Home » Search Results for "search":

Readers Write: The Economics of Google Glass in Healthcare

April 3, 2013 Readers Write 6 Comments

The Economics of Google Glass in Healthcare
By Kyle Samani



Google Glass is a fully-featured modern computer running a derivative of Android that fits into a glasses-like form factor that rests comfortably on your face. That includes CPU, RAM, storage, battery, a heads-up-display, a microphone, camera, speaker, WiFi, GPS, Bluetooth, and bone conduction technology.

Although Google has been shy to admit it, Glass will have some form of bone conduction technology so that you – and only you – can hear. Of course, you’ll be able to take a picture of or record anything at any time and transmit that data to the entire Internet wirelessly in real time. It’s quite an extraordinary technological breakthrough.

A lot of people think Google Glass can be used as a development platform to create amazing healthcare apps. So do I.

Many of these ideas are obvious, and many of them could be relatively simple to develop. But we won’t see most of them commercialized in the first year Glass is on the market, maybe even two years.

The most obvious analogy to Glass is the iPhone. It’s a revolutionary new technology platform with an incredible new user interface. Glass practically begs the iPhone analogy. Technologically, the analogy has the potential to hold true. But economically, it does not. Because of the economics of Glass, many of these great ideas won’t see the light of day any time soon.

First, there’s the cost. Glass will run a cool $1,500 when it lands in the US this holiday season. There’s no opportunity for a subsidy because Glass doesn’t have native cellular capabilities.

Second, and even more importantly, Glass needs to prove compelling given that you already have a pretty incredible smartphone in your pocket. When the iPhone launched, it competed with the non-consumption of 2007: dumb phones. Glass has to compete with a whole new class of non-consumption: iPhones and Androids. That means Glass has to be so incredible that you’re willing to spend $1,500 given that you already have an amazing smartphone in your pocket. Glass only provides marginal value. It’s a tough sell.

Take another look at the Google link from earlier in this post. Would you pay $1,500+ for any of those individual applications? Probably not. As a hospital CIO, would you pay $1,500+ per employee for hundreds of employees for any of those applications? Probably not.

Although these are all good ideas, the vast majority of Glass ideas aren’t compelling enough to justify the cost of Glass itself. This is inherently true in all Google Glass application markets, both consumer and enterprise. It’s especially true in healthcare given the additional costs of integrating into existing systems and processes.

Doctors in outpatient clinics face a similar challenge. Though some physicians, and perhaps some surgeons, will shell out $1,500 early on, most doctors won’t be willing to commit that kind of capital. I’m sure many physicians would feel concerned about making their patients feel socially uncomfortable, even if a given application proves clinical and financial ROI. But at some point down the line, doctors will probably adopt a Glass-like technology platform, especially with something like the MYO Armband. The human computer interaction (HCI) opportunities with a Glass+MYO armband are endless.

Over time, an increasing number of Glass healthcare apps will become available and the price of Glass and its competition (I’m looking at you, Apple. Also, learn why there will be no iWatch) will fall. Eventually, healthcare app developers writing on Glass will find success, but very few will in the first year Glass is on the market.

That does not mean that the Glass ecosystem is destined for failure. Glass has the potential to solve big problems. Capitalism dictates that app developers will figure out how to use it to solve big problems.

My favorite VC proverb is, "Provide pain pills, not vitamins." For every painkiller Glass app, there will be dozens of vitamins. The painkillers will drive the success of this platform. No one needs to buy Glass. But Glass can help people and create new efficiencies in enterprise markets such as healthcare, education, manufacturing, transportation, construction, gaming, tourism, and many others.

I’m incredibly excited about Glass. It will change the world. Maybe not in its first year on the market, but it will. No one thought much of the iPhone in its first year on the market, but it delivered a revolutionary new user interface and provided a new technology platform that app developers will extend to solve an enormous number of previously unsolvable problems. Glass will, too.

Glass developers, off to the races!

Kyle Samani is inpatient deployment manager at VersaSuite of Austin, TX.

View/Print Text Only View/Print Text Only
April 3, 2013 Readers Write 6 Comments

CIO Unplugged 4/3/13

April 3, 2013 Ed Marx 4 Comments

The views and opinions expressed in this blog are mine personally and are not necessarily representative of current or former employers.

Meet the Parents: Making Lasting First Impressions

This past couple of weeks, I’ve had the honor of getting to know the newest member of my team. More than once, I’ve been the newbie on the block, and I know exactly how awkward this can feel. It reminded me of another newbie situation that happened over two decades ago.

My freshman year ended and I was smitten. Forced to part from my college crush made my summer unbearable. I didn’t see Julie for 12 long weeks while participating in Army combat medic school. Testosterone raging, I wanted to marry her. Right then!

When I returned in the fall, our courtship blossomed. We started making life-long plans and set a date 18 months out.

Then it was time to meet the parents.

A friend lent me her Jeep over winter break. I drove my future bride through the ice and snow to introduce her to my parents. Making our way from Ft. Collins south to Colorado Springs, we chatted about family as Julie played with the handcuffs hanging from the rearview mirror. She inadvertently cuffed herself.

Laughing, we searched the Jeep for the key. No key. I had no contact information for my friend, who had headed to Florida for Christmas. Bouncing down I-25, Julie’s arm dangled from the mirror.

Refusing to let her meet my parents in this condition, I pulled into a truck stop and explained our dilemma to a repairman. Smirking up a storm, he cut the chain, freeing Julie’s arm from the mirror. We continued our journey south.

Stopping at the Springs’ police headquarters, we requested assistance to remove the cuff. The suspicious officer pummeled her with questions — “Who did this to you?” — and asked for the Jeep’s registration. The Florida vehicle had no registration. I started to consider my one phone call. “Dad, can you and Mom meet us at the police station and post bail?” Not the ideal first impression.

We have one chance to make a first impression, so make it good. One nice thing about starting in a new organization is the opportunity to begin from scratch—with your management, your team and your customers. It’s critical to think about the mechanics of that first impression long before you arrive. Great books such as Your First 90 Days provide superb guidance.

The best takeaway for me was not to “hit the ground running,” but to “hit the ground listening.” In my current position, I’d spent the first 90 days meeting with 100 key leaders, team, and customers, taking copious notes. Summarizing by theme, I reported these back and used them to guide my priorities that first year. The greatest gift we can give is to listen.

First impressions work both ways and are too easily forgotten when new employees, leaders, or customers jump on board. Go out of your way to make a noble impression on the new team member who clearly feels lost and out of sorts. Newcomers to the organization afford us with golden opportunities to show we care about their success.

When possible, secure their contact information prior to their arrival and reach out in advance with an invite to dinner or coffee. In my role overseeing technology, I aim to guarantee that organizational newbies have all the tools and access needed to be productive on arrival day.

A first impression is more than personal. It’s professional.

The cops finally released us. Unable to de-cuff Julie, they sent us to a locksmith. After hearing our story, the locksmith called the cops and we repeated the cycle. Finally getting police clearance, the locksmith freed Julie.

Although late, we reached my parents’ home sans the suggestive jewelry. She made an incredible first impression, and Mom and Dad immediately embraced Julie as part of the family. I sometimes wonder if their reception would have changed if my fiancée had shown up as a jailbird. A tough gig to recover from, for sure. Perhaps my parents would have bribed me as Julie’s parents had tried to do.

Ed Marx is a CIO currently working for a large integrated health system. Ed encourages your interaction through this blog. Add a comment by clicking the link at the bottom of this post. You can also connect with him directly through his profile pages on social networking sites LinkedIn and Facebook and you can follow him via Twitter — user name marxists.

View/Print Text Only View/Print Text Only
April 3, 2013 Ed Marx 4 Comments

News 4/3/13

April 2, 2013 News 10 Comments

Top News

4-2-2013 10-52-51 PM

Nuance shares jumped 8 percent Tuesday after activist investor Carl Icahn disclosed that he holds a 9.3 percent stake in the company, with speculation that Icahn’s history of forcing underperforming companies to change may mean that he will seek to break Nuance into separate businesses. Above is the one-year share price (blue) compared to the Nasdaq (red).


Reader Comments

4-2-2013 10-53-53 PM

From Sequester: “Re: Vanderbilt University Medical Center. Sequester and Medicaid expansion hits the budget.” VUMC implements a hiring freeze for non-patient care positions, urges employees to control food and travel costs, stops vacation accruals through June 30, cancels the scheduled July 1 merit increases, and eliminate this year’s incentive bonuses. They need to make up a $20 million shortfall by June 30  and then find $50 million in ongoing annual savings.

From Hodor: “Re: HIMSS Analytics. We received an open records request stating we have to supply a copy of the contract with our EHR vendor as well as proposals from all bidders. This just seems wrong to me. A contract negotiated in good faith is now part of open records. Once we pick a vendor, we work at making it a partnership and this goes against all of that. I am seriously considering dropping my HIMSS membership.” Sunshine laws require that public organizations make their agreements available and I think hospitals are treated no differently than any other public agency or charity even though they often don’t think of themselves that way.


HIStalk Announcements and Requests

March easily set the record for one-month HIStalk readership with 156,337 visits, 266,440 page views, and 30, 824 unique readers. The needle pegged during HIMSS week with around 11,000 visits each day on Monday and Tuesday of that week.



Acquisitions, Funding, Business, and Stock

4-2-2013 10-55-20 PM

Emdeon announces its intention to re-price its existing senior secured credit facilities to benefit from current market interest rates.

4-2-2013 10-56-00 PM

Merge Healthcare announces a tender offer for all of the $252 million in 11.75 percent Senior Secured Notes that are due in 2015, hoping to refinance at a lower rate.

4-2-2013 10-56-35 PM

Colorado Governor John Hickenlooper joins TriZetto Chairman and CEO Trace Devanny in the cutting the ribbon for the company’s new headquarter in Douglas County, CO.


Sales

The Delaware Health Information Network will implement Audacious Inquiry’s Encounter Notification Service to alert physicians of patient admissions and discharges.

4-2-2013 3-41-38 PM

St. Francis Hospital and Medical Center (CT) signs a five-year contract extension for Streamline Health’s AccessAnyWare and FolderView suites and adds integration with Epic.

Rocky Mountain Health Plans (CO) contracts with HealthSparq for self-service websites for its insurance members.


People

4-2-2013 3-42-37 PM

NaviNet names Daniel Timblin (BCBS TN) CFO.

4-2-2013 8-19-38 AM

Health Evolution Partners promotes David A. Smith (PSS World Medical) from senior operating partner to general partner of the firm’s Growth Buyout Fund.

4-2-2013 1-24-01 PM

RazorInsights hires Karl Kiss (Siemens) as VP of sales and marketing.

4-2-2013 1-28-18 PM

Carol Zierhoffer (Xerox) joins the MedAssets board of directors as head of the IT committee.

4-2-2013 2-50-14 PM

MedHOK appoints Lisa Slattery (Health First) chief quality and compliance officer.

4-2-2013 3-02-04 PM

Availity names Karin J. Lindgren (Reed Group Ltd.) SVP of legal and regulatory affairs and general counsel.

4-2-2013 7-08-18 PM

Edifecs hires Sam Muppalla (McKesson Health Solutions – above) as SVP of products and strategy, Vik Anantha (McKesson Health Solutions) as VP of financial management solutions, and Prabhu Ram (GE Healthcare) as VP of clinical solutions.

4-2-2013 7-38-19 PM

Mark Snow (RevSpring) is named SVP of business development and marketing of revenue cycle outsourcing vendor GeBBS Healthcare Solutions.

4-2-2013 8-45-45 PM

Stephen Schuckenbrock (Dell) is named president and CEO of Accretive Health, replacing Mary Tolan, who will move to board chair.


Announcements and Implementations

The Patient-Centered Outcomes Research Institutes names 84 appointees to its first four advisory panels.

4-2-2013 3-46-35 PM

Weirton Medical Center (WV) goes live on its $30 million Siemens Soarian EHR and Siemens MobileMD HIE platform.

HL7 makes its standards and select intellectual property available at no charge under licensing terms. The organization is also revising its membership model to include an expansion of free or discounted education programs and training, a help desk, and enhanced testing of individual expertise in HL7 development, training, and implementation.

4-2-2013 10-58-34 PM

Patient Privacy Rights publishes its Privacy Trust Framework, a set of 75 criteria for measuring how well IT systems protect data privacy and patient control.

4-2-2013 6-08-42 PM

ZirMed launches Patient Estimation, a Web-based solution to determine a patient’s financial responsibility prior to providing care or service.


Government and Politics

The Missouri Senate approves legislation requiring insurance companies to cover telemedicine services if the same services are covered for face-to-face doctor visits.

4-2-2013 3-49-48 PM

Rep. Jim Dermott (D-WA) asks HHS to consider renewing its safe harbor provision that allows hospitals to subsidize EHR technology for its affiliated physicians under the federal Anti-Kickback Statute. The provision is set to expire at the end of 2013.

Rep. Diane Lynn Black (R-TN) proposes legislation that would exempt solo physicians from MU penalties based on lack of capital and resources, as well as exempt physicians nearing retirement age. Other provisions would expand the definition of an Eligible Provider to include rural health providers and to allow certain providers to participate in specialty registries in lieu of reporting on quality measures.

4-2-2013 3-15-43 PM

CMS has paid $12.7 billion in MU payments through the end of February.

A petition urges the White House to force the Department of Defense to use the VA’s VistA system to save taxpayer dollars and ensure continuity of care of veterans.


Other

An article in The Wall Street Journal covers saving the cost of repeated image scans by sharing them. Mentioned is lifeIMAGE, which offers radiology practice connections to the federal funded Image Share platform

4-2-2013 8-00-22 PM

A fun April 1 phony EHR demo from pedatrics EMR vendor PCC includes the often-requested One-Click Charting enhancement as well as exporting patient information directly to Facebook and Twitter.

4-2-2013 8-02-11 PM

Epic sets the standard for self-parody in its April Fool’s home page makeover. The lead story claims the company will release its secret Kool-Aid formula to meet ONC transparency guidelines  and also apparently pokes fun at CommonWell in saying that other vendors are working on their own versions that promise to be more interoperable. It also announces Pair Everywhere, which will use shared personal information (entered by SmartText, of course) and ICD-10 codes to identify “that perfect someone who also likes long walks on the beach, dancing in the rain, and monitoring readmission rates for at-risk heart attack patients.” The short blurb says MU3 will require providers to wear bow ties instead of traditional ones as an infection control standard, while my favorite says the company will change its name from Epic to EPIC since “no one gets it right anyway.”

Speaking of Epic, a local article highlights the companies being launched in the area by former Epic employees, which have created 400 jobs in the Madison area. Profiled are Nordic Consulting, Vonlay, BlueTree Network, CenterX, and Moxe Health. Epic’s headcount is now at 6,400, the article says, up 1,000 from a year ago.

Craigslist founder Craig Newmark weighs in on the VA’s disability claims backlog in a Huffington Post blog post. He seems sincere, but not particularly insightful.

A Medical College of Wisconsin cancer researcher is charged with stealing another doctor’s drug research, sending it off to China, and then trying to delete data from the college’s computer system to avoid detection. The researcher had been disciplined previously for storing lab data on his own computer. He’s been charged with economic espionage.


Sponsor Updates

4-2-2013 7-11-31 PM

  • Carl Fleming of Impact Advisors will shave off his hair and beard at the company’s annual meeting on May 1, hoping to raise $3,000 for the St. Baldrick’s Foundation. He’s at $1,290 in donations so far.

4-2-2013 7-17-18 PM

  • ESD celebrates its 23rd year in business this week with photos and a company history.
  • MedAptus suggests ways to survive Medicare cuts from the sequester.
  • Accent on Integration will participate in the International MUSE Conference May 28 in National Harbor, MD.
  • Rebecca Saffert, product manager with Optum Health, hosts an April 25 Webinar on reducing readmissions through transitional case management.
  • Iatric Systems offers a two-part guide on how to use technology to prepare and meet the deadlines for MU 2014.
  • Gates Hospitalists (MO) secures PQRS incentive funds using Ingenious Med’s claim-based submission registry.
  • Levi, Ray & Shoup is sponsoring the CIO Summit in Newport Beach, CA April 8-10.
  • Crain’s Chicago Business names Deloitte the 12th best place to work in Chicago.
  • Kareo answers the top five questions from a recent Webinar on practice marketing.
  • SIS offers four tips to improving coordinated care in the OR.
  • First Databank announces its 2013 FDB Customer Seminar November 6-8 in North Miami Beach.

Contacts

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

More news: HIStalk Practice, HIStalk Connect.

125x125_2nd_Circle

View/Print Text Only View/Print Text Only
April 2, 2013 News 10 Comments

Morning Headlines 4/2/13

April 1, 2013 Headlines 1 Comment

Doctors firing back at patients’ online critiques

The Boston Globe covers the story of a Boston-based surgeon who is suing her deceased patient’s husband after he posted an unflattering review of her care.

Mixed results on computer-based support for diabetes

Researchers at University College London complete a systematic review of 16 control trials exploring the effect online and mobile diabetes management tools have on overall disease management. The study concludes that the tools had a positive but minor effect on glycemic control, with computer-based tools resulting in a net 0.2 percent drop in HbA1c levels, while the mobile tools yielded a 0.5 percent decrease. Four in ten tools showed a positive effect on lipid panels. The tools had no measured effect on weight, health-related quality of life, or depression.

H.R. 1331: Electronic Health Records Improvement Act

HR 1331, a bill that if enacted will create a Meaningful Use hardship exemption for providers approaching retirement age and small physician practices, is getting lots of media attention this week despite being given one percent odds of making it to vote and zero percent odds of being enacted. Its identical predecessor, HR 6598, was proposed on November 16 and died in committee, which is where HR 1331 now resides.

MMRGlobal Expands Licensing Initiative in Advance of Stage 2 Meaningful Use Patient Engagement Requirements

MMRGlobal announces that it will ramp up efforts to cash in on its patient portal patents, specifically declaring that it will expand its licensing efforts to include hospitals, ambulatory surgical centers, laboratory systems, pharmacies, mass merchandisers and other vendors and providers.

View/Print Text Only View/Print Text Only
April 1, 2013 Headlines 1 Comment

HIStalk Interviews Mitch Morris, MD, Principal, Deloitte Consulting LLP

April 1, 2013 Interviews No Comments

Mitchell Morris, MD is a principal with Deloitte Consulting LLP.

3-31-2013 11-21-45 AM

Tell me about yourself and the company.

I am a partner at Deloitte. I lead our health information technology practice.

My background is a little unusual. l started as a physician and was in academic practice for nearly two decades at MD Anderson Cancer Center. I  got very interested around problems of quality and efficiency in healthcare, as so many of us do, and what technology tools can be brought to bear to solve those problems.

I complained a lot, got put on a committee, kept complaining, and I was chairing the committee. Eventually they said, “Well, if you think you’re so smart, here’s a budget, you do it.” Over a period of years, I ended up being the chief information officer at MD Anderson, a post I held for about six years. I left for consulting in 2001. I have been with Deloitte for going on seven years now.

 

Most of us in hospitals think about Deloitte working with providers, but you have responsibility over pharma and medical devices as well. Do you a lot of issues that overlap with what we traditionally think of as healthcare IT?

Yes. It’s a fascinating time. One of the things about being at Deloitte, the nature of our company gives us exposure to some of the areas of convergence that are happening.

Some great examples are large health plans acquiring medical practices and even hospitals with an eye towards payment reform and accountable care. We’re seeing tremendous convergence there. We’re seeing a great level of interest in life sciences companies – pharma, biotech, devices — in better understanding and integrating with what goes on in the provider world. Their business models are driving them towards closer integration and accountable care is even a part of that. 

An interesting phenomenon to watch is academic clients — academic health centers and universities, who in a sense can be viewed as small biotech companies on their own as they have a research agenda — are also linking up the combination of genomic and phenotypic information from electronic health records with what goes on in the laboratory. 

It’s a pretty exciting time when you look at all of the different pieces that are in the mix. The driver of health reform making everyone go into a frenzy has created a lot of activity. It’s fun to get creative and innovative around it, but then it’s all sometimes a little frightening as to where we’re all headed and how much control we have over it. But it’s been a good time from that point of view to be a healthcare consultant.

 

Every kind of company is positioning themselves for whatever they think the healthcare system will look like. The roles are becoming blurred about who’s the provider and who’s the payer. Do you think all this is going to benefit patients?

That’s a great question and I don’t think there’s an easy answer. Certainly the current healthcare system is too fragmented, broken, and too expensive, so we needed to change. What I wonder about is how much pain we’re going to go through during the change process and how quickly we will get to something that actually does help patients.

I think at the end it will help patients and consumers. Part of it also is your perspective. In the US, we tend to have a perspective of healthcare from the point of view of the individual. What’s going to happen to me or my loved one and what can I access for them? Most other countries have the perspective of the population. I’ve got a bucket of money. I have a population I need to serve. How can I do the most good with the bucket of money I have? 

As we transition as a country from a very individual view of healthcare — that we do everything for everyone — to a more population-based view of population health management, another common term along with accountable care, there’s definitely some pain that we will go through and some careful examination of our values as consumers and providers of healthcare as to what we think is most important. I’s a not easy decision ahead of us on that score, I don’t think.

 

Most of the science of public health was developed in this country, yet most of it gets exported to other countries whose citizens accept that concept better than ours. Is there a movement that suggests we will begin to behave more like a public health organization?

There are signs that Health and Human Services is directing funding to that end. I think the different iterations of value-based care, whether it’s accountable care organizations or other forms of value-based payment systems, are a step in that direction. The formation of the PCORI and their funding and pushing clinical effectiveness studies and the regulatory pieces that are coming out for pharma and for healthcare providers around clinical effectiveness are pushing us in the right direction. We make decisions and consumers make decisions not based on what they saw on the television commercial for that new drug, but rather let’s look at some data and see not just from a Phase III clinical trial but actually out in the market, what’s the most effective way to spend our healthcare dollar to be most helpful?

The pace sometimes seems fast to us, but I think it’s proceeding fairly slowly. I think an open question is this. We get to 2014 and as the health insurance exchanges kick in and more people have access to care, there will be further pressure on reimbursement. The whole sequestration issue in Washington right now is having a big impact on that as well with a 2 percent Medicare cut.

I think those things are going to be drivers in the marketplace to accelerate the adoption of some these other approaches to reimbursement and care in general. It has a potential to move faster than it is, but one thing I’ve been guilty of in the past is thinking things will happen faster than they will. I wouldn’t be surprised if change continues to be at a relatively slow pace and maybe that’s a good thing.

 

Are we putting too much faith in both the motivation and the ability of providers to use business intelligence and analytics to improve outcomes and reduce costs?

You probably went to HIMSS and a lot of your readers did. I think at least half the industrial exhibits there had the word “analytics” on the booth somewhere. There’s certainly a great deal of interest, but also a fair amount of hype.

The question will be when provider organizations in particular have to continue their march towards Meaningful Use, they have to deal with ICD-10, they have to deal with shrinking reimbursements and their cost-reduction initiatives –are they going to be willing to spend on things that are not required to do? If they do spend something, will it be a minimalist approach or a more comprehensive approach towards analytics?

Trying to run a healthcare organization today without good at analytics is like flying a plane blind. But I haven’t seen a huge change in organizations’ willingness to significantly invest in this.

The good news is with all the competition that’s out there creating solutions, that’s driving prices of solutions around analytics down. You don’t have to spend millions of dollars. There are out-of-the-box things that can help you, for example, analyze your revenue cycle or analyze readmissions or fill in the blank of what your current problem is. 

To  do a comprehensive approach to solve the analytics problem at an organizational level requires some investment, careful thought, and careful adjustments of governance and organizational structure to make it work. I think we’re ways away, but as measured by the interest at HIMSS, it seems like a lot of people are talking about it, that’s for sure.

 

Do you expect to see any new government involvement with healthcare IT issues, for example usability or FDA regulation?

As we take each federal agency, I think FDA has a strategy that they are enacting at a careful pace that will include a greater degree of regulation and oversight and a broadening of what they provide oversight for. I think in terms of what comes out of ONC and the rest of Health and Human Services, it’s hard to guess what kinds of things will come out from them. I think they pretty much have a full plate right now, but I wouldn’t want to speak for what their intentions are. Deloitte does a lot of work for those organizations, so I feel it will be improper for me to speculate.

 

What’s your overall thought on Meaningful Use as a program?

It certainly stimulated a lot of spending and a lot of progress. It’s far from being perfect, but I think overall it has driven a lot of benefit and organizations that had been taking a wait-and-see or very slow approach to the adoption of electronic health records –and certainly in the case of medical practices — it’s really accelerating things. 

The challenge that we have as an industry is not just getting in a system and checking the boxes on the Meaningful Use attestation document, but being able to really say as a group medical practice or as a hospital system, we’re driving benefits around quality and efficiency by using a system that we didn’t we have before.

While there are examples of electronic health records achieving benefits, there are also examples where it didn’t work out so well. It’s frustrating for me personally that as an industry, we haven’t done a better job of showing a broad and widespread benefit. We shouldn’t even be asking this question, and debating is kind of shameful in a way. 

The good news is most organizations I’m working with and our teams at Deloitte are working with are showing really great progress. It’s happening at a much faster pace because of the federal funding compared to prior to that. The maturity of the software also has a lot to do with it today, too.

 

Other than the minimal requirements for Meaningful Use, are providers showing an interest in technologies that engage and motivate consumers or patients directly?

I think that’s emerging. In terms of working directly with consumers, some of the healthcare organizations — and I’ll include health plans in this — that are a little more on innovator side are really looking at solutions that involve mobile technologies that go into the home or to the workplace and help with wellness and chronic disease management. There’s plenty of examples of where those things have been successfully implemented. 

As we get towards more mature versions of accountable care, linking together all the providers in a consumer’s ecosystem that they deal with and allowing things to happen at home or retail settings is a tremendous advance. A lot of that is technology enabled. You can’t do it without technology.

We’re still at the early stages of developing transactional systems that advance the agenda around population health management. We’ve got some pretty good back-end analytics stuff that we’re capable of doing today. We still have a way to go on on the transactional side. 

Part of it is that interoperability is still off in the future somewhere. Every community has a bunch of different systems that they have to put together, so that that makes it challenging. But there are some interesting emerging technologies from several software vendors that, as they mature, are going to bear some fruit.

 

What healthcare IT changes do you predict over a three- to five-year timeline?

It’s always difficult to predict disruptive things that might come along. Barring that, I look at what our clients are really challenged with. Managing and reducing cost is a huge issue, not just of IT, but overall. Being able to manage IT spend, looking and doing that through selective sourcing, making sure the organization is firing on all cylinders, being able to support analytics for your organization to reduce cost, making sure the revenue cycle systems are firing on all cylinders. Those things are going to be tremendously important.

We see the healthcare industry consolidating. At Deloitte, we have very large merger and acquisition practice. They’re tremendously busy, and we are doing a lot of post-merger integration. When all of the consolidation occurred in the 1990s, very often there wasn’t consolidation of IT and supply chain and HR, etc. Now because of the cost drivers, as we are seeing medical groups consolidate, hospitals consolidate, health plans consolidate, they are all trying to figure out, how do we get IT to be a key enabler of the efficiencies that we expect to gain from the merger or the acquisition? We’ll see a lot of that.

Preparing for value-based payments through accountable care and all the analytics need to support that we’ve already touched on. Convergence with the health plans and life sciences will be another significant driver. What’s going to wind down a little bit as this big round of primary implementations gets finished for Meaningful Use around clinical systems, that work will diminish, although there’s still a lot of optimization work that can be done out there. “I installed Epic, Cerner, fill-in-the-blank system, but to really get the benefit I expected, I need to spend more time looking at workflow and efficiency and quality and decision support. I think that’s work that I will spend time on.”

ICD-10 is going to wind down. I think mobility is going to crank up. The whole layer of coordinating care at the population level rather than at the facility level will create some opportunities for existing software companies, there will probably be some new entrants into the market who are able to beyond what an HIE does, really coordinate the care and the workflow beyond the walls of an organization. There’s multiple pieces of the provider supply chain taking care of people out there.That will be a really interesting one to watch.

At the Deloitte Center for Health Solutions, we recently released some work by Dr. Harry Greenspun that interviewed some CIOs of large systems and what they’re thinking. Some of the things I’m saying are reflected in that, and as well as some of challenge, which is juggling so many different priorities. I think one of the challenges our CIOs and healthcare today face, if you ask them what’s their number one priority, they’ll list 10 things because they’ve got so many things they have to do. That competing set of priorities that are all number one gets reflected in everything that we’re doing in the industry, and everybody who works in it is a reflection of all those things that are going on in healthcare. Those things are fun, but also a headache at the same time.

View/Print Text Only View/Print Text Only
April 1, 2013 Interviews No Comments

EHR Design Talk with Dr. Rick 4/1/13

April 1, 2013 Rick Weinhaus 3 Comments

The Text-Based Workaround

We have been considering two fundamentally different designs for presenting a patient’s past and present medical issues over time — the Snapshot-in-Time design and the Overview-by-Category design.

I have tried to make the case that the Snapshot-in-Time design, although rarely used as a high-level EHR paradigm, does a much better job than the widely adopted Overview-by-Category design for two reasons:

1) Clinicians think of the patient’s health as a story – a narrative of how things got to be the way they are. Each patient’s story is rich, complex, and unique. By presenting the patient’s story as a series of snapshots in time, this rich narrative gradually unfolds, a little like turning the pages of a picture book.

2) The Snapshot-in-Time design, when combined with assigning each category of data to a fixed location on the screen or page (see Why T-Sheets Work), allows us to take it in and process information using the fast visual processing part of our brain. In contrast, the Overview-by-Category design compels us to use slower cognitive processing.

In my last post, I wrote that perhaps due to the limitations inherent in the Overview-by-Category design, most EHRs that employ it also provide a workaround solution. This workaround is nothing other than a text-based chart note generated by the EHR.

For each patient encounter, the EHR can generate a single, relatively comprehensive text-based document assembled from the previously-entered structured data.

These text-based documents are typically in Microsoft Word or PDF format. They can be viewed on the monitor from within the EHR application, printed, or sent electronically as PDFs.

Although these text-based EHR chart notes are snapshots in time (unlike the Overview-by-Category EHR screens), they usually have significant problems, including:

  • low data density
  • non-interactive design
  • poor spatial organization and layout

In this and the next several posts, I will address these issues by presenting mockups of text-based chart notes, based on the design of several well-known EHRs.

The mockups use the same patient database that I used for the Snapshot-in-Time and the Overview-by-Category mockups. While these examples are for an ambulatory patient, similar designs are common in hospital-based EHR systems.

In order to see the mockups and read the accompanying text, enlarge them to full screen size by clicking on the ‘full screen’ button clip_image001 in the lower right corner of the SlideShare frame below.

Rick Weinhaus MD practices clinical ophthalmology in the Boston area. He trained at Harvard Medical School, The Massachusetts Eye and Ear Infirmary, and the Neuroscience Unit of the Schepens Eye Research Institute. He writes on how to design simple, powerful, elegant user interfaces for electronic health records (EHRs) by applying our understanding of human perception and cognition. He welcomes your comments and thoughts on this post and on EHR usability issues. E-mail Dr. Rick.

View/Print Text Only View/Print Text Only
April 1, 2013 Rick Weinhaus 3 Comments

Readers Write: Get Ahead with Mobile Job Hunting

March 29, 2013 Readers Write 1 Comment

Get Ahead with Mobile Job Hunting
By John Yurkschatt

3-29-2013 11-08-09 PM

According to a recent report from The World Bank, three quarters of the world now has access to a mobile phone. In addition, ownership of multiple mobile devices is becoming increasingly common, suggesting that their number will soon exceed that of the human population. Unbelievable, right?

Recently, at HIMSS, I encountered numerous people who were there to network about jobs in the industry. While speaking with many, I couldn’t help but notice that they were checking their smartphones often during our conversation. It became apparent that they were engaged in mobile networking at HIMSS as well. In fact, today’s job seekers are avidly using the following job related functions on their smartphones:

1. Search for jobs

2. Receive e-mail job alerts

3. Read about recruitment process and tips for interviewing

4. Apply for jobs

5. Share content on social networks such as Twitter

In the age of mobile technology, the job hunt is only a click away. The rise of mobile technology is changing the face of how job seekers conduct their search and how employers and recruiters are reaching out to top talent.

Savvy job seekers are using a number of mobile apps. I found three apps to be extraordinarily powerful for the job hunt and for meeting those people who have the jobs:


Hidden Jobs

3-29-2013 11-01-09 PM

This app provides you with job opportunities that are not posted on the company website. It tracks close to 2 million unadvertised jobs from companies that are growing and making headlines. In addition, if you are ever seeking a job at a particular organization, or within a geographic area, you must try Hidden Jobs.


LunchMeet

3-29-2013 11-04-22 PM

According to its site, LunchMeet is a great tool for talent hunters; job seekers; career development professionals; entrepreneurs; people who seek or offer free consultation over lunch or drinks; business school students; business development, sales, and marketing people; and anyone who is interested in strengthening and expanding their professional network.


Sonar

3-29-2013 11-05-55 PM

While this app is not necessarily a job search tool, it is the ultimate app to have while attending a conference. In fact, some job networkers at HIMSS found this app handy. Having Sonar enables like-minded individuals to easily connect while attending a conference, or within a certain geographic location. If I were in a networking frenzy, I would turn on my Sonar app and look for folks with similar interests. It is a great way to meet people you may have not known prior to arriving at the conference.

Let’s face it, mobile technology is changing the way people search for jobs and the way companies search for talent. It will only grow in popularity. Get a step ahead, or maybe, don’t get left behind. Take your job search mobile.

John Yurkschatt is project coordinator with Direct Consulting Associates.

View/Print Text Only View/Print Text Only
March 29, 2013 Readers Write 1 Comment

News 3/29/13

March 28, 2013 News 7 Comments

Top News

3-28-2013 10-09-06 PM

Caradigm will integrate Orion’s HIE solution with its Caradigm Intelligence Platform (CIP, formerly Amalga) and resell the Orion product. Orion will resell and provide services for CIP and Caradigm’s identity and access management solutions in New Zealand, Australia, and certain Asian countries. Orion will also develop decision support, population health, and quality improvement for CIP and promote CIP to its HIE prospects and customers. Caradigm has also decided not to commercialize the Qualibria knowledge solution product and will instead incorporate it into CIP, which will result in elimination and reassignment of an unspecified number of employee positions in product planning and engineering operations. The Salt Lake City newspaper says 70 percent of the company’s Utah employees, about 40 to 50 people, were laid off Wednesday.


Reader Comments

3-28-2013 10-10-32 PM

From Jasmine Gee: “Re: athenahealth’s attestation numbers. To answer readers’ doubts about how many of our Medicare Part B physicians using athenaClinicals are participating in MU, the answer is about 70 percent. That’s over 5,000 total Medicare Part B physicians. The remaining 30 percent are Medicare Part B physicians who bill so few Medicare claims that their incentive check would be tiny, so they’ve declined to pursue Medicare MU. Remember: the maximum Medicare MU incentive payment is 75 percent of billed Part B charges for the program year, with a cap based on when you start.” Jasmine is the product marketing director for athenaclinicals and was responding to recent comments from readers questioning the legitimacy of athenahealth’s claim that 96 percent of its participating providers have successfully attested for MU.

3-28-2013 10-11-45 PM

From ForEclipsii: “Re: delayed go-live at the new Royal Adelaide Hospital in Australia. I believe that the application in question is actually the brand-new Sunrise Financial Manager which rolled out a few months ago. People working on it were told to drop everything and work on a version for Australia.” Unverified, but that makes sense based on the newspaper article, the mention of billing issues, and the earlier Allscripts contract.


HIStalk Announcements and Requests

inga_small We opened a HIStalk Practice reader survey, which is different than the HIStalk survey we ran a couple of weeks ago. If you are a HIStalk Practice reader (and you should be!) please take 60 seconds to give us your input. Thanks.

inga_small Some of the HIStalk Practice goodies from the last week include: hospital-owned physician practices in Kentucky are losing as much as $100,000 per year per doctor. The Wall Street Journal examines patient-physician e-mail communications. The NCQA extends its PCMH recognition program to specialty physicians. The average turnover for physicians in 2012 was 6.8 percent, compared to 11.5 percent for PAs and NPs. Michael Brozino, CEO of simplifyMD, discusses his company, its technology, and the state of the EMR industry. DrFirst President G. Cameron Deemer shares insights on e-prescribing, EMR vendor consolidation, and the impact of government incentive programs. Take a moment and click on an ad or two – one of our sponsors may have a product or service that makes your life better. Thanks for reading.

On the Jobs Board: Senior Director Clinical Project Management, Product Manager, VP of Sales and Channel Development.

I’m looking for someone who can help produce Webinars and perhaps do some other paid part-time work. Industry experience would be nice but probably isn’t essential, although excellent writing, speaking, marketing, and organizational skills are. E-mail me.


Acquisitions, Funding, Business, and Stock

3-28-2013 7-47-11 PM

ReadyDock will receive $150,000 in pre-seed funding from Connecticut Innovations to continue development and marketing of its devices for disinfecting, charging,and storing computer tablets.

3-28-2013 9-08-33 PM

Bankrupt Raleigh, NC-based EMR vendor E-Cast, which had annual revenue of $4 million as late as 2006, is winding down after the business is sold to Global Record Systems LLC for $100,000.


Sales

3-28-2013 10-14-59 PM

Safeway will roll out the SoloHealth Station kiosk to 700 of its stores, giving customers access to free health screenings and personalized assessments.

Kettering Health Network extends its relationship with MedAssets for its revenue cycle management and workflow services.

Philips earns a fourth-year option worth $77 million to provide patient monitoring systems and training to the Department of Defense.

3-28-2013 10-16-16 PM

Lahey Health (NH) announces officially that it has signed with Epic, which will apparently replace Allscripts in both its hospitals and practices.


People

3-28-2013 6-40-34 PM

MEDHOST hires Barbara Bryan (Bryan Advisory Group/Eclipsys) as VP of consulting.

3-28-2013 11-34-52 AM

David Joyner (Blue Shield of California) joins Hill Physicians Group (CA) as COO, replacing the recently promoted CEO Darryl Cardoza.

3-28-2013 7-21-23 PM

Mobile Heartbeat names Jamie Brasseal (Dell Healthcare and Life Sciences) as VP of its western region.


Announcements and Implementations

Drchrono will incorporate digitized patient education material developed by Mayo Clinic into its EHR.

Five healthcare organizations will participate in the pilot phase of Tennessee’s Health eShare Direct Project, spearheaded by the Tennessee REC.

3-28-2013 10-17-51 PM

Children’s Hospital at London Health Sciences Centre in Ontario implements Upopolis, a social networking tool for children receiving care in hospitals that is powered by TELUS Health.

Vibra Healthcare completes the first phase of deployment of PatientKeeper NoteWriter electronic documentation software across four of its long term acute care hospitals.

Cerner will integrate print spooling software from Plus Technologies into Millennium to streamline print operations.

ACS MediHealth will work with Troy Group to develop prescription printing solutions for Meditech.


Government and Politics

3-28-2013 12-17-15 PM

ONC announces Planning Room, a Website launched in collaboration with Cornell University to allow public input on the federal HIT strategic plan.

Two North Carolina state senators introduce a bill that would require hospitals to post on the state’s HIE their pricing for common procedures and their typical reimbursements from health plans.


Other

3-28-2013 10-19-06 PM

An NPR article covers the massive increase in the number of Americans who are receiving government disability payments for often questionable reasons such as unverifiable back pain or mental illness, with 14 million citizens now being mailed a monthly federal check without even being counted among the unemployed. The article concludes that disability “has become a de facto welfare program for people without a lot of education or job skills,” with fewer than 1 percent of recipients from early 2011 having returned to the workforce.

3-28-2013 10-20-04 PM

CNN profiles St. Louis-based Advanced ICU Care, which offers tele-ICU services.

A Reuters article finds that Wolters Kluwer is able to make good profits in healthcare because its medical references are moving from printed to electronic form, with 100 medical journals offered as iPad apps. The company says demand is increasing because apps allow teaching procedures by video, which also allows the company to sell more targeted advertising.

Studies published in JAMA find that not only has a mandatory reduction in medical resident working hours failed to improve their depression rates or sleep patterns, it has also been associated with an increase of medical errors of up to 20 percent. One possible explanation is the unintended consequence of hospitals expecting their residents get the same work done in less time.

In Canada, an Alberta ED doctor is suspended for looking up the electronic medical records of patients she wasn’t treating. She was caught when a patient asked for a copy of his access log and found that nine doctors, none of whom were treating him, had looked at his files. The hospital determined that the ED doctor was using workstations that her colleagues had left logged on.

The New York Times says radiology residents are beginning to realize that the heyday of big money for minimal work is over due to Medicare cuts, technology-driven competition, teleradiology, and demands to move public money from specialties to primary care. Financially motivated medical students pursing the high-paying, procedure-based ROAD specialties (radiology, ophthalmology, anesthesiology, and dermatology) are all seeing average incomes dropping steeply with the exception of the less Medicare-dependent dermatology.

inga_small The NHS pays for a woman’s $7,260 breast implant operation after convincing doctors that her 32A chest size had put her in a state of emotional distress that could be alleviated only by an upgrade to 36DDs. The mother of two now intends to leave her children with her parents, move to London, and pursue a modeling career. She referred to TV star Katie Price in her statement: “I want the world to see the new me and want money and fame just like Katie. I can’t thank the NHS enough for giving them to me.” I can’t claim emotional distress, but perhaps I should consider moving to the UK so I could be a more successful anonymous blogger.

Weird News Andy says “some might call it murder.” A doctor in Brazil is charged with seven murders and is suspected of hundreds more as a hospital’s ICU team routinely freed up beds by administering muscle relaxants to patients and then turning off their oxygen supply. Prosecutors released the doctor’s wiretapped telephone conversations that included, “"I want to clear the intensive care unit. It’s making me itch. Unfortunately, our mission is to be go-betweens on the springboard to the next life.” WNA is also curious who approved a patient’s breast enlargement procedure when 1,200 people have starved to death in NHS hospitals “because nurses are to busy to feed patients.”

3-28-2013 8-28-32 PM

It’s like the postmortem version of fake Facebook friends: a UK company offers rent-a-mourners to families who want the funerals of their loved ones to be better attended or to “increase perceived popularity.” Actors, who are billed at $68 for a two-hour funeral or wake, are briefed about the deceased and trained to chat convincingly with real family and friends.


Sponsor Updates

  • Minnesota Public Radio profiles Intelligent Insites and how its real-time operational intelligence software will be used in 152 VA hospitals.
  • Regions Hospital (MN) reports that its use of Besler Consulting’s BVerified Transfer DRG and IME tools have resulted in significant revenue recoveries.
  • The LDM Group discusses the rapid growth rate of e-prescribing across healthcare.
  • API Healthcare’s President and CEO J.P. Fingado shares tips on increasing operational effectiveness with the healthcare workforce information exchange in an April 2 Webinar. 
  • The Albuquerque Journal spotlights Seamless Medical Systems and its SNAP iPad app for capturing patient data.
  • Eric Venn-Watson MD, AirStrip’s VP of clinical transformation, discusses how private healthcare could benefit from the US military’s cutting-edge health technologies.
  • Gary Palgon, VP of healthcare solutions for Liaison Healthcare Informatics, discusses how data integration can help organizations reduce readmission rates.
  • eClinicalWorks opens a website for its 2013 National Users Conference in San Antonio October 11-14.
  • Frost & Sullivan publishes a white paper on the impact of ClinicalKey, Elsevier’s clinical insight engine.
  • Impact Advisors Principal Laura Kreofsky discusses the privacy and security risks of social medicine and Senior Advisor Ryan Ulteg offers insight into the financial implications of ICD-10 implementations for physicians.
  • ADP AdvancedMD launches a website that provides a timeline for practices as they prepare for the ICD-10 transition.
  • Access chooses CoSentry as its cloud and data center services provider.

EPtalk  by Dr. Jayne

I didn’t have a lot of time to search for newsy tidbits this week because I was heads-down in CMS FAQs. As usual with government programs, now that money is flowing, audits have been introduced to try to recoup any inappropriate payments. My hospital is very concerned by the answers to the “Will there be audits” question, so I thought I’d share the highlights:

  • Yes, there will be audits.
  • You will need to have scads of documentation and it needs to be retained for six years.
  • Contractors will be involved in auditing. If you already have post-traumatic stress disorder from heavy-handed RAC audits, I feel for you. They’re leaving the door wide open for abuse: “The level of the audit review may depend on a number of factors, and it is not possible to include an all-inclusive list of supporting documents.”
  • Audit requests will come via e-mail from a CMS address. The e-mail used when registering for the EHR Incentive Program will be used for the initial request. If you put your physician’s e-mail address in the box, make sure she or he knows to be on the lookout for this and check your spam filters. Further communication will be through a secure communication process.
  • You need to maintain documentation that supports the values you used for CQMs and payment calculations.
  • Individual patient records may be requested for review.
  • On-site reviews at the practice or hospital, including a demonstration of the EHR system, may be requested. For those of you gaming the system by turning on features just for your attestation period, this could come back at you unless you can re-create exactly the way you were configured at the time of attestation.
  • Separate audit processes apply for Medicaid.

One of my CMIO colleagues received a hospital request in the fall. It was a spreadsheet that seemed pretty simple, but ended up requiring a ridiculous amount of data. She shared it with me confidentially. I loved the request that the reports include the EHR vendor’s logo to “prove” that it came from the EHR. If people are going to be fraudulent, I think they would be smart enough to dummy that up.

Despite clearly worded responses, the auditors didn’t understand the hospital’s answers or the math behind the calculations. They rejected spreadsheet data and insisted on screenshots from the application, or alternatively screenshots that showed a user exporting the data to spreadsheet. Again, do they not think screenshots are easy to fake? Maybe the hospital needs to film the user running the report and post it on YouTube for the auditor’s viewing pleasure.

From her recount, the auditors had all the power, and even having the vendor step in to provide supporting documentation didn’t help. MU is all or none – if there is a single discrepancy, you have to return all the money. It’s the equivalent taking a class and being expected to score 100 percent on every quiz, paper, and exam, including the final.

I hope CMS understands a simple principle about perfection that we learned in medical school — it doesn’t matter if all the lab numbers look great but the patient is dead.

Print


Contacts

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

More news: HIStalk Practice, HIStalk Connect.

125x125_2nd_Circle

View/Print Text Only View/Print Text Only
March 28, 2013 News 7 Comments

Morning Headlines 3/28/13

March 27, 2013 Headlines 1 Comment

Caradigm Kills eHealth, Partners with Orion

Caradigm, the Microsoft and GE Healthcare collaboration, announces a partnership with Orion Health wherein Caradigm will go to market with Orion Health’s HIE solution rather than its own poorly performing eHealth HIE solution, which will be sunset.

‘Big Data’ for Cancer Care

The American Society of Clinical Oncologists announces that it is joining a Big Data movement by compiling data from hundreds of thousands of cancer patients to bring a new searchable resource to oncologists looking to review treatment strategies for their patients.

Healthcare Workarounds Expose EHR Flaws

A Journal of American Medical Informatics Association study explores workarounds frequently adopted by clinicians using EHR software and studies the various reasons that the workarounds were needed in the first place. Often, the study found, they were needed due to a lack of functionality within the the HER. Sometimes, however, it was just more efficient to employ the workaround than to follow the designed workflow. Other workarounds were built into the clinicians’ workflow to help them remember to complete tasks or to allow them to bring information into the examination room, where they would sometimes be without a computer.

CMS Focuses On Fraud Associated With Increased Use Of Electronic Health Records

Acting CMS Administrator Marilyn Tavenner reiterates that CMS will conduct audits of the billing practices of EHR-using providers. These "small, targeted audits" will take place in parallel with the Meaningful Use audit program that started in July 2012.

View/Print Text Only View/Print Text Only
March 27, 2013 Headlines 1 Comment

HIStalk Reader Survey Results 2013

March 27, 2013 News 4 Comments

I survey readers every year right after the HIMSS conference. I use the information I receive to plan what I want to do with HIStalk for the next year. I always share those results and indicate which ideas I will implement. I should mention that the most common suggestion by far was “don’t change anything.”

I appreciate all the responses and the nice comments left along with them.


Key Responses

  • The most important elements of HIStalk, in order on a 5.0 scale, are news (4.8), headlines (4.5), rumors (4.4), humor (4.3), and reader comments (4.0). Nice job by Lt. Dan in having his newly added headlines identified as the #2 most important feature.
  • “I have a higher interest or appreciation for companies when I read about them in HIStalk.” 87 percent said yes.
  • “Over the past year, reading HIStalk helped me perform my job better.” 86 percent said yes.

Sample “Say Anything You Want” Comments

  • It’s just about impossible to put a price on honest, informed, and unbiased news and opinion no matter the industry. HIStalk has a sincerity, a sense of humor, and an earnestness that genuinely sets it apart from the glossy, imperious press release distribution "news" publications that you can find in just about any industry (including ours). All that to say, please don’t ever lose that pluck and spirit that sets you (way) apart from the ample blather found elsewhere… (But I know you won’t!)
  • I have only been CIO of a large academic hospital for less than five years following a career as a physician leader. I love HIStalk. I read it first thing in the morning before the NYT and WSJ (and the unmentionable local paper) even on vacation. My directors read it as well. You are the most comprehensive and unbiased source of all kind of IT information. It helped me tremendously when I transitioned. Keep up the great work! I don’t know how you do it along with your regular job! Kudos!
  • Been reading since the very beginning when you started, and every single day it makes me happy to see someone having success at doing what they love.
  • Thanks for offering a chance to learn about events before they might become public, to learn about Federal initiatives in plain English, to hear generally unfiltered commentary and reaction to rumors, current events etc. Great forum with no bias – I appreciate your position and hope you can maintain it as such!
  • I absolutely love the work you guys do. I know being in the industry for only a year, reading HIStalk every day has brought me up to speed to where I understand what is going on in the marketplace. I actually have senior members my team and management come to me to see what is happening in the world.
  • HIStalk helps me feel connected with healthcare IT in a way that publications, webinars, conferences, and industry white papers do not. It provides insight that helps me understand the drivers behind vendor behavior when I interact or negotiate with them. As Dr. Jayne or a clinical user expresses their wisdom, I get insight as to how clinical adoption of technology might be improved. It is those “ahah” moments that I have reading the comments, opinions, and reactions that help me understand my own organization better, which in turn help to drive better decisions around our technology solutions. Sometimes the solutions I deliver have nothing to do with technology, they are simply a dose of HIStalk insight that I can dispense as needed.
  • HIStalk is basically my source of healthcare IT info. You never miss anything important and you’re usually ahead of the game, so I don’t feel a need to look anywhere else. HIStalk is the first site in my Favorites list and part of my morning work ritual is: check calendar, check e-mail for urgent stuff, HIStalk. Thanks for providing a much-needed, balanced view!

Ideas I Will Try to Implement

  • Create a weekly roundup of major stories on Friday or Saturday with its own e-mail list for those weeks where I don’t have time to read daily. This is a great idea and it won’t take too much extra work. I will do it.
  • Be more opinionated. It feels like you had stronger and more frequent opinions years ago. Right now Dr. Jayne has the strongest opinions, even though you are the thought leader. This is always a point of reader contention – some are incensed when I stray from straight news reporting and demand impartiality, while others want more personal and opinionated commentary. Inga and I will interject more of our opinions when we think we can add value.
  • Make it possible to click on a link to reader comments at the end of the section. Already done as a result of this suggestion.
  • Get an Android app. I will look at what’s involved with creating a custom app with push notifications. Right now there’s an automatically detected iOS-friendly layout, but it’s not all that hard to create a custom app that can be distributed through the various app stores.
  • Increase the price of Platinum sponsorships and reduce the number of ads. Other suggestions were to eliminate graphical ads and go with text links only, but then feature each sponsor once per year. I haven’t changed the sponsorship fees in the 10 years I’ve been writing HIStalk, so supply-and-demand wisdom would suggest raising the price to reduce the number of sponsors. I’m not a huge fan of the idea, but I will consider it in some form. Most of the “too many ads” concerns went away with the site redesign and the recent changes I did to the ad serving system, which loads the ads faster and in the background after the post itself displays.
  • Bring back the smoking doc logo. It IS the original logo and also subliminally communicates how many of us feel about this site. The site gives us the real information we want without the overly controlling censorship that other sites employ. Dare to return to the past logo and display it with pride – you earned it! The old logo had some serious size, color, and layout issues since it wasn’t really designed as a logo. I may, however, start putting the smoking doc back at the beginning of each post or something like that. Like you, I enjoy that it annoys some people.
  • Engage the advisory panel more, if possible. I don’t want to burn them out, but I will try to stick to a monthly schedule. I could also use ideas of what issues I should ask them about.
  • I love physician workflow discussions (Dr. Jayne or Dr. Rick). Gimme more! I’m open to new contributors since practicing docs can write only occasionally.
  • If you could, devote full time effort to this and provide more depth and analysis. It’s amazing what you’ve accomplished on a part-time basis. I’m still waffling since I like working at the hospital, but the ability to dig deeper with more available time is appealing, although I would lose some of my credibility as a trench warrior. I’ll think about it.
  • I would love it if the e-mails give a hint about the topics, particularly News. That’s possible. I would need some extra time to summarize the important items in the e-mail update, maybe the top five stories or something like that. I’m not ruling it out.
  • I would like someone with an academic bent to do a literature overview on a weekly basis. It would highlight the good, bad, and ugly of informatics articles. I can see hiring someone to do this, perhaps a grad student or researcher, if anyone wants to declare their candidacy. I’ve thought of this before and agree that it needs done since so little of what passes for news is supported by clinical evidence.
  • Get more practicing physician input like Dr. Gregg, Dr. Jayne, and Dr. Travis. HIStalk can help bridge that gap between clinicians and informaticists. I’m happy to do that if I can get contributors. 
  • I always feel slightly guilty when I read your comments about how overworked you are. How can we help change that? I mention when I’m a bit overwhelmed only to set reasonable expectations, but I’m not complaining since I enjoy every minute. I’m my own worst enemy in some ways because I have a need to be directly involved in everything, right down to editing every word. It’s also hard to find people with the right skills who can help me without my direct supervision.
  • Add links to the other HIStalk sites at top. Done just now as I was reading this. Good idea.
  • Can you "fix" Vince Ciotti’s slides? Half the time they seem to cut off on the bottom mid sentence. Vince crams a lot of information into his PowerPoints and sometimes the conversion to SlideShare isn’t perfect. I will suggest he spread the information over more slides. You can also try click the “expand” at the lower right to see if the full screen view fixes the problem.
  • Too many spinoffs will dilute your brand, impact, and reader interest. I think I’m set in that regard, although readers keep suggesting new offshoots of HIStalk that I probably won’t do.
  • What about a patient advocate as a regular contributor? I’ve been knocking this idea around, but as always the challenge is finding someone with the knowledge, time, and writing ability to do it.

Ideas That Require More Reader Feedback

  • Name a “Top Five Areas of HIT Concern” and keep it in the industry’s eye for the year. Use your influence to create change. I don’t know how effective this would be or how I would create the list. Possibly via reader survey.
  • Establish a vendor scorecard that only hospital CIOs and practice physicians could anonymously complete so that vendors would understand exactly where they needed to improve after losing deals. I like the idea, but I don’t know if I would get enough responses for the results to be meaningful.
  • Eliminate Readers Write. Many of the posts are self-serving vendor pieces, but some gems do get posted. I don’t get many submissions from providers or others on the front line, unfortunately. I could enlist a panel to approve the usefulness of the submissions in advance, I suppose.
  • Get more health system CIOs to make high quality contributions like Ed Marx. I’ve tried, but it’s hard to find willing and capable contributors.
  • You should adopt another alter ego and write a separate, less frequent, more critical blog. I’ve actually considered doing this, perhaps modeling it after The Onion or Fake Steve Jobs. If I get more time, I might. I have a lot of snark to share.
  • Allow searching posts by company in newest to oldest order. I have investigated this many times and there’s just no technical way to do it automatically. The only option would be to pay someone to manually index each post into searchable database. I’m happy to do that if the interest is sufficient.
  • Put together something that could be used for learning and understanding for the next generation of individuals that will need to step up and push for change within the healthcare industry. I get quite a few e-mails from industry newbies who appreciate what they learn from reading HIStalk, so I like this idea. I would need help from someone in that target audience, probably.
  • Offer a forum for CIOs and salespeople to communicate based on CIO needs and priorities. I’m not getting a good mental picture of how this would work.
  • Please be tougher on things that need to held accountable. Healthcare is 18% of GDP with no signs of slowing. Call out the waste and abuse. I run interesting items I see along those lines, but it’s a bit outside my core competency.
  • Continue your HIStalkapalooza. It’s becoming a non-HIMSS-sponsored annual tradition. Apparently your sponsor companies are willing to pay for the privilege of doing it. I would press (ever so gently) for greater HIStalk exposure in their booths. I’d be interested in how far you can go before HIMSS gets pissed and says something. Sponsors have volunteered to underwrite the event for the next two years, at least, so it will apparently continue. It’s very cool that nearly 100 of our sponsors put our signs in their booths.

Ideas I Probably Won’t Implement Immediately

  • Reduce the frequency of regular contributors. Some also suggested enlisting more contributors. Each contributor has their own followers and the posts are easily ignored by those who aren’t interested, so I probably will not do this. I try regularly to get other folks who have an interesting voice to contribute, but I am rarely successful since they are by definition busy.
  • Reduce the “People” section and eliminate the photos. I like that section and I think readers like seeing occasionally familiar faces in a post.
  • Add more coverage of (revenue cycle, analytics, payor, etc.) I appreciate the confidence, but I don’t really have the knowledge or time to do a good job covering these topics in detail.
  • Do news daily. I think the headlines do a good job of keeping readers current on the non-news days (Tuesdays and Thursdays).
  • Maybe link out to education sessions or industry rags? But they troll your information, so why do it? My policy is that I don’t link to other industry publications with few exceptions (Government Health IT and E-Health Insider are two of few). I can easily get any information they have by simply going to the same original source they used.
  • The number of interviews is too much and too often appears catering to sponsors. I often interview interesting people who make themselves available, which often means vendors in general and sponsors in particular. I never know which ones will be interesting until they are done.
  • Add a recruiter’s corner. Providers are looking for good talent, and some of the readers might just be interested in positions open with providers. I’m not sure HIStalk is the right place for that.
  • I would write less often. How the heck you keep up is beyond me. I could write less often, but readership has gone constantly up doing what I’m doing, so I’m hesitant to change.
  • Start being a little more careful about the rumor reports and getting some more verification either way before publishing stuff. I usually try to get confirmation, but many times companies ignore my inquiries, which makes me then assume there’s a pretty good chance the rumor is true. I try to be responsible based on what I know about the rumor reporter and the company, but it will never be perfect unless I stop running rumors entirely, which would then eliminate the third most popular feature of HIStalk.
  • If there is any way you can get more info about go-live activity, that would be great. I report everything I can find, which is a tiny fraction since companies and customers don’t usually issue public announcements of go-lives.
  • Add international perspective – who’s doing what overseas on a routine basis. I run interesting items occasionally, but I don’t have good sources for a regular feature.
  • I like Dr. Travis a lot and am surprised he was not on the list above. He writes thoughtful pieces and he is on the money with a lot of his comments. Travis writes for HIStalk Connect, so I didn’t include him on the survey.

Contacts

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

More news: HIStalk Practice, HIStalk Connect.

125x125_2nd_Circle

View/Print Text Only View/Print Text Only
March 27, 2013 News 4 Comments

News 3/27/13

March 26, 2013 News 6 Comments

Top News

3-26-2013 9-45-15 PM

An Institute of Medicine review finds that the military’s assistance programs for veterans are not meeting the needs of service members who served in Iraq and Afghanistan, with half of the 2.2 million former troops struggling to adjust to civilian life because of the stigma associated with mental health and substance abuse issues, use of an unproven tool to assess post-injury brain function, lack of proven efficacy of the VA’s depression treatment protocols, lack of policies that would prohibit veterans exhibiting suicide risk from owning weapons, and poor integration between the EHRs used by the VA and DoD.


Reader Comments

3-26-2013 6-55-16 PM

From Emmie Yoo: “Re: MU2 attestation timing. I’m curious whether you have a feel for when in 2014 hospitals will likely begin attesting for Stage 2 MU. I know it opens on October 1, 2013, but do we really think many hospitals will try to meet MU2 in the first half of federal fiscal year 2014?” Hospitals and consultants, please leave a comment with your thoughts.

3-26-2013 6-57-46 PM

From Raptor: “Re: athenahealth. Has anyone questioned the legitimacy of their claimed 96 percent MU rates? I think the key word is ‘participating,’ which is only a fraction of their usership. It’s not hard to reach 96 percent when you don’t think a majority of your physician users are even trying to make MU.”

3-26-2013 6-53-16 PM

From Non-Sequitur: “Re: help me find a sponsor! I scoured the Resource Center this morning but have not been able to locate one of your new sponsors that was profiled in the past six weeks. They had developed a niche solution for licensing and access challenges with legacy systems when moving to next-generation applications, allowing legacy data to be accessible without paying extending licensing for the replaced systems. MANY thanks for your amazing site. I am enjoying having introduced a relative healthcare novice to your site. He shows up at my cubie every few mornings to discuss one (or more) of your postings. You guys absolutely rock!” Two new HIStalk sponsors offer data archiving options: Legacy Data Access and MediQuant. You’ve also motivated Inga and me to reach out to sponsors to make sure they’ve sent us their Resource Center listing since that’s the easiest way to find them. Thanks for the nice comments.

From Amish Avenger: “Re: hacker article. This is a great Onion-like article title.” It sure is – World’s Health Data Patiently Awaits Inevitable Hack says the high-profile hacks of major sites like Twitter and Evernote make it obvious that healthcare’s turn is coming, especially since small companies don’t have the expertise to properly secure their niche systems. The security researcher quoted might have overstepped his expertise in declaring that Google Health was shut down due to liability concerns. “What the hell happened to Google Health? Gone! They didn’t want the liability. The complexity of this is mind-boggling. Heath care is really in for a beating from the security side… if Google can’t stop this, how is a hospital going to stop this?”

From Primary Care Doc: “Re: Eric Topol’s highly publicized use of an iPhone app on the way home from his HIMSS keynote.” I’m running the comments below because I had the same reaction to the Twittersphere’s instant arousal by Dr. Topol’s use of an iPhone EKG app to diagnose a fellow airline passenger on his way home. First, the cynic in me found it to be an awfully strange coincidence and an opportune PR moment. Second, diagnosing fib is not hard since the signs are straightforward and patients usually have a history of it. Third, diagnosis is a snap compared to treating it, and treatment isn’t even usually necessary in an acute situation. The value added by EKG apps is to save the cost and inconvenience of having a technician run the test, which isn’t relevant in this case. But I’m usurping Dr. PCD’s forum:

He was keen on sharing with us how he saved a patient’s life while on the plane by using technology. He diagnosed a man’s heart condition as a rhythm problem, atrial fibrillation, by using his phone. He was short on details in saying exactly what he did with the diagnosis. Did he have his paddles with him and shock the man’s heart into normal rhythm or did he have a syringe loaded with a beta blocker in his pocket and gave the man a shot right then and there? To those technology fans out there who feel that they can replace the stethoscope with an app or iPhone, I can also tell you that just pressing one’s ear to the patient’s chest or feeling the pulse should suffice. It is what one does with the information that matters, not merely obtaining it. Last week one of my patients was upset because his ophthalmologist cancelled his cataract surgery because of an EKG read by machine showing atrial fibrillation. I looked at the EKG and it was completely normal even when repeated. The machine had read it wrong. This is the difference that Ed Park was talking about between the "promise and the reality.”


HIStalk Announcements and Requests

3-26-2013 6-26-43 PM

I’ll be sharing the results of my latest reader survey shortly, but I’ve already acted on one suggestion from it. I added a “comments” link at the bottom of each post, so you won’t need to scroll up to click it.

Another reader survey response asked about comments that are submitted but that I don’t run. Those are few in number, but they include comments that:

  • Disparage an individual by name or recognizable position in a way that could be considered libelous
  • Seem to have been posted primarily promote the commenter or their company
  • Make unverified statements about the financial performance or business prospects of a public traded company

3-26-2013 7-02-09 PM

Welcome to new HIStalk Gold Sponsor The SSI Group. The 25-year-old Mobile, AL-based revenue cycle company offers industry-leading claims management, EDI technology, document management, revenue cycle analytics, attachment processing, RAC tracking and defense tools, and business process outsourcing  to its 2,400 customers. Its ClickON technology has more than 200,000 built-in edits that deliver Claredi-certified transactions. SSI’s EHNAC-certified clearinghouse has 800 payer connections and processes over 350 million transactions per year valued at more than $700 billion in claims revenue. See the customer testimonials and case studies from Adventist Health, Baystate, Carilion, Lee Memorial, and others. Thanks to The SSI Group for supporting HIStalk.


Acquisitions, Funding, Business, and Stock

3-26-2013 7-38-24 PM

Technology-driven concierge medical practice One Medical Group raises $30 million in funding, increasing its total to $77 million. The company accepts insurance with an annual membership of around $200.

3-26-2013 9-07-04 PM

Hospital physician scheduling technology startup QGenda will move its headquarters and 30 employees from the Perimeter area of Atlanta to Buckhead. The company’s revenue has doubled every year since its founding in 2008

SAIC announces Q4 results: revenue up 8 percent, EPS $0.54 vs. –$0.49, beating on earnings.


Sales

Presbyterian Homes of Georgia selects Health Care Software’s Interactant suite of EMR and financial solutions.

3-26-2013 4-59-37 PM

Medical University of South Carolina Health System chooses Elsevier’s CPM CarePoints care planning and documentation solution.

Molina Healthcare (CA) will implement Elsevier’s MEDai Navigator analytics solution to manage its Medicaid population.

3-26-2013 5-05-00 PM

Centegra Health System (IL) signs a multi-year contract with MedAssets for group purchasing, supply chain optimization, and construction services.


People

3-26-2013 3-25-04 PM

Mount Sinai Medical Center (NY) promotes Bruce Darrow, MD from interim CMIO to CMIO.

3-26-2013 6-51-39 PM

Cornerstone Advisors names Patty Guinn, RN (Dearborn Advisors) as director and practice leader of clinical informatics.

ONC promotes Chief Grants Management Officer Lisa Lewis to deputy national coordinator for operations.


Announcements and Implementations

3-26-2013 5-13-15 PM

Edward Hospital & Health Services (IL) implements several Infor Lawson applications to accompany its existing Infor Human Capital Management solution.

New York’s State Health Information Network (SHIN-NY) goes live with its first electronic transmission of secure EHRs information using Etransmedia Technology’s Direct Care Coordinator solution.

Allscripts and Integrated Health Information Systems will jointly develop a Singapore-based technology laboratory to accelerate IT solutions for public hospitals in Southeast Asia.


Government and Politics

3-26-2013 9-06-53 AM

VA Secretary Eric Shinseki says his organization will clear a backlog of veterans’ disability claims by the end of 2015. Seventy percent of the VA’s  895,000 pending claims are older than 125 days. Shinseki blames the backlog in part on the large amounts of paper-based claims and records that require conversion to an electronic format and the lack of synchronization between the VA and DoD.

 

Several new rules that expand and update HIPAA’s security provisions will go into effect this week, though compliance for most of them will not be required until September 23.


Innovation and Research

Rock Health creates FDA 101, a timely and very nicely done overview of FDA regulations for digital health entrepreneurs.


Technology

3-26-2013 3-50-00 PM

McKesson launches ANSOS2Go, an Android-based mobile app for its ANSOS One-Staff workforce management suite.

Ingenious Med will combine inpatient and outpatient functionality into its impower charge capture platform.


Other

3-26-2013 3-51-28 PM

Boulder Community Hospital (CO) reports that its Meditech system is back online following a two-week downtime caused by an unspecified malfunction of both its primary and offsite secondary servers. The hospital was able to recover all of its data except that entered during the eight hours after the last good backup and has now moved to creating hourly incremental backups.

Granger Medical Clinic (UT) suffers a possible data breach when 2,600 paper appointment records awaiting shredding disappear.

Johns Hopkins Bloomberg School of Public Health recently offered a free eight-week data analysis course via Coursera that covered using big data to find the answer to a given question. The first session just concluded and further sessions haven’t been announced, but Coursera has other statistics courses available. You’ve seen all the articles and companies about analytics and business intelligence, so if you want some career insurance at no charge and with minimal inconvenience, Coursera might be the way to go.

In England, an NHS study finds that physicians ignore 98 percent of drug safety alerts, which it concludes is because prescribing systems don’t issue the warnings until the end of the prescribing process and starting over is too much trouble.

3-26-2013 12-45-22 PM

Only about 11 percent of healthcare dollars paid to providers are tied to performance instead of fee-for-service, according to analysis by the non-profit Catalyst for Payment Reform.

In Australia, Victoria University’s Centre for Applied Informatics develops software that processes incoming streams of physiologic data and predicts vital signs 20 seconds into the future, also providing real-time warnings and retrospective reviews of patient condition in surgical cases.

Also in Australia, EMR go-live at the new Royal Adelaide Hospital is delayed due to difficulties in modifying the unnamed $427 million US system to handle complex South Australia billing requirements. I believe the system is Allscripts Sunrise Clinical Manager judging from previous announcements.

3-26-2013 5-43-42 PM

I’m fascinated by Andy Enfield, the 43-year-old coach of NCAA Sweet 16 overachieving underdog Florida Gulf Coast University. He was high school valedictorian, played college ball at Johns Hopkins, took an MBA from Maryland, coached in the NBA, and co-founded TractManager, a Chattanooga, TN-based healthcare contract management company that’s worth $100 million. He’s also married to a former Maxim magazine cover girl.

The University of Pennsylvania seeks a declaratory judgment against St. Jude’s Children’s Research Hospital, which sued Penn last year claiming that the university violated its patent for genetically modifying immune cells to treat cancer. Penn turned the process over to a drug company in a $20 million deal, but St. Jude’s says it holds the patent.


Sponsor Updates

  • Michael Elley, CIO of Cox Medical Center (MO), describes his hospital’s use of T-System to redirect patients from the ER to primary care.
  • Allscripts offers a sneak peek at the education session planning for its 2013 Allscripts Client Experience.
  • GetWellNetwork previews agenda items, speakers, and panel participants for its GetConnected 2013 user conference April 15-17 in San Diego.
  • The CRN Partner Program Guide awards Trustwave’s channel program a 5-star rating.
  • Loren Russon, senior director of product management with Ping Identity, evaluates the 3Scale API conference.
  • InstaMed releases its 2012 Trends in Healthcare Payments Annual Report.
  • HealthMEDX CEO Pamela Pure relates how her personal experiences with post-acute care facilities led her to HealthMEDX.
  • eClinicalWorks introduces private payer incentive consulting services to advise providers on incentive revenue opportunities.
  • Beacon Partners hosts a March 29 Webinar on the risks business associates pose to healthcare organizations.
  • Ingenious Med opens a customer support office in Nashville, TN.
  • Huntzinger Management Group hosted Palo Alto Medical Center’s Paul Tang, MD, MS at its event during the HIMSS conference.
  • MED3OOO names Judy Stovall from PriMed the winner of its video case study contest.

Contacts

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

More news: HIStalk Practice, HIStalk Connect.

View/Print Text Only View/Print Text Only
March 26, 2013 News 6 Comments

Monday Morning Update 3/25/13

March 23, 2013 News 1 Comment
3-22-2013 8-32-30 PM

From Someone: “Re: Allscripts. Looks like they dropped their lawsuit against HHS and Epic. No one has broken the story yet – I’d like to hear more details.” Our Allscripts press contact provided this statement about the legal action, which had earned Allscripts the “Stupidest Vendor Move” in the 2013 HISsies:

Allscripts Healthcare Solutions, Inc., has discontinued its legal action against the New York City Health and Hospitals Corporation regarding the award of the Integrated Clinical Information System contract and looks forward to having the opportunity to work with HHC on other matters in the future. The NYC Health and Hospitals Corporation is pleased that Allscripts has withdrawn the lawsuit.

From McLayoffs: “Re: McKesson. Big layoffs coming 3/28, so big that corporate communications is driving the talking points.” Unverified.

3-22-2013 7-09-43 PM

From The PACS Designer: “Re: GSMA Mobile Awards 2013. A mobile app that just won the Judge’s Choice – 2013 Best Overall Mobile App from the GSM Association is Waze. The app helps the commuting effort each day through sharing real-time traffic and road info, saving everyone time and gas money on their daily commute. Also of note is that HIStalk sponsor AT&T won in the category of Smartphone Application Challenge with its app called Application Resource Optimizer (ARO).”

3-22-2013 8-53-54 PM

From TickedOffBassets: “Re: Basset EMR icons for suicide risk from Dr. Jayne. As the proud owner of two very happy, albeit sad-looking Basset hounds, I have to stand in protest to associating their images with suicidal risk. When my two wake up from their fifth nap of the day,  they will be planning their official protest before their sixth nap of the day.” Mrs. HIStalk’s brother has a pair of Bassets, which means that when we visit, each of us has 80 pounds of licking, squirming, moaning dog draped across our legs. I wouldn’t say they are particularly fun, but they are affectionate, and neither seems to be a candidate for self destruction given the amount of energy that would be required.

3-22-2013 6-39-09 PM

Around 40 percent of poll respondents gained a better perception of Allscripts since Paul Black took over three months ago. New poll to your right: have you ever contacted your primary care provider via e-mail or secure private message?

3-22-2013 6-55-54 PM

Welcome to new HIStalk Platinum Sponsor Patientco. The Atlanta-based company’s solutions make it easy for patients to manage and pay their healthcare bills online just like they do for consumer products and services. They access their easy-to-read statements using their personal SecureHealthCode that is printed on every statement and choose from several payment options via PatientWallet – online, telephone, interactive voice response, or mail. They can track all of their healthcare expenses in one place and question the provider about their bill using secure messaging. Providers enjoy submission of bills electronically or on paper, faster payments, iCash credit card processing, daily funds deposit, automated assignment of payment plans to patients who need them, and reduced time required for manual processing. Thanks to Patientco for supporting HIStalk.

Listening: The Letter Black, Flyleaf-style sexy hard rock is actually a Christian band fronted by a husband and wife from Uniontown, PA.

3-22-2013 8-48-26 PM

Nathan Lenyszyn joins Billian’s HealthDATA as director of new business development.

Aprima says it has converted nearly 200 former MyWay customers to its EHR in the six months since Allscripts announced that it would not be enhancing MyWay to meet MU and ICD-10 requirements. Aprima CEO Michael Nissenbaum says he expects the company to gain up to 1,500 provider users, nearly half of those who had implemented the Allscripts product.

An ONC brief on healthcare IT in long term post acute care emphasizes partnering with companies that offer ATCB and CCHIT LTPAC-certified EMR solutions. According to CCHIT’s site, there are four of those: HealthMEDX, AOD Software, Optimus EMR, and American Data.

3-23-2013 8-37-00 AM

Allscripts shares are up 50 percent vs. a relatively flat Nasdaq in the three months since the company replaced Glen Tullman with Paul Black.

The UK’s largest NHS Trust will deploy Microsoft’s Windows to Go on USB sticks rather than buying laptops for remote employees. Employees plug in the encrypted USB stick to start a secure Windows 8 desktop session from any compatible device. Local data storage is on the stick.

3-23-2013 8-58-35 AM

Healthcare payment exchange platform vendor PaySpan relocates its headquarters from Jacksonville, FL to Atlanta, GA.

A nurse supervisor at a New York jail resigns after an investigation of jail employees viewing the hospital electronic medical records of corrections officers and their families. The jail’s system provides access to the systems of Samaritan Hospital in Troy, NY. The nurse’s attorney says she didn’t perform the searches herself, but inadvertently allowed others to do so by taping her password to her desk.

A former medical resident at University of Michigan Hospital is sentenced to at least three years in federal prison for possession of child pornography, discovered when he left his USB drive plugged in to a hospital computer. The hospital didn’t report the incident to police until six months later.

Doctors in Ontario, Canada complain about their move to electronic medical records, citing response time problems and system lockups as 1,000 users who were added to their Nightingale Informatix EMR over the past year overwhelmed the system. 

A British Columbia doctor complains about lack of interoperability among the province’s network that connects the disparate and often outdated systems managed by individual local health authorities. A previous auditor’s review found that implementation of the $252 million system was poorly managed.

3-23-2013 9-36-04 AM

The board of Olympic Medical Center (WA) approves spending $850,000 to bring in three dozen traveler nurses to cover staff training on its Epic system, scheduled to go live in both the hospital and clinics on May 4. The hospital budgeted $1.8 million for the conversion to Epic, which is used by its affiliate Swedish Medical Center, and expects to earn $7.6 million in Meaningful Use payments.

Weird News Andy says, “I got your back.” A Canadian man is stabbed five times in a fight and is sewed up in the ED with no X-rays taken. Three years later as he scratches an itchy spot on his back, his finger catches the tip of an embedded three-inch knife blade.

Vince’s HIS-tory installments always hold my rapt attention and this is one of his best – some background you probably didn’t know about the pioneers who started Meditech.


Contacts

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

More news: HIStalk Practice, HIStalk Connect.

View/Print Text Only View/Print Text Only
March 23, 2013 News 1 Comment

News 3/22/13

March 21, 2013 News 5 Comments

Top News

3-21-2013 8-44-57 PM

Athenahealth announces a partnership with mHealth app vendor iTriage to connect the app’s consumer users with providers in athenahealth’s network.


Reader Comments

3-21-2013 8-49-22 PM

From HITcontractor: “Re: ProMedica Health. Halts install of McKesson Horizon Emergency care in its facilities, reverts to its previous vendor Picis due to failed adoption and hesitation by providers.” Unverified.  

From Interested: “Re: Northwest Community Hospital in Arlington Heights, IL. Chatter is they’re going up on Epic, although the chatter doesn’t include which consulting firm has been awarded the contract.” Unverified.

From FormerMCKIC: “Re: McKesson. Ending contracts with all non-essential Horizon Clinicals contractors including IC and project managers, CPM. Their contracts will end 3/31/13.” Unverified, but reported by multiple readers.

inga_small From Proudly Pink: “Re: Voalte pink pants. What’s with people hatin’ on our pink pants? Here’s our response to the pink pants bashing.”  Dodge Communications awarded Voalte the winners of the Most Unfortunate Booth Attire award in its annual list of the HIMSS exhibit hall’s best and worst. Apparently the Voalte crowd love their pink pants, which employees must earn the right to wear.

3-21-2013 7-09-09 PM

From Boutros Ghali: “Re:  HIMMS. It’s just embarrassing.” Indeed it is. This e-mail blast from a healthcare marketing company VP is filled with misspellings, punctuation errors, and odd wording. I can’t imagine recipients rushing to turn their brand identity over to this company. I’ll be charitable in omitting the individual and company names, but I’ll hold on to this e-mail in case they annoy me in the future.


HIStalk Announcements

3-21-2013 4-00-21 PM

inga_small Some highlights from HIStalk Practice this week include: Practice Wise CEO Julie McGovern offers some thoughts on electronic file management and protecting PHI. CMS says that between five and 10 percent of EPs attesting for MU will be selected for prepayment audits. Hospitals continue to consider practice acquisitions. Physicians with e-prescribing tools are more likely to prescribe less expensive drugs. Thanks for reading!

On the Jobs Page: VP of Sales and Channel Development, Healthcare Technology Project Manager, C-Level Healthcare Technology Sales Executive.


Here are the last of the HIStalkapalooza photos from Medicomp.

3-21-2013 6-58-21 PM

Seth Halvorson accepting the HIStalk Lifetime Achievement Award on behalf of his father, George C. Halvorson of Kaiser Permanente.

3-21-2013 6-59-57 PM

CIO Unplugged Ed Marx and friends.

3-21-2013 7-01-03 PM

Team Orion.

3-21-2013 7-03-49 PM

Team Vitera.

3-21-2013 7-05-39 PM

Bowling tournament winners.

3-21-2013 7-01-46 PM

Jonathan Bush of athenahealth and James Aita of Medicomp.

3-21-2013 7-02-57 PM

Medicomp calls this the “Where is Mr. H?” picture.

3-21-2013 7-04-43 PM

Medicomp CEO Dave Lareau (in the “I Could be Mr. H” sash) and friends.


Acquisitions, Funding, Business, and Stock

3-21-2013 8-07-03 PM

EHR data search technology startup QPID raises $4 million in its initial financing round from investors Matrix Partners, Partners Innovation Fund, Massachusetts General Physicians Organization, and Cardinal Partners.

3-21-2013 8-08-06 PM

South Carolina-based Benefitfocus, which offers employee self-service benefits enrollment systems, plans to file an IPO later this year.


Sales

3-21-2013 8-51-12 PM

New York-Presbyterian Hospital selects the PatientTouch point-of-care mobile platform from PatientSafe Solutions.

India-based outsourcer Wipro wins a $200 million infrastructure maintenance outsourcing contract from Catholic Health Initiatives.


People

3-21-2013 6-17-14 PM

Sara Teppema (Society of Actuaries) joins Valence Health as director of actuarial services.

3-21-2013 6-19-07 PM

Virginia Hospital Center appoints Russell McWey, MD, the hospital’s chief of medical imaging, to VP/CIO.

3-21-2013 7-15-53 PM

Peter Henderson (PatientKeeper) is named COO of social wellness platform ShapeUp.

3-21-2013 7-18-25 PM

Steve Everest (Prognosis HIS) is named CIO of Oklahoma Surgical Hospital (OK).


Announcements and Implementations

3-21-2013 3-11-01 PM

Overlake Medical Center (WA) migrates various HIS systems to Epic with integration assistance from Summit Healthcare.

3-21-2013 3-31-25 PM

Baptist Health Richmond (KY) says that the Accelero Connect integration platform from Accent on Integration has allowed the hospital to integrate its Philips IntelliVue patient monitors and Meditech HIS, resulting in streamlined clinician workflow and a reduced risk of documentation errors.

3-21-2013 3-32-50 PM

Lehigh Valley Health Network (PA) goes live with iMDsoft’s MetaVision in its PICU.

McKesson launches two free mobile apps for the iPad and iPhone. Lytec Mobile is for use with the Lytec 2013 practice management system, while Medisoft Mobile is available for Medisoft V18.

Meditech certifies NetApp FAS storage for its systems.

PatientKeeper adds infusion billing workflow co-developed with Partners HealthCare to its charge capture solution.

Xerox announces a cloud-based Mobile Device Management service.


Government and Politics

Representatives Sam Graves (R-MO) and Adam Schiff (D-CA) reintroduce the Medicare Audit Improvement Act, which would limit the number of document requests during Medicare audits to two percent of a hospital’s claims, with a maximum of 500 per 45 days.

I wouldn’t want his job. National Coordinator Farzad Mostashari, facing Congressional hearings on mHealth, is asked by Congressman Michael Burgess, MD (R-TX), “Hospital systems in the same city that have the same operating system aren’t talking to each other. You’re the head, why don’t you fix that? Why don’t you just make that happen?”


Technology

The US Patent Office issues EarlySense a patent for the respiratory trend analysis component of its patient safety monitoring system.


Other

3-21-2013 8-52-56 PM

The cash-strapped city of Pittsburgh files suit against the $10 billion in revenue UPMC, demanding payment of six years of payroll taxes and elimination of UPMC’s tax-exempt status. The mayor says UPMC donates less than 2 percent of its revenue to charity care, pays several executives annual salaries of more than $1 million, and has closed hospitals in poor areas while opening them in more affluent ones, all while avoiding $20 million in annual tax payments that it would otherwise owe the city.

The Institute for Health Technology Transformation outlines strategies for health organizations that are implementing big data solutions, including ways to use data to improve patient care and the types of data that can be analyzed for healthcare purposes.

Improved medical device interoperability could save the healthcare industry $30 billion a year and improve patient care and safety, according to analysis presented to a House subcommittee by West Health Institute.

3-21-2013 8-54-48 PM

In the UK, Leeds Hospital halts its $2.5 million speech recognition and digital dictation rollout due to “performance problems” that one official says was “very much affecting patient care and safety and putting patients at risk.”

Also in the UK, two NHS trusts, one of them a Cerner Millennium user, issue a tender worth up to $53 million for a shared inpatient EHR system.

Patient Privacy Rights Founder Deborah Peel, MD calls a new CVS employee policy that charges employees who decline obesity checks $50 per month “incredibly coercive and invasive.” CVS covers the cost of an assessment of height, weight, body fat, blood pressure, and serum glucose and lipid levels, but also reserves the right to send the results to a health management firm even though CVS management won’t have access to the results directly. Peel says a lack of chain of custody requirements means that CVS could review the information and use it to make personnel decisions.

3-21-2013 9-00-01 PM

A Russian gynecologist and former City of Moscow chief obstetrician who declares, “I am a doctor first” becomes a billionaire after shares in his Cyprus-based women and children’s healthcare services company rise more than 40 percent in five months. His company, which offers the only alternative to state-run maternity hospitals,  charges $10,000 per delivery, more than the annual salary of the average Russian.

inga_small Eye yi yi. A Texas woman uses her fingers to dig the eyeball out of another woman’s eye socket. The two were fighting when one of the women grabbed the other’s eye and “dug her fingers up there.” The victim was taken to the hospital and the eyeball was re-inserted. The gouger, who suffered a couple of broken fingernails, was arrested and charged with aggravated assault.



Sponsor Updates

  • Health Catalyst Chairman David Burton, MD discusses how value-based purchasing is driving demand for data warehousing solutions.
  • The Institute of Customer Service names Bottomline Technologies the winner of its Customer Service Leadership award. 
  • CareTech Solutions donates $550 to The American Red Cross, Habitat for Humanity, and The American Cancer Society as part of its HIMSS booth activity.
  • CSI Healthcare IT spotlights Jan Turner, VP of professional services.
  • Aprima releases a case study on the practice of Lauranne Harris, MD, which converted from Allscripts MyWay to Aprima in four days.
  • Harris VP of Government Health Solutions Don Mestas discusses the federal procurement process and how his company supports the government with its healthcare offerings.
  • iSirona names UC Irvine Health (CA) the winner of its 2012 Innovator of the Year Award for leveraging connectivity technology to improve hospital processes and patient care.
  • Surgical Information Systems CEO Ed Daihl recaps the HIMSS conference and discusses how intelligent integration can drive financial results.
  • Michael Nutter, director of firm culture and associate satisfaction for Impact Advisors, offers advice on how to tell if employees are really happy.


EPtalk by Dr. Jayne

clip_image001

Glassdoor names its highest-rated CEOs, quite a few of them running companies many of us interact with regularly.

The AMA sounds the alert on a “demoralized health care work force” citing a “toxic blend” of forces including verbal abuse, physical assault, and a drive to provide more care in less time with fewer resources.

clip_image002 clip_image003 clip_image004

From Iconic Reader: “Re: icons. Our ED recently deployed visual indicators for suicide risk based on our screening questions. Is it me, or is that a sad-appearing basset hound? It reminds me of something I’ve seen in my kids’ Webkinz account.” Personally I find those icons a little bit disturbing, but I’m sure coming up with an icon that’s politically correct was a challenge.

clip_image005

CMS launches a new eHealth website. Hot topics on the site’s blog include Administrative Simplification, Privacy and Security, and Aligning Quality Measurement at CMS.

Millions of Americans admit to reading or sending texts while driving in percentages higher than those found in European countries. Cell phone use while driving was also significantly higher in the US. As someone who has almost met her maker several times recently due to distracted drivers, I implore you to hang up and drive.

Physicians with e-prescribing systems have a greater awareness of prescription costs, according to a recent survey. This led to drug choices with lower costs or better insurance coverage among the endocrinologists and primary care physicians who participated.

clip_image007 clip_image009

From History Fan: “Re: shoes. I was on spring break in Chicago and saw these shoes on display. Of course, I thought immediately of Jayne and Inga! Be grateful you don’t have bound feet.” I definitely enjoyed the pictures. My personal favorite is the classic red pump.

From Heavyweight: “Re: wheelchairs. With all the attention on high-tech doctor’s offices, it’s remarkable that some are missing some low-tech solutions.” The Boston Globe reports on practices that turned away wheelchair-using patients due to lack of powered exam tables or other strategies to transfer and position patients.

Print


Contacts

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

More news: HIStalk Practice, HIStalk Connect.

View/Print Text Only View/Print Text Only
March 21, 2013 News 5 Comments

Morning Headlines 3/21/13

March 20, 2013 Headlines 1 Comment

Transforming Health Care Through Big Data

The Institute for Health Technology Transformation publishes a report outlining strategies for health organizations planning to implement big data solutions. Among the major hurdles organizations will need to overcome are data fragmentation — the warehousing of data in disparate proprietary systems — and data usability issues resulting from key clinical information being captured in an unstructured form.

QPID Inc. Raises More than Original Target of $3 Million in Early Finance Round; Cardinal Partners Investment Pushes Total to $4M

Recently launched health startup QPID raises $4 million in early fund raising, beating its goal of $3 million. QPID launched on St. Valentine’s day with aspirations of delivering an intelligent EHR search feature.

The Value of Medical Device Interoperability

Improved medical device interoperability could result in up to $30 billion in annual healthcare savings, according to a report released by West Health Institute. Joseph Smith, MD, chief medical and science officer, testified before the House Committee on Energy and Commerce about the findings during week-long hearings on innovation in health IT.

On Capitol Hill: FDA urged to clarify oversight of medical apps

Industry leaders from the mobile health market testified before Congress addressing the delayed publication of a final FDA regulatory policy over mobile health apps. The panel resoundingly concurred that the FDA should finalize plans quickly because the uncertainty is stifling innovation and funding.

View/Print Text Only View/Print Text Only
March 20, 2013 Headlines 1 Comment

News 3/20/13

March 19, 2013 News 8 Comments

Top News

3-19-2013 7-54-09 PM

Cerner acquires Labotix Automation Inc., which offers specimen handling and transport systems for clinical labs.


Reader Comments

From Katie: “Re: market research companies. We as a vendor are interested in gathering information from our target audience of hospital CIOs and HIM leadership. Do you have any suggestions of anyone with market research expertise and connections in these areas?” I always prefer to open these questions up to readers so I don’t miss anybody. Leave a comment or e-mail me and I will forward to Katie.

3-19-2013 6-56-19 PM

From Shannon Vogel: “Re: EHR incentive payments as taxable income. I thought the IRS guidance may be of interest to your readers.” Thanks to Shannon, who is HIT director of the Texas Medical Association, for providing this information for those docs who are probably less than elated to see 1099s in the mail for their Meaningful Use payouts:

EHR Incentive Payments are Taxable Income

Physicians should have received an IRS Form 1099 from the Centers for Medicare & Medicaid Services for the incentive payments. The forms had to be postmarked by Jan. 31 and were mailed to  addresses on file with Medicare. If you did not receive your Form 1099, you may request a duplicate copy by calling (888) 734-6433, which will take you through a series of prompts (1-1-1-1-2). You will be asked for your National Provider Identifier.   Physicians in the Medicaid EHR incentive program should have received a Form 1099 from their state Medicaid office.  The Internal Revenue Service issued guidance on the EHR incentive payments that may help in tax preparation, especially if payments were assigned to your group or hospital. 

3-19-2013 6-53-55 PM

From Don: “Re: San Diego. Here’s hoping we can bring HIMSS back to San Diego where it belongs! Once the pompous mayor here concedes defeat of his push to renegotiate the hotel room tax, construction can begin. Maybe see you all back in The Gaslamp District in 2016 or 2017. Bring your finest shoe-wear and cut some rug at the grand ball room at The Hotel del Coronado.” San Diego gets the green light for a $520 million expansion of its convention center, which will take about three years. Now it’s up to HIMSS. San Diego, Seattle, and San Francisco are my favorite cities of those I’ve visited because they are on the water, have interesting terrain, enjoy mostly pleasant weather, and are walkable.


HIStalk Announcements and Requests

It’s last call to fill out my quick reader survey. I do it just once a year right after the HIMSS conference. Pretty much every change you’ve seen over my 10 years (hopefully more good than bad) came from survey comments. Inga gets nervous this time of year because after I’ve digested the hundreds of responses, I make our to-do list.


Acquisitions, Funding, Business, and Stock

3-19-2013 7-55-29 PM

Sutherland Global Services completes its acquisition of Apollo Health Street, the technology subsidiary of India-based hospital operator Apollo Hospitals Group.

3-19-2013 7-56-15 PM

Emdeon reports Q4 revenues of $300.7 million, up six percent from a year ago, and a net loss of $10 million vs. $70 million.

3-19-2013 7-57-08 PM

Tenet subsidiary Conifer Health Solutions, which offers revenue cycle solutions, breaks ground on its new headquarters construction in Frisco, TX. The company acquired Dell’s revenue cycle business in November 2012, increasing the annual patient revenue it manages to $21 billion.


Sales

Maricopa Integrated Health System (AZ) selects HP Data Protector and HP StoreOnce for data protection and disaster recovery.

3-19-2013 7-58-42 PM

Providence Health & Service will deploy Health Catalyst’s data warehouse and analytic accelerators across its 32-hospital system.

Canopy Partners (NC) chooses the MModal Catalyst for Radiology platform for reporting and analytics.


People

3-19-2013 6-02-02 PM

PatientSafe Solutions names Tim Needham (Rubbermaid Health) VP of its western region.

3-19-2013 6-03-15 PM

Long-term care provider CenterLight Health System (NY) hires William C. Pelzar (Health Dialog) as its first CIO.

3-19-2013 7-21-03 PM

Anita Samarth, Clinovations president and co-founder, is named by the Washington Business Journals as one of the top 25 Minority Business Leaders of 2013.


Announcements and Implementations

Delaware HIN and Kansas HIN validate interoperability by exchange of patient records via Direct messaging using solutions from the Allied HIE Company and ICA’s Direct Messaging and Exchange products.

Beth Israel Deaconess Medical Center (MA) deploys CommVault Simpana for data backup and security.

3-19-2013 6-05-33 PM

Beloit Health System (WI) goes live this week on Cerner.

Clinithink releases an online version of CliX, its natural language processing engine.

3-19-2013 6-29-49 PM

Lifespan (RI) announces its plans to redesign its delivery model that includes implementing Epic at a cost of $90 million.

AHIMA calls for nominations for its Grace Award that recognizes outstanding achievement in health information management. Evaluation criteria include how organizations contribute to a patient-centered model of care, advance the use of electronic health records, and integrate HIM throughout the workplace.


Government and Politics

3-19-2013 3-10-14 PM

ONC launches Web pages to support its goal of having 1,000 critical access and rural hospitals achieve MU by the end of 2014.


Technology

Healthcare IT research funded by AHRQ has helped Partners in Health and the Regenstrief Institute develop an open EMR that supports healthcare initiatives in developing countries.

Seven Tennessee school systems receive $3 million in HRSA grants to implement telemedicine programs so that school nurses can connect with doctors to diagnose student problems, but the Franklin County school board delays its approval to start the program, citing liability concerns.


Other

3-19-2013 3-26-11 PM

Boulder Community Hospital (CO) reports that its Meditech system has been down since last week and is not expected to be operational until the end of this week. Officials say the hospital has “detailed plans” for going back to manual operations. The outage has caused delays in scheduling non-critical diagnostic tests and distributing routine test results, but essential services are still being provided. The hospital offered no explanation of the problem. An anonymous physician said the backup response is “not an organized plan,” while a patient told the local newspaper, “If they can’t keep their computer system running, how can we trust them to perform surgery?”

3-19-2013 3-31-57 PM

A KLAS report finds that no acute care EMR vendor excels at usability, though Epic and Cerner are best poised to support deep clinical usage. Providers assume the bulk of responsibility for making EMRs usable and 86 percent say that configuring their EMR solution required moderate to extensive effort. Stage 2 MU, with its increased requirements for physician documentation, medication reconciliation, and problem lists, will magnify current EMR challenges.

EMR vendor Lawrence Melrose Medical Record, Inc. notifies the New Hampshire Attorney General’s office of a data breach that has potentially compromised the PHI of two state residents.

3-19-2013 3-51-36 PM

A small study of healthcare professionals finds that 75 percent of organizations are 25 percent or less complete with the ICD-10 transition process. Coding education and implementation are the biggest conversion gaps. Almost half the respondents express some concern about being ready in time to meet the October 1, 2014 deadline.

3-19-2013 6-19-47 PM

Weird News Andy finds this “more than an inkling.” Electronic sensors printed directly on the skin, aka “electronic tattoos,” can monitor health signs such as temperature and hydration status. One potential medical use would be to stream surgical wound information wirelessly to providers.

Strange: a nurse from India working in an Australian hospital just a month after finishing nursing school is fired and banned from practice after giving a 79-year-old patient the contents of a bottle marked as containing heart pills that actually held liquid detergent the patient had been using to clean his dentures. The nurse, who argued that he followed four of five medication administration rules, was ordered by the nursing board to take an English competency test, which he failed in six attempts.


Sponsor Updates

  • Glenn Focht, MD of Boston Children’s Hospital spoke at a private reception during the AMGA conference in Orlando hosted by Ingenious Med.
  • An EDCO Health Information Solutions Webinar profiles two McKesson Patient Folder facilities that enhanced their scanning processes using EDCO technology.
  • Industrial Alliance Insurance and Financial Services signs an agreement with TELUS Health to allow certain healthcare providers to use TELUS Health’s eClaims Web portal service.
  • ThedaCare (WI) selects Wolters Kluwer ProVation MD Cardiology for its catheterization labs at Appleton Medical Center and Theda Clark Medical Center.
  • Ping Identity opens registration for its Cloud Identity Summit 2013 July 8-12 in Napa, CA.
  • Emdeon releases details on its upcoming Webinars.
  • Prognosis offers a four-part series on strategies for MU success.
  • Hayes Management Consulting commemorates its 20th anniversary with an updated website.
  • Nuesoft hosts a March 27 Webinar on best practices for medical billing.
  • Jason Fortin, a senior advisor with Impact Advisors, discusses the need for smaller practices to select an EHR vendor that is capable of achieving Stage 2 MU certification.
  • The Tampa Bay Business Journal names MedHOK the winner of its 2013 BizTech Innovation of the Year Award.
  • Surgical Information Systems CTO Eric Nilsson offers a primer on how to set up a clinical quality reporting program.  
  • Merge Healthcare announces that more than 650 orthopedic surgeons at over 50 practices already have or are in the process of implementing Merge OrthoPACS.
  • ChartWise:CDI posts its 2013 conference schedule.
  • SiliconMesa partners with DrFirst to provide Rcopia e-prescribing functionality to customers running the SiliconMesa EHR and PM system.
  • Craneware announces its support of the Alzheimer’s Association and Alzheimer Scotland as part of its 2013 Craneware Cares corporate responsibility program.

Contacts

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

More news: HIStalk Practice, HIStalk Connect.

View/Print Text Only View/Print Text Only
March 19, 2013 News 8 Comments

Morning Headlines 3/19/13

March 18, 2013 Headlines 3 Comments

Cerner Has Acquired Labotix Automation Inc.

Cerner announces the acquisition of Labotix Automation Inc., a lab automation solutions vendor for the clinical labs. Financial details of the deal were not disclosed.

EHR vendor to report HIPAA breach

Lawrence Melrose Medical Electronic Record Inc., in Melrose, Mass. will notify the Office for Civil Rights of a data breach after an employee improperly accessed patients’ electronic medical records.

AHCJ unveils hospitalinspections.org

The Association of Health Care Journalists today launches a website to provide a free, searchable database of federal inspection reports for hospitals around the nation following the digital release of the reports by CMS. The Joint Commission has been petitioned to follow suit, but has so far rejected requests for this information, saying disclosure would compromise its efforts to improve hospital quality.

athenahealth Delivers 96 Percent Meaningful Use Attestation Rate Among Participating Providers

athenahealth announces that 96 percent of the company’s participating providers successfully attested for 2012 Medicare Meaningful Use Stage 1, Year 1, more than double the industry average.

View/Print Text Only View/Print Text Only
March 18, 2013 Headlines 3 Comments

Morning Headlines 3/18/13

March 17, 2013 Headlines No Comments

House Republicans Question FDA on Mobile Medical Software: Taxes

FDA representatives will appear on Capitol Hill this week to answer for a delay in publishing a regulatory policy for mobile health apps. Additionally, House members want to know if the FDA plans to regulate smartphones as medical devices as has recently been speculated since they would be running FDA regulated health apps.

HIMSS13 with Dodge Communications: Our team picks the best and worst in the exhibit hall

Dodge Communications publishes its best and worst of HIMSS13. Voalte takes worst dressed, Cerner takes best in show. Alere, Caradigm, Greenway, Onyx, McKesson, SCI, and InterSystems also get mentions.

Class Calls IRS Rude, Crude and Abusive

A class action lawsuit filed against the IRS accuses agents of unlawfully seizing more than 60 million medical records from a HIPAA-covered entity in southern California following a raid in March 2011. The suit seeks $25,000 per violation. Agents are also accused of unlawfully seizing and searching employee cell phones without regard to privacy rights, ordering pizza and soda, and using the facility’s multimedia system to watch the NCAA tournament.

Making "Meaningful Use" of HHS Data

Social Health Insights publishes a visualization of Meaningful Use attestation data in what it calls its first of many data mash-ups to come.

View/Print Text Only View/Print Text Only
March 17, 2013 Headlines No Comments

Founding Sponsors


 

Subscribe to Updates

   

Search


Loading

Tweets

Report News and Rumors

No title

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

Archives

Sponsor Quick Links

7ads6x98y

Platinum Sponsors


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gold Sponsors


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Follow

Reader Comments

  • geetha: We are a solopractice and had eCW for only a yr. Thank god we switched to athena, which is fabulous and does everythin...
  • David McCallie: Re: CommonWell and Sam Lawrence's questions, Sam, the full specifications of CommonWell's services (and use-cases ) a...
  • meltoots: CMS can extend all the deadlines for MU2 and all the overlapping overly complex programs (PQRS, VBM, etc) they want, but...
  • richie: “One of our most important obligations to the American people is to report information and data accurately,” HHS Se...
  • Sharkez: @JR Bak, Re: Retail clinics - BINGO....

Text Ads