Dancing or moving to music can make one steady on feet.

Now we have a research showing that the people who Dance are more steady on their feet ,they have to be,that is what dancing is all about.More the practice the better one gets.
So go and dance .It does not matter if one dances alone to music or with partner or in a group.
I still remember that Portuguese tipsy old man dancing by himself in the plaza with a great grace.He had grace of stars.This man was fats and nimble on feet must have been in seventies .He really had good time telling us that he was offered dancing roles in Hollywood and it was very believable.

MOVE TO MUSIC OR JUST DANCE.IT IS GOOD FOR YOU AND THE COUNTRY .STEADY ON FEET MEANS LESSER INJURY ,BETTER HEALTH AND SAVINGS ON THE HEALTH CARE.

Inefficiency Hurts U.S. In Ranking of Health

Whereas in the U.S. we have a highly inefficient health system that’s taking away financial resources from other lifesaving programs.”

New study has found that our health care cost has increased three fold in last 30 or so years and we have not improved the ranking on the health in the world.This is based on study of many advanced countries of the world.We have most expensive health care system which fails to deliver us the services.

We have reduced smoking in our population .Our ranking remains terrible 49 th in the world.

We will have to improve the health care delivery and efficiency in our system so we may control cost and deliver better care for our patients(that is us).I see it happening with EMR mandate and meaningful use part of it which will benefit us tremendously

RI Quality institute

Todays a press release from Direct project formerly known as NHIN direct.

http://mycourses.med.harvard.edu/ec_res/nt/82BD96DE-2D02-4512-AE70-B2BCF37C6A31/TheDirectProject.pd

The Direct Project is organizing real-world pilots to demonstrate health information exchange
using The Direct Project standards and services. Six pilots are ramping up including:
Rhode Island Quality Institute.

It is a great honor that my little Rhody is participating in this pilot project .I am not sure how it is interacting with NEHEN . What are the Future implications .

from superficial look at the RIQI it seems like a private public partnership.Board constitutes of retired officials and current health practioners and providers.

An experiment In mother and child care delivers results

In India failing to provide public health services in the state of Gujrat they contracted OBs GNY practitioners in private practice.They compensated them at on average cost of rupees 1795 per delivery which is about 40 dollars .In US average cost of a child birth may be in excess of 12000 dollars.

In the process many practitioners were able to improve their earnings to 20000 dollars per year which is a handsome ammount.

This is not a silver bullet to the problem .With a shortage of services and many times money to pay for it A complicated pregnancy can ruin the finances of a family and put them in a downward spiral of financial ruin.The government has made a leap in service and is providing solutions out of the box .Mixing the public and private for the public good.

It would be good if in America we could get some benefits of the systems they are creating for the universal problems we all share.

May be their are solutions Like unique Identification they are creating in India .Security of personal data is very critical in our society.Hope we can help each other from the experiences we have and develop. It is always important to use just enough medicine to treat the ailment.

List of approved softwares by Certification Commision

cchit.org/media/news/2010/10/commission-announces-first-onc-atcb-20112012-certifications

Medication histories and current medication lists.

Dr Halamka in his blog geekdoctor.blogspot.com.
Discusses how he found both of his parents in hospital on his visit with them and had difficulty in clearly defining medication histories for them.He as a trained physician was able to do with great effort and found that in their cupboard their were medications they were not using any more and he had to separate medications for each of them.
It raised an important issue that EMR and our medical care system should help us facilitate to track the medications we are taking even when we are getting older.A better system can solve this problem.
Any body making such a system or improved system could make money and help medication errors.

P.s. These Problems will be resolved in coming years by implementing EMR and meaningful use.It is important that system may remain simple and important information sensitive.These long pamphlets given with all medicines are useless for patients simple label warnings should be the norm and Doctors and Pharmacists should be required to check for the conflicts.

Why Ipads could become Device of choice for EMR practices.

Here is a detailed article in CIO insider Magazine.

Why One Company is Ditching Sales Laptops for iPads

Take a look at the decision process behind one company's move to replace laptops with iPads and embrace the consumerization of enterprise IT - plus the training and security issues that have popped up.

http://www.cio.com/article/637864/Why_One_Company_is_Ditching_Sales_Laptops_for_iPads?page=2&taxonomyId=3004


This article analyses how Ipad is a better tool than laptop. I am a strong believer that any technology which mimics the current process and improves on it without complicating it will be the final successfully accepted technology.

I can envision all the Medical practices will have a device like Ipad/or other tablet in every examination room.Once a patient is checked in. The person checking in would create and open the records of the patient for the doctor review.Check for all the things they do now and hand it over to attending doctor like they do with paper files now.Doctor reviews and examins the patient, makes recomendations including prescrptions.Patients goes back to the front desk and the attendent reviews required follow up and sends the instructions to required providers and bill for it while updating the records.

While filling prescription software checks and double checks for any allergies and conflicts in prescriptions.In future it may also check for the best cost effective choices for filling the prescrptions.

I KNOW IT MAY PLAY HAVOC IF IT WOULD ALSO CALCULATE COSTS OF THE PROCEDURES TO BE PERFORMED INSTANTLY AND INFORM THE BEST CHOICES ON THE BASIS OF COST AND OUTCOME BASIS.
The company has figured costs for Ipad in the range of 1500 dollars per unit against a laptop 2200 dollars.They think their are issues with support which need attention.

Conceptus is looking at a few apps on the App Store as a temporary fix, but the long-term goal is to implement a Citrix virtual desktop solution sometime next year, whereby documents reside on the server and are accessed via a native iPad app.

"Until we get some level of virtualization on the device for those tasks, we don't have a firm answer," Letasse says. "There's a gap between now and when we can go without a laptop."

In the case of EMR this problem does not exist as IPad will WI Fi connected with the web and a server with in few feets.