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May 21, 2024 News 5 Comments

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A Business Insider piece titled “Oracle’s deadly gamble” says that Oracle’s Larry Ellison had a vision that acquiring Cerner and then applying Oracle’s AI models to its data would create the EHR of the future, but found out afterward that “Cerner was a total mess.”

Points from the piece:

  • Cerner was receptive to the acquisition when approached in 2021 because problems with its architecture and software were piling up.
  • Oracle took a black eye when care lapses and deaths in the VA system were attributed to the Cerner system. One Oracle executive describes the VA contract as a “shackle” that distracts Ellison from his grander vision.
  • Oracle has stopped taking customization requests from the VA because every facility wanted the system to work exactly their way, which was a luxury they had with the VA’s custom-written VistA. VA officials hoped to force standardization by implementing Cerner.
  • Company executives admit that much of the client dissatisfaction was created when Oracle laid off experienced Cerner resources.
  • The article notes that Ellison’s big bet on applying AI to Cerner’s patient data is losing value as clients and their data move to Epic, including flagship accounts such as Intermountain and UPMC.
  • Providence’s chief strategy and digital offer says that people perceive that “Cerner is circling the drain.”

Webinars

June 6 (Thursday) noon ET. “From Data to Decisions: The Vital Combination of AI and Human Expertise in Patient Care.” Sponsor: DrFirst. Presenters: David Wetherhold, MD, CMIO of ambulatory systems, Scripps Health; Dana Darger, RPh, director of pharmacy, Monument Health Rapid City Hospital; Colin Banas, MD, MHA, chief medical officer, DrFirst. In this Epic Med Management Fireside Chat, two health system leaders will share real-world examples of how AI is working in concert with their clinicians to streamline medication management by populating medication histories into Epic. generating initial drafts of patient conversations, and summarizing complex information. The presenters will also cover the latest developments on the critical and expanding role of pharmacists in patient care.

Previous webinars are on our YouTube channel. Contact Lorre to present or promote your own.


Sales

  • St. Vincent’s Private Hospital in Ireland will implement Agfa HealthCare’s enterprise imaging software.
  • Children’s Nebraska selects remote patient monitoring technology from Locus Health.
  • Great Western Hospitals NHS Foundation Trust, Royal United Hospitals Bath NHS Foundation Trust, and Salisbury NHS Foundation Trust in England will roll out a shared Oracle Health system in 2026.
  • Centra (VA) will enhance its stroke care with Sevaro’s OneCall telemedicine service.
  • WakeMed Health & Hospitals will implement Regard’s automated clinical data review and insights software across its three hospitals in North Carolina.
  • University Hospitals (OH) selects insulin management software from Glytec.
  • Beacon Health System will implement Notable’s AI platform to reach out to patients who have had diagnostic procedures and tests ordered and then allow them to schedule their appointments digitally.

People

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CareCloud promotes Crystal Williams to COO.

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Apprio hires Srinivasan Krishnan, MS (Greenway Health) as CTO.


Announcements and Implementations

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St. Luke’s Mid America Heart Institute (MO) implements Story Health’s virtual and asynchronous care program for AFib patients.

WellStar Health (GA) co-develops and pilots patient check-in software that incorporates Clear Verification technology.


Privacy and Security

Ascension’s May 21 update contains no new information about the restoration of their systems from a May 8 cyberattack.

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The American Medical Association, state medical societies, CHIME, and AHIMA ask HHS to confirm that Change Healthcare and UnitedHealth Group, not providers, will be responsible for HIPAA breach notifications related to their cyberattack.


Sponsor Updates

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  • Impact Advisors donates $10,000 to the Midwest Health Foundation in support of its UChicago Medicine AdventHealth GlenOaks School and Transition Program.
  • AvaSure announces the winners of its 2023 AvaPrize Winners for Virtual Care Excellence.
  • Clinical Architecture sponsors the AMIA 2024 Clinical Informatics Conference May 21-23 in Minneapolis.
  • Nordic publishes a new episode of its “In Network” podcast titled “Designing for Health: Interview with Diana Anderson, MD.”
  • Divurgent will present at the E-Health Conference and Tradeshow May 27 in Vancouver.
  • Ellkay wins a KLAS Points of Light Award for its collaborative work on closing care gaps for HEDIS measures through natural language processing.

Blog Posts


Contacts

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Currently there are "5 comments" on this Article:

  1. I would rank Oracle’s purchase of Cerner right up there with GE’s purchase of Kidder Peabody.

  2. Re: “…because every [VA] facility wanted the system to work exactly their way, …”

    I have quite a bit of sympathy for Oracle on this one. The custom enhancements can add a support burden that slowly cripples IT operations.

    This is not based upon specific knowledge of the VA operation. However I can speculate that at least SOME of these custom requests, would be beneficial right across the VA operation. And some of those would be beneficial to most/all of Cerner customers and thus ought to become base code enhancements, rather than customs.

    The challenge is, finding those requests. This usually takes extensive coordination and elaborate discussions. If the VA has no culture and history of doing this (why would they, after all?), then they have a big problem. And Oracle/Cerner will be perceived as “standing in the way”.

    • Having worked at Cerner from 2007 to 2012, I can confirm that Sales never confused selling with installing, and Implementation and Support were rarely represented when the contract was signed. That may have changed, but I doubt it.







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