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fhsm

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What’s the slash dot of the current era or blogging?

I’m skeptical that it’s out there and robust because I think hn would be the obvious answer and yet it’s not as if small bloggers are dominating the charts here.

I am skeptical that there is any single author where I would be interested in the majority of their output. Perhaps I’m the outlier and other people find authors where they want to consume ~all.

Regardless it seems to me that all of these sole proprietor subscription models are contingent on being generally interested in that person‘s average output whereas the past was faceted meta-aggregation over all producers which I think made it work.

Record retention is covered by a complex set of overlapping regulations and contracts. They are dependent on much more than date of service. M&A activity, interstate operations, subsequent changes in patient mental status, etc can all cause the horizon to change well after the last encounter.

As all the comments in this thread suggest the cost of having an extra record , even an extra breached record is low. The cost of failing to produce a required medical record is high.

Put this together with dropping storage prices, razor then margins, and IT estates made out of thousands of specialized point solutions cobbled together with every integration pattern ever invented and you get a de facto retention of infinity paired with a de jure obligation of could-be-anything-tomorrow.

I’m from a culture in which family use a very small number of very highly conserved names and non standard name positions. I’ve noticed this is sufficient to confuse the low rent data brokers that do statistical linkage. My parents and grandparents and my siblings and my children have all at various points shared addresses landlines and have overlapping names. The brokers are very unclear on how many people are involved , what sex , what generations what states.

This is a suboptimal characterization of this site.

I think it would be less wrong to say this is where covered entities that discover reportable breaches of PHI (whether their own or that of a BA) that trigger the immediate reporting obligation report them.

This is a narrower scope of coverage and shallower depth of epistemic obligation than you implied.

2025 Letter 7 months ago

Isn’t the obvious answer that many would refute the premise of meaningful regional variation? In which case the claim isn’t that somewhere else is that place but rather than all places are substantially equivalent on this difficult to measure concept (or difference is unknown).

S&P500 isn’t “the economy” but in the context of talk of a bubble it seems like we’re talking about equities not the whole economy. So let’s just keep taking the short cut …

The top is over performing so concentration is real but it’s not the only growth driver:

https://www.fool.com/research/magnificent-seven-sp-500/

The return / valuation concentration prob not as titillating as the PE run up:

https://finance.yahoo.com/news/surprisingly-excellent-run-st...

True or not true hard to say without better definitions of terms but seems like current profile is not ultra common in history but it’s not a bunch of losers getting diluted out.

Most studies of hospital resuscitation survival puts it at about a 1/4. Plenty of people survive and have good neurological outcomes lots of people do not [0].

Outside of diagnostically defined cohort it’s a bit of a silly idea as you can attempt on anyone without respect to readily identified odds of success [1] so the what of CPR isn’t readily untangled from the who of it.

Out of hospital is a similar story but with less ability to triage and thus the same pattern in which the fact of CPR [2] is less informative than the underlying problem [3, old but the best study I know of would be interested if someone knows of an update to it given in hospital trend since].

0. https://www.nejm.org/doi/full/10.1056/NEJMoa1109148

1. https://pmc.ncbi.nlm.nih.gov/articles/PMC8118500/

2. https://ccforum.biomedcentral.com/articles/10.1186/s13054-02...

3. https://pmc.ncbi.nlm.nih.gov/articles/PMC1767484/

… providers fall into the Covered Entity category …

If doctor etc is a Covered Entity then that doctor is most likely a Provider, but is every doctor providing healthcare a really CE?

I wouldn’t have said no but I don’t track it ultra closely so I’m curious what’s the latest? My first three results matched my expectation but they could easily be out of date…

https://www.epatientdave.com/2020/02/03/hipaa-you-arent-a-co...

https://www.stevenslee.com/health-law-observer-blog/is-a-cas...

https://www.americares.org/wp-content/uploads/globalassets/_...

Anyway re the parent, my fourth result uses therapist as the example of uncovered providers, which would have been my guess

https://www.consumerreports.org/health/health-privacy/guess-...

This is the only setting in which I use right assignment and I do so routinely for exactly the same reason.

I don’t see every using a read and replace pipe operator over the right assignment approach.