From Elizabeth: “Re: HIStalk mug. Thanks so much for the HIMSS coverage this year, as always. It was great that you had a booth because I’m pretty sure others would agree that the HIStalk gang are celebrities, albeit anonymous, in this space. I am sending you a little pic of my coveted HIStalk mug in its new home in snowy, cold NY. I think it fits in very well. It was by far my favorite takeaway from the conference, so much so that I wrapped it in a t-shirt from another vendor so it wouldn’t break on the flight home. I am happy to report that it remained safe and intact.” I can’t explain why I like seeing pictures of reader workspaces, but I do.
From Sipper: “Re: HIStalk mug. Big fan of HIStalk for many years, read it every day, loving my new mug!”
From Posit: “Re: HIMSS thoughts. Educational sessions were strayed, put together in silos, and not given by industry leaders but more by committee members trying to get placed on the HIMSS board. Educational content had nothing new. Hillary was dry, useless, and added nothing to the conversation of healthcare. The CIO Forum was the usual boy’s club, mostly just CIO wannabes as the majority of CIOs were out sunning themselves. The attendance count seemed to include anyone walking in the door. The HIMSS14 handbooks had many typos – sloppy work.”
From Dr. Info: “Re: HIMSS video. I saw this gem out of the corner of my eye and then had to endure many painful minutes of this insipid self-promotional video before it came around again for a quick photo for your blog. I’m probably the only person who watched the whole thing, including the producers and editors! Maybe they should just change the acronym already.” You would think HIMSS could spell its own name, especially when it was shilling its HIMSS14 TV informercials (“one-third of air time will be dedicated to our sponsors,” which puts even network TV to shame.)
From Eager Cleaver: “Re: cost of exhibiting at HIMSS. You should get someone with a modest-sized booth to anonymously provide all line-item costs to exhibit. Readers would be shocked.” I did this a few years ago and would be happy to do so again if a company would be willing to share. I would do it for the HIStalk booth, but it was tiny and we did everything on the cheap, so it’s not really representative. Meanwhile, money alone won’t buy you prime hall space, as booth selection is driven by HIMSS points, which is like your grocery store loyalty card with a lot more zeroes. The annual conference brought HIMSS $25 million in revenue, half its total take. Dues made up only 18 percent of its total revenue. According to its 2011 tax forms, Steve Lieber was paid $925K, so he’s surely well over the million-dollar mark by now. Also in the footnotes of the form: HIMSS owns 81 percent of MedTech Publishing (book value $8 million), which means if you get your industry news from Healthcare IT News, mHealth News, or Government Health IT, you’re getting it from the vendor-friendly, HIT-cheerleading HIMSS.
From GreenFlamed: “Re: Dragon Medical Network. v12.50.200.089 is not ready for prime time, especially in Virtual Desktop environments. It takes a crazy amount of support to sustain and keep your end users happy. The new service pack is riddled with bugs and the dictation box transparency feature is broken. We are facing a major Dragon buy-in and adoption crisis currently because it keeps crashing. Are there any other Dragon360 Network users out there using Dragon on a Virtual Desktop environment?”
Only 20 percent of respondents say their business card titles include a certification. New poll to your right: if you attended the HIMSS conference, how was it overall?
Some of the classrooms we helped via HIStalk’s donation of proceeds from the big ad at the top of the page to DonorsChoose projects are already benefitting. Mr. Delperdang reports (and sends the photo above left) that his Mississippi high school students are using the inexpensive supplies we donated (remanufactured printer cartridges and a file cabinet, which he calls “a blessing”) to print and file assignments and college applications. Ms. Vega’s Illinois second graders have created a reading station from the set of non-fiction books we purchased, which she says is the most popular learning station in the classroom and that “even my students whom were afraid to speak and share ideas are now sharing their background knowledge with us.” Ms. Opatz’s Utah fourth graders have formed reading groups around the books we purchased for them (photo above right.) We funded a bunch of projects from the ad revenue and will be doing more, so stay tuned.
Oracle – like its CEO, Larry Ellison – rarely passes on the opportunity to exhibit boorish behavior. The company’s sloppy technical work reportedly assured the failure of Cover Oregon’s health insurance exchange, with the resulting outcry shaming Oracle into making a public promise to fix the problems it caused at no charge beyond the $90 million it was already being paid. The still-dysfunctional site isn’t likely to get better – Oracle has decided without explanation to pull 60 percent of its employees assigned to the project.
California’s health insurance exchange, fresh off a five-day system outage, says 14,500 people whose applications were partially completed in the days before the unplanned downtime will need to start over.
The General Accounting Office reviews the progress of the VA and Department of Defense in deciding to pursue their independent EHR plans and make them interoperable. They aren’t impressed: GAO says those organizations don’t have proof that it will be cheaper to run their separate systems than to create a single one. It also points out that despite the VA’s plan to pilot its system by September 2014 and the DoD’s intention to take its system live by the end of FY2016, neither have said what their systems will consist of, when they will be finished, or what they will cost. The report also says the VA and DoD are still fighting over control, with the federally mandated Interagency Program Office (IPO) having no power over funding and staffing. Both the VA and DoD, strangely enough, agreed with GAO’s recommendations that they perform a cost analysis, justify choosing the more expensive choice if that’s the case, create interoperability plans, and strengthen the control of IPO.
McKesson, bowing to shareholder pressure, reduces the pension of Chairman, President, and CEO John Hammergren from $159 million to $114 million, although one analyst says the company’s executive pension plan is still “the richest in corporate America.” Perhaps an earlier announcement of his forced impoverishment would have allowed him to escape the indignity of winning his second consecutive HISsie award last week for “Industry Figure In Whose Face You’d Most Like to Throw a Pie.”
It occurred to me while Mark Bertolini was delivering the HIMSS conference’s opening keynote address, his Aetna employees were setting up the company’s booth in the exhibit hall. Somehow that seems wrong. If it weren’t for HIMSS trying desperately (and unsuccessfully) to get people to stick around later into the week, they would have put the second consecutive keynoting Clinton (Chelsea next year?) in that spot as they have done with politicians in the past.
People have asked what my favorite conference giveaway was. I’ll go with the iPhone 5 cover from zCover. I wasn’t initially impressed because they had a tableful of them and they were packaged in plastic bags, to the point I was about to just toss it in the trash when I got home. It’s a really nice case that fits the phone perfectly (including little covers for each port) and a clip-on back that ties the package together. It has its own buttons that cover the ringer volume and home buttons that make them easier and more satisfying to use. I’m really glad I picked it up – it has replaced my rubber bumper cover.
It’s hardly news since Intermountain Healthcare announced that it was choosing Cerner as a partner last fall partly because it wasn’t confident about hitting Meaningful Use dates, but CIO Marc Probst says Intermountain will forego incentives and accept penalties for not being ready for MU2 in 2014.
Streamline Health Solutions promotes Richard Nelli to COO.
Greenway acquires PeopleLynk, which sends patient relationship messages based on EHR events.
Infor signs a letter of intent to acquire assets of GRASP Systems, including patient acuity, workload management, and patient assignment systems.
Ingenious Med launches its patient encounter platform One by Ingenious Med (IM1), providing care coordination and patient management to acute and sub-acute spaces.
ONC and ANA will present a free one-day summit for nurses on March 21 at The Baltimore Washington Medical Center in Glen Burnie, MD. The agenda includes a keynote by Deputy National Coordinator Judy Murphy, a panel discussion about using health IT to exchange information, afternoon breakout sessions, and a town hall discussion. I recommend as a counterpoint to all of that healthy discussion a side trip to my favorite place in Glen Burnie, Ann’s Dari-Creme.
In Canada, New Brunswick doctors question their medical society for striking a deal that allows only one EHR – the one sold by a for-profit company co-owned by the medical society — to access the province’s databases. Only 240 of 950 eligible physicians have signed up ahead of the March 31 deadline to earn a 50 percent government subsidy, with only 34 of those actually using the mandatory Velante software. Doctors question whether the medical society’s motivation is business success rather than patients, while the province’s health minister says it may have to take over the system if too few doctors sign up. A similar situation exists in Nova Scotia, where the province gave Nightingale exclusive rights to provide a subsidized EHR that connects to the government’s information.
The VA creates a development portal that explains how to create mobile apps for its use.
CareSync wins the most promising startup contest at the HIMSS conference.
”How the Medical Establishment Got the Treasury’s Keys,” an interesting article by economics professor Uwe Reinhardt, recounts irrational and naturally inflationary creation of Medicare in the 1960s as flawed grand plan to reduce poverty:
To help implement that vision, these proponents reluctantly paid the price the providers of health care extracted in return for accepting the legislation: Congress surrendered to the providers the keys to the United States Treasury, full well knowing that this social contract could have only a short shelf life. One would assume that physicians and hospital leaders knew that as well. In other words, the proponents of Medicare who signed on to the deal were anything but stupid. When confronted by the health care sector with a harsh trade-off between their cherished vision for health care, on the one hand, and a sensible payment policy, on the other, they let their vision override economically sound payment policy. Millions upon millions of America’s senior citizens are indebted to them for a program that remains highly popular to this day.
Weird News Andy wonders, “Does the noise in my head bother you?” in reading of a British tourist hearing scratching noises inside her head that turned out to be a happy family of eight flesh-eating maggots. WNA also likes this story, in which stethoscopes were found to carry more bacteria (especially MRSA) than anything other than the fingertips of doctors. It’s probably not realistic that doctors who can’t be convinced to wash their hands would sterilize their stethoscopes.
HISsies 2014 Winners
Sponsor Updates from Last Week
- Sagacious Consultants launches Sagacious Dispatch for Epic customers with short-term projects for optimizing their EMR.
- Orion Health launches Collaborative Care for ACOs.
- MEDHOST joins CommonWell Health Alliance.
- Shore Medical Centers (NJ) selects CareTech Solutions Clinical Service Desk for night, weekend and holiday support.
- Truven Health Analytics introduces Micromedex Pharmacy Intervention and Micromedex Infection Prevention.
- CynergisTek expands its collaboration with Iatric Systems to offer support and management of Iatric’s Security Audit Manager.
- Premier reports 90 percent of respondents experienced at least one drug shortage in the last six months that may have caused a medication safety issue or error in patient care.
- Aventura releases Roaming Aware Desktop Version 5.0.
- Kaleida Health (NY) selects Orion Health’s Rhapsody integration engine.
- Covisint receives full accreditation with the Direct Trusted Agent Accreditation Program from DirectTrust.com and the EHNAC.
- iMDsoft announces its MetaVision for NICUs will be featured at the 20th annual Cool Topics in Neonatology conference.
- DrFirst’s controlled substance e-prescribing software will be integrated into Greenway’s EHRs.
- ADP AdvancedMD offers an ICD-10 transition program with preparation resources, product enhancements, and a revenue cycle financing program.
- UnitedHealthcare announces that InstaMed’s online bill payment service myClaims Managers has grown to 50,000 participating care providers with $20 million in payments processed since July 2013.
- Emdeon publishes an ICD-10 transition white paper.
- API Healthcare, a GE Healthcare Company, launches Patient Classification, which matches provider skills to patients.
- Nuance announces that eCopy ShareScan is integrated with NextGen Ambulatory EMR.
- First Databank releases FDB AlertSpace for Siemens Soarian.
- NextGen Healthcare and Cerner announce bilateral integration.
- Infor offers a promotion package for eGate customers interested in migrating its Cloverleaf product.
- Infor introduces PeopleAnswers Talent Science to assist healthcare organization to select, retain, and develop clinicians.
- DrFirst’s Patient Advisor delivers $21 million in prescription savings opportunities for uninsured patients during its first three months.
- Imprivata will integrate its two-factor authentication management capabilities with DrFirst’s EPCS Gold solution to securely prescribe controlled substances electronically.
- Physician First ACO (FL) selects eClinicalWorks Care Coordination Medical Record.
- ADP AdvancedMD announces general availability of its reporting suite AdvancedInsight for physician practices.
- Central Valley HIE (CA) joins Inland Empire HIE expanding the reach of the Orion Health Collaborative Care within California to 48 central and southern California organizations.
- Wolters Kluwer Health announces the beta launch of its integrated clinical decision support and workflow management platform POC Advisor.
- Northeast Georgia Physicians Group achieves Stage 7 of HIMSS EMRAM with Allscripts TouchWorks.
- Covisint offers three reasons to physicians to avoid PQRS penalties.
- Etransmedia expands its RCM services with the acquisition of Medigistics.
- Intel-GE Care Innovations and Caradigm partner to integrate remote patient monitoring and smart sensor technologies to improve care plans.
- E-MDs launches a SaaS-based RCM service.
- AT&T announces plans to expand Digital Life into the healthcare market.
- Predixion Software announces availability of its predictive analytics software on the Windows Azure cloud platform.
- Baylor Scott & White Health (TX) expands its use of AtHoc Critical Communications platform for IT outages, emergency preparedness, and clinical alerts.
- Optum launches Optum One analytics platform.
- Advocate Health Care (IL) selects PerfectServe as its enterprise-wide clinical communications platform.
- Healthy Catalyst reports that 76 percent of organizations lack basic analytics for Meaningful Use measures in a recently published white paper.
- Imprivata will integrate HIT Application Solutions’ Notifi platform with Imprivata Cortext, enabling secure communications for continuum of care.
- The Health Centers of Family Health Care join The Guideline Advantage, which uses Forward Health Group’s PopulationManager platform.
- Siemens Healthcare launches CareXcell a subscription based solution for population health management.
- Memorial Hospital at Gulfport (MS) selects Health Catalyst’s Late-Binding Data Warehouse and Analytics platform to provide a unified view of clinical and performance data from their McKesson and Allscripts EHR applications.
- Capsule Tech reports a 24 percent increase in revenue for 2013, with 1,650 healthcare facility clients worldwide.
- University Hospitals (OH) will deploy PeriGen’s PeriCALM at UH MacDonald Women’s Hospital and UH Geauga Medical Center, which will include sending OB content into its Allscripts EHR.
- NantHealth introduces NantHealth Clinical Operating System, developed after consolidating of several healthcare IT companies including iSirona.
- Capsule Tech introduces SmartLinx Medical Device Information System for point-of-care data delivery.
- North Memorial Health Care (MN) is awarded joint second place in the annual Healthcare Informatics Innovator Awards after incorporating Health Catalyst’s EDW platform and analytics solution.
- EClinicalWorks, Greenway, ICA, InterSystems, Medfusion, Medicity, Optum, and Orion Health found Carequality, which will focus on interoperability between existing and emerging HIE networks.