Resolutions: 2012

Are you a resolution-maker? Are you gearing up to lose those extra pounds you put on last year? Have you set new goals for your productivity, your work ethic, your family time or your compassion? Some statistics show that 40 – 45% of adult Americans make New Year’s resolutions; if you do so, you have lots of company.

When I was a younger person, I made resolutions every year and worked hard to keep them. In the past several years, my energy has been scattered in too many directions to even make resolutions, much less to keep them.

This year feels somewhat different. I achieved several goals I set for myself personally in the last half of 2011 and doing that has made me more open to a resolution or two in 2012. Both of those I am setting pertain to my work and are shared with me by other members of the SOS team…particularly those of us in customer service.

  1. We have resolved to provide customer service that is strikingly above expectations to our clients. Those who trust us to provide software and support to accomplish their business needs deserve nothing less.
  2. We have resolved to help all of our customers to send their claims electronically . . . especially those who have already purchased our claims module, but who have never begun filing.

Neither of these resolutions is earth-shattering. We hope that makes them reasonable to accomplish. We trust that you will let us know how we are doing.

Please share your resolutions, or let us know why you have decided not to make any.

We hope for a healthy, happy and extraordinarily successful 2012 for all of you!

 

Must-Read Novels for 2012: Daemon and FreedomTM

Last month I told you about a novel I had read that fascinated me. Now I am here to tell you that both the first book, Daemon, and its sequel, FreedomTM , are must-read books for individuals who are concerned about the way the U.S. is moving . . . . or not moving.

When I say the U.S., I do not just mean the U.S. Government. I also mean U.S. and multinational corporations that are loyal only to their bottom line, private U.S. military contractors (otherwise known as mercenaries), the U.S. economy, U.S. buying/consuming habits, and the knowledge, involvement, and activism of the U.S. citizenry.

Daniel Suarez, the author of these books, is a systems consultant and programmer. He knows about the software and devices that run our lives. He has consulted extensively on data security to Fortune 1000 companies. The technology described in his books is all current and real . . . and very frightening. His stories successfully make the point that our identities are so tied into the computer systems that run modern life, that our civilization could not survive without them. As we move toward digitizing our medical and mental health records, we simultaneoulsy decrease errors and increase our vulnerability. Long-term loss of electrical systems in a dozen major cities globally could destroy our entire way of life, including our food distribution system. Even a short-term loss of electricity can throw us into major disarray. But not necessarily . . .

A key element of FreedomTM, is that sustainable communities that are not totally reliant on centralization of resources can survive even major disruption. Sustainability is defined on Wikipedia as “the capacity to endure.” It is the ability to survive based on a balanced and reasonable use of resources that does not deplete those resources.

Currently, the concept of sustainability is enjoying popularity in some government circles. The EPA, HUD, and DOT have developed a program for developing sustainable communities.  These programs focus on housing and business development in urban and rural areas and how to do it in a way that contributes to the well-being of everyone involved, including wildlife and the earth.

Not-for-profit organizations and think tanks focused on a sustainable future have been appearing over the last decade. Philosophical and spiritually grounded individuals have long taught of the need for changes in how we think and live that will result in our well-being. Even some businesses profess sustainability as part of their business mission.

But without action from concerned, educated, and involved individuals, none of these movements will gain the traction they need to affect how we live.

I have long believed that an informed community is also an activist community. When I take the time to educate myself about the events and issues of the day, I am also motivated to examine those events in light of my own beliefs and values. When the values I hold dear are threatened, I take action. At least, that is what I used to believe. I know a few people who do that, but not very many. I do not share the political values of the Tea Party. I do share their belief that it is the responsibility of citizens to express their opinions and to become involved in the political process . . . after educating themselves about the issues.

I know, I know…you don’t have time to breathe. You already work in healthcare, most of you in the mental health community. You take care of other people as part of how you make your living, you certainly cannot consider taking the time to learn more about what is happening in our country and worldwide so you can become even busier. Getting involved in your community or becoming activist about issues that concern you is just out of the question.

And yet . . . unless more of us take the time to become such activists, we may not have day-to-day activities to be concerned about.

I hope you will read these books when you can. They are very good reads . . . extremely entertaining and very informative. Just view them as a treat to yourself.

Then decide what you need to do.

 

Change in Healthcare is Upon Us…Law or not

In 1992, when Bill Clinton was elected President of the United States for the first time, I was a member of the Committee for the Advancement of Professional Practice (CAPP) of the American Psychological Association. CAPP is charged with general governance oversight of the Practice Directorate, the part of APA responsible for promoting “the practice of psychology and the availability and accessibility of psychological services, providing resources and services to practicing psychologists in all settings and to the public.”

Our first meeting immediately after the election was highly charged. Staff had been studying President Clinton’s healthcare proposals, and the notion of controlling cost through “managed care.”

President Clinton’s healthcare proposals did not fly, but the industry picked up the notion of controlling costs by managing the care provided to consumers, and psychological practice has never been the same. For private practitioners, “managed care” continues to be a primary obstacle to the practice of psychology. Costs might have been suppressed by managing care, but some would argue that the primary effect of the managed care revolution was the creation of a new industry that made money as the middle-men at the cost of providers. Indeed, after a few years of leveling of the costs of care, the rise has been renewed and expanded.

In mid-November, the Supreme Court of the U.S. agreed to hear an appeal of the Affordable Care Act, our nation’s most recent effort to reform our healthcare system.

The Supreme Court agreed to hear appeals from the United States Court of Appeals for the 11th Circuit in Atlanta, which is the only court to have struck down the individual mandate because it overstepped Congressional authority and wasn’t justified by the constitutional power “to regulate commerce” or “to lay and collect taxes.” FierceHealthPayer, November 18, 2011

According to editor Dina Overland of FierceHealthPayer newsletter, even a complete overturn of the law would have little significant impact. She believes that consumers like the changes the law is mandating and there is no stopping this train.

Mercom Capital Group, in their HIT Report of November 21, 2011, says the same thing about the massive changes in the healthcare arena at large. Basing their conclusions on a report by PwC (PricewaterhouseCoopers, LLC), Mercom reports that health organizations will continue to move forward with changes to their health technology and other innovations because the multiple drivers in the marketplace have finally come to a head. No matter the political or the financial uncertainties, PwC believes this movement will continue. These are changes consumers like, and the movement will continue no matter which market forces might change.

In their HIT Report of November 28, 2011, Mercom reports that Harvard and Aetna will ally to work to improve healthcare costs and quality. The two have formed a research collaborative focused on improving the quality and cost of healthcare. They will use bioinformatics, the interface of computer science and information technology with the fields of biology and medicine, to analyze healthcare data in innovative ways. They will focus on outcomes of various treatments considering quality and cost, factors that predict adherence to medical and drug treatments for chronic diseases, examining how claims and clinical data can be best used to predict disease and follow outcomes, as well as other treatments of data that will emerge over time.

Where is your organization in the midst of this dramatic change in how we manage healthcare? How do you see yourself participating in the sea change that is under way? Where does behavioral healthcare fit into this picture?

Just type in your thoughts below. Thanks for commenting.

Thanksgiving: Thanks to you!

I am feeling particularly grateful right now.

We spent the past weekend working hard for our bicycling club’s annual fundraiser, the Horrible Hundred. I have written about our work on this ride in the past, but this year I have been feeling especially grateful for our wonderful team. Without them . . . their willingness to work very hard for a long day for no apparent reason other than a job well done, and their ability to overlook and laugh at the foibles of their co-leaders . . . we would never have been able to organize a successful ride rest stop for eight years.

I am also grateful that this is our last year organizing that project.

Focusing on gratitude got me started in a direction I should go more often. With the annual Thanksgiving holiday just ahead, I was encouraged to look further. I took a quit trip to the web site for The Happiness Project, Gretchen Rubin’s bestseller, and sure enough . . . she is exploring the notion of gratitude this week . . . with a focus on thankfulness for things that do not happen. A quick search of her site revealed about 40 entries in which gratitude is explored in some fashion. After all, having an attitude of gratitude is considered by many to be a key ingredient of happiness.

In fact, a quick Google search of the word gratitude comes up with over 56,600,000 results. That number amazed me! It is not quite so many hits as a Google search for the word ‘greed’ produces (it comes in at 58,200,000 quick results), but it is still a well-mentioned concept in our culture.

The number of hits on ‘greed’ suggests that we might need to improve our focus on gratitude to become better human beings. I get irritated with those greedy folks and their sense of entitlement. I am very grateful for those in my life who have an ongoing sense of awe at the beauty of the world and the goodness of others. They remind me that not everyone . . . maybe not even most people . . . believe that the world owes them anything.

  • I am thankful for my family and friends who are always there when I need them….and even when I don’t.
  • I am grateful for my co-workers who have been with us for so long and keep on producing so our customers have outstanding software and great support.
  • I really appreciate those of you who are our customers, who use our products and recommend us to your friends and colleagues.
  • I am thankful that there are a few people in addition to our customers who like to read what I have to say.
  • I am profoundly grateful that we live in a beautiful place where we feel connected to nature daily.
  • I am thankful that I have found yoga practice, and that I have so far to go to get anywhere near maximum benefit from it. There is only upside!
  • I so much appreciate that I will see well-loved family members in just a couple of days.

What role does gratitude play in your life? Is it important in your day-to-day view of the world? For what are you most grateful? What do you do to practice gratitude?

Please share your thoughts and experiences with the rest of us. We will be most grateful. And do have a wonderful Thanksgiving holiday.

Daemon: Thought-provoking book by Daniel Suarez

Do you play multi-player interactive games on the internet? How involved are you in the world of those games? Have you ever wondered how those games relate to the real world…or if they do?

I recently finished reading Daemon by Daniel Suarez. I was so fascinated by the ideas in the book that I just downloaded the free chapters of the sequel, FreedomTM and have requested the book from my local library. While I am waiting, I have been thinking and doing some research.

The premise of the book is that a dying computer game writer creates a program (called a daemon) that initiates upon news of his death. The extent of the infiltration of that program into the worlds of the rest of us is amazing. The book explores the worlds of computer and credit card hackers, drug cartels and crime syndicates, and all the government and quasi-government but private organizations potentially involved in these events.

This book is written by a computer systems person who consults to Fortune 1000 companies. His presentation of the events and concepts makes for a very exciting though violent story. It is called a techno-thriller. I call it science fiction….but all the technologies are current, so the events could occur.

I work in a high tech industry. We write software, so I thought I was at least somewhat informed about the technological world. This book revealed to me that I am totally ignorant of this whole realm. That is part of what is interesting to me about it. How can I live and work in the sphere I do and still have no idea about this arena?

Techies find this book and its sequel pretty fascinating. An article written by Josh McHugh in 2008 in Wired magazine talks about how the author got serious credibility in the geek world after self-publishing the book.

An organization called The Long Now Foundation . . . that is focused on encouraging and supporting long-term thinking about and responsible action in our world . . . had Suarez present a seminar about bot-mediated reality to members. As with most things I find interesting, the links I find in the cyber-world about my starting point are equally fascinating!

I have tried not to be a spoiler about Suarez’ books. That may have made this article a bit too vague. I hope you are interested enough to take a look at the links. Maybe it is time for us to balance our focus on the present and too many things to do with thought about the future and where we are taking ourselves.

Please share your comments below. Since I have no history with computer games, please share your experience and insights in that world.