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Comment: Re:It wasn't obamacare, it was the ARRA (Score 1) 130

by anjrober (#48689679) Attached to: 2015 Could Be the Year of the Hospital Hack

i agree with all of your points.
connecting your EHR to your lab system, to your HIE, to your practice systems, etc is a mess. HL7 stinks. So things do indeed get missed.
of course, with deliberate, thoughtful deployments, these are solvable problems. it takes time and patience.

and don't get me started on end users. :-) but i do believe they are trying, they are busy, and they didn't go to medical school to deal with systems, but to help people.

Comment: It wasn't obamacare, it was the ARRA (Score 5, Informative) 130

by anjrober (#48689023) Attached to: 2015 Could Be the Year of the Hospital Hack

Obamacare or ACA did not mandate the use of EHR. This was in legislation long before ACA, it was part of the American Recovery and Reinvestment Act (ARRA). It was specifically called Meaningful Use. it mandates a series of electronic use requirements over three phases with initially payments for use and later penalties by CMS. The vast majority of MU certified vendors were producing EHRs long before ARRA and have reasonable security in place. Clearly though some vendors, and hospitals need some shoring up though.

Comment: Re: Not a chance (Score 4, Insightful) 631

by anjrober (#48254163) Attached to: Why CurrentC Will Beat Out Apple Pay

first off, the protections for debit cards are much weaker than for a credit card. see http://www.bbb.org/blog/2013/11/do-debit-cards-and-credit-cards-hav-the-same-protection/
second, as someone below points out, with a debit card you have to maintain a constant float. not with a CC.

the CC is simple. charge everything. pay it off at end of month. very, very simple.
debit cards are a poor idea.

Comment: Re:mostly novelty item (Score 1) 51

by anjrober (#48244665) Attached to: Lenovo Reveals Wearable Smartband To Track Exercise Stats

There are a number of running training schedules and approaches that use fairly exact HR thresholds for various runs. The more serious you are with your training, the more likely these gadgets help. for example, one popular use is as a better gauge of recovery between intervals. instead of the old, walk half the distance or walk the same amt of time, using a HR monitor can tell you when recovered more accurately.
here is a nice article from pete pfitzinger (famous as 2 time US marathon olympian and author of eternally popular Advanced Marathoning - and thus someone with more credentials than itzly ) http://www.runnersworld.com/race-training/heart-matter

i for one love my garmin. the combination of GPS, timer/watch and HR monitor is great.

for everyone knocking these devices, i would love to see your event placings. be it running, biking, whatever you do. how did you do in your last race? i'll put my number against yours anyday.

Comment: Re:Lame way to run (Score 1) 254

by anjrober (#48120899) Attached to: What Will It Take To Run a 2-Hour Marathon?

you have clearly never run a marathon. yes, using rabbits is a somewhat controversial issue but it is non the less impressive.
a sub 2hr marathon is crazy fast. to make this happen will require every angle, every subtle increase you can possibly imagine.
run one, maybe two marathons and then you can talk about what is lame.
not to mention running is and has always been a numbers game.
read any running literature and you see runners are always running against the clock. Once a Runner (widely considered the best running book ever makes it very clear runners run against the clock).

Comment: Re:Inverse Wi-fi law (Score 4, Interesting) 278

by anjrober (#48057605) Attached to: Marriott Fined $600,000 For Jamming Guest Hotspots

this holds true across the board for hotels.
cheap hotels give free breakfast, nice hotels charge a small fortune
cheap hotels give free parking, nice hotels charge a small fortune
nicer hotels (like the gaylord mentioned) charge a resort fee of $25 per day for basically no services at all.
cheap hotels though are competing on stuff like free wifi, free breakfast, etc
where the nicer hotels are competing on location, beautiful facility, etc.

i still don't understand though the $1k fee. i have stayed at that gaylord many times. its not a $1k fee for internet, ever. more like $20 per day (unless your marriott gold or platinum, then its free).

Comment: Re:HL7? (Score 1) 240

by anjrober (#48040139) Attached to: Back To Faxes: Doctors Can't Exchange Digital Medical Records

The Meaningful Use (MU) requirements that are alluded to in the original post are pushing Continuity of Care Records (CCD) for this type of data exchange. And all the major EMRs and Practice system support some flavor of CCD. Just how much is the question. As it is XML, the CCD is finally a healthcare standard thats useful, in contrast to the not so standard standard of HL7. Epic is bad though about sharing data. Many others are much better.

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