Nitpicker's Notes

 

My passion is to fix stuff.

Talk to me about

1. JustGo - An easy to learn and use method for navigating through lots of information.
2. VibrantHealth - Making HEALTH matter in our non-system
3. TheySaid - A cheaper faster way to understand what the journal article authors said.
4. SmoothFlow - A system to eliminate unnecessary traffic jams.

I am an inveterate nitpicker. I correct the placement of garbage cans in my pod in the mobil home park where I live. I correct grammar and spelling on wikis and on Literotica sexy stories and anywhere else I can.

VibrantHealth - Fixing health care in America in three years.

Focus on OUTCOMES, not procedures. Health care reform for HEALTH

Dick Karpinski

"Health Care Reform Now ! " was written by George Halvorson, the CEO of Kaiser Health Plan. He undersstands the problems, especially where incentives to the health care providers encourage inefficient and ineffective care. He suggests a method for introducing another participant into the process between the payers and the providers to do two main things. They will insist on the providers using an electronic system to request payment, a single consistent system which creates an electronic medical record for each patient and records actual outcomes.

The outcome data is currently missing so neither providers nor patients nor even payers can compare the results obtained by different providers whether primary care doctors, specialists, hospitals, or health care plans. When we can tell what outcomes are achieved, everybody can make better choices and better outcomes will naturally follow. Evertybody will insist on it. When our hospital kills twice as many mothers in childbirth as the next one, we WILL want to change what we are doing in pre-natal care and deliveries. Count on it. The payers who reimburse the providerswill care. The companies who pay the premiums will care. The patients who use the services will care.

We are currently paying twice what other developed nations pay for health care, and yet we suffer much worse health care results. We require emergency rooms to take every desparately sick patient who shows up, but we do nothing to help that person avoid becoming desparately sick. Sometimes we do no prevention even when the patient is insured. There are no payment codes for providing a patient advice which will prevent a hospitalisation in the future. We don't pay for that, so we don't get that. When we eventually bring the uninsured into the system, and we repair the system so it encourages prevention, we will fix many problems. Our health will improve. Our costs will go down. We won't need so many clerks paid to deny claims.

SmoothFlow - A system to eliminate unnecessary traffic jams.

 I was reading the stuff google showed me for "traffic waves", as suggested by a friend, and enjoying the truth of the effectiveness of anti-jam driving.

Then I thought that if we all (or actually even a small fraction of us) collaborated to do anti-jam driving we could improve gas milage and tempers for many many people.

Then I wanted the coordination communication to happen with auto-mesh WiFi in our auto-mobiles. I still can't see how to make this into a clear need for an auto-zooming UI. Damn. Well, take what you can get.

Then I wanted the WiFi device to speak to me while I was keeping my eyes on the road.

The radio speaks to me. And the TomTom GPS driving assistant speaks to me. Aha!

The TomTom is already intended to use sophisticated wireless (GPS) to help me drive better and save gas and reduce frayed nerves.

Just add 802.11S and a little software and 20% (or 10?, or 5?) of the drivers who respond appropriately to the spoken advice from their TomTom will save the highways from unnecessary traffic jams!

What an inexpensive fix to a widely distributed time, gas, and frustration wasting problem!

And a little step toward having the cars do the driving so we can enjoy the scenery and our cell phones and TVs and even our companions.

When we're ready, we can later add "cruise control" features to allow close spaced caravans, to reduce wind drag and improve lane capacity even more. Naturally it would auto-spread when zipper merges are needed.

Richard Karpinski, Nitpicker       dick@cfcl.com 

148 Sequoia Circle, Santa Rosa, CA 95401

Home +1 707-546-6760     Cell +1 707-228-9716

http://nitpicker.pbwiki.com

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