Tuesday, April 29, 2008

Aspiring Broadway Singers...

This last Friday, Scotty Palmer and myself put on a performance of a lifetime. Our church had a fundraiser for the boy scouts in our ward, and they were asking people to perform at the event. I was asked to play a song on my guitar, but figured we could do much better than that. I got my buddy Scott to join me in performing "The Confrontation" from Les Miserables. (We had done it before). Here are a few pictures from our performance!



"3 days is all I need! Then I return...I pledge my word..."

"Men like you can never change...A man....such as YOU!!!!"

"There is no place for you to hide"

"I will be Theeeeerrreeee....."

Monday, April 28, 2008

Op-Ed with Newt and Gov Pawlenty

The following is an op-ed that I helped with. If you read far enough down, you will see that it mentions our demonstration project. Go Newt and Gov. Pawlenty!

http://www.startribune.com/templates/Print_This_Story?sid=18189764

Mike

Gov. Tim Pawlenty: Health-care records lag technology
By NEWT GINGRICH and TIM PAWLENTY
April 27, 2008
The U.S. Census Bureau announced it will complete the 2010 census using the same method used in its first census in 1790: pen and paper. It's shocking that this massive undertaking won't utilize technology that is second-nature in our daily lives. Yet, there is a far more important part of our lives that remains as antiquated as the Census Bureau: health care.
Technologically, health care is at least a generation behind. Instead of using e-health records, roughly two-thirds of hospitals and nine out of 10 doctors rely on paper record-keeping. In today's society, it's akin to commuting by stagecoach.
Is it surprising then that our health-care system is riddled with problems?
Take patient safety. The Institute of Medicine reported that more than 1.5 million preventable medication injuries occur annually, while preventable medical errors kill as many as 98,000 Americans every year. Information technology can improve safety by alerting providers of medication errors, drug allergies or critical pieces of patient history.
Take rising costs. One contributing factor is that our medical records are locked away in filing cabinets. Since very few providers have a complete patient record, recent lab tests or scans are often reordered. Access to up-to-date information would save tens of billions of dollars every year.
Getting information technology into the hands of providers is critical, and right here in Minnesota you can find many pioneers bringing health care into the 21st century. Two of the state's -- and the world's -- best examples of modernized systems are the Mayo Clinic and Park Nicollet Health Services, thanks in no small part to their use of electronic medical records.
According to the latest edition of the Dartmouth Health Atlas, the Mayo Clinic is so effective that "if the U.S. health care system mirrored the practice patterns of gold-standard health care systems such as the Mayo Clinic in Minnesota, Medicare could save tens of billions of dollars annually."
At Mayo, updated patient records can be accessed instantly by authorized caregivers at more than 16,000 computer terminals across three facilities. Park Nicollet is equally as advanced. It has electronically connected its six urgent-care centers and 25 community clinics.
Other pioneers in the state include UnitedHealthcare and HealthPartners, industry leaders in developing websites for their members to better manage their health. RxHub has deployed a nationwide electronic prescribing network, and Minnesota-based MinuteClinic has electronically connected its 500-plus stores.
Although nearly all of Minnesota's hospitals and two-thirds of its primary care clinics are using or implementing e-health records, there is still work to be done.
First, health-care providers must connect their information systems. It does patients no good if their information is inaccessible when needed.
In 2007, legislation was signed that mandated all hospitals and health-care providers to adopt interoperable or interconnected systems by 2015. Through the Minnesota e-Health Initiative in the Department of Health, the state is working closely with representatives from every health-care sector to meet this deadline. It also has joined with leaders from its largest health-care organizations to announce an e-health information exchange. This superhighway will be one of the largest such exchanges in the nation, serving more than 3 million Minnesotans and connecting doctors, hospitals and clinics across the state.
Second, other large segments of providers in Minnesota, such as home health agencies, long-term-care facilities and community physicians must increase their use of technology. Of the 16,000 community physicians who deliver the majority of the care in the state, less than a quarter use e-health records.
Last month, Minnesota was designated as a Chartered Value Exchange by the U.S. Department of Health and Human Services. As part of this designation, Minnesota's health-care community should take advantage of a program introduced by U.S. Health and Human Services Secretary Mike Leavitt that will pay 1,200 small- to medium-sized primary care physician practices to use e-health records.
Given the life-and-death implications, one would think health care would be more technologically advanced. Minnesota provides shining examples of what a modernized system can be, and through hard work, it can be even better. The citizens of Minnesota deserve nothing less.
Newt Gingrich, former speaker of the U.S. House of Representatives, is the founder of the Center for Health Transformation. Tim Pawlenty is governor of Minnesota.
© 2008 Star Tribune. All rights reserved.

Saturday, April 12, 2008

Flyfishing for Shad

I spent the weekend fly-fishing on the Potomac River right out from Georgetown University. I convinced Rob Wood to come down Friday night and spend the day fishing with Bobby Harrington and me. So he packed his family up and came down. We got up early Saturday morning and headed over to Fletchers Boat House to get our row boats and licenses. We were lucky and got the last 2 boats Fletchers had.

Fishing in the morning was a little slow, and it took us a while to figure out the proper technique. Once we did, the shad started coming in. Rob and I hit a few doubles in the morning which kept it exciting.

Mike and Rob bringing in doubles!

The beautiful shad of the potomac


Unfortunately, Rob had to take off a little after lunch; but Bobby and I stayed out, and ended up glad we did. Bobby and I hit 7 doubles in the afternoon, which means we both had fish on at the same time. The fishing was incredible. Shad are a very tough fish and always put up a good fight. Their underbelly is often so sharp and pointed it feels like it could cut you. There are 2 types of Shad: Hickory and American. The Americans are the gold prize of shad. We caught mostly Hickory, but got lucky and hit a few Americans as well. I think we all caught one or two Americans, but Bobby caught the fish of the day towards the end of the day. This Shad was like an NFL football; it was huge.

Bobby and his big American Shad

Okay, maybe it wasn’t the biggest fish of the weekend, I guess this fish was…

Huge Striper from the Potomac

This is a fish of a lifetime, so I will spare all of you details on how it was caught....It was gigantic and very heavy. Some day when i have more time I will tell the story! Some day....

All in all, it was a great weekend and I had a great time spending time with Bobby and Rob. We'll get them again next weekend!

Wednesday, April 2, 2008

Update on Work...

I am trying to get back into the habit of blogging. It has been some time since I posted last, and a lot has happened. At the beginning of the year I began a new and exciting job that I am thoroughly enjoying. I am the Director of a National Electronic Health Records (EHR) Demonstration Project that is focused on improving the quality of patient care through the efficient use of EHRs.

We (Medicare) are offering to pay primary care physicians an incentive payment for using EHRs efficiently to improve the quality of care. The way the medical system is organized creates an unfair mismatch for physicians. In most cases they bear the sole responsibility of purchasing these expensive systems, and once they do the payers of health care, like Medicare, receive most of the financial benefit. It isn’t until the EHR is well integrated into the physicians practice that they start saving money. Through this demonstration project, Medicare is taking the lead to try and reverse this mismatch by giving money back to physicians for effectively using EHRs to help us accomplish the ultimate objective which is to improve the quality of care Medicare beneficiaries receive. In the middle of June we will be announcing 12 communities across the country that will participate in the demonstration project with us. To date, we have visited about 37 communities and invited them to apply to be part of the project. The project has been well received, and we are hopeful that we will get a good amount of applications.

I am writing this from an Amtrack train, headed up to Newark to participate in the last event for the promotion of my project. The applications are due May 13. I am challenged by the work, but am enjoying it and learning a lot; it has been a great project for me to work on! If you want to learn more, which I'm sure all of you do, here are the links to more information on the project:

EHR Demonstration Fact Sheet
EHR Demonstration Web Site

Here is an article from the road:
http://www.khi.org/s/index.cfm?aid=1157

Sunday, March 30, 2008

I love my Wii!

So I turned the big 30 on March 13th! For my birthday this year I got a gift that to this point in my life, I have never had. To this point in my long career I have never owned a video game console. Growing up I was always jealous of my friends that could spend countless hours in mindless fun. Once I got a little older I realized the wisdom of my parents in limiting my exposure to these time dumps. However, my perfect record has been destroyed.

I made it 30 years, but for my 30th birthday my family decided to get me a Nintendo Wii. (of course I didn’t ask for it!!). In addition to getting a Wii, I also got a video game pass from Blockbuster that allows me to rent as many games in a month that I can. I figure I can determine what games I really like before buying them. So far I have loved it. I love the fact that I can download old school video games like Super Mario Brothers 3, Mike Tyson’s Punch Out, and Excite Bike; great games from way back in the day. I have also really enjoyed the interactive (athletic…some would say) aspect of the Wii. I love playing tennis and Tiger Woods golf, and it amazes me how the machine is able to receive my movements and translate them into video game movements. I will confess after taking batting practice the other night, I woke up sore; I couldn’t believe it. I have also broken a sweat boxing with Qualter. The machine is quite entertaining. All the thanks to my loving family that got this for me…Now all of you need to come visit so you can play with me.