May 2010

After ballyhooed debut, some schools see problems with iPad

The euphoria that greeted the Apple iPad on college campuses has waned somewhat in recent weeks, as technology officials at a handful of universities have issued warnings that the much sought-after eReader might not be compatible with school web networks or could overwhelm campus bandwidth capabilities.

Education technology officials on campuses that can't currently support the iPad say their networks and Internet security will be iPad-friendly by next school year. Meanwhile, some other institutions -- such as Rutgers University, George Fox University in Newberg, Ore., and North Carolina State University -- embraced the popular eReader just days after its release. George Fox's incoming freshmen will receive a new iPad when they come to campus next fall, and North Carolina State students and faculty can rent the device for four-hour intervals from the school's library. Despite some technical troubles at George Washington University and Princeton University, eReader experts said higher-education officials will find ways to incorporate the iPad into their campus curriculum, partly because college students trust Apple's brand name enough to make the eReader a surefire hit among 20-somethings.

California film tax credit helping keep Hollywood at home

Warner Brothers and Sony Pictures' Screen Gems have been the most aggressive studios in taking advantage of California's new film tax credit aimed at keeping production from leaving Hollywood's backyard.

The California Film Commission has approved more than $20 million in state film tax credits for Warner Bros. films expected to shoot in L.A. this year. California's film tax credit program offers producers of films costing up to $75 million a tax credit of 20% of qualified production expenses. The program, which is capped at $100 million a year, allows companies to apply their credit against whatever income and/or sales and use taxes they owe the state.

Using High Tech To Lower Health Costs

Health policy experts hope that technology will become a tool for educating doctors about the cost of care.

More widespread use of electronic medical records, they say, will help keep costs in check by providing doctors with precise information on the price of tests and drugs even as they are deciding what to order. According to a 1990 study by Indiana University researchers, showing the charges for tests on computers used by medical residents working in an outpatient clinic led to a 14 percent drop in the number of tests ordered, with no adverse effects on patients. Subsequent studies found similar results when the prices of tests and imaging studies were displayed on computers in pediatric emergency rooms and in a pediatric intensive care unit.

Cell Phone Networks Gang Up on Apple, Google

A is for apps--and agitated cell phone networks. They've formed a consortium in an attempt to fight back against the overwhelming dominance from Apple and Google in the smartphone market, and make some money from the mobile app market. This week, the three-month-old Wholesale Applications Community (WAC) is to merge with the Open Mobile Terminal Platform (OMTP) and, with a little help from the world's handset makers, including LG, BlackBerry, and Samsung, try and put the brakes on Android and iPhone OS's stranglehold in the arena. There's a smell of something in the air: I'm getting a base note of greed, with some subtle floral elements redolent of too little, too late. The networks are running scared, ditto some of the handset makers. As well as seeing the amount of money that the app store is making Apple--it has sold over 3 billion in just 18 months--by the time that 4G eventually hits, mobile service providers will be nothing more than pipes through which the world's data is passed. Neither Google nor Apple share app revenue with the networks, whose profits are likely to be affected by the investment needed to upgrade its patchy service and slow speeds. And, hard as the folks at Nokia, Sony-Ericsson, and Samsung try, the iPhone and Android-based handsets look unstoppable.

National Summit of Rural America: A Dialogue for Renewing Promise

Department of Agriculture
June 3, 2010
http://www.usda.gov/ruralsummit

Participants at the National Summit on Rural America will take part in plenary and breakout sessions on a multitude of issues which include rebuilding and revitalizing rural America, creating new jobs, improving infrastructure, improving farm competitiveness, and encouraging innovation in renewable energy. National policymakers will take the invaluable opinions and ideas from participants at the Summit back to Washington for implementation into future program and policy discussions.

Interested participants may register to attend the National Summit of Rural America: A Dialogue for Renewing Promise by visiting http://www.usda.gov/ruralsummit.

Early registration is recommended as attendance will be limited to capacity constraints of the venue and breakout sessions.

Members of the media interested in attending should RSVP to mliz.purchia@oc.usda.gov



Department of Commerce
Tuesday, May 11
8:30 a.m. - 3:15 p.m.

Rene Cesaro
National Institute of Standards and Technology
Gaithersburg, Maryland 20899
(301) 975-2162
rene.cesaro@nist.gov

The agenda will include a TIP update, a presentation on the TIP selection process, and a discussion of potential critical national need areas for future funding. The agenda may change to accommodate Board business. The final agenda will be posted on the TIP Web site at: http://www.nist.gov/tip/



May 21, 2010
8:30 a.m.-5 p.m.

During this open meeting, PCAST is tentatively scheduled to hear presentations from the director of the Advanced Research Projects Agency-Energy (ARPA-E), the Under Secretary of Commerce for Oceans and Atmosphere and administrator of the National Oceanic and Atmospheric Administration (NOAA), and the director of the U.S. Geological Survey (USGS). The ARPA-E director will focus his remarks on the energy innovation, and the NOAA Administrator and USGS Director on biodiversity issues.

PCAST members will also discuss reports they are developing on the topics of advanced manufacturing; science, technology, engineering, and mathematics (STEM) education, health information, and influenza vaccinology. Additional information and the agenda will be posted at the PCAST Web site at
http://whitehouse.gov/ostp/pcast.

PCAST may hold a closed meeting of approximately 1 hour with the President on May 21, 2010, which must take place in the White House for the President's scheduling convenience and to maintain Secret Service protection. This meeting will be closed to the public because such portion of the meeting is likely to disclose matters that are to be kept secret in the interest of national defense. The precise date and time of this potential meeting has not yet been determined.



15 Health IT Pilot Communities to Share $220 Million

Vice President Biden and Health and Human Services Secretary Kathleen Sebelius announced the selection of 15 communities across the country to serve as pilot communities for eventual wide-scale use of health information technology through the Beacon Community program.

The $220 million in Recovery Act awards will not only help achieve meaningful and measurable improvements in health care quality, safety and efficiency in the selected communities, but also help lay the groundwork for an emerging health IT industry that is expected to support tens of thousands of jobs. The selected Beacon Communities will use health IT resources within their community as a foundation for bringing doctors, hospitals, community health programs, federal programs and patients together to design new ways of improving quality and efficiency to benefit patients and taxpayers. Each Beacon Community has elected specific and measurable improvement goals in each of three vital areas for health systems improvement: quality, cost-efficiency, and population health. The goals vary according to the needs and priorities of each community.

White House officials expect the grants will create about 1,000 jobs.

The 15 Beacon communities, their awards, and key strategies for success follow:

Community Services Council of Tulsa, Tulsa, Okla.
$12,043,948
Leverage broad community partnerships with hospitals, providers, payers, and government agencies  to expand a community-wide care coordination system, which will increase appropriate referrals for cancer screenings, decrease unnecessary specialist visits and (with telemedicine) increase access to care for patients with diabetes

Delta Health Alliance, Inc., Stoneville, Miss.
$14,666,156
Focus on achieving improvements for diabetic patients by electronically linking isolated systems and practices for care management, medication therapy management and patient education

Eastern Maine Healthcare Systems, Brewer Maine
$12,749,740
Expand community connectivity, including long-term care, primary care and specialist providers, to existing Health Information Exchange and promote the use of telemedicine and patient self-management in order to improve care for elderly patients and individuals needing long-term or home care

Geisinger Clinic, Danville, PA
$16,069,110
Enhance care for patients with pulmonary disease and congestive heart failure by creating a community-wide medical home, promoting Health Information Exchange and extending Geisinger’s proven model for practice redesign  to independent healthcare organizations throughout region 

HealthInsight, Salt Lake City, Utah
$15,790,181
Improve Diabetes management performance measures by increasing availability, accuracy and transparency of quality reporting, leverage Intermountain Healthcare’s strategies to reduce health systems costs throughout the region, and improve public health reporting

Indiana Health Information Exchange, INC., Indianapolis, Ind.
$16,008,431
Expand the country’s largest Health Information Exchange to new community providers in order to improve cholesterol and blood sugar control for diabetic patients and reduce preventable re-admissions through telemonitoring of high risk chronic disease patients after hospital discharge

Inland Northwest Health Services, Spokane, Wash.
$15,702,479
Focus on increasing preventive services for diabetic patients in rural areas by extending Health Information Exchange and establishing anchor institutions in close proximity to remote clinics that will promulgate successes in health IT supported care coordination

Louisiana Public Health Institute, New Orleans, La.
$13,525,434
Reduce racial health disparities and improve control of diabetes and smoking cessation rates by linking technically isolated health systems, providers, and hospitals; and empower patients by increasing their access to Personal Health Records

Mayo Clinic Rochester, d/b/a Mayo Clinic College of Medicine, Rochester, Minn.
$12,284,770
Enhance patient management and, reduce costs associated with hospitalization and emergency services for patients with diabetes and childhood asthma and address reduce health disparities for underserved populations and rural communities

Rhode Island Quality Institute, Providence, R.I.
$15,914,787
Improve the management of patients with diabetes through several health IT initiatives to support Rhode Island’s transition to the Patient Centered Medical Home model and adapt infrastructure proven to improve childhood immunizations in order to achieve improvements in adult immunization rates

Rocky Mountain Health Maintenance Organization, Grand Junction, Colo.
$11,878,279
Enable robust collection of clinical data from health systems, providers, and hospitals in order to inform practice redesign to improve blood pressure control in patients with diabetes and hypertension, increase smoking cessation counseling, and reduce unnecessary emergency department utilization and hospital re-admissions

Southern Piedmont Community Care Plan, Inc., Concord, N.C.
$15,907,622
Improve care coordination for patients with diabetes, heart disease, hypertension, and asthma by engaging patients and providers in bidirectional data sharing through a Health Record Bank, empowering patients and family members to participate in self-management through patient portals, and expanding access to care managers to facilitate post-discharge planning

The Regents of the University of California, San Diego, San Diego, Calif.
$15,275,115
Expand pre-hospital emergency field care and electronic information transmission to improve outcomes for cardiovascular and cerebrovascular disease, empower patients to engage in their own health management through web portal and cellular telephone technology, and improve continuity of care for veterans and military personnel through the Veterans Affairs/Department of Defense Virtual Lifetime Electronic Record initiative

University of Hawaii at Hilo, Hilo, Hawaii
$16,091,390
Implement a region-wide Health Information Exchange and Patient Health Record solution and utilize secure, internet-based care coordination and tele-monitoring tools to increase access to specialty care for patients with chronic diseases such as diabetes, hypertension, and obesity in this rural, health-professional shortage area  

Western New York Clinical Information Exchange, Inc., Buffalo, N.Y.
$16,092,485
Utilize clinical decision support tools such as registries and point-of-care alerts and reminders and innovative telemedicine solutions to improve primary and specialty care for diabetic patients, decrease preventable emergency room visits, hospitalizations and re-admissions for patients with diabetes and congestive heart failure or pneumonia, and improve immunization rates among diabetic patients

We Can't Squeeze the Data Tsunami Through Tiny Pipes

[Commentary] We managed to create 800,000 petabytes of digital information last year according to a study released today by IDC and EMC Corp. The annual survey forecasts that the creation of digital data will increase 44 times to 1.2 million petabytes — or 1.2 zettabytes — by the end of this year. (A petabyte is the equivalent of a stack of DVDs stretching from here to the moon.) And by 2020, we'll have created 35 trillion gigabytes of data — much of that in the "cloud." Even though EMC is putting out this data, and likes to explain how many "containers" it would take to hold that amount of data, what this enormous flood of data really requires will be robust broadband networks. The success of all this data will not be in storing it but in moving it around the world to people and companies who can use it to make new products, draw new conclusions or analyze it for profits.

Boucher, Stearns Release Draft Privacy Bill

Reps Rick Boucher (D-VA) and Cliff Stearns (R-FL) -- the Chairman and Ranking Member of the House Subcommittee on Communications, Technology, and the Internet -- released a discussion draft of legislation to assure the privacy of information about individuals both on the Internet and offline.

The draft measure would protect individuals' privacy by requiring the following:

Disclosure of privacy practices: Any company that collects personally identifiable information about individuals must conspicuously display a clearly-written, understandable privacy policy that explains how information about individuals is collected, used and disclosed.

Collection and use of information: As a general rule, companies may collect information about individuals unless an individual affirmatively opts out of that collection. Opt-out consent also applies when a website relies upon services delivered by another party to effectuate a first party transaction, such as the serving of ads on that website.

No consent is required to collect and use operational or transactional data - the routine web logs or session cookies that are necessary for the functioning of the website - or to use aggregate data or data that has been rendered anonymous.
Companies need an individual's express opt-in consent to knowingly collect sensitive information about an individual, including information that relates to an individual's medical records, financial accounts, Social Security number, sexual orientation, government-issued identifiers and precise geographic location information.

Disclosure of information to unaffiliated parties: An individual has a reasonable expectation that a company will not share that person's information with unrelated third parties. If a company wants to share an individual's personally-identifiable information with unaffiliated third parties other than for an operational or transactional purpose, the individual must grant affirmative permission for that sharing.

Many websites work with third-party advertising networks, which collect information about a person or an IP address from numerous websites, create a profile and target ads based on that profile. As an exception to the general rule requiring opt in consent for third-party information sharing, Opt-out consent would apply to sharing of an individual's information with a third-party ad network if there is a clear, easy-to-find link to a webpage for the ad network that allows a person to edit his or her profile and, if he chooses, to opt out of having a profile, provided that the ad network does not share the individual's information with anyone else.

Implementation and enforcement: The Federal Trade Commission would adopt rules to implement and enforce the measure. States may also enforce the FTC's rules through State attorneys general or State consumer protection agencies.