accountability
See the following -
The ACO Failure Hypothesis: Likely But Not Inevitable
We recently participated in a program at Columbia Business School’s Healthcare Program on whether ACOs (Accountable Care Organizations) will fail. For those of you that don’t know, ACOs are one of the structures promulgated by PPACA (aka Obamacare) designed to encourage better cost control and quality improvement in the healthcare system. Read More »
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The Best Governance For Medicines ... Is In Thailand
Here in the US, a lot of people have been convinced that we have the best health care system in the world... Read More »
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The Effect Of For-Profit Laboratories On The Accountability, Integration, And Cost Of Canadian Health Care Services
Using for-profit laboratories increases the cost of diagnostic testing and hinders the integration of health care services more generally. Two useful steps toward ending the for-profit provision of laboratory services would be to stop fee-for-service funding and to integrate all laboratory work within public administrative structures.
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The Elusive Quest To Transform Healthcare Through Patient Empowerment
Would you take a morning off from work to discuss health care costs and consumer empowerment in health care? Over a hundred people in the Boston area did so on Monday, May 6, for the conference “Empowering Healthcare Consumers... Read More »
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The Evolving Role of Open Source Software in Medicine and Health Services
In this article, we highlight the barriers to progress and discuss the dangers of pursuing a standardization framework devoid of empirical testing and iterative development. We give the example of the openEHR Foundation, which was established at University College London (UCL) in London, England, with members in 80 countries....We argue that such an approach is now essential to support good discipline, innovation, and governance at the heart of medicine and health services, in line with the new mandate for health commissioning in the United Kingdom's National Health Service (NHS), which emphasizes patient participation, innovation, transparency, and accountability. Read More »
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The Global Innovation Competition!
Hosted annually, this competition will tackle a different problem each year in the citizen to government feedback loop in order to improve government performance. It is unique through a crowdsourcing and peer review process and the fact that all finalists will receive expert mentoring by our Jury upon arrival in Nairobi for the Global Innovation Week [...]. Read More »
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The IT Dashboard: Not Exactly Transparent
Is the Federal IT Dashboard really providing more transparency or just more fog? Read More »
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The Long Con - "Charitable" Hospitals Make Multimillionaires Out Of Their CEOs
The CEOs of ostensibly charitable hospitals founded to serve the poor continue to become rich. The latest reminders are in two articles from Maryland, from DelMarVaNow, and from the Baltimore Sun,.and one from the Boston Globe. Read More »
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The NSA's New Spy Facilities Are 7 Times Bigger Than The Pentagon
He works at one of the three-letter intelligence agencies and oversees construction of a $1.2 billion surveillance data center in Utah that is 15 times the size of MetLife Stadium, home to the New York Giants and Jets. Long Island native Harvey Davis, a top National Security Agency official, needs that commanding presence. Read More »
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The NSA-Reform Paradox: Stop Domestic Spying, Get More Security
The nation can survive the occasional terrorist attack, but our freedoms can't survive an invulnerable leader like Keith Alexander operating within inadequate constraints. Read More »
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The Obamacare Insurance Exchange Train Is Already Coming Off The Rails
Sen. Max Baucus (D-Mont.) raised eyebrows across the country last month when he publicly fretted about an Obamacare “train wreck” as the Administration rushes to implement the many provisions of the law that take effect in 2014. Read More »
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The Open Source Paradigm - Part I
Harish Pillay, Head, Community Architecture & Leadership, Red Hat, talks about the advantages of the open source approach and the passion and the rigour that drive the open source community. Read More »
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The Republican Case For Waste In Health Care
Conservatives love to apply “cost-benefit analysis” to government programs—except in health care. In fact, working with drug companies and warning of “death panels,” they slipped language into Obamacare banning cost-effectiveness research. Here’s how that happened, and why it can’t stand. Read More »
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The Secret Sharer
On June 13th, a fifty-four-year-old former government employee named Thomas Drake is scheduled to appear in a courtroom in Baltimore, where he will face some of the gravest charges that can be brought against an American citizen. A former senior executive at the National Security Agency, the government’s electronic-espionage service, he is accused, in essence, of being an enemy of the state... Read More »
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The Third-Leading Cause Of Death Is Preventable, But Candidates Don't Mention It
It is more likely to kill you than terrorism. It has profoundly impacted virtually every American family. So this election year, why aren’t politicians at all levels of government talking about the third-leading cause of death in America—preventable errors in healthcare? The statistics are staggering: more than 500 patients per day are killed by errors, accidents and infections in hospitals alone. Medical errors kill more people annually than breast cancer, AIDS or drug overdoses...
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