Basic Health Access

Datapalooza is a celebration of advances in digitalization over the past decade. It is a chance to promote ideas, concepts, career opportunities, and merchandise. A call for papers could reward the right author with a publication - and even more attention. An academic approach to Datapalooza would critically consider whether the electronics movement has delivered or diverted with regard to the promises of improved health outcomes. There is good evidence that it has increased costs and has adversely impacted access to care where 40% and increasing proportions of Americans most lack access.  Year after year since 2005 and before, there have been the same promises - lower health care costs, better outcomes, better patient satisfaction, and better team member satisfaction. Year after year it is apparent that there are more costs and complications from digitalization. Health care spending has more than doubled and entirely in areas that have not improved outcomes ...

It ain't easy being Swiss Cheezy as Data Breaches reach all time highs. New reports indicate 57 data breaches in November of 2016 with about 500,000 records exposed.  More records were exposed in June (11 million) and in August (8.8 million). Average delay in reporting has been about 135 days. Inside jobs in businesses and in health care entities are more evident in the data breaches. HITECH to ACA to MACRA has been high profit for software corporations, consultants, and criminal organizations while it has slashed productivity, revenue generation, and morale in the team members to deliver the care. Overprediction and Underperformance A ten year review of the literature indicates that the predicted savings from EHR and digitalization has never materialized. The costs were known to be substantial over a decade ago. The cost consequences to team members and to people and to health organizations were minimized. The changes benefited those that already had health in...