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Results at Midland Memorial Hospital in Texas, show that a low cost conversion to electronic medical records by using the VA system's open software and having computer software companies adapt it to Midland's needs. This cost Midland $7 million and has resulted in many benefits. Senator Rockefeller is introducing legislation to promote the use of this open software for conversion to electronic medical records. Medsphere chairman Kenneth Kizer, former undersecretary ohealth care at the VA oversaw the development of VIstA software. He says its enhanced version called Open Vist A, "can be installed in one third the timeand for about one thrid the cost of the big-name proprietary systems." There is alot to be said for open software as this would enable hospitals and clinics acoross the country talk to each other and pull up records and sen them electronically, wich is hard to do when different systems of differnt commerical vendors interact. If Midland Memorial is any guide there are huge savings in the conversion. By enabling access instantly of patient records, lab results and Xray images, there are a huge array of benefits. It helped Midland catch up with a$16.7 million coding and billing backlog for 4,500 patient records in 4 weeks instead of 5-6 months. In the 18 months since the system was made hospital wideinfection rates dropped 88%, because of guidelines in the record system that prompted nurses to follow infection control procedures, such as changing dressing or following procedures when inserting a new IV. That is huge. Bed sores were reduced from electronic prompting to nurses to turn patients.And Midland increased by 77%in staff compliancewith guidelinesfor care for patientson ventilators, which if not followed could lead to pheumonia....

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An index for consumer prices for the U.S. was up only 0.8% for the 12 months of 2014, according to the Bureau of Labor Statistics. This is well below the U.S. central bank's target of 2% inflation. It creates uncertainty about whether the U.S. Fed will raise interest rates in 2015.

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Taiwan's president Ma Ying-jeou calls on Beijing to allow true democracy in Hong Kong. For the first time in the debate on Hong Kong and democracy Mr. Ma challenged the idea that democracy is not suited to China. He told the Taipei National Day audience "Now that the 1.3 billion people on the mainland have become moderately wealthy, they will ofcourse wish to enjoy greater democracy and rule of law. Such a desire has never been a monopoly of the West, but is the right of all humankind." Ma called on China to experiment using the pragmatic sense shown by Deng in adopting capitalism- "Thirty years ago, When Deng Xiaoping was pushing for reform and opening up in the mainland, he famously proposed letting some people get rich first. So why could'nt they do the same thing in Hong Kong, and let some people go democratic first."

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In China since 1981 the poorest people making below $1.25 a day fell to 207 million in 2005 from 835 million in 1981. In India the number of people below $1.25 a day increased to 455 million in 2005 from 420 million people in 1981. The share of the people in poverty fell to 42 percent from 60 percent during the same period. Corresponding figures for East Asia including China show a drop from 80% of the people in poverty in 1981 dropping to 18% in 2005. The proportion of people living below the $1.25 a day poverty line worldwide fell over the nerarly 25 year period from 1981 to 2005 from 52% in 1981 to 26% in 2005. In subSaharan Africa, now the poorest region half or 50% of the people live under the poverty line of $1.25 a day in 2005 almost where it was in 1981. In absolute numbers the region had 380 million people living below the poverty line in 2005 compared to 200 million people in 1981. Note that the World Bank this year changed the poverty line from $1 to $1.25 a day, to make allowance for the inflation that is hitting the poorer countries. Is China a rich nation after the Olympics? Some parts of China, the coastal regions and the regions around big cities like Shanghai and Beijing are relatively affluent with pockets of poorer people but in the rest of the country there is poverty as defined perhaps in terms of deep poverty, poverty, poor middle class without health insurance or any kind of savings for emergencies. With 200 million people in 2005 below the poverty line a question could be asked how many people in China below say $2.00 a day which could be seen as being poor at a time when inflation in food and fuel costs has been significant in developing countries. If its somewhere in the range of 300 and 400 million people in China this explains why in relative terms China would identify with India and the rest of the developing countries and it also explains its stand in the WTO trade talks acting as a developing country protecting the rights of agriculture and farmers within China. And it also explains the reasons why China sees a long transition before it ceases to be a poor developing country and why there is real concern that these 300-400 million people as well as others adversely affected by the rapid industrialization and exercize of state authority, corruption and increasing gaps between rich and poor, adverse effects on environment, that these people adversely affected are listened to and accomodated in the interests of stable progress and fairness. Much of recent history has shown that countries open to foreign trade have done better given the right conditions and careful policy measures. China opened up around 1981, and India around 1991. Also progress and gains are more significant in infrastructure building and in poverty reduction in the latter phases of development as the synergies increase, capital pool increases, and the development accelerates, this shows why China's gains look significant compared to India's at this point in time. In ten years or fifteen years a better assessment could be made and then some points may favor China and some India, and the results will be a result of different history, experiences and problems faced and routes taken because of prior developments in each region and varying complexity. ...

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Jonathan Ive, Apple's design chief, talks about what it is like working as part of a very small team that included Steve Jobs and Tim Cook for two decades. Jobs complete focus was on creating great products. The innovative products were created through the work of very small teams, says Ive. Two attributes the team members had to have are being inquisitive and curious. Making the product, manufacturing it using new technologies for materials like light weight titanium, was not something tacked on at the end, but something that was addressed as part of the design at the outset. Form, material, process- the design development and making- are intertwined thorughout, says Ive. For titanium that meant complete redesign, discovering new partners to work with, and hiring a new organization. This put Tim right at the heart of things and deeply involved right from the beginning. Ive repeats the idea focussed small team effort, and says this is no platitude. Titles, organizational structures are insignificant in this setup. Today Ive meets 3 times a week with Tim Cook. Tim sees design as an effort to articulate how a user sees the object, and credits Cook with a unique ability for giving this special attention and working to understand how an object is perceived....

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The problems in owning an asset like the Chrysler Group. Dennis Berman of the WSJ says, its less like owning a car company and more like having a hard luck case. Thats because Chrysler Group carries an estimated $18 billion in unfunded health care and other benefit costs. These were built up in another era of automotive dominance of the Big Three car companies of Detroit, but are carried over to another era when this dominance has disappeared. In the 5 years 2002 to 2007, Chrysler's $2.7 billion in operating profit actually translated into a $1.75 billion loss, when including these payments. So from a banker's point of view, Chrysler's value is a small fraction of the $39 billion Daimler paid for Chrysler. In fact many bankers value Chrysler at zero, because of the liabilities associated with it, including the difficulties to get the unions to modernize the workplace and avoid class warfare labor negotiations. This is how the financial markets see it, as Daimler's stock market value went up by $20 billion after it disclosed it was looking for abuyer for Chrysler, and was determined to separate Daimler from Chrysler. ...

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The efforts of Governor Kim Choong-soo of Korea's central bank, the Bank of Korea, to promote younger managers to senior management positions leads to disagreement with colleagues. The changes were not well received by older managers because of Korea's cultural traditions of respect for age and seniority in management positions. The deputy governor of the central bank expressed his diagreement in a farewell speech recently.

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Karen Elliott House, Pulitzer prize winning journalist and expert reporting from Saudi Arabia, in 2007. You can follow her reports in the Elliott House group and link.