RE: No Mans Land1 Aug 2022 13:48
Not surprised we are down a few percent today.
SB - I agree with your characterisation of staggering disconnection between BoD view and figures reported. As I said, I guess that tests are being ordered by the inner circle of kidney specialists without any real volume coming from the wider network of general practicioners. They are signing up centers, going through the approval processes to provide functionality that will eventually prompt GPs on so many fronts few will yield cash flow soon enough to avoid massive dilution & imbalanced "partnership".
Perhaps this is has been about Mt Sinai getting a system provided for itself funded by the stock market before it taking it over.
AndyP - agree, no "selling", more like support to fulfil eligibility criteria particularly in VA. The 10 year contract announced from 15 April 2021 turns out to hold hope of only being eligible to start testing in 8/171 centres after 20 months. They just don’t have the cash to get over the hump but I guess they had to "cross rivers" at Mt Sinai first.
I read piece copied below on wiki about their record system & hoped it might mean a very different & more straighforward accessibility scenario for IT provision from that at Mt Sinai, when they eventually are cleared for it.
"VHA is especially praised for its efforts in developing a low cost open source electronic medical records system VistA[49] which can be accessed remotely (with secure passwords) by health care providers. With this system, patients and nurses are given bar-coded wristbands, and all medications are bar-coded as well. Nurses are given wands, which they use to scan themselves, the patient, and the medication bottle before dispensing drugs. This helps prevent four of the most common dispensing errors: wrong med, wrong dose, wrong time, and wrong patient. The system, which has been adopted by all veterans' hospitals and clinics and continuously improved by users, has cut the number of dispensing errors in half at some facilities and saved thousands of lives.[50]
At some VHA medical facilities, doctors use wireless laptops, putting in information and getting electronic signatures for procedures. Doctors can call up patient records, order prescriptions, view X-rays or graph a chart of risk factors and medications to decide treatments. Patients have a home page that have boxes for allergies and medications, records every visit, call and note, and issues prompts reminding doctors to make routine checks. This technology has helped the VHA achieve cost controls and care quality that the majority of private providers cannot achieve.[40] The Veterans Health Administration Office of Research and Development's research into developing better-functioning prosthetic limbs, and treatment of PTSD are also heralded. The VHA has devoted many years of research into the health effects of the herbicide Agent Orange used by military forces in Vietnam."