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Booking a Trip to the ER on Your Smartphone? It’s a Breeze

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In this Sept. 17, 2014 photo, Lauren Wesolowski Toth demonstrates the InQuicker online service she used to schedule an emergency room appointment, in New York. Online services such as ZocDoc and InQuicker are enabling patients with non-life-threatening conditions to schedule everything from doctor’s office visits to emergency room trips on their laptops and smartphones, much like OpenTable users do with restaurant reservations. (AP Photo/Bebeto Matthews)

In this Sept. 17, 2014 photo, Lauren Wesolowski Toth demonstrates the InQuicker online service she used to schedule an emergency room appointment, in New York. Online services such as ZocDoc and InQuicker are enabling patients with non-life-threatening conditions to schedule everything from doctor’s office visits to emergency room trips on their laptops and smartphones, much like OpenTable users do with restaurant reservations. (AP Photo/Bebeto Matthews)

LINDA A. JOHNSON, AP Business Writer

TRENTON, N.J. (AP) — It’s like OpenTable for medical appointments.

No waiting weeks to see a dermatologist. No sitting for hours in the emergency room. No frantic calls to find a family doctor with openings.

Online services such as ZocDoc and InQuicker are enabling patients with non-life-threatening conditions to schedule everything from doctor’s office visits to emergency room trips on their laptops and smartphones — much like OpenTable users do with restaurant reservations.

Hospitals and doctors increasingly are subscribing to the services to simplify appointment scheduling for patients who dislike waiting on hold and are comfortable doing everything from shopping to banking online.

With most of the services, booking is as simple as going to a website, entering a zip code and the kind of care needed, and checking available times. Patients can get a doctor appointment within a couple days, even if they’re a new patient. And the services say most patients are seen within 15 to 20 minutes of their appointment, and when an ER backs up, patients with reservations are texted to come later.

“I truly believe talking to people on the phone to schedule doctors’ appointments will be something of the past very soon,” says Natan Edelsburg, a New York resident who has made 10 doctor appointments through one of the biggest online medical appointment booking services, ZocDoc.

Doctors and hospitals are using such services to attract and retain patients as the health care landscape keeps getting more competitive. With the nationwide proliferation of urgent care centers and pharmacy clinics open on nights and weekends, patients have more convenient options than ever before.

The booking websites also are a way for hospitals and doctors to try to please patients at a time when they face new financial incentives to do so. Starting this year, the Affordable Care Act, which requires most Americans to have health insurance, increases or reduces the Medicare payments hospitals receive each year based on patient satisfaction and quality. That can have a significant impact: Medicare, which covers Americans 65 and older and others with disabilities, pays for 43 percent of hospital patients’ care. A similar program for doctors starts next year.

“I don’t think you can compete in our medical practice marketplace without being a ZocDoc participant,” says Dr. Bobby Buka, a New York dermatologist who gets about 15 patients a week from ZocDoc.

EASY BOOKING

The services, which are free for patients but usually charge $200 to $300 per doctor a month, are benefiting from the focus on making scheduling easier for patients.

ER Express, an Atlanta startup, books reservations for more than 150 ERs and urgent care centers in nearly 30 states. It served more than 40,000 patients in 2014, up 300 percent from 2013.

Meanwhile, ZocDoc, which is based in New York, has more than 6 million patients per month making appointments for dentists, family doctors and 40-plus types of specialists in more than 2,000 cities. ZocDoc was started in 2007 by Cyrus Massoumi, who was frustrated trying to get care after his eardrum ruptured during a long flight and he had to wait four days to see an ear specialist.

“We think everyone in America will be booking online eventually,” Massoumi says.

InQuicker had a similar origin. It also was founded by someone who had some experience with the hassles of scheduling medical appointments. Tyler Kiley, who’d spent lots of time in ERs growing up because his mom was an ER nurse and his dad a hospital administrator, started it in 2006. He says he’d seen lots of unnecessary waiting, so he created software for online check-ins.

Growth surged after current CEO Mike Brody-Waite joined in 2010, bringing his marketing expertise: InQuicker now serves 224 hospital ERs, 517 doctor practices, 126 urgent care centers, and some other medical providers. The Nashville company scheduled 302,000 appointments in 2014, up more than 80 percent from 2013, and its revenue was $7 million. Revenue is projected to reach $15 million this year, says marketing chief Stacie Pawlicki.

WIN-WIN-WIN

Doctors and hospitals say the services help attract new patients.

At Northwestern Lake Forest Hospital outside Chicago, assistant ER director Dr. Steve Edelstein says ER Express sends about 40 patients a month to his ER and the hospital’s nearby Grayslake Emergency Center. A quarter are new patients, and he says those tech-savvy customers “are generally more likely to have credit cards and good insurance” than others.

“It’s been nothing but a benefit,” Edelstein says.

Jersey City Medical Center and its two urgent care centers rolled out InQuicker two years ago and use grew quickly. Together, they draw roughly 300 patients a month — 70 percent of them new patients — through InQuicker and their own healthstops.com site.

“It’s helped a lot with patient satisfaction,” says operations chief Kirat Kharode. His ER’s average wait to see a doctor is 35 minutes, versus 15 or less with a reservation.

Some patients also like the benefits of booking online. Lauren Toth, 29, made an ER reservation last spring at Jersey City Medical Center when her foot swelled up and red spots covered her leg.

“When I got there, the waiting room was packed. There must have been 50 people there, and they took me in 10 minutes,” recalls the Manhattan public relations representative.

Doctors advised rest and ice packs and sent her home for follow-up. Later, a dermatologist diagnosed inflamed blood vessels and prescribed medication.

“This could revolutionize the way emergency care is delivered,” Toth says.

___

Follow Linda A. Johnson at http://twitter.com/LindaJ_onPharma

Copyright 2015 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

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Antonio‌ ‌Ray‌ ‌Harvey‌

Feds: California Will Be Home to New National Semiconductor Technology Center

California was chosen by the U.S. Department of Commerce (Commerce) and Natcast, the operator of the National Semiconductor Technology Center (NSTC) to be home to the headquarters for the National Semiconductor Technology Center – as part of the Biden-Harris Admin’s CHIPS and Science Act. The CHIPS for America Design and Collaboration Facility (DCF) will be one of three CHIPS for America research and design (R&D) facilities and will also operate as the headquarters for the NTSC and Natcast.

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iStock
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By Antonio Ray Harvey

California was chosen by the U.S. Department of Commerce (Commerce) and Natcast, the operator of the National Semiconductor Technology Center (NSTC) to be home to the headquarters for the National Semiconductor Technology Center – as part of the Biden-Harris Admin’s CHIPS and Science Act.

The CHIPS for America Design and Collaboration Facility (DCF) will be one of three CHIPS for America research and design (R&D) facilities and will also operate as the headquarters for the NTSC and Natcast.

“We are thrilled that the Department of Commerce and Natcast chose to locate this critically important facility in Sunnyvale, the heart of the Silicon Valley, alongside the world’s largest concentration of semiconductor businesses, talent, intellectual property, and investment activity,” said Dee Dee Myers, Senior Economic Advisor to Gov. Gavin Newsom and Director of the Governor’s Office of Business and Economic Development (GO-Biz). “The Newsom Administration and our partners across the industry know how important it is to shorten the timeframe from R&D to commercialization.”

According to GO-Biz, the DCF is expected to direct over $1 billion in research funding and create more than 200 employees in the next decade. The facility will serve as the center for advanced semiconductor research in chip design, electronic design automation, chip and system architecture, and hardware security. The CHF will be essential to the country’s semiconductor workforce development efforts.

As detailed in the released NSTC Strategic Plan, the DCF will suppress the obstacles to “semiconductor prototyping, experimentation,” and other R&D activities that will enhance the country’s global power and leadership in design, materials, and process innovation while enabling a vigorous domestic industr“Establishing the NSTC headquarters and design hub in California will capitalize on our state’s unparalleled assets to grow a highly skilled workforce and develop next-generation advancements,” stated U.S. Sen. Alex Padilla (D-Calif.). “This CHIPS Act funding will propel emerging technologies and protect America’s global semiconductor leadership, all while bringing good-paying jobs to our state.”

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Community

Advanced Conductors Provide Path for Grid Expansion

Utility companies in the United States could double electric transmission capacity by 2035 by replacing existing transmission lines with those made from advanced materials, according to a new study published Monday in the Proceedings of the National Academy of Sciences.

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Photo courtesy UC Berkeley News.
Photo courtesy UC Berkeley News.

By Matthew Burciaga

UC Berkeley News

Utility companies in the United States could double electric transmission capacity by 2035 by replacing existing transmission lines with those made from advanced materials, according to a new study published Monday in the Proceedings of the National Academy of Sciences.

Led by Duncan Callaway, professor and chair of the Energy and Resources Group (ERG), and Amol Phadke, an affiliate and senior scientist at the Goldman School of Public Policy, the first-of-its-kind study details a faster and more cost-effective way to expand the grid and connect the more than 1,200 gigawatts of renewable energy projects awaiting approval. The analysis was first published last December as a working paper by the Energy Institute at Haas and has been covered by the New York Times, the Washington PostHeatmap News, and other news outlets.

“Expanding transmission capacity is critical to decarbonization, and we sought to study ways to build it faster and cheaper,” said Callaway.

It currently takes 10 to 15 years to build a new power line and the U.S. is building transmission lines at a lower rate than it was in the past decade. Without sufficient capacity, renewable energy projects often sit in limbo for years as transmission operators study what upgrades—if any—are needed to accommodate the increased loads.

The authors modeled various scenarios to determine if replacing existing transmission conductors with those made with advanced composite-core materials—a process known as reconductoring—could provide a pathway to faster grid expansion. 

Several reconductoring projects have been initiated in Belgium and the Netherlands, and utility companies in the U.S. have used the material to string transmission lines across wide spans like river crossings. That technology, however, has not made its way to the majority of overhead power lines that feed residential and commercial customers.

“As we learned more about the technology, we realized that no one had done the detailed modeling needed to understand the technology’s potential for large-scale transmission capacity increases,” said Phadke.

Based on the authors’ projections, it is cheaper—and quicker—for utility companies to replace the 53,000 existing transmission lines with advanced composite-core materials than it is to build entirely new transmission lines.

They assert that doing so would reduce wholesale electricity costs by 3% to 4% on average—translating to $85 billion in system cost savings by 2035 and $180 billion by 2050.

“The level of interest we’ve received from federal and state agencies, transmission companies and utilities is extremely encouraging, and since our initial report, the Department of Energy has committed hundreds of millions of dollars to reconductoring projects,” said co-author Emilia Chojkiewicz, a PhD student in ERG and an affiliate of the Goldman School of Public Policy. “We are looking forward to learning about these projects as they unfold.”

Additional co-authors include Nikit Abhyankar and Umed Paliwal, affiliates at the Goldman School of Public Policy; and Casey Baker and Ric O’Connell of GridLab, a nonprofit that provides comprehensive technical grid expertise to policy makers and advocates.

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Black History

A Life of Inventions: Engineer and Physicist George Alcorn

George Edward Alcorn Jr. was born on March 22, 1940, in Indianapolis. Growing up in a family that valued education, Alcorn developed an early love for science and mathematics. He excelled in school, and attended Occidental College in California, where he earned a bachelor’s degree in physics in 1962. He received a master’s degree in nuclear physics in 1963 and a Ph.D. in atomic and molecular physics in 1967 at Howard University.

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Portrait of George Edward Alcorn Jr. Debbie McCallum, Public domain.
Portrait of George Edward Alcorn Jr. Debbie McCallum, Public domain.

By Tamara Shiloh

George Edward Alcorn Jr. was born on March 22, 1940, in Indianapolis.

Growing up in a family that valued education, Alcorn developed an early love for science and mathematics. He excelled in school, and attended Occidental College in California, where he earned a bachelor’s degree in physics in 1962. He received a master’s degree in nuclear physics in 1963 and a Ph.D. in atomic and molecular physics in 1967 at Howard University.

Alcorn began his career in developing scientific technology in private industries, starting a career as a physicist for IBM. His career took off when he joined several prestigious companies and research institutions, such as the Aerospace Corporation, where he developed important technologies for spacecraft. In 1978, he accepted a position at NASA’s Goddard Space Flight Center, where he worked for the remainder of his career. There, he developed technologies for space stations and private institutions across the nation, becoming a key figure in the field of physics and space exploration.

Alcorn is well known for his groundbreaking work on X-ray spectrometers. An X-ray spectrometer is a device used to identify different elements in materials by analyzing the X-ray wavelengths they emit. His improvements allowed the instrument to detect X-rays with greater accuracy and efficiency. This invention has been critical for NASA’s space missions, aiding in the analysis of planetary atmospheres and surfaces, including Mars and other planets in our solar system.

He also contributed to the development of plasma etching, a process used in manufacturing microchips for computers and electronics. His work in this area advanced semiconductor technology, which powers everything from smartphones to satellites.

 Another accomplishment was the development of new technologies used in the Freedom space station in partnership with space agencies in Japan, Canada and Europe, though their projects never made it to space.

Throughout his career, Alcorn received several awards and honors, including NASA’s Inventor of the Year Award in 1984. In 2010, he received the highest honor from NASA’s Goddard Space Flight Center. In 2015, Alcorn was inducted into the National Inventors Hall of Fame for his invention of the imaging X-ray spectrometer.

 In addition to his work in the lab, Alcorn dedicated much of his time to teaching and mentoring young scientists. As one of the few African American scientists working in advanced fields like physics and space exploration, he has been an inspiration to young people, especially those from underrepresented groups in STEM (science, technology, engineering, and mathematics). He taught at Howard University and worked to encourage more African Americans to pursue careers in science and engineering.

George is quoted as stating, “The big thing about being in science and engineering is that if you have a good, interesting project going, work is not coming to work, it’s coming to an adventure.”

George Edward Alcorn passed away June 19, 2024.

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