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News 2/27/13

February 26, 2013 News 2 Comments

Top News

2-26-2013 9-07-23 PM

Telus Health will acquire MD Practice Software, which will make Telus the largest EMR vendor in Canada. The deal is scheduled to close Monday.


Reader Comments

2-26-2013 7-26-23 PM

From Spell Checkeroff: “Re: HIPAA. The Miami Herald did something you don’t see often – spelled out the law’s name correctly, then derived an incorrect acronym!” I’ve noticed that as newspapers continue their slow swirl down the toilet, they keep losing their better people who might be able to actually investigate a story, proof read, or write editorials that express original thoughts. About all they’re good for now is sports scores, Hollywood gossip, and funny stories with zero news value. On the other hand, that’s about all their declining audience wants to read anyway.

From NoPhone: “Re: Booth etiquette. Last year you ran an article about HIMSS booth etiquette and we would love to share it with our sales team.” The Readers Write by Rosemarie Nelson offers tips for vendors on the trade show floor.

2-26-2013 7-20-48 PM

From Moe Money: “Re: PQRS submissions. See forwarded e-mail.” Above.


HIStalk Announcements and Requests

2-26-2013 6-28-53 PM

Welcome to new HIStalk Platinum Sponsor Ping Identity, also known as “The Identity Security Company.” Its identity and access management platform provides one-click access to any application from any device, with over 900 enterprise customers including 45 of the Fortune 100. The company’s health solutions make it easier to run cloud-based applications and to meet compliance requirements, offering single sign-on to improve user satisfaction. They also provide a seamless, secure platform for internal and external collaboration and customer engagement. Ping Identity’s solutions help protect PHI and allow users of federated applications to be quickly disabled in the event of a breach. A free trial of PingFederate is available for download. Pay them a visit at HIMSS Booth #2470 and tell them you read about them on HIStalk. Thanks to Ping Identity for supporting my work.

My YouTube hunt was successful, turning up this educational Ping Identity video on Identity Management 101. It’s a really good and easily understood overview.


HIMSS Conference and Social Events

inga_small I have been hunting for a HIMSS mobile app that includes the schedule and meeting rooms. Has anyone seen one?

inga_small If you signed up to attend HIStalkapalooza before registration closed on Monday, February 11 and did not receive an invitation by e-mail, drop me a note by Thursday and I’ll check your status. Otherwise, we are totally full even though Medicomp doubled capacity to 1,000 this year, which means we unfortunately can’t invite you even if you’re one of the folks who are pleading that your HIMSS experience might be a bust if you are unable to participate in the “Inga Loves My Shoes” contest, drink Hurricane IngaTinis and Typhoon Janes, and hobnob with the coolest folks in HIT.

2-26-2013 3-59-46 PM

inga_small For those who received HIStalkapalooza invitations, here is transportation information:

  • The good folks at Medicomp have put together a pocket-sized card with transportation details. You can pick it up from their Booth #3068 on Monday or get one from one of the human directionals that will be in the main hallway of the convention center starting at 5:30 PM on Monday. Look for the HIStalk/MEDCIN Engine tee shirts and signs.
  • Buses will leave convention center for HIStalkapalooza from 6:15 p.m. through 7:00 p.m.
  • If you are driving, Rock ‘n’ Bowl is located at 3000 S. Carrollton Avenue and has plenty of free surface parking.
  • Return bus service to specific downtown hotels starts at 9:00 p.m.
  • Bus service is complimentary, as is coat and bag check at the venue.
  • A Transportation Concierge will be located at the front of Rock ‘n’ Bowl to answer any questions. They can help you get a taxi if you’re in a hurry to leave and don’t mind paying.

Inga, Dr. Jayne, and I (Mr. H) will be covering HIMSS in great detail starting this weekend. Let us know if there’s anything you would like is to report on beyond the obvious (booth snark, making fun of people who deserve it, spilling the dirt we overhear in coffee lines and restrooms, and our jaded assessment of what’s important and what clearly isn’t). We intentionally avoid one-on-one appointments and demos since those are usually a waste of time, preferring to do our reporting from the ground as regular, anonymous attendees. Contact us from there if you run across anything interesting.

HIStalk’s Guide to HIMSS13
HIStalk’s Guide to HIMSS13 Meet-Ups
HIStalk’s Guide to HIMSS13 Exhibitor Giveaways


Acquisitions, Funding, Business, and Stock

2-26-2013 9-50-22 PM

Shares in Accretive Health drop 20 percent in after-hours trading Tuesday after the company announces that it will delay reporting Q4 and FY2012 results while it evaluates its revenue recognition policies for its revenue cycle management agreements. Any change might require restating prior-period financial statements, management added.

Cerner announces that it will acquire PureWellness, which offers a health and wellness platform for corporate wellness programs and insurers, strengthening its position in the population management market.

2-26-2013 9-08-19 PM

Craneware reports half-year profit of $0.12/share compared to $0.10/share a year ago. Revenues were up seven percent.

2-26-2013 9-08-56 PM

OCHIN, which operates Oregon’s REC, acquires the Oregon Health Network, a non-profit focused on improving quality and access of healthcare through HIT and other initiatives.

Informatica acquires process automation company Active Endpoints.


Sales

Graham Hospital (IL) selects Merge Healthcare’s iConnect Enterprise Clinical Platform and Honeycomb Archive solution.

2-26-2013 9-10-14 PM

Summit Healthcare Regional Medical Center (AZ) chooses Ingenious Med’s impower charge capture solution to improve documentation and communication.


People

2-26-2013 11-07-27 AM

Vocera Communications appoints Sandra Miley (Juniper Networks) VP of corporate marketing.

2-26-2013 6-18-13 PM

Elsevier names Jim Nolin, MD (Ascension Health) editor-in-chief of InOrder,  an Elsevier order set solution that’s scheduled to launch in March.

2-26-2013 6-57-58 PM

Beacon Partners promotes Kevin McKittrick (above) and Scott Freeman to principal.

2-26-2013 7-32-25 PM

Cornerstone Advisors Group names Kristi Lane (Stage 7 Consulting) VP of talent management.

Charles C. Corogenes (Toshiba) joins ChartWise Medical Systems as VP of sales and marketing.


Announcements and Implementations

Kansas HIN transmits immunization data from the Community Health Center of Southeast Kansas to the Kansas Immunization Registry through the ICA CareAlign HIE platform.

Rockcastle Regional Hospital (KY) goes live as the first user of Patient Logic’s physician documentation system.

2-26-2013 8-01-23 PM

You might think managed services vendor ClientFit would spell the name of its new partner athenahealth correctly in its press release announcing that relationship. You would be wrong, although I might be inclined to side with them because their version is at least properly broken out into separate words and capitalized correctly. I grit my teeth and follow The Associated Press Stylebook, which says to use the company’s made-up lower case version except when athenahealth begins a sentence, in which case capitalize it even if they wish you wouldn’t.

Albany Medical Center will become the first healthcare provider in New York to utilize Direct Messaging through the Healthcare Xchange of NY.

2-26-2013 9-28-32 PM

QuadraMed announces that Avita Health System (OH) attested for Stage 1 Meaningful Use through its use of the company’s QCPR EHR that the health system implemented last year.

Winona Health (MN) says its implementation of Cerner’s revenue cycle solutions for acute and ambulatory services fueled a 25 percent decrease in clinic coding turnaround time and consolidation of hospital and clinic billing.

Legacy Data Access introduces LegacyCompleteClinicalView and LegacyRemitBank to enhance clinical and revenue cycle functionality for retired healthcare applications.

Jardogs releases version 1.5 of its FollowMyHealth universal health record.

CommVault launches Simpana 10, which offers an open, scalable platform and advances in data and information management.

LDM Group’s ConnectSys 3.0 achieves 2014 Edition Ambulatory and Inpatient EHR Module Certifications by ICSA Labs.

McKesson announces that more than 90 percent of physician users of its iKnowMed oncology EHR have successfully attested for Meaningful Use.

2-26-2013 7-00-56 PM

McKesson and Cerner will announce their unspecified collaboration (presumably related to cooperative interoperability in trying to derail the Epic juggernaut) from HIMSS on Monday, March 4 at 11 a.m. Central.

2-26-2013 9-16-01 PM

Microsoft-GE joint venture Caradigm will announce next week its selection by Continuum Health Partners (NY) to provide tools that will support the health system’s care coordination and population health strategy. Caradigm’s products include the Caradigm Intelligence Platform (the new version of Amalga), applications from both Caradigm and third parties for population health management, Caradigm Health Information Exchange, and identity and access management solutions.

MMRGlobal, featured in my interview with CEO Bob Lorsch, will launch a health and wellness app at the HIMSS conference that will work with its MyMedicalRecords PHR. The company also says it has started notifying mobile healthcare app vendors that their products appear to infringe on its patents.

MModal and 3M Health Information Systems collaborate to link MModal’s voice-enabled clinical documentation platform with the 3M 360 Encompass computer-assisted coding system.

VitalWare files a provisional patent for Sherpa, a physician documentation ontology engine that automatically presents physicians with clinical concepts and their related categories at the point of care.


Technology

2-26-2013 8-14-31 PM

An India-based startup announces Uchek, a urinalysis app for smartphones. You pee in a cup, not on the phone, and then take photos of dipped chemical strips to monitor diabetes, UTIs, and kidney and bladder problems. I might be concerned that its display shows “keytone” since I get nervous when medical software contains misspellings.

I mentioned the Android-only Swiftkey on-screen keyboard and medical dictionary ($3.99) that gets rave reviews for clinical documentation. The company announced Tuesday that it will launch a healthcare-focused typing app for the iPad. Apparently the new BlackBerry 10’s all-touch keyboard runs Swiftkey, although neither company will confirm.


Other

inga_small Massachusetts General Hospitals offers its 22,000 employees a $250 bonus for watching an 11-minute video on customer service. About 98 percent of the employees thought it was worth $22 per minute to score some cash, meaning the hospital shelled out more than $5 million to teach them how to be nice. 

2-26-2013 9-23-26 PM

The Robert Wood Johnson Foundation awards PatientsLikeMe a $1.9 million grant to create the first open-participation research platform for the development of patient-centered health outcome measures.

2-26-2013 7-48-02 PM

I mentioned in introducing new sponsor MediQuant in the Monday Morning Update that I was enjoying the Legacy System Blues song on its site. Apparently I caught it early — a new press release just announced it, also mentioning that the band is led by MediQuant Founder and President Tony Paparella, who has had the track pressed on vinyl 45 RPM records.

Security volunteers who find an unnamed hospital’s data exposed on the Web are perplexed when their phone calls, service desk ticket, and e-mail to the hospital’s CEO are all ignored and nobody has taken the data down. A technician at the hospital’s outsourced help desk told them he doesn’t have an e-mail address. The group suggests that hospitals include a dedicated, monitored e-mail address and telephone number on their home page so they can be notified quickly of security problems.

Weird News Andy says he bet the surgeon was heard to say, “Awww, nuts” in this story of a patient suing a British hospital after surgeons removed the wrong testicle. Surgeons performing the cancer surgery realized their mistake 40 minutes in and “tried to correct the mistake in an emergency procedure,” but it was too late.

Strange: police in India arrest the son of a hospital CEO after he threatens to post to the Internet a homemade sex video featuring himself and his wife unless she agrees to pay for the hospital’s new trauma center. Also in India, 35 specialty physicians protest their hospital salaries by threatening to kill themselves.


Sponsor Updates

2-26-2013 9-33-54 PM

  • The Johns Hopkins Hospital and Levi, Ray & Shoup discuss the simplification of document management processing in Webinars March 12 and 14.
  • Hyland Software validates integration between its OnBase enterprise content management and Nuance Communications’ eCopy ShareScan scanning and workflow solutions.
  • The AMA and McKesson agree to a licensing arrangement that allows for the mapping of molecular diagnostic testing codes in McKesson’s Diagnostic Exchange software to the AMA’s CPT code set.
  • Greenway Medical Technologies achieves PCMH 2011 Prevalidation status from NCQA for its PrimeSUITE EHR platform.
  • Wolters Kluwer Health adds a Patient Safety Programs File to its Medi-Span solution.
  • MedAssets CEO and President John Bardis will ring the NASDAQ closing bell February 27.
  • Bottomline Technologies announces the GA of Logical Ink 4.6 and MedEx 4.0.
  • Marion McCall of Surgical Information Systems reviews considerations when selecting perioperative analytics solutions.
  • Santa Rosa Consulting adds Clearwater Compliance’s HIPAA-HITECH compliance tools to its portfolio of services.
  • Truven Health Analytics releases its annual list of 100 Top Hospitals based overall organizational performance.
  • CTG Health Solutions announces that it increased revenues 18 percent from 2011 to 2012 and expanded its IT consulting team.
  • Direct Recruiters, Inc. offers an interview called “Hiring Game Changers.”

Contacts

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

More news: HIStalk Practice, HIStalk Connect.

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February 26, 2013 News 2 Comments

Morning Headlines 2/26/13

February 25, 2013 Headlines No Comments

Cerner To Buy PureWellness

Cerner announced this morning that it will acquire PureWellness, which offers an online health and wellness platform. Cerner said in a blog post, “We think the combination of our Millennium solutions and Healthe Intent platform with PureWellness’ engagement platform creates the most comprehensive set of capabilities on the market to support an individual’s health and care needs. Individual engagement is an important piece of a comprehensive approach to population health management, a concept we see playing a vital role in the evolution of health care.”

CIOs say lack of security pros leads to more breaches

In a survey released this week, CIOs report that a shortage of qualified IT security professionals is directly impacting network security within healthcare.

Rural Health Information Technology (HIT) Workforce Program Funding Announcement

HHS announces a $4.5 million grant that will be awarded in $300,000 increments to rural health networks engaged in recruitment, education, training, or retention activities aimed at developing and sustaining a population of health IT professionals in rural areas.

HealthEdge adds Arik Hill as Vice President of Customer Support

HealthEdge, a software vendor which provides an integrated financial, administrative, and clinical platform for healthcare payers, announces that Arik Hill (CIO, FirstCare Health Plans) has joined the company as vice president of customer support.

SAIC Announces Names For Planned New Companies

SAIC announces the names for the businesses that will be created later this year following its planned split into two independent companies. The national security, health and engineering business – to which acquired health IT consulting firms maxIT and Vitalize will belong — will be named Leidos, a coined word clipped from “kaleidoscope.” The technical services and enterprise information technology business will continue to carry the SAIC name.

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February 25, 2013 Headlines No Comments

HIStalk Interviews Robert Lorsch, CEO, MMRGlobal

February 25, 2013 Interviews 23 Comments

Robert H. “Bob” Lorsch is president, CEO, and chairman of MMRGlobal of  Los Angeles, CA.

2-24-2013 4-21-10 PM

Tell me about yourself and the company.

I sold my business in 1998 for several hundred million dollars to AT&T. After the company was sold, I have spent many years focused on philanthropic activities – California Science Center, Cedars-Sinai Medical Center, St. John’s Hospital, and a variety of other organizations.

In 2000, I myself was diagnosed with a rare form of thyroid cancer. Despite the fact that I was extremely connected to doctors, hospitals — both as someone who’s been in the Los Angeles community for many, many years and as somebody who had supported these organizations — I was personally subjected to the task of selecting the guy that was going to be the surgeon who was going to go into my neck and deal with my cancer.

In the course of that, I quickly realized that having the disease was only one aspect of what I had to deal with. But the real aspect of what I had to deal with was the emotional trauma of what goes with being diagnosed with the disease and the challenges that are placed in front of a patient in terms of collecting and getting information so they can get competent physicians to give them knowledgeable and informed information to deal with their situation.

I must tell you that I’m not sure that dealing with the cancer — which was a six-hour operation where I was completely out of it — was probably easier in the long run than the months of agony and emotional torture of trying to figure out if I picked the right doctor, how was I going to get copies of my medical records, what the diseases meant, etc.

In 2005, someone showed up at my house and said, “I think you should go in the electronic medical records business” because Bush had signed an executive order in 2004 suggesting — or ordering — that everybody in America have an electronic health record within 10 years. I took a look at that and I said, “You know, interesting concept. I’m not interested, though, in competing with GE, Cerner, Allscripts, McKesson, and all the giant companies in the industry.”

But nobody had focused on the personal health records side of the house. I decided that that would be something I was interested in and we formed MyMedicalRecords.

 

Everybody assumed that that would be a really hot sector because people were Googling medical issues, symptoms, and drug side effects, yet for the most part personal health records didn’t do very well. Google shut theirs down, presumably because patients don’t really want to enter that information themselves manually. How have you found that to be with your personal health record?

Our personal health record doesn’t really require the patient to enter anything manually. We have a completely different perspective on what goes into a personal health record and the ease of utilizing a personal health record. 

We give a patient what we call a lifeline number, which is a 10-digit telephone number. We basically have a personal health record that is completely connected, completely interoperable with not only any hospital, physician, or medical professional in the United States, but any hospital, physician, or medical professional in the world based, on the backbone of the telecommunication system.

If you go to a doctor, you have a right to get your medical records in the United States. All you have to do is tell them how you want them. You give him or her your lifeline telephone number, and when you leave the office, they fax your record or e-mail the record to you so you can upload the record and it goes right into your account.

As a patient, when I look in my account, I’m seeing medical records from my physician. I’m seeing medical records from Cedars-Sinai. I’m seeing medical records from St. John’s. I’m seeing medical records from Long Beach Memorial. I’m seeing medical records from private practices. I’m seeing medical records from my orthopedic guys. I’m seeing medical records from my father. All consolidated into one place that requires me to actually input nothing but look at the document and select the file folder I want to insert it into.

It doesn’t require somebody to sit down and start typing in stats and results and information that in all likelihood will be plagued with typographic errors, wrong and not reliable. When somebody goes into my emergency view, they see my most recent laboratory tests on Cedars-Sinai or Quest lab forms with the phone number, the physician, and the lab that ran the tests. Exactly as they would see it in their office, regardless of where it was originated.

 

That’s a pretty fascinating approach. Other organizations advocated that health records be exchanged as PDFs, but nobody really ever bought into that concept too much. By doing that, you eliminate the concerns about what data you can accept and the standard interchange formats and all that. You just take everything that looks like a fax or an e-mail and it’s just stored in that exact form. Is that correct?

Part of that’s correct. We also have in the site a patient history. Assuming the patient actually wants to go in and enter data, there’s a form with simple drop-downs where they can say, “I want to input my maternal grandparent’s health history.” You just hit the button that says “grandparents.” It drops down and says is it a condition, an allergy, or a surgery, and gives them some categories. You click on that, write what it is, write the doctor and any information that you want, and save it. Then you can go in and put in your mother, your father, yourself, or your children.

Basically what’s happening is you are building through data entry your personal health record, but all you’re really building is that form that you’re going to fill out in the doctor’s office anyway. When you go to the doctor, you hit a button that says “print my record.” You just bring it in and pretty much everything you’re going to need for that form is with you on the spot and can go right into the doctor’s file. If it’s a medical record or chart note or handwritten note, or in my case, my eyeglass prescription … 

Each account works for 10 family members. In my case, I have my son, my father ­– may he rest in peace – my dog, my wife. Everybody’s in this kind of system. Depending on the emergency password that a physician or a paramedic or emergency room representative would put in there, it brings up the medical records, photo, insurance information, and prescription and labs for that individual. From any Internet-connected computer anywhere in the world, no questions asked for the quality of the form, because the person looking at it can basically reach out to the lab and confirm it’s accurate.

One of the problems of personal health record is you may get a patient that’s embarrassed about something. They may kind of redact something from data. We do not give the patient the ability to do that, because there is no data in the actual record. There is data in the health history.

 

I believe I understand right that it’s priced for families at somewhere around $100 per family per year.

There are multiple pricing programs. Direct online, somebody can go and pay $9.95 a month or $99.95 a year and set up and have their account. They can also pay for what we call personal touch — $80 more — and we find a nurse practitioner to go to collect forms for them. We contact all the physicians from throughout their life and we update the medical records in the account for them.

And then there’s the employer programs, where an employer with 1,000 employees can pay us less then $2 a month per employee and every employee in a company would have access to an account. And then there are associations, much larger groups, where they would pay an annual fee for every member in the association and it becomes an affinity benefit, much like a LifeLock or other similar service — whether it be lost baggage, a personal health record, insurance services — that are embedded into the benefits of that organization.

 

I don’t want you to tell me anything that’s proprietary, but can you give me a feel for how many active users the service has?

We define users in two different ways. We have members and we have users. For example, if you’re part of a company that has 5,000 employees, every one of those employees is a member. The actual user, depending on the type of company, can range anywhere from 5 percent to as much as 28 percent, and so we define members from users separately.

At last count, we had I think 750,000 members, although that does fluctuate up and down. We had from those members approximately 8 or 9 percent what I would call heavy, heavy users. But it doesn’t really matter, because if you work for that company, you have the ability to go in and set up your account at any time.

You might take some medications. You might have something going on in your life. But you take somebody who’s 30 years old. They get a personal health record, they don’t even think about it. They’re not as aware of it. Until one day they go to the doctor and he says, “You know, you need to have appendicitis operation or your cholesterol is too high or for some reason we’ve got a little spot that we want to deal with or some type of MRI.” All of sudden then, the person is, “Oh my gosh, I’d better start collecting my information and building my medical record.” We find that as people have their record over time, more and more people will come in and start adding things into the record.

The other thing that we find is attrition. Since we’ve been in business — which is almost eight years now and with the product out there a little more than six — attrition is less than 2 percent. The real-world attrition, we think, is less than 1 percent. The difference is that is people who have passed away or for whatever reason aren’t getting the benefit any more. It’s not really the attrition in the account, because once somebody gets their information in the account, they don’t want to give up the account.

In the account are 16 file folders. You have complete control over what those file folders are called. Four of those file folders are actually password protected. You can call them an e-safe deposit box. You can call them a real estate file. You can call them advance directives. If somebody gets into your medical record on emergency basis, they won’t see those files, because they are password protected through the administrative side of the site.

I could be anywhere in the world and I would have passport, driver’s license, advance directives, emergency documentation, inventories of all the furniture, fixtures, and materials in my home, etc. It’s not only a personal health record, but it’s an emergency disaster preparedness medical record. You’re in a community, a tornado comes in, you’re wiped out, you need your medical records. You also need your driver’s license, your banking information, your advance directives, the articles that were in your home, your insurance policies. They are all in password-protected files that are embedded into the account.

The other reason we do the password-protected files is when a child becomes 16 years old, they are entitled to have privacy to their personal health information. This way, a family can have a MyMedicalRecords account and they can allow a one file folder to be assigned to each of the teenage members of the family so that the parents can’t have access to what’s in that account. If you have a daughter that, for example, decides they want to take birth control pills, their medical record could be separate from the family’s medical record and password protected so the parents cannot get into that account.

 

I want to ask you a question about patent licensing. You’ve made some statements that licensing is the future of the company’s growth and a lot of the press releases involve that. Is it fair to say that a long term plan is that the licensing fees will be the majority of the company’s income?

If I may push back a little bit, I’m not sure that I’ve said licensing is the future of the company anywhere. I don’t think that’s actually a quote that I made. What I have said is that as a result of Meaningful Use Stage 2, hospitals, healthcare professionals are obligated if they sign on the dotted line and tell the federal government that they are requesting reimbursement under Meaningful Use Stage 2, there are certain things they have to attest to. One of them is to provide a certain percentage to their audience with a personal health record. Under Stage 3, it will be more severe, because under Stage 2, they have more time. They’re talking about bringing that down to less than a day in Stage 3. Those records are required.

If somebody complies with that Stage 2 Meaningful Use, we believe that they will infringe on one of seven patents that we have issued in the US Patent Office an additional patents that we have issued in 12 additional countries around the world. What we have done is we’ve gone to the hospitals, providers, vendors, laboratories, and we’ve said, “Look, if you’re going to comply with Stage 2 Meaningful Use or you’re going to offer products and services that enable healthcare professionals to meet Stage 2 Meaningful Use, they’re probably going to infringe on one of our patents.”

We’re suggesting that they license those patents at very reasonable license fees, such that whatever they decide to do to comply with Stage 2, Stage 3 Meaningful Use, they have a license – a safe harbor — that they’re grandfathered in, where they never have to be concerned about infringement on any of our patents or other intellectual property. If those same hospitals say, “Are there any other ways to address this?” they could also use our products — our MyMedicalRecords products, our professional products — which are embedded with licenses for the technology.

What we’re essentially saying is if a hospital wants to comply with Stage 2 Meaningful Use … and I want to be very, very clear, I’m not saying they’re definitely infringing, but we believe with nearly 400 claims, that there is a high degree of likelihood that they will infringe on our patents and other intellectual property — we will, as cooperative a way possible, reach out to them to offer them licenses, the ability to utilize their product, prior to bringing any form of legal action if we believe the infringement is direct and on point.

 

Have you ever taken someone to court for infringement?

We currently have four matters that are of interest. Approximately two or three weeks ago, we filed a lawsuit against Walgreens. Last week, we filed a lawsuit against WebMD. We currently have identified in Australia that the Australian government actually built a $1.1 billion personal health record system that blatantly, we believe – and I would appreciate it if you would always qualify it with “we believe” – infringes on our patents almost totally. The irony of the whole thing is that the government actually appears – and I want to say “appears” – to have used our attorneys who got us the patents in Australia to review and give them an opinion on the intellectual property.

We have found the same thing in Singapore, where the health department in Singapore and other companies — including a very, very large company out of China — are infringing on our patents there. 

We have begun the process of pursuing Australia. We would hope to settle it very, very quickly, because they have a billion-dollar system that is basically given away to everybody who lives in Australia, which completely, completely destroys the ability for us to sell our product.  We would hope that they will be objective in entering to some type of licensing agreement with us. Our patents go far back before they ever actually looked at the system that they built subsequent to the issuance of the patents, which we believe they were aware of.

 

I forgot to ask that earlier. What years were your patents granted?

The patents have been granted throughout the last seven years. I mean, originally they were filed … I think originally the first filings were in 2005. The US patents mostly were issued at the very, very end of 2011 and throughout 2012. We continue to have numerous applications on file, both pending applications and continuation applications on existing patents.

 

Your patents were filed in 2011. What was new in 2011 in your patents that hadn’t already been marketed by someone prior to that?

It has to do with what we originally invented in 2005. The patent is like three legs of a stool. You plant the first leg and the stool is going to be a bit wobbly. Then you plant the second leg and the stool is going to be solid. Then you plant the third leg and the fourth leg and you build on intellectual property. The original inventions were true inventions at the time they were filed in the patent office. They’re all based on the original art. Then over time, you amend those applications to bring in different features and functionality that rely upon the original prior art.

But the original prior art when we file these patents or the amendments to these patents or additional patents or continuation patents on,  the Patent Office is very, very thorough. I mean, very, very thorough. It took us close to seven years to issue the first patent. It took us, I think, five or six years to issue the first patent internationally. It took almost eight years to issue patents in Mexico. It’s not a simple process. They look at everything. It costs this company millions of dollars in fees, expenses, and attorneys on a global basis in order to prosecute this portfolio.

 

Most patents are written to be as broad as the patent office will accept. Can you just describe in general what the patents cover? Maybe the top one or two that are in question now with other people infringing.

There is a valuation that was done which I can send you the link to. It was actually covered in a news release by the company when it came out about a month, a month and half ago. That valuation identifies every one of the patents around the world by its name, description, and number. I don’t want to answer a question that really has the potential of narrowing the scope just by the fact that I can’t properly answer it in an article like this. What I would do is I would refer people to that valuation summary and they would be able to go to the patent office and look up everything.

There’s claims that deal with how the patients get personal health records. There’s claims that deal with telemedicine. There’s a broad spectrum of claims. Like I said close, to 400 in stage, with more patents and additional claims pending and a lot of claims around the world. It wouldn’t be fair to you, me, or the reader to just say, “The basics of it is this.”

They are a method and system for providing personal health records, electronic health records, and other forms of electronic documents. They run the gamut of e-safe deposit box, which could mean personal information like we discussed with advance directives and maybe a copy of your passport all the way to your medical records.

 

Some of the recipients of the potential infringement letters have been hospitals, most of which are non-profit. I don’t want to ask you a proprietary question, but when you say the fees are reasonable, what kind of terms would you offer them to license?

Every one of the agreements and licenses that we’ve entered into is confidential. If you look at me or you Google me, I spent the last 13-14 years of my life dedicating it to giving away money to charity. Prior to that, I probably have raised more money for organizations using what was called cause-related marketing, where a portion of a dollar that a company like Procter & Gamble would get would go to Special Olympics or the Heart Association or D.A.R.E. America. So when it comes to non-profit charity and giving, it’s in my DNA.

When I say reasonable, I mean in a way that protects the hospital, gives them a benefit so that they can provide a broader service to their patients. It’s not the kind of dollars that you’re looking at from all these lawsuits with Samsung and BlackBerry and Apple. It’s not that kind of a thing.

We look for a win-win situation with the hospital. The best way I can  explain it is our primary business is personal health records. A lot of people have tried to paint the letters we’ve sent to the hospital as if we’re patent trolling. A troll is somebody who has rights to a patent, but basically goes around suing people and demanding royalties. A troll is not the original inventor of the patents, of which I am on every patent that’s been filed anywhere in the world.

We invented those patents so that we would have the opportunity to go into the market and compete and create a barrier to entry for our competition. By ignoring our rights under those patents, we are essentially being denied the ability to compete in that marketplace, because other people will just go in and sell their product at the expense of infringing on our patents. 

What’s fair and reasonable in our mind is something analogous to the amount of money that we would have made had we were providing those products and services. But if somebody is going to say we’re going to preclude you from providing those products and services, then they should pay us something reasonable for infringing on our intellectual property.

In our case, we don’t care if somebody licenses or somebody buys. They win and we win either way. The objective here is to not do something that makes it impossible to make a deal, but also do something that is fair to our shareholders in the sense that we’re not denied access to the marketplace just because somebody said, “The heck with them. We don’t care about their patents,” which is what is happening in Australia. I mean the Australian government in a macro example — macro being huge, but one country — they basically said, “We’re going to make a personal health record. We’re going to give it away to 20 million people free and we’re going to infringe on IP and we don’t care.”

I had a meeting with a group of Congressmen last week in Washington, DC. Ironically, we focused on stimulus, and some of the things were covered in the Page 1 article in The New York Times. These Congressional representatives who are on the oversight committees have said that intellectual property –the right to own property, the right to own a home, the right to own what you create, eat what you sow — is a fundamental right of every American, and it’s probably a fundamental right of everybody wherever they are anywhere in the world.

These are rights that we built products for, we created things for. When somebody takes away your right to compete in the open marketplace, they pay a royalty or a license fee. In those rare cases where you unfortunately have to go to litigation, maybe they’ll pay more. But the objective here is to create reasonable relationships with hospitals.

I have said to our shareholders, there’s 5,000 hospitals out there. It doesn’t take a lot to figure if every hospital gave you some reasonable amount of money for every 250 beds, the hospital would win based on the quality of our product and we would win for our shareholders.

 

There was a rumor that there was some interest by the National Coordinator or some part of HHS about what was going on with the patents and the letters that were being received by hospitals, and possibly by somebody in California, maybe the Attorney General, as well. Has there been any official interest or discussion about what you’re doing from any government or oversight-type body?

When we originally sent out the letters, some of the hospitals apparently forwarded them to the California Hospital Association and the AMA. I received a copy of a letter that was sent by the California Hospital Association legal counsel Jana Du Bois to every hospital general counsel saying, “If you get a letter from a company called MyMedicalRecords, we think they’re some kind of patent troll. Let us know.”

When I got a copy of that, we contacted her, and we explained to her that, “Hey, it’s our primary business. We invented it. We did not buy these patents. We are not trolling with these patents, and by the way, we are very, very anxious to enter into reasonable business relationships with the hospitals to license the patents or utilize our products and services.”

She turned around and basically sent out what I would – I’m not going to say it was an apology letter — but she definitely sent a letter out to everybody to set the record straight. To the point that I just found out last week in one state on the East Coast, meeting with their association, actually discussing the possibility of saying, any hospitals in the state, we will negotiate through the association one license agreement so that the hospitals can get the benefit of the lowest possible rate, and as long as the hospital is a member of that association, they would get the license agreement.

In addition to that, we — meaning MMR — would take 30 percent of those license fees, put them into a non-profit managed by that association to provide healthcare and philanthropic services to underprivileged in their communities through their hospital network. So in essence, we would say, State XYZ is kind of like a safe harbor for,  I think it’s 10 months. We would negotiate a license agreement with that association. The license agreement would be based on the beds in the hospital. They would offer it to everybody in that state.

If they accepted it, they got that rate. We would take 30 percent of the money, give it back to the community to provide healthcare and other services to the community through those hospitals. If the hospital did not sign on, then we would see what happens after that period of time. That is as recently as last week. It was very well received. We are already in the process of signing agreements to facilitate those conversations.

The associations are very aware. The associations hopefully will understand that we’re trying to be reasonable about the whole thing.  As for the AMA, I know they’re aware of it. We’ve not communicated with them.

As to the National Coordinator, my days with the National Coordinator go back to Dr. Brailer, when Mike Leavitt was Secretary of Health. Mike Leavitt knew about MyMedicalRecords and our intellectual property in the early, early days. Dr. Brailer knew about MMR and our IP in the early, early days. The Small Business Administration acknowledged what we were doing after Katrina, because we had the ability to not only provision personal health records, but emergency safe deposit boxes for victims of natural disasters – they presented us an award. Subsequently, I meet with Dr. Blumenthal and William Yu, when he was in the office, went through the products, service, patents, the intellectual property. There could be no surprises to anybody about what we have been doing.

 

I think I read that you’re sending – maybe it’s not the right figure — 250 letters a week. I’m just curious how much response you’re getting from those letters or what hospitals are doing when they receive those letters?

We’ve sent out somewhere between 600 and 750 letters. Many of them respond. Some of them don’t respond. When they don’t respond, we reach out and try to communicate with them.

There are maybe additional letters, but at this particular point in time, we’ve had a lot of success with everything from the association I described to numerous hospitals in California that have opened the door for meaningful negotiations. If somebody opens the door for meaningful negotiations, we’re basically going to take the time that’s necessary to make them comfortable that they’re making the right decision.

Meaningful Use Stage 2 really starts in February 2014, I think. And so, if the hospital wants to understand this, vet the product, vet the service to understand the IP, we’re anxious to work with them in a businesslike manner.

 

Any final thoughts?

We’re looking forward to HIMSS. There are a lot of people that have gotten letters from us. We’re looking forward to more patents being issued. There are a lot of people that have contacted us and arranged to meet with us at HIMSS to discuss a variety of business opportunities from strategic partners, licensing. We’re going to be previewing wellness applications connected to our personal health records. We’re going to be focused on integrating our personal health record with the output from all the apps that are coming in on iPhones and Android phones.

We’re looking forward to meeting people in the booth who may have the wrong perception of the company. If the perception they have is it’s some guy sending out letters trying to get royalties who is not entitled to them, we’re not those people. There may be some of those people out there. We’re not those people.

We have a real product that we invented that we would prefer to sell people. But if people are not going to buy it and they’re just going to work around it or they’re going to ignore us … the most reasonable thing to do is to license, because that way everybody wins. Should they decide that, you know, it’s really not such a dumb idea to attach a 10-digit telephone number to every one of our patients’ personal health records so that they can go anywhere in the world, and if they’re on vacation in Israel – where, by the way, we own the patents — they can literally get a lab test, have it put in their account, and seen by their physician at New York Pres in three minutes.

I’m a big believer in supporting hospitals so that if, God forbid, I go into the emergency room and I need something, the little green light goes on and says, “He’s a good guy." But hundreds and millions of dollars have recently been spent in this community by Cedars-Sinai Medical Center and UCLA. They both have Epic systems. They can’t talk to each other. Here I’ve got a health savings plan. I’m in the emergency room at Cedars-Sinai, but next time because I’m closer to UCLA or the Cedars emergency room is full, all the tests that I had at Cedars now have to be redone at UCLA. Why?

Kaiser is  a classic example. The rumor is more than $6 billion has been spent on EMR and PHR. Right now, I’m not a Kaiser member. If I get sick anywhere and I need my medical records, yeah, I have some kind of a patient view. But that emergency physician in Sheboygan, Wisconsin or in Deer Valley, Utah, where I just came off at a ski slope with a pain in my arm or my chest or broken bone — they can’t get that data. They’ve got to completely rework me up before I go into surgery. If I’m unconscious, these people don’t know today that I’m a thyroid patient. I don’t have a thyroid. I have to take certain medications. If I’m unconscious, I can’t tell them that. 

If you start asking around about how much money has been spent on a state-by-state basis trying to create a regional health information system — I’m going to be kind — It’s probably $20 to $50 million a year, and I don’t think you can find a working model. If you do find a working model, I don’t think you can find a handful of hospitals that talk to it, because they’ve all got their own EMRs. There’s no interoperability, despite the fact that this whole effort from Bush was designed to empower the patient and create interoperability. So basically we’re at $11 billion and counting — maybe 12 now, I don’t even know, it goes so fast — and the original selling proposition of why we needed this has not been met.

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February 25, 2013 Interviews 23 Comments

Morning Headlines 2/25/13

February 25, 2013 Headlines No Comments

Bitter Pill: Why Medical Bills Are Killing Us

Time magazine’s special edition report on rising healthcare costs is the longest article the magazine has ever run, but it is short on offering meaningful solutions.

Grace Cottage blames federal law for job cuts

19-bed Grace Cottage, of Townshend, VT, defends its $2.5 million Cerner implementation, as well as other major capital expenses, after firing 10 percent of its workforce which officials say was necessary due to steadily declining reimbursements and increased expenses. In perhaps related news, the only job opening posted on the hospital’s career page is for a new CEO.

Huge Decision Coming for Doctors Who Sued EHR Company

A group of doctors suing Allscripts over the discontinued MyWay EHR platform will find out Tuesday whether they the lawsuit will be allowed to continue or whether they will be forced to honor the binding arbitration clauses in their contracts.

MModal and Intermountain Healthcare Collaborate on Industry’s First Speech-Enabled Computerized Physician Order Entry (CPOE) App for iPhone and iPad

MModal will partner with Intermountain Healthcare to develop a speech-enabled CPOE app for iOS devices. The app is expected in the fall of 2013 and will be integrated within EHR systems not yet named.

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February 25, 2013 Headlines No Comments

News 2/22/13

February 21, 2013 News 3 Comments

Top News

2-21-2013 10-18-36 PM

An article in The New York Times called “A Digital Shift on Health Data Swells Profits an an Industry” takes direct shots at the HITECH act, particularly emphasizing the “behind the scenes lobbying” that Allscripts, former CEO Glen Tullman, and other unnamed vendors employed to get it passed. It points out that Tullman was health technology advisor to the Obama campaign, a personal donor of $225,000 to Democratic political candidates, and a seven-time White House visitor after Obama took office. Cerner doubled its lobbying dollars to $400,000, with almost all of it going to Republicans.

Athenahealth’s Jonathan Bush weighed on “the Sunny von Bülow bill” that he says kept his stagnant competitors “alive for another few years.” In a seemingly random quote, the ED chair at UCSF Medical Center said Epic is “mediocre” on a good day but “lousy” most of the time, while a counterpoint from UCSF’s CMIO saying that most doctors there like it receives less-sensationalized coverage. The article also points out that Neal Patterson’s stake in Cerner is worth $1 billion and mentions that a letter from Steve Lieber of HIMSS urged President-elect Obama to set aside at least $25 billion to increase EHR adoption.

In other words, the article is all over the place. The only new material appears to be a handful of quotes that were allowed to run unchallenged, with everything else looking more like a set of Google search results than a thoughtful and balanced piece. Its conclusion is hardly startling: the federal government wastes enormous amounts of taxpayer dollars in scratching special interest backs and a few people get really rich as a result (fun fact: Glen Tullman is now running his solar energy company, reaping the benefit of another big federal spending program.) Far more interesting than the article itself are the reader comments:

  • My impressions of the vendors can be described in two words: Welfare Queens. The systems are glorified billing and scheduling systems. Vendors were "certified" before they actually created the upgrades that supposedly met MU criteria.
  • Regardless of how much customization you do to the form and how many drop-boxes there are for entering data, the result is medical records which look very similar from patient to patient, and omit nuances and details which are specific for individuals.
  • It is interesting that so many commenters complain about a lack of privacy (signing my life away on consent forms!!), while others complain because not all providers in the country have easy, fast access to their medical records.
    You must realize that these things are at odds, and affected more by HIPAA than limitations of technology.
  • EMR 1.0 = islands of information, designed for billing and documentation. EMR 2.0 = system of engagement – Key information summarized and shared. Saves time for the users. It’s coming!
  • Try telling countries like Canada, New Zealand, Netherlands and Japan that they should give up all of the EMR systems that are unusable despite the fact that the majority of their docs are using EMR systems today. Just because a few people in an article determined a system to be unusable doesn’t make it so.
  • The EHR has become the patient. It is sicker than you and more complicated, taking more time. You, the real patient, can just lay there waiting in a state of abject neglect.
  • There is a lot more to this movement than this article suggests — and it is good. "The clear winners are big companies" — yes, in some ways, but the even bigger winners are patients and the doctors who care for them. In my family, this record-keeping already has resulted in a life-saving developments.
  • In our office we have had three over 50 early retirements due to the EPIC system.
  • Think if America had as many electric outlet types as Europe (free markets!) This mishmash of EMR will take a generation to unravel and cries out for a centralized system & format.
  • I’m a primary care physician working at Kaiser Permanente. We’ve been using the Epic system for years. While it isn’t perfect, I’d never go back to paper … the real reason this system works for us is because we are an integrated system. If we weren’t, it wouldn’t work well at all. The real problem is lack of integration in US medicine.
  • Banks and many other industries already embrace efficient and effective computerized systems. Where your life is at stake, wouldn’t you want your doctor to have the same advantages as your bank?
  • This is a very one-sided article, and almost reads like a smear in some places.

For a counterpoint, see DrLyle’s post, The HIT Productivity Paradox — It’s Gonna Be OK.


Reader Comments

inga_small From Ms. HIM: “Re: X-Rays. Inga, did you report to someone at the facility that you were able to see the patient data in the hallway?” Ms. HIM is referring to my recent visit to a radiology practice that had patient data prominently displayed on several monitors in common areas. I did e-mail the CIO and included my stealthily-taken pictures. No response yet.

From Disappointed: “Re: HIStalkapalooza. I want to give kudos to Shannon at Thomas Wright Partners. I am unable to attend HIMSS due to a family thing, but she promptly and cheerfully changed my confirmation to my boss who had neglected to sign up (what can I say?) She also said if things changed and I was able to attend, she personally would ensure I would get in and gave me her cell phone number. What great service!!!” Medicomp is working with the same team (Thomas Wright Partners, Bzzz Productions, Istrico Productions) that brought you HIStalkapalooza 2011 in Orlando. They are indeed efficient and responsive. I had no qualms about putting my name on the event and leaving the details to them.

2-21-2013 9-25-51 PM

From Letter of the Law: “Re: Allscripts Meaningful Use Guarantee. Doesn’t sound like MyWay will meet Stage 2 MU or get 2014 ONC certified as a Complete EHR. Does this mean MyWay clients get a 12-month support credit or refund? Seems like the guarantee was written to be purposefully vague and has now mysteriously disappeared from the Allscripts site (convenient) except in the Investor area.” Allscripts told us they would respond, but they haven’t so far.

2-21-2013 9-31-51 PM

From Tom: “Re: Epic. An electrophysiologist wrote a satirical post about Epic and used screenshots to convey the problems he experienced. He says Epic contacted his hospital administrators and asked him to take the screenshots down. He is now concerned about legal ramifications.” It should be noted that the doctor sells software on the side, although it costs only a few dollars and is specific to electrophysiology. Still, Epic has made it clear in the past that it won’t tolerate posting screen shots, documentation text, or almost anything else publicly. I’m thinking I remember (but could be wrong) that they warn UGM presenters not to post their slides publicly if they contain anything that Epic might deem proprietary. Says the doc (with some of his preachy indignation removed):

I’m just a physician who uses their software … No software is perfect however and I think the Epic bosses should be more interested in using feedback and criticism from health care professionals to improve the program rather than spending their time worrying that a screenshot of their user interface is available on the web … these massive companies who have benefited enormously from our tax dollars have the nerve to threaten those who criticize their software and publish a few bland screenshots. Unfortunately though, with their cash reserves and cadres of lawyers, there is little that EP Studios (cash reserves = $0) can do to stop their bullying.

2-21-2013 10-04-37 PM

From Say What?: "Re: HIMSS in Cleveland. Surely you jest. What is moving 345 miles from its Chicago base going to do for HIMSS? At least Nashville made sense from a different geographic, cultural, and transportation point of view, as would Phoenix, San Francisco, or Seattle.”

From Richard: “Re: HIStalk. Thanks for one of the most concise, relevant online healthcare IT publications out there. Your work is an excellent balance of current news, pertinent insight, and subtle (or sometimes hot so subtle) humor. Please pass on my compliments to the entire HIStalk crew for their excellent contributions. P.S. I admire your team’s ability to present a meaningful contribution and at the same time party like college freshman at HIMSS.” I did indeed pass along your much-appreciated comments to the crew, which got me trapped in the e-mail crossfire as Inga and Dr. Jayne tried to one-up each other with their claimed partying capacity beyond freshman level. I stopped reading once they escalated to grad school.


HIStalk Announcements and Requests

inga_small This week on HIStalk Practice: MGMA introduces a Web-based tool that allows organizations to benchmark themselves against peers using national MGMA data. The RI REC offers EHR adoption assistance to specialists. Researchers devise an AI tool that may outperform physicians in making cost-effective clinical decisions. Michigan lawmakers consider legislation requiring a single universal prior authorization form for prescriptions. PCMHs deliver slightly better patient satisfaction and preventative care but may not result in cost savings. Dr. Gregg shares details of the meeting between Focus and Byproduct … heck, it’s a great story, so give it a read. Greenway Medical CEO Tee Green discusses the company and industry and makes some predictions for the future. Thanks for reading.

Maybe I’m the only one who didn’t know: Word, going back to the 2007 version apparently, has a “Save as PDF” option that’s easier than PDF print driver products like CutePDF or PDF995. And in another Andy Rooney meets Larry King kind of non sequitur, I heard programmers repeatedly pronounce two words oddly in a meeting today: DISplay and REfresh. I am monitoring further accent-switching occurrences.  

I got an e-mail today that HIMSS has kicked me out of my reserved hotel and put me in a lower-rated one because of “an oversold situation,” adding that they “wanted to inform you before you arrived in New Orleans.” How thoughtful, especially considering that I booked in September.

2-21-2013 8-54-49 PM

Welcome to new HIStalk Gold Sponsor Greythorn, whose healthcare IT practice places candidates in the specific high-demand market segments of Epic, Cerner, and ICD-10. Greythorn has offered specialty IT staffing solutions for more than 30 years. Check out their LinkedIn Epic and EHR Professionals group, or seek their folks out at HIStalkapalooza since they told me they’re going and I sense they’re a fun bunch. For clients, expect nice people, a big pipeline of candidates including international ones, and a zeal for understanding your business and your needs. Job candidates should read their Resume and Interview Tips document (“Questions to Be Prepared For” contains just about all of the HR-mandated behavioral interviewing questions I’ve ever asked). Stop by Booth #5358 at the HIMSS conference and pass along my thanks to Greythorn for supporting my work.

Here’s a “Working at Greythorn” video I found on YouTube.


HIMSS Conference Social Events

2-21-2013 1-05-34 PM

inga_small If you registered in advance, your official HIStalkapalooza invite should have hit your inbox Wednesday (check those spam folders!) Make sure you’ve arranged your schedule to be there in time for the Inga Loves My Shoes contest and the crowning of the HIStalk King and Queen. The highly coveted beauty queen sashes and prizes will return.

inga_small Speaking of sashes, we decided to give readers a chance to win one, along with stage recognition and a $25 Amazon gift card. All you have to do is declare Inga, Dr. Jayne, or Mr. H as your secret crush and explain why. We’ll choose the most convincing entries, so feel to free to lay it on thick and shamelessly in an obvious appeal to our vanity. Winners (who must be at HIStalkapalooza) will be sashed on stage with "Inga’s Secret Crush," "Dr. Jayne’s Secret Crush," or "Mr. H’s Secret Crush" as a token of our reciprocation.

Aventura is participating in a booth block party at the conference on Tuesday from 4:00 until 6:00 p.m., with beer and margaritas.

2-21-2013 6-33-14 PM

Speaking of Aventura, they’ve sent the best e-mail promotion so far with their serious-sounding “HIT Survival Handbook” that includes some dry humor. I forwarded the e-mail home from work just to run it here.

I always scan down the HIStalkapalooza attendee list to see who’s coming and what titles they hold. Eyeballing it, it looks like over 100 presidents/CEOs, 200 VPs, 24 CIOs, 13 CMIOs, and eight financial and equities people. That’s a fraction of the total invitations, so obviously many other titles were represented.

Here’s a list of our HIMSS-related pages and their downloadable/printable PDF equivalents that will tell you what our sponsors are doing at the conference:

HIStalk’s Guide to HIMSS13
HIStalk’s Guide to HIMSS13 Meet-Ups
HIStalk’s Guide to HIMSS13 Exhibitor Giveaways


Acquisitions, Funding, Business, and Stock

2-21-2013 10-29-21 PM

Shareholders of PSS World Medical approve the company’s agreement to merge with McKesson, clearing the way for a Q1 closing.

2-21-2013 10-28-51 PM

GetWellNetwork reports 30 percent growth in revenues and a 90 percent increase in orders from 2011 to 2012.

2-21-2013 10-30-07 PM

MedAssets reports Q4 results: revenue up 4.5 percent, adjusted EPS $0.27 vs. $0.32.


Sales

The New Hampshire Health Information Organization selects the Massachusetts eHealth Collaborative to provide executive director management services for the implementation of its statewide HIE, which will utilize Orion Health’s technology backbone.

2-21-2013 3-56-46 PM

NYU Langone Medical Center contracts with Accenture to support its ICD-10 implementation process.

Intelligent InSites wins a $543 million contract to implement to RTLS at 152 medical centers, as reported here previously. We interviewed President and CEO Margaret Laub last week.

2-21-2013 3-58-09 PM

Numera selects AT&T to be the wireless network and location services provider for Numera Libris, a mobile home health management and personal emergency response system.

2-21-2013 3-59-23 PM

Banner Health expands its portfolio of 3M products to include the 3M 360 Encompass System for computer-assisted coding and clinical documentation improvement.

2-21-2013 4-02-04 PM

Memorial Sloan-Kettering (NY) chooses Orion Health’s Rhapsody Integration Engine for communication and data sharing between the hospital’s different IT applications.

2-21-2013 4-03-30 PM

Phoenix Children’s Hospital (AZ) selects Allscripts Sunrise Financial Manager, Sunrise Ambulatory, and Allscripts Community Record.

Mid-Valley Hospital (WA) selects e-forms and electronic electronic patient signature solutions from Access to use with its Meditech Scanning and Archiving system.

2-21-2013 10-31-08 PM

Fairview Health Services (MN) will implement Strata Decision Technology’s StrataJazz for decision support, operating budgeting, strategic planning, and capital planning.


People

2-21-2013 6-04-10 PM

Avere Systems appoints Michael McMahon (CommVault) as VP of business development.

2-21-2013 6-05-43 PM

Tom Giannulli, MD (Epocrates) joins Kareo as CMIO.

2-21-2013 6-06-38 PM

VA CTO Peter Levin, who led the Blue Button initiative, announces his resignation.

2-21-2013 6-50-40 PM

As reported here last week. Health Catalyst names Brent Dover (Medicity/Aetna) as president.

Wolters Kluwer promotes Kevin Entricken from CFO of the Wolters Kluwer Health division to CFO of the parent company.

Harris Interactive names Matt Knoeck (TNS North America) SVP of healthcare and Sharon Albert (TJ Sacks) VP of marketing for its healthcare group.


Announcements and Implementations

The Rochester RHIO partners with area ambulance companies to allow physicians to see critical patient information gathered in the field during ambulance calls.

Medical equipment provider Skytron upgrades six of its customers to CenTrak’s clinical-grade RTLS technology.

SuccessEHS connects with MyHealth Access Network HIE (OK) to send clinical care documents from its EHR.

Aker Eye/Vision Source (FL) implements RTLS from Versus Technology.

The Joint Commission begins offering a PCMH certification for accredited hospitals and critical access hospitals.

2-21-2013 10-33-07 PM

SCI Solutions launches Readmission Minimizer to track and monitor post-discharge processes.

The Utah Health Information Network offers Direct secure messaging labeled as cHIE Direct, using technology from Secure Exchange Solutions.

2-21-2013 9-59-07 PM

Enovate announces two new products, the e5000 telemedicine cart and colorful peds-oriented Emagination Stations.

2-21-2013 10-34-16 PM

Humetrix introduces cross-platform capability for its iBlueButton app that allows consumers and patients to exchange clinical information at the point of care regardless of which smartphone they use.

2-21-2013 10-35-08 PM

Kareo launches a free cloud-based EHR that can be used as a standalone application or integrated with the company’s PM and billing services. It was developed using technology acquired from Epocrates, which exited the EHR business a year ago. Kareo notes that the EHR is “advertisement free” and says it will provide support and updates at no charge. The company hopes that the free EHR offering will attract more clients for its PM and billing service products.


Government and Politics

2-21-2013 10-36-08 PM

ONC is accepting applications from those interested in serving on a new workgroup, the HITPC Food and Drug Administration Safety Innovation Act Workgroup,  that will provide recommendations for a risk-based HIT and mobile device regulatory framework.

2-21-2013 10-37-00 PM

Worth a read: The Advisory Board Company publishes “How Stage 2 Raises the Bar on Stage 1 Organizations.” Like everything Advisory Board, it’s fluff-free and to the point.


Innovation and Research

Researchers from the University of Cincinnati find that physicians using an EMR are more likely to order routine screening tests for women.

Processing a prescription drug order through a CPOE system decreases the likelihood of error with that order by 48 percent according to a study supported by AHRQ. Researchers say the findings suggest CPOE can substantially reduce the frequency of medication errors in the inpatient setting, but it is unclear whether that translates into reduced harm for patients.

2-21-2013 9-46-43 PM

Christiana Care Health System is awarded a $10 million grant from CMS’s innovation grant program for its Bridging the Divides program that uses predictive analytics to target patients who would benefit from intervention. CMIO Terri Steinberg, MD, MBA (above) tells me that analytics can be run against the patient’s entire data set even if it originates from a different health system. I may follow up for more information.


Other

2-21-2013 1-40-54 PM

Healthgrades says Dayton, OH, Phoenix, AZ, and Milwaukee, WI have the lowest risk-adjusted hospital mortality rates in its list of America’s Best Hospitals 2013.

Express Scripts sues Ernest & Young and one of its former partners for stealing trade secrets and corporate data to boost E&Y’s healthcare business. The lawsuit claims Donald Gravlin, who was working on the Express Scripts-Medco merger, entered an Express Scripts facility several times  to forward confidential company e-mails to his personal account.

Black Book Rankings releases the results of a survey to identify the top hospital EHR vendors based on client satisfaction. Winners include:

  • CPSI (under 100 beds)
  • Cerner (100-249 beds)
  • Epic (academic teaching hospitals and major medical centers)
  • Cerner (healthcare systems, hospital chains, integrated delivery networks)
  • Picis (ED)

UnitedHealth Group announces the creation of 1,000 new jobs in North Carolina by its UnitedHealthcare and Optum businesses.

2-21-2013 6-49-09 PM

Weird News Andy waxes poetic on the news that Cornell researchers have created a realistic 3-D printed human ear. WNA says, “Poems are make by this fool right here, but only Cornell can make an ear.”

WNA finds this item both odd and sad: a suspended Johns Hopkins gynecologist accused of secretly taking photos of hundreds of his patients using a pen camera commits suicide.


Sponsor Updates

  • Aspen Valley Hospital (CO) shares how it increased front office payments and cash on hand and reduced administrative time and costs by using InstaMed solutions in a case study.
  • Covisint extends its cloud identity services to include small and medium-sized organizations.
  • US Secret Service Special Agent Erik Rasmussen and Trustwave SVP Nicholas Percoco will lead a keynote address on cybercrime at next week’s RSA conference.
  • Halfpenny Technologies adds Altosoft’s BI dashboard to its ITF-Hub solution for clinical laboratories. 
  • API Healthcare offers a Webinar series focused on effective employee recruitment and retention.
  • HealthMEDX expands its support of LeadingAge, a non-profit committed to providing care and services to the aging.
  • eHealth Technologies releases a zero-footprint, Web-based image viewer that uses the eUnity platform of Client Outlook.
  • Informatica releases Cloud Spring 2013, the latest release of its integration and data management applications, and will hosts a February 25 Webinar to introduce its features.

EPtalk by Dr. Jayne

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Clinicians can now diagnose leprosy (Hansen’s disease) more than a year before patients are symptomatic. The new test uses a smart phone, a test strip reader, and a single drop of blood. Each determination will cost $1 or less.

This week President Obama announced an initiative to map the human brain, citing the Human Genome Project as a precedent. The brain is a fascinating thing and I’m excited about the role that information technology will play in making it a reality. Even better was the adrenaline rush I got since I read the announcement while I was hopped up on cold medicine watching “The Bourne Legacy.” Hopefully the CIA isn’t waiting in the wings to create neurologically engineered killers with the resulting data.

I’ve enjoyed the reader comments about travel arrangements for HIMSS. I apparently waited too long to book my hotel room (silly me for thinking three months in advance was enough) so I am arriving a day later and leaving a day earlier than I’d have liked. The idea of having to split between two different hotels to cover the entire stay was not very appealing. The comments about venues for future HIMSS meetings are spot on as well. I mentioned the HIMSS rotation to a dental colleague today and learned that there IS something worse than HIMSS returning to Chicago: The Chicago Dental Society Midwinter Meeting, which is held every February in the Windy City. The schedule of events lists a Fashion Show Luncheon. I wonder if they feature parkas, boots, and mittens?

Twitter served up an item from @ONC_HealthIT celebrating a physician who built his own EHR in response to budget cuts. A read of the actual article reveals that “eventually he turned to Cerner.” Unfortunately Meaningful Use has stifled grassroots innovation like building a custom EHR for your practice. I also like the line about practice administrators scanning paper test results into the EHR. If they actually have practice administrators feeding the scanner, I can recommend some additional overhead cost cutting for them.

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In addition to the paper mail and tchotchkes enticing me to various booths at HIMSS, I’ve started receiving e-mail invitations to focus groups. Today’s gem promised to “present 4 innovative clinical strategies that leverage technology to reduce cost and improve all quality metrics.” Wow! They improve all quality metrics? That’s impressive. Even more impressive is the honorarium offered: a “Personalized tour of Walgreens Flagship Location – TBD.” Sheesh.

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Contacts

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

More news: HIStalk Practice, HIStalk Connect.

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February 21, 2013 News 3 Comments

Morning Headlines 2/21/13

February 20, 2013 Headlines No Comments

Top Hospital Electronic Health Records Vendors Rated by Client Satisfaction, Black Book Rankings Announce 2013 Inpatient EHR Leaders

Black Book Rankings, which provides vendor satisfaction reports, gives CPSI the under 100-bed market, Cerner wins in the 100-249 bed range, and Epic takes the 250+ bed market. Unlike KLAS, Black Book’s methodology includes an external audit of data by independent statisticians.

VA CTO Peter Levin to leave agency

VA CTO Peter Levin announces his resignation just days after VA CIO Roger Baker made his own announcement. Levin led the Blue Button initiative and was a key advisor to the iEHR program. Both Levin and Baker were scheduled to appear before the House Veterans Affairs Committee next week to answer for the abrupt halt of the iEHR program.

Express Scripts accuses Ernst & Young of stealing trade secrets

Express Scripts sues Ernst & Young after discovering that an E&Y health information technology partner stole confidential documents related to pricing information, business projections, and strategy while working on the Express Scripts and Medco Health Solutions merger. Express Scripts claims the E&Y employee emailed more than 20,000 confidential documents to his personal e-mail account with the intention of using the information to secure future business with both Express Scripts and its competitors.

Health System Chief Information Officers: Juggling responsibilities, managing expectations, building the future

Deloitte releases a whitepaper on future challenges within health IT according to hospital CIOs. Respondents largely report being comfortable with their ability to handle MU and ICD-10 requirements. Goals moving forward included integrating independent medical practice IT systems, protection of PHI in a quickly growing digital environment, and transitions from fee-for-service to value-based models.

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February 20, 2013 Headlines No Comments

Morning Headlines 2/18/13

February 17, 2013 Headlines No Comments

Veterans Affairs CIO Roger Baker Plans to Resign

VA CIO Roger Baker announces his resignation in an internal VA memo, leaving as his legacy a reputation for accountability and oversight. However, as he walks away, he leaves behind a faltering VA/DoD iEHR program, a $260 million GI Bill claims processing project which has grown to double its original budget and has yet to achieve its desired result, and a separate $500 million disability claims process automation project that has slowed the approval process for disability claims to a rate slower than when the work was done manually on paper, pushing an already ballooning backlog of disability claims to historic levels.

Monitor blasts Rotherham’s EPR programme

Rotherham General Hospital halts its Meditech 6.0 implementation due to issues with coding, patient booking, staff acceptance, and usability. Rotherham, one of the first NHS sites to select an EHR system outside of the National Programme for Information Technology, went live on the system last summer, two years behind schedule.

Hospital ready to ditch £30m computer system

The Royal Berkshire Hospital is preparing to walk away from its $46 million Cerner Millennium install due to a higher than anticipated TCO after budgeting $2.5 million per year but spending closer to $8.5 million. CEO Edward Donald has announced plans to meet other NHS trusts using Millennium to form a united front.

Bellevue Hospital Reopens Trauma Service After Brief Computer Outage

Two weeks after reopening from damage sustained during Hurricane Sandy, Bellevue Hospital was again forced to close its doors and divert trauma patients due to an electrical problem that briefly shut down its computer systems.

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February 17, 2013 Headlines No Comments

Monday Morning Update 2/18/13

February 16, 2013 News 20 Comments
2-16-2013 10-33-57 AM

From Man Show: “Re: VA CIO Roger Baker. Resigning, just heard it on a conference call.” Verified, although not by the VA, which didn’t respond to my inquiries Friday. An internal memo says he’s resigning for unspecified reasons at an unnamed date. We could take bets on which government contractor will end up hiring him, like his previous employers Dataline and General Dynamics. He’s done a good job and will be hard to replace.

2-16-2013 12-47-37 PM

From Friend of ONC: “Re: RECs. Innovative shift from government seed capital to sustainable operating models. ONC is starting to work with the 62 RECs to co-develop sustainability models, business plans, and new service lines for the post grant-funded era and the 140,000 providers they work with.” Weaning organizations (and citizens, for that matter) off free taxpayer money has been a challenge, most notably with HIEs. It will be interesting to see if the same problem arises with HITECH-motivated medical practices since everybody assumes that once you’re on an EMR, you won’t go back to paper, although the Medicare penalty stick may provide the necessary motivation after the MU carrot has been consumed.

From Joshajust: “Re: [vendor name omitted]. In contract disputes with multiple hospitals in South Carolina over the failure of their computer-assisted coding module, which doesn’t appear to work.” It wouldn’t be fair to run the company’s name without some kind of proof of the specific disputes. If you have any, please send it over.  

From LinkedIn Stalker: “Re: premium membership. I was grandfathered in with a lower-cost premium membership which allows me to see who’s viewed my profile, as well as an expanded range of searches. As a sales and marketing executive, I find it invaluable as a means of research and connecting to people of interest, although I am always sure to personalize my connection request.” LinkedIn has had more luck than most freemium sites in getting users to pony up for optional services. Facebook seems to be losing the attention of its users to some degree, so while it waits to be marginalized by a trendier newcomer like MySpace before it, it could always use LinkedIn’s model of charging people to see who’s checking out their Facebook, which might be a lot more lucrative given its higher population of psychotic former lovers, stalkers, and narcissists.

From Telluride Tom: “Re: your day job. Why don’t you quit? You’ve done it long enough. Sponsors and consulting could offset.” I like working for an academic medical center and I really believe that patient outcomes would be at least a zillionth of a percentage point less positive if I left. I would also be loath to leave the playing field to join the healthcare-inexperienced commentators blabbing endlessly from the safety of the announcer’s booth. I don’t know that I could make HIStalk better by devoting even more time to it since I already have people who help me, but I would if I needed to. I’ve been doing what I enjoy doing for 10 years without regard to workload, money, etc. and it’s mostly working OK except it doesn’t make very interesting obituary material.

From LabRat: “Re: University of Iowa. Rumor is their Epic Beaker LIS install isn’t going well so far. Beaker needs a big win in a complex academic environment for market credibility.” Unverified. Epic seems to have been forthright in identifying appropriate candidates for Beaker, which if it follows the trajectory of all previous Epic modules, will quickly move up the food chain from barely usable to top rated as Epic sends in its cadre of youthful ground troops to earnestly learn from early adopters. Lab is probably the toughest market to crack given well-established workflows, FDA oversight of instrument interfaces, and the department’s full use and utter dependence on its technology, all of which have been well served for decades by best-of-breed LIS vendors and long-perfected interfaces. Lab also covers broader territory than outsiders appreciate, including microbiology, anatomic pathology, molecular diagnostics, cytology, blood bank, outreach, transfusion, and a host of activities that I don’t claim to understand. Folks frustrated with sketchy usage and questionable benefits of other hospital systems should visit the lab to see what can happen when you combine a small group of motivated, analytical, and focused employees performing repetitive tasks using purpose-built technology that achieves both increased task efficiency and improved patient care. When it comes to improving patient care with technology, the showcase hospital departments are always lab, pharmacy, and radiology. Those areas are small in number, focused in mission, and are not only accepting of technology but fans of it.

UPDATE: UI Health Care CIO Lee Carmen provided a response:

Regarding the reported rumor of issues with Epic Beaker install at University of Iowa Hospitals and Clinics. I am the CIO for UI Health Care, and I can report the project is proceeding as planned. There are a few aspects of this project that Epic has not dealt with at other Beaker sites, but we have a positive, constructive dialogue underway and I am confident we will find a way to meet the needs of our laboratory operations and have a successful Beaker install.

2-16-2013 8-42-52 AM

From HIMSSGoer: “Re: HIMSS vendor propaganda. Today HP sent me 45 M&Ms in a large Fedex box.” Funny you mention that — the same box was dropped on my doorstep, and before I read your e-mail, I also took a photo and counted the M&Ms. My photo above hardly does justice to HP’s massive waste of packaging and carbon. Inside the large Fedex box was an expensive-looking inner box, shrink wrapped and packed with air pillows. Inside that was a pill bottle, and inside that was a tiny bag of HP-imprinted M&Ms that was so resistant to opening that I had to use the same knife I needed to hack through the shrink wrap. Mrs. H did a double-take at the kitchen table full of junk as though I had just opened a package containing a human ear. I bet the whole matryoshka doll-type package cost HP at least $30 to send out, which is a lot for a small bag of M&Ms that bled blue ink over my fingers since imprinted M&Ms don’t have the usual “melts in your mouth, not in your hand” waxy coating. The subject of the pitch was the new ElitePad, an alternative to the iPad that (a) costs more; (b) runs Windows 8; and (c) is made by a famously struggling company that yanked its consumer tablet off the market six weeks after its launch in 2011. All three factors will probably reduce consumer interest to near zero, but maybe HP will sell a few to Apple-phobic IT shops willing to support Windows 8. If so, I don’t think it will be because of the M&Ms.

I’ve been too busy to do a music playlist lately, so I’ll recommend just one band this time: The Thermals, highly listenable and tight indie punk from Portland, OR. Kudos to the three-member band for recording live straight to tape and directly mastering from it instead of screwing around with computers and overdubs. My legs are doing faux kick pedal drumming as I listen to their excellent KEXP videos on YouTube and every one of their 60 or so tracks on Spotify. Best music I’ve heard in some time.


HIMSS Conference Social Events

Omnicell will offer beer and wine in Booth # 8141 Monday and Tuesday from 4:00 to 6:00. Betsy told me she can’t comment on the quality of the beer, but she says the price is right.


2-16-2013 7-07-18 AM

Three-quarters of poll respondents say the government should issue a national patient identifier, although few of those respondents have ever sought the votes of wary constituents. New poll to your right: is the amount of HIMSS-related vendor contact you’re getting too little, about right, or too much?

For the HIMSS vendor contact, I’m going to go with “about right” since it’s easy for me to toss mail-out cards without even looking at them, which I’ve done with every one of them that have arrived. I always toy with the idea of choosing some vendor at random from the HIMSS list who’s exiled to a tiny booth in the Siberia part of the exhibit hall and then imploring my readers to show up there at a designated time just to give them hope. Every year I purposely walk those seldom-trod paths and chat with the untouchables, although in many cases they’ve already given up and either left their booth unattended or repurposed it as a place for their reps to sprawl back and play with their phones. Inga, Dr. Jayne, and I are good mystery shoppers, telling you the good and the bad booth behaviors we observe during the conference.

2-16-2013 7-35-21 AM

Welcome to new HIStalk Platinum sponsor InstaMed. The Philadelphia-based company’s integrated healthcare and payments network has been chosen by 400 hospitals and 60,000 practices who wanted to collect more patient payments, get paid faster, and reduce the time and complexity involved in collecting what’s owed to them. Everything from eligibility to claims can be managed on the company’s cloud-based portal, while patients get their own portal for receiving electronic statements, making payments, and setting up payment plans. Other tools include eligibility, a patient payment estimator, converting scanned checks to eChecks, claims management, remittance management, and electronic remittance. A just-issued case study describes the experience of Aspen Valley Hospital (CO), which used InstaMed to increase front office payments by 124 percent over five years and reduce payment processing administrative time by 65 percent. Good Samaritan Hospital (IN) cut statement costs by 25 percent and reduced administrative time in handling credit card payments by 90 percent. Lots of testimonials, including names, are here. Thanks to InstaMed for supporting my work.

England’s Rotherham NHS Foundation Trust halts new go-lives of Meditech, citing “persistent serious issues” that include “clinician and staff acceptance and usability.” Overseers say The Rotherham is falling short on financials because the system can’t book appointments effectively, also saying they can’t trust Meditech’s coding, case mix, and activity data. The trust went live last year two years behind schedule, expecting to spend $62 million over 10 years on Meditech as one of the first trusts to bypass NPfIT-provided systems in choosing their own. Excellent reporting by eHealthInsider.

Also in England, Royal Berkshire Hospital is reported to be close to shutting down Cerner Millennium because of higher-than-expected ongoing cost and productivity losses that have frustrated staff and bottlenecked patients. The hospital expected ongoing costs of $2.5 million per year, but the actual annual run rate of the $46 million system is $8.5 million. Patient delays have been so extensive that the hospital offers them parking discounts, free refreshments, and quizzes with which to amuse themselves while waiting.

Our Investor’s Chair guru Ben Rooks weighs in on why companies adopt a majority voting policy for their directors as Allscripts did last week:

This is actually quite shareholder friendly and has become much more common in corporate governance. In contrast to the way boards typically were retained (plurality voting), this says that if most shareholders don’t actively want the director to serve, they need to resign. In effect, inertia and indifference cease to become as powerful forces in retaining directors. I’d view both this step and the expiration of the shareholder rights plan as positive for MDRX shareholders.

2-16-2013 12-42-37 PM

The recently reopened Bellevue Hospital Center (NY) diverted trauma patients for 90 minutes Thursday evening when an electrical problem shut down its computer systems for several hours.

Covisint will announce next week an out-of-the-box solution to connect with the Direct Project, which will include Web services APIs to manage message routing, administration, and a secure inbox. Covisint Direct will be market to hospitals, states, RECs, and EMR vendors as a quick way to create a Direct solution for sending CCDs, care gaps, and alerts.

2-16-2013 11-48-14 AM

The newly appointed president of the Allegheny County Medical Society (PA) says doctors are spending too much time completing electronic medical records, also noting that her own plastic surgery practice has been forced to change EHRs three times. 

A Zimbabwe family’s home remedy of treating wounds with sugar is being tested in British hospitals with some degree of success. Weird News Andy says they use the same sugar on both left and right limbs … because it’s ambidextrose (I won’t rain on WNA’s pun parade by pointing out that table sugar is sucrose rather than dextrose). It’s also not a new practice – hospitals I’ve worked in have used sugar on wounds on rare occasion, sometimes in conjunction with Maalox. Unlike most treatments, at least these are cheap and cause no harm even when they don’t work.


Sponsor Updates

  • Intermountain Healthcare will feature TeleTracking’s RTLS solutions in an interactive hospital patient room display in HIMSS Booth #1810.
  • HFMA member Dan Mandy of Winthrop Resources is featured in a peer-reviewed HFMA article that describes funding options for IT capital expense.
  • Philips Healthcare CMIO/CTO Joseph Frassica, MD will speak at the HIMSS Interoperability Showcase on Tuesday, March 5 at 11 a.m. I interviewed him last August.
  • Intelligent InSites is chosen by en-Gauge as the locating solution for its fire extinguisher and medical oxygen monitors.
     
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February 16, 2013 News 20 Comments

HIStalk Interviews Adem Arslani, Director of IS/Clinical Informatics, Advocate Good Shepherd Hospital

February 15, 2013 Interviews 4 Comments

Adem Arslani is director of information systems and clinical informatics at Advocate Good Shepherd Hospital of Oak Brook, IL.

2-15-2013 3-51-14 PM

Tell me about yourself and the hospital.

I’m the director of information systems and clinical informatics at Advocate Good Shepherd Hospital. I recently transitioned here from another Advocate hospital. For four and half years, I served at Advocate Illinois Masonic Hospital in Chicago as a director of IS and informatics.

Advocate Good Shepherd is a community based-hospital. It’s smaller, licensed for about 169 beds,. The real challenge is that 80 percent of our physicians are private physicians, whereas Advocate Illinois Masonic Medical Center was an academic environment and actually a little easier to work with the EMRs and adoption.

 

Not many people in IT leadership roles have nurse credentials as well as being a veteran. How has your background made you more effective?

Understanding the clinician stakeholders and having that experience of working out on floors and understanding first hand has had a profound impact on my ability to do the work.

In the military, I served under the Signal Corps. That’s where I was introduced to mobile subscriber equipment and worked with technology. Our mission was to deploy anywhere and essentially set up communications within 24 hours in a total mobile environment. That was just an incredible experience.

Back in my days as a nursing student in University of Michigan, I was in the National Guard Signal Corps and ROTC. I was at the right place at the right time. At University of Michigan, we had a ubiquitous interactive TV system that was developed by a professor of engineering and the School of Nursing. They couldn’t get the equipment running. One of my instructors knew I had a military background. They invested some money and time and in six months they couldn’t operationalize this videoconferencing system.

I took a look at it and then had it up and running in a couple of days. The professor of engineering wanted to meet with me. She offered me a job over at the School of Computer Engineering, where I became a teaching assistant for a graduate-level topic course, Visual Communications. My work at the University of Michigan was, “How can we leverage technology to advance the practice of medicine?” That’s when I really became interested and intrigued in the role of informatics.

In a project that I implemented — and this was back in 1997 — I worked to design alternative nursing therapy for an 11-year-old bone marrow transplant patient. She was very sad, very emotional and on kind of a roller coaster ride. Having a nursing experience and empathizing with that patient and having some technology experience, the alternative therapy that I elected was PC-based videoconferencing over the Internet to help her deal with the coping and isolation. CU-SeeMe was one of the first videoconferencing applications. it was developed at Cornell University from a physician that wanted to share images. This was a free application. I contacted the school, they had it. They were an Apple environment, the University of Michigan was a PC environment, but that was the beauty of this application — it didn’t matter what platform you were on.

We established Internet videoconferencing out of a patient room. Bone marrow transplant patients are high risk of infection and she expressed that she missed her friends. She was isolated for six months and it was just sad. When we did this, her school friends in support of her, shaved their heads. They mailed her a T-shirt that she wore. They were able to see this. She was interacting via a modem connection and the video was very effective. That’s what gave me the recognition into the world of informatics. The American Journal of Nursing found out about the project. It was published through Sigma Beta Tau in quite a number of countries and I presented it at an American Journal of Nursing conference. From there, I landed my first informatics position at Mercy Health System in Laredo, Texas.

The military does an excellent job in leadership development and they have standardized methodologies around risk management, problem solving, and the Military Decision Making Process, MDMP. These processes and methodologies are second nature and are used with every problem or challenge leaders face. I have found that this approach has served me well when implementing IT and informatics solutions or leading teams. These methodologies and skill sets are atypical in information technology structures.

Nursing curriculum stresses utilizing critical thinking skills and problem solving. In addition, we understand how to operationalize technology, and often IT is removed from the day-to-day operations of a nursing unit, for example, failing to understand the kinds of impact certain decisions can have.

 

You’ve worked for several years with EMR speech recognition. What experience do you have from the work? How do you see speech recognition involving clinicians changing?

One of the imperatives — especially with the government mandates with Meaningful Use and HITECH – is that everybody is on the march to improve the EMR adaption for clinicians. That was the whole emphasis of why speech really intrigued me. When you take a look at the consumer market out there, it’s being introduced in the TVs we buy today. With my children, they’re experiencing gesture technology and speech with Wii consoles and with Microsoft XBox 360. This is the generation that’s going to expect this technology in the future. They’re already familiar with it. 

When you take a look at the healthcare setting, we’re always behind in the implementation and adoption of a lot of technologies that could make us more efficient and improve the workflow, patient safety, and all of those good outcomes that we’re striving for. When I came to Masonic, we were doing pretty good with physician order entry, but we weren’t doing so well with adoption of the structured physician documentation system from Cerner’s PowerNote, for example. We were just starting down that path.

The complaint from physicians were that there are a lot of clicks. You have to navigate a lot, and it just doesn’t lend itself really well to physician documentation of how they like to write physician notes. We embarked on a pilot, just for a proof of concept, with Nuance to see how physicians reacted to it. We targeted seven hospitalists and they went very well. Our chief of surgery and some other folks that had never utilized the EMR found out that we were piloting Dragon. Right away, the message to myself and CEO and finance was, “I don’t use the EMR, but you guys are piloting Dragon and I would love to use Dragon. I will try to use the EMR if I have access to Dragon.” 

That was very powerful and sent a very loud and clear message to our leadership. I got great support to target the Department of Surgery. We executed a license for that department. A short time after trialing this, it became clear in my mind that the only way you can really make an impact is through a site license. We wanted to give everybody access to this technology. The haves and have-nots limited our ability to leverage the full capabilities of Dragon. I have plenty of data to prove my point. When we have a site license, anybody can use Dragon. That gives a lot more flexibility from how we deploy a technology and how we can support it.

Oftentimes these products get implemented 50 licenses at a time. Who’s going to get that license? From a training perspective, if you have all these different work flows as part of 50, you’re really spending the same amount of time and resources as you would have implementing a site license. From my perspective, I did not want to go down that road — it was either a site license or we’re not going to do it.

We were paying about $45,000 a month in dictation and transcription costs, which was outsourced. We had about 6.5 FTEs internally that managed some of the dictation and transcription as well. Within 12-18 months as we implemented by service, we were able to reduce that cost to $5,000 to $8,000 per month. It was going so well that the organization eventually mandated the EMR. At Illinois Masonic, we had 100 percent EMR adoption by our physicians. We didn’t have physicians walk away. They didn’t leave. The strategy was we wanted to give our physicians options of how they document and make it as efficient as possible. 

As part of our license, we had 800 PowerMics. The PowerMic is very key if you want really good accuracy. In addition, we had Dragon installed just about everywhere in hospital. It was very conducive to the work flow. You didn’t have to compete for a PC with Dragon on it. For those reasons, it was adopted very well. Not everybody used Dragon and it was not our intent to force everybody to use Dragon. In an academic environment, we had a lot of residents who were fine with typing. The attendings absorb most of the dictation and transcription. That’s what we were really targeting. We wanted to identify who are high utilizers of dictation and transcription were.

We had about two services we went live with every month. We analyzed our work flow, we built templates, we tested those templates and commands. At our fifth week, we went live with that service. That’s how we were able to make an incredible impact on physician documentation and adoption.

I have never seen a physician get so excited about a technology. You don’t see physicians get excited about an EMR or physician documentation, but they did get excited about Dragon and the ability to have access to that. Some of the true benefits of speech is that it allows you to standardize all of the documentation through template creation right within Dragon that you can easily call up. On the EMR side of things, when you take a look at the physician documentation systems, there’s a pretty cumbersome change control process to make any changes to that physician documentation. Then you have reach some kind of consensus throughout the organization, and especially with a large healthcare system like Advocate, that takes a very long time to see any of those changes. That’s where you get a lot of frustration from physicians. 

With Dragon, it takes it out of the mix. We can create templates specifically to how they work at a service level, then you can drill down to that individual level. You can call up your H&P or any document type you wish and then dictate and then integrate that right into the EMR.

What’s interesting with the other healthcare organizations here within Advocate that have had that approach with buying bundles of licenses, over time, they had wound up spending more money than what I’ve invested in a site license. They did not realize the same impact that I have in such a short period of time. Within 12-18 months, to have that kind of impact and to get all of the physicians to be able to adopt the EMR is pretty incredible.

Dragon is not a competitor of the EMR. It’s another input device to make them much more efficient. When you take a look at just the keyboard and mouse, that itself is a barrier to the adoption of the EMR. When you watch a physician get in front of a computer with a mouse and keyboard, you can see that it hampers their work flow. It takes a long time for them just to get in the system and to navigate through the application. All these things are barriers.

 

Looking back at your responsibility for both IT and informatics, when you look at all of the opportunities for technology to improve patient outcomes, which ones do you see as the most promising?

I am definitely excited about speech and gesture technology. Anything you can do remove these barriers for adoption, that’s the key. My intent here is to integrate speech and gesture technology to at least minimize or eliminate the use of the keyboard and mouse.

One product that has captured my interest is a product from Leap Motion. I’ve already pre-ordered their device, which is slated to come out here pretty soon. The whole idea is to use a combination of single sign-on to tap in and  tap out, which we’re getting implemented here for the physician. Once they log into the system, they use gesture technology to navigate to wherever they have to navigate. When they navigate to the physician documentation piece, they turn over to speech and dictate directly into the EMR. I’m most interested in specialty areas that are most challenging anywhere you go, in surgery and with anesthesiology. A sterile environment doesn’t lend itself very well to the work flow.

We are one of the first healthcare sites to pilot Dragon in the cloud, Dragon 360 Direct, Nuance’s new offering. We are excited about this, as it will give us the ability to provide speech recognition to physicians anywhere, to be used with any EMR. In large integrated healthcare organizations, it is not uncommon to find more than one EMR that is being utilized.  For example, at Advocate, we have Cerner on the inpatient side, and depending what physician group you are a part of, they might be using Allscripts or eClinicalWorks.  An independent physician may use even another EMR. 

The challenge is that the different physician groups and the hospital are on different physical computer networks. The traditional Dragon implementation does not lend itself well to this type of environment. The real value proposition Dragon 360 Direct is that it allows the physician to use a common tool across a variety of EMRs, significantly enhancing and accelerating adoption. For example, a physician can easily access the same history and physical template from the cloud and use it with whatever EMR they happen to be using at that time. 

I am looking forward to utilizing gesture and speech recognition and leveraging Nuance’s Speech Anywhere SDK to allow the physician to interact with the EMR via voice. For example, with this technology, the physician could say, “Show me my patient list” and the EMR will respond and display the patient list without the physician having to use the mouse or  keyboard. 

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February 15, 2013 Interviews 4 Comments

HIStalk Guide to HIMSS13

February 12, 2013 News 1 Comment

Download a printable PDF of the guide here.

Accent on Integration® (AOI®)

2-13-2013 6-29-06 PM

Booth: Interoperability Showcase, Use Case #8

Contact: Marc C. Andiel, Co-founder, President and CEO
MAndiel@AOI.biz
972.422.8609, 214.417.3618

Accent on Integration® (AOI®) enables data sharing by interconnecting disparate technology systems and patient care devices for hospitals and healthcare systems of all sizes to improve patient care by enhancing clinical workflows, eliminating error-prone processes and removing data silos. AOI’s Accelero Connect® integration platform is vendor, manufacturer and modality neutral and used to openly communicate clinical data between a multitude of systems and devices.

AOI was selected to participate in the HIMSS Interoperability Showcase and demonstrate live how Accelero Connect can integrate vital signs monitors, smart infusion pumps and telemetry beds with an HIS. At the show, AOI can be found in the demo area for Use Case No.8, which will illustrate the role integration plays as a patient moves through a hospital from the ED to ICU and then discharge.

AOI’s team of seasoned professionals is dedicated to uniting people, process and technology, and they look forward to meeting with you at HIMSS to discuss your integration goals.


Acuo Technologies

2-13-2013 6-30-48 PM

Booth 2859

Contact: Mike Dolan, Vice President of Sales
mdolan@acuotech.com
952.905.3448

Acuo Technologies® is the world leader in clinical content management and data migration technology. Our Universal Clinical Platform (UCP) is an enterprise solution built on a next-generation vendor neutral archive (VNA). UCP helps healthcare organizations achieve full interoperability across multiple disparate systems by consolidating long-term data management. UCP unlocks clinical content held captive in departmental systems, providing extreme data liquidity that eliminates migration headaches and accelerates patient data to the point of need. With VNA implementation experience that spans all major PACS vendors and storage providers, Acuo is focused on making all components of a healthcare ecosystem work better together.

In January 2013, Acuo became part of Perceptive Software from Lexmark. The combination of Perceptive’s content management capabilities and Acuo’s VNA platform provides the ability to capture, manage and access all unstructured content to clinicians exactly where and when they need it. The combined offerings provide capabilities to quickly search and extract relevant information from this captured content, and deliver it in the context of the clinical applications. It allows Acuo and Perceptive to bring “high definition” to the EMR and is unique in the healthcare space.

Acuo brings clinical content into the context of the patient record in the EMR, just as Perceptive Software brings unstructured content into the context of the EMR or other enterprise application. Together Perceptive Software’s rich process and content solutions, combined with Acuo’s Universal Clinical Platform, gives users an enterprise-wide view of all patient medical information from within the EMR system. This gives physicians immediate and convenient access to all patient information—from x-rays, ultrasounds, CT scans and more, regardless of the department in which it was conducted or the proprietary technology used to create and store it.


Access

2-13-2013 6-35-16 PM

Booth 1023

Contact: Lindsey Eaton, Senior Inside Sales Representative
lindsey.eaton@accessefm.com
913.752.9938

Hundreds of hospitals worldwide use Access solutions to integrate e-forms, electronic patient signatures and clinical data into EHRs without paper or user effort. See Access solutions in action at HIMSS Booth 1023. Oh, and we’ll have free Starbucks coffee, so that’s a win, win for you and your caffeine habit. Watch our customers’ video testimonials here: http://www.youtube.com/accesseforms. And check out our website to learn how we can help your hospital improve patient care and safety while saving you time, money and paper: www.accessefm.com.


Advisory Board Company

2-15-2013 10-30-24 AM

Booth 4669

Contact: Meghan Fassl, Manager
FasslM@advisory.com
202.266.6528

The Advisory Board Company is a global research, technology, and consulting firm partnering with 150,000 leaders in 3,700+ organizations across health care. Stop by booth #4669 to meet our team of IT experts, schedule a one on one session with analyst on your topic of choice, pick up our newly released research, attend an education session, and learn more about our Health Care IT Suite memberships.


Allscripts

2-15-2013 10-31-46 AM

Booth 3441

Contact: Ariana Nikitas, Director of External Relations
ariana.nikitas@allscripts.com
312.506.1236

The changes underway in healthcare require provider organizations to be Open. Open to change. Open to collaboration. Open to innovation. And Open to the information and insights that lead to improved outcomes. Allscripts Open architecture connects both clinical and financial data across every setting – whether you’re interested in care coordination, revenue cycle, performance management or mobility improvements. This openness brings us closer to our vision of a Connected Community of Health. Join us in booth #3441 to learn more how being Open is driving amazing outcomes across the healthcare industry.


AirStrip

2-15-2013 10-37-43 AM

Booth 1721

Contact: Kimberly Kuzawa, Executive Assistant
kimberlykuzawa@airstriptech.com
832.330.4419

AirStrip is guided by a bold vision: harness the power of mobile communications to change the way healthcare is practiced. The AirStrip™ ONE™ mobility solution can improve the quality and timeliness of care, can increase patient and clinician satisfaction, can enhance financial performance, and reduce risk. Headquartered in San Antonio, Texas, AirStrip is empowering the nation’s leading health systems to compete and succeed in today’s rapidly changing environment.

Sign up for a demo or meeting with us at HIMSS – visit www.airstriptech.com for more information. Also make sure to stop by the AirStrip booth and enter our drawing to win a free iPad.


Aprima Medical Software

2-15-2013 10-38-33 AM

Booth 6323

Contact: salesinfo@aprima.com
866.960.6890

Aprima Offers a Lifeline to Customers of Allscripts MyWay ™, including Community settings. If your organization is currently using Allscripts MyWay ™ for individual practices, or across an entire Community, you’ll want to stop by Aprima Booth 6323 at HIMSS and learn about the Aprima Rescue Program for customers of Allscripts MyWay™. With this program, you’ll be able to take advantage of free Aprima licenses – up to an $8,500 savings per provider! Plus, Aprima can easily handle your interfaces and interoperability needs. The Allscripts MyWay™ product was originally based on source code that Allscripts licensed from Aprima in 2008, so Aprima EHR and PM have the same look and feel with nearly 1,000 enhancements since 2008. When you upgrade to Aprima, you’ll enjoy a minimal learning curve and minimal to no downtime. For more information, please visit www.aprima.com/rescue or email salesinfo@aprima.com.


Aspen Advisors

2-15-2013 10-39-50 AM

To schedule a meeting:

Contact: Daniel Herman, Founder and Managing Principal
dherman@aspenadvisors.net
412.370.4900

We know that technology is a means to an end and have a razor-sharp focus on helping you make progress toward the IHI’s Triple Aim of better health, better healthcare, and lower per capita costs. From strategy to execution to optimization, we can help you:

  • Develop your technology roadmap to support the shift from volume-based to value-based care
  • Evaluate EMR vendors and plan for implementation
  • Streamline governance and decision making
  • Plan for mergers, acquisitions and other outreach strategies
  • Implement clinical systems, drive adoption and achieve Meaningful Use
  • Complete ICD-10 implementation and audit compliance
  • Make real progress on teleHealth, eHealth and mHealth initiatives
  • Implement infrastructure changes to your technology roadmap
  • Leverage information and big data to create a data-driven culture
  • Realize value from EHR and other systems investments
  • Lead change and support performance improvement initiatives
  • Optimize IT service delivery
  • Plan for long-range IT workforce needs

Visit www.aspenadvisors.net to learn more.


AT&T

2-16-2013 7-06-46 AM

Booth 3727

Contact: Deborah Sunday, Marketing Director
ds823e@att.com
678.230.3440

Join the AT&T ForHealth team in Booth #3727 at HIMSS13 in New Orleans, March 3 -7. AT&T ForHealth is committed to serving the technology needs across the continuum of care – from hospitals to physicians to patients. Our suite of innovative wireless, cloud-based and networking services and applications empower clinicians by placing vital patient health information at their fingertips. Medical images are stored and shared through the cloud, across multiple care settings, highly-secure and on demand. With telehealth, patients get greater access to specialty care and physicians and specialists reach more patients. And with mobile health solutions, patients become more engaged in their own care.


Aventura

2-15-2013 10-41-37 AM

Booth 4011

Contact: Jon Cooper, VP of Strategic Initiatives, Co-Founder
jon.cooper@aventurahq.com
303.912.7623

For clinicians, technology can be a real pain in the distal orifice of the alimentary canal.And the more information clinicians need at the point of care, the worse the pain is going to get. Stop by booth #4011 and Suite #202 to see how this pain can be treated.

We know a thing or two about giving caregivers the mobility they need. It’s all about context! Who you are, where you are, and what you need. Aventura’s context- and location-aware intelligence improves the workflow of doctors and nurses by delivering the right information instantly based on clinician location and credentials.

Aventura improves clinician satisfaction, increases EMR use at the point of care, and allows focus on the quality of care. We make your EMR live up to the promises in the owner’s manual.


Awarepoint

2-16-2013 7-08-37 AM

Booth 6918

Contact: Carlene Anteau VP, Product Marketing
canteau@awarepoint.com
858.345.5000 x742

Awarepoint optimizes healthcare workflow by offering the industry’s only cloud-based, RTLS solution including software, technology, and managed services. Awarepoint’s experience, reliability and proven solutions drive positive clinical and financial outcomes. Organizations leverage current IT investments to improve communication, enhance coordination, streamline workflow, improve staff efficiency, optimize patient throughput and increase patient and staff satisfaction. Attendees should visit Awarepoint’s booth to learn how RTLS can improve patient flow in a variety of ways ranging from simple automation, such as documenting activities and time stamps based on caregiver, patient and equipment location, to complex milestone management that relates the interactions between caregivers, patients and equipment, to care ordered in the electronic medical record (EMR). The ability to interpret activities and anticipate roadblocks in the patient’s care plan supports proactive communication to drive action.

New product alert: Awarepoint will be demonstrating a new "Bed and Bay Sensor" that enables precise tracking of mobile equipment and patient and caregiver interactions in locations with tight-bed spacing, such as the emergency department (ED) and pre- and post-anesthesia care.


Beacon Partners

2-15-2013 10-42-44 AM

Booth 4729

Contact: Jeannette Pforr, Marketing Associate
jpforr@beaconpartners.com
781.681.7493

Beacon Partners is one of the largest healthcare management consulting firms in North America. We focus on helping organizations enhance operational performance to deliver the highest level of patient care. For more than two decades, healthcare leaders have chosen Beacon Partners to optimize clinical productivity and financial performance, ultimately leading to improved quality, safety and patient outcomes. Our team of industry executives, physicians, nurses, administrators, allied healthcare professionals and analysts brings a unique, multi-disciplinary approach to the challenges you face. We are healthcare professionals just like you. That’s the Beacon Partners difference. Be sure to stop by our booth to find out how Beacon Partners can help your organization.


BESLER Consulting

2-15-2013 10-45-28 AM

To schedule a meeting:

Contact: Jim Hoffman, Chief Operating Officer
jhoffman@besler.com
732.233.5008

For over 25 years, BESLER has helped hospitals recover otherwise lost revenue, increase reimbursement, ensure compliance, improve efficiency and reduce costs. BESLER’s deep domain experience in revenue cycle, reimbursement, compliance and unmatched software solutions has resulted in more than one billion dollars in additional revenue for our clients. If you’d like to discuss our products or partnership opportunities at HIMMS, please contact Jim Hoffman at 732-233-5008 or jhoffman@besler.com.


Billian’s HealthDATA / Porter Research

2-15-2013 10-47-10 AM

Booth 2317

Contact: Jennifer Dennard, Social Marketing Director
jdennard@billian.com
678.569.4872

Billian’s HealthDATA and Porter Research offer a broad spectrum of market intelligence solutions at HIMSS13:

  • Provider Solutions
  • ID referral partner opportunities
  • Compare peer performance
  • Review patient market share
  • Vendor Solutions
  • Broadest lead & email coverage
  • Integrated health market coverage
  • In-depth data in flexible formats

Need help with your go-to-market strategy? Let actionable feedback from target C-suite buyers guide you with custom market research programs from Porter Research. Schedule your show-floor demo or consultation and get a Starbucks gift card at the booth: http://ow.ly/hjHqw,


Bottomline Technologies

2-15-2013 10-48-10 AM

Booth 2619, Hall D

Contact: Michael Kortan VP, Healthcare
mkortan@bottomline.com
603.501.5185

Bottomline’s intuitive, data-driven solutions for patient access and financial process automation are used by 900+ U.S. hospitals. Customers apply our products for patient registration, mobile data and e-signature capture, and cash management to deliver positive patient experiences, improve data and operational efficiencies, and enhance organizational health. Stop by HALL D Booth 2619 for your free Data DNA test and enter to win one of our daily prizes.


CAP Professional Services
2-21-2013 8-25-42 AM 

To schedule a meeting:

Contact: Bruce R. Cattie, Senior Managing Director
CAPSTS@cap.org
847.832.7700

CAP Professional Services provides best practice health IT strategies, clinical informatics, and terminology services for clients striving to achieve semantic interoperability and high-quality, robust electronic medical records (EMR).


CapSite

2-15-2013 10-49-15 AM

Booth 4929 and across from registration in Lobby D

Contact: Gino Johnson, VP, Business Development & Consulting, HIMSS Analytics; Founder, CapSite
Gino.Johnson@himssanalytics.org
802.922.9971

CapSite, now part of HIMSS Analytics, provides detailed health IT data via the CapSite Database, as well as strategic and tactical consulting services. Visit the HIMSS Analytics – CapSite booths in Lobby D and on the exhibit floor (#4929) for a CapSite Database demo to see how our pricing, packaging and positioning information can help with your capital planning and procurement processes or competitor analysis.


Capsule Tech, Inc.

2-15-2013 10-50-41 AM

Booths 3711, 3185, and 8711

Contact: Brianna Roy, Marketing and Events Coordinator
briannar@capsuletech.com
978.482.2339

Capsule is the leading global provider of medical device connectivity solutions for hospitals and healthcare organizations. Capsule enables hospitals using electronic medical records and other information systems to reduce costs, increase efficiency and improve patient care through the direct capture and delivery of patient vitals at the point-of-care. Capsule’s solutions are flexible and scalable, offering a variety of deployment options to meet the needs of any healthcare delivery organization. Founded in 1997, the Company has established strong partnerships with leading medical device manufacturers and installed enterprise-wide solutions in over 1200 hospitals in 36 countries.

For more information, visit www.capsuletech.com or call +1 978-482-2337 (US), or +33 1 5334 1400 (France). Over 1,100 hospitals have chosen Capsule for device integration because our solutions are:

  • RELIED ON by nurses
  • Capsule’s solution was designed with nurses, for nurses to fit current workflows and eliminate charting duplication
  • WANTED by I.T. teams
  • Capsule works with existing devices, systems and infrastructures
  • NEEDED by patients – Capsule reduces nurse charting time allowing for greater focus on direct patient care.

Caradigm

2-15-2013 10-51-48 AM

Booth 1323

Contact: Debbie Wolti
info@caradigm.com

Formed by GE Healthcare and Microsoft Corp. in June 2012, Caradigm is a joint venture focused on enabling health systems and payers to drive continuous improvements in care. Caradigm software helps healthcare professionals across care settings to use data to gain critical insights, collaborate with each other and with patients, and to develop and implement innovative care solutions to address some of healthcare’s biggest challenges.

Come by booth #1323 to see:

  • EXCITING DEMOS – Check out new Caradigm and partner offerings.
  • ENLIGHTENING CUSTOMER PRESENTATIONS – Come hear theater presentations about industry trends and best practices from your peers.
  • INFORMATIVE CARADIGM PRESENTATIONS – Learn about Caradigm’s vision, new products we’re delivering and plans for the future.
  • CARADIGM PERSONNEL – Stop by the booth to chat with our team, get your questions answered and learn more about new Caradigm.



CareTech Solutions

2-15-2013 10-52-53 AM

Booth 1911

Contact: Colleen Hanley, Vice President, Marketing
colleen.hanley@caretech.com
248.823.0950

CareTech Solutions is a healthcare IT services company providing 24x7x365 IT support for more than 200 hospitals/health systems in the U.S.

HIMSS13 attendees should visit CareTech’s booth (1911) to experience, first-hand, the company’s Clinical Help Desk and how it resolves clinical IT issues fast – getting doctors and nurses back to what matters most, providing quality patient care. From iPad video stations, attendees can watch and listen to CareTech analysts resolving EMR application issues in a matter of seconds, not minutes.


Certify Data Systems

2-15-2013 10-57-55 AM

Booth 717

Contact: David Caldwell, Chief Marketing and Sales
sales@certifydatasystems.com
408.236.7494

Certify Data Systems, Inc., is a pioneer in health information exchange (HIE) technology. The company’s HealthLogix™ Enterprise HIE platform has been adopted by the nation’s leading hospitals, physicians and laboratories. Certify’s HIE platform provides bi-directional community-wide semantic interoperability between disparate Electronic Health Record (EHR) systems, enabling all healthcare providers to exchange essential health information in real-time. In addition to processing electronic orders and results, the HealthLogix HIE platform delivers Continuity of Care Documents and Clinical Document Architecture seamlessly across a healthcare ecosystem. Certify’s industry leading “network approach” is easy to deploy, scale, manage and support.

Visit us at HIMSS13 in booth 717. Certify is partnering with the local New Orleans YMCA chapter to support their Strong Communities Campaign. Stop by our booth to learn how you can help promote their goal of living a healthier lifestyle. For more information, please visit http://www.certifydatasystems.com. Follow us on Twitter at @CertifyData.


ChartWise Medical Systems, Inc.

2-15-2013 11-00-16 AM

Booth 1961

Contact: Michael Backus, Director of Sales
mbackus@chartwisemed.com
317.774.4414

Visit us at HIMSS to see the first and best computer-assisted clinical documentation improvement application on the market.

ChartWise:CDI brings clinical documentation intelligence to your documentation improvement program. A comprehensive web-based software solution, it utilizes innovative built-in expertise to streamline the documentation improvement process by translating clinical terms, labs, and medications into the diagnostic terms needed for coding.

Featuring electronic queries, a flexible workflow, workflow management, help screens and videos, and reference materials from Coding Clinics and DRG Desk Reference, ChartWise:CDI has all the tools a clinical documentation specialist requires. Role-based functionality, robust on-demand multi-level reporting (from the hospital system down to the nursing unit), and optional Advanced Reporting utilizing business intelligence provide the tools an administrator requires. HL7 interfacing, rigorous data security, and no software to install help ease the burden on the IT department.

ChartWise:CDI changes the world of clinical documentation improvement like no other product or service on the market today.


CIC Advisory

2-15-2013 11-01-14 AM

To schedule a meeting:

Contacts: Cynthia Davis, Marcy Stoots, or Robert Johns
cynthiadavis@cicadvisory.com
727.772.3340

CIC Advisory helps hospitals use technology to provide more effective, efficient and safer patient care. Founders Cynthia Davis and Marcy Stoots are former critical care nurses with decades of experience leading fast-track clinical EHR projects. Our methodologies result in high rates of physician and clinician satisfaction and adoption, coordinated patient care processes and improved clinical outcomes.

Call us at 1.727.772.3340 or email cynthiadavis@cicadvisory.com for your invitation to the CIC Advisory hospitality suite at HIMSS13.


Clinithink

2-15-2013 11-08-21 AM

To schedule a meeting:

Contact: Nathan Skorick, Business Development
nathan.skorick@clinithink.com
978.296.5282
Robert Miller, VP Sales and Marketing
robert.miller@clinithink.com
978.296.5282

Find out how to turn data into information…

Clinithink was founded in 2009 by two clinicians with 20 years of combined healthcare IT and EHR experience who understood what was possible if you could unlock the unstructured clinical data within an patient records and return it as structured, usable clinical information. The result of their pioneering work is CLiX, Clinithink’s Clinical Natural Language Processing (CNLP) solution.

CLiX intelligently unlocks unstructured data, while preserving its original meaning, to help healthcare organizations access the information they need to improve financial management, improve quality measures and enhance clinical and operational processes.


Cornerstone Advisors Group LLC

2-15-2013 11-24-11 AM

To schedule a meeting:

Contact: Mary Berchtold, Vice President
mberchtold@cornerstone-advisors.com
781.254.4013

Cornerstone will have experienced senior level representatives from the EPIC, MEDITECH and Advisory/Strategies consulting service lines at HIMSS. They will be available to meet and discuss services during the conference. Meeting times may be scheduled by contacting Mary Berchtold (mberchtold@cornerstone-advisors.com).



Craneware

2-15-2013 11-26-09 AM

To schedule a meeting:

Ann Marie Brown, Executive Vice President of Marketing
a.brown@craneware.com
913.548.2810

Craneware will not be exhibiting at HIMSS but will have several senior executives available to discuss the company, our products, and the role we play in helping hospitals achieve revenue integrity though data normalization.

Craneware is the leader in automated revenue integrity solutions that improve financial performance for healthcare organizations. Craneware’s market-driven, SaaS solutions help hospitals and other healthcare providers more effectively price, charge, code and retain earned revenue for patient care services and supplies. This optimizes reimbursement, increases operational efficiency and minimizes compliance risk. By partnering with Craneware, clients achieve the visibility required to identify, address and prevent revenue leakage.

Founded in 1999, Craneware’s mission is to stop the loss of legitimate revenue owed to healthcare organizations by establishing a culture of revenue integrity within these organizations. Our vision is to be the partner that can be relied on to improve and sustain our customers’ strong financial performance.

Over our history we have come a long way towards achieving this. Today, Craneware has a total of nine core products, spanning four product families: Revenue Cycle, Access Management & Strategic Pricing, Supply Management and Audit & Revenue Recovery. One in four registered U.S. hospitals has chosen Craneware products to help them optimize reimbursement, improve operational efficiency, and minimize compliance risk. To support this growing client base and the company’s future growth prospects, Craneware now employs more than 200 professionals across the US and UK.


CSI Healthcare IT

2-15-2013 11-31-40 AM

To schedule a meeting:

Kate Mays, Vice President of Sales
kmays@thecsicompanies.com
904.716.1209

CSI Healthcare IT will be hosting a cocktail reception and dinner at Broussards on Tuesday night March 5 starting at 6:00 pm. Please contact Kate Mays to join.

CSI Healthcare IT is committed to providing the highest standard of consultants and consulting services in the Industry. Our track record speaks for itself. We have a long record of supporting the Project Management, Training, Build, Report Writing, Go Live Support and Interface functions of Health systems nationwide. Today, CSI Healthcare IT has more than 500 permanent and contract staff of experienced, knowledge-based professionals. CSI has been recognized by Inc. Magazine and Staffing Industry Analysts as one of fastest growing privately held companies in the nation. Being privately held enables creativity and flexibility to meet the specific consulting needs of our clients. CSI has the ability to enact quick adjustments to accommodate the ebb and flow of our clients’ staffing and project needs.

Join us for live music and networking Tuesday night at Broussards.


CTG Health Solutions

2-15-2013 11-33-48 AM

Booth 3663

Contact: Amanda LeBlanc, Managing Director, Marketing & Communications
amanda.leblanc@ctghs.com
225.772.8865

Computer Task Group, Inc. (NASDAQ: CTGX) is an international IT solutions and services company with over 3,800 employees in North America and Western Europe. Its healthcare division, CTG Health Solutions (CTG), is a leading IT consulting firm dedicated solely to helping provider and payer clients achieve strategic, clinical, financial, and operational objectives by more effectively leveraging IT.

CTG’s comprehensive solution suite includes advisory, implementation, IT and strategic sourcing services— including planning and assessments, vendor selection, EMR implementation and optimization, clinical/business analytics, physician adoption, integration/technology solutions, revenue cycle strategies, legacy and production application management, support and upgrades, and solutions addressing regulatory requirements of ICD-10, meaningful use, and accountable care. CTG has provided technology and business solutions to more than 600 healthcare clients for over 25 years.

Visit CTG at HIMSS booth 3663 for conversations on “getting health IT right.”


dbMotion

2-15-2013 1-28-29 PM

Booth 5229

Contact: Kate Kolbrener, Director of Marketing
katek@dbmotion.com
412.802.2248

The dbMotion™ Solution is a proven, connected healthcare, SOA-based interoperability platform that enables healthcare organizations and health information exchanges (HIEs) to meaningfully integrate and leverage their information assets, driving improvements in the quality, safety and efficiency of patient care. dbMotion transforms care through the creation of a virtual patient record that integrates patient information to connect care providers and settings.This robust solution is field-proven, having been implemented in some of the world’s most demanding healthcare IT environments since 2001.

Our dbMotion™ Solution is helping clients:

  • Access HIE within the Physician Workflow
  • Connect the Ambulatory Environment
  • Link the Affiliate Community
  • Prepare for MU2 and Build an ACO
  • Harmonize Clinical Data for Analytics

Come see us at Booth 5229 for a demo! www.dbmotion.com


Dearborn Advisors, LLC

2-15-2013 1-32-08 PM

To schedule a meeting:

Contact: Mary Kiley, Revenue Development Coordinator
MKiley@DearbornAdvisors.com
773.255.0749.

Dearborn Advisors would like to chat with you about what’s going on in your organization regarding physician adoption of technology. Although we have no booth, we’ll spring for Starbucks coffee and have hundreds of chocolate bars to give away. Email Mary Kiley (mkiley@dearbornadvisors.com) or call 773-255-0749.

 


Deloitte

2-15-2013 1-34-14 PM

Booth 1863

Contact: Samantha Gordon, National Life Sciences & Health Care Marketing Leader
smgordon@deloitte.com
212.436.4987

By imagining the possible, we help you innovate and seize opportunities. Deloitte can help you in your efforts to define a vision for your organization in the constantly changing world of health care. Through the use of analytics, we can help you in your efforts to make decisions about the future. To do things differently – or make a new way forward.

While you are at HIMSS13, stop by our booth to interact with our analytics products, including Recombinant by Deloitte, the newest addition to our portfolio. Our solution specialists will be available to discuss your pressing issues: Accountable Care, Health Outcomes Management, ICD-10 implementation, Security & Privacy, Meaningful Use, Revenue Cycle, Mobile Health and more.

Visualize clarity through analytics and innovation. For more information visit us at www.deloitte.com/us/himss13.


Direct Consulting Associates

2-15-2013 1-36-26 PM

To schedule a meeting:

Contact: Frank Myeroff, Managing Partner
fmyeroff@dc-associates.com
440.996.0051

Direct Consulting Associates (DCA) provides a broad range of IT Consulting and Staffing solutions including staff augmentation, temp-to-perm, and permanent placement for healthcare IT initiatives. Whether you’re an IT professional searching for that perfect opportunity or a client company looking for the very best IT talent, we would like to meet you at HIMSS 2013!


Direct Recruiters, Inc.

2-15-2013 1-37-48 PM

To schedule a meeting:

Contact: Mike Silverstein, Director of Healthcare IT
mike@directrecruiters.com
440.996.0594
440.667.8334

Direct Recruiters specializes in recruiting, staffing, search, placement and consulting solutions for the Healthcare Information Technology (IT) Industry.


Divurgent

2-15-2013 2-17-36 PM

Booth 5948

Contact: Keri DeSalvo, Marketing Coordinator
keri.desalvo@divurgent.com
757.213.6875

Visit booth #5948 and help Divurgent raise $5,000 to donate to a local New Orleans Children’s Hospital. All we need is your signature!

Divurgent is not the typical healthcare IT consulting firm. As a nationally recognized company, we strive to be different, to think outside of the box for innovative healthcare solutions. Our goal is simple. To transform healthcare to our clients and the communities they serve. Focused on the business of hospitals, health systems and affiliated providers, Divurgent believes successful outcomes are derived from powerful partnerships. Recognizing the unique culture that every organization offers, we leverage the depth of our experienced consulting team to create customized solutions that best meet our client’s goals. Utilizing best practices and methodologies we help improve our client’s operational effectiveness, financial performance and quality of patient care.


Elsevier Clinical Decision Support

2-15-2013 2-18-49 PM

Booth 6129

Contact: Che Dildy, Sr. Manager, Product Marketing
c.dildy@elsevier.com
215.239.3795

By integrating insight and action, Elsevier Clinical Decision Support empowers meaningful care through our world-class healthcare information technology solutions, providing a patient-centered approach for organizations to achieve the triple aim.

 


Emdeon

2-15-2013 2-19-45 PM

Booth 5027

Contact: Brian C. Young, Director of Marketing
bcyoung@emdeon.com
404.432.9419

Emdeon provides interoperable information exchange uniting healthcare communities to help improve business and clinical outcomes. Come by booth 5027 to discover how Emdeon can help you achieve your business goals through Emdeon Universal Exchange, and also learn how you can win one of eight iPad minis that will be given out during the show.

Emdeon is the single largest clinical, financial and administrative health information network in the nation. In 2012, we processed nearly 7 billion health information exchanges. Our network moves information between physicians, hospitals, labs, pharmacies and payers through our interoperable connectivity to their software systems. This creates opportunities for access to big data, making it possible to apply intelligent analytics which help drive key programs like care collaboration, accountable care, medical home and pay for performance – all to help you achieve improved quality of care and lower costs with less capital expense.

Emdeon will have 4 in-booth speaking sessions this year, and two iPad minis will be given away at each session!

Session 1: Epic Orders Through Emdeon: Removing the Barriers to Clean Electronic Orders Monday March 4th, 3:00PM – 3:30PM Eric Reynolds, Vice President, Sales and Strategy, Emdeon
Session 2: The Future of Coding is NOW: Maximizing Coding Efficiency and Accuracy Using Big Data and Analytics Tuesday March 5th, 11:00AM – 11:30AM Manjula Iyer, Director of Product Management, Atigeo
Session 3: Breaking the Cycle: How Big Data and Real-Time Analytics Can Help You Intelligently Manage Readmissions Tuesday March 5th, 3:00PM – 3:30PM Gene Boerger, Vice President, Product Innovation, Emdeon
Session 4: Interoperability: The Key to ePrescribing Success Wednesday, March 6th, 11:00AM – 11:30AM Lathe Bigler, Sr. Director, Clinical Services, Emdeon

 


e-MDs

2-15-2013 2-21-06 PM

Booth 6413

Contact: James Foster, Client Data Operations Manager
jfoster@e-mds.com
512.623.6960

Stop By e-MDs Booth Daily for a Chance to Win an iPad Mini!!!

Let e-MDs help you Master Healthcare Strategies. As a consistently top-ranked vendor, clients count on e-MDs to give them the edge they need in meeting tomorrow’s challenges. e-MDs is well-known for our award-winning integrated EHR/PM solutions and services for ambulatory healthcare providers.

We’re introducing exciting new products and initiatives at HIMSS®13 to help you make the right moves to meet the challenging healthcare landscape. Join us at HIMSS®13 where our executive management team will be available to share our vision with you. Learn more about the innovative technology and services we’re delivering that help clients achieve clinical excellence, attain interoperability, drive improvements in patient engagement, and deliver stronger quality measures that support value-based performance, PQRS and MU criteria.

We welcome existing clients, prospects, business partners and other healthcare leaders to visit with us and discuss our latest innovations.

 


EMRConsultant.com

2-15-2013 2-23-45 PM

 

 

To schedule a meeting:

Contact: Donna Flynn, Director of Healthcare Technology Solutions
DonnaF@EHRScope.com
888.519.3100 ext. 114

Some things in life truly are FREE! In this case, its receiving the BEST QUALIFIED EHR, PM, Billing and/or Voice Recognition recommendations for your practice, absolutely FREE. How? Use the Comparison Chart, Select Individual Consultant on EHRScope.com, or contact us today with any questions!


Enovate

2-15-2013 2-28-20 PM

Booth 7429

Contact: Kevin Dougherty, Marketing and Events Manager
kdougherty@enovateit.com
248.655.0548 ext.154

Enovate is an international manufacturer of mobile and wall mounted computer workstations for the healthcare environment. We provide multiple vehicles for medication delivery, computerized physician order entry, and the implementation for clinical documentation.

We understand that caregivers have enough to worry about. That’s why we work hard to build products that are worry-free—so that caregivers can focus on what really matters, the patient. With comfortable ergonomics, infection control and sustainable materials, Enovate’s products are setting a new standard in the Health Information Technology industry. Light weight, soft corners, and manufactured with antimicrobial materials — these are just a few of the many reasons hospitals choose Enovate products.

Enovate – advancing health information technology For more information, please contact Enovate at (877)258-8030 or visit www.enovateusa.com.


ESD

2-15-2013 2-37-34 PM

Booth 5213

Contact: Jessica St. John, Business Development Director
jstjohn@contactesd.com
419.841.3179

ESD is dedicated to assisting healthcare organizations successfully implement health information technology. Experienced, clinical professionals help make that happen thorough full-scale implementation services that assist organizations before, during and after the go-live process to ensure a successful transition to a new or upgraded software. We work with all major systems, such as Allscripts, Cerner, Epic, McKesson, Meditech, NextGen and Siemens.

Stop by and see how we can help make your system work for you!


Etransmedia Technology, Inc

2-16-2013 10-34-25 AM

To schedule a meeting:

Contact: Connie Smith, Sales and Marketing
Connie.Smith@etransmedia.com
518.283.5418 ext. 2262

Etransmedia provides comprehensive RCM platform service solutions, including an integration EHR/PM solution, patient identity tools, discrete clinical data repository, provider portal, community patient portal, analytics tools supporting financial, clinical, and quality of care reporting. Delivering RCM and Revenue Analytics services to health systems nationwide, serving 12,000+ providers and 40,000+ users.


FDB (First Databank)

2-15-2013 2-41-17 PM

Booth 4241

Contact: Denise Apcar, Brand Communications Manager
dapcar@fdbhealth.com
800.633.3453

First Databank (FDB) provides drug knowledge that helps healthcare professionals make precise medication-related decisions. Come to our booth 4241 at HIMSS13, have a cup of gourmet coffee with us, and meet with FDB specialists to learn more about:

  • Achieving Meaningful Use Stage 1/ 2 criteria for medications; get our tip sheet at www.fdbhealth.com/MU2
  • AlertSpace®, our latest innovation for better managing alerts within your HIS system – now includes dosage range checking capabilities (in addition to drug allergy, drug-disease, drug-drug interaction and duplicate therapy alert customization capabilities)
  • Our State and Federal Controlled Substances Module to simplify compliance with regulations related to controlled substances prescribing and more
  • Our High Risk Medication Module™ to identify medications with Box Warnings and/or Risk Evaluation and Mitigation Strategies (REMS)

With thousands of customers worldwide, FDB enables our information system developer partners to deliver a wide range of valuable, useful, and differentiated solutions. For a complete look at our solutions and services please visit www.fdbhealth.com.


Forward Health Group

2-16-2013 10-41-45 AM

To schedule a meeting:

Contact: Michael Barbouche, Founder/CEO
FHGtalk@forwardhealthgroup.com
608.729.7530

Let the good times and Fresh Data roll in the Big Easy! Forward Health Group, the Health Care Measurement Company, is intentionally booth-less at HIMSS13 so we can get down, roll up our sleeves and make rich, brainstorming music with health systems, payors and all you newly-minted ACOs. If your focus is population health, you’re going to need tools and help with all that messy data – call us at 608 729 7530 or email us at FHGtalk@forwardhealthgroup.com. We’re on the HIMSS13 show floor – we’ll be right back to you. Let’s have a cafe au lait, spiced with Fresh Data.

With FHG, your data is as fine as the Duck and Andouille Gumbo at Galatoire’s. No, really.


GetWellNetwork, Inc.

2-15-2013 2-47-04 PM

Booth 2363

Contact: Tony Cook, Vice President, Marketing
tcook@getwellnetwork.com
240.482.4212

GetWellNetwork provides patient engagement solutions that help health care providers engage, educate and empower patients along the care continuum. Our patient-centered platform, delivered across multiple technology platforms including mobile devices, computers and televisions, enables providers to implement a revolutionary care delivery model called Interactive Patient Care™ to improve performance and patient outcomes. The company further extends the value of existing IT investments by integrating seamlessly with electronic medical record and patient portal applications.

For the third consecutive year GetWellNetwork is recognized by KLAS® as the leader in the Interactive Patient Systems category and exclusively endorsed by the American Hospital Association.Today GetWellNetwork solutions facilitate over 7 million patient interactions.

GetWellNetwork will be showcasing it’s newest solutions – myGetWellNetwork, Interactive Patient Whiteboard and GetWellNetwork for VA Medical Centers. Giveaway – iPads!

Learn more at www.GetWellNetwork.com.


Greenway Medical Technologies

2-16-2013 7-11-02 AM

Booth 3941

Contact: Leeann Fleming, National Trade Show Manager
leeannfleming@greenwaymedical.com
866.242.3805

Visit Booth 3941 to learn about the market’s first Cerner-certified interoperability solution for health system alignment and data exchange, and the first EHR to achieve Stage 2 certification. Learn about our high-scoring PCMH service as recognized by the National Committee for Quality Assurance, and our advanced, clinically-driven RCM solutions, all part of the PrimeSUITE platform.

Please visit one of our kiosks located in the Interoperability Showcase, Meaningful Use Pavilion – booth 149/Kiosk C13, or GA HIMSS booth 5500 to receive a key and code that will be taken to our main booth for an opportunity to unlock our safe. Prize value up to $2,000.

About Greenway and PrimeSUITE Greenway Medical Technologies, Inc. (NYSE: GWAY) delivers smarter solutions for smarter healthcare™. PrimeSUITE® — Greenway’s certified and fully integrated electronic health record, practice management and interoperability solution — helps improve care coordination, quality and cost-efficiency as part of a smarter, sustainable healthcare system. Thousands of providers across more than 30 specialties and sub-specialties use on-premise or cloud-based Greenway® solutions in healthcare enterprises, physician practices, clinics and ambulatory clinics nationwide. To learn more, go to www.greenwaymedical.com, Twitter, Facebook or YouTube.


Greythorn

2-15-2013 2-52-39 PM

Booth: 5358

Contact: Mary Beth Seaman, Director, Healthcare IT Practice
marybeth.seaman@greythorn.com
425.387.8848

Greythorn is a market leading technology recruitment specialist. Founded in 1976, it has established an excellent reputation for the authoritative and personable service it provides to both its clients and candidates. Since our inception, we have grown globally to provide expertise in Asia, Australia, Ireland, North America, South America and the UK.

With demand in the Healthcare IT sector continually increasing, our commitment to providing an expert and ethical service remains strong, ensuring we remain your ‘consultancy of choice’. Greythorn is part of the global multi-brand recruitment family, FiveTen Group, one of the world’s fastest-growing specialist recruitment consultancies. Visit booth #5358 to discuss industry data gathered from Greythorn’s annual Healthcare IT Market Report, learn about our staffing expertise with various types and volumes of projects and take a moment off of your feet. We look forward to meeting you!


Halfpenny Technologies

2-15-2013 2-55-01 PM

Booth 5223

Contact: Brian Muck, Sr. VP of Sales and Marketing
bmuck@halfpenny.com
855.277.9100

Are you using CPOE for lab, diagnostic imaging, pathology, cardiology and other ancillary services? Are your results delivered separately or as one cohesive bundle? Are you able to make business and clinical decisions based on referral patterns and clinical data?

Visit Halfpenny Technologies in booth #5223 at HIMSS13. Learn how your referral base can submit orders and receive customized bundled results with Halfpenny’s ITF-HUB solution. You will gain an additional benefit from the built in business intelligence! You can leverage "true interoperability" with the multi-vendor systems you already have in place, and quickly extract key data allowing you to turn it into actionable intelligence to deliver higher-quality healthcare and gain a competitive edge.

Halfpenny offers solutions for hospitals, health plans, physicians, independent laboratories, diagnostic imaging centers, ancillary healthcare services, HIEs, ACOs and physicians. Stop by to play our “True Interoperability” game, meet our team and win prizes.


Hayes Management Consulting

2-15-2013 2-56-03 PM

To schedule a meeting:

Pete Butler, President and CEO
pbutler@hayesmanagement.com
781.414.6099

Hayes Management Consulting is a leading, national healthcare consulting firm focused on healthcare operations. This includes strategic planning, interim leadership, revenue cycle optimization, clinical optimization, project management, IT consulting, and preparation for federal initiatives such as ICD-10, Meaningful Use, and HIPAA compliance. We also provide software such as MDaudit and other proprietary tools to ensure our clients are operationally efficient.


HCI Group

2-15-2013 3-02-57 PM

To schedule a meeting:

Contact: Cherity PIerce, Marketing Coordinator
cherity.pierce@thehcigroup.com
904-224-9388

HCI is a leading provider of IT personnel and solutions to healthcare enterprises across the United States, United Kingdom, and Middle East. Our specialties include:

  • EHR Planning, Implementation, & Training
  • Sustaining Support Models
  • Optimization & Clinical Adoption
  • Go-Live Support
  • Health System/Hospital Community IT Offerings

What makes HCI the best choice for your HIT project? Everything from our collaborative solutions to our rates that translate into real cost savings for your institution. Here’s how we deliver our comprehensive services and expertise:

  • Strategic thinking across the entire spectrum of project engagement
  • Clinical Leadership and an experienced engagement team to meet your needs in an efficient and timely manner
  • Knowledge of industry best practices
  • A fully dedicated recruitment team, exclusively focused on Healthcare IT to secure for you the very best resources to make your project a success

HealthCare Anytime

2-15-2013 3-05-19 PM

Booth 3869 (ICA)

Contact: Jesse Klick, Vice President – Operations
jesse.klick@healthcareanytime.com
619.243.8333

HealthCare Anytime’s cloud-based enterprise patient portal helps healthcare organizations achieve meaningful patient engagement. Our robust patient portal is delivered in a Software-as-a-Service (SaaS) model, which means we handle hosting, implementation, training, and support, thus reducing the demand on your IT resources.

HealthCare Anytime – Powering Patient Engagement Through the Cloud.


Healthcare Growth Partners

2-15-2013 5-09-08 PM

Booth 3845

Contact: Christopher McCord, Managing Director
chris@hgp.com
312.445.8750

Healthcare Growth Partners provides investment banking and strategic advisory services to small and mid-size, high-growth companies with an exclusive focus on healthcare technology and healthcare services. HGP was founded in 2005 with the goal of providing top tier strategic consulting and investment banking services to companies outside of typical middle-market investment bank parameters. Services include mergers and acquisitions, capital formation, strategy, and valuation.Since inception, HGP has closed over 50 transactions. With this focus, the firm leverages its experienced management team, strong execution capabilities, and deep network of contacts within the industry to provide efficient and high value processes for clients, all with the objective of growing companies, realizing value.


Health Catalyst

2-15-2013 5-10-57 PM

Booth 7721

Contact: Chris Keller, Marketing Director
chris.keller@healthcatalyst.com
801.230.9223

Health Catalyst (formerly Healthcare Quality Catalyst) delivers a proven, agile data warehouse platform that actually works in today’s transforming healthcare environment.

Currently 81 hospitals caring for 20 million patients utilize Health Catalyst’s Adaptive Data Warehousing platform and solutions. Founded by healthcare veterans who developed their solution after struggling for years to try to make non-healthcare data warehousing solutions work, the Health Catalyst data warehouse utilizes an adaptive approach designed specifically to address the complex nature of healthcare data.Health Catalyst’s platform combines technology solutions and clinical expertise borne out of repeated successful implementations that significantly improved quality of care and reduced healthcare costs.

Health Catalyst’s proven solutions are deployed at leading health systems including Allina Health, Indiana University Health, MultiCare Health System, North Memorial Health Care, Providence Health & Services, Stanford Hospital and Clinics, and Texas Children’s Hospital.


Health Language

2-15-2013 5-15-13 PM

Booth 4559

Contact: Marc Horowitz, Senior Vice President, Business Development
Marc.Horowitz@healthlanguage.com
720.320.6663

Health Language, Inc. (HLI) provides software for managing and updating standard and localized healthcare terminology. Health Language also offers clinical content and professional services to enable interoperability, ICD-10 conversion, web-based terminology mapping, and Meaningful Use compliance. Come visit us at booth 4559 to learn more about our robust, innovative solutions for payers, providers, government payers, and healthcare IT and EMR vendors. The HLI solution can assist with your ICD-10 conversion, analytics, and clinical research needs, as well as with pharmaceutical and international applications.

Stop by and see us to learn more, watch one of our informative demos and register to win one of our daily giveaways.


HealthMEDX

2-15-2013 5-17-47 PM

Booth 1075

Contact: Denise Johnson, Marketing Coordinator
Denise.Johnson@Healthmedx.com
417.799.6703

The HealthMEDX Vision solution provides an integrated, person-centric CRM, clinical and financial EMR, across the entire LTPAC care continuum including: Long Term Care (SNF, Assisted Living, and Independent Living), Rehab, Homecare, and Hospice. The SaaS based architecture supports interoperability with hospitals, physicians and payers to address readmission management and care coordination challenges across the continuum.

Come see how we embedded the AHRQ On-Time Readmission Prevention program into our solution! HealthMEDX Vision is both CCHIT and ONC-ATCB Certified.

 


Healthwise

2-15-2013 5-18-56 PM

Booth 3885

Contact: Michael Lauber, Account Executive
mlauber@healthwise.org
208.331.6995

Experience the Healthwise Difference. Get an insider’s perspective on what makes the Healthwise® Patient Engagement Solution your best choice for clinicians and their patients. Meet the people behind the Healthwise mission. Experience:

  • Trusted information
  • Tested interaction
  • True innovation

Visit Healthwise at booth 3885. Since 1975, our singular mission has been to help people make better health decisions. Healthwise leads the way with patient-friendly education and ONC-ATCB–certified technology. With Healthwise as your single source for patient education, you meet the criteria for Meaningful Use now, and you’re well positioned for whatever changes the future brings. The Healthwise Patient Engagement Solution.

 


Henry Elliott & Company Inc.

2-15-2013 5-20-16 PM

Booth 3217

Contact: Ken Wagner, President
kwagner@henrye.com
781.820.6697

Henry Elliott & Company, Inc., for over 20 years, has specialized exclusively in the provision of Caché and Healthcare I.T. Professionals for staff augmentation and direct hire nationally. We are a long standing partner of InterSystems and several of our Consultants are Caché Certified Experts who represent an elite level of knowledge of InterSystems products. Our professionals are experienced with Caché based third party software. This includes Epic, Veterans Affairs VistA, Indian Health RPMS, Antrim/Sunquest, IDX(GE) & InterSystems Ensemble, CSP, Zen and others.

We also partner with large-scale Professional Services and Systems Integration Organizations in support of Healthcare I.T. and Caché based technology development and implementation efforts. Our partners provide the project management while we provide the highly skilled professionals. We have grown to 50+ technical resources and 8 Account Management and Operational personnel. Our aim is to match the skills, experience and interests of our professionals with our clients’ specifications.


Holon Solutions

2-15-2013 5-22-39 PM

Booth 4020

Contact: Worth Roberts, Vice President Business Solutions
wroberts@holonsolutions.com
678.324.2060

At Holon, we believe that a patient’s experience is improved when their care team can seamlessly collaborate on their care. We understand that information in the right hands, at the right time and place, is key to providing it. We focus on facilitating a collaborative care environment by providing access to information at the point of care – without forcing anyone in the care team to change their current systems or processes.

Visit Holon and our partners in booth 4020 at HIMSS to learn more about how we can help you build a collaborative care environment from the bottom up. Remember when the focus was on patient care? It can be again with Holon!


2-15-2013 5-23-38 PM

 

Booth 7459

Contact: Patricia Kellicker, Director of Marketing
patricia.kellicker@humedica.com
617.475.3800

Humedica is the foremost clinical intelligence company that provides private cloud-based solutions to the health care industry. Humedica’s sophisticated analytics platform transforms disparate data into actionable, real-world insights. Powered by the largest and most comprehensive clinical database, Humedica empowers its partners and customers to make confident, value-based decisions about patient care in a rapidly changing health care market.


Iatric Systems, Inc.

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Booth 6613

Contact: John Danahey, Sr. Vice President, Sales and Marketing
john.danahey@iatric.com
978.805.4153

Join Iatric Systems in Booth #6613 at HIMSS 2013. Iatric Systems helps healthcare providers achieve success by delivering the most comprehensive healthcare IT integration. You’ll see how more than 1,000 hospitals are using our data integration, systems integration, and process integration solutions to…

  • Achieve a scalable and affordable Enterprise HIE
  • Meet ACO objectives
  • Support Meaningful Use initiatives

Booth #6613 is going to be entertaining as well as educational, with Chef Anton – the two-time National Pool Trick-Shot Champion – lining up one amazing shot after another and giving out great prizes like Visa gift cards and Apple iPod shuffles after each show.

Make sure you visit us in the HIMSS 2013 Meaningful Use Experience booth #149 / Kiosk #6 and #21. Each day, the first 150 people to visit our kiosks can receive a coupon for $2 off at Starbucks.

Finally, we have teamed up with more than 25 New Orleans retailers to enhance your HIMSS experience by offering special offers and discounts in the area. Stop by booth #6613 to receive your slap band and discount card.


ICA

2-20-2013 4-35-15 AM

Booth 3869

Contact: John Tempesco, Chief Marketing Officer
john.tempesco@icainformatics.com
615.866.1465

ICA’s CareAlign® interoperability and informatics platform solves data and communication challenges for healthcare entities, including IDNs, hospitals, IPAs, HIEs, and payers. CareAlign delivers a flexible architecture to connect, collect, consume and intelligently distribute data through Direct, IHE, HL7, and custom methods for use in EHRs, third party applications, and ICA’s applications. Our solution and booth partners are CSC, Healthcare Anytime and Futrix Health. Visit booth #3869 for product demonstrations, and to participate in our food bank raffle. Learn more at www.icainformatics.com, and follow us on Twitter, ICA HITme Blog, Facebook, LinkedIn and YouTube.

 


ICSA Labs

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Booths: 5613 (Verizon); 149 (HIMSS13 Meaningful Use Experience); Interoperability Showcase (IHE USA Certification)

Contact: Amit Trivedi, Healthcare Program Manger
amit.trivedi@icsalabs.com
312.882.1558

ICSA Labs, an independent division of Verizon, offers third-party testing and certification of security and health IT products, as well as network-connected devices, to measure product compliance, reliability and performance for many of the world’s top security vendors. ICSA Labs is an ISO/IEC 17025:2005 accredited and 9001:2008 registered organization. ICSA Labs is NVLAP accredited as a Health IT Test Lab and is also an ONC-Authorized Certification Body (ONC-ACB) accredited by ANSI to ISO/IEC Guide 65. Visit http://www.icsalabs.com for more.

ICSA Labs will the following presentations at the MU Experience Welcome Theater:

  • March 5th @ 1:10 pm: Are You Experienced? 2014 Edition Testing – Your Questions Answered
    Join Michelle Knighton, Healthcare Testing Manager for ICSA Labs for an interactive Q&A-style discussion focusing on the meaningful use testing process, guidance and tips on how to have a successful test to help your system achieve certification in the ONC 2014 Edition Health IT Certification Program.
  • March 6th @ 11:15 am: Are You Experienced? Looking Beyond Meaningful Use and Incentives
    Join Amit Trivedi, Healthcare Program Manager for ICSA Labs for an informative discussion focusing on helpful tips and guidance on system selection, implementation, and training to get the most out of your certified EHR technology.

iMDsoft

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Booth 7729

Contact: Steve Sperrazza, VP Sales
steve.sperrazza@imd-soft.com
781.449.5567

iMDsoft is a leading provider of Clinical Information Systems for critical, perioperative, and acute care environments. The company’s flagship family of solutions, the MetaVision Suite, was first implemented in 1999. It captures, documents, analyzes, reports and stores the vast amount of patient-related data generated in a hospital. Hospitals worldwide – including 4 of the top 10 US hospitals and 13 of the top 50 European hospitals – use MetaVision to improve care quality, enhance financial results, support research and promote compliance with government, payor, and hospital protocols.

Visit us at Booth #7729 and discover myAnesthesia, our new cloud-based mobile solution for anesthesia documentation featuring a native iPad user interface. Find out about high-impact results reported by MetaVision clients, including:

  • 30% reduction in mortality rate
  • 100% billable anesthesia procedures
  • $1.5M in financial benefits
  • 100% elimination of prescription errors

Imprivata

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Booth 3717

Contact: Ed Gaudet, Chief Marketing Officer
edgaudet@imprivata.com

Imprivata, the leader in healthcare IT security, enables secure access and collaboration for over two million care providers in more than 1300 healthcare organizations worldwide. Imprivata is the #1 rated SSO Vendor in the 2012 Best in KLAS and Category Leaders Report and SSO market share leader according to HIMSS Analytics. Imprivata Cortext™ is the fastest growing free, HIPAA compliant text messaging solution in healthcare.

Take #MeaningfulSteps with Imprivata at #HIMSS2013

Take #MeaningfulSteps to Imprivata’s booth (#3717) to pick up your free pedometer and enter to win a Jawbone UP every hour. At any time during HIMSS, tweet how many #MeaningfulSteps you’ve taken towards a healthcare IT initiative and you will automatically be entered to win a Jawbone UP. For example, “I’ve taken 3,433 #MeaningfulSteps towards CPOE #HIMSS13”. In addition, Imprivata will be giving away one Kindle every 30 minutes after its booth theatre presentations.


Infor

2-20-2013 8-02-16 AM

Booth 2525

Contact: Becky Adams, Director, Global Healthcare Marketing
Becky.Adams@infor.com
651.767,4257

You’ve known us as Lawson. Now, get to know us as Infor. The Infor Healthcare suite of solutions is backed by more than 25 years’ experience creating healthcare-specific technology solutions – as well as major new investments in cloud and mobile technologies that are changing the way healthcare IT works.

Visit us in Booth 2525 at HIMSS and let us show you the solutions that will set your organization on the right path, move your IT strategy forward, and prepare you for wherever tomorrow takes you. While you’re there, enjoy free custom-made espresso drinks and popcorn, and enter to win one of four iPad Minis. If you’d like to learn more about your organization’s path forward for Financials, Supply Chain, HCM, Analytics, and Integration & HIEs, visit go.infor.com/himssdemo to schedule one-on-one time with an Infor representative. When you preschedule and attend a HIMSS demo, you’ll receive a $25 Amazon.com gift card as our thanks.


Informatica Corporation

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Booth 5005

Contact: Jonathan Shafer, Healthcare Field Marketing Manager
jshafer@informatica.com
650.385.4434

Stop by Informatica booth 5005 and meet Jonathan Stevenson, Director of Analytics at Ochsner Health System based in New Orleans. Jonathan will be on-site sharing how Oschner has enhanced care coordination through an investment in data. Through their use of Informatica, Ochsner is one of the very first healthcare delivery systems to migrate and integrate large volumes of historical data from a homegrown, legacy EMR into Epic, resulting in a single real-time source for complete patient records, improved visibility for providers, enhanced interactions between patients and providers and rapid and successful migration of clinical data from 38 systems into Epic.

Stop by our booth 5005 and learn why over 4,500 customers, including 84 of the Fortune 100 and hundreds of healthcare organizations have turned to Informatica to help manage their data needs.


Innovative Healthcare Solutions

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Booth 3059

Contact: Laura Hudman, VP, Marketing and Sales
Lhudman@ihsconsulting.com
863.602.1787

Innovative Healthcare Solutions (IHS) provides a cost-effective, proven approach to guide and assist healthcare organizations in transitional support, implementation and management of information systems and services. Our expertise includes Planning, Implementation, Project Management, Support and Interim Transitional Services as well as System Assessment, Process & Workflow Design and Optimization for Financial and Clinical systems.


Intellect Resources

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To schedule a meeting:

Contact: Tiffany Crenshaw, President and CEO
tcrenshaw@intellectresources.com
336.420.1178

Intellect Resources would love to meet with you!

Intellect Resources is proud to offer comprehensive consulting, recruiting and hiring solutions within the healthcare IT market.Our talent offerings include recruiting, project management, implementation, upgrading and optimization of EMR systems, training and go-live support and the revolutionary Big Break hiring process.Big Break is patented American Idol style audition process where candidates compete to become a healthcare IT trainer. Big Break offers hospitals systems a unique and innovative talent pool at a fraction of the cost of traditional hiring solutions.

In 2012 Intellect Resources was named to The Triad Business Journal’s Fast 50, which adds to a growing list of industry awards Intellect Resources has received including Modern Healthcare Magazine’s Best Places to Work in Healthcare, HITconsultant.net naming Intellect Resources’ President and CEO Tiffany Crenshaw as one of the Top 12 Women to Know in Healthcare IT and the London Times recognizing Intellect Resources’ Big BreakTM as the solution to the healthcare IT talent shortage. A unique approach to standard service offerings sets Intellect Resources apart and allows us to constantly find new and experienced talent.Through relationship-driven, hands-on services, Intellect Resources connects employers and healthcare IT professionals.

For more information visit www.intellectresources.com or www.irbigbreak.com.


Intelligent InSites

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Booth 8025, Kiosk #10 in the Intelligent Hospital Pavilion

Contact: Marcus Ruark, Vice President
Marcus.Ruark@intelligentinsites.com
512.541.0737

If you would like to learn how we help healthcare organizations transform their operations with real-time operational intelligence—please come visit us at HIMSS13!

Stop by to experience how our enterprise healthcare software platform will be used across 152 VA Medical Centers to help improve operational efficiency, quality, satisfaction, and compliance—decreasing operational costs, reducing delays in patient care, and increasing clinical efficiencies and staff productivity.

Who we are: Intelligent InSites helps transform healthcare with real-time operational intelligence that improves care, enhances the human experience, and increases efficiency. Through its open, real-time, healthcare platform, Intelligent InSites automatically collects and processes data from multiple data sources such as EHRs, financial systems, building systems, sensory and real-time location systems (RTLS), mobility solutions, and other healthcare IT solutions—then provides actionable intelligence to achieve cost savings, operational excellence, and better care. By utilizing the enterprise-wide architecture of the InSites platform, healthcare systems can leverage all legacy, current, and future data sources to optimize their technology investments across the entire organization, then have the flexibility to meet changing organizational, regulatory, and compliance needs.

For more information, please visit http://www.intelligentinsites.com.

 


IMO – Intelligent Medical Objects Inc.

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Booth 6223

Contact: Dennis Carson, Director, Marketing/Tradeshows
dcarson@e-imo.com
847.272.1242

IMO® – Intelligent Medical Objects will show you how to ‘Work Smarter with IMO’ through the latest developments in interface terminologies that allow clinicians to better capture and preserve true clinical intent and achieve Meaningful Use. Visit us at Booth 6223 at HIMSS13 for our presentations then enter our daily drawings for one of several Bose® QuietComfort® 3 Acoustic Noise Cancelling® headphones.

Presentation topics are:

  • Working Smarter with IMO
  • All About IMO® Problem (IT)®
  • All about IMO® Procedure (IT)®
  • Achieving Meaningful Use with IMO
  • ICD-10 – How Do I Get There?
  • Harnessing the Power of the Semantic Highway

Click to reserve your spot: http://www.e-imo.com/imohimss13.aspx www.e-imo.com


iSirona

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Booth 6549 and the Interoperability Showcase

Contact: Peter Witonsky, President & Chief Sales Officer
peter.witonsky@isirona.com
610.772.7648

Visitors to the iSirona booth can register to win one of several Nike+ FuelBands! Stop by to learn about how we’ve been helping clients connect devices to their EMR for several years. It’s their satisfaction that has made our software solution Best in KLAS in device integration for two years running. Don’t forget to hear The Ohio State University Wexner Medical Center on Monday at 9:45! They’ll be sharing their success with medical device integration.


Kareo

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Mobile Health Knowledge Center

Contact: Terry Douglas, Director of Brand Marketing
terry.douglas@kareo.com
949.856.7269

If you believe small practices power healthcare and want to see the only company at HIMSS committed to the success and health of small medical practices, then Kareo is the right stop for you! From A/R to mHealth and everything in between, Kareo is the medical office platform of the future.

Check us out in the Mobile Health Knowledge Center, online at www.kareo.com or tweet-out at us @GoKareo.


LDM Group

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Booth 5022

Contact: Todd Helmink, VP of Business Development
thelmink@ldmgrp.com
312.391.4233

LDM Group, LLC (LDM), is a leading provider of behavior based prescription management programs. As a targeted healthcare communication company, LDM connects prescribers, pharmacists, and patients. LDM’s network is made up of e-prescribing, electronic medical record (EMR), and electronic health record (EHR) applications, chain and independent pharmacies, and sponsors of healthcare related educational materials. LDM provides timely and clinically relevant healthcare messaging through its patented process which serves to improve patient compliance, persistence and outcomes, while preserving privacy. For more information, please visit www.ldmgrp.com.


Legacy Data Access, LLC

2-20-2013 5-10-51 AM

Booths 4611 and 1621

Contact: John Hanggi, Director, Customer Services
jhanggi@legacydataaccess.com
678-232-7922 (cell)

With a singular focus on the healthcare industry, Legacy Data Access stores data from applications – Clinical, Revenue Cycle, ERP, Ancillary, Practice Management and EMR – that are being retired and provides secure, web-based access to the information. Our solutions support financial and clinical processes and strategies by maintaining all detail, minimizing costs, improving productivity, and maximizing ROI.

As a vendor-neutral archive provider, LDA has extensive experience in retiring numerous clinical applications including orders/results, nursing documentation, ancillary applications and in many cases provides a Legal Medical Record for the stored data.  Revenue Cycle solutions include receivables functionality so that those systems may be retired earlier.  In addition, LDA has retired various PM / EMR systems as well as many ERP applications.

We look forward to seeing you at our booth (4611) and our Partners collaboration booth (1621).


 

Levi, Ray & Shoup, Inc. (LRS)

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To schedule a meeting:

Contact: Ron Peel, Technical Advisor
913.948.3646
ron.peel@lrs.com
Laurie Eldridge, HP Global Alliance Representative
610.850.1237
laurie.eldridge@lrs.com

Levi, Ray & Shoup, Inc. (LRS) is a leader in software for managing care-related documents and other business critical information. Some of the largest healthcare providers in the U.S. use LRS output management solutions. LRS provides documented and supported interfaces to integrate our proven output management software with best-of-breed EMR applications. Contact LRS to learn how we can improve your downtime reporting capabilities and streamline document-related processes to provide better patient care.


Lifepoint Informatics

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Booth 7623

Contact: Vincent Gryscavage, Senior Vice President of Sales
vgryscavage@lifepoint.com
201.447.9991 x730

Lifepoint Informatics is a leader in health IT focusing on laboratory outreach connectivity, health information exchange and clinical data interoperability. Since 1999, Lifepoint has enabled over 200 hospitals, clinical labs and anatomic pathology groups to grow their market share and extend their outreach programs through the deployment of its ONC-ATCB certified Web Provider Portal and its comprehensive portfolio of ready-to-go EHR interfaces. For more information visit www.lifepoint.com.

Please Note: Hourly drawings will be made during exhibit hours with a chance to win an Odyssey Golf Putter.


maxIT-VCS

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Booth 3027

Contact: Cyndi Vely Cahill, Senior Vice President
Ccahill@getvitalized.com
610.444.1233

maxIT Healthcare and VCS, wholly owned subsidiaries of SAIC, provide a wide variety of clinical, business, and IT solutions for healthcare enterprises across the United States and Canada. With nearly 3,000 consultants, we provide implementation expertise for the Allscripts™, Cerner, Epic, McKesson, MEDITECH, NextGen®, and Siemens systems. We also provide Project Management Professionals (PMP® Certified) and management consulting to assist our clients with their strategic planning and governance needs, tactical project planning, and assistance with their MU, ACO, Revenue Cycle, and ICD-10 project needs.


McKesson

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Booth: 4341, Exhibit Hall F

Contact: Erin McNealy, Lead Management
Erin.McNealy2@mckesson.com
404.338.3910

At McKesson, we’re committed to better health for patients, our customers, and the nation’s healthcare system. We’re committed to helping create a new future in which the business of health is better, and the outcomes improved for all. McKesson’s Paragon® “Best in KLAS” hospital information system is an intuitive, single-database system featuring fully integrated clinical and financial applications. Learn more by visiting our HIMSS booth (#4341) or at www.mynewHIS.com.


MED3OOO – Now Part of McKesson

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Booth 3068 (Medicomp)

Contact: Nicole Contardo, Corporate Marketing Director
marketing@MED3000.com
888.811.2411

MED3OOO – Now a Part of McKesson, is a leading provider of healthcare management and technology services that improve outcomes for providers, health plans, and the patients and employees they serve. The Company provides a broad array of proprietary solutions for physician groups, hospitals, health systems, health risk organizations, and state and local municipalities, enabling them to reach their maximum potential with respect to operational, financial, and clinical results. Through the integrated application of systems, operations, analytics and domain expertise, MED3OOO serves as the premier strategic operations partner for the healthcare community.

The Company’s depth of knowledge across its services, economies of scale, infrastructure, and ability to offer and manage disparate information systems provide MED3OOO with a distinct competitive advantage in the rapidly evolving healthcare industry. Each of the components of MED3OOO’s product and services suite is a critical competency for moving toward the delivery of accountable care.

MED3OOO will be giving demos of our InteGreat EHR with Quippe in the Medicomp booth (3068).


MedAptus

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To schedule a meeting:

Contact: Jennifer Crowley, Marketing Director
jcrowley@medaptus.com
617.896.4030

MedAptus is the Gold Standard in the healthcare revenue cycle for achieving effective charge management, compliance and workflow efficiency. With offerings that include powerful and easy-to-use charge capture and management technologies, it is no wonder that many of the nation’s most prestigious healthcare organizations rely on MedAptus for financial optimization. Our full-scale Professional, Facility and Infusion applications increase revenue, enhance EMR investments, re-engineer manual processes and yield substantially improved productivity.

For more information, visit www.medaptus.com or call 617.896.4000.


MedAssets

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To schedule a meeting:

Contact:
solutions@medassets.com
888.883.6332

MedAssets (NASDAQ: MDAS) partners with healthcare providers to improve their financial strength by implementing revenue cycle, spend and clinical resource management solutions that help capture revenue, control cost, improve margins and cash flow, increase regulatory compliance, and optimize operational efficiency. MedAssets serves more than 4,200 hospitals and 100,000 non-acute healthcare providers. The company currently manages $48 billion in supply spend and touches over $340 billion in gross patient revenue annually through its revenue cycle solutions. For more information, go to www.medassets.com.


Medicomp Systems

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Booth 3068

Contact: James Aita, Product Manager
jaita@medicomp.com
703.945.2482

Back by popular demand, Medicomp Systems will once again host Quipstar, World’s Favorite HIT Quiz Show, live at Exhibit 3068. Contestants and those seated in the studio audience will have a chance to win one of fifty iPads and other prizes. Best of all, you’ll see how Quippe, backed by the powerful MEDCIN Engine, takes care documentation requirements without burdening the clinician. You can also experience the MEDCIN Engine, Using Medicomp’s new interactive MEDCIN Engine touchscreen you can also experience the MEDCIN Engine to see how MEDCIN can successfully manage the data tsunami and even make SNOWMED easy to use. Register for an opportunity to attend and play Quipstar at www.medicomp.com/quipstar-registration.

Medicomp is also the proud sponsor of HIStalkapalooza, which will be held at the iconic Rock n’ Bowl. Register at www.histalkapalooza.com.

Medicomp Systems is the inventor of clinical content, technologies, and mappings that improve EHR usability at the point of care while taking care of all documentation requirements including Meaningful Use stages 2, 3 and beyond as well as ICD-10.


MediQuant

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Booth 5649

Contact: Mindy Morris
mindym@mediquant.com   
440.746.2300 x245                                                                                            

MediQuant provides Data Transition Management Solutions that embrace healthcare’s transitory nature. Simplify your IT world and reduce the cost of system conversions with DataArk®, an Active Archiving solution that allows you to decommission old systems, maintain interoperable access to old data, and realize up to 80% cost savings. As the retirement home for the legacy data from retired systems,  DataArk® allows users to easily access and view clinical, patient financial, ERP and other data that had been left orphaned in legacy systems. For patient accounting records, users may still bill accounts, post payments and produce itemized statements among other functions.

MediQuant serves a large client base across the nation, including large multi-facility IDN’s (40+ hospitals, 100+ ambulatory practices), academic healthcare organizations and community facilities. FirstComply™ and AccuRules™ are software and content solutions for medical necessity/ABN compliance.


Merge Healthcare

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Booth 5725

Contact: Jennifer Jawor, Director, Segment Marketing
jen.jawor@merge.com
312.565.6825

Merge Healthcare is a leading provider of clinical systems and innovations that seek to transform healthcare. Managing over 13,000 billion images, Merge was named the world’s largest vendor-neutral archive (VNA) market leader in a recent InMedica study. As the industry’s first true standalone vendor-neutral archive, iConnect(r) Enterprise Archive has been successfully integrated with over seventy-five PACS vendors and specialty workstations at over 350 sites across the United States. And with MU2 requirements, mandating images available to the referring physician through a certified EHR, Merge’s iConnect Enterprise Clinical Platform can help organizations image-enable the EHR while improving operational efficiencies, reducing costs and increasing revenue potential.

So are you ready for the next level of interoperability? Learn more about enterprise imaging at merge.com or visit us at HIMSS in Booth #5725.


M*Modal

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Booth 6647

Contact: Lisa McCormick, Corporate Events Planner
lisa.mccormick@mmodal.com
267.535.7222

Expect More. More from your EHR.

  • Maximize physician adoption More time for your physicians.
  • Easily capture the complete patient story More meaningful, higher quality patient care.
  • Drive more intelligent, effective actions

Surprise Your Favorite Children‘s Charity. Visit M*Modal at HIMSS13, Booth #6647, and enter for a chance to win $800 in toys for the children‘s charity of your choice.


Nordic Consulting Partners

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To schedule a meeting:

Contact: Natalee Cruse, Director of Technical Marketing
natalee.cruse@nordicwi.com
608.334.2998

Nordic is ranked #1 in KLAS for Epic services. We’re the largest consulting firm in the country focused exclusively on Epic. Our team of more than 225 elite consultants, two thirds of whom are former Epic, average nine years of industry experience and four certifications. We partner with over 50 clients across the country.

We pride ourselves on having high standards and a partnership-oriented philosophy with our clients and consultants, which has created great rapport and allowed us to attract the best and brightest to Nordic. We take pride in providing the right resource for a given opportunity.

Need help installing? Upgrading? Optimizing? Rolling out to affiliates? We do it all. We’re also an Epic-credentialed provider of Community Connect implementation and support. There will be a fleet of our green-shirted folks at HIMSS – come chat with us about how your Epic project is going!

For more info, go to www.nordicwi.com


nVoq Incorporated

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To schedule a meeting:

Contact: Debbi Gillotti, Vice President and General Manager
deborah.gillotti@nvoq.com
720.562.4507 or 206.465.1765

SayIt(TM) from nVoq is a secure cloud-based voice recognition service that’s easy to use, easy to deploy, and has been endorsed by the American Hospital Association. SayIt works directly with your EMR to convert speech to text within seconds – no integration required. Access your SayIt voice profile whenever and wherever you need to work – no software to install on each device.

nVoq is a Boulder, CO based provider of cloud-based voice recognition solutions for the Healthcare and Customer Care industries. In business since 2000, nVoq supports a wide variety of enterprise and health system organizations through a growing channel partner network. We’re building this network daily in support of real-time (front end) dictation and embedded (back end) voice processing for mobile forms or other applications. A well-documented SDK is available for both Windows and iOS platforms.

While attending HIMSS, we welcome the opportunity to meet with organizations who buy, build or implement applications platforms for Healthcare users, and are interested in cloud-based, voice-enabled workflow at an affordable price point. Our primary focus is North America, but we welcome inquiries from other venues.


NTT DATA Healthcare Technologies

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Booth 1041

Contact: Larry Kaiser, Senior Marketing Manager
lawrence.kaiser@nttdata.com
631.824.5318

NTT DATA Healthcare Technologies offers healthcare organizations a complete IT solution with applications that increase efficiency, reduce medical errors, and enhance the revenue cycle. NTT DATA’s solutions include ONC-ATCB certified Optimum, featuring one of the industry’s leading RCM solutions, comprehensive clinicals, EHR, general financials, and post-acute solutions. Healthcare Technologies that:

  • Empower the Patient
  • Improve Care
  • Drive Outcomes

Stop by the booth for a chance to win an iPad Mini.


Nuance Communications, Inc

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Booth 4025

Contact: Mark Erwich
mark.erwich@nuance.com
781.565.5000

At HIMSS 2013 Nuance will show how to improve the entire clinical documentation process, from the capture of the complete patient record to clinical documentation improvement, coding, compliance and appropriate reimbursement. Nuance will share latest information on how to prepare to transition to ICD-10, how we support Meaningful Use, how we support Mobile health and the transition to Accountable Care.


Optum

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Booth 7041

Contact: Steven Loewy, Associate Director, Marketing
steven.loewy@optum.com
801.982.3468

Optum innovations, analytics and expertise help health care organizations navigate the journey from providing care to managing health. Our solutions and services are used at nearly every point in the health care system, from patient access to diagnosis and treatment; from coding and clinical documentation improvement to reimbursement; and from quality measurement and performance benchmarking to network management, administration and payment.

Every day, Optum solutions help shape how health care is managed, and how information and technology drives improvements in the system. Optum works with our clients and partners to improve the delivery, quality and cost effectiveness of health care in ways that support and empower more patient-centered, value-driven care. Visit us at HIMSS13, booth #7041 to learn how Optum can help you reduce costs, while increasing patient care quality and satisfaction.

Make your steps count at HIMSS13! For every mile you walk, Optum will donate $1 to charities that improve health and wellbeing in the City of New Orleans. Stop by the Optum exhibit for a free pedometer and more information.


Orchestrate Healthcare

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Booth 529

Contact: Charlie Cook, President
charlie@orchestratehealthcare.com
877.303.3377

We focus on four core competencies: EMR Clinical Implementation, HIE Consulting, Integration and Staff Augmentation. Why? Because QUALITY is our mantra.

We listen to our clients, and our 15+ year experienced consultants are make-it-happen, kind of people that deliver on-time, on-schedule and on-budget. Without errors or excuses. Our client referrals and three Best In KLAS awards in the last five years affirm this. Come see us at booth 529 to learn more about how we can help you. While you’re visiting, check out our new pad and register to win a pair of really cool Beats by Dr. Dre. Listening has never been so much fun!


Orion Health

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Booth 3161

Contact: Kristin O’Neill, Senior Marketing Manager
kristin.oneill@orionhealth.com
857.488.4740

Visit booth 3161 at HIMSS 2013 and see for yourself why clinicians, hospitals, health systems, public health organizations and OEM partners in more than 30 countries worldwide rely on Orion Health to provide solutions to their biggest health information exchange (HIE) and data integration challenges. Be sure to mark your calendar for all the Orion Health activities while at the show, including: – Joining us for morning coffee or a sweet afternoon treat at the booth. – Meeting our clients and learning how they are using our solutions. – Entering our raffle to win an iPad mini 4G. – Attending a “Lunch and Learn” session with Shahid Shah, The Healthcare IT Guy, on Data Integration and Analytics: The Future of Healthcare Information Management. – Networking with Orion Health executives over breakfast in our hospitality room.

Orion Health™ HIE facilitates data exchange between hospitals, health systems, regional HIEs, and affiliated providers, resulting in improved care coordination, increased cost savings and efficiencies, and enhanced quality of care. Orion Health™ Rhapsody® Integration Engine provides seamless connectivity between legacy and next-generation health systems, rapidly enabling organizations to deliver high-quality patient care and population health. Rhapsody provides a comprehensive set of tools to simplify healthcare integration and is easily extensible to meet the requirements of each unique healthcare environment.


Ormed Information Systems Inc.

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Booth 1041 (with NTT Data Health Solutions)

Contact: Bill Hockstedler, VP Sales and Marketing
bill.hockstedler@ormed.com
512.971.2885

Ormed’s software and services are designed exclusively to continuously improve on the business processes of hospitals in the areas of supply chain management, finance, cost accounting, human capital management, decision support and systems management.

Saving time, reducing waste, cutting expenses, understanding costs, creating a positive experience and peace of mind. In the world of accountable care and new regulations, wouldn’t it be nice to have a set of tools in your hands that were always designed around expense management and accountablility. A powerful Cost Accounting system alone can make all the difference for you!

Come and see what we have to offer to make the changes ahead less stressful!


Park Place International

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Booth 2674

Contact: Christine Mellyn, Manager of Product Marketing
christine.mellyn@parkplaceintl.com
508.970.8704

Park Place International provides technology integration, technical consulting, and OpSus|Cloud Services designed to help customers achieve operational sustainability with their MEDITECH Electronic Health Record. Park Place is an approved provider of technology solutions for all versions of the MEDITECH HCIS and offers the full selection of MEDITECH-certified server and storage platforms. The Park Place team has extensive MEDITECH experience and technology expertise, and is uniquely qualified to architect, deliver and support MEDITECH solutions.

Stop by booth #2674 to learn more about Park Place International and enter our raffle for a chance to win an Amazon.com gift card!


Passport Health Communications, Inc.

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Booth 3310

Contact: Scott Bagwell, Senior VP, Sales & Marketing
Scott.Bagwell@passporthealth.com
888.661.5657

Founded in 1996, Passport now serves more than 2,400 hospitals in addition to more than 8,900 physicians, clinics and ancillary offices across all 50 states. The company processes more than 300 million transactions annually through its Passport eCare™ brand of patient access and payment certainty solutions. Recently ranked the nation’s third largest revenue cycle management company by Modern Healthcare, Passport was honored as the “Technology Company of the Year” by the Nashville Technology Council in October 2012. Passport’s patient access & payment certainty solutions are delivered through Passport eCare NEXT; an integrated, SaaS-based platform that can be seamlessly integrated into existing work flow. Accountable Care solutions, including ACO MemberMatchTM, can be used to manage patients’ entire course of care, from initial diagnosis through full recovery and can be seamlessly integrated into existing workflow through the Passport eCare NEXT platform.

Visit Passport at Booth #3310 to see a product demonstration and speak to a Passport representative.

 


PatientKeeper Inc.

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Booth 2210

Contact: Kathy Ruggiero, Senior Director, Corporate Marketing
kruggiero@patientkeeper.com
781.373.6433

PatientKeeper is the leading provider of healthcare applications for physicians, with over 50,000 users across North America and the UK. At HIMSS13, visitors can see PatientKeeper software in action and speak with customers who are actively using our CPOE, mobile CPOE, physician documentation, electronic charge capture and other applications that streamline physicians’ workflow. PatientKeeper runs as a native app on popular smartphones and tablets, as well as on desktop and laptop computers. While you are at our HIMSS13 booth (#2210), enter our daily drawing for an Apple iPad mini.


PatientPay

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To schedule a meeting:

Contact: David Bond, EVP, Sales & Marketing
db@patientpay.com
919.830.2798

PatientPay is a patented innovative solution that makes healthcare billing, payment and reconciliation faster, easier and less costly. PatientPay is a simple way for practice management software vendors to allow their physicians to bill patients while reducing costs, increasing productivity and patient satisfaction. PatientPay eliminates the costly and complicated paper-based billing method used by the overwhelming majority of healthcare providers. It drives down the expense and drives up the productivity associated with this activity by at least a factor of two. Since PatientPay reduces the time to payment in half, healthcare professionals realize improved cash flow and reduced accounts receivables.



PDR Network

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Booth 7740

Contact: Amy Lombardi, Senior Director, Marketing
Amy.Lombardi@pdr.net
201.358.7200

PDR Network® has developed innovations to deliver critical drug information to providers within workflow that are easily integrated into partner EHR systems and deliver a better end user experience. PDR interactive drug information services allow providers to have their PDR in their EHR with services provided at no cost to partner EHRs and their providers, enhancing the overall EHR experience while supporting Meaningful Use (MU) requirements.

  • PDR® BRIEF: Supporting providers by delivering the key information needed at the point of prescribing. Instead of accessing multiple sources outside of workflow, providers have access to the information they need within workflow when they need it.
  • PDR® Search: This on-demand resource provides access to a host of medication-specific resources covering regulatory, provider and patient information tools, as well as aggregated manufacturer resources. Before providers would leave your environment for these tools, NOW they have integrated access to the information they need.
  • RxEvent: PDR offers a quick and easy digital reporting tool that can be easily integrated into any EHR or ePrescribing system.



Ping Identity

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Booth 2470

Contact: Linda Bowers, Healthcare Market Leader
lbowers@pingidentity.com
978.844.4105

Ping Identity is The Identity Security Company. Our identity and access management platform gives enterprise customers and employees one-click access to any application from any device. Over 900 companies, including 45 of the Fortune 100, rely on our award-winning products to make the digital world a better experience.


Prognosis HIS

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Booth 7423

Contact: Melanie Thompson,Director of Marketing
mthompson@prognosishis.com
713.469.1501

Prognosis Health Information Systems provides an enterprise solution, including EHR and financial systems, to rural and community hospitals. At HIMSS, Prognosis is launching a new version of its highly ranked ChartAccess® EHR and unveiling our ED and ambulatory solutions. We’re introducing the new era of EHRs. Our system allows for configurability at both the organization and user level, helping every person interact with the system in the way that works best for him or her. We invite you to stop by our booth and see an EHR like you’ve never seen before.


Qlik Technologies

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Booth 8121

Contact: Kerry Talbot, Event Marketing Senior Manager
kerry.talbot@qlikview.com
617.331.5284

QlikTech (NASDAQ: QLIK) is a leader in Business Discovery—user-driven Business Intelligence (BI). Its QlikView Business Discovery solution bridges the gap between traditional BI solutions and inadequate spreadsheet applications. The in-memory associative search technology QlikTech pioneered created the self-service BI category, allowing users to explore information freely rather than being confined to a predefined path of questions. Appropriate from SMB to the largest global enterprise, QlikView’s self-service analysis can be deployed with data governance in days or weeks. The QlikView Business Discovery platform’s app-driven model works with existing BI solutions, offering an immersive mobile and social, collaborative experience. Headquartered in Radnor, Pennsylvania, QlikTech has offices around the world serving approximately 26,000 customers in over 100 countries.

We will have multiple demos, videos and customer presentations in our large booth amphitheater with solutions experts on hand to answer all of your questions. Registerhere for a personalized VIP Booth Tour and be entered for a chance to win an iPad Mini!


Quantros

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Booth 7940

Contact: Amy Lee, Director of Marketing and Sales Operation
info@quantros.com
408.957.3300

Quantros helps healthcare providers improve quality and patient safety by empowering organizations, at every level, with the actionable intelligence they need to improve outcomes and reduce risk. Quantros provides cloud based tools and resources for the healthcare industry in the areas of safety and risk management, quality and performance improvement, accreditation and compliance, and centralized decision support. Today more than 2,000 healthcare facilities use Quantros solutions to capture meaningful data to effectively drive the decisions that improve the safety and quality of care.

Visit our booth to learn more about IRIS and enter to win an iPad. IRIS is a leading-edge clinical quality and patient safety dashboard that leverages data from the Quantros Safety and Risk Management (SRM) solution, the Regulatory Reporting Management (RRM) solution, and your organization’s billing data. IRIS Executive presents this data via a highly configurable, role-based dashboard. The result is real-time visibility into safety and quality events and trends in your facility. This enables you to chart improvement with an authoritative source of truth.


Quest Diagnostics (Care360 Healthcare IT Suite of Solutions)

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Booth 3927

Contact: Rohit Nayak,Vice President, Physician Technology Solutions
RNayak@MedPlus.com
800.444.6235

A special 2013 HIMSS invitation to all HIStalk readers: Visit the Quest Diagnostics Healthcare IT Theatre – Booth 3927.

Quest Diagnostics team members will be featuring educational presentations and industry insights from key opinion leaders on technology topics including:

  • Interoperability
  • Top Strategies for Accelerating Your ACO and Care Collaboration Strategy
  • Mobile Health – featuring Travis Good, MD, MBNA, MS, HIStalk Mobile Health contributor
  • Industry Standards/HL7
  • Elevating Your Enterprise Content Management (ECM) with a SOA Platform
  • Enhancing business processes/streamlining registration programs
  • Our Health IT Quality Solutions Program to ensure quality Lab-EHR interoperability

ChartMaxx and Care360 with Data Exchange, part of the Care360 Suite of Healthcare IT Solutions from Quest Diagnostics, are exhibiting together to showcase the strengths of the company’s entire HCIT portfolio. EHR vendors can learn how our Health IT Quality Solutions Program benefits them through streamlined interfacing and promotion of their quality EHR solutions by us.

We are focused on “Empowering Better Health: Quest Diagnostics Healthcare IT Solutions.”

Quest Diagnostics booth representatives will be holding drawings for iPads and other exciting giveaways following each 20-minute presentation.

For more information and a schedule of the presentations, visit Care360.com.


RazorInsights

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To schedule a meeting:

Contact: Reed Liggin, President & CEO
rliggin@razorinsights.com
404.578.1362

Based in Kennesaw, Georgia, RazorInsights is a dynamic healthcare information technology company. In keeping with the principle of Occam’s Razor, they have created a simplified HIS solution for Rural, Critical Access and Community hospitals. Introducing ONE (ONC-ATCB 2011/2012) — a single-database, cloud solution offering a simple user experience with cutting-edge clinical tools and industry-standardized data. Hospitals can expect to improve their performance and bottom line with ONE from RazorInsights. To register for a live product demo or for more information, visit www.razorinsights.com or call 770-308-4111.


RelayHealth

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Booth 4640

Contact: Lynette Corte, Lead Qualification Manager
lynette.cortez@relayhealth.com
888.743.8735

RelayHealth is proud to be a featured exhibitor at HIMSS13 March 3-7 at the Ernest N. Morial Convention Center in New Orleans. If you plan to attend this important annual industry event, we’d like the opportunity to learn more about your goals and challenges for the upcoming year, and explore how RelayHealth can help you succeed in 2013 and beyond with the Right Connections for Better Health.

RelayHealth provides solutions that can help you satisfy requirements for Meaningful Use Stage 2, and meet your objectives for providing accountable care. As the healthcare industry continues to experience substantial change, RelayHealth is also at the forefront of developments in areas such as health information exchange, patient engagement, and readmission management. Check out the exhibition hall floor map and make plans to stop by for a visit with us in Booth #4640. We look forward to meeting with you in New Orleans.


Salar, Inc.

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Booth 6754

Contact: Greg D. Wilson, Director of Sales
gwilson@salarinc.com
860.294.9877

Salar offers physician clinical documentation and charge capture solutions to hospitals and health systems nationwide. Our flagship product, TeamNotes, has recently been entirely rewritten allowing our customers to deploy the solution faster, easier, and to a wider array of devices than ever before. At HIMSS, Salar will showcase this latest release, TeamNotes v6, and within that demonstration special attention will be focused on front end computer assisted coding for ICD-10 compliant documentation, physician charges as derived by the notes themselves, care team collaboration of notes, physician hand off, and related CDI workflows.

In lieu of yet another iPad giveaway or a similar free gizmo, at this time Salar is planning to offer a charitable donation in the name of one visitor to the booth. Details are forthcoming.


Sandlot Solutions

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Booth 2063

Contact: Derek Plansky, Senior Director, Client Solutions
dplansky@sandlotsolutions.com
202.747.4502

Sandlot Solutions has a proven, deployed system managing more than 2.8 million lives. Sandlot manages risk, drives clinical management and provides business analytics. All of the things that are required by MU2, and beyond and all the things an Accountable Care Organization (ACO) must do. Sandlot provides all the tools to manage against risk-based payment systems. Most application systems only use claims data for analysis – Sandlot merges clinical and claim data to manage care and manage risk. Sandlot using a Software-as-a-Service (SaaS or cloud computing platform) is very fast, built on reliable technology – system changes for your information systems and changes for any of your affiliated entities are not required . . . also connects to non-affiliated trading partners in your trading area. The combination of Healthcare Information Exchange (HIE), Care Management and Analytics makes Sandlot the Fourth Generation Technology.


Santa Rosa Consulting

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To schedule a meeting:

Contact: Doug Hires, Executive Vice President, Strategic Advisory and Sales & Marketing
doughires@santarosaconsulting.com
214.546.0895

Santa Rosa Consulting is a national provider of management consulting and information technology services to the healthcare industry. Through our unique blend of strategic advisory services and technical consulting expertise across the full range of healthcare IT vendor products and systems, we deliver solutions specifically designed to address your business needs.


Seamless Medical Systems

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To schedule a meeting:

Contact: Frank Grant, Vice President, Sales
frank@seamlessmedical.com
760.533.1520

Seamless Medical is solely focused on improving the patient’s experience in medical practices at the point of care. Our mission is to leverage technology in patients’ hands to simplify the front end of the practice workflow, engage the patient in the registration process, and provide the patient with educational content relevant to his/her scheduled appointment and medical conditions. Our team’s decades of combined experience in the medical, healthcare administration, and business arenas has led to the formation of the company and dedication to our solution.


Shareable Ink

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Booth 3568

Contact: Suzanne Cogan, Vice President, Sales and Marketing
scogan@shareableink.com
877.572.7423 x 802

Shareable Ink is the enterprise cloud-based platform that transforms point-of-care clinical documentation to structured data and analytics. By incorporating natural input tools, such as iPads and digital pen and paper technology, clinicians can continue documenting in the fastest, most efficient manner. The resulting structured and clinically-rich output populates the EHR with discrete data, as if typed in directly. Predictive analytics give hospitals and practices unprecedented insight into their operations – from a clinical, quality, and efficiency standpoint.

Visit us at HIMSS – # 3568 – for an interactive demo of our applications that automate areas where electronic documentation has traditionally been challenging – from anesthesia to patient-generated history to ambulatory sites. We’ll also have a special unveiling of our iPad App – you won’t want to miss it! For everyone who mentions ‘LIBERATE’ at our booth, we’ll be making a donation to one of our favorite NOLA charities.


Siemens Healthcare

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Booths 2640 and 2641

Contact: Roger May, Senior Director, Marketing
roger.may@siemens.com
610.219.1874

Join us to learn how a growing number of healthcare organizations—both large and small—are using Soarian® to connect top-of-the-line patient care with the bottom line. Hear the story of how Soarian unites the revenue cycle for seamless financial performance using contract-driven processing. See how Soarian helps foster collaboration by connecting clinicians to patient data and to one another with integrated clinical workflow.Learn how more people in more places can connect… with Soarian. See the new Soarian Ambulatory offering in our main booth and our MobileMD HIE in our adjoining booth.

Stop by the Siemens booth and we will make a contribution to Hope For The Warriors® whose mission is to enhance the quality of life for post-9/11 service members, their families, and families of the fallen who have sustained physical and psychological wounds in the line of duty. www.hopeforthewarriors.org


SpeechRecognition.com

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To schedule a meeting:

Contact: William Holliman, Dragon Medical Adviser
William.Holliman@1450.com
888.848.1450 ext. 210

Is your EHR doing all of the dictating? Take back control, and the ability to dictate your notes, with the most accurate speech recognition software yet, Dragon Medical Practice Edition. Visit SpeechRecognition.com to schedule a free demo today!


Streamline Health Solutions, Inc.

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Booth 1821

Contact: Michael Schiller, Senior Vice President, Sales, Marketing & Account Management
solutions@streamlinehealth.net
303.316.0696

Streamline Health offers specialized solutions that will:

  • Get you closer to Meaningful Use with EHR-integrated enterprise content management solutions
  • Provide actionable insight into your organization’s true financial performance with Business Intelligence solutions
  • Help facilitate the transition to ICD-10 with our suite of integrated computer assisted coding (CAC) and CDI solutions

Stop by booth 1821 at HIMSS to view a live demonstration of AccessAnyWare™, OpportunityAnyWare™ and/or Collabra™ and learn how Streamline Health Solutions, Inc., can help your healthcare organization successfully face today’s challenges.


SuccessEHS

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Booth 4411

Contact: Dante Rankart, Vice President of Sales
marketing@successehs.com
888.879.7302

SuccessEHS is a nationally acclaimed vendor providing Electronic Health Record (EHR) and Practice Management solutions with Integrated Medical Billing Services. SuccessEHS also provides Electronic Dental Record (EDR) and Dental Imaging solutions. Founded in 1995, SuccessEHS established itself as a leader in the emerging practice management applications market by delivering an innovative blend of clinical, operational and financial software paired with a suite of specialized integrated success services. SuccessEHS, entirely in-house developed and supported, has achieved multiple certifications from CCHIT.

Visit us at booth #4411 to learn how SuccessEHS can help practices improve care, increase revenue, successfully manage the ICD-10 transition and earn incentives through Meaningful Use and the Physician Quality Reporting System. While you’re there, spin our wheel to win fun prizes, including cash! We look forward to seeing you in the Big Easy!


Sunquest Information Systems, Inc.

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Booth 911 and MU Booth 149, Kiosk 85

Contact: Tracey Eddy, Marketing Event Planner
tracey.eddy@sunquestinfo.com
520.570.2333

Sunquest delivers market-leading diagnostic information technology and outreach solutions, designed and implemented to fulfill the business objectives of today’s healthcare leaders. Sunquest Laboratory is the leader in the market, enabling labs to operate with optimized performance and deliver quality diagnoses, while meeting regulatory and interoperability standards. Our solutions demonstrate a commitment to patient safety, workflow excellence, predictive and personalized medicine, and physician and patient affinity, serving users worldwide. Through outreach, we extend the lab to the community and provide the tools that turn information into intelligence.

At Booth 911:

Monday March 4th @ 2:00 pm
Guest Speaker Representative Gayle B. Harrell, President and CEO of Health IT Strategies, LLC ONC HIT Committee Member, Florida House of Representatives
Subject: Meaningful Use

Tuesday March 5th @ 10:30 AM and 3:00 pm
Guest Speaker Patty Sollman, Blood Bank Supervisor/LIS System Manager, Deaconess Health System
Title: In the age of the Integrated EHR, why SUNQUEST is the RIGHT choice as your Laboratory/Pathology System…..a user perspective

To request a meeting with a member of the Sunquest team at HIMSS please complete a request form: http://info.sunquestinfo.com/HIMSS2013_HIMSS2013v1.html.

Our give away this year will be a miniature plush toy – Sunquest Lab.


Surgical Information Systems (SIS)

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Booth 6429, Intelligent Hospital Kiosk 8711-33

Contact: Emmy Weber, VP of Marketing
info@sisfirst.com
678.507.1727

Surgical Information Systems (SIS) provides software solutions that are uniquely designed to add value at every point of the perioperative process. SIS’ singular focus in the OR helps hospitals drive both greater efficiency and better patient outcomes while integrating with your information systems environment. Visit SIS at Booth #6429 to learn how the fast, mobile, connected SIS Solution can help you achieve a "Slam Dunk" in your OR. Rapidly achieve remarkable outcomes with a proven implementation approach by the perioperative experts. Speed user adoption with mobile documentation and analytics that simplify OR management. Seamlessly connect to the enterprise, enabling providers to share information, prevent duplicate documentation, and analyze performance.

SIS is proud to be the only perioperative information management system vendor to participate in the HIMSS Intelligent Hospital Showcase. We will demonstrate our comprehensive perioperative software solution, showcasing interoperability between medical devices, hardware, and software.


TeleTracking Technologies, Inc.

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Booth 6619

Contact: Amie Podolak, Director, Marketing
amie-podolak@teletracking.com
412.391.6395

TeleTracking, Booth #6619, will preview its Real-Time Capacity Management™ (RTCM) platform, which removes wasted time in hospitals much more efficiently by combining advanced patient flow, business intelligence, and real-time location technologies. The platform integrates the just-released Capacity Management Suite™ system version 3.0 and TeleTracking’s Real-Time Locating System, with the goal of progressively removing delays to the management and execution of critical business processes. Also, enter for a chance to win a Tag Heuer watch (valued at $2,500)!


TeraRecon

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Booth 341

Stop by TeraRecon’s booth to learn all about the new iNtuition Enterprise Medical Viewer (iEMV), iNtuition SHARE and iNtuition Cloud. While there, enter a drawing to win a new iPad Mini!

iEMV provides a simple, intuitive, browser-based client which requires no download, no installation, and no plugin. A completely zero-footprint viewer, which supports a wide range of browsers dating back to IE7.

iNtuition SHARE makes possible CD-free transport and distribution of images between medical facilities and peers, or patients. When a healthcare facility deploys an iNtuition SHARE server, it is able to offer free access to network upload of images to institutions that need to send images into the facility, while removing the need to burn CDs for outgoing images.

iNtuition CLOUD is a self-contained solution which allows the full capability of iNtuition to be deployed via a web browser, either as an externally-hosted managed service, or as an in-house Private Cloud.


The McHenry Group

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To schedule a meeting:

Contact: Lisa Gatto, Director of Client Development
lisag@mvp4u.biz
815.923.2500

Celebrating nearly 22 years in business, The McHenry Group (TMG) has become the most successful and most experienced International Executive Search Firm solely dedicated to serving the healthcare software vendor market. How successful? Since 1991, TMG has successfully placed over 2,000 candidates within the healthcare technology vendor industry.How experienced? Our Team of ten (10) search consultants has an average tenure with our firm that exceeds 11 years!

One of our Clients put it best: “Even though I was expecting great things from The McHenry Group, I was surprised by the extra effort TMG expended to understand our company, its corporate goals and our goals for our open position.I will definitely seek your help whenever our needs mesh with your services.”

TMG’s recruiting efforts focus on healthcare software vendors in the Provider and Payor (Payer) spaces. We identify superb talent for the C-level, VP Sales, regional sales, territory sales, channel marketing, client account executives, client services and implementation, sales support, consulting, marketing, product management, product development, clinical informatics, physician executives, clinical liaisons, nursing (RN) informatics and more! TMG is equipped to quickly tap into the hidden candidate market and recruit Top Talent that are not active on the market. Additionally, we can delve into our extensive proprietary database of candidates, coded by specific title, areas of expertise, etc.


TrustHCS

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To schedule a meeting:

Contact: Jeff Johnston, Executive Director, Business Development, President
jeff.johnston@trusthcs.com
760.277.1190

TrustHCS provides consulting and services to address Clinical Documentation Improvement (CDI) programs, ICD-10 preparation, revenue cycle improvement, coding services, auditing and cancer registry. Visit www.trusthcs.com for more information!


T-System, Inc

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Booth 2219, MU Experience booth 149/kiosk 42

Contact: Corinne Tso, Vice President, Marketing
ctso@tsystem.com
469.791.5540

This year at HIMSS, T-System will highlight solutions proven to help hospitals across the country achieve Meaningful Use and reduce avoidable readmissions through better patient transition management. In the T-System main exhibit booth #2219, leadership from Baptist Health of Kentucky and Cox Medical Center Branson in Missouri will discuss their experiences. In the HIMSS13 Meaningful Use Experience, a new special demonstration area for certified EHRs, T-System will demonstrate how an emergency department information system can help hospitals attest to Meaningful Use specifically highlighting the workflow for capturing patient history and documentation.

T-System, Inc. advances the practice of emergency medicine with solutions proven to solve clinical, financial, operational and regulatory challenges for hospitals and urgent care clinics. More than 40 percent of the nation’s emergency departments rely on T-System for gold-standard documentation, revenue cycle management, and performance-enhancing solutions.


Valence Health

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Booth 772

Contact: Kevin Weinstein, Chief Marketing Officer
kweinstein@valencehealth.com
312.771.7883

If you’re an executive overseeing a Medicare ACO, interested in population health, or pursuing value-based reimbursement opportunities, Valence Health would like to help. Valence Health is among the nation’s leading companies in helping healthcare providers better manage their patient populations and accept financial responsibility for the quality of the care they provide. With unique data collection and analysis tools, Valence Health has emerged as a leader in population management, serving dozens of clients from small physician groups to the Cleveland Clinic.

At the same time, in-depth actuarial analysis combined with operational excellence allows Valence to not only advise but also provide ongoing services to provider organizations operating under various value-based reimbursement models. From risk-based contracting to accountable care organizations (ACOs) to administering provider-sponsored health plans, Valence has been helping providers appropriately accept and manage financial responsibility while improving clinical quality since 1996.

With headquarters in Chicago, and three other office locations, Valence Health’s 300 employees help support the health of more than 13 million patients nationwide.


Velocity Data Centers

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To schedule a meeting:

Contact: Steve Jacobs, President
steve.jacobs@velocitydatacenters.com
734.323.3075

We enable healthcare IT organizations to achieve their strategic goals through our innovative solution to deliver cloud computing infrastructure. This innovative approach delivers incredible benefits at reduced cost. Allowing healthcare organizations to grow revenue, reduce operating costs and leverage current and future technology trends.


VersaSuite

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Booth 3121

Contact: Tushar Jain, Regional Sales Manager
tj@versasuite.com
718.316.2254

VersaSuite is an innovative HIS and EHR solution designed to adapt to your hospital’s and clinic’s needs, no matter how complex. We offer a single database solution designed with identical and intuitive user interfaces for inpatient, outpatient and emergency department environments.


Versus Technology

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Booth 3463

Contact: Stephanie Bertschy, Director of Marketing
info@versustech.com
231.946.5868

If you’re looking for awesome IT, we’ve got it at booth #3463. Our Real-time Locating System (RTLS) powers multiple time- and money-saving applications, from Asset Tracking to Patient Flow—and even, Hand Hygiene. We’re unveiling the first of its kind, RTLS-integrated dispenser, part of an overall hand hygiene safety program that will help your facility improve compliance by creating a culture of safety and accountability.

Added bonus — we’ll be conducting in-booth RTLS sessions, where you can learn directly from Versus clients, patient flow experts, and our own executives. Delve into implementation, integration and technology-related questions about patient flow, analytics, asset tracking, hand hygiene and more. Space is limited, so learn more and sign up now at http://versustech.com/himss13.

Don’t be led down the path of promises, get experience and proven results with Versus Advantages™ — visit with us at Booth #3463.


Virtelligence Consulting

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Booth 3320

Contact: Akhtar Chaudhri, CEO
akhtar@virtelligence.com
952.548.6601

Virtelligence is a privately held premier Healthcare IT consulting firm that offers solution advisory and Healthcare IT consulting services to payors and providers organizations nationwide. Vi Through our unique consulting model providing an implementation-oriented partnership with clients, we offer consulting expertise across the full range of Healthcare IT vendor products and we deliver solutions specifically tailored to address the business needs of the healthcare IT industry.

  • Project Management & Strategic Guidance
  • Meaningful Use and ICD-10 Projects
  • System Implementation & Upgrades
  • Clinical Workflow & Process Optimization
  • Revenue Cycle Improvement
  • Business Intelligence & Data Analytics
  • Health Information Exchange Adoption

PLEASE STOP BY OUR BOOTH #3320 TO WIN LATEST IPAD.


VitalWare, LLC.

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Booth 6654

Contact: Kelly Jorgensen, VP Business Development
kellyjorgensen@vitalware.com
855.464.2310

Visit booth #6654 and enter to win a free iPad including a license to our new application, Doc Sherpa! A complementary ICD-10 financial risk assessment will also be available for those who sign up!

VitalWare leads the market in transforming healthcare intelligence into useful and actionable information so our clients can focus their time and resources on core business. VitalWare will be launching two new products to assist in provider ICD-10 implementation and beyond:

  • DocSherpa, an innovative iPad app designed to guide physicians through documentiation requirements utilizing an easy to understand user interface. By helping physicians document missing concepts, DocSherpa alleviates physician productivity constraints today and well beyond the ICD-10 implementation.
  • VitalSigns, the claims analytics solution and retrospective coding & auditing tool using TrueShift analytics over predictive modeling to identify actual ICD-10 risk.

Whether you ten-code your claims in VitalSigns, or opt to take advantage of our Quick Start offering to begin building your repository of claims, the TrueShift identified is critical in understanding true financial risk, documentation deficiency risk and payer contracting opportunities.


Vitera Healthcare Solutions

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Booth 6113

Contact:
events@viterahealthcare.com

Vitera Healthcare Solutions provides end-to-end clinical and financial technology solutions so physicians and medical professionals can work with patients instead of paperwork. Serving more than 400,000 healthcare professionals including 80,000 physicians, Vitera Healthcare Solutions provides electronic health records and practice management systems, processes 33 million transactions and 1.8 million e-prescriptions monthly, and serves several specialties including primary care, OB/GYN, pediatrics, cardiology and orthopedics in all sized practices and Community Health Centers. Don’t miss seeing Vitera Healthcare up close and personal! Stop by our booth # 6113 to say "hello" and learn more about our industry leading healthcare software solutions.

 


VMWare

2-17-2013 7-39-59 AM

Booth 851

Contact: Tisa Murdock
tmurdock@vmware.com
831.818.6095

VMware, Inc. (NYSE: VMW), the global leader in virtualization and provider of vCloud for Healthcare; the healthcare industry’s first end-to-end  cloud computing platform, is proud to sponsor HIStalk.

VMware vCloud for Healthcare is the first comprehensive framework and partner ecosystem supporting the entire health IT environment – from point of care to the most critical patient care systems.  Helping to safely accelerate healthcare reform and the transition to truly connected care, this new innovative platform enables organizations to exchange information and deliver secure, agile, and reliable patient care products and services.  A private cloud platform with  hybrid cloud capability, VMware vCloud for Healthcare meets the growing needs of healthcare both today and tomorrow.


Vocera Communications, Inc.

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Booth 6329, Intelligent Hospital Pavillian Booth 8711

Contact: Mauricio Cornejo, Sales Support
MCornejo@vocera.com
877.790.4190

Vocera provides mobile communication solutions focused on addressing critical communication challenges facing hospitals today. We help our customers improve patient safety and satisfaction, and increase hospital efficiency and productivity through our Voice Communication, Secure Messaging, and Care Transition solutions. Exclusively endorsed by the American Hospital Association, the Vocera solutions are installed in more than 800 hospitals and healthcare facilities worldwide.

Join Vocera in our booth for a Beignet Break on Wednesday morning.


Wellcentive, Inc.

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To schedule a meeting:

Contact: Rich Walsh, Vice President of Corporate Strategy
rhwalsh@wellcentive.com
678.367.8187

Senior Management will be located at the Hilton Riverside in an Executive Suite conducting presentations and open discussions! We look forward to seeing you there!

Wellcentive delivers population health management solutions that enable quality improvement throughout the continuum of care. Wellcentive’s Advance™ platform transforms disparate data into actionable insights that facilitate coordinated preventive care and chronic disease management, physician alignment, clinical integration, and success with value-based reimbursement and incentive programs. Wellcentive empowers healthcare organizations to improve both clinical and financial outcomes.


Wellsoft Corporation

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Booth 3158

Contact: Denise Helfand, VP, Sales & Marketing
dhelfand@wellsoft.com
800.597.9909

Consistently ranked #1 Emergency Department Information System (EDIS) by KLAS, (most recently awarded Best in KLAS 2012) Wellsoft EDIS offers an exceptional combination of experience, extensive workflow analysis and award winning customer support. Wellsoft EDIS is certified for Meaningful Use. Software features include Patient Tracking, Clinical Documentation, CPOE/Results, Charge Capture including Infusion Charge Capture, Risk Management and CCD Document exchange. Wellsoft is EDIS at its BEST!

Visit Wellsoft at Booth #3158 to have a brief demonstration and discuss how Wellsoft EDIS fully integrates with HIS and ancillary systems AND can help with your roadmap to Meaningful Use attestation.


Winthrop Resources

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To schedule a meeting:

Contact: Dan Mandy, Director of Business of Development
dmandy@winthropresources.com
952.656.7687

Winthrop specializes in healthcare technology finance.The realities of today’s healthcare market demand a finance solution that can change with you as your strategic direction dictates.Please reach out to Winthrop to learn more on how we can partner with you to deliver a future of efficient care/systems and improved patient outcomes.


Wolters Kluwer Health

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Booth 1740

Contact: Alyssa Downing, Marketing Coordinator
Alyssa.Downing@wolterskluwer.com
612.313.1500

A leader in point of care information, Wolters Kluwer Health Clinical Solutions provide best of breed offerings focused on improving the quality of care & driving clinical productivity. Hospitals, ASCs, physicians offices, payers, labs & retail pharmacies turn to us as their trusted partner for the content & tools they rely on every day. From Clinical Documentation, to Clinical Drug Information, to Clinical Informatics & Surveillance, to Clinical Decision Support, our products deliver meaningful solutions clinicians value. Facts & Comparisons, Lexicomp, Medi-Span, ProVation Medical, ProVation Order Sets, Sentri7, Health Language & UpToDate. Visit our booth for a chance to win one of five iPad minis.



ZirMed

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Booth 4469

Contact: Kent Rowe, VP of Sales
sales@zirmed.com
877.494.1032

We’re ZirMed and we’re one of the nation’s leading providers of revenue management solutions for healthcare providers. Offering claims management, eligibility verification, electronic remittances, patient statements, payment processing, and business analytics, our solution suite simplifies the complexities of payments for providers and their patients. We resolve many problems with one simple solution – and one great relationship.

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February 12, 2013 News 1 Comment

News 2/13/13

February 12, 2013 News 5 Comments

Top News

2-12-2013 7-01-56 PM

Greenway announces Q2 results: revenue up 12 percent, EPS $0.00, missing both revenue and earnings estimates substantially, guiding fiscal year earnings to the low end of the range on lower revenue. Shares were down eight percent in Tuesday’s after-hours trading. From the earnings call:

  • The company is moving rapidly to a recurring revenue model, with revenue recognition changes hurting short-term results
  • 750 providers were added in the quarter, up 30 percent year over year
  • Training and consulting revenue dropped 35 percent because large accounts pushed training out into January
  • The company’s new RCM platform is in its early stages, but has over 300 customers

Reader Comments

inga_small From Judy: “Re: our HIMSS promo.  I thought about you. We’ve secured 25 New Orleans merchants to offer discounts to HIMSS attendees wearing our Iatric Systems branded slap bands. Merchants range from restaurants to spas  to jewelry to clothing and to two stores specializing in shoes and boots. You can wine, dine, shop, tour, and spa in between all the HIMSS activities.” Judy had me at shoes and discount, but wine and spa, too?  Look for the bands in the LeSack hotel drop Sunday night or at the Iatric booth.

inga_small From Alberta Gator: “Re: HIStalkapalooza. I am assuming I did not make the cut for HIStalkapalooza since I didn’t get an invite. It’s OK. I’ll still bring sexy shoes in your honor.” Don’t fear: the invites have not yet been sent even though the registration has closed! The official HIStalkapalooza invitations will be e-mailed to several hundred of our BFFs around February 18. And I can’t wait to see all the sexy shoes. If you didn’t sign up, sorry, but we’re full.

2-12-2013 7-56-26 PM

From The PACS Designer: “Re: Selective Disturbance App. Our fellow HIStalker Inga has helped a developer name a new mobile app by calling it ‘Selective Disturbance.’ It will be on TPD’s List of iPhone Apps with the next update.” I asked Inga what this was about and it turns out she helped choose the rather brilliant name attached to the app, which lets you selectively set a “Do Not Disturb” status by groups of individual contacts, so maybe you let your child get through 24×7 but block casual acquaintances during work hours.

From Ralph Samuelson: “Re: Allscripts. I am not sure how it is for everyone, but the company is allowing everyone in my group (programming for one of the legacy products) to stay on until August 1. We have until then to relocate or find another job outside the company. I probably can’t move, but I am grateful I have some time to consider my options.”

From Alert Reader: “Re: revisiting old announcements. How about Deborah Peel saying they would post Form 990 on the Patient Privacy Rights website, which was in HIStalk on January 3, 2011?” I’ve invited her to respond.

From Code Monkey: “Re: old systems vs. new. The experience haven’t changed since the early 2000s. Example: our hospital got reports that several patients weren’t seen within several hours after admission. That’s the responsibility of residents, who are entered as consulting physicians. The chief resident opened 10 tickets with no response from the application team saying that patients were disappearing from our portal lists. We had just applied a McKesson Horizon patch, so we checked the new Perl audit feature, which showed a new routine called ChopConsult, which started with: ‘Temp fix to remove [root@hcilink perl]# cat ChopConsult #Temp fix to remove consulting physicians beyond 8 from ADT.’ If you have more than eight consulting physicians, sorry, you now have zero. I use this as an example that many of these systems are hacked together and stability is an issue, without even looking into the database design. Pay no attention to what’s behind the curtain (or cloud).”

2-12-2013 7-24-10 PM

From Smarty Marty: “Re: Aetna. Will brand its Accountable Care Solutions assets (Medicity, iTriage, ActiveHealth, PracticeiQ) under the Healthagen name, possibly to separate these solutions from their core commercial insurance business. I found this when I went looking for the Medicity booth on the HIMSS website and could not find anything. Medicity’s website has brief information about it in the Events section.” Aetna quietly acquired Healthagen, which developed the iTriage consumer health app, in December 2011. Above is what is apparently the placeholder web page for the new Healthagen organization, with the four company names listed at the bottom. The Healthagen HIMSS exhibitor listing has three of the company names, omitting PracticeiQ.


HIStalk Announcements and Requests

2-12-2013 9-09-55 AM

inga_small I wonder how many other people got this same e-mail from LinkedIn? I felt incredibly special for about 30 seconds until Mr. H told me he got the same notification. I knew it had to be bogus / a marketing ploy / a waste of my time when LinkedIn sent me the same notice for my personal LinkedIn account.

2-12-2013 6-11-16 PM

We acknowledge and appreciate the support of Deloitte, a brand new Platinum sponsor of HIStalk. The company is, of course, a premiere, worldwide professional services firm headquartered right here in the USA (New York) with a strong healthcare IT presence and a list of awards to prove it. Deloitte’s provider practice supports organizations working on tough problems:  quality improvement, ICD-10, business intelligence and analytics, system implementation and optimization, disease management, and HIEs. You can keep up with big-picture developments by reading updates from Paul Keckley, PhD, executive director of the Deloitte Center for Health Solutions. A bunch of us who’ve been around awhile know Mitch Morris, MD, who leads the company’s health IT practice, and I’ll be talking to him soon about industry trends. Thanks to Deloitte for supporting HIStalk.

I always hit YouTube to see what I can find out about a new sponsor and my search for Deloitte turned up a winner: a brand new report on the 2013 health outlook.


HIMSS Conference Social Events

Going to HIMSS? We’ll post social events that are (a) interesting, and (b) open to all HIStalk readers who care to attend. Send yours to be listed.

Alego Health will host a cocktail reception on Tuesday, March 5 from 3:00 to 6:00 p.m. at their booth (#141). They’ll have hurricanes, beer, wine, an infused hydration station (what the heck is that? sounds like an IV), and some nice food that includes mini po’ boys.



Acquisitions, Funding, Business, and Stock

2-12-2013 9-35-06 PM

Enterprise HIS vendor RazorInsights announces $11 million in Series A funding from Bluff Point Associates. One of its customers was announced in the press release – Alliance HealthCare System (MS). CEO Reed Liggin mentioned the upcoming investment in my February 8 interview.

Teleheath company INRange Systems raises $1.6 million for its remote medication management device that administers single doses of meds to patients and transmits adherence data to physicians and pharmacists.

2-12-2013 7-11-25 PM

Employees of the Barcelona, Spain office of Picis (Optum / UnitedHealth Group) say they will go on strike beginning Thursday to protest the amount of severance they’ll receive as the company moves most of their jobs to India. According to the employee spokesperson who contacted us, “First, the UHG negotiators don’t have a firm plan to transition Picis development and support to India and we’ve asked them to let us help sort out how to successfully do it. Second, the compensation package is drastically lower than what we could win in court.” Spain’s legally-mandated employee benefits are extensive, but the employees say most companies that move jobs to India provide more than the minimum separation benefits. UPDATE: the response from Optum: “Picis Spain is engaged in good faith negotiations with employees at its Barcelona office, as it evolves its local workforce to better align with changing customer needs. We don’t anticipate any business disruption and hope this issue can be resolved fairly and quickly.”


Sales

2-12-2013 9-38-52 PM

Greater Baltimore Medical (MD) will implement Amcom Software’s Mobile Connect smartphone texting solution with their existing Amcom communications system.

The Michigan Department of Community Health Medical Services Administration awards Cognosante the Medicaid IT Architecture State Self-Assessment contract.

Tanner Health System (GA) selects Besler Consulting to conduct a transfer DRG underpayment recovery audit.

2-12-2013 9-39-49 PM

Arnot Ogden Medical Center (NY) will implement Merge Healthcare’s cardiology solution suite to capture, manage, and display multi-modality cardiac images, along with hemodynamics and ECG data.

Southeastern Health (NC) expands its relationship with eClinicalWorks to include the company’s Care Coordination Medical Record.

Dignity Health Medical Foundation (CA) chooses MediRevv for A/R management services.


People

2-12-2013 8-08-15 PM

Trinity Health CEO Joseph Swedish is named CEO of WellPoint, the country’s second-largest insurer, replacing former CEO Angela Braly.

2-12-2013 8-11-43 PM

Russell Branzell (Colorado Health Medical Group) is named president and CEO of CHIME.

2-12-2013 5-53-01 PM

Athenahealth COO Ed Park joins the board of directors of analytics vendor Kyruus.

2-12-2013 5-54-35 PM

Vitera Healthcare Solutions hires Kermit Randa (Surgical Information Systems) as EVP of sales and marketing.

2-11-2013 4-01-26 PM

TransforMED, the AAFP subsidiary that supports practices transitioning to PCMHs, announces the retirement of president and CEO Terry McGeeney, MD.

2-12-2013 10-51-04 AM  2-12-2013 10-45-44 AM  2-12-2013 10-53-16 AM

MedeAnalytics promotes Steve Lerch to SVP/GM of the provider business unit, Scott Paddock to SVP/GM of the payer business unit, and Sal DeTrane to CFO.

2-12-2013 11-07-47 AM

Hello Health names Barry Holleman (Cardinal Health) COO and VP.

2-12-2013 2-08-59 PM

Aspen Advisors promotes Jody Cervenak to principal.

2-12-2013 3-42-20 PM

CVS Caremark appoints Brian Tilzer (Staples) SVP/chief digital officer.

2-12-2013 8-38-27 PM 2-12-2013 8-39-39 PM

Health Care DataWorks promotes CFO Jeffrey Wilkins (left) to CEO, replacing founder Herb Smaltz (right), who will continue to serve as board chair.


Announcements and Implementations

2-12-2013 3-59-04 PM

Over 60 ACOs from 15 states form the National Association of ACOs, which will focus on helping organizations to increase the quality of care and improve health in their communities.

2-12-2013 3-57-34 PM 

The Mount Sinai Medical Center (NY) reports that its Epic EMR has resulted in improved quality of care for patients, including a 56 percent reduction in Medicare readmissions and improvements in quality measures such as discharge instructions for patients and antibiotic administration prior to surgery.

The Huntzinger Management Group assists Hanover Hospital (PA) in its successful Stage 1 MU attestation.

API Healthcare introduces its Talent Management Solution to improve employee engagement while addressing the industry challenges of healthcare reform and an aging workforce.

SimplifyMD launches its simpleStart program that will allow practices to move from EHR demo to live clinical use on the same day.

Mobile platform application development provider Kony Solutions announces support for the BlackBerry Z10 and Q10 smartphones.

Stilwell Memorial Hospital (OK) goes live on Medsphere OpenVista.


Government and Politics

The government’s healthcare fraud prevention and enforcement efforts recovered $4.2 billion in FY2012, up from last year’s $4.1 billion. Over the last three years, fraud and abuse investigations recovered $7.90 for every dollar spent.

2-12-2013 3-44-50 PM

President Obama re-nominates Marilyn Tavenner as permanent administrator for CMS.

Anybody who follows the VA/DoD EHR saga knows that the story changes weekly, flip-flopping on whether they’ll write new separate systems, write one new system, buy off-the-shelf applications, or just patch together what they have. Sometimes DoD has one story and the VA another, illustrative of just how vast the gulf is that separates their philosophies. Secretary of Defense Leon Panetta spoke of the “one EHR" project in the past tense a week ago, saying definitively that the departments were giving up on that idea in favor of just getting their respective systems to talk to each other. Not so fast, says VA CIO Roger Baker, now clarifying that the integration project is a stopgap toward the original goal that will continue. All I know is that whatever they do will be horrifically expensive and behind schedule, especially on the DoD side that has paid contractors billions to develop AHLTA,  and all the conflicting announcements have made me lose interest yet again. The OSEHRA community is talking if you can understand what they’re saying, meaning you’d better speak VA geek talk and appreciate decades-old VistA history, which I do on occasion. Some of those pontificating speculate that DoD will end up buying Epic, looking back to 2011 when five Wisconsin Congressmen (including eventual Republican VP nominee Paul Ryan) lobbied for the home team.

ONC’s Doug Fridsma participates in a Google + Hangout.

2-12-2013 8-03-54 PM

Federal Health Architecture releases version 4.0 of its open source Connect HIE-enabling platform. It supports higher message throughput, larger files, newly support server environments, and improved logging.

2-12-2013 8-18-44 PM

HIMSS urges HHS to stick to the October 1, 2014 implementation date of ICD-10, saying it will reduce the cost of prior authorization, enable Meaningful use, improve population health, reduce waste, and save money.


Technology

2-12-2013 8-44-05 PM

UC Irvine says medical students given free iPads with digital textbooks are scoring 23 percent higher on exams than students in previous classes, also noting that the students have formed their own technology group and developed 19 healthcare-related iPad apps in a 10-day Med App Jam. The iMedEd program was named a 2012-2013 Apple Distinguished Program this week.


Other

2-12-2013 3-34-32 PM

Cerner, Epic, and Siemens earn the highest ratings in ICD-10 preparedness according to KLAS, while Allscripts and Meditech score lowest. Among firms providing ICD-10 consulting, The Advisory Board earns top marks for high-quality roadmaps and best-practice sharing among firms providing ICD-10 consulting, while Deloitte has the most engagements. The majority of the market is looking to 3M and computer-assisted coding technology to aid in the transition.

2-12-2013 6-46-02 PM

Here’s the latest cartoon from Imprivata. 

A local medical center in Rhode Island pitches a move to the Amazing Charts EMR to earn Meaningful Use money, adding that health services board members with medical backgrounds could help with the conversion. Several audience members objected, saying they don’t want board members seeing their medical information. The board deferred the EMR decision until its next meeting.

New Jersey Economic Development Authority approves creation of a life sciences and healthcare IT accelerator that will offer the usual seed money, boot camp, mentorship, and pitch showcase.

In Canada, Saskatchewan’s privacy commissioner is investigating three cases in which health authority employees inappropriately accessed the electronic medical records of their co-workers, including one where an employee found that her name had been replaced with a vulgarity and “RIP” at the end.

A Houston medical student files suit against his school, claiming it illegally viewed his hospital medical records and expelled him based on a physician’s speculation that he had tried to commit suicide.

Weird News Andy speculates that perhaps not all things go better with Coke. Like cardiac arrhythmia, for example, in a 30-year-old mother of eight in New Zealand whose death was ruled by the coroner as being partially caused by her 2.2 gallon per day Coca-Cola habit. The sugar water liver had damaged her liver, caused all her teeth to rot out, and addicted her to the point that she experienced withdrawal symptoms when her supply ran out. Her family says they thought Coke was OK because the bottle carries no warnings, while the company complains that the coroner himself wasn’t really sure that Coke killed her.


Sponsor Updates

  • Emdat posts its spring trade show and conference schedule.
  • Hayes Management Consulting posts case studies of some of its projects.
  • HealthCare Anytime and ICA partner to leverage ICA’s interoperability technology with HealthCare Anytime’s patient portal.
  • Informatica’s Chief Product Officer Girish Pancha participates in this week’s Pacific Crest Emerging Technology Summit in San Francisco.
  • Truven Health Analytics adds enhanced reporting functionality and flexibility to the latest versions of its pharmacy intervention and infection prevention products.
  • Unity Health System (NY) executives will share details of how they leveraged public and private HIEs to enable a community diabetes collaborative during a March 21 Webinar hosted by dbMotion. 
  • Capario realizes double-digit revenue growth from its provider base in 2012 and increased adoption of its portal application.


Contacts

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

More news: HIStalk Practice, HIStalk Connect.

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February 12, 2013 News 5 Comments

Curbside Consult with Dr. Jayne 2/11/13

February 11, 2013 Dr. Jayne No Comments

Dear Dr. Jayne,

I’ve spent most of my career in EHR development. Although HITECH has been a boon for vendors and system sales, it’s been a major stress on development teams. I’m starting to feel like I should think about doing something else, maybe more outside the box. I’m looking for someone who has vision in the Accountable Care Organization space, or even someone who is thinking beyond that at an even bigger picture. It seems to me that the next big wave of health IT will come from outside the traditional vendor space.

Big Data and analytics seem like overused buzzwords, but there is a tremendous need for true clinical decision support and analysis that goes out across hundreds of sources and maximizes not only care but reimbursement across patient populations including multiple unaffiliated physicians who may not be part of a true ACO infrastructure.

I don’t want to wind up at just another vendor that starts with a vision but ultimately ends up fighting over the scraps left by Epic and Cerner. If you were in my shoes (which I assure you are very fashionable), how would I begin looking at this?

Always your gracious reader and devoted fan,
Herve Villechaize

My Dearest Tattoo,

I think that some of the biggest differences in how companies will be able to approach the challenges of the future (both those that are known and those that have yet to reveal themselves) will be defined by a variety of things.

One factor is whether they are publicly traded or privately held. It’s certainly easier to execute a vision when you have leadership that both runs the show and controls the checkbook. We’ve all seen companies sacrifice themselves on the altar of shareholder profits and those behaviors certainly raise red flags. On the other hand, there is a certain amount of protection in being a publicly traded company as there is a higher requirement for transparency.

I’m always intrigued by the development shops that are part of a hospital or health system. I like the aspect of their having to eat their own dog food. Their close proximity to the end users doesn’t give much room to hide behind sloppy code or badly-executed ideas. I would enjoy seeing the major vendors set up model clinics that truly field test their products rather than relying on their customers to perform the final round of QA and usability testing.

Although it’s not specifically in the areas you mentioned, I think there is tremendous opportunity in the market spaces that Dr. Travis and Lt. Dan cover on HIStalk Connect. Patient outreach and engagement are going to be major parts of any Accountable Care strategy. Companies that address virtual visits or link different types of providers across the care continuum – from prenatal education to ambulatory to acute care to home health to hospice –will be well positioned. We need to start coordinating care from cradle to grave if we’re going to be successful at providing higher quality coordinated care as well as controlling costs.

Sincerely,
Dr. Jayne

As vendors combine and products are sunset, I’m sure these questions are on many people’s minds. I’d like to ask our readers what they think. What do you think is the next “big thing” in healthcare IT? If you could work in any healthcare space, what would it be and why? What companies do you think will be around in ten years and who will be leading the pack? E-mail me.

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E-mail Dr. Jayne.

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February 11, 2013 Dr. Jayne No Comments

Morning Headlines 2/11/13

February 10, 2013 Headlines No Comments

Paragon, Horizon Clinicals, Revenue Cycle, and Managed Services to combine in a new organization called Enterprise Information Services

McKesson Technology Solutions EVP/Group President Pat Blake says Paragon, Horizon Clinicals, Revenue Cycle, and Managed Services will be combined in a new organization called Enterprise Information Services, with Jim Pesce from the Paragon business serving as president.

athenahealth’s CEO Discusses Q4 2012 Results – Earnings Call Transcript

athenahealth holds its Q4 earnings call, during which CEO Jonathan Bush reports a reduction in physician documentation time to less than five minutes per encounter and hints at a possible venture into the inpatient EMR business.

Computer chaos costs RBH £3.7m

Royal Berkshire Hospital reports implementation overages of $5.8 million (USD) in conjunction with a Cerner implementation that was originally budgeted at $47 million.

Meningitis outbreak prompted State Health Department to gain electronic access

After struggling with federal privacy requirements and other barriers to data collection during last year’s national meningitis outbreak, the Tennessee State Health Department considers proposing legislation that would provide its workers with quicker access to EHRs during a medical emergency.

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February 10, 2013 Headlines No Comments

Monday Morning Update 2/11/13

February 9, 2013 News 15 Comments

2-8-2013 9-24-20 PM 2-8-2013 9-25-14 PM

2-8-2013 9-22-56 PM

From Potsie: “Re: McKesson reorg. The customer announcement is attached. They’ve said they won’t force Horizon customers to convert to Paragon, but now with Pesce over both Paragon and Horizon, the writing is on the wall. I’ve also heard they’re encouraging Horizon employees to take jobs at Relay, which would seem to be scaling back by attrition rather than by layoff.” The customer e-mail from McKesson Technology Solutions EVP/Group President Pat Blake says RelayHealth will expand to over 1,000 employees, but more germane to Potsie’s comment, Paragon, Horizon Clinicals, Revenue Cycle, and Managed Services will be combined in a new organization called Enterprise Information Services, with Jim Pesce from the Paragon business (above left) serving as president. Rod O’Reilly (above right) will become SVP of strategy for MTS.  

From Ellingham: “Re: HIStalkapalooza. How can readers have missed the announcements? Presbyopia?” Beats me, but Inga and I get e-mails every day from people who swear they’ve study HIStalk intently each day without seeing the large HIStalkapalooza announcements I’ve run three times now. Maybe they’re not really HIStalk readers and just want an invitation, but I think they’re conditioned by the rags and other sites that trumpet non-newsworthy stories with a come-on headline and 10 paragraphs of padded prose that I would have summarized in one sentence without missing anything important. Skim HIStalk and you’ll miss stuff for sure. It takes me a lot of time to write in a way that wastes a lot less of yours. That’s why I guarantee that if you’ll give me 5-10 minutes of attentive reading each day, you’ll know more than almost everybody in the industry. 

An HIStalkapalooza menu update for readers who asked: Chef Brad confirms that he will have vegetarian and gluten-free items available.

2-9-2013 7-55-47 AM

The HIMSS conference will enjoy a net attendee gain this year compared to last if you believe that my poll is statistically reliable. Doing the math suggests an attendance of 33,450 based on last year’s count, but of course New Orleans can’t match Las Vegas as a draw. New poll to your right, from CHIME’s comments about ONC’s patient safety plan: should the federal government issue a national patient identifier?

2-9-2013 3-56-52 PM

Nuggets from the athenahealth earnings call Friday:

  • Jonathan Bush says the company reduced physician documentation per encounter to less than five minutes.
  • He acknowledges that athenahealth has low physician visibility and the Epocrates acquisition will be a way of promoting the company’s other businesses given its 90 percent awareness.
  • He said “athenaCoordinator had a rough year,” referring to the care coordination platform developed from the July 2011 Proxsys acquisition. He did not specifically reference the announced March 6 layoff of 36 employees from that group, but said the Proxsys system had to be rewritten from scratch, which hurt sales, and getting pre-certifications from payers is hard because each has different rules.
  • The company has integrated six products into athenaNet through its “More Disruption Please” program and plans to add another 25 in 2013, but is collecting no fees from those vendors.
  • They will launch athenaResearch next month to use the company’s database to provide insight back to clients.
  • While the company has developed turnkey rip-and-replace programs, they don’t push them because the data in the EMRs of clients isn’t reusable, or as Jonathan Bush said, “We’re going to get better at delivering it and develop the confidence to make promises that we’re good at delivering it more convincingly where we’re just going to have to get better at explaining to people why their Flock of Seagulls EMR is going to go to the same place that their Flock of Seagulls vinyl albums went.”
  • The company says they may dabble in the inpatient EMR business after reviewing a vendor’s implementation manuals and concluding, “That’s it? That’s what all the fuss is about?” and raised the possibility that athenahealth could replace the EpicCare ambulatory part of an Epic implementation and interface to Epic’s inpatient systems.

2-9-2013 2-09-27 PM

Medical facilities are necessarily extensive at Kumbh Mela, a Hindu pilgrimage held every 12 years in India that is drawing 30 million people as the largest human gathering in history. The military-like clinics were set up in two months and will be gone by the end of March. Medical records are basic and scrawled on paper. A team from Harvard School of Public Health created an iPad-based system for documenting the chief complaints and medications of the thousands of emergency patients seen each day. It also transfers data to a server to help detect public health outbreaks such as diarrhea. As stated by Logan Plaster, managing editor of Emergency Physicians Monthly:

So far the Harvard team has gathered more than 15,000 patient records, an impressive number by any research standards, and arguably the largest public health dataset ever gathered on a transient population. Their findings have been stable and predictable; most complaints are of cough and cold, and most prescriptions are for anti-inflammatory drugs, like ibuprofen. That’s good news to everyone’s ears as millions of new pilgrims enter Allahabad in preparation for February 10, the holiest bathing day on the calendar.

In China, a doctor’s social network warnings about a particular medication used in children causes shares of the drug’s manufacturer to drop 10 percent in a week, losing $160 million in value. It turned out that the doctor was wrong, having incorrectly recalled government literature. He has only 2,000 followers, but his message was reposted by a Chinese celebrity to his 26 million followers. The doctor apologized and clarified several times, but his original message continued to spread. Public relations analysis determined that a company’s response to publicly disseminated incorrect information must be issued within eight hours to be effective and must be distributed online rather than via traditional media.

The State of California fires SAP Public Services from its state employee payroll and medical benefits computer project after the new system was found to be making errors at 100 times the rate of the 1970s-era system it was supposed to replace. The project is years behind schedule and costs have piled up at triple the original estimate, with $371 million spent so far. SAP Public Services has been paid more than $50 million after the state fired BearingPoint three years ago.

An employee of Xerox/Affiliated Computer Services and an accomplice are indicted in Kentucky for using patient information collected in managing CVS’s Medicare Part D prescription plan to file fraudulent tax returns.

2-9-2013 4-17-39 PM

In England, the CEO of Royal Berkshire Hospital reports to the hospital’s board that implementation of its $47 million Cerner Millennium system need an extra $6 million to cover staff time required to navigate through patient scheduling screens that take up to 15 minutes per appointment. He warns that Millennium-related expenses will cause the hospital to move from a financial surplus to a loss for the year. According to the executive, Millennium crashes regularly, including this past Tuesday when it was down all day and the hospital had to revert to paper. The hospital’s 2013 implementation costs are projected at $10 million vs. its budget of $4 million due to unplanned manual data correction and extra staff time. The CEO said in a prepared statement to the Council of Governors, “The level of issues the trust faces having implemented Cerner Millennium is a significant drain on management capacity, despite robust risk mitigation plans. This has a significant impact on the trust’s financial performance and cash position, being the key driver between a surplus and forecasted deficit.”

Tennessee health department officials trying to manage a September meningitis outbreak were forced to develop an electronic workaround to their usual manual hospital data collection process due to the urgency of the situation. The agency had to convince hospitals to give it electronic access to their systems given restrictive federal privacy laws. Vanderbilt University Medical Center was identified as “becoming a substantial hindrance to our investigation” because its permission lagged that of all other area hospitals. The health department is considering proposing legislation to give it easier access in an emergency.

2-9-2013 3-07-00 PM

ORNGE, the air ambulance service of Ontario, is under fire for paying its physician CEO $4.6 million over two years. Taxpayers also paid questionable expenses that included European travel with $2,400 per night hotel rooms, a $1,200 dinner, limousines, minibar champagne, in-room movies, and trips with his girlfriend, who he had promoted to VP of the organization.

The CEO of the public healthcare system in Maricopa County, AZ defends her $125,000 salary increase, saying her $500,000 salary is “always the lowest of any hospital CEO in the entire state, even the little-bitty hospitals.” The board chair voted against the increase, saying the CEO has done a great job, but, “A $125,000 raise in a year when we give our janitors maybe a 1 percent raise or lay off people? It just doesn’t make sense.”

Beth Israel Deaconess Medical Center (MA) pays its former chief of anesthesia $7 million and will name its pain clinic after her to settle her charges of gender discrimination. Carol Warfield, MD says the former surgery chief, along with former hospital CEO Paul Levy, forced her out when she complained about being ignored in meetings. The Boston Globe says the hospital probably wanted to avoid reopening anything related to Levy since the woman’s attorneys had already claimed that the inappropriate relationship Levy had with a hospital employee was evidence that he ignored workplace rules.

A Truthout article says EMR adoption poses new challenges to lesbian, gay, bisexual, and transgender (LGBT) populations who will have to decide whether to share their status without knowing how that information will be handled digitally. One advocate says she doesn’t want to have to bring up her status in every medical encounter, saying, “I’m out to everyone, but I don’t want to have to come out to doctors over and over again.” Ares of EMR concern: (a) questions ask status like “gay” or “bisexual” instead of specifically identifying a patient’s relationships, since “sexual orientation is not useful medical information”; (b) EMRs should be able to identify same-sex partnerships instead of just checking “married”; (c) a label of “transgender” is not sufficient without more details; and (d) equal protection is not guaranteed in all states and an EMR-related outing can create problems. In an interesting twist on the tired HIE argument of “unconscious patient in the ED while on vacation” example, LGBTs say that their shared information could be a disaster in LGBT-hostile areas or facilities. An IOM study was mentioned whose conclusion was that the best course of action is to allow LGBTs to self-identify and opt out of answering related questions.

2-9-2013 2-15-19 PM

A hospital in Australia will discipline five employees, one of them a nurse, for posting in information to Facebook that it says violated patient confidentiality. The nurse posted the nursing home photo above, which she labeled as, “Randomly stripping for the oldies at work.” She also posted a patient’s pelvic x-ray showing an embedded object with the caption, “Take a guess what this is kids!”

2-9-2013 4-48-44 PM

Weird News Andy summarizes this story thusly: “I’ve heard of butt-dialing, but not answering.” A Sri Lankan prisoner who is startled by guards demanding to search his cell shoves a cell phone and two hands-free accessories into his rectum. The guards are surprised to hear a cell phone ring during the search, followed by the prisoner’s complaints of back pain. They take him to the prison hospital, where he tells doctors that his pain was caused by guards beating him. When the doctors reviewed x-rays and announced plans for surgery, he produced the contraband voluntarily.


Contacts

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

More news: HIStalk Practice, HIStalk Connect.

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February 9, 2013 News 15 Comments

HIStalk Interviews Reed Liggin, CEO, RazorInsights

February 8, 2013 Interviews 2 Comments

Reed Liggin is president and CEO of RazorInsights of Kennesaw, GA. 

2-8-2013 6-53-15 PM

Tell me about yourself and the company.

RazorInsights was formed in December of 2010. We are an enterprise hospital information system company.

We named our company from the principle of Occam’s Razor, which says the best explanation is usually the simplest one. Our tag line is “Simplified Healthcare Technology.” Our goal was to build an electronic health record initially that was easy to use, simple to learn, and something that you would purchase from the company that would be easy to do business with and simple to do business with.

We offer the solution on cloud technology. It’s software as a service. It’s a single integrated database on a multi-tenant cloud. We call our solution One simply because it’s on a single database.

As for my background, I’m a pharmacist by trade and have been in health IT since around 1997. I formed the company with two colleagues that I worked with in the past, Edward Nall and Michael McKenzie.

 

I don’t even remember the last time somebody wrote a new full-hospital system from scratch. Why haven’t they done that, and why is RazorInsights doing that now?

[laughs] Well, I think we’re just crazy enough to give it a try. It’s really a big challenge and a daunting task.

Our initial roadmap was the EHR Meaningful use criteria that were released in 2010 along with the pharmacy system. We felt that medication management was the core of a good clinical system. We started there, and we’ve evolved into a full enterprise HIS as a response to market conditions and the opportunity that’s been presented to us.

 

Do you think your product is competitive with systems like Meditech and CPSI that have been around for decades?

We do. I think I would be disingenuous to say that we have every single bell and whistle and the breadth of functionality that companies have been the space for a really long time do. But I think we do a really good job of focusing on the really critical 30 or 40 percent of things that hospitals need the most and make sure we do those really well.

Then we are on a long-term mission to, every day, expand our functionality to cover all the pieces of functionality that hospitals need out of an enterprise hospital information system. But I will say that I think we are very competitive across the board as far as feature functionality goes. The depth of our functionality in quite a few areas like CPOE and pharmacy is very strong, but obviously we still are a work in progress.

 

Is it difficult to convince a customer that it’s in their best interest to have a limited but deep set of features?

We have to find the right customer that shares our vision. As we started the company two years ago, we have taken a deliberate pace to not try to sell every single deal we could possibly sell. We had to be sure that our product was ready to go to the market on a large scale. 

We try to be fairly selective in choosing the right hospitals who share our vision and understand that there’s an evolution here and the end result will occur in a very short amount of time. The end result will also be that they’ll have a solution that can be achieved from going with a different company.

 

I assume that your primary customers are going to be smaller hospitals. Is that a limiting factor because that’s as big as an enterprise you can serve or just because they’re easiest to sell to at this point?

It’s a little of both. Certainly you want to start where there’s an opportunity. We saw an opportunity in the smaller hospitals — under 100 beds — because those hospitals typically had older technology for the most part. As we started to serve those hospitals, we have had opportunities to sell to larger hospitals, but most of the time they’re not ready to go into a situation where they’re going to have to do without certain functionality for a period of time.

You start with the opportunity that’s the biggest where you can serve the needs. We expect to evolve to be able to serve larger hospitals, but one of the things we wanted to do as a company was not try to do too much too fast. We want to be careful, because the worst thing you can do is try to outsell your capabilities, whether that’s to too many hospitals too fast or whether that’s to larger hospitals that you can’t accommodate. We want to be sure we got this right as we go along.

 

A lot of folks would say that part of Epic’s success is because they qualified their customers as much as their customers qualified them. Is it difficult as a small company to not pursue sales that you probably could make?

I don’t know if we’ve been as selective as Epic. We had an opportunity that was presented to us with the stimulus to get in the game, so to speak. We didn’t really get that selective, but we targeted hospitals that we knew would be a good fit for what we’re trying to do and found hospitals that had management teams or executives who shared the vision we were creating. 

The challenge for us has been, if you grow at a more deliberate pace, obviously there’s market pressures based on the window of opportunity you see that there’s always pressure to move faster, to get bigger faster, to move to bigger hospitals faster, to sign more hospitals faster. We always have that pressure to move faster because the window of opportunity won’t be there forever. We want to be sure that we capitalize on the opportunity that’s before us, but at the same time not put ourselves in a position where we can’t deliver.

 

My sense is the market wants competition instead of just Epic, Cerner, or Meditech and some of your competitors in the smaller hospital market. Do you feel the pressure to be something that you’d rather not be in serving those larger hospitals that don’t have a lot of choices?

I think there’s a tremendous amount of pressure from larger hospitals and medium-sized hospitals that are looking for another choice. They want us to get there faster than is probably possible. We just try to get up and get better every day. That’s our motto — every day we just try to improve upon what we’re doing and grow as fast as we can. 

That being said, we built our ONC-certified Complete Inpatient EHR from the day we started coding it to the day we were certified in about 100 days. We built a full, enterprise HIS within two years. We have some breadth of functionality still to cover in that product, but for the most part, we can service a small hospital very well. We’ve done it faster than most other companies have done it. I think that works in our favor.

 

What’s the secret? Nobody else has been able to figure out how to do that.

What we know needs to be done, a lot of people know. I’m a little surprised sometimes not more people have tried it. I think probably because it’s a capital-intensive effort that’s held a lot of people back.

We were just a group of people who had worked in the trenches at various health IT companies, at hospitals as healthcare workers, and really had a clear vision of exactly what we wanted the product to do and what we wanted it to be. We wanted it to be something that was easy to use, easy to learn, a modern look and feel.

We use a rich Internet application called Adobe Flex for our graphic user interface. We were looking for that new modern user experience in a system that would be easy to adapt.

On the services side, we also wanted to focus on being transparent with our customers, keeping our pricing simple. We have a bundled pricing model that’s all inclusive. You don’t get a contract with two pages of line items of different third-party software that’s included in the product. We try to be very straightforward. 

Also, we actually do the build for our clients. When we go into a hospital to do an implementation, we’re gathering information from the hospital, and then we do the build process and then bring the product back and train the client on it. 

It’s a different approach, and I think there’s other companies that have done different elements of that. I don’t know if there’s a lot of secrets there. There are a few. One is the way we develop. We have a pretty unique development process which takes a lot of industry subject matter expertise combined with some very fast coding talent to develop the product almost around the clock. We’re able to produce new code pretty quickly.

 

Are those technical resources employees or are they  contracted?

Some of both.

 

It seems like it would have taken a lot of cash for some guys who used to work for vendors to put together.

[laughs] We bootstrapped it pretty much to date. We are in the final stages of completing a private equity deal. We’ll be announcing that within the next couple of weeks. That will give us the capital to take the company to a whole other level and put our foot on the accelerator when it comes to building out this enterprise vision.

 

What can you share in terms of company size?

We’re still pretty small. We have 55 team members. That’s the team that services, develops the product, and everything. We have clients mostly in the Southeast, but we’ve expanded to some states west of the Mississippi and in the Midwest also.

 

What’s your pitch when you get in front of these small hospitals and maybe they’ve never heard of you? How do you sell them on the idea of doing business with you?

First and foremost, we’re all about being a single database, integrated product. Today we bring a single database integrated financial and clinical system to the market. By spring, we’ll be releasing our ambulatory product, which will include an electronic health record and practice management system for physician practices on that same single database.

The other thing that we’ve done, as we started to develop the system, we looked at hospital systems and how they evolved. They evolved departmentally, where there were pharmacy systems and lab systems and nursing systems and CPOE systems, etc. What we looked at was, how can we really make this a more efficient, improved approach? 

We decided to knock the walls down between the departments in the hospital. We’ve created what we call a non-modular solution. Each user has access to the system based on the privileges they have according to their role, but every user has the same access into the system and a similar look and feel and view.

We call that view of the patient record our holistic patient record. If I’m a pharmacist, in a lot of systems, I can only see what’s going on with the patient’s medications and maybe some lab results. I can’t necessarily see the surgical procedures or radiology tests they’ve had unless I go to a different module in the system. In our system, in the holistic patient record, I’m able to see all of that information and have a complete picture of what’s going on with the patient right there in one view no matter what role I have, as long as I’m supposed to have access to that information.

 

Are your revenue components fully developed even though your emphasis seems to be on clinicals?

We started out as an inpatient electronic health record vendor. We began building out the entire clinical suite. As we got into the market, hospitals were rapidly adopting EHRs for the stimulus opportunity.

About a year into it, hospitals started to pretty much demand that they would select a new vendor based upon them having an entire HIS. The market really changed a lot more quickly than we expected. We did expect a system replacement market to occur, where old technology would be replaced by newer cloud technology in the next few years, but the shift happened a lot more quickly than we expected. 

We either had to acquire or partner within a revenue cycle system or we had to build it. We opted to build it. There’s still work to do and we’ve got most of the pieces built. We can operate a hospital. There’s a few things we still will build out, but in a couple of instances we used partners to help supplement what we don’t have at this point.

 

Since you and your colleagues  worked for a variety of vendors, what mistakes do you think you’ll be able to avoid having that experience?

I think staying true to the vision as a single integrated database is important. While you may not necessarily want to build every piece of software that a hospital would ever use, you need to have a clear vision as to what’s a core component of that single integrated database solution and stay true to that.

Additionally, I think reliability is a big factor – becoming a company that is known for reliable installs, reliable support, somebody that is a partner the hospital can count on. Obviously our friends at the big ship in Wisconsin have done a great job of that.

 

You mentioned your VC investment that’s upcoming. A lot of companies stumble at that point because the VC wants to take it in a different direction, at a faster speed, or with different people running the show. Do you see that vision holding true with the influence of the outside money you’re going to take in?

Yes, we do. It’s an interesting process and the first time I‘ve been through this process to seek capital for a company. I spent about a year looking for the right partner. I went from Silicon Valley to New York and everywhere in between meeting with venture capital and private equity firms. Usually within the first 10 minutes, you could tell in the conversation if they understood what you were trying to do and understood your vision.

We were just absolutely committed to the fact that we were going to find a partner who understood what we were trying to do and understood our vision. We turned a few offers down and finally found what we think is the ideal partner. They share the vision, they understand exactly what we’re trying to do, they have a really in-depth knowledge of the space. We think we’ve pretty much found our dream partner.

 

How do you see the next five years playing out for the company and for the industry?

Wow, that’s a big question. The next five years for the company, we’ll continue to grow our market share in the small hospital space. I think we’ll evaluate whether we want to move upstream to bigger hospitals and how quickly. At some point, we’ll start to execute on moving into that space, where we think there’s potentially a lot of opportunity in addition to the small hospitals.

Additionally, we may look at some international opportunities. We’ve been investigating a few recently. If they make sense and are not outside of our core focus, we may pursue some of those. I think we’re in the beginning of a real shift for a lot of HIS system replacements to take place over the next few years. We just want to make sure that we capitalize on being a part of that opportunity.

For the industry in general, I think you’ll see obviously a lot of smaller hospitals moving to cloud or hosted solutions as that becomes a more practical way for them to manage a system without a lot of IT resources on staff.

You’ll see IDNs continue to consolidate smaller hospitals into their organizations. We’ll continue to see the trend of physician practices becoming part of hospitals and IDNs and becoming employees. It will be interesting to see what happens in our space with some of the larger ambulatory EHR vendors as hospitals acquire those physician practices. They may start to encroach on their market share by pushing hospital systems out to those physicians, so I think there’s an interesting dynamic that will come along with the consolidation. And then, finally, I think it’s still to be determined what impact ACOs will have in our industry, but there will be some impact. It’s going to be interesting to see how that plays with what’s going on in HIT.

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February 8, 2013 Interviews 2 Comments

Morning Headlines 2/6/13

February 6, 2013 News 2 Comments

Cerner Reports Fourth Quarter 2012 Results

Cerner beats estimates with earnings per share of $0.67 vs. $0.55 a year ago, with revenues up 15 percent.

DOD, VA to Speed Integration of Health Records

The Integrated Electronic Health Record, originally scheduled for a 2018 rollout, is on track for go-live by the end of 2014.

Can computers predict medical problems? VA thinks maybe.

The VA solicits bids for a pilot program that will analyze information in its VistA electronic medical record using natural language processing and machine learning to uncover patterns that can be used to improve outcomes and efficiency.

Health care venture in Leawood plans to generate 200 jobs

Startup eLuminate Health, which offers a consumer site for pricing elective surgeries and choosing providers, says its planned Kansas headquarters will create 200 jobs over the next five

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February 6, 2013 News 2 Comments

News 2/6/13

February 5, 2013 News 7 Comments

Top News

2-5-2013 6-26-04 PM

Cerner announces Q4 results: revenue up 15 percent, EPS $0.67 vs. $0.55, beating estimates of $0.64. Shares rose five percent in after-hours trading Tuesday. The company’s market cap is $14.3 billion. From the earnings call:

  • Q4 bookings were just over $1 billion, a record
  • System sales were $252 million of the $710 million in revenue
  • Thirty percent of the bookings came from non-Millennium clients
  • The company says it had nearly double the number of new HIMSS EMRAM Stage 6/7 users as its closest competitor, presumably Epic
  • It claims that Epic is pushing back on Meaningful Use Stages 2 and beyond because it will be challenged to meet them
  • EVP Jeff Townsend said the industry needs to step up to the challenges of interoperability, including use of a patient identifier
  • The company says it thinks even Epic clients that have paid a lot of money can be convinced to change systems if their reimbursement is threatened due to quality problems
  • The company signed four deals worth $40 million or more, with the showcase being LA County
  • Neal Patterson said the market is really a choice between two companies, presumably Cerner and Epic
  • The company says 85 percent of its customer base has completed Stage 1 attestation

Reader Comments

2-5-2013 6-14-35 PM

From Mike Tomlin: “Re: Rich Goldberg. He is leaving McKesson/MED3OOO to run marketing for GE reseller Virtual OfficeWare.” Unconfirmed, but the source is good and his departure would not be surprising given McKesson’s recent acquisition of MED3OOO.

From Bean Enumerator: “Re: Brigham and Women’s CIO position. Not filled yet.” A reader reported on January 30 that Joe Schmitt was taking the job, but that was not verified. The opening remains posted.

2-5-2013 7-46-15 PM

From MedWreck: “Re: Innovation Institute. Color me skeptical.” St. Joseph Health (CA) launches for-profit The Innovation Institute that will include includes an incubator, shared services, and an investment portfolio. The primary motivator seems to be to commercialize the intellectual property of large academic medical centers. The only hospital member named is St. Joseph Health, which provided almost all the institute’s executives, including former St. Joseph Health SVP/CIO Larry Stofko, who will run the Innovation Lab. Larry let me know about the Institute’s formation last summer, at which time I mentioned it and his new job there.

2-5-2013 7-18-05 PM

From Incredulator: “Re: HIMSS e-mail blast. A customer forwarded this e-mail they received from a company pitching their HIMSS booth. Check out the last line.” It’s easy to doctor a forwarded e-mail, so I’ll assume that’s the case since surely the company whose identifiers I’ve blurred wouldn’t be stupid enough to end an otherwise button-down e-mail blast with a puzzling grand finale. Although if they did, I’ll be interested to see if they own up to it as either a horrific faux pas or an overly bold attention-getter.


HIStalk Announcements and Requests

We did a good interview with Vocera Chairman and CEO Bob Zollars on HIStalk Connect.

2-5-2013 10-02-06 PM

Welcome to new HIStalk Platinum Sponsor Cornerstone Advisors Group. The five-year-old Georgetown, CT-based professional services firm, in its own words, “provides high-value consulting, advisory, implementation, and staffing services to the healthcare delivery middle and lower market segments at a fair and reasonable price” around its core principles of partnership, integrity, commitment, and value (remember “value” because it’s coming up again). The company took the #1 spot in “Planning and Assessment” and #2 in “Vendor Selection” in the 2012 Best in KLAS awards, with its customers scoring it with a sweet 98.4 and 96.1, respectively, also giving Cornerstone stellar marks for value with a 9.0 in the all-important “Money’s Worth” score in both categories. Cornerstone’s leaders and associates are former Big Six consultants, CIOs, and physicians, and I notice that President and Founder Keith Ryan has a distinguished industry history on the front lines as VP/CIO of Stamford Health (CT) and Elmhurst Memorial Healthcare (IL) as well as having held executive positions with top consulting firms, not to mention that I notice he is an HIStalk Fan Club member, which carries a lot of weight (with me, anyway). I’ve seen the company’s revenue and FTE numbers by year and it’s a steep curve up, earning it a spot on the Inc. 5000 with 431 percent three-year growth. Some of its clients include HCA, William Backus, Chilton Memorial, and Finger Lakes. If you need help with advisory, implementation, or staffing services, consider giving Cornerstone Advisors Group a chance to earn your business. I appreciate their support.


Acquisitions, Funding, Business, and Stock

Oak Investment Partners invests $40 million in xG Health Solutions, an independently operated venture that will market intellectual property and expertise developed by Geisinger Health System, including healthcare IT optimization, consulting services, population health data analytics, and care management. We announced the news on January 11 when phony-named reader Jerry Aldini forwarded a copy of the internal announcement.

2-5-2013 6-25-23 PM

CTG acquires etrinity, a provider of IT services to the healthcare market in Belgium and the Netherlands.

2-5-2013 6-29-43 PM

Michael Dell will regain control of the fading company he founded as Dell announces plans to be taken private in a $24 billion leveraged buyout that also includes taking a loan from Microsoft. The company plans to move its focus from low-margin and low-demand PCs to enterprise services, which worked for IBM years ago as it moved away from hardware. That same strategy hasn’t done much for HP, which is now discussing breaking the company up in hopes of finding shareholder value hidden somewhere in its diverse offerings. The Dell change could be good for its healthcare consulting folks, most of whom were brought on board with its 2009 Perot acquisition that included the former JJ Wild.

Startup eLuminate Health announces plans to open its headquarters in Leawood, KS and create 200 jobs over the next five years. The company offers a network for imaging and surgical providers to provide transparent pricing, clinical quality, and customer satisfaction ratings for consumers (sounds pretty much like an Angie’s List for elective surgery). CEO Tami Hutchison came from Cerner, which you probably guessed given the company’s location and line of business.

Speech technology vendor Vestec raises $1.5 million in capital from V. Raman Kumar, founder and former CEO of MModal. The company offers a speech recognition engine and a Natural Language Understanding system, with a text-to-speech engine planned. The products seem to be small-vocabulary systems for specific voice commands for use in devices such as TVs, GPSs, and PBX-type setups, although Kumar says he’ll help the company move into healthcare.


Sales

CHRISTUS Continuing Care (TX) selects HEALTHCAREfirst’s homecare, hospice, and CPO solutions.

MDH Radiology chooses Sectra’s Breast Imaging PACS, Merge Healthcare’s CADstream, and other tools to create a national telemammography solution.

2-5-2013 3-17-22 PM

MD Anderson (TX) chooses Oracle Health Sciences applications  and Oracle technology for an organization-wide analytics initiative to develop personalized cancer treatments.

CMS awards Emdeon a contract to define the process for testing new HIPAA and ACA transaction standards.

Kentucky Medical Services Foundation and UK Healthcare sign a five-year agreement for Opportunity AnyWare, the business analytics platform from Streamline Health Solutions.

2-5-2013 3-19-19 PM

Kalispell Regional Medical Center (MT) selects EDCO Health Information Solutions for its day-forward scanning technology and services.

Middletown Community Health Center (NY) chooses EHR, PM, and EDR (dental) solutions from SuccessEHS for nine service locations and two mobile health units, announcing plans to go live within 90 days. 

2-5-2013 10-25-25 PM

Parkview Health (IN) selects ProVation Medical from Wolters Kluwer Health for gastroenterology procedure documentation and coding.



People

2-5-2013 7-04-20 PM

Kasey Fahey joins Direct Recruiters as project coordinator in its healthcare IT practice.


Announcements and Implementations

Covisint launches Covisint Healthcare, an integrated solution for analytics across multiple systems and stakeholders that includes enhanced data capture and reporting, real-time admission and discharge notifications, and patient outreach and scheduling.

2-5-2013 6-41-23 PM

Reading Hospital (PA) goes live on its $150 million Epic implementation.

Four hospitals of Bassett Healthcare Network (NY) go live with Epic.

LHP Hospital Group (TX) implements McKesson Paragon at five hospitals.

Cox Medical Center Branson (MO) completes activation of T-System’s PerformNext Care Continuity solution to facilitate patient transitions and improve communication and access to clinical data.

2-5-2013 6-50-48 PM

ZirMed launches Clinical Link, a nationwide provider-to-provider information exchange platform.

2-5-2013 6-53-53 PM

Awarepoint Corporation launches Bed and Bay Sensor for precise tracking of mobile equipment and patient and caregiver interactions in locations with tight bed spacing such as the ED and PACU.


Government and Politics

2-5-2013 6-46-11 PM

The VA solicits bids for a pilot program to test how advanced clinical reasoning and prediction systems can use its VistA patient data to improve care, efficiency, and outcomes.

Brian Ahier reports that a new federal law will be published this Friday that will require drug, device, and medical supply managers to publicly disclose gifts given to physicians or teaching hospitals. The Physician Payment Sunshine Act, part of the Affordable Care Act, charges HHS with collecting information about consulting fees, gifts, honoraria, food, entertainment, and travel from companies that are covered by any federal health program.


Innovation and Research

2-5-2013 2-53-03 PM

The Washington Post looks at the burgeoning field of geomedicine, which uses geographic information system technology to correlate environmental conditions with health risks. One example is an inhaler device from Asthmapolis that is equipped with Bluetooth to track when and where patients use their inhalers.

2-5-2013 7-28-35 PM

A Germany-based company develops an intelligent armchair that contains health-monitoring technology that constantly measures the health of its occupant, also displaying the user’s historical health measurements via a tablet PC to the TV using Bluetooth. A virtual health assistant uses the information to develop and monitor a personalizes health plan, for which the chair transforms into a rowing machine. The company plans to add mental games to encourage participation and increase alertness.

2-5-2013 8-39-58 PM

Fast Company covers the just-concluded MIT Health and Wellness Hackathon, which focuses on commercially viable products. Some of the entrants: an app that encourages HIV/AIDS patients to take their meds, a sensor-based home monitor for congestive heart failure, an endometriosis surgery app for patients, home Parkinson’s monitoring tools built into gloves and a coffee cup, a blood pressure pill bottle reminder, and a diet tracker for epileptics.


Other

I don’t see the point of “pass a test, earn some paper” certifications like the ones offered by HIMSS and some for-profit companies, but this one really puzzles me. HIMSS introduces CAHIMS, designed for “emerging professionals” with less than five years’ experience in healthcare IT. I would be doing all I could to try to hide my newbie status on my resume rather than proudly waving around a paid-for certificate that boasts of my relative inexperience.

2-5-2013 8-26-50 PM

Baltimore-based startup Parallax Enterprises, founded by a physician who is also a military pilot and an Air Force major, raises $1 million to develop a heads-up display of surgical checklists. I’m intrigued that Jeff Woolford, MD has booked 1,000 hours in the single-seat, low-level combat A-10 Thunderbolt II tank killer, which is ugly, slow, low-tech, cheap, and scary as heck for the pilot but the most reassuring sight imaginable for ground troops, at least those on the same side. I’ve seen live exhibition flights of just about every modern-era US warplane and the A-10 was the most memorable. Hats off to Dr. Woolford for his service as a Wart Hog driver over Afghanistan.

Former HealthStream executive Luther Cale offers 33 Ways to Reboot Your Life, free on Amazon through midnight Wednesday. Judging from the “Look Inside” feature, you won’t get much out of it if you don’t believe in non-traditional medical techniques like spiritual psychotherapy and healing tonics.

Unverified rumors claim that Cerner and McKesson will open up interoperability between their systems to try to compete with the Epic juggernaut, with a potential announcement planned for the HIMSS conference. I’m skeptical that two large, publicly traded competing companies would agree to such cooperation, so if you have details, please share.

2-5-2013 9-12-13 PM

Seattle-based Carena launches its CareSimple program, offering Webcam-based virtual visits with one of its 15 physicians and nurse practitioners for limited conditions for a cost of $85 or for $5 with a family membership of $35 per month.

Texas Medicaid tries to revise its “pay and chase” policies after a TV station’s investigation finds that taxpayers were charged for $705 million over three years for orthodontics. The state is holding the payments of 91 dentists suspected of fraud.


Sponsor Updates

  • MedAssets pledges support to employees who serve in the National Guard and Army Reserve.
  • Chris Tackaberry, co-founder and CEO of Clinithink, shares details of how Clinithink came about and the challenges along the way in an interview. 
  • SimplifyMD reports that 100 percent of its customers choosing to file for MU attestation have completed the process.
  • The Advisory Board Company hosts senior policy makers on Capitol Hill to discuss efforts to improve care under new Medicare value payment programs.
  • Cerner will integrate Gateway EDI’s claims and remit systems with its PM solutions.

Contacts

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

More news: HIStalk Practice, HIStalk Connect.

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February 5, 2013 News 7 Comments

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Reader Comments

  • PM_from_Haities: @Keith It's a fair objection, but it depends on who you blame for the current system. Doctor's have numerous medical...
  • Shawn Thornton: Modern Healthcare's top 100 and Inc. 5000 have no credibility now...these lists are a joke. One of the "consulting firm...
  • Common Sense: Keith, you're so biased to some sort of weird leftist view of things. Should the US Government set salaries for docto...
  • MrCat: When did Ed Marx turn into The Edge from U2?...
  • Keith McItkin, PhD.: @pm_from_haities Shame on you for your diatribe v doctors. I would not object if you blamed hospitals, but doctors? C...

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