From " Forced Injections " to " Sorcery, " - More Examples of Partisan Ideology and Religious Sectarianism Trumping Evidence in Health Policy and Public Health
(Source: Health Care Renewal)
Source: Health Care Renewal - May 16, 2019 Category: Health Management Tags: evidence-based medicine health policy ill-informed management public health vaccines Source Type: blogs

The New (Ab)normal in Health Care Dysfunction
(Source: Health Care Renewal)
Source: Health Care Renewal - May 6, 2019 Category: Health Management Tags: anechoic effect dark money disinformation free speech health care corruption health care reform ill-informed management mission-hostile management political ideology revolving doors Source Type: blogs

Why Are We Complicit? A Narrative for Our Era
(Source: Health Care Renewal)
Source: Health Care Renewal - May 1, 2019 Category: Health Management Tags: anechoic effect Donald Trump Source Type: blogs

April, 2019, Update: How to Challenge Health Care Corruption Under a Corrupt Regime?
(Source: Health Care Renewal)
Source: Health Care Renewal - April 28, 2019 Category: Health Management Tags: anechoic effect conflicts of interest Donald Trump health care corruption regulatory capture Source Type: blogs

The Rise of Ideologically or Theologically Based Medicine, Public Health, and Health Policy - Recent Examples
(Source: Health Care Renewal)
Source: Health Care Renewal - April 21, 2019 Category: Health Management Tags: evidence-based medicine health policy public health vaccines Source Type: blogs

The HIV Epidemic, and Now the Measles Outbreak: The Russian Connection
(Source: Health Care Renewal)
Source: Health Care Renewal - April 13, 2019 Category: Health Management Tags: disinformation Donald Trump HIV propaganda public health Russia Source Type: blogs

First the NIH Came for the Iranian Born Legal US Resident Scientists
(Source: Health Care Renewal)
Source: Health Care Renewal - April 5, 2019 Category: Health Management Tags: Donald Trump mission-hostile management NIH Source Type: blogs

Why Did the Head of the Center for Medicare and Medicaid Services Outsource Communications Functions to Private Public Relations Firms? - Ethical and Legal Questions
(Source: Health Care Renewal)
Source: Health Care Renewal - April 4, 2019 Category: Health Management Tags: CMS conflicts of interest DHHS Donald Trump First Amendment propaganda public relations Source Type: blogs

Despite Public Protestations of of Bipartisanship, Many CEOs of the Largest US Health Care Corporations Appear Partisan, and Mainly Republican
(Source: Health Care Renewal)
Source: Health Care Renewal - March 28, 2019 Category: Health Management Tags: Abbott Amgen Bristol-Myers-Squibb conflicts of interest CVS deception Donald Trump Eli Lilly Gilead Merck mission-hostile management Pfizer Source Type: blogs

The Transparency International 2018 Corporate Political Engagement Index- Pharma Appears All Too Comfortable with the Revolving Door and Making Opaque Political Contributions
(Source: Health Care Renewal)
Source: Health Care Renewal - March 21, 2019 Category: Health Management Tags: AstraZeneca conflicts of interest dark money deception GlaxoSmithKline Johnson and Johnson Novartis Pfizer revolving doors Roche Shire Source Type: blogs

For Whom the Door Revolves: Founder and Director of Multiple Biotechnology Companies Became Director of the NCI and Now Nominated to be Acting Commissioner of the FDA
(Source: Health Care Renewal)
Source: Health Care Renewal - March 15, 2019 Category: Health Management Tags: biotechnology conflicts of interest FDA NIH regulatory capture revolving doors Source Type: blogs

Another Missing Link Discovered: 1969 IRS Rule Change Allowed US Hospitals to Discriminate Among Patients Based on Ability to Pay
(Source: Health Care Renewal)
Source: Health Care Renewal - March 7, 2019 Category: Health Management Tags: health care reform health policy hospitals mission-hostile management Source Type: blogs

Don't Know Much About Health Care and Public Health: Politicans' and Pundits' Unjustified Statements About Causation, Benefits and Risks
(Source: Health Care Renewal)
Source: Health Care Renewal - March 3, 2019 Category: Health Management Tags: ill-informed management logical fallacies public health vaccines Source Type: blogs

China Uses DNA to Track Its People, With the Help of American (Yale) Expertise - from a Yale scientist sadly all too familiar to this author
You saw it here on Healthcare Renewal first.In 2005 and 2007 I'd written the posts:"Academic abuses in biomedicine vs. Indigenous Peoples: The Genographic Project" (http://hcrenewal.blogspot.com/2005/09/academic-abuses-in-biomedicine-vs.html)and"Informed consent, exploitation and developing a SNP panel for forensic identification of individuals" (http://hcrenewal.blogspot.com/2007/07/informed-consent-and-developing-snp.html)respectively.The theme of these posts was that genetics research (especially that centering on profiling) by unscrupulous scientists could have unforeseen, adverse (if not devastatin...
Source: Health Care Renewal - February 25, 2019 Category: Health Management Tags: Allele Frequency Database China genetics Kelsang Dolma Kenneth Kidd Uighurs Yale Yale Daily News Source Type: blogs

The Revolving Door Spins Again: the Now Constant Coziness Between the Health Care Industry and US Government
Just because Washington DC is now crazy town does not mean the revolving door has stopped spinning.  We have been dutifully accumulating cases, so it is time to present our latest update.I will divide this into two sections 1) the incoming revolving door, through which come people from the health care industry to enter US government positions in which they may influence health care regulation or policy relevant to their former positions; and 2) the outgoing revolving door, through which go people from US government positions in which they influenced health care regulation or policy to industry positions which were rel...
Source: Health Care Renewal - February 22, 2019 Category: Health Management Tags: DHHS Donald Trump FDA revolving doors Source Type: blogs

How Stupid Do They Think We Are? - Plutocrats Using Logical Fallacies to Defend the Health Care Status Quo
In the early 21st century, the debate about health care reform in the US ramped up.  The result ultimately was thePatient Protection and Affordable Care Act (PPACA, ACA, " Obamacare " ), which arguably improved access to health care, made some reforms in the regulation of health care insurance, but did not affect the fundamental reliance of the US on employer-paid, for-profit health care insurance to finance health care for many patients.  Nor did it really affect the issues we discuss on Health Care Renewal (lookhere for details).After the tumultuous election of President Donald Trump, the debate start...
Source: Health Care Renewal - February 14, 2019 Category: Health Management Tags: dark money disinformation health care reform logical fallacies ppaca propaganda stealth health policy advocacy Source Type: blogs

Watching the Detectives: Logical Fallacies and Unsubstantiated Claims to Denigrate Investigations of Leaders' Conflicts of Interest and Alleged Corruption
DiscussionSo here is one example, one anecdote, showing, in my humble opinion, an extreme case of illogical, unsupported argumentation in defense of our current president against multiple credible allegations of conflicts of interest and corruption.  These allegations should concern anyone who cares about conflicts of interest and corruption in health care, because the presidency sets the tone for the whole country, and up to now, the executive branch of the US government provided the most and best resources for preventing and challenging conflicts of interest in health care.  Obviously, these allegations should ...
Source: Health Care Renewal - January 30, 2019 Category: Health Management Tags: conflicts of interest disinformation Donald Trump health care corruption logical fallacies propaganda Source Type: blogs

Retaliation against physicians reporting EHR flaws that cause use errors? Physicians subpoenaed in Rhode Island, allegedly after reporting EHR risks
It appears that way to my eye.  First, on use errors (as opposed to user errors from carelessness):“Use error” is a term used very specifically by NIST to refer to user interface designs that will engender users to make errors of commission or omission. It is true that users do make errors, but many errors are due not to user error per se but due to designs that are flawed, e.g., poorly written messaging, misuse of color-coding conventions, omission of information, etc. From"NISTIR 7804: Technical Evaluation, Testing and Validation of the Usability of Electronic Health Records." It is available a...
Source: Health Care Renewal - January 29, 2019 Category: Health Management Tags: David Levesque healthcare IT difficulties Lifespan retaliation rhode island hospital use error Source Type: blogs

More Than Just Dander
First, a sort of meta-comment in the form of a shout-out to HCRenewal's intrepid editor, Dr. Roy Poses, for his just-published analysis of what we might call " blogging: rise and fall. " He sees decline reflected in publications long  devoted to health and health policy, yet now flaking off.Methinks, however, despite the usefulness of his overview of recent decades, Dr. P need not fret excessively. Water spilling out of the barrel's lip will slow down once folks come along and punch a whole bunch of little mid-section tweet-holes in it. Information still flows. (Sort of.)  In any case, surely there's ov...
Source: Health Care Renewal - January 25, 2019 Category: Health Management Source Type: blogs

Experts declare physician burnout ‘a public health crisis’ - and health IT a significant pathogen
I'm certain when the information technology hyperenthusiasts and non-clinical management information systems " experts " and pundits get the technology all figured out, this burnout crisis will end.It will be about the same time as Zefram Cochrane invents the warp drive in Bozeman, Montana just prior to first contact by the Vulcans. That is in 2063 or so.Experts declare physician burnout ‘a public health crisis’January 22, 2019https://www.healio.com/psychiatry/practice-management/news/online/%7B7f2124e2-d72e-4e3e-be53-6fbe41986186%7D/experts-declare-physician-burnout-a-public-health-crisisExperts from...
Source: Health Care Renewal - January 23, 2019 Category: Health Management Tags: burnout healthcare IT burden Healthcare IT experiment Source Type: blogs

Return of the Anechoic Effect - Rest in Peace, Health Wonk Review
Introduction: Blogging About Taboo Topics in Health CareWe started Health Care Renewal in 2004 to discuss the causes of health care dysfunction that rarely were mentioned in polite conversation at the time.  When we started Health Care Renewal, such issues as suppression andmanipulation of research, and health care professionals 'conflicts of interests rarely appeared in the media or in medical and health care scholarly literature.  While these issues are now more often publicly discussed, many other topics, such as deceptivemarketing of health care products and services; distortion of health care regulation...
Source: Health Care Renewal - January 18, 2019 Category: Health Management Tags: anechoic effect blogs free speech health care reform Source Type: blogs

The Mysteries Surrounding Rhodes Pharmaceuticals, the Sackler Family's Second Opioid Company
 Mysteries still abound in the not so wonderful world of health care dysfunction, so, quick, the game's afoot...Today's mysteries involve beneficial ownership.  Beneficial ownership questions are important to anti-corruption campaigners.  Beneficial ownership simply refers to " anyone who enjoys the benefits of ownership of a security or property, without being on the record as being the owner. " (per Wikipedia). Concealing who really owns a company enables concealing sources of funds (as in money laundering), market power (when the owner also owns competitors), and sources of political influence, ...
Source: Health Care Renewal - January 8, 2019 Category: Health Management Tags: anechoic effect concentration of power conflicts of interest dark money deception Donald Trump health care corruption marketing narcotics Purdue Pharma Source Type: blogs

For the Years of Investigation to Come: a Guide to Resources for Challenging Health Care Corruption
The Enduring Problem of Health Care CorruptionNow arrives the years of investigation.  Here in the US, a new majority in the US House of Representatives promises multi-pronged investigations of, among other topics, the corruption that now seems pervasive at the highest reaches of the US government, corruption that has badly affected efforts to truly reform US health care (lookhere).  Meanwhile, similar investigations are likely to get underway in various US states.  We can only hope that this flurry of activity will end up with some positive steps to reduce US health care corruption,an enduring problem about...
Source: Health Care Renewal - January 2, 2019 Category: Health Management Tags: health care corruption Transparency International Source Type: blogs

Dander Up, Down, and All Around
Today's topics: VA health care politics; a clear-eyed and sane report from a bastion of managerialism, with related observations on innovators trying to create real bottom-up value.It's the last day of the year, so let's get this done. Owing to various largely unforeseen challenges, happily now largely behind us, this " Dander " series was interrupted for some time. Apologies to anyone who noticed. In any case, to refresh: as Chief Blogger and FIRM president Dr. Poses has indicated often enough in these pages, health care developments raising our dander are still everywhere, all the time, and on the inc...
Source: Health Care Renewal - December 31, 2018 Category: Health Management Source Type: blogs

The Demise of the Trump Foundation, an Extreme Example of Elite " Do-Gooding " to Prop Up the " Broken System " that Benefits Them
DiscussionThis example may be extreme, but it may not be unique. Vox just published an opinion piece entitled, " The Trump Foundation shows justhow preposterously light our oversight of charity is. " It noted,As the political theorist Rob Reich explains in his new book Just Giving,we really don ’t expect much from foundations as a matter of public policy.They don ’t have to have a website or some other way for interested charities to contact them about funding. They don’t have to make their giving strategy publicly available or accessible in any way. They do have to fill out 990-F tax forms...
Source: Health Care Renewal - December 22, 2018 Category: Health Management Tags: Donald Trump Gates Foundation health care foundations health care reform Robert Wood Johnson Foundation Source Type: blogs

Johnson and Johnson's Latest Ethical Misadventures: Settled Kickback Allegations, Reportedly Concealed Knowledge of Adverse Effects of a " Sacred Cow " Product
Giant pharmaceutical/ biotechnology/ device company Johnson& Johnson has its famous" credo " which starts withWe believe our first responsibility is to the doctors, nurses and patients, to mothers and fathers and all others who use our products and services.  In meeting their needs everything we do must be of high quality..Nonetheless, the company has a long history of ethical misadventures (lookhere, and see appendix below).  Now late in 2018,  we note two more Johnson& Johnson misadventures. In chronological order,$360 Million Settlement of Allegations of Kickbacks to Medicare/ Medicaid P...
Source: Health Care Renewal - December 15, 2018 Category: Health Management Tags: adulterated drugs adverse effects deception impunity Johnson and Johnson kickbacks legal settlements Source Type: blogs

Mission-Hostile Hospital Management: Quieter, but Still Pernicious After All These Years
Hospitals exist to take care of sick people, with the goal of making them better.  Hospitals employ and work with health care professionals, again who are sworn to put taking care of patients ahead of all other concerns.However, since we foundedHealth Care Renewal, we have noted striking examples of hospital leaders threatening their hospitals'fundamental mission and/or health care professionals'core values, which we dubbedmission-hostile management.  We also saw mission-hostile management affecting the broader health care industry, particularly pharmaceutical and device companies.  Most recently, the most s...
Source: Health Care Renewal - December 10, 2018 Category: Health Management Tags: hospitals imperial CEO managerialism mission-hostile management perverse incentives Source Type: blogs

The Perils of CEO Worship - What Happens When the Leader Becomes Demented?
Introduction: the Cult of the CEOAlthough the US and most developed countries are nominally democratic, many of us seem to be again yearning for a man on a white horse, and in the current era, the horse ridden is corporate.On Health Care Renewal, we having been talking about this pheonomenon for a long time. We have written about it in terms ofthe messianic (or visionary, or charistmatic) CEO,CEO disease, and theimperial CEO.These concerns are diffusing into the broader media.  For example, from the introduction to a revent Vox article entitled "The Problem with CEO Worship"Society has always had heroes, be ...
Source: Health Care Renewal - December 2, 2018 Category: Health Management Tags: accountability anechoic effect CEO disease Donald Trump imperial CEO leadership Source Type: blogs

From Russia with Money - Harvard Medical School Accepts $200 Million from Russian Emigre with Ties to Russian Oligarchs and Putin, and Who Is Under Investigation for US Election Meddling
We present a big case of what looks like an entirely new, and very troubling variation on an institutional conflict of interest.A " Transformative " Gift to Harvard Medical SchoolOn November 8, 2018, Felice Freyer, writingin the Boston Globe, documented a huge new gift to Harvard Medical School.Harvard Medical School has received a $200 million donation— the largest in its history — to support research into fundamental questions about human illness and health.The pledge,from the Blavatnik Family Foundation, will enable the school to hire researchers, add to its advanced technology, and a build an'incu...
Source: Health Care Renewal - November 18, 2018 Category: Health Management Tags: conflicts of interest crime Donald Trump Harvard Harvard Medical School institutional conflicts of interest oligarchy revolving doors Russia Source Type: blogs

Pharmaceutical and Other Health Care Corporations Funnel Dark Money to Republicans to Defeat " Leftward " Democratic Candidates - Partisanship Trumps Social Responsibility
Discussion and SummaryThis is now the fifth time we have discussed the role ofdark money in health care.- In 2012 wediscussed a case of "dark money" being used to conceal sources of support for particular health policy and political positions.- Earlier this year,  wediscussed the case of huge pharmacy chain CVS,which proclaims its " social responsibility, " and its policy of only making charitable contributions to improve " health and healthcare nationwide. "  Yet CVS was donating to America First Policies, a supposed non-profit group devoted to promoting the partisan agenda of Presi...
Source: Health Care Renewal - November 7, 2018 Category: Health Management Tags: corporatism dark money deception Eli Lilly Genentech Roche stealth health policy advocacy stealth lobbying US Chamber of Commerce Source Type: blogs

Nonsense-Based Health Care - in the Service of Political Ideology and Sectarian Beliefs
ConclusionSince 2016, we have seen increasing attempts to distort or ignore medical science, clinical and epidemiological research findings to support the political ideology of the ruling party and the religious beliefs of their extreme fundamentalist supporters.  As we have discussed, most recentlyhere, the Trump regime has seen fit to put ill-informed people in positions of power in health care and public health agencies.  Some of these people have put their political and/or religious agendas ahead of the public's health.  Our examples above show a continuing inclination by the administration, its sympathi...
Source: Health Care Renewal - November 2, 2018 Category: Health Management Tags: DHHS disinformation Donald Trump ill-informed management mission-hostile management propaganda Source Type: blogs

Issues at the 18th International Anti-Corruption Conference
Many issues brought up at the18th International Anti-Corruption Conference (IACC) in Copenhagen, Denmark, were relevant to the problems of conflicts of interest, crime and corruption in health care which we often discuss onHealth Care Renewal, and hence bear repeating here.The discussion certainly got at the complexity of fighting corruption, seemingly one of many necessities that has come into light in the new political era.  Unfortunately, while the complexity is fascinating, it suggests this fight will hardly be simple.  Since warnings about corruption go back thousands of year, we already knew it would not be...
Source: Health Care Renewal - October 28, 2018 Category: Health Management Tags: deception disinformation health care corruption propaganda US Department of Justice whistle-blowers Source Type: blogs

Update: How to Challenge Health Care Corruption Under a Corrupt Regime
Summary: the Corruption of Health Care Leadership as a Major Cause of Health Care DysfunctionAs we wrote in August, 2017, 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 throughout the world, serious, and causes severe harm to patients and society.the scale of corruption is vast in both rich and poor countries.Also,Corruption might mean the difference between life and death for those in need of urgent care. It is invariably the poor in society who are affected most by corruptio...
Source: Health Care Renewal - October 17, 2018 Category: Health Management Tags: anechoic effect conflicts of interest Donald Trump health care corruption regulatory capture Source Type: blogs

The Politicization of Pharma, and Other Health Care Corporations - Walk on the Dark (Money) Side
DiscussionThis is now the fourth time we have discussed the role of dark money in health care.  In 2012 wediscussed a case of "dark money" being used to conceal sources of support for particular health policy and political positions.  Earlier this year,  wediscussed the case of huge pharmacy chain CVS,which proclaims its " social responsibility, " and its policy of only making charitable contributions to improve " health and healthcare nationwide. "  Yet CVS was donating to America First Policies, a supposed non-profit group devoted to promoting the partisan agenda of Presi...
Source: Health Care Renewal - October 10, 2018 Category: Health Management Tags: Aetna corporatism dark money deception Merck stealth health policy advocacy stealth lobbying Source Type: blogs

New York Times Remembers Dr Bernard Carroll, the " Conscience of Psychiatry "
We atHealth Care Renewal miss Dr Bernard Carroll, who we were proud to count among our bloggers.The New York Times just published akind obituary, which called him " the conscience of psychiatry. "It opened:Dr. Bernard J. Carroll, whose studies of severe depression gave psychiatry the closest thing it has to a'blood test'for a mental disorder, and who later became one of the field ’s most relentless critics, helping to expose pervasive corruption in academic research, died on Sept. 10 at his home in Carmel, Calif. He was 77.It described how he started his " second career " :He and a lifelong friend...
Source: Health Care Renewal - October 5, 2018 Category: Health Management Tags: Bernard Carroll Source Type: blogs

Pharma's Dark Money: Touting Corporate Responsibility and Non-Partisanship, But Using Dark Money to Promote Self-Serving Policies and Partisan Causes
DiscussionSo in three cases, health care corporations, and/or their trade associations, made significant financial contributions todark money organizations, thus avoiding reporting of such fund transfers.  In two cases, these fund transfers went to organizations with clearly partisan, right-wing, pro-Republican and/or pro-Trump agendas.  Yet the corporations and their trade association had publicly committed themselves to social responsibility, putting patients and health care ahead of all other concerns, and had never advertised themselves as partisan, explicitly politically conservative, and/or Republican.This ...
Source: Health Care Renewal - September 30, 2018 Category: Health Management Tags: Amgen Biogen Idec dark money deception health care prices Johnson and Johnson PhRMA ppaca propaganda stealth health policy advocacy stealth lobbying You heard it here first Source Type: blogs

The Mystery of the Ownership of the Trinity School of Medicine
Trinity School of Medicine Vice President Boasts that It Is " Not the Same " As Most Offshore Medical SchoolsApost promoting the Trinity School of Medicine just appeared on the KevinMD blog. It was entitled " Addressing the'ugly truth'about Caribbean medical schools: Why they ’re not all the same. " Its purpose seemed to be to persuade the reader in particular that theTrinity School of Medicine, (located conveniently in St Vincent and the Grenadines, " high on a hillside in the Ratho Mill district of Kingstown, the capital of St. Vincent and the Grenadines, " conveniently near the Young ...
Source: Health Care Renewal - September 20, 2018 Category: Health Management Tags: accountablility boards of trustees medical schools offshore medical schools Source Type: blogs

Remembering Dr Bernard Carroll
Dr Bernard Carroll passed away on September 10, 2018.  Dr Carroll had a distinguished career, so it was a surprise and delight that he also chose to be a stalwartHealth Care Renewal blogger.  He was with us since 2005, contributing insightful, pithy, provocative and important posts.  He also authored some of our most widely read posts.  Most viewed was:JAMA Jumps the Shark.  His most recent post wasCorruption of Clinical Trials Report: A Proposal.  All his posts can be foundhere.His obituary just appearedin the British Medical Journal. It beganA pioneer in biological psychiatry, more...
Source: Health Care Renewal - September 14, 2018 Category: Health Management Tags: Bernard Carroll Source Type: blogs

Fake Reform Foisted on Us by Those who Benefit Most from the Current Dysfunction
ConclusionGiridharadas suggested inan interview in New York Magazine,What all that does is create this moral glow. And under the haze created by that glow, they ’re able to create a probable monopoly that has harmed the most sacred thing in America, which is our electoral process, while gutting the other most sacred thing in America, our free press. And they do itunder the cover of changing the world.Unfortunately, he apparently has not come up with what to do about this problem.  The best conclusion I can reach derives from the end of areview of his book by Joseph Stiglitz in the New York Times,Democracy and hi...
Source: Health Care Renewal - September 5, 2018 Category: Health Management Tags: conflicts of interest Gates Foundation health care foundations health care reform Johnson and Johnson Robert Wood Johnson Foundation Source Type: blogs

Michael Fine's Health Care Revolt
Michael Fine, M.D., HealthCare Revolt: How to Organize, Build a Health Care System, and ResuscitateDemocracy – All at the Same Time (Oakland, CA: PM Press, 2018). Dr. Michael Fine is a man on fire. He ’s on fire with anger about a healthcare marketplace that serves well to maximize the profits of investors and CEOs, but violates the values of many of those working in it. He’s on fire with enthusiasm about the potential of public health and prevention and about the value of integrated primary care. He’s on fire with determination to work to change our scattered health care marketplace into an actual ...
Source: Health Care Renewal - September 3, 2018 Category: Health Management Source Type: blogs

Apologizing for Problems with Commenting
My apologies!I discovered a few days ago that our Google overlords had stopped notifying me about pending comments some months ago.  No indicator of the number of pending comments appears on my Blogger dashboard. I just realized I had a large backlog of pending comments, most of which were spam, but some of which were not.  I just posted all those that were not obvious spam.  I am now getting notified of new comments again, so I hope that your submitted comments going forward will not be unduly delayed. Sorry again (Source: Health Care Renewal)
Source: Health Care Renewal - September 2, 2018 Category: Health Management Source Type: blogs

EHR evidentiary mayhem
A short post.I am encountering, in my legal work, electronic medical records systems that either allow ex post facto note alterations by clinicians - for example, after a catastrophe - and/or alteration of the apparent date/time a note was entered. The alterations (e.g., a version history) or fake times don't appear on the printed records, and usually are not in the audit trails as well.Some of the systems don't even bother saving prior versions of edited notes, AND/OR defense attorneys make production of the the note version history and actual times of entry very difficult to obtain, AND/OR judges do not understand the is...
Source: Health Care Renewal - September 2, 2018 Category: Health Management Source Type: blogs

Dander Still Up, And Also Down, All OVer the Place. What Gives?
A.I've started this piece a whole bunch of times. So in fairness to you, reader, you have a few paths through it. If you don't feel like starting by sharing some navel-staring about today's bizarre predicament, please skip to'D.'Or'B,'or'C.'Wouldn't blame you in the least.I've still got my dander up about what's happening in the many troubled reaches of health care in the United States. OK, truth to tell, also about what's up world-wide. Scary stuff. Readers have no doubt waited patiently for me to recover from confusion about this sudden mess, much of said predicament stemming from various delayedreactions to the 2008 dis...
Source: Health Care Renewal - August 24, 2018 Category: Health Management Source Type: blogs

Making Abusive Contracts Great Again - Non-Disclosure Agreements, Which Have Bedeviled Employed Physicians, Go From Anechoic to Viral Courtesy Omarosa
DiscussionIn 2016 we published an article decrying the requirement that employed physicians sign contracts containing confidentiality clauses as well as other obnoxious provisions in order to practice.  We asserted the confidentiality clauses, also known as non-disclosure agreements, did no good for physicians or their patients, but did allow the managers of the physicians'corporate employers to hide embarassing information, poor quality care, and malfeasance.  At the time we urged physicians to carefully review their contracts and get legal advice before signing.  But we worried that little could be done to...
Source: Health Care Renewal - August 19, 2018 Category: Health Management Tags: confidentiality clause corporate physician free speech secrecy transparency Source Type: blogs

#WHISTLEBLOWER tonight on CBS at 9 pm: Brendan Delaney and Electronic Medical Records
I received this today. This type of scenario is not what the pioneers intended, and is an example of how some in the healthcare information technology industry may have less of the altruism and responsibility that clinicians feel towards the medical mission. Settlement information is here:https://www.healthcareitnews.com/news/eclinicalworks-pay-155-million-settle-suit-alleging-it-faked-meaningful-use-certification---------------------------------------------------hashtag#WHISTLEBLOWER tonight on CBS at 9 pm: Brendan Delaney and Electronic Medical Records Tune in tonight to hear Brendan Delaney ’s Medical Records Whis...
Source: Health Care Renewal - August 17, 2018 Category: Health Management Tags: Brendan Delaney CBS eClinicalWorks fraud healthcare IT fraud Martha Spanninger Source Type: blogs

Make Asbestos Great Again? - Trump Once Claimed " Movement Against by Asbestos was Led by the Mob, " Now is EPA Wants to Relax Asbestos Regulation
Introduction:  An Old Public Health MenaceThis is somewhat personal.  In the early 1980s, as a general internal medicine fellow, I gave a series of talks about important medical problems that generalist physicians often missed.  One was asbestos related disease.  Although asbestos had been heavily regulated since 1973, there were stilll large numbers of people exposed to it alive in the 1980s.  One of my primitive slides, seemingly a picture of type writing, stated that around then, 2 to 4 million people who had histories of significant asbestos exposure were likely alive.  Asbestos is known t...
Source: Health Care Renewal - August 10, 2018 Category: Health Management Tags: asbestos cancer conflicts of interest Donald Trump public health Source Type: blogs

Ill-informed, Mission-Hostile Health Care Leadership... in the White House and the US Department of Health and Human Services
Introduction - What Has Gone Wrong with the Leadership of Health Care OrganizationsA major focus ofHealth Care Renewal has been problems in leadership and governance of health care organizations, which we believe became major causes of health care dysfunction.  For example, we have discussed how leadership is oftenill-informed.  More and more people leading non-profit, for-profit and government health care organizations have had no training or experience in actually caring for patients, or in biomedical, clinical or public health research as professional managers largely supplanted health care professionals as le...
Source: Health Care Renewal - August 5, 2018 Category: Health Management Tags: conflicts of interest crime DHHS ill-informed management mission-hostile management narcotics White House Source Type: blogs

Spin it Again - Four More Go Through the Revolving Door From the World of Corporate Health Care to Top US Government Leadership Positions
DiscussionSo this round of revolving door transitions featured a top pharmaceutical company researcher going to a leadership position at the NIH, which was considered long ago as a producer or unbiased science; and one physician-manager and two pure managers going from big management consultancies to DHHS.  All these consultancies seem to have thriving businesses working with big commercial health care firms. So the Trump regime continues to stock top health care leadership positions with people from the commercial health care world.  These leadership positions will allow them to to control contracting with, poli...
Source: Health Care Renewal - July 27, 2018 Category: Health Management Tags: CMS conflicts of interest DHHS Donald Trump Eli Lilly McKinsey NIH revolving doors Veterans Affairs Source Type: blogs

Chipping Away at the Anechoic Effect: Now the New York Times Protests the Demise of the AHRQ National Guidelines Clearinghouse
DiscussionMany people bemoan the current political situation, but some feel there is nothing they could possibly do the improve things.  We have been publishing this blog since 2004 with the hopes that chipping away at the anechoic effect which has hid the severity and nature of health care dysfunction might actually help to improve things.  However, at times we wondered if we were having any effect.  What good are individual actions like blog posts? It seems that most of us have little individual power.   Collectively, though we may have more than we realize.  Small individual actions ca...
Source: Health Care Renewal - July 20, 2018 Category: Health Management Tags: AHRQ anechoic effect Donald Trump evidence-based medicine guidelines news media Source Type: blogs

A Physician Who Had Run Clinics Which Proselytized Patients is Now a Government Health Care Leader Positioned to Enforce Her Religious Beliefs on Patients and Citizens Who Do Not Hold Such Beliefs
DiscussionDr Foley is certainly entitled to her religious views.  She is also entitled as a physician to avoid situations in which normal standards of care would push her to provide services to patients that conflict with her religious conviction.  But she is not entitled as a physician to proselytize in the guise of medical practice.Furthermore, as a leader in a government health agency, she is not entitled to use that agency's power to enforce her personal religious beliefs on patients who do not hold such beliefs.  Given her career, though, there is every reason to worry that she will do so.  Further...
Source: Health Care Renewal - July 15, 2018 Category: Health Management Tags: core values deception DHHS Donald Trump mission-hostile management Source Type: blogs