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Day: May 29, 2019

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The authors of “The Economics of Health Information Technology in Medication Management: A Systematic Review of Economic Evaluations” found no evidence from four to five decades of studies that health IT reduces overall health costs. Those studies that do claim savings rarely include the full cost of installation, training and maintenance—a large chunk of that trillion dollars—for the nation’s nearly 6,000 hospitals and more than 600,000 physicians. Many such hospitals specifically pledge to provide care to the poor, vulnerable, and disadvantaged. We know that health is more than health care. Steward is only about providing health care to the poor and needy, and perhaps that Steward, like Rhode Island BCBS, is non-profit, neither is quite true. After the launch of Australia’s first true cloud architected patient-management system, MediRecords, late last year, and a brief response to that launch by MedicalDirector, promising their own cloud version, things have been eerily quiet. You will. Suffer. It is true electric shocks and all (with antenna) I am a walking lightning rod, with a dead battery petruding from my base of spine.

The NHS Identity Service pilot will give medics access to information about a patient in their care, without the patient having to answer difficult questions when they are in pain. An advertising campaign by the larger hospital system that is set to absorb our local one provides lessons on how important health care policy issues are publicly discussed. And we are not all talk and no action because we regularly donate a portion of our sales which contributes significantly to the health and well-being of children. Many doctors and health-care administrators are wary of such claims—a wariness based on their own experience. But by the time these health-care providers find out that the promised cost savings are an illusion, it will be too late. For instance, a doctor looking for a patient’s current medications might have to click and scroll through many different screens to find that essential information. 2,200 per doctor per year.

In my early days of health IT involvement two decades ago as an NIH-sponsored Medical Informatics post doctoral fellow, I believed there was some cost savings possible, but certainly not in the tens or hundreds of billions per year. Landmark Medical Center is a small health care system in northern Rhode Island. Then, in May of this year, they refused to give Landmark Medical Center in Woonsocket a long-term contract without Steward Health Care participating. But the software—sold by hundreds of health IT firms—is generally clunky, frustrating, user-unfriendly and inefficient. Having spent hundreds of millions on the technology, they won’t be able to afford to throw it out like a defective toaster. Given that we have frequently discussed how self-interested, over-compensated executives may fail to uphold, or may even undermine their health care organizations’ missions, this seemed like a narrative primed for further discussion on Health Care Renewal. Blue Cross & Blue Shield of Rhode Island is designated as a “charitable organization.” But they certainly don’t spend like one.

Apparently, however, Blue Cross Blue Shield of Rhode Island does pay state taxes (per this report). In addition, Blue Cross Blue Shield of Rhode Island was beset by a scandal before we began Health Care Renewal (look here), involving allegations of excess compensation given to and conflicts of interest affecting its CEO. Now, a comprehensive evaluation of the scientific literature has confirmed what many researchers suspected: The savings claimed by government agencies and vendors of health IT are little more than hype. The Organic Germanium, Triterpenes and Polysaccharides in log wood Ganoderma are about 6 times higher than natural and capsulated Ganoderma. It gives Ganoderma the special ability to slow down aging with long term consumption. Cintex Wireless is proud to be a force for the powerful GSM mobile technology. As the numbers of gigantic machines are increasing gradually the plants are also seeking for modern devices to control and evaluate critical processes over wireless networks. The costs are generally underestimated ahead of time. 1 trillion will be spent, by our estimate—will pay off in reducing medical costs.

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