Intercepts

Lots of questions but few answers; Buy high, sell low; Battle of the bands update.

, assistant secretary of Defense for health affairs, sent a policy memo in December 2004 to the military services urging them to develop a Joint Theater Trauma Registry of combat casualty epidemiology and treatment information. Winkenwerder’s memo estimated that JTTR information would not be available in the military’s electronic health record (EHR) system until 2008, a deadline that thinks is too late for U.S. forces engaged in two wars.The Baltimore Sun published an excellent series of stories last month on medical problems, including deaths, caused by treating wounded warfighters in Iraq with a blood-coagulating drug normally used to treat hemophiliacs. The use of that drug, Recombinant Activated Factor VII, has caused blood clots resulting in deaths, the Sun reported. The Sun articles state that doctors at the Army’s Landstuhl Regional Medical Center in Germany could not determine which inbound patients from Iraq had received the coagulant drug because they lack a computerized system, such as a JTTR. is a trauma surgeon for the Denver Health Medical Center who spent two weeks at Landstuhl this summer working as a senior visiting combat trauma surgeon. He reported on the American Association for the Surgery of Trauma’s Web site that the Landstuhl trauma information system is incomplete and that “information may be conflicting.”I asked the public affairs folks at the Military Health System (MHS) for an update on the JTTR in light of the Sun articles and Moore’s comments a month ago. They directed me to the public affairs shop at the Army Medical Department, which is responsible for developing JTTR. I’ve been waiting for an answer to my queries for about a month. Winkenwerder’s memo makes it clear that a lack of accurate information on combat wounds impedes the delivery of effective care. It seems to me that the time for delivering JTTR is now, not 2008. That appears to be the point of a PowerPoint presentation on the Defense Department’s drug costs that made its way here to Intercepts Central.The presentation, which came from MHS’ Uniform Business Office (UBO), states that, effective August this year, the health service will charge active-duty and retired personnel and their families generic drug prices for any drugs it dispenses. The explanation is that the military’s EHR system cannot accurately capture the National Drug Code number for drugs that MHS dispenses. Because of that problem, the presentation states, “DOD will be reverting to the generic charge per drug to prevent potential compliance problems, such as billing brand name prices for generic drugs.But if MHS dispenses some brand name drugs at generic prices, it will pay a stiff penalty, according to UBO. Costs this fiscal year for painkilling hydrocodone tablets jumped 2,300 percent, from 2 cents to 48 cents, between November 2005 and June 2006. The cost of an Allegra antihistamine tablet jumped 2,520 percent in the same period, from 10 cents to $2.62. UBO explained that a change in the Managed Care Pricing File from the lowest generic cost to a new pricing methodology based on median generic costs caused those price jumps.I sent queries about this to the MHS public affairs shop months ago and have yet to receive an answer. Instead, a PA employee said my questions to MHS were about as reasonable as the question, “When was the last time you beat your wife?” The Interceptor is going to switch gears and end the last column of the year on a lighter note. Here’s an update on my Sept. 18 mention in Intercepts that the Air Force band outdoes the Marine Corps band online. , chief of advancd technologies at the Program Executive Office for Enterprise Information Systes, wrote me earlier this month that the Army bands’ Web site () and Soldiers Radio Live () have been streaming live band music longer than the Air Force or Marines have. Wallington said the Air Force band site operates from an Army server and then ruminated, “Dunno whether that last one makes the Army smarter than the Air Force because we know how to do it and they don’t…or whether that makes the Air Force smarter than the Army because they know how to run an Air Force product from an Army server.”
Lots of questions but few answers
Dr. William Winkenwerderthe Interceptor





Dr. Ernest Moore





Buy high, sell low












Battle of the bands update


Lt. Col. C.J. Wallington

www.usarmyband.comwww.soldiersradio.com



Intercept something? Send it tobbrewin@fcw.com.

NEXT STORY: Technology briefs

X
This website uses cookies to enhance user experience and to analyze performance and traffic on our website. We also share information about your use of our site with our social media, advertising and analytics partners. Learn More / Do Not Sell My Personal Information
Accept Cookies
X
Cookie Preferences Cookie List

Do Not Sell My Personal Information

When you visit our website, we store cookies on your browser to collect information. The information collected might relate to you, your preferences or your device, and is mostly used to make the site work as you expect it to and to provide a more personalized web experience. However, you can choose not to allow certain types of cookies, which may impact your experience of the site and the services we are able to offer. Click on the different category headings to find out more and change our default settings according to your preference. You cannot opt-out of our First Party Strictly Necessary Cookies as they are deployed in order to ensure the proper functioning of our website (such as prompting the cookie banner and remembering your settings, to log into your account, to redirect you when you log out, etc.). For more information about the First and Third Party Cookies used please follow this link.

Allow All Cookies

Manage Consent Preferences

Strictly Necessary Cookies - Always Active

We do not allow you to opt-out of our certain cookies, as they are necessary to ensure the proper functioning of our website (such as prompting our cookie banner and remembering your privacy choices) and/or to monitor site performance. These cookies are not used in a way that constitutes a “sale” of your data under the CCPA. You can set your browser to block or alert you about these cookies, but some parts of the site will not work as intended if you do so. You can usually find these settings in the Options or Preferences menu of your browser. Visit www.allaboutcookies.org to learn more.

Sale of Personal Data, Targeting & Social Media Cookies

Under the California Consumer Privacy Act, you have the right to opt-out of the sale of your personal information to third parties. These cookies collect information for analytics and to personalize your experience with targeted ads. You may exercise your right to opt out of the sale of personal information by using this toggle switch. If you opt out we will not be able to offer you personalised ads and will not hand over your personal information to any third parties. Additionally, you may contact our legal department for further clarification about your rights as a California consumer by using this Exercise My Rights link

If you have enabled privacy controls on your browser (such as a plugin), we have to take that as a valid request to opt-out. Therefore we would not be able to track your activity through the web. This may affect our ability to personalize ads according to your preferences.

Targeting cookies may be set through our site by our advertising partners. They may be used by those companies to build a profile of your interests and show you relevant adverts on other sites. They do not store directly personal information, but are based on uniquely identifying your browser and internet device. If you do not allow these cookies, you will experience less targeted advertising.

Social media cookies are set by a range of social media services that we have added to the site to enable you to share our content with your friends and networks. They are capable of tracking your browser across other sites and building up a profile of your interests. This may impact the content and messages you see on other websites you visit. If you do not allow these cookies you may not be able to use or see these sharing tools.

If you want to opt out of all of our lead reports and lists, please submit a privacy request at our Do Not Sell page.

Save Settings
Cookie Preferences Cookie List

Cookie List

A cookie is a small piece of data (text file) that a website – when visited by a user – asks your browser to store on your device in order to remember information about you, such as your language preference or login information. Those cookies are set by us and called first-party cookies. We also use third-party cookies – which are cookies from a domain different than the domain of the website you are visiting – for our advertising and marketing efforts. More specifically, we use cookies and other tracking technologies for the following purposes:

Strictly Necessary Cookies

We do not allow you to opt-out of our certain cookies, as they are necessary to ensure the proper functioning of our website (such as prompting our cookie banner and remembering your privacy choices) and/or to monitor site performance. These cookies are not used in a way that constitutes a “sale” of your data under the CCPA. You can set your browser to block or alert you about these cookies, but some parts of the site will not work as intended if you do so. You can usually find these settings in the Options or Preferences menu of your browser. Visit www.allaboutcookies.org to learn more.

Functional Cookies

We do not allow you to opt-out of our certain cookies, as they are necessary to ensure the proper functioning of our website (such as prompting our cookie banner and remembering your privacy choices) and/or to monitor site performance. These cookies are not used in a way that constitutes a “sale” of your data under the CCPA. You can set your browser to block or alert you about these cookies, but some parts of the site will not work as intended if you do so. You can usually find these settings in the Options or Preferences menu of your browser. Visit www.allaboutcookies.org to learn more.

Performance Cookies

We do not allow you to opt-out of our certain cookies, as they are necessary to ensure the proper functioning of our website (such as prompting our cookie banner and remembering your privacy choices) and/or to monitor site performance. These cookies are not used in a way that constitutes a “sale” of your data under the CCPA. You can set your browser to block or alert you about these cookies, but some parts of the site will not work as intended if you do so. You can usually find these settings in the Options or Preferences menu of your browser. Visit www.allaboutcookies.org to learn more.

Sale of Personal Data

We also use cookies to personalize your experience on our websites, including by determining the most relevant content and advertisements to show you, and to monitor site traffic and performance, so that we may improve our websites and your experience. You may opt out of our use of such cookies (and the associated “sale” of your Personal Information) by using this toggle switch. You will still see some advertising, regardless of your selection. Because we do not track you across different devices, browsers and GEMG properties, your selection will take effect only on this browser, this device and this website.

Social Media Cookies

We also use cookies to personalize your experience on our websites, including by determining the most relevant content and advertisements to show you, and to monitor site traffic and performance, so that we may improve our websites and your experience. You may opt out of our use of such cookies (and the associated “sale” of your Personal Information) by using this toggle switch. You will still see some advertising, regardless of your selection. Because we do not track you across different devices, browsers and GEMG properties, your selection will take effect only on this browser, this device and this website.

Targeting Cookies

We also use cookies to personalize your experience on our websites, including by determining the most relevant content and advertisements to show you, and to monitor site traffic and performance, so that we may improve our websites and your experience. You may opt out of our use of such cookies (and the associated “sale” of your Personal Information) by using this toggle switch. You will still see some advertising, regardless of your selection. Because we do not track you across different devices, browsers and GEMG properties, your selection will take effect only on this browser, this device and this website.