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Published on June 6, 2017 by Jennifer in News 6 comments

Top News VA Secretary David Shulkin, MD announces the VA will shut down its VistA…Top News VA Secretary David Shulkin, MD announces the VA will shut down its VistA EHR and join the DoD in implementing Cerner Millennium, explaining, “The VA’s adoption of the same EHR system as DoD will ultimately result in all patient data residing in one common system and enable seamless care between the Departments without the manual and electronic exchange and reconciliation of data between two separate systems.” HIStalk readers (who predicted the Cerner decision in a reader survey earlier this year) didn’t waste time weighing in once the news crossed the wire yesterday – nearly a month before Shulkin’s self-imposed decision deadline. VA wants to replace VistA with Cerner but will never be able to afford it.”  My thoughts are these: Cerner was the only reasonable choice since the DoD had already selected it, but it's still surprising they went without bidding and named Cerner before negotiation with them began (that's more of how Epic customers buy software). The company will presumably have more control over naming its price than it did with DoD, where it was a subcontractor under Leidos, and it may be that Cerner gets to keep all the money this time. It's also to the company's strong negotiating advantage that both Congress and the President have publicly cheered the VA's choice of Cerner, making it unlikely that the VA wants to rule out Cerner over price negotiations. Will Cerner and the inevitable consultants get stuck trying to broker agreements on major decisions so they don't end up creating dissimilar systems? It’s also worth noting that project timelines will need to be synched to avoid temporary interfaces to the legacy systems. Healthwise will exhibit at the Cerner North Atlantic Regional User Group June 12-14 in Springfield, MA.

Published on June 7, 2017 by Lt. Dan in Headlines No comment

Epic Systems' $600-plus million contract with VA will hold, officials say A VA spokesman confirms…Epic Systems' $600-plus million contract with VA will hold, officials say A VA spokesman confirms that Cerner will replace only the agency’s EHR, and confirms that Epic’s $624 million contract to implement an appointment scheduling program for the VA is not in jeopardy.

Published on June 8, 2017 by Jennifer in News 3 comments

Top News Athenahealth acquires EHR optimization vendor Praxify Technologies for $63 million. The six year-old… Cerner officially passed up Medhost late last year after doing due diligence. Shrinking customer base that includes only a few large customers that are evaluating conversion to Cerner or Epic. Cerner will integrate CareVive’s care planning software with its PowerChart Oncology EHR. Allscripts, Cerner, and Epic seem to have the most mindshare of those surveyed. A VA spokesman confirms that Cerner will replace only the agency’s EHR, and that Epic’s $624 million contract to implement an appointment scheduling program for the VA is not in jeopardy. Other The Government of Nova Scotia narrows the field of contenders for a “One Person, One Record Clinical Information System” to Allscripts and Cerner. Liaison Technologies will exhibit at the Cerner North Atlantic Regional User Group June 12-14 in Springfield, MA.

Published on June 8, 2017 by Lt. Dan in Headlines No comment

athenahealth Agrees to Acquire Praxify Technologies to Advance Cloud Platform and Mobile Innovation Athenahealth acquires… One Person-One Record Clinical Information System Nova Scotia narrows the list of vendors that will compete to implement its province-wide “one person-one record” system to Cerner and Allscripts. Epic, Allscripts and Cerner Signal Paradigm Shift in Population Health Management A Black Book Report lists Epic, Cerner, and Allscripts as mindshare leaders in the growing population health software vendor marketplace.

Published on June 11, 2017 by Jennifer in News No comment

Top News Cork University Maternal Hospital and University Hospital Kerry in Ireland report significant added…2 million price tag has increased by $785,000 in Deloitte consultancy fees, with millions more expected as 17 additional hospitals prepare to go live on the Cerner-powered system over the next several years. Cerner launches a one-year pilot study that will help determine whether patient’s genetic data can play a motivating role in promoting behavior change. Weekly Anonymous Reader Question Last week’s results: Would you recommend to someone that they switch careers to health IT? This week’s survey: What characteristics made the worst doctor you've ever had so bad? Last Week’s Most Interesting News The VA announces it will shut down its VistA EHR and join the DoD in implementing Cerner Millennium. MRDAP will soon serve as a transition program between the hospital’s Composite Health Care System and the forthcoming Cerner-powered MHS Genesis system.

Published on June 11, 2017 by Lt. Dan in Headlines 1 comment

Cost of HSE’s €35m IT system continues to rise Ireland’s countrywide Maternal and Newborn Clinical…Cost of HSE’s €35m IT system continues to rise Ireland’s countrywide Maternal and Newborn Clinical Management System project, which includes Cerner clinical software and Deloitte project management and implementation staff, is reportedly overrunning its budget at every site that implements it.

Published on June 15, 2017 by Jennifer in News 8 comments

Top News Rumors related to Apple’s healthcare takeover abound, with CNBC reporting that the company… Weirton Medical Center (WV) sues Cerner and its Siemens subsidiary for their failure to provide adequate support and service related to a $30 million contract extension for Soarian in 2013. WMC’s end goal appears to be termination of its contract with Cerner, and Cerner’s free-of-charge assistance in switching the hospital to a new vendor.

Published on June 15, 2017 by Lt. Dan in Headlines 1 comment

Apple is quietly working on turning your iPhone into the one-stop shop for all your… Congress offers $65M as down payment on Vista replacement The House Appropriations Committee approves a $65 million down payment toward the VA’s Cerner procurement, with the stipulation that it will integrate with both DoD and private EHR systems. The DoD’s Cerner implementation will cost $4.

Published on June 18, 2017 by Jennifer in News 1 comment

Top News FDA Commissioner Scott Gottlieb, MD outlines his digital health plans for the agency,… From Potato, Tomato: “Re: VA Cerner vs. DoD Cerner. There seems to be some debate at the VA and in Congress as to whether Cerner will use an ‘identical’ system to the DoD or a ‘similar’ but separate system.) No doubt Cerner’s PowerPoint experts are frantically focus-grouping which line style looks the most ‘seamless’ when you draw it between a VA box and a DoD box.” From Gordon Gecko: “Re: Cerner financials. I read somewhere (was it HIStalk?) that Cerner's stock price didn't pop on the VA announcement because it was already expected/baked in. Cerner has actually lost more hospitals as customers (96) than it has added new (92) in the last two years. The House Appropriations Committee approves a $65 million down payment toward the VA’s Cerner procurement, with the stipulation that it will integrate with both DoD and private EHR systems. No word on whether the data will eventually link with the DoD’s MHS Genesis EHR from Cerner. Decisions Wadley Regional Medical Center At Hope (AR) will go live with Cerner in December. Sartori Memorial Hospital (IA) will switch from McKesson to a Cerner inpatient EHR in October.) Hereford Regional Medical Center (TX) will switch from Healthland (a CPSI company) to Cerner next month.

Published on June 20, 2017 by Jennifer in News No comment

Top News Teladoc will acquire Best Doctors, a global company that provides virtual medical consult… The SSI Group expands its reseller agreement with Cerner, offering its RCM services to Cerner Millenium end users.

Published on June 22, 2017 by Jennifer in News 1 comment

Top News Senate Republicans release a draft of the Better Care Reconciliation Act of 2017.… Carolinas HealthCare System (NC) will deploy Cerner’s HealtheIntent population health management technology across the organization, including its Carolinas Physician Alliance. The health system - a Cerner Millenium shop - will also extend its remote hosting agreement with the company. In India, the state of Andhra Pradesh’s Department of Health, Medical, and Family Welfare signs a three-year agreement with Cerner for HIE services, data analysis, and policy expertise.

Published on June 25, 2017 by Jennifer in News 19 comments

Top News Google adds medical records to the handful of categories that users can ask… Reader Comments From Vendor Locking, Data Blocking: “Re: Cerner and the DoD/VA. Cerner forced the DoD to host MHS Genesis because, by Cerner’s rules, only Cerner can, even though the DoD finds that it’s technically doable by others. Cerner ‘is not willing to negotiate at this time for the procurement of the data rights that would enable the government to utilize the Cerner solution in a competitive environment.’ Why? Because it ‘could adversely impact Cerner's .’  Is this is the good faith Shulkin should expect heading into negotiations without a competitive bid?” I don’t know much about government procurement (and don’t want to), but publicly naming Cerner and presumably Leidos as the VA’s no-bid vendor for a contract whose value could exceed $10 billion seems absurd regardless of the Congressional pressure the VA is facing. The DoD messed up in failing to force Cerner (pre-contract, of course) to open up the DoD’s hosting options even though Cerner came up with a hollow-ringing excuse about population health management requirements, forcing us taxpayers to ante up a few more dozen million dollars that unfortunately constitute little more than a rounding error in the massive project. Cerner gets 510(k) clearance for its new transfusion and specimen collection system that will be marketed under the Cerner Bridge Medical name. Telstra Health, Epic, and Allscripts failed to make the cut from the shortlist, while Cerner, Meditech, and Orion Health didn’t advance to the final four.