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I recently read an article in Kaiser Health News concerning Walmart steering its employees with injuries to imaging centers based on accuracy and not price.During the past few years, specialized hospitals throughout the country misdiagnosed approximately 50% of the Walmart employees with back injuries. As a result of these misdiagnoses, most of these employees underwent needless surgeries for injuries instead of less expensive, non-surgical treatments.

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Healthcare
May 21, 2019
Phil Reichner
0 Comments
“He

Last month, I wrote about the importance of replacing aged medical imaging equipment. But how is it best to go about convincing the leadership of a facility to invest in new equipment?

Radiology departments, imaging facilities, and private practices need to replace or add medical imaging equipment and technology continually. Often the reason for these new purchases is merely to replace old or broken equipment. Sometimes it is to acquire new technology, improve patient experience, or to achieve a higher throughput of patients. But no matter the reason, cost and revenue implications are the two usual speed-bumps in the road.

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Healthcare
April 24, 2019
Phil Reichner
0 Comments
Everything old is not new again...

In 1895 Wilhelm Roentgen discovered the x-ray while working with a cathode-ray tube in his laboratory in Wuerzburg University in Germany. He called this mysterious ray 'x-radiation' because he didn't know what it was. This mysterious radiation could pass through most substances that absorb visible light. From this discovery, Roentgen discovered that this ray could pass through human skin, but not bones nor metal objects. Though one of his first successful images was of his wife, Bertha's hand, his interest was not for medical application; instead, he wished to use it for commercial applications. It wasn't until February 1896 when John Hall-Edwards in Birmingham, England that an x-ray image was used in a surgical operation.

From these early images to today, medical imaging has become a crucial element in the modern healthcare system. Modern radiology provides today's physicians with a fast and accurate diagnosis to facilitate the improvement in health outcomes and quality of life for the patients. However, this 'fast and accurate diagnosis' is often dependant on the equipment used to take the x-ray. A major factor in the 'fast and accurate diagnosis' is age and the modernity of technology of the equipment used in our healthcare facilities today.

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Healthcare
March 27, 2019
Phil Reichner
2 Comments
Amazon steps into Healthcare

In 1994, a relatively unknown former investment banker decided that he had a better way to sell books than the typical brick and mortar stores. He named this company Cadabra and consulted with former executives in the publishing industry to provide consumers a new way to shop for books.

His lawyer told him that 'Cadabra' sounded too much like 'Cadaver,' so he then tried out 'Relentless.' This time his friends advised him that this name was too aggressive for a business. By now, most of you will know this is the story of Jeff Bezos and the founding of Amazon. (If you type relentless.com into your browser, guess where the page redirects.) Over the next 25 years, Jeff Bezos and Amazon have rewritten business as we know it and has turned many industries on their heads.

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Healthcare
February 25, 2019
Phil Reichner
0 Comments
The Importance of Cybersecurity for Medical IOT Devices

A few months ago, I wrote about "21st Century Consumerism and the Nightmare of Prior Authorizations" . Well, it seems that I am not the only one that sees them as such, this week the American Medical Association (AMA) released a video entitled "Prior Authorization is a Nightmare."

Throughout the video, physicians of varied specialties speak about how prior authorizations has affected their practices and the impact they have on their patients. Two eye-opening statistics delivered in this video are that as of the "December 2017 AMA Prior Authorization Physician Survey" *:

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Prior Authorizations
Jan. 21, 2019
Phil Reichner
0 Comments
The Importance of Cybersecurity for Medical IOT Devices

Previously, we wrote about the growing importance of cybersecurity and the ever-increasing threats to our internet-based computers and equipment (Cybersecurity) and how Artificial Intelligence will soon affect the medical imaging industry (Artificial Intelligence and Machine Learning). Today, I would like to explore a threat that will soon be on the horizon and combines these two topics, cyber-terrorism.

According to Black Book Research*, 90% of healthcare organizations have had some form of data breach since July 2016, with almost 50% of these organizations recording five or more breaches. The same report revealed that 96% of IT professionals believed that data attackers are outpacing their medical enterprises, putting these healthcare organizations at a continued disadvantage.

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Cybersecurity
Artificial Intelligence
Dec. 17, 2018
Phil Reichner
0 Comments
Rural Healthcare in Crisis

“Farm livin’ is the life for me, land spreading out so far and wide, Keep Manhattan just give me that countryside.” Theme from Green Acres, Television sitcom from 1965-71.

In the show, the main character Oliver Wendell Douglas (Eddie Arnold), ditches his New York legal practice to become a farmer in rural America. Unfortunately, today what Mr. Douglas would also experience with “farm livin’” is his access to health care, and indeed his health might be at risk if he continued to live there.

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Rural Healthcare
Nov. 12, 2018
John Lilly
1 Comment
Hey, you got any of those Visa Gift Cards?

"Phil,
I am about to run into a meeting and need some Visa Gift cards for a customer. Can you run to the store and pick up $500 in Visa Gift cards and then send me the numbers?
Thanks,
John"


By now, we all have received this email or know someone who has. The name is from someone in our organization, but the email address is not familiar. Maybe our coworker sent it accidentally from their personal email address? Perhaps they did, but chances are it is an attempt at getting you to send some money to someone you do not know.

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Cybersecurity
Oct. 18, 2018
Phil Reichner
0 Comments
The Rise of the Machines

Arnold Schwarzenegger and the fictional Terminator movie franchise popularized the idea of machines surpassing human intelligence, and we all laughed (or cried, depends on who's side you were on in the movie).However, in today's world, this fictional story of machines being able to "think" and "learn" is now a reality. Artificial Intelligence (AI) and Machine Learning (ML) are behind some of today's most popular technologies. Take for example Google's Assistant who recently called and made a reservation at a hair salon (View it here) in such a manner that myself and the person on the other end of the phone thought it was a human being. Scary, huh

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AI
August 29, 2018
Phil Reichner
1 Comment
Chinese Che$$

Growing up, I remember playing Chinese Checkers, which appeared to me to be a more interesting version of checkers that I’d play with my grandfather. When I got older, I found out that Chinese Checkers was actually a German game, and though similar in many ways, it wasn’t checkers. Much later, I saw some gentlemen in San Francisco’s Chinatown play what I thought was chess- but it was Chinese Chess. Chinese Chess (Xiangqi) is similar to Western Chess, but with a few variations. The rules prohibit the main pieces (generals) from facing each other directly; areas on the board called the river and palace, which restrict the movement of some pieces (but enhance that of others); and placement of the pieces on the intersections of the board lines, rather than within the squares. (Wikipedia). I was trying to identify the pawns and Queen- their game had different pieces and moved in strange ways according to my knowledge base of what I thought I was seeing.

All of this is very analogous to the current burgeoning trade war between the United States and China, which has very real ramifications for the medical imaging industry- and virtually everything in between.


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Tariffs
August 8, 2018
John Lillie
0 Comments
21st Century Consumerism

The 21st Century is a marvel of information technology moving at the speed of light. Today's consumer is well informed, more so than any other time in history due to the improved communication that comes from the internet, apps, and social media platforms. With the increasing amounts of information available today, businesses have noticed an emerging hyper-consumerism in today's marketplace. Consumers spend more time researching the purchase of a good or service now than ever before. One of the most prolific industries examined by today's consumers is the healthcare industry.


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Prior Authorizations
July 19, 2018
Phil Reichner
0 Comments
Kick the Can

The Protecting Access to Medicare Act of 2014 (PAMA) calls for the implementation of Clinical Decision Support Mechanisms (CDSM) which utilize Centers for Medicare and Medicaid Services (CMS) approved appropriate use criteria (AUC).These CDSMs must be consulted prior to completing an order for either CT, MRI, Nuclear Medicine, or PET studies for Medicare outpatients in any non-inpatient place of service.


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CDSM
July 9, 2018
John Lillie
0 Comments