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Make your live is better.

Saturday, July 31, 2010

ETHICS TURNAROUND (sort of) by NIH INSTITUTE DIRECTOR

ETHICS TURNAROUND (sort of) by NIH INSTITUTE DIRECTORWhat a difference a month makes. When I went on vacation in June the Director of NIMH, Thomas Insel, was stonewalling about his relationship with Charles Nemeroff. Insel wanted to put distance between himself and the poster boy for conflict of interest in academic medicine. The heat was on Insel because of revelations that he helped Nemeroff get a new position at Miami after his fall from grace at Emory. Insel also gave a green light for Nemeroff to reapply for NIMH grant funding, and he appointed Nemeroff to new research review committees. These actions were widely seen as efforts to help Nemeroff get back into circulation. It didn�t help that people called attention to past favors and lobbying by Nemeroff on behalf of Insel.Things continued...

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"People are where they are because that is exactly where they really want to be - whether they will admit that or not." - Earl Nighting...

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Primary Care and the HC Renewal RUC-kus

Dr. Richard Baron, a Philadelphia internist who's unusual in that he's both a private-practice clinician and a well-published and -respected academic (he was recently ABIM Chair), has been mixing it up in the pages of the New England Journal.To readers of this blog, it'll be useful armchair review: not just because the theme of generalist clinicians' decline should concern us, but because the blog itself comes into play!The topic of the day: why primary care doctors are in trouble. Why they're (my words, perhaps, not his) so prone to burnout. And why they're not replacing themselves.In his original April 26, 2010 article, Baron provided a "snapshot" from his own group practice to address the question, "What's keeping us so busy in primary care?" The piece repays reading if one wants the gory...

FIRST IN INDIA

First Indian Scientist to Win Nobel PrizeSir Chandrasekhara Venkata Raman (C.V. Raman) was the first Indian scientist to win Nobel Prize. C.V. Raman was awarded the 1930 Nobel Prize in Physics for his work on the scattering of light and for the discovery of the Raman effect, which is named after him. Raman effect relates to the inelastic scattering of a photon. When light is scattered from an atom or molecule, most photons are elastically scattered (Rayleigh scattering). The scattered photons have the same energy (frequency) and, therefore, wavelength, as the incident photons. However, a small fraction of scattered light (approximately 1 in 10 million photons) is scattered from excitations with optical frequencies ...

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EASTERN NAVEL COMMAND RECRUITMENT EXAM DATES

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FCI RECRUITMENT

 SELECTION PROCESS: The selection process consists of written test, group discussion and interview. The venue & schedule of written test will be intimated to individual applicants along with the admit card.The written test will be in English only and in two parts. Part I will consist of 60 multiple choice question of the relevant technical discipline and Part II will consist of 60 multiple choice questions on general aptitude consisting of Reasoning, Data Analysis, Computer Awareness, General Awareness and Current Affairs. On qualifying the Written Test, GD & Interview will be held for short-listed candidates. It is essential...

Friday, July 30, 2010

"Self-esteem and self-love are the opposites of fear; the more you like yourself, the less you fear anything." - Brian Tr...

Medical transcription outsourcing: Increases efficiency and reduces costs

The role of accurate and timely information in the process of healthcare is undeniable. Medical transcription is the process that assists in creation of patient records ensuring that healthcare professionals have the requisite information by converting audio records of the patient-healthcare professional encounter into text format. However to make the process of medical transcription cost effective and efficient one needs to choose the right option. There are many options available to the healthcare facility for availing medical transcription, like having a team of medical transcriptionists in-house, Independent contractors or by outsourcing to a professional medical transcription service provider.Though other options for availing medical transcription have some benefits, outsourcing medical...

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"Pain is inevitable. Suffering is optional." - M. Kathleen Ca...

"Lives based on having are less free than lives based on doing or being." - E.Y. Harb...

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"There has never been an age that did not applaud the past and lament the present." - Lillian Eichler Wat...

"The remarkable thing is, we have a choice every day regarding the attitude we will embrace for that day." - Charles Swind...

Where No Hospital CEOs are Below Average

In Lake Woebegon, all children are above average.  Now it seems that hospital CEOs have moved there.  Ventura County, Where No CEO is Below AverageThe Ventura County (California) Star reported on the uniformly high remuneration of the CEOs of local, mostly small, not-for-profit hospitals and hospital systems.T. Michael Murray reaped $330,545 in 2008 as chief executive officer of St. John�s hospitals in Oxnard and Camarillo. He drew an additional $187,071 in bonuses with $73,113 more in benefits and other compensation.His total package, according to IRS records, reached $590,729.And he may have been underpaid, according to a statewide survey of 118 nonprofit hospitals. The report by the Payers & Providers healthcare business publication suggests the base salary for CEOs averaged...

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Cool Technology of the Week

My daughter, Lara, served as an intern this Summer at the Tufts Center for Engineering Education and Outreach, testing and developing the next generation of LEGO Robotics. Her lab notebook is a daily blog, which includes a complete video record of all devices she's built.Her final project and my Cool Technology of the week (I admit the conflict of interest in presenting my own daughter's work as a Cool Technology on my blog) is a mobile robot that traverses a garden, inserts a sensor into the soil, measures the moisture level in realtime, and selectively applies water as needed.It's fully functional and demonstrated in these videos.The interesting...

Thursday, July 29, 2010

VISAKHAPATNAM PORT TRUST

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POST DIPLOMA IN TEXTILES PROCESSING

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"Our doubts are traitors, and make us lose the good we oft might win by fearing to attempt." - William Shakespe...

Medical transcription: The role of technology

Healthcare is a dynamic process, with constant discoveries and inventions; thereby any service allied with healthcare has to be dynamic. Medical transcription is a service closely allied with healthcare. Medical transcription is the process of creating patient records by converting the audio records of the patient-healthcare professional encounter into text format. Along with the process of healthcare, the medical transcription process has also evolved, not only to cope up with the changing demands of the healthcare sector, but also with the technological innovations that have taken place.Medical transcription has evolved from simply being the process of listening and typing, to a service, which offer various benefits making the life of healthcare professionals and the support staff at a healthcare...

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"We are all faced with a series of great opportunities brilliantly disguised as impossible situations." - Charles Swind...

"It's never too late to start doing what is right." - Charles Swind...

"The only joy in the world is to begin." - Cesare Pav...

The Hospital CEO as Debt Collector

Last year we noted that the US Internal Revenue Service (IRS) required more detailed reporting starting in 2009 by US not-for-profit organizations. Many US health insurance companies/ managed care organizations, most hospitals, nearly all medical associations, nearly all disease advocacy organizations, all health care charities, and nearly all medical schools are not-for-profit organizations. We suggested then that this reporting might lead to more transparency about the leadership and governance of these organizations.  The 2009 990 forms seem to be trickling into public view, sometimes leading to some striking disclosures about how US not-for-profit health care organizations are lead.The California Watch blog just reported about the interesting part-time job of a hospital CEO:The former...

"The measure of a life, after all, is not its duration, but its donation." - Corrie Ten B...

"Everyone has talent. What is rare is the courage to follow the talent to the dark place where it leads." - Erica J...

"Start moving toward prosperity today, whether you're ready or not." - Mark Victor Han...

Food Allergy and Dietitians

A new study by Jaffe Food Allergy Institute, at Mount Sinai School of Medicine concludes that pediatric dietitians self-reported their proficiency is only moderate when it comes to food allergy. Dietitians would prefer, and certainly benefit from, more training on food allergy.Several years ago, our allergist's office hired a dietitian for individuals and families with food allergies. I set up an appointment looking for information on calcium and protein sources for our dairy, egg, nut allergic child. At the time we were also avoiding wheat, soy and corn and I was struggling with preparing balanced, nutritious meals and snacks. During the appointment, I was given hand-outs on specific food allergies. That's about it. She offered little helpful information and I felt like I educated her more...

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Exploring the Charles River

On summer evenings and on weekends I kayak the Charles River, exploring its twists and turns through the western suburbs of Boston.This section of the river is secluded, quiet, and filled with natural wonders. Here are a few of my favorite spots. Note that I paddle upstream first when I'm fresh, then enjoy the boost of the downstream current when I'm tired.South Natick to Rocky Narrows - 5 miles/10 miles round trip I put in my kayak just above the South Natick Dam and paddle upstream under Sargent's bridge, a beautiful oriental footbridge spanning the Charles. I continue past the praying woman statue, which Sargent placed on the south side...

Wednesday, July 28, 2010

"He who angers you, conquers you." - Elizabeth Ke...

Medical transcription services: Why is it needed?

The process of healthcare is the culmination of several inputs including the education, experience and expertise of healthcare professionals, the right equipments, the right drugs, the right procedures and therapies. The common thread that binds all these together to form the basis of successful patient care is information. Imagine a situation where the healthcare professional does not have access to the right information! That is why it is acknowledged that creation of patient records is important. Medical transcription provides a important link to the healthcare process chain by documenting the patient-healthcare professional encounter. Medical transcription is the process of converting the audio records of the patient-healthcare professional encounter into text format. The process...

"Friends are like melons. Shall I tell you why? To find a good one, you must a hundred try." - Claude Mer...

"My father gave me the greatest gift anyone could give another person, he believed in me." - Jim Valv...

The July HIT Standards Committee

The July HIT Standards Committee meeting focused on a review of the final Meaningful Use/Standards regulations and the processes for the next stage of our work.Today, the Federal Register published the Meaningful Use Final Rule (down to 276 pages from 874) and the Standards and Certification Final Rule (down to 65 pages from 228).Karen Trudel and Doug Fridsma began the meeting with an in-depth overview of Stage 1 Meaningful Use and Standards/Certification criteria.Key discussion points included:*EHRs do not have to be certified before the 90 day Stage 1 Meaningful Use demonstration period, just by the end. You can start the demonstration data collection before certification is completed. The entire CMS program begins January 2011, so it's possible to demonstrate Meaningful Use January...

Are Ill-Informed Leaders the Cause of Drug Manufacturing Mishaps?

Fundamental Corporate FailuresIn the last few years, there seems to have been an epidemic of once revered companies suddenly unable to perform the most basic functions necessary for their businesses.  Finance firms ran out of money and ended up bailed out or bankrupt.  An automobile firm produced cars that seemed to accelerate out of control.  Another automobile company, once the world's biggest, went bankrupt and had to be bailed out by the government. An oil company took months to cap a blown out well. In the health care world, drug companies which could no longer manufacture pure and unadulterated drugs.  Baxter International sold deadly contaminated heparin (post here). Johnson and Johnson sold contaminated or wrongly dosed...

"The heart, like the grape, is prone to delivering its harvest in the same moment it appears to be crushed." - Roger House...

"Sometimes the poorest man leaves his children the richest inheritance." - Ruth E. Ren...

An Open Question on Moral Authority and Healthcare IT

AI recently had the chance to observe my mother's care in a small community hospital.This was a hospital that, in her last several days there before going back to a nursing home for rehab, went live with a major vendor CPOE. The CPOE was brought in from a parent large hospital where the CPOE had been in use several years.Just by passing the nursing station/doctor's charting room on my mother's floor and opening my eyes and ears, I saw doctors and nurses struggling to take care of patients while "getting the bugs out of the system."They had had received some classroom "training" in a static environment, but it was clear they were learning about a lot of "gotcha's" and unanticipated glitches in vivo.The fact of problems were predictable. In fact, I predicted unexpected difficulties to several...

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Tuesday, July 27, 2010

"Goals work. They empower you to do more for yourself, others and, in fact, all of humanity." - Mark Victor Han...

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Medical transcription outsourcing:Benefits of doing it the right way

Medical transcription has always played a vital role in the healthcare process, by creating patient records. Patient records play an important role in both the operational and commercial aspects of healthcare. Therefore it is important to ensure that creation of patient records takes place in an accurate, speedy, secure and economic fashion. Outsourcing medical transcription is an effective fix to ensure this.What are the advantages of outsourcing medical transcription?Speed: Outsourcing medical transcription to the right service provider ensures that patient records are automatically created within the promised turnaround time. There is no delay in the process of medical transcription due to factors like employee absenteeism, holiday/weekends etc. Outsourcing medical transcription ensures...

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