Home » News » Recent Articles:

News 4/28/17

April 27, 2017 News 8 Comments

Top News

image

A Leapfrog Group report finds that while 98 percent of hospitals have bar code medication administration scanning technology connected to their EHR, only 30 percent of those hospitals are meet ingLeapfrog’s BCMA standard.

The most common reasons for falling short are (a) not having all seven decision support elements available (most often missing were vital signs and allergies), and (b) not using the BCMA system in at least 95 percent of total bedside administrations.


Reader Comments

image

From Dad’s Tie: “Re: David Butler’s article. That guy is terrific. What he describes is exactly what my hospital organization needs.” Agreed. Dave’s article on marketing IT, written from his health system CMIO perspective, is a breath of fresh air. I hope he contributes regularly.

image

From Industry Watcher: “Re: Caradigm. Another huge round of layoffs last week with nearly the entire senior leadership team included other than the CEO.” Unverified. The cached version of its leadership page from three weeks ago suggests that seven of the 13 executives have departed, including four of five SVPs. I don’t assume that executive turnover under a new CEO is necessarily a bad thing, though (except obviously it often is for the people who are gone). Companies usually bring in new blood to make changes, not to preserve the status quo.

image

From Unimpressed: “Re: Greenway Health. Working with the FBI after being hit by ransomware. Hosted customers on one of their platforms are still down, possibly until Monday. The company has had a long period of bad news and execs jumping ship.” Greenway says the attack affects its Internet-hosted Intergy customers, but adds that it expects to restore all their data from backups. The company was also involved in 2016 breach in which it misconfigured the patient portal of Florida Medical Clinic so that some patients could view the balance due statement of other patients. With regard to executives, the year-ago cached version of Greenway’s leadership page suggests that five executives remain of the 12 listed then. Greenway Health was formed in 2013 when Greenway Medical Technologies was taken private by Vista Equity Partners and combined with Vitera (the former Sage Software, previously Medical Manager) and SuccessEHS. Greenway’s HIMSS17 booth was noticeably downsized.

image

From Expired Mallow Cup: “Re: IT history. Forty years ago today, I started my first IT (data processing in those days) job at a hospital. I am showing people a 1977 photo of my desk with no PC in sight – I started with a mainframe with punched cards. Today I am working at a hospital converting from Soarian to Cerner Millennium. I’ve decided to stick around to support Soarian, but no Millennium for me. When they insist that we take our 390+ order sets that I have built on Soarian and duplicate those on spreadsheets for some young just-out-of-college person at Cerner to then transfer using the nice build tool in Millennium (that we’re not allowed to touch until August), I was out of here. Having to tell a physician that their problem entering medication orders is a known bug and they have to hand-write the order because it won’t be fixed for a few months — I’ve had enough of getting yelled at over the phone. Read your posts every day when I can. Thanks for letting me vent.”

image

From Dangling Participle: “Re: County of San Bernardino, CA. Has posted an RFP for a new EHR to replace Meditech C/S after halting efforts to connect to a neighboring hospital’s Epic system last year.” Looks right — I found this RFP for Arrowhead Regional Medical Center that also includes possible expansion throughout the county’s entities.  


HIStalk Announcements and Requests

One day after whining about the paucity of good Readers Write submissions, I received two excellent ones from David Butler and Joe Petro. I’ll use those a springboard to urge readers (especially non-vendors) to write pieces of their own. The process is good for organizing and presenting thoughts, the content is more important than writing perfectly, and the audience is substantial.

image image

We funded the DonorsChoose grant request of Ms. S in Missouri, who asked for an Osmo coding set, a pencil sharpener, and five sets of headphones for her second grade class. She reports, “My class is able to stay engaged in their learning without distractions from those around them now that we have enough headphones for everyone. They are learning so much from the coding Osmo. They are becoming deep thinkers and problem solvers with this interactive tool. These skills will be lifelong necessities for them as our world becomes more and more digital. Thank you for being a part of creating an equipped tomorrow. We are extremely appreciative of people like you.”

image

The mental and physical decline of my four-year-old iPhone 5 was accelerating, with puzzling call failures, poor LTE connectivity, and sluggish performance. Since I don’t use my phone broadly (mostly just browsing, checking email, and GPSing while away from home), I just couldn’t get excited about spending $800 or more on an iPhone or Samsung Galaxy. I did a lot of research and concluded that beyond fanboy upgrades, the smartphone market has matured, with little innovation and sales that are propped up by user ego rather than added value. My solution: Motorola’s Moto G Plus from Amazon Prime for an astounding $240 (partially subsidized by Amazon lockscreen ads that I don’t find intrusive, plus I’m always using Amazon services anyway). Features:

  • It’s unlocked, so you can easily swap out the SIM at any time when traveling overseas or changing carriers. I popped my own AT&T SIM in without incident.
  • The Moto G has 4 GB of RAM and 64 GB of storage, plus it accepts a standard Micro SD card that allows adding up to 128 GB more storage for around $50.
  • It comes with a nearly stock version of Nougat, the latest version of Android (Google, thank you again for creating a competitive market in developing Android). The learning curve in moving from iOS is nearly zero.
  • Battery life is long and the TurboPower charging adds six hours of use after just 15 minutes of plugged-in time.
  • Content that’s connected to your Google account (Gmail, Maps, YouTube, Drive, Photos, etc.) is instantly available on the phone.
  • The fingerprint sensor works great to lock/unlock and is placed on the front of the phone where it belongs.
  • The camera is 12 MP and the front one offers a wide-angle selfie cam that I’ll probably never use (since as a curmudgeon, I find selfie-takers to be irritatingly vain and self-congratulatory).
  • It fits in my pocket even though the display is much larger, sharper, and brighter than that of the iPhone 5.
  • It’s so cheap that phone insurance or delayed future upgrades are unnecessary.
  • The only items I’ve missed: FaceTime (use Google Duo, Skype, or my choice, WhatsApp, instead) and “unread items” counter badges aren’t displayed on individual app icons – use a third-party app like Nova Launcher to add them or just pay attention to the notification bar and lock screen messages.

This week on HIStalk Practice: Prime Healthcare ACO (CA) implements population health analytics and benchmarking from Persivia. DiagnosisAI develops new Alexa medical advice skill. Salus Telehealth adds urgent care consult capabilities. Portland healthcare darling Zoom gets exits the health insurance business. Consumers keep their enthusiasm for AI-powered healthcare to a minimum. SimonMed Imaging signs with Zotec Partners. Oncology Consultants selects Navigating Cancer technology. US Oncology Network physicians discuss carrots versus sticks when it comes to VBC compensation.


Webinars

April 28 (Friday) 1:00 ET. “3 Secrets to Leadership Success for Women in Health IT.” Sponsored by HIStalk. Presenters: Nancy Ham, CEO, WebPT; Liz Johnson, MS, FAAN, FCHIME, FHIMSS, CHCIO, RN-BC CIO, Acute Care Hospitals & Applied Clinical Informatics – Tenet Healthcare. Join long-time C-level executives Liz Johnson and Nancy Ham as they share insights from nearly three decades of navigating successful healthcare careers, share strategies for empowering colleagues to pursue leadership opportunities, and discuss building diverse executive teams. This webinar is geared toward female managers and leaders in healthcare IT seeking to further develop their professional careers. It’s also intended for colleagues, executives, and HR personnel who are looking to employ supportive techniques that ensure diversity in the workplace.

Previous webinars are on our YouTube channel. Contact Lorre for information on webinar services.


Acquisitions, Funding, Business, and Stock

SNAGHTML40cfd815

Health system supply chain technology vendor Jump Technologies raises $3.5 million in a venture funding round.

image

Urgent care PM/EHR vendor DocuTap acquires Atlanta-based Clockwise.MD, which offers patient queue management and survey systems.

SNAGHTML421aa9c8

Athenahealth reports Q1 results: revenue up 11 percent, adjusted EPS $0.32 vs. $0.34, missing expectations for both. Shares were pounded in early after-market trading following the announcement, down 16 percent.

image

Cerner reports Q1 results: revenue up 11 percent, adjusted EPS $0.59 vs. $0.53, beating expectations for both. Shares were up 4 percent in early after-hours trading.


Sales

image

University of Michigan Health System chooses Phynd for managing the information of its 67,000 providers across its clinical systems.


People

image

Dana Moore (Centura Health) will join Children’s Hospital Colorado (CO) as CIO.

image

Precision medicine technology vendor GNS Healthcare hires Ben Bielak, MS, MBA (Harvard University) as CIO.

image

Point of Care Decision Support names Jay Syverson, MBA (Coherent Solutions) as president.

image

Solutions vendor Formativ Health hires David Harvey  (Health Healthcare) as CTO.

image

Datica promotes Kevin Lindbergh to chief revenue officer.


Announcements and Implementations

image

MedData launches MyMedicalMe, a mobile app that allows users to manage their medical bills.

image

Partners HealthCare’s Connected Health expands its Online Second Opinion Service to allow collecting medical records, radiology, and pathology results through West’s HealthAdvocate Solutions.

A Kyruus study of 40 health system call centers finds that three-quarters of them can’t match callers with an available appointment within the following three weeks, 60 percent are unable to meet gender-specific provider requests, and half are incapable of matching a patient with providers in their desired location.


Government and Politics

image

ONC seeks feedback on a proposed measurement framework for interoperability.


Privacy and Security

image

Microsoft ends support of Windows Vista, which doesn’t necessarily mean that PHI-containing systems running on it constitute a HIPAA violation, but HHS says the resulting lack of security patches in unsupported operating systems warrants risk analysis (translation: you’re screwed if your old OS’s lack of security patches allows a breach). Windows 7 is the next to cross the rainbow bridge in early 2020 and then it’s Windows 8 in 2023.

In England, a 20-year-old man who had made $300,000 from selling a distributed denial-of-service attack tool that he built when he was 15 is sentenced to two years in prison.

A former Army sergeant pleads guilty to filing fraudulent tax returns using UPMC patient data that be bought from an online hacker marketplace.


Other

image

Brigham and Women’s Hospital (MA) offers voluntary buyouts to 1,600 employees, warning that a lack of takers will require layoffs.

image

Moody’s affirms Vanderbilt University Medical Center’s bond rating, but observes that its financial performance will temporarily moderate with its November 2018 implementation of Epic.

A NEJM opinion piece takes a mixed view from the “what problem are we trying to solve” perspective of requiring investigators who are running clinical trials to share their data with other researchers. It notes that data sharing increases clinical trial cost, assumes that whoever consumes the published data can really understand it since they weren’t involved in collecting it, and devalues the “currency of academic achievement” in giving investigators less opportunity to publish career-enhancing journal articles. The author also notes that participation in such sharing has been minimal and research benefits are uncertain despite the theoretical advantages.


Sponsor Updates

  • Eye Care Leaders, which offers an EHR for optometry and ophthalmology practices, will integrate DrFirst’s medication management and e-prescribing into its products.
  • Phynd is exhibiting at NAHAM in Dallas, TX this week.
  • LogicWorks achieves AWS Service Delivery Partner status.
  • MedData will exhibit at the Advanced Institute for Anesthesia Practice Management April 29-May 1 in Las Vegas.
  • CloudWave’s OpSus Live infrastructure as a service earns its third annual Best Practice rating in the Meditech Infrastructure and Supporting IT Process Audit.
  • Meditech will exhibit during HIMSS UK e-Health Week May 3-4 in London.
  • ROI Healthcare Solutions will sponsor the Inforum Conference July 10-12 in New York City.
  • Zynx Health customer North York General Hospital wins the 2016 HIMSS Enterprise Nicholas E. Davies Award of Excellence.
  • Navicure will exhibit at the Oregon/Washington MGMA meeting April 30-May 2 in Spokane, WA.
  • Health Data Specialists sponsors the Cerner Southeast Regional User Group May 3-5 in Jacksonville, FL.
  • Netsmart will exhibit at the Care Coordination Summit May 1 in Baltimore.
  • Revenue recovery software vendor Ontario Systems adds the ReconBot claims automation from Recondo Technology. 
  • Obix Perinatal Data System will exhibit at the AWHONN Michigan Annual Conference May 5 in Frankenmuth.
  • CloudWave achieves a best practice rating for OpSus Live.
  • PatientKeeper will exhibit at Hospital Medicine 2017 May 1-4 in Las Vegas.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne, Lt. Dan.
More news: HIStalk Practice, HIStalk Connect.
Get HIStalk updates. Send news or rumors.
Contact us.

125x125_2nd_Circle

News 4/26/17

April 25, 2017 News 2 Comments

Top News

image

The Coast Guard posts an RFI for an EHR that can achieve interoperability with the EHRs of the Department of Defense and VA.

USCG gave up on its Epic implementation in 2015 without going live anywhere and finally elected not to renew its Epic contract that expired in early 2016, citing unspecified risks. It had spent five years and several dozen million dollars, also deciding along the way to add the US State Department to its ultimately failed rollout.

After the Epic project was halted, the Coast Guard determined that it could not revert back to its previous CHCS/AHLTA system and went back to paper instead.

The lead contractor in USCG’s Epic project was Leidos, which later won the DoD $4.3 billion bid in offering Cerner.

SAIC, which spun itself off in 2013 as its parent company renamed itself to Leidos, originally developed the DoD’s CHCS system (interestingly, as a customization of the VA’s VistA) in a billion-dollar 1988 initial contract. The DoD is rumored to have spent at least $20 billion on CHCS and its add-on AHLTA, which was not interoperable with the VA’s VistA. Defense contractor Northrop Grumman was paid at least $5 billion to develop AHLTA, rated in a 2016 physician survey as the worst EHR in the country. The DoD keeps giving Leidos and Northrop Grumman high-dollar contracts to keep the old systems running.

Cerner should have a slam dunk here unless a well-connected defense contractor takes the Coast Guard down a puzzling path or if the DoD’s project isn’t faring as well as they’ve announced. Leidos might have taken a black eye in the Coast Guard’s failed Epic project, but I still assume they’re the frontrunner as long as Cerner is game to partner with them again, which surely they are given their strong bidding position after their DoD win. Or maybe the Coast Guard will figure out how to participate in the DoD’s Cerner contract instead of mounting a separate project, given that it’s a uniformed service just like the Army, Marines, Navy, and Air Force.


Reader Comments

image

From Indigenous Species: “Re: Orion Health. Laid off 20 people last week – I have the list of those affected if you want it. My position was eliminated two weeks ago. Share price is way down from last year.” The New Zealand-traded shares of the company have shed 66 percent in the past year, valuing it at $223 million. The stock was pounded earlier this month on the company’s announcement of expected lower annual revenue and continuing (but improving) annual operating losses. CEO Ian McCrae said in that announcement that Orion will launch a cost reduction program and will evaluate partnership or minority investment interest.

image

From Dense Matters: “Re: Readers Write articles. Some of them are pretty lame. Do you run all of those submitted?” I actually reject most of them. Folks with creative ideas and insightful opinion apparently aren’t writing articles since most of those I receive are PR-polished vendor fluff pieces. I justifiably rejected one of those this week by randomly choosing five sentences from it and defying the PR person who sent it to me to find a single original or interesting thought in any of them (example: “Payers and providers recognize that future survival in the fee-for- value world depends on having the right systems in place.”) Restating dull, obvious facts isn’t a good way to draw the interest of my readers and yet people keep proudly sending me that crap like it’s wonderful. If you don’t like what I’ve run, imagine how bad the articles were that I rejected.


HIStalk Announcements and Requests

image image

We funded the DonorsChoose grant request of Ms. B in Arizona, who asked for a document camera for her second grade class. She provides this update: “Since I teach math, we use it almost every day and now I wonder how we survived without it before! My students love it because they get to see what I and their peers are doing from the document camera to the projector. It arrived at the perfect time — the week before our measurement unit. I put the ruler under the camera, and when it appeared huge, detailed, and gigantic on the screen, the class was in awe. I know that thank you letters were not requested but my students seriously thank you. They feel lucky that there are people out there who care about their educations that they spent their time and money donating an expensive tool to their classroom to benefit their learning. It is so, so helpful. You really helped out a great group of second graders immensely.”

I needed to get my medical records from an old, distant provider today and called the office. They need me to sign a release form, which is fine, but the only way they can send me this generic, blank form is via fax or mail. The conversation went like this:

Office person: We can send that form to you. Do you have a fax machine?
Me: No, this is actually the 21st century, where the only fax machines left running are in hospitals and doctors’ offices. I don’t even have a landline even if I wanted to set up my multifunction printer to fax. It’s just a blank form. Can you email it to me?
Office person: No. If you don’t have a fax machine, we will have to mail it to you and you can fill it out and mail it back.

My only secret weapon is those online fax services that allow you to send an ad-supported free fax, where I can at least scan and send the completed form back to them quickly. I am baffled why no doctor’s office I’ve ever asked can (or will) send email attachments for routine, non-PHI containing forms like this. Probably because nobody’s willing to pay them to change their ways.

Listening: Kiefer Sutherland (yes, Donald’s boy Jack Bauer). Movie stars obviously get a fast track for crossover music deals (especially when they own the record label as Kiefer does), but his 2016 album is really good with his gruff, whiskey-sounding voice, which is probably appropriate given his string of DUI arrests and prison time. The album has been characterized as country, but despite an occasional on-stage cowboy hat, it sounds more like blues-rock tinged Americana to me. Here’s a healthcare connection – Keifer’s grandfather created North America’s first universal healthcare program in Saskatchewan, Canada as the father of Canada’s Medicare program. If you’re instead feeling proggish, there’s a new album by former Genesis guitarist Steve Hackett, who provides an alternate ending to Phil Collins turning the shockingly talented prog rockers into the Archies.


Webinars

April 26 (Wednesday) 1:00 ET. “SSM Integrated Health Technologies Clinical Data Migration: Functional and Technical Considerations.” Sponsored by Galen Healthcare Solutions. Presenters: Sandy Winklemann, MHA, RHIA, project manager, SSM Integration Health Technologies; Tyler Mawyer, MHA, managing consultant, Galen Healthcare Solutions; Kavon Kaboli, MPH, senior consultant, Galen Healthcare Solutions. GE Centricity and Meditech to Epic EHR transition. Join us for a complimentary webinar as present the decisions that are important to consider when performing a clinical data migration from the point of view of  the healthcare organization program manager, the clinical analyst, and the technical implementation team. Our expert panel will survey data migration considerations, best practices, and lessons learned. The webinar will present a unique client perspective, offering insight into considerations surrounding staffing, clinical mapping, legacy application support, and validation and testing.

April 28 (Friday) 1:00 ET. “3 Secrets to Leadership Success for Women in Health IT.” Sponsored by HIStalk. Presenters: Nancy Ham, CEO, WebPT; Liz Johnson, MS, FAAN, FCHIME, FHIMSS, CHCIO, RN-BC CIO, Acute Care Hospitals & Applied Clinical Informatics – Tenet Healthcare. Join long-time C-level executives Liz Johnson and Nancy Ham as they share insights from nearly three decades of navigating successful healthcare careers, share strategies for empowering colleagues to pursue leadership opportunities, and discuss building diverse executive teams. This webinar is geared toward female managers and leaders in healthcare IT seeking to further develop their professional careers. It’s also intended for colleagues, executives, and HR personnel who are looking to employ supportive techniques that ensure diversity in the workplace.

Previous webinars are on our YouTube channel. Contact Lorre for information on webinar services.


Acquisitions, Funding, Business, and Stock

SNAGHTML35689611

Specialty drug prescribing software vendor ZappRX raises $25 million in a Series B funding round, increasing its total to $33 million.

image

Mpirica, which publishes surgery quality scores for hospitals and surgeons using claims data, receives a $4.6 million crowdfunding investment. 

image

Clinical communication system vendor Doc Halo receives $11 million in a Series A funding round. 

image

Care management company Lumeris acquires analytics vendor Forecast Health.

image

HealthVerity, which sells drug companies de-identified healthcare research data that it assembles from 30 suppliers, raises $10 million in a Series B round.

image

UK-based video- and chat-based virtual visit provider Babylon Health raises $60 million in funding, valuing it at $200 million. The company is also working on an AI-powered chatbot for NHS’s 111 non-emergency line and plans to further develop AI-powered diagnosis.

Surgical Information System acquires SourceMed, which sells ambulatory surgery center software. SourceMed’s president, CEO, and board chair since December 2014 is Jamie Coffin, PhD, who was VP/GM for Dell’s healthcare and life sciences business from 2007 to 2013.


Announcements and Implementations

Epic will offer patients health information from Mayo Clinic in its MyChart and MyChart Bedside tablet apps, available by clicking an Infobutton or on a keyword.

SNAGHTML35a5aec1

Apache Software Foundation releases v4.0 of its open source cTakes natural language processing engine for healthcare-related free text.

SNAGHTML363bc4fe

Smartphone clinical study participation vendor Medable will use API services from Redox to integrate EHR data into their system.

SNAGHTML37107898

PolicyMedical announces GA of Integrity Manager, which automates the electronic review of vendors, business associates, and employees to meet the compliance requirements of OIG and OCR.

image

Cerner will integrate concussion management software from NeuroLogix Technologies into its HealtheAthlete health management system. I’ll be honest in admitting that I’ve never heard of HealtheAthlete.

image

This seems bizarre: Klick Labs releases a “tele-empathy” device that allows Parkinson’s Disease patients to transmit their tremors to a Bluetooth-connected muscle stimulation armband, allowing whoever is wearing it to feel their tremors and understand their effect on activities of daily living. The company says future versions will transmit symptoms to remote doctors for diagnosis. It’s also working on “symptom transference” for diabetes and COPD and hopes to use virtual reality to “virtually put other people in that patient’s shoes.”

Partners HealthCare will work with Persistent Systems to create an open source, SMART/FHIR-powered platform that will allow providers to exchange best practices knowledge.

Medsphere releases a patient scheduling tool for its OpenVista inpatient and ChartLogic ambulatory EHR.

QuintilesIMS will develop Salesforce solutions for managing clinical trials, recruitment, and marketing that will be marketed to life sciences companies.


Government and Politics

image

Former President Barack Obama will speak at the healthcare conference of Wall Street investment banker Cantor Fitzgerald in September for a rumored $400,000 fee. I bet someone at HIMSS is talking to his people about opening HIMSS18, which would certainly represent an improvement in the string of vendor CEOs to which HIMSS has recently bestowed the prime time speaking slot, although maybe the former President is too expensive (HIMSS paid Hillary Clinton $225,500 for her HIMSS14 speech). You’ve likely heard the Cantor Fitzgerald name – 658 of its 960 New York-based employees died in the World Trade Center attacks of 2001.


Privacy and Security

image

Ambulatory EKG monitoring services vendor CardioNet pays $2.5 million to settle HIPAA charges following the 2012 theft of an employee’s laptop that contained the PHI of 1,400 people. HHS OCR found that the company didn’t perform adequate risk analysis and risk management and hadn’t implemented its draft security policies. My conclusions from this:

  • CardioNet would have had no HIPAA responsibilities if it were simply a technology vendor, but the company provides services to Medicare patients and thus is a covered entity subject to HIPAA.
  • It would seem true in most cases that a breached covered entity could be accused of failing to provide adequate risk analysis and management.
  • The company will begin encrypting laptops, flash drives, SD cards, and other portable media.
  • I’m not sure what this means, but HHS will require the company to implement training that includes “out of-office transmissions.”

Other

A Nemours Children’s Health System survey finds that while only 15 percent of parents have used telemedicine services for their children, 64 percent plan to do so within the next year, the unlikely massive uptick in projected usage recalling that consumer responses to surveys often differ vastly from their actual behavior. It was also an online survey, which doesn’t necessarily draw a representative sample of all patients. I couldn’t find the 2014 version of the Nemours survey, which I expect contained rosy telemedicine projections that didn’t pan out. Respondents said they favor using telemedicine for their own convenience (acute conditions such cold and flu) but have little interest in having the chronic conditions of their children managed remotely.

Erlanger Medical Center (TN) posts improved quarterly revenue, but the CEO warns the board that its $100 million Epic rollout that starts May 1 will temporarily cause reduced revenue due to loss of productivity until staff become comfortable with it.

image

This is not sustainable in a globally competitive environment: healthcare employs one in nine Americans as communities embrace expanding health systems whose swollen headcount replaces jobs lost from dying industries. More than half of the $3.4 trillion spent annually on healthcare is made up of labor costs, with each physician being outnumbered by 16 other workers, half of whom function in non-clinical roles.

image

A Warren Buffett-backed insurer offers life insurance for poorly controlled diabetics in the UK using a process called “robo-underwriting” in which the insurer uses technology-powered medical data analysis to set premiums based on user behavior such as medication adherence and having their blood glucose levels tested regularly. Customers are required to comply with the company’s diabetic control policies, with their annual monitoring results sent directly to the company for premium adjustments that can range from a 4.5 percent discount to a 7.5 percent penalty.

SNAGHTML372c7f85

Kaiser Health News notes the proliferation of breast milk banks, some of which are run by for-profit companies that pay new moms $1 per ounce for milk that they then resell to other mothers and even hospital NICUs for up to $300 for a one-day supply or to drug companies who use the milk in manufacturing. The facilities are not overseen by the FDA and studies have found that a significant amount of the product being sold is either contaminated with bacteria or has been diluted with plain old supermarket milk. 

image

I missed this great story from last month. Myron Rolle — a former NFL player and a Rhodes Scholar from Florida State University – has not only earned a master’s in medical anthropology at Oxford, but has also graduated from FSU’s medical school and has matched to Mass General’s neurosurgery residency program. He says he had football playing years left, but was anxious to avoid the potential concussions and hand injuries that could have ended his dreams of becoming a neurosurgeon.

 image

Police use home network and fitness tracker data to charge a Connecticut man with murdering his wife. Home network logs showed that the husband logged into Outlook at the time he claimed to have been at work, the couple’s home security system log showed doors opening at times that didn’t agree with his story, and the wife posted to Facebook and recorded her Fitbit steps after he claimed to have found her dead.


Sponsor Updates

  • Impact Advisors publishes a new white paper titled “Ensuring Effective Physician Engagement.”
  • Besler Consulting releases a new podcast, “A look at the United Healthcare orthopedic bundled payment program.”
  • The Advisory Board includes CareVive Systems in its Cancer Care Transformation Playbook.
  • Casenet will deliver evidence-based content from XG Health Solutions via its care management platform.
  • Crossings Healthcare Soutions GM Justin Monnig is featured in a Goliath Technologies case study.
  • Health Catalyst wins the Gallup Great Workplace Award for the second year in a row.
  • Cumberland Consulting Group will exhibit at the Asembia Specialty Pharmacy Summit 2017 April 30-May 3 in Las Vegas.
  • Direct Consulting Associates will exhibit at the iHealth 2017 clinical informatics conference May 2-4 in Philadelphia.
  • ECG Management Consultants will present and exhibit at the 2017 ASCA Annual Meeting May 3-6 in Oxford Hill, MD.
  • EClinicalWorks will exhibit at the CAMGMA 2017 Annual Conference April 27-29 in San Diego.
  • Evariant will exhibit at the Healthcare Communications Conference May 1-3 in Baltimore.
  • Healthwise will exhibit at ZeOmega’s client conference May 2-4 in Plano, TX.
  • Imprivata and Intelligent Medical Objects will exhibit during the HIMSS UK eHealth Week May 3-4 in London.
  • Ingenious Med will exhibit at the Society of Hospital Medicine’s 2017 annual meeting May 1-4 in Las Vegas.
  • InstaMed will present at the World Health Care Congress May 3 in Washington DC.
  • InterSystems will exhibit at the HL7 international meeting May 6-12 in Madrid.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne, Lt. Dan.
More news: HIStalk Practice, HIStalk Connect.
Get HIStalk updates. Send news or rumors.
Contact us.

125x125_2nd_Circle

Monday Morning Update 4/24/17

April 23, 2017 News 5 Comments

Top News

image image

US Surgeon General Vivek Murthy, MD, MBA resigns as the Trump administration announces its intentions to replace the ACA-supporting, Obama-appointed physician.

Serving as interim is Deputy Surgeon General Rear Admiral Sylvia Trent-Adams, BSN, RN, MSN, PhD.

Trent-Adams is the first non-physician to hold the role (either as interim or permanent) since veterinarian Robert Whitney served as acting Surgeon General for a few months in 1993. Whitney was at that time the first non-physician to hold the role since its creation in 1871.


Reader Comments

image

From Obi-Wan 2.0: “Re: HIMSS buying Health 2.0’s conferences. What’s your take?” I’m not sure I have a relevant opinion since, as an enterprise health system IT guy, I just can’t get interested in startups that often feature unoriginal or irrational ideas, spotty execution, questionable leadership, and naiveté about how to sell into health systems if indeed that’s their target market at all. That’s not to say that interesting companies never make it to the next level, only that I don’t waste time following the gaggle until they beat the long odds and actually do it (otherwise, it’s like scouting tee ball games to find future MLB stars). It’s a great exit for the Health 2.0 folks, who matched up with the only potential buyer who had the money and unbridled ambition to buy their conferences since HIMSS has to spend its profit on something relevant to its non-profit mission. In that respect, it’s a poetic ending since most of the companies in their universe dream similarly of finding a willing, deep-pockets buyer (for many of those techno-toddlers, it’s a race to cash out before the wheels come off). Matthew Holt and Indu Subaiya presumably get deservedly rich, while their ragtag band of pink socks-wearing, self-proclaimed disruptors who cling together seeking relevance among far bigger players are left to wonder whether they will find a comfortable home within Diamond Member-fawning HIMSS, the odds of which are not favorable. I’m not clear on what happens with the remaining parts of Health 2.0, or in fact what those parts actually are.

image

From Conga Dipper: “Re: Medhost. I doubt its website visitors are fluent in translating nursing benefits from Lorem Ipsum filler text.” Maybe it’s a sales message for prospects in Latin America.

From TxHIT45: “Re: MedStar. Interesting idea mixing ride-sharing and healthcare in this way.” Inexpert HIT fanboy site writers often misstate a hospital’s “partnership” with Uber for patient rides home as though it were hot technology news (failing to see that it’s no different than giving patients a cab company’s telephone number), but this is a bit more interesting. A Texas ambulance service’s nurses are triaging 911 calls and sending low-acuity callers a Lyft ride instead. It costs $450 to roll an ambulance, while that same amount covered all of the 38 Lyft rides it substituted in February. At least that’s a small step in trying to manage costs incurred by people who visit the ED for non-emergent conditions for a variety of reasons, some of them rational only because our healthcare “system” is anything but.

From Oregonian: “Re: Mid-Columbia Medical Center’s layoffs due to losses. The additional $3 million in unpaid debt appears to be due to legacy AR write downs as a result of the audit, which has nothing to do with what rev cycle product is being installed.”

SNAGHTML288f1621

From Reluctant Epic User: “Re: the MUMPS programming language. Made it to the top of Hacker News a few weeks ago with a lot of talk about Epic and Meditech. The 176 comments make common complaints that we’re mostly already aware of, but some of the defenders raise interesting points as well.” Some of the points made:

  • All variables are global and are named with a maximum of six capital letters.
  • Meditech writes all of its own languages, databases, operating systems, and tools.
  • Meditech’s new programming hires, most of whom aren’t computer science majors, go through a 6-12 month training program that allows them to succeed at Meditech, but they are stuck there because experience in a company’s proprietary language isn’t worth much elsewhere (a similar situation holds true for Epic developers, another commenter says).
  • “I find Epic to be more horrifying than Meditech because Epic has somehow managed to convince many healthcare workers that it is a ‘modern’ product worthy of praise despite all evidence to the contrary. People talk about SmartPhrases like it’s some miracle instead of a damn snippets manager (and a bad one at that). The fact that they’re moving away from VB6 to a web-based front-end in 2017 should be reason enough to assume that whatever they come out with is going to be excruciating.”
  • “The MUMPS codebase I worked on in the 80s was so fragile that deleting a single global string could cause the whole system to break down in ways that required a restore from backups. Don’t ask me how I know that.”
  • “A MUMPS program tends to be an unreadable mess to anybody who hasn’t touched it in the last 30 seconds.”
  • “I’m very, very happy to not be using this language any more. After my first year on the job, I read some JavaScript code and I nearly wept at how comparatively beautiful it was.”
  • “The tech stack was a real resume killer. I still get contacted by recruiters desperate for MUMPS developers and they make me feel like someone trapped inside a house besieged by zombies. I get really quiet and hope they don’t break any windows.”
  • “Companies like Epic are why healthcare costs in the US are huge and growing. Epic never refactors anything that still works well enough to hold together with some expensive human labor. It is a technology company that runs on well-trained people instead of well-designed code and processes.”
  • “I found Epic MUMPS to be remarkably readable. Lots and lots of documentation, quite consistent coding standards, and although I would have preferred to write SQL queries rather than MUMPS routines, I didn’t find it that abhorrent.”

From Big Data Hard Times: “Re: Atigeo. The analytics software firm seems to have been hit by hard times, listing 95 employees in April 2016 and now listing only 49. That seems to be the wrong direction for a company that received $18.5 million in VC investment in late 2015. I’m looking to including them as part of the vendor pool our hospital is looking at, but won’t if they are headed for the big data crunch in the sky.” Unverified. The company was founded in 2005, has received funding only through a Series B round, and lists no customers or recent sales on its site. The company’s “About” page grandly describes it as, “Atigeo is a compassionate technology company for a wiser planet,” which makes me think that maybe too much of that Series B money went toward hokey marketing. The company’s excessive tweeting dried up to nothing in October 2016, suggesting that something happened then (I like to think that the corporate tweeter was the “wiser planet” hack and the company wised up to their prior lack of supervision).


HIStalk Announcements and Requests

image

About half of poll respondents have volunteered to give up their seats on flights. Me being one, which worked great the two times my offer was accepted (most recently, I got a $400 voucher for giving up a seat to take a flight just three hours later). One reader recommended going for cash, not a voucher, and trying to wangle a first-class upgrade. Nick longs for the good old days when airlines sometimes offered a voucher good for a ticket to any domestic destination served by the airline. Everyone seems to agree that if you can get a seat on another flight that leaves shortly, or if you can choose a nearby airport and drive to your destination, it’s a pretty good deal.

New poll to your right or here: what will be the VA’s biggest challenge if it decides to implement Cerner or Epic?

Grammar peeve: the innumerable folks who write sentences such as, “The building houses 10 different companies,” apparently believing readers require the redundant clarification of “different” to comprehend that it’s not 10 of the same company.

Vocational dissonance: the puzzlement that results from trying to reconcile the lofty accomplishments and skills claimed by someone on their inflated, largely fictional LinkedIn profile with first-person knowledge that suggests far more modest capabilities.

image image

We funded the DonorsChoose grant request of Mrs. O in Texas, who asked for programmable robots and electronics kits for her library maker space. She reports, “The technology that was donated is really helping my students become independent problem solvers. My students are learning to work with one another and most importantly communicate effectively with one another in order to learn how the new technologies work. Students come to the library in the mornings for about 50 minutes of maker space time and I give them the opportunity to use all the different technology. I provide a risk-free learning environment and give them this time to engage in creative play, but they don’t realize that they are really learning because they are having so much fun! Surprisingly, more girls than boys are attending the maker space technology days. I am really impressed that the girls are really drawn to creating things with the Little Bits.”

Listening: new from Chris Cornell, who in addition to his solo career is also lead singer and songwriter for both Soundgarden and Audioslave. He has an amazing voice and his compositions are strong.


This Week in Health IT History

image

One year ago:

  • Federal prosecutors launch a criminal investigation to determine whether Theranos misled investors about the state of its technology and operations.
  • UnitedHealth Group pulls its plans from ACA exchanges, citing $1 billion in losses.
  • CMS announces that it will hold off on publishing quality ratings for hospitals for several weeks amid questions from healthcare providers and Congress over its methodology.
  • Five-hospital health system Centra (VA) contracts with Cerner to replace EHRs in use at each of its hospitals and 50 ambulatory and long-term care facilities.
  • New York insurer EmblemHealth lays off 250 IT and operations employees after contracting with Cognizant to modernize its IT systems.

4-19-2012 4-20-06 PM

Five years ago:

  • Cerner CEO Neal Patterson makes the cover of Forbes in a piece called Obamacare Billionaires.
  • Mediware closes its $2.2 million acquisition of Cyto Management System, an oncology management system.
  • Thomson Reuters announces it will sell its healthcare unit to Veritas Capital for $1.25 billion in cash.
  • Liverpool Heart and Chest Hospital chooses Allscripts Sunrise, the company’s first sale to a UK trust.

Weekly Anonymous Question

I asked respondents to describe the most patient-endangering IT issue they’ve seen personally, with these responses:

  • Medication reconciliation that isn’t a priority, done well, or enforced.
  • The usability of patient identity functions being so bad in a new EHR that the front desk just defaulted to making a new patient record and let HIM sort it out. Who then … didn’t. We found it later in trying to do analytics in support of an ACO.
  • The way that our major commercial EMR vendor handles medications. When you make an adjustment in the med dose without issuing a new script, there is absolutely no way to show that as part of the formal medication history.
  • At a previous hospital, we had a EHR from a vendor whose name starts with Mc. It was mixing up sigs on medications, literally assigning them to the wrong patient and med in the database. Issue was quickly discovered and software was declared unfit for use and was yanked.
  • On an old system no longer in use, there was not any logic not to prevent a new line in the middle of a medication dose. It happened leaving ‘0.’ on the line above and 10 beginning the next line. It was not until a patient was injured and a very competent nurse was devastated during root cause analysis that this issue came to light. At the time there was a comment about the "stupid nurse," which made my blood boil.
  • Wrong med given due to system having order on wrong patient.
  • Lab labels generating on the wrong patients.
  • Oh, my God, this one still causes me panic. Zero-day architectural decision in erx by people with no concern for safety or even basic understanding of the practice of medicine caused the wrong prescription to be created, depending on how a medication was ordered. The mistake was invisible to physicians in the UX, due to yet *another* terrible design decision. Two patients received scripts that would have killed them, one was caught by the doctor who thankfully double-checked the printed rx, the other by the pharmacist.
  • Lack of a singular and accurate person identifier across all systems.
  • Letting unqualified people do patient merges.
  • Malfunctioning IV pump used (on me), supposedly to deliver much-needed pain medication after emergency orthopedic surgery.
  • Upper EMR managers: "If it saves the physician one click, nobody cares about the downstream effects to <insert department>.” Do the customization.
  • CPOE architecture that required only selection of a single generic name as the drug product despite the directions (it’s too hard for physicians to select a specific product or dosage form). The product would be automatically selected by the CPOE system. The first item alphabetically would always be selected, so for instance, all fentanyl orders would be sent as Fentanyl 100 mcg/hr patch whether instructions were 50 mcg IV q1h prn, patch, PCA.
  • Allowing entry of orders prior to allergy entry.
  • Suppressing all physician alerts. Everyone ELSE needs to deal with allergies, duplicates, and order requirements.
  • Endless customization and lack of standardization. It might seem like a great idea to have a zillion versions of the same thing and have unseen programming operating in the background, but it is not.
  • Implementation of an inpatient EHR that included a pharmacy and MAR application, where the MAR had incorrect doses listed.

image

This week’s question: If you are a former or current individual HIMSS member who either considered quitting or actually did so, what led to your decision?


Last Week’s Most Interesting News

  • Alphabet’s life sciences business Verily launches its Project Baseline initiative, a four-year project to create a database that will be used to look for early warning indicators for a variety of illnesses.
  • AMA introduces a web-based EHR training tool developed by Regenstrief Institute that uses the de-identified records of 11,000 patients with built-in medical histories going back as far as 40 years.
  • Theranos settles its ongoing legal battles with CMS over unsafe practices at its Newark and California labs and settles its legal battles with the Arizona Attorney General, agreeing to issue a full refund to all 175,000 Arizona residents who received Theranos blood tests.
  • The Phoenix VA Medical Center announces plans to partner with CVS to expand coverage locations, including local MinuteClinics.
  • HHS Secretary Tom Price, MD announces the availability of $485 million in state grants for combatting the opioid epidemic.

Webinars

April 26 (Wednesday) 1:00 ET. “SSM Integrated Health Technologies Clinical Data Migration: Functional and Technical Considerations.” Sponsored by Galen Healthcare Solutions. Presenters: Sandy Winklemann, MHA, RHIA, project manager, SSM Integration Health Technologies; Tyler Mawyer, MHA, managing consultant, Galen Healthcare Solutions; Kavon Kaboli, MPH, senior consultant, Galen Healthcare Solutions. GE Centricity and Meditech to Epic EHR transition. Join us for a complimentary webinar as present the decisions that are important to consider when performing a clinical data migration from the point of view of  the healthcare organization program manager, the clinical analyst, and the technical implementation team. Our expert panel will survey data migration considerations, best practices, and lessons learned. The webinar will present a unique client perspective, offering insight into considerations surrounding staffing, clinical mapping, legacy application support, and validation and testing.

April 28 (Friday) 1:00 ET. “3 Secrets to Leadership Success for Women in Health IT.” Sponsored by HIStalk. Presenters: Nancy Ham, CEO, WebPT; Liz Johnson, MS, FAAN, FCHIME, FHIMSS, CHCIO, RN-BC CIO, Acute Care Hospitals & Applied Clinical Informatics – Tenet Healthcare. Join long-time C-level executives Liz Johnson and Nancy Ham as they share insights from nearly three decades of navigating successful healthcare careers, share strategies for empowering colleagues to pursue leadership opportunities, and discuss building diverse executive teams. This webinar is geared toward female managers and leaders in healthcare IT seeking to further develop their professional careers. It’s also intended for colleagues, executives, and HR personnel who are looking to employ supportive techniques that ensure diversity in the workplace.

Previous webinars are on our YouTube channel. Contact Lorre for information on webinar services.


Acquisitions, Funding, Business, and Stock

image

A hedge fund that is suing Theranos deposes 22 former company employees or directors who told it:

  • Theranos formed a shell corporation to buy commercial lab equipment from companies like Siemens, then modified the machines to run its proprietary finger-stick blood samples.
  • The company ran fake investor demonstrations of what it claimed was its innovative technology that was actually equipment sold by other companies.
  • The company’s financial projections for investors that called for $1 billion of annual profit in 2015 were vastly different from similar estimates provided to the IRS just two months later, which estimated $100 million in 2015 annual profit.

Sales

image

Stephens County Hospital (GA) will deploy Wellsoft’s EDIS including clinical documentation, CPOE, patient tracking, results reporting, and charge capture.


People

image

Voalte founder Trey Lauderdale returns to the CEO role. Former CEO Adam McMullin has left the company after a year “to pursue other opportunities.”


Announcements and Implementations

image

Video visit provider PlushCare launches Lemur, the telehealth EHR used by its 50 doctors. The announcement (and the fact that the company felt compelled to make one) suggests that PlushCare is commercializing its EHR, but I think it’s actually just pointless PR puffery in describing its internal-only product.

TransUnion Healthcare adds a prior authorization solution to its patient access offerings and enhances its existing eligibility product.

image

In Saudi Arabia, King Faisal Specialist Hospital and Research Center goes live on GetWellNetwork’s in-room interactive patient services.

RadmediX launches its urgent care digital radiology solutions.


Privacy and Security

image

Computer systems of Erie County Medical Center (NY) remain down following an April 9 ransomware attack. 

image

A patient seeks class action status for her lawsuit against virtual visit vendor MDLive, which claims that the company’s app sends an average of 60 screenshots per visit to an Israel-based app performance testing company.

A proposed class action lawsuit claims that Bose’s wireless headphone app collects the music listening habits of users and that the company then then sells that information to other companies.


Government and Politics

Some AMIA members participated in Saturday’s March for Science in Washington, DC and other locations, which depending on your point of view was created to: (a) protest the Trump administration’s policies; (b) highlight scientific acccomplishment; or (c) influence the government keep taxpayer dollars flowing into the pockets of scientists via federal research grants.


Innovation and Research

Atlanta NPR reviews blockchain in healthcare, with the CEO of one personal health record startup unconvincingly explaining why she’s trying to duplicate the health record storage practices of Estonia, 95 percent of which involves blockchain. A blockchain-related vendor disagrees in saying that blockchain isn’t good at storing large amounts of data, instead suggesting that its healthcare use focus on storing digital signatures of patient records to maintain an access log of who has viewed them.

Apple hires Steven Keating, the MIT mechanical engineering PhD who is best known for creating a 3-D printed image of his own since-excised brain tumor (he’s still on chemo). He described in a conference presentation last week that he learned from his experience in collecting 75 gigabytes of his own health information (his “medical selfie”) that it’s hard for patients to obtain their own data:

My doctors are incredible for sharing my data and encouraging me to learn more from it. However, the process raised some questions for me, as I received my data on 30 CDs, without easy tools to understand, learn, or share, and there was no genetic data included. Why CDs? Why limited access for patients to their own data? Can we have a simple, standardized share button at the hospital? Where is the Google Maps, Facebook, or Dropbox for health? It needs to be simple, understandable, and easy, as small barriers add up quickly. Imagine having your whole medical record that you could not only share with doctors and scientists but also with friends and family, too. Patients could get second opinions very easily, and doctors can follow what leaders in the field are doing.


Other

image

The dean of Stanford’s medical school says that “innovation is at the algorithmic level,” predicting that significant medical and health advancements will be driven primarily by the ability to interpret huge datasets.

image

Kaiser Permanente Chairman and CEO Bernard Tyson tells the Nashville Health Care Council that the future isn’t in “heads in the beds,” but rather in virtual visits. He asked the 300-plus attendees how many of them can do as he can in pulling up their medical record on their phones, which resulted in fewer than a dozen raised hands. Tyson also says KP is mimicking the Starbucks concept of community and coffee in creating buildings that provide walking paths, healthy foods, and areas where people can study and share health information. 

image

A Reaction survey finds that nearly half of McKesson customers didn’t know that the company was spinning off its IT business with Change Healthcare, although both customers and non-customers were neutral about the potential effects and nearly no respondents say they’re more likely to buy products from the new company.

Bizarre: men are signing up for telemedicine visits using false IDs just to flash their video-connected doctors. Sherpaa says people have sent its doctors more than 30 unrequested penis photos, while American Well explains that as with face-to-face medical visits, the solution is to ban problematic patients and to verify all IDs by credit card. A guy must really be desperate to showcase his package to unwitting viewers if he’s willing to pay telemedicine fees to do so. Armed with this newfound knowledge, I’m sensing a business opportunity in creating an app that matches pervs to people willing to look at their private parts for cash (my working name is Glory Telehole).

image

A doctor in England faces suspension for looking up a patient’s personal details in her medical record; using her information to contact her to suggest having sex with him to help restore sensation in her genitals that had been reduced by multiple sclerosis; and then discouraging her from researching her condition in assuring her, “Trust me, I’m a doctor.” The married urologist’s version of the story is that the woman asked him for sex.

Vince and Elise review physician practice EHR vendors. I would, however, be cautious about assuming that each vendor’s client base can be inferred by the number of MU user attestations, especially given vendors like Epic that have relatively few (but also relatively large) health system customers that have lots of doctors as employees and affiliates.


Sponsor Updates

  • TierPoint completes its most recent round of HIPAA, PCI-DSS, GLBA, and SOC 2 Type II annual compliance audits.
  • ZeOmega introduces the Jiva Consultant Certification Program.
  • Employees of Clinical Computer Systems, Inc. raise $10,500 for the March of Dimes annual fundraising walk.
  • Visage Imaging will exhibit at ConHIT April 25-27 in Berlin.
  • First Databank Senior Director of Clinical Knowledge Charles Lee, MD will present the company’s recently acquired Meducation solution at Health Datapalooza this week.
  • ZeOmega will exhibit at Health Integrated Empower April 26-28 in St. Petersburg, FL.
  • ZirMed publishes a new infographic, “Riding the Sea of Change.”
  • Spok posts a case study of Hospital for Special Surgery’s use of Care Connect for medical, gas, and fire alarm alerting.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne, Lt. Dan.
More news: HIStalk Practice, HIStalk Connect.
Get HIStalk updates. Send news or rumors.
Contact us.

125x125_2nd_Circle

News 4/21/17

April 20, 2017 News No Comments

Top News

image

Alphabet’s life sciences business, Verily, launches its Project Baseline initiative, a project aimed at creating a database that will be used to look for early warning indicators for a variety of illnesses. The project will sequence the genomes of 10,000 volunteers, and then use an activity tracker to monitor a participant’s sleep, activity, heart rate, and other health metrics over the next four years.


Reader Comments

image

From Not Surprised: “Re: HIMSS buys Health 2.0. HIMSS continues to gobble up industry trade shows, this time opting for one that it hopes will ‘make it possible for HIMSS to have a greater influence on the cutting edge of health IT.’ While I’ve never been to a Health 2.0 event, I always got the impression that it was a far more energetic, grassroots affair than the typically straitlaced HIMSS events. Healthcare IT is already filled to the brim with boring suit-and-tie shindigs that, instead of moving the industry forward, serve only to line the pockets of organizers. I can only hope that this deal won’t result in Health 2.0 losing its edge.” HIMSS has indeed acquired the Health 2.0 conferences, which now span five continents. Health 2.0 CEO Indu Subayia, MD will join HIMSS as an EVP, while co-chairman Matthew Holt will move into a consultant role.


HIStalk Announcements and Requests

This week on HIStalk Practice: Providence Medical Group plans roll out of Chiron Health telemedicine services. GAO report outlines challenges, benefits to Medicare telemedicine programs. CMS proposes MU reporting changes, exceptions, and exemptions. Evans offers ambulatory providers emergency preparedness protocols. Michigan goes live with new PDMP. Practice EHR, Sequel Systems announce e-prescribing capabilities. Grand Rounds opens its first East Coast office. MDLive faces class-action lawsuit for alleged patient privacy violations. Thanks for reading!


Webinars

April 26 (Wednesday) 1:00 ET. “SSM Integrated Health Technologies Clinical Data Migration: Functional and Technical Considerations.” Sponsored by Galen Healthcare Solutions. Presenters: Sandy Winklemann, MHA, RHIA, project manager, SSM Integration Health Technologies; Tyler Mawyer, MHA, managing consultant, Galen Healthcare Solutions; Kavon Kaboli, MPH, senior consultant, Galen Healthcare Solutions. GE Centricity and Meditech to Epic EHR transition. Join us for a complimentary webinar as present the decisions that are important to consider when performing a clinical data migration from the point of view of  the healthcare organization program manager, the clinical analyst, and the technical implementation team. Our expert panel will survey data migration considerations, best practices, and lessons learned. The webinar will present a unique client perspective, offering insight into considerations surrounding staffing, clinical mapping, legacy application support, and validation and testing.

April 28 (Friday) 1:00 ET. “3 Secrets to Leadership Success for Women in Health IT.” Sponsored by HIStalk. Presenters: Nancy Ham, CEO, WebPT; Liz Johnson, MS, FAAN, FCHIME, FHIMSS, CHCIO, RN-BC CIO, Acute Care Hospitals & Applied Clinical Informatics – Tenet Healthcare. Join long-time C-level executives Liz Johnson and Nancy Ham as they share insights from nearly three decades of navigating successful healthcare careers, share strategies for empowering colleagues to pursue leadership opportunities, and discuss building diverse executive teams. This webinar is geared toward female managers and leaders in healthcare IT seeking to further develop their professional careers. It’s also intended for colleagues, executives, and HR personnel who are looking to employ supportive techniques that ensure diversity in the workplace.

Previous webinars are on our YouTube channel. Contact Lorre for information on webinar services.


Acquisitions, Funding, Business, and Stock

image

Cardinal Health will acquire Medtronic’s Patient Care, Deep Vein Thrombosis and Nutritional Insufficiency businesses for $6.1 billion in cash.

image

Siemens Healthineers will acquire Medicalis for an undisclosed sum. Siemens plans to fold the San Francisco-based company’s clinical decision support, imaging workflow, and referral management technologies into population health management line.

image

Care Innovations will relocate and expand its R&D center in a $1.7 million project that will create 24 jobs in Louisville, KY. The Roseville, CA-based home health and remote monitoring company – a joint venture between Intel and GE – opened its first office in the area 18 months ago.


People

image image

James “Butch” Baxter (Santa Rosa Consulting) joins Nashville-based secure messaging vendor Medarchon as CEO. Founder Baxter Webb will take on the role of chief strategy officer.


Announcements and Implementations

image

LifeBridge Health (MD) moves forward  with an enterprise-wide roll out of Cognizant’s Onvida communications software.

NTT Data Services will offer Praxify’s Mira voice-enabled charting technology.


Technology

Experian Health works with MyHealthDirect to add patient self-scheduling to its line of self-service payment tools.

image

Surescripts develops an accuracy monitoring tool for e-prescribing to help providers and pharmacists reduce callbacks and faxes, and better understand utilization patterns.

image

Healthgrades rolls out CareChats to help providers and patients stay in touch between appointments. The automated text- and email-based communications software integrates with the company’s CRM.

ImageMoverMD creates a Web-based solution to import medical images into a user’s EHR.


Sales

image

Arkansas Surgical Hospital selects PeerWell’s PreHab mobile app to help patients prepare for and recover from joint replacements.

image

Hill Hospital of Sumter County (AL) will add CPSI subsidiary Evident’s Thrive EHR to its existing Evident financial management tech.


Privacy and Security

image

Tanium finds itself in hot water after the Wall Street Journal reports that the cybersecurity company tapped into live hospital networks without permission during product demos between 2012 and 2015. Desktop and server management details were exposed, with some even showing up in videos. While patient data was not compromised, providers like former Tanium customer El Camino Hospital (CA) are not taking the intrusion lightly. “We are dismayed to learn that desktop and server management information was shared,” a hospital spokesperson told the WSJ.  “We are thoroughly investigating this matter and take our responsibility to maintain the integrity of our systems very seriously.”


Government and Politics

At a meeting earlier this week with White House officials, health insurance lobbyists and executives seeking assurances that subsidies would continue to be paid for low-income consumers buying individual marketplace plans – a step seen as critical to stabilizing the individual markets – were given no assurances and were instead told to take the matter up with Congress.


Innovation and Research

image

Nearly a month after Elon Musk announces his intent to develop an implantable brain-computer interface, Facebook unveils its plans to develop a similar interface that lets you type with your thoughts. The ultimate goal, according to Facebook researcher Regina Dugan, is to develop an interface that enables a person to to type even faster than they could with their hands, at close to 100 words per minute.


Other

AMA introduces a web-based EHR training tool developed by Regenstrief Institute that uses records from 11,000 de-identified Eskenazi Health (IN) patients with built-in medical histories going back as far as 40 years. The EHR training platform includes functionality based on Meaningful Use Stage 2 certification criteria so that the workflows will be similar to what residents will see in a hospital setting. I interviewed Regenstrief Institute CEO and Indiana University School of Medicine Professor Peter Embi, MD last month.


Sponsor Updates

  • Intelligent Medical Objects will exhibit at the European Federation for Medical Informatics meeting April 24-26 in Manchester, England.
  • Kyruus, Experian Health, and the SSI Group will exhibit at the NAHAM Annual Conference April 25-28 in Dallas.
  • LogicWorks will exhibit at the Alert Logic Cloud Security Summit April 26 in New York City.
  • MedData will exhibit at the HFMA Hawaii annual conference April 20-21 in Honolulu.
  • Clinical Computer Systems, developer of the Obix Perinatal Data System, will exhibit at the Florida Perinatal Quality Collaborative meeting April 27-28 in Tampa.
  • PatientKeeper will exhibit at the MUSE Community Peer Group-Canada East Coast April 27 in Nova Scotia.
  • Optimum Healthcare IT publishes a new infographic, “The Importance of Data Security.”
  • PokitDok cofounder and CTO Ted Tanner will present at Business and the Blockchain April 24-25 at Rice University in Houston.
  • Sphere3 Consulting moves into new office space in St. Joseph, MO.
  • Surescripts will exhibit at Health Datapalooza April 27-28 in Washington, DC.
  • PMD makes the San Francisco Business Times 2017 Best Places to Work list.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne, Lt. Dan.
More news: HIStalk Practice, HIStalk Connect.
Get HIStalk updates. Send news or rumors.
Contact us.

125x125_2nd_Circle

News 4/19/17

April 18, 2017 News 1 Comment

Top News

image

Tail tucked between its legs, Theranos agrees to exit from the lab-testing business for two years as part of deal with CMS that will reduce its fine to $30,000 and reinstate its operating certificates. What’s left of the company’s employees are supposedly “looking forward” to helping Theranos work with regulators to commercialize its miniature lab-testing device.

Theranos also settles its legal battles with the Arizona Attorney General, agreeing to issue $4.65 million in refunds to all 175,000 Arizona residents who received Theranos blood tests over the last four years.


Webinars

April 26 (Wednesday) 1:00 ET. “SSM Integrated Health Technologies Clinical Data Migration: Functional and Technical Considerations.” Sponsored by Galen Healthcare Solutions. Presenters: Sandy Winklemann, MHA, RHIA, project manager, SSM Integration Health Technologies; Tyler Mawyer, MHA, managing consultant, Galen Healthcare Solutions; Kavon Kaboli, MPH, senior consultant, Galen Healthcare Solutions. GE Centricity and Meditech to Epic EHR transition. Join us for a complimentary webinar as present the decisions that are important to consider when performing a clinical data migration from the point of view of  the healthcare organization program manager, the clinical analyst, and the technical implementation team. Our expert panel will survey data migration considerations, best practices, and lessons learned. The webinar will present a unique client perspective, offering insight into considerations surrounding staffing, clinical mapping, legacy application support, and validation and testing.

April 28 (Friday) 1:00 ET. “3 Secrets to Leadership Success for Women in Health IT.” Sponsored by HIStalk. Presenters: Nancy Ham, CEO, WebPT; Liz Johnson, MS, FAAN, FCHIME, FHIMSS, CHCIO, RN-BC CIO, Acute Care Hospitals & Applied Clinical Informatics – Tenet Healthcare. Join long-time C-level executives Liz Johnson and Nancy Ham as they share insights from nearly three decades of navigating successful healthcare careers, share strategies for empowering colleagues to pursue leadership opportunities, and discuss building diverse executive teams. This webinar is geared toward female managers and leaders in healthcare IT seeking to further develop their professional careers. It’s also intended for colleagues, executives, and HR personnel who are looking to employ supportive techniques that ensure diversity in the workplace.

Previous webinars are on our YouTube channel. Contact Lorre for information on webinar services.


Announcements and Implementations

Livongo Health will add Glytec’s EGlycemic Management System to its line of digital diabetes management tools.

image

Lancashire Teaching Hospitals NHS Foundation Trust in the UK adds integrated medication management to its implementation of Harris Healthcare’s QCPR EHR. Like all NHS facilities, Lancashire Teaching Hospitals hopes to go paperless by 2020.

image

Prime Healthcare ACO (CA) implements population health analytics and benchmarking from Persivia to assist its 70 practices with 2016 reporting requirements.

image

Grays Harbor Community Hospital (WA) will continue its use of CipherHealth’s post-discharge patient engagement technology and protocols after a four-month pilot that saw patient satisfaction increase and hospital readmissions decrease.


Acquisitions, Funding, Business, and Stock

image

HCA reports Q1 results: Revenue climbed to $10.6 billion compared to $10.2 billion in Q1 of 2016. However, net income dropped from $694 million to $659 million over the same time period; EPS $1.74 vs. $1.69. Revenue and net income missed analyst estimates, sending share prices down yesterday 3.6 percent.

image

UnitedHealth reports an increase in revenue and profits after exiting from the ACA exchanges. It expects a $3 billion increase in revenue over 2016, and a net income of $2.17 billion. The company predicts EPS will increase to between $9.65 and $9.85, compared to last year’s $9.30 to $9.60.

image

Mid-Columbia Medical Center (OR) attributes last week’s round of layoffs – its first in 20 years – to budgetary pressures related to its transition to Epic, as well as fewer patient visits during harsh winter months and uncertainty around Medicaid and Medicare reimbursements.


People

image

Kevin Hill (Leidos) joins Orchestrate Healthcare as area VP Southeast.

image

BJC HealthCare (MO) hires Jerry Fox, Jr. (Rockwell Automation) as SVP and CIO.


Sales

image

Wake Forest Baptist Medical Center signs a seven-year contract with Atlanta-based NThrive for outpatient RCM services.


Government and Politics

image

The VA awards Leidos company Systems Made Simple a potentially $29 million contract for IT development and support of its Repositories Program, which helps facilitate the sharing of health data between the VA, DoD, and other agencies. Leidos acquired Systems Made Simple as part of its $4.6 billion acquisition of Lockheed Martin’s IS and global services business last year.

image

A Black Book report evaluating Epic, Cerner, Allscripts, Meditech, and Athenahealth says Cerner is the best EHR vendor to replace VistA within the VA. The market research firm based its findings on customer satisfaction and how well each vendor’s offerings line up with the VA’s requirements. Allscripts and Epic round out the top three choices. The DoD, as you may recall, has opted to replace its AHLTA system with Cerner’s EHR. Fairchild Air Force Base went live in February; a full roll out is expected within the next four years.

The Air Force rebrands its MiCare patient communications portal to TOL Patient Portal Secure Messaging – the same name used by Army and Navy facilities.

image

The Phoenix VA Health Care System partners with CVS Health to increase access to care for veterans. Phoenix VA nurses can now refer patients to local MinuteClinics as part of the Veterans Choice Program. CVS entered into a similar arrangement with the Palo Alto VA HCS last year.


Privacy and Security

image

Erie County Medical Center continues to recover from a virus that shut down its IT systems April 9 – a process that has involved returning to paper charts; scrubbing 6,000 hard drives; and enlisting the help of IT specialists from neighboring Kaleida Health and Catholic Health, its EHR vendor, Meditech, GreyCastle Security, and Microsoft. The hospital has yet to confirm it was the victim of a ransomware attack.

image

From DataBreaches.net:

  • Virginia Mason Memorial (WA) notifies 419 ER patients that their medical records had been improperly accessed over a three-month period last year by 21 employees. “We believe this to be a case of snooping, or individuals who were bored,” says Chief Compliance and Privacy Officer Trent Belliston. “[There is] no evidence that the information’s being used in an improper way.”

Other

image

The HHS Idea Lab previews Health Datapalooza, which will take place April 26-28 in Washington, DC, and include the launch of challenges related to patient matching and health behavior data.


Sponsor Updates

  • Besler Consulting releases a new podcast, “Episode Payment Model final rule explained.”
  • KLAS includes Casenet’s TruCare platform in “Best in KLAS for Care Management Solutions” for 2017.
  • Cumberland Consulting Group will sponsor and present at the Model N Rainmaker Conference April 24-26 in Miami.
  • ECG Management Consultants will present at The Governance Institute – Leadership Conference April 23 in Scottsdale, AZ.
  • Elsevier Clinical Solutions makes available a HIMSS presentation featuring BIDMC CIO John Halamka’s thoughts on the future of health IT.
  • EClinicalWorks will exhibit at the MPCA Spring Symposium April 19-20 in Helena, MT.
  • HCS will exhibit at the NALTH Spring Clinical Education & Annual Meeting April 20-21 in San Antonio.
  • Huntzinger Management Group’s Tanya Freeman joins the AEHIA Board of Directors.
  • Conduent’s pharmacy benefit management module, Conduent Flexible Rx System, receives federal certification in the state of Montana.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne, Lt. Dan.
More news: HIStalk Practice, HIStalk Connect.
Get HIStalk updates. Send news or rumors.
Contact us.

125x125_2nd_Circle

Monday Morning Update 4/17/17

April 16, 2017 News No Comments

Top News

image

The FDA issues a warning letter to St. Jude Medical – acquired by Abbott Laboratories in January – for failing to respond to cybersecurity vulnerabilities that could allow a hacker to control implanted devices remotely and for failing to address battery issues that have been linked with two deaths. The warning comes three months after the FDA issued a similar notice warning St. Jude of the vulnerabilities. Further inaction could result in disciplinary actions that include “seizure, injunction, and civil monetary penalties.”


Reader Comments

image

From Athenahealth Spokesperson: “Re: ‘Will Athena be able to deliver, on time, for hospitals MU3?’ Athenahealth offers cloud-based revenue cycle and financial management, EHR, patient communication, and care coordination services for community hospitals. All of these services are on one platform, AthenaNet, which enables a single patient chart and a seamless Athena “look-and-feel” across the health system – inpatient, ED, outpatient, clinic, and ancillaries. The RazorInsights platform has been completely sun-setted. As of December 2016, we have over 90 contracted hospital clients, of which 35 are live on all or a portion of our AthenaOne for Hospitals & Health Systems service. These organizations are already seeing tangible results. For example, our clients saw an average of 106.5 percent of patient collections as a percentage of baseline during 2016. Stage 3 Meaningful Use is optional in 2017 and mandatory in 2018.  Currently, AthenaClinicals for Hospitals & Health Systems is a 2014 Certified EHR Technology (CHERT), which allows our clients to pursue Stage 2 Meaningful Use this year.  We plan on achieving 2015 CHERT status, which is required for Stage 3, in the second half of 2017.  Thanks to our cloud-based platform, we can deploy the Stage 3 update to our entire client base overnight. All of our Meaningful Use services – a certified platform, real-time performance insight, performance coaching, and attestation – are included in our percentage of collections pricing. Our clients don’t have to pay hefty upgrade fees or endure cumbersome upgrade rollouts. Our results prove that our model works: 95.7 percent of our hospital clients successfully attested for Stage 2 Meaningful Use in 2015.  We expect similar results for 2016, which will become available in the coming weeks.”


HIStalk Announcements and Requests

image

Just over a third of poll respondents teeter on the edge of full-blown enthusiasm for using at-home genetic testing kits to better understand their hereditary health risks. An almost even number of people are as eager to order their spit kit as are to likely not. No matter how you slice and dice the results, they are likely music to 23andMe’s ears – not to mention known competitors and those contemplating moving into it. MPW says, “I utilized their service a few years ago when some members in my family were testing positive for the same genetic abnormality, and have had no regrets. One thing to remember if you’re looking into this is that discovering a propensity for a trait does not mean it is an eventuality. For example, I’m listed as likely lactose intolerant. However, my Wisconsin roots and love for almost all things dairy says otherwise.” MineoPie explains that, “I voted ‘highly likely’ as my practical side sees the opportunity to plan appropriately whether that be treatment, an increase in health, life or long-term care insurance, or general peace of mind. There is also the potential to share these risks with my children for their own well-being. While I vacillate between this view and the one where I stick my fingers in my ears while yelling ‘la la la I can’t hear you,’ I ultimately see more benefit in having the data. Then I read the response from ‘no name’. I certainly share the concern that any negative results will not be proprietary leading to increased insurance costs and general shunning. I’m reminded of the Monty Python & The Holy Grail scene (‘I’m not dead yet, I think I’ll go for a walk’). Perhaps I’m more on the fence that I realized.” Barbara, on the other hand, thinks that “the public availability of this information will be used as a detriment in the future, i.e. insurance rates will go up, misinformation will be provided by targeting populations through Google/Facebook adds, etc. Not to mention the lack of professional interpretation resulting in self diagnosis, which could result in personal hysteria. This has already been evidenced with the advertising of medications and patients demanding of their physicians they be given this new, wonderful medication that may not be suitable for their situation. This should be done professionally where confidentiality is supported by both federal and state laws. No Name takes an even dimmer view: “I wish I trusted my government and insurers more, but don’t. I am now retired, but if I were still working, I don’t think I’d trust any employer to not use this info to possibly discriminate against employees who might prove to be high risk. Yep, that’s just the way it is.”

New poll to your right or here: Have you ever volunteered to be bumped from a flight? Share your circumstances – and the cash value you finally jumped at – by leaving a comment after voting.


This Week in Health IT History

image

One year ago:

  • CMS launches the Comprehensive Primary Care Plus model, a value-based payment program that will give PCPs more financial flexibility when caring for the chronically ill.
  • Epic wins $940 million in its trade secret lawsuit against Indian IT firm Tata Consultancies.
  • VA CIO LaVerne Council says she will unveil plans for a “new digital health platform” to replace VistA.
  • Intermountain Healthcare will partner with the University of Utah and several other organizations to create a joint security center focused on thwarting cybersecurity attacks.
  • Federal regulators propose banning Elizabeth Holmes from the blood-testing business for two years after Theranos fails to correct serious problems discovered at its California lab.

4-12-2012 10-37-03 PM

Five years ago:

  • The DoD Inspector General finds that drug abuse among Marines in the Wounded Warrior Battalion at Camp Lejeune, NC is hard to detect because of EHR shortcomings.
  • 3M acquires CodeRyte.
  • HHS proposes a one-year delay for ICD-10 compliance, pushing the deadline to October 1, 2014.
  • Verizon announces a relationship with NantWorks to create the Cancer Knowledge Action Network.

Weekly Anonymous Question

Last week, I asked readers what passion they’d pursue given enough free time and money:

  • Play music … all acoustic band.
  • Dog rescue and fostering 24/7. I would get property and have a place to foster many dogs; and would collect codified data regarding the adopters/adoptees to be able to identify traits of good dog/person pairings.
  • Ride coast to coast on a motorcycle.
  • Create a business-school partnership to encourage additional learning opportunities for math and critical thinking; incorporate local in-person and online virtual mentoring.
  • Travel the world, meeting people from all different walks of life, and seeing the beautiful landscapes of our planet. I also would love to do something to help those in need, so maybe a nonprofit that combines my dream to travel and also takes disadvantaged children on these adventures. Having fun with them and seeing their reactions to experiences like that would bring me such joy!
  • Build community gardens in areas where fresh produce is hard come by.
  • I would do more volunteer work. And make quilts – a lot of quilts.
  • Instead of having one in five kids in the US go to sleep hungry at night, I would work to drive that number to zero.
  • Roadside BBQ stand. It’s done when it’s done and it’s gone when it’s gone.
  • When I grow up, I want to be a photographer. I would love to travel the world snapping pictures of whatever comes my way.
  • Traveling to the best restaurants around the world and return to food blogging. I had to quit my blog last year (after a six-year run) due to cost and limited time.
  • Finish that novel, get it out there. Write another one.
  • Art. Art. Art. Nothing but painting, drawing, sculpting, weaving … and gardening. All things visually creative that require getting my hands dirty!
  • I’d follow my favorite bands around the world.
  • Music. That’s been the dream ever since I started playing guitar at age 12. I knew it had a chance since I can play almost every rock/blues song that I hear just by ear, but a) I never found the right band and b) my desire to secure a career somewhere besides McDonald’s led me to attend college and get a "real job" as opposed to rolling the dice and heading from the North Country out to LA a la Neil Young. That doesn’t seem to work out as well in the 21st century as it did in the mid 60’s. I still do some local gigs on occasion and play everyday; it will always be my number-one passion.
  • Photography – Weird News Andy
  • Attending as many music festivals as I could across the US and when I feel that is fairly complete, move on to Europe, Australia, etc.
  • Coaching people on living a more balanced life to have time with friends and family, and to look after emotional, physical, and spiritual needs.
  • Building and promoting a not-for-profit, nationwide health IT co-op.
  • Rock and roll guitar. What else could there be?
  • Space travel.
  • Hosting international yoga and wellness focused retreats.
  • Right now, a free weekend to relax and read a non-technical book and some time to travel and see some new places sounds pretty good, albeit mundane. The list of top 50 restaurants in the world just came out and a checking out a new one every week would be fun.
  • Cruising around the world.
  • I’d help patients learn how to be informed advocates for their own healthcare and the health of their family and friends.
  • Coding! Python, SQL, JScript and everything in between. Nothing like coding to keep your mind sharp and busy. And I do have the time and money to do it, so I do it and love every moment of it. Strongly recommended.

image

This week’s question: What’s the most patient-endangering IT issue you’ve personally seen?


Last Week’s Most Interesting News

  • NextGen will acquire Entrada in a deal worth $34 million.
  • The White House finalizes its rules aimed at stabilizing the individual marketplaces.
  • Erie County Medical Center (NY) returns to paper after a virus brings down its network.
  • United Airlines suffers financial loss and extreme PR backlash after dragging a physician, later hospitalized, off a flight.
  • India-based provider appointment-scheduling vendor Practo lays off 10 percent of its workforce.

Webinars

April 26 (Wednesday) 1:00 ET. “SSM Integrated Health Technologies Clinical Data Migration: Functional and Technical Considerations.” Sponsored by Galen Healthcare Solutions. Presenters: Sandy Winklemann, MHA, RHIA, project manager, SSM Integration Health Technologies; Tyler Mawyer, MHA, managing consultant, Galen Healthcare Solutions; Kavon Kaboli, MPH, senior consultant, Galen Healthcare Solutions. GE Centricity and Meditech to Epic EHR transition. Join us for a complimentary webinar as present the decisions that are important to consider when performing a clinical data migration from the point of view of  the healthcare organization program manager, the clinical analyst, and the technical implementation team. Our expert panel will survey data migration considerations, best practices, and lessons learned. The webinar will present a unique client perspective, offering insight into considerations surrounding staffing, clinical mapping, legacy application support, and validation and testing.

Previous webinars are on our YouTube channel. Contact Lorre for information on webinar services.


Acquisitions, Funding, Business, and Stock

image

EncounterCare Solutions wraps up the sale of its telemedicine and chronic care management operations to IGambit, which plans to market the services under the HealthDatix brand.

image

Salt Lake City-based Collective Medical Technologies announces plans to hire nearly 600 people over the next eight years. The company specializes in real-time care management tech for EDs.


People

image

Natoshia Erickson (Washington Health Benefit Exchange) joins Royal Jay as senior manager of solution delivery.


Announcements and Implementations

image

Trinity Health (MI) expands its home health telemedicine program, powered by technology from Vivify Health, to six additional states.

image

Miami Children’s Health System will work with telemedicine hardware and software vendor Tyto Care to expand its MCH Anywhere virtual consult services.


Decisions

  • Indiana Regional Medical Center (PA) will switch from MEDITECH to Cerner On May 1.
  • Sierra Vista Hospital (NM) will switch from Evident (a CPSI company) to Athenahealth on July 1.
  • Van Wert County Hospital (OH) Human Resources will go live with Infor this year.
  • Cameron Memorial Community Hospital (IN) Human Resources will go live with Oracle in 2017.

These provider-reported updates are provided by Definitive Healthcare, which offers powerful intelligence on hospitals, physicians, and healthcare providers.


Other

image

New Jersey Hospital Association President and CEO Betsy Ryan and NJ Dept. of Health Commissioner Cathleen Bennett attempt to drum up interest in the forthcoming statewide roll out of the electronic Practitioner Orders for Life-Sustaining Treatment program. The initiative will convert the state’s paper-based, end-of-life planning documents for patients to a digital format, and give physicians access to the documents via a Web-based portal.

Here’s Part 4 of the top 10 HIS vendors report from Vince and Elise.


Sponsor Updates

  • T-System will exhibit at EDPMA 2017 Solutions Summit April 25-28 in San Diego.
  • TierPoint will host a grand unveiling of its newest Chicago data center April 27.
  • TransUnion publishes, “Revenue Cycle POS and High-Risk Patient Toolkit.”
  • ZeOmega publishes a case study highlighting how a large health system implemented Jiva HIE to connect 36 disparate EHR systems.
  • ZirMed publishes a new ebook, “3 Ways to Take Control of Your Contacts.”
  • ClinicalArchitecture makes donations to Boy Scouts of America, Casa de los Ninos, and Compassion International on behalf of HIMSS17 contest winners.
  • STAT profiles GE Healthcare CEO John Flannery.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne, Lt. Dan.
More news: HIStalk Practice, HIStalk Connect.
Get HIStalk updates. Send news or rumors.
Contact us.

125x125_2nd_Circle

News 4/14/17

April 13, 2017 News No Comments

Top News

image

Quality Systems subsidiary NextGen Healthcare will acquire mobile physician documentation and communication technology vendor Entrada in a deal worth $34 million. NextGen President and CEO Rusty Frantz says the company will focus on expanding Entrada’s capabilities.


Reader Comments

From Bob Oakley: “Re: Allscripts dbMotion. I no longer have a horse in this race, but feel compelled to write as I weathered the introduction of CareInMotion – including being miscategorized by KLAS. Setting expectations – this will hit about three or four of your bad branding hot buttons. You indicated that it was part of the Care Management population health platform, when it should have been identified as the CareInMotion population health platform. The confusion is not surprising, as CareInMotion (egregious capitalization not withstanding) is trying to corral several disparate applications under one brand, while working to create the common backbone necessary for it to be the platform it’s purported to be. Contributing to that is that the word Care prepends several legacy applications under the brand, including Care Management (the legacy ECIN utilization management, discharge planning, and referral management application). It is definitely confusing. I wish it weren’t, but its use is only a little over a year old and the dbMotion Azure announcement is heartening that the platform is being realized.”

From HIT User: “Re: Athenahealth. Athena seems to be making a lot of traction in the acute care space. This seems to mostly be to the attractiveness of their percentage of collections model for smaller hospitals that cannot afford most EHR price tags. What offering are they really providing to hospitals? Is it fully vetted or half-baked with RazorInsights hodgepodged with their ambulatory system? I see they are just now certifying this for Stage 2 per the CHPL site. Will they be ready by Stage 3 with all of the customers they are trying to reign in? I heard of one site – Cottage – that was delayed over a year from original anticipated go live (into the middle of 2018) for an install. Will Athena be able to deliver, on time, for hospitals MU3?”


Webinars

April 26 (Wednesday) 1:00 ET. “SSM Integrated Health Technologies Clinical Data Migration: Functional and Technical Considerations.” Sponsored by Galen Healthcare Solutions. Presenters: Sandy Winklemann, MHA, RHIA, project manager, SSM Integration Health Technologies; Tyler Mawyer, MHA, managing consultant, Galen Healthcare Solutions; Kavon Kaboli, MPH, senior consultant, Galen Healthcare Solutions. GE Centricity and Meditech to Epic EHR transition. Join us for a complimentary webinar as present the decisions that are important to consider when performing a clinical data migration from the point of view of  the healthcare organization program manager, the clinical analyst, and the technical implementation team. Our expert panel will survey data migration considerations, best practices, and lessons learned. The webinar will present a unique client perspective, offering insight into considerations surrounding staffing, clinical mapping, legacy application support, and validation and testing.

Previous webinars are on our YouTube channel. Contact Lorre for information on webinar services.


HIStalk Announcements and Requests

This week on HIStalk Practice: CMS awards United Way of Greater Cleveland a $4.51 million grant to help it create an Accountable Health Communities Model. Thirteen people from three clinics are busted for their roles in a $24 million multi-clinic pill mill and fraudulent billing conspiracy. Physicians seem to favor faxes and phones over e-prescribing tech. Researchers determine community physicians are less likely to order unnecessary tests than their hospital-based counterparts. Dean Dorton acquires Metro Medical Solutions. Craft Behavioral Health Practice Manager Cara Farooque shares the challenges her practice faces in vetting technology for security and privacy controls. CareSync goes after customers for back payments. OCR gives Metro Community Provider Network a $400,000 slap on the wrist. ChenMed’s Jessica Chen, MD and Denise Hatzidakis offer insight into building and using IT for value-based primary care for seniors. Sign up for physician practice news here.


Acquisitions, Funding, Business, and Stock

image

Caradigm announces that it will reduce its workforce as part of a reorganization that it hopes will streamline operations. “GE Healthcare is committed to supporting the Caradigm team as they continue to evolve, positioning themselves to develop digital solutions for better outcomes in population health,” says Charles Koontz, chief digital officer, GE Healthcare. The company went through similar motions last fall, reorganizing product teams and its Services organization.

Sansoro Health raises $5.2 million in a Series A funding round led by Bain Capital Ventures. The Minneapolis-based company, which has raised $6.4 million so far, has developed a data integration tool for digital health apps and EHRs. It won the Venture+ Forum startup contest at HIMSS16.

image

Austin, TX-based healthcare cloud vendor ClearData raises $12 million, bringing its total funding to $55 million since launching in 2011.


Announcements and Implementations

image

Freeman Health System (MO) implements Access e-form and electronic signature software.

Kroger pharmacies connect to the Michigan Automated Prescription System with help from Appriss Health, which is helping the state develop and launch a new prescription drug monitoring system. Kroger expects to start sharing PDMP data between Michigan, Indiana, and Ohio within the next several weeks.


People

image image

Verscend Technologies hires Chris Coloian (Welltok) as SVP of revenue and growth, and Michael Kapp (WellPoint) as SVP of government services.

image

Former State of Minnesota CIO Scott Peterson joins Avalere as VP of data architecture.


Technology

AMD Global Telemedicine updates its Agnes Interactive software to offer improved EHR integration.

image

Iron Bridge develops a portal to help providers query and submit data to public health registries.

Intermedix adds Web and mobile form configuration and management capabilities to its EMS patient-tracking software.


Sales

image

McPherson Hospital (KS) will implement EHR and RCM software and services from CPSI subsidiaries Evident and TruBridge.


Innovation and Research

image

Final Frontier Medical Devices wins a $2.6 million Qualcomm Tricorder XPrize for its efforts to develop a diagnostic device for multiple ailments akin to the one used in Star Trek. Runner-up Dynamical Biomarkers Group will take home $1 million for its attempt at developing a lightweight tool that can diagnose 13 ailments and measure five vital signs at the same time. XPrize organizers will use what’s left of the original $10 million purse to help both teams develop their devices. The Roddenberry Foundation, organized by Star Trek creator Gene Roddenberry’s son, has pledged an additional $1.6 million to the effort.


Government and Politics

image

The VA launches a website aimed at helping bring transparency to access and quality across its facilities. Patients can look up same-day availability, average appointment wait times, satisfaction scores based on those times, and hospital and outpatient compare data.

image

CMS issues a final insurance market stabilization rule. The 139-page rule, set to take effect next year, will, among other things, cut the enrollment period in half, allow lower minimum coverage requirements, and put health plan physician networks in the hands of the states rather than the federal government. CMS Administrator Seema Verma admits that, “While these steps will help stabilize the individual and small group markets, they are not a long-term cure for the problems that the Affordable Care Act has created in our healthcare system.”

Meanwhile, in an effort to draw Democrats to the healthcare policy negotiation table, President Trump threatens to withhold payments to insurers meant to cover discounts for low-income consumers, explaining, “I don’t want people to get hurt. What I think should happen—and will happen—is the Democrats will start calling me and negotiating.”

image

The VistA replacement saga continues as the VA issues a request for information on a commercial, SaaS-based replacement that would enable – eventually – easy updating across the entire system. Vendors have until April 26 to submit their proposals for streamlining the 130 variations of the system and migrating them to the cloud.

The Vancouver Island Health Authority decides against suspending the CPOE feature of its IHealth EHR as originally announced in February. Government officials claim the $174 million Cerner system, which has earned a fair amount of media coverage based on end-user concerns with patient safety risks and documentation quality, is too intertwined with other systems and workflows to be taken offline, even temporarily. This may be a decision that pushes some nurses over the edge: A British Columbia Nurses Union survey found that 32 percent of RNs had seriously considered leaving or retiring because of the software.


Privacy and Security

image

Erie County Medical Center (NY) returns to paper after a virus brings down its network early Sunday morning. A hospital spokesman refused to comment on speculation that the virus was actually a ransomware attack, and if it had been contacted by hackers or asked for payments to restore access. ECMC hopes to have patient data available today and its IT systems fully restored by Saturday.


Other

image

The Leapfrog Group launches a calculator designed to illuminate the impact medical errors have on an employer’s covered population. The calculator estimates the number of avoidable deaths among covered lives, how much employers spend annually due to medical errors within general acute care hospitals, and how much of their total health care spend goes to these medical mistakes.

image

A local media outlet publishes a nicely written profile of Epic founder Judy Faulkner. Some HIStalk readers may not know that Faulkner’s mother Del, who graduated high school at the age of 15, received a Nobel Peace Prize in 1985 for her work as director of the Oregon Physicians for Social Responsibility – an affiliate of International Physicians for the Prevention of Nuclear War. Those who have been in the industry since the company’s early days will appreciate the accompanying photos.


Sponsor Updates

  • Everest Group recognizes Conduent Health in two reports, “Healthcare Payer BPO – Service Provider Landscape with PEAK Matrix Assessment 2016” and “Contact Center Outsourcing Marketing for Healthcare Industry – Service Provider Landscape with PEAK Matrix Assessment 2017.”
  • Netsmart will exhibit at the VNAA National Leadership Conference April 19 in San Diego.
  • NVoq will exhibit at the TORCH Annual Conference & Tradeshow April 18-20 in Dallas.
  • Clinical Computer Systems, developer of the Obix Perinatal Data System, will exhibit at Symposia Medicus April 18-20 in Las Vegas.
  • Experian Health will exhibit at HFMA Hawaii April 20-21 in Honolulu.
  • The SSI Group will exhibit at the Alabama HIMSS chapter Spring Conference April 19 in Huntsville.
  • Sunquest Information Systems publishes a new white paper, “Build or Buy: Optimizing Informatics for Genetic Testing.”
  • The FutureTech Podcast features Sytrue’s Kyle Silvestro.
  • Solutionreach becomes a preferred partner of Crystal PM for optometrists.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne, Lt. Dan.
More news: HIStalk Practice, HIStalk Connect.
Get HIStalk updates. Send news or rumors.
Contact us.

125x125_2nd_Circle

News 4/12/17

April 11, 2017 News 13 Comments

Top News

image

A Kentucky-based physician with a troubled past is hospitalized after being dragged off a United Airlines flight. David Dao, MD was one of four passengers told to get off the overbooked flight to make room for United stand-by employees. Dao refused on the grounds that he needed to get back to Kentucky to see his patients, and was subsequently (and literally) dragged off the airplane by police. While United has faced extreme backlash over its handling of the situation, Dao’s criminal history hasn’t done him any favors when it comes to casting him as an innocent victim. United employees described him as disruptive and belligerent when told he needed to give up his seat. The incident brings up the issue of overbooking policies, which, as one Twitter observer noted, won’t be a problem for United if all their planes are empty.


Reader Comments

image

From NantWatcher: “Re: Layoffs at NantHealth. Another round last week – spread across multiple sites, departments, and seniority from entry-level to VP. Roughly 50 impacted.” Unverified, though Politico reports that shares of the company fell 15 percent earlier this week – a circumstance it seems to directly attribute to its exposé of Soon-Shiong and his self-serving philanthropic efforts.

image

From NewCrop VP Randy Barnes: “Re: NewCrop losing customers. This is nothing short of FAKE NEWS. NewCrop continues to grow at a steady pace. EHR losses to competitors are extremely rare. What have we been doing? Patient support programs, real-time benefits across a multitude of insurance companies, intelligent prior auths, pharmacogenomics, lab integrations, patient portals, secure communications, immunization registry reporting to support all 50 states, new UI and more.”


Webinars

April 26 (Wednesday) 1:00 ET. “SSM Integrated Health Technologies Clinical Data Migration: Functional and Technical Considerations.” Sponsored by Galen Healthcare Solutions. Presenters: Sandy Winklemann, MHA, RHIA, project manager, SSM Integration Health Technologies; Tyler Mawyer, MHA, managing consultant, Galen Healthcare Solutions; Kavon Kaboli, MPH, senior consultant, Galen Healthcare Solutions. GE Centricity and Meditech to Epic EHR transition. Join us for a complimentary webinar as present the decisions that are important to consider when performing a clinical data migration from the point of view of  the healthcare organization program manager, the clinical analyst, and the technical implementation team. Our expert panel will survey data migration considerations, best practices, and lessons learned. The webinar will present a unique client perspective, offering insight into considerations surrounding staffing, clinical mapping, legacy application support, and validation and testing.

Previous webinars are on our YouTube channel. Contact Lorre for information on webinar services.


Acquisitions, Funding, Business, and Stock

Azalea Health acquires San Diego-based EHR and PM company LeonardoMD for an undisclosed sum.

image

A new CB Insights report shows that, while the large majority of digital health funding has gone to US-based startups, young companies globally are also addressing the challenge of improving healthcare. On a quarterly basis, equity funding to private US-based digital health companies saw a 128-percent increase from $768 million in Q4 2016 to $1.75 billion in Q1 2017. Meanwhile, funding to digital health companies outside the US saw a 146-percent increase from $252 million in Q4 2016 to $621 million in Q1 2017. Deals to US-based companies, which picked up at the end of 2016 after taking a dive in Q3 2016, again fell in Q1 2017, down to 147. This marks the second lowest quarter of the last three years. Deals outside the US, however, have surged recently from 55 in Q3 2016 to 102 in Q4 2016 and 104 in Q1 2017.


People

image image

Impact Advisors promotes Rob Faix and Mike Garzone to vice president.

image image

Health Catalyst hires Stanley Pestotnik (Pascal Metrics) as VP of patient safety products, and Carolyn Simpkins, MD (BMJ) as CMIO.

image

Teri Thomas (UNC Health Care) will join Orion Health in May as EVP for global sales, marketing, and strategy.

image

Doug Abel (Encore) has joined North Kansas City Hospital (MO) as CIO.

image 

Recondo Technology names Dan Grote (ReadyTalk) CFO and Tom Cooke (Advisory Board) (not pictured) VP of channel sales.


Sales

image

Lancashire Care NHS Foundation Trust selects UK-based Servelec’s Rio EHR.

image

St. Joseph’s Healthcare System (NJ) will move from Cerner’s Soarian EHR to its Millenium EHR and HealtheIntent population health management system. It has also opted for the company’s RCM software and services.

image

Arizona-based Banner Health will roll out patient access and provider management technology from Kyruus at its facilities in six states.


Announcements and Implementations

image

Lake Regional Health System (MO) prepares to roll out a single patient portal for its clinic and hospital patients. The portal, presumably part of the system’s conversion to Meditech 6.1, will go live in May. CIO Scott Poest has advised patients to print out any medical records related to care provided prior to May, since data from the previous portals will apparently not carry over.

image

Trinity Health (ND) implements Acute, Population, and Practice Performance software from WhiteCloud Analytics.

Mercy (LA) wraps up a six month implementation of an imaging management system from Medicalis across its 50 imaging facilities. It plans to connect the system to its virtual care center in the near future.


Research and Innovation

image

A Pennsylvania Patient Safety Authority report released several weeks ago reveals that, in the first half of 2016, hospitals in the state reported 889 medication errors that were attributed in some way to EHRs and other healthcare IT. Nearly 70 percent of those errors – the majority of which involved missed or incorrect dosages – impacted patients, eight of whom were actually harmed. Co-author and pharmacist Matthew Grissinger counter intuitively stresses that while these results are the “classic tip of the iceberg” when it comes to uncovering medication errors, many of which go unreported, patients should feel no less safe.

image

A University of Michigan study finds that participation in one or more value-based care programs resulted in fewer hospital readmissions and greater cost savings. Researchers looked at patient care from 2,877 hospitals over a seven-year period and found that participation in Meaningful Use, ACOs, and/or bundled care payment programs helped the organizations save a combined $32 million.


Technology

CPSI will add TruCode’s Encoder coding software to its Evident and Healthland EHRs.

AthenaHealth adds electronic prior authorization technology from CoverMyMeds to AthenaClinicals.

image

Allscripts puts its DbMotion software – part of its CareInMotion population health management platform -  on the cloud via Microsoft Azure.

Aprima Medical Software will add ActX’s genomic decision-support technology to its EHR.


Privacy and Security

image

From DataBreaches.net:

  • News Corp Australia discovers that privacy settings on the nationwide My Health Record are set to “universal access,” giving the government’s 650,000 registered providers access to the information.
  • Tullamore Hospital in Ireland mistakenly sends a fax containing PHI to the office of the Data Protection Commissioner.

image

Brooklyn-based artist Ace Volkov depicts computer viruses as comic book-like aliens as part of his “Brief History of Computer Viruses” series. Brain.A earns a special place in hacker history for its role as the first detected virus. Characterized by Volkov as a menacing mass of magenta-hued lines, the MS-DOS-based virus was created in 1986 to infect floppy disks.


Government and Politics

image

President Trump nominates University of Minnesota healthcare economics professor Stephen Parente for assistant secretary for planning and evaluation at HHS, a role that would position him as the main advisor on policy development to HHS Secretary Tom Price, MD. Parente has had a taste of government work, having served as a health policy advisor for Sen. John McCain (R-AZ) during his 2008 presidential run.


Other

In Australia, SA Health CIO Bill Le Blanc defends the system’s beleaguered enterprise patient administration system after a coroner complains he can’t properly investigate a patient’s death because the EPAS won’t print out readable paper copies. “It was never designed to be used as a printed medical record,” Le Blanc says. “While we have already made significant improvements, the readability of printed records is an emerging issue across almost all jurisdictions using different electronic medical record systems and is not specific to the electronic medical record system used by SA Health.”


Sponsor Updates

  • Besler Consulting will present and exhibit at the 2017 HFMA Northern California Annual Spring Conference April 13 in Sacramento.
  • ECG Management Consultants ranks as a top consulting firm in the KLAS report, “Vendor Selection 2017: Crucial Factors to Consider When Choosing a Consulting Firm.”
  • AdvancedMD expands its professional services team.
  • ZeOmega releases 2017 updates to integrated patient assessments for its Jiva population health management software.
  • The local paper profiles Hartford Healthcare’s (CT) plans to build a predictive analytics “command center” powered by GE Healthcare.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne, Lt. Dan.
More news: HIStalk Practice, HIStalk Connect.
Get HIStalk updates. Send news or rumors.
Contact us.

125x125_2nd_Circle

Monday Morning Update 4/10/17

April 9, 2017 News 4 Comments

Top News

image

India-based provider search and appointment-booking tech company Practo lays off 150 – a 10-percent workforce reduction the company attributes to “a combination of natural redundancies that emerge as we integrate our five acquisitions and evolve our businesses, as well as the performance required for the next phase of Practo’s growth.” The company operates in four other countries, and has raised $180 million since launching nine years ago. It acquired Fitho, Genii Technologies, Qikwell Technologies, Instahealth, and Enlightiks – all India-based businesses – between April 2015 and December 2016.


Reader Comments

image

From North West: “Re: Larry Krassner’s passing. He passed away after a long battle with cancer in late December. I was shocked that it isn’t more widely known and thought that you might want to include something in HISTalk. He was well known in the 70s through early 2000s in the HIT industry. He was part of SMS in the early days, TDS, McKesson, and IDX (before it was bought by GE). He was the consummate salesman and probably responsible for many of the big enterprise deals that SMS and TDS did in the 70s-90s.” 

image

From Harvest Gal: “Re: Word on the street is that NewCrop has been losing EHR customers – and end-user doctors – over the past couple months. We’ve also heard that those EHR vendors are moving to e-prescribing company DrFirst. Is greater industry consolidation on the horizon?” Unverified. I wouldn’t be surprised given the general state of health IT affairs. NewCrop’s e-prescribing tool has been on the market since 2003, and has been flying fairly under the radar (at least from a media perspective) for the last several years. I last mentioned them in September 2016, when the company added specialty medication prescribing software from AssistRx.

From Lab Tester: “Re: Theranos vs. 23andMe. Seems like Elizabeth Holmes could learn a thing or two from Anne Wojcicki. Both companies faced governmental scrutiny; one continues to go down in flames, while the other seems to be trying to play by the rules.” The Theranos saga does indeed continue: Media reports suggest that founder Elizabeth Holmes owes her own company $25 million -  a fact made semi-public after reports surfaced that some investors were considering suing the company. 23andMe, meanwhile, has seemed very intentional about recovering from the reprimand it received from the FDA in 2013. It seems to have eschewed the media-blitz machine Holmes favored to instead hunker down and legitimize its business model.

image

From Ambulance Chaser: “Re: Ambulance rides via Uber. It boggles my mind that people are opting for rides to the ER from ride-sharing services like Uber and Lyft. Have any of your readers noticed an increase at their facilities in drop-offs from these services?” AC is no doubt referring to this article focusing on the use of ride-sharing companies to get emergency patients to the hospital. While I doubt ER staff have time to pay attention to patient transport, I’ll invite readers to weigh in. It’s just another nail in healthcare’s already deteriorating coffin, if you ask me. The industry has yet to (and probably never will) become the nimble, Amazon-like company that caters to consumer whims – much less one based on a gig-economy model. The regulatory tape is wrapped too tightly at this point, and administration in-fighting would suggest it’s not loosening up anytime soon.


HIStalk Announcements and Requests

image

Nearly a third of poll respondents expect blockchain to have a significant impact on healthcare in five to 10 years. Perhaps the more compelling result is the 25 percent of respondents who “don’t know, don’t care.” Realist explains that, “Blockchain will never have a significant impact on HIT; in the short-run, it will be a boost to conferences, consultants, and marketing. In the long-run, it will be utilized but won’t have any material impact.” HITgeek takes a less pessimistic view: “We do not need yet another niche, domain security control. Instead, what we desperately need is a ubiquitous one. Blockchain is a contender for that. We need to determine who will pay for it. Nominally, the beneficiaries will pay through some proxy rather than taxpayer funding. The boundary between what is health data and what isn’t is shifting and porous. Any security technology that draws a bright line border will soon become obsolete. On the other hand, security technology that straddles or ignores the boundary has a greater and continuing return on investment.”

New poll to your right or here: How likely would you be to use a company like 23andMe to better understand your hereditary health risks? Feel free to explain your level of likeliness by leaving a comment.


This Week in Health IT History

image

One year ago:

  • Massachusetts General Hospital, Massachusetts Eye and Ear, and Newton-Wellesley Hospital all go live on Epic over the weekend as part of Partners Healthcare’s $1.2 billion Epic implementation.
  • A CMS inspection report confirms that Theranos’ proprietary blood testing analyzer, Edison, failed internal quality control tests 29 percent of the time, while its California lab was also cited for doing tests with unqualified personnel and storing samples at the wrong temperatures.
  • e-MDs completes its acquisition of McKesson ambulatory products Practice Choice, Medisoft, Medisoft Clinical, Lytec, Lytec MD, and Practice Partner.
  • The DoD brands its Cerner implementation project MHS Genesis.
  • Pfizer backs out of its plan to acquire Allegran and move its headquarters to Ireland for tax reasons after the Treasury Department puts new rules in places to make tax inversions less lucrative.

4-5-2012 9-06-11 PM

Five years ago:

  • The Gingrich Group LLC, doing business as the Center for Health Transformation, files for Chapter 7 bankruptcy in a Georgia court.
  • The Coast Guard prepares to go live on its Epic-based EHR.
  • A new KLAS report says that Cerner, Meditech, and Siemens are the only HIT vendors that provide their solutions to all world regions.
  • A National eHealth Collaborative paper says that HIEs have great potential to improve care and reduce cost, but despite ONC emphasis and incentives, not a lot of value has been realized so far.

Weekly Anonymous Reader Question

Last week I asked readers to share their favorite moment from any past HIMSS conferences:

  • Leaving.
  • Getting my leadership to explain why a bunch of gray beards in suits with no health IT market experience were getting paid trips to HIMSS, while our actual industry experts (like me) weren’t.
  • HIStalkapalooza in Chicago ’15!
  • The stillness in the office as the bosses are all gone!
  • Going home.
  • (From Dr. Jayne) My favorite moment was at HIStalkapalooza in New Orleans at the Rock’n’Bowl. I managed to have pictures taken with both Judy Faulkner and Jonathan Bush. I keep them in a hinged frame on my desk so they constantly have to look at each other. It makes me smile when I am writing for HIStalk.

image

This week’s question: What passion would you pursue given adequate free time and money?


Last Week’s Most Interesting News

  • The FDA authorizes 23andMe to market direct-to-consumer genetic health risk tests and reports.
  • VA CIO Rob Thomas confirms the agency is on track to make a decision by July 1 on whether to replace Vista with a commercial EHR vendor.
  • Cleveland Clinic launches an investment business, Cleveland Clinic Ventures, that will work with its innovation department to turn new medical breakthroughs into funded spin-off companies.
  • Former CMO of Siemens Healthcare, Donald Rucker, MD joins ONC as National Coordinator.
  • A media company that Patrick Soon-Shiong, MD rescued from a hostile takeover attempt with a $70 million investment claims that its CEO was forced to personally invest $10 million in NantHealth’s initial round in exchange for the help.

Webinars

April 26 (Wednesday) 1:00 ET. “SSM Integrated Health Technologies Clinical Data Migration: Functional and Technical Considerations.” Sponsored by Galen Healthcare Solutions. Presenters: Sandy Winklemann, MHA, RHIA, project manager, SSM Integration Health Technologies; Tyler Mawyer, MHA, managing consultant, Galen Healthcare Solutions; Kavon Kaboli, MPH, senior consultant, Galen Healthcare Solutions. GE Centricity and Meditech to Epic EHR transition. Join us for a complimentary webinar as present the decisions that are important to consider when performing a clinical data migration from the point of view of  the healthcare organization program manager, the clinical analyst, and the technical implementation team. Our expert panel will survey data migration considerations, best practices, and lessons learned. The webinar will present a unique client perspective, offering insight into considerations surrounding staffing, clinical mapping, legacy application support, and validation and testing.

Previous webinars are on our YouTube channel. Contact Lorre for information on webinar services.


Acquisitions, Funding, Business, and Stock

image

Meditology Services opens offices in Denver, Nashville, and San Diego. The company, which seems to have repositioned itself as a privacy and security consulting firm since I first mentioned it in 2013, already has offices in Atlanta and Philadelphia.


Announcements and Implementations

image

Northern Arizona Healthcare’s Verde Valley Medical Clinic – Camp Verde implements Versus Advantages Clinic patient flow technology from Versus Technology Solutions.

image

Several facilities within the Dubai Health Authority (UAE) go live on Epic.


Decisions

  • Johnson Memorial Hospital (IN) will go live with Optimum HRIS in May.
  • Madison Memorial Hospital’s (ID) HR department will go live with Paychex MyStaffingPro this year.
  • Womankind Obstetrics and Gynecology (OH) will switch from Athenahealth to Epic ambulatory next month.

These provider-reported updates are provided by Definitive Healthcare, which offers powerful intelligence on hospitals, physicians, and healthcare providers.


Other

 
Here’s Part 3 of the top 10 HIS vendors report from Vince and Elise.

Sponsor Updates

  • The Chicago CIO Leadership Association honors TransUnion CIO & CTO Mohit Kapoor with its 2017 CIO of the Year Orbie Award.
  • ZirMed updates its Coverage Detection patient payment product.
  • CRM Magazine recognizes West Corp. with a 2017 CRM Service Leader Award for Contact Center Infrastructure.
  • ZeOmega publishes a new case study demonstrating how Community Health Network/Indiana ProHealth implemented its Jiva case management solution.
  • ZirMed releases a new eBook, “The Reality of Patient Payments.”
  • Clinical Computer Systems, Inc., developer of the Obix Perinatal Data System, announces that Jake Chacko, Philip Strang, and Chris Zoellner have completed field service manager certification training.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne, Lt. Dan.
More news: HIStalk Practice, HIStalk Connect.
Get HIStalk updates. Send news or rumors.
Contact us.

125x125_2nd_Circle

News 4/7/17

April 6, 2017 News 1 Comment

Top News

image

23andMe receives approval from the FDA to market its genetic health risk tests for 10 diseases, including celiac, Parkinson’s, and late-onset Alzheimer’s. The approval – the first for a home DNA test – is no doubt being celebrated by the Google-backed startup, which stopped giving consumers health analysis information in 2013 after an FDA slap on the wrist. The company received approval two years later to disclose a person’s carrier status, and has since been largely providing results to consumers seeking answers about their ancestry.


HIStalk Announcements and Requests

This week on HIStalk Practice: The AAFP creates the Center for Diversity and Health Equity to study social determinants of health. The National Governors Association selects seven states to participate in rural health collaborative. MTBC debuts analytics for ACOs. Arizona Connected Care selects referral management tech from Fibroblast. CVS Health awards $1 million to 33 health centers. New report sheds light on physician compensation. American Society of Sleep Medicine studies patient receptiveness to virtual consults. Nancy Gagliano, MD helps readers strategize for MACRA.


Webinars

April 26 (Wednesday) 1:00 ET. “SSM Integrated Health Technologies Clinical Data Migration: Functional and Technical Considerations.” Sponsored by Galen Healthcare Solutions. Presenters: Sandy Winklemann, MHA, RHIA, project manager, SSM Integration Health Technologies; Tyler Mawyer, MHA, managing consultant, Galen Healthcare Solutions; Kavon Kaboli, MPH, senior consultant, Galen Healthcare Solutions. GE Centricity and Meditech to Epic EHR transition. Join us for a complimentary webinar as present the decisions that are important to consider when performing a clinical data migration from the point of view of  the healthcare organization program manager, the clinical analyst, and the technical implementation team. Our expert panel will survey data migration considerations, best practices, and lessons learned. The webinar will present a unique client perspective, offering insight into considerations surrounding staffing, clinical mapping, legacy application support, and validation and testing.

Previous webinars are on our YouTube channel. Contact Lorre for information on webinar services.


Acquisitions, Funding, Business, and Stock

image

PHI protector CloudVault Health closes a $2.6 million Series A funding round led by investors that include Rudish Health Solutions. President Richard Nelli came to CloudVault in 2015 after a two-year stint at Streamline Health.

image

Data analytics company Intermedix acquires Nashville, TN-based WPC Healthcare, bolstering the predictive analytics division it created in 2015. WPC CEO Ray Guzman will join Intermedix, also based on Nashville, as SVP of strategy.

Predictive analytics investments continue … Boston-based OM1 secures $15 million in a Series A round led by venture capital firm General Catalyst.

image

TeleTech Holdings – a global company that specializes in the vague (but presumably profitable) business of customer experience and growth – acquires Connextions from OptumHealth for $80 million. Connextions, which offers tech-enabled member acquisition and retention services, will be folded into TeleTech’s Customer Management Services division.

Drchrono raises $12 million in a Series A funding round led by Runa Capital.

Efforts to eschew becoming a healthcare company don’t stop Alphabet from hiring healthcare tech talent. Job listings for subsidiaries including Sidewalk Labs, Calico, and Verily indicate strong interest (and compensation packages) in computational biologists, robotics experts, and researchers. The Google parent company has already pulled Tom Insel, MD away from heading up the National Institutes of Mental Health, and Jessica Mega, MD from Harvard Medical School.

image

Redox receives an additional $1 million from the Healthbox-managed Intermountain Healthcare Innovation Fund, bringing its total Series B round to $10 million. The healthcare API vendor took part in the Healthbox Studio Program several years ago, and will now help Intermountain integrate digital health apps with its Cerner system. (Thanks to the reader who reminded me they were on Cerner, not Epic.)


Sales

image

Sinai Hospital (MD) will roll out predictive analytics from PeraHealth this summer.

image

Appalachian Regional Healthcare (KY) will begin implementing Meditech’s Web EHR later this year.


People

image

Stuart Long (Monarch Medical Technologies) joins InfoBionic as CEO.

image image image

I2I Population Health names Dawn Berg (Assist Consulting Group), Scot McCray (CamCare) (not pictured), and Jay Wilkes (RyMir Consulting) to its sales team. Adam Ackerman (Relatient) joins the company as director of client development.

image image

Medecision hires Donald Casey, Jr. MD (Alvarez & Marsal) as chief clinical affairs officer, and Ian Chuang, MD (Netsmart) as SVP and chief analytics officer.

image

Erik Phelps (Epic) joins genetic testing and data analysis startup Tempus as EVP and general counsel.


Announcements and Implementations

image

Sylvester Comprehensive Cancer Center (FL) selects oncology data-sharing technology from Syapse as part of a new precision medicine initiative.

The NJSHINE HIE connects to the Camden Coalition HIE, launched in 2010 by the New Jersey-based Camden Coalition of Healthcare Providers.

image

Adirondack Health (NY) will equip local public health agencies and their patients with remote monitoring and videoconferencing services with help from Health Recovery Solutions and the Hixny HIE.

Iowa-based Mercy ACO selects Innovaccer’s Datashop data warehouse to aggregate health data from 65 participating facilities including ambulatory sites, hospitals, and payers.


Government and Politics

image

FDA Commissioner nominee Scott Gottlieb, MD pledges to uphold the agency’s “gold standard of safety and efficacy” during his confirmation hearing before the Senate HELP Committee. He also stressed that there are ways of modernizing and expediting clinical trials without compromising safety, adding that addressing the opioid crisis and speeding generic drugs to market will be two of his top priorities if confirmed.

image

Efforts in Missouri to implement an opioid prescription drug monitoring database take one step forward then two steps back when vocal PDMP senatorial holdout Rob Schaaf announces he will finally support a bill authored by proponent Rep. Holly Rehder on the condition that physicians must register on it. The Missouri State Medical Association, however, was quick to tweet its opposition.


Privacy and Security

image

From DataBreaches.net:

  • Behavioral Health Center (ME) discovers that 4,500 records from between 3,000 and 3,500 patients have been stolen and sold on the dark Web.

Research and Innovation

image

The Washington Post sensationalizes a Mayo Clinic study published in the Journal of Evaluation in Clinical Practice that found 20 percent of patients who asked for a second opinion had been misdiagnosed by PCPs – a result the WaPo author admits is “generally similar to other research on diagnostic error.” The retrospective study of 286 patients found the second diagnosis to be “distinctly different” from the first in 62 cases, the same in 36 cases, and partly correct in the remaining 188.


Technology

image

Medable develops Cerebrum, machine-learning technology that aggregates health data from a variety of sources to better power smartphone apps like Apple’s HealthKit and CareKit with disease predictions and treatment.


Other

image

After a recent hospital stay filled with slamming doors and beeping medical equipment, ambient electronic musician Yoko Sen proposes using sound design to reduce alarm fatigue and make hospitals calmer places for patients. She has created a “tranquility area” at Sibley Memorial Hospital (Washington, DC) that offers staff green tea, reclining chairs, soothing music, lavender scents, and projected images. A similar area for patients is under consideration.

image

image

image

@HuffPostComedy urges tweeters to share #AHCASequelTagLines. Legislators seem unlikely to reach any sort of compromise on the rumored resurrection of repeal and replace efforts before they adjourn for a two-week recess.


Sponsor Updates

  • Intelligent Medical Objects will exhibit at the Allscripts Northeast Pro ARUG April 7 in Hartford, CT.
  • MedData introduces an app to help providers keep better tabs on patients suffering from binge-watching illness.
  • The American College of Radiology features National Decision Support Co.’s latest case study, “Homing in on Quality.”
  • The Atlanta Journal-Constitution recognizes Navicure with its Atlanta Metro Area 2017 Top WorkPlaces Award.
  • Netsmart is the first and only behavioral health EHR vendor to achieve ONC 2015 Edition Health IT Module Certification.
  • Nordic Consulting presents what employees love most about the company.
  • CloudWave will exhibit at the HIMSS New England Conference April 11 in West Lebanon, NH.
  • Experian Health will exhibit at the HFMA NorCal Spring event April 12-14 in Sacramento, CA.
  • Sutherland Healthcare Solutions publishes “Digital Reinvention in Healthcare: How Lawrence General Re-Engineers Their Patient Experience.”
  • GE Healthcare adds the CareFinity business continuity and archiving solution from EMedApps to its Centricity Partner Program.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne, Lt. Dan.
More news: HIStalk Practice, HIStalk Connect.
Get HIStalk updates. Send news or rumors.
Contact us.

125x125_2nd_Circle

News 4/5/17

April 4, 2017 News 9 Comments

Top News

image

The VA confirms that it remains on track to make a decision about the future of VistA by July 1. It also raises the possibility of continuing to use VistA, but as a vendor-hosted service.

image

VA Secretary David Shulkin committed to the July 1 date last month. He has also said that the VA made a mistake in not working with the Department of Defense — which chose Cerner for its MHS Genesis project – to buy a single, integrated system.

image

Acting VA CIO Rob Thomas says a commercial solution remains an option, specifically mentioning Cerner.

The VA has hired consulting firm Grant Thornton to create a business case for four possible actions, one of which is to turn VistA over to a vendor that would then provide it as a service.


Reader Comments

image

From CIO Uptime Monitor: “Re: BIDMC/Harvard Medical School job posting. Says the CIO is retiring this spring. Is that John Halamka?” No. That job posting is for the Harvard Medical School CIO position held by Rainer Fuchs, PhD, who has been at HMS since 2012 and who is indeed retiring.


HIStalk Announcements and Requests

SNAGHTML604b22ac

Welcome to new HIStalk Platinum Sponsor Docent Health. The Boston-based company provides health systems with the people, technology, and insights they need to improve and personalize the patient experience, giving each person a set of customized touch points to cover their journey. Its consumer-centric approach drives higher satisfaction scores by satisfying the human need of patients to understand and to be understood. The company provides on- and off-site liaisons – or docents – who coordinate with patients before, during, and after their clinical experience and who participate in nursing huddles and rounds to make sure the non-clinical needs and preferences of patients are met and to empower clinical staff to deliver empathetic care. Health systems get operational patient data dashboards and executive reporting to spot service gaps and identify community health needs. Doing the right thing also drives measurable return on investment via more loyal customers, better satisfaction compensation, and long-term savings. I interviewed CEO and industry long-timer Paul Roscoe a few days ago, obviously catching him off guard with my spur-of-the-moment question wondering whether “data-driven empathy” is an oxymoron. Thanks to Docent Health for supporting HIStalk.

image image

We funded the DonorsChoose grant request of Mrs. S in Missouri, who says her high school pre-calculus students are learning from the Breakout EDU problem-solving kit we provided. She says, “This donation to my classroom has completely engaged students. They are thinking critically and creatively while also practicing the content. I am so proud of my students during these challenges and their willingness to persevere and solve the problem. It is truly a learning environment any teacher would be thrilled to witness and it is all thanks to your generosity!”


Webinars

April 26 (Wednesday) 1:00 ET. “SSM Integrated Health Technologies Clinical Data Migration: Functional and Technical Considerations.” Sponsored by Galen Healthcare Solutions. Presenters: Sandy Winklemann, MHA, RHIA, project manager, SSM Integration Health Technologies; Tyler Mawyer, MHA, managing consultant, Galen Healthcare Solutions; Kavon Kaboli, MPH, senior consultant, Galen Healthcare Solutions. GE Centricity and Meditech to Epic EHR transition. Join us for a complimentary webinar as present the decisions that are important to consider when performing a clinical data migration from the point of view of  the healthcare organization program manager, the clinical analyst, and the technical implementation team. Our expert panel will survey data migration considerations, best practices, and lessons learned. The webinar will present a unique client perspective, offering insight into considerations surrounding staffing, clinical mapping, legacy application support, and validation and testing.

Previous webinars are on our YouTube channel. Contact Lorre for information on webinar services.


Acquisitions, Funding, Business, and Stock

image

Healthcare payments system vendor Ability Network acquires ShiftHound, which offers staff scheduling and credentialing systems.

image

image

Attorneys for Chicago-based Tronc (the former Tribune Publishing) file a letter with the SEC in response to a complaint by NantHealth’s Patrick Soon-Shiong, who made a $70 million investment in the company last year to help thwart a hostile takeover attempt by Gannett. The company says that before investing in Tronc, Soon-Shiong first suggested that Tronc invest in NantHealth’s IPO, and after being rebuffed, then insisted that Tronc Chairman Michael Ferro make a personal investment in NantHealth is an “implicit threat” to pulling out of the deal. Tronc says Ferro took a $10 million stake in NantHealth to pacify Soon-Shiong. Tronc has removed Soon-Shiong for board member re-election and has capped his ownership stake, leading to accuse the company of intentionally squeezing him out. Tronc also claims that Soon-Shiong is demanding payments for Nant-provided technology he made available to Tronc to monetize its online content even though the technology turned out to be unsuitable.

image

Doctor search website Amino raises $25 million in a Series C funding round, increasing its total to $45 million. The company makes money selling customized versions of its search function to employers and health plans and by offering access to its insurance claims database.

image

Orion Health Group shares drop sharply after the New Zealand company’s trading update predicts lower revenue. They’re down 61 percent in the past year with a market cap of $226 million. The company says it still hopes to swing to profitability in 2018.

image

McKesson completes its $1.1 billion acquisition of CoverMyMeds.


Sales

image

Pomona Valley Hospital Medical Center (CA) chooses Cerner Millenium to replace Cerner Soarian Clinicals and NextGen ambulatory. It will continue to use Cerner Soarian Financials.

Bon Secours Virginia Health System will implement Tonic Health to automate its intake and payments processes.

image

Skagit Regional Health (WA) and San Joaquin General Hospital (CA) choose MPI clean-up services from Harris Healthcare’s QuadraMed Patient Identity Solutions as they move to Epic and Cerner, respectively.  


People

image

Nadine Hays (Verscend) joins OmniClaim as chief growth officer.

image

Texas Health Resources promotes Debbie Jowers to VP of ambulatory ITS services.


Announcements and Implementations

image

Baystate Health’s Techspring innovation center launches a software development and testing environment for its partners, built on the InterSystems HealthShare interoperability platform.

Rock Health releases its Q1 2017 digital health report, indicating that providers and health plans are delaying expenditures based on regulatory uncertainty but key players remain cautiously optimistic and feel well positioned to navigate any regulatory changes. In Q1, they counted 71 digital health deals totaling over $1 billion. The top six categories by deal volume were Analytics/Big Data, Care Coordination, Telemedicine, Hospital Administration tools, Consumer Engagement, and Wearables/Biosensing.

A small Spok survey finds that health systems rarely apply strategic hospital initiatives to their mobile strategy and don’t often include clinicians in their planning teams.

Change Healthcare releases InterQual 2017.  


Government and Politics

The revised ACA replacement apparently being pushed for quick approval would allow individual states to permit insurers to offer less than the current “essential health benefits” and to charge higher premiums for people with pre-existing conditions. Both were the pre-ACA norm, when less-expensive insurance bought directly from insurers (rather than via an employer) often didn’t cover pregnancy or drug addiction treatment and denied policies to those with relatively minor medical conditions.


Privacy and Security

image

A review of significant hospital data breaches finds that major teaching hospitals were more commonly involved than smaller or non-teaching hospitals from 2009 to 2016, possibly because they allow more employees to view patient data.

image

Hackers breach the systems of the International Association of Athletics Federations, exposing the information of athletes who have applied for exemptions that would allow them to use drugs contained on anti-doping lists. The Fancy Bears hacker group, which claims responsibility, previously published the medical records of mostly American and British Olympic athletes after the IAAF accused Russia of state-sponsored doping and banned their teams from competition. 

ABCD Pediatrics (TX) is hit with ransomware, and though it was able to restore from backups without paying the hacker, it found evidence that its systems had been compromised for some time.

SNAGHTML660de6e5

HHS OCR warns healthcare organizations that use HTTPS security that malware-detecting HTTPS interception products may not pass along any warnings or errors, allowing the organization to validate only the connection between themselves and the interception product’s certificate rather than all the way to the server.


Other

image

Ambulatory practice physicians in a community-based health system spend about as much time practicing “desktop medicine” as they do in face-to-face office visits, an analysis of time-stamped EHR records finds. Physicians are spending an increasing amount of time communicating with patients via the  patient portal, managing prescription refills, ordering tests, communicating electronically with staff, and reviewing test results, none of which are billable activities. Work that isn’t logged in the EHR made up the remaining 20 percent of the average doctor’s day. The authors suggest using scribes to manage progress notes, which they estimate would free up one-third of the physician’s time.

image

World Wide Web creator Sir Tim Berners-Lee wins the Turing Award (computing’s Nobel Prize) for that 1989 accomplishment, but his concern for net neutrality and an overly centralized, commercialized Web storage model that threatens individual privacy has led him to create Solid. Users would be able to decide where their data is stored and how it is shared. He’s also concerned that the web has been turned into a “purveyor of untruth” by an ad revenue model that rewards click-baiting rather than accuracy.

A study finds that ABIM’s Choosing Wisely campaign that encourages both clinicians and patients to skip low-value services had a small but statistically significant reduction in back pain imaging, for which patients often must pay out of pocket. It concludes that the 4-5 percent reduction indicates that consumer incentives may be ineffective for reducing low-value medical care.

image

A study finds that chargemaster prices not only vary widely among hospitals, they correlate to the price actually paid by insurers and patients. Not surprisingly, list price was not correlated with hospital quality. The authors conclude that hospital list prices are neither irrelevant nor indicative of price gouging, but are rather a subtle method hospital use to get favorable deals from insurers, leaving uninsured patients stuck with paying the made-up high prices in cash while everybody else gets negotiated discounts.

image

Doctors at Lancaster General Health publish a medical staff newsletter retrospective on its 10 years of using Epic. It refreshingly includes negatives as well as the expected positives – its larger-than-expected $100 million cost, the extra time some doctors spend documenting after hours, and its contribution to physician burnout. One surgeon says Epic is struggling to fulfill its potential because he has to look in other systems to review images, operative reports, and pathology reports, while also noting that EHRs are designed to optimize billing and therefore relevant clinical information is “buried in giant pile of clinically unimportant information.”

image

Cambridge Mobile Telematics, which offers brilliant smartphone driving apps to educate drivers and allow auto insurance companies to set rates based on driving habits, analyzes its user records to determine that drivers were distracted by their phones in 52 percent of trips that ended in crash, with an alarming one driver in four using their phone within 60 seconds of their crash. The company also found that distraction was just as bad in states with laws against using phones while driving. Users of the company’s DriveWell program reduce their phone distraction by 40 percent within two months.

image

In England, a newspaper’s undercover investigation of the NHS 111 non-emergency hotline call center finds that workers sleep at their desks, send text messages while pretending to listen to callers, and put suicidal callers on hold until they hang up because “after a while you can’t talk to them no more – it just gets awkward.”

image

In England, an Iran-born doctor referred to by co-workers as “Little Hitler” loses his medical license after being found guilty of several bizarre outbursts in which he used vulgar terms to describe patients who didn’t bring him gifts, called his receptionist a “fat blob,” referred to a colleague as a cockroach that he hoped would die, and described to female co-workers his vacation adventure in which he “inserted his private parts into a hole in the wall at a nightclub.”


Sponsor Updates

  • Crossings Healthcare Solutions posts its most recent newsletter.
  • Daw Systems will integrate CoverMyMeds electronic prior authorization into its ScriptSure e-prescribing system.
  • Bernoulli’s John Zaleski and Jeanne Venella, RN co-author an article in the Spring 2017 issue of AAMI Horizons.
  • Besler Consulting releases a new podcast, “How much revenue is your chargemaster costing you?”
  • Black Book honors top cybersecurity firms at InfoSecWorld Conference and Expo.
  • Dimensional Insight will exhibit at the Cannabis Business Expo April 12-14 in Phoenix.
  • Healthgrades announces Outstanding Patient Experience and Patient Safety Excellence Award recipients.

Blog Posts


Contacts

Mr. H, Lorre, Jennifer, Dr. Jayne, Lt. Dan.
More news: HIStalk Practice, HIStalk Connect.
Get HIStalk updates. Send news or rumors.
Contact us.

125x125_2nd_Circle

Monday Morning Update 4/3/17

April 2, 2017 News 9 Comments

Top News

image

HHS quietly hires Don Rucker, MD, MBA, MS as National Coordinator, as evidenced by his new entry on the HHS employee list.

image

Rucker holds a Penn MD and Stanford master’s degrees in business and informatics. He is an adjunct professor in biomedical informatics at Ohio State, but is best known as being chief medical officer for Siemens Healthcare from 2000 to 2013.

image

Apparently reporting to Rucker is former Rep. John Fleming, MD (R-LA), who said previously that he thought his newly created position of HHS deputy assistant secretary for health technology reform was equivalent to National Coordinator.

image


Reader Comments

image

From Lisa Buller:”Re: Skagit Regional Health’s Epic project. As the project director of this implementation, I can tell you the post regarding our EHR project is not only unverified – it is untrue. We are very happy with our selection of Epic and look forward to our on-time go live of October 1, 2017 and the improvement in quality, safety, and efficiency that it will bring to the care we provide our communities.” Lisa referenced the original Epic announcement that indicated a mid-2017 go-live date. Publicly available information suggests that the IT department added 53 positions with 20 more planned to implement Epic (although those employees are often rolled back to their previous jobs after go-live) and CIO John Dwight moved to EvergreenHealth in February. Both items were mentioned by the rumor reporter whose main point was that budget overruns of the $72 million project, if they exist, have not been publicly acknowledged. UPDATE: Lisa provides additional information: “Our project is on time for go live on October 1, 2017 across our organization, including two hospitals and 18 clinics. The project cost is $72 million. We moved our go live from July to October 1, 2017 to ensure adequate time for project build, test, and training. We currently have 23 consultant-employed FTEs – not 60 as was reported in the unverified post. The pay rate referenced in the post is also false.”

image

From Steve: “Re: NTT Data’s divestiture of its healthcare software division. The acute EHR/RCM products are so far behind any of the competitors, have next to no market share, don’t show up in any industry reports, and NTT Data lost so many clients. I will be curious to see if they recover under the new company. It’s the same leadership that ran that division at NTT Data, so chances are probably pretty slim.” I’m thinking the prize there is the NetSolutions long term care software product line, which runs in 1,700 facilities.


HIStalk Announcements and Requests

image

Nearly three-fourths of poll respondents have a negative reaction to the White House’s recent HHS appointees.

New poll to your right or here: When will blockchain have a significant healthcare impact?

image image

We bought three Chromebooks for Mrs. J’s first grade class in South Carolina. She reports, “Our class LOVES our Chromebooks. They are a fundamental part of the reading process in our classroom. Students use them almost daily for taking AR quizzes, reading online information, playing learning games, and practicing math facts. They are really enjoying being able to access the tools they need. I’m so thankful that donors like you continue to make a difference through DonorsChoose. It makes teachers like me and students like mine extremely grateful.”

SNAGHTML5add8bdf

This infuriatingly common mistake bugs me. Is it really so hard to match a singular subject to a singular verb? As the headline writer might say, the grammatical sloppiness of Americans are driving me crazy.

Thanks to the following companies that recently supported HIStalk. Click a logo for more information.

image
SNAGHTML5a78c355
image
image
image
image
image
image
image
image
image
image
image
image
image
image
image
image


This Week in Health IT History

image

One year ago:

  • The Department of Defense names its Cerner-centered EHR project MHS Genesis.
  • A study finds wide clinical variation in how patient visits are conducted by six virtual visit companies.
  • Southcoast Health lays off 95 employees after running over budget on its $100 million Epic implementation.
  • Massachusetts General Hospital and other Partners HealthCare sites go live on Epic.

SNAGHTML51a1abc5

Five years ago:

  • CSC announces plans to launch iSoft in the US after poor performance in England’s NPfIT.
  • 3M acquires CodeRyte.
  • HHS awards $50,000 to the designers of THUMPr, a web-based heart health consumer profile tool.
  • HIMSS lists the HIT-related affects that would arise from a Supreme Court finding that some or all of the ACA is unconstitutional.
  • Seven-month-old hospice management software vendor Hospicelink predicts that it will hit $50 million in sales by the end of the year.
  • TriZetto announces plans to build a $40 million headquarters building in Denver.

Weekly Anonymous Reader Question

Last week I asked readers to describe their proudest moment in health IT, with these responses:

  • Getting the result interfacing going from our lab to the local cancer treatment facility. It had been a months-long project with many fits and starts, but seeing it actually happen was amazing. They went from needing up to a week to get results to make changes to chemotherapy regimens to being able to make changes in a few hours. They can actually correlate some improved survival rates to being able to respond faster to changes in their patients’ health.
  • Being the first (and maybe only?) IT person to receive the Employee Recognition Award at the health care organization I worked for.
  • When I first started out in health IT, I was part of a SWAT team who would swoop into troubled sites. I was disheartened about six months into the job. I then went to my fifth or sixth site and sat with a doctor who was visibly frustrated. A few tweaks, 30 minutes of coaching and training, and customizing the program and all was better. I went back about three months later and the doctor gave me the biggest hug and looked at me with tears in his eyes and said "I’m no longer stuck in the dictation room until 7, 8, 9:00 at night. I leave the hospital at 6:00 at the latest every day since you came. I’ve made it to all of my son’s tee-ball games this season, my wife and I eat dinner together, I sleep better, and my nurses have all noticed a change in my patient care. Thank you so much. You have made me want to stay in medicine and keep doing what I was put on this Earth to do." Cue me totally getting all teary right ahead of a big executive meeting 🙂 But I remember that doc, and all the other docs on days where it’s kinda crappy. End of quarter, forecast calls, dealing with code issues, trying to keep customers… It’s all kinda crappy, but if I can do one thing each day where I help one person be able to go out there and do better at keeping people healthy and alive, that’s good enough for me.
  • Around 10 years ago, I was a sales executive working with small independent medical groups trying to help them move to our network-enabled rev cycle service. There was a wonderful physician I was working with who provided great family practice services to an undeserved population, but struggled to run her practice. I was fortunate enough to help her make the leap of faith to join our network. A year later, I called to check in. The physician started tearing up over the phone. (full disclosure: I went into panic mode once I heard her voice crack). I asked what was wrong and she said, "Wrong? Nothing’s wrong. Yesterday I was able to pay my daughter’s tuition in full for the first time and I owe that to your company.” Thinking about that moment still makes the hair on the back of my neck stand up.
  • When the first customer I helped acquire their eICU program verified the clinical, operating, and financial results we had promised. The icing on the cake is when one of the practicing intensivists also reported that for the first time in years he was sleeping through the night uninterrupted, and he felt more alive and happy than he had in years.
  • I designed and helped build a bedside critical care CIS that at one site operated nonstop for four-plus years without a server reboot. It was the only system in the data center that kept operating when all the others went down during a hurricane.
  • In a meeting, a frustrated physician, who felt burdened and attacked, retorted, "What’s the point? Nothing ever changes here anyway." After the meeting, I compiled a list of the changes that we had made in the past year. Some were IT, some were process, some were new initiatives. In all, I listed 24 accomplishments that we had completed in the previous 12 months. I leaned back in my chair, kicked my feet up on my desk, and raised my hands behind my head. In the silence, I swore I could hear a faint echo of applause.
  • In the late 1970s, I wrote a master’s thesis on clinical decision systems, which I defined (simplistically for research) as a physician, nurse, and patient. Key to the triad is the patient as an equal member of the decision team. IT wasn’t until a decade or so into the 21st century that the patient was recognized as a key decision-maker in his/her care. I was proud in retrospect that I had identified the key role a patient plays in their care, based on the different kinds of information which they hold and on which only they can act. Similarly with the differences among physicians and nurses and their unique and special knowledge and decision characteristics.
  • One thank you note from a former customer: “The richness of your experience and knowledge is a true asset to the HIT community and it’s always a pleasure to shine the spotlight on you. You never disappoint!”
  • Leading an EMR conversion and receiving Joint Commission accreditation 16 days post-EMR conversion with zero nursing citations at a hospital that had never passed Joint Commission without citations previously.
  • I was at the Magnet nursing conference doing a demo in our booth and a random attendee walked up and interrupted the demo and said, "I use your product every day and I love it" and then she just walked away.
  • Seeing a presentation about better care of patients by a customer using a tool I was integral in designing and testing. It’s pretty awesome to see someone talking about things that were were not possible prior to the existence of something I helped create.
  • Oddly, a proud time was spending New Year’s Eve 1999 on call and having almost nothing to do because the years of Y2K preparations were done right. Management invested appropriately and early enough to the work done, people worked hard to address all the issues, and the results were there. We were also prepared for what didn’t happen. I can’t recall another go-live that went as well.
  • Hearing a doctor exclaim, "Look, it’s right here!" as she pulled up a hospital discharge report in real time while the patient was in her office for a follow-up. No calls to the hospital chasing paperwork, no checking billing office inboxes or wire baskets — everything ready to go while the patient was in front of her.
  • Chair of an AMC department walking through exhibits at a conference, taking a few steps backward, turning to me at the booth and saying, "I may not have said this before, but your system has changed the way (our specialty) is practiced in America. Thank you."
  • Teaming with Kaiser Permanente in Southern California in a partnership to build and deploy an application integrated with Epic that used NLP to automatically calculate the E&M code at the point of care. This was an early (2005) commercial use of AI. The end result was an a operational success for Kaiser and a commercial success for our small company. The technology is now owned by Nuance.
  • Being the first hospital to activate the first commercially available EMR 19 years ago and it’s still running fine. And it only cost $16 million for an 800-bed hospital.
  • I don’t really have one other than doing a great job every day before the Big Vendor came along and there needed to be 8-10 of me.
  • My first invitation to Histalkapalooza.

image

The question this week: What is your favorite moment from any past HIMSS conferences?


Last Week’s Most Interesting News

  • An IBM report finds that the number of healthcare records exposed via breach dropped 88 percent for 2016 vs. 2015, with just 29 percent of incidents involving outsiders.
  • The FBI warns healthcare organizations that hackers are targeting FTP servers configured to allow anonymous access.
  • The White House appoints Roger Severino as director of HHS’s Office for Civil Rights.
  • A review of UCSF’s virtual glucose management service finds significant improvement in glucose control.

Webinars

April 26 (Wednesday) 1:00 ET. “SSM Integrated Health Technologies Clinical Data Migration: Functional and Technical Considerations.” Sponsored by Galen Healthcare Solutions. Presenters: Sandy Winklemann, MHA, RHIA, project manager, SSM Integration Health Technologies; Tyler Mawyer, MHA, managing consultant, Galen Healthcare Solutions; Kavon Kaboli, MPH, senior consultant, Galen Healthcare Solutions. GE Centricity and Meditech to Epic EHR transition. Join us for a complimentary webinar as present the decisions that are important to consider when performing a clinical data migration from the point of view of  the healthcare organization program manager, the clinical analyst, and the technical implementation team. Our expert panel will survey data migration considerations, best practices, and lessons learned. The webinar will present a unique client perspective, offering insight into considerations surrounding staffing, clinical mapping, legacy application support, and validation and testing.

Previous webinars are on our YouTube channel. Contact Lorre for information on webinar services.


Acquisitions, Funding, Business, and Stock

image

NTT Data sells its hospital and long term care software suites to newly created and PE-backed Cantata Health. Those products involve Optimum (hospital clinical and RCM) and NetSolutions (for skilled nursing, assisted living, and independent living). The PE backer is GPB Capital Holdings. NTT Data acquired the software with its acquisition of Keane in October 2010 at a rumored $1.2 billion. Cantata Health will be led by former NTT Data healthcare technologies division executives Mike Jones (CEO) and Rich Zegel (CTO).

image

NantHealth reports Q4 results: revenue up 18 percent, EPS –$0.19 vs. -$0.10, beating earnings estimates but falling short on revenue, sending shares down 3 percent Friday. The company lost $184 million in the fiscal year, doubling its 2015 losses.


Decisions

  • Community Health Systems (TN) chooses Infor for enterprise financial management and will begin rollout this year.
  • University of California Irvine Health System (CA) will go live with Oracle PeopleSoft ERP in 2018.
  • Charlton Memorial Hospital (MA) will go live with Oracle PeopleSoft HR this year.

These provider-reported updates are provided by Definitive Healthcare, which offers powerful intelligence on hospitals, physicians, and healthcare providers.


Other

Public radio profiles Kaiser Permanente’s opioid prescribing program, implemented in 2009 after clinical leaders noted that OxyContin was among its most-prescribed drugs, patients were on the medication for long periods with ever-increasing doses, some of the prescriptions were for 1,000 or more pills, and doctors were specifying brand name drugs that weren’t covered by insurance but that command a higher street value. KP studied its opioid use from its Epic data, sent reps to counter pharma sales pushes to use more, programmed Epic to help guide physician decisions, and implemented “The Difficult Pain Conversation” to encourage patients to stop demanding opioid prescriptions.

The VA complains about employee-friendly laws that force it to keep paying workers it’s trying to fire, with the latest example being an employee who was caught watching pornography while with a patient who the VA has to keep paying for at least 30 days while the bureaucracy-laden termination process is followed.

A heart surgeon who sued former employer Memorial Hermann (TX) for using peer review and quality data to discredit him after he complained about quality problems wins $6.4 million in a jury award.

image

Epic’s April Fool’s web page makeover included these stories:

  • Introduction of TinDR, an Epic app that allows doctors and patients to choose each other via a right or left swipe, quoting a doctor user as saying, “I didn’t do great in med school, but I hit the gym six days a week, and that’s finally paying off.”
  • The meeting of AI systems IBM Watson and Epic Bruce, in which Bruce sent Watson a 2 a.m. messaging questioning, “You up?”
  • The release of Chirp, a clinical notification app for the Apple iRing that displays college insignia or birthstones in the absence of pending notifications.

image

A hacker defeats the facial recognition security of the just-released Samsung Galaxy S8 smartphone by copying the registered user’s Facebook photo and then just sticking it in front of the phone’s camera.

A med student’s interesting article says that the broken medical residency electronic match program is leaving half of new graduates without a residency slot. The author says the electronic application process encourages blasting out applications en masse, overwhelming the ability of the residency programs to evaluate their candidates wisely. He concludes that pen and paper applications might force applicants to be more selective in expressing their true interests, adding that the number of electronic applications per student could also be limited but that’s not likely because the AAMC-owned system makes a lot of money per application.

image

California-based surgery collaboration app vendor Casetabs (which describes itself pointlessly as “the Uber of surgeries”) runs a Craigslist ad (where apparently all the health IT experts look for work) for a sales development rep with some fun requirements:

  • “Sales sniper with a proven track record of crushing sales quotas.”
  • “Extreme comfort in cold-calling (70-100 calls/day).”
  • “Water Garden office complex in Santa Monica (sofas, fire pit, B-ball, football, corn hole, Foosball, etc.)”
  • “High performance, high pay environment (eat what you kill).”

Here’s Part 2 of the top 10 HIS vendors report from Vince and Elise.

image

Dr. Weird News Andy would like to order a vodka drip, stat. Veterinarians save a cat that poisoned herself by licking spilled brake fluid off her fur by administering IV vodka to counter the effects of ethylene glycol. Princess the cat is recovering at home, which by WNA’s calculation leaves her with eight remaining lives.  


Sponsor Updates

  • Clinical Computer Systems, Inc., developer of the Obix Perinatal Data System, celebrates its 20 years in healthcare.
  • ZeOmega will exhibit at NAACOS Spring 2017 Conference April 5-7 in Baltimore.

Blog Posts


Contacts

Mr. H, Lorre, Jennifer, Dr. Jayne, Lt. Dan.
More news: HIStalk Practice, HIStalk Connect.
Get HIStalk updates. Send news or rumors.
Contact us.

125x125_2nd_Circle

News 3/31/17

March 30, 2017 News 5 Comments

Top News

image

An IBM security report finds that healthcare is the #5 most-hacked industry sector, with just 29 percent of the incidents involving outsiders.

“Inadvertent actors” — such as employees who fall for phishing or malware scams — made up nearly half the total number of incidents, while malicious insiders were behind just about as many attacks as external hackers.

Many successful healthcare attacks involved smaller organizations, resulting in an 88 percent drop in exposed records in 2016 vs. 2015.

The report estimates that criminals made $1 billion from ransomware in 2016 and that 44 percent of spam email contains malicious attachments, most of it ransomware.

IBM warns that the success of hackers has driven down the black market value of structured data, adding that “unstructured data is big-game hunting for hackers and we expect to see them monetize it this year in new ways.”


Reader Comments

From Jake Serpent: “Re: ransomware. The FBI is investigating a case where PCP’s clearinghouse account was hacked and $86,000 in insurance payments were routed to other bank accounts. Interestingly, the FBI advised them not to disclose to their EHR/PM vendor’s IT support that they had been hacked until they had learned more. This is a new hole in the cash flow for thieves to exploit.” Unverified.

image image

From Jigger: “Re: NantHealth. Allscripts invested $200 million in the company in mid-2015 before the NH IPO, while NantHealth’s Patrick Soon-Shiong personally invested $100 million in Allscripts. How have they fared?” The best I can tell, Allscripts spent $200 million to acquire shares that are now worth $74 million, so they are down $126 million. Soon-Shiong’s $100 million investment in Allscripts shares is now worth around $92 million. In the past year, MDRX shares are down 7 percent, while those of NH have shed 73 percent since they began trading in June 2016.

From Oleander: “Re: Aventura. Has ceased operations and closes Friday.” Unverified, but folks in the know say they’re winding it down. It’s highly unusual for a company that sells a product (rather than a service) to just walk away instead of selling out for whatever price the market will bear. I expect to have more details soon.

image

From Lugubrious Lad: “Re: Missouri’s lack of a prescription drug monitoring program. From reports I’ve read, it’s a small group led by a powerful state legislator that has blocked a statewide program. State Senator Rob Schaaf once said people who die of overdoses remove themselves from the gene pool.” Senator Schaaf is a doctor, with his obvious lack of empathy perhaps validating that he’s better suited for power-brokering than attending to patients. Schaff’s PDMP objections involve patient privacy – he proposes his own bizarre system in which doctors would send the state the names of patients for whom they are considering issuing prescriptions for narcotics and then the state would let the doctor know of any concerns (given that they have no medical information to review and that such a system wouldn’t work with that of any other state, including those that border Missouri). Schaaf says he will filibuster any attempts to implement a PDMP other than his own: “I’d just as soon not have a PDMP. Would they rather have a database that protects privacy or no database at all?” On the other hand, his skimpy legislative body of work includes designating Jumping Jacks as the official state exercise.

image

From Tip Toe Through the Tulips: “Re: Skagit Regional Health (WA). The 185-bed system’s consultant and another consulting firm that was being paid $500 per hour contracted for Epic for $72 million to replace Meditech and NextGen, more than larger sites have paid. The cost is now over $100 million and the IT department has gone from 53 FTEs to 113 plus 60 consultants. They are missing deadlines, dates have been pushed back, the consultant-turned-CIO has gone, and they are continuing without a CIO. This coupled with a money-sucking HIE they own with Island Health that is in disarray, for which they have hired another expensive consulting group to review. Time will tell whether this system survives a $1 million per bed Epic project.” Unverified.


HIStalk Announcements and Requests

image image

We funded the DonorsChoose grant request of Mrs. V in Texas, who asked for a 8×10 carpet for her first grade class’s reading area. What won me over was her eloquent description of its importance to her classroom in replacing the worn out one they had been using for years: “We start from only knowing mostly sounds and basic words to reading chapter books. We will basically summit a knowledge mountain this year to be prepared for our future. I do my job so that someday these students will have the opportunity to have a career of their own. The carpet is the heartbeat of our classroom. We share all of our lessons there. We share joy, excitement, heartbreak, breakthroughs, and growth on that piece of cloth. The battle of education is fought and won in one spot in the classroom and that is on that carpet.”

SNAGHTML4aef8e99

The government’s Internet privacy protections rollback revived my interest in using a private VPN service for web browsing (though to be fair, those protections hadn’t taken effect yet anyway, so nothing has changed.) My requirement of a free trial led me to VyprVPN at $45 per year. Speedtest shows no slowdown and it’s painless to install and use. A VPN also protects you when using public WiFi, but even more intriguingly, it apparently can save money on Internet purchases, where price is often set by the user’s location — VyprVPN priced the same SYD-LAX flight on Kayak by connecting through servers in several countries and it ranged from $2,900 to $5,400. VyprVPN runs great on the laptop and iPad, although it didn’t work on my Chromebook because of router settings that I didn’t bother changing because it wasn’t really important.

This week on HIStalk Practice: Congratulatory AHCA ads fly fast, furiously, and prematurely. Facial recognition software helps physicians diagnose rare pediatric disease. Wisconsin MDs prepare for mandatory PDMP reporting. Eastern Shore Psychological Services implements MediWare EHR. EPatientFinder’s Lance Hayden offers inexpensive steps to better practice cybersecurity. IHealth acquires AllDocuments. Mecklenberg County health officials accidentally release PHI. Navicure’s Jim Denny eases providers into care cost transparency practices.


Webinars

April 26 (Wednesday) 1:00 ET. “SSM Integrated Health Technologies Clinical Data Migration: Functional and Technical Considerations.” Sponsored by Galen Healthcare Solutions. Presenters: Sandy Winklemann, MHA, RHIA, project manager, SSM Integration Health Technologies; Tyler Mawyer, MHA, managing consultant, Galen Healthcare Solutions; Kavon Kaboli, MPH, senior consultant, Galen Healthcare Solutions. GE Centricity and Meditech to Epic EHR transition. Join us for a complimentary webinar as present the decisions that are important to consider when performing a clinical data migration from the point of view of  the healthcare organization program manager, the clinical analyst, and the technical implementation team. Our expert panel will survey data migration considerations, best practices, and lessons learned. The webinar will present a unique client perspective, offering insight into considerations surrounding staffing, clinical mapping, legacy application support, and validation and testing.

Previous webinars are on our YouTube channel. Contact Lorre for information on webinar services.


Acquisitions, Funding, Business, and Stock

image

San Francisco-based primary care practice Carbon Health raises $6.5 million in a seed funding round to expand use of its patient app that offers appointment scheduling, payments, and prescription refills.

image

Health kiosk vendor Higi receives an unspecified Series B investment from BlueCross BlueShield Venture Partners and acquires EveryMove, which offers a health rewards system to health plans.


Sales

image

Three Ontario hospitals will implement Meditech 6.1 Web EHR, hosted by Markham Stouffville Hospital.


People

image

Evariant names Clay Ritchey (Imprivata) as CEO.

image

Leidos Health hires Bill Kloes (Nuance) as VP of operations integration of its health group.

image

Terri Ripley, MIT (Inova Health System) joins OrthoVirginia as CIO.

image

The Strategic Health Information Exchange Collaborative hires Pam Mathews, RN, MBA (Pam Mathews & Associates) as interim executive director.

image image image

Solutionreach promotes Paul Kocherans to SVP of sales; Justin Everette to VP of marketing; and Lance Rodela to VP of product management.


Announcements and Implementations

IBM will incorporate SNOMED CT terminology in its Watson Health offerings.

CMS approves Forward Health Group’s PopulationManager as a qualified registry for the 2017 performance year.

image

The World Health Organization launches a global initiative to reduce severe, avoidable medication error harm by 50 percent over the next five years. It will offer guidance, strategies, plans, and tools.

image

Healthwise provides a $2 million grant to fund the Informed Medical Decisions Program at Massachusetts General Hospital’s Decision Sciences Center. Michael J. Barry, MD, Healthwise chief science officer, will return full time to MGH to direct the center, which will study how to incorporate the patient’s voice in making healthcare decisions.

The Connecticut Hospital Association and Bayer will create a statewide database to track patient exposure to radiation from CT scans.


Government and Politics

image

Senators Lamar Alexander (R-TN) and Bob Corker (R-TN) introduce legislation that would allow Americans who live in a county where no insurers offer ACA plans in 2018 to apply any federal subsidy they receive to plans they buy directly from insurers. The challenge, which they didn’t mention, is that those same counties may well have no insurers willing to sell individual policies either, meaning that those who can’t get insurance through an employer can’t obtain it at any price.

image

Meanwhile, Sen. Corker responds to the comments of fellow Republican and House Speaker Paul Ryan (R-WI), who expressed concern in a TV interview that President Trump will reach out to Democrats to get healthcare legislation passed instead of twisting the arms of party loyalists to repeal ACA in purely partisan fashion. A new poll finds that 62 percent of Americans think President Trump has mishandled healthcare reform, sending his record-low approval rating even lower to 35 percent following last week’s AHCA drama.

The Texas Senate appears to have ended the state’s relentless efforts to stifle the use of telemedicine.


Privacy and Security

Thieves hoping to steal petty cash from a clinic of CoxHealth (MO) also grab patient fee slips from the state, triggering the requirement that the incident be reported as a breach to HHS.


Other

image

A New York Times Magazine article describes the expensive industry created around “coder vs. coder” billing code jockeying that occurs among hospitals, insurers, and auditors that often leave patients holding an indecipherable bills from multiple providers involved in a single episode of their care that may bankrupt them despite their best intentions. Some excerpts:

Individual doctors have complained bitterly about the increasing complexity of coding and the expensive necessity of hiring their own professional coders and billers … But they have received little support from the medical establishment, which has largely ignored the protests. And perhaps for good reason: The American Medical Association owns the copyright to CPT, the code used by doctors …  when Medicare announced that it would pay only a set fee for the first hour and a half of a chemotherapy infusion — and a bonus for time thereafter — a raft of infusions clocked in at 91 minutes … Today many medical centers have coders specializing in particular disciplines … The Business of Spine, a Texas-based consulting firm with a partner office in Long Island, advises spine surgeons’ billers about what coding Medicare and commercial insurers will tolerate, what’s legal and not, to maximize revenue. The evolution of this mammoth growth enterprise means bigger bills for everyone.

Colorado’s new Medicaid payment system for developmental disability services is rejecting provider claims due to coding errors that the state blames on users who didn’t pay attention to its communication about the changes over the past 18 months. Speech therapy clinic operator Jill Tullman says she bills up to $12,000 per week to Medicaid, but has been paid only $288 in the past month. She also spent 2,500 minutes trying to get help from the state’s call center, run by Hewlett Packard Enterprise, which still has 90-minute wait times even after fixing software and connectivity problems. The state has paid 48 percent of submitted claims in the first month. 

A Florida State University psychology researcher studies the EHR data of 2 million patients to create a machine learning method that can predict whether someone will attempt suicide within the next two years with 80-90 percent accuracy.

image

The University of Texas system regents will pay Ron DePinho, MD — the just-resigned president of MD Anderson Cancer Center — over $1 million per year to serve as a professor of cancer biology, placing his compensation at nearly triple that of his boss, the cancer biology chair. He will also receive $1 million per year to fund his research projects. Cynics might presume that his resignation was neither voluntary nor unchallenged.


Sponsor Updates

  • Consulting Magazine profiles Peter Smith of Impact Advisors.
  • Imprivata will exhibit at the VHHA Spring Conference April 5-7 in Williamsburg, VA.
  • Philly.com profiles InstaMed.
  • InterSystems will exhibit at the HIMSS Population Health Forum April 3-4 in Boston.
  • Intelligent Medical Objects will exhibit at AORN International Surgical Conference & Expo April 1-5 in Boston.
  • Kyruus hosts NewCoBos April 5-6 in Boston.
  • NTT Data’s Lisa Woodley presents at the LOMA 2017 Customer Experience Conference March 30 in Las Vegas.
  • Point-of-Care Partners will exhibit at the HL7 Mini-Connectathon April 10-12 in Chicago.
  • Protenus hosted its inaugural Privacy and Analytics Conference last week at its headquarters in Baltimore.
  • SK&A publishes “Physician Office Usage of EHR Software.”
  • PatientSafe Solutions will demonstrate new Rounding and Early Warning System worfklows of its PatientTouch platform at AONE/ANIA.

Blog Posts


Contacts

Mr. H, Lorre, Jennifer, Dr. Jayne, Lt. Dan.
More news: HIStalk Practice, HIStalk Connect.
Get HIStalk updates. Send news or rumors.
Contact us.

125x125_2nd_Circle

News 3/29/17

March 28, 2017 News 1 Comment

Top News

image

The FBI’s Cyber Division warns medical and dental facilities that hackers are launching cyberattacks by exploiting FTP servers that have been configured to allow anonymous access.

The alert cited a 2015 University of  Michigan review called “FTP: The Forgotten Cloud” that warned of security flaws in the nearly 50-year-old protocol and the 1 million FTP servers that are not password protected.


Reader Comments

From Gilded Lily: “Re: list of ‘100 great healthcare leaders to know.’ More crapware.” Asking fresh liberal arts grads to create such a list ensures reliance on Googling. At least they claim nothing more in leaving their methodology unstated. Or as one of their readers astutely observed and boldly commented on the site, “This rings about as true as a Best Hospitals list that’s based largely on reputation. Oh, well. It will drive clicks and traffic to the website.”

image

From Jelly Roll: “Re: Qventus expanding to the periop environment. That’s kind of BS since the company started in periop when they were AnalyticsMD. They didn’t get much traction, so they explored the ED and other areas and are now making this announcement to get some press after raising a bunch of capital. Read some of their early blog posts – they talk about OR solutions and exhibited at periop-oriented conferences three years ago.” I pulled up a cached copy of AnalyticsMD.com from 2013 and they were talking about OR deployment then, along with “in-patient wards” (that’s almost as bad as the health IT site whose young reporter creatively but incorrectly expanded the press release’s term “OR” into “operative room.”) Qventus raised $13 million in November 2016.  


HIStalk Announcements and Requests

image

I’m enjoying the upbeat stories being sent in my “Proudest Moment” survey. It’s good to occasionally take a break from never-ending pressure and negativity and reflect on the big-picture positive work we do. Some of the reports I’ve received (and will list in Monday’s HIStalk) are moving. What’s going to be on your HIT career tombstone?

image SNAGHTML407e2b07

We provided iPad modules for art, math, and coding for Mrs. F’s middle school class in California. She reports, “My students are enjoying integrating technology and art into our core curriculum. They love being able to take photographs, create sketches, and animate their creations. My students also love using Osmo Numbers during math center time to increase their comprehension of number sense and operations with decimals.”


Webinars

March 29 (Wednesday) 1:00 ET. “Improving patient outcomes with smartphones: UW Medicine Valley Medical Center’s story.” Sponsored by Voalte. Presenters: James Jones, MBA, MSN, VP of patient care services and nursing operations, UW Medicine Valley Medical Center; Wayne Manuel, MBA, SVP of strategic services, UW Medicine Valley Medical Center. UW Medicine Valley Medical Center dramatically improved patient outcomes after moving to a smartphone-based platform for clinical communication and alarm and alert notification. Before-and-after analysis shows a reduction in hospital-acquired pressure ulcers and skin integrity events, fall and slip events, and medication errors. By limiting overhead paging, the medical center also created a calmer, quieter environment and improved engagement among nursing and hospitalists. Hospital executives will describe their experience and vision for the future in addressing quality, cost, and the patient-caregiver experience.

April 26 (Wednesday) 1:00 ET. “SSM Integrated Health Technologies Clinical Data Migration: Functional and Technical Considerations.” Sponsored by Galen Healthcare Solutions. Presenters: Sandy Winklemann, MHA, RHIA, project manager, SSM Integration Health Technologies; Tyler Mawyer, MHA, managing consultant, Galen Healthcare Solutions; Kavon Kaboli, MPH, senior consultant, Galen Healthcare Solutions. GE Centricity and Meditech to Epic EHR transition. Join us for a complimentary webinar as present the decisions that are important to consider when performing a clinical data migration from the point of view of  the healthcare organization program manager, the clinical analyst, and the technical implementation team. Our expert panel will survey data migration considerations, best practices, and lessons learned. The webinar will present a unique client perspective, offering insight into considerations surrounding staffing, clinical mapping, legacy application support, and validation and testing.

Previous webinars are on our YouTube channel. Contact Lorre for information on webinar services.


Acquisitions, Funding, Business, and Stock

image

Tesla and SpaceX founder Elon Musk forms Neuralink, which will develop an implantable brain-computer interface.

The US Supreme Court is reviewing whether church-affiliated health systems are exempt from federal laws that protect employee pensions. Advocate Health Care says it shouldn’t have to follow ERISA laws that require its pension plan to be funded and insured, saying it could owe billions of dollars in retroactive penalties if the court says it intentionally disobeyed the law.


Sales

image

UAE-based Emirates Hospital Group will implement InterSystems TrackCare in all its facilities.


People

image

Ries Robinson, MD (Medici Technologies) joins Presbyterian Healthcare Services (NM) as SVP/chief innovation officer.

image

Spok hires Mike Wallace (Intermedix) as CFO.

image image

Real-time patient safety solution vendor Bernoulli hires as consultants Neil Halpern, MD (Memorial Sloan Kettering Cancer Center) and Amar Setty, MD (AnesthesiaStat).

image

Modern Healthcare’s health IT writer Joe Conn, who is a rarity in actually understanding the topic he covers, retires. I trusted what he wrote and admire that he didn’t let his ego interfere with his reporting.

image

Chris Edwards (Validic) joins Conversa Health as chief marketing and experience officer.  

image

Weber State University (UT) honors Associate Professor of Computer Science Richard Fry, PhD with its faculty and staff award. His accomplishments include a long career in the Air Force, developing technology to help orphaned children in Thailand learn English, converting paper medical records into an EHR in Ghana, developing an open source web application to help New Zealand document the lack of health services in rural communities, and creating an order queuing system for a local Air Force base to support its special needs employees.

image

Don Fisher, PhD, president and CEO of the American Group Medical Association since 1980, dies of cancer at 71.


Announcements and Implementations

image

Kyruus releases a new version of its ProviderMatch Analytics that helps health systems track patient access channel trends and optimize their provider networks.

image

Cerner and Nevada, MO will launch a county-wide prescription drug monitoring program as part of their Healthy Nevada program, trying to fill the gap left by the clueless Missouri state government that keeps finding excuses to remain the only state that can’t muster enough consensus to launch its own program.

image

Health Catalyst launches Leading Wisely, an executive decision support system.

Allscripts will resell abstracting and physician query solutions from Streamline Health Solutions.


Government and Politics

Days after President Trump declared that he was moving on to other priorities and leaving the Affordable Care Act intact after failing to win enough votes to repeal it, the White House and House Republican leaders have restarted negotiations. “We are going to work together,” declared House Speaker Paul Ryan (R-WI), with “we” being his fellow Republicans alarmed at the President’s hint that he might actually get some Democrats involved after his party failed to support him in sufficient numbers.

image

House Republicans vote to eliminate privacy rules imposed by the FCC last year, allowing broadband providers to sell the browsing data of their customers without asking permission. All that remains is for the law to be signed by President Trump, who indicates he will do so.


Privacy and Security

From DataBreaches.net:

  • A Kentucky chiropractic practice notifies 5,000 patients that its systems were attacked by ransomware.
  • Urology Austin (TX) notifies 280,000 patients of a ransomware attack.
  • A study finds that 40 percent of used electronic devices listed for sale contain still-readable personal information.
  • Med Center Health (KY) says a former employee obtained the billing information of 160,000 patients in 2014-2015.
  • Washington University School of Medicine in St. Louis notifies an unstated number of patients that their information was exposed by employees who fell for a phishing scam.

Innovation and Research

image

UCSF’s virtual glucose management service – in which diabetes specialists remotely review abnormal glucose lab values and make recommendations as an Epic care note – reduced the number of hyperglycemic patients by 39 percent and the number of severe hypoglycemic events from 40 to 15.


Other

image

An American College of Physicians position paper says doctors are overloaded with administrative responsibilities, one of them being EHRs that were designed for patient care but that have been co-opted for non-clinical purposes to the point that EHR vendors have little time left to improve their patient care capability. ACP recommends that EHRs support the “write once, reuse many times” philosophy; embed tags to show where information originated; and allow clinicians to search available data when writing notes and allow them to link to it or copy/paste using tags. It also suggests that stakeholders use the same data elements and reporting formats, that clinical decision support replace non-real time data exchange such as prior authorization, and that agencies used shared registries to query for whatever information they need.

Pharma data technology companies QuintilesIMS and Veeva sue each other over the use of prescriber databases for drug marketing. Veeva says QuintilesIMS is engaging in anti-competitive practices by refusing to let Veeva customers load QuintilesIMS data into its network, while QuintilesIMS says it won’t provide the information because Veeva won’t guarantee that it will be protected following reports of unauthorized access.

image

STAT reports that Patrick Soon-Shiong and his Nant companies may have violated FDA regulations by talking about curing cancer in referring to drugs not yet approved by the FDA. Soon-Shiong, NantKwest, and NantHealth – stung by two critical STAT reports – have ramped up their feel-good social media PR campaign. After STAT’s inquiries, videos were deleted that had referred to the company’s treatments as a “breakthrough” that can “kill cancer.” A physician with drug promotion expertise summarized the 12-patient, modest results study referred to by Soon-Shiong as a breakthrough as, “The data is blatantly not supporting that statement, and the video blatantly uses emotion, not science, to make the case that this drug deserves a try.”

The Supreme Court hears a class action lawsuit brought against SAIC (now Leidos) by six retirement and pension funds for “the single largest fraud ever perpetrated on the city of New York.” Leidos says it has improved compliance efforts and noted its successful DoD EHR bid in defending SAIC’s performance in developing a city payroll system that was budgeted at $63 million that ended up costing $760 million and that resulted in long prison stretches for three consulting firm employees. SAIC paid $500 million to avoid federal prosecution, sending shares down and triggering the investor lawsuit that claims the company misstated information in its SEC filings.

image

Two second-year Mass General internal medicine residents die in an avalanche in Canada. Lauren Zeitels earned a MPhil in medical genetics at University of Cambridge and an MD/PhD in human genetics from Johns Hopkins and planned to purse a career in rheumatology. Cornell graduate Victor Federov, MD, PhD hoped to specialize in hematology-oncology.

image

Late-breaking April 1 news from an obviously tyred Weird News Andy, with whom I’ll need to have a natter: Cerner changes the name of its British Isles operation to Cernre to better reflect traditional UK spelling habits. "Having Cerner spelled one way and Centre spelled the other confused many people when they came to front door of our building in London. With this change, we believe we will blend in with the local flavour," according to a spokesperson from Cernre.


Sponsor Updates

  • DrFirst wins two awards for its company culture and employee-centric work environment.
  • Audacious Inquiry publishes a series of white papers called “21st Century Cures Act: Compliance for HIOs.”
  • Optimum Healthcare IT creates an infographic titled “How to Navigate an EHR Implementation Lifecycle.”
  • Spok will present and exhibit at the Becker’s Hospital Review 8th Annual Meeting April 17-20.
  • Aprima and Healthwise will exhibit at the ACP Internal Medicine Meeting March 30-April 1 in San Diego.
  • Arcadia Healthcare Solutions will exhibit at the NAACOS 2017 Spring Conference April 5 in Baltimore.
  • Besler Consulting will exhibit at the Hudson Valley HFMA Annual Institute April 6 in Tarrytown, NY.
  • CompuGroup Medical will exhibit at the COLA Annual Symposium April 5-8 in Las Vegas.
  • CoverMyMeds will exhibit at Computer-Rx Idea Exchange 2017 March 31-April 1 in Oklahoma City.
  • Direct Consulting Associates will exhibit at the Central & Southern Ohio HIMSS Springs Conference April 5 in Dublin.
  • ECG Management Consultants will present at the 2017 ACHE Congress March 29 in Chicago.
  • Elsevier Clinical Solutions announces a reseller agreement with PolicyMedical.
  • EClinicalWorks will exhibit at the Pediatric Urgent Care Conference March 30-31 in New Orleans.
  • FormFast will exhibit at ANIA 2017 March 30-31 in New Orleans.

Blog Posts


Contacts

Mr. H, Lorre, Jennifer, Dr. Jayne, Lt. Dan.
More news: HIStalk Practice, HIStalk Connect.
Get HIStalk updates. Send news or rumors.
Contact us.

125x125_2nd_Circle

Monday Morning Update 3/27/17

March 26, 2017 News 4 Comments

Top News

image

The Trump administration appoints Roger Severino as director of HHS’s Office for Civil Rights, which enforces HIPAA. He was previously director of the DeVos Center for Religion and Civil Society of conservative think tank The Heritage Foundation.

Severino is on record as opposing the ACA-mandated LGBT anti-discrimination laws that he will be charged with enforcing. He says those laws create conflicts of interest in providers who don’t want to provide gender reassignment surgeries. 

image

HHS must have been in a hurry to run his bio on its leadership page since it not only is missing his flag-backed photo, but it incorrectly lists his new position as, “Director, Office of Civil Rights.”


Reader Comments

From Mideast Business Analyst: “Re: GE. Can anyone confirm that they are contemplating getting back into the HIS business? I heard many reports from contacts in the Middle East claiming that GE has bought (or is in the process of acquiring) a local HIS company with an existing client base in Saudi Arabia. While this might look like a smart move, I expect that it will take them a long time before they can fix the countless problems of the solution (in case it was the same one I know) and make their customers happy.”

image

From Skip Church: “Re: the usual HIMSS publication. Their Twittarrhea is always annoying in recycling the same old non-news, but this weekend’s automatically scheduled tweets included a bunch of articles written before AHCA voting was cancelled.” I assume they didn’t realize that lame stories posted before the AHCA vote were going to look pretty stupid when hurled up afterward on Twitter regardless of the schedule vote’s outcome. Most puzzling, however, is why the site thought their readers needed their cheap-seats rehash in the first place. Actual news sites were already amply covering AHCA voting, deploying real reporters with inside sources to write their lead story that the site simply re-worded from “published reports” in a cheap grab for eyeballs. It’s also not really a health IT story.  

image

Meanwhile, this is a refreshingly honest “primary accountability” from the job description of a HIMSS associate editor.

From Robert Lafsky, MD: “Re: cybersecurity. This Slate article is interesting.” The article says that technology companies have transformed cybersecurity from a “people problem with a technology component” into the opposite. A snip:

The tech industry has become such a colossus it has achieved a strange, self-interested triple role: as producer of flawed products and services, town crier about the gravity of these same vulnerabilities, and confidence man peddling the solution to the problem.


HIStalk Announcements and Requests

image

Most poll respondents have access to the patient portal of their most recently visited provider and most of them used it, but more importantly, 75 percent of those who used it liked it. HITgeek says it’s silly that providers have “their” portal instead of each of us having our own that those providers populate, questioning why the health data of individuals can’t be as integrated as their bodies are.

New poll to your right or here: Is your reaction to recent HHS appointments (Price, Verma, Fleming, Bardis, Severino) overall positive or negative?

image image

We provided eight tablets for Ms. B’s Missouri kindergarten class in funding her DonorsChoose grant request. She reports, “Words do not even express how much gratitude my students and myself have for your generosity. We received our donation and opened the package as a class. The light in my students eyes’ when they saw the tablets was irreplaceable. These tablets have helped with both literacy and math. Each day, we have literacy small groups as well as math groups. Students rotate around the room and have a chance to use the tablets at this time. We use instructional apps on the tablets that the students are able to utilize on their own. It is another reinforcement for the students to practice what we are learning in class.”


This Week in Health IT History

image

One year ago:

  • MedStar Health’s systems are brought down by a ransomware attack.
  • Dell sells its IT services business to NTT Data for $3.05 billion to raise cash for its acquisition of storage vendor EMC.
  • Epic updates its employment contracts with a mandatory arbitration clause to prevent lawsuits claiming unpaid overtime.
  • Orion Health announces that it will lay off 36 US-based employees.
  • Valence Health lays off 75 employees.
  • Sandlot Solutions shuts down.

SNAGHTML37fd4ce3

Five years ago:

  • Newt Gingrich’s Center for Health Transformation closes and files Chapter 7 bankruptcy, listing several health IT vendors as creditors. 
  • VA CIO Roger Baker says the $4 billion joint VA-DoD iEHR system built by Harris Corp. could be available by 2014.
  • Vocera shares gain 40 percent on their IPO day.
  • BlackBerry maker Research in Motion reports sagging sales and an executive housecleaning.
  • Several medical device manufacturers conduct large layoffs to offset the 2.3 percent tax levied by passage of the Affordable Care Act.
  • The Coast Guard prepares for its go-live on Epic.

Weekly Anonymous Reader Question

Last week I asked readers for the most hilariously clueless one-sentence statement made by an executive in their organization.

  • Consulting firm CEO: “It’s not my job to provide a vision. People just need to do their damn jobs.” (at a leadership retreat where the goal was setting a 3-5 year trajectory), The company closed less than six months later.
  • "This is a go-live. No support tickets should be submitted with a priority less than high."
  • Regarding a chronically unhappy (with good reason) customer who was a 15-minute drive from company HQ: "Its not worth the time for one low-volume family doctor." Turns out that low-volume family doctor was good friends with a board member of a large medical group the company was trying to sell to.
  • CEO was upset that vendor had no way to upgrade the entire software with no downtime. Would have been content with a plan in near future for the vendor to do so. It only would have required re-writing the entire EMR from the ground up. Not to mention that certain upgrades require database engine and/or OS upgrades, which on their own also require downtimes. Even a failover to another instance requires a small downtime (OpenVMS folks, please stifle yourselves).
  • “We embrace failure.”
  • Our nurse recruiter said to me, "It’s not important for RNs to have EHR credentials — they do not need that to work at our facility.”
  • “Our quality scores are lower because, as an academic medical center, our patients are sicker.”
  • “We’re working on it.”
  • “We need a button in there that does some science.” (executive feedback to an application developer).
  • On "voluntarily leaving" after several years of poor performance and multiple rounds of layoffs: "I’m going to spend the next few weeks recharging my batteries and figuring out what’s next."

image

This week’s question: What is the proudest moment of your health IT career?


Last Week’s Most Interesting News

  • The White House and House Speaker Paul Ryan cancel voting on the American Health Care Act at the last minute after failing to gain the votes needed for its passage.
  • A study concludes that mortality and morbidity is increasing among white, non-Hispanic, low-education American men due to drug overdoses, suicide, and alcohol-related liver disease, while life expectancy among those with higher educational levels is increasing.
  • GE Healthcare announces plans to invest $500 million and hire 5,000 software developers over the next three years.
  • President Trump appoints former Congressman John Fleming (R-LA) to the newly created position of HHS deputy assistant for health technology, after which Fleming expressed uncertainty about what the job entails because he thought he was interviewing for National Coordinator.
  • Theranos offers investors additional shares if they agree not to sue the company or founder Elizabeth Holmes.

Webinars

March 29 (Wednesday) 1:00 ET. “Improving patient outcomes with smartphones: UW Medicine Valley Medical Center’s story.” Sponsored by Voalte. Presenters: James Jones, MBA, MSN, VP of patient care services and nursing operations, UW Medicine Valley Medical Center; Wayne Manuel, MBA, SVP of strategic services, UW Medicine Valley Medical Center. UW Medicine Valley Medical Center dramatically improved patient outcomes after moving to a smartphone-based platform for clinical communication and alarm and alert notification. Before-and-after analysis shows a reduction in hospital-acquired pressure ulcers and skin integrity events, fall and slip events, and medication errors. By limiting overhead paging, the medical center also created a calmer, quieter environment and improved engagement among nursing and hospitalists. Hospital executives will describe their experience and vision for the future in addressing quality, cost, and the patient-caregiver experience.

April 26 (Wednesday) 1:00 ET. “SSM Integrated Health Technologies Clinical Data Migration: Functional and Technical Considerations.” Sponsored by Galen Healthcare Solutions. Presenters: Sandy Winklemann, MHA, RHIA, project manager, SSM Integration Health Technologies; Tyler Mawyer, MHA, managing consultant, Galen Healthcare Solutions; Kavon Kaboli, MPH, senior consultant, Galen Healthcare Solutions. GE Centricity and Meditech to Epic EHR transition. Join us for a complimentary webinar as present the decisions that are important to consider when performing a clinical data migration from the point of view of  the healthcare organization program manager, the clinical analyst, and the technical implementation team. Our expert panel will survey data migration considerations, best practices, and lessons learned. The webinar will present a unique client perspective, offering insight into considerations surrounding staffing, clinical mapping, legacy application support, and validation and testing.

Previous webinars are on our YouTube channel. Contact Lorre for information on webinar services.


Acquisitions, Funding, Business, and Stock

image
image

Reuters reports that Advisory Board Company and Evolent Health are considering a merger of some or all of their businesses but ABCO has other bidders, among them Press Ganey. Advisory Board and UPMC created Evolent in 2011 and it went public in 2015, with Advisory Board owning 13.7 percent of the shares.


Announcements and Implementations

image

Docent Health expands its in-person patient experience program with digital and phone-based services.


Other

Vince and Elise kick off their annual series covering the top 10 HIS vendors.


Sponsor Updates

  • Children’s Hospital of the King’s Daughters (VA) reports a fourfold investment return in 24 months from working with Influence Health to book procedures to correct a rare pediatric chest wall deformity.
  • ZeOmega will exhibit at the Population Health Colloquium March 27-29 in Philadelphia.

Blog Posts


Contacts

Mr. H, Lorre, Jennifer, Dr. Jayne, Lt. Dan.
More news: HIStalk Practice, HIStalk Connect.
Get HIStalk updates. Send news or rumors.
Contact us.

125x125_2nd_Circle

News 3/24/17

March 23, 2017 News 2 Comments

Top News

image

A study in progress postulates that rising mortality and morbidity in midlife, non-Hispanic Americans is due to the “cumulative disadvantage” of poor job prospects for those with low levels of education, leading to “deaths of despair.” 

In contrast, mortality rates in Europe are going down overall, decreasing even more rapidly for those without higher education.

The authors note a startling statistic – whites aged 50-54 had a 30 percent lower mortality rate than blacks in 1999, but the white mortality rate is now 30 percent higher. It also notes that overprescribing of opioids for pain has made things much worse.

People will be less-healthy at age 65 than those who preceded them, which has significant implications for Medicare.


Reader Comments

image

From If You Can’t Spell It: “Re: Smart Source press release. Misspelling HIPAA doesn’t give me the warm and fuzzies about my data being protected.” I’m thinking about trademarking “HIPPA” and printing off standard Office Depot certificate blanks with the names of companies who can then brag that they are “HIPPA compliant” without really doing anything more than sending me a check.


HIStalk Announcements and Requests

image

We provided building bocks for Mrs. K’s class in New York in funding her DonorsChoose request. She says, “My students are having so much fun with these blocks and they don’t even know they are learning. They are really discovering what happens when the blocks are stacked certain ways. The ability you have given them to explore and experiment with the blocks is wonderful. I really want my students to love coming to school and this has helped them tremendously.”

Someone posted on Facebook that their kid pointed out that SNOMED spelled backwards is DEMONS, which I hadn’t noticed.

This week on HIStalk Practice: RevMD opens first office in Puerto Rico. Blockit raises seed funding for appointment scheduling tech. The LA County Dept. of Health Services selects care coordination software from Eccovia Solutions. Navigating Cancer adds virtual consult capabilities. Mobile health holds promise for pediatric healthcare interventions. Biotricity CEO Waqaas Al-Siddiq explains how AI will soon disrupt the traditional physician practice. GE Healthcare announces plans to double its engineering workforce. Salus Telehealth offers free virtual grief counseling to military family members.


Webinars

March 29 (Wednesday) 1:00 ET. “Improving patient outcomes with smartphones: UW Medicine Valley Medical Center’s story.” Sponsored by Voalte. Presenters: James Jones, MBA, MSN, VP of patient care services and nursing operations, UW Medicine Valley Medical Center; Wayne Manuel, MBA, SVP of strategic services, UW Medicine Valley Medical Center. UW Medicine Valley Medical Center dramatically improved patient outcomes after moving to a smartphone-based platform for clinical communication and alarm and alert notification. Before-and-after analysis shows a reduction in hospital-acquired pressure ulcers and skin integrity events, fall and slip events, and medication errors. By limiting overhead paging, the medical center also created a calmer, quieter environment and improved engagement among nursing and hospitalists. Hospital executives will describe their experience and vision for the future in addressing quality, cost, and the patient-caregiver experience.

April 26 (Wednesday) 1:00 ET. “SSM Integrated Health Technologies Clinical Data Migration: Functional and Technical Considerations.” Sponsored by Galen Healthcare Solutions. Presenters: Sandy Winklemann, MHA, RHIA, project manager, SSM Integration Health Technologies; Tyler Mawyer, MHA, managing consultant, Galen Healthcare Solutions; Kavon Kaboli, MPH, senior consultant, Galen Healthcare Solutions. GE Centricity and Meditech to Epic EHR transition. Join us for a complimentary webinar as present the decisions that are important to consider when performing a clinical data migration from the point of view of  the healthcare organization program manager, the clinical analyst, and the technical implementation team. Our expert panel will survey data migration considerations, best practices, and lessons learned. The webinar will present a unique client perspective, offering insight into considerations surrounding staffing, clinical mapping, legacy application support, and validation and testing.

Previous webinars are on our YouTube channel. Contact Lorre for information on webinar services.


Acquisitions, Funding, Business, and Stock

image

Several dozen employees sue Merion Matters, the company that publishes the Advance-branded healthcare magazines (Advance for Health Information Professionals, Advance for Nurses, etc.), claiming they were not paid properly and that the company didn’t make contributions to their health plan. Glassdoor reviews are scathing, with some indicating that the company has closed, which may be why their tweeting stopped at the end of February. They used to have a health IT publication called Advance for Health Information Executives, but shut that down in 2010. Google-stalking suggests that the couple who own the business have some nice houses – a 14,000 square foot one in Malvern, PA and a $4 million oceanfront spread in New Jersey, although they sold their $2 million Florida condo a couple of years ago.

Theranos will give its investors more stock if they promise not to sue the company or CEO Elizabeth Holmes, with the shares coming from the personal holdings of Holmes, who would then cease to be the majority shareholder. The company will also buy back Rupert Murdoch’s shares for which he paid $125 million in 2015 for $1, apparently at his request so he can take a tax-saving loss in the absence of any other buyer for his stake.

GE will invest $500 million over the next three years in its GE Healthcare unit to digitize operations, hire 5,000 more software engineers, and possibly to fund a data analysis acquisition.


Sales

image

Maury Regional Health (TN) chooses Cerner, which will replace Meditech inpatient and NextGen outpatient.

An unnamed customer of Craneware extends its contract.


People

image

Brita Hansen, MD (Hennepin County Medical Center) joins LogicStream Health as chief medical officer.


Announcements and Implementations

image

HL7 publishes FHIR Release 3, which expands clinical workflow functionality and supports clinical decision support and CQMs.

SNAGHTML26f1fa25

Qventus expands its AI-powered real-time decision management system to the perioperative environment.

Epic embeds Nuance’s computer-assisted physician documentation into its NoteReader clinical documentation improvement solution to provide real-time feedback to doctors.

image

Health First (FL) goes live with First Databank’s recently acquired Meducation medication instructions systems, integrated with Allscripts Sunrise.

USAA Life Insurance Company says it can provide life insurance quotes 30 days faster now that it’s using Cerner HealtheHistory to retrieve EHR information electronically instead of by making manual requests to providers. It works for people who use the patient portals of the VA, DoD, or Kaiser Permanente.

Zynx Health and Healthwise will integrate their care plans and patient education content, respectively.


Government and Politics

image

Former MedAssets CEO John Bardis is appointed HHS assistant secretary for administration, which oversees business management, the CIO function, human resources, security, and program support. 


Privacy and Security

A systems administrator who was fired by an unnamed Pennsylvania healthcare facility after three weeks on the job is charged with criminal hacking over the following two-year period, which he accomplished by using his logon credentials that were not inactivated when he left. The Justice Department says Brandon Coughlin disabled all other administrator accounts, inactivated the credentials of users, tried to buy $5,000 worth of iPads using the organization’s account at Staples, and deleted patient records.

The Senate votes to overturn FCC privacy rules that were enacted last year. If the resolution is passed by the House, Internet and wireless service providers will be allowed collect and sell the personal information of their users – including browsing history — to third parties.


Other

Half of surveyed HIE executives say EHR vendors routinely engage in information blocking, although the #1 most common form of it they reported is not enhancing their products to support interoperability, which to me doesn’t really meet the definition. Likewise, respondents say the most common way health systems block information is by coercing providers to use a specific EHR. Also confusing is that the survey asked how frequently information blocking occurs, such as the 33 percent of respondents who say EHR vendors block information “occasionally,” whatever that means. Respondents suggested prohibiting gag clauses, assessing interoperability in the field, and creating stronger state and federal infrastructure, policies, and standards. I’m not convinced that HIE executives are in the best position to identify information blocking or to recommend solutions for it, so I’m not finding a lot of value in this research.

image

A National Academy of Medicine article published in JAMA says the US healthcare system needs an overhaul, calling out massive costs, fragmented care delivery, and income-based health disparity that has caused the first drop in life expectancy in 20 years. It suggests priorities of paying for value, empowering people, activating communities, and connecting care with digital interfaces. Suggestions specific to interoperability are to use HHS’s regulatory and payment clout to enforce interoperability standards, have HHS sponsor creation of standards for APIs, streamline privacy policies, and push for patients to own their data.

The dean of medical education at the Icahn School of Medicine writes a NEJM essay on the suicide of a fourth-year medical student:

From their very first shadowing experience to their first foray in the lab; from high school advanced-placement courses and college admissions tests to grade point averages and the Medical College Admissions Test (MCAT); with helicopter parents, peer pressure, violins and varsity soccer, college rankings, medical school rankings, medical licensing exams, and the residency Match, we never let up on them — and it’s killing them.

In India, a cardiologist whose hospital employer had fallen several months behind in issuing paychecks kills himself.

In England, a four-year-old boy whose mother had passed out at home presses his mom’s thumb onto her iPhone’s fingerprint sensor to unlock it and then asks Siri for help,  which triggers a call to 999 (England’s version of 911) that brings paramedics to revive her.


Sponsor Updates

  • Optimum Healthcare IT CMIO Sheryl Bushman, DO is profiled in American Health Leader.
  • Spok publishes a white paper on the implementation of Care Connect at Parkland Health & Hospital System (TX).
  • Iatric Systems will exhibit at the HCCA Compliance Institute March 26-29 in National Harbor, MD.
  • PatientSafe Solutions; PerfectServe; QuadraMed, a division of Harris Healthcare; and Sunquest Information Systems will exhibit at AONE 2017 March 29-April 1 in Baltimore.
  • PatientKeeper publishes a new ebook, “Healthcare IT 2017-2022: First Comes Change, Then Comes Value.”
  • Intelligent Medical Objects will exhibit at the AMIA Joint Summits on Translational Science March 27-30 in San Francisco.
  • Kyruus will exhibit at ACHE 2017 March 27-30 in Chicago.
  • Liaison Technologies launches an educational microsite to help businesses achieve digital transformation.
  • LiveProcess and Meditech will exhibit at AONE’s annual meeting March 29-April 1 in Baltimore.
  • MedData will exhibit at the HFMA Texas State Conference March 26-29 in Austin.
  • National Decision Support Company will exhibit at the NCCN Annual Conference March 23-24 in Orlando.
  • Netsmart will exhibit at the Texas Public Health Association annual meeting March 27 in Fort Worth, TX.
  • Crain’s profiles GE Healthcare.
  • Obix Perinatal Data System by Clinical Computer Systems Inc. will exhibit at the AWHONN Virginia Section Conference March 25 in Fairfax.

Blog Posts


Contacts

Mr. H, Lorre, Jennifer, Dr. Jayne, Lt. Dan.
More news: HIStalk Practice, HIStalk Connect.
Get HIStalk updates. Send news or rumors.
Contact us.

125x125_2nd_Circle

News 3/22/17

March 21, 2017 News 18 Comments

Top News

image

President Trump appoints former US Rep. John Fleming, MD (R-LA) as deputy assistant secretary for health technology. That’s apparently a newly created HHS position whose connection to ONC has not been stated.

The 65-year-old Fleming says his understanding of the job is as a champion for innovation, describing his goals of improving EHR productivity, spurring EHR vendor competition, paying doctors to use technology, and reducing physician administrative burden.

Fleming tells Politico that he thought he was interviewing for the National Coordinator job, but says of the one he took, “I think it’s the same or a similar position – I really don’t know.”

Fleming lost his Senate bid in 2016 after an eight-year term as Congressman, finishing fifth in the primary after giving up his House seat to run. He has criticized the Affordable Care Act as “the most dangerous piece of legislation ever passed in Congress.” The former Navy doctor also owns 36 Subway sandwich shops and suggests that he plans to eventually return to Louisiana politics.


Reader Comments

From Not from Monterey: “Re: patient self-scheduling as mentioned in the Jim Higgins interview. I want to turn on patient self-scheduling for our site, which will use Cerner’s own patient portal and integrates with Cerner’s Scheduling product, but I’d love to hear about other sites’ experiences with patient self-scheduling. As Jim mentions, this is a patient satisfier that can easily be botched, both internally and externally. Heck, I’d love to hear from Epic sites about this. Who is doing this well?”

image

From Bandana: “Re: Welltok. Quietly laid off 100 employees last week from the Silverlink acquisition.” A company spokesperson responded to my inquiry: “I can confirm that this information is factually incorrect. In full transparency, we did transition out a handful of individuals from the company last week. At the same time, we also proactively hired a handful as well. This business decision was made to reduce duplicative roles within our organization and maximize resources so that we can stay focused on our collective mission – to empower consumers to achieve their optimal health.” Consumer health rewards vendor Welltok acquired Silverlink, which offered consumer communications technology, in December 2015.

image
image
image
image
image
image

From Grab Them By the Headline: “Re: your favorite HIMSS-owned publication. I’m sending them a thesaurus to help them find words other than ‘grabs’ and ‘nabs’ for their re-worded press releases about company funding.” I don’t read their site, but Googling makes it obvious that they over-use those annoying, child-like verbs in describing equity investments. It’s not like those companies are stealing a cookie from the plate and running away, nor does health IT need to be a Bat-fight full of “Kapow! Blam! Powie!” I can never tell whether their goal is to attract a less-intelligent audience or to diminish the collective IQ of the one they already have.

From Confused: “Re: blockchain. I’m looking for a layman’s primer, preferably with real-world healthcare examples.” I’ll invite readers to suggest resources they have found useful as an introduction.


HIStalk Announcements and Requests

image image

We funded the DonorsChoose grant request of Mrs. S in South Carolina, who asked for spelling games and an organizer. She reports, “My students were overjoyed to hear that others care about them enough to contribute to their classroom and education without even meeting them. This is such a sweet reminder to them of the good in the world. The rolling cart provides my students with an organized way to access their word work materials and the board games are an excellent addition to that.”


Webinars

March 29 (Wednesday) 1:00 ET. “Improving patient outcomes with smartphones: UW Medicine Valley Medical Center’s story.” Sponsored by Voalte. Presenters: James Jones, MBA, MSN, VP of patient care services and nursing operations, UW Medicine Valley Medical Center; Wayne Manuel, MBA, SVP of strategic services, UW Medicine Valley Medical Center. UW Medicine Valley Medical Center dramatically improved patient outcomes after moving to a smartphone-based platform for clinical communication and alarm and alert notification. Before-and-after analysis shows a reduction in hospital-acquired pressure ulcers and skin integrity events, fall and slip events, and medication errors. By limiting overhead paging, the medical center also created a calmer, quieter environment and improved engagement among nursing and hospitalists. Hospital executives will describe their experience and vision for the future in addressing quality, cost, and the patient-caregiver experience.

April 26 (Wednesday) 1:00 ET. “SSM Integrated Health Technologies Clinical Data Migration: Functional and Technical Considerations.” Sponsored by Galen Healthcare Solutions. Presenters: Sandy Winklemann, MHA, RHIA, project manager, SSM Integration Health Technologies; Tyler Mawyer, MHA, managing consultant, Galen Healthcare Solutions; Kavon Kaboli, MPH, senior consultant, Galen Healthcare Solutions. GE Centricity and Meditech to Epic EHR transition. Join us for a complimentary webinar as present the decisions that are important to consider when performing a clinical data migration from the point of view of  the healthcare organization program manager, the clinical analyst, and the technical implementation team. Our expert panel will survey data migration considerations, best practices, and lessons learned. The webinar will present a unique client perspective, offering insight into considerations surrounding staffing, clinical mapping, legacy application support, and validation and testing.

Previous webinars are on our YouTube channel. Contact Lorre for information on webinar services.


Acquisitions, Funding, Business, and Stock

image

Ivenix closes a $50 million equity financing round that will allow the company to pursue FDA approval to market its Ivenix Infusion System smart IV pump.


Sales

image

Coffeyville Regional Medical Center (KS) will upgrade to Meditech’s Web EHR.


People

image

Laboratory-focused analytics vendor Viewics hires Keith Laughman (TRG Healthcare) as CEO. He replaces co-founder Dhiren Bhatia, who will move to chief strategy officer.

image image image

Operations planning platform vendor Hospital IQ hires Paris Lovett, MD, MBA (Thomas Jefferson University) as chief medical officer; Jason Harber (TeleTracking Technologies) as VP of product management; and Cheryle Cushion (OneCloud Software) as VP of marketing.


Announcements and Implementations

image

IBM announces a public, cloud-based service for creating blockchain networks based on the Linux Foundation’s open source Hyperledger Fabric. The starter plan and beta are free, while the business network subscription costs $10,000 per month for four peers and a certificate authority on IBM LinuxOne. The first customer is Canada-based SecureKey Technologies, which is developing a consumer digital identity network and has as investors Canada’s leading banks.

Mercy goes live on the Visage 7 Enterprise Imaging Platform, replacing nine imaging systems used by over 50 locations in less than six months.

GetWellNetwork launches the Person Engagement Index, an 18-question survey that assigns each patient a score representing their capacity to participate in their care. The score can be used by individual clinicians to decide how to educate and engage patients, by care managers to improve risk stratification, and by marketing people to tailor their communication messages.

AHIMA publishes a good brief on enhancing HIM practices to support LGBT populations that includes:

  • Making sure both partners sign provider HIPAA forms.
  • Suggesting that partners share each other’s patient portal log-ins.
  • Allow patients to submit pre-visit information via the patient portal to alleviate privacy concerns in sharing the information at registration.
  • Allow patients to list their preferred name and gender along with the legal versions.
  • Allow lab reference ranges to be modified by gender, such as in the case of someone undergoing a female-to-male reassignment.
  • Add EHR fields for gender identify, sexual orientation, sex assigned at birth, and organ inventory.

Government and Politics

image

The government of India responds to complaints about the drug supply chain and illegal Internet sales by proposing to require drug manufacturers to register on a new online portal and enter all of their sales there, including the drug’s batch number, quantity, and expiration date, with the pharmacy receiving the drug shipment also being required create an entry on the site. Pharmacists would also have to record each drug prescription on the site and include prescriber and pharmacist information, and for some drugs, the patient’s information. Hospitals would also have to record all medication dispensing activity, including details of any adverse reactions. 

image

An opinion piece in The HIll says the American Optometric Association is lobbying hard to support state laws that would prohibit online vision tests, not because they don’t work, but because they don’t provide in-office optometrists a chance to upsell new, high-markup glasses or contacts. AOA spent $1.8 million on lobbying in 2016. The target of much of the optometrists’ wrath is Opternative, which offers a $40, 15-minute online refractive test that includes a prescription for glasses or contacts.

image

ONC updates its SAFER Guides, best practices driven self-assessment tools and templates that allow medical practices to review their EHRs for patient safety issues.


Privacy and Security

image

Metropolitan Urology Group (WI) announces that basic, pre-2010 patient information was exposed in a November 2016 ransomware attack.

A journal essay questions why the NHS signed a deal with Google-owned DeepMind for kidney injury alerting, noting that Google gains access to patient information without sufficient controls being spelled out in the contract. It also notes that UK law requires patient consent for sending their data to a third party, and while kidney patients are covered by a patient care relationship, DeepMind was given the data of every patient admitted to Royal Free London NHS Foundation Trust over five years without the consent of those patients. It concludes,

The 2015–16 deal between a subsidiary of the world’s largest advertising company and a major hospital trust in Britain’s centralized public health service should serve as a cautionary tale and a call to attention. Through the vehicle of a promise both grand and diffuse––of a streaming app that will deliver critical alerts and actionable analytics on kidney disease now, and the health of all citizens in the future––Google DeepMind has entered the healthcare market. It has done so without any health-specific domain expertise, but with a potent combination of prestige, patronage, and the promise of progress. Networks of information now rule our professional and personal lives. These are principally owned and controlled by a handful of US companies … If these born-digital companies are afforded the opportunity to extend these networks into other domains of life, they will limit competition there, too. This is what is at stake with Google DeepMind being given unfettered, unexamined access to population-wide health datasets. It will build, own, and control networks of knowledge about disease.


Innovation and Research

image

The Miami paper describes the health IT project involvement of Miami Children’s Health System (FL), which includes investment, internal development, and pilot projects with accelerator startups.

The American College of Cardiology reports on the multi-center “Genetic InFormatics Trial (GIFT) of Warfarin Therapy to Prevent DVT,” which concludes that dosing the blood-thinning drug based on patient genotype reduced complications by 27 percent vs. the usual method of starting the patient on 5 mg daily and then titrating to INR results. The computer-based, real-time interface estimates the dose and provides recommendations  for adjustment based on other patient factors. The lead author expresses hope that EHR vendors will add genetic and clinical dosing algorithms to their systems to suggest doses early in the ordering process.


Other

image

Banner Health says the two Tucson, AZ hospitals it acquired in 2015 in absorbing the former University of Arizona Health Network lost $89 million in 2016, will lose $45 million this year, and will require $30 million to be converted to Banner’s Cerner system. The Tucson hospitals went live on a $115 million Epic project in 2013. The 28-hospital Banner, which is Arizona’s largest private employer, is trying to reduce its corporate service department expense by $65 million this year.  

In New Zealand, the health board blames its since-replaced computer system after discovering that critical radiology results that were viewed but not acknowledged would disappear from the physician’s inbox. A woman died of cancer when her doctor took a quick look at a new X-ray showing a lung mass in 2013, but then left for vacation with plans to contact the patient when she returned. When the doctor came back to work, the alert had disappeared and she forgot to follow up. The woman died of cancer in 2015 without having been contacted about her lung mass.

image

A study finds that hospital death rates drop during the week of unannounced Joint Commission inspections compared to the three weeks before or after. The authors conclude that hospital employees pay more attention to patient care when inspectors are observing them.

SNAGHTML1db20927

Politico ehealth editor and author Arthur Allen writes a nice piece – which may turn out to be a fond eulogy or celebration of life kind of thing – about the VA’s VistA system that seems sure to be mothballed soon in favor of a commercial replacement. I’m intentionally not calling VistA an EHR as I usually do since it does far more than that and maybe that’s important in this context – I’m pretty sure the VA will need more than just Cerner or Epic to replace VistA since has many non-clinical modules. Allen makes the broader point that perhaps the decisions about VistA over the years illustrate “just how difficult it can be for the government to handle innovation in its midst.”  Most fascinating is that the “Hardhats” who built VistA in a skunkworks project were subjected to open hostility from the centralization-obsessed VA, its IT contractors, and unknown folks who fired or transferred them, sabotaged their computers, and at one point, unwittingly symbolically tried to burn their stacks of programming printouts in a computer room by lighting paper medical records on fire.

image

Forbes publishes its annual list of billionaires, with Epic’s Judy Faulkner coming in at #867 with $2.4 billion. The “healthcare” section is littered with drug company and medical device billionaires, which might suggest where the excess profits generated by sick people accrue. Snapchat’s Evan Spiegel is the youngest self-made billionaire at 26 years old, joined by his Snap co-billionaires and the 20-something guys who started Ireland-based credit card processing firm Stripe.

image

I’d like to say it could never happen here, but lately I’m not so sure. India sees three examples of the family members of patients attacking clinicians. Family members of patient who later died beat a government hospital doctor with chairs, rods, and scissors when he recommends taking the patient to a tertiary care hospital to see a neurosurgeon. The relatives of a man who died of swine flu attack a doctor and nurse. Finally, a first-year resident is beaten up by the family of a 60-year-old woman who died of chronic kidney disease. Doctors say attack mobs are a problem only in state hospitals since private hospitals don’t accept desperately ill patients and also don’t allow more than one visitor at a time, limitations that state hospitals aren’t allowed to impose.


Sponsor Updates

  • Agfa Healthcare releases a video compilation of its time at ECR 2017.
  • Arcadia Healthcare Solutions will exhibit at the annual AMGA Conference March 22-25 in Grapevine, TX.
  • QuadraMed Patient Identity Solutions, a division of Harris Healthcare, announces that the QuadraMed EMPI has earned the top 2016 EMPI ranking from Black Book Research.
  • Besler Consulting’s DeLicia Maynard will speak at the Annual Hospital/Physician Collaborative Meeting March 22 in Lancaster, PA.
  • Bottomline Technologies will exhibit at the Health Care Compliance Association Annual Compliance Institute March 26-29 in National Harbor, MD.
  • Carevive Systems will exhibit at the NCCN Annual Conference March 23-24 in Orlando.
  • CompuGroup Medical will exhibit at CLMA KnowledgeLab 2017 March 26-29 in Nashville.
  • The Connecticut Technology Council names Diameter Health Chief Data Scientist Chun Li a finalist for its 2017 Women of Innovation Award.
  • ECG Management Consultants will exhibit at ACHE’s Congress on Healthcare Leadership March 25-30 in Chicago.
  • EClinicalWorks and Evariant will exhibit at AMGA March 22-25 in Grapevine, TX.
  • The NFL and GE partner to advance understanding and treatment of concussions.
  • Consulting Magazine recognizes The HCI Group’s Stephen Tokarz as one of the “Rising Starts of the Profession” in the healthcare category for 2017.
  • Healthwise exhibits at Ehealth Initiative’s annual conference March 21-22 in Washington, DC.

Blog Posts


Contacts

Mr. H, Lorre, Jennifer, Dr. Jayne, Lt. Dan.
More news: HIStalk Practice, HIStalk Connect.
Get HIStalk updates. Send news or rumors.
Contact us.

125x125_2nd_Circle

Subscribe to Updates

Search


Loading

Text Ads


Report News and Rumors

No title

Anonymous online form
E-mail
Rumor line: 801.HIT.NEWS

Tweets

Archives

Founding Sponsors


 

Platinum Sponsors


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gold Sponsors


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reader Comments

  • Math: Actually scratch that, those numbers are 2 years old. This time last year they were over 20 million a month. Wonder wh...
  • Math: Well considering all Epic facilities are capable and do 5 million exchanges per month, I can't help but chuckle at your ...
  • ex epic: That image says "documents exchanged" so while amazing, not in a good way. I wasn't on the Care Everywhere team so I'd b...
  • HIT Girl: And this is how it propagates all the way up to the Executive branch of our government -- nobody says "no". Nobody puts...
  • Friday Interoppin': Re: Commonwell (by way of Ex Epic) So, 29,360ish Cerner-using facilities have the capability of sharing clinical docu...

Sponsor Quick Links