From VA "VistA" EHR to Re-engineered, Open Source, "Standardized" VISTA 2.0 In The "Cloud"

 

The key to health informatics going forward is to be found in re-engineered (open source) VA VistA HIT based personalization, commoditization and standardization of nationwide, not-for-profit medical records and globalized database modeling of health information, on throw-away mobile hardware and telephony hosted in the Cloud.  And, as it will represent a non-economic and VERY substantial capital investment as significant as President Eisenhower’s building of the Interstate Highway System, it will need to be the following non-profit entity, or another existing tax-exempt corporation/organization committed to make the investment that will bring such a reality (for universal EHR and EMR) to life…

 

I'm just saying...

 

N.

 

http://usasinglepayeroption.com/2011/07/va-vista-health-information...

 

VA Press Announcement in this connection for context and/or discussion purposes

 

http://www.va.gov/opa/pressrel/pressrelease.cfm?id=2153

 

http://www.osehra.org/

 

Views: 147

Tags: Commoditization, Cost-Free, Countdown, EHR, Financial, Health, Incentives, Kickoff, Nationwide, Non-profit, More…Not-for-profit, Priming, Private, Provider, Pump, Service, Standardization, VA, the

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Comment by L. Napoleon Cooper on September 11, 2011 at 8:44am

The notion of a caregiver, provider or practice adopting electronic health or medical records, primarily to benefit from the one-time financial incentive created by the Stimulus Act, is an important consideration for some, how many, who knows, as the above blog post has observed.

For the prudent non-profit EMR-EHT adopter (member of or affiliated with a nationwide, not-for-profit health service (‘NHS”)), however, the combined HIT incentives, public and private (NHS), work to the larger advantage of facilitating the opportunity for providers to see the totality of HIT cost, including updating, hardware and support services removed as cost items from its income statement.

In fact, with related NHS “revenue sharing”, such a provider would be able to turn those former cost items from expenses to a new, and fairly significant revenue stream.

i.e., new earnings, for example: that could facilitate stronger balance sheets by way of a new resource for accumulating much needed operating and capital reserves: the lack of which has proven to be a notable weakness for non-profit healthcare delivery institutions and has made them vulnerable and appetizing targets for private-equity and for-profit healthcare conglomerates.

That said, the Question becomes, which non-profit entities will grasp that opportunity and which will see a given-up-for-dead non-profit institution across town, suddenly acquired and being brought back to renewed and competitive life as an affiliate, subsidiary or NHS member entity?

Comment by L. Napoleon Cooper on September 11, 2011 at 5:48am

Republican Candidates Healthcare Stances – EMR and HIPAA

EMR and HIPAA john@emrandhipaa.com via google.com to me 6:48 AM (2 hours ago)

from john@emrandhipaa.com

Republican Candidates Healthcare Stances – EMR and HIPAA

Republican Candidates Healthcare Stances
Posted: 09 Sep 2011 09:32 AM PDT

Dr. James Coffin, VP of Healthcare and Life Sciences at Dell, has a post up on the Dell Healthcare Community site that looks at the stances of the various Republican candidates for the US Presidential nomination. It’s an interesting read if you haven’t been following the republican candidates very much.

What the article doesn’t address is these candidates stance on the HITECH Act. The key here is to realize that the HITECH act isn’t part of the Affordable Care Act which every GOP candidate is saying they will repeal if they become President. So, where does that really leave the HITECH Act should a republican president be elected?

The problem is that no one really knows. Those who argue that the HITECH Act is safe often lean on the ideas that EMR and EHR has always had bipartisan support. Many often mention that the push for adoption of EHR software was started by a republican president, George W. Bush. I actually agree that both sides of the aisle want to have widespread adoption of EHR. We could certainly argue the benefits or detriments of EHR adoption, but for a relatively uninformed senate, house and president when it comes to EHR, they’re going to easily grab on to the idea that technology can improve healthcare. We may agree or disagree with this point, but I think we’d be hard pressed to find a senator that thinks we shouldn’t have EHR technology in healthcare.

The problem with the above discussion has to do with the way that EHR is being paid for. Again, this isn’t about whether the idea of paying doctors to use EHR software is right or wrong, good or bad. This is more about the political stance of the republicans and how they want government to spend money. It seems very clear to me that Republicans are going to keep sitting on their no spending/cut spending soap box. If a republican becomes President, we’re likely to see widespread cuts. Could HITECH money be a casualty of those cuts? Absolutely. Will they be a casualty? Can anyone predict what Washington will really do?

Should doctors and practices then be afraid of going after the EHR stimulus money? Well, I’ve been advising doctors and practices for the last couple years to not implement an EHR in order to get the government hand out. Those that are doing EHR for “free” government money are going to be disappointed. Not only because the money could be cut, but because sooner or later that money will be gone. So, if you’ve followed my advice, then the loss of the EHR stimulus money will be unfortunate but not too terrible.

On the other hand, those people who only did EHR because the government was waving the carrot and the stick are likely going to be quite disappointed. Particularly if the practice focused on the governments EHR requirements instead of their own individual practice needs when it comes to an EHR. Sadly, I believe there are many clinics in this boat.

I’m sure there are other Washington DC insider workings that are in play as well. Hopefully many of you will share some of what you know in the comments.

Personally, I’m still fairly confident that the EHR stimulus money will play itself out. I’ll be a little surprised if indeed it does get cut. I think republicans will have larger fish to fry. However, there’s certainly that possibility, so doctors should take this into account when they’re selecting and implementing an EHR.

Comment by L. Napoleon Cooper on September 10, 2011 at 6:53am
admin says:

This breakthrough has great significance for global health information database in the cloud and for the dedicated web-based hardware upon which it will exist for end-user caregiver electronic medical records and patient’s, personal health records. As, apparently, the future is yesterday.

Comment by L. Napoleon Cooper on September 10, 2011 at 6:49am

Rice demonstrates full-duplex wireless technology

New approach could double wireless capabilities when 5G networks arrive

By Matt Hamblen
September 6, 2011 04:41 PM ET

Computerworld - Rice University researchers today announced they have successfully demonstrated full-duplex wireless technology that would allow a doubling of network traffic without the need for more cell towers.

Ahutosh Sabharwal, a Rice professor of electrical and computer engineering, said the innovative full-duplex technology requires a minimal amount of new hardware for both mobile devices and networks.

However, he added that full-duplex technology does require new wireless standards, meaning it might not be available for several years as carriers move to 5G, or Fifth Generation, networks, he added.

Today, the largest national carriers in the U.S., AT&T and Verizon Wireless, are in the early stages of rolling 4G networks on LTE (Long Term Evolution) technology, while Sprint has a more fully developed 4G network running over WiMax.

Full-duplex technology would allow a cell phone or other wireless device to transmit data and receive data on the same frequency; today's networks require separate frequencies to send and receive.

In effect, therefore, full-duplex technology could double a network's capacity.

Rice reported that its innovation has attracted interest from wireless companies globally, noting that carriers are universally concerned about having enough spectrum to support the continuing explosion of wireless devices and their increasingly complex applications, such as video.

One of AT&T's arguments in wanting to purchase T-Mobile USA for $39 billion is to gain access to more wireless spectrum.

Asked on Tuesday to comment on the full-duplex technology demonstrated at Rice, an AT&T spokesman said the carrier would need to study the innovation before commenting on it.

Sabharwal and his colleagues, Melissa Duarte and Chris Dick, first wrote in 2010 that full-duplex was possible, and this summer Sabharwal and other colleagues showed a full-duplex signal with 10 times better reliability and throughput than any other touted by researchers, Rice officials said.

Sabharwal said Rice has also been able to show it can add full-duplex as an additional mode to existing hardware, such as smartphones, where space is limited. That means that a smartphone maker would not need to add new hardware to support ful

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