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RÉFORME DES SOINS DE SANTÉ - PROGRAMME EUGÉNIQUE - HEALTH CARE REFORM - (PARTIE 2)
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MessagePosté le: Sam 28 Juin - 00:43 (2014)    Sujet du message: HOSPITALS BEGIN DATA-MINING ON PATIENTS Répondre en citant

HOSPITALS BEGIN DATA-MINING ON PATIENTS



You may soon get a call from your doctor if you’ve let your gym membership lapse, made a habit of picking up candy bars at the check-out counter or begin shopping at plus-sized stores.

That’s because some hospitals are starting to use detailed consumer data to create profiles on current and potential patients to identify those most likely to get sick, so the hospitals can intervene before they do.
 
Information compiled by data brokers from public records and credit card transactions can reveal where a person shops, the food they buy, and whether they smoke. The largest hospital chain in the Carolinas is plugging data for 2 million people into algorithms designed to identify high-risk patients, while Pennsylvania’s biggest system uses household and demographic data. Patients and their advocates, meanwhile, say they’re concerned that big data’s expansion into medical care will hurt the doctor-patient relationship and threaten privacy.
 
“It is one thing to have a number I can call if I have a problem or question, it is another thing to get unsolicited phone calls. I don’t like that,” said Jorjanne Murry, an accountant in Charlotte, North Carolina, who has Type 1 diabetes. “I think it is intrusive.”
 
Acxiom Corp. (ACXM) and LexisNexis are two of the largest data brokers who collect such information on individuals. They say their data are supposed to be used only for marketing, not for medical purposes or to be included in medical records.
 
While both sell to health insurers, they said it’s to help those companies offer better services to members.

  Bigger Picture 


Much of the information on consumer spending may seem irrelevant for a hospital or doctor, but it can provide a bigger picture beyond the brief glimpse that doctors get during an office visit or through lab results, said Michael Dulin, director of research and evidence-based medicine at Carolinas HealthCare System.
 
Carolinas HealthCare System operates the largest group of medical centers in North Carolina and South Carolina, with more than 900 care centers, including hospitals, nursing homes, doctors’ offices and surgical centers. The health system is placing its data, which include purchases a patient has made using a credit card or store loyalty card, into predictive models that give a risk score to patients.
 
Within the next two years, Dulin plans for that score to be regularly passed to doctors and nurses who can reach out to high-risk patients to suggest interventions before patients fall ill.
 
Buying Cigarettes
 
For a patient with asthma, the hospital would be able to score how likely they are to arrive at the emergency room by looking at whether they’ve refilled their asthma medication at the pharmacy, been buying cigarettes at the grocery store and live in an area with a high pollen count, Dulin said.
 
The system may also score the probability of someone having a heart attack by considering factors such as the type of foods they buy and if they have a gym membership, he said.

“What we are looking to find are people before they end up in trouble,” said Dulin, who is also a practicing physician. “The idea is to use big data and predictive models to think about population health and drill down to the individual levels to find someone running into trouble that we can reach out to and try to help out.”

While the hospital can share a patient’s risk assessment with their doctor, they aren’t allowed to disclose details of the data, such as specific transactions by an individual, under the hospital’s contract with its data provider. Dulin declined to name the data provider.

 Greater Detail
 
If the early steps are successful, though, Dulin said he would like to renegotiate to get the data provider to share more specific details on patient spending with doctors.

“The data is already used to market to people to get them to do things that might not always be in the best interest of the consumer, we are looking to apply this for something good,” Dulin said.
 
While all information would be bound by doctor-patient confidentiality, he said he’s aware some people may be uncomfortable with data going to doctors and hospitals. For these people, the system is considering an opt-out mechanism that will keep their data private, Dulin said.
 
‘Feels Creepy’ 


“You have to have a relationship, it just can’t be a phone call from someone saying ‘do this’ or it just feels creepy,” he said. “The data itself doesn’t tell you the story of the person, you have to use it to find a way to connect with that person.”
 
Murry, the diabetes patient from Charlotte, said she already gets calls from her health insurer to try to discuss her daily habits. She usually ignores them, she said. She doesn’t see what her doctors can learn from her spending practices that they can’t find out from her quarterly visits.

 “Most of these things you can find out just by looking at the patient and seeing if they are overweight or asking them if they exercise and discussing that with them,” Murry said. “I think it is a waste of time.”

 While the patients may gain from the strategy, hospitals also have a growing financial stake in knowing more about the people they care for.
 
Under the Patient Protection and Affordable Care Act, known as Obamacare, hospital pay is becoming increasingly linked to quality metrics rather than the traditional fee-for-service model where hospitals were paid based on their numbers of tests or procedures.
 
Hospital Fines 


As a result, the U.S. has begun levying fines against hospitals that have too many patients readmitted within a month, and rewarding hospitals that do well on a benchmark of clinical outcomes and patient surveys.
 
University of Pittsburgh Medical Center, which operates more than 20 hospitals in Pennsylvania and a health insurance plan, is using demographic and household information to try to improve patients’ health. It says it doesn’t have spending details or information from credit card transactions on individuals.
 
The UPMC Insurance Services Division, the health system’s insurance provider, has acquired demographic and household data, such as whether someone owns a car and how many people live in their home, on more than 2 million of its members to make predictions about which individuals are most likely to use the emergency room or an urgent care center, said Pamela Peele, the system’s chief analytics officer.
 
Emergency Rooms 

Studies show that people with no children in the home who make less than $50,000 a year are more likely to use the emergency room, rather than a private doctor, Peele said.

UPMC wants to make sure those patients have access to a primary care physician or nurse practitioner they can contact before heading to the ER, Peele said. UPMC may also be interested in patients who don’t own a car, which could indicate they’ll have trouble getting routine, preventable care, she said.
 
Being able to predict which patients are likely to get sick or end up at the emergency room has become particularly valuable for hospitals that also insure their patients, a new phenomenon that’s growing in popularity. UPMC, which offers this option, would be able to save money by keeping patients out of the emergency room.

Obamacare prevents insurers from denying coverage because of pre-existing conditions or charging patients more based on their health status, meaning the data can’t be used to raise rates or drop policies.
 
New Model
 

“The traditional rating and underwriting has gone away with health-care reform,” said Robert Booz, an analyst at the technology research and consulting firm Gartner Inc. (IT) “What they are trying to do is proactive care management where we know you are a patient at risk for diabetes so even before the symptoms show up we are going to try to intervene.”

Hospitals and insurers need to be mindful about crossing the “creepiness line” on how much to pry into their patients’ lives with big data, he said. It could also interfere with the doctor-patient relationship

The strategy “is very paternalistic toward individuals, inclined to see human beings as simply the sum of data points about them,” Irina Raicu, director of the Internet ethics program at the Markkula Center for Applied Ethics at Santa Clara University, said in a telephone interview.

http://patriotrising.com/2014/06/26/hospitals-begin-data-mining-patients/


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MessagePosté le: Mar 1 Juil - 20:20 (2014)    Sujet du message: NEW SPEAKERS ANNOUNCED! UTILIZING BIG DATA TO ACHIEVE HEALTHCARE SOLUTIONS Répondre en citant

NEW SPEAKERS ANNOUNCED! UTILIZING BIG DATA TO ACHIEVE HEALTHCARE SOLUTIONS

--------------------------------------------------
Government Executive Events
--------------------------------------------------
Utilizing Big Data to Achieve Healthcare Solutions
Thursday, June 10, 2014
2:00PM EST

>> Click Here to Register!
http://event.on24.com/r.htm?e=807216&s=1&k=04495BBAAE1B4A200740BA59…

Big data continues to prove its mettle in a variety of missions across government, and the technology is now beginning to show significant promise in agencies charged with researching health and providing healthcare to our nation's war-fighters and veterans. Steadily, agencies like the Department of Veterans Affairs, National Institutes of Health and others are becoming more data-intensive and data-driven, yet these agencies face major security challenges in protecting large amounts of sensitive patient information. They also face the need for relevant software, tools, training and education in order to put that big data to use in a positive and cost-efficient manner.

How can agencies tackle some of these obstacles in order to succeed in the full-scale implementation of big data healthcare solutions? Join us on July 10th for a live viewcast to learn:

-     How to use data driven by mobile technology to improve patient/citizen care
-    What strategies your agency can use to deliver real-time data impacting patient care and remote patient monitoring
-    How to improve your agency’s data-flexibility while reducing costs
-    Why collaborative healthcare solutions and information sharing can provide the highest quality data

>> Click Here to Register!
http://event.on24.com/r.htm?e=807216&s=1&k=04495BBAAE1B4A200740BA59…

Speakers:
Damon Davis
Director for the Health Data Initiative
Office of the Chief Technology Officer
Department of Health and Human Services

Audie Hittle
Chief Technology Officer
EMC Isilon

Moderated by:
Ryan McCullough
Vice President & General Manageer, Federal Division
GovPlace

   
>> CLICK HERE TO REGISTER!
http://event.on24.com/r.htm?e=807216&s=1&k=04495BBAAE1B4A200740BA59…


>> Know a colleague who may be interested?  Feel free to pass this message along!

Underwritten By:
GovPlace and EMC2

Produced By:
Government Executive Media Group

---------------------------------------------------------------------------



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MessagePosté le: Ven 22 Aoû - 17:21 (2014)    Sujet du message: UTILIZING BIG DATA TO ACHIEVE HEALTHCARE SOLUTIONS Répondre en citant

UTILIZING BIG DATA TO ACHIEVE HEALTHCARE SOLUTIONS

On-Demand Viewcast
Duration: 1 hour
(August 2014)

Big data continues to prove its mettle in a variety of missions across government, and the technology is now beginning to show significant promise in agencies charged with researching health and providing healthcare to our nation's war-fighters and veterans. Steadily, agencies like the Department of Veterans Affairs, National Institutes of Health and others are becoming more data-intensive and data-driven, yet these agencies face major security challenges in protecting large amounts of sensitive patient information. They also face the need for relevant software, tools, training and education in order to put that big data to use in a positive and cost-efficient manner.

How can agencies tackle some of these obstacles in order to succeed in the full-scale implementation of big data healthcare solutions? Join us on July 10th for a live viewcast to learn:
  • How to use data driven by mobile technology to improve patient/citizen care
  • What strategies your agency can use to deliver real-time data impacting patient care and remote patient monitoring
  • How to improve your agency’s data-flexibility while reducing costs
  • Why collaborative healthcare solutions and information sharing can provide the highest quality data

Speakers:

Audie Hittle
Chief Technology Officer (CTO), Federal Market
EMC Isilon

Damon Davis
Director for the Health Data Initiative, Office of the Chief Technology Officer
Department of Health and Human Services


Moderated by:

Ryan McCullough
Vice President & General Manager, Federal Division
Govplace

https://event.on24.com/eventRegistration/EventLobbyServlet?target=registrat…


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MessagePosté le: Jeu 23 Oct - 03:35 (2014)    Sujet du message: OBAMA CARE BILLING CODE ICD-9 E978: EXECUTIONS AND BEHEADINGS Répondre en citant

OBAMA CARE BILLING CODE ICD-9 E978: EXECUTIONS AND BEHEADINGS


photo credit pakalert

As Obama Care is being implemented, another “wonderful” burdensome item is being added to the reform of the American Medical industry: the shift to the international medical codes.

In conjunction with Obama Care, every American citizen under international codes to link us to this new, wonderful “international” system. This the International Classification of Diseases (IDC) is part of the part of the “medical coding” under (WHO) the World Health Organization. This basically gives our health information to the United Nations.

As of October 1, 2014 the ICD 9 coding used has an additional 86,000 codes. ICD-10-PCS (Procedure Code System) “mandated” medical coding will add 68,105 codes. There will be 155,000 medical codes for medical professionals to learn and peruse for each patient. According to the Center for Medicare and Medicate (CMS.gov) is being undertaken under revisions mandated by the  Health Insurance Portability Accountability Act (HIPAA).
 



    One of the most gruesome medical codes is  E978.Apparently it is a billable claim number, although I have to wonder who would ever file such a claim for reimbursement under medicaid, medicare, or any other program.



ICD 9 E 978 “Legal Execution

All executions performed at the behest of the judiciary or ruling authority [whether permanent or temporary] as:

  • asphyxiation by gas
  • beheading, decapitation (by guillotine)
  • capital punishment
  • electrocution
  • hanging
  • poisoning
  • shooting
  • other specified means

Yikes! What sort of medical treatment is this?

Ruling authority? A Temporary Ruling Authority engaged in decapitations by guillotine? What sort of nonsense is this? Exactly what is our government planning? And why is this billable under Obama Care? Exactly who would be submitting this bill? Is the “ruling authority” going to be paid for these beheadings by the Affordable Care Act (aka Obama Care)?

http://thelibertydigest.com/2013/11/24/obama-care-billing-code-icd-9-e978-executions-and-beheadings/


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MessagePosté le: Sam 13 Déc - 04:30 (2014)    Sujet du message: CONNECTIVITY ACELERATES FOR MILITARY MEDICINE Répondre en citant

CONNECTIVITY ACELERATES FOR MILITARY MEDICINE

By Beth Schwinn, DCoE Public Affairs on December 12, 2014


Health care specialists at Camp Casey, South Korea, receive new computer equipment. (U.S. Army photo by Cpl. Gun Woo Song)
 

It’s been a long road to the Internet age for military medicine, but the pace of change is accelerating, Defense Department officials said last week at the AMSUS Society of Federal Health Professionals meeting in Washington, D.C.

“We are applying technology to the development of a 21st century health care system,” said Dr. David Smith, deputy assistant secretary of defense for Force Health Protection and Readiness.

Worldwide network connectivity will make military medicine available at need, Smith said, giving it a capacity to “surge” in specific locations as required. For example, he noted, we can provide additional behavioral support remotely—something we couldn’t offer after the 2009 Fort Hood, Texas, shooting that affected dozens of families.

Smith said that the Defense Department is pioneering technology-enabled improvements in global health such as the Global Emerging Infections Surveillance and Response System, currently used to track Ebola, and the Suite for Automated Global Electronic Bio-Surveillance, a collection of open-source software products that can use any combination of radios, simple cell phones, Android-based smartphones, tablets, and computers to collect data. The tool enables even countries with limited technology to share disease data with other nations.

According to Smith, other technology in testing or on the horizon includes: virtual intensive care units that can deploy anywhere; rugged mobile logistics systems that enable providers to track the location of every item of medical equipment down to pill boxes; a fluid medical waste treatment system to dispose of or neutralize dangerous materials; and a mobile health app that enables asynchronous consultations.

The Military Health System now has a comprehensive vision for integrating computers and mobile devices into every phase of health care to improve care while reducing the need to transport medical equipment and specialists to remote locations, said Col. Daniel Kral, director of the Telemedicine and Advanced Technology Research Center.

“No health care system in the world has a greater need for telehealth than [the Defense Department],” Kral said.

In the future, military medicine will be connected around the clock, all over the world, Kral said. Advancements in this area of technology will allow:
  • Providers complete access to medical imagery and records from any location
  • Consultations among health care providers in different countries
  • Shared workloads across health care systems
  • Providers to deliver care and monitor patients through web portals and mobile devices

Col. Linda Lawrence, director of health care operations at the office of the Air Force Surgeon General, said that a connected military health system will be a particular boon to units outside the contiguous United States.

Lawrence, a former commander of the 31st Medical Group at Aviano Air Base in Italy, said that overseas airmen and their families would benefit from greater access to specialty care, mental health care for example.

“Telemedicine needs to become part of mission planning,” she said.

Learn about the technology tools created to support service members and the Military Health System from the National Center for Telehealth & Technology.

http://www.dcoe.mil/MediaCenter/News/details/14-12-12/Connectivity_Accelerates_for_Military_Medicine.aspx


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MessagePosté le: Dim 4 Jan - 07:02 (2015)    Sujet du message: THE NEW YEAR BRINGS NEW OBAMACARE FINES, PENALTIES, MANDATES AND NEW PREMIUM INCREASES Répondre en citant

THE NEW YEAR BRINGS NEW OBAMACARE FINES, PENALTIES, MANDATES AND NEW PREMIUM INCREASES 



VIDEO : https://www.youtube.com/watch?v=CHYFGFTu31Q


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MessagePosté le: Sam 10 Jan - 00:00 (2015)    Sujet du message: E-Prescribing – COMING SOON TO A MILITARY PHARMACY NEAR YOU! Répondre en citant

E-Prescribing – COMING SOON TO A MILITARY PHARMACY NEAR YOU!





1/8/2015By: TRICARE.mil StaffShare

Related Topics: TRICARE Health Program, Military Hospitals and Clinics

The Military Health System has deployed electronic prescribing in military pharmacies across its system of clinics and hospitals in the United States (and in Guam and Puerto Rico). This capability will allow civilian providers to send prescriptions electronically to military pharmacies, reducing the need for handwritten prescriptions.

“E-prescribing is a great new service at military pharmacies,” said Dr. George Jones, chief of the Defense Health Agency Pharmacy Operation Division.

“E-prescribing makes military pharmacies a more attractive and convenient option for doctors and patients, and it aligns the Military Health System with current best pharmacy practices.”


E-prescribing is a safe and efficient option already adopted by most civilian pharmacies and providers. It can help reduce prescription errors and has the potential to decrease wait times at military pharmacies. When a prescription comes into a pharmacy electronically, it allows the pharmacist to resolve issues before the patient arrives.

Beneficiaries can ask their doctor to look for their local military pharmacies in the e-prescribing database/networks. Military hospitals and clinics will not be able to accept electronic prescriptions for controlled substances. Beneficiaries will still need a hand written prescription for these medications. To learn more about TRICARE’s pharmacy benefits, visit the TRICARE website.

http://www.health.mil/News/Articles/2015/01/08/EPrescribing--Coming-Soon-to…



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MessagePosté le: Mer 21 Jan - 03:59 (2015)    Sujet du message: TRICARE PATIENTS MUST ATTEST TO HEALTH CARE COVERAGE Répondre en citant



TRICARE PATIENTS MUST ATTEST TO HEALTH CARE COVERAGE

Story Number: NNS150120-06Release Date: 1/20/2015 9:15:00 AM 

By Terri Moon Cronk, DoD News, Defense Media Activity

WASHINGTON (NNS) -- As tax season begins, Defense Department officials want to remind TRICARE beneficiaries of changes in the tax laws, which require all Americans to have health care insurance or potentially pay a tax penalty.

For the first time since the Affordable Care Act passed in 2010, all U.S. citizens, including service members, military retirees and their family members, must report health care coverage on their 2014 taxes, said Mark Ellis, a Defense Health Agency health care operations program analyst.

For this year only, taxpayers will "self-attest" on their 2014 tax forms to each month in which they had health care coverage, he said.

*Meets Minimal Essential Coverage*

The act mandates that health care must meet minimum essential coverage, and TRICARE coverage meets that criteria for the majority of service members and their families, Ellis said.

TRICARE Prime, TRICARE Standard, TRICARE for Life, TRICARE Overseas, TRICARE Remote and the Uniformed Services Family Health Plan meet the minimum essential coverage, he added. When purchased, premium-based plan such as TRICARE Reserve Select or TRICARE Retired Reserve also fulfill the act's requirements.

Uniformed service members who have questions about TRICARE, the act and the individual coverage mandate can visit the TRICARE website to download a fact sheet on TRICARE and the act, with TRICARE plans compared to minimum essential coverage, Ellis said.

Military beneficiaries that are solely eligible for care in military hospitals and clinics, for example, parents and parents-in-law, have an automatic exemption from the tax penalty for tax year 2014 only.

(NOTE: The TRICARE and ACA fact sheet is available at http://www.tricare.mil/~/media/Files/TRICARE/Publications/FactSheets/ACA_FS…

The site also has suggestions for those who need to purchase coverage to meet the act's minimum requirements, he noted. "That could include retired reservists, Selected Reserve members, young adults up to age 26 and those who leave military service but need transitional coverage," Ellis said.

TRICARE beneficiaries with tax questions should contact the Internal Revenue Service or their tax advisers, he emphasized.

"The experts there can help them," Ellis said.

Editor's Note: An earlier version of this story stated that TRICARE would send tax forms to its customers in January 2015. That was incorrect. TRICARE customers, like all filers, will self-attest on their 2014 tax returns, no health care coverage forms will be mailed.

http://www.navy.mil/submit/display.asp?story_id=85247


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MessagePosté le: Mar 3 Fév - 03:51 (2015)    Sujet du message: OBAMA CARE COMING OUT OF YOUR TAXES! Répondre en citant

OBAMA CARE COMING OUT OF YOUR TAXES!



VIDEO : https://www.youtube.com/watch?v=4rxgDJX9Xfk


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MessagePosté le: Sam 7 Mar - 18:08 (2015)    Sujet du message: SENATOR CITES POPE IN OBAMACARE'S DEFENSE Répondre en citant

SENATOR CITES POPE IN OBAMACARE'S DEFENSE

By Peter Sullivan - 03/05/15 04:53 PM EST



Sen. Tim Kaine (D-Va.) on Thursday cited Pope Francis in defending ObamaCare against a lawsuit heard by the Supreme Court. 

Kaine, a Catholic, pointed to the pope's message from the beginning of the season of Lent, when he called for "islands of mercy in the midst of the sea of indifference."

"The Affordable Care Act reaches into lives that have often been drowned in a sea of indifference and offers those lives some mercy," Kaine said on a conference call with faith leaders defending the healthcare law.

Pope Francis has been invoked by other Democrats, including President Obama, in the past. He is set to address a joint session of Congress in September.

The Supreme Court on Wednesday heard arguments in the case of King v. Burwell, which could gut ObamaCare by invalidating subsidies that help about 7.5 million people pay for health insurance.

"It's not about words on a page, it's not about some arcane statutory reference," Kaine said. "It's about whether the plaintiffs will succeed in stripping away from millions of American the financial support that they use to buy health insurance for the first time in their lives."

The Obama administration and other Democrats have been looking to show the court the practical effects of a ruling against the subsidies.

Other faith leaders on the call also made the case for the law.

"We are advocating and praying that the Supreme Court will see that this is about life and death, and choose life," said Sister Simone Campbell, a leader of the Nuns on the Bus movement, which advocates for causes such as economic fairness and immigration reform.

Rabbi Jonah Pesner, director of the Religious Action Center of Reform Judaism, also made a religious argument for the health law.

"If every person was created in God's image, then doesn't everyone deserve access to quality healthcare?" he said.

http://thehill.com/policy/healthcare/234803-senator-cites-pope-francis-to-d…


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MessagePosté le: Dim 19 Avr - 05:50 (2015)    Sujet du message: OBAMA SIGNS INTO LAW AN HISTORIC ATTACK ON MEDICARE Répondre en citant

OBAMA SIGNS INTO LAW AN HISTORIC ATTACK ON MEDICARE



VIDEO : https://www.youtube.com/watch?v=suScIrIVylQ

US SENATE PASSES HR 2 BILL : A HISTORIC ATTACK ON MEDICARE 

By Kate Randall
Global Research, April 17, 2015
World Socialist Web Site

Region: USA
Theme: Law and Justice, Poverty & Social Inequality, Science and Medicine



US President Barack Obama signed into law on Thursday the Medicare Access and CHIP Reauthorization Act of 2015 https://www.congress.gov/bill/114th-congress/house-bill/2/text , marking a new stage in the bipartisan assault on the government health insurance program for 53 million American seniors and the disabled.

The bill, HR 2, was passed this week by the Senate, following approval by the House last month—in both cases by overwhelming bipartisan majorities.

Obama praised the bill as a “milestone,” after the Senate vote Tuesday. On Thursday, he praised the “bipartisan achievement,” saying that it would “be good for people who use Medicare, it’s going to be good for our seniors.”

In fact, the bill expands means testing for Medicare and establishes a new payment system in which doctors will be rewarded for cutting costs while being punished for the volume and frequency of the health care services they provide.

The press has depicted the bill as a miracle of bipartisanship, demonstrating that Democrats and Republicans can work together to end Washington “gridlock” in the interest of the public good. The reality is that the bill is ultimately aimed at gutting health care services for the millions of seniors who rely upon it.

News reports have focused on the “doc fix” contained in the legislation, which establishes a new payment schedule for doctors in place of a formula that since 1997 has tied doctor payments to economic growth, the sustainable growth rate, or SGR. The bill’s passage averts a 21 percent payment cut that would have gone into effect April 1, and provides modest increases in doctor payments through 2019.

Beginning in 2019, however, doctors will qualify for bigger reimbursements if they participate in one of two programs in which they will be paid, according to Obama, based on a “payment model that rewards quality of care instead of quantity of care.” Reference to “quality of care” is a political fraud. Doctors will have a financial incentive to withhold more expensive tests and services, and will be rewarded for rationing care and cutting costs.

The bipartisan backing for the Medicare bill is based on common agreement on one basic issue: Medicare spending must be slashed and a radical shift needs to be instituted in the program—away from the “lavish” fee-for-service system, while transforming Medicare into a poverty program in which the vast majority of beneficiaries receive barebones coverage.

An examination of the bill’s backers provides insight into its reactionary nature. Its chief House sponsor was Representative Michael Burgess, a right-wing Tea Party politician from Texas. Republican House speaker John Boehner, who crafted the bill alongside Democratic House leader Nancy Pelosi, described HR 2 as “The first real entitlement reform we’ve seen in nearly two decades”—a reference to Welfare “reform” passed in 1996 under the Clinton administration.

Representative Paul Ryan (Republican of Wisconsin), a presidential hopeful who has called for privatizing Medicare by replacing it with a voucher system, wrote in an op-ed piece calling for passage of the bill, “Medicare is going broke… that’s why we need these structural reforms.”

And in an article in the right-wing National Review headlined “A Medicare Bill Conservatives Need to Embrace,” Ryan Ellis wrote,
Citation:





“We can very reasonably anticipate a future where my daughter—who will turn 65 in November of 2078—will be a then-typical senior who pays for most of her own Medicare benefit. That will be largely thanks to HR 2…”






The current Medicare “reform” is in line with Obama’s signature domestic initiative, the Affordable Care Act (ACA). Under the ACA’s “individual mandate,” individuals and families without health coverage from their employer or a government program such as Medicare or Medicaid are required to purchase coverage from private insurance companies. There is minimal oversight on what these insurers can charge their captive pool of customers, and many policies carry deductibles and out-of-pocket costs upwards of $5,000 annually.

Obamacare was presented as legislation that would provide near-universal, high-quality health care to millions of Americans. Since its passage into law in 2010, the ACA has been exposed as a boondoggle for the health care industry that has forced millions of people to sign up for overpriced, substandard coverage. Those who remain uninsured have been slapped with tax penalties, while others who did sign up have faced rising premiums and collection calls from the government to pay up.

The New York Times, a fervent supporter of the legislation popularly known as Obamacare, has also campaigned relentlessly for reining in spending on “unnecessary” tests and procedures, particularly for Medicare recipients. Services targeted by the Times include mammograms and breast exams, heart stents, cholesterol drugs and prostate screenings, to name just a few.

Stated simply, the Obama administration and its “liberal” supporters, along with the overwhelming majority of the politicians in the two big-business parties, feel that drastic measures are required to counteract what they perceive as an unpleasant reality: seniors are living too long into retirement and sucking up health care resources.

To reverse this trend, measures being instituted through Obamacare and the new Medicare bill will result in reduced medical care, needless suffering and untimely deaths.

The new Medicare bill has been largely hatched as a conspiracy behind the backs of the American people. There were no Congressional hearings or public debate on the sweeping measures contained in the legislation.

The White House and politicians in Congress are well aware that Medicare and Social Security, the government retirement program, are widely popular and that moves to attack or privatize them will be met with suspicion and opposition. Hence their duplicity in pushing through their “reforms.”

The gutting of Medicare is part of an assault on health care that affects the working class and considerable sections of middle-income families. Obamacare is also having the effect of dismantling employer-provided health care for active workers and retirees, the system that for seven decades has traditionally provided health coverage for most US workers.

The drive to slash Medicare spending and ultimately dismantle it is part of a broader strategy of the ruling elite, which seeks to boost its wealth and profits by clawing back the living standards and gains won by the working class in decades of struggle. These include not only Medicare, Medicaid and Social Security, but public education, the right to decent and affordable housing, and the right to culture.

A solution to the health care crisis cannot be left in the hands of the ruling elite and its political representatives. Medical care must be taken out of the hands of the for-profit health care industry and placed on socialist foundations, guaranteeing free, high-quality health care for all through the establishment of a democratically run, publicly owned socialized health care system.

http://www.globalresearch.ca/us-senate-passes-hr-2-bill-a-historic-attack-o…


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MessagePosté le: Mer 17 Juin - 02:59 (2015)    Sujet du message: VA DEMOS PROTOTYPE FOR NEW PATIENT RECORD SYSTEM Répondre en citant

VA DEMOS PROTOTYPE FOR NEW PATIENT RECORD SYSTEM


The Minneapolis Veterans Affairs Hospital // Jim Mone/AP File Photo

By Mohana Ravindranath June 12, 2015

The Department of Veterans Affairs is designing a new platform that can pull patient records from disparate hospital systems into one virtual place, potentially giving physicians a more complete look at a patient's history.

The Enterprise Health Management Platform, or eHMP, is still in its early stages. Pilots in a few cities including Portland, Oregon and San Antonio, Texas, are scheduled to begin in July. But during a briefing with reporters Thursday, VA officials were eager to demonstrate progress on the prototype, though it's still buggy -- a pop-up information box lingers after the user moves the cursor away, for instance.

The current version of eHMP is read-only, meaning clinicians can use it to view patient records from VA, the Defense Department and community health partners through an electronic health information exchange. But it's an improvement on VA's current platform -- the Computerized Patient Record System -- because it lets clinicians search beyond files stored at their location, Neil Evans, ‎co-director of connected health at the Veterans Health Administration, said during the demonstration. Currently, a care provider must use a remote-viewing application to access records from other facilities. 

A more integrated system could help care providers see which drugs a patient has been prescribed and filled and in which location. This approach shows physicians a broader look at possible drug interactions among other risks, said David Waltman, VA's senior adviser to the undersecretary for health.

VA plans to give all VA facilities access to eHMP by 2017, and to phase out CPRS by 2020, Waltman said.

The demonstration to reporters came as Pentagon officials are assessing bids on an up to $11 billion contract for a revamped electronic health record system there. In 2014, the House Appropriations Committee approved a plan to withhold VA's 2015 fiscal year funding for EHR upgrades until VA reported progress on interoperability with DOD's system. DOD's new digital service team is also working on integrating DOD and VA's records.

EHMP has an improved "search" capability, Evans said. A care provider can type in a term such as "antibiotic," pulling up all mentions across patient records and lab reports. The system also contains a Web service, allowing users to access medical literature related to terms mentioned in patient records.

VA is also adding features that would let patients access and contribute to their own records using Web and mobile apps, Evans said.

For instance, patients might enter blood pressure data if they're monitoring it at home, or could share their health goals with their care provider. VA also aims to share the eHMP software development kit with inventors; recently, some members of the Presidential Innovation Fellows program created a Fitbit application for the platform, which could funnel in data collected by the wearable fitness devices, Waltman said.

Over the next few years, the department plans to improve upon and add more features to the application, such as the ability to order lab tests or medication. It's being developed using an agile process, and new iterations are rolled out every couple of weeks, Waltman said. “Some of these [features] are just in the middle of being coded," he added

“As entertaining as it was for us to have [[i]The Daily Show[/i] host] Jon Stewart talk about [DOD system] AHLTA and [VA system] VISTA not talking to each other, that's not a laughing matter for veterans and service members," Waltman continued.

"We have shared data between DOD and VA for a long time, but what we have not always done, and what we are creating now, is a system for providers at the point of care taking care of veterans, that natively integrates all of the data from both sides," he explained.

http://www.nextgov.com/health/health-it/2015/06/va-demos-prototype-new-pati…



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MessagePosté le: Lun 22 Juin - 04:06 (2015)    Sujet du message: IMPROVISE, ADAPT AND OVERCOME FEDERAL HEALTHCARE CHALLENGES WITH ANALYTICS Répondre en citant


http://www.ibmandtheholocaust.com/

http://www.ibmandtheholocaust.com/
IMPROVISE, ADAPT AND OVERCOME FEDERAL HEALTHCARE CHALLENGES WITH ANALYTICS 


Thursday, June 25, 2015

Why this date? We are June 22, 2015. As you can see, nothing has change. The same corporation still on the board and ready for the next global war.

02:00 PM EDT


Duration: 1 hour

Federal healthcare is in the midst of massive and ongoing change. The full impact of new technologies, the genomic revolution, personalized medicine, health reform legislation, and consumer driven healthcare have yet to be felt, however the public consternation of the rising costs of prescription medications, testing, insurance premiums has already arrived, while fraud and improper payments promise to be an on-going and expensive challenge.

There is, however, a silver lining. The by-product of this growth is the massive amounts of structured and unstructured data that is being generated and the promise of the knowledge it will and is bringing Federal healthcare missions adept at extracting and operationalizing this insight, while enhancing collaboration and improving outcomes through the utilization powerful suites of analytic capabilities.

Please join us for an interactive discussion where subject matter experts and industry leaders will show you how to manage the healthcare data explosion to support your mission needs and business challenges.


Speakers:
Drew Friedrich
Federal Information Management & Big Data Solutions Director
IBM

Colonel (Ret.) David Parramore
Director, Strategic Health Initiatives
IBM Federal

Tony Trenkle
Chief Health Information Officer
IBM Federal




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MessagePosté le: Sam 27 Juin - 03:47 (2015)    Sujet du message: THE PRESIDENT SPEAKS ON THE SUPREME COURT'S RULING OF THE AFFORDABLE CARE ACT Répondre en citant

THE PRESIDENT SPEAKS ON THE SUPREME COURT'S RULING OF THE AFFORDABLE CARE ACT



VIDEO : https://www.youtube.com/watch?v=heWEWlY-z6A


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MessagePosté le: Lun 5 Oct - 10:44 (2015)    Sujet du message: TRICARE BENEFIT CHANGES OCTOBER 1 Répondre en citant



TRICARE BENEFIT CHANGES OCTOBER 1

10/1/2015

As of October 1, 2015, a new law requires all TRICARE beneficiaries, except active duty service members, to get select brand name maintenance drugs through either TRICARE Pharmacy Home Delivery or from a military pharmacy. Beneficiaries who keep using a retail pharmacy for these drugs will have to pay the full cost.

Maintenance drugs are drugs you take regularly for a long time, such as to control blood pressure or cholesterol. The law does not apply to drugs you take for a short time, like antibiotics, or generic drugs. If you live overseas, or have other prescription drug coverage, you are not affected.

The TRICARE pharmacy contractor, Express Scripts, sent a letter to affected beneficiaries in September explaining their options. Beneficiaries can contact Express Scripts at 1-877-363-1303 if they have any questions.

Now, beneficiaries who fill an affected drug at a retail pharmacy will get another letter from Express Scripts.  After that, beneficiaries have one final “courtesy” fill at a retail pharmacy. If they fill at a retail pharmacy again, they have to pay 100 percent of the cost of their medication.

TRICARE Pharmacy Home Delivery is a safe, convenient and low cost option to get maintenance drugs. You’ll save up to $176 a year for each brand name drug you switch from retail to Home Delivery. If you want to use a military pharmacy, make sure to check first to see if they carry your prescription. For more about this change to TRICARE’s pharmacy benefit, visit www.tricare.mil/RxNewRules.

Last Updated 10/1/2015

http://www.tricare.mil/CoveredServices/BenefitUpdates/Archives/10_01_15_PharmacyChanges.aspx


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MessagePosté le: Mer 14 Oct - 03:15 (2015)    Sujet du message: SENATORS AIM TO REVAMP FEDERAL RULES FOR ELECTRONIC MEDICAL CHARTS Répondre en citant

SENATORS AIM TO REVAMP FEDERAL RULES FOR ELECTRONIC MEDICAL CHARTS
 

Sen. Sheldon Whitehouse, D-R.I. // Manuel Balce Ceneta/AP

By Rachel Roubein National Journal October 6, 2015
NEXTGOV

A bi­par­tis­an pair of sen­at­ors Tues­day in­tro­duced le­gis­la­tion aimed at im­prov­ing elec­tron­ic health re­cords’ trans­par­ency and ac­count­ab­il­ity.

Since the spring, Sen­ate Health, Edu­ca­tion, Labor, and Pen­sions Com­mit­tee mem­bers have been dis­sect­ing elec­tron­ic health re­cords, un­earth­ing a lit­any of prob­lems with this in­form­a­tion tech­no­logy. And in the middle of one such hear­ing, a bi­par­tis­an con­sensus emerged—one that turned in­to the bill in­tro­duced Tues­day.

As Sen. Shel­don White­house re­calls, he heard Sen. Bill Cas­sidy ask­ing tough ques­tions on gag or­ders bar­ring doc­tors and hos­pit­als from dis­cuss­ing spe­cif­ic glitches in their pur­chased sys­tems. “I said right across the hear­ing room, ‘If you’re look­ing for a co­spon­sor on that, let me know,’” White­house, a Rhode Is­land Demo­crat, told Na­tion­al Journ­al.”

So, the two HELP Com­mit­tee mem­bers teamed up and in­tro­duced the Trust IT Act of 2015 Tues­day. The meas­ure would es­tab­lish a health IT rat­ing sys­tem that lets con­sumers com­pare dif­fer­ent products; ban health IT vendors from hav­ing nondis­clos­ure clauses in con­tracts; re­quire products meet­ing cer­tain se­cur­ity and in­ter­op­er­ab­il­ity re­quire­ments for cer­ti­fic­a­tion; and more.

The bill comes at a time when the HELP Com­mit­tee has made im­prov­ing health in­form­a­tion tech­no­logy a pri­or­ity, and as Obama­care aims to bol­ster the ex­change of health in­form­a­tion through elec­tron­ic health re­cords. Also, the le­gis­la­tion’s in­tro­duc­tion came on the same af­ter­noon that the Health and Hu­man Ser­vices De­part­ment re­leased two fi­nal rules aimed at in­creas­ing in­ter­op­er­ab­il­ity and im­prov­ing pa­tient out­comes.

The com­mit­tee has been hold­ing a series of hear­ings on elec­tron­ic health re­cords since March as it eyes in­tro­du­cing a bi­par­tis­an med­ic­al-in­nov­a­tion bill by the end of this year, and ac­cord­ing to a Re­pub­lic­an HELP aide, Chair­man Lamar Al­ex­an­der ex­pects that much of the newly in­tro­duced bill from White­house and Cas­sidy could be in­cor­por­ated in­to the com­mit­tee’s in­nov­a­tion le­gis­la­tion.

In late April, Al­ex­an­der and the pan­el’s top Demo­crat, Sen. Patty Mur­ray, an­nounced a bi­par­tis­an, full-com­mit­tee work­ing group aimed at find­ing ways to im­prove elec­tron­ic health re­cords. Staff from both parties began meet­ing with health pro­fes­sion­als, health in­form­a­tion tech­no­logy de­velopers, and oth­er ex­perts in the field.

In the chair­man’s words at a June hear­ing, elec­tron­ic health IT is a “tech­no­logy that has great prom­ise, but through bad policy and bad in­cent­ives, it has run off track.”

After those re­marks at a hear­ing titled “Health In­form­a­tion Ex­change: A Path To­wards Im­prov­ing the Qual­ity and Value of Health Care for Pa­tients,” Mur­ray named sev­er­al itemsthat needed im­prov­ing: shar­ing in­form­a­tion between dif­fer­ent sys­tems, known as in­ter­op­er­ab­il­ity; in­creas­ing the ease of shop­ping for elec­tron­ic health re­cord sys­tems; en­sur­ing the se­cur­ity of pa­tients’ health in­form­a­tion; and more. The new le­gis­la­tion ad­dresses some of these is­sues, and in a state­ment to Na­tion­al Journ­al, Mur­ray said: “I truly ap­pre­ci­ate the bi­par­tis­an work Sen­at­ors White­house and Cas­sidy have done to­ward im­prov­ing our health care sys­tem through stronger health in­form­a­tion tech­no­logy. I look for­ward to re­view­ing the le­gis­la­tion and con­tinu­ing our ef­forts to­geth­er to ad­vance med­ic­al in­nov­a­tion for fam­il­ies.”

Part of the new bill deals with gag clauses; a Septem­berPolitico re­port de­tailed that some big firms mar­ket­ing elec­tron­ic re­cord sys­tems have con­tracts bar­ring pro­viders from talk­ing about the bugs in the sys­tems.

“If you have a product which just does not work, the pro­vider can’t tell any­body about that,” Cas­sidy, a Louisi­ana Re­pub­lic­an, told Na­tion­al Journ­al last week. “And so you have tax­pay­er-sub­sid­ized products ba­sic­ally—be­cause people are get­ting such heavy sub­sidies to pur­chase them—which don’t work, but no one can know it.”

The le­gis­la­tion would change this, re­quir­ing health vendors to at­test that they don’t par­ti­cip­ate in cer­tain in­form­a­tion-block­ing tac­tics and al­low­ing the HHS in­spect­or gen­er­al to in­vest­ig­ate such al­leg­a­tions and as­sess pen­al­ties for those en­ga­ging in such prac­tices.

An­oth­er key com­pon­ent of the bill is let­ting health care pro­viders com­pare products based on se­cur­ity, us­ab­il­ity, and in­ter­op­er­ab­il­ity. It would es­tab­lish a health IT rat­ing sys­tem that would be avail­able on­line at the Of­fice of the Na­tion­al Co­ordin­at­or for Health In­form­a­tion Tech­no­logy web­site.

“Right now, after a health IT product is cer­ti­fied for use, there’s no way to en­sure that it con­tin­ues to de­liv­er as prom­ised for doc­tors and pa­tients, and no way to eas­ily com­pare one product to an­oth­er,” White­house said in a press re­lease an­noun­cing the bill. “This bill will es­tab­lish im­port­ant safe­guards to pre­vent sys­tems from un­der­per­form­ing and will grade them on their per­form­ance—changes that will im­prove mar­ket com­pet­i­tion and drive in­nov­a­tion.”

An­oth­er pro­vi­sion of the bill would re­quire that, in or­der to be cer­ti­fied, health IT products would have to meet cer­tain se­cur­ity, in­ter­op­er­ab­il­ity, and user-friendly design re­quire­ments. The over­all goal is bet­ter co­ordin­a­tion, said Cas­sidy, who is a prac­ti­cing phys­i­cian, in the re­lease. “Doc­tors will be able to bet­ter care for their pa­tients and, in turn, de­liv­er on the prom­ise that their in­form­a­tion is be­ing used for their be­ne­fit and not for the be­ne­fit of oth­ers.”

http://www.nextgov.com/health/2015/10/senators-aim-revamp-federal-rules-electronic-medical-charts/122602/?oref=nextgov_healthit_nl


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MessagePosté le: Mar 20 Oct - 03:34 (2015)    Sujet du message: WHITE HOUSE TURNS TO THREATS AS OBAMACARE ENROLLMENTS STALL Répondre en citant

WHITE HOUSE TURNS TO THREATS AS OBAMACARE ENROLLMENTS STALL



The Associated Press
by John Nolte19 Oct 2015http://www.breitbart.com/big-government/2015/10/19/white-house-turns-to-thr…

Now that ObamaCare is failing in the exact way its critics predicted more than 5 years ago, the White House is preparing to use threats to increase ObamaCare enrollment numbers next year. The threat, of course, is the ObamaCare tax.

Next year the annual fine for not buying President Obama’s overpriced health insurance will jump to $695 or 2.5% of your income, whichever is greater. The White House intends to use the hefty fines as leverage in the upcoming 2016 enrollment period, which starts in November:
Citation:


Administration officials are looking for a balance.
“We need to be make sure that we are very clear and explicit about that $695 penalty so people understand the choice they are making,” said spokeswoman Lori Lodes. But she said the main emphasis will stay on the benefits of having health insurance and how the law’s subsidies can dramatically lower the cost of monthly premiums.



It is no secret as to why no one is buying ObamaCare — ObamaCare sucks.

Already, a third of the co-ops have shut down, further undermining enrollee options; the cost of premiums are skyrocketing, primarily because only the sick are signing up, and you’re paying for a ton of Cadillac services you will never use: Men are paying for maternity care. We are all forced to pay for drug rehab.  Worst of all, the deductibles are sky high — in the thousands. The result is that a guy like me looking for single-person coverage ends up paying three hundred dollars-plus a month for a plan that offers no real benefits.

With that deductible, I pay for all of my medical coverage on top of obscenely-priced monthly premiums.

Before ObamaCare made them illegal, my catastrophic plan perfectly fit the bill. High deductible, low monthly premium, but if something terrible happened I was covered.

ObamaCare is a massive rip-off, a lousy product that gets lousier and more expensive every year, and most of the 40 million or so among the uninsured do not want it.

So far only 9.1 million people have enrolled in ObamaCare. The Department of Health and Human services is predicting that only 1 million more will enroll up next year. That is well below — more than 50% below — the Congressional Budget Office predictions that claimed there would be upwards of 21 million enrollees by the end of 2016.

The DC media called Obama’s critics racist for claiming ObamaCare would…
Citation:


…result in millions losing their insurance and doctors.
…increase the deficit.
…premiums would skyrocket.
….insurance companies would go out of business.
…most of the uninsured were uninsured by choice and not looking for ObamaCare.
…the government would threaten people who didn’t sign up.



All of that has come true.

It is only going to get worse.

And now we have reached the threat level — which is undoubtedly the part the White House and Left most looked forward to.

Affordable Care Act.

“Affordable”

Lol.

http://www.breitbart.com/big-government/2015/10/19/white-house-turns-to-threats-as-obamacare-enrollments-stall/?utm_source=facebook&utm_medium=social


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MessagePosté le: Dim 8 Nov - 04:12 (2015)    Sujet du message: SHOULD VA SCRAP VistA? CIO EVALUATES FUTURE OF HOME-GROWN HEALTH RECORDS SYSTEM Répondre en citant

SHOULD VA SCRAP VistA? CIO EVALUATES FUTURE OF HOME-GROWN HEALTH RECORDS SYSTEM
 

LaVerne Council, the assistant VA secretary for information and technology. // Veteran Affairs Department

By Jack Moore October 29, 2015

The new top IT official at the Department of Veterans Affairs told lawmakers Tuesday she is meeting with her staff this week to discuss the future of a planned upgrade of the department’s in-house electronic health record system.

The meeting comes after an independent report by MITRE Corp. concluded the homegrown system, first developed in the 1980s and still highly rated by clinicians, is “in danger of becoming obsolete.”

Amid ongoing concerns about the multiple, failed attempts to develop interoperable electronic health records between VA and the Defense Department, the report recommended VA conduct a cost-analysis of upgrading the Veterans Health Information Systems and Technology Architecture, known as VistA, compared to using open source EHRs and commercial off-the-shelf options.

LaVerne Council, the assistant VA secretary for information and technology and the agency’s chief information officer, will review the business case for the VistA upgrade along with VA Undersecretary of Health Dr. David Shulkin and then “determine the next steps,” Council told a joint congressional subcommittee hearing Tuesday.

VA, DOD Take Separate Paths on EHR Upgrades

In the two years since VA and DOD scrapped a plan to develop an integrated electronic health record, VA has been working on an incremental, multiyear replacement for its system, known as VistA Evolution.

DOD, meanwhile, has taken a completely different tack, awarding a $9 billion contract this summer to a team of contractors, including defense IT firm Leidos and Cerner, to implement commercial EHR technology.

Some lawmakers raised specific questions about VA’s continued reliance on the VistA system.

"Are we at the point where we just can't keep trying to rejigger the technology?” said Rep. Anne McClane Kuster, D-N.H., who cited cited the independent MITRE report, first reported by Politico last week.

Council said no decisions would be made until she’s reviewed the business case for the VistA Evolution upgrade.

“We wanted to have a fact-based conversation about the right next steps should be with VistA,” Council said. “We didn't want to take it from the cuff. . . We really wanted to go into understanding where we are today, where we're hoping to go and will that take us where we need to go for the veteran in the future."

Reviewing the program "is the right thing to do,” Council added. “It's the coherent thing to do. But we want to do it based on having real facts behind us and making sure that we're making the right decision for the veteran in the long term.”

Council, who has said part of her strategy for leading VA’s IT shop is a “buy-first” approach to IT, also defended the “clinical-focused” VistA system. The system, frequently rated more highly than commercial systems by doctors who use it, has “enabled that capability to really drive many breakthroughs,” she testified.

“What we've got to figure out is: What opportunities do we have to continue with it as a backbone and should we be moving with different levels of technology that we haven't used before?” Council said.

'Inherent Duplication,' Missed Deadlines

Lawmakers during hearing Tuesday expressed frustration over the continued delays in full EHR interoperability between the agencies.

Both DOD and VA said in 2013 when they abandoned plans for a single EHR that pursuing separate but interoperable systems would achieve get results faster and more cheaply.

Pursuing separate paths, however, is full of “inherent duplication,” said Valerie Melvin, director of information technology at the Government Accountability Office. Full interoperability between the two departments “is still years away,” Melvin testified -- well beyond the 2017 goal set by the agencies when they were attempting to develop a single, integrated system.

"To this day, I harbor serious concerns about the decision to abandon a goal of a unified, single integrated system for DOD and VA,” said Tammy Duckworth, D-Ill., an Iraq War veteran elected in 2012. “If we're going to spend $11 billion of taxpayer money” -- the original cost estimate of DOD’s massive EHR procurement -- “I don't understand why we wouldn't have invested this astronomical amount of money in a fully functional interoperable system."

In fact, Duckworth wanted to know why, in the wake of the 2013 decision to back away from developing a an integrated joint system, the Pentagon hadn’t simply moved to adopt the existing VistA system.

“And then together, while we're using VistA, we can work toward something else,” Duckworth told Christopher Miller, the program executive officer for the Defense Healthcare Management Systems. “That's how you get them a better system immediately.”

Miller said DOD and VA have different health care missions. Even a joint, integrated system wouldn’t necessarily be a cure-all, he said.
"You can go talk to any major national health care provider, and they will tell you that they struggle when you're talking about regions or they're talking about working across large geographic areas," he said.

It’s not necessarily a technology problem, Miller said. It’s that providers at the local level generate different processes for using even the same system.

“And so, for us to think that just adopting a single system is going to solve all that, I think is a little naive,” he added.

http://www.nextgov.com/health/health-it/2015/10/should-va-scrap-vista-cio-e…



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MessagePosté le: Mer 11 Nov - 02:19 (2015)    Sujet du message: MTF e-Rx Répondre en citant

MTF e-Rx



VIDEO : https://www.youtube.com/watch?v=re3bNtP0f9M&feature=youtu.be

Watch this video to learn about MTF electronic prescribing.


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MessagePosté le: Mer 2 Déc - 05:29 (2015)    Sujet du message: TIME HAS COME FOR TRICARE BENEFICIARIES TO MOVE THEIR MAINTENANCE DRUGS OUT OF RETAIL Répondre en citant



TIME HAS COME FOR TRICARE BENEFICIARIES TO MOVE THEIR MAINTENANCE DRUGS OUT OF RETAIL


12/1/2015

This December, TRICARE beneficiaries can take action to avoid paying more for some prescription drugs. If you fill a prescription for a select brand name maintenance drug at a retail pharmacy, you may need to move your prescription to either a military pharmacy or TRICARE Pharmacy Home Delivery. If not, you may have to pay full cost of your prescription.

Beneficiaries can move their prescriptions by contacting the TRICARE pharmacy contactor, Express Scripts (ESI) at 1-877-363-1303 or by using ESI’s secure online portal.

If you are an active duty service member, live overseas, or if you have other prescription drug coverage, and can continue using retail pharmacies with no changes to your current copays.

The new rule began October 1, 2015, but allows you to get two 30-day refills of an affected drug from a retail pharmacy. For many, those two refills will run out in December and their next prescription refill needs to be through Home Delivery or at a military pharmacy.

If you’re taking an affected drug, you should have received several notifications from ESI. You can also check by calling ESI at 1-877-363-1303.

TRICARE Pharmacy Home Delivery is a safe, convenient and low cost option to get maintenance drugs. You’ll save up to $176 a year for each brand name drug you switch from retail to Home Delivery. If you want to use a military pharmacy, make sure to check first to see if they carry your prescription.

For more information about this change to TRICARE’s pharmacy benefit, visit www.tricare.mil/RxNewRules. If you are interested in learning more about the TRICARE pharmacy benefit, you can also listen to the upcoming TRICARE pharmacy webinar, featuring Dr. George Jones, chief of Pharmacy Operations at the Defense Health Agency. Tune in on Wednesday, December 9 at 12 PM, EST. The webinar does not require prior registration.

http://www.tricare.mil/CoveredServices/BenefitUpdates/Archives/12_01_15_EMM_Followup.aspx


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MessagePosté le: Ven 11 Déc - 08:09 (2015)    Sujet du message: OBAMACARE PENALTY JUMPS TO $1000 IN 2016 Répondre en citant

OBAMACARE PENALTY JUMPS TO $1000 IN 2016



VIDEO : https://www.youtube.com/watch?v=kdhFytXN-hA


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MessagePosté le: Sam 2 Jan - 04:30 (2016)    Sujet du message: RISING PRESCRIPTION DRUG COSTS : NEW TOOL LETS YOU EXPLORE WHAT'S HAPPENING IN MEDICARE Répondre en citant

RISING PRESCRIPTION DRUG COSTS : NEW TOOL LETS YOU EXPLORE WHAT'S HAPPENING IN MEDICARE

December 21, 2015 at 5:48 PM ET by Jeanne Lambrew, Erin Richardson

Summary: 
Today, the Centers for Medicare and Medicaid Services is releasing a new online tool to allow the public to explore Medicare prescription drug spending

You've probably heard about – or seen on your drug store receipt – evidence of the rising cost of prescription drugs. Nationwide, spending on drugs increased 12 percent in 2014, higher than in any year since 2002. Sometimes, this is linked to a breakthrough product whose cure comes with a high price tag. Other times, it is the overnight tripling of the cost of a generic drug that has been around for years. This media attention, and the reality for consumers across the country, begs a lot of questions: What are recent cost trends for the prescriptions I take? Why are they so expensive? What drugs are driving Medicare’s spending? Are generic or brand name drug costs growing faster? And what can be done to make needed medicines affordable?

We share your curiosity. Many people may not realize that Medicare is one of the largest purchasers of prescription drugs in the country, so the program has rich data on how much money we’re spending on these drugs. So today, the Centers for Medicare and Medicaid Services is releasing a new online tool to allow the public to explore Medicare prescription drug spending. The tool includes information on a total of 80 drugs: 40 that are covered under the Medicare Prescription Drug Program (Part D) and 40 that are administered by physicians and other professionals. The tool allows you to sort these drugs in different ways, so you can rank them by total spending, spending per person, or by cost increases. It also shows how much the seniors and people with disabilities on Medicare pay for these drugs. The tool launched today provides a look at information on drug spending in the program and by beneficiaries going back five years and also includes helpful charts showing these trends over time.

Increasing transparency and putting data in the hands of consumers, providers, researchers, and other stakeholders is one of the hallmarks of President Obama’s health reform effort. For example, we have already released Medicare data on: payments to individual hospitals for inpatient stays and same-day services; the types of services and procedures performed by physicians and other health care professionals and the payments for those services; and the types of prescriptions these professionals write for medications and durable medical equipment, prosthetics, orthotics, and supplies (e.g., wheelchairs). News organizations and researchers have used this raw information to create consumer-friendly, searchable lists of Medicare health care providers across the country. Today’s tool has done that work already, making it easy to make comparisons and see trends

While this new tool doesn't answer all of the questions surrounding prescription drug spending, it is a jumping off point for further discussions regarding these important issues. There’s more information coming: we plan to add to this information next year with the release of a similar tool for Medicaid prescription drug spending.

You can find the tool here. We hope you enjoy using it – and perhaps learn something new from the information. We know we did.

Some of the key facts:

Highest Total Spend:
Part D - The top Part D drugs with highest total spending (greater than $2 B in 2014) were (in alphabetical order):
  • Abilify (treats certain mental/mood disorders)
  • Advair Diskus (prevents asthma or lung disease symptoms)
  • Crestor (lowers bad and raise good cholesterol)
  • Nexium (treats heartburn and other stomach disorders)
  • Sovaldi (treats Hepatitis C)
Largest Percent Price Increases:
Part D: Vimovo (a pain reliever), increased more than 500% – from $1.94 to $12.46

Part B: Cyanocobalamin (a Vitamin B-12 injection), increased 78%
Spending Per User:
Part D:
  • Humira (treats arthritis symptoms) – more than 50,000 beneficiaries took this drug in 2014; spending per user of approximately $24,000; total spending of $1.2 billion
  • Sovaldi (treats Hepatitis C) – about 33,000 beneficiaries took this drug in 2014; spending per user of $94,000; total spending of $3.1 billion

Part B:
  • ranibizumab (brand name Lucentis, treats eye conditions) – more than 140,000 beneficiaries used the drug in 2014; spending per user of approximately $9,000; total Part B spending of $1.3 billion
Highest Beneficiary Annual Cost-Sharing:
All Part B drugs (these are the brand names):
  • remodulin ($27,192) (treats high blood pressure in the lungs)
  • tyvasco ($20,240) (treats high blood pressure in the lungs)
  • provenge ($14,533) (treats advanced prostate cancer)
  • hizentra ($11,121) (treats immune deficiency)
  • yervoy ($9,566) (treats skin cancer: melanoma)




Medicare Part B Drugs with Large Increases in Spending per Unit, 2013 to 2014

 


Cyclophsphamide – treats certain cancers (chemotherapy)
Aminolevulinic Acid HCl – treats certain skin conditions
Thyrotropin alpha – thyroid medication
Sirolimus – prevents rejection of a kidney transplant
To read CMS’ blog post about the launch of today’s tool: http://blog.cms.gov/2015/12/21/medicare-drug-spending-dashboard
To read CMS’ fact sheet about the tool: https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2015-Fact-she…

Jeanne Lambrew is the Deputy Assistant to the President for Health Policy. Erin Richardson is a Senior Policy Advisor in the White House Domestic Policy Council.

https://www.whitehouse.gov/blog/2015/12/21/rising-prescription-drug-costs-n…



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MessagePosté le: Sam 23 Jan - 05:16 (2016)    Sujet du message: PODCASTS : TRICARE BENEFICIARY BULLETIN Répondre en citant

PODCASTS : TRICARE BENEFICIARY BULLETIN

Listen to TRICARE’s weekly podcast for a recap of this week’s TRICARE news. You can also view and download podcast transcripts.

See more : http://www.tricare.mil/podcasts#


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MessagePosté le: Dim 13 Mar - 07:08 (2016)    Sujet du message: AMERICANS PAYING DOUBLE OBAMACARE PENALTIES Répondre en citant

AMERICANS PAYING DOUBLE OBAMACARE PENALTIES



VIDEO : https://www.youtube.com/watch?v=FJf8GlMLji4

H&R BLOCK : CUSTOMERS PAYING TWICE AS MUCH TO SATISFY OBAMACARE PENALTY

By Tom Howell Jr. - The Washington Times - Tuesday, March 8, 2016

Halfway through tax season, uninsured filers are paying more than twice as much as they did last year to satisfy Obamacare’s penalty for lacking coverage, H&R Block said Tuesday in an analysis that found other customers are still struggling to match their incomes to tax credits they got from Uncle Sam.

The tax-prep giant said its customers are paying an average penalty of $383 because of the Affordable Care Act’s “individual mandate,” compared to $172 last year.

That’s because the mandate, a lever designed to bring healthy people into the new marketplace, rose from $95 or 1 percent of qualified income — whichever is greater — in 2014 to $325 or 2 percent of income for 2015.

H&R Block also said three out of five customers who received advanced tax credits to help them buy private plans on Obamacare’s web-based exchanges must pay a portion back to the IRS because they underestimated their actual income for 2015.

Together, the figures suggest filers are struggling with Obamacare, even though it is the law’s second waltz with tax season.

Starting in 2014, Obamacare’s subsidies were designed to lend a helping hand to low- and moderate-income Americans who do not hold insurance through jobs or a government program such as Medicaid, and cannot afford coverage on the individual market.

Yet by routing subsidies through the tax system, filers were forced to reconcile the financial help they received up front with their actual income during the year. If the two don’t match, then filers will either cough up more to the IRS or get more money back.

Only 52 percent had to repay a portion of government subsidy during last year’s tax season, compared to 60 percent this year — undercutting the belief that subsidized customers would get better at estimating their annual pay after a year of practice.

The average amount they’ve paid back to Uncle Sam has also gone up, from $530 last year to $579.

“With millions of new marketplace enrollees going through the reconciliation process for the first time we expected to see some confusion,” said Mark Ciaramitaro, vice president of H&R Block’s taxes and health care services. “But the fact a majority of returning marketplace enrollees are underestimating and having to pay back a portion of the [tax credit] signals there is still a steep learning curve on how to accurately estimate income in applying for the premium tax credit when enrolling in a marketplace plan.”

He said the problem could be due to high year-to-year volatility in how much low-income households take in each year.

H&R Block said customers who had to repay some subsidy still saw an average refund of $2,022, although it is less than what they would have received.
More than a third of taxpayers who claimed Obamacare tax credits overestimated their income and got extra money back from the IRS — $450 on average. Only 3 percent of customers didn’t see any impact on their refunds because of their exchange subsidies.

H&R Block’s analysis adds to data reported last month by TurboTax, a tax-filing company that said seven in 10 taxpayers using its online system this season claimed an exemption from the Obamacare mandate tax.

Many of those say even the cheapest plans available to them at work or on the exchanges are still too expensive, and so they claimed the IRS’s financial burden exemption in refusing to gain coverage. Others said they were exempt because they’d recently been evicted, had a close family member die, or had another hardship that excused them from the mandate.

H&R Block said uninsured customers who aren’t exempt from Obamacare’s mandate will see even stiffer penalties during next year’s tax season. The penalty is set to more than double this year from the 2015 tax, to $695 or 2.5 percent of income.

H&R Block said a family of four earning $60,000 would pay $975 this tax season, compared to about $400 last year. Next year, they could be socked for $2,000.

http://www.washingtontimes.com/news/2016/mar/8/hr-block-customers-pay-twice-much-obamacare-fee/


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MessagePosté le: Mer 23 Mar - 10:39 (2016)    Sujet du message: WHITE HOUSE TO LAY OUT 'NEXT CHAPTER' FOR OBAMACARE Répondre en citant

WHITE HOUSE TO LAY OUT 'NEXT CHAPTER' FOR OBAMACARE mailto:?subject=TheHill.com%3A%20%20data-title%3D%22White%20House%20to%20la…

By Sarah Ferris - 03/21/16 06:00 AM EDT

The White House is looking to avoid a partisan flare-up as it rings in the sixth anniversary of ObamaCare.

In a series of events this week, the Obama administration will look beyond the law’s central issues of access and affordability and explore the “next chapter” of healthcare reform.

Health and Human Services (HHS) Secretary Sylvia Mathews Burwell plans to “broaden the conversation” about the 2010 law to highlight system-wide reforms to lower costs and improve quality, a senior administration official told The Hill.

“It’s important to lay out the next chapter in the [Affordable Care Act] — building a healthcare system that puts patients at the center and works better for all Americans,” the official said.

The initiatives — such as delivery system reform and bundled payments — are non-controversial and have bipartisan support in Congress.

The pivot toward less controversial aspects of the law could prove helpful to Democratic presidential front-runner Hillary Clinton, who has focused on preserving ObamaCare while improving it.

Her rival, Sen. Bernie Sanders (I-Vt.), has called for a massive overhaul toward a "Medicare-for-all" system.
The White House’s weeklong focus on system-wide reforms — rather than the record low uninsured rate or popular provisions like banning insurance providers from denying coverage based on a pre-existing condition — reflects growing confidence in the administration that the law will stay on the books after Obama leaves office.

Burwell stressed as recently as Thursday stressed the healthcare law is here to stay.

“The effects and impact, I think, are broad-ranging and deep,” Burwell said about the potential impact of repealing ObamaCare at an event sponsored by The Hill on Thursday. “The progress we’ve made, access would go backwards.”

While still polarizing, the political debate around healthcare has begun to move away from ObamaCare. Polling shows that more Republicans are now concerned with lowering the costs of drugs than repealing the law.

Among the 2016 race, none of the three GOP contenders have put forward detailed replacement plans for ObamaCare. In Congress, a group of House Republicans tasked with drafting a replacement plan this year has so far only released a mission statement.

The White House is not planning to address repeal attempts as it celebrates the law, which was signed in March 2010.

Over the next week, HHS will release animated videos to explain delivery system reform “in everyday language.” Burwell will make an appearance at a Washington, D.C., community center to underscore the “higher quality” of insurance plans.

The White House will also announce a series of events, starting next month, that will “highlight the significant progress made in improving access to and quality of health care” under the Obama presidency.

http://thehill.com/policy/healthcare/273628-white-house-to-lay-out-next-chapter-for-obamacare


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MessagePosté le: Mer 11 Mai - 06:06 (2016)    Sujet du message: NAVAL HOSPITAL OAK HARBOR PARTICIPATES IN MHS GENESIS WORKSHOPS Répondre en citant

NAVAL HOSPITAL OAK HARBOR PARTICIPATES IN MHS GENESIS WORKSHOPS

Story Number: NNS160510-19Release Date: 5/10/2016 1:24:00 PM 

By Trish Rose, NH OAK HARBOR Public Affairs

OAK HARBOR, Wash. (NNS) -- Change is in full swing at Naval Hospital Oak Harbor (NHOH).

A team of 75 experts from the Leidos Partnership for Defense Health visited NHOH to perform a model systems review with key staff members, April 11-15.

The LPDH team, comprised of systems integrators, conducted a series of workshops that introduced leaders, champions and super-users to the new electronic health record system. The LPDH team also demonstrated the EHR system's functionality for initial operating capability, projected for end of calendar year 2016.

"Our new electronic health record - MHS GENESIS - will serve as a platform that enhances the partnership we have with our patients. Additionally, it affords us the opportunity to standardize workflows, as well as clinical and business practices across the enterprise," said Capt. Frederick McDonald, NHOH commanding officer.

To keep pace with medical advances and innovations in technology, the Department of Defense purchased a new EHR that will support the NHOH mission to continue to provide high-quality health care to beneficiaries, as well as an agile, responsive system for health care professionals.

Selected as the first military treatment facility to transition to the new EHR, NHOH has been busy laying the groundwork for a successful transition.

NHOH participants were able to glean a general idea of the model system functionality, ask questions, and provide feedback during the workshop. The MSR covered medical, dental and technical workflows and data requirements for primary care and medical specialty services.

"The key to any successful implementation or change initiative is a healthy attitude. That is no problem for the NHOH staff. More importantly, our team understands the significance of this change and their input in setting the tone for all of Navy Medicine," McDonald said.

MHS GENESIS is a safe, secure, and accessible record for patients and health care professionals that will be available through health information exchange technology to external providers, including major medical systems and Department of Veterans Affairs hospitals and clinics.

For more news from Naval Medical Center San Diego, visit http://www.navy.mil/local/sd/.


http://www.navy.mil/submit/display.asp?story_id=94631



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MessagePosté le: Ven 14 Oct - 06:21 (2016)    Sujet du message: OBAMA LIED. MY THIRD HEALTH PLAN JUST DIED. Répondre en citant

OBAMA LIED. MY THIRD HEALTH PLAN JUST DIED.

Michelle Malkin October 13, 2016 at 11:40 am





Once was a shock. Twice was an outrage. Thrice is a nightmare that won’t end.

Over the past three years, my family’s private, individual health insurance plan — a high-deductible Preferred Provider Organization — has been canceled three times. Our first death notice, from Anthem Blue Cross Blue Shield, arrived in the fall of 2013. Our second, from Rocky Mountain Health Plans, came last August. Three weeks ago, we received another ominous “notice of plan discontinuation” from Anthem informing us that the insurer “will no longer offer your current health plan in the State of Colorado.”

Every time we receive a cancellation letter, I recall President Obama’s big lie: “If you like your doctor, you will be able to keep your doctor. Period. If you like your health care plan, you will be able to keep your health care plan. Period. No one will take it away. No matter what.”

Then I imagine Vincent Price’s evil “Thriller” laugh reverberating at the end of that cruel punchline: Mwahahahahahaha!

(Actually, you can play a real-life horror soundtrack by watching Obama’s jerk speechwriters Jon Lovett, David Litt and Jon Favreau cackle with liberal PBS host Charlie Rose earlier this year about authoring Obamacare’s big lie. Google it, but take your blood pressure medication first.)

Like an estimated 22 million other Americans, I am a self-employed small-business owner who buys health insurance for my family directly on the individual market (as opposed to group insurance through a company or third party). Our most recent plan features a $6,000 deductible with a $1,000 monthly premium. It’s nosebleed expensive, but provides us access to specialists not curtailed by bureaucratic gatekeepers. This has been important for us because several members of my family have required specialized care for chronic illnesses.

Once again, however, I’ll soon be talking about our plan in the past tense. Choices for families like mine have evaporated in the era of Obamacare. In Colorado, UnitedHealthCare and Humana will cease selling individual plans next year. Rocky Mountain Health Plans is pulling out of the individual market in all but one county. Nearly 100,000 of my fellow Coloradans will be forced to find new insurance alternatives as open enrollment approaches on Nov. 1, according to the Denver Business Journal. As Anthem abandons PPOs, the cost of remaining individual market plans will soar an average of 20 percent.

It’s a nationwide implosion.

Individual market customers on the Obamacare exchange in Oklahoma learned last week that they’ll face average rate hikes of a whopping 76 percent. Last month, Maryland approved double-digit rate hikes for all individual market plans. In August, Tennessee approved rate increases of between 44 and 62 percent for three insurers still carrying individual market plans. And in Minnesota, where the individual market is on the brink of collapse, state officials recently agreed to raise rates an average of 60 percent next year — affecting an estimated 250,000 people both on and off the Obamacare exchanges.

The private individual insurance market is in peril. The government-run exchanges are flailing. And the vaunted nonprofit Obamacare co-ops that were supposed to dramatically lower costs have bombed despite billions in taxpayer subsidies.

I believe this insurance market meltdown — which many of us predicted from the get-go — is not by accident, but by design. Or as Oklahoma Insurance Commissioner John D. Doak put it: “This system has been doomed from the beginning.”

Smug propagandists for Obamacare, such as liberal magazine Mother Jones, continue to dismiss the plight of millions of families like mine and accuse us of concocting a “phony” crisis. But it’s the architects of Obamacare who prevaricated all along. Remember: Obamacare godfather and MIT professor Jonathan Gruber bragged that “lack of transparency” was a “huge political advantage,” along with what he derided as “the stupidity of the American voter.”

This wealth redistribution Trojan horse was sold to gullible Americans as a vehicle for expanding “affordable” access to health insurance for all. Now, millions of us are paying the price: crappier plans, fewer choices, shrinking access to specialists, skyrocketing price tags — and no end in sight to the death spiral.
Mission accomplished.

Michelle Malkin is a senior editor at Conservative Review. For more articles and videos from Michelle, visit ConservativeReview.com. Her email address is malkinblog@gmail.com.

http://www.gopusa.com/?p=15913?omhide=true


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MessagePosté le: Mar 18 Oct - 07:09 (2016)    Sujet du message: MHS GENESIS TO LAUNCH IN FEBUARY 2017 / BONO TO AFCEA: NEW ELECTRONIC HEALTH RECORD IS KEY FOR FUTURE OF ENGAGING MILITARY HEALTH PATIENTS Répondre en citant



MHS GENESIS TO LAUNCH IN FEBUARY 2017 


 

MHS GENESIS logo


HEALTH INFORMATION TECHNOLOGY 2016



VIDEO : https://www.youtube.com/watch?v=aTbe6ybPa8g

-----

10/13/2016 By: Military Health System Communications Office Share

Recommended Content:
Military Health System Electronic Health Record, MHS GENESIS, Electronic Health Record Modernization & Interoperability
 
The Program Executive Office Defense Healthcare Management Systems announced Oct. 11, 2016, the initial deployment of MHS GENESIS, the Military Health System’s (MHS) electronic health record, will take place at Fairchild Air Force Base, Wash., in February 2017.

The updated schedule provides additional time for the DoD Healthcare Management System Modernization program and its industry partner, Leidos Partnership for Defense Health, to expand the capabilities included in initial deployment, improving the user experience for health care providers and MHS beneficiaries. MHS GENESIS is a single, integrated medical and dental electronic health record for use across the MHS.

“The time we are investing in the program now will help us ensure success in the future, providing the best possible user experience to our beneficiaries and healthcare providers from day one,” said Stacy Cummings, program executive officer, Defense Healthcare Management System.

Deployment at additional inpatient facilities in the Pacific Northwest is scheduled to start as early as June 2017. This effort now incorporates additional capabilities planned for release later in the deployment schedule. The modified schedule will not impact MHS GENESIS’ full deployment target of 2022.

 “We want to be able to provide the best possible user experience, and the additional time we are investing will help us accomplish this,” said Dr. Paul Cordts, incoming functional champion for the Military Health System. “We are working closely with our provider community to make sure the processes and workflows built into MHS GENESIS provide the best product for our medical teams on day one.”

http://www.health.mil/News/Articles/2016/10/13/MHS-GENESIS-to-launch-in-Feb…

BONO TO AFCEA: NEW ELECTRONIC HEALTH RECORD IS KEY FOR FUTURE OF ENGAGING MILITARY HEALTH  PATIENTS


Navy Vice Adm. Raquel Bono, director of the Defense Health Agency, said military members have to be ready to go anywhere in the world on short notice. To help solve the complexity of care with that readiness aspect, Bono pointed to the Military Health System’s new electronic health record, MHS GENESIS, as key to helping conversations between doctors and patients, no matter where people are. (Courtesy photo)

10/14/2016 By: Military Health System Communications Office Share

Recommended Content:

Technology, Military Health System Electronic Health Record, MHS GENESIS
 
The success of health care, especially in the military, depends on the ability of patients to interact with doctors, nurses and providers. And that success in the future will include streamlining and enhancing the effectiveness of electronic devices and the electronic health records that connect everyone, including the consumers of health care.

“Part of the driver for change in the health care arena is going to be our patients,” said Navy Vice Adm. Raquel Bono, director of the Defense Health Agency.

“We want our patients to be a part of their health care. The more patients become interested and involved in their health data, the more they’re going to be driving some of the impetus for change.”

That’s why Bono was the keynote speaker during the Armed Forces Communications and Electronics Association (AFCEA) Bethesda, Maryland chapter Health IT Day 2016, a gathering of approximately 1,000 workers, including the Departments of Defense, Veterans Affairs and Health and Human Services, as well as private information technology industry representatives. Bono explained to attendees that interoperability – sharing health information back and forth between providers and patients, from stateside clinics to battlefield treatment centers – is critically important in health care.

“Our patients are very mobile, and the care we can provide to our patients is also very complex,” said Bono, pointing out that interoperability starts within military hospitals and clinics and cited her own personal experience when she was a hospital commander. “If I can’t move to greater interoperability within my hospital walls, it’s going to be a lot harder for me to do that beyond my hospital walls.”

Bono said military members have to be ready to go anywhere in the world on short notice. To help solve the complexity of care with that readiness aspect, Bono pointed to the Military Health System’s (MHS) new electronic health record, MHS GENESIS, as key to helping conversations between doctors and patients, no matter where people are. MHS GENESIS is a single, integrated medical and dental electronic health record for use across the MHS. The commercial-off-the-shelf system is being rolled out starting in February in the Pacific Northwest, with full implementation throughout the system in about six years. “We had a wonderful exchange in building the requirements for this with industry,” said Bono. “It really alerted us to some of the solutions that were out there we were looking for, recognizing that we have some unique challenges with our globally distributed patient population and also our providers and military treatment facilities. We wanted to launch a product that from day one worked for providers, but especially for our patients.”

Bono said the ability to take care of military members and their families relies on the success of MHS GENESIS and making sure it’s fully operational.

“It’s about engaging the patients and having them be part of the team and part of their health care,” said Bono. “

Bono said the level of injuries from the past decade and a half of warfare has been worse than anyone could imagine. But she said the survival rate of those hurt is the highest in the history of warfare. Taking care of the invisible wounds of war, such as some forms of traumatic brain injury, and the impact of those injuries to the families back home, has been more challenging.

“It wasn’t enough just to have all the clinical experts taking care of our wounded warriors,” said Bono. “We realized a critical aspect of taking care of our patients meant involving their support network and their families. Information we were able to share within their network was often times what advanced and amplified the care we were trying to give. We looked at the electronic health record as an enabler for that kind of engagement. We are now able to create shared decision making of that care.”

http://www.health.mil/News/Articles/2016/10/14/Bono-to-AFCEA-New-electronic…


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MessagePosté le: Mer 19 Oct - 06:57 (2016)    Sujet du message: IMPROVING PATIENT CARE WITH LIMDU SMART / NAVY UPDATES LIMITED DUTY TRACKING SYSTEM Répondre en citant



IMPROVING PATIENT CARE WITH LIMDU SMART


Doug Lane Project Manager Profile

Project location: UCS HQ – and 82 naval sites around the world
Years with UCS: 5
Most interesting item on his desk: Hand-carved box from Haiti

What type of work do you do for the U.S. Navy?

I manage the design, development, testing, and implementation of IT systems for the U.S. Navy. Right now, we’re working on implementing the Limited Duty Sailor and Marine Readiness Tracker (LIMDU SMART) – a tool we developed at UCS to track Sailors and Marines placed on medically restricted duty. We built our solution with automated workflows that incorporate seamless integration with multiple Military Health System (MHS) systems so Navy leadership can have easy, at-a-glance visibility into patient care and all Sailors’ and Marines’ eligibility to deploy.

How has your work helped the client achieve their mission?

When our team first started, the Navy was operating on paper-based and antiquated systems that limited data visibility. Once we finish system implementation over the next 12 months, the LIMDU SMART solution will revolutionize the Navy’s visibility into patient care and deployability. For the first time in its history, the Navy will have complete visibility of its force strength. LIMDU SMART’s business intelligence capabilities will also enhance medical practices across the enterprise by helping physicians track patient recovery times, identify best practices for treatment, and disseminate lessons learned across the MHS.

What’s the most rewarding aspect of working on your project and at UCS?

On a daily basis, I work with motivated, driven, and exceptionally talented Service members. I get to see firsthand how the work we do not only supports those individuals, but also the Navy’s broader wounded, ill, and injured population. I am also privileged to work with an equally gifted group of professionals at UCS, both on my team and throughout the company. I enjoy the opportunity to support their professional development and love watching them take ownership of their roles to bring about mission success.

http://ucs-inc.com/case-studies/case-study-doug/

NAVY UPDATES LIMITED DUTY TRACKING SYSTEM

Story Number: NNS161018-05Release Date: 10/18/2016 8:30:00 AM

From Navy Personnel Command Public Affairs

MILLINGTON, Tenn. (NNS) -- The Navy is changing the way it tracks limited duty (LIMDU), according to NAVADMIN 218/16 released Oct. 17.

The LIMDU Sailor and Marine Readiness Tracker System (SMART) is replacing the Medical Evaluation Board System (MEDBOLTS) in managing the tracking of Temporary LIMDU (TLD).

According to NAVADMIN 218/16, to access the new system deployability coordinators must complete an online computer-based training course. The course can be accessed at http://edqtest.med.navy.mil/cbts/. After completing training, deployability coordinators can then access LIMDU SMART by contacting their patient administration office at their command's servicing medical treatment facility.

The transition to LIMDU SMART is scheduled to be completed by Sept. 30, with the exception of U.S. European Command (EUCOM) and U.S. Africa Command (AFRICOM) medical training facilities.

For more information, read the message at http://www.npc.navy.mil/.

For more information, visit www.navy.mil, www.facebook.com/usnavy, or www.twitter.com/usnavy.

For more news from Navy Personnel Command, visit http://www.navy.mil/local/npc/.


http://www.navy.mil/submit/display.asp?story_id=97223


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MessagePosté le: Jeu 20 Oct - 06:23 (2016)    Sujet du message: WARRIOR CARE IN THE 21st CENTURY SYMPOSIUM Répondre en citant

WARRIOR CARE IN THE 21st CENTURY SYMPOSIUM 

The Warrior Care in the 21st Century (WC21) is a coalition of more than 16 nations that facilitates global sharing of warrior care best practices and lessons learned, and enables partner nations to collaborate to identify viable and innovative solutions to current and future challenges facing wounded, ill, and injured Service members. The WC21 coalition addresses warrior care issues affecting its partnering nations; identifies common challenges, best practices, and innovative solutions to support current and future care and support for Service members; and validates workable solutions to long-term challenges.

The second annual WC21 Symposium will provide the next in-person forum for participating nations to elevate and address key topics in each focus area and adjust the coalition’s strategy as needed. Three in-person work groups, focusing on resilience, recovery and rehabilitation, and reintegration will be led by Australia, the United Kingdom and Georgia, respectively.
  • October 25-27, 2016
  • MacDill Air Force Base, Tampa, Florida



The WC21 coalition originated in large part from conversations that began with the United States - United Kingdom Task Force Working Group and the 2014 Recovery Summit, at which 27 nations came together to share best practices, lessons learned, and fact-based evidence gathered on warrior care during the previous 14 years of sustained conflicts. 

http://www.health.mil/News/In-the-Spotlight/Warrior-Care-Symposium


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MessagePosté le: Aujourd’hui à 20:21 (2016)    Sujet du message: RÉFORME DES SOINS DE SANTÉ - PROGRAMME EUGÉNIQUE - HEALTH CARE REFORM - (PARTIE 2)

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