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News 5/3/13

May 2, 2013 News 2 Comments

Top News

5-2-2013 10-44-47 PM

A selectman and software developer from Edgecomb, ME blames MaineHealth’s decision to close a local ER on the health system’s $150 million Epic implementation. The selectman’s letter to the editor to the local newspaper notes that MaineHealth has charged “millions of dollars” to member hospitals, but has had “a real failure in its implementation,” resulting in unplanned operational costs with minimal benefit to the state. Meanwhile, in a memo to employees last week, Maine Medical Center’s CEO listed several causes for its $13.4 million loss in the first half of the fiscal year, including “unintended financial consequences” of its Epic rollout as well as incorrect charging. The organization has placed further Epic implementations on hold as teams from Epic and the hospital try to fix problems.


HIStalk Announcements and Requests

inga_small A few HIStalk Practice highlights from the last week: patients say the most bothersome aspect of doctor visits is unclear or incomplete explanations of problems. Health Texas Provider Network partners with MediMobile for its mobile charge capture solution. The number of physician office jobs for billers and medical record clerks has declined sharply over the last two years. Epocrates is the most popular mobile app among US physician app users. Athenahealth names St. Boniface Haiti Foundation the winner of its 2013 Vision Award. Physicians are generally making more money this year than last, but are also spending more time on paperwork. Most news items on HIStalk Practice are not mentioned HIStalk, so peruse HIStalk Practice regularly to stay current on the ambulatory HIT world. Thanks for reading.

On the sponsor-only Jobs Page: Regional Sales Director, Senior Director of Business Development, Senior Manager Engineering Development, Open Positions in Development.


Acquisitions, Funding, Business, and Stock

5-2-2013 10-45-35 PM

Merge Healthcare reports Q1 results: revenue up 4.3 percent, EPS –$0.07 vs. –$0.02, missing earnings estimates.

5-2-2013 10-46-12 PM

API Healthcare announces the signing of over 25 contracts in Q1 and bookings that were 25 percent higher than the same period in  2012.

5-2-2013 10-48-26 PM

MedAssets announces Q1 numbers: revenue up 15.3 percent, adjusted EPS $0.41 vs. $0.24, beating expectations on both.

5-2-2013 10-49-46 PM

Athenahealth announces Q1 results: revenue up 30 percent, adjusted EPS $0.38 vs. $0.17, beating on both but adjusting fiscal year EPS guidance to below consensus.


Sales

5-2-2013 10-51-29 PM

University of Nevada School of Medicine chooses GE Healthcare’s Centricity Business, Centricity Practice Solution, and Centricity PACS-IW.

Filmore County Hospital (NE) selects NextGen Healthcare’s Inpatient Clinicals and Inpatient Financials.

Baylor Quality Alliance (TX) chooses Humedica MinedShare from Optum to analyze administrative and clinical data from payers, various EHRs, and the Baylor Health Care System HIE.

Louisiana Specialty Hospital will implement ONE-Electronic Health Record from RazorInsights. 

5-3-2013 7-08-25 AM

MD Anderson Cancer Center (TX) chooses Epic as its vendor of choice, according to an internal memo forwarded by a reader. Other readers had reported that same rumor late last week, saying that Epic had beaten Cerner as VOC.


People

5-2-2013 6-25-04 PM

UNC Health Care (NC) interim CIO Tracy Parham, RN is named permanent CIO, where she will lead its Epic project.

5-2-2013 6-47-56 PM

Parallon Business Solutions names John Guevara (Allscripts ) as CIO.

5-2-2013 7-14-00 PM

Patient Privacy Rights names Adrian Gropper, MD (HealthURL Consulting) as CTO.

5-2-2013 7-48-03 PM

Stephen Collins (Allscripts) is named president of Austin-based behavioral charting system vendor ChartAssist.

5-2-2013 8-07-48 PM

The Advisory Board Company CEO Robert Musslewhite is named by Washingtonian as one of its 100 Tech Titans and is also profiled in a feature in The New York Times.

Galen Healthcare Solutions appoints Joel Splan (Northwestern Memorial Healthcare) as CEO.


Announcements and Implementations

Rockdale Medical Center (GA) implements Nuance’s PowerScribe 360 voice recognition software for the dictation of imaging reports.

5-2-2013 8-53-10 AM

PointClear will move its corporate headquarters from Huntsville, AL to Dunwoody, GA.

5-2-2013 11-02-55 AM

McKesson recognizes Peninsula Regional Medical Center (MD) as the 2013 winner of its Distinguished Achievement Award for Clinical Excellence for effectively using McKesson technology along with Modified Early Warning Scores to proactively identify patients at risk for a code blue.

Aprima Medical Software will interface its EHR/PM system with the Homecare Homebase platform.

LHP Hospital Group implements McKesson’s Paragon HIS at Portneuf Medical Center (ID), Seton Medical Center Harker Heights (TX), and Texas Health Presbyterian Hospital WNJ (TX).

Elsevier launches its third annual “Superheroes of Nursing” contest and is accepting nominations for applicants in the categories of Achiever, Protector, Educator, Validator, and Connector.

SCI Solutions adds text appointment reminders to its Schedule Maximizer scheduling solution.

Modern Healthcare has corrected its article about the State of West Virginia’s payments to Medsphere for implementing OpenVista. The originally reported figure was $8.4 million per year, but that was actually the total amount spent since the contract was signed in 2005. Current payments are just under $1 million per year.

5-2-2013 10-54-20 PM

Mount Sinai Medical Center (NY) announces that it has enrolled 25,000 patients in its BioMe program, which links DNA samples to its Epic EMR information to support targeted medical care and to provide de-identified data for research. 

First Databank announces ICD-10 for Saudi Arabia at the HIMSS Middle East conference.


Government and Politics

5-2-2013 6-30-10 PM

HHS names Lyfechannel the winner of its healthfinder.gov Mobile App Challenge for its myfamily app, which helps individuals manage their family’s health through customized prevention information for each family member.

Healthcare modeling and analytics company Archimedes collaborates with CMS to give users easier access to public payer claims data.

5-2-2013 3-29-16 PM

CMS announces that hospitals and EPs have been paid $13.7 billion through the end of March, with $8.5 billion going to 8,558 hospitals and $5.2 billion to 255,722 EPs.

FDA launches the redesigned FDA Patient Network, which will educate patients and their advocates about FDA and will invite them to attend and present at FDA meetings.

Farzad Mostashari was a panelist in a discussion of technology in healthcare put on by Politico last week. The 77-minute video is of very high quality and it’s an interesting mix of people and topics.

5-2-2013 11-08-05 PM

CMS gets criticism for removing information on hospital-acquired conditions from its Hospital Compare site. CMS says the information is flawed and is redundant, but patient groups say CMS is buckling to the complaints of low-performing, high-profile hospitals.


Innovation and Research

Vanderbilt University launches the Health App Challenge to transform clinical summaries into a more patient-friendly form. Entries are due August 1, with the winner receiving $10,000 and up to five finalists being awarded $2,000 or more each.


Technology

5-2-2013 9-43-07 PM

Former Google Health product manager Missy Krasner, now involved in startups and an advisor to Box, says Google Health was a good idea in theory, but “It was a very bumpy user experience for even the most super-charged, IT savvy consumer.” She says Box will take over where Google Health left off for storing personal health records that it supports HIPAA requirements. She concludes, “So here is my hope for the future. If most EHRs can currently export a Continuity of Care Document (CCD) via the Clinical Document Architecture (CDA), why couldn’t Box grab that clinical care summary format and stylize it in a way that made sense to other doctors or patients via its documenting previewing technology? This would help the interoperability and file transfer juggernaut get a whole lot easier.”

FastCompany profiles companies started by founders who were frustrated with existing products, among them Amazing Charts.


Other

5-2-2013 9-48-14 AM

KLAS reports on the post-acute care market, which is critical for managing outcomes and costs. HealthMEDX was named the top performer among long-term care vendors with 100 percent of its customers saying the company keeps its promises and that they would buy HealthMEDX Vision again.

Weird News Andy summarizes this article as “coming clean.” Piedmont Healthcare (GA) admits that for two years it improperly cleaned colonoscopy requirement at one of its ambulatory surgery centers, requiring it to notify 456 patients that they should be tested for hepatitis and HIV. Employees cleaned the equipment with soap, but missed the disinfectant step.


Sponsor Updates

  • T-System posts a photo gallery from its linkED 2013 Emergency Care Conference held in Dallas April 22-25.
  • Emdat posts a case study from Illinois Bone and Joint Institute, which reduced documentation costs by 50 percent by implementing Emdat’s transcription software and the company’s mobile documentation tool.
  • The Nashville Business Journal names Passport CEO Scott MacKenzie one of the most influential business executives in Middle Tennessee.
  • First Databank hosts a May 14 Webinar on the use of RxNorm within information exchange and clinical quality measures.
  • Kareo offers a May 16 Webinar that considers five activities to prevent a government audit.
  • Executives from Yale-New Haven Health System, Hartford HealthCare, and North Shore-LIJ Health System will share strategies to reduce readmissions at the iHT2 Summit in New York City on September 17-18.
  • Porter Research posts a presentation that provides insight into the trends, challenges, and benefits of engaging consumers in every stage of healthcare.
  • Capsule Tech will exhibit at the annual MUSE conference May 28-31 in Washington, DC.
  • Truven Health Analytics receives a five-year accreditation from the National Institute for Health and Care Excellence for its Micromedex Medication Management solution.
  • The National Committee for Quality Assurance certifies Verisk Health’s Quality Intelligence solution to support quality reporting for commercial and Medicare Advantage populations in the California P4P program.
  • As part of this week’s Medical Library Association Annual Meeting and Exhibition in Boston, Elsevier pledges to donate $1 to One Laptop Per Child for every ClinicalKey search made at Elsevier’s booth.
  • Allscripts releases details on its annual ACE client conference in Chicago August 21-23.
  • Liaison Healthcare launches its EHR Partner Program, which give participants access to orders and results connectivity to over 100 major lab and radiology service providers.

EPtalk by Dr. Jayne

HIMSS opens the call for proposals for the 2014 conference in Orlando with 24 topic categories. If you’re like many of us in the non-profit trenches, being selected as a presenter may be the only way to go to a meeting, so good luck!

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The hot topic in the physician lounge this week was HR 1701, the “Cutting Costly Codes Act of 2013.” Introduced by Representative Poe of Texas last week, it aims to block ICD-10 implementation. What surprises me most was the number of physicians who think the mere introduction of a bill will support their lack of preparation for ICD-10. News flash – if you haven’t started preparing, you’re already behind, and I certainly wouldn’t wait around to see if this becomes law before I get started.

It’s not health IT, but it’s my favorite story this week: “untethered microgrippers.” Engineers at Johns Hopkins are working on miniature devices to retrieve biopsy specimens. Although they’re not quite ready for human testing, they look cool and are promising as a mechanism to take multiple biopsies in hard-to-reach areas.

I almost missed this little tidbit in the Federal Register that would allow use of eight CMS record systems for emergency preparedness. The change would allow CMS to disclose individually identifiable records to “public health authorities and entities acting under a delegation of authority of a public health authority” for the purpose of providing health assistance in an emergency or disaster.

CMS issues a Call for Measures for potential Quality Reporting System items to be used in future rule-making years. CMS is focusing on measures that cover clinical outcomes, patient-reported outcomes, care coordination, safety, appropriateness, efficiency, patient experience, and patient engagement. Submissions must have strong scientific evidence, so I guess my “number of patients seen on time because they weren’t yakking on their phone when I entered the room” measure won’t make the cut.


Contacts

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

More news: HIStalk Practice, HIStalk Connect.

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May 2, 2013 News 2 Comments

Morning Headlines 5/2/13

May 1, 2013 Headlines 1 Comment

Trinity Health, Catholic Health East complete merger deal 

Trinity Health Systems and Catholic Health East have completed a merger that will make the new 79-hospital organization the second largest not-for-profit system in the country. Interim CEO Judith Persichilli recently said that the new organization will choose which EHR can best support their needs. Trinity uses Cerner, while Catholic Health East runs Meditech.

Project seeking ways to detect diabetes

New York University, NYU Langone Medical Center, and Blue Cross will collaborate on a project to develop machine-learning algorithms to identify cases of undiagnosed diabetes and to predict pre-diabetes.

The Defense-VA-Vendor Conference Nobody Wants You To Know About

The VA and DoD are holding a joint conference with EHR vendors to discuss the stalled iEHR project. The meeting will feature high-ranking speakers from both departments as well as representation from any vendor that expresses an interest in attending. The press has been explicitly prohibited from attending.

Finalists Announced!

The New York eHealth Collaborative’s Patient Portal For New Yorkers project announces nine finalists in its search for a statewide integrated patient portal. The finalists were selected by public voting and will pitch their products to a live audience and a panel of judges.

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May 1, 2013 Headlines 1 Comment

News 5/1/13

April 30, 2013 News 4 Comments

Top News

4-30-2013 7-09-06 PM

Greenway Medical announces that it will swing to a loss for the current fiscal year because of declining sales and deferred revenue. The company’s fiscal year earnings estimate of $0.10 to $0.17 on $145-$150 million in revenue was revised to a loss of $0.11 to $0.13 on revenue of $132-$134 million. The fiscal year ends June 30. Shares dropped from Friday’s $16.05 close to just above $12 by Tuesday morning, but had rebounded to $13.47 by Tuesday’s close. Above is the one-year GWAY share price (blue) vs. the S&P 500 (red).


Reader Comments

4-30-2013 10-18-31 PM

From Big Tex: “Re: Epic deals. St. David’s Healthcare in Austin and Methodist in Houston are both heading to Epic, though I don’t think either has officially announced yet.” Unverified.

From John: “Re: interesting comment from an FBR analyst covering Nuance’s poor earnings announcement. ‘While several industry/external (smart phone consolidation, transcription transition, EMEA weakness) factors have put pressure on mobile and healthcare growth, we believe the blame lies squarely around Nuance’s execution in the field, coupled with management’s feverish acquisition strategy over the last year, which has put onerous integration risks back into the Nuance story. While we believe potential activism could put a floor on Nuance shares and ultimately enhance shareholder value over time (e.g., management changes, split-up of the company, M&A path), we find it hard to remain positive on the Nuance story as the company goes through a challenging transition process in its business over the next six to nine months.’” Carl Icahn just announced that he’s loaded up on more shares, so the surprisingly poor results for both revenue and earnings help make his eventual argument that the company should be broken up or sold outright.

4-30-2013 8-17-49 PM

From Mr. Eko: “Re: HIMSS Middle East. Started Monday. Some American-based companies there are Cerner, GE, and Medicity. Judy Faulkner, CEO of Epic, was spotted yesterday morning eating breakfast in the Four Seasons hotel. Rumor has it they are pitching to the Ministry of Health for Saudi Arabia.”

From Giles: “Re: healthcare IT decision making. Interesting reader comments. What’s your opinion?” I agree with some of the comments that healthcare organizations are quicker to promote and retain executives who wouldn’t qualify for comparable jobs in most other industries based on their education and experience. However, healthcare is a different world, trying to balance the demands of an increasingly interventionist government, regulators, special interests, politicians, clinicians, community leaders, and giant insurance companies with the patients and families who are hardly typical customers. I’ve seen cases where hotshot IT people from allegedly more progressive sectors were brought in with near disastrous results, even though the IT shop looked like a showcase on paper. Some healthcare CIOs are not very good at strategic planning, management, and customer engagement, but they have a small domain with minimal clout and high operating and capital expenses due to decisions almost always made by someone else with more influence. Healthcare CIOs also aren’t given a lot of unilateral decision-making over anything other than infrastructure – everybody likes to suggest and approve massive change management projects that get incorrectly tagged as IT initiatives, but those folks disappear when their own lack of leadership ability starts sending the project down the drain due to poor user acceptance, lack of resources, and poor project decisions. My opinion, therefore, is that healthcare IT leaders aren’t empowered to make a lot of decisions on their own, are struggling to deal with the mess foisted upon them by their fellow executives and third parties, and are trying to deal with the squeeze of ever-increasing demand with an ever-decreasing budget. I’m fairly certain that swapping them out with fat-resume private sector CIOs wouldn’t make much difference on the plus side of the ledger, but would cause all kinds of unintended consequences to patient care. It’s easy to shoot the messenger, and with regard to many high-profile projects, that’s all the CIO is allowed to be. If nothing else, consider the high degree of CIO turnover – if all it took was new people in the chair, you’d be seeing wide swings in success from that alone and that’s not the case.


HIStalk Announcements and Requests

Nick van Terheyden, MBBS, CMIO of Nuance, posted the cool photo above on Twitter. If you’re traveling anywhere interesting, send a fun local photo with something that identifies HIStalk and I’ll run it here.

4-30-2013 8-00-00 PM

Welcome to new HIStalk Gold Sponsor Porter Research, A Billian Company. The company provides its clients with customized market intelligence and research insight that includes go-to-market strategy, focus groups, win-loss analysis, prospect profiling and lead generation, competitive analysis, customer and market analysis, and M&A research. Don Graham (GM of both Porter Research and Billian’s HealthDATA) and Cynthia Porter (president) have many years of industry experience with major healthcare IT firms. The company offers a brochure, case studies, a newsletter, and white papers that illustrate its expertise. Thanks to Porter Research for supporting HIStalk.


Acquisitions, Funding, Business, and Stock

4-30-2013 7-39-52 PM

Emdeon completes re-pricing of its existing senior secured credit facilities, securing lower interest rates on its term and revolving loans.

4-30-2013 7-38-31 PM

Nuance reports Q2 results: revenue up 15.9 percent, EPS $0.34 vs. $0.43, missing estimates on both and sending shares down 18 percent and increasing speculation that activist investor Carl Icahn will use his recently acquired 10.7 percent of the company’s shares to force a breakup.

4-30-2013 7-47-17 PM

USARAD.com launches SecondOpinions.com, which offers same-day medical second opinions. Radiology-related reports range from $29 for an X-ray to $99 for an MRI. The company also offers second opinions for primary care, surgery, dermatology, and other services.

4-30-2013 9-10-16 PM

Forms automation vendor FormFast opens a UK-based subsidiary.


Sales

Trinity Health (MI) signs a multi-year agreement with Explorys for data analytics solutions.

Saint Mary’s Regional Medical Center (NV), Renown Health (NV), and Chandler Regional Medical Center (AZ) select MRO Corp.’s ROI Online platform to manage release of information.

West Florida ACO will deploy Sandlot Connect, Dimensions, and Metrix from Sandlot Solutions for patient health information management.

Methodist Health System (NE) selects Wolters Kluwer ProVation Medical software for its gastroenterology procedure documentation and coding.

Amerinet contracts with Cornerstone Advisors Group to provide HIT advisory and implementation services to its group purchasing members.

Tri-State Orthopaedics (IN) selects SRS EHR for its 24 providers.

4-30-2013 10-35-53 PM

Saudi Arabia’s King Fahd University Hospital will implement Nuance Healthcare Dragon Medical 360 | Network Edition hospital-wide.

The Cleveland Clinic’s MyPractice Healthcare Solutions will provide project management and implementation assistance to Glens Falls Hospital (NY) as it deploys Epic at its physician and specialty practices.


People

4-30-2013 12-25-15 PM

MedMatica Consulting Associates appoints Jerry Howell (KPMG) CEO and a member of the company’s board of directors.

4-30-2013 12-33-30 PM

Thomas H. Lee, MD (Partners HealthCare) joins Press Ganey as chief medical officer.

4-30-2013 12-54-50 PM

CSI Healthcare IT hires Martin O’Neil (Charts In Time) as health information management practice director.

4-30-2013 1-23-24 PM

Meditab Software appoints Adele Nasr (WebMetro) VP of marketing.

4-30-2013 7-55-42 PM

A. John Blair III, MD, CEO of EMR consulting firm MedAllies, is elected chair of independent Direct community DirectTrust.org.

4-30-2013 8-19-02 PM

Christopher Mansueti, former VP of client services for RelWare, died Friday, April 26 of amyotrophic lateral sclerosis. He was 53.


Announcements and Implementations

VHA, Inc. adds physician dashboards to enhance its VHA IMPERATIV Advantage performance improvement solution, which leverages transactional-level data through Truven Health Analytics and UHC.

MDI Achieve, provider of the MatrixCare EHR for long-term acute care, will integrate with Homecare Homebase, a provider of homecare and hospice technology solutions.

Heywood Hospital (MA) streamlines clinician workflow following its implementation of Accent On Integration’s Accelero Connect integration platform.

4-30-2013 3-38-00 PM

Samaritan Albany General Hospital (OR) moves from Meditech to Epic this week.

Transylvania Regional Hospital (NC) goes live on Cerner.

Children’s Hospitals and Clinics of Minnesota implements wireless data transmission between Cerner’s EMR and CareFusion’s infusion pumps.

PeriGen recognizes its client Banner Health (AZ) for reducing unnecessary early-term deliveries by 22 percent, earning the health system a Showcase in Excellence Award from the Arizona Quality Alliance.

Florida Hospital Tampa implements the EarlySense bedside patient monitoring system.

A Modern Healthcare article covers the State of West Virginia’s VistA implementation. It’s paying Medsphere $8.4 million per year for support and an unspecified amount to InterSystems for Cache’ licenses. The state also added financial systems from NTT DATA to replace VistA’s minimal capabilities. Update: Modern Healthcare issued a correction to this article – Medsphere has been paid $8.4 million over the life of the contract (since 2005), around $940,000 per year.

4-30-2013 9-37-04 PM

The Pittsburgh paper profiles Omnyx, a five-year-old digital pathology systems vendor formed as a joint venture between UPMC and GE Healthcare.


Government and Politics

Arizona lawmakers pass legislation that will require health insurers to pay for telemedicine treatment for certain specific conditions for patients living in 13 rural counties.

Rep. Ted Poe (R-TX) introduces a bill that would prohibit HHS from mandating providers to switch to ICD-10 code sets, which Poe contends would cost about $80,000 for individual doctors and $250,000 for practices with five to 10 physicians.

4-30-2013 3-33-08 PM

A bipartisan group of 67 senators sends President Obama a letter calling for him to be more directly involved in the VA’s disability claims backlog situation. The senators note that the average wait time for first-time disability claims is around 316 days, with a delay of up to 681 days in certain parts of the country. Of 900,000 pending claims, more than 600,000 are over 125 days old.


Innovation and Research

4-29-2013 2-10-36 PM

A peer-reviewed article published by the CDC finds that the interface technology of Intelligent Medical Objects is superior to population classification techniques as a disease surveillance tool. The findings are based on a study that showed IMO terminology service was 32 to 42 percent more accurate in identifying coronary heart disease compared to algorithms using reimbursement coding and classification techniques in identifying coronary heart disease.


Technology

AirStrip Technologies settles its patent dispute with MVisum, Inc., a competitor it accused of infringing on its patent for real-time viewing of patient data on mobile devices. MVisum agreed not to offer infringing products that include “streaming or displaying real time or near real-time patient physiological data.”

NextGen Healthcare launches Comparison Utility, a proprietary ICD-9/ICD-10 comparison tool that is available a no charge to its customers.

4-30-2013 9-04-40 PM

Healthcare Holdings Group acquires the exclusive rights to 3D-Practice’s patient education graphics technology, which it will embed in its ChartZoneMD EHR.


Other

Athenahealth and MIT’s H@cking Medicine host a May 4-5 Hack-a-Thon aimed at at bringing about disruptive and meaningful solutions to healthcare challenges.

4-30-2013 7-24-51 PM

Anthony Weiner, the former Congressman who resigned after admitting to sending sexually suggestive text messages and photos to several women, is making big money as a corporate consultant. One of his clients is EMR vendor CureMD.

4-30-2013 8-15-35 PM

Here’s Imprivata’s latest HIT cartoon.


Sponsor Updates
  • DrFirst publishes a white paper highlighting the 428 percent growth in e-prescribing for controlled substances.
  • Medseek holds the inaugural meeting of its Clinical Advisory Council , formed to enhance patient engagement.
  • MedAptus highlights three customers and their seamless integrations between the MedAptus charge capture solution and their EHRs.
  • GetWellNetwork recognizes 12 hospitals and individuals for improving clinical care and outcomes through the use of IPC technology.
  • Inland Northwest Health Services releases its 2012 Community Report.
  • Martin’s Point Health Care (ME) discusses how its use of PopulationManager by ForwardHealth Group has improved its ability to respond to patient needs, identify gaps in care, and make systemic changes based on performance.
  • Imprivata hosts May 9 Webinar introducing the benefits of OneSign for healthcare.
  • Nuesoft hosts a May 8 Webinar on  using technology to improve revenue cycle.

Contacts

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

More news: HIStalk Practice, HIStalk Connect.

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April 30, 2013 News 4 Comments

News 4/26/13

April 25, 2013 News 8 Comments

Top News

4-25-2013 7-33-10 PM

Cerner posts Q1 results: revenue up 6.1 percent, EPS $0.62 vs. $0.51, beating adjusted earnings estimates but falling short on revenue. A 12 percent decline in system sales was balanced by a 16 percent increase in support, maintenance, and service revenues. From the conference call, the company announced one win over Epic in the quarter, talked up its international business, and touted its population health management efforts. Neal Patterson participated, finishing up with, “You can see from the CommonWell Alliance that we use our leadership position in the industry for the greater good, but also to basically highlight where basically we have bad actors around subjects such as interoperability.”


Reader Comments

From Med Student: “Re: Meaningful Use Stage 3. If you could change anything in Stage 3, what would you include or cut out?” I’m curious about that myself, so please leave a comment with your thoughts.

From Herky: “Re: warm-blooded. Spotted at TEDMED last week, riding the bus together from the Kennedy Center to GWU for Great Challenges Day: Allscripts CEO Paul Black and former CEO Glen Tullman. I guess all those rumors about bad blood between the two were ill founded.”


HIStalk Announcements and Requests

inga_small Some hot news you may have missed this week on HIStalk Practice: compensation for medical directors is increasingly tied to quality metrics, as are job responsibilities. Advice for physicians engaging in Web-based messaging services. Details on athenahealth’s emergency response process, which was activated during last week’s manhunt for the Boston Marathon bombing suspects. EMR adoption by primary care physicians in Canada has doubled from 23 percent in 2006 to 56 percent in 2012. Rather than sell out to hospitals, practice management consultants offer alternate alignment models for consideration. Dr. Gregg puts his spin on the phrase that pays and playing in the healthcare sandbox. Take or moment or three to catch up on the latest ambulatory HIT news and sign up for e-mail updates while you are there. Thanks for reading.


Acquisitions, Funding, Business, and Stock

4-25-2013 7-30-54 PM

Hill-Rom Holdings reports Q2 results: revenue up three percent,  EPS $0.37 vs. $0.43.

4-25-2013 7-31-34 PM

Streamline Health’s Q4 numbers: revenue up 49 percent, EPS –$0.63 vs. $0.00.

4-25-2013 7-32-28 PM

Lexmark subsidiary Perceptive grew Q1 revenue 47 percent to $44 million.

4-25-2013 9-05-02 PM

Informatica reports Q1 results: revenue up 9 percent, EPS $0.16 vs. $0.24.

4-25-2013 9-08-55 PM

Qlik Technologies announces Q1 results: revenue up 22 percent, adjusted EPS –$0.09 vs. –$0.03, beating expectations on both.

Nuance seeks the advice of Goldman Sachs following the acquisition by activist investor Carl Ican of 9.3 percent of the company’s shares.


Sales

The Michigan Health Information Network partners with Surescripts to allow users of Surescripts’ Clinical Interoperability network to send electronic health information to the State of Michigan’s public health reporting system through the HIN and the Michigan Department of Community Health.

Presence Health (IL) awards Harris Corp. a three-year contract to create a private HIE.

4-25-2013 7-35-58 PM

The University of New Mexico Health Sciences Center purchases MDaudit Professional billing compliance software from Hayes Management Consulting.

Syracuse Community Health Center (NY) selects NextGen Healthcare’s Ambulatory EHR, PM, and Electronic Dental Record solutions for its 16-location FQHC.

MModal signs seven new hospitals and imaging centers for its Fluency for Imaging radiology workflow technology.

4-25-2013 7-35-00 PM

Fisher-Titus Medical Center (OH) selects Wolters Kluwer’s ProVation Order Sets.

UC Davis Medical Center (CA) selects TriZetto’s ClaimLogic as its claims processing solution, where it will integrate with Epic.


People

4-25-2013 6-17-53 PM

The Patient-Centered Outcomes Research Institute hires Bryan Luce (United BioSource Corporation) as chief science officer.

4-25-2013 6-18-33 PM

Interactive patient care system provider Skylight Healthcare Systems names Lisa Romano (TeleTracking Technologies) chief clinical officer.

Cleveland Clinic Innovations names its current GM of IT Commercialization Gary Fingerhut as the organization’s interim director, taking over for founding executive director Chris Coburn, who is heading to Partners HealthCare to lead innovation efforts.


Announcements and Implementations

Atlantic General Hospital (MD) implements Allscripts Sunrise.

Physicians’ Alliance of America launches iMedicor SocialHIE, giving its 34,000 physician members the ability to electronically exchange clinical information.

4-25-2013 9-57-08 PM

Athenahealth announces its marketplace for third-party solutions.

4-25-2013 8-24-52 PM

HCS, which offers the Interactant suite, launches a new logo and website.

UMass Memorial Health Care deploys MedAptus Technical Charge Capture.

4-25-2013 8-11-18 PM

Patient Logic launches its physician documentation system at three small hospitals. Its sister HealthTech companies are HMS and Medhost.

Children’s Specialized Hospital (NJ) launches GetWellNetwork’s GetWell Town interactive patient system, funded by a grant from L‘Oreal USA.

The physician informaticist who heads up MedAppLab in Germany says diagnostic or prescriptive smartphone apps present too many possible sources of error to be recommended for use, including the quality of peripherals such as headphones.

4-25-2013 8-54-16 PM

Online storage vendor Box says its product is now HIPAA compliant, also announcing 10 partner applications that include the drchrono EHR, in which Box has taken an undisclosed equity position.

Lott QA Group and HRS announce an ICD-10 testbed for coding and clinical documentation.

4-25-2013 7-37-03 PM

John Halamka says in his blog that Beth Israel Deaconess Medical Center will go live on its homegrown electronic medication administration record in June. He says it’s Web-based, mobile-friendly, and integrated into existing systems. It will support the use of iPhones for viewing, iPads to verify orders at the Omnicell cabinets, and wall-mounted computers with bar code readers for verification.


Government and Politics

CMS proposes raising the maximum reward for reporting Medicare fraud from $1,000 to $9.9 million; denying Medicare enrollment to providers affiliated with an entity that has unpaid Medicare debt; and denying or revoking billing privileges to individuals with felony convictions.



ONC revokes EHR certification on EHRMagic-Ambulatory and EHRMagic-Inpatient following notification that the products did not meet the required functionality and should not have passed certification. InfoGard Laboratories, which certified the products originally, retested them after reviewing additional information and gave them a failing score. Above is the reaction of Candid CIO Will Weider.

AHA tells CMS not to add additional HIE requirements for providers, but instead focus more on implementing current HIT initiatives.

4-25-2013 3-49-10 PM

Meanwhile, the founding members of the CommonWell Health Alliance tell CMS they are committed to collaboration with HIT suppliers, adding that they will use existing standards and supplement them only when needed. Members also emphasized the importance of creating an open forum for secure patient data exchange and removing data access barriers.

4-25-2013 8-04-04 PM

A North Carolina Senate panel approves a bill that would require hospitals to create easily understood bills that include definitions for any medical terminology. State Senator Jeff Tarte, a former hospital CIO via a stint with Ernst & Young, says transparency is tough to solve and just creating nicer bills isn’t going to fix the problem.

A federal grand jury convicts the former medical records director of a Florida-based partial hospitalization program for leading a scheme that submitted $63 million in fraudulent Medicare and Medicaid claims. The therapy provided to the severely mentally ill patients involved watching Disney movies and playing bingo.


Other

4-25-2013 7-24-03 PM

A new KLAS report says that patient accounting systems are the next hot thing in 200+ bed hospitals because of accountable care needs, the tapering off of Meaningful Use system selections, and the impending transition to ICD-10. Integration is a priority, leaving Epic and Cerner as the only inpatient billing systems that also cover ambulatory billing, with Cerner still scoring low but trending up. Update: KLAS says my summary is misleading, so here is their exact wording: “Epic and Cerner are the only vendors whose inpatient billing systems are integrated with both their inpatient EMR and ambulatory billing systems.”

4-25-2013 7-52-13 PM

A solo family physician in rural Colorado says he “gave up on healthcare in America,” sold his practice to a hospital, and moved to Australia because of the 2 percent Medicare penalty he would have been charged in 2015 for not adopting an EHR that he couldn’t afford anyway. He says in Australia people love his American accent, he gets a lot of time off, and he makes $250,000 a year for a light schedule vs. the $100,000 he was making for being overworked in Colorado. “Primary care is highly respected here. That’s not the case any more in America. In the United States, health care has become more about the business of making money. The personal side of medicine is going away.”


CommonWell, challenged directly on Twitter by Terry Bequette, state HIT coordinator for the State of Vermont, says “all HIT developers” are welcome to join.  

WakeMed (NC) creates a video celebrating its 52 years and touting its new $100 million Epic system, which it is implementing along with nearby Triangle-area academic medical centers Duke University Hospital and UNC Health Care.

Truven Health Analytics reports that 71 percent of ER visits made by patients with employer-sponsored insurance coverage are for conditions that did not require immediate attention or could have been prevented with outpatient care.

Medhost files a lawsuit against Health Management Associates, claiming the hospital operator continues to use its ED software despite not having paid the third installment of $4.5 million last year.

4-25-2013 10-13-15 PM

Henry Ford Health System (MI) reports a 15 percent decrease in net income, primarily due to an increase in uncompensated care and the $36 million it spent to implement Epic. According to the CEO, “We knew that 2012 and 2013 would not be easy years for the system because of the Epic costs.”

A court orders UPMC to allow employees to use its computers and e-mail system for union-organizing activities.

Weird News Andy says this is like a reality show for doctors. Utah pediatricians trying to relate better to their teen patients hire acting students to simulate clinic visits and act out medical scenarios. The students are enjoying it so much that they have volunteered to continue after school is out.

WNA also likes this story, in which Seattle police are investigating reports that a nurse imposter entered patient rooms at Swedish Medical Center and cut the IV lines of patients to steal what sounds like narcotic-containing PCA cartridges.

4-25-2013 11-13-38 AM

inga_small In patient fashion news, Henry Ford Health System introduces a new double-breasted hospital gown that closes in the back, uses snaps instead of ties, and is made of thicker fabric than traditional gowns. One of the gown designers notes that, “By creating a hospital gown that is safe, stylish, and comfortable, we’ve made the patient feel more at home, like they’re wearing their own garments." Kind of makes me want to schedule some elective surgery just to try one out.


Sponsor Updates
  • Aprima Medical Software, Greenway Medical Technologies, and Allscripts forego interface fees as preferred partners for Greater Houston Healthconnect’s regional HIE.
  • Elsevier issues a brief that identifies the need for and potential impact of evidence-based medicine.
  • Wellsoft will participate in next month’s 2013 Emergency Medicine Update conference in Toronto and the e-Health 2013 conference in Ottawa.
  • Barb White, director of healthcare solutions for AT&T, discusses cyber attacks and security breaches in healthcare. 
  • MedAssets’ Sandy Hoffman co-hosts the Fifth Annual Mouse Races for MS in Cape Girardeau, MO on April 27.
  • Laura Kreofsky, principal advisor with Impact Advisors, discusses how EPs are spending their Meaningful Use incentives.
  • Prognosis suggests topics to discuss with current or potential vendors to avoid EHR dissatisfaction.
  • Penn State makes the DynaMed clinical reference database available to all students and staff. 
  • Boston Children’s Hospital Chief Innovation Office Naomi Fried and Carnegie Mellon University professor Alan Russell will provide the keynote addresses at the iHT2’s Health IT Summit in Boston May 7-8.
  • ADP AdvancedMD hosts a May 8 Webinar on engaging patients in their healthcare. 
  • NextGen Healthcare hosts a May 1 Webinar on effective claims processing.
  • Stuart Long, Capsule’s chief marketing and sales officer, discusses the benefits of medical device integration and how it works in a hospital.

EPtalk by Dr. Jayne

ONC issues the Apps4TotsHealth Challenge to encourage integration of the TXT4Tots message library into new or existing platforms. The library includes evidence-based messages focusing on nutrition and physical activity and is targeted to parents and caregivers of children 1-5 years old.

The National Institutes of Health is using IT to boost energy savings. Maneuvers that would benefit healthcare entities include forcing computers to go on standby at the end of the day and software to aggressively manage environmental systems.

Children’s National Medical Center is using video games as a way to measure and manage chronic pain. Applications are used for physical therapy as well.

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Overheard in the physician lounge: two of my colleagues were discussing slick new carts that have appeared on the floors. I’m happy to note that they are from HIStalk sponsor Enovate.

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I received a HIMSS e-mail regarding the annual conference experience and asking me to take a brand survey on my “emotional connection” to HIMSS. I was asked to select images that fit attributes for the HIMSS brand on “touch, taste, scent, sight, and sound.” Maybe I’m too much of a literal person, but I found the concept odd. It also didn’t fit my screen without scrolling, making it a non-starter.

Print


Contacts

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

More news: HIStalk Practice, HIStalk Connect.

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April 25, 2013 News 8 Comments

Morning Headlines 4/25/13

April 24, 2013 Headlines 1 Comment

FDA Device Surveillance to Tap Phone App

The FDA Adverse Event Reporting System will be revamped in part by launching a smartphone app for streamlined adverse event reporting by physicians.

Electronic health records key to patient care quality improvement

In England, a survey of physicians reveals that 94 percent believe that patients should have at least some access to their electronic medical records, but only 34 percent like the idea of full access. Physicians also overwhelmingly support allowing patients to update standard sections of their own electronic records, including demographics, family history, allergies, and home medications.

Patient-Centered Outcomes Research Institute to Invest Up to $68 Million to Develop a National Patient-Centered Clinical Research Network

PCORI has committed $68 million in funding to support the development of a national infrastructure to advance patient-centered clinical research that enables efficient participation from broad patient populations.

athenahealth Marketplace Brings Shopping to Health Care IT

athenahealth launches a marketplace of bolt-on pfferings for its cloud-based practice solution from a variety of vendors, including Experian Healthcare, InHealth Clinical Documentation Solutions (ICDS), NHXS, iTriage, and Entrada.

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April 24, 2013 Headlines 1 Comment

Collective Action 4/24/13

April 24, 2013 Bill Rieger 2 Comments

The views and opinions expressed are those of the author personally and are not necessarily representative of current or former employers.

Reflections on TEDMED 2013

Unpacking my TEDMED experience will be challenging, much like it would be to unpack HIMSS or CHIME conference, but in some ways more difficult. At HIMSS and CHIME, you walk away tired and overstimulated, but have a sense that we’re all in this together.  Walking away from TEDMED, I am exhausted mentally from all of the stimulating presentations and conversations, but I have a sense of being the bad guy. 

TEDMED is a TED conference dedicated to science and medicine innovation. I attended this conference in conjunction with The Breakaway Group’s annual conference, which was very good and stimulating as well and was a great beginning to the TEDMED experience. 

As we transitioned from The Breakaway Group to TEDMED, I had high expectations of people sharing collaborative ideas and experiences on how we can make healthcare better. I was not disappointed. There were some great ideas expressed at TEDMED. Phenomenal medical and scientific research is being conducted all around the world and it was well presented on the TEDMED stage and in The HIVE. 

The HIVE was similar to the vendor floor at HIMSS, but at a much smaller scale. There were only 50 vendors present, all startups in healthcare. None were allowed to reach out to attendees beforehand and they were not allowed to bring propaganda other than their business cards. Each was given a 50-inch monitor and a small table to show their product. There was no sales pressure at all — attendees were able to approach the vendors and ask exploratory questions without pressure. That was a refreshing experience. 

TEDMED was comprised of 10 sessions each lasting about two hours. In each session were several speakers who had their 20 minutes on the big red carpet. Big data, medical research, community health, indigent care, global health, and even end-of-life issues were discussed and presented from various perspectives. It was thought-provoking to say the least. 

The one sense I left with — and perhaps the biggest discussion at dinner with other attendees and guests of Xerox Health — was how both physicians and hospitals were looked at and talked about as being a big part of the problem and not a part of the solution.  There were physician presenters sharing personal stories of what they have done that is cutting edge, but there was absolutely no representation from any hospital or health system on stage. There was an entrepreneurial spirit there and TEDMED clearly puts the future hope of our healthcare system in the hands of entrepreneurs.

We can all agree that our current healthcare system is unsustainable. Farzad Mostashari spoke at The Breakaway Group event, and while he represents CMS and was talking about the end of fee-for-service, he also said that none of us know exactly what the payment model will look like in five years. He acknowledged that more government was not the answer, but a partnership with payers and providers alike working together to blaze a new trail. He was not asked to speak at TEDMED, probably because he represents the establishment. 

I believe very strongly in the capital system and encourage innovation and starting something new and creative, but that innovation has to be partnered closely with hospitals and with our government. That part was clearly missing at TEDMED. As a result, I believe it took away from its effectiveness.

The mission of TEDMED can be derived from its website. "In its core, TEDMED is a celebration of human achievement and the power of connecting the unconnected in creative ways to change our world in health and medicine." Did they achieve this mission? I would say yes, but did they connect the unconnected with the right people? 

Next year, I hope to go again. I will send TEDMED some suggestions about how it can stick it to the man a little less, and instead maybe partner with the man and talk to the man about news ways of doing things. It sounds like the man is listening.

Bill Rieger is chief information officer at Flagler Hospital of St. Augustine, FL.

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April 24, 2013 Bill Rieger 2 Comments

Morning Headlines 4/24/13

April 23, 2013 Headlines 4 Comments

Pentagon Resists Administration’s Mandate For An Open Source Health Records System

A leaked Pentagon memo reveals that President Obama’s administration has repeatedly recommended that DoD implement a more cost effective open source system like VistA, but that the Pentagon has resisted due to "an incorrect assumption that modernizations based on open systems, as opposed to proprietary commercial systems, will take too long."

CMS Listening Session: Billing and Coding with Electronic Health Records

CMS and ONC will hold a meeting to discuss the increase in code levels billed for some Medicare services associated with EHRs and appropriate coding in an increasingly electronic environment.

Bennet, Burr, Harkin, Alexander Release Draft Bill to Improve Safety of Nation’s Drug Supply

Bipartisan senators unveiled a draft bill calling for a uniform standard for drug tracking that would result in an interoperable, unit level drug product tracing.

Doctors-In-Training Spend Very Little Time at Patient Bedside, Study Finds

A recently published Johns Hopkins study finds that medical students are spending just 12 percent of their time with patients and more than 40 percent of their time on the computer. Researchers say residents spend significantly less time with patients now than they did before 2003, when hospitals were first required to limit the number of consecutive working hours for trainees.

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April 23, 2013 Headlines 4 Comments

News 4/24/13

April 23, 2013 News 4 Comments

Top News

4-23-2013 8-43-50 PM

Nextgov uncovers a scathing internal Pentagon memo that says DoD’s plans to acquired commercial off-the-shelf software fly directly in the face of the President’s call for a joint DoD-VA EHR based on open standards.


Reader Comments

4-23-2013 9-46-12 PM

From Wesley: “Re: Encore Health Resources. They have laid off multiple people in recent weeks.” I asked Encore CEO Dana Sellers, who provided this reply:

Encore continues to experience strong, healthy growth thanks to wonderful clients and the best consultants in the industry. As a result, we’ve done some realignment of our Client Services organization over the past few weeks to better position Encore to execute our strategy: the delivery of a full life cycle of consulting solutions with a focus on business intelligence and performance improvement. In fact, to meet our increasing business demands, we are actively recruiting for Client Services Executives in Nashville, Florida, Colorado, and California. Send some great folks our way, would you?

From John Porta: “Re: Advisory Panel CIOs not finding value in the HIMSS conference. Who does find value, the marketing VPs? Sales employees think it’s the biggest waste of their time in the pipeline, which is why they spent their days on their phones while ignoring the giveaway seekers and non-buyer IT staff. Why do vendors spend an average of probably $250K to be there preaching to the choir? Maybe just  companies trying to justify their marketing existence. I believe the HIMSS conference is an ongoing, self-perpetuating, ad-selling, marketing come-on. Few companies have the balls to pull out.”

4-23-2013 9-46-55 PM

From Iggy: “Re: MModal. Debtwire said that on April 3, executives told their debt holders that they fell out of compliance in the period ending March 31 and One Equity will ‘cure’ this. Is this routine?” I asked Ben Rooks, who writes HIStalk’s “Healthcare IT from the Investor’s Chair,” who with help from his friends at investment bank Houlihan Lokey provides this explanation:

Loans such as the one that allowed One Equity to borrow money to purchase MModal (the Leverage in the term LBO, or Leveraged Buy Out) have certain ongoing requirements with which the company must comply (known as “covenants”). In this case, there was actually only one such covenant, but it allowed for a maximum amount of net leverage (how much debt each dollar of EBITDA — earnings before interest, taxes, depreciation, and amortization — must support). This metric rose since the deal closed, reaching 6.43x at the end of last year in contrast to the 5.35 that was projected. Interestingly, it was set at 6.5 in Q1, then drops sequentially by .25 until it reaches 5.75 in Q1 2014 (presumably as the company both pays down its debt and grows its revenues and EBITDA). According to Standard & Poor (the debt rater in this case), “MModal has seen its revenue weaken as a result of a slower-than-expected transition to its new products strategy and competitive pricing pressures” and it downgraded the debt a notch. Realizing that these things can happen, however, the loan agreement allows the sponsor (One Equity) to cure the problem, typically by adding more equity dollars or else guarantying part of the loan. Incidentally, M*Modal might not be public, but its debt is, so this was, in fact, disclosed publicly, just not as loudly as in the case of public companies.


Acquisitions, Funding, Business, and Stock

4-23-2013 9-47-45 PM

LifeIMAGE closes a $15 million Series C round of financing.

Henry Schein, Inc. secures $300 million of committed financing with The Bank of Tokyo-Mitsubishi UFJ, Ltd. based on the securitization of its A/R.

4-23-2013 9-48-31 PM

CTG reports Q1 results: revenue up five percent, EPS $0.24 vs. $0.20. CTG attributes its growth on increased demand for EMR and other health information technologies.

4-23-2013 9-49-11 PM

Healthcare learning platform vendor HealthStream announces Q1 results: revenue up 25 percent, EPS $0.07 vs. $0.05, beating earnings expectations and sending shares up 16 percent Tuesday.

Israel-based medical social data mining vendor Treato raises $14.5 million in funding. The company’s platform extracts patient comments from blogs and discussion forums, applies natural language processing and other analytics, and provides an overview of patient comments about drugs and conditions. According to the company’s CEO, “Until now, everyone wanted to hear the doctor’s voice. Now, because of social changes and even legislation, everyone wants to hear the patient’s opinion. Regulation no longer pays for the doctor to treat, but for the patient to heal.”


Sales

Nightingale Preventive Care, a provider of healthcare services in Kmart stores, selects HealthFusion’s MediTouch EHR.

4-23-2013 9-50-47 PM

Riverside Health System (VA) chooses HealthMEDX Vision for EMR and billing for its Lifelong Health and Aging Related Services division.

Orange Accountable Care (FL) selects Halfpenny Technologies to provide a lab data interface for referring physicians using risk management services from Orange Health Solutions.

Scott & White Healthcare (TX) contracts with KPMG LLP to assist with its Oracle PeopleSoft v0.2 Human Capital Management reimplementation project.

Ardent Healthcare will expand its use of Infor’s human resources and financial management suites.


People

4-23-2013 9-40-49 AM  4-23-2013 9-42-41 AM

Huron Consulting Group hires Todd Christiansen (IBM Global Business Services) and Joseph Gaetano (Siemens Medical) as managing directors in its healthcare practice.

4-23-2013 7-15-38 PM

Anthony Caponi (Maxim Healthcare Services) joins Direct Consulting Associates as VP of sales.

4-23-2013 7-19-35 PM

MediRevv hires Randy Blue (Resource Corporation of America) as director of sales.

4-23-2013 9-02-49 PM

VC firm Polaris Partners names Tim Kilgallon as CEO in residence, focusing on consumer-directed digital health opportunities. His healthcare IT experience includes stints with Pointshare Corporation and Medaphis.

4-23-2013 9-07-37 PM

Health program and population health management software vendor Aegis Health Group promotes Bill Walker to CTO.

4-23-2013 9-33-06 PM

Mobile applications platform developer Kony Solutions, announcing 90 percent year-over-year growth, names Abhay Parasnis (Oracle) as president and COO.

Gary Peat (Council Capital) joins eDoc4u as SVP of corporate and business development.


Announcements and Implementations

The Patient-Centered Outcomes Research Institute will fund up to $68 million to support organizations focused on the advancement of comparative clinical effectiveness research.

Hamad Medical Corporation in Qatar will implement Cerner Millennium across its primary care centers and eight hospitals.

Allscripts releases Allscripts Care Director to enable care coordination across all care settings.

4-23-2013 7-25-45 PM

Emmi Solutions wins a communication award from The Center for Plain Language for its Heart Failure Transition multimedia series.

4-23-2013 9-55-07 PM

Gwinnett Hospital System (GA) adopts the ChartWise:CDI clinical documentation system.


Government and Politics

HHS considers amending the HIPAA Privacy Rule to allow states to report information on potentially dangerous mental health patients to the National Criminal Background Check System, the database that houses information on individuals prohibited by law from possessing firearms.

4-23-2013 11-42-37 AM

CHIME calls on HHS to extend certification requirements to include the HIE market.

CMS and ONC will convene a May 3 meeting on appropriate coding using EHRs from 9:00 a.m. until 2:00 p.m. in Baltimore. The session will also be streamed online.

A bipartisan group of senators unveils a discussion draft of a bill to create a nationwide electronic system for tracking the distribution of prescription drugs. The proposed measure would require every entity in the prescription drug supply chain to provide electronic transaction information when there is a change of ownership, plus shift the country from a lot-level drug tracing system to a unit-level tracing system.

4-23-2013 2-40-32 PM

CMS and ONC post a joint fact sheet that breaks down the progress made since the passage of the HITECH Act that also includes the latest numbers on EHR adoption, e-prescribing rates, and the increased emphasis on interoperability and exchange.


Technology

Medical device company Smiths Medical will develop connectivity between its infusion systems and Epic using IHE standard profiles to establish communication between the systems.


Other

A small-scale Johns Hopkins study finds that first-year residents in academic medical centers spend just 12 percent of their time interacting with patients, while computer duties take up 40 percent of their hours. Patient time has been significantly reduced since a similar 2003 study, suggesting that mandatory reduced hours may have caused an undesirable balance of work duties. The researchers say better EMR systems would reduce some of the computer time required. The study’s senior author, a hospitalist, concludes, “All of us think that interns spend too much time behind the computer. Maybe that’s time well spent because of all of the important information found there, but I think we can do better.”

4-23-2013 9-56-36 PM

The Kansas Department of Health and Environment will officially take over the Kansas HIE effective July 1. The HIE board acknowledged in September that it financially unsustainable and voted to relinquish its functions to the state.

John Halamka reflects on hospital lessons learned from last week’s Boston Marathon bombings in his “Life as a Healthcare CIO” blog. Among them: making sure systems can support working from home, limiting data center access, increasing on-screen warnings to staff about looking up patient information, and improving HIE capabilities.

A review of CEO salaries of non-profit Chicago hospitals finds 20 who made at least $1 million in total compensation in 2011, with the CEO of Northwestern Memorial HealthCare leading the pack at $4.6 million.

Two former patients of Glens Falls Hospital (NY) file a class action lawsuit against the hospital and its contractor Portal Healthcare Solutions after the medical records of 2,300 patients are left on an unprotected computer network for four months.

Microsoft will sponsor an April 25 panel discussion on Unintended Consequences: Patient Perspectives on the HIPAA Omnibus Rule at the Microsoft Innovation & Policy Center in Washington, DC. Panels will include Iliana Peters (OCR), Corinne Cary (New York Civil Liberties Union), Deborah C. Peel, MD (Patient Privacy Rights), and Hemant Pathak (Microsoft).

4-23-2013 8-49-10 PM

Baltimore-based Healthify, a new startup led by Johns Hopkins University graduates and students, develops a free electronic waiting room questionnaire that can screen for health determinants such as psychosocial risks, nutritional status, housing, education, and substance abuse, all of which significantly increase the odds of an individual requiring hospitalization.

No-frills clinics in India say they can offer heart surgery for $800 by operating in prefabricated buildings that have air conditioning only in the OR suites and that require family members of patients to help care for them. The company’s founder, a noted heart surgeon, says that while Stanford Hospital is spending $600 million to build a 200-300 bed hospital and a new London hospital will cost $1.5 billion, the clinic can build and equip a hospital for $6 million and have it up and running within six months.

Weird News Andy says this might make sense. In England, NHS is considering sending recovering elderly patients to “hospital hotels” run by private hotel chains. It’s modeled after a similar program in Scandinavia and would relieve “bed blocking,” where local councils have cut funding for home health and residential services, leaving patients stuck in expensive hospital beds they don’t really need.

4-23-2013 7-37-54 PM

WNA also likes a story that he titles “A different kind of Brazilian close shave.” A Brazilian fisherman accidentally fires a foot-long harpoon into his skull, then decides to go home to sleep it off. His aunt calls the fire department 10 hours later. He’s in ICU and has permanently lost sight in one eye.


Sponsor Updates

4-23-2013 7-29-06 PM

  • Infor will donate $5 to charity for each attendee of Monday night’s Infor Healthcare party, held in conjunction with Inforum in 2013 in Orlando.
  • Greenway Medical will add RemitDATA’s comparative analytics solution into its PrimeDATACLOUD Remittance Intelligence service, giving practices reimbursement and productivity insights and performance benchmarking.
  • Jill Farnsworth and Mike Grisaffee from Encore Health Resources  will participate in educational sessions at the HIMSS Texas Regional Conference May 14-15 in San Antonio.
  • Healthcare Anytime offers a June 4 Webinar on surviving the avalanche of patient data.
  • Bottomline Technologies donates $2,500 to a memorial fund for Joshua Krantz, a recently deceased employee.
  • The Denver Post names Ping Identity Top Workplace for the second consecutive year.
  • InstaMed launches the InstaMed Healthcare Payments Account, which helps providers get paid faster and through more channels.
  • Visage Imaging releases version 7.1.3 of the Visage 7 Enterprise Imaging Platform, which incorporates over 1,000 enhancements and product fixes.
  • T-System will deploy the NextGen PM solution for its RevCycle+ solution clients.
  • Craneware showcases enhancements to its Bill Analyzer and InSight Audit solution during this week’s HCCA 17th Annual Compliance Institute in National Harbor, MD.
  • eClinicalWorks offers a series of Webinars in April and May on its upcoming eBO Version 6 release.
  • Henry Johnson, MD, VP and medical director for Midas+, a Xerox company, discusses value-driven analytics and the best big data trends for healthcare.

Contacts

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

More news: HIStalk Practice, HIStalk Connect.

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April 23, 2013 News 4 Comments

News 4/19/13

April 18, 2013 News 7 Comments

Top News

4-18-2013 6-10-27 PM

Defense Secretary Chuck Hagel says his office has taken direct control of the DoD-VA EHR integration project as he acknowledges to a House subcommittee that “we’re way behind.” Hagel told the committee that he has personally blocked the DoD’s EHR request for proposal because “I didn’t think we knew what the hell we were doing.” He added, “Until I get some understanding of this and get some control over it, we’re not going to spend any money on it.” Hagel, whose experience includes tours as an infantry squad leader in Vietnam and serving as a VA deputy administrator as its VistA system was being developed, says the DoD will have its marching orders within a month.


Reader Comments

4-18-2013 6-44-17 PM

From Mr. Horizon: “Re: Bayhealth – Kent General Hospital, Dover, DE. Went live on McKesson Expert Orders whole house with physicians with minimal problems this week.”

By Anonymous: “Re: MyChart. I gave it another chance and ordered a prescription refill. This morning, I was thinking I never received order confirmation from Caremark. It was a busy morning, so I didn’t get around to calling my doctor to see what was up. This afternoon, I received my trusty Caremark communication that the week-old order was received today. Who knows when the physician practice checks messages or Rx refill requests coming through MyChart? A bigger question: why the heck are you promoting this to your patients if it essentially has no functionality due to no real implementation and weekly checking of messages and notifications, even if weekly? Score:  MyChart zip, Caremark slam dunk. And Mayo had 5 percent portal engagement with what was hopefully a functional portal.” Anonymous wrote the Readers Write article on her MyChart impressions a couple of weeks ago that generated quite a few comments.

4-18-2013 7-02-08 PM

From Poor Richard: “Re: patient portals. New York is allowing citizens to gauge ‘likeability’ of patient portals by voting. I didn’t recognize many of the vendors on the ballot. Some presentations were very professional while others appeared to have been completed in the basement of a programmer. Some of the presentations I considered unimpressive had massive vote appeal, so of course now I am wondering about voter fraud (especially considering I am not a New York resident and they let me vote!) Personally, I preferred ChARM EHR, not for their goofy upper case/lower case naming, but because they were the only vendor in this entire group who addressed maintaining membership through incentives. In ChARM’s (damn, I hate typing that) model, they included a rewards system for using the portal, which is a feature sorely lacking in every patient portal I have seen.“

4-18-2013 7-29-50 PM

From Dan: “Re: GNU Health. I’ve been involved with installing and supporting cumbersome and incredibly expensive EHRs like Horizon and Epic at hospitals and wondered what options are available for organizations with little funding. This one seems to have potential. I’m interested to hear your thoughts.” It’s free, seems to have several basic modules, and already supports ICD-10. No US customers are listed, which is typical of free EHRs that work well in countries that don’t care about billing and other non-patient related capabilities that are unfortunately very important here. Readers are welcome to jump in.

From Lance: “Re: $1 million ONC EHR vendor tax. I work for a vendor and think that ONC could have spent a lot less to achieve the same MU attestation results. Many of the RECs did not earn their M1 and M2 milestones, simply piggybacking on the EHR vendor’s installed base. Many of our clients that we introduced to RECs said they didn’t add anything and all they needed was the free MU resources we provided.”


HIStalk Announcements and Requests

inga_small Recent highlights from HIStalk Practice include: OIG publishes protocols for providers who wish to voluntarily self-disclose evidence of potential fraud. Jonathan Bush dishes with the Wall Street Journal. Children’s Mercy Hospitals and Clinics in Kansas City offers Wichita allergy patients an option for telehealth visits. Professional organizations give tips for physicians participating in social media. NorthShore University Health System’s ambulatory clinics achieve Stage 7 on the HIMSS Ambulatory EMR Adoption Model. Culbert Healthcare Solutions’ Brad Boyd discusses patient access issues. Finally, 91 percent of readers participating in our recent HIStalk Practice Reader survey say that reading HIStalk Practice has helped them perform their jobs better over the last year. If you have room for self improvement, it’s likely worth your while to mosey over to HIStalk Practice. Thanks for reading.

4-18-2013 7-35-27 PM

Welcome to new HIStalk Platinum Sponsor Predixion Software. The San Juan Capistrano, CA-based company offers self-service predictive analytics that are fully integrated with the Microsoft stack, allowing modelers to work with Predixion’s workbench and modeling tools from within Microsoft Excel. The company’s predictable admissions module scores patients at admission and throughout their stay using a hospital-specific model to predict readmission risk with up to 86 percent accuracy. If you’re curious how that works, read up on Practical Predictive Analytics for Healthcare 101. The company won a Microsoft HUG award last month for the use by one of its major healthcare customers of Predixion Readmission Insight. Thanks to Predixion Software for supporting HIStalk.

Here’s a video interview of Chad Eckes, CIO of Cancer Treatment Centers of America and Predixion advisory board member, talking about predictive analytics.

It’s time for that post-HIMSS planning of which conferences to attend this year. If you have suggestions, let me know. I had a nice invitation to attend TEDMED as the guest of a generous company, but couldn’t make it because of work conflicts at the hospital.


Acquisitions, Funding, Business, and Stock

4-18-2013 8-29-48 PM

Roper Industries, which acquired Sunquest Information Systems in August 2012, will buy New Jersey-based Managed Healthcare Associates for $1 billion in cash. MHA offers alternate site services, software, and analytics.


Sales

CareONE LTACH (NJ) long-term acute care hospital selects NTT DATA’s Optimum EHR.

4-18-2013 4-09-36 PM

University of Colorado Health will incorporate Medseek’s predictive analytics and hospital website solutions into its patient engagement initiatives.

4-18-2013 4-08-20 PM

Australia’s Ballarat Health Services deploys the Rhapsody Integration Engine from Orion Health as its connectivity program for message exchange.


People

4-18-2013 8-31-05 AM

Quest Diagnostics names Jim Davis (GE, InSightec) SVP of diagnostic solutions.

4-18-2013 8-05-01 PM

Long-time friend of HIStalk Justen Deal of Vieu Health is named BlackBerry Business Fan of the Month, dropping a much-appreciated plug by saying in his profile piece, “And in my field, HIStalk is where you go when you really want to know what’s really happening; it’s sometimes a bit irreverent, but it’s always smart, insightful, and to-the-point.”

Andy Flanagan (SAP) is appointed SVP, Health Services Sales & Business Management of Siemens Healthcare.

Beacon Partners appoints Michael Whalen (GE Healthcare)  VP of professional services and promotes Chris Kondrat to VP of business integration.


Announcements and Implementations

The Premier healthcare alliance will offer its members access to Phytel’s population health intelligence suite.

4-18-2013 4-12-04 PM

Massachusetts General Hospital joins the PathCentral Pathology Network, an online information exchange and digital consultation forum that enables physicians to upload digital images for pathologists to review and render diagnoses.

Indiana University Health implements Health Catalyst Late-Binding Data Warehouse in 90 days to create a centralized repository of clinical, financial, and patient satisfaction data.

Lumeris releases its Accountable Primary Care Model called the Nine Cs that addresses reducing costs, improving quality, and improving patient and physician satisfaction.


Government and Politics

A JAMIA article describes interviews with VA leadership on their vision for a next-generation EHR. Identified needs include designing better user interfaces to present decision support messages more effectively, creating smaller applications to allow fine tuning workflows, developing a recommendation engine to guide practice as it learns preferences and presents peer practices, using back-end documentation tools such as natural language processing, creating support for teamwork, developing interoperability with the DoD and other care settings, and improving data governance and stewardship.

4-18-2013 8-19-51 PM

HHS and the FCC name members of the new Food and Drug Administration Safety Innovation Act (FDASIA) Workgroup, which will report to the HIT Policy Committee on improving patient safety and innovation in healthcare IT. The new members are from health systems, technology companies, healthcare software vendors, and venture capital firms. The group’s chair will be David Bates, MD, MsC (above), SVP for quality and safety and chief quality officer of Brigham and Women’s Hospital.


Technology

Experts say new WiFi standards 802.11ac and 802.11ad could drive improved hospital wireless connectivity, such as iPhones supporting EHR lookups at 450 Mbps. 802.11ac will replace 802.11n as the WiFi standard, while the short-range 802.11ad technology can support data rates of up to 7 Gbps in potentially replacing cables for connecting computer peripherals or medical equipment.


Other

EHR adoption in children’s hospitals grew from 21 percent in 2008 to 59 percent in 2011, which was significantly higher than adoption rates for adult hospitals.

The Health Technology Forum Innovation Conference: Platforms for the Underserved will be held Friday, April 19 at the UCSF Mission Bay Conference Center in San Francisco, CA. Speakers include Gavin Newsom (lieutenant governor of California); Justin Graham, MD (CMIO, North Bay Healthcare); Kate Bennett, ND (CMIO, John Muir Health); and Darren Schulte, MD (president, Apixio).

Another health technology accelerator makes its debut as Dallas-based Health Wildcatters offers the usual package of mentoring services and seed money in return for equity.

In Canada, Nova Scotia’s largest health district says its computer systems experienced 1 million security threats in the past year, none of which led to lost data. Most were malware and spyware attacks.

4-18-2013 8-41-31 PM

Aetna CEO Mark Bertolini, speaking at the Stanford Graduate School of Business 2012 Healthcare Innovation Summit on Wednesday, says the insurance company is evolving into a health IT company through its acquisitions that include Medicity, iTriage, and Active Health.

In Canada, Regina General Hospital says 15 patients were mistakenly given clindamycin to treat clindamycin-resistant infections due to an unspecified computer error in creating sensitivity reports.

Former Roxy Music member and music producer Brian Eno designs light and sound installations to create healing environments in two British hospitals.

4-18-2013 8-57-38 PM

AlertWatch, which offers surgical patient monitoring software developed at the University of Michigan’s Venture Accelerator, is profiled in a technology publication. A real-time demo (above) is available online. The company’s patient safety advisor is former astronaut Jim Bagian, MD, who I’ve seen speak – he’s excellent.

4-18-2013 9-04-56 PM

A University of Vermont medical student and a partner are working on software that will allow pharmacies to communicate with patients via simple HIPAA-compliant text messages to help them understand their medications. Luke Neill and Sam Mayer were congratulated by actor Matthew Perry at Clinton Global Initiative University earlier this month.

Weird News Andy wonders how in the world this happens. Workers at a commercial laundry processing a load of linen from Regions Hospital St. Paul, MN are startled when a baby’s body falls out. The hospital apologized, explaining that the stillborn infant’s body had been wrapped in linens in the morgue and was mistaken for laundry.


Sponsor Updates

  • Surgical Information Systems CEO Ed Daihl explains the importance of perioperative analytics and the competitive edge it gives hospitals. The company also announces the winners of its SIS Perioperative Leadership Awards.
  • Awarepoint highlights its first quarter 2013 achievements, which include installation of 4.1 million net new square foot of RTLS coverage across 10 clinical sites, the addition of numerous new clients, and renewed commitments from five organizations.
  • Availity and Greenway Medical Technologies join insurer Florida Blue to enable the sharing of clinical data and patient summaries.
  • Trustwave offers an infographic highlighting the high cost of BYOD.
  • Optum opens a free emotional support line staffed with mental health specialists for those affected by the recent Boston explosions.
  • Lisa Bielamowicz, MD, SVP with The Advisory Board Company, reviews three key elements for successful population health management.
  • iHT2 hosts an April 24 Webinar on healthcare cyber first responders.
  • Medseek announces the winners of its eHealth Excellence Awards during this week’s 2013 Client Congress in Austin.
  • Imprivata hosts an April 23 Webinar on streamlining clinical communication with Imprivata Cortext.
  • Good Morning Texas profiles Key-Whitman Eye Center and how its implementation of RTLS technology from Versus is reducing wait times.
  • CAQH recognizes several organizations that have earned voluntary CAQH CORE Phase I or Phase II Operating Rules certification, including NextGen (NextGen PM), OptumInsight (Optum Netwerkes 2.2.0), and RelayHealth (RelayExchange.)

EPtalk by Dr. Jayne

First of all, I want to send my thoughts and prayers to the people of Boston as well as the marathon participants, their families, and the first responders and health care teams who assisted. One of my shoe-shopping pals was running and I was tracking her as the horrifying event unfolded. This was her first Boston Marathon and she slowed down around mile 17, for which I am grateful. Her previous projected finish time would have put her in the thick of it. Hopefully she (and all the other runners who didn’t finish) can qualify again next year.

A recent study shows that physicians may benefit from seeing cost information when ordering laboratory tests. We see plenty of EHRs with medication formularies, but not too many with lab cost data. In my experience, the Advance Beneficiary Notice functionality of many EHRs is sorely lacking, so maybe this will spur vendors to spend some attention in that area. I’d be interested in not just seeing cost information but seeing data on whether tests are really helpful in diagnosing or confirming a particular condition. Of course order sets are helpful, but this would be a twist on the concept for docs who don’t think order sets apply to them.

Weird news: scientists are looking at how intestinal parasites attach to develop better ways to attach skin grafts. Here’s to the spiny-headed worm as the newest member of the healthcare team.

From Tom T: “Re: your piece about the ACP/FSMB online professionalism policy. You are right on the money again and again. The self-righteousness and patronizing tone of those guys is getting to be nauseating. The latest blow is the decision coming from Walgreens to get involved in chronic illness management. How sad that they have no idea of what we do and how bad that will be for healthcare. I for one will refuse to see patients who are going to Walgreens for anything.”

Thanks for writing. I’m interested to see the details on how Walgreens plans to pull this off, specifically how they plan to communicate with other members of the patient care team. When I’m wearing my PCP hat, I refuse to refer to other physicians that don’t communicate in an adequate or timely fashion, and I won’t hesitate to refer patients away from pharmacies or other businesses that don’t have the patients’ best interests at heart. The best service in my community (which is heavily saturated with all kinds of chain pharmacies) actually comes from a mom-and-pop shop and their prices are competitive.

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I wonder if Inga has a pair of these in her closet? I can’t imagine they’d be comfortable, but they’re certainly unique.


Contacts

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

More news: HIStalk Practice, HIStalk Connect.

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April 18, 2013 News 7 Comments

Morning Headlines 4/18/13

April 18, 2013 Headlines 1 Comment

Mostashari defends vendor fee proposal

Farzad Mostashari, MD, defends ONC’s EHR vendor fee proposal by arguing that “having an assured funding base for the agency’s certification program would reduce uncertainty for the industry.”

Lawmakers push Hagel on DoD-VA interoperability

Chuck Hagel has cancelled DoD’s RFP searching for a system to replace its homegrown AHLTA system, saying that the agency would publish clarifying plans shortly.

HIT Q1 2013 Funding and M&A Report

Mercom Capital Group just published its quarterly review of health IT investments. There was $493 million venture capital funds invested this quarter, with Health Catalyst ($41M), xG Health Solutions ($40M), and NantHealth ($31M) inking the largest deals.

Use of Smartphones to Collect Information about Health Behaviors: Feasibility Study

The CDC is doing feasibility studies to investigate potential research bias in using smartphones to collect health information from participants. Specifically, they are looking to verify that selecting only participants that own smartphones for a study does not result in unintentional bias.

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April 18, 2013 Headlines 1 Comment

News 4/17/13

April 16, 2013 News 4 Comments

Top News

4-16-2013 9-28-53 PM

4-16-2013 9-34-13 PM

Six Republican senators release a report criticizing the HITECH EMR push, saying EMRs are increasing healthcare spending instead of reducing it and that Medicare doesn’t have a plan to ensure interoperability, increasing the chances that $35 billion in taxpayer money will be wasted. It accuses the administration of using money spent as a benchmark of success rather than specific goals, says that Meaningful Use self-attestation means providers may not be using technology as intended, and accuses CMS and ONC as having lax security policies and procedures that jeopardize the security of patient data. It also concludes that post-HITECH penalties will affect small providers disproportionately and that reporting requirements are creating provider compliance burdens.


Reader Comments

From Katherine the PCP: “Re: athenahealth. I’ve been live for two weeks now as part of a health system rollout and I am happy as a clam. The folks from athena were wonderful and worked very well with Clinovations, who were there for the extra help. Athenahealth is everything I expected and more. I did not have to make even one call to their call center. Happy to be paperless!” This was from long-time HIStalk physician reader who I know, so this was not a questionable anonymous comment.


HIStalk Announcements and Requests

4-16-2013 6-51-38 PM

An international HIStalk sighting: an unidentified reader sent over this photo wearing an “I Could Be Mr. H” beauty queen sash taken in London. We’ll be getting more photos from other cities as the sash’s owner enjoys global travel, I’m told. If you’re heading to interesting places this summer, snap your own picture featuring a recognizable location and something HIStalk related (an iPad image of the web page, a printed logo, etc.) and I’ll run it here.

4-16-2013 8-15-22 PM

Welcome to new HIStalk Platinum Sponsor Care Team Connect. The Chicago-area company was launched in 2008 to help chronically ill patients receive better and less expensive care, offering a technology platform that coordinates care among hospitals, community providers, and patients and their families. CTC Gateway is a Web-based platform that makes it easier to distribute patient data to support shared risk payment models via payment reconciliation, file management, attribution list delivery, outcomes reporting, population stratification, and communication and transparent reporting among provider partners. CTC Navigator provides a rules-engine driven checklist process to ensure that target patient populations receive the right care with efficient use of resources. Clients include Integrated Health Partners, Vanguard Health Systems, Ellis Medicine, and MemorialCare Health System, along with its integration into the Michigan Health Information Network to provide real-time updates and alerts for 25,000 patients. Thanks to Care Team Connect for supporting HIStalk.


Acquisitions, Funding, Business, and Stock

4-16-2013 9-00-49 PM

Baltimore-based care coordination platform vendor Ankota raises $2 million to increase headcount. The CTO is a former GE Healthcare CIO and the chief medical office is a Hopkins population health specialist.

4-16-2013 9-24-32 PM

CrowdMed, which uses the wisdom of crowds (“Medical Detectives”) to help patients determine their diagnosis, raises $1.1 million in funding.


Sales

Fulton County Hospital (AR) selects Healthland Centriq EHR for its 25-bed critical access facility.

INTEGRIS Health (OK) signs with TeraMedica for its Evercore Clinical Enterprise Suite.

The iHealthTrust HIE (TX) selects iMedicor to provide secure communication services via the iMedicor SocialHIE platform.

Blue Shield of California hires Kony Solutions to develop mobile apps on the KonyOne platform. Meanwhile, Kony is considering an IPO later this year.


People

4-16-2013 3-50-19 PM

Amy Garcia (American Nurses Association) joins Cerner Clairvia as chief nursing officer for the company’s workforce and capacity management business unit.

4-16-2013 6-23-59 PM

Healthcare VC firm Aberdare Ventures hires Mohit Kaushal (West Health) as a partner.

4-16-2013 2-48-32 PM

AliveCor, the developer of a mobile-based ECG monitor for the iPhone, names Daniel J. Sullivan (SuperDimension, Inc.) president and CEO.

4-16-2013 8-32-21 PM

James Muir is promoted to VP of revenue cycle management sales at NextGen.

4-16-2013 7-59-29 PM

Harvard Vanguard internist Alan Brush, MD, who joined the organization in 1975 and has headed its internal medicine EMR design committee since 2000, wins the Harvard Vanguard Lifetime Achievement Award.

Lester Wold, MD (Mayo Clinic) joins VitalHealth Software as CMO.

Health Evolution Partners appoints Kevin McNamara (McNamara Family Ventures) as an operating partner.

DataMotion, a health information service provider, hires Andrew Nieto (Allscripts) to oversee the company’s DataMotion Direct secure e-mail service.


Announcements and Implementations

Pioneer Community Hospital (GA) implements McKesson EMR as part of the $27 million EHR initiative of Pioneer Health Services.

Saint Joseph Hospital (IL) uses polling software and interactive keypads as part of its EMR training program, embedding questions for audience feedback into its PowerPoint presentations.

The Cherry County Hospital (NE) goes live this month on Meditech’s nursing and therapy documentation and will implement CPOE and eMAR in June.

Mount Sinai announces the go-live of Epic at Mount Sinai Queens, which marks the second major phase of the health system’s $120 million rollout.

4-16-2013 10-49-13 PM

Rogue Regional Medical Center (OR) went live on Epic last last week, while Providence Medical Center (OR) makes the switch April 27.

Home health services provider AccentCare begins a phased implementation of the Homecare Homebase solution.

GE Healthcare announces several new customer-focused initiatives including recognition of facilities using GE HIT products to boost productivity in significant ways; road shows featuring Centricity Imaging Solutions; and, an expanded channel partner program to support ambulatory practices.

Palomar Health (CA) pilots a clinical messaging infrastructure to enable secure HIE using the Direct Project’s secure messaging protocols and the HPDPlus specifications for online physician directories.

CajunCodeFest 2.0 will be held April 24-26 at University of Louisiana at Lafayette, with teams of self-organization participants building healthcare prototypes over a 27-hour period in competing for a $25,000 grand prize. Social activities include a crawfish boil, a Cajun band, and the concurrent Festival International de Louisiane.

GetWellNetwork’s GetConnected 2013 meeting is underway in San Diego, with more than 500 patient engagement leaders in attendance.


Government and Politics

4-16-2013 3-23-17 PM

Not surprisingly, the HIMSS EHR Association issues a statement indicating it does not support the EHR user fee included in the President’s proposed 2014 budget.


Innovation and Research

A study published in JAMA Internal Medicine finds that physicians ordered 8.6 percent fewer tests when shown test costs during order entry. Cost per patient day fell 9.6 percent.


Other

4-16-2013 10-52-40 PM

Life post-Allscripts for Glen Tullman includes building a $5 million glassblowing studio for his son, serving as executive chairman for a chain of tea cafes, running his solar panel business, operating a healthcare app venture capital fund, and starting a company that sells tablet PCs to Chicago schools. Some quotes about his Allscripts experience:

I would have moved faster in integrating Eclipsys. And I would have pushed more aggressively into interoperability, connectivity and care-coordination areas … I think it was the right time to go off and focus on what I do best, which is the innovation part of building great new companies. That’s my interest. It’s hard to do that in a multibillion-dollar, publicly traded company focused on quarter-to-quarter earnings.

4-16-2013 10-51-19 PM

Detroit Medical Center (MI) will lay off 300 employees, or 2 percent of its workforce, in response to the sequester-driven 2 percent Medicare payment reduction. It will also cut executive salaries.

4-16-2013 8-56-03 PM

Cerner gets a National Enquirer mention for providing key evidence in the prosecution of Charles Cullen, the Somerset Medical Center (NJ) who killed at least 40 and possibly as many as 400 patients by drug injection. A fellow nurse who was familiar with Cerner worked with investigators to determine that Cullen was looking up patients not under his care to target them for murder, leading to his arrest. Cullen’s story is described in a new book, The Good Nurse: A True Story of Medicine, Madness and Murder.

4-16-2013 9-10-46 PM

GigaOM profiles California-based MDRevolution, a cardiologist-founded technology-heavy medical practice that combines cardiology, nutrition, and genetics to create affordable, customized healthcare. Patients use fitness trackers, app-enabled monitoring devices, and genetic assessment tools. The practice accepts insurance and charges an extra $25-$75 per month for access. The founder says its self-developed patient engagement software will drive the discovery of new treatment insights. The practice uses physicians minimally as managers rather than clinicians and says new locations may eliminate physicians entirely and replace them with nurse practitioners.

4-16-2013 9-14-19 PM

In England, a hospital physician is profiled for running a series of NHS Hack Days where volunteers (“Geeks Who Love the NHS”) work on disruptive digital health projects.

Also in England, an IT trade group says NHS’s information architecture encourages siloing and urges it to move toward open standards and the approaches that worked for e-commerce providers. The Department of Health has asked the trade group to make recommendations for achieving a paperless NHS.

A New York Times article profiles tele-ICU systems such as the Philips eICU, concluding that vendor-support studies show dramatic benefits, but other studies find little difference in outcomes. Several hospitals that launched remote ICU monitoring services with extensive publicity have since pulled the plug, including New York-Presbyterian, Kaleida, and at least three other hospital systems that installed systems in 2004 and 2005. Kaleida said the tele-ICU was a nice marketing tool, but they saw no significant improvement in mortality and complication rates and decided to redeploy the personnel back to the bedside.


Sponsor Updates

  • Captain Stephen Harden, chairman and CEO of LifeWings Partners, shares how aviation uses technology to avoid fatal errors at this week’s Surgical Information Systems National Conference in Atlanta.
  • Illene Moore, MD of Dearborn Advisors lists the traps to avoid when optimizing EHR use.
  • SuccessEHS integrates its EHR/PM solution with four Welch Allyn medical diagnostic devices.
  • Sunquest Information Systems President Richard Atkin keynotes at the MedTech Nordic Investing & Partnering 2013 event September 3 in Helsinki, Finland. SIS CTO Eric Nilson posts the second of his three-part series on quality reporting for anesthesia.
  • Brian Hodges, Informatica’s SVP of worldwide professional services, discusses risk-sharing and its impact on buying decisions.
  • Kennedy Consulting Research & Advisory includes Aspen Advisors, Beacon Partners, Cumberland Consulting, Deloitte, GE Healthcare, and Impact Advisors in a report on firms in the healthcare payer, provider, and government consulting sectors.
  • The Advisory Board Company, Heritage Provider Network, and the Bipartisan Policy Center launch the Care Transformation Prize Series, a national contest to encourage healthcare organizations to identify roadblocks to implementing new care models.
  • Truven Health Analytics announces its report on the 15 top health systems, which were selected based on highest survival rates and fewest complications.
  • QlikView offers a series of BI technology summits in several cities in coming months.
  • EDCO Health Information Solutions and HealthPort collaborate to provide improved and expedited management of PHI.
  • MedHOK’s 360Measures V 2.55 earns P4P software certification based on testing on the Integrated Healthcare Association’s California P4P measures, NCQA, and HEDIS.
  • The Indianapolis Star names First Databank as a Top Workplace in 2013 based on employee feedback.
  • GE Healthcare hosts its 2013 Centricity Live USER Conference this week in Washington, DC and announces GE Chairman and CEO Jeff Immelt as one of the keynote speakers.

Contacts

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

More news: HIStalk Practice, HIStalk Connect.

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April 16, 2013 News 4 Comments

Advisory Panel: Data Breaches

April 15, 2013 Advisory Panel No Comments

The HIStalk Advisory Panel is a group of hospital CIOs, hospital CMIOs, practicing physicians, and a few vendor executives who have volunteered to provide their thoughts on topical industry issues. I’ll seek their input every month or so on an important news developments and also ask the non-vendor members about their recent experience with vendors. E-mail me to suggest an issue for their consideration.

If you work for a hospital or practice, you are welcome to join the panel. I am grateful to the HIStalk Advisory Panel members for their help in making HIStalk better.

This question this time: Has your facility learned lessons from an attempted or actual data breach? Describe your major concerns and what actions you’ve taken.


Some of our breaches have been the result of thefts of computers and storage media that contained unencrypted PHI. We have since encrypted everything we can identify that contains PHI and have instituted mandatory training for protection of PHI as well as incident response. While we continue to suffer equipment losses from theft, we are losing encrypted equipment that does not entail a breach of PHI.

We have been lucky as we have not had an attempted or actual breach. My biggest concern is the "innocent" breach — the resident who manages to copy PHI to a jump drive or cloud drive like Dropbox. We’ve either encrypted or virtualized all of our laptops, so the USB ports can’t be used for this purpose. But clever people can always find a way to defeat our measures. One resident with a smartphone and an Evernote account can do lots of damage.


We lost a home care worker’s tablet (stolen from her car even though the policy is to keep it with you at all times) and we were concerned about the status of the encryption on this department’s devices. The tablet was retrieved quickly and we did determine that the encryption was on and that no PHI was accessed. We then did a complete inventory of our mobile devices and added a new encryption product to ensure we did not have an issue in any of our settings.


Our facility has not identified any major data breaches. We have had violations where individuals have inappropriately accessed protected PHI. On the one hand, I find it frustrating that some people still take a casual attitude towards HIPAA privacy and security when they should know better. On the other hand, it shows me that we still have much education to do.


We’ve worked through a couple of breach scenarios – including what thankfully turned out to be a drill.  Some of our key responses included:

  • Escalating the priority and completing a system-wide encryption process
  • Updating our BAA to ensure our business associates are taking encryption steps
  • Changing policies for how consultants and vendors work with our data (like for conversions and analysis we need)
  • Overall our focus has been how can we eliminate the risk – so when/if a device is lost/stolen it’s not a breach.
  • Require our business associates to assume all liability for a PHI breach they cause – this can be an interesting negotiation point. I find myself regularly pointing out that as an organization we don’t see it as an effective partnership for us to be legally required to have unlimited liability related to the breach and the vendor partner who caused the issue to have a contractual cap to their liability.

As we work with vendors, it becomes obvious who has either been through a breach or seriously thought through the scenarios. Some of them apparently don’t understand how big of a deal a breach can be from a PR or monetary issue.

I’m somewhat hopeful the new HIPAA guidelines will help address vendor awareness and accountability for a breach they cause.


We have not had traditional breaches. The much bigger issue has been from legitimate employees doing illegal things, like calling in narcotic or other prescriptions for themselves or their friends. Not surprisingly, they are more likely to do this via phone call than via ePrescribing due to both tracking mechanisms and the current inability to send narcotics that way. It still boggles my mind that a pharmacy will accept a narcotic Rx via voice mail from anyone claiming to be a doctor’s assistant, but won’t accept an authorized eRx! If the FDA wants to minimize illegal narcotic prescriptions, they should ban printed and voice prescriptions and insist they should ONLY be done electronically – they literally have it backwards!


We had a potential breach. On investigation, we found no PHI was compromised. However, we were just lucky. The cell phone number of a new physician’s assistant was entered incorrectly into a call list and non-secure text messages were sent to the incorrect number. Luckily no PHI was included and the recipient notified us pretty quickly. We have subsequently identified a secure messaging platform and will be offering it to all community providers at no cost to the providers and requiring all employed providers to use it. In addition, we have used this as a specific example of the problems with insecure messaging in general to raise awareness.


While a secure perimeter is still important, you have to accept that bad guys are eventually going to get past it. One example is that we have seen a sharp rise in “spear” phishing attacks. Each month we are receiving thousands of phishing messages that are becoming more polished and sophisticated. It only takes one slipping through to potentially create a breach. As a result and as a lesson learned, we are focusing more on monitoring internal data traffic and, importantly, patterns. The idea being that if our network is compromised, we want to identify it and take corrective action as quickly as possible. 


Not from any actual event here. However, we have an annual white-hat audit/hack to expose where we are weak in order to stay ahead of potential breaches. I am pretty confident you cannot prevent all of them, but need to perform diligence against what is known and do this on at least an annual basis  We may switch to twice a year due to the security threats ever changing, which our Board and Audit team likes.


No data breach (thankfully) :)


No one ever — I mean ever — reports a laptop as stolen to the police. I think it’s the untold rule of HIT right now. You don’t want to be in the paper, so don’t file a public police report. It’s not like any government entity knew you owned that laptop and it is no longer in inventory. Even if you use encryption on the laptops, its still just better to not have the press. 

Other major concerns. The default database usernames and passwords for many of the McKesson Horizon products are still out there in production. Ccdev is normally still the same password and what was said in 2009 is still true — changing the defaults makes for a whole hell of a mess to fix. Also, database fields that aren’t encrypted for personal identifying information. Allscripts Enterprise. No use of encrypted fields at least not in how its implemented by their contractors. Same for McKesson — you get the database,  you get the data, and there are some pretty easy Oracle exploits out there if you are going for HCI. You’d have to do a ton of research to know the server names, but most places don’t block people from plugging into their physical LAN via Network Access Control or other means, so it’s possible. The article this week about HIT’s security situation is coming reminded me of all the easy ways to exploit system databases and installs.


Yes, have a pre-packaged response plan and practice it regularly. The plan needs to cover your organizational reaction, your public response, as well as your technical response and forensics. Establish relations with an identity protection service. Establish relations with a hardcore forensics analysis service that can also provide "white hat" attacks against your system, as a broader threat assessment service. For the sake of optics, provide NAC background checks on all employees that could reasonably present a risk as an insider threat. And for God’s sakes, encrypt every hard drive — desktop and laptop. Also, provide password-protected, encrypted thumb drives to employees. Put them in the cafeteria and hand them out like mints.


The only breaches that we have had are ones that would not have been preventable by any technology or policy prevention efforts. One was a paper breach by someone who was taking records for her defense in a lawsuit and the other was someone who compiled an Excel spreadsheet of research patients and sent it to an unsecured Gmail account. Both were actions by internal ‘bad actors’, so that is my biggest concern. We encrypt most everything possible here, even thumb drives, so the chances of a breach due to theft or negligence is pretty small.


A few years ago we had a virus of the keystroke variety. It basically infects the device, captures keystroke information, and sends data to China. The server in China attempts to create identity information from the keystroke data. Through some quick action by staff, we closed the perimeter before any packets of information were sent. At this time, I wasn’t too concerned since we looked up the type of virus on our virus protection vendor’s website and it said "minimal risk" to corporate users. What I failed to understand is that "minimal" meant minimal chance of getting the virus. Once you were infected, then risk went to "high."

The fun began at that moment. Luckily, the users were unaware of the virus since all applications were not affected. It was basically IS vs. Virus. By the time we started our remediation efforts, this bug had infected approximately 1,000 devices. Our virus protection vendor did not have a patch for this variant, so we were on our own for a while. We collected the packets created by the virus and sent them to the vendor. They quickly realized how nastiness of this virus and dispatched an engineer to assist in remediation efforts. He arrived the following day. In the mean time, the virus was able to deduce that it was being thwarted by our efforts and immediately phoned home for instructions. 

At this point, the virus mutated and we were now fighting two strains. We closed off the virus’s command and control link (port 80 for you geeks) and continued to remediate. After 24 hours, the vendor programmed the patch and eradication efforts accelerated. We realized at this point many of our newer PCs were not managed by the host virus protection software hub. They had virus protection, but it was out of date and could not be updated remotely. These devices (approximately 1,000 devices or 20 percent of total inventory) had to be identified, knocked off the network, and manually remediated. It took 20 minutes per device, so you can do the math.  We also had to contact all laptop users since many of those devices could have outdated virus protection. We set up a depot for laptop users to drop off and pick up. It was a very manual process. 

It took us a couple of weeks of concerted effort before we were out of the woods. I was up for 42 hours straight at one point and totally forgot what day it was and many of the names of my team. Fortunately, I didn’t have to drive home. One of our team members had just started that week (of course we blamed him). I found out later that during a break, he walked around the building, phoned his wife, and told her not to sell the house. Fortunately for us, she did, and he now oversees our infrastructure team. We heard a few weeks later that another healthcare facility contracted the same virus but did not discover it for a week. It took them over a month to eradicate the bug and they ended up in breach notification land.

From a lessons learned perspective, we started with our virus protection. We made sure that every device was being managed by the central server and updates going out daily to all devices. We also deployed Malwarebytes to all devices as a secondary precaution. We accelerated our recruitment of a CISO and centralized our security team dedicated to protecting our assets. As of today we have implemented many of technologies needed in a strong security program. Under the leadership of the CISO, we have encrypted all mobile devices, e-mail, and flash media. We have implemented a Security Information and Event Manager (SIEM) tool, Data Loss Protection (DLP), and soon will have an Intrusion Detection System (IDS). We have a top notch security company on retainer. They also perform audits, safe harbor workshops, penetration testing, assist in remediation efforts, staff education, and assist us in staying up to date on any HITECH security updates. Besides a solid security program, we assume a breach is inevitable and have prepared in advance. 

For my colleagues I understand the cost associated with this type of program can be daunting both in capital and operating. Outsourcing should be considered for some of the areas (e.g. SIEM) to reduce cost. One of the reasons we are seeing so many breaches is based on the costs associated with implementing a solid security program, especially at smaller organizations. It’s tough to get the program through the budget process. It’s akin to waiting to see how many accidents you have at an intersection before a traffic light is installed. Usually it takes a fatal one. My suggestion to colleagues is to walk leadership through a mock breach event using real examples. I used an article from a local newspaper in California. The hospital explained the breach and what they were doing about it. In the article comment section, a reader wrote, "How can you take good care of me when you can’t take care of my health information? Ouch! Also, besides the fine and ending up on HHS website, the CEO typically apologizes to the community. That usually gets his or her attention.

Sorry for the long-winded response, but it is an area of interest and fascination for me.


Two stories. Our clinic system, located at the vendor’s data center, would automatically forward reports to key individuals on a daily basis. These were primarily statistical reports. Using the same approach, reports were designed to include patient information (today’s schedule, etc.) While this was "known," what wasn’t known was that the e-mail path from the data center to the clinics changed e-mail domains, which meant that the reports were being sent unencrypted across the public domain. The resolution was fairly simple, but it came as a fairly big surprise to us.

Confidential data (a little of which was PHI) being on a phone that a disgruntled employee was slow in returning. Exposure was unknown (likely known), but it caused a change in our approach on how personal phone (vs. vendor provided) should be used.


We have not yet experienced a data breach. We did, however, experience a recent virus attack. First one of any significance for this organization. Lots of lessons learned in terms of adequacy of backups and response plan. Overall not a bad experience, though we have many things to correct.


To date, we have not experienced a data breach, but have been trying to learn from the lessons of other healthcare organizations that have in order to avoid their mistakes. Toward that end, we have had improvements in physical security and made strong efforts to assure device and portable media encryption.


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April 15, 2013 Advisory Panel No Comments

Monday Morning Update 4/15/13

April 13, 2013 News 1 Comment

4-13-2013 1-42-24 PM

From The PACS Designer: “Re: iRing. As we wait for the Apple iTV later this year, it has been rumored that this new device will have an iRing as a control device. So while you munch your snacks and watch your favorite programs on an iTV, you’ll be able to flip channels, adjust the sound, or also switch to an Internet browser with this new innovation.“

4-13-2013 1-51-23 PM

From Low Rider: “Re: barcoding. Saw this – looks pretty cool.“ A Hospira solution scans IV bags to verify them, scans the smart pump to check its settings, and then sends the settings and start time to the EHR.

4-13-2013 1-46-40 PM

Internal slides from Optum sent by an anonymous reader suggest that the company will sell its 60-consultant OptumInsight implementation and support business to Accenture effective May 9.

4-13-2013 1-19-55 PM

Half of respondents think that the CommonWell members that offer hospital systems haven’t integrated their own products very well. New poll to your right: which of the listed hospital system vendors offer “open” systems, based on how you interpret that word’s meaning? You can choose one, several, or “none of the above” and you can leave a comment as well.

4-13-2013 1-28-56 PM

Welcome to new HIStalk Gold Sponsor Institute for Health Technology Transformation, or iHT2. The company offers events, research, Webinars, and resources, all described in its newsletter (sign up for a free subscription here.) Upcoming Health IT Summits are in Atlanta, Boston, Ford Lauderdale, Denver, Seattle, New York, Beverly Hills, and Austin. Speaker lineups are good enough that I may attend one myself. Research projects include healthcare analytics, big data, and process improvement. Their Webinar schedule is here. Thanks to iHT2 for supporting HIStalk.

Thanks to the following sponsors, new and renewing, that recently supported HIStalk, HIStalk Practice, and HIStalk Connect. Click a logo for more information.

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Ken Mackley (St. Joseph’s Area Health Services) joins Cuyuna Regional Medical Center (MN) as director of IT.

ED system downtime forced Memorial Hospital of South Bend (IN) to go on diversion for several hours on Thursday.

4-13-2013 2-32-40 PM

University of New Mexico Hospital (NM) will lay off 57 transcriptionists in outsourcing their work to Nuance.

4-13-2013 2-39-07 PM

In Australia, the government’s $1 billion eHealth system holds only 414 patient records nine months after its launch, with fewer than 1 percent of doctors being able to view records on it because they refuse to sign up for a new healthcare ID. The government is sending out teams to recruit patients to sign up, which requires patients to provide their insurance cards and driver’s license. Critics say the government is trying to boost the registration numbers to hide the project’s failure.

In England, an NHS trust admits that it not only accidentally overpaid 791 workers, but also hired debt collectors to try to get the money back from its own employees.


A class action lawsuit is filed against Florida-based Adventist Health System/Sunbelt alleging that the hospital operator’s failure to protect patient information allowed its ED employees to sell patient information to lawyers and chiropractors.

4-13-2013 2-12-05 PM

Google acquires Behavio, whose software harvests anonymous information from smart phone sensors such as location, speed, and the presence of nearby devices. Medical and disaster recovery applications are among its potential uses.

Weird News Andy suggests this weighty problem is waisting patients’ time. A survey finds that both patients and physicians trust the other less if they are overweight, with patients less likely to take advice from a fat doctor.

It’s more on the HIS-tory of Meditech this week from Vince.


Contacts

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

More news: HIStalk Practice, HIStalk Connect.

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April 13, 2013 News 1 Comment

Readers Write: Buy or Build: SaaS Can Make Sense for Meaningful Use Reporting

April 12, 2013 Readers Write No Comments

Buy or Build: SaaS Can Make Sense for Meaningful Use Reporting
By John Hotchkiss

4-12-2013 5-41-22 PM

The trials and tribulations of Meaningful Use (MU) have given new meaning to the lives of many of us in IT, and often not in a good way. An average 250-bed community hospital submitting its 90-day attestation report must process roughly 3,000 records covering approximately 13,250 patient days, using nearly 300 data elements per record for core and menu measures with up to 600 data elements in each record in support of the clinical quality measures. That’s a tall order.

With a demand for codified and structured data, clearly MU attestation is a different animal than your typical federal report. As a result, most hospitals inevitably face the question of whether to build or buy an MU reporting system, with the possibility of a vendor SaaS-based system taking many of the headaches out of the process.

As a technology professional, I have had exposure to both solutions, and thought I would shed some light on the issues for those still searching for an answer.

Whether for a homegrown or vendor supplied solution, the first steps in report set up are choosing the measures to report and deciding between the various reporting options. To make informed decisions, every data element for Core, Menu, and Clinical Quality Measures has to be reviewed by staff to determine how the hospital wants information to be captured and presented.

Consider, for example, the base population for core and menu measures. Which method will the hospital use for selecting the Emergency Department (ED) patients to include with inpatients in the population? The choices include the Observation Services method, which uses only patients admitted for observation with the appropriate HCPCS code, or the All ED Visits method, using all patients admitting to the ED in the reporting period. The EHR capabilities available in each location inform this decision and drive many others that follow. For example, if the hospital chooses the All ED Visits method, is the ED actually documenting the required BMI and other data elements for all the measures? Must hospital staff be re-trained to do so?

Here’s the fork in the road: to create an in-house solution, IT folks must create a data map to see what fields the MU report needs, determine if those fields currently exist within the modules of the EMR, and then confirm that they are in the required MU format. Very often, IT needs to create new fields or modify existing ones.

Also, multiple modules must be examined because fields often span multiple system components. Without exaggeration, managing that initial data mapping to support the attestation report could take months, not to mention enduring the headaches of ensuring care management staff comply with appropriate data input.

Now finally, your reports are generated. Unfortunately, the first time around, data often fails to meet thresholds. So it must be determined whether this is a problem with the data or whether caregivers are simply not entering the required information in the correct format. This forces IT staff into detective mode to identify and fix the problems.

Applause, applause – the final report is created and filed. Not so fast. This leads to the nightmare of storing hundreds of thousands of auditable data elements and estimating MU storage requirements going forward. Estimates are that a 365-day attestation requires 3.6M to 7.2M data elements. Where will IT store all that data? And, how will the security issues surrounding sensitive patient information be managed? These are the types of issues that keep IT staff up at night.

A SaaS-based MU solution may be a good choice for many hospitals, particularly smaller community facilities without the bandwidth to support all of the above. With multiple challenges, offloading some of that burden makes sense.

Many hospitals will have already determined on their own the measures and reporting options they will use and the information format that required. With that behind them, some SaaS vendors have sophisticated data mapping guides to help hospitals analyze data right from the system itself to identify reporting gaps, to ferret out the problems and to determine information to be added or modified.

Some SaaS vendors can also extract the hospital’s data directly from all system modules to leverage data that the care providers are already entering, thereby eliminating duplicate data entry – a benefit that cannot be overemphasized. Also, some vendors cannot only identify whether measures are in compliance, but can also determine why measures may be failing and help the hospital take steps to correct the issue. As a result, patient care and hospital processes see immediate improvement while the patient is still in the bed.

Of course, with the SaaS solution, users enjoy all the model’s inherent benefits including elimination of software and hardware management, simplification of interface and upgrade management, and unlimited scalability for storage and computational capacity. Obviously some hospitals are just more comfortable with building MU reports themselves and retaining complete control over their data and the process. But for others, SaaS may be just the answer they seek for MU reporting and attestation.

John Hotchkiss is chief technology officer of IHM Services Company.

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April 12, 2013 Readers Write No Comments

News 4/12/13

April 11, 2013 News 9 Comments

Top News

4-11-2013 7-09-59 PM

ONC’s proposed 2014 budget calls for $78 million in spending, up from $61 million in 2013. Staffing will increase from 89 to 109 FTEs. Also in the budget is $1 million in user fees that would be paid by EHR vendors.


Reader Comments

From The PACS Designer: “Re: MyChart. It’s nice to see that TPD’s post on MyChart signup generated a Readers Write from Anonymous along with a large number of reader comments. TPD’s view is MyChart is a good start for an online medical record, but much more needs to be done to add to maximum value for each patient using this option. For MyChart to be used, the patient must request a printed copy of the provider’s existing record. At the very end of the printed record you’ll find a unique starting code, which you will enter once you logon to MyChart. As for lab results, you’ll only get those on your record that the provider has interface installed for those other lab systems. What’s likeable is each medication listed on your record has a link to the National Institutes of Health’s NIH MedlinePlus site, which gives you access to the prescriptions purpose and side effects along with much more information you can’t find on your pharmacist’s prescription fact sheet.”



HIStalk Announcements and Requests

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Inga is taking the day off, so I’m sure we all wish her well in whatever interesting activities she has arranged. She mentioned earlier that her sixth anniversary with HIStalk is this week, so perhaps she is celebrating. Here’s to her.

We will be presenting some Webinars shortly and I need three hospital CIOs to provide presenter feedback for the first one. Real-time viewing isn’t required since we will have a recorded practice run of the Webinar to review. It will probably run around 40 minutes. Let me know if you can help. I’ll send an Amazon gift card as my thanks.

On the Jobs Board: Solution Sales Executive, Senior Program Manager, Senior Client Representative.

4-11-2013 8-10-22 PM

Welcome to new HIStalk Platinum Sponsor QPID Health Record Intelligence. QPID (Queriable Patient Inference Dossier) aggregates EHR data to support real-time clinician-directed queries, analytics, and reporting capabilities at the point of care. Fast queries are supported by caching and indexing the patient record, with structured and unstructured information parsed and tagged. Any number of rule sets (apps) can be used, with examples that include an EHR search portal, an ED patient summary dashboard, a GI conscious sedation intake system, coding optimization, bronchitis screening, OR diabetes alert, and automated determination of smoking status. I interviewed President and CEO Michael Doyle on the day of the company’s February 14 launch. Thanks to QPID for supporting HIStalk.


Acquisitions, Funding, Business, and Stock

4-11-2013 9-27-35 PM

Cerner shares hit a 52-week high Thursday, closing at $95.54, up 30 percent in the past year. Above is the one-year share price chart of CERN (blue) vs. the Nasdaq (red).

Athenahealth files a patent infringement lawsuit against PM/EHR competitor CareCloud, claiming that the company violated athenahealth’s 2001 patent for claims processing rules. Several former employees of athenahealth now work for CareCloud. Athenahealth declined to comment on the lawsuit, but CareCloud CEO Albert Santalo provided us with this statement:“ To the best of our knowledge Carecloud is not infringing on Athenahealth’s 13-year-old outdated method and we won’t be making any additional comment at this time.”


Sales

Piedmont Healthcare (GA) will deploy Perceptive Software solutions to integrate data directly into its Epic EHR throughout five hospitals and 45 physician offices.

4-11-2013 9-30-25 PM

Hennepin County Medical Center (MN) continues its population health drive for HIV care with Forward Health Group’s PopulationManager.


People

4-11-2013 9-05-22 PM

Chris Coburn, executive director at Cleveland Clinic Innovations, will leave that organization to take an unnamed position with Partners HealthCare.

Michael Thompson (Mindray) joins Medstreaming as COO.


Announcements and Implementations

Vocera ships its 500,000th communication badge.

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Tennessee-based Parental Health, which offers a care management platform for seniors, will raise $3 million via a Series B fundraising round, with the proceeds going toward the addition of up to 12 full-time employees in sales and marketing.

The Bipartisan Policy Center’s Health Innovation Initiative, Heritage Provider Network, and The Advisory Board company will hold an April 16 discussion on the the use of data by providers, health plans, and states to address healthcare challenges. A big data challenge will be announced. Speakers include Janet Marchibroda (BPC); Senator Bill Frist, MD; Aneesh Chopra (The Advisory Board Company); Karen Ignani (AHIP); and James Weinstein, MD (Dartmouth-Hitchcock Health System). The event will be streamed live.

Intuit Health announces that the seven millionth patient has registered for its health portal.

4-11-2013 8-43-18 PM

Practice Fusion launches Patient Fusion, which allows patients to schedule online appointments via the Web with any of the free EHR company’s 27,000 physician users and access their health records online. Mobile versions will follow.

Impact Advisors expands its mergers and acquisitions services for the healthcare IT market.

MMRGlobal files a patent infringement complaint against Quest Diagnostics and its Gazelle personal health records system.

4-11-2013 9-33-36 PM

Western Maryland Health System expands its use of Versus RTLS to include a mobile, location-aware call button for caregivers.


Government and Politics

ONC announces internally the hiring of Joe Bormel, MD, MPH (QuadraMed) as Director of Health Outcomes. He will focus on usability, clinical decision, support, and Meaningful Use and certification policy. We reported his hiring as a rumor as ONC medical officer on Tuesday, but did not list his title (“medical officer” in ONC is any physician employee). Bormel will report to Chief Medical Officer Jacob Reider, MD.

The VA requests $3.7 billion for its 2014 IT budget, a 10 percent increase. It includes $252 million for projects related to the VA-DoD shared EHR.


Technology

4-11-2013 9-35-42 PM

Athenahealth will provide third-party developer access to its physician network by rolling out an programmer API, allowing creation of an ecosystem of apps that can use its anonymized medical histories, appointments, and billing information through its More Disruption Please program. 


Other

In the UK, a hospital suspends its children’s heart surgery program because of high mortality rates, only to find that poorly produced data that had been fed to its new computer system had produced a false alarm.

Weird News Andy calls this “clear thinking for fatheads.” Stanford researchers develop a method of rendering harvested brain tissue transparent by removing the fat in its cells, allowing them to view structures down to the individual cell and molecule level.


Sponsor Updates

4-11-2013 7-46-51 PM

  • Good Samaritan Hospital chooses Access and Perceptive Software to create electronic forms on demand.
  • Vicki Lucas, RNC, PhD, chief nursing officer of PeriGen, covered strategies to increase OB revenue at the World Congress Leadership Summit on The Business of Women’s Health Washington, DC on April 10.
  • UMC Health System (TX) goes live on Cerner CPOE with the assistance of HCI Group.
  • GetWellNetwork will serve as a patient engagement sponsor for The Academy Huron Institute’s 2013 program “Developing Innovative Value-Based Delivery and Payment Models.”
  • T-System signs an exclusive agreement with X32 Healthcare to offer Lean methodology for analytics and services with the ED.
  • Hurley Medical Center (MI) selects Ciber to implement its Infor Healthcare Suite.
  • Michele Hilton, GM of medical billing services for ADP AdvancedMD shares the top five challenges for hospitals to get paid.
  • Merge adds endpoint and adjudication management to its eClinical OS platform for end-to-end study support in a single platform.
  • Aprima Medical Software partners with ClearDATA for cloud hosting of its EHR/PM/RCM software and services.
  • e-MDs announces the free Kansas City User Group roadshow on May 2.
  • MedAssets honors veterans and humanitarians during the 2013 MedAssets Healthcare Business Summit in Las Vegas.
  • DrFirst receives the Surescripts 2012 White Coat of Quality Award for the third consecutive year.
  • Ingenious Med reaches the milestone of 25,000 charge capture users.
  • Levi, Ray & Shoup hosts a webinar April 16 and 18 on improving performance in an SAP environment.
  • CTO Charles Halfpenny of Halfpenny Technologies will present a master level session at the 18th Annual Executive War College on the value of lab data to health plans.
  • Walsh College (MI) renews its IT outsourcing contract with CareTech Solutions.
  • Confirmit awards McKesson its third ACE Award.
  • Beacon Partners is hosting a webinar April 19 focusing on five key issues between Stage 1 and Stage 2 of Meaningful Use.
  • HealthCare Anytime CEO Brady Klick served on a patient engagement panel at an April 11 program sponsored by the Northern California HIMSS chapter.
  • Orion Health celebrates its 20-year anniversary, having surpassed $100 million in annual revenue, raised headcount my three to more than 750, and implement its solutions in more than 30 countries.

EPtalk by Dr. Jayne

Red Raider Alert: Texas Tech University Health Sciences Center notifies patients of an information breach as a result of a billing error. Apparently patient statements were mailed to the wrong addresses.

Mr. H posted a reader question about job recommendations for new graduates to better understand the HIT environment. Depending on your degree and experience, I’d consider looking for a position as an implementation specialist for a hospital, health system, or large medical group. It’s a great way to learn what the industry looks like outside of the vendor space and once you’ve done a couple tours of duty with complicated practices or hospital departments, you’ll be extremely valuable in the job market. At least in my area, teams are often composed of people that are new to healthcare – one is managed by an engineer and includes not only healthcare veterans, but also a minister and several former retirees.

A recent article in American Medical News notes that volume, not quality, still determines most doctor pay. I would love to see payment reform that rewards not only quality, but customer service, personality, and the time spent with patients. Despite the hard edge sometimes portrayed in my writing, when it comes to actual patient care I tend to be much more empathetic than my peers. When I was in community practice, my patients appreciated my listening skills as well as my ability to partner with them and negotiate long-term outcomes rather than simply lecture. Why shouldn’t I be paid more for that level of service? You want to see true physician engagement? Figure out a way to pay primary care physicians so that they can afford to see 20-25 patients a day rather than 30-35. And figure out a fair way to measure Meaningful Use that isn’t “all or nothing.”

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Physician social media site Doximity gets my jeer of the week for its unreadable e-mail. It was so bad that I almost outed myself trying to screen shot it – the white rectangle is covering the black-on-black “insert recipient name here” field that I didn’t see until I pasted it over to send to Mr. H. Seriously, folks, do you really think anyone can read black on black or dark gray on black?

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Contacts

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

More news: HIStalk Practice, HIStalk Connect.

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April 11, 2013 News 9 Comments

Morning Headlines 4/11/13

April 10, 2013 Headlines 1 Comment

Mining Electronic Health Records Reveals Clues Of Harmful Drug Reactions

Researchers at Stanford University, using sophisticated analytics and EHR data looking back 15 years, were able to clearly substantiate harmful drug side effects years before an alert was issued from the FDA. Researchers conclude that data analytics will be a powerful compliment to the FDA’s Adverse Event Reporting System.

NYeC Asks New Yorkers to Help Shape State’s Healthcare Future – Vote on Patient Portal for New Yorkers Prototypes

The New York eHealth Collaborative is turning to state residents to select its final patient portal design. The designs up for vote were all submitted in an earlier eHealth Collaborative design challenge that asked residents to create a patient portal for New Yorkers, by New Yorkers.

Jonathan Bush, Live from TEDMED: Health Care is Broken; Find the Frontiers

Jonathan Bush, athenahealth chairman, president, and CEO, has been tapped to speak at TEDMED next week in Washington DC, where he will discuss alternatives to healthcare’s pay-for-service revenue model.

Electronic Media–Based Health Interventions Promoting Behavior Change in Youth

A recently published article in JAMA Pediatrics correlates substantial behavioral changes to certain mHealth interventions that target adolescent health issues.

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April 10, 2013 Headlines 1 Comment

News 4/10/13

April 9, 2013 News 14 Comments

Top News

4-9-2013 10-40-32 AM

The HHS inspector general and CMS propose rules that would update and extend existing safe harbor exceptions and allow hospitals to continue subsidizing EMRs for affiliated physicians.


Reader Comments

From Wildcat Well: “Re: HIE. ONC announces an interest in a nationwide interoperable HIE. Is this not the same initiative as the CommonWell Health Alliance pilot? CommonWell will be a 501(C)(6), but regardless. Looks like a race of private vs. the government. Thoughts?”  

4-9-2013 7-33-51 PM

From Shodan the Barbarian MD: "Re: Shodan search engine. Guess you could easily find the IP address of a monitor, anesthesia machine, ventilator, or IV pump and change the settings. Scary with the virtually non-existent security of these devices.” A CNN article covers the Shodan search engine, a Google-like service that finds any device connected to the Internet such printers, webcams, routers, servers, security cameras, and even medical equipment. Many of those devices have no security protection at all, and many more have the manufacturer’s original password or an easily guessed replacement like “password1” or “1234”. An independent security consultant was able to run a car wash, turn off the cooling system of a hockey rink in Denmark, and access the control system of a French hydroelectric plant.

4-9-2013 7-43-59 PM

From Bob Loblow: “Re: QuadraMed. CMIO Joe Bormel, MD has left after 10 years and is now with ONC.” His LinkedIn profile still shows him as an independent consultant, having left QuadraMed in January 2013. Update: readers confirmed that Joe started as ONC’s medical officer on Monday, April 8.

From JM: “Re: healthcare IT resources. What would you recommend a recent graduate do to better understand the HIT environment? Are there specific resources, entry-level positions, or education to seek out?” This question comes up every few months and I always invite readers to provide advice.

From Marie: “Re: at-risk contracts. I am doing research for a master’s program. We hear about at-risk contracts between payers and providers, but why haven’t we seen a similar movement between HIT vendors and providers? Why aren’t providers demanding that vendors go at risk for the cost and quality results they promise? Why aren’t vendors offering it to create competitive advantage?” I can only say that you’d be crazy as a vendor to make a hospital your partner knowing they don’t have the focus and capability to deliver the 80 percent of an HIT project’s value that comes from how a system is used rather than the system itself. That would be like a hammer manufacturer going at risk that you’ll build something nice with their product and pay them if so. I’ve had experience writing at-risk contracts as a customer and either party could get royally screwed just because some idealistic metric (readmissions, medication errors, cost per case, etc.) went up or down over several years because of factors entirely unrelated to the new system. Perhaps you could look at more specific measures such as orders originating from an order set, accepted clinical warnings, or decreased turnaround time, but it’s hard to assign a dollar value to those. But I’ll let readers chime in and help Marie with her project.


HIStalk Announcements and Requests

inga_small This week marks my sixth anniversary at HIStalk. Happily I still think it’s the best job in HIT. In fact, every once in awhile I have to pinch myself to make sure I am not dreaming and that I am not about to wake up in the middle of the night to catch a 6:00 a.m. flight for an EHR demo to a bunch of doctors and their transcriptionists(!) Thanks Mr. H for keeping it fun.

4-9-2013 7-45-43 PM

Welcome to new HIStalk Platinum Sponsor Xerox, and specifically its Healthcare Solutions business. The company’s provider offerings include system selection and implementation (Meaningful Use, EHR, ERP, revenue cycle, ICD-10), optimization (technology and infrastructure, extended business office, collections, compliance), and analytics (clinical surveillance, decision support, care management, case management, and benchmarking). The company has been serving providers for 25 years, has 1,500 hospital clients, works in 31 states, and does work for 19 of the top 20 health plans. Some of the major vendors supported are Epic, Cerner, GEHC, Siemens, Meditech, McKesson, Allscripts, Infor Lawson, and Kronos. Thanks to Xerox for supporting HIStalk.

Here’s a video I found on YouTube that provides an overview of Xerox in healthcare.


Acquisitions, Funding, Business, and Stock

A Wisconsin newspaper’s article called “Life After Epic: From Epic ‘Grad’ to Entrepreneur” covers companies started by still-young former Epic employees, some of them working from a railroad car converted to co-working space. A local entrepreneur networking group estimates that 50 former Epic employees are working startups in the Madison area, most of them not healthcare related. A new entrepreneur says Epic’s one-year non-compete clause provides a good time to start a company.

4-9-2013 10-32-34 PM

Allscripts CEO Paul Black was paid $9 million in his first 12 days on the job, according to the Chicago business paper. Most of that was in stock and bonuses. Glen Tullman, his fired predecessor, made $7.1 million in 2012.

4-9-2013 10-33-14 PM

iMDsoft opens a new office in Dusseldorf, Germany that will provide around-the-clock support to its customers in Germany, Austria, and Switzerland.


Sales

Presence Health (IL) will deploy the Medseek Predict CRM solution.

Mississippi Medicaid selects the MedeAnalytics Accountable Care Solution to warehouse claims and clinical data collected from various HIEs.

4-9-2013 10-34-01 PM

The Ocean Beach Hospital (WA) board of commissions approves the purchase of Healthland’s EHR.

Planned Systems International and its partner Mediware win a $5 million DoD contract to provide validation services for the Enterprise Blood Management System.


People

4-9-2013 6-04-33 PM

Versus promotes Kevin Jackson to VP of technology.

4-9-2013 6-11-33 PM

Terry McGeeney, MD (TransforMED) joins healthcare consulting firm BDC Advisors.

4-9-2013 6-10-41 PM

MedeAnalytics hires Ping Zhang (Epocrates) SVP of product innovation and CTO.

4-9-2013 9-39-25 PM

Paula Sanders is promoted to chair of Post & Schell’s national Health Care Practice Group of 30 attorneys, representing clients on health facility regulation including RAC audits, HIPAA, and fraud and abuse.


Announcements and Implementations

The Joint Commission issues a Sentinel Event Alert after 80 deaths between 2009-2012 are found to be related to medical device alarm fatigue.

Massachusetts General Hospital and American Well announce a telehealth pilot program that will initially focus on child and adolescent psychiatry, heart failure, and neurology.

Christus Health Systems and Legacy Community become the first providers in Houston to share patient data via the Medicity-powered Greater Houston Healthconnect HIE.

4-9-2013 1-50-38 PM

Western Maryland Health System implements the Visibility Staff Assist solution from Versus Technology.

The local paper profiles St. Luke’s Regional Medical Center (IA) and its recent transition to EHR. The paper notes that, “The Affordable Care Act, commonly called Obamacare, requires health care providers to move to electronic medical records by 2014” and that, “Epic is not interoperable with hospitals and clinics that use other forms of electronic medical record.”

CIC Advisory announces a Meaningful Use Stage 2 benchmarking tool that includes on-site interviews and reviews followed by a detailed scorecard for a flat fee of $2,500.

4-9-2013 6-53-07 PM

Technology recruiter Greythorn offers its first Healthcare IT Market Report. It covers salaries, benefits, consulting , bonuses, and part-time employment.

Spain’s first telemedicine service launches as La Palma and Tenerife Islands offer virtual consultations via Cisco HealthPresence.

MMRGlobal launches a service that will allow providers to offer and bill for telemedicine services via its personal health records system. It has also adding a genomics module. Both will integrate with the 4medica EHR beginning April 15.


Government and Politics

4-9-2013 10-38-15 PM

Nextgov reports a rumor that the DoD may be ditching its plans to upgrade its AHLTA EHR system and instead reconsider using the VA’s VistA, with two potential reasons cited by sources: (a) the rise of former VA deputy director Chuck Hagel to Secretary of Defense; and (b) the satirical comments on incompatible DoD-VA EHRs by Jon Stewart in his March 27 “Daily Show,” in which he blamed the DoD for stubbornly following its expensive AHTLA agenda to avoid giving up ground to the VA.


Technology

4-9-2013 10-39-35 PM

Johns Hopkins surgeon and patient safety expert Martin Makary, MD, MPH says in a JAMA editorial that hospitals should use the video equipment they already have in the OR to record every procedure to support quality improvement efforts. Patients overwhelmingly support having their procedures recorded, surveys have found, and the recordings could be used for training and for inclusion in the EHR to support less-detailed operative notes.

4-9-2013 7-18-09 PM

The Apache Software Foundation moves the Apache cTAKES  project to a Top-Level Project. The open source NLP system, originally developed by a Mayo Clinic team, extracts information from free-text EMR documentation.

Google announces that its Google Fiber gigabit-speed Internet service, originally rolled out in Kansas City with 100 times normal broadband speed, will be live in Austin, TX by the middle of next year.


Other

4-9-2013 11-22-30 AM

The big data revolution could reduce healthcare spending by an estimated $300 to $450 billion according to a McKinsey & Company report.

Paul Black blogs about his first 100 days as CEO of Allscripts and reflects on emerging themes, including the need to work closely with customers and patients to transform the industry; the need for population health management across venues for care; and the importance of coordination care tools.

The Wall Street Journal looks at the use of cloud-based storage for medical images, noting that more than half of the country’s health systems are expected to embrace cloud-based image storage over the next three years.

GE Healthcare, which cut 10 percent of its South Burlington, VT staff last year, lists 120,000 square feet of its office building there for lease. The company has 436 employees occupying 142,000 square feet.

4-9-2013 6-24-06 PM

Here’s the latest cartoon from Imprivata.

4-9-2013 8-20-57 PM

The New York Times covers “a parallel world of pseudo-academia” in which conferences and journals with prestigious-sounding names offer presenters and authors resume-padding exposure in return for cash. It says that universities need to be careful in reviewing resumes and predicts that people will be misled by poorly research publications that appear in credible-sounding online-only journals. A research librarian estimates that 4,000 “predatory open-access journals” are being published because it is “easy money, very little work, a low barrier to start-up.” One physician sent two articles in response to an e-mail from The Journal of Clinical Case Reports and was billed $2,900, with the journal running his articles even after he requested they be withdrawn. A Duke University School of Medicine professor agreed to serve on the board of one such publication and was surprised it solicited him to recruit authors and publish his own papers; when he asked to be removed from the board, the journal just left his name on its masthead anyway.

4-9-2013 8-25-10 PM

Jamie Stockton of Wells Fargo Securities provides updated MU attestation information for hospitals. Leading in EP attestations were Epic, Allscripts, eClinicalWorks, NextGen, GE Healthcare, McKesson, Cerner, Practice Fusion, Greenway, and athenahealth, which
as the top 10 vendors accounted for two-thirds of all attesting EPs.

4-9-2013 7-40-24 PM

Weird News Andy uncovers this case of texting while flying: the National Transportation Safety Board finds that a contributing factor in a 2011 medical helicopter accident was the pilot’s texting before and during the flight. The helicopter crashed into a field after running out of fuel, with NTSB’s conclusion being that the distracted pilot thought he had more fuel than was actually available. The pilot, a flight nurse, a paramedic, and a patient were killed in the crash. The pilot had sent or received 240 text messages during his shift the day the helicopter crashed, including seven during the flight itself as he made arrangements to have dinner with a co-worker.


Sponsor Updates

  • Billian’s HealthDATA offers a white paper on the top integrated marketing priorities in the age of healthcare reform.
  • AT&T generated $5.6 billion in revenue in 2012 from healthcare industry businesses implementing one of the company’s cloud and mobility-based solutions.
  • AirStrip ONE beats 15 competitors in a mobile health app contest. 
  • Brad Levin, GM of Visage Imaging, will participate in a SIIM 2013 session titled “Who do you turn to for help in developing solutions?” in the Dallas area June 6-9.
  • Wellsoft will participate in the 2013 Emergency Medicine Update and the e-Health 2013 conferences in Canada during the month of May.
  • Emdeon highlights the benefits of e-prescribing and discusses why providers need to embrace the technology.
  • Merge Healthcare and Integrated Data Storage will create a hosted private cloud offering for the Merge Honeycomb platform.
  • Cassie Sturdevant, a senior recruiter with Impact Advisors, joins a panel of other healthcare recruiting experts to discuss the healthcare job market.
  • Surgical Information Systems CTO Eric Nilsson shares his impressions on interoperability and the Intelligent Hospital Pavilion at last month’s HIMSS conference.
  • HealthEdge partners with CTG Health Solutions to deliver integration services for customers using the HealthRules Answers BI suite.
  • Cornerstone Advisors Group launches its new website.

Contacts

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

More news: HIStalk Practice, HIStalk Connect.

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April 9, 2013 News 14 Comments

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