Phoenix Ambulatory Blood Pressure Monitor Project
1/8/2006 Meeting Notes

Attendees

• Larry Beaty
• Gerrmaine Cornelissen
• Dewayne Hillman
• Dennis Lienke
• El Nolley
• Vince Pham
• Dave Skramstad
• Bob Schlentz
• Gerry Werth
  
  

Discussion

• Vince Pham and Dewayne Hillman joined us. Germaine discussed ambulatory blood pressure monitors, what the Halberg Chronobiology Center needs.
• Larry has been investigating application software from Freescale and Microchip, to simulate a uP and its attached devices, to use for either extreme programming or agile software. We need to run tests on code in development. We want a simulator that is free, satisfies our needs and run several hundred tests per minute.
• Dave has been working in our Phoenix lab on our sensor technologies and working with our team. Mary Jo is working on piezo film prototype. He met with some canndidates this week and will meet wth Vince after the meeting.
• Bob is working on the calibration project, is looking for techniques that do not require surgery, and sent an email assessment of the latest copy opf the
• Gerry: Looked at Open Document standard for exchanging information, and continuing to look at clinical information systems issues. He is looking at the issues around digital patient records, possibly that it takes longer and may increase patient risk.
• Dennis is working on a friendly version of version control and set up a wiki, and help the Halberg center set up a computer for BBS and version control. Larry found a facility, SourceForge which supports SubVersion for source code version control. Dennis found a facility, Wikipedia\Books for a free wiki.
• Germaine discussed the Sphygmochron program, demonstrated it, we created a zip, Larry Beatty will work on it. Bob Schlentz suggested that we start a design record (e.g. digital notebook), that notes what we started with, what change was made on what date and why. It is a chronological record of all changes.

Gerry presented a mini-topic on clinical information systems:

• Healthcare Economics Primer.
  Vendors, consumers, stakeholders, wallets.

- Vendors - supply servioces aqnd products
- Customerrs, make buying decisions, define value.
- Consumers, define quality
- Wallets, provvide money, impose constraints.

• It is easier if your customers, consumers and wallets are the same individual.
• Three primary stakeholdeers
  - Patient, consumer
  Uses products and services, defines quality
  - Clinician, vendor
  Role of he healer, name the desease is to give power over it.
  - Purchaser, customerer & wallet
  customer makes buiying decisions, defines purchase value,
• Can there be Win-Win-Win solution?
• Physicians are dealing with the "hassle" factor, satisfaction of healing, otherwise they may quit the field.
• Insurance is a secondary stakeholder, not primary.
• Why is healthcare system such a mess? Because the customer, consumeer and wallet have no interests in common. E.g. Germs make you ill,
• Gerry Werth identified an article by Peter Drucker, "The Coming of the New Organization", HBR, 1/1/1988. In it, Drucker recommends that decision makers be on the front lines, like cardiologist, e.g. the department chair of cardiology is still a cardiologist, and keeps at least 20% clinical cardiology. The chief is still a practioner.

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