Search the KHIT Blog

Sunday, March 3, 2013

WHAT? "Boil Water order" for NOLA?

OK, I'm here in the press room at HIMSS13, about 10:30 a.m., sitting in a cube and, just saw a tweet:
Boil water order issued for east bank of N.O. after water pressure drops

NEW ORLEANS - A precautionary boil water advisory has been issued for all of the east bank of Orleans Parish, after a loss of water pressure Sunday morning, city officials said.
"Sewerage & Water Board officials are still determining the cause of a loss of water pressure at the S&WB Power Plant," said a statement from the city, about two hours after initial reports of the problem from residents.

S&WB recommends that customers boil their water for one minute and let it cool down prior to consumption (including drinking, cooking, brushing teeth, bathing or preparing food).

"This boil water advisory will remain in effect until further notice for customers in the affected area. The Sewerage and Water Board will notify residents when the advisory is lifted." said the city's statement...
Uh, OK... I brushed thoroughly this morning...

Well, if we have to boil water, we might as well boil some crawdads while we're at it.



What about, uh, washing your hands in the lav?


Michael L. Millenson is all over it. By way of Maggie Mahar:

The Health IT Scandal the NY Times Didn’t Cover

As health information technology honchos gather for the annual HIMSS trade show and schmoozefest, it’s a safe bet the industry “scandal” the New York Times placed on page one recently will breed more bored yawns than buzz. The real scandal in health IT involves the customers, not just the vendors, but that’s a topic for quiet conversations journalists can’t cover.

In case you missed it, the shocking news was that health IT companies that stood to profit from billions of dollars in federal subsidies to potential customers poured in ­– well, actually, poured in not that much money at all when you think about it ­– lobbying for passage of the HITECH Act in 2009. This, putatively, explains why electronic health records (EHRs) have thus far failed to dramatically improve quality and lower cost, with a secondary explanation from athenahealth CEO Jonathan Bush that everything would be much better if the HITECH rules had been written by Jonathan Bush of athenahealth...

Even those hospitals that adopted EHRs rarely bought, or bought and then didn’t turn on, clinical functions related to drug-drug interactions and infection prevention. “Computerized medical records” were used to better document all the small details of care that boosted payment in a fee-for-service world. Salt Lake City’s LDS Hospital used computerization to reduce the adverse drug reaction rate below the theoretical minimum of the Harvard Medical Practice Study and its innovation diffused precisely nowhere. One hindrance, some doctors whispered softly, was that infections resulted in more care, more revenue and more profit for the hospital...

Now we come to the behavior that really should inspire the outrage. We as a nation paid out billions in bribes because so many physicians simply refused to believe they could benefit from an EHR that the hospitals dependent on those doctors for admissions refused to buy computerized records no matter what the evidence. The vendors, aiming to ease the transition when hospitals did buy, designed clumsy interfaces based on provider habits and inefficiencies from the paper world. When the market finally changed, all the bad stuff got baked in: difficult interfaces and missing functionality that frustrated physicians; poor customer service from vendors puffed up with profits; absurd flaws ­– a medical record less searchable than a ten-year-old PC – that were never corrected while piled-on new features created a kluge-job catastrophe.

Then there were the unintended consequences that occur when any innovation is taken to scale. Is it any surprise that academics focusing on efficiency and clinical improvement were blindsided by sharpies who focused, instead, on how EHRs could help game the reimbursement system to make more money?...

The problem with health IT isn’t the politicians and lobbyists, easy targets though they may be. It’s us, in health care. It’s the doctors, hospitals, vendors and researchers among us who are not held accountable when our behavior delays and distorts innovation, hurts patients, costs money and impugns our own industry’s credibility.
THCB has the post as well. The comments are interesting, as always.

Just ran into Dr. Salber and Gregg Masters. They're doing a cool thing here at HIMSS.

We’re an independent association of professional journalists, producers, bloggers and activists who have joined forces to organize and produce coverage of the HIMSS 2013 Conference and Exhibition. We’re laying the foundation to make a sustainable, independent resource, so we appreciate your support. Founding members include Open Affairs Television, The Doctor Weighs In, ACOwatch (XanateMedia) and crowdfunders Medstartr and Health Tech Hatch. Coverage of the conference and the ‘innovation conversation’ begins on Sunday, March 3 2013 with “HIMSS’13 Highlights” and continues through the end of the conference Friday, March 8th, 2013.

A partial list of the experts we have secured include Pat Salber (@docweighsin), Gregg Masters (2healthguru), Nate DiNiro (@unclenate), Neil Versel (@nversel), Jane Sarasohn-Kahn (@healthythinker), Regina Holliday (@ReginaHolliday), Dave Chase (@ChaseDave), Matthew Holt (@boltyboy), Leah Carey (@thehealthmaven), and others to be announced as they come aboard. Our conservative estimates put potential targeted audience reach at over 250,000 daily viewers...


OK off to Great Hall A. I think it's in a different ZIP code.


Walter Wolfman Washington and his band. Lots more shots. Too tired to post tonight, though. Big day tomorrow.

Up at 6...

Nice. A good day. The big stir starts today (Monday).

I'll have to have my cognates aligned so I can fully absorb all of the Seamless Sustainable Interoperability Solutions I'm gonna hear about. There will be a plethora of End-to-End Solutions that Span the Medical Device Connectivity and Clinical Informatics Spectrum.

More to come...

No comments:

Post a Comment