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News 6/27/14

June 26, 2014 News 5 Comments

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Philips will deploy clinical applications in a Salesforce.com-powered cloud environment that’s centered around patient relationship management. Two applications will be launched this summer, eCareCoordinator and eCareCompanion, which are collaboration platforms for monitoring chronic condition patients at home.  Philips says future offerings will incorporate information from EMRs, medical devices, home monitoring, and wearables. The platform will be open to developers to create add-on products.


Reader Comments

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From Otto Complete: “Re: HTRAC East conference in Leesburg, VA. I attended this week and found it to be amazingly enlightening! Limited vendor involvement, zero exhibitors, and passion for IT improvement in our space, along with tremendous information sharing – these are just a few of the compliments I would give the conference. As you are a thought leader in our field, I wanted to be sure this group was on your radar.” I hadn’t heard of the group or conference, but they get points from me for being non-profit and for bundling meals (and an open bar) with the registration fee. The write-up says it’s invitation-only and limited to around 200 attendees, with minimal vendor participation and no exhibit hall.

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From Demon Deacon: “Re: Wake Forest Baptist IT department. The CMIO and VP of clinical applications positions were eliminated and will be replaced with a chief clinical information officer.” Unverified, although a search of Google’s cache turns up the now-removed job posting that I assume they filled. They’ve had a lot of IT turnover after their horrific Epic implementation.


HIStalk Announcements and Requests

This week on HIStalk Practice: Avecinia Wellness Center CEO Unaiza Hayat, MD shares the details of successfully attesting for S2MU and the role good physician leadership plays in any implementation. HIE merger creates largest in Michigan. Nashville physicians show no love for Epic. Verizon gets into the telemedicine game. Maine Primary Care Association goes live with new pop health technology. Thanks for reading.

This week on HIStalk Connect: researchers with Sandia National Laboratory make headway on their work developing non-invasive ways of monitoring electrolyte levels. Google unveils Google Fit, a digital health developers’ platform that promises the same basic functionality that Apples HealthKit offers. San Francisco-based startup Grand Rounds raises a $40 million Series B round to expand its growing network of physician thought leaders who offer remote second opinions on complex cases.

Listening: Chicago-based Eleventh Dream Day, probably the best and hardest-rocking Midwestern band that nobody’s heard of thanks to their record label’s incompetence. Also: Queens of the Stone Age.

My latest reading peeves: (a) cutesy reporters who start off a healthcare technology story with, “The (technology name here) will see you now.”; (b) using “there” as the subject of a sentence; (c) clickbait headlines, tweets, and lame slide shows that will do anything to get you to click even though you will regret it almost immediately; (d) referring to doctors as Dr. John Smith, which doesn’t tell us what kind of doctorate John earned; (e) surveys that try to hide low participation by giving results only as percentages; and (e) as I try to ignore the flood of World Cup chatter, people who confuse spectating with exercising in referring to someone else’s athletic team as “we.” I’ll keep the porn analogy that popped into my head to myself.


Webinars

July 2 (Wednesday) noon ET. The CIO’s Role in Consumer Health. Sponsored by HIStalk. Presenter: David Chou, CIO, University Of Mississippi Medical Center. We are moving towards an era where the consumer is searching for value. Healthcare is finally catching up with other industries and this is forcing health care providers and health plans to rethink their "business model" as consumers test new decision-making skills and demand higher quality and better value. Technology can provide value in this space as we move towards a digital healthcare.

We’ve decided to post the recorded videos of our HIStalk Webinars on YouTube to avoid the playback problems some viewers were having. The webinar, Cloud Is Not (Always) The Answer, ran live this past Wednesday. Not only did Logicworks do a great job in taking our suggestions and input from two CIOs into account to perfect their content and delivery, running the recorded version from YouTube is cleaner and faster, with no signup required to start watching.


Acquisitions, Funding, Business, and Stock

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CareCloud borrows $25.5 million from a growth capital lender. I’m never cheered by a company taking on debt just like I wouldn’t be thrilled about a relative signing up for a home equity loan, but I guess it’s good news to be found credit-worthy and to have your plan for using the money vetted by someone whose objectivity is inarguable given their interest (no pun intended) in being repaid.

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Physicians Interactive, which markets life sciences products to physicians, acquires consumer health information site WebHelp.

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Imprivata’s raises $66 million in its Wednesday IPO.


Sales

Central Florida Health Alliance (FL) chooses MModal for transcription technology and document insight.

Sutter Health (CA) selects Orion Health to build and deploy its HIE.


People

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Mark Caron (Capital BlueCross) is named CEO of population health and analytics systems vendor Geneia, which is owned by Capital BlueCross.

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The Jersey Health Connect HIE names Judy Comitto, VP/CIO of Trinitas Regional Medical Center (NJ), as its board chair.  

Secure email vendor DataMotion appoints Kathleen Ridder Crampton (United HealthCare Group) to its board.


Announcements and Implementations

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Ivenix announces that it is developing a new smart IV pump that will feature a smartphone-like user interface, enhanced IT capability that includes Web-based EHR integration and analytics, and new pump technology.

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Telehealth solutions provider AMC Health says it has integrated its system with Epic.

Verizon announces Virtual Visits, a secure video technology platform that allows consumers to connect with doctors. The company hopes to license the technology to health plans (i.e. doctor not included.)

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The non-profit CCHIT, which exited from what it said was the unprofitable EHR certification business in January 2014, announces its new mission of selling developers advice on how to get their EHRs certified.

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Biometric Signature ID announces its handwriting-powered identity authentication system for Epic. It seems that handwriting would not be reliable given that users would be “writing” with their fingertip on a small screen while standing up in most cases, but maybe they’ve figured it out. You can try cracking a “Go Verify Yourself” signature-powered access page on their site.


Government and Politics

A Bloomberg editorial says that the Affordable Care Act is drawing a disproportionate number of people with chronic conditions to sign up for health insurance, which could possibly drive insurance companies out of the market or force the President to try to bail them out (with questionable legality) as he promised upfront to get them to participate.

CMS claims that its much-maligned Medicare fraudulent claims detection system prevented $210 million in payments in 2013, its second year of operation. That works out to something like 0.02 percent of total payments, a fraction of the government-estimated $50-60 billion that CMS improperly pays each year, and less than a monkey throwing darts could turn up before hitting the Beltway by noon on the Friday before Independence Day.


Other

A Wisconsin high school loses its track coach to Epic, where he will become a project manager. He says, “I’ll be working to implement software, and going out to hospitals and clinics, visiting with doctors and nurses, and discuss their ideas and concerns with the developers at Epic … I’m no computer whiz. They say they want people who are able to distinguish themselves through their careers, and they’ll teach the rest. There will be a lot of learning.”

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An editorial in Applied Clinical Informatics says that specifying advance directives should be easy and the resulting preferences should be stored by HIEs and shared via interoperability. It proposes an input sheet that looks like a US tax form in making the analogy that advance directives should be as easy as electronic filing of taxes. Misusing the term as “advanced directives” drives me crazy (you make them in “advance,” not “advanced”) so it was disappointing that “advanced” made an unwelcome appearance three times in the mostly-correct article. Note the subtle humor in identifying the form as 419, the police code for a “dead body found.”

A small (120 responses) AMDIS-Gartner survey of CMIOs finds an average annual salary of $326,000 in a range of $206,000 to $550,000. Respondents reported slightly less job satisfaction than last year, higher CMIO turnover, and an overwhelming preference for reporting to the chief medical officer rather than the CIO.

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In Canada, a $300 million privacy lawsuit is filed against Rouge Valley Health System that alleges two hospital employees sold the names of 8,300 mothers of newborns to an investment who cold-called them to sell education savings plans.

Google CEO Larry Page says yet again that 100,000 lives would be saved each year by more healthcare data mining. He’s made that claim (without backing it) several times.

A Bloomberg article says that hospitals are starting to use consumer information from big data sources to target their at-risk patients for interventions, such as finding out which asthma patients are buying cigarettes or whether heart patients are allowing their gym memberships to lapse. Patients say hospitals making cold calls about health habits is intrusive, but hospitals say they need to aggressively manage their patients under new payment models.

A new KLAS report reaches an obvious conclusion: only Epic, Cerner, and Meditech are expanding their hospital EMR client bases. Actually I was surprised that Meditech was included since my perception is that they are falling behind rather than gaining, but I assume KLAS has hard data suggesting otherwise.


Sponsor Updates

  • Validic will be featured by TEDMED 2014 as one of its chosen “transformative startups and the inspiring entrepreneurs that power them.”
  • Optimum Healthcare IT will be featured in a June 29 episode of “21st Century Television” on Bloomberg Worldwide.
  • Jeanette Ball, RN, PCMH CCE of CTG Health Solutions shares her experience working with western New York providers to create a PCMH framework in the Journal of Clinical Engineering.
  • CareTech Solutions launches its website built on CareWorks CMS v4.1.
  • ESD shares how to implement automated testing.
  • Navicure partners with Acculynk to launch a customized payment platform for providers.
  • Netsmart posts a white paper exploring the similarities and difference in PC and behavioral health.
  • Allscripts receives 23 commitments for expanded Allscripts Sunrise solutions such as Ambulatory Care, Emergency Care and Surgical Care.
  • Practice Fusion partners with Emdeon to offer automated health plan eligibility check in its EHR.
  • Juniper Networks announces the capabilities and enhancements of its Next-Generation Firewall and SRX Series Services Gateways.
  • The Advisory Board Company is profiled by a local news station for its community volunteer projects.
  • Extension Healthcare discusses how EHR alerts have contributed to alarm fatigue and offers a two-part white paper on managing alarms to improve patient safety.
  • Wellcentive client Children’s Health Alliance (OR) receives the Analytics All Stars Award for Population Health Project of the Year award.
  • Albany Area Primary Health Care (GA) goes live on Forward Health Group’s PopulationManager and The Guideline Advantage.
  • Divurgent offers a series of free conference calls on big data and analytics.

EPtalk by Dr. Jayne

It’s been a completely random week at work. Most of the practices we acquired earlier in the year have stabilized from a revenue cycle perspective, so it’s time to bring them up on EHR. Once the Independence Day holiday rolls by, it will be full steam ahead.

There have been a couple of last-minute glitches though, mostly involving providers behaving badly. There are always challenges when a practice has to change its culture, but I’ve not seen this many employed providers who don’t seem to remember that they’re employed.

Some of our operational leaders try to soften the blow by referring to them as “partners” or “associates,” but the bottom line is that they are employees. If we were partners, there would be shared decision-making and give and take. There would not be top-down leadership with requirements that must be adhered to. There would not be contractual obligations that require compliance with a host of regulatory items. There would not be penalties for failure to adhere to documented policies.

I’m fortunate to have an implementation team that’s well-seasoned and grateful for its manager and her solid leadership. Since the team has had a couple of months without active deployment cycles, we front-loaded the calendar with some of the most difficult providers. That way they can get them done while they’re still fresh. The majority of the team agreed they’d rather save the best providers for last rather than having to look forward to all the difficult ones at the end.

From Stay Glassy San Diego: “Re: Dr. Chrono’s Glass app. Did you see it? They’re referring to it as the first wearable health record.” I did see, it but I’m not sure it’s actually a wearable record as much as a different way to interface with the record. Physicians can store a video of an office visit in the EHR but it’s not clear how that translates to discrete data or the other hoop-jumping we need for payers and incentive programs. I did find it interesting that media reports cite 300 of the 60,000 drchrono clients as users of the Glass app. They may have downloaded it, but given psychosocial and privacy concerns around use of Glass, I’d be surprised if that many were actually using it. According to the company website, users can sign up to be beta testers, which doesn’t exactly sound like widespread adoption to me. If there are any readers who have actually used it, I’d be happy to share your stories.

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From App-e-tite for Destruction: “Re: Open Payments, did you look at any of the other government apps that were available? Some are amusing.” I was on a pretty focused expedition the other day but did have some time tonight to check out the Mobile Apps Gallery at USA.gov.  In addition to Apple and Android, they still offer content for BlackBerry. There’s an app to help you through the National Gallery of Art as well as one to locate alternative fueling stations for electric, biodiesel, CNG, and other non-gasoline vehicles. I spent some time playing with the FDA Mobile app, which has medication recalls and safety alerts as well as consumer updates. There’s also a radiation emergency app, one that manipulates census data, a rail crossing locator, and a ladder safety app to boot.

What’s your favorite government app? Email me.


Contacts

Mr. H, Lorre, Jennifer, Dr. Jayne, Dr. Gregg, Lt. Dan, Dr. Travis.

More news: HIStalk Practice, HIStalk Connect.

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5 Responses to “News 6/27/14”

  1. 1
    Ann Farrell, Principal Farrell Associates Says:

    Will our smart phones sting us if hospital discovers we sneaked a sweet? Flash a red light? Escalate if we each more than 2? Can we access our report cards in the cloud, in real time, voice or text?

    Will evidence exist for how many donuts are acceptable (by BMI)?

    Will cameras be installed in our houses and cars to detect cheaters eating homemade treats? bumming cigarettes?

    People who thought limiting Big Gulps was ultimate “nanny state” must have heads exploding. Laying off nurses but reporting twinkie sales. I think we’ve crossed the “creepiness line”.

  2. 2
    HealthcarePundIT Says:

    Regarding Epic – Well there you go, when you need resources, just hire people with no healthcare IT background , certify them and make them project managers. I can just see all the CIO’s out there raising their hands saying I will take you to be my implementation project leader! One has to wonder if the arrogance has risen to a new level that because Epic wants/says/ or demands, that HC organizations will just nod in wonderment. CHIME is trying raise the bar of its members, their importance, their skills, their experience and the vendor that they are spending millions on, says, heck, we will just hire a track coach and your implementation will be just dandy. Gosh, when all the hospital CEO hear this, they are going to raid the local track coach associations to cut the CIO position costs! If it were so easy!

  3. 3
    The PACS Designer Says:

    Re: Philips and Salesforce

    Philips Healthcare has a link showing the relationship they’ve developed with Google for Google Glass which is interesting in lieu of their linking up with Salesforce for their Digital Accelerator Lab research activities! Here’s where you can view it: https://plus.google.com/+Philips/posts/ApAy2MQS3dC

    TPD!

  4. 4
    @HealthcarePundIT Says:

    @HealthcarePundIT – that’s some serious hyperbole. Besides, everyone has to start somewhere. Epic should hire experienced project managers? Just hire experienced project managers? Why doesn’t Carl just put on his PM helmet squeeze into his PM cannon and fire off into PM land, where PMs grow on little proggies?

  5. 5
    Psych Major Says:

    Pundit –

    Epic’s model for installs have four levels of customer-facing project management, as well as some additional internal levels of oversight and management. One of those four levels is an entry-level position. The others aren’t.

    And for hiring outside the healthcare industry – absolutely. Knowledge is quicker to acquire than skill. Finding someone with solid project management skills and teaching them the industry knowledge is much easier than finding someone with solid healthcare knowledge and trying to teach them project management skills.

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Reader Comments

  • Zak Balado: RFP's are a great practice if done correctly. What I find in most cases is that they are heavily biased toward one vend...
  • JustaCIO: Regarding the nurse dissatisfaction with EMR's. What is the answer then? With this global condemnation of their use, w...
  • Michelle Hager: Dr Jayne .....the process of 'pretending' to do an RFP is unfortunately all too standard. The fact that organizations ev...
  • XHIT'er: My wife has been in the hospital for the last three days. The hospital she is in, is a Meditech shop and I have to say ...
  • The Alchemist: RE: Clinovations remark “unstructured” is a bad term when referring to data. My usual download of this type of con...

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