FEW FIELDS IN MEDICINE HAVE changed with the lightning speed of cardiology. In the not-so-distant past, doctors had only a stethoscope to listen to the beat and rhythm of a heart and make a diagnosis. Thirty years ago, though, everything changed: We learned how to thread catheters through blood vessels and take pictures of the heart while it was beating. As a result, we could watch the blood course from chamber to chamber, through the lungs, and to the rest of the body.
But every invasive procedure invites risks, and soon there was a call for safer techniques. Ultrasound, or echocardiography, in which sound waves are bounced off the heart, is one of the tools that have revolutionized the way we view the heart, enabling doctors to make diagnoses without putting tubes…
Recently Kevin Brown, president of the Canadian Information Processing Society (CIPS), sparked a debate amongst IS professionals by suggesting that they upgrade their skills and pursue certification or risk unemployment. He noted that CEOs are increasingly disenchanted with the low quality systems that are being delivered in spite of massive technology investment.
Brown’s critics have responded by suggesting that he is an apologist for CIPS and for its ISP certification program and that executive disenchantment can just as easily be blamed on vendor vaporware, or other complex factors, as lack of skills.
According to Morven Wilson, executive director, university computing and information services for Dalhousie University in Halifax, “The IS profession should not be compared to other certified professions such as doctors, lawyers or technical engineers because the professions such as doctors, lawyers or technical engineers because the profession is very complex.
“IS project …
Dialysis providers soon may have to retool their treatment practices to comply with new quality standards being considered for Medicare.
HCFA is reviewing standards being developed by a National Kidney Foundation project to see if they can be incorporated into its new “conditions for coverage” for the Medicare end-stage renal disease, or ESRD, program. In 1994, that program covered 92.3% of people who needed dialysis because of kidney failure.
Dialysis providers would have to meet the standards, which may include practice guidelines and outcomes measures, in order to receive reimbursement for services delivered to Medicare beneficiaries.
HCFA now makes dialysis providers meet professional standards for dialysis physicians and nurses and guidelines for patient-care plans and the quality of the care environment. It doesn’t, however, mandate practice rules or outcomes goals.
But the times may be a-changin’. HCFA officials are reviewing draft reports of the National…
“Attain Perfect Health on Bee Pollen Diet”
“Lose 25 Pounds Without Dieting”
“Look Like Sylvester Stallone Without Lifting a Single Set of Weights”
It is hard not to get caught up in the excitement. Imagine having the body of a famous model or your favorite sports hero without even trying. Just take “their” product and you are on your way!
Wait a minute. It’s time for a reality check. Like it or not, a great-looking, healthy body cannot be bought at the store. You have to “make” it yourself.
Where Do I Begin?
Unfortunately, the above claims will only lighten your wallet, not your body. So where do you begin? Diet and exercise are the way to go. In addition to eating low-fat, well-balanced meals from the five major food groups, exercise should be a large part of …