From Elihu Smails: “Re: Citrix. I believe it’s responsible for many of our industry’s technology issues. Without their stepping in and serving up virtual sessions for EMR systems collapsing under their own client-server weight in the late 90s and early 2000s, the industry would have been forced to move to the Web and to modular platforms. I have nothing against their making lots of money, but for the sake of our industry, I wish they hadn’t saved the butts of the EMR vendors.” I couldn’t agree more. Citrix has customer advantages (security, low end user device requirements, central app management, remote capabilities, low bandwidth) but it did indeed let lazy vendors keep selling apps that were already long in the tooth and technologically overripe. Those systems work, but for dozens or hundreds of millions of dollars, you might expect a little more vendor capital investment. I always say that implementing Citrix is like eating at Denny’s: something nobody intentionally plans to do or is particularly thrilled about.
From DemoChic: “Re: social media policy. Not sure if other vendors have them, but here is NextGen’s, posted as it encourages users to post on Twitter and Facebook from their user group meeting.” The policy seems reasonable, asking that participants identify themselves, refrain from posting proprietary or defamatory information, and not contact other social media users through other means. Companies that don’t have such a policy can get some … ahem … ideas there. The meeting starts Sunday in Orlando.
From HIStalk Evangelist: “Re: my RN friend’s review of your site. She said this, which I found adorable: ‘Thank you for the HIStalk website … it’s very informative in a non-sterile manner.” Both the comment and the evangelism are cool – thanks.
From HIT in the Fog: “Re: Epic project at UCSF. We have had two people leave our 75-person team and the project is on schedule, under budget, and within scope. I’m not sure where the rumor to the contrary comes from, but it’s inaccurate.” Thanks.
It’s amazing how many fun people Inga and I get to meet by various electronic modalities. If you want to connect with us (other than via plan old e-mail, but we like that a lot too), my LinkedIn profile is here (flattering pic, don’t you think?) and Inga’s is here (hot legs!) The HIStalk Fan Club that Dann started is up to 1,177 members, so thanks for that – how many people can tell their moms they have a fan club? As a Round-Number Milestone Fixated American, I also notice that the HIStalk e-mail blast list has hit an even 6,400 verified subscribers. We’re on Facebook, of course, so feel free to Friend us or to Like HIStalk if you want to turn our frowns upside down.
Listening: The Greenhornes, a Cincinnati-based garage band whose members made up much of The Raconteurs. I like the sound. Their new album comes out next week.
The local TV station covers the Epic implementation at New Hanover Regional Medical Center (NC). It says the project will cost $56 million and generate $13.7 million in HITECH money.
A Catholic newspaper talks up the $450 million Epic system in place at the 28-hospital Sisters of Mercy Health System (AR). The corporate web site features MyMercy (their name for it) prominently.
Children’s Boston chooses the MetaVision anesthesia management system from iMDsoft.
CIO salaries: Packard Children’s Hospital at Stanford (CA), $700K. Medstar Health (MD), $642K. Saint Barnabas Health Care (NJ), $538K.
Jobs on the Sponsor Job Page: HIE Team Lead, Director Strategic Marketing Initiatives, Allscripts Consultants. On Healthcare IT Jobs: Cerner FirstNet Analyst, Electronic Clinical Applications Manager, Meditech Advanced Clinicals Consultant.
I doubt anyone cares much about Misys PLC these days (let’s face it, they added no value to the HIT companies they bought and sold), but just in case you do, the IRS rules that its sale of most of its Allscripts shares carries no tax liability. Shareholders will get their billion dollars.
Of all the things Weird News Andy could have observed about this story involving the use of mannequins to train nurses, he zooms in on the fact that the dummy’s hair looks like that of Rod Blagojevich.
Thanks to brand new HIStalk Platinum Sponsor Carefx. You may think of them as offering single sign-on, provisioning, and an enterprise master patient index. They do, but as the informercial guys say, “But wait – there’s more!” The Scottsdale, AZ company offers several products that help close information and workflow gaps among users of existing systems: BI dashboards, an eReferral portal, and the SOA-powered Fusionfx collaboration and patient information aggregation platform (a scalable community portal providing real-time queries to existing systems). You may remember that the company got an exclusive license from Cleveland Clinic this past May to market its dashboards covering core measures, mortality, physician scorecards, throughput, and patient experience. Inga and I thank Carefx for supporting HIStalk.
Steven Nickerson, formerly of Philips and McKesson, joins The Beryl Companies as VP of sales. The company offers a variety of services related to patient engagement and follow-up.
ONC wants input on consumer use of HIT and electronic health information to manage their health. Comments can be left (and read, surprisingly) on the Health IT Buzz blog entry called Strategy for Empowering Consumers.
Strange: a New York woman, upset over her father’s death due to heart failure, tries to hire a hit man to kill the two doctors and two nurses she says were involved. She is arrested by an undercover FBI agent posing as a would-be murderer after taking her $400 down payment. Not surprisingly, she’s having a psych evaluation.
I’ll be heading off to the mHealth conference in Washington, DC this weekend, weighing whether I’d rather pay $10 a day to use the hotel’s fitness center (Treadmill Timeshare) or turn blue for free while taking a chilly 4-mile jog around the National Mall, but at least getting to see cool sights while my nose hairs freeze. If you’re going, maybe I’ll see you there. If not, I’ll be posting from the conference each day.
HERtalk by Inga
From Za: “Re: ARRA. Will ARRA be pushed back or repealed because vendors and thus providers will likely be unable to meet the required timelines? My guess Is Horizon Clinicals is a victim of ARRA and I suspect there will be others. The bulk of vendors are struggling with rewrites. ARRA upgrades will need to be implemented and there aren’t enough resources to get everyone up in the timetable.” I would be shocked if the dates were pushed. Repeal flat out won’t happen. Then again, healthcare always seems to find millions to spare when it comes to lobbying, so you never know. Based on the ONC-ACTB certification announcements to date, most of the ambulatory vendors seem to have their products ready to go, and in theory, the RECs will shoulder some of the implementation load for primary care providers. I’d say at this point that community hospitals are the ones most at risk of missing ARRA deadlines.
Speaking of community hospitals, KLAS finds that community hospitals with fewer than 150 beds are giving more consideration to the larger vendors than traditional community clinical IS vendors. Meditech remains the most-considered vendor for community hospitals, but providers are also taking more interest in Cerner’s hosted offering and McKesson’s Paragon, and to a lesser extent Epic. KLAS does not mention this (probably because the report had been in the works for awhile) but I don’t see any of the “traditional” community hospital solutions (CPSI, Healthland, HMS, Keane, and Siemens MedSeries4) on HHS’s list of ONC-ATCB certified products.
AT&T announces a new practice area called AT&T ForHealth, established to accelerate delivery of wireless and advanced networking services in healthcare. As I understand it, the ForHealth area includes an mHealth group handling HIE connectivity, disease management, and telehealth initiatives; a healthcare mobility team; and, a healthcare marketing group.
The VA awards QuadraMed a five-year, $211 million contract to implement its Quantim Coding, Compliance, and Abstracting solution for ICD-10 coding and compliance. The VA will also add QuadraMed’s Physician Query Tracking and Central Reporting tools, as well as rely on QuadraMed for implementation, technical training, and support services. The VA has been using Quantim since 2005.
Former Allscripts, Misys, and Eclipsys VP Mike Etue joins Ingenix as SVP of provider sales.
Fort Worth, Texas-based HIE SandlotConnect says its exchange contains over 1.5 million patient records and connects more than 1,500 providers.
Boston-based Shareable Ink says it’s relocating to Nashville after securing $4.5 million in Series A funding from Tennessee investors. In case you missed it, T-System CEO Sunny Sunyal talks a bit about his company’s partnership with Shareable Ink in this interview posted yesterday.
Fairview Northland Medical Center and Fairview Lakes Medical Center (MN) go live on Epic.
A former UCSF Medical Center employee is sentenced to a year in prison for using the social security numbers of co-workers to complete online health surveys. Cam Giang received a $100 voucher to Amazon for each of the 382 online surveys he completed. Bet the shopping was good while it lasted.
The Alliance of Chicago picks Ignis Systems’ EMR-Link to provide EMR-to-lab connectivity for its 25-member community health centers.
When its merger with MaineHealth is finalized next month, Pen Bay Healthcare (ME) will receive $3 million and an Epic EMR system.
Medical imaging management provider DICOM Grid secures $7.5 million in Series A financing. The investment will accelerate DICOM’s market expansion and product development.
In case you are still not catching all the hot news featured on HIStalk Practice, here are some of this week’s highlights: (a) workflow analysis, HIT integration, and specialty specific solutions contribute to quality and safety improvements in the outpatient setting; (b) why findings from a recent CompTIA study sound pretty weak; (c) a one-on-one chat with President Obama, who shares his opinions on the significance of IT in healthcare. OK, I made that last one up, but you never know what compelling news you might be missing if you aren’t tuning in.
- NextGen partners with InstaMed to offer providers InstaMed’s merchant processing services, including patient collections and automated posting into the NextGen PM system. NextGen also announces its NextGen Inpatient Clinicals version 2.4 has earned CCHIT 2011 Inpatient EHR premarket certification. Certification under the ONC-ACTB program is pending.
- MidSouth eHealth Alliance (TN) extends its CareAlign system contract with Informatics Corporation of America to include the Middle Tennesse eHealth Connect HIE.
- MEDecision presents its concept for advancing technologies that support patient-centered medical homes in a just published e-book, The Patient-Centered Medical Home: The Cornerstone of Healthcare Transformation. Download here.
- FormFast announces a November 11 webinar featuring Barry Runyon of Gartner entitled World class doctors, world class treatment, broken workflow processes.
- 21st Century Oncology (FL) chooses the Sage Intergy for its 90 radiation therapy centers in 16 states, noting its strengths in handling complex, multi-facility billing.
- The OB department of Good Shepherd Medical Center (OR) selects the Access Universal Document Portal to electronically transfer perinatal documents from GE Centricity into Meditech’s Scanning and Archiving system.
- Picis introduces LYNX I/Point, a new charge capture solution for hospital-owned infusion and oncology treatment centers.
- United Hospital System (WI) activates multiple clinical components of Sunrise Enterprise solutions from Allscripts, including CPOE, pharmacy, and ED. At both Kenosha Medical Center and St. Catherine’s Medical Center, 100% of ED physicians were entering orders electronically on Day 1. In its next phase, United will deploy the Allscripts ambulatory EHR for its employed physicians.
- Methodist Children’s Hospital (TX) says it saved $1.5 million in one year after implementing T SystemEV in the ED, which allowed it to speed up discharges and transfers, reduce paper chart management time, and improve infusion documentation for charging.
I noticed that I have almost 1,000 followers on Twitter, which I find a bit amusing and somewhat surreal. Mr. H has a few hundred more followers than me, though I have a few hundred more tweets. Quality tweets over quantity?