25 Şubat 2013 Pazartesi

Crescent Healthcare, A Wholly Owned Subsidiary of Walgreens–Security Breach With the Personal Health Records, Again Time to License and Tax the Data Sellers Out There To Help Regulate Data Flow & Profits

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Not too long ago Walgreens made the news that pharmacists and all involved in clinical patient treatment areas would have access to a patient’s personal health record, used via their retail clinics. image I don’t know if this is the specific information relating to those data bases or not as discussed in this article as is appears that the information relates to those patients.  Back in 2010 Walgreens and Omnicare swapped businesses to where Walgreens took over the home infusion business, so of course this meant some data IT work had to be done to integrate with those records owned by Omni.  Omnicare has had issues in the past with whistleblower legal cases with Johnson and Johnson over the years which was pretty highly publicized. 


“Crescent Healthcare, a Walgreens company, manages and delivers integrated pharmacy and nursing solutions in alternate site settings.  Accredited by the Accreditation Commission for Health Care (ACHC), we are committed to delivering exceptional quality care that is both clinically appropriate and cost effective.

Crescent Healthcare, a Walgreens company, is part of Walgreens Infusion Services, the leading provider of infusion therapies for over 30 years.

Walgreens and Omnicare Swap Businesses–Giving Long Term Pharmacy Care to Omni and They Get Omni’s Home Infusion Business

 
The article states that “paper” was stolen as well and perhaps this was information that was yet to be input?  The “hardware” was stolen, so we don’t know if this was a single computer or did they get away with some servers.  So if one was a patient with their infusion drug areas, well it looks like that’s the information to include names, addresses dob, and clinical diagnoses that were lifted.  You know Walgreens as well as so many other healthcare entities makes a ton of money selling data (like around short of $800 million in 2010, SEC Report on intangible income) and it has to be formatted and cleaned up for use with ensuring data integrity is present before it can be sold too, so one wonders what was being done with this data possibly?  Was it work in progress to format data for sale?  It could have been and then maybe not, but a good question to ask today with the huge epidemic of data being sold today and the surmounting flaws that keep growing at a rapid pace too. 

Chances are few of those affected probably even know the potential amount of their data being sold, much less being stolen now too.  It’s a tough world out there for consumers today and again breaches as such along with a federal website where consumers could look up who sells what kind of data and to who would be extremely helpful in times when breaches occur as well.  Otherwise nobody knows until they get “that letter”.   Right on the website the infusion drug page for Walgreens states they have experts to help you work with your insurers too.  Their listed 98% satisfaction rate might drop a little after the breach, maybe? 

image
So again when items like this happen it would make sense to have all banks, companies, etc. licensed and excise taxed on the data they sell as billions and billions of profit are made, running on servers 24/7 and you as a consumer are completely blind to the process, but that doesn’t mean it doesn’t exist.  The US government needs to hire technologists to fight crime anyway.  You might want to read what I said over at the weekend at the Daily Koz.  This is just my opinion here and based on all that has been in the news related to making money on selling data and breaches perhaps this calls for a new focus of putting security with data ahead of making money selling data.  The data selling has just gone hog wild out there and when a company has to make a decision today to expand and build a factory versus hiring a few technologists to set up data mining and selling with little or no federal regulation and the millions come in from selling it off the servers, where’s the incentive for companies to create jobs when this very profitable option is available?  It’s definitely something to give some thought too as when it is used out of context, and we seeing some of this along with the good, it hurts consumers.  Again we don’t know what the status was on the data stolen or where it was being directed but this is a good question we might all be asking more today from all of those banks and companies selling our data.  So what would one think the thieves are going to do with the data, sell it of course, so wake up time.  BD

Time Has Come to License and Tax the Data Sellers of the Web, Companies, Banks, Social Networks..Any One Making a Profit-Latest Microsoft/Google Privacy War Helping the Cause –Consumers Deserve to Know What Is Being Sold and To Who in a Searchable Format


A Walgreens healthcare company has notified patients and employees of a data breach after computer hardware and other paper records containing the personal health information and Social Security numbers of patients was stolen.

Anaheim, Calif.-based Crescent Healthcare mailed out letters to patients and employees Feb. 21, notifying them of the theft which occurred Dec. 28, 2012. According to the letter, an unknown person or persons broke into Crescent's billing center and stole the hardware, which may have contained patient names, addresses, phone numbers, Social Security numbers, health insurance data, dates of birth and clinical diagnoses. The group notified authorities three days later. 

http://www.healthcareitnews.com/news/walgreens-company-announces-data-breach?topic=18

24 Şubat 2013 Pazar

The LuLac Edition #2365, February 24th, 2013

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John Gosciewski during WWII. (Photo: Gosciewski family).  The medal recipient John Gosciewski talking with the local media on his belated tribute. (Photo: Karel Zubris). Some of the people in attendance at the Medal Ceremony held Wednesday at the Kingston Armory. From lefty, Congressman Tom Marino, daughters Karel Gosciewski Zubris, Paul Gosciewski Tracy, John Gosciewski, Grandson Jason Zubris, daughter Susan Gosciewski Nerbercki and son in law John Zubris. (Photo: Karel Zubris) 

HEROES AMONG US 

Many times I have written on this site about my late uncles who served in the military during WWII. During their lifetime, at least with my interactions with them, they never spoke about what they did in the war. They only said they served. It wasn’t until after they died and at their wakes, that their medals and heroics were displayed. It is the hallmark of what Tom Brokaw dubbed “The Greatest Generation" that their actions spoke louder than their words. Raised during the Great Depression, these people who got into World War II were used to two things, adversity and sacrifice. Most likely for every service person recognized, there were others who were not.  So it was a good thing this week that one of our local residents was honored, Albeit seven  decades later for an incredible exploit he never got credit for. 
As World War II was winding down, enlisted man John Gosciewski was in the Po Valley of Italy. Along with his fellow troop members, Gosciewski carried his training from the military along with a skill that was common place for people growing up in his era. He knew the language of his parents, Polish. That came in very handy when his unit happened upon forty German soldiers housed in a barn. No one was sure any of them had weapons but Gosciewski did what came naturally to him as a Wilkes Barre Area Funeral Director years later in civilian life. He put one of the Germans at ease by engaging in conversation. Asking questions, getting the lay of the land and using his ability to ascertain that he could communicate in Polish with one of the German soldiers. In no time the German contingent was lined outside the barn thinking “God knows what” but Gosciewski marched them back to headquarters where a second Lieutenant. Promptly took over as well as taking the credit. 
Congressman Tom Marino’s office took a look into the case after it was ignored by the offices of certain local state government officials. After a five month inquiry, it was decided to give Mr. Gosciewski his due along with a few medals of recognition. While happy with the honor, Gosciewski called himself a “buck private” who was just trying to do his bit. 
On “Topic A” Friday night, L.A. Tarone and I talked about this story and concluded that there are more “buck privates” that do the hard work in the real world never getting the credit or the recognition. We both gave Mr. Gosciewski a shout out for making all the “buck privates” of the world look good. 
Like so many men of his generation few knew of this exploit. The only thing I knew about Mr. Gosciewski was that when he was in high school, he played the lead in a school play about Abraham Lincoln. A family member told me he said he got the role because he was the tallest boy in the class. Maybe. But perhaps Gosciewski might have channeled parts of that school boy performance by using guile, folksy dialogue, his language skills as well as compassion in the situation he was confronted with on that day in Italy. It was an untold story that we are glad to now retell on LuLac. 

Life Sciences Breakthrough Prize Founded by Mark Zuckerberg, Sergey Brin, Ann Wojcicki and Others Awards Turns 11 Scientists Into Millionaires Today

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Each award was worth $3 million dollars and the breakthroughs were from everything from cancer research to genomics.  The sponsors of the awards are from Google and Facebook, the CEOs and a few others named below. 

This is brand new as well as is the website and here’s the about information:


“Breakthrough Prize in Life Sciences is founded by imageArt Levinson, Sergey Brin, Anne Wojcicki, Mark Zuckerberg and Priscilla Chan, and Yuri Milner to recognize excellence in research aimed at curing intractable diseases and extending human life. The prize is administered by the Breakthrough Prize in Life Sciences Foundation, a not-for-profit corporation dedicated to advancing breakthrough research, celebrating scientists and generating excitement about the pursuit of science as a career.

Founding sponsors of the Breakthrough Prize in Life Sciences include Sergey Brin and Anne Wojcicki, Mark Zuckerberg and Priscilla Chan, and Yuri Milner, who collectively have agreed to establish 5 annual prizes, US$3 million each, going forward. These prizes will be awarded for past achievements in the field of life sciences, with the aim of providing the recipients with more freedom and opportunity to pursue even greater future accomplishments.

Going forward, each year’s prize winners will join the Selection Committee for future awardees. One of the distinguishing characteristics of the Breakthrough Prize will be a transparent selection process, in which anyone will be able to nominate a candidate online for consideration. Also, the prize can be shared between any number of deserving scientists and can be received more than once. In addition, there are no age restrictions for nominees.

All Breakthrough Prize recipients will be invited to present public talks targeting a general audience. These lectures, together with supporting materials, will be made available to the public, allowing everyone to keep abreast of the latest developments in life sciences, guided by contemporary masters of the field.”



The website says soon the site will enable nominations to be created for the next award, which is to take place annually and the awards today were the first inaugural winners.  One award went to Charles L. Sawyers, Head of Memorial Sloan Kettering’s Pathology and Oncology Program.  Dr. Sawyers is already internationally recognized and is a Howard Hughes Medical Institute investigator which is America’s Second Largest Charity. 

Howard Hughes Medical Institute and Gordon and Betty Moore Foundation Partner to Fund Plant Research To Further Human Health as Well as Environmental Issues

All recipients were very stunned at the amount of the prizes they received indeed.  BD



Eleven scientists became multimillionaires this morning when they were named the first winners of the new Breakthrough Prize in Life Sciences. Each researcher, whose specialties include genetics, stem cells, and cancer, will receive $3 million dollars, more than twice the maximum amount of a Nobel Prize.

Funded by several Silicon Valley entrepreneurs, including Arthur Levinson of Apple, venture capitalist Yuri Milner, and Facebook's Mark Zuckerberg, the Breakthrough Prize aims to "recogniz[e] excellence in research aimed at curing intractable diseases and extending human life," according to the foundation's Web site.

The first group of winners includes Cornelia I. Bargmann of Rockefeller University in New York City; David Botstein of Princeton University; Lewis C. Cantley of Weill Cornell Medical College in New York City; Hans Clevers of the Hubrecht Institute in the Netherlands; Napoleone Ferrara of the University of California, San Diego; Titia de Lange of Rockefeller University; Eric S. Lander of Harvard University and the Massachusetts Institute of Technology (MIT) in Cambridge; Charles L. Sawyers of Memorial Sloan-Kettering Cancer Center in New York City; Bert Vogelstein of Johns Hopkins University in Baltimore, Maryland; Robert A. Weinberg of MIT; and the 2012 Nobel laureate Shinya Yamanaka of Kyoto University and the Gladstone Institutes in San Francisco.

http://news.sciencemag.org/scienceinsider/2013/02/new-breakthrough-prize-awards-mi.html?ref=hp

UCLA Improves the Study of Single Cancer Cells Of Blood From Tumors & Those Circulating

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The nanowires grab the cancer cells flowing through and they can hand pick cells for study as relates to Melanoma. The goal is to have a clinically applicable liquid biopsy.  BD

Press Release:

UCLA RESEARCHERS FURTHER IMPROVE ‘NANOVELCRO’ DEVICE TO

ISOLATE AND STUDY SINGLE CANCER CELLS FROM BLOOD


Researchers at UCLA have further improved a method for capturing and analyzing cancer cells that break away from patients’ tumors and circulate in the blood. imageWith the improvements, even single cancer cells can be accurately detected and safely isolated from patient blood samples for continuous analysis.

These cells, called circulating tumor cells (CTCs), metastasize or spread from one tumor to other parts of the body and form new tumors, thus propagating cancer in the patient. When they are isolated from the patient’s blood early over the course of disease progression, they can provide doctors with critical information about the type of cancer, the characteristics of the individual cancer, and its possible progression. Doctors can also tell from these cells how to tailor a personalized treatment approach for a specific patient. 

In recent years, a UCLA research team led by Hsian-Rong Tseng, associate professor of molecular and medical pharmacology at the Crump Institute for Molecular Imaging and a member of the California NanoSystems Institute and the Jonsson Comprehensive Cancer Center (JCCC) has developed a “NanoVelcro” chip. Blood is passed through the chip, in which very small nanoscale hairs (nanowires or nanofibers) coated with protein molecules from the immune system (antibodies) that match proteins on the surface of cancer cells trap CTCs and isolate them for further studies.

The CTCs trapped by the chip also act as a “liquid biopsy” of the tumor, providing convenient access to tumor cells, and earlier access to potentially fatal metastases. This study of the microscopic structure of diseased tissue is called histopathology analysis of biopsy samples and is considered the “gold standard” for determining tumor status. Being able to extract viable cells allows detailed analysis of the type of cancer, and the various genetic characteristics of that patient’s specific cancer.

Tseng’s team has now improved the chip by replacing the original non-transparent silicon nanowire substrate inside the device. These nanowires grab the cancer cells as the blood passes by them. Using a new type of transparent polymer nanofiber-deposited substrate, Tseng and his colleagues were able to “pick” single CTCs immobilized on the transparent substrates by using a miniaturized laser beam knife, a technique called laser microdissection (LMD). An article on the improvement of the chip was published online today, and is featured on the cover of the March 2013 issue of the peer-reviewed journal Angewandte Chemie,

“This paper summarizes a major milestone in the continuous development of NanoVelcro assays pioneered by our research group,” said Tseng, “we now can not only capture cancer cells from blood with high efficiency, but also hand pick single CTCs for in-depth characterization to provide crucial information that helps doctors make better decisions.”

Using the new assay on patients’ blood that contained circulating melanoma cells (CMCs), Tseng’s team was able to isolate and preserve single CMCs. Melanoma is a deadly type of skin cancer that is prone to spreading quickly throughout the body. The ability to capture and preserve single CMCs allows doctors to analyze the DNA structure of the cells and determine genetic characteristics of the patient’s cancer, confirming that the circulating cells remained genetically similar to the tumor they came from.

The preservation of single captured CMCs in the proof-of-concept study also allowed researchers to conduct an analysis, called single-cell genotyping, to find within the cell a specific target (BRAFV600E) for a drug called vemurafenib. This designation describes a mutation in a protein called BRAF that appears in approximately 60 percent of melanoma cases. Drugs that inhibit BRAF are able to slow and often reverse the growth of melanoma tumors.

“With this technology we are getting closer to the goal of a widely clinically applicable liquid biopsy, where we can sample cancer cells by a simple blood draw and understand the genes that allow them to grow,” said Dr. Antoni Ribas, professor of medicine in the division of hematology-oncology and JCCC member, and one of Tseng’s key collaborators. “With the NanoVelcro chips we will be able to better personalize the treatments to patients by giving the right treatment to stop what makes that particular cancer grow.”

Dr. Roger Lo, another key Tseng collaborator and an assistant professor in the department of medicine, division of dermatology and department of molecular and medical pharmacology, and JCCC member, added, “This scientific advancement being able to capture the melanoma cells in transit in the blood and then perform genetic analysis on them will in principle allow us to track the genomic evolution of melanoma under BRAF inhibitor therapy and understand better the development of drug resistance.”

UCLA's Jonsson Comprehensive Cancer Center has more than 240 researchers and clinicians engaged in disease research, prevention, detection, control, treatment and education. One of the nation's largest comprehensive cancer centers, the Jonsson center is dedicated to promoting research and translating basic science into leading-edge clinical studies. In July 2012, the Jonsson Cancer Center was once again named among the nation’s top 10 cancer centers by U.S. News & World Report, a ranking it has held for 12 of the last 13 years. For more information on the Jonsson Cancer Center, visit our website at http://www.cancer.ucla.edu.

Doctor Who Helped US Find Bin Laden Sits Jailed in Pakistan–Will Zero Dark Thirty Nominated for an Oscar Help Free America’s Abandoned Hero?–Update

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imageWe all know the Oscars are up and coming and that the movie has been nominated for an award.  This is sad that the doctor now sits imprisoned sentenced to 33 years after helping the US.  I don’t know all the details on why he was not given an opportunity to leave the country but sitting in prison for helping the US find Bin Laden doesn’t seem to where he should be by any means.  The RHL group is working to bring some recognition and help to see if there’s anything that can be done. 

MMRGlobal, MyMedicalRecords.com is a sponsor of the Medical Quack and is part of the RHL Group and has underwritten this effort.  Below you can watch the interview with Bob Lorsch and the efforts being made by the foundation. 

More information and how to get involved can be found here at www.freeafridi.com



More videos at Fox news...

Fox News Additional Coverage

MMRGlobal was pretty much an unknown entity in the news world until the Hollywood connection with Taylor and Russell Armstrong taking money from the firm was made public upon the death/suicide of Taylor Russell.  Last year I sat down with Bob to ask questions and get a better idea of what his companies do in healthcare.  Back on topic with this story though it hardly seems fair that the doctor,  Dr. Shakil Afridi, who helped the US find Bin Laden faces a future in jail.  BD 


BEVERLY HILLS (CBSLA.com) — “Zero Dark Thirty” is a contender to bring home an Academy Award for Best Picture this weekend, but first, local activists are joining forces to free a doctor who helped the United States find Osama bin Laden.

Arguably playing the most critical role in the 10-year hunt for bin Laden is Dr. Shakil Afridi, who is currently being held in a Pakistani prison. If Beverly Hills businessman Bob Lorsch has his way, Afridi’s story will steal the show at the Academy Awards on Sunday.

He calls Afridi a patriot who’s been left behind.



Pakistan, which is officially an ally of the United States and receives billions of dollars in aid from America every year, claims Afridi was arrested for other charges, unrelated to identifying bin Laden.

However, the people fighting for his freedom don’t buy it and want Afridi freed now.

http://losangeles.cbslocal.com/2013/02/20/can-zero-dark-thirty-oscars-help-free-imprisoned-doctor-who-helped-find-bin-laden/

FDA Approves New Late Stage Breast Cancer Drug From Roche, Life Extending Kadcyla

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imageTDM-1 was the name given to the drug during the clinical trial.  One thing that’s not any different is the price of another life extending drug, about $9800 a month and will be available in a couple of weeks.  Kadcyla is a combination of a current cancer drug, Herceptin and a chemotherapy drug named DM-1.  It is to be prescribed when Herceptin is no longer effective on it’s own.  DM-1 on it’s own is way too toxic to delivery into the bloodstream alone.  A normal course of treatment is about 9  months so you can do the math here to see at the price listed above, it is expensive.  Of course they do have a hardship program where some might be able to get the drug for free.  BD



http://live.wsj.com/video/fda-approves-powerful-new-breast-cancer-drug/6D55C1F3-27D4-4D2F-BD72-B09F4EEEFCC1.html#!6D55C1F3-27D4-4D2F-BD72-B09F4EEEFCC1

23 Şubat 2013 Cumartesi

Latest From Health Insurance Business Intelligence Analytics For Avoiding Risk and Saving Money, Break Up Marriages and Dump the Spouse Coverage

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Surcharge are becoming more well known for spouses and when the numbers are crunched, risk assessments are performed along with any other type of risk numbers such as mortality rates, etc. and the results must be saying “dump the spouse” according to this article in Market Watch.  This is pretty much talking about employer provided insurance.  There are people out there that marry for this, well almost but it certainly is a big consideration, and maybe they really do.  A couple years ago we had this story on the web.

Will Marry For Health Insurance Web Site – Nobody Cares, Responds, The Reality of A 30 Second Attention Span

Some companies have policies that discourage spouses and some just make it too expensive to add them.  The problem too is that some individuals can’t get insurance otherwise.  The surcharges can be as much imageas $100 a month and depending on income that can be a big issue or an inconvenience.  In 2014 we shall how this works as there will be exchanges for spouses to get insurance outside the company with the next provisions of the healthcare reform kick in.  Some companies will only allow the spouse added on if they already have their own insurance.  If plans are different and cover different doctors then both can’t see the same doctor.  Risk assessments and costs are working on all budgets today.  In some cases with Medicaid as this link below states, people get divorced to get coverage and it all comes back to income and how the numbers work out.  This sure doesn’t do much for keep the American tradition of family together.  BD

Divorce for Medicaid and Marry for Insurance – The American Healthcare System


By denying coverage to spouses, employers not only save the annual premiums, but also the new fees that went into effect as part of the Affordable Care Act. This year, companies have to pay $1 or $2 “per life” covered on their plans, a sum that jumps to $65 in 2014. And health law guidelines proposed recently mandate coverage of employees’ dependent children (up to age 26), but husbands and wives are optional. “The question about whether it’s obligatory to cover the family of the employee is being thought through more than ever before,” says Helen Darling, president of the National Business Group on Health

Such exclusions barely existed three years ago, but experts expect an increasing number of employers to adopt them: “That’s the next step,” Darling says. HMS, a company that audits plans for employers, estimates that nearly a third of companies might have such policies now. Holdouts say they feel under pressure to follow suit. “We’re the last domino,” says Duke Bennett, mayor of Terre Haute, Ind., which is instituting a spousal carve-out for the city’s health plan, effective July 2013, after nearly all major employers in the area dropped spouses.

About a fifth of companies had policies to discourage spouses from joining their health plan in 2012, according to Mercer, though most just charged extra—$100 a month, on average—to cover spouses who could get insurance elsewhere, rather than deny coverage entirely. Indeed, large firms including generics maker Teva and supply chain manager Intermec have spousal surcharges costing $100 a month, or $1,200 annually, while Xerox charges $1,000 for the year

Some companies drive spouses away using other tactics, such as making spousal coverage prohibitively expensive through higher surcharges or by making reimbursement rates so low that spouses can’t afford the plans.

http://www.marketwatch.com/story/why-your-boss-is-dumping-your-wife-2013-02-22?link=sfmw