Subject: News from Dr. Kevin Fickenscher at CREO Strategic Solutions
From: "Dr. Kevin Fickenscher at CREO Strategic Solutions" <[email-masked]>
To: <[email-masked]>
Date: Tue, 28 Feb 2012 08:04:17 -0500 (EST)

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The Fickenscher Files
Issue #1
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Quote Of The Week [http://r20.rs6.net/tn.jsp?et=1109399610956&s=6409&e=001kPZQMa1XJGFAh2nwaYUqHP-hiD6UHIGxuN_iuK5F4RMx7W3vEz6MzZq2Wv0kRNOvs4y9PzYW2lNDtDTxMsmeds_Y3VWziPM_cfSxAK_xU9yyJVC65Ms7u8BrR7YU0pXx6liBPY3OHi7VUfBz868qftiI7-iTxqGUVIwcKy_o7G2nz_6R6jxs9Jj9mT5Ao-bgUE6Ntwt8fAMe--p4aU7sVvx3qBOJcIh0rDOzGVd5EDoaJR98jcbYKWW2BJKugCkZ9-4x1EGRofOgvT1HG2SFYl-E_Ty9B5aw-e6ah5bQ0UDCeOnfgYndJEwMM3ARLjJOTr4WeEgRloM2TFh00cL96wchstQQVakuHyLFRx8cGuBoU-dA7_ZwJwH9tzEnukx6Q6_LWQjf5Xvy0ZySa4qp7wTajEZoevEd6TtDW_sL2nssZTgYYs-1Tw==]

...What's at stake [is the]...fundamental promise that no matter who you are, no
 matter how you started out, if you work hard, you can build a decent life for yourself,
and an even better life for your kids. Basic. And on just about every issue -- from
health care to education to the economy -- that is the choice we face. That's the
choice."

First Lady Michelle Obama in remarks before the Democratic National Committee in
 Louisville, Kentucky last week.

"I've also decided: No more debates. If we're going to do another debate, he's going
to sit in the audience and watch me. And that'll be it."

Ann Romney, wife of Republican presidential candidate Mitt Romney, in comments on
how to improve her husband's debate performance.

"Disqualified, disqualified, disqualified."

Former Senator Rick Santorum (R-PA) on candidate Mitt Romney's record - including
health care - that he claimed would make it impossible for Romney to draw a clear
contrast with President Obama in the general election.

Consulo Indicium [http://r20.rs6.net/tn.jsp?et=1109399610956&s=6409&e=001kPZQMa1XJGFhsQXYqQlryg3CQo_P1Y_E6_kL-gW5YVDYr91XgkF4ajPooNyY7gkYioOes8BbRMwcHwPnToDUQROXOUIQIL_FLDDBSYSkxGTPlX05J1mpsfRsHFXwrW_BaG8gv28uwjV5Zeeb54Pqep91UYN9M8W--r2yNjAPJENOy3jQCKDTbHQw3SlEIzijNw-9hppNJSGfrugyJFB7F-acfBaq8g9ElvPwoQEhmqI6VXviASfvWl4otqa1ZFCv26drBUkRavjljW3dUVEnorXfNznusmFd1WKQpx1QnyUOvI5JFBni03eZZZZKPWg9T74hMN_Hk8mf5oDTQWVlwA3EVwn4qLcCiSKX3rgpNQSwVQKVRdVjU5QKYpLgIuWQu_nLucoxqX3fgoGM03HA1E1mer-KlYepL3z7-1EDruc=]
Information for your Consideration...

The Trials and Travails of Diet Soda Consumption - In a study released last week
 by the Journal of General Internal Medicine, people who drank diet soda every day
were 44% more likely than non-drinkers to suffer a heart attack or stroke.  While
the study did not confirm that the sugar-free drinks are to blame for the problem,
it clearly showed a connection.

Growth in Healthcare Jobs Outpaces All Other Industries - The Bureau of Labor Statistics
(BLS) reported last week that the growth in healthcare jobs is the highest of all
industries.  The healthcare sector will increase its total workforce by 5.6 million
jobs over the next decade.

Affordable Care Act (ACA) Extends Preventive Services Availability - Department 
of Health and Human Services Secretary Kathleen Sebelius announced last week that
the Affordable Care Act (ACA) provided approximately 54 million Americans with at
least one new free preventive service in 2011 through their private health insurance
plans.

If Only We Could Be So Good - I recently learned that over the period 2005 through
2010, the odds of dying in a fatal airline crash in the United States are 1 in 49
million.  That rate represents a decline of 93% from the period of 1994 through 
1998.

Social Media - The New Virtuality [http://r20.rs6.net/tn.jsp?et=1109399610956&s=6409&e=001kPZQMa1XJGEirik3uJ8jINVpRN3oFcwlAMbQMrTRF_hH25JdcieWuZTBauG9v3ll6bHW8uMqpX5KBbSkYnrAeg8MSOFMAe2Bw6is3n50_TDA6-N5t5cepCjfTENpCNDOrGLdyVNCWAS37lLph-DBFB21BgiBxRDQ-dGWQ3st19VyfLG0n2jeCLFjiudHqyodP3Jhr4GDSkyg6-QNvWbNPiw3_aFD1sBHRCIoC_y9pJFOYNG_uOk0nJnUTpvAY87PEyzrnOYNE9CBVSHTzIvPdfWHnX5UbtQZujG6_lthYRhB1FnNcUIvStlutTckwTuIzf3qg-7RrBuedkz7O9xYnBcUee5uxFDAiaStIqPts2-Shpk2CP2NvERR5lkVAFb1-gXkA6pK39pvMKUPR7m_jO8nFImC1yprxCjIvrJ7oN6_l0339VJ-EdTOGldLLOgB]
The use of social media by consumers and providers alike is surrounding and infusing
healthcare with changes it never expected nor anticipated...

Over the last two years, the American public has been swept up in the growing iStuff
craze.  So, now you should expect another phenomenon over the next two years.  The
use of social media is going to change the way we do everything.  It will alter 
who, where, what, how and when healthcare services are delivered.  In fact, the 
use of social media will foster the greatest change in communications in healthcare
since the adoption of cellular telephone technology - and it will be far more sweeping
in its impact. Read More [http://r20.rs6.net/tn.jsp?et=1109399610956&s=6409&e=001kPZQMa1XJGEirik3uJ8jINVpRN3oFcwlAMbQMrTRF_hH25JdcieWuZTBauG9v3ll6bHW8uMqpX5KBbSkYnrAeg8MSOFMAe2Bw6is3n50_TDA6-N5t5cepCjfTENpCNDOrGLdyVNCWAS37lLph-DBFB21BgiBxRDQ-dGWQ3st19VyfLG0n2jeCLFjiudHqyodP3Jhr4GDSkyg6-QNvWbNPiw3_aFD1sBHRCIoC_y9pJFOYNG_uOk0nJnUTpvAY87PEyzrnOYNE9CBVSHTzIvPdfWHnX5UbtQZujG6_lthYRhB1FnNcUIvStlutTckwTuIzf3qg-7RrBuedkz7O9xYnBcUee5uxFDAiaStIqPts2-Shpk2CP2NvERR5lkVAFb1-gXkA6pK39pvMKUPR7m_jO8nFImC1yprxCjIvrJ7oN6_l0339VJ-EdTOGldLLOgB]..

Beacon Communities Leading The Way on Healthcare Reform [http://r20.rs6.net/tn.jsp?et=1109399610956&s=6409&e=001kPZQMa1XJGHf9UcMWyLtPyC6_BPyXca6kXU9CxfASb_NdlXNVSK78_fY1BpzyOsMbgVbtBdh-0LhRykiT6Xbjf93bVAIWPqHIuTDxLDLvuIWo1n41fp-uzrEJ3IhKbs01caEpUJp8VK21rANBzwmz8nViTEkN368SqaLSjG19kwQ3AJ7Ix7wdyhc11j9VDOEAQZ_l1wVJdLljCm3YEnwvqfvgQ8FabuAEGnx2eZs5FMwx7-ujnoxj82-rZ-AZeDriiYrqvy3ABs69EmExFS-cZHpypbslJglTpW5XZswig4wuPKf2eXBmGsgL6NLUBrsfGyWbiB_Xvue9qFMu7pzB5psi_UVkWRcvg6fBqr3D4TkzgESMlLeDj99oDZI-UXPuZL_zfvfZ8gsK7nyq2GaxA-usOcP2sotk0FbCmtYzox5sfhHYiaw8AwSK_jT0XDGnXUJa42s5OilM51E6UM-ThSWUJL_QdTF]
What can the Beacon communities teach the healthcare industry?

The Golden Anniversary of the Electronic Medical Record (EMR) is this month, a rather
humbling milestone considering that technology in almost every other industry has
moved forward at warp speed.  In February 1962, a prototype EMR [http://r20.rs6.net/tn.jsp?et=1109399610956&s=6409&e=001kPZQMa1XJGFys_ZnPg4bhVfTWIphQeVat_6ec8P-rLpWwxW_EZHtgm9Zto6oaCQQ_kzyCeP_hoQzf_3iROvQ9NEn65irioRyZuIY0Gj7iRWAs69sEdDzgL1TDtvclvbS6_lyUpyUUPbxJSh5t1Ssw80DiNE387Mw9QPkLZo174bpCxv1UfU6HwmZ-Stppc7I8Oo3k5aFuN6JiCgO9bj-jCvWAeEQF5FbRdm2MsLy8xJfJ2_ZuvqQDuAT5i0AaG6vIvd6j9GEBQlfT7lfshLUSWUxGi75hNnGmUVLv8nTSswk-OaWLXa5IfKzl2-DJC-uogjWBkxHAaT-nSAW75_c-SrEvuliq82zMt9z5sm_5M0OpwEmaIKau0nAe2buhgrJN0L1Cmyaj0_sbYG8z0_5rFwzHbjZKWdGaMRpeNwp6EgStM2mzfd5mw==]
was unveiled by IBM at Akron Children's Hospital.  Given our contemporary view, 
the technology was nascent and primitive with IBM's clunky [http://r20.rs6.net/tn.jsp?et=1109399610956&s=6409&e=001kPZQMa1XJGF2qcjtr7D_e8bDovfeCpoWAP6sKS37FxEL-DERFcXx8v1IcwSfhxeqPjiREWXieHcx7Z9hgYEJ-xQdvXNCyUN-xMvSTbzicnZ9uQIZmDPZpczHjrwYIiMHqo7FmLRB9pThFt_Fv727odDA3ge3g2BBGZZciqd29RsTQE9UoaLINA==]
mainframe weighing in at more than a ton.  But, despite today's contemporary view,
Akron's EMR was ahead of its time.  The EMR advantages touted by Akron back then
 - eliminating medication errors, relieving clinicians of paperwork, tracking correlation
of diseases - which were all primary reasons for moving toward deploying of EMRs,
still partly elude us.  Today, physicians and other clinicians continue to wrestle
with the value in deploying EMRs.  The problem isn't the technology, which is just
a tool.  Rather, it is how we use the tool in our everyday lives.  We remain on 
the path forged by work started at Akron Children's Hospital 50 years ago. Read 
More [http://r20.rs6.net/tn.jsp?et=1109399610956&s=6409&e=001kPZQMa1XJGHf9UcMWyLtPyC6_BPyXca6kXU9CxfASb_NdlXNVSK78_fY1BpzyOsMbgVbtBdh-0LhRykiT6Xbjf93bVAIWPqHIuTDxLDLvuIWo1n41fp-uzrEJ3IhKbs01caEpUJp8VK21rANBzwmz8nViTEkN368SqaLSjG19kwQ3AJ7Ix7wdyhc11j9VDOEAQZ_l1wVJdLljCm3YEnwvqfvgQ8FabuAEGnx2eZs5FMwx7-ujnoxj82-rZ-AZeDriiYrqvy3ABs69EmExFS-cZHpypbslJglTpW5XZswig4wuPKf2eXBmGsgL6NLUBrsfGyWbiB_Xvue9qFMu7pzB5psi_UVkWRcvg6fBqr3D4TkzgESMlLeDj99oDZI-UXPuZL_zfvfZ8gsK7nyq2GaxA-usOcP2sotk0FbCmtYzox5sfhHYiaw8AwSK_jT0XDGnXUJa42s5OilM51E6UM-ThSWUJL_QdTF]

The Weekly Whisk [http://r20.rs6.net/tn.jsp?et=1109399610956&s=6409&e=001kPZQMa1XJGFQ-BkC6-rId9YaLs2w14omGWfHcynZz-2_rI1wJrxU4Shpwgppe9UWo4aJM9oBgRhWzFKSIgbpwQdqKEpZwdRRU5wEdcAEMN0MJFu3fR0VG0XZQ-kqE4zz9eZ0QBNhALcpd72B1TbCgdL9NRQYqph9qDbRZ2v8zSGkjK48NasBC-GDZKkWxs07Wwhw3TRIGBN600NKusoNjF5Y95MYksPDO6V6AroyJRNt62ReGRaImzyiPlaLUEDXOWL2gYbb75wq13eeNWuV-9uHxG3ng6O0tcqwANP2ip4oAjmc98KV-73Y6zK9I6hDzP9tiEqJmOKvN-FfMMAo0V9-WTu2B7jAeVzLty4ibvGaF1eenIyR3Av_Hg4U-RrhMkWu-gS9OH2t2wYvBk5cEaEIM8fNmt5bl8LJZ7u0KPU=]
Musings from a foodie...

It's wonderful when things you don't plan turn into great experiences.  Such is 
the recent dining experience I had at Chef Tony's [http://r20.rs6.net/tn.jsp?et=1109399610956&s=6409&e=001kPZQMa1XJGFQ-BkC6-rId9YaLs2w14omGWfHcynZz-2_rI1wJrxU4Shpwgppe9UWo4aJM9oBgRhWzFKSIgbpwQdqKEpZwdRRU5wEdcAEMN0MJFu3fR0VG0XZQ-kqE4zz9eZ0QBNhALcpd72B1TbCgdL9NRQYqph9qDbRZ2v8zSGkjK48NasBC-GDZKkWxs07Wwhw3TRIGBN600NKusoNjF5Y95MYksPDO6V6AroyJRNt62ReGRaImzyiPlaLUEDXOWL2gYbb75wq13eeNWuV-9uHxG3ng6O0tcqwANP2ip4oAjmc98KV-73Y6zK9I6hDzP9tiEqJmOKvN-FfMMAo0V9-WTu2B7jAeVzLty4ibvGaF1eenIyR3Av_Hg4U-RrhMkWu-gS9OH2t2wYvBk5cEaEIM8fNmt5bl8LJZ7u0KPU=]
[****] in Bethesda, Maryland. Read More [http://r20.rs6.net/tn.jsp?et=1109399610956&s=6409&e=001kPZQMa1XJGFQ-BkC6-rId9YaLs2w14omGWfHcynZz-2_rI1wJrxU4Shpwgppe9UWo4aJM9oBgRhWzFKSIgbpwQdqKEpZwdRRU5wEdcAEMN0MJFu3fR0VG0XZQ-kqE4zz9eZ0QBNhALcpd72B1TbCgdL9NRQYqph9qDbRZ2v8zSGkjK48NasBC-GDZKkWxs07Wwhw3TRIGBN600NKusoNjF5Y95MYksPDO6V6AroyJRNt62ReGRaImzyiPlaLUEDXOWL2gYbb75wq13eeNWuV-9uHxG3ng6O0tcqwANP2ip4oAjmc98KV-73Y6zK9I6hDzP9tiEqJmOKvN-FfMMAo0V9-WTu2B7jAeVzLty4ibvGaF1eenIyR3Av_Hg4U-RrhMkWu-gS9OH2t2wYvBk5cEaEIM8fNmt5bl8LJZ7u0KPU=]

The Weekly Whisk - An Addendum [http://r20.rs6.net/tn.jsp?et=1109399610956&s=6409&e=001kPZQMa1XJGFk2VK3tHvGMd7HP-oR7XRxGc6SWAu9GzqfyU_9Vv9fk66lsfzl0Ns3Hk9NmAi8TCpCs3ZVWcp6bahOshSgi2GXbX-8TsqyBZX0PEBxRwjq_YjKzZz-ni2Bjm5x36rQQ_1CRnGmHsZ0Bdj3LIC6b7O9-lUGij8BaLqdN0CsF81GB51cJjc8TptjDk4P82YCd369w8rRZNGyl49hQafKsWQEYtgQ1CFr9loSG5so1MeSvAlS4lrrrwcIq7jPFP1cRDblqsFJBjQpWACYRKvuGz6JU_MEFVd9Eq8-ei1ufIYCrtErIPCAqJMO8_3QXvE6D8VHiXYHky0i8hEdrIBIRZVLg3LgAK2k-2C7C-0YkiV55tIqdYjHQHgQAt6bBjBJrhow_V3B4O8xPj39vHVtn18DbuqTnvrxLKBR-7_IAkB2J7jgxTjpkH8Cn_bIOpRSJjf8GbJUsjynLw==]
Musings from a foodie...on holiday in Europe

As if reviewing restaurants were not enough, I decided on my most recent one-week
tour of Europe to assess the various renditions of foie gras in London and Paris.
Click here [http://r20.rs6.net/tn.jsp?et=1109399610956&s=6409&e=001kPZQMa1XJGFk2VK3tHvGMd7HP-oR7XRxGc6SWAu9GzqfyU_9Vv9fk66lsfzl0Ns3Hk9NmAi8TCpCs3ZVWcp6bahOshSgi2GXbX-8TsqyBZX0PEBxRwjq_YjKzZz-ni2Bjm5x36rQQ_1CRnGmHsZ0Bdj3LIC6b7O9-lUGij8BaLqdN0CsF81GB51cJjc8TptjDk4P82YCd369w8rRZNGyl49hQafKsWQEYtgQ1CFr9loSG5so1MeSvAlS4lrrrwcIq7jPFP1cRDblqsFJBjQpWACYRKvuGz6JU_MEFVd9Eq8-ei1ufIYCrtErIPCAqJMO8_3QXvE6D8VHiXYHky0i8hEdrIBIRZVLg3LgAK2k-2C7C-0YkiV55tIqdYjHQHgQAt6bBjBJrhow_V3B4O8xPj39vHVtn18DbuqTnvrxLKBR-7_IAkB2J7jgxTjpkH8Cn_bIOpRSJjf8GbJUsjynLw==]
for my foie gras rankings.

The Good, The Bad, And The Ugly
The ongoing saga...

The Good - The surge in job growth was greater than expected in January when the
 U.S. economy added more than 243,000 jobs - the largest gain in nine months.  Unemployment
fell to 8.3% from a high of just over 10% in 2009.  While the USA still needs to
 recover an additional 5.5 million jobs to get us back to where we were in December
2007, the surge is heartening...

The Bad - The latest figures from the government show an increase in the number 
of uninsured from 14.8% to 15.1% over the period of 2009 to 2010.  If the "age weight"
is removed (i.e., taking out those individuals over the age of 65), the uninsured
represented 18.2% versus 18.4%, respectively.  So, the problem is not going away
 and the trend, while not dramatic, continues in the wrong direction...

The Ugly - Number 1: Most of us are getting kind of tired of the slugfest going 
on over the airwaves.  Thank goodness, we don't live in the states where the primaries
are occurring.  It's bad enough without them.  Can you imagine life with them?  
Number 2: Despite efforts by the USA and other nations, aid agencies could not evacuate
the injured from the central Syrian city of Homs as the violence continues in strife-ridden
Syria.  Opposition groups report continued killing of innocents across Syria over
the last several weeks.  All of this occurred in the face of a nationwide referendum
on a new constitution which the Assad government touts as the centerpiece for government
political reform...
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Sponsors
Dearborn Advisors, LLC [http://r20.rs6.net/tn.jsp?et=1109399610956&s=6409&e=001kPZQMa1XJGH1NWE1kOkyFgde-8yr6qS0MxjGXsBn684PYy1zZfHeRV5XDu5aUGGUsK7iNivZExILYGKGHDeVfUYfdmPfkIQiT-fsVoUtGBMy5z7hL7zuPBnccekAiaxiQPhBgesCQFqcwfjktsbQmO2WzMKALaSvRiuTIyyvKH22MvTbG-XIfW1ztqRfzWi5kzzlJwxRyU2XqIULiCIo3Ku4gvWvFMGLyZplZYzWOKD0phztguZNM1HCDEeVgneRQVt8ky1_gEsPpktoTG-_3B6zRp7GN9JCoD3Co7--Cv_f0zed_7wjFwwyW5xOgEnrOVi0wyI57sC9uwQ1FlcskA==]
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In This Edition

Quote Of The Week

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