Enterprise Management Consulting

Starting to migrate from a healthcare idiot

srab2001 — Fri, 04 Mar 2011 02:36:10 +0000

Starting to migrate from a healthcare idiot.

Starting to migrate from a healthcare idiot

srab2001 — Fri, 04 Mar 2011 02:34:20 +0000

so I have pondered the question about becoming a non healthcare idiot and as part of that process I have determined that there are five reasons why it is/has happened. the first is that doctors have to see u and move u on so quickly to make any money. now I know you say doctors make too much but I will cover that later. The second issue is the lack of any performance criteria. Healthcare providers have no incentive to get a diagnosis right the first time, in fact the incentive is almost the opposite to keep patients coming back for new and different procedures and medications. The third point is the proliferation of information. On any given day one can research any medical topic and find multiple if not hundreds of points on the topic. The problem with this is that most of these sites are either too doomsday, not accurate, or commercial. The fourth area is technology. Healthcare providers, doctors, hospitals, and others are engaged in a proliferation of technology that doesn’t talk to each other. My question is how does one (as a patient) keep up. We as patients are virtually at the mercy of healthcare technologies that don’t work together, are typically out of date, and are usually not accurate. The final item is access to healthcare providers, how long do you wait to get an appointment? and once you are waiting how long to you wait? Take my quick survey below. My next set of blogs will begin to layout a strategy for dealing with these issues.

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Tired of being a health care idiot

srab2001 — Sun, 27 Feb 2011 21:27:17 +0000

With all the recent trials and tribulations going on in my family regarding health care I’ve come to the conclusion that I’m tired of being a health care idiot and want to do something about it. What do I mean by a health care idiot? Now, I consider myself fairly intelligent and generally well educated, but when it comes to health care i not only don’t know what i need to but can never get a straight answer from a health care professional. I don’t mean to say that health care professionals are not telling me the truth but that depending on which professional in which location you’ll get different answers to the same type of health care question. take my quick poll.

View This Poll

new blog topics

srab2001 — Wed, 01 Jul 2009 13:06:42 +0000

last couple of weeks have been busy, heavily involed in privacy and web 2.0 research. working a number of architecture projects. going to start working on web 2.0 and privacy in the federal market as some new blog posts. Also considering a series on using new media and social networking to promote enterprise architecture.

Bagpipe and the trombone

srab2001 — Mon, 25 May 2009 19:21:11 +0000

While I generally focus this blog on technical areas in the management consulting space I wanted to add some discussions about music, particularly the trombone and bagpipe, both of which I play. My hope is this blog entery will find other bagpipers who play trombone and vis versa and we’ll be able to collaborate on issues and music.

Bagpipe

I’ve only been playing the bagpipe for about 8 months but I find it a fun instrument to play. I’ve started with a basic chanter (see my facebook page) but I’ve also added a set of kitchen (small) pipes. I find that the low G is different on the chanter vs. the pipes (fingering is further apart) but all in all the biggest challenge with the pipes is keeping enough air in the bag. As a trombone player this is a challenge because my air doesn’t necessarily correspond to the notes (for the pipes) and it makes a greater use of the cheeks to blow and push air whereas a trombone player does not puff out their cheeks.

more to follow

Open Government Brainstorm – by IdeaScale

srab2001 — Thu, 21 May 2009 22:47:46 +0000

GovTrack: S. 920: Text of Legislation, Introduced in Senate

srab2001 — Thu, 21 May 2009 17:44:24 +0000

GovTrack: S. 920: Text of Legislation, Introduced in Senate.

New Federal IT spending legislation

Microsoft’s Beginner’s Guide To Cloud Computing – Plug Into The Cloud – InformationWeek

srab2001 — Wed, 20 May 2009 18:17:51 +0000

Interesting article on cloud computing.

More on Federal IT spending

srab2001 — Wed, 20 May 2009 14:10:18 +0000

Recently I discussed several areas that need to be focused on it one really wants to get a handle on Federal IT spending. Today I want to expand on my thoughts and talk about collaboration and sharing of IT investments.

In order to reduce IT within the government collaboration will need to be achieved. This is a simple concept, (i.e. exeryone works together and shares their solutions) but is difficult to obtain. Why is id difficult to obtain? My opinion is that the Federal IT community trys to go for programs and initiaitives that are just too big. The newest thoughts on cloud computing, for example, would imply that agencies would share the same infrastructure. A difficult task at best considering most agencies have invested 100 of millions of dollars into infrastructure projects. an example of where collaboration has worked is the Budget Formulation and Execution Line of Business (LOB). This LOB has been able to collaborate and share solutions because they kept their goals and inititives focused and achievable. I am currently working on ideas for keeping solutions achievable but would be interested in any ideas.

Security and privacy

srab2001 — Sat, 16 May 2009 18:38:39 +0000

Starting to work on an approach to security and privacy from a web 2.0 perspective.

Approach from a web 2.0 perspective