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troung
17 Jul 10,, 01:21
Obesity Rating for Every American Must Be Included in Stimulus-Mandated Electronic Health Records, Says HHS


Thursday, July 15, 2010
By Matt Cover, Staff Writer


Health and Human Services Secretary Kathleen Sebelius speaks to reporters at HHS headquarters in Washington on July 1, 2010. (CNSNews.com/Penny Starr)
(CNSNews.com) – New federal regulations issued this week stipulate that the electronic health records--that all Americans are supposed to have by 2014 under the terms of the stimulus law that President Barack Obama signed last year--must record not only the traditional measures of height and weight, but also the Body Mass Index: a measure of obesity.

The obesity-rating regulation states that every American's electronic health record must: “Calculate body mass index. Automatically calculate and display body mass index (BMI) based on a patient’s height and weight.”

The law also requires that these electronic health records be available--with appropriate security measures--on a national exchange.

The new regulations are one of the first steps towards the government’s goal of universal adoption of electronic health records (EHRs) by 2014, as outlined in the 2009 economic stimulus law. Specifically, the regulations issued on Tuesday by Health and Human Services Secretary Kathleen Sebelius and Dr. David Blumenthal, the National Coordinator for Health Information Technology, define the "meaningful use" of electronic records. Under the stimulus law, health care providers--including doctors and hospitals--must establish "meaningful use" of EHRs by 2014 in order to qualify for federal subsidies. After that, they will be subjected to penalties in the form of diminished Medicare and Medicaid payments for not establishing "meaningful use" of EHRs.

Section 3001 of the stimulus law says: "The National Coordinator shall, in consultation with other appropriate Federal agencies (including the National Institute of Standards and Technology), update the Federal Health IT Strategic Plan (developed as of June 3, 2008) to include specific objectives, milestones, and metrics with respect to the following: (i) The electronic exchange and use of health information and the enterprise integration of such information.‘‘(ii) The utilization of an electronic health record for each person in the United States by 2014."

Under this mandate in the stimulus law, Secretary Sebelius issued a regulation--developed by Dr. Blumenthal--that requires that all EHRs keep track of a person’s Body Mass Index (BMI) score. Body Mass Index is a ratio between a person’s weight and height, and is used to determine whether or not someone is overweight or obese. It is the preferred method of the Centers for Disease Control and Prevention (CDC) for measuring obesity.

Michelle Obama has made dealing with the problem of childhood obesity the main theme of her term as First Lady.


U.S. Surgeon General Regina Benjamin. (Photo by Penny Starr/CNSNews.com)
According to the CDC, “BMI provides a reliable indicator of body fatness for most people and is used to screen for weight categories that may lead to health problems.”

A person’s BMI score is used as a tool to screen for obesity or excessive body fat that could lead to other health problems. While it does not actually measure body fat directly, according to CDC, the BMI scores generally correlate with a person’s body fat percentage.

The new regulations also stipulate that the new electronic records be capable of sending public health data to state and federal health agencies such as HHS and CDC. The CDC, which calls American society “obesogenic” – meaning that American society itself promotes obesity – collects BMI scores from state health agencies every year to monitor obesity nationwide.

“Electronically record, retrieve, and transmit syndrome based public health surveillance information to public health agencies,” the regulations read.

With the spread of electronic health records, the CDC apparently will be able to collect such data more efficiently and with greater accuracy because the electronic record keeping systems can send the data automatically, eliminating the need for government – both state and federal – to keep, send, and process physical records.


CNSNews.com - Obesity Rating for Every American Must Be Included in Stimulus-Mandated Electronic Health Records, Says HHS (http://cnsnews.com/news/article/69436)

gunnut
17 Jul 10,, 02:05
Here it comes...

dalem
17 Jul 10,, 04:16
Throw your eyeglasses on the pile to your right before you enter the execution chamber, please.

Gorram meddling socialist pigs.

-dale

Blue
17 Jul 10,, 06:38
Throw your eyeglasses on the pile to your right before you enter the execution chamber, please.

Gorram meddling socialist pigs.

-dale

well its for the greater good you know.....:(

bigross86
17 Jul 10,, 09:08
Fcuk you! If I want to eat a triple cheeseburger, extra large fries and 3 liters of Coke, I will, and you have absolutely no right to tell me I can't.

I honestly am starting to worry more and more about the state of the world that my kids are going to inherit. If stupidity like this continues to run rampant, well, has anyone seen the movie Idiocracy?

YellowFever
17 Jul 10,, 09:15
Nancy Reagan: "Just say no to drugs!"

Michelle Obama: "Just say no to cheeseburgers and pizza!"

Blue
17 Jul 10,, 18:19
has anyone seen the movie Idiocracy?

YEP! I think its the most accurate vision of our future ever realized!

bigross86
17 Jul 10,, 19:17
For those who haven't seen Idiocracy:

This is what Obama will have your future look like if you don't stop his bullshit now:

In modern society, natural selection has become indifferent toward intelligence, so that in a society in which intelligence is systematically debased, stupid people easily out-breed the intelligent, creating, over the course of five centuries, an irredeemably dysfunctional society. Consequently, the children of the educated elites are drowned in a sea of sexually promiscuous, illiterate, alcoholic, degenerate peers.

8CHY41trBFQ

Roosveltrepub
17 Jul 10,, 20:15
OMG they are going to include my bmi in my medical records??? That's outrageous!! Next they will be including my medical records in my medical records

dalem
18 Jul 10,, 03:09
OMG they are going to include my bmi in my medical records??? That's outrageous!! Next they will be including my medical records in my medical records

You know, due to the nature of my job I sometimes see sensitive, private stuff. Even medical records. You know who cares more about the security of that information between me and the people providing it to us in bulk?

Me. Hands down.

Do you want the history of your innermost sores, scabs, treatments, and payments relying on people like ME to keep them private?

-dale

Gun Grape
18 Jul 10,, 04:29
Dale.

Would you expect the BMI to NOT be in your medical records?

This is one of those "Much to do about nothing" articles that passes for news now days.

I would be upset if my BMI was not in my medical records.

troung
18 Jul 10,, 04:46
I would be upset if my BMI was not in my medical records.

Commie.


OMG they are going to include my bmi in my medical records??? That's outrageous!! Next they will be including my medical records in my medical records

see above
==========
Feds to Monitor Obesity as White House Promotes Obama Cook to Senior Position

Published July 17, 2010

| FoxNews.com
http://www.foxnews.com/politics/2010/07/17/feds-monitor-obesity-white-house-promotes-obama-cook-senior-position/
*
* Text Size

Saturday: First lady Michelle Obama speaks about childhood obesity to the National Governors Association Winter Meeting in Washington. (AP)

As the Obama administration sets its sights on overweight Americans, demanding obesity ratings for all citizens by 2014, the White House has promoted the Obamas' personal cook to a senior advisory position.

Sam Kass, the 20-something Chicago chef, is now the White House "Food Initiative Coordinator," Kass' title reportedly was upgraded last month from food initiative coordinator to senior policy adviser for health food initiatives. His duties have not changed.

The change comes as the Health and Human Services announced this week that under the stimulus law, health care providers must establish "meaningful use" of electronic health records to qualify for federal subsidies or risk seeing their Medicare and Medicaid payments slashed. The electronic health records must include Americans' body mass index, or BMI, height and weight.

Critics say the BMI is unreliable and the ratings will lead to more government intrusion.

Supporters say the ratings will serve as motivation for weight loss.

"The fact we're now tracking BMIs', I think knowledge is power for us," nutrition expert Mitzi Dulan told Fox News."There are a lot of people that don't know their BMI and it's denial.

Dulan noted that a study by the Centers for Disease Control and Prevention found that $147 billion is spent annually on obesity-related costs, or 10 percent of medical costs.

dalem
18 Jul 10,, 05:48
Dale.

Would you expect the BMI to NOT be in your medical records?

This is one of those "Much to do about nothing" articles that passes for news now days.

I would be upset if my BMI was not in my medical records.

The BMI is crap, everyone knows this. It is no more medically relevant than breast size, penis size, or skull size.

Howsabout we add female pelvis width to average trunk width in there so we can get a good handle on real child-bearing superstars?

-dale

Leecifer
18 Jul 10,, 05:50
Dale.

Would you expect the BMI to NOT be in your medical records?

This is one of those "Much to do about nothing" articles that passes for news now days.

I would be upset if my BMI was not in my medical records.

Agreed Gun Grape.

Even if your BMI is not already directly recorded in your medical records, generally your height and weight is and that is all one needs to calculate BMI.

Gun Grape
18 Jul 10,, 05:59
The BMI is crap, everyone knows this. It is no more medically relevant than breast size, penis size, or skull size.

Howsabout we add female pelvis width to average trunk width in there so we can get a good handle on real child-bearing superstars?

-dale


BMI can be inaccurate for people that work out and have a lot of muscle mass.

For the other 80%. Those that sit on the couch and eat Jelly doughnuts all day, its a pretty good tool.

dalem
18 Jul 10,, 09:07
BMI can be inaccurate for people that work out and have a lot of muscle mass.

For the other 80%. Those that sit on the couch and eat Jelly doughnuts all day, its a pretty good tool.

For what?

-dale

Bigfella
18 Jul 10,, 11:04
This is one of those "Much to do about nothing" articles that passes for news now days.



Bullseye Gunny.

This is part of a process that was started in 2004:


On April 27, 2004, President Bush issued Executive Order (EO) 13335 “to provide leadership for the development and nationwide implementation of an interoperable health information technology infrastructure to improve the quality and efficiency of health care,” establishing the position of a National Coordinator for Health Information Technology (IT) within the Office of the Secretary of Health and Human Services. Acknowledging the role of multiple executive branch agencies in addressing the vision of this nationwide architecture, the National Coordinator was charged with ensuring coordination of federal health IT policies and programs and of relevant executive branch agency outreach and consultation with public and private entities.

http://www.hhs.gov/healthit/resources/HITStrategicPlanSummary.pdf

Implementation began in a serious way in 2008 with various goals & targets for the following 6 years. The full 100+ page report replete with impenetrable bureacratese is below - I imagine Astralis or JAD could decpiher it all for us if they had half a day of their lives to flush.

http://www.hhs.gov/healthit/resources/HITStrategicPlan.pdf

So, hands up all those who had even heard of this plan when Bush was in power? Any hands up? Now, keep your hands up if you screamed about 'communism' & such then? I'm betting there weren't even any hands before I asked. I certainly don't recall any WAB or even StratPage threads on it, and I've been on those 2 fora for most of the time this plan was in existence.

If we are going to throw around terms like 'idiocracy' we might well apply them to folk who scream 'communism' about government programs that they didn't even know about before the government changed. The only difference now is that one more piece of data (BMI) is being added. Not exactly a harbinger of the holocaust - unless it is Obama doing the collecting apparently. (anyone found those FEMA detention camps or Obama's 'SS' yet?).

Another case of ODS folks.

Bigfella
18 Jul 10,, 11:08
For those who haven't seen Idiocracy:

This is what Obama will have your future look like if you don't stop his bullshit now:

In modern society, natural selection has become indifferent toward intelligence, so that in a society in which intelligence is systematically debased, stupid people easily out-breed the intelligent, creating, over the course of five centuries, an irredeemably dysfunctional society. Consequently, the children of the educated elites are drowned in a sea of sexually promiscuous, illiterate, alcoholic, degenerate peers.



Sounds like the filmmakers were fans of the eugenics movement - gotta stop those 'lower orders' from overwhelming their betters. maybe wer should just sterilize them.

Mihais
18 Jul 10,, 11:33
Nope,the message was that succesfull people need to spend some time making children.And everyone should read books.Nice movie,btw.

bigross86
18 Jul 10,, 16:45
Sounds like the filmmakers were fans of the eugenics movement - gotta stop those 'lower orders' from overwhelming their betters. maybe wer should just sterilize them.

Exactly what Mihais said. If you watch the first 5 minutes or so of the movie, you see 2 families. The one redneck family has 7 kids all living in a trailer in their parents backyard. The snobby family has spent all their time pursuing degrees and better job positions, rarely see each other, and have reached their 50's without kids, each time putting it off until "after I finish my degree", "after I get promoted, etc..."

If you want to sterilize stupid people, that's up to you. Thankfully, most the people I hang out with are pretty intelligent, though we have extreme bouts of (usually substance induced) stupidity.

Gun Grape
18 Jul 10,, 17:42
For what?

-dale

To determine how much of a fat body we are. The military uses it as a preliminary screening for overweight members.

Nothing is foolproof or 100% effective. Its a tool and like a tool it doesn't do everything. My 3/4in box wrench doesn't fit every bolt, but I'm not throwing it away.

If its in your health record and you are seeing a new doctor, as he reviews your file it does give him a snapshot of you. When he walks in the room and sees that you are a muscle necked shot putter he will know he doesn't need to discuss weight related issues.

ASparr
18 Jul 10,, 22:34
You do realize that the BMI is calculated by using your height and weight, you know -- stuff that is already included in your medical records. This isn't taking more information, this is dividing two numbers. Good Lord people.

dalem
19 Jul 10,, 05:33
If it's no big deal, then why bother adding it to the list?

-dale

ASparr
19 Jul 10,, 08:29
If it's no big deal, then why bother adding it to the list?

-dale

It's no big deal that it has been added to the list, it's still a useful indicator.

Here's a thought: medical records contain your birthday, but not your current age. Of course, it's very easy to extrapolate your age from your birthday, just subtract one number from another. What if it was decided that the medical records would contain your birthday that auto updates with every passing year? Is that such a big deal? It's the same basic thing.

dalem
20 Jul 10,, 19:20
Look. Names have power. Giving a silly, casual approximator a name like BMI and setting it as its own little category will only lead to more and more junk being attached to it.

Guaranteed.

-dale

Roosveltrepub
20 Jul 10,, 22:38
They have a free BMI screening at work Thursday....

gunnut
20 Jul 10,, 23:13
They have a free BMI screening at work Thursday....

Did they ask you your height and weight, and then divided them to come up with the number for you? :tongue:

Roosveltrepub
21 Jul 10,, 04:16
Did they ask you your height and weight, and then divided them to come up with the number for you? :tongue:
I believe it will include a waist measurement and I have maintained a 34 waist by moving to extra super loose duper levis and they may crush my denial. A Dr's office should have a resitance machine for measuring bodyfat now imo. It's the number that matters. The things arent that much and a bmi is retarded if you lift weights regular.

LMA
21 Jul 10,, 23:29
It's not the BMI I mind being in my medical records ... it's the government !!

Edited to add BMI is not the best measure as it doesn't take into account muscle.

Blue
22 Jul 10,, 00:05
It's not the BMI I mind being in my medical records ... it's the government !!

Edited to add BMI is not the best measure as it doesn't take into account muscle.

The Army used to use a "caliper test" then moved to a "tape test". I don't know if that is exactly the BMI but it roughly figured body fat percentage. I had to take it every month for three years because I wasn't within the normal Army body specs. I was 6'2", 235lbs. I always maintained btwn 7 to 10% body fat. The Army allowed me 16%, so i was well within specs, they still bitched at me to lose weight all the time, but none of it was fat! How the hell do you diet off muscle?

There is a very accurate test that will give an accurate lean body mass figure, but IIRC, it requires being dunked in a water tank to measure your displacement as well as some required steps.

I also wonder, what if you have no medical records? My last records are from 1988. I haven't seen a doctor since. Of course any branch of govt I deal with today already knows my current body condition, since I always end most interactions with "you can kiss my fat ass"!:)):))

LMA
22 Jul 10,, 02:49
I was 6'2", 235lbs. I always maintained btwn 7 to 10% body fat. The Army allowed me 16%, so i was well within specs, they still bitched at me to lose weight all the time, but none of it was fat! How the hell do you diet off muscle?

EXACTLY! Based on the quick calculator method ..your BMI was 30.2 so you would have been considered obese with less than 10 % body fat....crazy!!