care organization Health care policy Health Law Health Reform Hospitals Medicare Pay for performance Physicians Source Type: blogs

CRO Employees Indicted For Falsifying Study DataEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
File this under failing the test. A doctor and a clinical research coordinator working for a contract research organization hired by the former Schering-Plough were indicted by the feds for falsifying study data. The clinical trial was designed to test a tablet the drugmaker was developing to treat allergies. Wayne Spencer, 73, a licensed physician and the principal investigator, and Lisa Sharp, 48, the clinical director of clinical trials at Lee Research Institute, were charged with one count of conspiracy, three counts of mail fraud, and one count of falsifying information required by the FDA. The crimes are alleged to h...
Source: Pharmalot - June 3, 2011 Category: Pharma Commentators Authors: Ed Silverman Tags: Uncategorized Clinical Investigator Clinical Trials Contract Research organization CRO Lee Research Institute Merck Schering Plough Study Data Source Type: blogs

Get Out of Libya, Get Out of NATOEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
By Caleb O. BrownAs Justin Logan puts it, we borrow money from China to make precision-guided munitions which we then give to the Europeans so they can drop them on Libya. This is a product of U.S. involvement in NATO. In this new video, Christopher A. Preble, Benjamin H. Friedman and Justin Logan provide analysis about our involvement in NATO with specific respect to the Libya campaign. Read more of Cato’s work on NATO. Get Out of Libya, Get Out of NATO is a post from Cato @ Liberty - Cato Institute Blog
Source: Cato-at-liberty - June 2, 2011 Category: Health Medicine and Bioethics Commentators Authors: Caleb O. Brown Tags: Foreign Policy and National Security Government and Politics Tax and Budget Policy catoinstitutevideo Libya NATO North Atlantic Treaty organization YouTube Source Type: blogs

ONC Federal Health IT Strategic Plan: Comments filed on behalf of the Society for Participatory MedicineEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We e-patients are an impatient lot, and therefore we may not be big fans of the Five-Year Plan approach to creating change.  The Office of the National Coordinator for Health IT released a draft federal health IT strategic plan in late March, via blog post (the plan itself is linked to from the post; a copy is posted here). The ONC post says: The Plan demonstrates how we will build off the foundation of meaningful use to unlock the power of information to: Enhance our ability to study care delivery and payment systems Empower individuals to improve and participate more in their care Improve care, efficiency, and po...
Source: HealthBlawg :: David Harlow's Health Care Law Blog - May 31, 2011 Category: Medical Lawyers and Insurers Authors: David Harlow Tags: Accountable Care organization EHR Health care policy Health Law Health Reform HIT Participatory Medicine PHR Source Type: blogs

Is the ACO DOA? Reasonable Minds Can Improve the Draft RegulationsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In the current all-ACO, all the time, health care policy news cycle, we've been inundated with declarations that the ACO is dead, because a handful of big boys say they don't want to play. Today, CMS announced that it is... Read the full post on HealthBlawg.
Source: HealthBlawg :: David Harlow's Health Care Law Blog - May 17, 2011 Category: Medical Lawyers and Insurers Authors: David Harlow Tags: Accountable Care organization CMS Health care policy Health Law Health Reform Hospitals Massachusetts Medicare Pay for performance Physicians Source Type: blogs

The Really Simple Way to Get Work DoneEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Editor’s Note: This is a guest post from Scott Young of ScottHYoung.com Imagine getting a full day’s work done by noon. Sounds impossible, right? But it really shouldn’t be. If you eliminated all the time you spend procrastinating, distracted or stalled, getting a full day of work done by noon could be realized. But being so productive is easier said than done. Most productivity advice comes in one of two flavors. Either slogans like, “Do it now!” which rarely work long-term, or complex systems like GTD, which work well, but require dozens of lists and obsessive dedication to pull off. I want to share...
Source: Zen Habits - May 10, 2011 Category: Life Coaches Authors: guest Tags: Productivity & organization Source Type: blogs

3 Simple Ways To Make Next Week BetterEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Is your life out of control? Does your desk look like a toxic waste dump? Are you overwhelmed with email, unreturned phone calls, and unfinished projects? Are you looking forward to something better or just mired in muck? Here are three simple things you can do today to take control of your life and start the new week with a better foundation. In less than an hour you can get your desk under control, get some long and short term goals set, and plan your week out for success. The cost… less than $20. Let’s get started… 1. Clean Off Your Desk: The first place to start is your command center. For most people...
Source: Success Begins Today - May 8, 2011 Category: Life Coaches Authors: John Richardson Tags: blog Goal Setting Goals organization Personal Development clipboard daily sheet management new week organize your desk recycle bin setting goals short term goals Time Management Source Type: blogs

Accountable Care Orgs & Pharma: Ian ExplainsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conceived as part of health care reform, accountable care organizations may become the next big thing in lowering cost. The basic premise involves a network of doctors and hospitals that share responsibility for providing care to patients. Each ACO would receive financial incentives to provide quality care to Medicare beneficiaries while holding down costs. And since the intiative is scheduled to launch in January 2012, there is a scramble under way among physician practices and hospitals to form ACOs. The Obama administration, meanwhile, recently proposed guidelines on how ACOs will work (look here). But what are the impl...
Source: Pharmalot - May 5, 2011 Category: Pharma Commentators Authors: Ed Silverman Tags: Uncategorized Accountable Care organization ACO Drug Utilization Health Care Costs Health Care Reform Medicare Medicare Part A Medicare Part B Medicare Part D Source Type: blogs

Parexel Cuts 300 Jobs Amid Phase One Trial ShiftsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A shift among drugmakers to prefer existing patients, rather than healthy volunteers, for early stage trials, is forcing Parexel, one of the largest contract research organizations, to close offices and eliminate jobs. Specifically, the CRO is cutting up to 30 per cent of Phase I capacity and around 300 jobs, or about 3 per cent of its 10,350 workforce, according to a filing with the Securities and Exchange Commission. Other factors are at work, though. The CRO acknowledged that some clients delayed the start of large projects, underscoring the weakness of the pharmaceutical pipeline. Meanwhile, as Outsourcing Pharma point...
Source: Pharmalot - May 4, 2011 Category: Pharma Commentators Authors: Ed Silverman Tags: Uncategorized Clinical Trials Contract Research organization CRO jobs Parexel Source Type: blogs

Bullet Points or Gladwell Style?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I’ve been working with a book editor for the last few weeks to put together an outline and proposal for a new book based on this blog. At the suggestion of Michael Hyatt, I decided to focus on one specific area, and research the material extensively. This has been a fun endeavor and the outline is taking shape. Yesterday I wrote a preface page which is a basic synopsis of the book. This was more difficult than I first thought. I used Michael’s great book proposal program as a guide and expanded upon the basic outline. To get some ideas, I looked at the preface pages and table of contents of a half dozen popular...
Source: Success Begins Today - April 26, 2011 Category: Life Coaches Authors: John Richardson Tags: blog Creativity organization writing publishing Source Type: blogs

ACOs: Millions of Web Hits…Dozens of Theories…One Bottom LineEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This post was co-authored by Disruptive Woman Archelle Georgiou and Emma Dougherty, Senior Analyst at TripleTree and originally published on the firms blog site, Uncommon Clarity. It was also posted on Archelle on Health. 9 million. That’s how many web hits are returned during a Google search for “Accountable Care Organization,” and reflects the countless articles, white papers and opinions that have been published regarding the potential successes and more likely pitfalls of the proposed ACO mandate. As highlighted in TripleTree’s recent post, our team is continuously evaluating the business development opport...
Source: Disruptive Women in Health Care - April 20, 2011 Category: Health Medicine and Bioethics Commentators Authors: dw at disruptivewomen.net Tags: Access Coverage Policy Health Reform Medicare Accountable Care organization Source Type: blogs

Creativity: Looks vs ContentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
As a creative, I love to invent and modify things. The status quo can be boring, and I love to put my unique signature on most things that leave my desk. I’ve learned though, that my creativity is many times inwardly focused. I like to change things and do things MY way. While this may resonate with others, it often is just a distraction. I’ve discovered what really matters is what customers think about my ideas and projects. The phrase “What’s in it for them,” has become my mantra. The hard part of an outward focus is determining what people truly want. You can do surveys, ask questions, or ...
Source: Success Begins Today - April 17, 2011 Category: Life Coaches Authors: John Richardson Tags: blog Creativity organization Success Technology blog templates blog traffic content focusing web traffic Source Type: blogs

Michelle Rhee and Eva Moskowitz on School ChoiceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
By Andrew J. CoulsonRhee, the former chancellor of DC Public Schools, and Moskowitz, head of a NYC charter school, were asked at an event last week what they thought of the Supreme Court decision upholding  Arizona’s K-12 scholarship donation tax credit program. The program offers a dollar-for-dollar tax cut to anyone who donates to a non-profit Scholarship Tuition Organization (and the STOs then help families pay for private school tuition). Children’s Scholarship Fund president Darla Romfo asked the question, and here’s the answer she received. Michelle Rhee and Eva Moskowitz on School Choice is a post...
Source: Cato-at-liberty - April 12, 2011 Category: Health Medicine and Bioethics Commentators Authors: Andrew J. Coulson Tags: Education and Child Policy General Arizona Eva Moskowitz Michelle Rhee scholarship tuition organization tax credit Source Type: blogs

How to FinishEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
‘There are two kinds of people, those who finish what they start and so on.’ ~Robert Byrne Post written by Leo Babauta. The early draft of this post sat in my system for about a week. How’s that for irony? Many of us are good at starting things — it’s the finishing that we need help with. The truth is, it might seem funny that my post on “How to Finish” sat unfinished for 7 days, but I’m actually decent at finishing. I start a whole bunch of articles and books, and let those ideas germinate. When I’m ready to focus on them, I get them to done pretty easily. How? Many p...
Source: Zen Habits - April 12, 2011 Category: Life Coaches Authors: Leo Tags: Productivity & organization Source Type: blogs

Clinical Outsourcing Is Up… And So Is The CostEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
For those who had any doubt about where R&D money is headed…look east. As in the Far East. A recent survey of 241 execs from drugmakers and biotechs finds that R&D budgets are rising just 1 percent overall this year. Meanwhile, outsourcing is expected to rise 11 percent, to 41 percent of the R&D undertaken, and most companies favor investing more of their clinical work in China. There is a price to pay, though. In the three-month period prior to the survey, price increases by contract research organizations outnumbered decreases by a 5-to-1 ratio. Looked at another way, 35 percent of the drugmakers an...
Source: Pharmalot - April 12, 2011 Category: Pharma Commentators Authors: Ed Silverman Tags: Uncategorized Brazil China Clinical Trials Contract Research organization CRO India Russia Source Type: blogs

Creativity & Organization: Turning Ideas Into RealityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I just came away from an intense encounter with a group of creatives. Ideas were flowing, presentations were given, and real change is in the wind. After spending a week on the Re:create cruise, I’ve come back home to plot a course for success. For me, success may be a published book, a speaking opportunity, or an increased focus on my blog. For others it may be a new recording, painting, or fiction based novel. All 93 of us on the cruise witnessed a plethora of ideas and strategies to transform our ideas into reality. So how do we get there from here? As Seth Godin would say… How do we get our ideas to ship? ...
Source: Success Begins Today - April 11, 2011 Category: Life Coaches Authors: John Richardson Tags: blog organization Personal Development Success book publishing Creativity idea organize problem solving publishing book scott belsky seth godin Source Type: blogs

Best of Our Blogs: April 8, 2011Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I’m going to skip my biweekly words of reflection today and talk about something important going on this month. While bees spread pollen during spring, organizations are spreading awareness about autism in April. There will be several activities running this month that will help raise awareness about autism, which is defined by the National Institute of Neurological Disorders and Stroke as, “complex neurodevelopment disorders, characterized by social impairments, communication difficulties, and restricted, repetitive, and stereotyped patterns of behavior.” It is estimated that “three to six children...
Source: World of Psychology - April 8, 2011 Category: Psychiatrists and Psychologists Authors: Brandi-Ann Uyemura Tags: Best of Our Blogs Amy Chua April Autism Society Autism Spectrum Disorder Autism Therapy Autistic Child Battle Hymn Bees blogger Communication Difficulties Five New Books Grassroots organization Guideposts Happiness Inspiratio Source Type: blogs

Finally, a Breakthrough on the Colombia Trade AgreementEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
By Daniel GriswoldTo no great surprise, the Obama administration announced today that it has cut a deal with the government of Colombia to address concerns about labor protections and to finally move toward enacting the long-stalled free-trade agreement between our two countries. This is welcome news for trade expansion and for strengthening our ties to a key Latin American ally. Colombian President Juan Manuel Santos is expected to arrive later this week in Washington to cement the deal. In exchange for the agreement, Colombia has reportedly agreed to expand its efforts to protect union members from violence and to more v...
Source: Cato-at-liberty - April 6, 2011 Category: Health Medicine and Bioethics Commentators Authors: Daniel Griswold Tags: Trade and Immigration afl cio Barack Obama colombia free trade free trade agreement International Labor organization john kerry Juan Manuel Santos labor unions max baucus panama south korea Source Type: blogs

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