With Healthcare, one thing you can count on for certain is that it typically trails other industries by at least a decade in terms of the latest trends. While other sectors started moving away from file cabinets and towards electronic records in the early 1990s, the health industry is just starting to see significant uptake of electronic health records. However, it seems that many healthcare organizations are intent on following the latest trends towards utilization of mobile electronic devices, or mHealth. Indeed, many health care organizations are utilizing custom mobile applications to turn smart phones and other devices into personal health assistants.

Two years after the onset of the Great Recession, states are still facing monumental fiscal challenges. Brought on by an unfortunate combination of poor budgetary management skills, the worst recession in decades, and growing demand for services and entitlements, it seems most of the states are united by only one thing - red ink.

The United States currently faces twin economic challenges - growing the national economy (more specifically, lowering the unemployment rate) and shrinking the national debt. However, if you were to listen solely to the rhetoric and heated exchanges taking place in Washington, you could be forgiven for thinking our only problem is debt, debt, and more debt. The over 14 million individuals who remain without a job have become a tangential issue to the ongoing debate over debt.

According to the US Bureau of Labor Statistics, the nation’s current unemployment rate sits at an uninspiring 9%. And with today’s economy ripe for continued hard times, this issue is often alarmingly compounded by an associated lack of domestic skilled workers available to fill necessary positions.

Ever since last November, when Republicans retook the majority in the U.S. House of Representatives, the G.O.P. has successfully focused the national policy agenda almost entirely on debt and deficits.

There are all kinds of disasters that require emergency response. Some of them occur naturally like pandemic influenza and hurricanes. Others are man-made disasters such as exploding bombs and other terrorist attacks. No matter the cause, health care providers play an essential role in the aftermath of these events, caring for the sick and wounded. In addition, health care entities play a major role in preventing certain catastrophes like the spread of infectious diseases. States and other regulatory agencies require hospitals and other health care organizations to be prepared for and able to respond to such emergencies.

The education funding landscape continues to evolve, especially at the Federal level where the final 2011 budget deal resulted in the elimination of many highly-anticipated grant programs. Popular programs such as Smaller Learning Communities, Enhancing Education Through Technology, Improving Literacy Through School Libraries, and Readiness and Emergency Management for Schools will not be offered this year. Other programs, such as the Teaching American History Grant, will only be available for continuation awards (meaning no new grant applications will be funded).

In the health sector, money continues to flow from the Prevention and Public Health Fund (PPHF), originally created in the health reform legislation passed in FY 2010 (Patient Protection and Affordable Care Act). The PPHF was created in the same vein as its predecessor from the American Recovery and Reinvestment Act of 2009, the Prevention and Wellness Fund (PWF). However, while PWF represented a one-time appropriation with limited impact, the PPHF has real dollars committed to it for the next 10 years. In total, the PPHF represents a $15 billion investment over the next decade in community-wide efforts to prevent disease and manage chronic conditions by detecting and controlling them before they become severe and require costly interventions.

By Vince Siragusa
May 2011

As an indication that federal lawmakers are increasingly committed to deficit reduction and reining in spending, the recent congressional compromise trims $38.5 billion over the remainder of federal fiscal year 2011. Inevitably, those asked to do more with less will continue to be called upon to follow up on this daunting assignment. While thrifty public and private organizations have long ago trimmed the proverbial fat from their operational costs, many homeland security grant programs, no longer exempt from the broader discretionary spending freezes, will now be required to meet the same task. Let us take some look at what we can expect in Department of Homeland Security spending in 2011.

The "Arab Spring" of revolutions and demonstrations across the Middle East began December 17, 2010 when street vendor Mohamed Bouazizi lit himself on fire in protest of political oppression. Since Bouazizi's self-immolation, two long-standing dictators, Zine El Abidine Ben Ali of Tunsia, and Hosni Mubarak of Egypt have been ousted, a civil war compelling international involvement has erupted in Libya, and brutal crackdowns continue across the increasingly volatile region.