677 karma · joined June 15, 2015
[ my public key: https://keybase.io/wslack; my proof: https://keybase.io/wslack/sigs/QFc91JGdF5DigS4cdTfOOzcaEDRORguaSNzGsO1nT0g ]
Where do you think they come from? The issues that people have to deal with at conferences aren't new [1] - and when the offender is a friend of the organizer, or works on their team, having a predefined process is good.
It also means that people can't say "I didn't know it wasn't ok to ____" or "XXX punishment is too harsh" - a common issue with poor actors. A CoC means you can take action with less effort and drama when someone is being a jerk.
You don't need to unplug the bullhorn if there is no bullhorn.
You could be working at the Center for Clinical Standards and Quality (CCSQ), whose mission is to ensure quality healthcare through accountability and public disclosure. There, you could work on improving the quality of data used to measure and improve outcomes for Medicare beneficiaries. Data analysis will help drive improvement for patients in nursing homes, hospitals, medical practices, and dialysis centers. You could also work for the Office of Enterprise Data and Analytics (OEDA), whose mission is to improve Medicare data availability and transparency through the development of information products and to improve the quality or performance of HHS programs through data analysis. There you could work on leveraging data across Medicare, Medicaid, and the Marketplace to inform decision makers, empower research, and foster transparency for the American people.
Work at the Centers for Medicare and Medicaid has the potential to impact of tens of millions of people, improving their medical care experience and lowering their cost of care. If you don't consider yourself a data scientist, but have done data analysis work in the past, check the posting to see if your skillset aligns!
Skilled practitioners who want to have a major, lasting impact on the quality of public healthcare should apply on 9/3 (posting may close in one day): https://www.usajobs.gov/GetJob/ViewDetails/577619700
The positions that run those missions - enforcing the law, ruling on the law, running Medicare, etc etc - should be more prestigious. That said, if the government wants to have prestigious technical work, it should be more open to taking big swings (in an agile way) on hard problems, but that requires investment and taking risks.
If you don't know his story, it's worth taking the time. He got himself beat up to unconsciousness so that the rest of the United States would not be able to ignore the brutality of its racist South.
Making partisan hacking accusations without any shred of evidence or proof should have been disqualifying for the governor's campaign.
We should reward apologies and punish those who don't. Our failure to do so is creating a market incentive that will destroy or weaken valuable norms.
True - I think the playbook is specifically oriented to state government folks - not as much municipal or county.
> I've too often seen someone take a document like this to justify maintaining a custom built municipal accounting system
Please feel free to submit a PR to help make that clearer! I would only say that some COTS solutions can also end up in a "no one knows how to maintain this" after enough custom code has been added.
The Centers for Medicare and Medicaid Services (CMS) in the federal government is hiring product managers (I believe its the first time that CMS has posted with this position title).
It's in WOODLAWN, MARYLAND, but some of the multiple openings at CMS won't require in office work most days of the week. The role would work for people that are relatively junior (with at least one year of professional experience), but there's also room for someone senior to make a big mark at an agency that processes the 1.5 billion/day in Medicare payments, in addition to supporting Medicaid, CHIP, and many other services.
Hard agree. There's also an incentive for hospital systems to "hold onto" patient data, which is not great.
I think the EMR industry is driven more by safety, liability, and revenue for hospitals (in that order) than by patient/physician desired features or security.
It's also difficult to build tooling that interconnects across all of the medical specialties - and with the amount of customization that some providers want.
So true. Sometimes there's a person behind the scenes keeping it all working with bailing wire and elbow grease, but that person is also a huge point of failure.