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Morning Headlines 7/3/13

July 2, 2013 Headlines 6 Comments

Health IT Patient Safety Action and Surveillance Plan

ONC releases its much-anticipated patient safety and surveillance plan that tackles a number of issues, such as how patient safety problems will be reported and tracked. EHR certification bodies will be required to confirm functionality and usability not only through testing, but through field observation. The Joint Commission has also been contracted to help identify and address safety issues.

Intuit Announces Next Phase of Structural Moves; Organizational Foundation Now in Place

Intuit will sell its Intuit Health Group, reporting that it had initially evaluated healthcare as a growth opportunity, but that it had come to realize that its health group would be better off with an organization that has a stronger focus on the healthcare industry.

Judge orders Affinity to bargain with union

A judge in Ohio has sided with a nurses’ union at Affinity Medical Center after they filed a unfair labor charge over a rushed Cerner implementation. Nurses claimed that the go-live date was too aggressive and a lack of training compromised patient safety. The judge ruled that Affinity leadership violated labor laws a number of times, first by refusing to negotiate with the nurses’ union, but other less-than-honorable examples cited by the judge included managers reducing the number of nurses in the ICU as retaliation and managers scrutinizing the charts of nurses who were outspoken union supporters in an effort to initiate disciplinary actions.

Washington Hospital "goes live" with $86 million electronic medical records system

In Freemont, CA, 339-bed Washington Hospital goes live on Epic across all inpatient and outpatient departments.

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July 2, 2013 Headlines 6 Comments

News 7/3/13

July 2, 2013 News 4 Comments
Top News

7-2-2013 6-10-06 PM
 
ONC releases its patient safety and surveillance plan based on public comments the draft received this past December. In summary:
  • ONC wants EHRs to be equipped with a “report a problem” type button that would collect information about the issue and send it to Patient Safety Organizations using AHRQ’s Common Formats.
  • Certification bodies will be required to “conduct surveillance” to ascertain that the capabilities of a given certified EHR are the same in the field as they were observed in certification testing.
  • Certification body surveillance will also monitor EHR vendor responsiveness to user complaints.
  • ONC will monitor FDA’s MAUDE medical device problem reporting database to find reported events that are related to health IT.
  • Meaningful Use and certification standards will be expanded to cover more patient safety-related objectives.
  • ONC will create tools that will allow provider EHR users to assess patient safety in their organizations.
  • ONC awards the Joint Commission a sole source contract to assist the ONC in detecting and proactively addressing health IT-related safety issues across a variety of care settings. The Joint Commission will develop an IT incident classification system, provide de-identified reports on related sentinel events, conduct at least five event investigations each in hospitals and practices, develop provider tools to help providers understand IT-related sentinel events, and publish a research paper that analyzes IT-related sentinel events.

Reader Comments

7-1-2013 12-52-11 PM

From Evangelist: “Re: Epic. Killing it in large practices.”More than half of all EMR-using practices that have 40 or more doctors use Epic, according to SK&A. Allscripts and eClinicalWorks each serve a substantial percentage of the smaller offices and the top 20 vendors support almost three-quarters of all practices using an EMR. Where people get in trouble is trying to infer from this limited information who’s buying what, which is more a question of practice ownership rather than practice size as hospitals keep buying out doctors and sticking Epic and Cerner in there.From Pointy Head: “Re: McKesson. Killing the MED3OOO Unity project and sunsetting InteGreat in favor of Practice Partner. There have been layoffs.” Unverified. McKesson acquired MED3OOO in October 2012 and claimed major go-forward love for InteGreat, so that’s quite a change in stated direction if so.

7-2-2013 11-02-42 PM

From Iknowa: “Re: Inova. Will collaborate with ValleyHealth, which has hospitals in Virginia and West Virginia, in several strategic areas, including IT. Inova brought its final two hospitals live on Epic over this past weekend, with all five now live on both financials and clinicals.”

From Patient Portal Believer: “Re: portals. Mr. H, you are spot on about the need for a strong patient portal strategy. EMR vendors that don’t currently have a tested and feature-rich patient portal should go out and acquire a portal vendor while there are still a few companies available. The portal is too important to MU2 and beyond to ‘partner’ with a portal vendor and it’s too late in the game to still be developing your homegrown solution. Yet, there’s still a handful of sophisticated inpatient EMR vendors without a portal answer. Hard to believe.“

7-2-2013 8-59-21 PM

From HITEsq: “Re: IRS conservative targeting scandal. RHIOs seeking non-profit tax exemptions were sent to the IRS group that reviewed Tea Party applications.” A New York Times article from last week says the IRS targeted not only conservative groups, but any groups whose use of non-profit application keywords suggested political activities. Among the keywords the IRS used to trigger further scrutiny was “regional health information organizations.”

From West Coast Angel: “Re: RECs. Over half of the 63 ONC grant-funded Regional Extension Centers are developing new service lines in privacy and security, patient engagement, practice optimization, and new service delivery models like ACOs. First round will go live in September.”


Acquisitions, Funding, Business, and Stock

7-1-2013 3-05-33 PM
 
EyeNetra, which offers inexpensive eye-testing technology using smartphones, raises$2 million in equity funding.Allscripts closes $650 million in new financing, which with previously announced credit lines gives it a net of $400 million in liquidity.

7-2-2013 11-06-31 PM

inga_small As reported here this past weekend on HIStalk from an Indoor Privy rumor, Intuit announces plans to divest its health group, including the patient portal business it acquired from Medfusion in 2010 for $91 million. Intuit says it thought the health group could make money, but it needs to be owned by someone who understands healthcare better. It would not be surprising to see one of Intuit’s resellers — such as Allscripts, GE, or Greenway — make a play for the business.A union investment group urges McKesson’s shareholders to vote out Chairman and CEO John Hammergren and two other directors because of Hammergren’s compensation, also demanding that the company split the chairman and CEO roles he holds.

7-2-2013 10-54-17 PM

The Boston newspaper says a real estate deal involving athenahealth as a corporation and Jonathan Bush as a personal investor, along with a developer, will turn several real estate parcels in the Arsenal on the Charles area near athenahealth’s headquarters into apartments, restaurants, and boutiques that will cater to young technology professionals.  According to Bush, “We have work but we couldn’t get live and play into the Arsenal on the Charles. Nobody in this generation wants to schlep for an hour and a half on the Mass. Pike to a little patch of land. This is a generation of people who are just coming out of their dorm rooms. That’s who we’re hiring. These are people who want to work and live near a restaurant that grows its own food, a bar that makes its own beer.”

Sales
 
Women’s Healthcare Associates (LA) selects Vitera PM/EHR.
 
7-2-2013 2-32-56 PM
 
Memorial Hospital (MS) will implement ProVation Order Sets from Wolters Kluwer Health.
 
7-2-2013 6-41-18 PM
 
Liberty Hospital (MO) contracts with Allscripts for IT management services and will transfer its 30 IT employees to Allscripts.
 
Medical Services of America selects Patientco as its RCM solution.

People
 
7-2-2013 11-08-27 PM
 
GetWellNetwork names David D. Bennett (Krames StayWell) EVP/COO.
 
7-2-2013 9-45-36 AM
 
Kathleen A. Frawley, AHIMA board chair and president, died last week at the age of 63, according to an AHIMA notice. She was also a professor and chair of the HIT program at DeVry University’s North Brunswick, NJ campus. Angela Kennedy will take over as AHIMA board president/chair.

Announcements and Implementations
 
Washington Hospital (CA) launchesits $86 million Epic system.Core Health releases results of its healthcare integration compensation survey.
 

7-2-2013 7-22-54 PM 7-2-2013 7-23-35 PM

Flagler Hospital (FL) went live this past weekend on Allscripts SCM, ED, lab, radiology, HIM, registration, scheduling, billing, pharmacy, medication administration, and CPOE. According to HIStalk friend CIO Bill Rieger, “So far so good. Mandatory compliance for physician training has led to some great conversations. The Breakaway Group training simulator program has worked and benefited us Day 1 more than we thought it would. MAKE Solutions workflow testing team work really saved us a lot of Day 1 pain as well. Kudos to the Allscripts team for excellent support and response.” CMIO Michael Sanders, MD dressed for the occasion in a brand new Kevlar vest and garish go-live socks, while the command center crew kept on top of the trouble tickets.


Government and Politics

7-2-2013 11-11-01 PM

The Treasury Department announces that the Affordable Care Act mandate that businesses with more than 50 employees must provide health insurance will be delayed for a year to 2015.

Innovation and Research

7-2-2013 6-59-50 PM

The Hoosier Healthcare Innovation Challenge will present three developer challenges in Indianapolis on July 12: reduce infant mortality by delivering educational information, eliminate duplicate messages caused by multiple Continuity of Care Documents, and perform medication reconciliation across inpatient and outpatient encounters. Teams can receive cash and an in-kind services worth up to $25,000.

The US Patent and Trademark Office awards LDM Group a patent for a method of providing targeted information to a patient through a physician’s server as a prescription is written.



Other
 
CORHIO reportsthat approximately 44 percent of Colorado’s 5.2 million residents are represented on the statewide HIE.Tea party activists in Ohio will use a little-known IRS provision that allows citizens to challenge the non-profit status and executive salaries of hospitals, saying that citizens should question why hospitals with large cash reserves need more federal money to deliver indigent care. One of the group’s leaders calls out Cleveland Clinic’s $9 billion in assets and CEO Toby Cosgrove’s $2.5 million annual salary, saying, “This guy’s making $2 million a year, pleading poverty to help poor people. It just seems a little disingenuous to us in the tea party who volunteer for nothing. We’re curious to see their definition of poverty.”

An unnamed South Carolina hospital’s humorous employee training video demonstrates the frustration patients feel when asked mandatory Meaningful Use questions. “I live in the US of A. My primary language is American.”

Walgreens will pay $1.38 million to a woman who sued the drug chain for filling a prescription incorrectly written by her doctor. The doctor realized that she had specified 100 mg of promethazine, quadruple the intended amount, and called the pharmacy to cancel it. The pharmacist did so, but a computer problem allowed the prescription to be filled anyway. The patient claimed side effects caused her to be fired.

One of the 850 employees laid off last month by St. Vincent Health (IN) was CMIO Alan Snell, MD. The health system also gave a pink slip to its chief medical officer.

7-2-2013 11-12-39 PM

Ohio State University’s Wexner Medical Center paid almost $1 million in legal fees and fines in a frantic effort to avoid having its clinical lab shut down by the federal government. That effort, aided by appeals by the state’s lawmakers to HHS, was successful. The hospital’s laboratory information system incorrectly flagged a proficiency test to be sent out to an external lab and a medical technology student didn’t catch the mistake.

Weird News Andy is fascinated that dogs are being trained to detect hyperglycemia in children by their smell, allowing them to paw the child as a signal to take corrective action. He also concludes that “you can’t legislate intelligence” after reading the story of a woman who mixed up Super Glue and cold sore cream with predictably gripping results and another in which six armed police officers take down the suspected “Surgical Mask Bandit” in a Wells Fargo bank, only to find that he’s a chemo patient making a withdrawal.


Sponsor Updates 
 
  • Vocera demonstrates how its badges work with the Stanley Hugs infant  protection solution.
  • Infor integrates NextGate EMPI and identity management solutions with its Cloverleaf integration and information exchange suite.
  • ZirMed announces that its first claims acceptance rate is averaging 98 percent or higher.
  • Sunquest launches a new website.
  • SIS posts a blog entry called “Careers in Nursing Informatics: Applying Your Knowledge.”
  • The ONC Beacon-EHR Vendor Affinity Group names SuccessEHR National Director of Government Affairs Adele Allison the group’s co-chair, along with Chuck Tryon of MyHealth Access Network.
  • Truven Health Analytics releases the Truven Health Unify ACO solution to help Medicare shared savings program participants manage their ACOs.
  • Forrester Research names CommVault a leader in The Forrester Wave: Enterprise Backup Software, Q2 2013.
  • Jonathan Handler, MD, MModal’s CMIO, shares his thoughts on population health data and why doctors struggle with it.
  • T-System creates a video on its RevCycle+ RCM solution.
  • St. Cloud Orthopedics (MN) discuss how the practice earned $342,000 in Medicare incentives payments following its implementation of SRS EHR.
  • A Windows 8.1 version of AirStrip ONE Cardiology will be released as part of the company’s strategic partnership in Microsoft’s AppsForSurface program.

Contacts

Mr. H, Inga, Dr. Jayne, Dr. Gregg, Lt. Dan, Dr. Travis.

More news: HIStalk Practice, HIStalk Connect

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July 2, 2013 News 4 Comments

Monday Morning Update 7/1/13

June 30, 2013 News 18 Comments

6-30-2013 3-59-13 PM

From Zaphod Beeblebrox: “Re: Allscripts. The second successful activation occurred this month for Allscripts in a UK NHS hospital. This one was on time and on budget. The previous one (Salford) was three months early and on budget. Almost unheard of in the UK NHS marketplace.” The announcement from Liverpool Heart and Chest Hospital says it went live on Sunrise 15 months after their project started. UK hospitals are indeed tough customers as vendors always underestimate the localization challenges, so those Allscripts accomplishments are significant. Sunrise has always been a good product but under iffy executive leadership. The challenges for Sunrise going forward are integration, since Cerner and Epic usually tromp Sunrise easily in that regard, and wariness of the company by prospects after the previous management ran the Allscripts ship aground. A lot hinges on North Shore – LIJ, which is probably locked in no matter what because of the money and energy they’ve spent. I’d want them as one of site visits if I were a prospect, making sure to veer off the planned hospital itinerary and seek out frontline clinicians since Sunrise should excel in that regard. I’d really pay attention to the medication management aspects. And watch those KLAS scores, which if the company can turn itself around, should start to move up a couple of quarters from now.

6-30-2013 3-56-18 PM

From Indoor Privy: “Re: Intuit Health’s patient portal business. Allscripts and others are in discussions to acquire. More details may be coming Monday.” Unverified. I’ve always been amazed that Allscripts put its entire practice EMR strategy at risk by choosing a third-party patient portal in the former Medfusion, acquired by Intuit in May 2010. Intuit was apparently looking for some kind of consumer finance play that would be complementary to Quicken, but like most big companies toe-dipping in healthcare, their impact was minimal and the healthcare business is rumored to have never made a profit.

6-30-2013 3-23-08 PM

Two-thirds of poll respondents don’t routinely take all of their PTO. New poll to your right: should McKesson’s customers care that John Hammergren’s pension will be at least $159 million? Your“yes or no” answer isn’t descriptive, so click the comments link after voting and explain your thought process.

Johns Hopkins Medicine will work with Walgreens to open a new East Baltimore, MD drugstore that will develop health and wellness programs for all Walgreens locations, including offering non-emergency urgent care services delivered by nurse practitioners backed up by Hopkins primary care doctors. It’s a brilliant move since chain drugstores have a massive geographic footprint and often serve as the de facto shopping center for urban areas, allowing Walgreens to scale offerings without additional fixed costs or overhead. The company can make money even if the urgent care service doesn’t because, unlike other medical facilities, a Walgreens store has a lot of higher-margin products to sell to cash-paying customers. It’s also nice for locals because of easy access, shorter waits, and lower cost. High-margin, ambitious, and scandalously inefficient hospitals keep erecting higher and more-expensive figurative walls around themselves and are buying up all the physician practices, so the best hope for affordable, accessible care and health advice may well be chain drug stores.

6-30-2013 4-38-07 PM

Paul Henry (ADP/AdvancedMD) joins CareCloud as VP of small group sales.

It turns out that BlackBerry’s Phoenix-like rise from the ashes has been mostly hype so far, as the company admits that sales of its new products failed to stave off a Q1 loss and will likely result in continued losses in Q2, sending the stock into the toilet Friday down 28 percent for the day. The exuberant analysts are now back to business as usual, i.e. wondering what the flesh-picking buzzards might be willing to pay for the pieces and parts in a fire sale.

A ED medical scribe company touts its success at two Arizona clinics that use its services to avoid having its doctors waste time documenting in the EHR. According to an orthopedic surgeon at on of the clinics, the scribes “may will have saved the clinic by helping with the implementation of the new EMR.”

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I’m intrigued that in the promotional video above there’s a cheap, in-window air conditioner behind Kevin Parks, MD, medical director of San Antonio Community Hospital (CA), that appears to be held in place by badly cut plywood and what looks like Scotch tape (00:20).  They’re expanding the ED to 52 beds, with the opening scheduled for this year, so it’s probably a temporary solution (and looks like it.)  

6-30-2013 7-25-12 PM

Jackson Health System (FL) want taxpayers to provide $830 million for facility and equipment upgrades over the next 10 years, including $130 million for computer software and hardware. The health system hopes voters will approve a property tax increase to pay for the improvements, which it says will make it competitive.

The widow of a UPMC-Mercy Hospital (PA) diverticulitis patient sues the hospital for not performing surgery on her husband over 15 months’ of treatment before his lower intestine burst, claiming that the man’s medical record was flagged with a note that he had no insurance.

A Nebraska medical practice notifies more than 2,000 patients that their demographic information has been exposed when the doctor loses the thumb drive that he wore on a lanyard a round his neck.

Long-time HIStalk friend Dave Miller, vice chancellor and CIO of University of Arkansas for Medical Sciences, explores his artistic side by playing a variety of ensemble roles in a North Little Rock, AR community theater production of “Jesus Christ Superstar.”

Vince wraps up his Epic HIS-tory this week, ready to move on to Siemens in next week’s edition.


Sponsor Updates

6-30-2013 4-03-36 PM

  • Aventura employees cooked and served dinner to children and families at Ronald McDonald House of Denver this weekend.

Mr. H, Inga, Dr. Jayne, Dr. Gregg, Lt. Dan, Dr. Travis.

More news: HIStalk Practice, HIStalk Connect.

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June 30, 2013 News 18 Comments

Time Capsule: My Lifelong Clock-Puncher’s Entrepreneurial Brainstorm: How the HIStalk Home Shopping Channel Will Make Me Rich

June 30, 2013 Time Capsule No Comments

I wrote weekly editorials for a boutique industry newsletter for several years, anxious for both audience and income. I learned a lot about coming up with ideas for the weekly grind, trying to be simultaneously opinionated and entertaining in a few hundred words, and not sleeping much because I was working all the time. They’re fun to read as a look back at what was important then (and often still important now).

I wrote this piece in February 2009.

My Lifelong Clock-Puncher’s Entrepreneurial Brainstorm: How the HIStalk Home Shopping Channel Will Make Me Rich
By Mr. HIStalk

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I’m a veritable font of business ideas. That might surprise you since I’ve worked my entire career as someone else’s employee (I’m pretty sure my puzzling lack of distinction there is because they haven’t properly motivated me.) Still, one of these days, I’m going to start a company and reap a massive windfall from my pent-up entrepreneurial ability. I may be on Social Security by then, but I know it will happen and I’ll be a great yet humble CEO.

So here’s my latest and greatest idea (you are hereby non-disclosed): the HIStalk Home Shopping Channel.

I’m turning a liability into an asset. Everyone knows that conference speakers and site visit hosts nearly always have a hidden agenda — to say good things about their vendors and get something in return. Maybe they want extra-special support, or free registration to the user conference, or an eventual vendor job. Maybe they just want to convince themselves that they made a smart decision (even if they didn’t.) I’ll make that the foundation of my fledgling enterprise.

I’ll start out with a genial, eternally curious host. They’ll need to be disturbingly cheery and clueless, the on-screen empty vessel who can bond with the equally clueless audience, shrieking with unrestrained delight like the QVC crowd when Wolfgang Puck performs expert chef tasks like frying onions or whisking eggs. I’m sure some vendor marketing person can handle the role admirably, beaming with obvious delight as the celebrity physician effortlessly works the EMR system that’s on sale while dropping the occasional bon mot.

The EMR they demo won’t be the same as the one they actually use in real life, of course. Surely no one believes that Wolfgang’s restaurants use his 28-piece, $249.90 Bistro Elite Stainless Cookware Set, which would withstand about five minutes of heat from a real restaurant stove before melting into a sad, molten, Puck-endorsed puddle.

We’ll have theme shows for clinical disciplines. Blowout sales of slow-moving systems. Huge discounts on previous software versions. Maybe we’ll even cash your federal stimulus check like those sleazy "buy here, pay here" car lots.

Here’s where you come in. What moves the goods on shopping channels is ringing, hysterical endorsements of the product by telephone callers who have been carefully screened and coached to keep it positive. They’ll say anything that gets them on TV with Wolfgang since most of them sound like they watch TV all day. Plus, who wants to admit that the Bistro Elite set looks much better when Wolfgang is sautéing shallots in it instead of burning store brand tomato soup in it after getting too engrossed in Oprah to whisk?

So we’ve got a clueless host, a product-pimping celebrity, and some questionably knowledgeable and objective endorsers. All we need is some flattering camera angles, some "order now because they’re flying out of here" on-screen graphics, and offshore order-takers.

HIStalk Home Shopping would generate entirely new buyer motivations. Mobility through consumption! Picture yourself improving care with cool PowerPoint-ware! Call our Demo-Doc any time as long as you say great things – he will be your pal and you will have all kinds of fun and hijinks together!

I don’t know, maybe it isn’t such a great idea. It sounds too much like the HIMSS annual conference

OK, how about this: paid product placements in popular TV shows. Say, isn’t that a Cerner CPOE system Dr. McDreamy is using? You know you want one!

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June 30, 2013 Time Capsule No Comments

Morning Headlines 6/28/13

June 27, 2013 Headlines 7 Comments

Update On the Adoption Of Health Information Technology and Related Efforts To Facilitate the Electronic Use and Exchange Of Health Information

ONC publishes its annual report to Congress on health IT adoption as required by the HITECH act. The report addresses EHR adoption, health information exchange adoption, and the general state of the nation as it pertains to health IT.

Created in the Corridor: Geonetric

Geonetric, a Web developer specialized in creating patient portals for hospitals and health systems, is profiled in the local Cedar Rapids, IA media for its unusual HR policies. None of its 70 employees have managers; instead, work is done collaboratively. Dress is casual, Fridays are bring your own meat for the office barbecue, and the company CEO calls its staff "probably one of the most advanced software teams in Iowa." The company’s own website is notably underwhelming considering that description, but the product must be top notch because it has plans to add 130 employees over the next year.

Sprint Launches Secure Messaging Solutions to Enable HIPAA Compliance

Sprint announces the availability of two HIPAA-compliant text messaging platforms, a functionally rich solution called TigerText and a less expensive, stripped down option that still delivers person-to-person HIPAA-compliant texting.

Cerner supports Blue Button + to engage individuals for better health

Cerner announces that it will support the Blue Button + initiative, which means that Cerner clients can now securely deliver information to any personal health record participating in Blue Button +.

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June 27, 2013 Headlines 7 Comments

News 6/28/13

June 27, 2013 News 2 Comments

Top News

6-27-2013 7-27-32 PM

ONC releases its report to Congress on healthcare IT and HIE adoption through April 30, 2013, basically a predictably uncritical annual report of its activities. I chose this graphic randomly, then immediately noticed the common mistake of saying “Advanced Directives” instead of “Advance Directives” (you specify them in advance, but they aren’t necessarily advanced.)


Reader Comments

inga_small From Chris ToeBall: “Tenet-Vanguard deal. The merger could be good news for a lot of vendors, starting with Tenet’s Conifer Health Solutions.” Tenet President and CEO Trevor Fetter says in a conference call that Conifer will provide RCM services to Vanguard’s 21 hospitals, which could provide a 28 percent boost to revenues. Less clear is the impact on athenahealth, which provides services for Vanguard’s ambulatory clinics, and McKesson, which serves Tenet’s clinics.


HIStalk Announcements and Requests

inga_small HIStalk Practice highlights from the last week include: Humana takes the top spot in athenahealth’s 2013 PayerView Report, while Medicaid continues to underperform. Financial management issues are the most challenging difficulties currently facing group practice executives. Consumer Reports publishes an excellent overview of the PCMH model. The AMA votes to lobby CMS for a two-year grace period to avoid complying with the ICD-10 transition – which seems like wasted energy to me, given the ONC’s promise to hold firm on the current October 2014 deadline. CMS concludes that the adoption of EHRs in community practices doesn’t necessarily impact costs. Dr. Gregg amuses with a fairy tale in the kingdom of happy healthcare. Maybe HIStalk Practice isn’t exactly summer beach reading, but there is still lots of good stuff to check out. Thanks for reading.

On the Jobs Board: Data Analyst Meaningful Use, Healthcare Software Project Manager, Resolute PB Team Lead.


Acquisitions, Funding, Business, and Stock

Craneware warns that its revenues and earnings will be below market forecasts, saying it will likely not close one of its large sales opportunities despite increased levels of sales activity.

6-27-2013 9-43-02 PM

PokitDok, a startup that offers a platform for healthcare providers to advertise directly to consumers, raises $4 million in funding.


Sales

Erlanger Health System expands its relationship with MModal to include MModal Fluency Flex for creating reports and documenting patient records.

6-27-2013 9-52-15 PM

Slidell Memorial Hospital (LA) will implement Medhost’s EDIS and ED PASS for self-service patient check-in.

Piedmont Orthopaedic Associates (SC) selects SRS EHR.

6-27-2013 9-53-00 PM

South Georgia Medical Center will implement RelayHealth’s HIE platform.

ProMedica’s Lenawee Physician Hospital Organization (MI) selects Wellcentive’s population health management and data analytics solutions.

6-27-2013 9-54-52 PM

North Shore-LIJ Health System chooses InterSystems HealthShare for connectivity of all its systems in a $25 million deal. Competitor Allscripts dbMotion, now owned by NS-LIJ’s incumbent EHR vendor, wasn’t mentioned.

6-27-2013 9-34-49 PM

The Miami VA chooses GetWellNetwork for in-room entertainment, Internet access, and patient education under a $2.4 million contract.


People

6-27-2013 6-29-10 PM

CareTech Solutions appoints Brian Connolly (Oakwood Healthcare) chairman of the board, replacing Peter Karmanos.

6-27-2013 6-31-36 PM

Chris Bauleke (RelayHealth) joins Healthland as CEO. Former CEO Angie Franks (above) continues as president.

6-27-2013 6-33-01 PM 6-27-2013 6-34-34 PM

PatientPoint hires John McAuley (Allscripts) as COO and Eldon Richards (UnitedHealth Group) as VP of engineering and technology services.

6-27-2013 6-35-36 PM

Nordic Consulting promotes Vivek Swaminathan to chief consulting officer.

6-27-2013 6-37-08 PM

Jacobus Consulting names Noel Allender (Beacon Partners) managing director of its Epic practice.

6-27-2013 6-38-25 PM

RemitDATA names Michael Kallish (MPV – above) SVP of business development and Jim Harter (e-Rewards) CTO.

6-27-2013 9-38-06 PM

Imprivata President and CEO Omar Hussain is named as an Ernst & Young Entrepreneur of the Year in New England.

Huron Consulting hires Tracey Mayberry (CSC) and Kevin Smith (MedeAnalytics) as managing directors in its Huron Healthcare practice.


Announcements and Implementations

Cerner achieves HDI Support Center Certification.

Quest Diagnostics makes its Care360 Solution Suite available through AT&T Healthcare Community Online.

6-27-2013 8-21-06 PM

The local TV station profiles Cedar Rapids, IA-based healthcare website developer Geonetric, pointing out that none of its 70 employees have managers, food is available and free, and flex time and sabbaticals are standard. According to the HR director, “We want you to enjoy life and experience life, and do great work for us. And it’s awesome.” It says the company will hire another 130 people and move into a new building. Its website declares it to be the “coolest healthcare Web company. In the history of ever.” According to its site, employees get free ice cream when a new client is signed,  dress is casual, Grillin’ Friday is BYOM (bring your own meat), and there’s a knitting circle.

6-27-2013 8-06-11 PM

AMIA’s review course for the clinical informatics subspecialty certification that starts in October is scheduled for July 15 availability. Live courses started in April.

Caristix introduces Caristix 2.0, the latest version of its HL7 interface lifecycle management platform.

Allscripts announces that Sunrise Acute Care 6.1 and Sunrise Ambulatory Care 6.1 have been certified as Complete EHRs under ONC 2014 Edition criteria.

Penn State Hershey Children’s Hospital uses Amcom Messenger for calling Code Blue.

Cerner announces its support for Blue Button +.

6-27-2013 7-54-43 PM

Sprint announces the availability of the TigerText HIPAA-compliant secure messaging solution and a less-expensive offering powered by TeleMessage branded as Sprint Enterprise Messenger – Secure.


Government and Politics

Industry officials testifying before the Senate Committee on Finance offer opinions on how to improve healthcare quality. Concerns raised include:

  • CMS should consider reducing the 1,000+ quality measures currently used for reporting and payment programs and develop measures that are more outcome- and patient-oriented.
  • Many traditional EHRs, especially those used by small physician practices, are not well designed, which limits a provider’s ability to produce meaningful data for quality reporting.
  • Provider payments need to be better aligned with outcomes and quality reporting.
  • The government should go beyond the EHR incentive program and work towards the development of a framework for care coordination and long-term care outcome measurements.

CMS redesigns its Physician Compare Website to include details on physician or practice specialties, EHR use, board certification, and hospital affiliation.

Practice Fusion launches a medical imaging API that will allow its practice users to connect to imaging centers, allowing physicians to receive results electronically for Meaningful Use and giving imaging centers potential new business. Use is free for the practice, but not for the imaging center.


Technology

6-27-2013 9-01-45 PM

Arizona-based surgeon Gil Ortega, MD performs the world’s first orthopedic trauma surgery while wearing Google Glass, which he says will be useful for teaching students who will have a clear view of the sterile field, recording the surgery, and requesting information via the device.

6-27-2013 9-18-59 PM

A study finds that the survival rate for non-hospital heart attack patients doubled when paramedics performing CPR were coached using Real CPR Help software that is standard on  ZOLL Medical’s defibrillators.


Other

A study published in JAMA finds that treating the costliest Medicare patients in doctors’ offices instead of ERs may not save as much money as previously hoped, only about 10 percent.

Porter Research looks at ICD-10 readiness among physician practices and finds that most are concerned with disruptions in cash flows when the new code set goes into effect. Of practices that have not yet started preparing for the transition, more than a third believe they have adequate time to prepare. The rest either don’t know where to begin or lack time, staff, or training resources.

Healthcare attorney David Harlow, who writes HealthBlawg, launches a crowdfunding project called Hacking HIPAA. It will a create a new Common Notice of Privacy Practices that will give patients an explanation of potentially beneficial electronic transfer of their data (e-mail, cloud, video, text messaging) and obtain their consent for its use before the new Omnibus HIPAA Rule “will make cloud hosting of healthcare projects untenable very soon.” He’s hoping to raise $10,000. That’s Fred Trotter in the video.

6-27-2013 8-52-49 PM

Who proofed this announcement? It’s apparently how they role.

6-27-2013 8-57-23 PM

Kaiser Health News test drives the health insurance exchange enrollment software that will be rolled out in Minnesota, Maryland, and DC for the scheduled October 1 launch.

Weird News Andy hopes the patient remembers his native language. A 69-year-old man being treated for stroke at Robert Wood Johnson University Hospital is sent unconscious on a charter flight back to his native Poland when he’s found to be uninsured and living in the US illegally.


Sponsor Updates

6-27-2013 7-35-20 PM

  • Visage Imaging releases a case study about the use of the Visage 7 Enterprise Imaging Platform by teleradiology provider Rays.
  • UltraLinq Healthcare will incorporate cardiology decision support tools from DiACardio into its cloud-based image management and reporting system.
  • Karen Marhefka, MHA, RHIA of Encore Health Resources will present a primer on value-driven healthcare at the Texas AHIMA convention today (Friday, June 27) at 1:30 p.m. Central time.
  • Quantros announces the patent pending status of its Smart Classification technology for classifying incident reports in real-time.
  • The Center for Economic Growth recognizes etransmedia Technology with a technology innovation award.
  • Cornerstone Advisors announces its #1 KLAS mid-term ranking in the Planning and Assessment category and its projected 100 percent growth this year.
  • Nuance Communications names 11 hospitals as 2013 winners of the Million Dollar Club, having saved at least $1 million by using Dragon for medical transcription and clinical documentation.
  • Xerox VP Ed Gala asks JetBlue co-founder Ann Rhoades and hospital IT executives what airlines and hospitals have in common.
  • Greenway Medical will integrate the inpatient EHR of Health Management Systems its PrimeSUITE solution.
  • Nuesoft Technologies celebrates its 20th anniversary.
  • Kareo integrates its PM application with Demandforce, an Intuit company, to help practices build their online reputations and proactively engage with patients for preventive or recurring care.
  • Sandlot Solutions CEO Joe Casper discusses improving care with HIE and data analytics.
  • Verisk Health recaps its recent Webinar featuring Granite Healthcare Network’s (NH) use of data analytics to provide cost-effective care.
  • Versus offers a replay of the AHA-hosted Webinar on improving safety measures with RTLS featuring Western Maryland Health Systems. Versus also offers a case study that details how the organization reduced elopements and improved response times with RTLS technology.
  • AT&T partners with Project HOPE to improve women and children’s healthcare in Asia and Africa.
  • Northern Ireland’s health minister writes about the transformation of the country’s healthcare system using technology from Orion Health.

EPtalk by Dr. Jayne

The National Uniform Claim Committee announces that CMS has finally approved the new 1500 claim form. It allows identification of whether ICD-9 or ICD-10 is being used and expands the number of diagnosis codes which can be reported. The deadline for transition to the new form seems to be fluid. Providers should contact their clearinghouses to determine when they will begin accepting the form and should work with their vendors to ensure practice management systems can generate the new form.

HIMSS calls for proposals for pre-conference symposia. New this year, they’re looking for abstracts for full-day preconference programs. The deadline is July 22 and those selected will be notified in August.

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Medical Economics identifies “10 regulatory irritants fueling physician dissatisfaction” according to a Physicians Foundation study. The list includes:

  1. Meaningless work
  2. Box checking
  3. Data is replacing information
  4. Quality
  5. Site of Service
  6. Fraud
  7. Sustainable growth rate (SGR)
  8. PCORI and IPAB
  9. Costs
  10. The government is coming between me and my patients

Bloomberg discusses the top US states where physicians have gone digital. I was surprised to see Washington, DC at the bottom along with Louisiana, New Jersey, and Connecticut. Wisconsin is at the top, followed by Minnesota, North Dakota, and Massachusetts.

Note to marketing folks: always test your mail merge skills before sending out blast e-mails (and especially snail mail). This week I’ve been on the receiving end of two charity letters asking me to send my pledge (which wasn’t a pledge but an outright donation) and now an e-mail addressed to “Dennis.” First impressions are everything, folks.


Contacts

Mr. H, Inga, Dr. Jayne, Dr. Gregg, Lt. Dan, Dr. Travis.

More news: HIStalk Practice, HIStalk Connect.

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June 27, 2013 News 2 Comments

Morning Headlines 6/21/13

June 20, 2013 Headlines 1 Comment

Cone Health to lay off 150 workers

Greensboro, NC-based Cone Health will lay off 150 workers, or about three percent of its workforce, to help cut $30 million from its annual budget. Terry Akin, Cone Health president and COO, said that its Epic implementation has been a big short-term expense.

Cerner Launches Pilot Program To Offer Personalized, Quality Care Aligned For Better Health 

Cerner launches a Kansas City area pilot program to test new health delivery model in which retail locations serve as patient access points. Nurses will perform wellness screenings and provide tailored patient education and recommendations.

New Technology in Place for Electronic Submission of Veterans’ Disability Claims

The VA has launched a new Web portal that will allow veterans to submit disability claims electronically. The system is integrated with the VA’s paperless claims processing system VBMS, creating a nearly paperless end-to-end process. Medical records are one of the few claims elements that will still need to be scanned or mailed on paper.

The Regional Extension Center Program in Texas Met the Scope of Services in Their Cooperative Agreements With the Office of the National Coordinator for Health Information Technology

The Office of the Inspector General audits four Texas Regional Extension Centers that were cumulatively awarded more than $30 million in federal funds. The goal of the inspections was to verify that the RECs had meet the requirements outlined in their cooperative agreements with ONC. OIG auditors concluded that the REC programs had meet all requirements and were successful in supporting health IT adoption across their territories.

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June 20, 2013 Headlines 1 Comment

News 6/21/13

June 20, 2013 News 4 Comments

Top News

6-20-2013 11-41-31 AM

Healtheway announces its nine founding organizations. The public-private partnership will provide operational support for the eHealth Exchange, formerly known as the Nationwide Health Information Network Exchange.


Reader Comments

6-20-2013 7-27-05 PM

From Site Watcher: “Re: HIStalk. Happy 10th anniversary!” Thanks! It has gone by quickly.

From Doug: “Re: Meaningful Use security risk analysis. I would be interested in which of your sponsors offers consulting engagements, especially those appropriate for a 100-bed community hospital.” Thanks for showing preference to HIStalk’s sponsors, any of which that can help Doug can contact me and I’ll forward your information.

From Vascular Surgeon: “Re: health data. A Wired graphic from April finds that Kaiser Permanente’s data set is 31 petabytes, six times the size of the digital collection of the Library of Congress.”


HIStalk Announcements and Requests

inga_small Highlights from HIStalk Practice this week include: the top ambulatory EHR, PM, and clearinghouse products according to the KLAS Mid-Term Report (and don’t miss the readers’ comments about the rankings.) A computer outage in the Canadian province of Alberta causes 202 practices to lose access to patients’ charts for over five hours. Almost half of practicing physicians are dissatisfied with their jobs. CMS publishes updated 2014 clinical quality measures for EPs. Technology could improve treatment outcomes for children with chronic illnesses. I whine and wonder about waiting at my doctor’s office. I love new readers almost as much as I love ambulatory HIT news, so sign up for the e-mail updates when you are perusing the news. Thanks for reading.

Some of the interesting recent posts on HIStalk Connect are (International) White Collar Healthcare, Mobile Health App Platform Choices, Apple Markets Its Role in Global mHealth, and Start Me Up HIT Event. Get e-mail notification of new HIStalk Connect posts by signing up.

I’ll be surveying the HIStalk Advisory Panel of primarily CIOs again this week. Let me know if you have a question you’d like me to ask them.

6-20-2013 7-40-56 PM

Welcome to new HIStalk Platinum Sponsor Logicare. The Eau Claire, WI company offers patient instructions for hospitals, clinics, and EDs that integrate with all major EHRs including the VA’s VistA. Clinicians enjoy the ability to create a patient-specific teaching document in just a few clicks, while patients can actually understand that document since the content is written at a sixth-grade reading level. Patient instructions are offered for 6,300 topics and the system has earned numerous ONC certifications, making it easy to meet the Meaningful Use requirement to provide electronic discharge instructions (flash drive, secure e-mail) at the time of discharge for patients who request them. Thanks to Logicare for supporting HIStalk.


Acquisitions, Funding, Business, and Stock

6-20-2013 8-46-41 PM

Clinical Outcomes Management Systems, a provider of disease management technology for the long-term care industry, secures a minority investment of $21 million from Summit Partners.

6-20-2013 8-48-21 PM

Agilum Healthcare Intelligence raises $1.82 million of a $2.32 million equity offering.


Sales

Polyclinic Surgery Group (WA) selects ProVation medical software from Wolters Kluwer Health.

The Georgia Department of Community Health selects Truven Health Analytics to build and implement the Georgia Health Information Network.

6-20-2013 8-50-36 PM

Chinese Hospital (CA) will deploy NextGen Inpatient Clinicals.

6-20-2013 8-53-41 PM

KishHealth System (IL) selects PerfectServe clinician-to-clinician communications platform for two of its hospitals.

WellStar Health System (GA) will deploy Capsule’s DataCaptor software across its five hospitals.


People

6-20-2013 5-59-28 PM

Eastern Maine Healthcare Systems announces that VP/CIO Catherine J. Bruno will retire in December.

6-20-2013 6-02-28 PM

Ernst & Young names Encore Health Resources CEO Dana Sellers its 2013 Entrepreneur of the Year for Healthcare in the Gulf Coast Area.

Jerry Dennany (Allscripts) joins RazorInsights as CTO.

UltraLinq Healthcare Solutions appoints Ross Hoffman, MD (MedSolutions) CMO.


Announcements and Implementations

Caradigm announces the availability of Provisioning v4.0, which manages clinician access to applications while supporting data privacy regulations.

6-20-2013 1-14-17 PM

EHealth Technologies breaks ground on its new company headquarters in Rochester, NY.

Cerner launches a pilot of the Primary Health Network, a health model that uses retail locations as access points for wellness screenings.

 


Government and Politics

6-20-2013 11-19-59 AM

The HHS Office of Inspector General audits four Texas RECs and concludes that each has met the scope of services in their cooperative agreements with the ONC. The audits are the first of their kind by the OIG and focused on outreach activities, vendor selection and implementation assistance, and workflow analysis.

The VA announces the availability of eBenefits, an online portal that will allow veterans to file disability compensation claims electronically.

Today’s best use of a “This Is Spinal Tap” reference in a tweet comes from, interestingly enough, the federal government.


Other

6-20-2013 8-55-12 PM

Unionized nurses with Affinity Medical Center (OH) call on hospital officials to delay this weekend’s implementation of Cerner EMR, saying patients will be at risk because the nurses have not received sufficient training and will be short staffed during the first days of the live. The nurses detailed their concerns in a letter to hospital officials, but claim that hospitals officials refused to meet with them and would not accept the letter.

Here’s athenahealth’s Jonathan Bush speaking at TEDMED 2013 on healthcare profits, pointing out that non-profit hospitals often make bigger margins than Exxon. “In the mid-1990s, healthcare was annoyingly affordable – annoying if you’re one of the hospitals.” He names names.

6-20-2013 8-56-53 PM

Cone Health (NC), facing a $30 million annual budget shortfall, will lay off 150 employees. Both Cone and nearby Wake Forest University Baptist Medical Center say their Epic implementation costs hurt their bottom line at least temporarily.


Sponsor Updates

  • HealthEdge, a provider of IT solutions for healthcare payors, partners with NTT DATA to transition Independent Health and Riverside Health to the HealthRules product suite.
  • Divurgent posts a video of its DIVOLYMPICS employee spring games event.
  • Two members of Wellcentive’s implementation team earn NCQA certification as content experts for patient-centered medical homes.
  • Access partners with The Last Well to bring clean water to all of Liberia.
  • A Deloitte Center for Health Solutions report explores how CIOs are navigating  day-to-day management challenges.
  • Visage Imaging publishes “Three topics you may have missed from #SIIM13” as a follow-up to the recent Society for Imaging Informatics in Medicine 2013 meeting.
  • ISirona President Peter Witonsky lists key criteria for evaluating a medical device data system.
  • GetWellNetwork announces the Transformative Health Series, a series of short films that recount the personal journeys of patients, families, caregivers, and healthcare professionals who are shaping the patient engagement movement.
  • API Healthcare opens its annual conference with a keynote address featuring Paul Spiegelman, author of Patients Come Second: Leading Change by Changing the Way you Lead.
  • Verisk Health announces the agenda and speakers for its 2013 national conference September 18-20 in Orlando.
  • The Association for Healthcare Documentation selects Emdat as a nominee for the Innovation Through Technology Award.
  • A local publication features Canton-Potsdam Hospital (NY) and its online bill-pay service operated by Instamed.
  • Strata Rx announces the schedule for its O’Reilly Strata Rx Conference September 25-27 in Boston.
  • Aspen Advisor consultant Claudia Blackburn will discuss how to empower population health during a June 25 Webinar.
  • Wellsoft’s EDIS earns the top rating for EDIS and Imprivata takes the top spot for Single Sign-On in the KLAS 2013 Mid-Year Performance Software & Services report.
  • Former CMS Administrator Donald Berwick, MD discussed the future of healthcare at this month’s 22nd Annual Midas User Symposium.

EPtalk by Dr. Jayne

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The American Medical Association’s House of Delegates met in Chicago this week. One of their resolutions addresses sitting in the workplace. Employers are encouraged to make alternatives available including standing desks, treadmill desks, and isometric balls. I’d love to have a treadmill desk, although I spend half my day on conference calls which would render it almost useless. Several schools in my area are experimenting with standing desks in the classroom, citing famous users Thomas Jefferson, Winston Churchill, Charles Dickens, and Ernest Hemingway.

I loved this piece on batch workflow for the medical office that turned up on KevinMD this week. It should be required reading for EHR users. Author Dike Drummond, MD compares physicians that respond to popups and messages in the EHR to a dog with a tennis ball that can’t choose to not chase it once thrown. Watching my colleagues become totally distracted with Instant Messenger, Twitter, Facebook, and e-mail all day long, I can’t help but agree.

Dr. Gregg tweeted earlier in the week about the fundraising effort for Scanadu Scout, being billed as the first real medical tricorder. I e-mailed myself to look at it later and am happy to see that they have raised over a million dollars. I also learned that the Scout is built on the same platform as the Curiosity Rover, which is pretty cool if you’re a science geek like me. Scanadu hopes to use backers to gather data to help refine its algorithms as well as to prepare for FDA approval as a medical device.

Speaking of Twitter, Bill Gates @BillGates noted this week that he is “Excited to join the 200M+ strong @LinkedIn community.” I wonder if his connections will start endorsing him for skill sets that he doesn’t actually have, which is what my connections recently started doing? It’s definitely been amusing.

I’m excited about the new HIStalk webinar series, but unfortunately my day job keeps interfering with my potential attendance. Next week’s webinar addresses “Using Clinical Language Understanding & Infrastructure Planning as Key Strategies to Ensure Clinical Revenue Integrity with ICD-10” and you can register here. I’ll likely register anyway with the hopes that my conflicting meeting will cancel – hope to see you there!

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We’ve all heard horror stories about organizations dumping medical records rather than shredding them or unintentionally misplacing paper charts. Now that patients are receiving copies of their visit summaries and other documents at every visit, there’s an increased chance that we’re going to see more than grocery receipts and shopping lists blowing in the wind. Kudos to my friends at DISC Corporation who made sure the full-color copies of a patient’s colonoscopy report made it to the shredder. Not every patient-facing document has a patient or practice address, so that was probably the most ethical course of action.


Contacts

Mr. H, Inga, Dr. Jayne, Dr. Gregg, Lt. Dan, Dr. Travis.

More news: HIStalk Practice, HIStalk Connect.

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June 20, 2013 News 4 Comments

Morning Headlines 6/20/13

June 19, 2013 Headlines 4 Comments

Atul Gawande, Renowned Surgeon And Writer, Launches Innovation Lab

Surgeon Atul Gawande, MD, once named by Time magazine as one of the world’s most influential thinkers and author of The Checklist Manifesto, launches the Adriane Labs health innovation center. It will conduct research focusing on childbirth and death.

Health Law Won’t Bring Prices Down For Patients

At a Capitol Hill hearing Tuesday, Time magazine journalist Steven Brill told Senate Finance Committee members that President Obama’s healthcare law will do little to lower prices for consumers. Brill covered health care costs in a heavily circulated recent Time article titled, "Bitter Pill: Why Medical Bills Are Killing Us."

Healtheway Announces Founding Members for Groundbreaking Public/Private Health IT Exchange

Healtheway, the nonprofit organization that supports the eHealth Exchange, today announced its nine founding organizations, of which Epic is the only EHR vendor and Kaiser Permanente is the only health system.

Affinity nurses seek delay on electronic records 

Unionized nurses at Massillon, OH-based Affinity Medical Center call for a delay in its Cerner implementation scheduled for this weekend, citing insufficient training and patient safety concerns. The nurse’s union is using the issue to demand contract negotiations.

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June 19, 2013 Headlines 4 Comments

Morning Headlines 6/19/13

June 18, 2013 Headlines No Comments

Robert M. Wah, MD, Elected President-Elect of AMA

Retired Navy medical officer Robert Wah, MD has been elected as the next president of the AMA. Wah is a reproductive endocrinologist and OB-GYN in Washington, DC and serves as chief medical officer of Computer Sciences Corporation. He is also a healthcare IT expert, having previously served as ONC’s first deputy national coordinator.

CareCloud Raises $20 Million to Support Continued Record Growth of Company’s Cloud-Based Clinical and Financial Platform for Physician Practices

CareCloud, a cloud-based EHR vendor, raises $20 million in a Series B funding round which it will use to enhance its EHR platform and to increase pressure on competitors like athenaHealth and Practice Fusion. CareCloud has been competing with athenaHealth on all fronts lately, fighting off a patient infringement lawsuits filed by them one day and then head hunting their executives the next.

Computer problems force docs back to paper charts at Memorial Hospital

Computer problems have forced Belleville, IN-based Memorial Hospital into downtime procedures after its Meditech EHR went down late on Tuesday, June 11. It is not expected to be fully restored until at least Monday, June 24.

First of 4,000 Cerner employees move into new KCK offices

Cerner employees begin moving into the first of two new towers being built at the company’s Kansas City, KS campus. The towers will eventually hold 4,000 employees.

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June 18, 2013 Headlines No Comments

News 6/19/13

June 18, 2013 News 4 Comments

Top News

6-18-2013 7-20-54 PM

Robert M. Wah, MD, a reproductive endocrinologist, chief medical officer for Computer Sciences Corporation, Navy veteran, and ONC’s first deputy national coordinator, is elected president of the AMA. He’ll take office in June 2014.


Reader Comments

6-18-2013 8-22-09 PM

inga_small From Alectrona: “KLAS Mid-Term report. Epic was the only acute care EMR to earn a green stoplight.” In KLAS-speak, a green stoplight indicates a customer satisfaction that’s at least six points above the average for that product segment. EpicCare Inpatient scored 90.4 compared to the 12-month segment average of 73.2. Cerner Millennium PowerChart came in a distant second at 77.5. The average score for community hospital EMRs was 70.6, indicating a good deal of discontent across both segments. Ambulatory EMRs fared better, led by PCC EHR (94.5), EpicCare Ambulatory (88.3), and SRSsoft EHR (86.7).

From Stephanie: “Re: EMR. Can you recommend a system that would be ideal for a small, new epidemiology practice?“ I’ll open the floor to suggestions, particularly for EMRs known to work well for a practice of that type.

From Re-Org: “Re: Springfield Clinic. Dual-headed CIO initiates re-org and dismantles the clinical informatics department, which merges with IT. Top talent jumps ship along with dual-headed CIO. HR will no longer meet with confused, misled, and frustrated employees.” Unverified.


HIStalk Announcements and Requests

6-18-2013 6-32-28 PM
Welcome to new HIStalk Platinum Sponsor SpeechCheck. The Yorkville, IL company can help prevent errors that occur when physicians (especially radiologists) fail to correct mistakes created by speech recognition systems, which is often a problem with their rapid rollout. Those mistakes can cause embarrassment, loss of reputation, patient care problems, and lawsuits. The company analyzes a facility’s reports, trains their physicians, and develops measurable quality standards that include a goal of 98 percent accuracy and zero critical errors. The result is improved care, risk management, and increased reimbursement. Choose from four service packages that offer choices for type and frequency of auditing, creating or reviewing templates, one-on-one physician training and conversion to self-edit , and compliance updates. See where you stand by finding your documentation quality metric. As the company says, we’ve all seen radiology reports where the technology failed to wreck a nice beach recognize speech. President and CEO Lee Tkachuk is a friend of HIStalk going way back; she also leads ChartNet Technologies and Keystrokes Transcription Service. Thanks to Lee and SpeechCheck for supporting my work.  

Maybe I should have taken a picture with my iPhone. I noticed a guy standing at the urinal in the restroom at work doing his business while frantically keying into his iPad mini with both hands. I dawdled at the sink to see if he washed his hands afterwards since I wondered if he could stand the separation from his beloved gadget. He did, not that it mattered at that point.


Acquisitions, Funding, Business, and Stock

6-18-2013 8-25-02 PM

CareCloud secures $20 million in Series B financing led by Tenaya Capital, bringing its total funding to $44 million.

6-18-2013 8-24-24 PM

Mobile health monitoring provider Medivo raises a $15 million Series B round.

PaySpan, a provider of automated healthcare payments and reimbursements, acquires the assets of mPay Gateway, a point-of-service patient payment solution for healthcare providers.


Sales

6-18-2013 8-28-29 PM

St. Mary’s Health Care System (GA) selects Merge’s iConnect Access and iConnect Enterprise Archive for enterprise imaging.

OnePartner HIE will add the Allscripts dbMotion platform to enhance reporting and connectivity.

Nature Coast ACO (FL) expands its relationship with eClinicalWorks to include eCW’s Care Coordination Medical Record.

Community Health Network (IN) will deploy OpportunityAnyWare business analytic solutions from Streamline Health Solutions.

WellStar Health System (GA) selects Avantas to provide consulting services and its Smart Square labor management software to improve labor performance in its nursing units.

Lehigh Valley Health Network (PA) will implement Salar’s TeamNotes solution to capture clinical documentation and comply with ICD-10.


People

6-18-2013 5-56-57 PM

HIMSS Analytics promotes Bryan Fiekers (above) to director of consulting solutions sales and Matt Schuchardt to director of market intelligence solution sales.

6-18-2013 5-59-41 PM

CareCloud hires Tom Cady (athenahealth) as VP of professional services.

6-18-2013 6-02-18 PM

Former CMS Administrator Donald Berwick announces that he will run for governor of Massachusetts.

6-18-2013 6-03-18 PM

John Frenzel (Conifer Health Solutions) joins Convergent Revenue Cycle Management as CFO.


Announcements and Implementations

Cedars-Sinai Medical Center reports it has recovered more than $300 million by reducing net A/R with the help of Hyland Software’s OnBase ECM platform.

6-18-2013 8-31-48 PM

Mary Greeley Medical Center (IA) implements PeriGen’s PeriCALM fetal surveillance solution, interfacing it to Epic Stork.

Glenn Medical Center (CA) goes live on CPSI.

Laurel Regional Hospital and Prince George’s Hospital Center, affiliates of Dimensions Healthcare System (MD), activate Cerner.

6-18-2013 8-33-15 PM

EvergreenHealth (WA) goes live with PatientKeeper Charge Capture.

Bumrungrad International Hospital (Thailand) deploys the Intelligent InSites RTLS solution.

ARC Community Services (WI) implements Forward Health Group’s PopulationManager to monitor addiction treatment programs.

Cerner will embed the MedAssets Claims Management solution within its patient accounting solution.

6-18-2013 8-34-41 PM

University of Ottawa Heart Institute (Canada) goes live on the Med Access EMR.

Adventist Health finishes its implementation of Strata Decision Technology’s StrataJazz for operating budgets and management reporting and will begin rolling out additional StrataJazz modules for capital planning and strategic planning.


Government and Politics

inga_small National Coordinator Farzad Mostashari, MD has supposedly confirmed that the ICD-10 transition date will not be extended beyond October 1, 2014. If CMS weren’t notorious for soft deadlines, would this even be news?

White House Senior Advisor Ryan Panchadsaram, a former executive of Ginger.io and former Rock Health fellow, talks about patients accessing their electronic records at TEDMED 2013.


Other

6-18-2013 1-05-28 PM

The first of 4,000 Cerner employees begin moving into the first of two high-rise towers at the company’s new Cerner Continuous Campus in Kansas City, KS.

6-18-2013 8-36-18 PM

The Meditech system of Memorial Hospital (IL) has been down since June 11 after upgrade-related problems and won’t return to normal operation until June 24, forcing the hospital to go back to paper charts for almost two weeks.

6-18-2013 7-54-38 PM

The UK government fines North Staffordshire Combined Healthcare NHS Trust $86,000 for exposing the medical information of three patients by manually entering the fax number of a psychiatric facility incorrectly and sending it instead to someone’s house.


Sponsor Updates

6-18-2013 1-50-56 PM

  • Optum donates $10,000 to Arnold Palmer Hospital for Children (FL) in connection with its successful “Make Every Step Count” campaign during this week’s HFMA-ANI conference.
  • PeriGen pledges support for the first published draft of nursing care quality measures developed by the Association of Women’s Health, Obstetric  and Neonatal Nurses.
  • e-MDs expands its headquarters to three locations in the Austin, TX area.
  • An eClinicalWorks survey finds that the primary motivator for becoming an ACO or PCMH is to improve patient outcomes, with respondents also stating that an integrated EHR would be the most valuable IT feature.
  • 3M Health Information Systems introduces the 3M CAC System, a computer-assisted coding solution for small hospitals.
  • Bay Area News Group includes First DataBank on its list of Top Workplaces based on employee feedback.
  • David M. Walker, former US comptroller general, provides the keynote address at the SCI Solutions Client Innovation Summit October 15 in Braselton, GA.
  • Advocate Health Care (IL) says its use of the Healthcare Workforce Information Exchange from API Healthcare has given the organization the ability to link patient satisfaction with employee satisfaction.
  • Craneware introduces enhancements to its Chargemaster Toolkit software.
  • Hayes Management Consulting discusses common areas to consider for increased EHR efficiency.
  • GetWellNetwork integrates its Interactive Patient Care solution with Rauland Responder nurse call system to improve nursing workflow and communication.
  • Capsule posts a white paper that discusses medical device connectivity that is vendor-neutral, open architecture, and device-specific.
  • SRSsoft completes the first phase of certification for the 2014 Edition of the SRS EHR.
  • HIStalk sponsors AT&T and Ping Identity are included on Computerworld’s “100 Best Places to Work in IT 2013.”
  • MedAssets introduces its Procure-to-Pay Solutions suite, which is designed to enhance the management and oversight of contract compliance, standardization, and pricing accuracy.
  • Beacon Partners hosts a four-part Webinar on getting the maximum value from HIT systems beginning with a June 21 discussion on optimizing systems to improve workflow around patient access.
  • T-System posts a video highlighting its RevCycle+ solutions for physician.

Contacts

Mr. H, Inga, Dr. Jayne, Dr. Gregg, Lt. Dan, Dr. Travis.

More news: HIStalk Practice, HIStalk Connect.

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June 18, 2013 News 4 Comments

Morning Headlines 6/14/13

June 13, 2013 Headlines 1 Comment

Lucile Packard Children’s Hospital notifying 12,900 after laptop stolen from secured badge-access area

Lucile Packard Children’s Hospital at Stanford is reporting a stolen laptop with unencrypted personal health information affecting nearly 13,000 patients. This is Stanford’s fifth data breach since 2010. In 2011, Stanford was sued over a data breach in a suit that sought $20 million in damages. In 2010, they were fined $250,000 for failing to report a breach.

‘Jeopardy’-winning supercomputer helping Maine doctors in cancer research

IBM’s Watson supercomputer has completed its installation at The Maine Center for Cancer Medicine and is now helping doctors create individualized care plans for lung cancer patients. Watson is being beta tested while engineers continue to enhance its ability to interpret clinical information and weigh treatment options.

Indian Health Service sets ambitious plan to upgrade health record system

The Indian Health Service is spending $10 million upgrading its EHR system to one integrated platform. Indian Health Services EHR was the first federal agency to have its EHR certified for Meaningful Use and received more than $50 million in EHR incentive payments thus far. They are first focusing on integrating across their network, and then will tackle larger interoperability projects with the VA and CMS.

Sonora Regional Medical Center Embarking on Major Technology Upgrade

Calif-based Sonora Regional Medical Center, an Adventist Health System hospital, has been selected as the pilot site for Adventist’s system-wide Cerner implementation. Sonora will go live September 4th, with Adventist’s remaining 18 hospitals scheduled to go live by the summer of 2014.

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June 13, 2013 Headlines 1 Comment

Morning Headlines 6/12/13

June 11, 2013 Headlines 2 Comments

EHR Developer Code of Conduct

The HIMSS EHR Association, a trade group representing more than 40 EHR vendors, publishes its long-awaited EHR Developer Code of Conduct. The document focuses on truth in advertising principles, patient safety guidelines, data security standards, and a vendor agnostic commitment to interoperability.

Some companies pay executives extra to fly on their own private jets for vacation

Cerner is profiled in an investigative reporting piece on private jet usage by large corporations. Cerner spent $193,759 last year on flights leased through a company controlled by Cerner’s own vice chairman Clifford Illig.

ROI Calculator for Heart Failure Monitoring

The Center for Technology and Aging and the Partners Healthcare Center for Connected Health have developed a return on investment calculator to help health care organizations assess the intrinsic financial benefits of implementing remote patient monitoring technologies.

Sutter Health patient information turns up in drug bust

A recent drug bust in Alameda County, CA turned up more than sheriffs were expecting as officers found the personal health information of about 4,500 patients from Sutter Health.

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June 11, 2013 Headlines 2 Comments

News 6/12/13

June 11, 2013 News 12 Comments

Top News

6-11-2013 11-33-45 PM

The HIMSS EHR Association announces the EHR Developer Code of Conduct, which is available for companies that develop complete EHRs. Principles include (a) communicating product information accurately; (b) designing products with patient safety in mind; (c) participating in a Patient Safety Organization for reporting and reviewing patient safety problems; (d) sharing product-related best practices with customers; (e) notifying customers of software bugs that could impact patient safety; (f) excluding contract language that prohibits customers from speaking up about safety concerns; (g) supporting interoperability through use of standards; (h) giving customers their data if they switch vendors; and (i) documenting how the product handles coding and quality measurement. It’s nicely done, and while I’d rather see these items in my contract instead of in a voluntary set of principles issued by a trade association, I like the idea of laying them out publicly.


Reader Comments

inga_small From Nick Carraway: “Re: TeraRecon changes. Longtime president Robert Taylor is gone. CFO Lakshmi Lakshminarayan is serving as interim CEO.” We requested confirmation from TeraRecon and haven’t heard back. Lakshminarayan is listed as interim CEO on the company’s Website.

6-11-2013 7-47-46 AM

inga_small From Georgia Peach: “Marketing gimmick. I got a HFMA ANI postcard from an exhibitor in the mail that made me laugh out loud, especially because I’m a parent.” Now that’s a genius marketing promotion. Any parent who has felt the pressure to return from a trip with goodies for the kids will appreciate this giveaway, which includes two iPad minis so the winner can keep one for himself and give the other to a spouse or “favorite child.”

6-11-2013 11-36-58 PM

inga_small From Becky Badger: “In case it’s not on your radar, the Digital Health Conference is here in Madison this week and Judy Faulkner is a speaker this year. That’s notable because she rarely strays from the standard circuit.” Judy will participate in a panel discussion Wednesday morning on interoperability and information exchange. The other panelists are both Epic customers (Kaiser and St. Mary’s Hospital), so don’t be surprised if third-party EHRs fail to get much airtime in the interoperability discussion. Epic is also sponsoring the event.

From SNOMED Junkie: “Re: resignations. Both the CEO and chief technical architect of IHTSDO resigned today. That’s the non-profit that manages SNOMED content and distribution.” The announcements suggest that the Denmark-based organization made the change as part of a review of its long-term direction.

From Chas Incharge: “Re: McKesson Provider Technologies. They have lost market share but haven’t downsized marketing. Now it appears they want the marketing and sales team that oversaw the huge market share loss to do marketing for all technology business units. I’m a long-timer worried about my stock value. Harumph!” Unverified.

From Big Datty: “Re: Atlantic article. BKA in the EHR repeatedly, but the patient had both legs. Doesn’t anyone examine the patient any more?”The Drawbacks of Data-Driven Medicine” mentions an intern presenting a patient on rounds as having a below-the-knee amputation that had been noted on three previous discharge summaries. When the rounding team actually looked at the patient instead of the computer screen, both legs were intact. The incorrect information had been caused by speech recognition, which misunderstand DKA (diabetic ketoacidosis) as BKA (below the knee amputation) and nobody noticed.


Acquisitions, Funding, Business, and Stock

Great Point Partners makes a $10 million growth recapitalization investment in iVantage Health Analytics, a provider of healthcare informatics and business analytics solutions.

6-11-2013 8-08-02 AM

Parallon Business Solutions, a provider of business and operational services for the healthcare industry, will acquire The Outsource Group, a healthcare RCM company.

6-11-2013 7-18-19 PM

Ivo Nelson (IBM/Healthlink, Encore Health Resources) launches Next Wave Health, which will provide management advice, operational support, and capital to healthcare IT startups. Working with him will be Mike Davis, formerly of HIMSS Analytics and The Advisory Board Company.


Sales

Centra Health (VA) selects HealthMEDX Vision and the Exchange platform to manage post-acute patient care and facilitate patient data exchange.

6-11-2013 11-39-47 PM

Methodist Le Bonheur Healthcare (TN) will deploy McKesson’s enterprise medical imaging products.

Horizon Health Center (NJ) expands its relationship with eClinicalWorks to include its  Care Coordination Medical Record.

Piedmont Eye Center (VA) selects SRS EHR.

The Veterans Benefit Administration awards Harris Corp. a four-year, $37 million contract to provide technical services for the agency’s enterprise data warehouse.

Partners HealthCare (MA) will implement the Health Catalyst Late-Binding Data Warehouse across its two academic medical centers and community and specialty hospitals. Partners and Health Catalyst will also co-develop new clinical applications for the warehouse platform.

6-11-2013 11-40-40 PM

Hospital for Special Surgery (NY) contracts with SCI Solutions for its rules-based referral management system.

CAQH selects Passport Health to develop a national COB solution to improve the sharing of patient coverage data between healthcare providers and payers.


People

6-11-2013 7-16-48 PM

iSALUS Healthcare promotes Kimberly Poland to VP of client engagement.

6-11-2013 12-34-46 PM

Delta Health Technologies hires Lorraine Lodigiani (MedAct Software) as VP of marketing.

6-11-2013 12-54-32 PM

Zachary Landman, MD (Massachusetts General Hospital) joins DoctorBase as CMO.

6-11-2013 1-06-04 PM

Intellect Resources names Susan Williams (High Point University) VP of recruiting services.

6-11-2013 1-42-48 PM  6-11-2013 1-41-27 PM

Shareable Ink will on Wednesday name former Allscripts Chief Customer Officer Laurie McGraw as CEO, taking over for company co-founder Stephen Hau, who will transition to CTO.


Announcements and Implementations

VitalWare and Panacea Healthcare Solutions will co-market their CDM and pricing systems.

King’s Ridge Christian School (GA) becomes the first student health clinic to implement simplifyMD’s EHR software.

6-11-2013 10-22-21 PM

Yale New Haven Saint Raphael Campus and 63 practices and clinics went live on Epic on June 1, which followed the February 1 go-live of Yale New Haven Health System and the Yale School of Medicine, Epic’s third-largest go-live ever. CIO Daniel Barchi credits the Epic teams of the hospital and medical school and the clinician preparation at YNHHS Saint Raphael Campus for the smooth transition. The two remaining go-lives are Bridgeport Hospital and Yale Health, with the $293 million project targeted to finish ahead of schedule and under budget.

Urgent care provider CareSpot implements the PatientPoint Care Coordination Platform, including PatientPoint electronic check-in tablets, in 40 locations.

6-11-2013 11-11-19 PM

LifeNexus announces iChip, an insurance card chip that retrieves a patient’s personal health record.

6-11-2013 11-45-30 PM

San Joaquin General Hospital (CA) implements the Logical Ink mobile data capture solution from Bottomline Technologies to automate patient registration and identify trends in population health.

Het Oogziekenhuis Rotterdam (Netherlands) goes live with iMDsoft’s MetaVision in its OR, holding unit, and PACU.

AirStrip’s applications earn DIACAP certification from the US Air Force, indicating that their use of authentication and encryption meets Department of Defense security requirements.

Lake of the Woods Hospital (Ontario) goes live on Meditech.

GE Healthcare will invest $2 billion over the next five years to develop software for hospital operations, clinical effectiveness, and care optimization.

Salem Community Hospital (OH) implements the PatientSecure biometric patient ID system.

HIMSS will release a healthcare IT value model on July 15 that will incorporate user satisfaction, care delivery, user education, prevention, and financial return.


Government and Politics

The Justice Department and Securities and Exchange Commission, investigating a suspicious surge in insurance company stock prices, find that hundreds of HHS employees had early knowledge of an impending Medicare change and could have tipped off investors.


Innovation and Research

6-11-2013 11-46-43 PM

The Boston newspaper covers startups working on healthcare application for Google Glass, including an app for hospital rapid response teams and another for patients and families.


Technology

6-11-2013 3-02-19 PM

Verizon launches the Blackerry Q10, which it claims is tailored for the healthcare market. It will use the BlackBerry Enterprise Service 10 Regulated Service to help providers remain HIPAA compliant.


Other

6-11-2013 11-50-36 PM

Six of the eight women allegedly sexually assaulted by former Epic project manager Brian Stowe are identified as his Epic co-workers, according to the criminal complaint. He’s accused of drugging them and filming the assaults. He was charged with 62 counts of felony and posted $500,000 in bail within 90 minutes of his May 31 arrest, but was re-arrested Monday on federal charges of sexual exploitation of a child. He has lost his job with Epic.

An Alameda County (CA) drug bust uncovers drugs along with personal information on about 4,500 Sutter Health patients. Officials are unclear about how the information got there, but say the data may contain patient demographics, including financial details and Social Security numbers.

Cerner paid $193,759 last year to a company controlled by its vice chairman Clifford Illig for use of its aircraft, also paying $184,579 to a second company owned by an Illig-controlled trust for fuel. Meanwhile, CEO Neal Patterson’s employment agreement promises him up to $110,000 for personal flights on aircraft that Cerner owns or leases and cash for any unused portion.

Weird News Andy says, “Soy vey!” A case study in NEJM describes a 19-year-old who drank a quart of soy sauce on a dare, leading to a hypernatremia-induced coma that lasted three days.


Sponsor Updates

6-11-2013 10-59-18 AM

  • ICA donates $6,000 to Pryor Ministry Center in the name of Lisa Lyon, clinical informatics coordinator at Cherokee Nation and recipient of ICA’s HIMSS13 booth giveaway. ICA partners HealthCare Anytime and CSC also contributed to the donation.
  • Ping Identity announces PingFederate7, an upgrade to its identity bridge software and cloud identity management platform that provides standards-based user provisioning, authentication, and authorization with support for cross-domain identity management and OpenID Connect identity standards.
  • Midas+ names 24 hospital customers as winners of its Midas+ Platinum Award based on a data analysis of utilization efficiency and outcomes.
  • PatientKeeper offers a June 27 Webinar on voluntary physician adoption of CPOE featuring the IS director and chief hospitalist of Community Memorial Health System (CA.)
  • VitalWare introduces VitalSigns, a claims auditing and ICD-10 financial risk assessment tool.
  • Ingenious Med reports that clients using its PQRS registry had a 100 percent reimbursement rate in 2012.
  • Medicity publishes a white paper on engaging patients within an ACO.
  • TELUS Health Solutions releases a white paper on the value of using and approaches for implementing home health monitoring solutions.
  • Frank Grella, director of patient financial services for T-System customer Conway Medical Center (SC), will discuss how his organization increased collections using a specialized ED billing solution during next week’s HMFA13 conference in Orlando.
  • Direct Consulting Associates interviews Michael Elley, CIO/VP of support services for Cox Medical Center (MO), who shares his thoughts on HIT leadership and management challenges.
  • iMDsoft and Anesthesia Business Consultants (ABC) partner to offer iMDsoft’s mobile solution for electronic documentation with ABC’s F1RSTUse EHR platform.
  • The Philadelphia newspaper interviews InstaMed Founder, President, and CEO Bill Marvin, who shares details of his company’s business model and history.
  • Park Place International joins the Citrix Solution Advisor program, allowing the company to offer Meditech-approved Citrix solutions to hospitals for three-tier connectivity.
  • SIS offers suggestions on choosing the right mobile device for OR use.

Contacts

Mr. H, Inga, Dr. Jayne, Dr. Gregg, Lt. Dan, Dr. Travis.

More news: HIStalk Practice, HIStalk Connect.

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June 11, 2013 News 12 Comments

Monday Morning Update 6/10/13

June 9, 2013 News 7 Comments

From CIO Reader: “Re: Webinars. I am thrilled you have put this type of process in place. I need to attend many of these Webinars to stay abreast of industry trends, yet many of them are sales pitches or poorly presented. Nothing is worse than having the presenter read slide after slide. A topic I’d like to see covered see is data governance, with real-life examples from hospitals that have developed a structure.” If you are a CIO who has implemented an effective data governance program, why not present your experience as an HIStalk Webinar? It’s just as gratifying as speaking at a conference without the logistical headaches and it makes a nice resume addition besides. Contact me if you are interested.

6-8-2013 6-51-05 AM

The vast majority of poll respondents, 82 percent, would avoid using a hospital whose clinicians are complaining publicly that its clinical systems are compromising patient safety. New poll to your right: should an EHR vendor be allowed to sell a patient’s de-identified data without their permission?

We’re doing an expansion of IT pay bands/job descriptions at my hospital, which caused me to recall how many times I’ve overseen that process at other hospitals I’ve worked in. The cycle involves: (a) deciding that IT has way too many job descriptions that don’t make sense and it would be better to collapse them into generic pay bands such as Analyst I/II/III; (b) everybody gets slotted with a lot of complaints, and the smart employees realize that the lower the band the better since their salary won’t decrease but they have more opportunity to move up; (c) the good IT people start leaving for greener pastures because there’s not much future upside if you’re already at the top of the grade with nowhere to go except into soul-sucking IT management, causing (d) HR and IT to agree that more job descriptions and pay flexibility would be just the ticket and it’s time to add a bunch of new job descriptions. This entire cycle gets repeated every 4-5 years, providing the illusion of effectiveness to IT and HR management.

6-8-2013 7-30-03 AM

Welcome to new HIStalk Gold Sponsor Alere Accountable Care Solutions. The company was formed in January 2013, made possible by Alere’s 2011 acquisition of Wellogic and integrating Alere’s offerings to help ACOs and provider groups improve outcomes and reduce costs. It offers interoperable HIE and EHR solutions developed with an emphasis on the physician-patient connection, physician usability, and innovation. Specific products include an HIE platform, EHR, PHR, connected biometric and diagnostic devices, decision support, real-time analytics, population analytics, wellness and health coaching, and evidence-based care management. Recently announced customers include Virtua, Triad HealthCare, and the MedVirginia HIE. Thanks to Alere Accountable Care Solutions for supporting HIStalk.

6-8-2013 7-46-25 AM

Supporting HIStalk at the Platinum level is Vital Images, part of Toshiba Medical Systems, which offers next-generation advanced visualization software that’s #1 ranked by KLAS and used by 5,000 customers in 83 countries. The software enables visualization and analysis by radiologists, cardiologists, and oncologists of 2D, 3D, and 4D images using CT and MR scan data. Its vendor-neutral Vitrea Enterprise Suite allows enterprise-wide sharing of images and functionality, providing consistent user interfaces and tools that that improve adoption and reduce support requests. The VitreaView universal viewer gives physicians fast access to DICOM and non-DICOM images from any archive via a zero-footprint browser or tablet, while VitreaAdvanced offers a wide range of best-in-class clinical applications such as stent planning, colon analysis, EP planning, and liver analysis. Check out their on-demand Webinar that explains how to image-enable the EMR using a universal viewer. Thanks to Vital Images for supporting my work.

6-8-2013 8-06-02 AM

Analysis of March-April MU attestation data by Wells Fargo Securities finds that Cerner has pulled slightly ahead of Epic in the percentage of clients achieving MU while McKesson has improved a lot. Meditech still leads the overall attestation count, while Epic is so far ahead in physician attestations that the analysis concludes, “… no vendor looks above average other than Epic.”

A newspaper editorial written by the manager of a North Carolina solo medical practice says the practice’s EMR implementation hurt its efficiency without improving patient safety. It also calls out state programs that chose the mothballed Allscripts MyWay as their foundation, the big financial losses experienced by Wake Forest Baptist Medical Center and Cone Health during their Epic implementations, and the failure of the state’s $484 million Medicaid system. She says that implementation of ICD-10 “would be the tsunami that derails our healthcare system.” Obviously she isn’t a fan of healthcare IT.

Here’s a video on the Blue Button Design Challenge from Health Datapalooza IV.

6-8-2013 8-28-13 AM

I take a mild blood pressure med that my doctor says I don’t really need but he likes me on it anyway. There was some screw-up with Express Scripts, so I decided to refill my 30-day supply at Walgreens. I thought I’d give their iPhone app a try and it was amazing. It located the pharmacy since it was nearest to me, then had me scan the prescription label’s barcode using the phone’s camera. A message said when it would be ready for pickup and I was done. You could literally request a refill in 10 seconds. The app also provides pill reminders, prescription transfer by taking a picture of another pharmacy’s label, loyalty card points tracking, the aisle layout of the store, and online shopping and weekly ads. I’m impressed. It makes “find our nearest hospital” apps seem pretty lame in comparison.

6-9-2013 11-42-13 AM

Perhaps ONC will learn the how hard it is to design usable software by introducing its “Health IT State Summaries” widget. States are arbitrarily divided into geographic regions that each have their own dropdown with resulting wasted space, words are misspelled (“state’s,” “South Caronlina”), and it’s an awfully big widget to embed on a website.

6-9-2013 1-09-46 PM

Researchers at the Parkland Center for Clinical Innovation, part of Parkland Memorial Hospital (TX), get a write-up in the Dallas paper for their work in developing a model called PIECES that analyzes EMR data to flag patients at risk for cardiac arrest. A randomized controlled study of the software’s effectiveness will start later in the summer. The Center has 35 employees and a $6.7 million annual budget. PIECES use information that includes monitoring data, lab results, MEWS, unit assignment, and orders to predict clinical deterioration 16 hours in advance on average. The original article in BMC Medical Informatics and Decision Making, published in February 2013, is here.

6-9-2013 12-19-37 PM

Hello Doctor introduces an iPad app that allows patients with complex medical conditions to organize their medical records for conversations with their physicians. 

New York City’s 911 operators are forced to use handwritten notes delivered by runners when the city’s new $88 million emergency dispatch system goes down for several minutes on at least three occasions.

A patient at the Bronx (NY) VA hospital dies when a gamma camera collapses on him during a radiology procedure.

Sue Fischer, a nurse who works in the Cerner practice of Encore Health Resources, recently saved the life of a man who had gone down in cardiac arrest in a Phoenix airport jetway by giving him CPR.

6-8-2013 7-21-05 AM

John Alexander (Optimum Healthcare IT) joins ESD as Epic practice director.

6-8-2013 8-01-31 AM

Glenn Cole (The Ghafari Companies) joins Nordic Consulting as CFO.

An Ohio medical practice’s letter to the editor of the local newspaper requests the understanding of patients as it transitions to an EMR, saying, “For the most part we are not computer savvy so this has been a real challenge. While we struggle with this change we are just not able to see the number of patients we had previously.”

Vince Ciotti has been a longstanding critic of what he sees as Epic’s cult of Kool-Aid drinkers, so did a personal audience with Judy Faulkner change his tune? Find out in this week’s HIS-tory.


Sponsor Updates

  • HCA will present its experience implementing identity and access management solutions in a Monday, June 17 Webinar sponsored by Caradigm.

Contacts

Mr. H, Inga, Dr. Jayne, Dr. Gregg, Lt. Dan, Dr. Travis.

More news: HIStalk Practice, HIStalk Connect.

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June 9, 2013 News 7 Comments

News 6/7/13

June 6, 2013 News 14 Comments

Top News

6-6-2013 10-40-50 PM

The former chief information security officer of the VA says the department’s networks and databases were hacked by at least eight foreign governments, including Russia and China. Jerry Davis, who was CISO from 2010 until February 2013, testified that the VA didn’t encrypt databases containing patient information, employed weak user authentication, and failed to address a backlog of 13,000 security-related corrective actions. A VA auditor says her group has identified 4,000 current security vulnerabilities, and when asked who was responsible, she blamed recently resigned former VA CIO Roger Baker.


Reader Comments

6-6-2013 7-58-13 PM

From Digital Bean Counter: “Re: Robert Wood Johnson / CMS data article on LinkedIn. I added a comment stating why I thought the CMS study is misleading and referenced Data Nerd’s recent Reader’s Write post on HIStalk. My comment was deleted. How are we to have a transparent industry if the organizations we work with are not willing to be transparent themselves?” RWJF issued a challenge for developing an app that would somehow make the useless CMS information valuable, to which I would issue a challenge of my own: explain exactly what a consumer would do with this information to save the healthcare system money.

6-6-2013 10-31-19 PM

From Another Epic Go-Live: ”Re: Plains Regional Medical Center, Clovis, NM. On June 1, the 106-bed hospital became the first of Presbyterian Healthcare Services’ (NM) eight hospitals to go live with Epic. The rest will be rolled out over the next year.”

From Sad Day in Madison: “Re: accused predator. Many are shaken since he is one of the ‘fast crowd’ of young Madison professionals who fly out every week, make a lot of money, and hit the bars on the weekend.” Brian Stowe, a 28-year-old Epic project manager, is charged with sexual assault after prosecutors say he drugged at least nine women and filmed himself with them. Police recovered videos and pictures as evidence. They also retrieved the Epic-issued laptop that was visible in them with the help of Epic’s HR people. The court commissioner set bail at $500,000 because Stowe has wealthy parents and access to savings from his job.

6-6-2013 9-25-26 PM 6-6-2013 9-26-19 PM

From Small World: “Re: Duncan James (above left) replacing Vern Davenport (above right) at MModal. Isn’t this the second time? Vern was CEO of Misys Healthcare when they owned what is now QCPR.” QuadraMed acquired Misys CPR in the fall of 2007, but Vern stayed with Misys until a few months later when Misys and Allscripts merged. He stayed with Allscripts for almost three years, then went to Quintiles for a short stay, and then to Medquist, which eventually acquired MModal.

6-6-2013 4-01-04 PM

inga_small From Ed Marx: “Re: European shoes. Saw these shoes and thought of you.” Ed is touring Europe and has been kind enough to send me a few photos to satisfy my shoe obsession. Always good to have options for next year’s HIStalkapalooza!


HIStalk Announcements and Requests

inga_small Some of this week’s highlights from HIStalk Practice include: eClinicalWorks, Allscripts, and NextGen are the dominant EHR providers for freestanding practices while Epic, Allscripts, and Cerner dominate hospital-owned practices, according to a HIMSS Analytics/CapSite report. CIMRO, the REC for Nebraska, sells off its HIT consulting division, ensuring the continuation of the consultant practice after CIMRO’s grant funding runs out. Athenahealth extends a guarantee that it will waive customer service fees if not ready for the ICD-10 transition by the October 2014 deadline. Children are more likely to be fully vaccinated for influenza when a popup alert is added to the EMR. A nasty storm could be brewing in Massachusetts as officials determine how to interpret and implement a state law requiring the meaningful use of EHR in order to obtain licensure. iPads and iPhones are physicians’ favorite devices for interacting with EHRs and staff. Dr. Gregg offers some clever humor for those rough HIT days. Join the fun and sign up for the e-mail updates when you checking out these stories. Thanks for reading.

6-6-2013 7-16-27 PM

Welcome to new HIStalk Gold Sponsor CliniComp. The company’s Essentris EMR suite lineup includes solutions for CPOE, critical care, perinatal and fetal, ED, acute care, data repository, and real-time clinical surveillance. CliniComp takes full contractual responsibility for their systems, eliminating the need for IT resources for configuration, testing, training, and servicing and allowing customers to focus on patient care. It’s a provider of EMRs for the Department of Defense. Thanks to ClinicComp for supporting HIStalk.

Here’s a CliniComp video on the Essentris clinical workflow suite.

On the Job Board: Senior Product Manager, Compliance Program Manager, Systems Implementation Engineer, Dental Imaging Specialist. HIStalk sponsors get free job postings.

6-6-2013 7-35-40 PM

The new Webinar program is going gangbusters with a bunch of them upcoming. I recruit at least two experts to review a recorded practice session with me, and the Webinar doesn’t get the green light until we think it’s of suitable quality for the HIStalk audience. If you are a provider executive willing to help me as an occasional reviewer, let me know. It takes about an hour to watch the video and jot down your recommendations, and you can do it whenever it’s convenient. I’ll send you a nice Amazon gift certificate for your time. I can use IT executives (CIOs and IT directors) and CMIOs or other informatics clinicians. My most pressing need is for a couple of HIM and clinical documentation improvement experts for the next scheduled Webinar.


Acquisitions, Funding, Business, and Stock

6-6-2013 10-33-56 PM

Endo Health Solutions says it will consider options for its HealthTronics urology business, will eliminate 15 percent of positions, and reduce annual spending by $325 million. The company reduced earnings estimates by two-thirds.

Ascension Health Ventures makes a strategic investment in GetWellNework.

Xerox acquires Tallahassee, FL-based LearnSomething, whose employee e-learning solutions are used by 85 percent of US retail pharmacy chains to educate staff about new products.


Sales

Dignity Health, Legacy Health, and Catholic Health Initiatives will use Blackbaud CRM for fundraising.

6-6-2013 10-36-36 PM

Thomas Jefferson University Hospitals (PA) selects ICD-10 Intelligence and Compliance and Revenue and Integrity solutions from MedAnalytics.

Neosho Memorial Regional Medical Center (KS) chooses Access to provide bar-coded wristbands and face sheets.

AMEOS Group will implement Cerner Millennium and Lighthouse at two of its German facilities.


People

6-6-2013 6-45-30 PM

QPID hires Janine Powell (Encore Health Resources) as VP of client services.

6-6-2013 6-46-11 PM

PatientsLikeMe names Marcia Nizzari (Good Start Genetics) VP of engineering.

6-6-2013 6-47-08 PM

Passport Health Chairman Jim Lackey joins NextGxDx’s board.

6-6-2013 6-47-40 PM

iHT2 CEO Waco Hoover is selected to co-chair the 2013 WEDI Report Initiative.

6-6-2013 8-20-07 PM 6-6-2013 8-20-40 PM 6-6-2013 8-21-14 PM

J. C. Lundquist, Jeff Nestor, and Linda Jackson join Lucca Consulting Group as regional VPs.


Announcements and Implementations

HealtheConnections, the RHIO for Central New York, goes live on eHealth Connect Image Exchange integrated with its Mirth HIE platform.

6-6-2013 10-38-10 PM

Cleveland Clinic announces that it will give patients access to physician notes, pathology reports, and health issues via its Epic MyChart patient portal.

The State of Georgia launches the first phase of GeorgiaDirect, a secure e-mail system based on the Medicity platform.

HealthBridge and the Ohio Information Partnership, which manages the CliniSync HIE, launch connectivity using Direct.

6-6-2013 8-16-19 PM

GE Healthcare kicks off its Centricity Imaging IT Tour 2013 with stops this week in Texas. The 60-hospital road show runs through early October.


Innovation and Research

More than 70 medical, research, and advocacy groups in 41 countries will create a research database of their genetic and clinical data. Among them are NIH, Dana-Farber, Harvard, MIT, Johns Hopkins, and Stanford. The organizations will develop ways to standardize the data and to implement privacy controls that respect patient choice.


Technology

6-6-2013 10-05-14 PM

Miami Children’s Hospital (FL) rolls out the Fit4Kids Care iPhone app that provides indoor campus way-finding, wait times, a physician directory, and the ability to purchase gift shop items and order room service.

6-6-2013 10-12-54 PM

All Facebook employees will by the end of 2013 use hGraph, an open source visual representation of health status. It can use EHR information to create many of its views.


Other

Seattle Children’s Hospital reports that queries that took five minutes to run now finish in under four seconds after moving to IBM Big Data technology.

6-6-2013 3-44-34 PM

Greenway Medical Technologies opens its new corporate headquarters in Carrollton, GA.

6-6-2013 3-52-55 PM

Athenahealth scores highest in ambulatory EMR usability according to a new KLAS report. Success in achieving high usability in different EHRs ranged from 55 percent (McKesson) to 85 percent (athenahealth).

States are selling de-identified patient hospitalization information, but privacy expert Latanya Sweeney says the de-identification method isn’t hard to crack when you match the information against other databases. She paid $50 for records and was able to connect them to newspaper stories about accidents and crimes, thereby re-identifying the detailed medical records of 35 patients. An executive of a hospital performance data company says his employer immediately removes the ZIP codes provided by the states, saying they provide an easy link to other databases such that, “You might as well have the patient’s electronic medical record number.”

A Forbes opinion piece says electronic medical records are making doctors unhappy, saying (a) they turn doctors into box-checkers; (b) 75 percent of their capability does nothing except meet government mandates; (c) there’s no proof that government-mandated data collection improves care; and (d) conversion to ICD-10 will be expensive and will benefit mostly data miners.

The HIMSS EHR Association will announce creation of an EHR Developer Code of Conduct next week in Washington, DC.

The three doctors in Canada whose former employer refused to provide them with electronic copies of their patient files will get the information after all. Midway Walk-In Healthcare Centre followed the legal guidelines in sending paper medical records for a $35 fee, but pointed out that the law doesn’t require it to provide copies of electronic records even though a significant amount of  patient information is stored only in electronic form. The Ministry of Health intervened, convincing the owner of the walk-in clinic to obtain an electronic copy of the information from the clinic’s EMR vendor and send it to the departed doctors within 24 hours. The College of Physicians and Surgeons of Saskatchewan couldn’t help negotiate because the owner of the walk-in clinic isn’t a doctor.

Weird News Andy observes that migraines suck, but so does the cure. A writer in England says her migraine headaches were cured by hirudotherapy, applying leeches to her skin to remove blood.


Sponsor Updates

6-6-2013 2-07-45 PM

  • Billian’s HealthDATA and Porter Research employees participated in the Women in Healthcare Luncheon sponsored by the Georgia Association of Healthcare Executives.
  • Caradigm announces that one million caregivers are now users of its Identity and Access Management solutions.
  • Emdeon will present a series of educational sessions during AHIP Institute 2013.
  • HIMSS Analytics publishes the 5th annual US Ambulatory Electronic Health Record and Practice Management Study (previously published by HIMSS acquisition CapSite) which includes information on HIStalk sponsors ADP AdvancedMD, Aprima, eClinicalWorks e-MDs, GE, Greenway, McKesson, MedPlus MED3OOO, NextGen, OptumInsight, and Vitera.
  • Research and advisory firm Aite Group names PatientPay as the only new online bill pay provider working through PM software for maximum workflow efficiency. 
  • eHealth Technologies enhances its eHealthViewer ZF viewer to include real-time medical imaging collaboration and interaction.
  • T-System offers tips for earning optimal reimbursement for observation status.
  • Financial Post profiles TELUS Health, which has grown to be Canada’s largest EMR provider.
  • CCHIT certifies NextGen Electronic Dental Record version 4.3 with ONC 2014 Edition criteria as a Complete EHR.
  • Orion Health will participate in next month’s HIC 2013, Australia’s longest-running and largest HIT event.
  • Informatica introduces Vibe, an embeddable virtual data machine that provides a single simple virtualized data infrastructure.
  • Allscripts and its recent acquisition dbMotion host over 200 attendees at its dbU population health forum, which included a discussion of how Allscripts is driving care coordination, population health management, and consumer engagement. 
  • Frost & Sullivan recognizes Acuo Technologies with the 2012 North American Award for Market Share Leadership for its vendor-neutral archiving and enterprise imaging technologies. 

EPtalk by Dr. Jayne

Despite our voluminous coverage of Meaningful Use, CMS, and the ONC, HIStalk isn’t just about the US healthcare scene. Reports from across the pond note that an air ambulance had to abort its landing because off-duty “junior doctors” were hosting a BBQ near their lodging, which is close to the pad. For those of you who wonder where Oban is, it’s not far from Loch Lomond in Scotland.

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Three physician Senators (Tom Coburn, John Barrasso, and Rand Paul) join Senator John Boozman in trying to block the implementation of ICD-10. The Cutting Costly Codes Act was introduced in the House in April. In addition to halting ICD-10, it calls for a study on preventing disruption during the migration from ICD-9.

The Senate has been busy in other ways, with Chuck Grassley and Ron Wyden calling for increased transparency in Medicare claims data. They plan to reintroduce the Medicare Data Access for Transparency and Accountability Act. The aptly acronym-bearing Medicare DATA Act as initially introduced  would create a publicly searchable Medicare payment database as well as ensuring that data on payments to physicians do not fall under an exemption for Freedom of Information Act requests.

Since I’ve apparently got a DC vibe going on this week, I’m interested to see what readers think about the Safeguarding America’s Pharmaceuticals Act. It’s aimed at creating a national system to make it easier to trace drugs from synthesis to market, which in theory should help fight drug counterfeiting. I’m counting on all of you because my knowledge of pharmacy IT systems is limited to calling retail chains in my area to see when they will be ready to accept electronic prescriptions for controlled substances and asking them not to send multiple refill requests before adequate time has elapsed for a physician response. What vendors do you think would jump into this space?

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Here’s your opportunity to test your EHR’s ability to generate drug recall reports and your staff’s skill at documenting over-the-counter and herbal remedies. After years of us thinking Ginkgo Biloba was good to support memory, the National Institutes of Health releases a study indicating it might actually be a carcinogen.

One of my staff shared this piece about medical directors who search social media looking for “worrisome” issues during the hiring process. The article coaches would-be Facebook stalkers on what is appropriate to consider when determining if candidates match the office culture. It also reminds readers to steer clear of information that doesn’t belong in the hiring process including race and ethnicity, disability, religion, and pregnancy. It recommends considering using a third-party screening firm that is familiar with appropriate state laws.

I talked earlier this week about smart phones making us dumber. A regular reader sent me the link to this Northwestern University study on parenting on the digital age. Nearly 40 percent of families fell into the heaviest media use category with 11 hours of screen media per day. A New York Times blog notes that this time may have been double counted with parents using multiple screens, such using a computer while watching TV.

Researchers were surprised that parents were introducing their children to technology rather than simply responding to requests. Based on the behavior I see at the hospital (where the iPhone is the most popular childcare provider, at least in the ER) I’m not that surprised. There are ways to distract a hurt child that don’t involve Angry Birds. How about a book? Or telling them a story? I know my dad reads HIStalk regularly, so here’s a shout-out in thanks for all those retellings of Herkimer the Helicopter.


Contacts

Mr. H, Inga, Dr. Jayne, Dr. Gregg, Lt. Dan, Dr. Travis.

More news: HIStalk Practice, HIStalk Connect.

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June 6, 2013 News 14 Comments

News 6/5/13

June 4, 2013 News 3 Comments

Top News

6-4-2013 11-24-49 PM

inga_small Constellation Software acquires QuadraMed through its subsidiary, N. Harris Computer Corporation. According to Constellation, the purchase of QuadraMed “provides Harris with a platform to support its entry in the US healthcare information technology market.” Financial terms were not disclosed, though Francisco Partners has to be pleased to divest QuadraMed from its portfolio given QuadraMed’s fairly tired product line. FP sold off the company’s most valuable asset, the Quantim HIM product division, to Nuance in September 2012. We ran a reader rumor Sunday (in the Monday Morning Update) that something was going on with QuadraMed courtesy of Misys-Ex, who reported that managers were clearing out their offices and employees would be told how long they had left to work for the company. Meanwhile, President and CEO Duncan W. James leaves QuadraMed to serve as CEO of MModal.


Reader Comments

6-4-2013 11-23-21 PM

inga_small From Ritchie Valens: “Re:MModal. Shakeup at the top. One Equity Partners is calling the shots now that they are private. They are bringing in their own people since the company has been losing money.” MModal names Duncan W. James, former president and CEO of QuadraMed, as its new CEO, replacing Vern Davenport. The company also promotes David Woodworth from VP of finance to COO, replacing Amy Amick, and names Graham King (McKesson/HBOC) as chairman of the board. The official press release says Davenport and Amick have “chosen” to leave the company.

6-4-2013 7-56-50 PM

6-4-2013 7-56-06 PM

From GreenJoy: “Re: font.  I wonder if you can make the HIStalk font darker? As my eyes age, the font seems to blend into the gray background.” Here’s good way to make it more contrasty and also printable: click the “View/Print Text Only” link at the bottom of the post.

From FDASIA Attendee: “Re: FDASIA. On Friday morning after @farzad_onc gave his rousing inspiring presentation to the workgroup and us attendees, the Chair asked for exemplars of HIT situations from the workgroup. Notably Dr. Paul Tang of Palo Alto Health Foundation spoke of three incidents, the third being most interesting. He reported a death due to a double dosing of potassium ordered by a doctor via CPOE.  The point was that the CDS (decision support) failed to warn of the excess.”

From FindingSanity: “Re: CompuGroup. CompuGroup Medical AG removed its last US CEO, Henrik Cruger, in May. The new CEO, Norbert Fischer, has replaced him, but not publicly. This is the sixth CEO change in the five years since the German company opened up US operations. Layoffs and office closures preceded the changeover. Poor sales, poor product performance, and a never-ending trail of unhappy customers has been unfixed with each sudden regime change. Germany continues to struggle not only with the US healthcare market, but with understanding how to run an American company with American customers who all quit believing the company years ago.” Unverified.


Acquisitions, Funding, Business, and Stock

6-4-2013 11-26-05 PM

SimplifyMD raises $1.3 million of a planned $1.8 million round of funding.

6-4-2013 11-26-58 PM

Patient engagement platform vendor Seamless Medical Systems closes $2 million in early stage funding.


Sales

Baptist Memorial Health Care will implement Omnicell’s G4 Unity medication management solutions across its 14 affiliated hospitals.

MedCentral Health System (OH) selects Wolters Kluwer Health’s ProVation Order Sets.

6-4-2013 11-30-10 PM

Boone Memorial Hospital (WV) selects Medhost’s EDIS.

Practice management service provider MyHealthNetwork (GA) will use Valence Health’s population health management and clinical integration solutions to identify customized patient populations.

Twenty-five bed Memorial Medical Center (WI) selects CPSI as its EMR vendor of choice after finding that NextGen, according to the local newspaper, “was not equipped to meet MMC’s needs as a facility.”

6-4-2013 11-31-36 PM

Ocean Beach Hospital (WA) chooses Healthland Centriq EHR.

The University of Arizona Health Network selects Capsule’s medical device integration solutions for its ED, OR, and ICU.

The DoD awards Philips Healthcare Informatics an $88.5 million medical imaging contract.


People

6-4-2013 7-10-05 PM

Vocera Communications promotes Brent D. Lang from president/COO to president/CEO, replacing Robert Zollars, who will remain as executive chairman of the board.

6-4-2013 7-12-14 PM

Rick Gilfillan, MD, head of CMS’s Innovation Center, will leave his post at the end of June.

6-4-2013 7-59-45 PM

Jeffrey Ferranti, MD, MS is promoted to CIO/VP of medical informatics at Duke Medicine (NC).

6-4-2013 8-24-39 PM

Diane Adams (Allscripts) is named chief people officer of QlikTech.


Announcements and Implementations

Cerner names Abu Dhabi Health Services Company, King Faisal Specialist Hospital & Research Centre (Saudi Arabia), and the UAE Ministry of Health winners of its Cerner Achievement & Innovation Awards 2013, which recognize excellence in adopting HIT in the Middle East.

The SSI Group and ICA will combine EHR and claims data to give payers and clinicians insight into patient populations.

Covenant Medical Group (TX) implements PerfectServe’s secure clinical communication platform.

Australia’s NSW and Queensland Public Hospitals will begin implementing Cerner Millennium late 2013.

Sanford Bemidji (MN) goes live on Epic.

Wolters Kluwer Health releases a Controlled Substances File for its Medi-Span drug database solution to help providers, pharmacies, payers, and EHR vendors adhere to controlled substance prescribing and reporting requirements.

PatientCo will integrate Streamline Health’s business analytics solution into its patient financial engagement platform.


Government and Politics

inga_small HHS Secretary Kathleen Sebelius announces the release of hospital outpatient charge data and details about which  EHRs are being used by EPs for MU attestation, saying that, “a more data driven and transparent healthcare market can help consumers and their families make important decisions about their care.” If that’s the case, why doesn’t Big Data CMS address possible concerns about privacy and security and then release much, much more data from its vast stores?


Innovation and Research

6-4-2013 11-34-53 PM

The Robert Wood Johnson Foundation launches a developer competition that will award $120,000 in prizes for creating technology components that turn the recently released CMS hospital pricing data into “intuitive, actionable tools.” Developers who can do this will earn their prize given that the CMS information is close to worthless, even to those few consumers who are willing and able to try to make sense of bizarre hospital Medicare and Medicaid pricing practices (from that same CMS, ironically enough) that probably don’t pertain to them.

Healthcare crowdfunding site Health Tech Hatch runs a Blue Button CoDesign Challenge to accept idea submissions that complete the sentence, “Build me a Blue Button-enabled tool that …” and then letting the community vote (through June 11) for the developers that will be chosen to build Blue Button prototypes for judging in August. Above is National Coordinator Farzad Mostashari describing the contest from Health Datapalooza on Monday.

The White House proposes patent troll legislation that would require companies threatening patent lawsuits to disclose who actually owns the patent, to initiate protection of end users of technology that is the subject of a patent claim, and to review policies and increase education. A commissioned study finds that patent trolls file 62 percent of infringement lawsuits vs. 29 percent just two years ago. The study specifically quoted health IT examples, including (a) the difficulty in separating function vs. means of delivering the function in medical imaging software, and (b) a healthcare technology vendor that had to cease research on a particular technology while being sued by a patent troll, causing its sales to drop by a third.

An NIH-funded study at Partners HealthCare finds that EHR information can complement evidence-based clinical decision support by identifying physician “group intelligence,” with the example being a better way to identify ordering of excessive lab tests by looking at patient subpopulations and concurrent medical situations instead of just lab data alone.

6-4-2013 10-20-58 PM

Kaiser Permanente announces the launch of its first application programming interface, which will allow developers to build apps using a database of Kaiser’s hospital and medical office locations. Hopefully their experience will encourage them to eventually open up access to something more useful. Travis has already played with the API and has thoughts on HIStalk Connect.


Other

6-4-2013 11-38-02 PM

Palomar Medical Center blames declining reimbursements, state budget cuts, and sequestration for its decision to lay off 84 employees, or about two percent of its workforce, as of July 26. It opened a billion-dollar new hospital in August 2012.

Heritage Provider Network awards $500,000 to POWERDOT.HPN, whose team is leading in a challenge to create an algorithm that predicts how many days a patient will stay in the hospital.

6-4-2013 10-53-20 PM

Practice Fusion launches Insight, a real-time analytics service that sells the patient information stored in its free EHR database to drug companies, including “real-time data covering diagnoses, prescribing behaviors, patient demographics and more.”

6-4-2013 7-33-11 PM

inga_small The Annals of Internal Medicine publishes a report finding that less than 10 percent of physicians have EHRs that meet Meaningful Use criteria, leading the authors to remark that the results “should be of concern to policy makers.” What should be of concern to just about everyone reading the report (including the publisher) is that the findings are based on data collected from late 2011 to early 2012. Perhaps none of the Annals of Internal Medicine editors have noticed recent reports that more than 50 percent of EPs have demonstrated MU, and EHR adoption has grown dramatically in the last 18 months.

The Pennsylvania Patient Safety Authority finds that using a hybrid mix of paper and electronic records for clinical documentation, either during an EHR transition or as a workaround, causes errors, mostly because of faulty handoff processes.

6-4-2013 7-41-35 PM

Boston Children’s Hospital (MA) is piloting MyPassport, an iPad app that helps patients identify their caregivers and understand their care better.

Three doctors in Canada change practices only to find that their former employer refuses to provide the electronic medical records of their patients, offering only the partial information kept on paper. The law requires only that paper records be made available.

Weird News Andy wants to know whether it’s cider or balsamic. A cheap vinegar test, serving as a replacement for unaffordable Pap smears in India, reduced cervical cancer deaths by one-third in a study of 150,000 women living in India’s slums. Minimally trained locals simply swab the cervix with diluted vinegar and check for a color change that indicates the presence of abnormal cells. Despite the benefits, the challenges in India are substantial: most women give birth at home having never visited a physician, the culture doesn’t allow them to make decisions for themselves without the approval of a man, and one health worker was beaten by a local mob when women found they had to take their clothes off for the screening.

 


Sponsor Updates

  • HealthMEDX announces the general availability of a bi-directional pharmacy interface between its Vision product and Omnicare.
  • Crain’s Chicago Business names Impact Advisors and Allscripts to its list of the 50 fastest-growing public and private companies in the Chicago area based on five-year revenue growth.
  • Craneware showcases its Pharmacy ChargeLink technology at this week’s American Society for Health-System Pharmacists 2013 Summer Meeting and Exposition in Minneapolis.
  • Lifepoint Informatics will serve as a gold sponsor at next week’s MDx NEXT conference on molecular diagnostic testing and genomic medicine. Also at the MDx NEXT Conference: Halfpenny Technology will demonstrate its clinical data exchange solution for molecular laboratories.
  • Besler Consulting and TeleTracking Technologies are awarded “Peer Reviewed by HFMA” designation.
  • John Fangman, MD and Michael Barbouche of Forward Health Group spoke at HealthDatapalooza IV this week in Washington DC, presenting with the Aids Resource Center of Wisconsin on managing high-risk HIV/AIDS populations.
  • ZirMed will launch a new brand and demonstrate its RCM, clinical communications, and analytics solutions at the HMFA 2013 Annual Institute conference June 16-18 in Orlando.
  • Info-Tech Research Group recognizes CommVault as an industry “champion” in virtual backup software, e-mail archiving, and backup software for heterogeneous environments in its “Vendor Landscape” report.
  • The Advisory Board Company launches the National Population Health Symposium September 13 in Washington, DC to give provider thought leaders the opportunity to collaborate on managing risk and migrating to a population health delivery system.
  • MediGain and ADP AdvancedMD post a video of their co-hosted Webinar on helping physicians prepare for healthcare reform.
  • Billians HealthDATA adds the latest AHRQ data to its online hospital database line-up.
  • Alere Analytics launches its clinical surveillance solution for infection control and medication management.
  • CareTech Solutions will participate in this month’s Ohio Hospital Association Annual Meeting and the Michigan Association Annual Meeting.
  • Ryan Tracy, MD of Diablo Valley Pediatrics and his staff discuss how their use of ADP AdvancedMD EHR eliminated manual process inefficiencies.
  • Care Team Connect hosts a July 10 Webinar on preventing readmissions.
  • Versus client Western Maryland Health System is featured in a June 20 AHA webinar on staff safety.
  • Informatica kicks off its Informatica World 2013 user conference and will make keynote sessions available via live Webcast.
  • EMDs highlights its support of the University of Texas Health IT program.
  • Hayes Management Consulting expands its clinical and revenue cycle optimization service lines to include increased focus on measuring outcomes and outcome-driven operational improvement services.
  • In a June 20 Imprivata-sponsored Webinar, Larry Ponemon reviews the findings of Ponemon Institute’s study entitled, “The Economic & Productivity Impact of IT Security on Healthcare.”
  • Beacon Partners hosts a June 7 Webinar with executive consultant Cindy Friend discussing how the PCMH model supports ACOs.
  • Nuesoft looks at the need of specialists for customized EHRs.
  • The Huntzinger Management Group launches Huntzinger Staffing Solutions, which will HIT implementation resources.

Contacts

Mr. H, Inga, Dr. Jayne, Dr. Gregg, Lt. Dan, Dr. Travis.

More news: HIStalk Practice, HIStalk Connect.

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June 4, 2013 News 3 Comments

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