Medical Realpolitik
Political Reality of World Medicine
19.11.10
USA: CONGRESS postponed 22% cut in MEDICARE medical payments.
USA new political payment policies separates PRIVATE medicine from STATE funded mnedicine.
15.11.10
ONTARIO LABORATORIES CLOSING and REDUCING OPENING TIMES.
To cut costs of lab. tests, Ontario Government has put a maximum approx $300,000/year per GP that Govt. will pay for lab tests. (With a patient list of 2500/GP, this equals $125/patient/year). Over that amount the labs will be paid ZERO. No such limitations for Specialists. Result is closing of labs; reducing working hours; not opening on Saturday; not collecting blood samples from GP offices. Ontario govt. no longer pays for screening Vit.D testing.
7.11.10
HARVARD PROF.C.M. CHRISTENSEN Hons.BA ( Brigham Young U.) M.Phil (Oxon.) DBA (Harvard)
Harvard Business School Professor
Clayton M. Christensen is the Robert and Jane Cizik Professor of Business Administration at the Harvard Business School, and is widely regarded as one of the world’s foremost experts on innovation and growth. Professor Christensen holds a B.A. with highest honors in economics from Brigham Young University, and an M.Phil. in applied econometrics from Oxford University, where he studied as a Rhodes Scholar. He received an MBA with High Distinction from the Harvard Business School in 1979, graduating as a George F. Baker Scholar. He was awarded his DBA from the Harvard Business School in 1992. Christensen has served as a director on the boards of a number of public and private companies. He is currently a board member at Tata Consulting Services, Franklin Covey, W.R. Hambrecht, and Vanu Inc. Christensen also serves on Singapore's Research, Innovation and Enterprise Council (RIEC), and has advised the executives of many of the world’s major corporations. They generate tens of billions of dollars in revenues every year from product and service innovations that were inspired by his research. Christensen is an experienced entrepreneur, having started three successful companies. Prior to joining the HBS faculty, Professor Christensen served as chairman and president of CPS Technologies a firm he co-founded with several MIT professors in 1984. CPS is a leading developer of products and manufacturing processes using high-technology metals and ceramics such as silicon nitride, silicon carbide, and aluminum oxide. Christensen has also founded Innosight, a consulting firm that uses his theories of innovation to help companies create new growth businesses. Professor Christensen became a faculty member at the Harvard Business School in 1992, and was awarded a full professorship with tenure in 1998, becoming the first professor in the school’s modern history to achieve tenure at such an accelerated pace. Professor Christensen is the bestselling author of five books, including his seminal work, The Innovator's Dilemma, which received the Global Business Book Award for the best business book of the year, The Innovator’s Solution, and Seeing What’s Next. Recently, Christensen has focused the lens of disruptive innovation on social issues such as education and health care. Disrupting Class looks at the root causes of why schools struggle and offers solutions, while The Innovator's Prescription examines how to fix our healthcare system. Four of his five books have received awards as the best books in their categories in the years of their publication. Professor Christensen's writings have been featured in a variety of publications, and have won a number of awards, such as the Best Dissertation Award from The Institute of Management Sciences for his doctoral thesis on technology development in the disk drive industry; the Production and Operations Management Society's William Abernathy Award, presented to the author of the best paper in the management of technology; the Newcomen Society’s award for the best paper in business history; and the 1995, 2001, 2008 and 2009 McKinsey Awards for articles published in the Harvard Business Review.
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Editorial Reviews
Amazon.com Review
What do the Honda Supercub, Intel's 8088 processor, and hydraulic excavators have in common? They are all examples of disruptive technologies that helped to redefine the competitive landscape of their respective markets. These products did not come about as the result of successful companies carrying out sound business practices in established markets. In The Innovator's Dilemma, author Clayton M. Christensen shows how these and other products cut into the low end of the marketplace and eventually evolved to displace high-end competitors and their reigning technologies.
At the heart of The Innovator's Dilemma is how a successful company with established products keeps from being pushed aside by newer, cheaper products that will, over time, get better and become a serious threat. Christensen writes that even the best-managed companies, in spite of their attention to customers and continual investment in new technology, are susceptible to failure no matter what the industry, be it hard drives or consumer retailing. Succinct and clearly written, The Innovator's Dilemma is an important book that belongs on every manager's bookshelf. Highly recommended. --Harry C. Edwards --This text refers to the Hardcover edition.
From Booklist
The author, an associate professor at Harvard Business School, asks why some well-managed companies that stay on top of new technology and practice quality customer service can still falter. His own research brought a surprising answer to that question. Christensen suggests that by placing too great an emphasis on satisfying customers' current needs, companies fail to adapt or adopt new technology that will meet customers' unstated or future needs, and he argues that such companies will eventually fall behind. Christensen calls this phenomenon "disruptive technology" and demonstrates its effects in industries as diverse as the manufacture of hard-disk drives and mass retailing. He goes on to offer solutions by providing strategies for anticipating changes in markets. This book is another in the publisher's Management of Innovation and Change series. David Rouse --This text refers to the Hardcover edition
Clayton M. Christensen is the Robert and Jane Cizik Professor of Business Administration at the Harvard Business School, and is widely regarded as one of the world’s foremost experts on innovation and growth. Professor Christensen holds a B.A. with highest honors in economics from Brigham Young University, and an M.Phil. in applied econometrics from Oxford University, where he studied as a Rhodes Scholar. He received an MBA with High Distinction from the Harvard Business School in 1979, graduating as a George F. Baker Scholar. He was awarded his DBA from the Harvard Business School in 1992. Christensen has served as a director on the boards of a number of public and private companies. He is currently a board member at Tata Consulting Services, Franklin Covey, W.R. Hambrecht, and Vanu Inc. Christensen also serves on Singapore's Research, Innovation and Enterprise Council (RIEC), and has advised the executives of many of the world’s major corporations. They generate tens of billions of dollars in revenues every year from product and service innovations that were inspired by his research. Christensen is an experienced entrepreneur, having started three successful companies. Prior to joining the HBS faculty, Professor Christensen served as chairman and president of CPS Technologies a firm he co-founded with several MIT professors in 1984. CPS is a leading developer of products and manufacturing processes using high-technology metals and ceramics such as silicon nitride, silicon carbide, and aluminum oxide. Christensen has also founded Innosight, a consulting firm that uses his theories of innovation to help companies create new growth businesses. Professor Christensen became a faculty member at the Harvard Business School in 1992, and was awarded a full professorship with tenure in 1998, becoming the first professor in the school’s modern history to achieve tenure at such an accelerated pace. Professor Christensen is the bestselling author of five books, including his seminal work, The Innovator's Dilemma, which received the Global Business Book Award for the best business book of the year, The Innovator’s Solution, and Seeing What’s Next. Recently, Christensen has focused the lens of disruptive innovation on social issues such as education and health care. Disrupting Class looks at the root causes of why schools struggle and offers solutions, while The Innovator's Prescription examines how to fix our healthcare system. Four of his five books have received awards as the best books in their categories in the years of their publication. Professor Christensen's writings have been featured in a variety of publications, and have won a number of awards, such as the Best Dissertation Award from The Institute of Management Sciences for his doctoral thesis on technology development in the disk drive industry; the Production and Operations Management Society's William Abernathy Award, presented to the author of the best paper in the management of technology; the Newcomen Society’s award for the best paper in business history; and the 1995, 2001, 2008 and 2009 McKinsey Awards for articles published in the Harvard Business Review.
--------------------------------------------------------------------------------
Editorial Reviews
Amazon.com Review
What do the Honda Supercub, Intel's 8088 processor, and hydraulic excavators have in common? They are all examples of disruptive technologies that helped to redefine the competitive landscape of their respective markets. These products did not come about as the result of successful companies carrying out sound business practices in established markets. In The Innovator's Dilemma, author Clayton M. Christensen shows how these and other products cut into the low end of the marketplace and eventually evolved to displace high-end competitors and their reigning technologies.
At the heart of The Innovator's Dilemma is how a successful company with established products keeps from being pushed aside by newer, cheaper products that will, over time, get better and become a serious threat. Christensen writes that even the best-managed companies, in spite of their attention to customers and continual investment in new technology, are susceptible to failure no matter what the industry, be it hard drives or consumer retailing. Succinct and clearly written, The Innovator's Dilemma is an important book that belongs on every manager's bookshelf. Highly recommended. --Harry C. Edwards --This text refers to the Hardcover edition.
From Booklist
The author, an associate professor at Harvard Business School, asks why some well-managed companies that stay on top of new technology and practice quality customer service can still falter. His own research brought a surprising answer to that question. Christensen suggests that by placing too great an emphasis on satisfying customers' current needs, companies fail to adapt or adopt new technology that will meet customers' unstated or future needs, and he argues that such companies will eventually fall behind. Christensen calls this phenomenon "disruptive technology" and demonstrates its effects in industries as diverse as the manufacture of hard-disk drives and mass retailing. He goes on to offer solutions by providing strategies for anticipating changes in markets. This book is another in the publisher's Management of Innovation and Change series. David Rouse --This text refers to the Hardcover edition
1.11.10
UK: ISLE of WIGHT new policy to prevent teenage pregnancy
Chemists will provide girls as young as 13 with contraception without telling parents or GP
By Daily Mail Reporter
Last updated at 12:28 PM on 1st November 2010
A controversial scheme that lets girls as young as 13 obtain the contraceptive pill without their parents knowledge, has been launched.
Teenagers in the Isle of Wight (popn.140,000) who visit the chemist for the morning-after pill will also be able to pick up a month's supply of the contraceptive desogestrel without seeing a doctor or telling their parents.
After a month the girls would need to see a GP or sexual health nurse to get a further supply.
Ten of the 30 pharmacies on the island will be part of the pilot scheme.
The latest pregnancy figures from the Isle of Wight show that 96 girls under the age of 18 became pregnant in 2008.
The service will be aimed at females aged between 13 and 25 years old.
Read more: http://www.dailymail.co.uk/health/article-1325521/Chemists-provide-girls-young-13-long-term-contraception-telling-parents.html#ixzz142PxXEY9
By Daily Mail Reporter
Last updated at 12:28 PM on 1st November 2010
A controversial scheme that lets girls as young as 13 obtain the contraceptive pill without their parents knowledge, has been launched.
Teenagers in the Isle of Wight (popn.140,000) who visit the chemist for the morning-after pill will also be able to pick up a month's supply of the contraceptive desogestrel without seeing a doctor or telling their parents.
After a month the girls would need to see a GP or sexual health nurse to get a further supply.
Ten of the 30 pharmacies on the island will be part of the pilot scheme.
The latest pregnancy figures from the Isle of Wight show that 96 girls under the age of 18 became pregnant in 2008.
The service will be aimed at females aged between 13 and 25 years old.
Read more: http://www.dailymail.co.uk/health/article-1325521/Chemists-provide-girls-young-13-long-term-contraception-telling-parents.html#ixzz142PxXEY9
25.10.10
CCHSE NOW CCHL
The Canadian College of Health Service Executives Celebrates Four Decades with
a New Name, the Canadian College of Health Leaders
(Halifax, NS – October 15, 2010) – The Canadian College of Health Service Executives announced its new name, the Canadian College of Health Leaders during its October 2010 Board of Directors meeting in Halifax. The new name is reflective of who the College is today and its future direction. The College’s commitment to health leaders throughout their career and to Canada’s health system is reflected in the accompanying tagline – Learning, Leading, Inspiring.
For four decades, the Canadian College of Health Leaders has brought together established and emerging health leaders from across Canada to learn, network, and exchange best practices—all with the aim of strengthening Canada’s health system. The College is confident as it enters its next four decades that it is on track to build on, strengthen and renew its services, the new name speaks to the value and benefits of the organization.
“In our consultation with College members as well as potential members it became evident that many did not see themselves reflected in the old name, specifically in the term ‘health service executives’, either because their work was not properly in the health services domain or because they were not in what they perceived as an executive role. The new College name allows us to address this while preparing the College to better recognize the importance of developing leaders early in their career” said College President Ray Racette, MHA, CHE.
“Our new name clearly emphasizes our focus on leadership and learning and our alignment with the recently established LEADS in a Caring Environment leadership capabilities framework. It reflects our commitment to support leadership development across the continuum of a career” commented Board Chair John King, MHA, CHE.
a New Name, the Canadian College of Health Leaders
(Halifax, NS – October 15, 2010) – The Canadian College of Health Service Executives announced its new name, the Canadian College of Health Leaders during its October 2010 Board of Directors meeting in Halifax. The new name is reflective of who the College is today and its future direction. The College’s commitment to health leaders throughout their career and to Canada’s health system is reflected in the accompanying tagline – Learning, Leading, Inspiring.
For four decades, the Canadian College of Health Leaders has brought together established and emerging health leaders from across Canada to learn, network, and exchange best practices—all with the aim of strengthening Canada’s health system. The College is confident as it enters its next four decades that it is on track to build on, strengthen and renew its services, the new name speaks to the value and benefits of the organization.
“In our consultation with College members as well as potential members it became evident that many did not see themselves reflected in the old name, specifically in the term ‘health service executives’, either because their work was not properly in the health services domain or because they were not in what they perceived as an executive role. The new College name allows us to address this while preparing the College to better recognize the importance of developing leaders early in their career” said College President Ray Racette, MHA, CHE.
“Our new name clearly emphasizes our focus on leadership and learning and our alignment with the recently established LEADS in a Caring Environment leadership capabilities framework. It reflects our commitment to support leadership development across the continuum of a career” commented Board Chair John King, MHA, CHE.
BAD MEDICINE: A Guide to the Real Costs and Consquences of the New Health Care Laws. by Michael D.TANNER
www.cato.org
Can be read online. Single copy $10.
Cato Institute Senior Fellow Michael D. TANNER
Cato Institute,
1000 Massachusetts Ave,N.W.
Washington,D.C. 20001
Can be read online. Single copy $10.
Cato Institute Senior Fellow Michael D. TANNER
Cato Institute,
1000 Massachusetts Ave,N.W.
Washington,D.C. 20001
16.10.10
Safest places to practice medicine in Canada
BEST CITIES PERCENTAGE BELOW THE NATIONAL CRIME SCORE
Caledon, Ont. -70%
Wellington County, Ont. 58
Halton Region, Ont. 58
Lévis, Que. 51
Nottawasaga, Ont. 50
York Region, Ont. 49
Richelieu Saint-Laurent, Que. 48
South Simcoe, Ont. 44
Vaudreuil-Soulange MRC, Que. 44
Blainville, Que. 42
Sources: 2009 and 1999 Crime Severity Index data from the Canadian Centre for Justice Statistics, Maclean’s
Caledon, Ont. -70%
Wellington County, Ont. 58
Halton Region, Ont. 58
Lévis, Que. 51
Nottawasaga, Ont. 50
York Region, Ont. 49
Richelieu Saint-Laurent, Que. 48
South Simcoe, Ont. 44
Vaudreuil-Soulange MRC, Que. 44
Blainville, Que. 42
Sources: 2009 and 1999 Crime Severity Index data from the Canadian Centre for Justice Statistics, Maclean’s
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