Saturday, July 27, 2013

Serbian PM threatens to oust finance minister

By Maja Zuvela

BELGRADE (Reuters) - Serbia's prime minister piled pressure on Finance and Economy Minister Mladjan Dinkic on Saturday to cede one of his portfolios or face being ousted from the Balkan country's coalition government.

"It's crucial to have a division of responsibilities by splitting the ministry of finance and economy if we are serious about pursuing our goal of economic and fiscal consolidation," Prime Minister Ivica Dacic told a news conference.

The ultimatum comes as the coalition tries to agree a cabinet reshuffle and avert a snap election that would likely delay the start of European Union membership talks from January next year.

The two biggest parties, Dacic's Socialists and the national Progressive Party, signaled on Friday that they had agreed how to reshuffle their own ministers, but there was no word from the junior partner, Dinkic's United Regions of Serbia (URS).

Without URS's 16 seats, the remaining coalition parties would still hold a slim majority in parliament.

"If our political views match, we will continue to work within the same configuration, and in case they don't, we will work with or without URS, since we have a majority in the parliament," Dacic told reporters.

He said he planned to present a new line-up for parliamentary approval on August 20.

Dinkic's ouster would likely unnerve investors worried about Serbia's rising budget deficit and public debt, which have all but scuppered hopes of a new precautionary loan deal with the International Monetary Fund.

On Friday, Fitch ratings kept Serbia's BB- rating with a negative outlook, citing uncertainty over public finances and public debt, which is projected to reach 65 percent of output by 2014.

"The country is running out of time," said Miladin Kovacevic, deputy head of the Serbian statistics agency. "It needs thorough reforms but they will require a fully functional government as soon as possible," he told Reuters.

URS is due to hold a leadership meeting on Sunday. Dinkic has indicated he wants the government downsized to 15 ministries from the current 19 rather than expanding it as his coalition partners insist. He has resisted ceding either of his portfolios.

(Additional reporting by Valerie Hopkins; Editing by Matt Robinson and David Evans)

Source: http://news.yahoo.com/serbian-pm-threatens-oust-finance-minister-172506627.html

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Millions rally in Egypt, responding to army call

CAIRO (AP) ? Called out by the army, the largest crowds in 2 1/2 years of upheaval filled Egypt's streets Friday, while ousted President Mohammed Morsi was formally placed under investigation on a host of allegations including murder and conspiracy with the Palestinian militant group Hamas.

Morsi's supporters also showed no signs of backing down, though they turned out in vastly smaller numbers. The demonstrations in Cairo were mostly peaceful into the evening. But by late Friday night in Cairo, police fired tear gas to disperse hundreds of Morsi supporters near a sit-in they held for weeks, setting off clashes that lasted into early Saturday morning ? in a possible sign of a new intolerance for marches that block city streets. A field hospital doctor said seven protesters were killed and hundreds injured.

In the city of Alexandria, seven people were killed and over 100 were injured in clashes between supporters and opponents of Morsi, officials said.

The announcement by prosecutors of the investigation against Morsi, which is likely to pave the way to a formal indictment and eventually a trial, was the first word on his legal status since he was deposed by the military July 3. Since then, the Islamist leader has been held incommunicado in a secret location.

Both sides tried to show how much public support they enjoy. But the millions who turned out for the pro-army demonstrations overwhelmed the streets in multiple cities in Egypt, including some that rarely seen any rallies since the 2011 uprising.

Throngs of people turned out in Cairo's Tahrir Square and in other cities, answering a call by army chief Gen. Abdel-Fattah el-Sissi, who urged them to give him a mandate to stop "potential terrorism" by supporters of Morsi's Muslim Brotherhood.

Portraits of the smiling el-Sissi in sunglasses dominated the crowd in Tahrir and one near the presidential palace across town. Posters with his picture were emblazoned with the words "the love of the people," and demonstrators wore small photos of him around their necks or carried a picture of his face on an Egyptian one-pound note.

Security was heavy after el-Sissi vowed to protect the rallies from attacks by rivals. Tanks guarded one entrance to Tahrir and police were stationed at other parts.

"The army is here to protect the people. They don't lie," said Ezzat Fahmi, a 38-year-old in the crowd. He said el-Sissi called the rallies "so the entire world can see that the Egyptian people don't want the Brotherhood anymore."

El-Sissi's plea came at a time when the political standoff with Morsi's supporters showed no sign of resolution. It raised speculation that he may be planning a crackdown on the toppled president's allies, who have held a sit-in outside the Rabaa al-Adawiyah Mosque in Cairo and near daily rallies elsewhere in the capital for three weeks.

The rallies have often turned violent, with more than 180 people killed this month. The Morsi supporters and opponents blame each other for the bloodshed, and people in both camps have been seen carrying weapons.

The unrest, as well as claims that Islamist groups are stockpiling weapons and escalating attacks against troops in the Sinai, were used by the country's new military-backed rulers as a basis for demanding popular support.

The interim leader, Adly Mansour, told the private TV station al-Hayat that his government seeks to include everyone, but it will not accept lawlessness, blocked roads and attacks on state institutions. He urged the pro-Morsi protesters to go home, promising they won't be pursued or arrested.

"I can't negotiate with whoever has committed a crime. But those who were duped or those who want to belong to Egyptian society, we welcome them," he said. But he added: "The state must interfere (against lawlessness) firmly."

Not long after the speech, police moved in quickly to break up a crowd of Morsi supporters marching on a main overpass in Cairo near the pro-Morsi sit-in, firing tear gas. Clashes with security forces ensued as protesters tried to extend their sit-in beyond the mosque into a main boulevard.

Witnesses said police forces fired birdshots and live ammunition at the crowd in clashes that lasted for hours. Field hospital doctor Alaa Mohammed said seven people were killed, most of them shot in the head and chest, including a 19-year-old. He said two other protesters were in critical condition, and hundreds were injured.

Interior Minister Mohammed Ibrahim told a private TV station that the sit-in at the Rabaa mosque will be removed by legal means. He did not elaborate but said residents of the area have filed police reports against the encampment.

Police spokesman Hani Abdel-Latif told The Associated Press that 53 pro-Morsi supporters were arrested around Egypt on Friday in possession of weapons, ranging from knives to homemade guns.

El-Sissi deposed Morsi after four days of huge protests by millions of Egyptians demanding the removal of the country's first freely elected president following months of disagreements between him and the largely secular opposition.

The accusations against Morsi are connected to a prison break during the 2011 uprising against autocrat Hosni Mubarak. Gunmen attacked the Wadi el-Natroun prison northwest of Cairo, freeing inmates, including Morsi and about 30 other figures from the Muslim Brotherhood. The prosecutors allege Morsi and the Brotherhood worked with Hamas to carry out the break, in which 14 guards were killed.

Egypt's MENA news agency said Morsi was being investigated over allegations of collaborating with Hamas "to carry out anti-state acts, attacking police stations and army officers and storming prisons, setting fire to one prison and enabling inmates to flee, including himself, as well as premeditated killing of officers, soldiers and prisoners."

In recent months, a court in the Suez Canal city of Ismailia has heard testimony from prison officials and intelligence officers indicating Morsi and his Brotherhood colleagues were freed when gunmen led by Hamas operatives stormed the prison.

Morsi supporters called the investigation politically motivated. Muslim Brotherhood spokesman Ahmed Aref said the move showed "the complete bankruptcy of the leaders of the bloody coup."

Brotherhood officials have said they escaped when local residents broke into the prison to free their relatives and that they had no knowledge of it ahead of time.

Hamas has consistently denied any involvement in the jailbreak. A spokesman for the militant group, Sami Abu Zuhri, condemned Morsi's detention order as "an attempt to drag Hamas into the Egyptian conflict."

U.S. State Department spokeswoman Jen Psaki expressed deep concern about reports of Morsi's detention.

"I can't speak to the specific charges. But we do believe that it is important that there be a process to work toward his release," she said. "Clearly, this process should respect the personal security of him and take into account the volatile political situation in Egypt and that's where our focus is. We have conveyed publicly and privately that his personal security and treatment is of utmost importance."

MENA said Morsi has now been formally detained for 15 days pending the completion of the investigation. It did not say whether he would now be moved to a facility where he could receive family visits.

The head of the prison authority, Maj. Gen. Mostafa Baz, said he has not yet received orders for Morsi's transfer to any of his facilities. The news agency indicated that Morsi has already been interrogated.

Egyptian institutions lined up behind el-Sissi's call for Friday's pro-military rallies, reflecting the extent of antagonism against the Brotherhood's hold on power in the past year.

State TV and most of the private broadcasters showed the pro-army rallies in various cities around Egypt, including aerial footage provided by military helicopters. Nationalist songs and parts of el-Sissi's speech in which he called for support were played throughout the day.

On Friday evening, TV networks stopped running soap operas that are wildly popular during the Muslim holy month of Ramadan. In a further show of support, church bells rang out during evening prayers when hundreds of thousands of protesters broke their Ramadan fasts. Interim Prime Minister Hazem el-Belbawi participated in the rally held outside the presidential palace.

A giant banner stretched across an entrance to Tahrir Square, the cradle of the 2011 uprising. It read: "The people, the source of all power, mandate the army and police to purge terrorism."

Three tanks guarded another street leading into the square, and helicopters swooped overhead.

"We have no parliament. Today is a quick referendum to support el-Sissi against the Brotherhood, whose members are terrorists," said Mohammed el-Shaer, who stood in Tahrir holding a portrait of the general in a golden frame. El-Shaer held the hand of his 10-year-old daughter, who was dressed in a military fatigues.

He called the rally a "popular referendum" on el-Sissi.

In eastern Cairo, tens of thousands of Morsi supporters at the Rabaa mosque sit-in chanted against el-Sissi and vowed to continue their push for the president's reinstatement. Others marched through some neighborhoods of Cairo.

Their rallies were mostly covered on TV by Al-Jazeera Mubasher Misr, and pro-Morsi activists emailed journalists videos and links to a live feed.

"When I first heard el-Sissi's call I was anxious," said 39-year-old Sayed el-Rawi, protesting outside the mosque. "But today, we saw that his speech encouraged more people to go down in the streets. ... They won't be able to break up the sit in."

The rival demonstrations are only deepening the country's divisions since Morsi's fall.

Clashes and fistfights broke out between both camps in Alexandria, with seven people killed and over 100 injured, according to health official Ibrahim el-Roubi. Some pro-Morsi supporters took cover inside a major mosque, leading to a standoff with opponents who besieged the place, locking them inside for hours.

Skirmishes also broke out in the Mediterranean coastal cities of Damietta and Mahalla, in the southern city of Luxor, and a Cairo neighborhood that left 64 injured, Health Ministry spokesman Khaled el-Khateeb and local security officials said.

It remains unclear what steps the military is planning after Friday's show of strength ? whether it would try to break up sit-ins by Morsi supporters or attempt to arrest more than a dozen Brotherhood figures who have warrants against them.

On the front page of the state-owned Al-Akhbar newspaper, the word "wanted" in English was plastered across photos of a number of Brotherhood leaders and allies who are facing warrants. Many of them are believed to be taking refuge at the Rabaa al-Adawiyah sit-in.

The prosecutors' announcement on Morsi also could signal a greater move to go after the Brotherhood in courts. Besides Morsi, five other senior figures from the group have been detained.

Hassan Mohammed, a 30-year old teacher who came from southern Egypt to join the pro-Morsi rally, remained steadfast.

"Even if we are going to die, me and my family, we won't leave this place before our president comes back. Even if it takes seven years. We are ready to be martyrs in the name of religion and the nation," he said.

___

Associated Press writers Hamza Hendawi in Cairo and Mohammed Daraghmeh in Gaza City, Gaza Strip contributed to this report.

Source: http://news.yahoo.com/millions-rally-egypt-responding-army-call-224759545.html

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Friday, July 19, 2013

Check Out These Totally Not Shocking Maps of Corporate Tax Avoidance

Check Out These Totally Not Shocking Maps of Corporate Tax Avoidance

Ever heard of Goldman Sachs Structured Products Limited? How about GS Holdings L.L.C. II.? No? Both are nodes on a web of more than 4,000 holding companies, woven by the Goldman Sachs Group to evade taxes on its?let's see here?$8.61 billion in profits for Q2. It's an incredibly complex operation, and thanks to this interactive map, we're now able to explore it.

Read more...

Source: http://gizmodo.com/check-out-these-totally-not-shocking-maps-of-corporate-818076424

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Thursday, July 18, 2013

Mandarin Oriental Cooking School | Travel + Leisure Southeast Asia

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In case you weren?t aware, when it comes to chilies, ?Size matters.? So said the Mandarin Oriental Bangkok?s estimable Chef Narain Kiattiyotcharoen, displaying an array of brilliantly colored capiscums: ?Don?t be fooled?this bigger chili is mild enough to eat crunchy, like a vegetable. This little one is our femme fatale.? He held out a petite, curvaceous red pepper?best known as a bird?s eye?with enough power to scorch the roof of your mouth.

For my palate, this was an important distinction, because ever since my first plate of tongue-searing, eye-watering, five-chili som tam more than three years ago, I?ve never stopped craving it.

In fact, I?m hopelessly addicted to Thai food in general, and I?m beginning to think that recovery might be impossible. Luckily, I live in Bangkok, where my next moo ping or gai yang fix is always right around the corner. But for all the time I spend scarfing down Thai food, I decided it was time to learn how to feed my own addiction. So, I signed up for a cooking class at the iconic Oriental.

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Housed in a gorgeously restored antique house on the far side of the Chao Phraya, the class?s kitchen was the stuff of foodie dreams. Polished brass cookware gleamed; fresh herbs bloomed on the patio; and antiques (think a century-old wooden coconut scraper carved to look like a rabbit) decorated the corners.

For my practically private lesson, Chef Narain greeted me and one other student enthusiastically. While we noshed on Lilliputian local sweets and sipped tea, he introduced us to the essentials of Thai cuisine. Along the way, he made sure we touched, smelled and tasted each ingredient to better understand it.

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Though I had encountered all of the items before, I found myself learning important tidbits along the way. I now know that there are three principle kinds of basil?sweet, lemon and holy, the latter of which was once used for offerings in India. I know that kaffir lime is actually bitter, but has an incomparable perfume; that pandan leaves smell grassy when raw, but have a vanilla sweetness when cooked; that galangal is hotter and more aromatic than ginger; and that only the purple-hearted pieces of lemongrass impart any real scent.

It wasn?t long before we were putting those ingredients to use. Pandan flavored the pouching liquid for tiny Thai bananas. Kaffir lime leaves and shredded lemongrass were tossed into bubbling oil later used to deep-fry chicken. With a loud crackle, the fragrance of citrus filled the entire room. And loads of dried chilies?along with shrimp paste, coconut palm sugar and a whole spice cabinet?s worth of seasonings?went into the curry paste for haw mok thalay (steamed seafood mousse).

It wasn?t long before we were putting those ingredients to use. Pandan flavored the pouching liquid for tiny Thai bananas. Kaffir lime leaves and shredded lemongrass were tossed into bubbling oil later used to deep-fry chicken. With a loud crackle, theCooking_250_2 fragrance of citrus filled the entire room. And loads of those chilies?along with shrimp paste, coconut palm sugar and a whole spice cabinet?s worth of seasonings?went into the curry paste for hor mok, or steamed fish mousse.

Not everything was easy. Constructing the banana leaf cradles for the haw mok felt like culinary origami. More challenging still was transforming unwieldy chicken wings into poultry-pops that were safe for even the daintiest dinner party. The process involved splitting the wing, extracting one of the bones, then sliding the meat to the very edge of the remaining bone and wrapping it in its own skin. The dish seemed fussy and a bit daunting at first, but with some patient instruction, I was able to turn out several credible specimens. (Or that?s what Chef Narain said, anyway.)

After all that work, it was time to feast. Despite our amateur efforts, the results were pretty impressive. As we nibbled on our delicate finger foods, I vowed to recreate at least some of this menu at home. The next time I get a hankering for Thai food, I may just stay in.?DIANA HUBBELL

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The Oriental Thai Cooking School at the Mandarin Oriental Bangkok; 48 Oriental Ave.; 66-2/659-9000; mandarinoriental.com/bangkok; Monday through Saturday, 9 a.m. to 1 p.m., Bt4,000 per person per class, or Bt20,000 per person for six consecutive classes.

Sample Menu

Gai Takrai (Deep-fried chicken with lemongrass, kaffir lime and sweet chili sauce)

Haw Mok Thalay (Curried seafood mousse)

Gaeng Ron (Coconut milk soup with glass noodles, tiger lily buds, wood-ear mushrooms and pork balls)

Gluay Khai Chueaum (Glaceed bananas with coconut cream)

Source: http://blog.travelandleisureasia.com/destination/2013/07/18/mandarin-oriental-cooking-school/

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Washington State Studio Network Film Showcase coming to Black Box Theatre

showcase_summer_square_small

The Washington State Studio Network?Film Showcase is coming to Edmonds Community College?s Black Box Theatre at 7 p.m on July 26.

The Summer Edition lineup includes filmmakers from Whatcom, Snohomish and King County.?The showcase will include films in categories such as animation, documentary, music videos, commercial, and experimental. Films scheduled to be screened in include?Debut by Ryan Rosendal, FreeRider by Kathy and Robert Chrestensen of Chrest Pictures, and Perimeter by Jeff McGuire of Jmak Productions.

The Summer Edition trailer can be found at: https://vimeo.com/69856849.

Tickets are $7 and be purchased here. Members and students are $5.

The WSSN Film Showcases will continue four times a year (one for every season), and plans to expand to other Washington State theaters. These showcases aim to provide filmmakers the opportunity to get into real movie theaters and shown to an eager public.

For more information about show times, please visit?http://www.wssnetwork.org/2013/wssn-film-showcase-summer-edition/. For?more information about the official selection, please visit?http://www.bellinghamfilmfestivals.com/summer-official-selection.html

?

To encourage constructive community dialogue, all commenters must use their real names, first and last. Comments from users with names that don't comply with this policy will be removed. Thank you for your cooperation.

Source: http://lynnwoodtoday.com/film-festival/

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Boosting Your Business Through Internet Marketing | My CMS ...

[unable to retrieve full-text content][unable to retrieve full-text content]If you have an online business, internet marketing is a wonderful tool. Read on for some basic information on internet marketing and its uses. A site-wide link is one that appears on every ...

Source: http://fitzpatrickboyd9.typepad.com/blog/2013/07/boosting-your-business-through-internet-marketing-my-cms.html

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Wednesday, July 17, 2013

Electronic data methods for health care research -- update from the EDM forum

Electronic data methods for health care research -- update from the EDM forum [ Back to EurekAlert! ] Public release date: 16-Jul-2013
[ | E-mail | Share Share ]

Contact: Connie Hughes
connie.hughes@wolterskluwer.com
646-674-6348
Wolters Kluwer Health

Supplement to Medical Care presents 'lessons learned' on using electronic clinical data to improve patient care

Philadelphia, Pa. (July 16, 2013) - Research using electronic clinical data (ECD) has the potential to make major contributions to health care research and improve patient outcomes. However, many complex issues remain unanswered. A special August supplement to Medical Care presents an update from the Electronic Data Methods (EDM) Forum, with a commissioned set of papers discussing "challenges and innovations from the research and QI community using ECD." Medical Care is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health.

The supplement "highlights a set of useful and important lessons for building infrastructure to generate evidence and improve patient outcomes," according to an introduction by Erin Holve, PhD, MPH, MPP, of Academy Health, Washington, DC, and Ned Calogne, MD, MPH of the Colorado Trust, Denver. The EDM Forum is an initiative of AcademyHealth, the leading national organization serving the fields of health services and policy research, and is supported by the Agency for Health Care Research and Quality (AHRQ).

'Early Lessons Learned' on Using Electronic Health Data for Research

The goal of the EDM Forum is to advance knowledge and practice on the use of ECD for comparative effectiveness research (CER), patient-centered outcomes research (PCOR), and quality improvement (QI). The supplement is divided into sections corresponding to the four EDM Forum domains.

The section on Analytic Methods leads off with a paper on different approaches to adjusting for confounding variable in ECDa key problem in performing CER in research networks. Other contributions discuss standard methods for defining the critical issue of medication adherence and approaches to checking the quality of data used for CER.

Topics in the Clinical Informatics section include caveats for using invaluablebut potentially flaweddata from electronic health records. Another paper discusses some challenges and "best practices" for using these diverse and increasingly complex data sets for CER. An article comparing various standard formats for electronic exchange of clinical data concludes that, so far, none of the proposed models meets the complex data mapping requirements.

The section on Governance addresses ethical and informed consent issues related to the use of electronic data; the authors suggest that consent requirements could be loosened for some types of randomized trials with low risks of patient harm. Effective approaches to data sharing are reviewed, including the role of state-of-the-art privacy protection methods. A real-world experience with developing a multistate CER network emphasizes the need for a flexible, rather than a "one size fits all" approach.

The section Learning Health Systems discusses the use of patient-reported outcomes for PCOR truly and summarizes a real-world experience with using electronic health records for CER in four health systems. The final supplement paper looks toward the transformation from "evidence-based" to "evidence-generating medicine" in learning health systems.

The EDM Forum plays a leading role in efforts to share ideas and lessons learned among those involved in using electronic clinical data for continuous health care improvement. The EDM Forum's new open access journal eGEMs provides an ongoing source of peer-reviewed information, Drs. Holve and Calogne point out. They conclude, "By sharing these early lessons learned, we hope the national dialog facilitated by the EDM Forum is advancing the scientific evolution of multisite research using ECD in the service of improving patient outcomes."

###

About Medical Care

Rated as one of the top ten journals in health care administration, Medical Care is devoted to all aspects of the administration and delivery of health care. This scholarly journal publishes original, peer-reviewed papers documenting the most current developments in the rapidly changing field of health care. Medical Care provides timely reports on the findings of original investigations into issues related to the research, planning, organization, financing, provision, and evaluation of health services. In addition, numerous special supplementary issues that focus on specialized topics are produced with each volume. Medical Care is the official journal of the Medical Care Section of the American Public Health Association

About Wolters Kluwer Health

Wolters Kluwer Health is a leading global provider of information, business intelligence and point-of-care solutions for the healthcare industry. Serving more than 150 countries and territories worldwide, Wolters Kluwer Health's customers include professionals, institutions and students in medicine, nursing, allied health and pharmacy. Major brands include Health Language, Lexicomp, Lippincott Williams & Wilkins, Medicom, Medknow, Ovid, Pharmacy OneSource, ProVation Medical, and UpToDate.

Wolters Kluwer Health is part of Wolters Kluwer, a market-leading global information services company. Wolters Kluwer had 2012 annual revenues of 3.6 billion ($4.6 billion), employs approximately 19,000 people worldwide, and maintains operations in over 40 countries across Europe, North America, Asia Pacific, and Latin America. Follow our official Twitter handle: @WKHealth.


[ Back to EurekAlert! ] [ | E-mail | Share Share ]

?


AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.


Electronic data methods for health care research -- update from the EDM forum [ Back to EurekAlert! ] Public release date: 16-Jul-2013
[ | E-mail | Share Share ]

Contact: Connie Hughes
connie.hughes@wolterskluwer.com
646-674-6348
Wolters Kluwer Health

Supplement to Medical Care presents 'lessons learned' on using electronic clinical data to improve patient care

Philadelphia, Pa. (July 16, 2013) - Research using electronic clinical data (ECD) has the potential to make major contributions to health care research and improve patient outcomes. However, many complex issues remain unanswered. A special August supplement to Medical Care presents an update from the Electronic Data Methods (EDM) Forum, with a commissioned set of papers discussing "challenges and innovations from the research and QI community using ECD." Medical Care is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health.

The supplement "highlights a set of useful and important lessons for building infrastructure to generate evidence and improve patient outcomes," according to an introduction by Erin Holve, PhD, MPH, MPP, of Academy Health, Washington, DC, and Ned Calogne, MD, MPH of the Colorado Trust, Denver. The EDM Forum is an initiative of AcademyHealth, the leading national organization serving the fields of health services and policy research, and is supported by the Agency for Health Care Research and Quality (AHRQ).

'Early Lessons Learned' on Using Electronic Health Data for Research

The goal of the EDM Forum is to advance knowledge and practice on the use of ECD for comparative effectiveness research (CER), patient-centered outcomes research (PCOR), and quality improvement (QI). The supplement is divided into sections corresponding to the four EDM Forum domains.

The section on Analytic Methods leads off with a paper on different approaches to adjusting for confounding variable in ECDa key problem in performing CER in research networks. Other contributions discuss standard methods for defining the critical issue of medication adherence and approaches to checking the quality of data used for CER.

Topics in the Clinical Informatics section include caveats for using invaluablebut potentially flaweddata from electronic health records. Another paper discusses some challenges and "best practices" for using these diverse and increasingly complex data sets for CER. An article comparing various standard formats for electronic exchange of clinical data concludes that, so far, none of the proposed models meets the complex data mapping requirements.

The section on Governance addresses ethical and informed consent issues related to the use of electronic data; the authors suggest that consent requirements could be loosened for some types of randomized trials with low risks of patient harm. Effective approaches to data sharing are reviewed, including the role of state-of-the-art privacy protection methods. A real-world experience with developing a multistate CER network emphasizes the need for a flexible, rather than a "one size fits all" approach.

The section Learning Health Systems discusses the use of patient-reported outcomes for PCOR truly and summarizes a real-world experience with using electronic health records for CER in four health systems. The final supplement paper looks toward the transformation from "evidence-based" to "evidence-generating medicine" in learning health systems.

The EDM Forum plays a leading role in efforts to share ideas and lessons learned among those involved in using electronic clinical data for continuous health care improvement. The EDM Forum's new open access journal eGEMs provides an ongoing source of peer-reviewed information, Drs. Holve and Calogne point out. They conclude, "By sharing these early lessons learned, we hope the national dialog facilitated by the EDM Forum is advancing the scientific evolution of multisite research using ECD in the service of improving patient outcomes."

###

About Medical Care

Rated as one of the top ten journals in health care administration, Medical Care is devoted to all aspects of the administration and delivery of health care. This scholarly journal publishes original, peer-reviewed papers documenting the most current developments in the rapidly changing field of health care. Medical Care provides timely reports on the findings of original investigations into issues related to the research, planning, organization, financing, provision, and evaluation of health services. In addition, numerous special supplementary issues that focus on specialized topics are produced with each volume. Medical Care is the official journal of the Medical Care Section of the American Public Health Association

About Wolters Kluwer Health

Wolters Kluwer Health is a leading global provider of information, business intelligence and point-of-care solutions for the healthcare industry. Serving more than 150 countries and territories worldwide, Wolters Kluwer Health's customers include professionals, institutions and students in medicine, nursing, allied health and pharmacy. Major brands include Health Language, Lexicomp, Lippincott Williams & Wilkins, Medicom, Medknow, Ovid, Pharmacy OneSource, ProVation Medical, and UpToDate.

Wolters Kluwer Health is part of Wolters Kluwer, a market-leading global information services company. Wolters Kluwer had 2012 annual revenues of 3.6 billion ($4.6 billion), employs approximately 19,000 people worldwide, and maintains operations in over 40 countries across Europe, North America, Asia Pacific, and Latin America. Follow our official Twitter handle: @WKHealth.


[ Back to EurekAlert! ] [ | E-mail | Share Share ]

?


AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.


Source: http://www.eurekalert.org/pub_releases/2013-07/wkh-edm071513.php

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