Chicago economics coming to health care

Discussion in 'Politics' started by mike oxbig, Sep 10, 2012.

  1. Chicago teachers (25,000 of em) going on strike. Highest paid teachers in America want what every union wants. More.

    Obamacare designed to unionize 21 million health care workers. (google it)

    Need a broken arm set? Tough! On strike.
  2. JamesL


    A significant percentage of hospital employees are already unionized
  3. Lucrum


    That explains a lot actually.

    The report apparently shows there are 2,000 deaths/year from unnecessary surgery; 7000 deaths/year from medication errors in hospitals; 20,000 deaths/year from other errors in hospitals; 80,000 deaths/year from infections in hospitals; 106,000 deaths/year from non-error, adverse effects of medications - these total up to 225,000 deaths per year in the US from iatrogenic causes which ranks these deaths as the # 3 killer....

    Richard Flagg drowned in his own blood.

    Stanley Stinnett choked on his own vomit.

    Both were victims of the leading cause of accidental death in America — mistakes made in medical care.

    Experts estimate that a staggering 98,000 people die from preventable medical errors each year. More Americans die each month of preventable medical injuries than died in the terrorist attacks of Sept. 11, 2001.

    In addition, a federal Centers for Disease Control and Prevention study concluded that 99,000 patients a year succumb to hospital-acquired infections. Almost all of those deaths, experts say, also are preventable.

    These numbers are not absolutes. There is no definitive study — which is part of the problem — but all of the available research indicates that the death toll from preventable medical injuries approaches 200,000 per year in the United States.

    Ten years ago, a highly publicized federal report called the death toll shocking and challenged the medical community to cut it in half — within five years.

    Instead, federal analysts believe the rate of medical error is actually increasing...
  4. pspr


    And, this is before ObamaCare kicks in?
  5. Lucrum


    After Obamacare starts, it'll probably be safer to just stay home and apply home remedies.

    Witch doctors may even make a comeback.
  6. "On Feb. 17, 2009, President Obama signed the Recovery Act, which contained a number of healthcare provisions, including the Health Information Technology for Economic and Clinical Health Act (HITECH), which nullified these disincentives. HITECH did this by providing physicians payments of up to $44,000 from Medicare and $65,000 from Medicaid — and hospitals getting millions of dollars, with amounts varying based on how many Medicare and Medicaid patients they cared for — to help defray the cost of EHR adoption. Obviously, this is not free money. Physicians and hospitals receive the incentive payments if their EHRs are certified as capable of supporting “meaningful use.” This, in practical terms, means they can be used for e-prescribing, securely exchanging patients’ health information and electronically submitting data on the quality of care. The law also includes a penalty for physicians and hospitals that do not implement EHRs: Their Medicare payments will be reduced beginning in 2015. It also empowers the government to set technology standards regarding interoperability and the secure exchange of health information.

    A lot of naysayers carped that this was not an economic stimulus that would help get the country out of a recession, so it didn’t belong in the Recovery Act. Others complained about the myriad requirements necessary for meaningful use. And not a few physicians were resentful, declaring that they would stop practicing rather than adopt EHRs.

    It’s now been a year since the administration released the regulations specifying meaningful use and what it takes to be certified — the nuts and bolts of implementing the law. The results have been nothing short of spectacular.

    As of December 2011, the use of EHR among office-based physicians has nearly doubled to 34 percent with e-prescribing exceeding 40 percent. Over 41,000 physicians have received more than $575 million in incentive payments. Going electronic will allow physicians to more closely track patients, especially the chronically ill, enabling the seamless exchange of data across multiple physicians, hospitals and other providers. For instance, Delaware is completing a framework for the electronic exchange of patient information among all the state’s hospitals. And the more physicians and hospitals have electronic records, the more effective and useful the exchange of data will be, enhancing patient care, especially in emergencies.

    The story is much the same among hospitals: 35 percent have adopted EHRs, and nearly 2,000 of the 4,700 hospitals have, collectively, received more than $2 billion in incentive payments. Every month has surpassed the previous month as measured by the number of physicians and hospitals that have signed up with the government for the EHR program, suggesting that these numbers will continue to rise.

    Another great byproduct of the law is that the entire healthcare IT industry has been refocused away from developing new, improved ways for physicians and hospitals to code and bill the insurance industry and the government for payment. Instead, they now focus on making electronics work to improve care, enhance coordination among physicians and facilitate physician-patient communication.

    What about jobs? Has this provision of the Recovery Act actually helped the recovery? According to the Department of Health and Human Services, over 50,000 high-paying health IT jobs were created between 2009 and 2011. Additionally, the Bureau of Labor Statistics estimates that the number of health IT jobs will increase by 20 percent from 2008 to 2018 — faster than any other occupation. And the number of vendors offering EHR’s that fulfill government requirements has tripled to 600.

    By any measure this part of the Recovery Act has exceeded expectations. This is all good news for those of us who will be patients, because it is critical to controlling costs and improving quality. We can be sure that after 2015 the vast majority of physicians and hospitals will have EHRs and the lost record or misplaced X-ray will become a distant memory. More important, having almost everyone’s physician use an EHR in their care will enable hospitals and physicians to finally have reliable data to identify problems and improve care."
  7. pspr


    California passed a law letting nurses, assistants and midwives perform abortions. Soon they'll probably be called on for other procedures like open heart and brain surgery. :D

    Doctors will just be on the phone with a dozen or so if these people at a time as they get in trouble and are about to kill the patient.
  8. Including janitors ask rcg.
  9. Thanks for your contribution.
  10. I suspect that means nurses educated and licensed above the RN level , physician assistants, midwives gives the impression of equivalent to "cosmetology" degree but it's an advanced specialty .

    Much to the consternation of MD's, several advanced Nursing degrees blur the traditional lines between Dr and Nurse allowed procedures.

    Also "supervision" of an MD gives the impression of "over the shoulder attention" which may only mean"somewhere in the building or less ".
    #10     Sep 11, 2012