Advances in mobile technology

The term ‘road warrior’ is commonly used in reference to the millions of American workers who are ‘on the road’ selling, servicing, managing, and commuting, i.e. An auditor working at a mine site, a sale rep printing off an invoice from his mobile printer at a customer’s warehouse floor, a doctor sending a chart across to a hospital over his smartphone, a salesperson living in airport lounges and hotel rooms.

Business has seen the future, and it’s mobile. According to recent data more than 50% of the workforce will be mobile in 2012. And the trend towards a fully mobile workforce is expected to accelerate. Mobility provides convenience, flexibility and efficiency and is also a key component of both business continuity planning and a unified communications strategy for the healthcare facility’s CIO to think about.

Perhaps we can thank Nokia or perhaps we can thank Steve Jobs but today the user experience – pioneered by Apple, is now much richer than ever before. Devices are tactile and well designed – offering users rich, convenient, simple and pleasing access to services and applications with the true convenience of anywhere, anytime.

Popularity of these new smartphones is on the increase – with sales jumping 17 times from 8 million in 2003 to 139 million in 2008 — and by 2014 sales will have quadrupled to 680 million, which according to Gartner research represents 45% of global handset sales. Indeed, Forrester Research says that with Apple’s and Google’s arrival in the mobile market all mobile handsets are becoming smarter and Internet-capable. Yesterday’s smart high-end phone is today’s midrange phone and tomorrow’s entry-level phone.

Mobile computing in healthcare

Mobile computing and the use of mobile devices promises to enable a wide range of beneficial innovations in health care. The mobile devices most commonly seen in healthcare are tablet PCs and wireless PDAs (personal digital assistants), many equipped with bar code scanners.

The entry level has traditionally been admitting stations and emergency rooms which were the first to use these devices, and now they are making their way to patients’ bedsides. Electronic medication management (i.e. nurses giving medicine to patients) and computerized clinicians’ order entry (i.e. doctors electronically ordering tests and prescriptions) are gaining popularity.

Mobile technology has become mainstream. The advances in microprocessor technology mean that mobile devices now have similar processing power to desktop devices. The advent of multi core processing allows devices to run large applications and still manage battery power effectively. The new form factors allows users to find a solution that is relevant to them, and storage technologies allow for even greater battery life and faster access to information.

Networking advances allow for high bandwidth throughput from wireless networks.

One expert, Australian Dr George Margelis believes that Health care technology managers should be considering mobilising informatics. Dr Margelis who took on the role of Industry Development Manager for Intel’s new Digital Health Group in November 2005 says the uptake of mobile computing in some markets including the Australian healthcare market and European markets has been increasing, particularly over the last few years.

He says “We find most hospitals have some degree of mobility in place, usually in the form of Computers On Wheels, or COWs, and most are now buying notebooks for executive staff rather than desktops. The main limitation has been the networking environment and the lack of mobile applications, which has improved over the last year or so.” He says that ER’s have seen the advantage of mobile solutions and adopted them quickly.

In particular where processes like medication delivery have been implemented there has been strong take up. “Generally these areas need to spend more time with patients and less time at their desks or workstations.”

As far as applications go, with a desktop buy zithromax suspension people captured data, stored it on pieces of paper and then entered it en masse when the got to the PC. With mobile devices they can capture data at the point of care, and enter it in real time. Applications need to be redesigned to better fit in with this workflow.

Dr Margelis believes that all the standard healthcare administration applications can benefit from mobility, “But where it really shines is in clinical applications that are relevant at the point of care. Things like medication administration, access to clinical information systems, access to repositories of knowledge.”

“Also, tools which facilitate real time communications and collaboration between care givers be they in the hospital or in the community.” He believes that there are organization will most likely use these applications and for what purpose?

Nurses have the most to gain as they spend too much of their time away from the patients chasing up information. Mobile technology enables them to access information at the bedside and do their tasks more efficiently.

Doctors also benefit, as again their tasks are more patient focused than administration.

Pharmacists and other health workers have all seen great advantages in having access to information whilst they are mobile.

The biggest effect is that it returns time to the clinicians, which makes their life easier and the tasks more effective.

The benefit of mobile can be exploited at the planning stage in particular for new facilities. “If they are building a new facility they should make sure it is mobile friendly from the outset. Even with older facilities, they should be putting in wireless networking capability wherever they can. The price difference is minimal, and the advantages gained by being to work untethered quickly pays back any extra cost. If they do not use mobile solutions now they should be very proactive in going that way.”

There is no need for proprietary hardware solutions, or limited functionality. Today you can get the full power of a personal computer on a mobile device, running the same applications you run on your desktop PC.

The New Health Act May NOT Make Us Healthy

The following facts come from Michael Steele, RNC Chairman, who wants to share  the facts about the Democrats’ “reform” that they do not want people to learn.

  • Causes 9 million people to lose the insurance they now have;
  • Increases the already bloated deficit by $260 billion over the next decade when all the components are included;
  • Adds $371 billion to the deficit by not including the Medicare physician fee schedule change, also known as the “Doc Fix” provision;
  • Raises taxes by $569 billion on small businesses and creates a new marriage zithromax online paypal penalty with new income and investment taxes;
  • Cuts Medicare by $523 billion;
  • Increases premiums by 10% for people without employer-based insurance;
  • Expands the power of the IRS to enforce a government mandate that requires Americans to purchase government-approved insurance; and
  • After all the spending is done and the bill is fully implemented, 23 million people will still be uninsured in 2019.
In our zeal to help insure and take care of the masses, let’s not destroy the health of our society.

Health Reform Tweaked

The Senate amended the healthcare reform law by a 56-43 vote.

While the cost of the healthcare reform will not be affected, added benefits will be provided to both patients and doctors.  Medicaid reimbursement rates to healthcare providers will be raised to the level of Medicare by 2013.  This is important since so many more people will be enrolled in Medicaid and there needs to be providers that will take care of them. The specialties most affected will be family medicine, internal medicine and pediatrics.

Seniors accrue some benefit by the law modification as well.  The “doughnut hole” in the Medicare drug plan  is decreased by the amendment and is completely eliminated by 2020. Medicare patients will receive $250 towards this in the meantime.

Hopefully, Medicare will stay solvent enough long term to afford this change.

house enacts historic healthcare reform bill

“My colleagues are celebrating the birth of a great new entitlement program,” said Rep. Marsha Blackburn (R-TN). “Only they see dependency on the federal government and the death of freedom as a cause for celebration. Freedom dies a little bit today.”

In a press release issued last week, American Medical Association President J. James Rohack, MD, said that by extending health insurance to millions more Americans, the bill passed by the House “will help patients and the physicians who care for them.”

“Every day physicians see the devastating effect being uninsured has on the health of our patients,” Dr. Rohack said. “Physicians dedicate their lives to helping patients, and we have an historic opportunity now to do just can u buy zithromax that.”

Similarly, Lori Heim, MD, the president of the American Academy of Family Physicians, hailed the bill’s passage in a written statement. “As a result of today’s vote, Americans can look forward to health security because they soon will have the chance to buy health insurance that meets their needs without emptying their bank accounts,” Dr. Heim stated.

Both Dr. Heim and Dr. Rohack said that their societies will continue to work with Congress on what they see as the unfinished business of healthcare reform, particularly medical liability reform and a permanent solution to the problematic formula for setting Medicare reimbursement for physicians, which calls for a 21.2% pay cut this year.

Copy of Shock to NBC This morning: and Shock to All of Us

You should read this- Let’s get it Viral!

This letter appeared in the Indianapolis Star (which is owned by the same people who own the Arizona Republic) and was sent to a very popular Indiana Senator.  This just goes to show everyone what pressure
these Democrats are currently under, so continue to let them know how you feel about the healthcare bill.
by  Bill Stough

An  Indianapolis doctor’s letter to Sen. Bayh about  the  Bill (Note: Dr. Stephen E. Frazer, MD practices as an  anesthesiologist in Indianapolis, IN  )   Here is a  letter  sent to Senator Bayh..

Feel free to  copy it and send it around to all other  representatives. –  Stephen Fraser

Senator  Bayh,

As a practicing  physician I have major concerns with the  health  care bill before Congress. I actually have read  the bill and am shocked by the brazenness of the  government’s proposed involvement in the patient-physician relationship. The very idea  that the government  will dictate and ration  patient care is dangerous and certainly not  helpful in designing a health care system that  works for all.

Every physician I work with  agrees that we need to fix our health care system, osteoporosis health care europe, but the proposed bills currently making  their way through congress will be a disaster if  passed.

I ask you  respectfully and as a patriotic American to look at the following troubling lines that I have  read in the bill. You cannot possibly believe  that these proposals are in the best interests  of the country and our fellow  citizens.

Page 22  of the HC Bill:  Mandates that the Govt  will audit  books of all employers that  self-insure!!

Page 30 Sec 123  of HC bill:   THERE WILL BE A GOVT  COMMITTEE  that decides what        treatments/benefits  you get.

Page 29 lines 4-16 in  the HC bill: YOUR HEALTH CARE IS  RATIONED!!!

Page 42 of HC  Bill:  The Health Choices Commissioner  will  choose your HC benefits for you. You have  no choice!

Page 50 Section 152  in HC bill: HC will be provided to ALL  non-US citizens, illegal or  otherwise.

Page  58 HC Bill:  Govt will have real-time  access to  individuals’ finances & a  ‘National ID Health card’ will be  issued!   (Papers  please!)

Page  59 HC Bill lines 21-24:  Govt will have  direct access  to your bank accounts for elective  funds transfer. (Time  for more cash  and carry)

Page 65  Sec 164: Is a payoff subsidized plan for  retirees  and their families in unions &  community organizations:  (ACORN).

Page 84 Sec 203 HC  bill: Govt mandates ALL benefit packages  for private HC plans in the  ‘Exchange.’

Page 85 Line  7 HC Bill:  Specifications of Benefit  Levels  for Plans — The Govt  will ration your health  care!

Page 91 Lines 4-7  HC Bill: Govt mandates linguistic  appropriate services.  (Translation:  illegal aliens.)

Page 95  HC Bill Lines 8-18: The Govt will use  groups (i.e.  ACORN & Americorps to sign up  individuals for Govt HC  plan.

Page 85 Line 7 HC  Bill: Specifications of Benefit Levels  for  Plans. (AARP members – your health care WILL  be rationed!)
Page 102  Lines 12-18 HC Bill:  Medicaid eligible  individuals  will be automatically enrolled in  Medicaid.  (No choice.)

Page  12 4 lines 24-25 HC: No company can sue  GOVT on price  fixing. No “judicial review”  against Govt monopoly.

Page 127  Lines 1-16 HC Bill: Doctors/ American  Medical  Association – The Govt will tell YOU  what salary you can make.

Page  145 Line 15-17: An Employer MUST  auto-enroll employees  into public option  plan. (NO choice!)

Page  126 Lines 22-25: Employers MUST pay for  HC for  part-time employees ANDtheir  families.  (Employees shouldn’t get excited  about this as employers will be forced to reduce  its work force, benefits, and wages/salaries to  cover such a huge  expense.)

Page 149 Lines  16-24: ANY Employer with payroll 401k  & above  who does not provide public option  will pay 8% tax on all payroll!  (See  the  last comment in  parenthesis.)

Page 150  Lines 9-13: A business with payroll  between $251K &  $401K who doesn’t provide  public option will pay 2-6% tax on all  payroll.

Page 167 Lines  18-23: ANY individual who doesn’t have  acceptable HC according to Govt will be taxed  2.5% of income.

Page 170 Lines  1-3 HC Bill: Any NONRESIDENT Alien is  zithromax online bestellen zonder recept exempt  from individual taxes.  (Americans will pay.) (Like  always)

Page  195 HC Bill: Officers & employees of  the GOVT HC  Admin.. will have access  to ALL  Americans’ finances and  personal  records. (I guess  so they can ‘deduct’ their  fees)

Page 203  Line 14-15 HC: “The tax imposed under  this section  shall not be treated as tax.”   (Yes, it really says  that!) ( a  ‘fee’  instead)

Page 239  Line 14-24 HC Bill: Govt will reduce  physician  services for Medicaid Seniors.   (Low-income and the poor are  affected.)

Page 241  Line 6-8 HC Bill: Doctors: It doesn’t  matter what  specialty you have trained yourself  in — you will all be paid the same!

(Just TRY  to tell me that’s not  Socialism!)

Page 253 Line  10-18: The Govt sets the value of a  doctor’s  time, profession, judgment, etc.   (Literally– the value of  humans.)

Page 265 Sec 1131:  The Govt mandates and controls  productivity for  “private” HC industries.

Page  268 Sec 1141: The federal Govt regulates the  rental and  purchase of power driven  wheelchairs.

Page 272 SEC.  1145: TREATMENT OF CERTAIN CANCER HOSPITALS -  Cancer patients – welcome to  rationing!

Page 280 Sec 1151:  The Govt will penalize hospitals for  whatever  the Govt deems preventable  (i.e…re-admissions).

Page 298 Lines  9-11: Doctors: If you treat a patient during  initial admission that results in a re-admission  — the Govt will  penalize  you.

Page 317 L 13-20:  PROHIBITION on ownership/investment. (The  Govt  tells doctors what and how much they can  own!)

Page 317-318 lines  21-25, 1-3: PROHIBITION on expansion.  (The Govt is mandating that hospitals cannot  expand.)

Page 321  2-13: Hospitals have the opportunity to apply  for  exception BUT community input is required.   (Can you say  ACORN?)

Page 335 L 16-25 Pg  336-339: The Govt mandates establishment  of=2  outcome-based measures. (HC the way they want –  rationing.)

Page 341  Lines 3-9: The Govt has authority to disqualify  Medicare Advance Plans, HMOs, etc.   (Forcing people into the Govt  plan)

Page 354 Sec 1177: The  Govt will RESTRICT enrollment of  ‘special needs  people!’    Unbelievable!

Page  379 Sec 1191: The Govt creates more bureaucracy  via a  “Tele-Health Advisory Committee.”   (Can you say HC by  phone?)

Page 425 Lines 4-12:  The Govt mandates “Advance-Care Planning  Consult.”  (Think senior citizens  end-of-life patients.)

Page  425 Lines 17-19: The Govt will instruct and  consult  regarding living wills, durable powers  of attorney, etc.  (And  it’s  mandatory!)

Page 425  Lines 22-25, 426 Lines 1-3: The Govt provides an  “approved” list of end-of-life resources;  guiding you in death. (Also  called ‘assisted  suicide.’)(Sounds  like Soylent Green to  me.)

Page  427 Lines 15-24: The Govt mandates a program for  orders  on “end-of-life.”  (The Govt has a  say in how your life  ends!)

Page 429 Lines 1-9: An  “advanced-care planning consultant”  will be used  frequently as a patient’s health  deteriorates.

Page 429 Lines  10-12: An “advanced care consultation” may include an ORDER for end-of-life plans..   (AN ORDER TO DIE FROM THE  GOVERNMENT?!?)

Page 429  Lines 13-25: The GOVT will specify which doctors  can write an end-of-life order..  (I  wouldn’t want to stand before God  after getting  paid for THAT job!)

Page 430  Lines 11-15: The Govt will decide what level of  treatment you will have at end-of-life!   (Again — no  choice!)

Page 469:  Community-Based Home Medical Services =  Non-Profit  Organizations.  (Hello?   ACORN Medical Services  here!?!)

Page 489 Sec 1308:  The Govt will cover marriage and family  therapy.   (Which means Govt will insert itself into  your marriage  even.)

Page  494-498: Govt will cover Mental Health Services including defining, creating, and rationing  those services.

Senator,  I guarantee that I personally will do everything  possible to inform patients and my fellow  physicians about the dangers  of the proposed  bills you and your colleagues are  debating.

Furthermore,  if you vote for a bill that enforces socialized medicine on the country and destroys the  doctor-patient relationship, I  will  do everything in my power to  make sure you lose your job in the next  election.


Stephen  E. Fraser, MD

Dear  Reader,

I urge you  to use the power that you were born with (and  the  power that may soon be taken away) and  circulate this email to as many  people as you  can reach.  The Power of the People can  stop this from  happening to us, our parents, our  grandparents, our children, and to  following  generations.

Slaughter Rule for Healthcare

Obamacare Slaughter Rule is without Precedent

[This Article was printed and taken from The Foundry: Conservative Policy News]

Yesterday, Speaker of the House Nancy Pelosi (D-CA) endorsed [1] the rumored Slaughter Rule [2] to send the Senate passed Obamacare bill to the President without a direct up-or-down vote in the House. Don’t believe those on the left who are trying to argue that because Republicans used deeming resolutions when they were in power, it is ok for Democrats to use a similar tactic to pass legislation without a vote.

Under this procedure, the House would vote on a rule setting up debate.  The House would then skip a vote on the Senate passed version of Obamacare and move directly to a vote on reconciliation amendments to that Senate passed bill.  If reconciliation passes, then the House will deem the Senate bill to have passed the House without a direct vote.  As Michael McConnell wrote yesterday in the Wall Street Journal, this is yet another reason Obamacare would be unconstitutional [3].

Pelosi explained [4] the need for this procedure yesterday: “I like it, because people don’t have to vote on the Senate bill.”  Many Democrats could vote for the rule and claim that they are against the Senate bill.

A Wall Street Journal Op Ed [5] today, points out that this procedure is unprecedented because never before has Congress passed a comprehensive reform bill using this tactic:

As Stanford law professor Michael McConnell pointed out in these pages yesterday, “The Slaughter solution attempts to allow the House to pass the Senate bill, plus a bill amending it, with a single vote. The senators would then vote only on the amendatory bill. But this means that no single bill will have passed both houses in the same form.” If Congress can now decide that the House can vote for one bill and the Senate can vote for another, and the final result can be some arbitrary hybrid, then we have abandoned one of Madison’s core checks and balances.  Yes, self-executing rules have been used in the past, but as the Congressional Research Service put it in a 2006 paper, “Originally, this type of rule was used to expedite House action in disposing of Senate amendments to House-passed bills.” They’ve also been used for amendments such as to a 1998 bill that “would have permitted the CIA to offer employees an early-out retirement program”—but never before to elide a vote on the entire fundamental legislation.

Article 1, Section 7 of the U.S. Constitution states, “Every Bill which shall have passed the House of Representatives and the Senate, shall, before it becomes a Law, be presented to the President of the United States.”  If the House does not have a direct vote on the legislation, this seems to be a violation of the explicit language of the Constitution.

Many on the left are relying on a Congressional Research Service Report [6] (CRS) for the proposition that the Slaughter Rule has been used on numerous occasions. According to CRS, self-executing rules are a “two for one” that describes “when the House adopts a rule it also simultaneously agrees to dispose of a separate matter, which is specified in the rule itself.  For instance, self-executing rules may stipulate that a discrete policy proposal is deemed to have passed the House and been incorporated in the bill to be taken up.”  Now many times this has happened to incorporate amendments before a bill receives an up or down vote or it can be used to get a bill to conference.

The self-executing rule can be used to deal with bills containing amendments added by the Senate.  The CRS report cites a few examples of self-executing rules to “enact significant substantive and sometimes controversial propositions.”  The first example CRS identifies is that “on August 2, 1989, the House adopted a rule (H.Res. 221) that automatically incorporated into the text of the bill made in order for consideration a provision that prohibited smoking on domestic airline flights of two hours or less duration.”  The legislation to prohibit smoking on domestic flights was made part of another bill, then that other bill received a vote.  This is very different, because the health care reconciliation measure will not be incorporated into the Senate passed version of Obamacare and the reconciliation measure will be sent to the Senate for separate consideration.

Speaker of the House Nancy Pelosi and other House leaders are readying the Slaughter Rule and the American people should watch this process closely.  The left will try to say that because Republicans have done it in the past, then they can do the same.  The Constitutional question is on the table and there is no direct precedent for the House to pass a reconciliation measure which deems a massive health care bill to have passed without a direct vote.

How is it that time and time again in recent months, the Constitution is being challenged and yet we Americans are not challenging this?  Could it be that we have become immune to politicians pushing the envelope?  Like lobsters who are being slowly boiled, we are meeting our demise and are too complacent to jump out of the pot!

The Healthcare Push is On

As the push continues by Democrats in Washington to pass the healthcare bill, David Axelrod a political strategist confirms that lawmakers are being “persuaded” to vote yes. This is despite special deals originally pledged to various states being rescinded.

John Boehner, the House GOP leader from Ohio, publicly recognized that Republicans couldn’t stop the bill although they are trying to make it difficult.

Trying to protect their special interests, the lobbyists for insurance companies have been arriving into Washington D.C. in droves.

An interesting observation is that the public is displaying marked animosity towards the Republicans, calling them a cold-hearted, money-grubbing bunch. Yet, these same people do not hold a grudge toward the insurance executives and insurance lobbyists who are actually at the root of the problem in the first place.

Why is that?

Health Insurance Companies Vs. The American People

A protest was held in Washington D.C. this week by Health Care for America Now,  a group that categorizes itself as “fed up with skyrocketing premiums, denials of care and claims, and insurance companies spending tens of millions of dollars to kill or manipulate reform”.

Thousands of protesters took to the streets in front of The Ritz Carlton where America’s Health Insurance Plans’ group of lobbyists was holding its annual policy conference, chanting “Hey, hey, ho, ho, Insurance companies have to go”. A mass “citizens arrest” of the insurance executives that participated in the conference was staged as well.

One of the protesters interviewed, Dr. Terence Gerace who is a physician and cancer survivor stated “Its a for-profit system.  A significant amount of cost goes to executives and not the providers and it needs to be rectified. Its an immoral system as it currently stands.”

Howard Dean, the former Democratic National Committee chairman, addressed the protest group stating “We deserve a vote!  Are you for the insurance companies or are you for the American people?”

The surprise is not that people are now protesting an unfair archaic system.  The real surprise is that it took us, the American people, so long to wake up!

Health Insurance Companies Defended by “Max Profit”

Using the concepts that humor is the best form of medicine and a little humor makes the distasteful more palatable, an unusual bunch of protesters gathered in front of the Ritz Carlton, Washington D.C.

Attired in evening gowns and suits, this group claimed to be part of “Billionaires for Wealth Care” and held up signs praising the current health insurance coverage. Members identified themselves as “Rob Patient”, Zee Roe Compassion” and “Heidi Ductable.

A spokesman for the group “Max Profit” stated “We hate the public buy azithromycin ebay option because that would force us to compete”. Profit further explained “In several markets, there is a near oligarchy with just a couple of insurance companies with 90% of the market share and we love it that way”.

The message highlights one of the problems we face in trying to control rising premiums.  Currently health insurance companies are not regulated or held accountable to the same Anti-Trust Laws that most businesses must abide by… and Insurance Lobbyists do love it that way!