CHARTSaaS© can facilitate healthcare cost reduction

“Atul Gawande, MD, a surgeon at Boston-based Brigham and Women’s Hospital and writer for The New Yorker, says tackling complex issues such as rising healthcare costs and gun violence is a lengthy process, but can be achieved within our lifetimes …

In a speech at the John F. Kennedy Jr. Forum at the Harvard Institute of Politics in Cambridge, Mass., Dr. Gawande pointed to the decades-long debate over smoking and the eventual passage of policies that have decreased tobacco use and increased overall life expectancy for millions of Americans. ‘But the story is, every time it takes longer than people think,’ he said. ‘You’re working and chipping away and learning how to define the problem accurately, how to mobilize people to pull in the same direction.’

The idea of implementing evidence-based solutions and long-term strategies are methods Dr. Gawande claims healthcare professionals are much more hesitant to introduce. For example, he says one way to stem the opioid crisis is to use electronic prescriptions, which would help ensure patients only receive the dosage they need. Replacing short-term opioids with longer-term medications, like methadone, could ‘cut the opioid death rate by 90 percent,’ according to Dr. Gawande. However, the medical industry has ‘been reluctant and unwilling to make that a standard part of what we do,’ according to the report.”

The foregoing excerpt from the March 13 2018,  issue of the Becker’s Hospital Review article by Alyssa Rege, entitled “Dr. Atul Gawande: Unnecessary care major contributor to high healthcare costs” ( discusses the long-term nature of healthcare change and the reluctance of healthcare providers to implement “… evidence-based solutions and long-term strategies.”

To help overcome this reluctance and, thereby, to contribute to reduction in care costs, the Cloud Healthcare Appliance Real-Time Solution as a Service (CHARTSaaS)© reference architecture (RA), specifies a software development environment (SDE) that is architected for use by healthcare provider subject matter experts (SMEs) to create, operate and optimize mobile information technology (IT) applications or “apps” without IT staff assistance. These apps can be designed to automate standard-of-care and best-practice processes such as pathology-specific clinical pathways, differential diagnosis or treatment planning using features for process/case design, Boolean rules/decision design, Bayesian multi-dimensional similarity and predictive analytics, connectivity and interoperability with electronic health record (EHR) systems and other CHARTSaaS© subscriber sources of data. The healthcare provider SME can operate these features using drag-and-drop and point-and-click techniques design, develop, deploy, operate and optimize mobile apps.

Please validate the foregoing CHARTSaaS©-related propositions to your own satisfaction by reading the white paper at, and viewing these presentations:, Healthcare providers will benefit significantly from appreciating and then applying a CHARTSaaS© RA-compliant IT solution.

To do so will mitigate medical mistakes (currently the third leading cause of patient deaths. per Makaray and Daniel (; thereby minimizing patient adverse events and optimizing clinical case outcomes while maximizing the cost-effectiveness of care and treatment, and also accelerating the accrual and facilitating the application of medical knowledge. Please contact me, Pete Melrose, at or +1 (612) 201-2301 to discuss and decide re how you or your organization can participate — patient lives may depend on your decision. Thanks, and good wishes for another great day!

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