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	<title>Comments on: Monday Morning Update 1/5/09</title>
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	<link>http://histalk2.com/2009/01/03/monday-morning-update-1509/</link>
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		<title>By: Time For Change</title>
		<link>http://histalk2.com/2009/01/03/monday-morning-update-1509/comment-page-1/#comment-2961</link>
		<dc:creator>Time For Change</dc:creator>
		<pubDate>Mon, 05 Jan 2009 19:06:00 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/2009/01/03/monday-morning-update-1509/#comment-2961</guid>
		<description>Well, it&#039;s not HIT, but since you brought it up...
http://www.childrensdefense.org/site/DocServer/state-of-americas-children-2008-report-moments-and-each-.pdf?docID=9082

According to the children&#039;s defense fund, every 21 seconds a child is born to an unwed mother;  every 33 seconds a child is born to poverty; and every minute a child is born to a teen mother.  Oh, and every 39 seconds a child is born without health insurance. Why should New Year&#039;s Day be any different?</description>
		<content:encoded><![CDATA[<p>Well, it&#8217;s not HIT, but since you brought it up&#8230;<br />
<a href="http://www.childrensdefense.org/site/DocServer/state-of-americas-children-2008-report-moments-and-each-.pdf?docID=9082" rel="nofollow">http://www.childrensdefense.org/site/DocServer/state-of-americas-children-2008-report-moments-and-each-.pdf?docID=9082</a></p>
<p>According to the children&#8217;s defense fund, every 21 seconds a child is born to an unwed mother;  every 33 seconds a child is born to poverty; and every minute a child is born to a teen mother.  Oh, and every 39 seconds a child is born without health insurance. Why should New Year&#8217;s Day be any different?</p>
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		<title>By: Cybernonymous</title>
		<link>http://histalk2.com/2009/01/03/monday-morning-update-1509/comment-page-1/#comment-2960</link>
		<dc:creator>Cybernonymous</dc:creator>
		<pubDate>Mon, 05 Jan 2009 14:01:23 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/2009/01/03/monday-morning-update-1509/#comment-2960</guid>
		<description>RE MHA:  Perhaps the era of hospital administrator is passing the way of the clergy.  If the market wants aggressive highly paid MBAs then the MHA programs should consider closing.  MBA with a concentration in healthcare TARP would rule!  Sister Mary warned us all saying “no money, no mission.”

It becomes apparently depressing attending these ACHE regional meetings listening to a bunch of highly education middle age MHAs crying over spilled milk that they have been passed over more times than statistically possible for CXO positions in their own communities.  Hired guns from out-of-state always seem get the jobs because the healthcare CXO market is so opportunity narrow with a choice of MBA vs. MHA from around the country.  Look at the resumes of a typical MHA and see how he/she has to travel around the country every 2 – 3 years for a bigger and better position.

It was a slow week in HIT!</description>
		<content:encoded><![CDATA[<p>RE MHA:  Perhaps the era of hospital administrator is passing the way of the clergy.  If the market wants aggressive highly paid MBAs then the MHA programs should consider closing.  MBA with a concentration in healthcare TARP would rule!  Sister Mary warned us all saying “no money, no mission.”</p>
<p>It becomes apparently depressing attending these ACHE regional meetings listening to a bunch of highly education middle age MHAs crying over spilled milk that they have been passed over more times than statistically possible for CXO positions in their own communities.  Hired guns from out-of-state always seem get the jobs because the healthcare CXO market is so opportunity narrow with a choice of MBA vs. MHA from around the country.  Look at the resumes of a typical MHA and see how he/she has to travel around the country every 2 – 3 years for a bigger and better position.</p>
<p>It was a slow week in HIT!</p>
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		<title>By: Lazlo Hollyfeld</title>
		<link>http://histalk2.com/2009/01/03/monday-morning-update-1509/comment-page-1/#comment-2959</link>
		<dc:creator>Lazlo Hollyfeld</dc:creator>
		<pubDate>Mon, 05 Jan 2009 03:33:58 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/2009/01/03/monday-morning-update-1509/#comment-2959</guid>
		<description>That &quot;2% profit&quot; number mentioned for Partners needs to be taken in context.  Like most NPF hospital delivery systems, there are plenty of ways to massage that number to make it much more palpable to potential critics that the a NPF is making too much money to be considered granted tax-exempt status under 501(c)(3).

I know that this has been a real pet peeve of Grasserly in Congress and that the IRS sent out questionnaires last year to over 500 NPF hospitals to inquire about several important issues (e.g., community benefit, executive compensation) the IRS has used in the ruling guidelines to specify what is/what isn&#039;t a NPF hospital.  

Also very interested in see if the FTC (which basically was a neutered and inept agency under the Bush administration the last 8 years) gets some real teeth and starts to really challenge certain mergers again including healthcare providers just like they did in the late 1990s.  The Boston Globe article does a good job of how Harshberger (who was the MA State Attorney general at the time of the merger to form Partners) basically gave it a wink-and-a nod along with Weld.</description>
		<content:encoded><![CDATA[<p>That &#8220;2% profit&#8221; number mentioned for Partners needs to be taken in context.  Like most NPF hospital delivery systems, there are plenty of ways to massage that number to make it much more palpable to potential critics that the a NPF is making too much money to be considered granted tax-exempt status under 501(c)(3).</p>
<p>I know that this has been a real pet peeve of Grasserly in Congress and that the IRS sent out questionnaires last year to over 500 NPF hospitals to inquire about several important issues (e.g., community benefit, executive compensation) the IRS has used in the ruling guidelines to specify what is/what isn&#8217;t a NPF hospital.  </p>
<p>Also very interested in see if the FTC (which basically was a neutered and inept agency under the Bush administration the last 8 years) gets some real teeth and starts to really challenge certain mergers again including healthcare providers just like they did in the late 1990s.  The Boston Globe article does a good job of how Harshberger (who was the MA State Attorney general at the time of the merger to form Partners) basically gave it a wink-and-a nod along with Weld.</p>
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		<title>By: Misys-Allscripts Land</title>
		<link>http://histalk2.com/2009/01/03/monday-morning-update-1509/comment-page-1/#comment-2958</link>
		<dc:creator>Misys-Allscripts Land</dc:creator>
		<pubDate>Mon, 05 Jan 2009 01:54:30 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/2009/01/03/monday-morning-update-1509/#comment-2958</guid>
		<description>First baby, sort of .. 

http://www.newsobserver.com/news/durham/story/1352343.html</description>
		<content:encoded><![CDATA[<p>First baby, sort of .. </p>
<p><a href="http://www.newsobserver.com/news/durham/story/1352343.html" rel="nofollow">http://www.newsobserver.com/news/durham/story/1352343.html</a></p>
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		<title>By: Will Weider</title>
		<link>http://histalk2.com/2009/01/03/monday-morning-update-1509/comment-page-1/#comment-2957</link>
		<dc:creator>Will Weider</dc:creator>
		<pubDate>Sun, 04 Jan 2009 08:26:26 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/2009/01/03/monday-morning-update-1509/#comment-2957</guid>
		<description>I am posting more on Twitter than my blog these days.  Feel free to follow me: www.twitter.com/candidcio</description>
		<content:encoded><![CDATA[<p>I am posting more on Twitter than my blog these days.  Feel free to follow me: <a href="http://www.twitter.com/candidcio" rel="nofollow">http://www.twitter.com/candidcio</a></p>
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