Blog Profile / Health Care Renewal


URL :http://hcrenewal.blogspot.com/
Filed Under:Industries / Medical
Posts on Regator:1071
Posts / Week:2.7
Archived Since:November 10, 2008

Blog Post Archive

The Wages of Sin - a Small Illustration of How Executives Can Personally Profit from Bad Corporate Behavior in Health Care

The resolution of two related cases involving drug/ biotechnology/ device giant Johnson and Johnson opened a small window on the perverse incentives driving bad managerial behavior in health care.The Settlement of the Allegedly Illegal...Show More Summary

Law and Order? - Bristol-Myers-Squibb Settles Case Alleging Fraud and Kickbacks, No Admissions of Guilt, No Individuals Charged

Introduction Donald Trump, Republican candidate for the US presidency last week announced he is the "law and order" candidate, accompanied by then vice presidential contender and New Jersey Governor Chris Christie.I wonder if all this...Show More Summary

UnitedHealth's Optum Division Settles Case Alleging it Enrolled Non-Terminally Ill Patients in Hospice, Thus Risking Their Deaths Due to Treatable Illnesses

Fraudulant hospice enrollment is a uniquely dangerous practice, yet the latest cases of it have, as usual, attracted little attention.Background As we have discussed before, hospice care was initially designed to provide more humane treatment of the terminally ill, particularly patients with advanced cancer. Show More Summary

Abort, Retry, Fail - Billionaire Bill Gates Opines, Sans Evidence, on ... the Efficacy of Hepatitis C Treatment?

If you needed advice about the technical characteristics of computer operating systems you probably would not go to your doctor for it. So why would you seek the opinion of a software company mogul about the efficacy of pharmaceuticals?Software...Show More Summary

Two recent stories of EHR un-exceptionalism, and a connection to prior HC Renewal posts including my own experiences

The following stories recently appeared in the press about the "un-exceptionalism" (or, I might more accurately state, the negative exceptionalism) of today's EHR technology.Regarding each organization mentioned, I have had personalShow More Summary

Physicians go flatline on EHR enthusiasm

In a new study, physicians' enthusiasm levels for EHR's seem to resemble this EKG: Do physicians really experience a satisfaction 'J-curve' with EHRs? Max Green July 6, 2016 http://www.beckershospitalreview.com/healthcare-information-technology/do-physicians-really-experience-a-satisfaction-j-curve-with-ehrs.html...Show More Summary

Bad Apple or Bad Orchard? - A Narrative of Alleged Individual Research Misconduct that Sidestepped the Pharmaceutical Corporate Context

Tales of medical research misconduct seem increasingly prevalent in the media, and are getting increasing attention. They often may present a simple narrative, like this recent story in the New York Times, "An NYU Study Gone Wrong, and...Show More Summary

Still No Questions Asked - Journalists Fail to Challenge Talking Points Used to Justify Million Dollar Plus Executive Compensation at New York Non-Profit Hospitals

It's deja vu all over again. I even get to reuse the introduction of a post from one month ago. As I wrote in May, 2016,... The problem of ever rising, amazingly generous pay for top health care managers is a frequent topic for Health Care Renewal. Show More Summary

New AMA President Andy Gurman, MD on EHRs: " I don't have one, and no one can make me use one."

The love-fest with EHRs continues, to the great chagrin of the believers in fairies, unicorns and cybernetic utopia.Andy Gurman, MD, Takes Reins as AMA PresidentJun 17, 2016Gale Scott, HCPLivehttp://www.hcplive.com/medical-news/andy-gurman-md-takes-reins-as-ama-presidentThe American Medical Association’s new president, Andrew W. Show More Summary

Reckless indifference to nurse's concerns about bad health IT results in showing her the door?

At numerous past posts I referred to hospital executives' reckless indifference to the concern of seasoned clinicians about bad health IT, such as at http://hcrenewal.blogspot.com/ 2013/07/rns-say-sutters-new- electronic-system.htmlShow More Summary

CORRUPTION OF CLINICAL TRIALS REPORTS: A PROPOSAL

CORRUPTION OF CLINICAL TRIALS REPORTS: A PROPOSAL There is a disconnection between the FDA’s drug approval process and the reports we see in medical journals. Pharmaceutical corporations exploit this gap through adulterated, self-serving analyses, and the FDA sits on its hands. Show More Summary

A Plea from a Traveling Blogger

A thousand apologies - since the Society for Medical Decision Making meeting in London, we have been traveling in the UK, and I have been unable to find the time to post on the blog. But in exchange we have caught up with good old friends, met lovely people, and seen fabulous sights and beautiful country. Show More Summary

Transparency International Reports on Massive Corruption in the Pharmaceutical Sector - Media Hardly Notices

Health Care Corruption as a Taboo Topic Transparency International (TI) defines corruption asAbuse of entrusted power for private gainIn 2006, TI published a report on health care corruption, which asserted that corruption is widespread...Show More Summary

NY Times/Steve Lohr asks "Why the Economic Payoff From Technology Is So Elusive." The answer in medicine is obvious.

In a June 5, 2016 article, New York Times reporter Steve Lohr (http://topics.nytimes.com/top/reference/timestopics/people/l/steve_lohr/index.html), who reports on technology, business and economics, asked the following question:Why the...Show More Summary

Clinical Practice Guidelines: Still Conflicted After All These Years

Background: Untrustworthy Clinical Practice Guidelines Since the 1990s, clinicians have been exhorted to follow clinical practice guidelines (CPGs) to improve their decision-making and patients' outcomes. When Dr Wally Smith and I started...Show More Summary

UK health IT 'glitch': Hundreds of thousands of patients have potentially been given an incorrect cardiovascular risk estimation after a major IT system error

This in the UK.What is euphemistically referred to as an "IT system error" is, in reality, the mass delivery of a grossly defective medical device adversely affecting hundreds of thousands of patients. I'm surprised not to see that other...Show More Summary

HIT Mayhem, Canadian Style: Nanaimo doctors say electronic health record system unsafe, should be shut down, non-medical PR hacks say it's perfectly safe

Some candid honesty:To hell with doctors and nurses and their concerns about horrible health IT. That seems the international standard in 2016 regarding their concerns. There's just too much money to be made in this business to worry...Show More Summary

Are You Ready for Some (Political) Football? - the NFL, Concussion Research, the NIH, and the Revolving Door

Probably because it involved the favorite American sport, the controversy about the risk of concussions to professional National Football League (NFL) players, and how the NFL has handled the issue is very well known. A recent article...Show More Summary

No Questions Asked - Journalist Parrots the Talking Points in Support of Hospital Executive Compensation

The problem of ever rising, amazingly generous pay for top health care managers is a frequent topic for Health Care Renewal. We have suggested that the ability of top managers to command ever increasing pay uncorrelated with their organizations'...Show More Summary

New Jersey Confidential: the Almost Secret Membership of the RWJ Barnabas Health Board

A Hospital System Tries to Hide its Board of Trustees The US Internal Revenue Service mandates disclosure of the membership of boards of trustees of non-profit corporations. Nonetheless, as reported by New Brunswick (NJ) Today, the leadership...Show More Summary

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