THE HEALTH

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job title, keywords, company, location	jobs by     Following the recession, the Obama administration sought shovel-ready projects. One unlikely shovel wielding aggregate demand was health information technology. The Health Information Technology for Economic and Clinical Health (HITECH) Act passed in 2009 directed 5 % of the stimulus towards digitizing medical records. Computerization of medical records doesn’t induce the images of public works as building freeways during the Great Depression does, but the freeway is a metaphor for exchange of information between electronic health records with the implication that such an exchange is a public good and so government intervention is justified. Robert Wachter, voted the most influential physician by Modern Healthcare, sums the optimism and frustration with the electronic health record (EHR) in Digital Doctor – which stands to be a classic. It was Bush Jr., not Obama, who started the digitization. Seeking bipartisanship after the war in Iraq, Bush was inspired by his closest ally, Tony Blair, who was wiring the National Health Service (NHS) – a $16 billion initiative which has since failed, spectacularly. Bush founded the Office of National Coordinator of Health Information Technology (ONC) and appointed David Brailer – a physician, quant and entrepreneur – as head. Brailer wanted interoperability so that hospitals shared information. It is because of interoperability that we can use our debit cards in New York and Singapore. The market must agree on a common language, such as the TCP/ IP for the internet, to achieve interoperability. Patients suffer when systems can’t talk. Were patients, not a third party, bearing the full costs of care – a free market – they might have forced hospital information systems to talk. Rightly or not, healthcare is not a free market and hospitals have little motivation in making cross-talking simpler. Jobs from Indeed What: Where: jobs by

THE HEALTH

 

Every week Mental Health Reform will post items relating to mental health services in Ireland. We hope that this blog will help stimulate debate about mental health and mental health services. The blog will feature items from Mental Health Reform Staff, the Director of Mental Health Reform and from guest bloggers including experts by experience and mental health professionals.

We welcome comments, however we would ask that all comments are respectful of bloggers and other commenters. Read more about our comment policy. Please note that not all blogs reflect the views of Mental Health Reform.

Immediate Release: Amnesty and Mental Health Reform welcome publication of report on Mental Health Act and urge action on complaints and treatment to those who are ‘unwilling’

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March 5th, 2015

Amnesty International Ireland and Mental Health Reform, the national coalition on mental health, have together (05/03/2015) welcomed the publication by Minister for Primary and Social Care, Kathleen Lynch TD, of the Report of the Expert Group on the Review of the Mental Health Act 2001.
Colm O’Gorman, Executive Director of Amnesty International Ireland, said: “Amnesty International welcomes the publication of the report today. We will now consider it in detail and respond to the Department accordingly. The Mental Health Act is outdated and in need of significant amendment if is it is to comply with today’s human rights standards. We hope that the necessary legislation is brought forward as quickly as possible.”
Speaking about the report, Mental Health Reform Director Dr Shari McDaid said: “It is clear that the Expert Group have sought to significantly improve the protections for people with a mental health difficulty who need inpatient treatment.”
“Mental Health Reform is pleased to see that the Expert Group have recommended a greater emphasis on the autonomy of people with mental health difficulties to make decisions about their own treatment; in this way the legislation will underpin a modern, recovery-oriented approach to mental health service delivery. It is also encouraging to see that better protections for vulnerable individuals who lack the capacity to make their own decisions are being recommended”.
“We welcome the recommendation to extend the remit of the Mental Health Commission and Inspector of Mental Health Services to include oversight of community based mental health services, where the majority of mental health treatment occurs. It is important that they are adequately resourced to properly fulfil their new role”, Dr McDaid said.
“We are very disappointed that the Expert Group did not recommend an independent route for making a complaint about mental health services. This is an issue that has been raised to Mental Health Reform time and time again; people have told us they are afraid to make a complaint for fear of consequences to their future use of services. Mental Health Reform reiterates our call for an independent complaints mechanism for mental health services”, Dr McDaid added.
“Finally, while we welcome the recommendation to remove the word ‘unwilling’ in the consent sections of the Act, we are concerned that until new legislation to amend the Act is drafted, we will continue to have a situation where people who have the capacity to make decisions about their own care can be given treatment against their capable will. We call on the Government to immediately introduce legislation to remove ‘unwilling’ from the Act in order to end this practice. We also welcome the Minister’s commitment that legislation on the remaining recommendations would be introduced before the end of this Government’s tenure”, concluded Dr McDaid.
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Weight Cycling: Avoid the Ups and Downs of Weight Loss 

 

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How many times have you lost weight only to gain it back again? Continual cycles of weight loss and gain, also known as weight cycling, can be discouraging. But it may damage more than your self-esteem.

Weighing the Risks
More research is needed about the health impact of weight cycling. But some studies link yo-yo dieting to an increase in high cholesterol, high blood pressure, gallstone disease and other problems. And fad diets — often the cause of rapid weight fluctuations — may lead to poor nutrition, because they typically involve avoiding certain food groups.
Even if losing weight just to gain it back again isn’t the best for your health, it doesn’t mean you should shelve your attempts to shed pounds. Rather, it may mean you need to revamp your approach to weight loss.

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Secrets to Long-Lasting Weight Loss
Despite common belief, weight cycling doesn’t slow your metabolism or sabotage future weight loss efforts. So even if you’ve been a yo-yo dieter for decades, you can break the cycle and lose weight for good with consistent, healthy lifestyle changes.
“Not only do we want people to live longer but we want to allow people to do so with less medical problems and less medications,” says Christina Li, M.D., an advanced laparoscopic and bariatric surgeon and head of the LifeBridge Health Bariatric and Minimally Invasive Surgery Center.
For long-term success, Dr. Li suggests aiming for a slow weight loss of about one or two pounds a week. Some proven steps for steady weight loss and maintenance include the following:

• Eat breakfast. A morning meal can help stoke your metabolism and help avoid overeating later.
• Exercise 60 minutes a day. This may seem like a lot, but it can be broken down into shorter segments, such as two 30-minute walks.
• Choose a wide variety of foods. Focus on fiber-rich fruits and vegetables, lean meat and fish, whole grains and low-fat dairy products.
• Weigh yourself often. This will allow you to keep close tabs on your weight and make corrections if necessary.
• Consider weight-loss counseling. Studies show that people who work with a diet counselor are more apt to lose weight and keep it off.

If you are still unable to effectively lose weight despite these efforts, bariatric surgery may be right for you. With experienced surgeons, a registered dietician and helpful support groups, the LifeBridge Health Bariatric and Minimally Invasive Surgery Center gives you the tools you need to start your life-saving weight loss journey