4 Burst results for "Alba Information"
"alba information" Discussed on Monocle 24: The Briefing
"You are listening to the briefing with me. Andrew Muller. An ancient wisdom of politics holds that you dance with WHO Brung you which is to say that the skewing of democracy by money is not a new phenomenon. It is arguably an accelerating one. However in this century in particular, there are corporations with more money and power than some governments and an entire global industry, which enables the hiding of money from accountancy and power from. From Accountability a new book by Peter Geoghegan. Investigations editor at open. Democracy is a revealing yet terrifying illumination of this. Merck joined now by PD. Geoghegan author of Democracy for sale. Dark money and dirty politics Peter sublimely fortuitous timing having you on the show today as the Russia report, which is to say, the British government's report into Russian interference in British politics is finally released just within the last hour or so. Having had a quick skim through it. Have we learned anything especially exciting? I think for people looking Africa's politics for while some watts in the report might seem quite familiar. It's you know it's a lot of the kind of broad themes that we know about who's attempts, Russian disinformation campaigns and British politics, but also the role of Russian leak money in in Britain governor introduction in terms of. Facilitating an ebeling Russian money. Laundering cleaned, but also the Russian lead to get access to British companies. I'm politics, but I think what's quite remarkable is laid out so barely I think to see an official report with government as kind of insignia to start to talk about the role of Russian interference in British politics in quite stark terms as something new I think it will force people to pay attention. I'd just been actually for the last hour watching a press. Press conference after the release of the report in some respects, I thought the press conference was even more an powerful in the recorded thousand people who also report were really saying. We don't know what's going on. Because the government has asked the right questions and the agencies haven't asked. The questions are really. The report isn't saying here's everything we know is actually saying we don't know all that much. Because we have a NAS Norfolk. that is what struck me as the most extraordinary revelation, the reason that we don't have any clear evidence of Russian interference in British politics is simply that the intelligence agencies have not gone looking for it. Does that sound like a sort the sort of thing that could happen organically or have. They been told not to go looking forward or have. They just assumed that nobody really wants them to or I mean. How does that happen? Isn't that what intelligence services are supposed to do or look for stuff? We one would think so. The most remarkable things in the report is they're. They're asking 'em. I I might five Rasta by rushing INFO interference in the brexit referendum, and there's a long mix mixers provided six lines of of Alba Information, nothing more, which is quite remarkable. Anything I think for for listeners and people who are kind of thinking about these huge political events. We know that international actors especially Russia hub choice involved in other electoral contests like in America and I think it's quite incredible to see the. The questions been asked and was striking. Is What was the way this is being framed? Because last night was briefings in British newspapers. Basically saying that this report is going to say it had nothing to do with the referendum, but Russia had been involved with the Scottish referendum actually again reading this basis. We can't say these things because we haven't done questions that we have found out the information. Well, if the intelligence services haven't gone looking for this stuff as your book demonstrates, you have. Moving on a bit from Russia report when you talk about democracy for sale that being the title of the book, What's a? What's a specific instance of the kind of thing you're talking about a trying to bring a big story here down to a smaller one? Well this, actually this whole kind of book, this whole project would have been almost spent three years working on kind of started and quite remarkable way that I wasn't expecting. I was actually in Sunderland in the northeast of England a few days before the brexit referendum. And what I what I was there? I was leaving working for the Irish Times of his I was filing copy I was being a reporter and when I was leaving. I noticed this newspaper. Free newspaper in Britain called the Metro too big advert on the front of us at take, vote, leave, take back control the bolt. Leave message I am on the basket. Had this was funded by the Democratic Unionist Party? which is a small northern. Irish party on that starts wondering what? How did the Democratic Unionist Party and the BINDI expensive advertising than in a different country? What I discovered was that they'd actually. Spend almost half million pounds on adverts under promotions, but all of this money was secrets. We know idea where it's come from. Because it was spent true Northern Ireland, which had secrecy laws from dating back from the political violence, the troubles that meant that bliscoll donations didn't have to be made public in Britain five hundred thousand pounds elections, a lots of money, and that's where this time to start to realize that someone could spend quite significant amounts of money in British politics without having to declare who they are, or where they came from four years on even written entire book and find out lots of other stuff I still don't know where to democratic unionist. Party got their money for the BREXIT referendum. I do remember that being an extraordinary story at the time and again one of those things that just got buried in the. Ceaseless Avalanche Bizarre News at around that time, but which I guess is part of the problem. When you go trying to find out what actually is at the bottom of any of this stuff is the disinformation. You must have to wade through. And how much of that does it strike? You is deliberately created as as kind of accessory to the Shenanigans. You're investigating. There's almost like to kind of connect connected things happening here one is a number two people, the kind of people I rise about Michael People like Steve. Bannon and people like the brexit donor in banks have their own mistakes that they want to cultivate. Stony Cummings to they want to be seen as malevolent market valley, ingenious, pulling all the strings behind our politics. I think we always do wary about giving them too much credence under ability to do so. There's always this difficulty trying to Paris. What's going on account much this is. Is Intentional how much of his not intentional on even how important is this? How can we tell whether this amount of money made a difference on officially campaign and I think that's why I think it's important. Actually pulled the Lens back further angle. We can't really say that this. Five Hundred Thousand Times here produced Brexit. Vote or anything like that. That's just that's not how politics works, but what we can say that when when we don't have proper rules and regulations under system is so disorganized Dan. It's really then we just defective. Can Ted is actually really really important and to kind of double back Russia report today it's quite striking in the report today they the officers actually talk about the fact that nobody no one government agency actually has control over and safeguarding British politics, and often it's really confused and weren't actually sure. The officers weren't sure who to us. was in charge of and often the himselves did not so what we've gotten. Britain is is really really complex system of electoral laws and rules, which just don't work anymore. They're completely dysfunctional digital age. I mean it's almost impossible for us to tell quast this information and wants reality. If the will was there, the could you pass legislation and regulation? That would if not. Eradicate this is a problem. Then then severely reduce it because it strikes me that this is just a different kind of a symmetric warfare and one of the great frustrations of fighting an actual asymmetric war, if you are the state actor, opposing to obey the rules and regulations of how these things are done Europe against an enemy, which is playing a different game, not just by different rules, but often by no rules at all. How can you dissuade people who simply don't care? That's completely. The point really is that if you're up against people who will break the rules, because at the end of data sold few little fuel few barriers. If you break through into sophie sanctions that you British electoral, you get fined. Twenty thousand pounds dot com biggest fine. You.
"alba information" Discussed on Outcomes Rocket
"Adopting is health information technology health ideas. We call it. Sham that involves jars connecting data through emails information exchanges exchanges and really integrating clinical telehealth which I call virtual care. I think those three now have been forced last ten years one in part due to the funding in two thousand nine from the American Reinvestment Recovery Act or two pieces of legislation in there that put forth billions to a procure to help oh providers by. EHR's now we have HR's almost everywhere for better or worse in many cases for the providers because of the challenges of one point the the HR is and I think now slowing this idea of sharing data between systems on the value of that data. Not just to the patient but there's a business value in in the new reimbursement contracts new restaurant contracts in these ACO environment where the sharing of data for the purpose of managing a population. Rather it also an individual managing an individual's chair through a patient's medical home as well as managing a population of people. Those have become drivers drivers of adopting these electronic health systems and sharing data. And now I believe we're at a tipping point where we've had these devices that I know you have on your desk and I have in my hand these smartphones these amazing computers that are far more powerful by factors of ten to a hundred than the computer that man to the moon fifty years ago. So you have these amazing tools and technologies high speed bandwidth Internet available almost everywhere everywhere. You Travel and so the idea is people are using this to do banking you and I do our banking we order food. We order our our rides and do everything on this device. I think we're coming to the point where we'll be. Accessing health concerns that device and talking to our doctors directly getting diagnostic assessments using AI agents and scheduling appointments as easy and as simply as ordering anything that comes to mind on Amazon and getting it delivered if not tomorrow wrote the same day so I think we're I think that mindset needs to be really adopted that technology and consumer technology is changing. We'll change how healthcare is accessed and the focus has access right. Sajida mean that is correct. Yeah so listening to this thinking about this from a from a provider or a payer perspective how your communities are accessing healthcare is changing people are. They've fallen we have fallen in love with the way that we interact with. Our providers like Sajid was mentioning the numerous rides or food. Or you you fill in the blank there. Healthcare is next and how we adapt is the called action so give us an example Sajida of what you guys are doing at wise healthcare to bridge the gap. So thank you for asking because I think one of the reasons we started wise and wise is an acronym like everything in healthcare becomes or isn't Akron so why stance for workflow Innovation Sciences Sciences Engineering. The way of saying that regardless of technology or process what I learned at. MLK The many lessons is there in setting up a brand new hospital to treat. Patients of our local community is that you could bring in the best technology you can have the best workflow design right up from scratch but the moment you bring in people into that process and to use that technology workflow falls away unless you don't engage those people in that conversation in that workflow design so one of the things that we are launching and have launched a here in Illinois Empire both angering unreal and San Benito and Riverside counties to the largest geographic counties that include urban and rural environments where patients have the access to primary care and very very limited access to specialty care. They they have to travel sometimes in jobs. Seventy miles to seek care is that we he said well. WE WANNA make access to care for this population out in the east side of southern California east of downtown. La All the way to the borders of Nevada in Arizona. We want to provide that that population of people that has limited access to care an a convenient way to access care convenient way for for their doctors to communicate with their colleagues about that about them and about their patient care determining whether they need to seek especially Karen not so in a very specific implementation were doing. We're launching what's called E. Console Console. It's been around now. Thankfully been around for a little over eight years originally started it out of San Francisco General Health and I give a lot of credit to Dr Alice Chan in Dhaka Hal ye who led the I e consultation in San Francisco I was at at the time and my good colleague and friend at Ella Care Doctor League and I went about doing tyler on console. We saw that this consults worked really. Well what e- console is is an electronic communication between a primary care provider and specialists and really. It's away to make this curbside console as physicians now with a college. The College for advice a formal process electronic process and more importantly we've evolved that now today as a care coordination process meaning that the patient when they go like you and I we would go to see our primary take care and the primary care doctor traditionally would say okay. I see this This rash on your arm or I can tell you have a urological logical issue or a GI issue or perhaps even a cardio issue and I really think you need to see a specialist. It would make referral right now. Sixty percent of healthcare healthcare is accessed through referral process. Meaning the primary care doctor refers to a specialist. That's throughout the nation and predominantly through. Managed care. Yeah that's that's one hundred percent of managers accessed through referral process. And when you have this that becomes a barrier a barrier for someone living not not only in rural communities but a barrier in low income impacted urban communities South La and other areas throughout California and the nation where there isn't that much specialty care within that geography or even ways to get there right like the social determines your ways to get there so and that leads into social determinants real quickly. What we've done is deployed a process? Using our wise methodology called INCA innovation Asian change approach another acronym that basically says will use design thinking and lean approaches to basically implement this process and this process is order forty by a very simple Kipah secure messaging technology. Now what we've done which type of all the credit to my teams and to the leaders here Neilan Empire who have really really said this is the direction we Wanna go. We've made a concept part of the business process of the referral and the authorization of that referral. We've made it a required process meaning anytime it's not voluntary. It's not just a like a esoteric telehealth tool that a primary care provider can and choose to use or not we said look. There's a benefit. The benefit is very simple. The patient sees you you do any concert with a specialist and two out of three times. Yes yes they need a face to face care and you've already now benefited through the concept process of having. Your workup already packaged. Alba Information Ray to go go to the specialist that you're going to see but one third one out of three times up to thirty five percent of the time you don't need to see that specialty care because that primary make your doctor in coordination with that specialist has come up with either a treatment plan that can be done by the primary care provider in the setting that you're you're already in and closely closer to as a patient and or it's been determined that you don't actually need to seek care either not right now or maybe not even in the future that you can come back six months later third of specialty care visits and I don't like to use this word deferred but are not necessary and if people say well. Isn't that another way of keeping. The answer is no because this specialist. That is talking to your primary care. DOC is helping that primary care. Docs understand what was necessary to make that appointment. What is a value to the patient? So imagine you don't have to drive unnecessarily for an appointment that would be set three to a six months in the future by eliminating a third of those unnecessary specialty visits but still providing specially cancer. The primary. Care what you're doing. Is You're opening running slots for the specialists. In all those specialties to see patients that need to be seen early so outcomes we talk about outcomes in your and this is outcomes rocket out very straightforward reduced no show rates faster appointment to specialty care and better quality of care. When you do you go to see a specialist less visits over time because the test and the studies done by primary care provider are included in that he counseled and sent to that specialists? That is Seeing Amazon okay. I don't have to have you come back again after ordering this test. Those three benefits faster access to care and direct quality of care through this electronic. Messaging System is what he counseled is. In fact I think it's evolved beyond consulate is really an electronic electronic dialogue a a chair coordination process and the technology behind. It isn't novel it's very similar to our what we do on our phone text messaging the email at secure in it includes all the data that needs to be exchanged between the two providers. But I think this has been a quiet disruption that I've been very fortunate to be part of Since two thousand ten when I first started nine years ago at Elliot gear and I had the had the pleasure and the one of opportunity to launch throughout all of La County County. So now I can very probably say that. I've been our transformation from the Santa Monica coast. He are all the way to the desert's east east of Los Angeles in Southern California that entire geographic area covering almost fifteen million people is now have access to e console Systems is how we deployed it but e console is now spreading throughout all of California and various implementations in stages so I had to kind of make a case ace of what we're doing. is we go to every one of the three hundred plus clinic sites. We've gone to every one of the hospitals that we work within the empire and basically have my I teams have gone to each site to do this workflow redesigned to better adopt and use the e concept process which is now required by the health. Plan Dan in order to get an authorization for specialty cavs as it so I have gone on and on. There must be a number of questions that I have to tell you. This is not been easy but it I can't imagine mazing transformations that's happening right now. So I mean fascinating work Sajid and you know the I. I can hear the passion as you talk about the journey and the how this care. Coordination put in place as a requirement is where my head keeps going and just and I'm sure I'll everybody listening like well. Yeah not so easy to make it required. Uh so what was the process to get Bam. That's an excellent question. Actually that's the seminal question. Isaac I think other appears that are listening to this podcast. Hopefully if they don't mind my voice other providers batters health plan administrators. I think the takeaway is that the value of providing convenience timely access to care is is very important so important that it outweighs all the concerns that I hear and I mean I get asked about. Well what's the what's the liability ability and I get that question. Asked about the primary care provider and the special saying. What's what's my liability? I'm I'm having a conversation with this other provider and we we'll have to answer that question and then we get questions like well. I just WanNa do a referral. I'm a doctor. I'm a primary care doctor. I know what my patients need. I know this is a referral. Why can't at the health plan just approve it and move on? Why do I have to talk to the doctor every time and we answer those questions? You know that it's not every time and and this will really benefit you so we don't get to everybody all at once all the time but I think to answer your question about how and why we made it mandatory and how we kind of worked at it. We've moved in a very collegial way. We start off working with everybody stakeholders. That's involved so we worked here in. The comparison example with to the largest public look systems brought them in as leaders as stakeholders to really support not only the members of the health plan but other patients that they can use this e console process us on even for other payers and said the investments can be made and I think the main part of of how to even get the stakeholders and as is a leadership Dr Brad Gilbert Oberg Dr Jennifer sales. CEO and CMO who launched this with US two years ago they really and both of them being Macaire Docs in their previous lives and still doing some time understood the challenges but they also understood the value Dr Sales in particular did the concert in La county where it was also so required and she saw that being implemented when I was implementing it and said yes it works so I think when you have leaders that recognize the challenge that recognize the value and can help.
"alba information" Discussed on KELO
"Unique strata why hillary i'll the swamp mobsters thing draining the swamp light trump we need to put ambani down guantanamo hanging out down air and kill trial to get information the charges and of training saying you know you make sound you make all the sound is cuddly is snugly with kitties news the way away touting sound so drastic and so it is so bad in yet it you make it sound so inviting because you have such a good voice for the cure his worst one here hilary equal for long endo little choice in in court and i see and there's got to be quite calling a n e meets air mean uh key people and uae adr i think it shifts e e i think so i mean if it happens though in the people find themselves in a place where they're angry i would suggest to be prepared of the first to november because this is going to be so it's not the first two new member directly with the first november but i would say any time first week in november we should be seeing something if the arrest go and the we'll certainly trigger some anger and then they push the issue of uranium one two you'll have the situation on both sides were people will be angry demanding justice and investigations into these things i think we're setting ourselves up for a complete clash that's what's going on line daylight can you let me alert iranian him the deal and again one on him i am down there with iran came out in war quiet low or no the long down newswall for alba information um in change cross someday down a new fight board with all these people that are caring our country up all right five t h down general kelly once kiss oh length own during eight till chain oh oh here hillary cheap well it's not an you just can't keep out of trouble we've had that like i say we've had dossier politics arrive on the scene when the clintons were in the white house the.
"alba information" Discussed on KTRH
"The law now newswall for alba information i have um in third change over cross sudden as he kate coming down a new fight board without being both better caring our country apart the eight down general kelly gay kiss cabinet ooh length own goering h k o v home oh here hillary navient cheap cash fat of tough well it's not just can't came out of trouble we've had that like i say we've had dossier politics arrive on the scene when the clintons were in the white house the dossier politics continued when she was in new york and they continue today and they and they they're able to get the right kind of people and pay them the right kind of money to develop scandalous investigations at ideas and i can tell you right now but what they have done is they've constructed a perfect conspiracy theory that if anyone denies it they're part of the conspiracy and that's how a good conspiracy theory operates is that if you deny the conspiracy theory they tell you the you're part of the conspiracy and that's where we are right now if we make the denials if we decide to take sides we sound like an apologist for either side we can't play like that because if we do we're gonna wind up in civil war i can tell you that right now the civil war will be based on political sectarianism as we predicted before on this program you know i think you need to really assess what you true values and beliefs are and not align yourself with the political savior or political save years that you want to align yourself with because you think it's fashionable it's not thinking for yourself and thinking like an american and cooperating like a like an american would be the most important thing to do right now because you know that they all lie you know that they all look out for themselves and you no the you're not going to get the result you're looking for and i know that what comes back to haunt me is when when i was during one of the debates that big i think trump it said somebody hillary about how if you were breaking the law she'd be in jail we're going to see some jail jail time for people i think if.