Instrumented Interconnecteds Intelligent
June, 16th 2009
13:12
 

Let me begin by introducing myself. I am a certified IT Solution Architect in the IBM Business Consulting group. Before joining IBM I was a hospital management systems consultant for the New York State Hospital Association, a Senior Manager at Mercy Hospital, a 500 bed acute care facility in Miami, FL and the Vice President of the South Florida Hospital Association, representing 43 of the largest hospitals in Florida. I believe that this resume qualifies me to critique the current state of our health care system.

Put yourself in a patient’s place. It’s not hard. Most likely you have been there one or more times. Now think, what is important to you as a patient?

First, there is your Lifestyle. Like it or not, your lifestyle will influence when and how you will Access the health care system. When you immerse yourself into the scheme of things, you will want to Diagnose what you have or don’t have. For a problem, you will what to choose how best to Treat it. Of course, whatever you do will probably influence your Lifestyle. Then it all starts again, until the end!

Seems simple, right? So why is our health care system so convoluted, incomprehensible and expensive? Should it not be a simple demand and supply equation. Let’s take a closer look at the drivers from the patient’s perspective:

Our Lifestyle will surely influence our need for health care. It is well documented that lifestyles can impact the incidence of health problems emanating from our genetic, endemic and behavioral loci. And surely, our bad behavior is never rewarded when it comes to our health. So put that cigarette out! Can we then agree that by influencing individuals to adopt healthful lifestyles we can affect demand on our health care system?

We play with the cards we are dealt, so at some point we will need to access the health care system. This is not undesirable. In fact, access for preventive measures and screening, to discount risk factors, are proven to be beneficial in the long run. The old FRAM® oil filter adage, “pay me now or pay me latter” heralds reality. On the other hand, Access to health care affects both the demand and supply sides of the equation. Demand is influenced by the price to access, while supply is influenced by the number of facilities, their location and their hours of operation. We choose to access what is convenient and affordable, yet neither of these criteria are easy to determined.

So now that we have blindly plunged into the depths of the health care system, with inadequate up-front information I might add, we want to know what’s wrong. What is the Diagnosis, Doctor? Not so fast! “Let’s do some tests,” he says. This is a critical aspect of health care delivery, the patient-doctor interaction. What the doctor knows about you, what you tell him and his knowledge and experience will determine what happens next. The diagnostic process can be lengthy and painfully (no pun intended) frustrating. It is equivalent to traversing a maze of dead-ends and trackbacks. Why hasn’t someone devised analysis and optimization methods and techniques that cut through the persistent information fog of the diagnostic process? Is this the real value proposition that will justify electronic health care information automation? Move over insurers and government policy makers. The doctors want your transactional data for decision support systems with affinity and fidelity towards serving the patient’s medical needs, not to calculate fees or deny coverage! A better informed patient that consults a better informed doctor is sure to empower a better health care paradigm.

But we can’t just stop here. A diagnosis leads to a prognosis, which invariable leads to a multitude of options to Treat the problem, be it chronic or acute. Again we ask, where are the analytical and optimization tools are? Unlike health care, many industries rely on them profusely, almost to a fault! Why not a Health Default Swap? Well, not to trade, but we are sufficiently knowledgeable to devise treatment strategies that can mitigate risk, while optimizing health outcomes. We need to be at that level of sophistication, NOW! Again, isn’t this our electronic medical information raison d’être?

We have completed the full circle. We are back at Lifestyle. Here is where we need some of Thaler’s Nudge. So that those that choose to meddle, as our government does, can help us make the lifestyle choices “we would make for ourselves – if only we had the strength of will and the sharpness of mind” to access relevant information… “without infringing greatly on our freedom of choice.”

Bookmark and Share

Previous post

Next post

41 Comments
 
June 29, 2014
5:02 pm

Searching and searching the web all day for something like this.

Just want to say Thanks!


Posted by: local seo
 
June 24, 2014
1:44 pm

Pretty part of content. I just stumbled upon your weblog and in accession capital to
say that I get actually loved account your weblog posts.
Any way I will be subscribing in your feeds or even I achievement you get right of entry
to persistently quickly.


Posted by: dentist charlotte
 
June 14, 2014
4:32 pm

Superb, what a weblog it is! This website gives helpful facts to us, keep it up.


Posted by: Amee
 
April 9, 2014
1:29 pm

Schweikert, an elementary school teacher, was arrested car
insurance for young drivers (http://www.playlant.com/profile/miausterli) after he wrote
a bomb threat on the back of the vehicle, the size of the claim.
She was something of a Santa Claus, with a robin’s-egg blue and chocolate color
scheme. Rickie Bowling, 18, a friend of the boys, clubbing and girls
who are” up for it. Bigger is better for car passenger safety claims a new study shows that even within the same zip code, a driver could be paying up to a third.


Posted by: http://www.playlant.com/profile/miausterli
 
March 22, 2014
2:58 pm

hello there and thank you for your info – I have
definitely picked up anything new from right here. I did however expertise several technical points using
this web site, since I experienced to reload the web site lots of times previous to I could
get it to load properly. I had been wondering if your hosting is OK?
Not that I’m complaining, but sluggish loading instances times will very frequently
affect your placement in google and could damage your high-quality score if ads and marketing with Adwords.
Anyway I am adding this RSS to my email and can look out for much more of your respective
fascinating content. Ensure that you update this again soon.


Posted by: dentist glendale
 
March 13, 2014
5:58 pm

You are so interesting! I do not suppose I’ve read something like this
before. So good to find another person with some unique thoughts on this subject matter.

Really.. thank you for starting this up. This web site is one thing that’s needed on
the web, someone with a bit of originality!


Posted by: rental cleaning sydney
 
March 7, 2014
9:11 pm

Hello colleagues, its wonderful article concerning educationand entirely explained, keep it up all the time.


Posted by: working flappy birds hack
 
March 2, 2014
12:44 pm

I like the valuable information you provide in your
articles. I will bookmark your weblog and check again here regularly.
I am quite sure I’ll learn many new stuff right here! Best of luck
for the next!


Posted by: introvertedwife.com
 
March 2, 2014
8:29 am

Hi there! Do you know if they make any plugins to
assist with SEO? I’m trying to get my blog to rank for some
targeted keywords but I’m not seeing very good results.
If you know of any please share. Cheers!


Posted by: vigrx zlozenie
 
March 1, 2014
8:13 am

If you obtain your Office Depot coupons by clicking a connection from
an associate internet site, you really should not have to
worry about inoperative vouchers. So we felt that if we made the investment in one of these coupon
services, then our goal should be at least break-even.

Hence, it is much easier to look for coupons to get a price cut on items such as carpet cleaner rental or laundry soap, children’s clothing, office supplies from Office
Depot and numerous other items.


Posted by: asos promo abercrombie coupons abercrombie kids coupons
 
February 18, 2014
12:46 am

Aw, this was a really nice post. Taking the time and actual effort
to produce a top notch article… but what can I say… I put things off a
lot and never manage to get nearly anything done.


Posted by: www.youtube.com
 
February 14, 2014
12:15 am

When I originally commented I clicked the “Notify me when new comments are added”
checkbox and now each time a comment is added I get four emails with the same comment.
Is there any way you can remove me from that service?
Thank you!


Posted by: heartoftheswarmguide.org
 
February 13, 2014
10:43 am

This is a good tip particularly to those new to the blogosphere.
Short but very accurate info… Many thanks for sharing this one.
A must read post!


Posted by: Nite Brite teeth whitening
 
February 11, 2014
7:19 am

Refurbished laptop, at the first time, maybe most of us will think why we should consider about refurbished product when
we can buy the new product. games will drain the Hp pavilion g50
battery quickly as well. The VAIO is only 6lbs and it has a stylish, widescreen
that many consumers love.


Posted by: hp 2000
 
January 16, 2014
3:58 pm

I am from colombia. I not speak english. But yes, i read it.
Me encata la informacion de su sitio, espero tener mas actualizaciones y de igual calidad
muchas gracias – Thank you


Posted by: Adela
 
January 3, 2014
4:47 pm

Hello there, I discovered your web site by the use of Google whilst
looking for a related matter, your site got here up, it appears to be like good.
I have bookmarked it in my google bookmarks.

Hello there, simply become aware of your weblog thru Google, and
located that it’s really informative. I’m gonna be careful for brussels.
I’ll be grateful for those who proceed this in future. Many
other folks can be benefited out of your writing. Cheers!


Posted by: vitiligo treatment in usa
 
December 23, 2013
7:26 am

In a study regarding convicted child corrigers, 77 % of those
who all molested boys in addition to 87 percent of those who molested girls mentioned to the continual use of sex sites in the commission of
their criminal offenses. Besides stimulating the perpetrator, pornography can handle child molestation in a few techniques.
For example , pedophiles work with pornographic photos to show for their victims the things
they want these phones accomplish. In addition, they use them to arouse a
child or even lower a new child’s inhibitions as well as
communicate for the unsuspecting kid that a certain sexual activity is
definitely alright: “This man or woman is enjoying the idea; so would you like to. ”
There is also a answer. When you can demonstrate
to the courtroom conclusively that this parent comes with an addiction
to Internet porn the court can make orders with regards to in which threat that
may protect your young ones from that exposure. They could order everything from no trips to supervised visits to orders forbidding the mere existence of
a computer system in your home.


Posted by: Elba
 
December 20, 2013
3:17 pm

After examine just a few of the weblog posts in your web site now, and I really like your approach of blogging. I bookmarked it to my bookmark web site checklist and will likely be checking again soon. Pls try my site as effectively and let me know what you think.


Posted by: Sherlyn Kaliszuk
 
November 30, 2013
6:38 am

My developer is trying to convince me to move to
.net from PHP. I have always disliked the idea because of the expenses.
But he’s tryiong none the less. I’ve been using Movable-type
on a variety of websites for about a year and am anxious
about switching to another platform. I have heard
very good things about blogengine.net. Is there a way I can import all my wordpress posts into it?
Any help would be greatly appreciated!


Posted by: 超歓迎 ピーコート 豪華
 
October 31, 2013
4:11 pm

Hola me encanta su sitio.
Disculpe pero no se escribir en su idioma
lo hare en el mio, que es espanol
Muchas gracias


Posted by: Factor quema grasas
 
October 28, 2013
2:41 am

It’s wonderful that you are getting ideas from this piece
of writing as well as from our argument made here.


Posted by: club penguin money
 
October 28, 2013
12:53 am

Someone necessarily help to make severely articles I’d state.
This is the very first time I frequented your web page and up to now?
I surprised with the research you made to
make this actual submit amazing. Magnificent process!


Posted by: Nancee
 
October 27, 2013
4:15 am

Fantastic beat ! I wish to apprentice while you amend your website, how could i subscribe for a blog website?
The account aided me a acceptable deal. I had been tiny bit
familiar of this your broadcast offered shiny transparent concept


Posted by: ルイ ヴィトン 香水 上品
 
October 27, 2013
2:01 am

Howdy, I think your blog might be having internet browser compatibility issues.
When I look at your web site in Safari, it looks fine however, if opening in I.E., it’s got some overlapping issues.

I simply wanted to provide you with a quick heads up! Other than that, excellent blog!


Posted by: スニーカー 専営店
 
October 26, 2013
1:38 pm

Great post. I think you are completely right about health care and how it needs to change. The sooner the better if you ask me!


Posted by: antenatal Classes Sheffield
 
October 25, 2013
11:58 am

Enter her, thrust her and ejaculate with a peace of mind.
As we all know, whatever we eat determines the composition of
our cell membranes, bone marrow, blood, and hormones. Ideally this technique is used once
a couple completes the information in the first article, has a healthy bond and then continues enlightened
work in the day with calibrating the DNA in LOVE MAKING to match the
mind. You have to make it a top priority that you are able
to please him better than any other woman out there.


Posted by: kamasutra
 
October 21, 2013
9:11 am

Still, I tried to convince myself that I was blowing things
out of proportion and believed every word my spouse spit out.
Requesting removal once also won’t guarantee that the information won’t
reappear in the future. As Skype’s popularity continues to skyrocket, its millions
of users have been experiencing an increasing amount of spam.


Posted by: web page
 
October 21, 2013
2:35 am

Hurrah, that’s what I was looking for, what a stuff!
existing here at this blog, thanks admin of this web page.


Posted by: Maroc
 
October 15, 2013
6:39 pm

Today, while I was at work, my cousin stole my iphone and tested to see if it can survive a 30 foot drop,
just so she can be a youtube sensation. My iPad is now broken and she has
83 views. I know this is entirely off topic but I had to share it with someone!


Posted by: sims
 
August 4, 2013
3:53 pm

Thank you for any other magnificent article. Where else could anyone get that type of info in such a perfect method of writing? I’ve a presentation next week, and I am at the look for such info.


Posted by: Wireless Webcam
 
July 27, 2013
5:34 pm

Spot on with this write-up, I truly think this website needs rather more consideration. I�ll probably be again to read rather more, thanks for that info.


Posted by: Diego Samona
 
July 25, 2013
7:44 pm
July 24, 2013
8:43 am

After study just a few of the weblog posts in your web site now, and I truly like your method of blogging. I bookmarked it to my bookmark web site checklist and will probably be checking again soon. Pls check out my website online as effectively and let me know what you think.


Posted by: Mohammad Dadson
 
July 24, 2013
3:47 am

After examine just a few of the weblog posts in your web site now, and I really like your means of blogging. I bookmarked it to my bookmark web site checklist and will likely be checking again soon. Pls try my website as effectively and let me know what you think.


Posted by: Alex Shure
 
July 22, 2013
2:41 am

Hi there all, here every one is sharing such know-how, therefore it’s pleasant to read this website, and I used to pay a quick visit this blog every day.


Posted by: Finlay
 
July 21, 2013
9:26 am

Can I simply say what a relief to find somebody who actually is aware of what theyre speaking about on the internet. You definitely know the way to convey an issue to light and make it important. Extra people need to learn this and perceive this side of the story. I cant believe youre no more fashionable since you definitely have the gift.


Posted by: Cira Mckasson
 
July 18, 2013
3:52 pm

Hiya! I just wish to give a huge thumbs up for the nice data you may have here on this post. I might be coming back to your blog for more soon.


Posted by: Kyong Remick
 
August 3, 2010
10:31 am

Oh we humans are such complex creatures aren’t we? Is it really possible to put in place systems that would speed diagnosis and prognosis? I’ve worked with hundreds of smokers over the years and every one of them has different motivations, gremlins, sabotage techniques, family situations, physiology, psychology, education, beliefs and values. Each have to be treated differently so ensure they get the result they want and need. Could a machine ask the relevant questions and notice the subtle signs and signals they give off that tell me when there’s an inconsistency or another question to be asked?


Posted by: Bee Milbourn
 
July 29, 2010
8:35 am

I would just like to add that I fully agree with the “pay now or pay later” comment. The NHS here in England is beginning to get really hammered and is going to drastically change in the coming decade or two. I hope as a part of this change that there is a bigger focus on prevention which really seems to be lacking at the moment. It may cost £200 for a smoker to get hypnotherapy now to quit smoking but surely that is better than 20 or 30 years from now that same person being in hospital because of lung disease/cancer etc.


Posted by: Richard Hypnotherapy Sheffield
 
July 26, 2010
10:02 am

Biochip Array Technology (BAT) is an innovative assay technology for multi-analyte screening of biological samples in a rapid, accurate and easy to use format.

The multi-analyte approach has benefits beyond time and cost savings, which are vital in the drive towards increasing efficiencies and improved clinical performance. Traditional diagnosis takes the form of single analyte assays, even though several are usually required, thus increasing sample volumes, possibly requiring multiple patient attendance and increasing the time before diagnosis. A multi-analyte assay will reduce patient discomfort, as many related tests can be run at once, negating the need for multiple patient sampling. Multiple markers also give a more comprehensive picture of the patient’s condition, so providing an accurate and rapid diagnosis. This in turn will lead to better patient care.

With FDA approval for BAT and Randox’s Drugs of Abuse biochip arrays, users can have confidence in proven analysers, reagents and procedures.


Posted by: Charlotte Jess
 
June 16, 2009
9:56 pm

For fun, I rewrote this more succinctly to make it more persuasive. (I omitted the bio which I would not change)

Put yourself in a patient’s place. Most likely you have been a patient more than once. What is important to you as a patient?
First, there is your lifestyle. Your lifestyle will influence when and how you will access the health care system. You will want to diagnose your problem and choose how best to treat it. Often course, your choice will influence your lifestyle.
If this is so simple, why is our health care system so convoluted and expensive? Shouldn’t it be a simple demand and supply equation? Let’s take a closer look from the patient’s perspective:
Our lifestyle will influence our need for health care. Lifestyles can impact the incidence of health problems, and surely, our bad behavior affects our health. For example you can stop smoking. If we can influence individuals to adopt healthful lifestyles we can affect the demands on our health care system?

At some point we will surely need to access the health care system. And access for preventive measures and screening, prove to be beneficial in the long run. The old FRAM® oil filter adage, “pay me now or pay me latter” applies here. On the other hand, access to health care affects both the demand and supply sides of the equation. Demand is influenced by the price of access, while supply is influenced by the number of facilities, their location and their hours of operation. We choose to access what is convenient and affordable, but neither of these criteria are easy to determine.

Even though we seek treatment with inadequate information, we still want to know the diagnosis. “Let’s do some tests,” the doctor says. This patient-doctor interaction is a critical aspect of health care delivery. What the doctor knows about you, what you tell him and his knowledge and experience will determine what happens next. The diagnostic process can be lengthy and frustrating. It is equivalent to traversing a maze of dead-ends and backtracks. It would be nice if someone devised analysis and optimization methods and techniques to cut through the persistent information fog of the diagnostic process. Could these proposed methods justify electronic health care information automation? The doctors want your transactional data for decision support systems to serve the patient’s medical needs, not to calculate fees! A better informed patient that consults a better informed doctor is sure to empower a better health care paradigm.

A diagnosis leads to a prognosis, which invariable leads to a multitude of options to treat the problem, be it chronic or acute. Unlike health care, many industries rely on analytical and optimization tools profusely! Are we sufficiently knowledgeable to devise treatment strategies that can mitigate risk, while optimizing health outcomes? We need to be at that level of sophistication, now! Again, isn’t this our electronic medical information’s raison d’être?

Now we return to lifestyle. Here is where we need some of Thaler and Sunstein’s Nudge. So that these analytical systems can help us make the lifestyle choices “we would make for ourselves – if only we had the strength of will and the sharpness of mind” to access relevant information… “without infringing greatly on our freedom of choice.”


Posted by: James Cooper
 
Post a Comment