Top News Allscripts will write down $145 million of its $200 million investment in NantHealth,… Other items from the Allscripts earnings call: Allscripts CEO and long-time Cerner executive Paul Black opened the call by offering his condolences to Neal Patterson’s family and colleagues. About that time, Athenahealth said it would pay customer fees for participating in CommonWell indefinitely and Cerner promised to do the same through at least 2017. I’m happy to run any fee updates from Epic, Athenahealth, or Cerner customers. President Trump and White House advisor Jared Kushner both bragged on pushing the VA to choose Cerner without exploring the only viable alternative (Epic) or sticking with VistA, with Shulkin obediently framing the choice as obvious since the DoD is already implementing Cerner. Decisions Wadley Regional Medical Center At Hope (AR) will go live with Cerner in December 2017. Sartori Memorial Hospital (IA) will switch from McKesson to Cerner in October 2017. Hereford Regional Medical Center (TX) will switch from Healthland (a CPSI company) to Cerner next month. Here’s the next-to-last installment of Vince’s series on Cerner from a few years back.

Top News Allscripts will trade its significantly devalued 15 million shares in NantHealth for most… Why don’t you think Allscripts can sell it?” McKesson wasn’t having much luck selling it, so the question then becomes whether Allscripts has the sales force and channel to outperform McKesson in getting 150-bed hospitals to sign up for Paragon instead of Meditech, CPSI, Athenahealth, or even hosted Epic or Cerner systems that are admittedly overly complex for their needs. They had better act quickly since the number of independent under-250 bed hospitals seems to be decreasing fast as they are acquired by health systems that mostly use Cerner and Epic. I would be interested in the customer count by bed range for all the inpatient EHR vendors if anyone has access to that information, although Cerner and Epic are playing the Electoral College-type strategy in focusing on enterprise size rather than a simple count of hospitals.

Top News NantHealth shares dropped 14 percent on Friday after Thursday’s announcement of poor financial… My takeaways: Cerner, Epic, and Meditech are far ahead of the pack in terms of overall hospital count. Epic has nearly double the number of 500+ bed hospitals as Cerner. I consider 250 beds to be the minimum size hospital to provide significant revenue opportunity and that race is all Epic (38 percent), Cerner (31 percent), and Meditech (14 percent). Cerner’s 24 percent, Epic’s 23 percent, and Meditech’s 19 percent. Hospitals are often all in with Cerner, Epic, and Meditech, but I suspect much less so with Allscripts given its more limited product line (although Allscripts has a strong ambulatory presence). Regardless of the slicing and dicing applied, I’ll stand by my long-held conclusion that it’s all Epic and Cerner with Meditech as the dark horse when it comes to inpatient EHRs. Their 2014 webinar on Cerner’s acquisition of Siemens Health Services has generated over 8,000 YouTube views. Decisions Dukes Memorial Hospital (IN) will replace McKesson with Cerner in 2018. Dupont Hospital (IN) will go live with Cerner in 2018. Carroll Hospital (MD) will replace McKesson with Cerner in 2018. Here’s Vince’s final HIS-tory installment on Cerner, closing out a nice look back on the company’s history.

Google Verily Unit Acquires Senosis Health Verily, Alphabet’s life sciences business, acquires Senosis Health, a… MIT Medical Selects Cerner’s Integrated Health Care Technology for Care of Students, Faculty and Staff MIT Medical, which serves MIT students, faculty and family members, selects Cerner as its next EHR.

Top News The New York Times profiles Aledade, started by former National Coordinator Farzad Mostashari,… From BI Watcher: “Re: Cerner PowerInsight. The dominance of Epic and Cerner is obvious. Meditech and Allscripts each lost 15 percent of their bed coverage over those years as hospital EHR uptake was booming, while McKesson customers stampeded for the door (and into the arms of Cerner and Epic) as the company lost nearly half of the beds it was covering in 2012. Both Cerner and Epic gained a lot of business, but Epic jumped most significantly (120 percent) to lead the pack.  This last graph shows the utter dominance of Epic in terms of physicians using its ambulatory EHR and the dismal failure of Cerner to make a respectable showing. John’s Medical Center (WY) chooses Cerner Millennium CommunityWorks, explaining that it “began seeking an alternative EHR vendor when industry events called into question the hospital's ability to ensure that support from the vendor would continue to be available.

Top News The New York Times reviews patients recording their doctor visit for their later… I think Presence uses Epic, while Ascension is mostly Cerner. HIStalk Announcements and Requests I ran a reader’s query last week about the status of Cerner PowerInsight. The company provided this response, although the referenced HealtheEDW does not appear anywhere I could find on Cerner’s website: PowerInsight Explorer is still available and widely used across Cerner’s US and global client base as a real-time reporting tool for Cerner Millennium. Cerner’s go-forward enterprise data warehouse, HealtheEDW, was released in 2011 and built on the source-agnostic cloud platform HealtheIntent. PowerInsight EDW will be supported in the US and sold globally as Cerner transitions legacy clients to HealtheEDW and stands up the cloud platform in global markets. Geils Air Supply Guns N Roses Clarence Clemons The Rippingtons Metallica Lynyrd Skynyrd Bee Gees Iron Maiden Frank Zappa Melissa Etheridge The Eagles Jimmy Buffett Aretha Franklin Van Cliburn Dixie Chicks Gil Shaham This week’s question:  what is the most memorable, creative, or effective thing you've seen a HIMSS conference exhibitor do to drive business, establish relationships, or create buzz? Last Week's Most Interesting News HIMSS Analytics data shows Cerner holding a slight edge over Epic in overall US hospital count, but Epic handily leading in large-hospital customers, total beds served, and doctors that use its ambulatory EHR. The elephant in the room is obviously Northwell Health (the former North Shore-LIJ) which along with University Hospitals are the only two of the top six Sunrise customers that haven’t already announced plans to replace it with Epic or Cerner.

Top News CliniComp files a bid protest lawsuit against the VA, saying that it improperly…Top News CliniComp files a bid protest lawsuit against the VA, saying that it improperly issued Cerner a no-bid contract for an EHR that will replace VistA. The White House took credit for the VA’s surprise selection of Cerner, apparently believing that interoperability with the Department of Defense will be easier if the organizations use the same vendor’s system.” Sunquest and SCC (but not so much Orchard from what I can tell) are trying to find runway in the genetics information system business to offset their significant customer losses due to LIS domination by Epic and Cerner. You don’t want to be a best-of-breed vendor these days unless Cerner and Epic don’t offer your particular product (yet, anyway, since Epic’s selling the industry-leading LIS also seemed unlikely a few years ago). That should be interesting as Ascension is on Cerner, the Resurrection portion of Presence is on Epic, and the Provena part is on Meditech.

CliniComp Sues Gov't Over Cerner's VA Contract CliniComp files a bid protest against the VA…CliniComp Sues Gov't Over Cerner's VA Contract CliniComp files a bid protest against the VA for awarding a no-bid contract to Cerner that will replace its own installations within the VA.