Tuesday, January 31, 2012

SEC Hoops Power Poll Ballot - Week of January 29th

  1. Kentucky - Nothing to see here. Move along.
  2. Florida - Gators are rolling. They might not lose again until the season finale against Kentucky. 
  3. Vandy - Teams are figuring out Vandy. Can Stallings get the Commodores back to playing top 15 basketball?
  4. Mississippi State - This team really confuses me. I'm starting to think the coaches take long stretches of games off. Still they are in the discussion for the top of the conference.
  5. Ole Miss - We'll find out just how good this team is this week with two tough road games.
  6. Alabama - Plays down to the level of the competition too much to be a contender for anything more than an NCAA bubble team.
  7. Arkansas - Starting to look like the team is wearing out playing the super up tempo game.
  8. LSU - The Tigers are competing, but might not win another game until late February with their schedule. Will Johnson still have his team by then?
  9. Tennessee - Reverting to pre-conference schedule form. Still a talented team, but seems to play younger than they are.
  10. Georgia - Woo hoo! Dawgs didn't lose this weekend. What's that? They were off? Oh.
  11. Auburn - At least they have played South Carolina.
  12. South Carolina - I wanted to reward them for their win over 'Bama, so I am not ranking them 13th. This week.
This week, you could put teams 4-7 and 9-12 and just shake them up. It is that close.


T minus 23 hours until National Signing Day

Here we find ourselves 23 hours before National Signing Day. NSD is the last shot of methadone given before we are kicked out of our program, at least until Spring football. I don't expound on recruiting much, other than giving a snarky, usually ill informed, opinion about the outcome, but that doesn't mean I don't follow it and want Georgia to win at this as much as I do everything from football to tiddlywinks.

Having said that, the rational Tyler (call him The Narrator, if you like) knows the actual Scout/Rivals/ESPN/randomeblogyouveneverheardofbuteveryoneswearsisthebestatrecruiting rankings are just tools for those sites to talk/write about something to feed the voracious appetites of their readers. Addressing need is much more important to The Narrator than winning recruiting rankings.

That being said, it is important for Georgia to close strong. There are several 4-5 star players out there that would fill needs. Recruiting sites often miss on a 3 star player's upside. They rarely miss on 4 and 5 star players' downsides. If a guy is a 4 or 5 star, they it is likely they are the real deal.

My dream list for Georgia (and how likely the Dawgvent will explode at how they are being underused we are to see them in Athens in the Fall):
Dalvin Tomlinson - 8:45 announcement; 30% likely a Dawg, likely going to Alabama
Jaquay Williams - 8:45 announcement; 60% likely a Dawg, 40% Auburn
Josh Harvey-Clemons - 9am announcement; 90% likely a Dawg
Brandon Greene - 9:00 announcement; 40% likely a Dawg, 60% Alabama
Kenderious Whitehead - 9:00 announcement; 2% likely a Dawg, he's going to NC State
Josh Dawson - 10:00 announcement; 50/50 with Vandy
Cordarrelle Patterson - 11:30 announcement; 90% likely a Dawg
Avery Young - 2:00 announcement; 60% likely a Dawg, Auburn and Florida are even if he doesn't come to Athens.

And....the mystery recruit. The white whale of recruiting. It is hard to say if the rumors are true or if Georgia having an easy two unspoken for spots mean the class is fuller than we know. Honestly, if I had to say, there is a guy out there that has publicly committed to another school, but has told Georgia's coaches they are still very much in the hunt. Like everyone, I think it is a Dback. I'd say someone that is totally unexpected like Deon Bonner (due to his situation during the visit), Chaz Elder (who has a SC hat on for his Rivals picture) or Ronald Dabry (who hasn't really even mentioned Georgia in his many discussions with the media). I'd also throw Eligwe and Dillon Lee (he's already enrolled at 'Bama) in the discussion, as both have been committed to their schools for quite a while and both could see some immediate playing time. If I were forced to guess, I'd say Eligwe or Darby (note that Eligwe has postponed his decision until Feb 6 and made less than positive comments about UGA).


Monday, January 30, 2012

And The Genius Blinked

When Tech threatened to pull the scholly offer from Antonio Crawford if he visited Miami, I thought he would be going to Coral Gables.  Why would a kid want to go to a school that would threaten such a thing? Yes, Coach Johnson, Certified Genius, had pulled offers based on commits visiting other schools, so visiting Miami seemed like the mere prelude to him not having the offer to go to Tech when he got home.

But Tech still wants him. Not that he cares. He's going to Miami. 

I thought it was interesting they didn't threaten the Adams kid when he visited Auburn, which led me to think about the threat to pull Crawford's offer.  Why do that?

And why did the coach that was recruiting the kid from Lanier County who's offer was pulled get fired?

Strange days in the Flats.


Blutarsky's take on the death of the Johnson Doctrine.

Saturday, January 28, 2012

Arguments for a Universal Health Record – Part II

All animals can exchange information when in proximity to each other. Humans advanced this useful exchange to occur when the interacting parties are far apart, which makes the human animal quite unique. First came human couriers carrying verbal information, followed by human couriers carrying written missives, then came technology. Technology in the form of transportation vehicles, and technology in the form of unmanned transport of sounds and symbolic characters, changed the world. Telephones and computers on the Internet rendered the travel time of information from any point on the globe to any other point to milliseconds or less, but did not change the age old paradigm of information physically moving from one place to another. Until now.

This is the age of social media. Those of us who remember licking envelopes and stamps are often tempted to dismiss social media as a superficial waste of time better suited to perpetually distracted kids than any serious endeavor. When you think about Facebook, Twitter, Google+, Farmville and such, it is hard to believe otherwise. Ignoring the actual activities currently occurring on social media platforms, and looking exclusively at the mode of communication, one is forced to acknowledge that a change in paradigm has occurred, and we are reverting to exchanging information when we are in close proximity to each other, only this time around proximity is virtual, not physical. Information ceased to travel virtually, and instead, we do.

When we “go to” Google+ and engage in a lengthy discussion regarding Universal Health Records, we are creating and consuming content which resides in one virtual location – Google’s network of servers. If you want to participate in such conversation, you have to “come to” Google+, just like you had to come to Town Hall in days gone by, if you wanted to debate matters of importance. Unlike exchanging information by horse, train, telegraph or email, this communication paradigm is once again social, but flexible enough to occur in real time or at a time of your own choosing.

Back to medical records. Today most medical records are stored in physical format (paper) at various physical locations (brick and mortar facilities). Health information exchange is occurring mostly through courier, whether manned (patient, snail mail) or unmanned (fax). Those who advocate for electronic medical records desire to change the format of the record from physical to virtual, leaving the storage of virtual records pretty much as it is today. Once the content is computerized, it can also be exchanged by computer couriers, such as email and Electronic Data Interchange (EDI). This is supposed to make medical records “liquid” and the data can then flow from one computer to the other in a network of rivers and rivulets spanning the entire nation. Since such a complex system of waterways can be useful only if 100% clean water is allowed to flow through, as opposed to a mixture of seawater, oils, spirits, and other beverages, much care must be exercised at every medical records repository to transform whatever is released out into the public system to clean water. As discussed in part one of this series, ensuring water purity and building canals, dams and other infrastructure is expensive, fraught with peril, and assuming such system can be built, it is also obsolete right out of the box.

What problem are we attempting to solve by computerizing medical records? The customary answer to this question is that medical care has become extremely complex, it requires scores of professionals working together and, to foster better outcomes, they should all have the most accurate pertinent information at their disposal. Now, if we could bring all these professionals into one room filled with books and journals, and sit them down around one table, we would be just fine with old fashioned verbal information exchange. Since this type of physical proximity is becoming less and less likely, we find ourselves in need of a solution to allow disparate teams to collaborate on one project. We can do this the old way, and arrange for virtual information to flow electronically between team members, or we can do this the social media way, and arrange for team members to meet in one virtual space and work in virtual proximity.  But wait, there is more... In health care, our projects are longitudinal. Each episode of care builds on all previous ones and also informs all episodes to come. This in a nutshell is why the entire medical record must be an open and shared resource.

Given the realities of our health system of systems, I am being told that such selfless collaboration at the data level is very unlikely, and given the real and manufactured concerns with privacy and government oversight, having a universal comprehensive data store is politically impossible in health care. Nobody objected to the technical soundness of the proposed solution. Granted, health care is much more complex than Google+ or Google Docs, and we will need more data, more definition and a much bigger and more sophisticated transactional database structure. As much as I would like to, we cannot flip a switch and begin accumulating universal health records overnight. So how would we go about starting to move in this direction? 

One very promising idea comes from Dr. David Kibbe and the Collaborative Health Consortium. The notion of a health care collaboration platform, or clinical groupware, could do for health care what Google+ and Facebook did for virtual social interaction, but it stops short of providing a longitudinal and open medical record. If you were an avid Facebook user and recently tried to switch to Google+, you probably already encountered the big tall wall surrounding that particular platform. While this may be a minor nuisance when it comes to social media, and fully understandable from a software, or platform, vendor business perspective, it is not so minor when it comes to medical records, as every doctor who tried to switch EMRs can tell you. Every business should have the right to erect walls around its platform, its innovation and its intellectual property. No business should have the right to monopolize patient data, even if it was created by services and tools of a proprietary platform. The data layer must be separated from the service platform layer, because the data layer belongs to individuals and, in aggregate, it is a public good. 

Another suggestion was that initiating standardized information exchange may lead to the eventual creation of local and later regional data stores. Perhaps the various State HIE organizations would grow into such data repositories. Perhaps the ever expanding integrated health systems would accomplish something similar. Eventually, we may be able to connect all these repositories into a federated model of national health records. All this is possible of course, but this rudderless experiment strikes me as a major waste of time and resources. So here is a small suggestion. There are several billions of dollars appropriated for a VA/DoD joint EHR which is supposed to be open source. Presumably, such effort will yield a database schema sooner rather later. Let’s use that. Let’s define a minimum set of data, not much different than what is required to be exchanged for Meaningful Use, and begin populating a national database. It will take time before this becomes the authoritative version, but it will happen. Initially, we can mandate certified EHRs to use the national database to retrieve and update this modest dataset in real time. This should not be a very difficult task for EHR vendors. At the same time, we should allow new products to be developed against this new and open schema. What would be the cost of building a simple user interface to the Universal Health Record to display an accurate list of problems, meds, allergies, immunizations and lab results? Hint: very close to zero. What value would physicians, and patients, derive from the ability to access such definitive lists for any patient, any time, from any browser, on any device? You decide.

Health Information Exchange is an outdated paradigm. It is based on understanding the Internet to be an improved version of the Pony Express system. The Internet has evolved into something completely different and unless we evolve with it, we are doomed to be arming heavily for a war that has concluded and it will never be fought again.

Friday, January 27, 2012

ESPN's Chris Low on UGA's Offseason

I think Low makes a variety of interesting comments as he highlights players to watch this offseason as the Georgia Bulldogs gear up for another run at the SEC Championship.  He lists these players as guys to watch:
Isaiah Crowell
David Andrews
Nick Marshall
Damien Swann
Derrick Lott

My list would be:
1. Isaiah Crowell - Competition and conditioning can solve most of his problems*
2. Will Friend - UGA must be able to establish a running game
3. Kenarious Gates - The only returning upper classman on the OL
4. Damien Swann - Leading candidate to replace Boykin at CB
5. Aaron Murray - Must reduce his turnovers. Particularly when running.

Who are your top players to watch in the Spring?  Who are the guys who most need to step up? 


*Losing the phone number to Jasper's weed guy wouldn't hurt either. Allegedly. Obviously.

Alabama Fan Charged in BCS Case

I'm not going into the detail of what when down in the Bourbon Street Krystals, but Brian Downing has been charged with sexual battery in the incident.  Good.

His lawyers are a bit incredulous:
"The 18-year-old victim was never physically harmed and, in fact, was so intoxicated that he would have had no recollection of the incident, but for a video posted online," the lawyers wrote. "Any ‘harm' is entirely post hoc and amplified by media."
Fine. It was the media's fault.  But the media didn't put their 32YEAROLD BALLSACKONACOMPLETESTRANGERSFACEINPUBLICWHILEHEWASPASSEDOUT. Yeah, I have some strong views on that.  My guess is Mr. Downing won't have any problems with keeping the boys inside his pants during his time in Angola.

Tell you what, let the LSU fan put a sack of his choosing on Mr. Downing's face, and his lawyers' faces, in public and on ESPN. They could get Jim Gray and make a whole hour out of it.  Then just for funsies, still charge him with sexual battery because YOUDONTPUTYOURSACKONACOMPLETESTRANGERSFACEASSHOLES.

Thursday, January 26, 2012

On Football Recruiting

I typically don't write about football recruiting. I follow it with interest and need Georgia to do well, but I just don't like to write about it much. Yes, I know how important it is. Yes, it is interesting. I just can't get too worked up (at least until the week of signing day) about it.

There are plenty of very good places to get the information, including Michael Carvell's coverage for the AJC, or to see bloggers' takes on recruiting; I just don't have the inclination to devote my limited brain juice to it.

That being said, I find Coach Richt's approach very interesting. I have to say I haven't been happy over the past two months with the 'Georgia waited to offer' refrain we hear from some players. Now, for the second year in a row, it looks like the last week is setting up to be very interesting. Will Georgia get an in-home with Brandon Greene? If they do, will Saban, who is reportedly pissed at Greene's flirtation with UGA, fire him?

It is interesting that Saban, who cut a kid loose earlier because he was the '26th' guy in the class, would be mad at a kid re-evaluating his decision. That is the duplicity of the system we live in. Ask the Football Genius of North Avenue. That isn't to say Greene will forsake 'Bama for Georgia. That is to say the late push isn't a terrible counter strategy to the very early offer and push approach that other coaches employ. Will we continue to miss on very good players with our wait and see approach? Sure.

The next week will be very interesting, as we have a legit shot at significantly improving this signing class. It will also give an indication if the wait and see approach is worth continuing. Get one more offensive lineman and Josh Harvey-Clemons, that is a win. Get Greene and Young, plus Harvey-Clemons and some combination of either of the two Dawsons on defense, that is a huge win. Get those plus JaQuay Williams? Now I am dreaming.


Wednesday, January 25, 2012

Georgia Plays Tough Against Cats

I'll not go into the break down of the game, except to say this: if Georgia plays with the same intensity and focus the rest of the season, we'll win nearly all of our home games and at least three road games.  We held Kentucky to their lowest point total since last season's national semi-final loss to UConn (when they scored two fewer points). We held Kentucky 20 points below their season average. Easily this was the best defensive game we have played all season.

Why did Georgia lose? Because we only have two (maybe three) players that would ever get significant playing time at UK.  At most. On any given night, one team can beat another. If we'd kept up the hot shooting, that would have happened last night. It didn't, and Kentucky's talented, deep, and more physically gifted players took over.  Between Davis' five blocks, his and Kidd-Gilcrist's eleven rebounds each, Georgia just had nothing to match the talent differential.

Now, this is a common refrain from nearly every team playing Kentucky. This isn't a post about Fox's success or lack thereof in recruiting. It does bear pointing out that recruiting has to be significantly improved if Georgia is going to consistently be in the NCAA tournament every year. We don't have to have six McDonald's All-Americans every year. Get a KCP every year and win recruiting battles with Tech, Clemson, FSU, 'Bama, Tennesee, and Vandy more often than not, we'll be a very strong tournament contender. And Auburn and Memphis. Especially Auburn and Memphis! Right now, we lose way more of those than we win.

For now, this team plays like the young team it is. That will improve, but we have to have another big recruiting win this season if we have any hope of being in the tournament discuss this time next year.

SEC Hoops Power Poll - Week of January 22nd

This week's poll:

1. Kentucky Wildcats 96
2. Florida Gators 80
3. Mississippi St. Bulldogs 78
4. Vanderbilt Commodores 77
5. Alabama Crimson Tide 66
6. Mississippi Rebels 59
7. Arkansas Razorbacks 52
8. Tennessee Volunteers 41
9. LSU Tigers 34
10. Georgia Bulldogs 23
11. Auburn Tigers18
12. South Carolina Gamecocks 8

Unanimous agreement at number one and number 12. Near unanimous at 10 and 8. A jumble elsewhere.

Tuesday, January 24, 2012

Market Insights on the Pending Business Tablet Invasion

Here's the scenario, you're a busy executive working away from your office and you just want to quickly research something on the Web. You turn on the company-provided notebook computer and you wait the standard 3-6 minute delay, before you can actually use it.

The corporate IT department has numerous mandatory processes that must load first -- such as virus protection, data backup, system and app software updates, etc. -- on a typical Windows system. That's often dozens of processes running at start-up, and some will consume 100 percent of the available processing power.

That automated cycle can temporarily incapacitate a notebook PC. Don't bother attempting to load a web browser while this PC start-up sequence is in motion. What's the alternative? If you have a media tablet, simply use it instead and you're on the Web in a matter of seconds.

Mobile Workers and Their Virtual Workspace

Is your company prepared for the pending business tablet invasion that will likely raise the bar of expectations for corporate mobile computing? Ready or not, this trend is already in motion. Cisco announced findings from a global survey of IT managers' perceptions about tablet form-factor mobile devices in the enterprise.

Cisco commissioned Redshift Research to perform a market study to assess attitudes, fears and hopes for media tablets in the workplace from a survey of more than 1500 IT managers and executives in the U.S., Canada, UK, France, Germany and Spain. While it's still considered a nascent market, this year we'll surely see an increase in the adoption of business-oriented tablet computing.

Key findings from the market study include:

Media Tablet Demand
  • Tablets vs. smartphones: which win? Globally, IT departments report employees place one tablet request for every three smartphone requests today.
  • Which countries lead? Of the countries surveyed, the US and France are tied for tops -- each report a tablet is requested by 21% of the workforce. Senior executives are most likely to be issued a tablet in the US (38%) and least likely to be issued one in the UK (27 percent).
  • Who's most excited? Spain tops the list, with 90% of IT managers believing the tablet will become more popular in the next two years.
  • "Uber-connected sales guys". Tablets are significantly more prevalent among salespeople in Germany (31%) than in all other countries (21% on average).

IT Manager Fears And Wants
  • Tops in security concerns? The U.S., the country with the most experience managing tablets, also ranks #1 on the "security issue": 75% of US IT managers said new rules must be established around security and device usage.
  • What about app access? Nearly half (48%) of all IT managers surveyed agree that access to company applications should be restricted for all employees. Canada and UK were the top countries in wanting to see restricted access on tablet form-factor devices (55% and 56 %, respectively).
  • Custom apps? IT managers universally agree that custom tablet applications would benefit their business.
  • Top "want list" features? Globally, three-quarters of IT managers indicated email and document sharing are "must haves". About half agreed or strongly agreed that these are desirable: video conferencing, IM, access to company databases and seamless synchronization with other business devices.

Bring Your Own Device (BYOD)
  • Turning a blind eye to BYOD. Globally, 48% said their company would never authorize employees to bring their own devices to work, yet 57% agreed that some employees use personal devices without consent.
  • 51% of the respondents reported the number of employees bringing their own devices to work is on the rise.
  • Using personal devices without consent was highest in the US (64%) and lowest in Germany (49%).
  • Access to company servers was highlighted as a "huge problem" of the "bring your own device" to work phenomena as was lost/stolen devices (64% globally).
  • Globally, 44% say that handling BYOD issues diverts IT attention from other important projects.

"Mobile workers and virtual workspaces are here to stay -- but so are the demands on IT to continue to ensure enterprise-grade security, manageability and interoperability. 2012 promises to be an exciting year and IT leaders are a critical component in unleashing innovation and enabling organizations to take advantage of the next wave of business growth and opportunity. Cisco is keenly focused on helping its customers navigate the post-PC era and transform their business," said Tom Puorro, director of product management, IPCBU, Cisco Systems.

Survey respondents were from a wide variety of global companies and are either primary IT decision makers or play a key role in the procurement process. Sole proprietors were excluded from the study. Field work was conducted in late 2011.

SEC Hoops Power Poll Ballot - Week of January 22nd

Another week of games, another week of parity in the middle of the conference.

  1. Kentucky - Kentucky will lose a conference game this season. It won't happen this week with trips to Georgia and LSU.
  2. Vandy - I am not sure how they lost at home to Mississippi State, but I am sure Stallings will figure a way to right the ship until the second game of the NCAA tournament.
  3. Florida - With a trip to Oxford this week, we get to see if Florida's success is a product of the schedule to this point.
  4. Mississippi State - The win at Vandy is a sign the Bulldogs are still relevant in the best of the rest discussion. Of course, there are four other teams that can say the same thing.
  5. Alabama - It is hard to fault the Tide for a down week with three top 40 RPI teams on the schedule. Unfortunately, it does mean the have to be moved down with how closely matched the teams are.
  6. Ole Miss - Col. Akbar's Bears better learn to close the deal or they will be a top seed in the NIT.
  7. Arkansas - Youth was on display both with the good (a strong statement win over a tough Michigan team) and the bad (losing their will to live in a way worse than 20 point loss at Kentucky) this week.
  8. LSU - Seriously, you could flip a coin on 8th. Georgia, Tennessee, and LSU are all that close right now. I went straight with RPI on these three.
  9. Georgia - Too bad the Dawgs can't play the intensity they showed in the last 2 minutes against Mississippi for a full game. Since they don't, they find themselves in the bottom of the conference.
  10. Tennessee - Dear Cuozno, that Stokes guy is good.
  11. Auburn - Could have ranked them 8th, but conventional wisdom says they will revert to the team that only scored 35 points against Vandy.
  12. South Carolina - How did they win 8 games? It's a miracle.

Sunday, January 22, 2012

Arguments for a Universal Health Record

We passed the one thousand mark on products certified as EHR technologies for ambulatory care and the five hundred mark for inpatient care, and there is no relief in sight. In addition, there are multiple other software products that are routinely used in health care, such as standalone practice management and billing systems, claim processing software, pharmacy programs, lab, imaging and other diagnostics software, personal health records products, and more recently a veritable explosion in mobile applications ranging from monitoring your heart to evaluating your happiness. I don’t know of any other industry where so many disparate software packages are able to communicate and cooperate with each other seamlessly, and yet this is the goal of the gargantuan effort of those who develop interoperability standards in health care. If you’ve ever been involved in software systems integration, you probably know all too well that the weakest and most unstable link is always at the interface between products, even those built by the same vendor, regardless of the agreed upon standard. When it comes to seamless operations and cost effectiveness, nothing beats true database level integration.

For those who read this and have an irresistible kneejerk reaction tempting them to cite examples such as ATM networks, telephone networks, Google or email, please understand that this is an apples to unicorns comparison. Assuming that our ultimate goal is to have all health records for all people available at all geographic locations at all times, is weaving a web of rickety interfaces between thousands of products, really the best option? It is, if you sell existing, or enabling, technology for this arrangement, and it is not, if you intend to use, or pay for, the end solution.

The usual arguments against a Universal Health Record, and its scary database in the sky, are that we must build on existing infrastructure; that rip-and-replace is cost prohibitive; that a free market should provide as many choices as possible; and that privacy is best served by keeping data close to home, and certainly out of the hands of Big Government. Sounds pretty reasonable. What if we dig a bit below the surface though?

Medical Records
  • Assumption: At any given moment in time there can be only one correct version of a complete medical record for any one person
  • Fact: Currently, various parts of the medical record are stored at various locations, by various organizations, in various formats
  • Fact: Most organizations possess unique content, but also content overlapping with what others store, containing multiple discrepancies and various errors
  • Observation: Using partial medical records for provision of care could be desirable, inconsequential, dangerous or lethal, depending on which parts are missing
  • Observation: There is conceptually no reliable way to know whether parts of the medical record are missing at the point of care, let alone ascertain the criticality of missing parts
Health Information Exchange (HIE), as its name indicates, is intended to shuffle fragments of the medical record from one organization to another just in time to inform the provision of care. The government and various other organizations are diligently working on standardizing the contents, the format and the means by which medical records data is communicated. Since the thousands of software programs deployed in health care all store data in different formats, using different data dictionaries, different storage systems and different terminology, it is envisioned that each system will have some sort of transformer at its edge that will translate the inner workings of the system before sending information out, and execute the reverse procedure before letting outside information in. Once the standards are finalized, all technology vendors will be building (or buying) such “transformers” and everybody will be communicating seamlessly. Could it really be that simple?


Unlike banking, where managing a checking account at your local bank does not require immediate information on your Cayman Islands holdings, medical care operates on a single record set of data elements. Since this record set is being altered at various care facilities, health information exchange must continuously reconcile the data elements. So for example, let’s say that you visit your primary care doctor complaining of chest pain and he diagnoses gastrointestinal disease and prescribes antacids, but you are still concerned and decide to see a cardiologist in the city, who diagnoses angina. Shortly after visiting the cardiologist office you get hit by a bus and end up in the local ER. Was your cardiologist aware that you have been complaining of chest pain for the last 20 years, angina was repeatedly ruled out in spite of your concerns that Aunt Mary also has angina, and antacids always worked for you? Is the ER aware that you just got diagnosed with angina and have a shiny NitroMist sample in the backseat of your car? Is your primary care doc going to be appraised of your adventures?  In a world of perfect information exchange the answer is yes to all questions.

However, perfect information exchange in this case requires that your primary care physician pushed your medical records out to the cardiologist, including your fixation with angina and Big Macs, or that the cardiologist was able to locate your primary care records and pull the information in. It also requires that the ER was able to obtain your primary care records from back home, any other medical records from other providers and also the very recent cardiologist records and combine all those data points in one authoritative record set. This reconciliation process would occur every time you seek care and every time you, or other diagnostic facilities and eventually devices, update your records in any fashion. And these transactions will have to execute without a unique patient identifier just for you, and while processing and propagating privacy rules which may differ between various care providers and exchange intermediaries.

Now imagine millions of people with similar needs, and you have many millions of transactions flying around back and forth between thousands of software programs executing in hundreds of thousands of locations, from industrial strength data centers to the lonely Dell server under the printer in a doctor’s office. Yes, the contents will be standardized by those edge transformers, but every relay, every handshake, every acknowledgement and every translation back and forth to the native software program constitutes a point of possible failure, and every reconciliation of multiple messages from disparate sources is an error waiting to happen.  In computer land errors don’t usually wait for too long before they happen, and this has nothing to do with lack of standards. Sending applications lose connectivity intermittently and go into a peculiar state of limbo. Receiving applications often get stuck on one bad message, creating huge processing queues on the other end. Messages mysteriously disappear only to be found in a log file or another patient’s chart. Every new release is always an adventure. This is how things are today, with only a fraction of the envisioned number of transactions in the brave new world of a seamlessly connected health care system.

The Power of One

The alternative to having a flimsy system with a multitude of moving parts is to have one unified database system, with one architecture and one schema definition. This does not necessarily mean one EHR. We could of course have a single EHR built on top of this database system, but for those concerned with innovation, free markets and with the problematic one size fits all approach, by all means, let’s build thousands of EHRs with user interfaces and functionality to fit every individual preference, all accessing the same exact database, containing the same exact records. This Universal Health Record will be, by definition, complete and correct at all times, since all health care applications will be built on top of this database, much like browsers are built on top of the World Wide Web. Switching EHRs should be as simple and straightforward as changing from Firefox to Chrome, not to mention how happy the folks advocating substitutable applications instead of walled gardens would be. Oh, and the sum total of investment in a homogeneous data infrastructure is dwarfed by the various other public and private initiatives, all ultimately funded by tax payers.

The 800 pounds gorilla in the room is of course privacy and to a much lesser extent security. A medical database system of this magnitude would have to be built and administered by the Federal Government. Patients would have to be uniquely identified in the system. Granted such Universal Health Record would accessorize well with a universal health care system, but let’s face it, if you are on Medicare or Medicaid, the government already has your medical records. Private payers have mega databases chockfull of medical records and so do EHR companies and pharmacies. Your data is being constantly de-identified, sold, re-identified and exploited for financial profit. Once the planned information exchange network kicks in, a host of State and private agencies will also begin building their own repositories of medical records. The privacy horse has left the barn, and the best we can do now is regulate the use of what was once private. At a minimum, the Universal Health Records database will ensure that you can see everything everybody else is seeing and have some say in its accuracy and utilization, which is orders of magnitudes better that the alternative.

Saturday, January 21, 2012

A Simple Request

Beat Ole Miss this afternoon.  Col. Akbar's Bears haven't won on the road since the week after Thanksgiving. They've lost to Auburn...AUBURN...on the road. We need this win.

Play stout defense and do just enough with the offense, we win. Assle around with the ball and play slappnut defense, they win.  Pretty simple, right?

Tip is at 4pm at Stegeman.

Thursday, January 19, 2012

SEC Hoops Power Poll - Week of January 15th

The Power Poll is up.

1. Kentucky Wildcats 132
2. Vanderbilt Commodores 108
3 (t). Florida Gators 104
3 (t). Mississippi St. Bulldogs 104
5. Alabama Crimson Tide 103
6. Arkansas Razorbacks 72
7. Tennessee Volunteers 60
8. LSU Tigers 58
9. Mississippi Rebels 43
10. Georgia Bulldogs 33
11. Auburn Tigers 29
12. South Carolina Gamecocks 13

Overall, we think there are five clear top teams and one clear bottom team.  I wasn't way out of consensus, either, which means either I'm getting better at this, or the other voters are getting worse.  Or both.


Richt Approves...

Of Georgia's defensive minded win over Tennessee in OT last night.  

During the game, I kept thinking this is ugly basketball.  Then it hit me: As ugly as it was, it was the brand of basketball Georgia has to play to win right now.  Yes, the running game is much more exciting. The problem with the running game is one of depth and defenders for Georgia. We are getting deeper with Marcus' reintroduction, but we still have foul issues (both Neme and Marcus had four in regulation).  We did run some, but only when it was absolutely there (think the Florveus dunk on the half court feed by Ware). 

So, that leaves us with having to play smart offensively, both from shot selection and from a ball protection standpoints. We finally did that a whole game (actually, a game +5minutes).  We also have to play aggressive defense, something we can do a bit more with Marcus back. The up side is we created a season high 20 turnovers, also a season high in turnovers by Tennessee, netting a 17-8 point differential on points off turnovers. Between that and slowing down the game, we got a win. 

Georgia still has a long way to go, but this was easily the best total team effort we've seen defensively. With what we saw in the loss to Vandy and this win, I have hope that there is something to look forward to. Tennessee isn't as good as Vandy, but with Maymon and Stokes in, they are much better than the team that lost to Oakland and College of Charleston.  They beat Florida and gave Kentucky all they could handle. Overall, this is a good win for the Dawgs, as they came back from a deficit late and put a decent team away. 

We get to try to make it two SEC wins in a row Saturday afternoon at Stegeman against Ole Miss. 4pm tip on the SECNetwork.

Wednesday, January 18, 2012

SEC Hoops Power Poll Ballot - Week of January 15th

New basement dweller. Same folks at the top. Majic 8ball in the middle and bottom. Road wins are kind of like Big 12 footbal defense: a great theory, but not a reality.
  1. Kentucky - The 'Cats will lose a game in the conference at some point. They tried really hard to do so Saturday at Tennessee.
  2. Vandy - Just win baby. Bet the Georgia game made Stallings hair fall out some more. 
  3. Alabama - If this team learns to play consistent offense, they will be a tough out.
  4. Mississppi State - I honestly thought they were over rated. A gutsy win over Alabama made me realize I might have been wrong.
  5. Florida - Still not sure wins over the dregs of the conference should mean anything. At least they are beating the dregs of the conference.
  6. Arkansas - Anderson will have big success at Arkansas. He has a young team that isn't mentally tough enough to both play his punishing style of basketball and focus on playing to win. They will be very dangerous the later it gets in the conference slate.
  7. Mississippi - Not sure what to do with the Bears. On one hand, I think they are a talented basketball team. On the other, they sure don't play like it sometimes. They are 7th by default since I don't think they are in the top 6 or the bottom 5.
  8. Tennessee - Starting to show signs of life. Martin has them playing to the top of their potential and that isn't a good thing for the teams that had the Volunteers marked as a sure win.
  9. LSU - Rumors of Trent Johnson's demise were both exaggerated and premature. Which is what she said.
  10. Georgia - I would like to say something positive about the Dawgs: I love their mascot.
  11. Auburn - Well, at least I can use basketball instead of basektball for them.
  12. South Carolina - Could have had them 8th. Could have had them 13th. The bottom of the conference is just that bad.
It isn't a stretch to say the SEC could have only 3 teams in the NCAA tournament. It isn't a stretch to say the SEC could have 8 teams in the NCAA tournament. 

Tuesday, January 17, 2012


The one nugget about the Justin Taylor having to wait to sign with Alabama story that was interesting had nothing to do with Alabama. Saban deciding someone else is better than a kid that hurt his knee in August of his senior season, then telling him he'll have to wait until next year to sign a scholarship he's been relying on since last February, isn't news. Hell, it isn't even surprising. Effective, in that the kid shut down his recruiting and other schools left him alone. Not surprising.

Also not surprising? Tennessee's approach:  "Tennessee came through and I only talked to them one time. They gave me a number and the number didn’t even work."

Boy, that Dooley guy sure knows how to make folks feel the love.

Tasty Kool-aid Mix

I'm not sure if this is some sort of photoshoped video or what, but if this is real? Damn.  If Marshall is as fast as Malcolm Mitchell. Damn.

Thank goodness Justified is on tonight or might go into full fledged Kool-aid making mode.

Picture of Paul Westerdawg

Per request. He's in this picture.

Monday, January 16, 2012

Managed Cloud Service Provider Deployment Plans

 As more multinational business executives and IT managers consider embracing managed cloud service offerings, many are wondering how the service provider landscape is evolving -- and where providers plan to differentiate their capabilities.

Much of the initial market insight focused on the key emerging trends, but now we're starting to see more detailed analysis.

A new market study by Infonetics Research details operator plans for managed cloud services -- including their strategies and approaches to offering services, how services will be delivered now and in the future, and top applications of each type of cloud service including: Software as a Service (SaaS), Infrastructure as a Service (IaaS), and Platform as a Service (PaaS).

Their latest worldwide study resulted in the report entitled "Cloud Service Strategies: Global Service Provider Survey," where Infonetics analysts interviewed 20 incumbent telco, competitive, data center operators, and cable operators that offer cloud services -- now, or they plan to by 2013.

Investing in New Service Delivery Platforms

"Service providers around the world have embraced the cloud concept in earnest and are heavily investing in new services and service delivery platforms based on their particular areas of expertise. Internet content providers are leading with SaaS, data center and co-location operators are adding IaaS to their product portfolios and investing in additional infrastructure facilities, and traditional telcos are building on their existing networks and adding a range of services," said Sam Barnett, Infonetics Research's directing analyst for data center and cloud.

Highlights from the Cloud Service Survey Include:
  • 70 percent of respondent operators are investing in cloud services in anticipation of demand.
  • The top operator strategies for offering cloud services are bundling cloud services with network connectivity services and offering cloud services over Ethernet or IP VPN services.
  • Many of the smaller data center providers participating in Infonetics' survey plan to keep their business uncomplicated by moving from simple collocation support offerings to IaaS via the addition of computer and storage hardware, rather than getting into the complexities of offering OS software platforms.
  • 95 percent of respondent operators offer IaaS now.
  • More sophisticated offerings like platform as a service, or PaaS (formed by the addition of server operating systems such as Windows, Linux, and Unix) and software as a service, or SaaS (such as e-mail and security services offered by telcos and ICPs like Google) are currently offered by fewer operators, but will grow significantly by 2013.

All the Infonetics survey respondents are knowledgeable purchase decision-makers at service providers in EMEA (Europe, Middle East, Africa), Asia Pacific, and North America that together represent 20 percent of the world's telecom carrher revenue and 21 percent of the world's telecommunications service provider capital expenditure (capex).

Sunday, January 15, 2012

Dawgs Play Significantly Better...but Still Lose

Dawgs lose on the road 77-66 to Vandy.  While it was an eleven point loss, it was more like a four or five point game that free throws made into a bigger win. Vandy definitely was rattled by the Dawgs ability to stop the inside game and by Caldwell-Pope's shooting.  It was good to see Coach Fox's substitutions and him playing guys that are hot instead of worrying about guys fouling out.  Free throws are still a concern, both in numbers missed and the numbers the other team are taking. Not counting the 8 attempts during the last minute or so, Vandy still had 15+ more attempts than Georgia. Georgia shot 80% on 20 attempts, so that part of the misery that was the Florida game was much, much better.

Not saying it was a moral victory, but I have to say this game was the best effort from the team from start to finish against a quality opponent we've seen all season.  We play this way during every game, we'll sneak up on someone we have no business beating. We almost did it yesterday. I'll not get into the officiating (but boy, could I), but it was interesting to see Vandy's Taylor push his luck with the officials and get T-ed up at home.

This is partially the team I'd hope we'd see when we hired Mark Fox: Playing hard from whistle to horn, making good decisions with the ball, working the hot hand, and making the other team figure out what to take away.  Right now, we have a lot of growing to do before we will be a legitimate night in and night out threat to the big boys. We need to develop more of an offensive identity, even if it is a three point shooting team. However, if we continue to make the big boys earn their wins, get better every game and figure out a way to overcome some talent differential, and we'd have reason to look forward.  It won't hurt to get Marcus Thornton back soon.

Most importantly, we can't lay anymore steaming turds like we did in Gainesville Tuesday night. That just can't happen again.

Dawgs take on a very hot Tennessee squad at home Wednesday night at 8pm on the SEC network. We need a huge crowd, as this is a nearly must win if we have any hope of doing anything other than finishing the season just under .500.

Not a Bad Weekend - Tebow, South Carolina and Tennessee

Yesterday was a good day for those searching for proof that God loves others the same way he does Tim Tebow: South Carolina picks up the first points in the Fulmer Cup. Also, the media's Tebowmania came crashing down in a cavalcade of cliches why Tim Tebow might be a super good dude, but he is a left-handed version of Byron Leftwich. Not that there is anything wrong with that. Byron might not be as medically talented as Tebow, but he does have a couple of cool rides.

Tennessee football. I think that is all I have to say about that, right?

There are few things I love more than Schadenfreude, if for no other reason than feeling superior to South Carolina/Tennessee fans and wearing ascots at parties and saying Schadenfreude. Schadenfreude.

Friday, January 13, 2012

Fulmer Cup Season or God, Now I am Depressed b/c it's The Off-season

There is no way around the fact that we are over 230 days until college football is back making our lives full and rich, much the way eating a whole pound of Kobe veal served by Jenn Brown's jeans does.  Now, the Fulmer Cup is active.

The Off-season sucks. I lose weight. I have money. I have whole days on the weekends to do stuff. I don't spend large parts of my week in Sam's Club trying to figure out if it was bourbon or sweet tea vodka we ran out of. I buy both just in case. I eat well. I miss seeing people.

Now, we have the Fulmer Cup to deal with, and Athens' finest haven't gone all Sheriff Justice on the football team in some time. I hate the off-season.


Thursday, January 12, 2012

SEC Hoops Power Poll - Week of January 8th

You can see the full poll here.

1. Kentucky Wildcats 60
2. Alabama Crimson Tide 51
3. Vanderbilt Commodores 45
4t. Florida Gators 43
4t. Mississippi St. Bulldogs 43
6. Arkansas Razorbacks 37
7. LSU Tigers 33
8. Tennessee Volunteers 23
9. Mississippi Rebels 19
10. Georgia Bulldogs 17
11. South Carolina Gamecocks 12
12. Auburn Tigers 7

I was dead on the top three and bottom three. The middle six, not so much as I had the number four team ranked 9th.

Final Thoughts on the BCS Championship Game

Random stuff that went through my mind during and following the BCS National Championship Game:
  • Alabama is the better coached team. No wonder LSU fans are still mad at Saban leaving Baton Rouge.
  • I thought using the height difference between the Alabama receivers and the one LSU corner back that got thrown at a bunch was genius. It takes a lot of 'want to' to over come a seven inch height difference regardless of your moniker.
  • I am convinced Alabama's defense is the best in the country in 40 years. Give props to Smart/Saban for coaching them up, but even Ted Roof could have coached that bunch up. There are no less than seven likely future NFL starters in that group. 
  • There is some poetic justice to the number of FGs attempted (and made!) in the game, considering the number missed in the first match-up.
  • Also, if Oklahoma State fans want to be mad, be mad at Alabama's kickers for missing all those kicks in the first game. They hit one of them in regulation and the Cowboys play Alabama in New Orleans Monday night.
  • Any chance Bobby Hebert is East Bank BJ on the Tigger Droppings Board?
  • You think this win might get Saban a bigger statue?
Finally, is it April yet? I already miss football.

Wednesday, January 11, 2012

Something They are Getting Right

House Resolution 1104 honoring the life of Larry Munson passed yesterday.

If any Sting Talk commie in the House speaks out against this, I might run for the Legislature to personally get on Higher Education and work to pull all funding from Tech. Yes, I am just that spiteful.


1 for 9

That is Georgia's free throw line for the 22 point loss at Florida last night. A full 100 points lower than Michael Jordan's batting average. 15 points below the Rams and Colts' records this season. They nearly missed more free throws than they had assists.

Those eight points won't make up for the 22 points, but it is illustrative of how far this team has to go before they are a legitimate threat to do more than fill another team's 40 minutes of play time twice a week.


JacksonDawg Wins RichtFlair Open in a Rout

Spectacular performance, going 28-7 and pacing the field by 35 points.



2papadoc19's picks
3SimpleMan98's picks1
4contrarian's picks
4Bromig's picks
6ChiliDawg's picks
7prdawg01's picks
8mcaison's picks

Thanks to all that participated this bowl season.

Tuesday, January 10, 2012

Fox's Hounds are on ESPN Tonight

As part of their SEC Super Tuesday schedule. 7pm tip off from the O'dome in Gainesville. The 19th ranked Gators are coming off a loss to Tennessee on the road.


Send me some of that cas$ Nicholas. (Image: Hipple)
I'll leave discussion of parallels between the SECCG and the BCSCG and how things could have gone differently for Georgia to Blutarsky (and believe me, Nick Saban should send the number to his hair guy and part of his bonus check to Mark Richt for Georgia's first half game plan against LSU), but I have to question the LSU fan's thinking that putting Jarrett Lee in would have made things different. I'll buy the argument that he couldn't have done worse, but honestly does putting him in and having him do the same make it acceptable to do so?

I point this out to ask this question: If Lee hasn't supplanted Jefferson before the 3rd quarter of the national championship game, is merely standing on the sideline not facing Alabama's defense the thing that convinces you that he is ready to supplant the guy that has gotten you to that point? If he didn't win the job while he has had the chance to do so, I don't see how merely being available makes him suddenly The Answer.

To put it another way, is there anything about Hutson Mason standing on the sideline not facing SEC defenses that makes you think he should take Aaron Murray's place on the field in Georgia games?


SEC Hoops Power Poll

I'll be participating this season, along with several more worthy bloggers, in the SEC Hoops Power Poll. Since I didn't vote last week, I get the benefit of one SEC match up per team to make some semi-informed decisions. After pondering my ballot, I don't think it helped.

By my view, there is one very, very good team in the conference.  There are two more that offer a strong combination of talent and coaching. Beyond that, at least for now, it is a hot mess. In other words, I'll probably just throw this ballot away and start over next week.

My SEC Hoops Power Poll Ballot for the week ending January 8th:

  1. Kentucky - Kentucky's RPI will drop for the next two weeks as they feast upon the bones of the have nots in the conference.
  2. Alabama - I'm a believer. Only Kentucky is more athletic. Only Kentucky has more talent. Only Kentucky is better, right now.
  3. Vandy - We know Vandy is good, but when will they have that inexplicable loss that just leaves us wondering when Kevin Stallings is going to change hair jells?
  4. Arkansas - The loss to Houston seems like it was so long ago. The win over Mississippi State begs the question: Are the Hogs good or the Dogs bad?
  5. Mississippi State - It was nice while it lasted, but this looks more like a Stansbury coached team.
  6. LSU - OMG, the Tigers won a conference game.
  7. Ole Miss - We've been looking for the next team to challenge Auburn for the West's basement. Andy Kenedy's team is on the clock.
  8. Florida - Dude, really? Tennessee?
  9. Tennessee - Yes, I know they beat Florida. They've got a long, long way to go before I'll believe that was anything more than a fluke.
  10. Georgia - Someone has to be king of the dip shits, right?
  11. South Carolina - Hello, we are dip shits.
  12. Auburn - Bad basektball team. Yeah, I misspelled it intentionally because it isn't fair to the other teams to use the term 'basketball team' when talking about Auburn besektball. 
I'll link it when it is released. Feel free to use big words to explain how badly I messed up.

Monday, January 9, 2012

I Guess I have to Root for the SEC in the BCS Championship

I have a confession. I am not an SEC homer. Yeah, I'll root for the random SEC team during an early season OOC game, save for Tennessee, Auburn or Florida. I'd root for the Soviet Union against Florida. Just the way I was raised.

However, during this run of national champions, I have been generally agnostic about SEC teams winning. I'll admit to a bit of pride at being a fan of an SEC team during this time, but nothing good comes from another Alabama or LSU national championship. Right now, the only real thing I am rooting for tonight is a good game. That and the under.

That feels good to get off my chest.

Sunday, January 8, 2012

Dawgs Drop Conference Opener to Alabama

Georgia's basketball program has a long way to go to be a major player in SEC basketball. The loss last night to Alabama is a good example of why. Last night also showed that we can compete in the conference, as we closed a 12 point halftime deficit to within 4 points by the mid point of the second half.  We did it with strong defense, particularly with Djurisic's play on JaMychal Green, and smart offensive sets.

Regretfully, we continue to go through long stretches of games where the offense looks stagnant and we end up taking a very low percentage shot as the shot clock expires. I am not sure if the issue is chemistry on the rotations or the play sets, but we seem to just fall apart during at least one 4-6 minute stretch every second half. We also have a tendency to pull out a player when he gets hot, something that is confounding to me. I know we have depth issues, but sometimes you just have to ride the bee, and trust your hot guy to stay out of foul trouble. Not like you can roll those fouls over.

Strangely, though, we were still in the game. The difference was Alabama's 3pt shooting. They had a season high...by halftime. The also hit over 15% more of their shots, although we got off more shots than they did. That and they out rebounded us 35-20. We played well with a team that will undoubtedly make the NCAA tournament and could make some noise in the SEC. Figure out a way to stop the five minute dead time in the second half, and we are on to something.


Friday, January 6, 2012

SEC Hoops Opener

In case you haven't noticed (and judging by the numbers at Stegeman, you haven't...badabing!), Fox's Hounds have finished the pre-SEC schedule at 9-5. Breaking down the schedule, there is little rhyme or reason to the wins or the losses.

On the plus side, we have wins over RPI #64(?!?) South Dakota State, as well as Notre Dame, which is currently RPI#128 and USC, currently RPI#126. Both ND and USC will rise once they get into their conference schedules. On the negative side, we've lost games to #109 Cincinatti and #161 Georgia Tech (both RPIs there will move up, too). More damning, we've played very inconsistent basketball. We imploded against Tech, nearly did so against Deleware State and Winthrop, and haven't had any consistent full game offensive efforts yet. Our maddening propensity to go on 5-7 minute scoring droughts in the second half continues. In short, we've got a long way to go or the NIT is a mere pipe dream.

The upside is there are pieces that can come together. Caldwell-Pope is getting stronger, is becoming more of an explosive scoring threat, and is leading the team in scoring. Gerald Robinson is showing improvement in pass/shot selection. Marcus Thornton and Donte Williams are both getting better at going after the ball in rebound situations and showing more awareness when they get offensive rebounds.

Right now, Coach Fox's team is raw. We foul too much, take too many bad shots, rotate to cover the low post too slowly and lose our composure at times. I had hoped the non-conference schedule would work out some of the rawness and only time will tell if it has. Either way, the SEC schedule is here. Looking forward, I think the Dawgs have to have 9+ SEC wins, at a minimum, to have a legit NCAA shot, unless a couple of the non-conf wins or losses become substantially better.

Can we do that? Sure, if we play much better and smarter basketball. Fox's offensive is predicated on ball control and good shot selection. We have the ability to make any game a 63-59 type deal. I like our chances in those games.

Dawgs get their first shot at the SEC against a very good Alabama (11-3) team tomorrow night at 7pm. Coverage is on FSN.

Thursday, January 5, 2012

ACC: On the Clock for Relegation

Wow. I didn't think we'd ever see a more complete pantsing of an ACC team in the Orange Bowl than we did last season. I mean 70-33? Damn.

Bet Pitt and Syracuse wishes they had been a bit more patient.

As Mr. Sanchez at SnG put it: Clemson pulled a Clemson.

It was beautiful.

McGarity on the Football Program

As fans, we spend a lot of time trying to get into the minds of those that are in charge of the football program. We agonize over why Richt did this or why Bobo called that play or why we are playing a soft zone and only rushing four.

One thing I am not wondering about this morning? Greg McGarity's thoughts on what we need to fix in the off season. I agree with Blutarsky's point that no amount of fretting over philosophy will change who Mark Richt is, nor will the person making the decisions about Richt's future and use of that philosophy make a change directly because of it. McGarity doesn't think the problem is philosophy. He knows the problem is approach and preparation.

From McGarity:
McGarity also urged fans upset over the Bulldogs’ 33-30, triple-overtime loss to the Spartans in triple overtime to keep the defeat in perspective. 
“Blair Walsh kicks a 42-yard field goal and we’re sitting here feeling great about ourselves,” McGarity said. “But would we have solved our running game problem? No. Would that have solved them being able to go on an 85-yard drive with no timeouts? No. So, I mean, the dynamics haven’t changed. It’s not going to matter diddly-squat when we start lifting weights in three weeks. If anything it’ll add more incentive for next year.”
I don't believe he thinks the issue is philosophy. I don't believe he thinks the issues are the individual running backs or individual blockers. I believe he thinks the issue is the ability of the coaches to put the players we have in a position to succeed, either by preparation, play calling or scheme (yes, I realize philosophy is reflected in at least two of those things; but I am talking about doing so successfully within the philosophy). At least two of those were suspect in three of the four losses. We saw the defense have issues with those things for first time in several games during the last two minutes of the game on Monday.

Greg McGarity said the right things to Coach Richt when he was hired. I believe he'll keep doing and saying the right things in the future. McGarity isn't telling Richt to be a different coach, to take more chances and be more Lesticles like. He is telling him that his program has to be able to do the things it takes to win games using the conservative game management approach, such as run the ball successfully and stop an opponent who has 85 yards to go with under two minutes to play.

We as fans might find that to be maddening, but it is what it is.


Wednesday, January 4, 2012

At Least We Don't Live in Texas

I swear a friend who doesn't watch football thought this was a 30 Rock spoof.

He's got the career management skills of George Costanza. #firecraigjames


Tuesday, January 3, 2012

Michigan State Review

At various times in the game, the Spartans' strength were on display, especially in the final quarter. Part of that was Michigan State's realization that one side of the field was open season for passing and one wasn't. The other part of that was Georgia's decision to simply keep running the ball into the strength of the Spartans' defense. Give credit where it is due, the Spartans' played the game to win. Georgia played to not lose, especially in the second half.
The Good:
  • Boykin. Gonna miss you playa'. 
  • Murray to King. Twice. 
  • Good to see King's emergence after a season of all most. Great reason to look forward to next season.
  • Jarvis, Smith and Ogletree's defensive performances.
  • Stopping Michigan State's inside run game.
  • Butler's punting.
  • Continuing to go to the well with down field passes...in the first half.
The Bad:
  • Halftime adjustments. What the hell? Surely they discussed the possibility of what would happen if Murray kept getting pressured. Which he did the whole game. It looked like our half time was spent watching a Designing Women marathon, again.
  • Speaking of Murray getting pressured, in what world do we have a premier offensive line? I know depth was/is an issue, but half the running game issues yesterday (and most of the season, for that matter) can be laid at the feet of the line. All of the tackles for losses and sacks, save one, are on the line. Individually, they are all good players. As a unit? Meh.
  • Second half play calling. Specifically, thinking we can't possibly keep throwing down field successfully.
  • Under utilizing the quick pass plays to TEs and RBs.
  • Dropping into a protection scheme with under two minutes to play when State had not moved quickly  against our regular defensive scheme all day.
The Ugly:
  • 3 Overtime possessions. 11 plays. -9 yards. 3 points. I get Blutarsky's point about Richt and who he is, but the safe play is to go to what is working, not what hasn't. That isn't conservative, that is stupid. I'm not laying blame at Blair's feet, either. Kid has the yips. That is just the way it is. Also, he isn't responsible for blocking the middle of the line on a place kick. 
More than any game this season, this game was lost on the side lines. Yes, we had plenty of poor plays/decisions, but if we hadn't nutted up and decided to be super safe after Michigan State made their comeback, we win. 

Commedia dell'Arte

"Accountability is something that is left when responsibility has been subtracted."
-- Pasi Sahlberg

This was the year when America turned on its doctors, and on itself. Not the 300 million citizens who are busy with other existential threats, but the elite 1% that effectively runs America, and the cadres of intellectuals who provide grant funded scientific cover to our leaders no matter how misguided they seem to be.  Health care is a fiscal mess and someone, other than policy makers, must be held accountable. The greedy little doctors who are over treating us to enrich themselves are a good target and so are all of us greedy little people who refuse to go peacefully and expediently into the night. The same strategy is being applied to education, with the pathetic self-serving teachers obsessed with their benefits and the misfit children who ought to be cleaning toilets instead of learning, identified as the culprits for our educational fiasco. Mind you, the elite 1% is not experiencing either education failures for their children, or health care difficulties for their families. For them, this is not personal, it’s business, and they are about to make us an offer we can’t refuse.

A hundred years ago, give or take a couple of decades, America delegated the responsibility for taking care of the sick to the medical profession, and as science advanced by leaps and bounds, people were greatly rewarded with better health and longer life, and doctors were rewarded with prestige and financial prosperity.  Some say too much prosperity, some say too little, but all in all, fewer than 10 cents of each health care dollar go to physicians. Professional responsibility for sick-care does not require one to be a saint and it is not necessarily incompatible with seeking higher remunerations for one’s services. However, something went very wrong along the way. Ever so gradually doctors have lost control of their profession to the rising corporate and public interests in health care who acquired complete jurisdiction over physicians’ reimbursements. Doctors became the servants of two masters, responsible for one and accountable to the other.

This obviously unworkable situation caused enormous problems during Managed Care I (the HMO). On the eve of Managed Care II (the ACO), our leaders are proposing, on behalf of the people, to release the medical profession from the moral and ethical responsibility which formed the foundation of the patient-doctor relationship and replace it with uniformly measurable accountability to public and private payers. Patients are advised to reject the old ways of paternalistic physician managed care, in favor of the empowerment afforded by payer, health system or employer managed care, which is certain to bring about better health care at lower costs everywhere except in Connecticut. Physicians, who enter apprenticeship as teenagers and graduate somewhere in their thirties, are having difficulty letting go of the historic burden of responsibility. Patients seem not to have read the official memo, and most are still expecting doctors to uphold their end of the ancient bargain. There are of course well publicized and well marketed exceptions.

While responsibility is entrusted, accountability must be managed, monitored and acted upon. From a patient’s perspective, the locus of trust must shift from the doctor to monitoring organizations. While the old trust was based on long term relationships, word of mouth or gut feelings, introducing much variability in outcomes, the new trust is based on facts, calculations and objective data, hence the controversial importance of Electronic Health Records (EHR), which are increasingly fitted to facilitate the transition from old to new.  EHRs too are the servants of two masters, used by one and governed by the other.

Early EHRs were built and sold to doctors as tools to enhance practice revenue and personal income. Interestingly enough, very few physicians found that proposition enticing, and EHRs did not sell very well. Today’s EHRs are prescriptive data collection tools, with budding capabilities for reporting and exchanging information, and largely promissory abilities to deliver relevant evidence based protocols at the point of care. As the Meaningful Use incentives program enters its second year, physicians are increasingly purchasing and using EHRs. A minority is truly excited about a digital future, but the majority of EHR users, and practically all those still sitting on the sidelines seem to be asking the same question: how does this help with patient care? Well, it does, and it doesn’t, depending on what one means by patient care.

Most physicians are looking at EHRs as tools to help them do a better job. These doctors are still under the impression that they are at the center of health care delivery and EHRs are tools to assist them discharge their responsibilities to their patients. They are looking to computers to help search a medical record in intelligent ways, abstract all pertinent information and no more, manage repetitive tasks on their behalf, deliver timely reminders, provide advice upon request and become invisible when not needed - in short, the perfect butler. This is about hands-on patient care, one patient at a time.

Those who govern EHRs are continuously harmonizing them, through the Meaningful Use regulatory system, to promote accountability of EHR users. They need data. They need boxes to be clicked, numeric values to be captured and buttons to be pushed, and they need everything compiled and transported out to analytics engines to assess performance or lack thereof. They don’t need to know about Mary’s Lasix trouble, but they do need to calculate the p value from paired t-tests for the average change in percentages between baseline and subsequent years across patients qualifying for the measures. This is about standardized patient care at the population level.

Today’s EHRs have some features serving their users, but most development is geared to serve the governors and as a result, EHRs are not able to please either one of their masters. As Managed Care II blooms and the doctors for the 99% transition to accountability regimens, minding their p-values and t-tests, EHRs will become fabulous engines for enterprise data collection and processing. When the powers to be come to the realization that government intervention based on the assumption that people are irresponsible, greedy, dimwitted and largely inconsequential is doomed to fail, and Managed Care II joins its predecessor in the annals of failed policy, EHRs will finally become slick, intelligent and nonintrusive servants to both responsible doctors and their patients, helping deliver better health care at lower costs, one patient at a time, and by definition across the sum total of the people, because technology is not the limiting factor. Responsibility is.

3 Questions Answered: Michigan State

First things first, congrats to Michigan State. They took advantage of Georgia's mistakes and turned them into points.  They are the best bowl opponent we've faced in the Richt era and probably since Ohio State in '92.  They played extremely well in the second half and their last TD drive was a thing of precision. 
  1. Do we bring the 1st half team from the SEC Championship Game?  Well, we did for a while.  
  2. Which team will approach the Outback Bowl with the proper attitude? Both teams showed up to play. There was nothing to make me think either approached the game with the wrong attitude. 
  3. Will the drama at running back matter? Oh, God yes. I was wrong to think Georgia would do anything different. Hey, we saw Boykin and Smith run the ball some. We didn't do anything unique regarding scheme, play calling or philosophy, especially in the 4th Q. Clearly we weren't getting a push against their very strong defensive front, yet we kept running the ball when Michigan State dared us to pass. We never took that gamble late to ice the game. Very disappointing.
I'll get to the knee at the end of regulation and other things later. We played a tough opponent and lost a game that could have gone either way. Much like the South Carolina game, it was game we should have won. Unlike the South Carolina game, this loss happened on the sidelines and in the coaching box.

Monday, January 2, 2012

You can't...

Run the ball when all you do is run the ball.

More tomorrow.

eLearning Learning Adds Personalized Subscriptions

Aggregage, the platform that powers eLearning Learning has added a powerful personalization engine.  That means that eLearning Learning now allows users to sign-up and have their content personalized based on their interests.

You can sign-up via the "Personalize Your Content" button on the right side of the interface shown to the right of the red arrow below.  Or put another way, just above and right of the picture of Justin Bieber. 


By the way, I should point out that the four top articles on the site when I took the screen shot were all great:

It's what I love about the site.  It always has great, fresh content from a wide variety of industry professionals.  Every time I visit it, I find something that I missed that was really good content.

Now with personalization it's even better. The picture below gives a sense of what's happening:


Curators handle finding the best sources of content.  The system then uses social signals such as those coming from Facebook, twitter, LinkedIn, delicious as well as clicks and views.  These are compared to averages for the source and also looks at who is providing the signal, how often they signal things, how often they signal for that particular source, etc.  Those aspects existed before and it does a good job of finding great content.  You can read a bit more about these aspects in eLearning Learning Launches New Features.

What's new now is that the site allows you to sign up and provide your Twitter and LinkedIn information.   The site will look at your activity on these sites and the content of what you share.  It will use that to find interests as well as to cluster you with other users who are like you based on interests and sharing.  You can partially control your interests via the Subscription page as shown below:


This will change over time based on your LinkedIn and twitter activity.  You can always visit and manually select interests as well.  You can read a bit more here: Personalization Explained.

The system then can combine three pieces of information to figure out what will be most interesting to you:

  • Social signal score – are people in the audience finding it interesting
  • Topic match – does it match up with your interests
  • Like sharing – are individuals who are like you sharing this

The system uses these to both rank things on the site and to generate Daily and Weekly newsletters.

The reason that I'm most exited about this is that I partly use eLearning Learning to make sure I don't miss things that is good content that is relevant to me.  Now with personalization, it is even less likely that something will sneak by. 

I also personally like the format of the new newsletter.

Give it a try and let me know what you think.