healthy4u

Announcing the 2009 Doodle 4 Google Winner

Nearly six million online votes helped us pick the winners of this year's Doodle 4 Google competition from a very creative pool of doodles. Today, we're pleased to announce the results. Congratulations to Christin Engelberth, a sixth grader at Bernard Harris Middle School in San Antonio, Texas. She titled her doodle "A New Beginning" to express her wish that "out of the current crisis, discoveries will be found to help the Earth prosper once more." <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh5Vp4d7NlVm5Hst4U7QTFMzpvLxGTVXewDbmWje6DxI6uoozi178WGpahNjZU7qK2QPT_AWJNcRIltc7outrWX317EBtBsM00UzjagC2eiumCDVxTb971OmRICvQsb6uPFdpOOKHmjqJHr/s1600-h/Engelberth_1024x768_close.jpg" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img alt="" border="0" id="BLOGGER_PHOTO_ID_5337924409467880434" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh5Vp4d7NlVm5Hst4U7QTFMzpvLxGTVXewDbmWje6DxI6uoozi178WGpahNjZU7qK2QPT_AWJNcRIltc7outrWX317EBtBsM00UzjagC2eiumCDVxTb971OmRICvQsb6uPFdpOOKHmjqJHr/s400/Engelberth_1024x768_close.jpg" style="display:block; margin:0px auto 10px; text-align:center;cursor:pointer; cursor:hand;width: 400px; height: 228px;" /></a> Christin will receive a $15,000 college scholarship, a laptop, and a $25,000 technology grant for her school. Her doodle will be featured on the Google.com homepage tomorrow for millions of people around the world to see. Our congratulations also go out to the <a href="http://www.google.com/doodle4google/press.html">three national finalists</a>. They were selected as having the best doodle in their grade groups and will each receive a laptop computer: Grades K-3 Miriam Elizabeth Lowery ~ Grade K, Austin Peay Elementary Covington, TN "Friendship Around the World" Grades 7-9 Blakely Linz ~ Grade 7, Indian Hill Middle School, Cincinnati, OH "Stop to Smell the Flowers" Grades 10-12 Emerald Lu ~ Grade 10, Covington Latin School Covington, KY "From the Ashes" Our four winners were announced at a special event today at the Smithsonian's Cooper-Hewitt, National Design Museum, where we also unveiled an exhibit of the top doodles that will be on view until July 5, 2009. The finalists were treated to a day in New York City that included activities which promote peace, sustainability and wellness — all inspired by this year's theme, "What I Wish for the World." And of course, Dennis Hwang and our doodle team led a doodling class for all top <a href="http://www.google.com/doodle4google/winners_region.html">regional finalists</a> in New York city. We have one more winner to announce: Clark County School District in Las Vegas, Nevada, is the recipient of the District Quality Participation Prize. They will receive a $10,000 technology grant for having the greatest quality participation. Thanks to all those who voted and helped us find this year's winners. And thank you to all the creative kids out there who submitted entries. We hope you'll doodle with us next year!<div> </div><div>Update @ 10:45 AM: We've posted <a href="http://www.google.com/doodle4google/winners_state.html">all of the state finalists</a> — several hundred doodles in all —on the Doodle 4 Google website and we encourage you to take a look at the beautiful artwork created by these very talented young artists. Posted by Marissa Mayer, Vice President of Search Products and User Experience, and Dennis Hwang, Webmaster Manager</div>

Announcing the 2009 Doodle 4 Google Winner

Nearly six million online votes helped us pick the winners of this year's Doodle 4 Google competition from a very creative pool of doodl...

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Energized about our first Google PowerMeter partners

Earlier this year I blogged about <a href="http://googleblog.blogspot.com/2009/02/power-to-people.html">energy information</a> and a tool our engineers developed called <a href="http://www.google.org/powermeter/howitworks.html">Google PowerMeter</a>, a <a href="http://www.google.com/webmasters/gadgets/">Google gadget</a> that can show consumers their personal electricity consumption right on a home computer. Our software relies on "<a href="http://en.wikipedia.org/wiki/Smart_meter">smart meters</a>" (or other metering devices) as a data source. Over the past several months we've been looking to partner with utilities that are installing (or have already installed) this equipment in their customers' homes. We're energized by our very first Google PowerMeter partners: <ul><li><a href="http://www.sdge.com/">San Diego Gas & Electric®</a> (California) </li><li><a href="http://www.txu.com/">TXU Energy</a> (Texas)</li><li><a href="http://www.jea.com/">JEA</a> (Florida)</li><li><a href="http://www.rel.co.in/Rel/default.jsp">Reliance Energy</a> (India)</li><li><a href="http://www.wisconsinpublicservice.com/">Wisconsin Public Service Corporation</a> (Wisconsin)</li><li><a href="http://www.whiteriver.org/highband.html">White River Valley Electric Cooperative</a> (Missouri)</li><li><a href="http://www.torontohydro.com/">Toronto Hydro–Electric System Limited</a> (Canada)</li><li><a href="http://www.glasgowepb.net/">Glasgow EPB</a> (Kentucky)</li></ul> Our initial partners include utilities with millions of customers as well as smaller ones. They are rural and urban, privately held and municipally run. Some are in the United States, others in Canada and India. They all have one thing in common — a desire to serve their customers by providing access to detailed information that helps <a href="http://www.eci.ox.ac.uk/research/energy/electric-metering.php">save energy and money</a>. For now, Google PowerMeter is only available to a limited group of customers, but we plan to expand our roll out later this year. Our utility partners are leading the charge to make the electricity grid smarter and we look forward to working with them and others. In addition to utilities, we're also seeking partnerships with companies that can enable the implementation of our software. Our first such partner is <a href="http://www.itron.com/">Itron</a>, a leading meter and data management company that serves over 8,000 utilities and is helping some of their customers, including San Diego Gas & Electric, integrate with Google PowerMeter. If you're a utility or company with a smart meter project that might be interested in plugging in to our efforts, visit our <a href="http://www.google.org/powermeter/contactus.html">website</a> for more information. <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiTtUOz_3_iO1p6lLXg7JGXwqkPtOPwqzE8GlvbciRxw9qrplYLeIIZiY6_-2QCWV95ngLCyzHke0Wm2GHFttVWw6hcVkhjy95QUyr2CFV4-ZyX4PC_ETvPhN8BO7-FrQyfMFBm2ViBpYCQ/s1600-h/PowerMeter+screenshot.png" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img alt="" border="0" id="BLOGGER_PHOTO_ID_5337690276303748658" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiTtUOz_3_iO1p6lLXg7JGXwqkPtOPwqzE8GlvbciRxw9qrplYLeIIZiY6_-2QCWV95ngLCyzHke0Wm2GHFttVWw6hcVkhjy95QUyr2CFV4-ZyX4PC_ETvPhN8BO7-FrQyfMFBm2ViBpYCQ/s400/PowerMeter+screenshot.png" style="margin: 0px auto 10px; display: block; text-align: center; cursor: pointer; width: 400px; height: 387px;" /></a>Posted by Ed Lu, Engineering team

Energized about our first Google PowerMeter partners

Earlier this year I blogged about energy information and a tool our engineers developed called Google PowerMeter , a Google gadget that ca...

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Healthcare IT Timing "Cemented in Law?" A Healthcare Renewal Contest

I am quoted in the article "Liability an issue with health care software" in today's online edition of NextGov.com (<a href="http://www.nextgov.com/nextgov/ng_20090518_8824.php">link to article</a>). <blockquote>Nextgov.com is part of the <a href="http://nationaljournal.com/" style="color: rgb(102, 153, 0); text-decoration: underline;">National Journal Group Inc.</a> and the Atlantic Media Company. It is a spin off of Government Executive.com and provides coverage and commentary on the management of information technology in the federal government.</blockquote> Read the whole article. I reproduce a part of it below for the purposes of sponsoring the first ever Healthcare Renewal contest. The rules are simple. Add to the blog comments section your best explanation of the interesting phrase in the last sentence of the excerpt, bolded below. The best comment will get an honorable mention appended to the text of this posting. Keep in mind that the laws regarding health IT appeared in H.R. 1 EH, a.k.a. the Economic Recovery Act of 2009, with little or no public discussion regarding incentives, penalties or timing. See <a href="http://www.ischool.drexel.edu/faculty/ssilverstein/TITLE%20IV_HEALTH%20INFORMATION%20TECHNOLOGY.doc">Div. B Title IV, Health Information Technology</a> (Word file extract of a version of the bill from a few months ago) to review the Act's text on HIT.With that in mind, here is the excerpt:<blockquote> ... Health IT provisions in the economic stimulus package are integral to Obama's overall health care agenda, and give doctors and hospitals incentives to adopt certified electronic records by 2014. The Recovery Act appropriates about $20 billion in Medicare and Medicaid incentives to meet that goal. Professionals who deploy certified electronic health records between 2011 and 2014 will be eligible for Medicare bonus payments, while hospitals that implement certified e-records by 2015 also will get bonuses. Scot M. Silverstein, a medical informatics consultant, adjunct professor at Drexel University and former director of Drexel's Institute for Healthcare Informatics, said the timeline for adoption should be extended. Starting in 2015, the administration plans to dock Medicare payments for professionals and hospitals that fail to use certified e-records. "I think the punitive aspects that kick in need to be eliminated," Silverstein said. "I think the government needs to re-examine its justifications for shoving IT down doctors' throats by 2014." David Blumenthal, Obama's national coordinator for health information technology, said the government will tighten oversight of the certification process to address such concerns. "Right now, we are reviewing that process to see how it can provide stronger guarantees that [products] will perform as they are promised to perform," he said. But the timelines for rollout of health IT are cemented in law, he noted.</blockquote> "Cemented in law?" Your comments, please. -- SS

Healthcare IT Timing "Cemented in Law?" A Healthcare Renewal Contest

I am quoted in the article " Liability an issue with health care software " in today's online edition of NextGov.com ( link to...

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Novo Nordisk Accepts Deferred Prosecution Agreement, Settles, Pays Fine

Back in early 2007, we <a href="http://hcrenewal.blogspot.com/2007/02/accusations-against-az.html">noted</a> that several large drug companies were under investigation for possible involvement in the Iraq oil-for-food sanctions scandal. More than two years later, a US Department of Justice <a href="http://www.usdoj.gov/opa/pr/2009/May/09-crm-461.html">press release </a>from last week includes the following: <blockquote> Novo Nordisk A/S (Novo), a Danish corporation based in Bagsvaerd, Denmark, has agreed to pay a $9 million penalty for illegal kickbacks paid to the former Iraqi government. Novo agreed to pay the fine as part of a deferred prosecution agreement with the Department. The matter is part of the Justice Department’s ongoing investigation into the U.N. Oil-for-Food program. A criminal information was filed today against Novo in U.S. District Court for the District of Columbia charging Novo with one count of conspiracy to commit wire fraud and to violate the books and records provisions of the Foreign Corrupt Practices Act (FCPA). Novo, an international manufacturer of insulin, medicines and other pharmaceutical supplies, has acknowledged responsibility for improper payments made by its agents to the former Iraqi government in order to obtain contracts with the Iraqi ministry of health to provide insulin and other medicines. The agreement requires the company and its subsidiaries to cooperate fully with the Justice Department’s ongoing Oil-for-Food investigation. According to the agreement and the information filed today, between 2001 and 2003, Novo paid approximately $1.4 million to the former Iraqi government by inflating the price of contracts by 10 percent before submitting the contracts to the United Nations for approval and concealed from the United Nations the fact that the price contained a kickback to the former Iraqi government. Novo also admitted it inaccurately recorded the kickback payments as 'commissions' in its books and records. In recognition of Novo’s thorough review of the illicit payments and its implementation of enhanced compliance policies and procedures, the Department has agreed to defer prosecution of criminal charges against Novo for a period of three years. </blockquote> Also, <blockquote> In a related matter, Novo reached a settlement today with the U.S. Securities and Exchange Commission (SEC) on a complaint and agreed to pay $3,025,066 in civil penalties and $6,005,079 in disgorgement of profits, including pre-judgment interest, in connection with contracts for which it paid kickbacks to the former Iraqi government. </blockquote> Note that so far I can only find coverage of this story in this <a href="http://www.reuters.com/article/rbssHealthcareNews/idUSN1154539220090511">brief piece </a>from Reuters. So here we go again. Yet another big health care corporation, in this case, an international pharmaceutical company, admits to criminal conduct, and agrees to operate under a deferred prosecution agreement, while also paying additional millions in a civil settlement. In this case, the amounts of money paid were not particularly large, but the nature of the conduct involved, involving paying to play with a particularly notorious dictator, was striking. Like most cases involving settlements for unethical behavior, or even deferred prosecutions or convictions for criminal behavior, this one has attracted almost no attention. Have such stories become like "dog bite man" stories, so commonplace that they deserve no notice from a public that has become cynical? As we have <a href="http://hcrenewal.blogspot.com/2009/05/synthes-settles-agrees-to-stop-giving.html">said before</a>, while human beings authorized or committed the acts that got the organization in trouble, rarely do these people seem to suffer any negative consequences. At most, the organization may pay a fine. In this case, the fine was, in corporate terms, tiny. However, even a large fine, however, may come out of dividends or the stock price, dispersing the cost to stock-holders, or out of salaries across the board. Thus, those who got the organization into trouble are unlikely to feel pain from it. Perhaps because of reverence for all organizations related to health care, and fear that the bankruptcy of any health care organization, even a health care insurance company, will leave patients in the lurch, prosecutors do not seem inclined to actually prosecute such organizations. The net effect, though, seems to be that dishonest executives of health care organizations can continue to act with impunity.Until bad leadership of health care organizations leads to negative consequences for those practicing it, health care leadership can be expected to continuously degrade. Hat Tip to the <a href="http://lawprofessors.typepad.com/whitecollarcrime_blog/2009/05/novo-nordisk-deferred-prosecution-agreement.html">White Collar Crime Prof Blog</a>.

Novo Nordisk Accepts Deferred Prosecution Agreement, Settles, Pays Fine

Back in early 2007, we noted that several large drug companies were under investigation for possible involvement in the Iraq oil-for-food s...

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A galactic mentor

This month marks the 30th anniversary of the final quarter being dropped into the world’s first commercial video game, for it was in May of 1979 that <a href="http://en.wikipedia.org/wiki/Galaxy_Game">Galaxy Game</a> was removed from the Coffee House café at Stanford’s Tresidder student union. I spent a good part of five years feeding coins into Galaxy’s wondrous console, and in return it taught me and several other Silicon Valley denizens valuable lessons that laid the groundwork for much of what we have done since. I met Galaxy Game in the Summer of 1974. My family had just moved to Palo Alto and I had no friends, so my brother and I rode our bikes around the Stanford campus looking for things to do. I was in 8th grade and the bowling alley got boring quickly, but next door, amidst students and lattes (also a novelty at the time) stood two large consoles, side by side, with odd-looking little black screens. Behind those screens sat a DEC PDP-11/20 powering a riveting game built on a simple concept: use a joystick and a couple of buttons (one for torpedoes, one for hyperspace) to destroy the other spaceships. Best of all, unlike its descendants such as Asteroids, Galaxy was a multi-player game. Those opposing spaceships were controlled by the people sitting next to you, and if you won the game you kept your quarter. <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhlU1QE1lYMovOBIiJ5LvB0v3HULshc_OSgY_nyIoVyKg5JHwN7lP0cmgXliyAPn34zqT_3mTRVim53Hm6Xr7tNg8gY3cwa7iJbA_CbM9yXNFwU_dBdv-m0rFHgdyV2N1coAb9nN4OMHjpN/s1600-h/Picture+1.png" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img alt="" border="0" id="BLOGGER_PHOTO_ID_5337224008240126370" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhlU1QE1lYMovOBIiJ5LvB0v3HULshc_OSgY_nyIoVyKg5JHwN7lP0cmgXliyAPn34zqT_3mTRVim53Hm6Xr7tNg8gY3cwa7iJbA_CbM9yXNFwU_dBdv-m0rFHgdyV2N1coAb9nN4OMHjpN/s400/Picture+1.png" style="margin: 0px auto 10px; display: block; text-align: center; cursor: pointer; width: 293px; height: 221px;" /></a>I knew a good deal when I saw one, so I hung around the Coffee House and got to know the game’s co-creator, a Stanford grad named Bill Pitts. That's how I got my first job in high-tech: in exchange for keeping the consoles clean, I got a few dollars per day and a bunch of insider tips about how to play. For example, if your torpedo was on course to destroy an opponent’s ship and that opponent escaped into hyperspace, you could follow him there, shoot again, and destroy him. Imagine the face of a graduate student who thinks he has outwitted that annoying kid, only to find when he releases his finger from the hyperspace button that his ship is nothing but fragments of white floating randomly into the blackness of space. Nothing on Wii matches it! Galaxy's lessons have stayed with me. Its design was simple and easy to use but with the depth to satisfy the most committed players. Its on-screen dashboard fed players real-time information about fuel, torpedoes, and location, my first inkling that data is critical to making smart decisions. Finally, in Galaxy achieving your goals sometimes required a jump to hyperspace. My opponents thought hyperspace was a last resort, a refuge from a losing path. I discovered that it was a way to win — high risk and scary, but with a huge payoff. So when in doubt, press the button and make the jump! At worst you’ll lose a quarter, but at best you’ll rule the Galaxy. Posted by Jonathan Rosenberg, SVP, Product Management

A galactic mentor

This month marks the 30th anniversary of the final quarter being dropped into the world’s first commercial video game, for it was in May of ...

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Dangerous Games and Health IT Feudalism

I am reposting a provocative open letter from Ignacio Valdes, MD, MSc (a proponent of Open Software and proprietor of the <a href="http://linuxmednews.com/">LinuxMedNews blog</a>) on the revelations about Health IT by Penn sociology professor Ross Koppel and by Washington Post reporter Robert O'Harrow, Jr. While I am not predicting nor recommending the elimination of the commercial HIT sector (just its major reformation!), Dr. Valdes makes many valid points about the current state of health IT and the value of open source solutions. VistA/CPRS and its derivatives are one example of an open source EHR. (Note: Dr. Valdes is an acquaintance from informatics meetings; I have no commercial connections or financial interests in his business affairs). I cannot add much more to the letter's sentiments: <blockquote>Dangerous Games and Health IT Feudalism. From: LinuxMedNews announce -- breaking news of Free/Open Source in medicine. <linuxmednews-announce@linuxmednews.com> To: linuxmednews-announce <linuxmednews-announce@linuxmednews.com> Date: Mon, 18 May 2009 12:43 pm Dr. Koppel, This is an open letter that I plan to publish on Linux Medical News and elsewhere. As you probably know, your JAMA 'Hold Harmless' article presents just the tip of the iceberg. Your article and more data from the Washington Post article (<a href="http://www.washingtonpost.com/wp-dyn/content/article/2009/05/15/AR2009051503667.html?hpid%3Dtopnews&sub=AR">link</a>) make it abundantly clear that proprietary vendors are intent on establishing private property rights for something that private property rights are clearly not appropriate for. It leads to the logical absurdities, expense, and moral hazards we are experiencing now. The obvious dangers, enormous conflict of interest, as well as highly practical considerations such as simple non-performance of proprietary Electronic Medical Record software is manifest. What the proprietary industry could not achieve with vendor lock-in, legislative help like Stark exceptions, trade secrets, and inadequate products they are attempting to achieve by pure politics. Politicians, proprietary vendors and its lobby are playing 'heads we win, tails you lose, we are king, it is good to be king' games with our safety, our privacy, taxpayer money, and our lives. This may well succeed in ushering in a kind of digital feudalism with the most intimate details of our lives. Such landlord type games are entirely inappropriate for the practice of medicine. They are antithetical to American history and values. A generous and virtuous society should not allow this to occur. The medical profession no longer condones even 15 cent pens with pharmaceutical company logos on them because of the moral hazard and the perception of untoward financial coercion. Yet we are now by law embarking on a program of essentially bribing physicians with approximately $40,000 each of taxpayer money and then punishing them if they cannot be bribed in order to implement problematic proprietary health IT loaded with legal, financial, and practical minefields. Have we as a nation taken leave of our senses? The Free/Open Source licensing in medicine crowd has been discussing these issues and showing demonstrable results for years but has received little attention and practically no funding. We have the legal, practical, and licensing means for achieving the transparency and rights guarantees that nearly everyone says that they want, solving many practical as well as moral issues. The AMIA Open Source working group white paper can be found here <a href="http://www.amia.org/files/Final-OS-WG%20White%20Paper_11_19_08.pdf"> http://www.amia.org/files/Final-OS-WG White Paper_11_19_08.pdf</a> Unfortunately, it was rejected from entering into the scientific literature by JAMIA on a technicality and voted down by the AMIA board of directors as AMIA policy on methodology and 'ideological' grounds. Such a stance and public declarations by AMIA's leaders seems to be in direct conflict with AMIA's mission. Relying on government bureaucrats, proprietary vendor lobbies, and marketing representatives giving "trust us" type guarantees versus legally enforceable Free/Open Source licenses is a recipe for national disaster. Again, a generous and virtuous society should not allow this to occur. A practical solution is a law that only allows taxpayer money to be expended only for Electronic Medical Record software that is licensed only with Free Software Foundation approved licenses. Preferably the Affero General Public License which closes the software as a service loophole. The nations health, privacy, safety, finances and destiny are at stake. Sincerely, -- Ignacio Valdes, MD, MSc</linuxmednews-announce@linuxmednews.com></linuxmednews-announce@linuxmednews.com></blockquote> -- SS

Dangerous Games and Health IT Feudalism

I am reposting a provocative open letter from Ignacio Valdes, MD, MSc (a proponent of Open Software and proprietor of the LinuxMedNews blog ...

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Wall Street Journal Letter Revisited

I believe yesterday's Washington Post article <a href="http://www.washingtonpost.com/wp-dyn/content/article/2009/05/15/AR2009051503667.html?hpid=topnews">The Machinery Behind Health-Care Reform</a> confirms that my Feb. 18, 2009 <a href="http://online.wsj.com/article/SB123492035330205101.html">letter to the editor</a> published in the Wall Street Journal was on the money (yes, that is a pun): I wrote: <blockquote>Dear Wall Street Journal: You observe that the true political goal is socialized medicine facilitated by health care information technology. You note that the public is being deceived, as the rules behind this takeover were stealthily inserted in the stimulus bill. I have a different view on who is deceiving whom. In fact, it is the government that has been deceived by the HIT industry and its pundits. Stated directly, the administration is deluded about the true difficulty of making large-scale health IT work. The beneficiaries will largely be the IT industry and IT management consultants. For £12.7 billion the U.K., which already has socialized medicine, still does not have a working national HIT system, but instead has a major IT quagmire, some of it caused by U.S. HIT vendors. HIT (with a few exceptions) is largely a disaster. I'm far more concerned about a mega-expensive IT misadventure than an IT-empowered takeover of medicine. The stimulus bill, to its credit, recognizes the need for research on improving HIT. However this is a tool to facilitate clinical care, not a cybernetic miracle to revolutionize medicine. The government has bought the IT magic bullet exuberance hook, line and sinker. I can only hope patients get something worthwhile for the $20 billion. </blockquote> Lobbyists do tend to present the rosiest picture possible to those with the gold. It appears the myths surrounding health IT have been deliberately engineered. I believe it now essential and indeed socially responsible for our medical professional societies to ensure the administration is aware of the difficulties and potential downsides of health IT. If the industry lobbyists have only presented one side of the story (and I believe that likely to be the case), then our government has been making critical social re-engineering decisions based on a dangerously and deceptively incomplete picture. I for one would like an accounting from HIMSS and other lobbyists of exactly what literature and viewpoints they presented to our government officials, especially in recent years, that led to the massive inclusion of funds and the use of government power to enforce rapid timelines (via economic sanctions for non-meaningful users) in H.R. 1 EH , a.k.a. the Economic Recovery Act of 2009 . I would also like to know what literature was not presented. -- SS

Wall Street Journal Letter Revisited

I believe yesterday's Washington Post article The Machinery Behind Health-Care Reform confirms that my Feb. 18, 2009 letter to the edit...

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