November 2009

Once Ahead of Curve, Medical Informatics at Center of Change

For a couple of decades now, the American Medical Informatics Association has been ahead of the cultural curve in recognizing the potential for IT to change the way health care is delivered. Culture -- led by lawmakers, policy wonks and even the general public -- is catching up, and informatics experts are glad to have company. A strong argument could be made that the most important health IT laws are already in the books as a result of the federal stimulus package that was passed earlier this year. Although the health care reform debate in Congress now will have some influence on how health IT is used in the future, the provisions of the HITECH portion of the American Recovery and Reinvestment Act lay the foundation.

Good Morning America' Cancels Lambert

ABC's Good morning America canceled Adam Lambert's scheduled appearance on the show because of Lambert's racy appearance on the "American Music Awards" on Sunday night. ABC said it doesn't think Lambert's performance would be appropriate for a morning audience. CBS rival "The Early Show" booked Lambert for Wednesday morning. It said the singer would perform live and discuss his AMA appearance, parts of which were cut when the show aired later Sunday on the U.S. West Coast.

Nieman Foundation Gets Grant to Establish Biz Reporter Fellowship

The Nieman Foundation for Journalism at Harvard University has received a grant from the Donald W. Reynolds Foundation to establish a new fellowship for business reporters. The grant of more than $900,000 from the Las Vegas-based foundation will cover the cost of annual fellowships for one business journalist and one community journalist for five years beginning next fall. The Reynolds foundation first established the community journalism fellowship at Harvard in 2005.

The broadband gap: Is FCC grabbing for the wrong tool?

[Commentary] The Federal Communications Commission's National Broadband Plan team seems to be thinking reward the inefficient and to tax the affluent. For some reason the task force does not seem to be able to admit that broadband service in the United States is too expensive for a lot of people. It hints at this by noting that only 35% of adults with a annual income of under $20K subscribe to broadband whereas 88% of those with an annual income of over $100K do. It does gloss past a root cause of the relatively high cost of broadband when it notes that "areas with lower incomes have fewer competitors" and " areas with fewer competitors have higher prices." What it does not mention is that, even in areas with some competition, there are almost always only two providers: a cable company and a telephone company. A duopoly of giant, similarly motivated carriers is not normally a recipe for robust competition.

FCC Seeks Comment on Broadband Measurement and Consumer Transparency

The Federal Communications Commission is seeking additional information on whether there are opportunities to protect and empower American consumers by ensuring sufficient access to relevant information about communications services. The FCC wants more public input on fixed residential and small business Internet broadband services, service quality, and transparency issues for multi-unit buildings. Specifically, the FCC wants to understand how: 1) to increase transparency (display, communication and comparability of information) in Fixed Services; 2) Fixed Services could be better measured in the future; and 3) information fixed service capabilities in multi-unit residence buildings be communicated to potential investors, home-owners and renters at the point of sale/ rental. Comments are due December 14.

The Best Way To Streamline RUS: Fast-Track Partial Loan Guarantees

[Commentary] In the second round of broadband stimulus, we need to find solutions for streamlining the approval process, getting money out the door more quickly, and maximizing the impact of taxpayer dollars. Daily's suggestion: a fast-track partial loan guarantee program. Compared to grants, guarantees have the advantage of leverage. You only have to budget for a fraction of whatever guarantees you hand out. Whereas a dollar of budget authority can only deliver a dollar of grants, that same dollar of budget authority can be turned into ten to twenty dollars of guarantees. Government loans offer the same opportunities for leverage, but with guarantees government doesn't have to write a check and it's able to share the risk with private capital. Put simply: loan guarantees are one of the best options to stimulate broadband deployment, and yet to date we've been ignoring them. So how can loan guarantees be used to streamline the second round of RUS's BIP program? 1) Change the guarantees to cover 100% of losses up to 50% of the value of the loan. 2) Institute a fast-track approval process. The basis for implementing a new fast-track approval process is the fact that if you have a private capital source writing a check for the full amount of a loan and taking on half the risk then you can assume that that lender has done a thorough job vetting the financial viability of a project.

Libraries dying for bandwidth—where's the fiber (and cash)?

Most of America's libraries make it a part of their mission to offer Internet access to anyone in the community, but a severe bandwidth crunch is hobbling those efforts. That's one of the conclusions reached by the American Library Association, which says that 59.6 percent of American libraries "report their connectivity speed is inadequate some or all of the time to meet patrons' needs." One of the problems is funding; in a recession, and especially a recession where housing prices (and therefore property taxes) are dropping in many communities, it can be hard to scrape the cash together for a library bandwidth upgrade. But another problem is simple availability. As the ALA's filing with the Federal Communications Commission points out, "moving from a 56Kbps circuit to 1.5Mbps is one thing. Moving from 1.5Mbps to 20Mbps or to 100Mbps or even to a gigabit—depending on the size and need of the library—is another." Even when they can pay for it, many libraries are finding that higher speeds simply aren't available.

Google's revised book settlement

Interview with Cecilia Kang, Technology Reporter, Washington Post, provides a primer on Google's efforts to digitize books in libraries throughout the world. The Google Book Search project was started in 2004 and within less than a year a class action suit was levied against the company for copyright infringement by the Association of American Publishers and the Author's Guild. In October of 2008 the parties agreed to a class action settlement. However, there were several opponents to the settlement, including authors, publishers, Google's business competitors, and the Department of Justice who initiated an antitrust investigation. Kang presents details of the case and the current status of the settlement.

Consumer electronics group calls for broad FCC set top box review

It's been more than six years since federal regulators looked at competition in the market for video set-top boxes. And in that time, the video landscape has dramatically changed. Telecom companies AT&T and Verizon have joined cable companies in bringing shows and movies to U.S. living rooms. They are also joined by satellite companies such as Dish Network and Direct TV. So the Consumer Electronics Association wants to make sure the Federal Communications Commission looks at the broader market for video service as it begins its review of set-top boxes. Public interest groups say there is no reason why the set-top box can't be a slimmed down device with scores of applications for videos, movies, games, and Internet content. There are currently two main set-top box makers - Motorola and Cisco - though many more device makers have expressed interest in getting into the industry, particularly as more people spend time in front of the TV.

Health Care Debate Remains Top Topic

After being overshadowed by the Fort Hood shootings for several weeks, the year's two major domestic policy stories—health care and the economy—re-emerged atop the news agenda last week. But much of the media buzz, particularly in the talk show universe, revolved around the week's No. 3 story—Sarah Palin's book tour—which to some degree inevitably turned into a referendum on the press itself. Coverage of Palin often seems to end up with the news media's behavior near the center of the narrative. And that was the case last week as media vetting of "Going Rogue" and her complaints about a Newsweek cover photo became issues in their own right. From November 16-22, health care reform was the No. 1 story, accounting for 13% of the newshole according to the Pew Research Center's Project for Excellence in Journalism. The Saturday, November 21, vote to bring legislation to the Senate floor for debate—a significant, but far from decisive milestone—occurred too late in the week to have a major impact on this News Coverage Index. The U.S. economy was the second-biggest story (at 12%), amid more mixed signals about the unemployment picture.