Showing posts with label health. Show all posts
Showing posts with label health. Show all posts

Tuesday, December 08, 2009

FTC Exploring Privacy: Rountable Series

Over the next couple of months the Federal Trade Commission (FTC) will be hosting the Exploring Privacy: A Roundtable Services.

The roundtable discussions are day-long public roundtable discussions to explore the privacy challenges posed by the vast array of 21st century technology and business practices that collect and use consumer data.

The FTC indicates that the "roundtable discussions will cover topics including social networking, cloud computing, online behavioral advertising, mobile marketing, and the collection and use of information by retailers, data brokers, third-party applications, and other diverse businesses. The goal of the roundtables is to determine how best to protect consumer privacy while supporting beneficial uses of the information and technological innovation."

More information can be obtained on the FTC's Exploring Privacy website, including the dates and locations of the upcoming roundtable events in Berkeley, CA and Washington, DC, submitted public comments and other information.

The first roundtable was held this week in Washington, DC. Details of the event are available on the website including two interesting charts -- Data flow chart (personal data ecosystem) and Data flow charts (medical, social networking, mobile, behavioral advertising, and retail loyalty card).

Saturday, November 07, 2009

Visualizing HR 3962: Affordable Health Care for America Act

Below is a visual of the top 500 words used in HR 3962: Affordable Health Care for America Act. Since most people (including many of our representatives in Washington) haven't read all 1,990 pages of the Health Care Reform Bill, I thought a visual aid might be helpful.

I had been thinking of creating the word cloud of the Bill since it was introduced on October 29, 2009, however, yesterday a couple of tweets by Vince Kuraitis caught my eye and I finally got around to creating the HR 3962 Wordle Cloud this morning. Vince's tweets looked into the word count of a couple of key words in the Bill. His tweets:
  • @VinceKuraitis "medical home" referenced 67 times in latest House #healthreform leg
  • @VinceKuraitis "pilot program" referenced 106 times in latest #healthreform leg -- lots of experimentation
In creating the cloud I was able to look at the use of some other words in the Bill. Here is what I found:
  • Privacy referenced 28 times
  • Insurance referenced 552 times
  • Physician referenced 182 times
  • Hospital referenced 330 times
  • Consumer referenced 36 times
  • Consumer-directed referenced 1 time
  • Consumer-oriented referenced 1 time
Click graphic for larger/clearer version. Thanks to Wordle (www.wordle.net) for the cloud.


    Tuesday, November 03, 2009

    West Virginia H1N1 (Swine) Flu Resource Center

    The West Virginia Department of Health and Human Resources (DHHR) unveiled a website for sharing information and updates specific to West Virginia about the H1N1 Flu also known as Swine Flu. The website has information for prevention, schools, businesses, parents and providers.

    The new West Virginia H1N1 (Swine) Flu Resource Center can be found at www.wvflu.org. The website also has includes a link to the federal Flu.Gov website with national information.

    Please spread the word about the new website (but don't spread the flu).

    Thursday, April 09, 2009

    Obama Signs Executive Order Officially Creating White House Office of Health Reform

    Yesterday, April 8, 2009, President Obama signed an executive order formally creating a new White House Office of Health Reform.

    The Washington Post provide additional information, including the complete text of the Executive Order and that former Clinton administration official, Nancy-Ann DeParle (White House bio) will oversee the office.

    The full text of the Executive Order:

    EXECUTIVE ORDER
    ESTABLISHMENT OF THE WHITE HOUSE OFFICE OF HEALTH REFORM

    By the authority vested in me as President by the Constitution and the laws of the United States of America, and in the interest of providing all Americans access to affordable and high-quality health care, it is hereby ordered as follows:

    Section 1. Policy.

    Reforming the health care system is a key goal of my Administration. The health care system suffers from serious and pervasive problems; access to health care is constrained by high and rising costs; and the quality of care is not consistent and must be improved, in order to improve the health of our citizens and our economic security.

    Sec. 2. Establishment.

    (a) There is established a White House Office of Health Reform (Health Reform Office) within the Executive Office of the President that will provide leadership to the executive branch in establishing policies, priorities, and objectives for the Federal Government's comprehensive effort to improve access to health care, the quality of such care, and the sustainability of the health care system.
    (b) The Secretary of Health and Human Services, to the extent permitted by law, shall establish within the Department of Health and Human Services (HHS) an Office of Health Reform, which shall coordinate closely with the White House Office of Health Reform.

    Sec. 3. Functions. The principal functions of the Health Reform Office, to the extent permitted by law, are to:

    (a) provide leadership for and to coordinate the development of the Administration's policy agenda across executive departments and agencies concerning the provision of high-quality, affordable, and accessible health care and to slow the growth of health costs; this shall include coordinating policy development with the Domestic Policy Council, National Economic Council, Council of Economic Advisers, Office of Management and Budget, HHS, Office of Personnel Management, and such other executive departments and agencies as the Director of the Health Reform Office may deem appropriate;
    (b) work with executive departments and agencies to ensure that Federal Government policy decisions and programs are consistent with the President's stated goals with respect to health reform;
    (c) integrate the President's policy agenda concerning health reform across the Federal Government;
    (d) coordinate public outreach activities conducted by executive departments and agencies designed to gather input from the public, from demonstration and pilot projects, and from public-private partnerships on the problems and priorities for policy measures designed to meet the President's goals for improvement of the health care system;
    (e) bring to the President's attention concerns, ideas, and policy options for strengthening, increasing the efficiency, and improving the quality of the health care system;
    (f) work with State, local, and community policymakers and public officials to expand coverage, improve quality and efficiency, and slow the growth of health costs;
    (g) develop and implement strategic initiatives under the President's agenda to strengthen the public agencies and private organizations that can improve the performance of the health care system;
    (h) work with the Congress and executive departments and agencies to eliminate unnecessary legislative, regulatory, and other bureaucratic barriers that impede effective delivery of efficient and high-quality health care;
    (i) monitor implementation of the President's agenda on health reform; and
    (j) help ensure that policymakers across the executive branch work toward the President's health care agenda.

    Sec. 4. Administration. (a) The Health Reform Office may work with established or ad hoc committees, task forces, or interagency groups.

    (b) The Health Reform Office shall have a staff headed by the Director of the Health Reform Office (Director). The Health Reform Office shall have such staff and other assistance as may be necessary to carry out the provisions of this order.
    (c) As requested by the Director, each executive department and agency shall designate a liaison to work with the Health Reform Office on improving access to health care, the quality of health care, and the sustainability of the health care system.
    (d) All executive departments and agencies shall cooperate with the Health Reform Office and provide such information, support, and assistance to the Health Reform Office as it may request, to the extent permitted by law.

    Sec. 5. General Provisions. (a) Nothing in this order shall be construed to impair or otherwise affect:

    (i) authority granted by law to a department, agency, or the head thereof; or
    (ii) functions of the Director of the Office of Management and Budget relating to budgetary, administrative, or legislative proposals. (b) This order shall be implemented consistent with applicable law and subject to the availability of appropriations. (c) This order is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity, by any party against the United States, its departments, agencies, or entities, its officers, employees, or agents, or any other person.

    BARACK OBAMA
    THE WHITE HOUSE,
    April 8, 2009.

    Tuesday, September 30, 2008

    NY Times Health: Articles On Changing World of Online Health Information

    The New York Times Health section in the article, "Logging On for a Second (or Third) Opinion," examines the changing world of online health information search.

    As the article points out we are moving from a "search and read" web to a "search, share and interact" web. As Dr. Ted Eytan indicates, we are seeing the "democratization of health care." Patients as consumers are becoming more engaged and knowledgeable through the use of online search and collaboration before and after they visit with a health care professional. Likewise, physicians and other providers are utilizing technology and the evolving social networked web in the same fashion. I agree with the comments of Clay Shirky who indicates patients (aka health consumers) are becoming empowered actors in the health system. The article gives a good overview with links to some of the health care business models evolving in this sector.

    Matthew Holt, co-founder of the Health 2.0 Conference, ends the article by stating "the marketplace in information can correct itself over time." He indicates that "the more people you have in the conversation, the better information drives out the worse information." I think there are risks with a socially networked and driven health system but I hope the rewards of improved information, treatment, outcomes and reduced costs outweigh such risks. Time will tell.

    A companion article, "You're Sick. Now What? Knowledge is Power," also examines the rise of the empowered health consumer and offers some sage advice on how much information is good, how much is bad and some best practices on using web based health information. The article hits on these key points:
    • The goal is to find an M.D., to become one.
    • Keep statistics in perspective.
    • Don't limit yourself to the web.
    • Tell your doctor about your research.
    Much of what is discussed in these two articles will the topic de jour at the Health 2.0 Conference next month in San Francisco. I look forward to attending and participating in the ongoing conversation about how technology is changing the health care industry.

    Wednesday, May 07, 2008

    The momScore: How West Virginia Ranks For Maternal Health


    While reading this week's Grand Rounds hosted this week at Suture for a Living, I jumped over to an interesting post by Dr. Val on an effort by her and Revolution Health to team up with medical experts and mommy bloggers to create a new health index for Mother's Day.

    West Virginia ranks 38 out of 51 states on the momScore. As we head into this weekend's Mother's Day, Anna Marie Jarvis would want us to try to raise our ranking. I'm issuing a challenge to all West Virginia health care providers to think about and work on improving these statistics and metrics.

    West Virginia received a a score of 69 out of a possible 100. The areas used for the ranking include: access to prenatal care, air quality, availability of childcare services, family paid leave policy, health care coverage rate, infant mortality, maternal mortality, risk of pregnancy complications, affordability of children's health insurance and violent crime rate.

    If you want to discuss or debate West Virginia's rankings you can post your comments on the interactive momScore community.

    Friday, April 11, 2008

    Practical Advice on the Death Spiral


    The Death Spiral, courtesy of the WSJ Health Blog.

    Great graphic which highlights advice from my dad, a retired physician in West Virginia, who always warns us of such risks. He says, "eat better, eat less, take small bites, drive defensively with two hands on the wheel, don't climb ladders and be careful with guns." Looking at the graph if we listened to this advice we would take care of most of the larger circles.


    Monday, October 29, 2007

    An Early Look At How Iowan Voters Feel About Health Care

    Jane Sarasohn-Kahn at Health Populi looks at some early statistics of how Iowans feel about the state of our health care system. The survey was sponsored by CodeBlueNow, a consumer-led health advocacy group.

    I found it particularly interesting that Iowans believe "health care services should stress disease prevention over high-technology cures." I wonder if a poll in West Virginia would show a similar statistic.

    Contrast this statistic with some data coming out of the Leadership West Virginia Conference saying that West Virginia's health care system is dysfunctional and in peril. Dave Campbell, CEO of Community Health Network said that "$10 billion a year is spent on health care in [West Virginia], but only 3 percent of that is spent on preventative measures." Chronic disease is a huge problem in West Virginia.

    Citing respiratory disease and diabetes as two treatable problems that are causing health care rates to rise in West Virginia, Campbell goes on to say that of the "$4 billion a year spent in hospitals, we know that $1 out of every $10 is avoidable. Over $400 million would be avoidable if people had earlier access to prevention and primary care."

    Guy V., this post is for you after our weekend discussion.

    Friday, September 14, 2007

    Joint Commission Launches WikiHealthCare

    iHealthBeat reports about the Joint Commission's new pilot wiki, WikiHealthCare. The pilot project is an effort by the Joint Commission to create a collaborative space for open exchange of information among health care professionals.

    According to the article, the site now only has 1,500 registered users and only about 10 actively posting to the wiki. What's a wiki?

    Modern Healthcare has more.

    Wednesday, September 12, 2007

    Welcome Jane Sarasohn-Kahn: Health Populi

    Today I received an email from my colleague, Jane Sarasohn-Kahn, a health economist and management consultant, announcing that she had joined the health care blogging world. Congrats Jane!

    Jane will be blogging at Health Populi. Over the past year or so I have been reading Jane's thought provoking columns for iHealthBeat and have checked out her THINK-Health site. An example is today's post looking into the priorities (and shifting costs) of Americans on spending for health insurance and technology.

    Here is her introductory post and why you should read her blog:
    In this blog, I will share my multi-faceted perspectives on health care. In the new wave of transparency in American health care, I seek to shed light. I want to help move along the dialogue that Americans – not just politicians and pundits, but the bulk of Americans living and working outside of legislatures -- must have regarding how to honestly, openly and boldly confront the challenges facing U.S. health care.

    Changing our behavior in this new world will involve re-engaging with the U.S. health system and our innermost motivations by

    • understanding what health care costs,
    • taking better care of ourselves,
    • getting smarter about health and health care, and,
    • voting in elections.

    Along with education, no single domestic issue will affect every American more directly than health care will in the next years and decades to come. Now, read on. Get smart. Go health-shopping. Demand value from those who supply you with health goods and services. Vote. The health system is yours. Act like it.
    I can't agree more Jane. Don't miss subscribing to the Health Populi RSS feed.

    Sunday, August 19, 2007

    HHS Secretary Leavitt Joins The Blogosphere

    A warm welcome to Secretary Mike Leavitt (blog bio) who last week launched his blog at Secretary Mike Leavitt's Blog. It is wonderful to see the United States top health care official join the blogospere and create a vehicle to share his personal observations and have an open conversation about health care and the challenges that that we all face.

    I am impressed by his goal to keep the blog personal (not relying on staff or the PR department to write his posts) outlined in his About this Blog summary and introductory post. I'm hoping that he enjoys the experience and has the time to continue to blog past his initial trial phase. In my mind he gets the idea behind blogging -- a communication utility which is used to think and understand, share his observations, engage ideas and as he says, create a "dynamic online conversation." These characteristics are what makes blogging something more than just another way to create traditional media/PR web content. It's the reason why I enjoy the blogging process.

    Question to readers: Is Secretary Leavitt the highest ranking U.S. official to date to have a blog which is personally written? Are there any other Federal Executive Department Secretary level bloggers?

    Thanks to iHealthBeat for its article announcing Secretary Leavitt's blog.

    Tuesday, June 19, 2007

    Google Health: A Virtual-Doctor In Your Family

    Roni Zeiger, MD, Product Manager at Google and part of Adam Bosworth's health team at Google has this recent post on the difficulty of patients getting the information they need.

    I can related to his post, Is there a Doctor in the Family? and his discussion of having "better access" to health information. There is incredible value in having a family member who understands the clinical side of health care. My dad, a retired country doctor in West Virginia, at 83 is still my "primary" resource to discuss health issues and get a valuable second opinion on anything related to my health and the health of our family. When the kids get sick we call him to confirm that the advice given by our pediatrician is accurate. When I had to make decisions on whether or not to have knee surgery - he was my sounding board for the pros/cons. I could give 100 more examples where I or others in my family have relied on him to help interpret health care options, treatments and management of our health.

    Dr. Zeiger poses the following question in his post, "When I help my loved ones navigate an illness or get up to date with screening tests, I wonder how those who don't have a doctor in the family manage their health."

    The answer: They don't manage their health. Most patients find themselves in a sea of information and at the mercy of a complex system. This is one of the fundamental questions that we as health care professionals need to seek solutions for today. Americans have always been great at mass production and we have taken this same approach to our health system. We produce a lot of health care but it is not individualized or coordinated as well as it could be.

    If Google can find a way to become this trusted virtual-family doctor and fill this need the patients and providers will be better off in the future. I'll be interested to hear more from Dr. Zeiger at the Health 2.0 Conference who will be participating on the panel discussion on Search in Healthcare.

    Tip to Shahid Shah the Healthcare IT Guy for alerting me to this new Google Blog post dealing with health care in his post Google Planning a PHR?

    For more information on the Google Health initiative check out this post over at The Health Wisdom Blog which includes links to Adam Bosworth's recent presentation at the American Medical Information Association's annual convention.

    UPDATE (6/21/07): Rita Schwab at MSSPNexus Blog adds an insightful post on the topic of Google as Healthcare Advocate? and what to expect when you navigate the health care system.

    Wednesday, June 13, 2007

    Where Does Your State Rank On Health-System Performance

    Business Week features a new survey by the Commonwealth Fund that ranks the health-systems performance of all 50 states and DC in "The Sorry States of Health Care." The full report detail can be found here at the Commonwealth Fund website.

    The survey statistics on the need to increase preventative care and high levels of avoidable hospital admissions struck me an interesting (but not surprising).

    West Virginia comes in at 44 of 51 in the survey. (full details on West Virginia here and here). The state ranking was a product of aggregating measurements in 32 benchmarks spread across five categories: access to health care (determined by the number of insured residents); quality of care; unnecessary hospital use and procedures; equity of access based on income and ethnicity; and the overall health of the population.