Exchange sign-ups pass 1 million mark; Hawaii releases nearly $22M for hospital improvements;

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> Insurance sign-ups through the federal healthcare exchange have surpassed the 1 million mark, the U.S. Department of Health and Human Services reported, far higher than the totals in the first weeks after the disastrous rollout of the website. Announcement

> The state of Hawaii released nearly $22 million for hospital infrastructure improvements, including the implementation of a statewide electronic medical records system, according to Pacific Business NewsArticle

> In Wyoming, the editor of one of the state's leading online news organizations is uninsurable. He's eligible for Medicaid, but the state hasn't expanded it, and he can't afford the $1,300 monthly premium, WyoFile reported. Article

Healthcare News

> Nurses who are tired, don't get enough sleep or don't have time to recover between shifts are more likely than unimpaired nurses to regret clinical decisions they make during their shifts, according to a new study in the American Journal of Critical Care. Article

Healthcare IT News

> Telemedicine offers a way to ease the physician shortage and it's a natural method of communication for a new generation of doctors, Stanford medical student Akhilesh Pathipati writes this week in The Sacramento Bee. Article

And finally...Take home your placenta. Article