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dhtobey Tobey

Byte Size Biology » genomics - 1 views

bytesizebio.net/...genomics

genomics standard GSC software methodology community-desktop prospect association research non-profit

shared by dhtobey Tobey on 02 May 10 - Cached
  • etadata is the “data about the data”: all the habitat data, SOPs and abiotic data that is in dire need of the standardization Kyrpides writes about.
  • Metadata is the “data about the data”: all the habitat data, SOPs and abiotic data that is in dire need of the standardization Kyrpides writes about.
  • In 2005 the Genomics Standards Consortium was formed to address this problem. Renzo Kottman from the Max-Planck Institute for Marine Microbiology in Bremen, Germany  talked about software development within the GSC, and specifically about his own project: the Genomic Contextual Data Markup Language, or GCDML. GCDML is an XML-based standard for describing everything associated with a genomic or a metagenomic sample: where it was taken from , under what conditions, which protocols were used to extract, sequence, assemble, finish and analyze the metagenome.
    • dhtobey Tobey
      dhtobey Tobey on 02 May 10
       
      Standards organizations are community desktops waiting to happen. More specifically, not reference to "protocols" with a five step process similar to our technology transfer framework. If we could get a copy of this protocol we could develop a diagram and a community site around the four "research cycle" stages: extract, sequence, assemble, finish and analyze. What we need is a similar structure for the tissue sourcing process. Scott, can you think of who might have such a protocol documented?
  • dhtobey Tobey on 02 May 10
     
    Excerpt from further down the article that Steve sent via email. Note the embedded presentation on "Software development by the Genomics Standards Consortium."
  • Steve King on 02 May 10
     
    wow.. this page is a tour de force for bio science info issues ... and I very much like where you are going with the extract, sequence, assemble, finish and analyze.. pattern.. similar to the NIST model we are using at NERC.... hopefully
Steve King

BS 25999 Business continuity - 1 views

www.bsiamerica.com/...BS-25999

BS25999 resiliency continuity dhs

shared by Steve King on 02 Aug 10 - Cached
  • S 25999On June 15, 2010 the DHS Secretary Janet Napolitano announced the adoption of BS 25999 for the PS-Prep program.  BS 25999 (which comes in two parts) is one of three standards for use in the Voluntary Private Sector Preparedness Accreditation and Certification Program (PS-Prep). PS-Prep is directed by Title IX of the Implementing the Recommendations of the 9/11 Commission Act of 2007.
Scott Edelman

Infosecurity (USA) - ISACA launches risk management certification - 0 views

www.infosecurity-us.com/...-risk-management-certification

isaca infosecurity certification security association

shared by Scott Edelman on 19 May 10 - Cached
  • Security organization ISACA has launched a new risk management qualification for information security professionals. The Certified in Risk and Information Systems Control (CRISC) certification targets professionals in the IT area who use information security controls to manage risk in technology environments.
  • ISACA, which focuses on audit, risk, and governance disciplines, will administer the first CRISC examination next year
  • This is the fourth certification launched by ISACA. It also offers the Certified Information Systems Auditor (CISA), Certified Information Security Manager (CISM), and the Certified in the Governance of Enterprise IT (CGEIT), which is its most recent certification, launched in 2006.ISACA is also the publisher of the Risk IT standard for managing risk in IT, and the COBIT standard for IT governance.
dhtobey Tobey

GroupMind Express - Collaboration Software and Consulting for Decision Support - 2 views

www.groupmindexpress.com/home.htm

collaboration software

shared by dhtobey Tobey on 13 Jun 10 - Cached
  • We provide web-based tools and consulting services to support organizations and consultants. Our purpose is to help teams make decisions based on shared data, resulting in increased alignment and faster implementation.. Here are several standard organization needs, and how we can add value to your work   Your need Our value-add Surveys Shared results lead to group learning. Identify your areas of strength and weakness. Meetings Interactive meetings provide opportunities for buy-in and for gathering the group's intelligence. Hear from everyone.   Brainstorm or Delphi process Create better solutions and build improvement by using fast-cycle brainstorming to increase group understanding.
  • dhtobey Tobey on 13 Jun 10
     
    Steve and I looked at this platform this evening in prep for tomorrow's walk-thru and after reviewing the KE capabilities and customization limitations, this may be a better option. We should therefore postpone tomorrow's walk-through and see about getting a trial version of GroupMind to try out for Raytheon.
Steve King

Institute for Water Quality, Resources and Waste Management, TU Vienna - 0 views

www.iwa.tuwien.ac.at/...stan.html

sankey methodology software process-improvement

shared by Steve King on 02 Jul 10 - Cached
  • STAN (short for subSTance flow ANalysis) is a freeware that helps to perform material flow analysis according to the Austrian standard ÖNorm S 2096 (Material flow analysis - Application in waste management).
Steve King

NEJM -- What's Keeping Us So Busy in Primary Care? A Snapshot from One Practice - 0 views

content.nejm.org/...1632

community-desktop PCMH evidence-based-medicine outcomes-based medicine EHR software healthcare research productivity

shared by Steve King on 03 May 10 - Cached
  • Primary care practices typically measure productivity according to the number of visits, which also drives payment.
    • dhtobey Tobey
      dhtobey Tobey on 03 May 10
       
      This study is directly related to the TrustNetMD mission, but could also be useful for other EBM-related and OBM-related community desktop solutions.
  • Several studies have estimated the amount of time that primary care physicians devote to nonvisit work.1,2 To provide a more detailed description, my colleagues and I used our electronic health record to count units of primary care work during the course of a year.
  • Greenhouse Internists is a community-based internal medicine practice employing five physicians in Philadelphia. In 2008, we had an active caseload of 8440 patients between 15 and 99 years of age.
  • ...12 more annotations...
  • Our payer mix included 7.2% of payments from Medicaid (exclusively through Medicaid health maintenance organizations), 21.5% from Medicare (of which 14.0% were fee-for-service and 7.5% capitated), 64.7% from commercial insurers (34.5% fee-for-service and 30.2% capitated), and 6.5% from pay-for-performance programs.
    • dhtobey Tobey
      dhtobey Tobey on 03 May 10
       
      I wonder how this breakdown compares with national/urban averages? Also how are these trending? Is the pay-for-performance increasing dramatically? I would think so based on what we are hearing.
  • Throughout 2008, our physicians provided 118.5 scheduled visit-hours per week, ranging from 15 to 31 weekly hours each. We regard this schedule as equivalent to the work of four full-time physicians, with physicians typically working 50 to 60 hours per week. Our staff included four medical assistants, five front-desk staff, one business manager, one billing manager, one health educator (hired midyear), and two full-time clerical staff. Our staffing ratio was approximately 3.5 full-time support staff per full-time physician. We had no nurses or midlevel practitioners.
    • dhtobey Tobey
      dhtobey Tobey on 03 May 10
       
      From the little I know this is a typical primary care scenario - very poor leverage of professional staff, meaning no use of nurses or midlevel practitioners to leverage physician time and expertise.
  • We use an electronic health record, which we adopted in July 20043 and use exclusively to store, retrieve, and manage clinical information. Our electronic system came with 24 "document types" that function like tabs in a paper chart to organize documents, dividing clinical information into categories such as "office visit," "phone note," "lab report," and "imaging." Since all data about patients is stored in the electronic record (either as structured data or as scanned PDFs) and each document is signed electronically by a physician, we are able to measure accurately the volume of documents, which serve as proxies for clinical activities, in a given time period.
    • dhtobey Tobey
      dhtobey Tobey on 03 May 10
       
      Each of these document types could become a "LivingPaper" creating a "LivingRecord" vs. the current EHR... Steve have you discussed something like this with TNMD?
  • The volume and types of documents that we receive, process, and create are listed in Table 1
  • Each physician reviewed 19.5 laboratory reports per day, including those ordered through our office (which are delivered to us through an electronic interface and are automatically posted to the database of the electronic health record as numerical values) and those ordered outside our office (which enter our chart as scanned PDFs and are not posted as numerical values). The work cycle of responding to a laboratory result includes interpretation by telephone, letter, or e-mail. (Our office sent 12,541 letters communicating test results, about a third of which were sent by e-mail.) For noninterfaced laboratories, we must decide which values need to be entered manually into the electronic health record by a staff person; the values of scanned results cannot be graphed or searched without this step. Laboratory results frequently trigger a review or adjustment of a medication, which requires access to accurate, current medication lists with doses.
    • dhtobey Tobey
      dhtobey Tobey on 03 May 10
       
      How difficult would it be to integrate LivingPaper with existing EHRs and/or lab systems. Since EHRs are still in the "early adopter" phase, perhaps we can address some of the most critical needs making EHR use unnecessary, or perhaps this is a HUGE joint opportunity with Microsoft's healthcare division.
  • Of these calls, 35.7% were for an acute problem, 26.0% were for administrative purposes
  • Physicians averaged 16.8 e-mails per day. Of these electronic communications, 59.3% were for the interpretation of test results, 21.7% were for response to patients (either initiated by patients through the practice's interactive Web site or as part of an e-mail dialogue with patients), 9.3% were for administrative problems, 5.0% were for acute problems, 2.8% were for proactive outreach to patients, and 1.9% were for discussions with consultants.
    • dhtobey Tobey
      dhtobey Tobey on 03 May 10
       
      60% for interpretation of test results!!! Opinion management ranks as the highest use of electronic communications. THIS IS OUR SWEET SPOT! We need to find this type of data for research scientists.
    • Steve King
      Steve King on 10 May 10
       
      this is a a perfect source document for HC CD
  • Telephone calls that were determined to be of sufficient clinical import to engage a physician averaged 23.7 per physician per day, with 79.7% of such calls handled directly by physicians.
    • dhtobey Tobey
      dhtobey Tobey on 03 May 10
       
      Wow! I never would have guessed that telephone calls were such a significant part of the physician day. Does the EHR provide a CRM for call-logging?
  • Each physician reviewed 11.1 imaging reports per day, which usually required communication with patients for interpretation. Such review may require updating problem lists (e.g., a new diagnosis of a pulmonary nodule) or further referral (e.g., fine-needle aspiration for a cold thyroid nodule), which generates additional work, since results and recommendations are communicated to patients and consultants.
  • Each physician reviewed 13.9 consultation reports per day. Such reports from specialists may require adjustments to a medication list (if a specialist added or changed a medication), changes to a problem list, or a call or e-mail to a patient to explain or reinforce a specialist's recommendation. Some consultation or diagnostic reports relate to standard quality metrics (e.g., eye examinations for patients with diabetes) and need to be recorded in a different manner to support ongoing quality reporting and improvement.5
  • Before our practice had an electronic health record, we employed a registered nurse. After the implementation of the electronic health record system, much of the work that the nurse performed could be done by staff who did not have nursing skills, and by 2008, we no longer employed a registered nurse. However, on the basis of the analysis described here, we have hired a registered nurse to do "information triage" of incoming laboratory reports, telephone calls, and consultation notes — a completely different job description than what we had before.
    • dhtobey Tobey
      dhtobey Tobey on 03 May 10
       
      Most interesting! This is the conclusion we came to and presented to TNMD as a business plan concept -- become the triage service through outsourcing/insourcing RNs supported by the community desktop system.
  • Our practice is participating in a multipayer Patient Centered Medical Home demonstration project7 (which allowed us to hire our health educator). This project is overseen by the Pennsylvania governor's office and funded by the three largest commercial insurers and all three Medicaid insurers in our region
    • dhtobey Tobey
      dhtobey Tobey on 03 May 10
       
      Monetization is with the insurers -- just as we expected.
Scott Edelman

OverDrive - Global distributor of digital eBooks, audiobooks, music & video for library... - 1 views

www.overdrive.com/...founder.aspx

legal attorney digital publishing board-of-advisors prospect

shared by Scott Edelman on 19 May 10 - Cached
  • Steven Potash is President and CEO of OverDrive, Inc., a digital media company he founded in 1986. Under his leadership, OverDrive has become a leading digital media distributor and Digital Rights Management (DRM) clearinghouse for hundreds of leading publishers, studios, and media producers in the US and abroad. OverDrive distributes over 100,000 premium eBook, audiobook, music, and video titles to a network of over 6,000 libraries and online retail websites.
  • Mr. Potash has led OverDrive into strategic relationships with Microsoft Corporation, Adobe Systems, Inc., and hundreds of leading media companies and retailers. During the 90's, OverDrive began offering print-to-digital conversion services to publishers, and eCommerce solutions for retailers in the trade, academic, and consumer markets. Since 2000, Mr. Potash launched Content Reserve, which has grown to become the world's leading distribution network for eBooks and digital media with over 100,000 products from 500 publishers. During 2002 OverDrive expanded its digital content services to public, academic, and corporate libraries with the launch of Digital Library Reserve. Mr. Potash has served as President and as a Board member for the International Digital Publishing Forum (www.idpf.org), an international standards body and trade association for digital book applications.
  • Prior to OverDrive, Mr. Potash was active in the practice of law, served as Special Counsel to the Ohio Attorney General, served as an acting Municipal Judge, and authored technology columns for the American Bar Association Journal. A native of Cleveland, Ohio, he earned a B.A. in Journalism from Ohio State and his J.D. from the Cleveland Marshall College of Law. He is currently licensed to practice law in Ohio and federal courts. He lives in Cleveland with his wife Loree.
  • Scott Edelman on 19 May 10
     
    Steven Potash looks like an ideal board of advisor candidate. He understands both law and digital publishing... and he's from Cleveland, so must be a cool guy :o)
  • Steve King on 19 May 10
     
    when I see that mountain of digital books and pubs.. I can't help but thinking about all the LivingPaper knowledge sharing sessions that could be layered on top of that content.. ie, content rules.. but social content is even better.
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