TECHNOLOGY: The lowly hospital call button

Saturday, August 7, 2010

After Frau’s recent stints in the hospital, I was thinking about their poor use of technology.

The lowly call button is the problem. Patients push but … and frustration ensues.

Sitting there with little to do, I mused about how, if I was KING, I’d rework that.

It’s a perfect call center application.

In my world, I’d have room full of “911 operators” to answer the calls. And, I’d have the staff equipped with the latest mobile technology. Like a push to talk cell phone on their hip with a blue tooth headset.

Patient pushes the call button! ,

In the current system, the unit clerk usually answers the bell with a not so cheery “whaddayawant”. OK, that’s not the exact words, but it really is the exact message.

In my system, the “911 operator” would answer: “Yes, is this urgent?” If response = “yes”, set priority to “immediate”. If response = “no”, set priority to “routine”. “What do you need?” And parse the response. “Pain” = “Nurse” “Bedpan” = “Aide” “Spill = Housekeeping” “Lawyer” = “Notify Risk Management” (You get the idea?)

Then, my system would be different in many ways. For “urgent”, I’d go down the list for first available: patient’s regular nurse, the backup, the charge nurse, any available floor nurse, and finally the Director of Nursing. (Wanna bet how many hit the honcho’s phone?)

For routine requests, the “911 operator” would speak to the appropriate party (i.e., nurse, tech, or housekeeper). If they were busy, they could queue it with a “remind me”. The “911 operator would have the person’s queue of items on screen and be able to say “you have five reminders, can I get you some help?”

Nothing would be “forgotten”. Response times would be measurable. Patient satisfaction would improve.

And I’d FLOG the leadership to help motivate them. :-)

These folks work very hard with what I call “a suit from Omar’s” (You know the tailor that has two sizes — too big and too small.) for technology support.

I can quickly list: bp / temp / pulse ox machines that down’t talk to the patient records; blood glucose testing devices that have to be docked to communicate; static white boards that have last shift’s names on them; quality assurance sheets to be signed each hour to ensure that the folks physically visit the rooms and are filled out just before the end of shift; no one monitors what the patient eats; ripoff tv and phone service; no exercise equipment; no technology for communication — people yell for people even on the quiet critical units.

It’s a Leadership problem. It obvious; they just don’t care. Argh!

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TECHNOLOGY: Amex takes the risk, but User is left with the problem

Monday, August 2, 2010

http://news.cnet.com/2100-1017-245428.html

September 7, 2000 11:45 AM PDT
AmEx unveils “disposable” credit card numbers
By Stefanie Olsen Staff Writer, CNET News

*** begin quote ***

American Express today announced a new suite of online security and privacy products, the first of which is a “disposable” credit card number for its members.

As previously reported by CNET News.com, cardholders using the disposable credit card option will be able to log on to a secure Web site and receive a one-time-use credit card number to make purchases over the Internet.

The free service will be offered to small businesses and consumer cardholders within the next 30 days.

*** end quote ***

MISSED IT BY THAT MUCH!

Response (Shweta Shiv) 08/01/2010 02:46 PM

Dear Ferdinand J Reinke,

I’d like to inform you that American Express does not offer such a service at this time.

However, I assure you that we remain committed to protecting the privacy and security of all of our Cardmembers, both online and offline. We believe that our current security measures, including our sophisticated monitoring systems to detect unusual or fraudulent card activity, provide strong, ongoing protections for our Cardmembers. In addition, you are further safeguarded by our Online Fraud Protection Guarantee, which ensures that Cardmembers are not held liable for any fraudulent charges on their account.

With the Online Fraud Protection Guarantee, you will not be held responsible for any unauthorized online charges, and if someone uses your Card without your consent, you will not pay any part of the fraudulent online charges—not even the first $50.

We are committed to protecting the privacy and security of all of our Cardmembers, and we will continue to develop innovative ways to protect our customers.

Thank you for choosing American Express.

We truly value your association with you.

Sincerely,
Shweta Shiv
Email Servicing Team
American Express Interactive Services

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Sorry, but that’s what I could use!

Lost the use of one credit card from a recurrent charge that could not be killed, which I am STILL fighting about. I want ONE TIME USE credit card numbers. I don’t care that the issuers will indemnify the risk, they don’t have the clean up hassle.

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GUNS: Maybe its good we dont teach maksmanship

Tuesday, July 27, 2010

http://www.nbcbayarea.com/news/local-beat/Sniper-Fire-Oakland-Police-98739644.html

Sniper Targets Oakland Cops
By CHRISTIE SMITH
Updated 6:27 AM PDT, Tue, Jul 20, 2010

*** begin quote ***

The latest incident happened Sunday at about 11:30 p.m. Patrol officers were on a traffic stop near 8th and Adeline Streets in West Oakland when they heard shots. They were detaining people in a car on suspicion of drug-related offenses.

*** end quote ***

Good thing that the “disadvantaged urban yutes” never learned about marksmanship. Shooting down requires extra elevation because of the greater bullet drop. Better for the police that the “snipers” aren’t trained. Any “misguided child” after boot can make that shot; however, it’s doubtful they would. If we ended the (pseudo) War on (some) Drugs, then the police wouldn’t be down range on a hot range or in a one direction free fire zone.

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QUOTES: “I’m as mad as hell, and I’m not going to take this anymore.”

Monday, July 26, 2010

“Network (1976) – Memorable Quotes.” The Internet Movie Database (IMDb). Web. 20 July 2010. <http://www.imdb.com/title/tt0074958/quotes>.

Howard Beale: I want you to go to the window, open it, stick your head out and yell: “I’m as mad as hell, and I’m not going to take this anymore.”

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RANT: Making people into serfs

Monday, July 26, 2010

http://www.tulsaworld.com/news/article.aspx?subjectid=17&articleid=20100723_11_0_IronGa403000&rss_lnk=1

Thousands show up at Tulsa food pantry Friday
By MIKE AVERILL World Staff Writer
Published: 7/23/2010 12:47 PM
Last Modified: 7/23/2010 5:50 PM

*** begin quote ***

The message that was circulating was that the food boxes were free for anyone, however they’re actually restricted to families with children younger than 18 and there is an income restriction as well.

Through the program families can receive one 30-pound food box for each child and one box for every two adults. Families also receive one household box (toilet paper, soap, shampoo, toothpaste) for every two people younger than the age of 18 in the household. Families may receive these boxes each week.

Iron Gate receives 250 food boxes and 125 household boxes each week that it distributes Fridays and Saturdays in conjunction with its regular grocery distribution program. The program runs through September.

*** and ***

“The need seems to be overwhelming, not only in Tulsa but in the surrounding towns. We need to figure out how to better distribute these boxes. Other agencies are sending people to us for food,” she said.

*** end quote ***

Doesn’t anyone see a problem with this?

These people are “welfare farmers”. Now there are probably needy cases in there. But, how many has the Gooferment trained to depend on handouts?

Feed “stray cats” and don’t be surprised when you have more “stray cats”.

These are people, who should be accorded basic human dignity. They need “help”; not a “handout”.

That can’t be done by the Gooferment; it can only be accomplished by an energized empowered community — usually a church or a fraternal organization — who will invest time, money, resources, and most importantly attention to these people as people.

# – # – #

http://www.acton.org/ppolicy/compassion/ppolicy_compassion_olasky.php

Seven Principles from a Century Ago by Marvin Olasky

*** begin quote ***

The crisis of the modern welfare state is a crisis of government, and it is more than that. Too many private charities and foundations dispense aid on the basis of what feels good rather than what works. As a result, they end up providing, instead of points of light, alternative shades of darkness. Too many act like the arrogant individuals criticized by F. Scott Fitzgerald in The Great Gatsby: “They smashed up things and creatures and then retreated back into their money or their vast carelessness… and let other people clean up the mess they made.”

*** end quote ***

1. Affiliation 2. Bonding 3. Categorization 4. Discernment 5. Employment 6. Freedom 7. God

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INTERESTING: Folksonomy, wisdom of crowds?

Sunday, July 25, 2010

http://vanderwal.net/folksonomy.html

Folksonomy
February 2, 2007

*** begin quote ***

Folksonomy is the result of personal free tagging of information and objects (anything with a URL) for one’s own retrieval. The tagging is done in a social environment (usually shared and open to others). Folksonomy is created from the act of tagging by the person consuming the information.

*** end quote ***

Interesting, I’d never heard of this word before.

The wisdom of crowds?

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INTERESTING: American “inginuity” … need more of it and less politicians and bureaucrats

Sunday, July 18, 2010

http://news.yahoo.com/s/yblog_upshot/20100716/bs_yblog_upshot/did-a-mystery-plumber-design-the-new-bp-containment-cap

Fri Jul 16, 2:22 pm ET
Berkeley prof: ‘Mystery plumber’ may have designed the new BP containment cap
By Brett Michael Dykes

*** begin quote ***

When BP’s newest spill-containment strategy in the Gulf yielded such encouraging initial results, many asked why the oil giant didn’t hit on this solution earlier in the crisis. The short answer is that the model of the well cap now in place didn’t exist in the earlier stages of the spill saga. But what’s more noteworthy than the timing issue is the likelihood that the device owes its origin to the same authority that any homeowner turns to in order to get a leak plugged: a professional plumber.

*** end quote ***

For some reason, this story resonated with me. In a free market economy, this disaster would never have happened. And, this plumber would have stopped the leak much sooner. I can just see all the panels of egg heads that prevented him from getting his idea heard.

Argh!

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I’m a fat old white guy injineer. So I spell “ingenuity”, like I spell “ingineer”! At least someone reads my blog.

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