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Recent Publications:

 Abstract plus IEEE publication reference, Resilient & Pragmatic Health IT for Perilous Times, Published August 21, 2017, https://www.linkedin.com/pulse/resilient-pragmatic-health-perilous-times-sabatini-monatesti

IEEE GHTC 2017 Schedule reference plus (Abstract), Person Integrated Care (WPIC): A Healthcare Transformation Strategy Supported by a Novel Spreadsheet-Based Software Framework, Published August 19, 2017, https://www.linkedin.com/pulse/person-integrated-care-wpic-healthcare-transformation-monatesti

President Trump, We live with waste, it is all toxic to humans, please fix it, Published July 26, 2017, https://www.linkedin.com/pulse/president-trump-we-live-waste-all-toxic-humans-please-monatesti

NRC/FEMA’s Ethics Dilemma – Nuclear Waste Dumps, Water-less Flood Zones & Highway Bottlenecks without a Viable Escape Route, Published June 9, 2017, https://www.linkedin.com/pulse/femas-ethics-dilemma-nuclear-waste-dumps-water-less-flood-monatesti

Nuclear Waste/Hazardous Substance & the Empire State Building (Correction), Published June 6, 2017, https://www.linkedin.com/pulse/nuclear-wastehazardous-substance-empire-state-sabatini-monatesti

Care Team Management plus Business Intelligence, Published May 26, 2017, https://www.linkedin.com/pulse/care-team-management-plus-business-intelligence-sabatini-monatesti

EMOC 2 Loss Event Prevention: A CQI Scenario Review, Published May 25, 2017, https://www.linkedin.com/pulse/emoc-2-loss-event-prevention-cqi-scenario-review-sabatini-monatesti

EMOC2 MAKES EVERYONE IN THE TRANSACTION BETTER, SMARTER AND MORE EFFECTIVE AT LEAST COST, Published April 14, 2017, https://www.linkedin.com/pulse/emoc2-makes-everyone-transaction-better-smarter-more-least-monatesti

Ethics and Survival – Simple look at the threats, Published April 11, 2017, https://www.linkedin.com/pulse/ethics-survival-simple-look-threats-sabatini-monatesti

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News Releases (Update 05312017)

RM + Released, available for purchase (Pricing Revised Effective 05312017)

Enclosed with this note are your unique USERID (GUEST) and PASSWORD (WELCOME), along with your personal secure LIBRARY (RM).  Use this URL string & identifiers for access to ES Enterprises Inc. secured ESENTERPRISES.COM RM PORTAL SITE.  Your personal copy of the RM marketing literature is available now at this location: http://www.esenterprisesinc.com/Session/login/?uid=GUEST&pwd=WELCOME&onsuccess=/library/download/RM/RM%20Plus%20leave%20behind%2005232117%20v3%20rev2.pdf

Enclosed with this note are your unique USERID (GUEST) and PASSWORD (WELCOME), along with your personal secure LIBRARY (RM).  Use this URL string & identifiers for access to ES Enterprises Inc. secured ESENTERPRISES.COM RM PORTAL SITE.  Your personal copy of RM Screen Shots is available now at this location: http://www.esenterprisesinc.com/Session/login/?uid=GUEST&pwd=WELCOME&onsuccess=/library/download/RM/RAHN%20BETA_IMG%2004202017.pdf

Enclosed with this note are your unique USERID (GUEST) and PASSWORD (WELCOME), along with your personal secure LIBRARY (RM).  Use this URL string & identifiers for access to ES Enterprises Inc. secured ESENTERPRISES.COM RM PORTAL SITE.  Your personal copy of the RAHN Product Overview is available now at this location: http://www.esenterprisesinc.com/Session/login/?uid=GUEST&pwd=WELCOME&onsuccess=/library/download/RM/RAHN%20Elevator%20042017.pdf

Enclosed with this note are your unique USERID (GUEST) and PASSWORD (WELCOME), along with your personal secure LIBRARY (RM).  Use this URL string & identifiers for access to ES Enterprises Inc. secured ESENTERPRISES.COM RM PORTAL SITE.  Your personal copy of the RAHN Referral Manager User Guide is available now at this location: http://www.esenterprisesinc.com/Session/login/?uid=GUEST&pwd=WELCOME&onsuccess=/library/download/RM/RAHN%20Referral%20Manager%20User%20Guide.pdf

News Releases (Update 04122017)

EMOC 2 Released, available for purchase (Pricing Revised Effective 05312017)

Enclosed with this email is your unique USERID (GUEST) and PASSWORD (WELCOME), along with your personal secure LIBRARY (EMOC-2).  To access EMOC use this URL string & identifiers for access to the ES Enterprises Inc. secured ESENTERPRISESINC.COM EMOC-2 PORTAL SITE.  Your personal copy of EMOC-2 marketing literature is available now at this location: http://www.esenterprisesinc.com/Session/login/?uid=GUEST&pwd=WELCOME&onsuccess=/library/download/EMOC-2/EMOC2%20Leave%20Behind%2004-10-2017%20rev1.pdf.


Enclosed with this email is your unique USERID (GUEST) and PASSWORD (WELCOME), along with your personal secure LIBRARY (EMOC-2).  To access EMOC use this URL string & identifiers for access to the ES Enterprises Inc. secured ESENTERPRISESINC.COM EMOC-2 PORTAL SITE.  Your personal copy of EMOC-2 presentation of forms, reports and workflow is available at this location: http://www.esenterprisesinc.com/Session/login/?uid=GUEST&pwd=WELCOME&onsuccess=/library/download/EMOC-2/EMOC2%20Screenshot%20Demo%20v2.pdf .


Enclosed with this email is your unique USERID (GUEST) and PASSWORD (WELCOME), along with your personal secure LIBRARY (EMOC-2).  To access EMOC use this URL string & identifiers for access to ES Enterprises Inc. secured ESENTERPRISESINC.COM EMOC-2 PORTAL SITE.  Your personal copy of EMOC-2 White Paper is available now at this location:  http://www.esenterprisesinc.com/Session/login/?uid=GUEST&pwd=WELCOME&onsuccess=/library/download/EMOC-2/EMOC%202%20update%20value%20add%2005252017-rev4.pdf

News Releases (Update 02232017):

NRC Ethics Questioned – Citizen Denied Due Process, February 21, 2017

I requested, October 2016, that an evaluation of seismic activity due to Fracking be studied by NRC to determine if seismic activity had the potential to cause failure, regarding NPP SSES 1 and 2.  I was continually told I had no standing.  More than 10,000 “unconventional” wells have been drilled in the Marcellus and Utica shale deposits in Pennsylvania.  Recent state seismic monitors detected five tremors, measuring between 1.8 and 2.3 on the Richter scale. 

http://www.linkedin.com/pulse/nrc-ethics-questioned-citizen-standing-denied-sabatini-monatesti?trk=mp-reader-card

Ethics, Energy, Due Process and the NRC, February 8, 2017

I began my review of Talen Energy business practices in April of 2016.  Just recently Talen Energy decided to upgrade emergency ventilation to better equip the NPP SSES 1 and 2 in case of a rare disaster like that at Fukushima Japan.  This plant has been in operation for forty years and Talen Energy received a 20 year extension on their license.  Talen Energy recently released an SSES evacuation plan to affected citizens in the two counties.  At no time in the discussion has Talen Energy addressed the potential traffic bottleneck that would occur if 10,000 automobiles attempted to exit the Berwick area via Route 11 or north via other routes.

http://www.linkedin.com/pulse/ethics-energy-due-process-nrc-sabatini-monatesti?trk=mp-reader-card

Was Christ Socialist, Capitalist, Fascist, or Non of the Above, January 21, 2017

The citizen in our republic pursues peace, happiness, love and purpose.  Yet the citizen is unsatisfied, frustrated and angry[1].  Jesus was none of the above nor practiced any of the isms.  He was hung on a tree for treason.  His mission only lasted three years and he traveled about 1,000 miles on foot.  Yet his legacy of healing has propelled a people forward for 2,000 years.  

http://www.linkedin.com/pulse/christ-socialist-capitalist-fascist-communist-none-above-monatesti?trk=mp-reader-card

Citizen Investor without reward!, December 5, 2016

The citizen gives the Federal Government and State Government tax dollars to maintain infrastructure and provide for our defense.  Along the way they invest our hard-earned dollars in higher education, business ventures, they even invest in healthcare institutions and basic research to support new procedures, equipment and pharmaceuticals.  However, the citizen even though we are making the investment, never shares in the return on investment.

http://www.linkedin.com/pulse/citizen-investor-without-reward-sabatini-monatesti?trk=mp-reader-card

Price Gouging Without Value Delivered, October 19, 2017

Allergan just released 1st qtr 2016 earnings.  Restasis revenue estimate $298.7 million.  Estimated number of prescriptions 21 million.  Estimated cost to mfg. and deliver $5 per prescription.  Retail price at CVS for equal prescription over $500, a 100 to 1 ratio.

http://www.linkedin.com/pulse/price-gouging-without-value-delivered-sabatini-monatesti?trk=mp-reader-card

Pharmaceutical Industry Supply Chain Failure, September 17, 2016

Mylan’s EpiPen controversy has started an intriguing dialogue.  Congress introduces new bills that would require drug manufacturers to disclose and provide more information about planned drug price increases, including research and development costs. 

http://www.linkedin.com/pulse/pharmaceutical-industry-supply-chain-failure-sabatini-monatesti?trk=mp-reader-card



[1] http://www.usnews.com/news/politics/articles/2016-04-18/poll-americans-angry-with-federal-government-happy-at-home

(Pre August 4, 2016) News Release: Insurers have a major problem with healthcare system cost management

I believe the insurers have a major problem with healthcare system cost management. The insurers do not appear to represent the citizen in their negotiations with pharmaceutical brokers nor with providers.

https://www.linkedin.com/pulse/article/insurers-have-major-problem-healthcare-system-cost-sabatini-monatesti/edit?trk=mp-author-edit

News Release: Healthcare A Closed Loop, Monopolistic System Model (Update with real numbers)

The insurance companies negotiate everything on price/cost and profit; nowhere in this equation is customer experience, a focus on quality of service delivered, value perceived, or quality of life years exposed or introduced as a metric of a successful transaction.

https://www.linkedin.com/pulse/article/healthcare-closed-loop-monopolistic-system-model-sabatini-monatesti/edit?trk=mp-author-edit

News Release: Ethics be Dammed, A Corrupted, Discredited Republic?

 Now almost sixty years following the Eisenhower "Military Industrial Complex," in a divided country, we may be seeing the effect of a new complex, “the pharmacy insurance provider complex.” This system complex undermines our future democracy, i.e., by increasing cost, decreasing value, delivering poor quality and by destroying continuity of care.

https://www.linkedin.com/pulse/article/ethics-dammed-sabatini-monatesti/edit?trk=mp-author-edit

 News Release: Talen Energy-NRC ethics concern

Talen Energy received a 20 year extension to generate electricity at the Susquehanna Facility, Salem Township, thus requiring Talen Energy to increase their onsite nuclear waste storage.  Talen Energy anticipates they need 50 to 60 additional storage units.  The total waste estimate to exist 2 miles from my home by 2018 is 3,000 tons of nuclear waste, about 1,000 tons more than allowed under the Nuclear Waste Policy Act.  

https://www.linkedin.com/pulse/talen-energy-nrc-ethics-example-sabatini-monatesti?published=u 

News Release: Consumer Issue with Allergan Price Gouging

It appears that Allergan, a Restasis monopoly, could be perceived as a predator and a perpetrator of price gouging.  Price gouging[1] is a pejorative term referring to when a seller spikes the prices of goods, services or commodities to a level much higher than is considered reasonable or fair, and is considered exploitative, potentially to an unethical extent.

https://www.linkedin.com/pulse/price-gouging-fixing-pharma-pricing-must-addressed-now-monatesti

 


 

[1] https://en.wikipedia.org/wiki/Price_gouging

News Release: Ethical HIT, Patient Privacy & Information Security----------

ES Enterprises Inc. believes ONC opted for an unethical patient privacy and information security approach.  I call their approach the “party line” HIT BAA HIE-HISP DNS-HTTPS solution that is very similar in operation to the telephone circuit circa 1950.  In that timeframe, the operator connected two parties together and the operator could listen to the conversation, as could any of the neighbors on that line.  In 2004, ES Enterprises Inc. asked ONC to construct a “private line” implementation to protect patient and provider, and to distribute patient data throughout the network.  We made our proposal along with other small businesses, as well as, the big three, HIT cartels.  Even though ONC thought our approach had merit, they eliminated the small business set aside, and awarded their funds to the big three.  The solution we proposed, that made sense then and now, given all of the HIT, retail and federal breaches recorded was to encrypt at rest, encrypt in transit and to ensure that the network integrated user certification, authentication and authorization.  ONC opted to ignore this advice.  Today we have a mess with cyber-attacks occurring regularly and patient information, as well as, employee data at the federal level extracted by hackers at will without any real appreciation at the federal or business level that real people, citizens, patient’s welfare are impacted.  Forget the first and fourth amendment, NSA-NIST-CIA-FBI all ignored those protections.  The private line we proposed incorporates today’s long distance telephone network capabilities: (1) separated switching and connection from end-to-end, or STA to STA transmission; (2)  allowed for encryption of information at rest and in transit, Exxon and AT&T installed this technology on the Exxon network in 1990; (3) provided authorization , authentication and certification leveraging a Federal Bridge implementation.  It is now 2015 and patient privacy and information security is at risk.  We exposed these failure points and the unethical approaches in 2004 and in every year since then.  The situation has gotten worse.  I believe ONC capitulated to big data, big money cartels at the expense of the citizen.  The citizen is the victim in their implementation and it appears that the powers to be believe this is ok.  The HIT implementation, ONC Applicability Statement, is not only unethical, but it may be hypocritical, because the powers to be continue to inform the public that their information is protected and that it is, and will be, safe in their hands. 

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News Release: 

ES Enterprises Inc. and NHDS Inc. will present four demonstrations of their production ready Enterprise Market Opportunity Calculator (EMOC) over the next few days.  This Pursuit Process Decision Support Tool (P2DST) takes tracking of business opportunities to a comprehensive level not available to a sales team until now.  EMOC is a desktop, low cost, software application that ensures comprehensive management oversight of the sales and delivery process.  The EMOC dashboard displays revenue and resource data and projects probability of close.  EMOC captures the base line pursuit cost that includes proposal development, client solution introduction, along with a presentation of delivery team/client quality expectations.  EMOC provides a single focal point of reference, in a social network environment, for opportunity assessment information and promotes ease of presentation through its graphical representations of critical success factors.  With resource, cost and time tracked from lead generation through to delivery within EMOC, it is very easy to calculate Return on Investment for customer and provider, and for executive management to discern when the sales/delivery process is failing.   

News Release: Termination of Business Alliance: Effective immediately, Sabatini Monatesti, President, ES Enterprises Inc. concludes his business relationship with NHDS Inc. and terminates the ES Enterprises Inc. – NHDS Inc. Teaming Agreement.  Mr. Monatesti resigns his position as the COO for NHDS Inc. effective June 2, 2014, but remains a minority stock holder in NHDS Inc.

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News Release: Current Post regarding ethical failure:

https://www.linkedin.com/pulse/system-failures-do-harm-sabatini-monatesti?trk=mp-reader-card

Whenever we do something with technology, e.g., health information technology, it is important for the technologist to understand the human factors impact of using the technology. There are no free lunches.

https://www.linkedin.com/pulse/one-nation-under-god-ethos-odds-ethics-torture-hit-sabatini-monatesti?trk=mp-reader-card

Given that we claim our nation acts in a Godly manner, i.e., one nation under God, then unethical and hypocritical actions would be considered the antithesis of God’s will. Why then as corporation and nation do we commit these acts?

https://www.linkedin.com/pulse/write-your-headline-sabatini-monatesti?trk=mp-reader-card

We make the claim that corporations, government and individuals continue to act unethically and hypocritically.  We believe their activities, as described in previous posts, cause considerable harm to others. 

https://www.linkedin.com/pulse/economics-101-five-loaves-twelve-fish-sabatini-monatesti?trk=prof-post

History tells us that societies succeed when the fruits of growth are broadly shared. Indeed, no society has ever succeeded without a large, prospering middle class that embraced the idea of progress.

https://www.linkedin.com/pulse/one-nation-under-god-indivisible-sabatini-monatesti?trk=prof-post …

It would appear that the unethical actions or inactions of corporations and government and the lack of congressional oversight contribute to governance failures and ethical lapses. 

News Release: Current Posts regarding ethical HIT:

http://www.linkedin.com/today/post/article/citizen-vulnerability-threat-risk-sabatini-monatesti?trk=mp-reader-card

The vulnerabilities we deal with daily are built into our electronic communications computer systems, into our infrastructure, the products we use, as well as, into the extended raw material supply chains that we all depend on.

http://www.linkedin.com/today/post/article/20141203023739-42997510-drug-interdiction-governance-failure?trk=mp-reader-card

The US cannot continue its failed policy of drug interdiction. The tax payer, the drug addict, the family and legal services can no longer afford the ineffectiveness of this policy.

http://www.linkedin.com/today/post/article/20141126044550-42997510-christians-need-not-apply?trk=mp-reader-card

In our world of instant gratification, global travel and global corporations, government overreach, with financial institutions and individuals relying on raw materials from offshore, with an unfettered access to the global economy and cheap labor, US citizens are called upon to secure the land, air and sea supply chain while we bolster mega institutions when they error, fail or act in an unethical way.

http://www.linkedin.com/today/post/article/20140919024625-42997510-hit-problems-persist-patient-safety-at-risk-information-security-ignored?trk=mp-reader-card

Over the last 10 years our country has invested large sums of money to develop complex systems that place patient safety and privacy at risk. We are not, however, holding anyone accountable (safe harbor) for breaches of PHI security.

http://www.linkedin.com/today/post/article/20140919023014-42997510-ethical-hit-s-promise-radical-positive-healthcare-reform-needed?trk=mp-reader-card

The promise of ethical HIT is no less than enabling radical improvements in healthcare throughout the world.

http://www.linkedin.com/today/post/article/20140919022216-42997510-ethical-hit-principles-apply-to-patients-and-providers?trk=mp-reader-card

Ethical HIT principles related to patients include, e.g., Informed Consent, i.e., HIT must not share or disclose any protected patient health information (PHI) unless given explicit permission by the patient or authorized patient representative

http://www.linkedin.com/today/post/article/20140919021050-4299