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April 7, 2011 News 11 Comments

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3-31-2011 7-47-10 PM I’ve run reader-provided hints over several months that Allscripts EVP/CTO John Gomez was planning to leave the company. That became official on Wednesday, when Allscripts announced his resignation, effective May 31. He’ll be available to the company for 18 months afterward as a consultant. An internal e-mail from CEO Glen Tullman says that Gomez wants “to focus on a number of areas outside healthcare and perhaps running a company himself.” Allscripts shares dropped 6.8% on Thursday following that news and a downgrade by Auriga, which expressed concerns about his resignation, the level of attrition of Eclipsys employees after the acquisition, and recent KLAS rankings of the Allscripts Enterprise ambulatory product.

3-31-2011 7-47-10 PM I’ve been planning to use quick polls to gauge industry reaction to major news, so here’s your first opportunity to weigh in. Feel free to vote and add your comments.


Reader Comments 

3-31-2011 7-47-10 PM From Year of the Cat: “Re: John Gomez. This could really hurt Allscripts. It’s a very sad day for HIT as one of its most innovative minds exits.” He was arguably their least-expendable employee, at least to anyone interested in the former Eclipsys Sunrise and how it will integrate with other Allscripts products. I hope he’ll stick with the industry in some capacity. It wouldn’t surprise me if he doesn’t start his own company since he’s entirely capable, he has great vision, and his developers have always been able to run circles around just about everybody else’s.


HIStalk Announcements and Requests

3-31-2011 7-47-10 PM I mentioned using polls to get a quick read on industry reaction to major news. I’d also like to get comments from a fixed group of readers like Dr. Jayne does with her Medicine Cabinet. When something big happens, I would e-mail that group and ask for their comments, which I would then run (anonymously) at the next opportunity. If you are a provider CIO, CMIO, or other provider C-level reader and would like to participate, let me know.
3-31-2011 7-47-10 PM I see that CCHIT’s Sue Reber, writing for the organization’s EHR Decisions site, mentions my January 2006 editorial that I ran here recently called CCHIT Should Provide More Information to Purchasers. She even found humor in my making fun of their name almost before the ink was dry on the incorporation papers (“whose phonetic sounding-out always gets yuks from the watercooler crowd”) by adding her own observation that it is “an elegant name with initials not even a mother could love.”

On the Jobs Page: Inside Sales Executive/Telesales, Clinical Software Instructor, Healthcare Implementation Project Manager. On Healthcare IT Jobs: Client Relationship Manager, Healthcare Software Product Manager, Test Analyst.


Acquisitions, Funding, Business, and Stock

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MyHealthDirect closes $4 million in a Series B investment round. Arboretum Ventures and Chrysalis Ventures provided the funds, which will be used to expand sales, client services, and technical resources. The company’s Web-based solution allows hospital EDs and other high-acuity providers to search open appointments in the community to generate a patient referral.

4-7-2011 9-35-13 PM

CVS Caremark signs a deal with Advocate Health Care and its physician group that will install Advocate physicians as medical directors in 23 MinuteClinic locations in the Chicago area and Bloomington, IN. The organizations will integrate their electronic medical records systems.

4-7-2011 7-18-09 PM

CareFusion acquires Vestara for $17 million. The Irvine, CA company offers a drug disposal system that reads drug NDC bar codes and provides advice on how to dispose of the products to conform with all laws and regulations. CareFusion will rebrand the offering as Pyxis EcoStation.


Sales

Henry Ford Health System (MI) selects Health Care Compliance Strategies’ COI-SMART system to manage its conflict of interest disclosure process.

3-31-2011 7-47-10 PM Allscripts will outsource its Sunrise hosting to Xerox subsidiary ACS in a 10-year, $500 million deal. Allscripts expects the business to grow rapidly and needed outside expertise to manage it. My insiders tell me that Allscripts did a good job in being fair to their existing employees so that they’ll be offered their same jobs, pay, and benefits by ACS. While ACS will run the operation, an Allscripts governance team has control. The only casualties so far appear to be some members of the Allscripts remote hosting management team, with a couple of folks already gone. In an interesting twist, Allscripts remote hosting personnel in India are being told they will be let go if they don’t find another position within the company since ACS will not be using offshore resources. I mentioned on January 21 that ACS was being brought in for a role somewhere between oversight and total outsourcing.

4-7-2011 9-37-11 PM

Rush University Medical Center chooses Zix for secure e-mail.

Open source software vendor Mirth Corporation launches its InformaCare care management platform for Patient Centered Medical Homes and ACOs. It originally developed the cloud-based product for Pfizer more than ten years ago for Florida community projects and has licensed it back for a wider release.


People

4-7-2011 6-06-25 PM

Former Carestream Health GM Todd McNitt joins DICOM Grid as SVP of sales and marketing.

4-7-2011 8-24-49 PM

Nuance names Stefan Herm as VP and managing director for Europe, Middle East, and Asia. He comes from McKesson, which of course amused me endlessly since his last name is the same the acronym for Horizon Enterprise Revenue Management.

Insurance company Arcadian Health hires Prudence Kuai as CIO. She was previously with TriZetto.


Government and Politics

4-7-2011 12-21-25 PM

inga_small “The eHealth boondoggle continues,” according to one Canadian official voicing his objection to the the $673,000 paid to former health deputy minister Ron Sapsford in 2010.

UK Secretary of State for Health Andrew Lansley says fast broadband will improve NHS’s quality and efficiency by enabling greater use of telehealth, mobile computing, and access to information.

Proposed legislation in New York would require Medicaid recipients to have their palms scanned to receive services, saying the identification technology would cost $20 million to implement but would save $5 billion a year while being no more intrusive than electronic toll road payment systems. The state dropped a finger scan requirement in 2009.


Innovation and Research

4-7-2011 7-46-40 PM

3-31-2011 7-47-10 PM A four-member Brigham Young University team makes the finals in Microsoft’s Imagine Cup 2011 student competition with their ultrasound application. It allows physicians to download images and them move them to the cloud for collaboration, lowering the cost of medical imaging so that third-world countries can afford to use ultrasound technology. They built their prototype for less than $8,000 using a Microsoft tablet and an ultrasound probe. You can vote for them (or one of the other healthcare-related entrants) here.


Technology

inga_small The iPhone is the mobile device of choice for healthcare providers, according  to analysis by the online medical journal Bulletin Healthcare. Almost 30% of healthcare providers access daily medication information with mobile devices and over 90%  of the devices are iPads or iPhones. ER docs and PAs are the biggest mobile device users.

4-7-2011 7-55-29 PM

Medicomp has created an online demo of its MEDCIN-powered, browser-based, iPad-ready Quippe EMR documentation system. Sign up and you can play around with it online, provide feedback, and keep yourself busy until the software development kit comes out next month.

3-31-2011 7-47-10 PM Skype has many uses, including for telemedicine and allowing overseas military personnel to watch their babies being delivered stateside. Still, I found this fascinating: police officers are using it from their patrol cars to connect with judges to get warrants issued, especially in time-sensitive cases such as DUI where blood alcoohol levels need to be drawn quickly. One of these days I’m going to sit down and make a list of potential healthcare uses (like checking drugs remotely, walking someone through a procedure, etc.)

Verizon and MEDfx launch a Richmond, VA-area pilot program in which a medical practice scans the paper documentation of diabetic patients and sends it to a physician portal for widespread access. The practice, Dominion Medical Associates, is still paper-based, so the records can be printed and stored in their charts and later migrated to an EHR. The project uses both The Direct Project and NHIN Exchange technologies from ONC.


Other

inga_small From KLAS: one out of five community hospitals will switch EMR products within the next couple of years. McKesson and Meditech C/S clients have the highest level of confidence that their vendors will get them to Stage 1 MU by 2013. Healthland and Siemens MS4 clients are the least confident. McKesson was the highest rated vendor, followed by Meditech and Cerner.

Microsoft adds former HHS Secretary Michael Leavitt to the agenda for its Connected Health Conference.


Sponsor Updates by DigitalBeanCounter

  • FormFast will host an April 19 Webinar on best practices in hospital process improvement, featuring hospital panelists.
  • BridgeHead Software and Laitek Inc. form a strategic partnership that leverages Laitek’s PACS data migration services with BridgeHead’s data and storage management tools.
  • Forbes profiles Medicomp Systems and its Quippe tool.
  • The University of Kansas Hospital Authority will implement McKesson’s PROmanager-Rx automated medication dispensing system.
  • The Ohio State Medical Association (OSMA) will offer Greenway’s PrimeSuite 2011 EHR in its Preferred Partner Program.
  • Arkansas Department of Health chooses AT&T’s TotalMobile solution to help gain efficiencies in the transmission of flu vaccination records across the state.
  • Health Language signs an agreement with the Chicago-based BCBS Association (BCBSA) to facilitate ICD-10 transition.
  • Navicure and the American Academy of Professional Coders (AAPC) form a strategic alliance to educate the industry transition to HIPAA 5010 and ICD-10.
  • TeleTracking Technologies joins the American Hospital Association.
  • Several 3M products, including ClinTrac and Health Data Management, earn ONC-ATCB certification as EHR Modules.

EPtalk by Dr. Jayne

Dear Dr. Jayne,

Do your patients know or care about IT?

Curious George

Dear George,

Some patients are openly curious about the system we use and how it integrates with the hospital and other offices. I’ve found, though, that many patients just assume that we’re fully integrated, and because we’re computerized, that I can see everything in every chart of every physician they’ve ever visited.

I remember when HIPAA first came to pass how concerned everyone was about the records release provisions.

(Don’t get me wrong, some consultants still play this game. Even though a release is not required for us to collaborate on the treatment of a patient, they demand one before sending consult letters. That’s usually the last time I’ll send a patient to one of those types, unless they are something really special in which case I’ll call them personally and re-educate them on HIPAA and what a pain their staff is causing).

What struck me funny at the time was that patients already thought we had all the information, whether from an active consultant or from an old chart 15 years ago. Many had no concept of what HIPAA was designed to do or how it would impact access to information. When asked to sign releases, they were surprised to learn that we didn’t actually have everything at our fingertips.

If I thought the desire for information sharing was high then, it’s even higher now. With the advent of Web-based patient portals, electronic refill requests, e-visits, and more, the expectation on many fronts is that we have 24×7 access to the patient’s chart.

When seeing colleagues’ patients in the hospital, physicians used to be able to plead ignorance because the paper charts were locked up at the office. Now patients expect cross-covering partners to have in-depth understanding of what’s been going on with their care. Although a bother to some of my peers, personally, I think this is a really, really good thing.

I remember being petrified taking weekend call, having to talk to my partners’ patients and knowing absolutely nothing about them. Now, I can keep my secure VPN connection and pop into the EHR when someone calls at 4:30 a.m. with questions about whether they really need to go to the Emergency Department or whether they can wait until the office opens in the morning. Those of us who use nurse triage services can allow them to have limited access to charts. Reducing the number of people in the Emergency Department who don’t actually need to be there is a significant cost savings, which all of my patients definitely care about.

Ten years ago, I was one of the first in my area to trade e-mails with patients. At that point there wasn’t a tremendous interest in it and we actually ended up stopping. (Despite the Mother of All Disclaimers, patients e-mailed inappropriately about urgent issues and the hospital felt the risk was too great).

These days, many health systems and private practices are marketing their services around technology and improved access to physicians and care teams. And if you’re still not convinced that patients care about IT, check out the video below.

Dr. Jayne


Contacts

Mr. H, Inga, Dr. Jayne, Dr. Gregg.

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Currently there are "11 comments" on this Article:

  1. No offense but ZERO leaders from Eclipsys have “innovated” . . . the last innovation that company saw was the TDS and SDK flunders innovation BEFORE they sold out . . . . . Gomez led the development organization and did an ok job but as to hurting the company . . . how??? . . . no innovation is no innovation . . . .

    Allscripts is in serious trouble with or without Gomez . . .Can’t keep buying companies and masking the very serious capital, structural, morale, and viable solutions problem much longer . . . only a few hundred yards left in this runway before it crashes . . . .

  2. What is all this hype about John Gomez??? What innovation did he bring to Allscripts/Eclipsys Sunrise product suite??? A new GUI?? That’s not innovation! A applie like applet store -for what purpose??? He ignored the need for ‘true’ integration – go look at Lab, Radiology and the acquisition of Premise. There’s no innovation in that story and surely no integration. The revenue cycle solutions were ignored along with HIM. He tried to replicate an ‘apple like’ development environment – he got the jeans and t-shirt down pat but everything else was just development shuffle 101!!!

  3. Would love to see that telemedicine list! I realize there are lots of obstacles to the adoption in healthcare, but let’s get with it healthcare people. If police and the judicial system are using it for higher conviction rates, saving lives has to be higher on the priorities totem.

  4. Regarding John Gomez’s departure from Allscripts, as a search executive I would say that the degree to which Allscripts will be negatively impacted will depend on the calibre of talent they bring in to replace John and how quickly they bring in that talent. John is under a consultative engagement which provides some time for him to assist in transitioning and assisting new leadership – as long as a strong replacement is found quickly.

    Can this individual be identified, do they exist? Of course. There are other capable individuals who can perform in this role, as with every role. However, this is a critically important role for any organization and for Allscripts in particular at this time as they merge and unify solutions. Whether Allscripts can successfully meet this challenge will be key to determining their leadership position against the Epics and the Cerners.

    The fact that there is attrition following the Eclipsys acquisition was to be expected. This is all part of Allscripts getting to the next level. Building a great team will be the key determinant to their success in maneuvering the challenges ahead. I hope they make it!

  5. The innovations would be a workable and somewhat scalable Sunrise solution that didn’t exist prior to his take-over. I would also say their Helios platform is the best documented and extensible API and web-services solution offered by the large vendors at this point. That is, outside of picking a mid-sized solution like MedSphere and going off into millions of lines of code for a build-out. How much of the lack of true integration is fighting others inside the organization for better integration? Being a public company, investments in integration are hard to justify when you are always looking over your shoulder at the next earnings call.

    I hope he stays with the industry. I believe he could easily start a development, architecture assessment and integration consulting firm for vendors, government contracts, and for larger organizations who still do some level of extensions to the standard solutions (via Helios, Millennium Objects, Ensemble, etc.). With mHealth, telehealth, integration into the home for chronic care, the ever pending tighter integration of medical devices, charge capture as a direct byproduct of clinical documentation, advanced analytics and data mining, and real health information exchange still looming, the work is endless for someone of his skills and stature.

  6. Pamela . .

    Allscripts can bring in the most talent in every single position in the entire industry . . . .

    It won’t matter. The underlying core technologies and solutions from Allscripts and from Eclipsys don’t hunt . . . they haven’t hunted . . . . and they won’t hunt . . . even if you bring in folks that can sell rain in a rainforest this company has seen its 15 min of fame . . . only a matter of time

  7. Re Allscripts

    Interfaces doesnt equal integration. You can only put so much lipstick on a pig…..and it looks like the cosmetologist is exiting the building.

  8. It is easy to co-exist with any famous ceo when the going is good and there are good QoQ numbers to play to the media.
    I found JG to be tech focussed guy. I say this because under his leadership we have often developed product features that were technically perhaps very sound but did not really meet business objectives. Perhaps a guy from the business side is, what is needed to motivate the teams to see them through the integration challenge.
    The answer to the challenge of integration perhaps is not a technical one.
    Good move by Tulman. Waiting eagerly to see whom does Tulman get as replacement. Then perhaps Allscripts will be a fair place to work.

  9. Regarding Dr. Jayne’s response to the question, “Do your patients know or care about IT?”… Though I admire the good doctor’s answer of how much IT is a benefit and how we have plenty of anecdotal examples how much better it is than 10 years ago, I think the vast majority of patients care mostly about two things when it comes to IT and their health:

    (1) is the information right and helpful to the doctor to make the right recommendation at he moment of care and
    (2) is it hidden from all those who would use it for malicious purposes.

    The fact that it is well known that neither can be guaranteed tells me that IT does NOT matter as much as it could. When one day, patients can be guaranteed (1) and (2) are the case at least in the remotest of instances I.e. 99.999999%) of the time especially for (1), then IT will truly matter as does other public utilities and other infrastructures like traffic lights really truly matter today. Until then, healthcare workers and patients will need workarounds to navigate around the parts of IT they are aware are inadequate and thus don’t really matter…







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