Pat Lynch’s Calendar

January 20, 2013 by Pat Lynch

Ask me anything at  plynch@gmi3.com

2011-09-01 08.22.35

2015 Calendar

June 5 – Manny’s Meeting, Denver, CO

June 6-8 – AAMI Denver, CO

July 22-24 – MD Imaging Expo, Indianapolis, IN

August 11 – KAMI, Lexington, KY

August 19-21 – CEAI, Chicago,IL

Sept 9-11 – NCBA, Charlotte, NC

Sept 23-25 – VBA, Newport News, VA

October 1-3 – FBS, Orlando, FL

October 21-23 – MD Expo – Las Vegas

 

 

 

4 thoughts on women in IT (applies to Biomed, also)

May 29, 2015 by Pat Lynch

4 thoughts on women in IT from Cerner software engineer Jordan Kalal

Written by Akanksha Jayanthi (Twitter | Google+)  | May 14, 2015
 
 

In healthcare, as in most industries, there is notably low representation of women in leadership positions. A recent study in Journal of Women’s Health found just 20 percent of full-time faculty members in U.S. academic medicine are women. Additionally, a Harvard Business Review study found men greatly outnumber women on executive committees of companies across all industries, at 83 percent and 17 percent, respectively.

This gap is even more pronounced in the STEM fields, an area of study which is notorious for its lack of women.

However, there are women breaking this mold. HIStalk sat down with Jordan Kalal, a software engineer with Cerner, to discuss women in health IT.

Here are four key thoughts from Ms. Kalal from the interview.

On why women are underrepresented in technical fields: It is in part because of impostor syndrome, which is not a self-fulfilling prophecy, but the condition of being underrepresented. That keeps people out. You become the representation for your gender. That’s a big role to take on and people don’t want to do it. 

A lot of it is social conditioning, which we were overcoming up until the 1980s. That’s why every other STEM field has fared a lot better than us in the technical field. As toys and movies started getting into tech and computers more, they were geared towards boys and they were geared towards a bad image. You have two factors working against you. Your male peers have been exposed more to it all throughout childhood and adolescence. Then the way it’s represented in movies and comic books and all of that — very nerdy, very loser-ish. 

On the rise and fall of women working in STEM fields: Starting in the 1960s, the percentage of women in [physics, chemistry, IT and mathematics] starts out really low — you know, down to zero. [They then start] trending up, trending up, trending up. Then while the other three careers continue trending up to the point we’re at now — we’re right about 40 to 50 percent for most of those STEM careers — computer science actually dips right at 1987, I believe, when personal computers were introduced. They were marketed and put in little boys’ rooms. It was the first time you have that disparity in exposure. 

We trended down to the point we’re at now, where from 1991 we were at 37 percent of women in computer-related fields and now we’re down to, I believe, 26 percent. If you go even farther, it’s only 12 percent of women in software engineering kind of roles. On the trend down, that’s a nine percent drop just in my lifetime. That’s a massive drop that really can’t be ignored.

On women in tech changing careers: Forty-five percent of women in tech fall off of the tech wagon, essentially by the age of 35. You’re talking about half your female workforce in this industry leaving for another job in a different career path. A lot of people, when they talk about the reason for the shortage or trying to vie for that, they say, “Why don’t we start hitting that demographic?” And saying, these women aren’t staying home to become mothers — they’re leaving for a different career because they’ve been pushed out by the culture or stuff like that.

On how to encourage more females and minorities to pursue careers in tech: We talk about the fallout very young with gender stereotypes and then with toys. By fourth grade, half of females aren’t interested in STEM any more. Then you talk about the high schoolers trying to choose a career and they don’t go into this. Then of course, even past that, going into career, you have the fallout of women engineers from tech.

My suggestion is to try to just fix one piece. Choose one thing and do it very well. Focus on an age group and try to key into them and provide a quality experience that’s fun and that keeps them engaged.

To read the full interview, click here.

U.S. patient satisfaction scores hit nine-year low

May 28, 2015 by Pat Lynch

Richard Craver/Winston-Salem Journal Winston-Salem Journal

Patient satisfaction scores for health-care services hit a nine-year low nationally in 2015, according to the annual American Customer Satisfaction Index released today.

The index, produced by the University of Michigan, is an annual indicator of customer evaluations of the quality of products and services available to U.S. household consumers. Scores are from zero to 100. The index debuted in 1995 for most categories.

It uses data from interviews with about 70,000 customers as inputs for its model of analyzing customer satisfaction.

For health care, the index measures hospitals and ambulatory surgical centers as a whole, with no individual facilities listed.

The overall health-care score was 75.1 for 2015, compared with 77.6 percent a year ago and a record high of 80 in 2013. The previous low was 74.1 in 2006.

The score for hospitals was 74, down from 76 in 2014 and a record 78 in 2013. The previous low was 73 in 2010.

For ambulatory surgical centers, the score was 76, down from 79 in 2014 and a record 82 in 2013. The 2015 score is the lowest since the index began measuring ambulatory surgical centers separately in 2008.

“Health care is a non-discretionary expense that consumers delay at their own risk,” David VanAmburg, the index’s managing director, said in a statement. “Consumers rarely have the flexibility to put off health care regardless of cost or quality of care.

“The influx of the newly insured is putting pressure on a system that is still playing catch up. Rising demand that is outpacing supply, coupled with increasing health-care costs, is a formula for lower satisfaction.”

The index listed two subcategories, which showed a 5-point improvement – from 75 to 80 – in patient satisfaction with outpatient hospital care. There was a 10-point decline – from 74 to 64 – in emergency room service.

“According to patients, ambulatory care, such as office visits to doctors, dentists and optometrists, is better than hospital services by a significant margin,” index officials said. “But quality of care is less satisfactory.”

The index found household health care spending rose 6 percent last year, which it credited to more Americans having health insurance. It also found that the rate of growth in the health care workforce slowed, “which likely contributed to less efficient access to care,” the officials said.

rcraver@wsjournal.com (336) 727-7376

Virginia Mason sues scope manufacturer with widow of infection victim

May 27, 2015 by Pat Lynch


Virginia Mason Medical Center in Seattle is joining the widow of an infection victim in a lawsuit against medical scope manufacturer Olympus America, according to The Seattle Times. Scopes from the manufacturer were linked to infections in nearly 40 people around Seattle, as well as numerous others across the country. Theresa Bigler of Woodway, Wash., whose husband died in August 2013 after contracting an infection at the hospital, originally filed a wrongful death suit in March against both Olympus and Virginia Mason. After meeting with the hospital, she agreed to work with Virginia Mason to hold Olympus accountable for Mr. Bigler’s death and to make sure the scopes hospital officials call “badly designed and poorly regulated” are corrected.

How safe is your OR? 8 things to consider

May 26, 2015 by Pat Lynch
Written by Emily Rappleye (Twitter | Google+)  | May 13, 2015
 
 When she witnessed a near mix-up between a hernia repair and an orthopedic surgery for a pediatric patient, the lightbulb went off for Krista Bragg, DNP, CRNA, chief nurse anesthetist and manager of perioperative education at
The Reading Hospital and Medical Center in West Reading, Pa.

Patient safety in the operating room is still not as good as it should be.

Hospitals stopped receiving reimbursement for wrong patient, wrong site and wrong procedure surgeries in 2009, according to Dr. Bragg, and while wrong surgeries have decreased since then, they are still happening. At current rates, each 600-bed hospital can expect to see at least one wrong site surgery per year.

Since time out processes were put in place in 2004, surgical errors have also not improved as much as clinicians hoped. Errors still occur 4,000 times a year in the U.S., according to Dr. Bragg. Foreign objects are left behind 39 times per week and wrong site surgery occurs at a rate of 20 times per week.

To help improve patient safety in the OR, Dr. Bragg highlighted the following seven points to consider in a May 9 session at the Becker’s Hospital Review 6th Annual Meeting in Chicago.

1. Involve physician champions in the time out process. This process is critical to establishing the basics, making sure the OR team is operating on the right patient, for example. However, pressure to get the surgery started causes many teams to rush or providers to skip the time out process. Surgeons, followed by anesthetists, are most likely to miss the time out process, according to Dr. Bragg. “When you have surgeons or providers who are not compliant or who do not like to participate in the safety culture you have a real problem,” Dr. Bragg said. This isn’t always because providers don’t want to participate, but the procedure is often performed at the most inopportune time, she said. The team may perform the time out process while the anesthetist is at work or the surgeon is prepping. The key is to involve physician champions, she said, to encourage and ensure all providers participate.

2. Customize the surgical checklist. “The time out process takes care of the low-hanging fruit,” Dr. Bragg said. “The checklist takes care of the next layer.” The checklist is essential for patient safety in the OR. For example, at one facility, Dr. Bragg recounted a hip replacement surgery in which the patient was cut open down to the bone when the surgeon realized the equipment wasn’t sterile — the C-arm hadn’t been draped. The surgeon froze and didn’t know how to proceed. The team decided to close the patient up and abort the surgery at that time.

“Nine out of 10 times the surgical checklist doesn’t find anything new, but the one time it does can make a big difference,” Dr. Bragg said. The checklist should also be customized to fit the particular needs of each institution. Now, the C-arm has been added to the checklist at the facility where the hip replacement went awry.

CLICK HERE to read the rest of the story

WiFi Dangers? How much do you know?

May 25, 2015 by Pat Lynch

Published on May 12, 2015

 

How much do we know about the dangers of Wi-fi?  Scientists are appealing for better protection against electromagnetic fields.

 

How dangerous are electromagnetic fields?  Scientists say very.

 

https://www.youtube.com/watch?v=LipxltdeMyU

 

https://www.youtube.com/v/LipxltdeMyU – (Full Screen View)

 

2 minutes 30 seconds in duration

Siemens Settles in Overcharging Claim for Imaging Equipment

May 22, 2015 by Pat Lynch

Siemens pays $5.9 million to settle claims it overcharged U.S. government for imaging equipment

May 15, 2015
by Lauren Dubinsky , Staff Writer
Siemens Medical Solutions USA, Inc. has agreed to pay a $5.9 million settlement to resolve allegations that it overcharged the U.S. government for medical imaging equipment.Between February 2002 and December 2008, the U.S. Department of Defense (DoD) and the Defense Supply Center of Philadelphia (DSCP) entered into an agreement with Siemens called the DSCP Contract. Through that contract, those organizations — as well as the U.S. Department of Veteran Affairs (VA) — purchased medical imaging equipment and support products.

Our primary focus is International wholesale distribution of Pre-owned Medical Equipment. We specialize in Respiratory Equipment, primarily adult and infant ventilators. All major OEMs supported. Call 703-589-0369.

The government is claiming that Siemens did not provide the DoD with the largest discount for certain purchases under the contract. Instead, it alleges that Siemens gave the biggest discount to a private or commercial customer that purchased a similar product.

The government also states that Siemens withheld information about overcharging. According to a statement from the DoD, when the overcharging was initially revealed, Siemens “issued mass discounts on multiple occasions to address the mis-billing on a prospective basis,” but that only further concealed it from the government.

The VA was also overcharged for certain orders made under the contract that had been converted to a newer model, according to the government’s claim. Some of the orders did not receive the larger discount that pertained to the newer model.

Despite paying the settlement, Siemens “denies any wrongdoing,” says Lance Longwell, director of corporate communications at Siemens. He told DOTmed News in a statement that the company made the payment to prevent further expenses and distractions.

Longwell also stated that Siemens has improved its processes for monitoring government compliance over the years and continues in its unwavering commitment to its customers, “including important government customers, and adherence to all applicable laws and regulations.”

Rural Hospitals Struggle

May 21, 2015 by Pat Lynch

As rural hospitals struggle, solutions sought to preserve healthcare access

By Paul Demko  | May 16, 2015
On March 31, for-profit Parkway Regional Hospital in Fulton closed its doors after more than two decades of business in southwestern Kentucky. Rural Fulton County’s only hospital employed nearly 200 and accounted for as much as 18% of the town’s tax base.But inpatient admissions had plummeted 50% over the past four years and Community Health Systems, which owned the 70-bed facility, decided it was no longer economically viable. “Our wheels haven’t stopped turning since the day they announced that the hospital was closing,” said Cubb Stokes, Fulton’s city manager. “We have been having almost daily meetings with some type of healthcare provider.”

Click Here to read the rest of the article

12 Lies You Keep Telling Yourself And Must Stop Now

May 20, 2015 by Pat Lynch
By on May 4, 2015 in Happiness, How To, Lifehacks, Success

 

Do you know your lies can become your truth? Yes, they can, if you repeat them long enough and believe them hard enough.

When you allow your dreams to die, your life becomes meaningless, unfulfilling and sad. You are robbed of your joy, your happiness, your gifts and your purpose for being here. Many people live and die and never fulfilled their purpose because they believe the lies others told them.

There are so many people with untapped potential and ingenious ideas who will never realize they do because they were lied to and have accepted those lies as the truth.

That’s what happens when you have been told over and over again that you couldn’t accomplish your goals and aspirations.

 

Once you believe those lies, they will become self-fulfilling prophesies. They then become your truth.You accept them as the way things are going to be.
Have you ever stop to consider why you are the way you are or why you do the things you do? Many times the lie you were told as a child have taken root and your truth are all lies.

Most of us were lied to as children by adults who told us that we wouldn’t amount to anything. Then, you had no control over how you felt about yourself but as an adult you can change the way you see yourself.
Today is the day to correct all the lies you’ve unconsciously accepted as true and live in your truth. Begin the healing process; start living and thriving to be all you can be. It is all up to you now.
You have to disown all the false assumptions about who you are and what you can or cannot do. These are the lies planted in your head, and you have held on to and made your truth. You now have the power to undo all that you were told, and you need to do so now.
Below are just some of the lies you were told that you now need to think of as lies and to believe otherwise:-

1. They can do that, but you can’t
Think about it seriously, we all have been there and done it. We see successful people and many times said to ourselves they can but not us. Why not you? What separates them from you, but you believe that indeed you can’t. That is a lie, and you need to know it. You need to turn that lie around and say to yourself today – if they can do it ……so can I.

2. In order to do B, I must do A first
How many times we have had dreams of accomplishing something, and we kill those dreams because we’ve been told that in order to do it, we must accomplish something else first. That is another lie you need to dispel. You want to do B, find a way to do B without accomplishing A or work on both at the same time. Chart your path. That’s a lie you have been telling yourself for so long, and you must now stop believing.

3. I do not feel up to it
That is another lie your mind has been telling you for years. You do not allow your feelings to dictate what you can or cannot do. You are in control of how you feel, and if your temporary mood is telling you not to, you need to change that. You are more powerful than your emotions. You control how you feel and when you feel something. You have the power to get yourself into the mood to complete that task.

4. I am too old/broke/young to change
Your financial state or age should never be the reason not to go after your dreams. Never let your age or financial situation keep you from going after what you want. Look around you, there are people of all ages, financial status going out and doing great things. You need to quit believing those lies and go full force after what you want. It is never too late.

5. It is easier said than done
Indeed, it is easier said than done because if it were easy everybody would have done it. That is something you have to understand. Nothing in life worth having is going to come easy. You need to say to yourself that if I want it I must be prepared to work harder than everyone else. You must want it badly enough to do whatever it takes to get it.

6. I am unlucky
That is an excuse we all use for doing the crazy things we sometimes do. There is no such thing as being lucky. Luck is opportunity meeting preparation. You must be prepared to make your luck. You must work hard and be prepared for opportunities when they arise. Sitting back and waiting for things to happen won’t do. Forge your path in life.

7. Life is unfair
Why would you think such a thing? Nobody has been given a guide on life. How do you know what is or isn’t fair? It is life. You need to be able to see things as normal course of life and not that it is working against you. Who defines what is fair and what isn’t? Everybody has challenges, and that includes you. You are no different from anyone else. You need to get used to the fact that things will happen that you do not like, but that is how life is and work with it.

8. Someone else has done it already
Yes, someone else may have invented something or done something that you thought you would be the first to do. That is alright. Why not improve what has already been done? Find new ways to improve people’s lives with the things that are already done. There is no need to reinvent the wheel, but you can find other uses for the wheel or ways to make it better.

9. I am not smart enough
Some of the most creative, intelligent people were written off by others yet they believed in themselves and their ideas and went out and made things happen. You cannot afford to allow others opinions of you to determine what your life will be. All that matters is how you see yourself and what you want to achieve. No one has to believe in your dream but you. Prove them all wrong.
10. Someone told you, you couldn’t
People will always find reasons why you shouldn’t or can’t do something. Many times, unfortunately, that is the way they think about themselves. They use their self-imposed limitations to judge you. Remember your dreams are yours, and it’s no one’s job to see it through but you. You have to want it badly enough to do what it takes to see it through to fruition.

11. I do not deserve better
Unfortunately, too many of us have bought into the lies that we do not deserve happiness. We have adjusted ourselves to accept mediocrity. We do not believe we deserve love because we weren’t loved growing up or worst since our parents were poor that is all we will be. That is one of the biggest lies ever told. You must believe that you are deserving of the best life has to offer and then make the effort to achieve it. You must constantly tell yourself that you deserve everything good and splendid.

12. I am not good enough
If you believe you aren’t good enough then you will never be good enough. You have to remind yourself that the information that was fed to you before were lies. Now you know better you must accept the fact those were lies and that the truth is you are indeed good enough. You have to tell yourself that if anyone is good enough it’s you. You have to start seeing yourself differently. You must first accept that you are different.

We all have been lied to at some point or another in our lives, but as adults we now need to change our thought pattern and make sure that those lies do not become fulfilling prophesies.
You need to believe the opposite of all the lies you have been told. Keep reminding yourself that you can do all things if you put your mind to it and want it badly enough.

12 Lies You Keep Telling Yourself And Must Stop Now

5 thoughts from Kaiser Permanente CEO Bernard Tyson on the future of US healthcare

May 19, 2015 by Pat Lynch
Written by Tamara Rosin (Twitter | Google+)  | April 30, 2015
 

Bernard J. Tyson, chairman and CEO of Oakland, Calif.-based Kaiser Permanente recently told Fortune he is more optimistic about the U.S. healthcare system now than ever been before, despite the possible dissolution of the Patient Protection and Affordable Care Act and other challenges.

While Mr. Tyson believes the future of healthcare is looking up, he did point out some issues that pose obstacles. Here are five key points from Mr. Tyson’s conversation with Fortune.

1. Medical institutions must shift focus from inputs to patient outcomes. Physician incentives and the fee-for-service model has been “all wrong” for developing a more affordable and effective system because of their emphasis on volume of services provided instead of value, according to Mr. Tyson.

Instead, to encourage an emphasis on value, at Kaiser, provider teams led by physician “quarterbacks” are paid with a flat salary and receive end-of-the-year bonuses if their patients have better health outcomes. According to Mr. Tyson, Kaiser’s patients under the age of 65 have substantially shorter inpatient hospital stays compared with the same population in other U.S. health systems.

2. Changing the way individuals approach their health will change the healthcare system. According to Mr. Tyson, America’s healthcare system today is a “fix-me system” in which patients seek hospital care when they are already ill. This approach is expensive and often too little too late in terms of medical interventions.

In changing the structure of incentives to reward the value of care and population health, medical professionals can become stronger advocates for people in making positive behavioral choices that will influence their health. Kaiser’s providers focus on diet, exercise, tobacco and alcohol use in discussions with patients, and deliver them with a “medical spin” that is effective in communicating their importance and getting patients to take their recommendations seriously, according to Fortune.

3. Embrace email. With a greater push toward population health management comes a greater responsibility for physicians and other providers to maintain more regular communication and support to patients in between and ahead of office visits. While this may seem like an expensive project, it doesn’t have to be.

According to Fortune, in 2014, Kaiser’s physicians conducted approximately 13 percent of the system’s medical appointments, 20 million appointments, as e-Visits via email. Mr. Tyson told Fortune he expects this number to grow. Kaiser is investing in video-conference technology that will improve the delivery of healthcare through digital check-ups, and patients have voiced satisfaction with it so far.

4. The U.S. must make interoperability a top priority. Mr. Tyson identified interoperability — or the lack thereof — as one of the U.S. healthcare system’s biggest inefficiencies. While the implementation of EHRs has the system taking steps in the right direction, too many hospitals don’t even have these capabilities yet, effectively rendering them as patient information islands.

5. The cost of drugs poses a major hurdle for progress. New medical research leading to more effective treatments for various complex conditions, though a remarkable advancement, poses a huge challenge in healthcare because the cost of specialty drugs is so high that patients often can’t afford them. At a system level, the cost of these drugs is unsustainable, Mr. Tyson told Fortune.

CLICK HERE to see the original story

States with Highest and Lowest Earning Physicians

May 18, 2015 by Pat Lynch

Highest, lowest earning states use