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Monday Morning Update 4/27/15

April 26, 2015 News 14 Comments

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HHS Secretary Sylvia Burwell, testifying on the department’s $84 billion 2016 budget request, is challenged by Sen. Lamar Alexander (R-TN) who stated that half of doctors don’t like their EHRs to the point that they’ll accept Medicare penalties rather than deal with workflow disruption, adding that the AMA found that 70 percent of doctors say their EHRs weren’t worth the cost and that EHRs are the leading cause of physician dissatisfaction. Burwell responded that HHS will work with Congress on a list of administrative action items related to EHRs, which seems to refer to the work of the HELP committee that most recently talked about interoperability and interviewed Epic’s Peter DeVault. What worries me most about the entire exchange is that nobody questioned whether HHS or Congress have any business involving themselves with how doctors use EHRs, where Burwell’s response might have logically been, “Respectfully, our job is making taxpayer payments to providers who choose to participate in Medicare and HITECH, but otherwise the EHRs that providers buy, use, and complain about really aren’t under the government’s purview. We should be monitoring the outcomes, not prescribing the process, which is how government works with all other industries.”


HIStalk Announcements and Requests

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Poll respondents grade the HIMSS conference with somewhere in the C-plus range. A consulting company vendor says it was successful in meeting with clients and networking with peers, while a CIO observes that the HIMSS conference is all sizzle and no steak as it keeps growing and ratio of vendors to providers seems to be going up as well. New poll to your right or here: what do you think about the fact that most health IT vendor executives are white men? (“I’m not thinking about it at all” is a poll option as well). Add a comment to support your position if you like.

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We were signing up for our microscopic booth for HIMSS in Las Vegas and were surprised to find that nearly all of the exhibit spaces have already been taken in the booth signup frenzy that occurs even before the previous conference is over. I don’t have the money or HIMSS points to play with the big boys, but even the 10×10 spaces in weird locations were mostly booked up. The tiniest parcels run around $5,500 and I declined the $2,500 extra HIMSS wanted for a corner space (they didn’t charge extra for our corner spot the past two years). We’ll be in #5069, with our presence probably annoying our next door neighbors Varian Medical Systems and Patient Prompt even though we’ll keep their area busier than it would be otherwise as we have a fun cast of characters running around. At least we don’t have much stuff to stick in there – we brought everything we used in our McCormick Place booth in one large duffel bag and set it up in maybe 20 minutes. There’s no ROI since we don’t have anything to sell, but we like just saying hello and giving our boothless friends a place to hang out.

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Speaking of our McCormick Place booth, patient advocate Regina Holliday wrote a nice summary of the time she spent there and her HIMSS experience in general.

I forgot to mention an unpleasant encounter Lorre had with the “HIMSS police,” who were a little bit snippy in confronting her at our booth and demanding that we stop using the name “HIMSS Bingo” in referring to a contest that we had nothing to do with other than allowing winners to pick up their prizes there. The HIMSS person was too busy scolding to hear that she had the wrong scoldee.

Most people think of Epic first on the list of Madison-connected companies. Here’s another that just came to me: John Holton, who graduated from UW in 1975, founded Atwork in 1983 and then Scheduling.com (now SCI Solutions) in 1999, although both operated out of California rather than Wisconsin.


DonorsChoose Project Updates

Feel free to skip this section if you aren’t following our project as it winds down – the normal stuff follows.

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Thanks to new participant The Breakaway Group, who donated $500 to get on Centura SVP/CIO Dana Moore’s dance card. I’ve funded $10,478.21 in projects, including these new ones, including some I chose in Colorado since that’s where Dana lives:

  • A printer, tablet supplies, and early literacy books for an elementary school teacher’s graduate courses in education, Los Angeles, CA.
  • A camera and photo printing equipment for creating a time capsule for a high school in Atlanta, GA.
  • Math games and learning activities for a second grade class in Garland, TX.
  • An iPad case and AV adapter for English language learners at an elementary school in Las Vegas, NV.
  • A TV and flash drive to promote newly arrived books in the library of a high school in Walden, CO.
  • Drums for rhythm and movement activities for special needs students at an elementary school in Centennial, CO.
  • Six iPad keyboard cases for a fourth grade class in Lone Tree, CO.
  • Globes, maps, and books for a K-2 class in Denver, CO.
  • A tablet with keyboard for English as a second language students at an elementary school in Fort Lupton, CO.
  • A Chromebook for an earth sciences class at a high school that can’t be accredited due to lack of hands-on learning tools in Norfolk, VA.
  • A complete library of high-interest, low-readability books for a class of severely intellectually disabled students at a middle school in Conway, SC.
  • Four boom boxes and 12 sets of headphones to create a literature listening station in the reading area of an elementary school in Seattle, WA.
  • A library of classic books for a third grade class in Clarksdale, MS.
  • Hand sanitizer and tissues for profoundly mentally disabled K-5 classroom in North Charleston, SC.
  • Baby wipes, diapers, a food blender, wheelchair supplies, and insect repellent for a handicapped K-2 students at an elementary school in North Charleston, SC.

Webinars

None scheduled soon. Contact Lorre for information about webinar services.


Last Week’s Most Interesting News

  • Infor signs an agreement to distribute its hospital data integration products in Cuba.
  • A RWJF study of personal health records finds that consumers value their own subjective narrative entries more than anything else, while doctors rarely even look at them.
  • Seven disabled veterans sue the VA for failing to deliver copies of their disability-related medical records for up to 25 months after their requests.
  • LabCorp announces a direct-to-consumer testing program.
  • Kaiser Permanente announces plans to open a 900-job healthcare IT campus in Atlanta.
  • A judge orders MyMedicalRecords to pay the legal defense costs of Allscripts and WebMD after those companies prevailed in two of a nearly endless number of questionable MMR patent infringement lawsuits.

Acquisitions, Funding, Business, and Stock

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Business Insider runs the first skeptical article I’ve seen about Silicon Valley lab darling Theranos and its $4.5 billion net worth, 31-year-old founder Elizabeth Holmes. Experts say they have no idea how the company’s technology works because Theranos won’t publish peer-reviewed studies about its tests, won’t let independent experts review its labs, and doesn’t acknowledge whether it’s actually using the same analytical machines as other labs in addition to its small-sample size equipment that other labs use as well. The article also questions whether can scale given its plans to perform 1 million tests in 2016, less than 0.2 percent of the number performed by Quest. Quest and other competitors are questioning whether tests performed by Theranos using capillary blood (microfluidics) are accurate.   


Sales

Children’s Hospital Association chooses Clinical Architecture’s Symedical for global terminology management for analyzing comparative data.

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Avera Health System (SD) selects Meditech 6.1 Web EHR for 33 hospitals and 208 clinics. The press release isn’t clear as to whether this is an all-new product and Googling the term “Meditech Web EHR” brings up a non-specific mention on the company’s website, which used to be a no-nonsense list of information but is now maddeningly glossy and detail-free, with artsy scrolling pages and oversized type crying for Internet attention without providing much value in return. Click “EHR Solutions” and you won’t see a list of them. I don’t fully understand how a product can be “groundbreaking” if it’s in version 6.1 or whether this is just a new Web front end for the same old products.


People

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Mark Young (StayWell Health Management) joins PatientSafe Solutions as COO.


Announcements and Implementations

Phynd Technologies will analyze the cost to Nebraska hospitals of managing their provider information manually vs. using its provider information management platform in a project funded by the state.


Government and Politics

The VA forms an 11-member medical advisory group to advise it on healthcare delivery issues.

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Here’s a pretty funny tweet from CMS Chief Data Officer Niall Brennan.


Technology

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Healthcare is always a lagging chaser of consumer technologies, so I’m not quite sure what to make of the just-announced Amazon Dash, a WiFi-connected, product-specific stick-on electronic button that lets users restock a particular product with a single press. It’s either a brilliant time-saver that creates even more loyalty to Amazon and the products it sells or, as The New Yorker opines, “an uneasy image of our homes as giant Skinner boxes, and of us as rats pressing pleasure levers until we pass out from exhaustion” that bypasses the brief thinking moment of “Why am I using all this stuff?” while driving to the store. I didn’t realize that Amazon already offers a speech recognition and barcode scanning version of Dash for users of its expensive AmazonFresh grocery delivery service in Seattle, California, and New York metro areas.


Other

USA Today profiles the involvement of patients in the EHR selection of Partners HealthCare (MA), which invited a patient who sits on its advisory board to help choose its $700 million system. I like the approach, although I can’t help but think of the economic strong-arming and brand name-brandishing Partners does to squeeze out competitors and force insurers to pay its exorbitant rates, which isn’t really in the best interests of patients or the healthcare economy in general.

An investigation has been underway in Texas to review the state’s issuance of a no-bid Medicaid anti-fraud system contract to a local bidder with zero experience. The Houston newspaper points out that the state was already using a similar system that had recovered $56 million against its original cost of $16 million, while the new $20 million system (with a pending $90 million extension) has recovered zero dollars. Nearly all of the funds came from all of us who pay federal taxes. State government was asleep at the wheel, with a prime example being that the contractor (21CT) billed it the full price of a $452,000 project the day after the purchase order was signed and the state paid it immediately. A few state employees have been fired and a criminal investigation is underway. The state’s HHS inspector general who arranged the deal lied to CMS by claiming that a competitive bidding process had been conducted and then resigned after local newspapers exposed the scandal.


Sponsor Updates

  • Nordic offers a recap of #HIMSS15 through its Twitter feed.
  • PatientKeeper offers thoughts on “HIMSS and hEHRs.”
  • MBA HealthGroup offers “Skin in the Game: Keys to Success in a Private Dermatology Practice”
  • MedData breaks down the 2015 PQRS payment adjustment statistics.
  • Wellsoft will exhibit at the EDPMA Solutions Summit April 26-29 in Amelia Island, FL.
  • Sandlot Solutions will exhibit at the Big Data in Healthcare Summit April 28-30 in Boston.
  • Netsmart’s e-prescribing solution attains certification for controlled substances.
  • TeleTracking asks, “Who’s Looking Out For Nurses?”
  • PDS offers “Five Tips for a Trend-Setting Healthcare IT Strategy.”
  • NTT Data offers “Wearables in the Enterprise – What are Industries Saying?”
  • Patientco adds 2.4 million patients to its patient revenue cycle platform.
  • PeriGen recaps last fiscal year in “Another 48,611 births powered by PeriGen.”
  • PMD offers “Keeping Priorities Straight and Scaling Support.”
  • QPID Health CMO Michael Zalis, MD is featured in “Diagnosing Imaging: Maximizing Appropriate Use with Smart Decision Support.”
  • Sagacious Consultants offers “ICD-10 Training for Providers, Coders, and CDI Specialists.”
  • New York eHealth Collaborative offers “The Healing Power of Your Own Medical Records and SHIN-NY.”
  • Stella Technology offers “HIMSS15 Conference Highlights and Takeaways.”
  • Summit Healthcare declares that “HIMSS 2015 Did Not Disappoint!”
  • T-System will exhibit at the UCAOA National Urgent Care Spring Convention April 27-30 in Chicago.
  • Truven Health Analytics offers “Appealing the CMS Risk Adjustment and Reinsurance Calculations: Making Sense of the Discrepancy Regulations.”
  • Versus Technology publishes “Reflections on the Oklahoma City Bombing, from a Nurse Who Was There.”
  • Huron Consulting Group is named one of America’s best employers by Forbes.
  • Winthrop Resources will exhibit at Interop Las Vegas 2015 April 27-May 1.

Contacts

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

More news: HIStalk Practice, HIStalk Connect.

Get HIStalk updates.
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Currently there are "14 comments" on this Article:

  1. Is it too soon to volunteer to guest host the HIStalk booth HIMSS16? I had a great time guest hosting this year. It was great to talk with Lorre, Regina, and all the folks who stopped by the booth. By the way, the winner of my best lawyer joke contest was this gem: Guy walks into lawyer’s office and asks the lawyer how much he charges. Lawyer says $500 for 3 questions. Guy asks the lawyer when he can start. Lawyer says, “Right now. You have one more question.” That was the winner by default–I only got one submission, even though I asked everyone who came by the booth over the 4 hours I was there. Must be some reluctance to tell lawyer jokes to a lawyer. Liticaphobia?

  2. Re: MEDITECH Web EHR – isn’t this the same web EHR that they’ve been promoting in the last couple of HIMSS? I thought that they had released their ambulatory web EHR a couple years ago…so maybe everything has switched over now? Hard to understand how it’s completely groundbreaking though.

  3. As God is my witness I thought the Amazon Dash was an April Fool’s Day joke! If not, I’m wondering if the Amazon drones deliver these essential commodities?

  4. I always think of this as a lawyer joke because it was originally told to my be one:

    “Knock Knock”

    “Who’s there?”

    “HIPAA”

    “HIPAA who?”

    “I can’t say”

  5. …how doc’s use EHRs… “aren’t under the government’s purview” would sound awfully weird in a program pursuing “Meaningful Use”. Perhaps the gov might be trying to link attribution to activity, perhaps it’s something more than throwing an EHR over the wall – from the gov’s perspective.
    As an aside, when I’m in my own little world, I often appreciate that gov people “do” things to set national healthcare policy. Complainers and 2-faced-smiley-glad-hands may be the best contemporary vendor one could hope, but I missed the part where the gov doesn’t portrays itself as a big financial yum-yum for vendors. Quite the contrary, the gov seems to keep calling it “Meaningful Use”.
    Just saying… seems the people who seem break cover and publicly take shots for doing things that matter – aren’t the vendors.

  6. Shame Shame Shame on McKesson for their ZERO women in leadership. Looking at Paragon there is also a lack of any diversity in leadership. No doubt the salaries of women versus men there are probably way off the mark as well.

  7. Meditech Web EHR: From what I’ve seen and heard, 6.1 is very much just a web-based front end that utilizes the same 6.0 platform in the background. Despite Dr. Halamaka’s hyperbolic praise, I don’t think the actual product can be considered groundbreaking or a major leap from previous products. Anyone familiar with Meditech will know they do not work in major leaps. The more interesting news is how little involvement LSS Data Systems (now fully owned by Meditech) has had in the development of the “web-based” EHR.

  8. Re: “Scientists are skeptical about the secret blood test that has made Elizabeth Holmes a billionaire”

    Clearly Kevin Loria read one of my comments I made on Histalk2 months ago. Whenever Elizabeth decided to go public, whatever PR firm she hired quickly got cover stories in major publications. I despise this phrase “Stanford dropout does X that breaks the paradigm”. This may (very) rarely be the case in IT, but in very hard sciences like chemistry, biomedical sciences, and physics, this is never the case. I struggle to believe that anyone from Siemens to GE to IBM to Beckman-Coulter hasn’t found a way to do these sorts of fingerstick, point of care tests on “one drop of blood” with their billions in R&D. Because of blood viscosity it’s generally poorly suited to microfluidics. Even if you could spin down the samples in sodium heparin containers, you’re still dealing with a multitude of issues due to the specimen collection. The lack of any biomedical scientist of any repute on her board only strengthens my belief that Theranos is a load of well-PR’d bull. 500 million down the drain, no profit, and a “study” Theranos did that had 6 (a N of 6, are you seriously joking) participants. What a waste of time and money Theranos has been.

  9. The trend in the industry is to eliminate terminals. Being the first of the major vendors to write specifically for web devices sans the need for client software is groundbreaking. There is no need to go out and buy a separate application such as the one being built by UPMC so Epic and Cerner can run on tablets as the physicians wish. Also lost is the real lede that another sizable institution hasn’t chosen to go to Epic or Cerner.

  10. I have to agree on the new Meditech web site. There are these huge, flat panels with very low information density, and you have scroll, scroll, scroll and scroll some more to find whatever you are looking for.

    It looks a little like they tried to optimize for touch and tablet interfaces. It’s also reminiscent of the Microsoft Metro/Modern/WinPhone UI. Unfortunately they wound up with too much scrolling and de-optimized for the desktop use case.

    It also seems to be targeting the PR and marketing needs of Meditech, while downgrading the needs of the existing customers.

    I’m not a fan. For a main page it’s a very poor design.







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