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Morning Headlines 6/14/13

June 13, 2013 Headlines 1 Comment

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

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

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

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

Indian Health Service sets ambitious plan to upgrade health record system

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

Sonora Regional Medical Center Embarking on Major Technology Upgrade

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

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June 13, 2013 Headlines 1 Comment

News 6/14/13

June 13, 2013 News 3 Comments

Top News

6-13-2013 10-58-55 PM

The FDA urges medical device makers to protect their products against hackers and malware and offers guidance for developing security controls that would protect the confidentiality and integrity of data and limit malfunctions in the event of computer viruses.

Reader Comments

6-13-2013 10-40-52 PM

inga_small From Biker Dude: “Re: HIStalk Practice. What do I win if I am your 500,000th visit?” Thanks for noticing that HIStalk Practice is about to hit a milestone in the next couple of weeks. No prize for making the visit counter hit 500,000, though every reader has my undying gratitude for the support.

inga_small From Mojo: “Allscripts. I heard they are scheduling a conference call Friday to announce another reorg. Have you heard anything like this?” No, although another reader shared news that Allscripts had sold off its forms division (who knew they still had a forms division?) Unverified but neither piece of news would not be surprising given that CEO Paul Black has now had six months to get a lay of the land and the company reported a loss in Q1.

From Zee: “Re: inbox. I want to do a prototype on how we could improve the old-style physician inbox so that read-only information can be delivered in a meaningful way on a tablet. Replicating the current functionality as is isn’t innovation.” Sounds like a fun challenge to visualize how an improved inbox might work. Send me your ideas and I’ll run them here.

HIStalk Announcements and Requests

inga_small HIStalk Practice highlights from the last week include: CMS pays out $547 million in PQRS and e-prescribing incentives in 2011.  Physician compensation is increasingly tied to measures of quality and patient satisfaction. AHRQ offers a guide for primary care physicians connecting to RHIOs. As of the end of April, one out of two Medicare EPs were meaningful users of EHRs. MyMedicalRecords ends a lawsuit with Emdeon but initiates a new one with Jardogs. Emdeon CEO George Lazenby discusses his company, the industry, and potential opportunities. Rob Drewniak of Hayes Management Consulting looks at healthcare data governance and data stewardship. Thanks for reading.

On the Jobs Board: Compliance Program Manager, Software Engineer, Territory Sales Manager – South Eastern US.

6-13-2013 9-31-14 PM

Welcome to new HIStalk Platinum Sponsor Sagacious Consultants of Lenexa, KS. Sagacious means smart and having good judgment (I had to look it up), and the company applies those qualities to its singular focus: Epic. A full 97 percent of its employees came from Epic, collectively holding every Epic certification. The company has worked with 40 Epic hospitals and physician practices on full implementations, big bang installs, upgrades, and rollouts. It can provide build analysts, team leads, project managers, trainers, and go-live support. KLAS ranks it #1 in satisfaction for staffing and implementation support, with 100 percent of clients saying it keeps its promises and 100 percent saying they would hire the company again. Consultants work from their homes nationally, reducing travel billing and making them happier besides. Thanks to Sagacious Consultants for supporting my work.

6-13-2013 10-42-39 PM

The next HIStalk Webinar will be “Using Clinical Language Understanding & Infrastructure Planning as Key Strategies to Ensure Clinical Revenue Integrity with ICD-10” on Tuesday, June 25, 2013 from 1:00 – 1:45 Eastern time. It is sponsored by Nuance Healthcare and will be presented by Mel Tully MSN, CCDS, CDIP, senior vice president at J. A. Thomas and Associates. Register now.

6-13-2013 8-57-22 PM 

A reader provides this photographic evidence of a pop-up HIStalk presence in Paris, as evidenced by a “I Could Be Mr H” banner in the shadow of the Eiffel Tower. Snap a picture with something HIStalk showing HIStalk in an interesting location and I’ll run it here.

Listening: new Black Sabbath, with “13” being the first new studio album since 1995 and the first with Ozzy in 35 years. I’ve listened to it at least 10 times and it’s a perfect 1970s sludge metal sound. It’s magnificent.

Acquisitions, Funding, Business, and Stock

6-13-2013 10-43-58 PM

Allscripts prices a private offering of $300 million aggregate principal amount of its cash convertible senior notes due 2020. The conversion price represents a 30 percent premium to June 12’s closing price of $13.22 per share.

Emdeon acquires Goold Health Systems, a provider of pharmacy benefits and related services to state Medicaid agencies.


Christus Health selects McKesson’s suite of documentation management solutions for integration with the health system’s existing HIS.

6-13-2013 10-45-37 PM

Swedish Covenant Hospital (IL) selects eClinicalWorks EHR and RCM solutions for its 150 employed physicians.

The DoD awards PSI and partners TechWerks and Mediware a $9.2 million follow-on task order to sustain and maintain the DoD’s enterprise blood management system.


6-13-2013 11-37-45 AM

inga_small Aneesh Chopra,  former US CTO and one of technology’s most beautiful men, loses his bid to be Virginia’s Democratic nominee for lieutenant governor.

6-13-2013 8-38-30 PM

Quantros names Dmitri Daveynis (HP) SVP of engineering.

6-13-2013 8-40-35 PM

US Surgeon General Regina Benjamin announces her resignation after four years in the post. Benjamin does not provide specific details on her future plans, but Democratic Party officials have identified her as a potential candidate for a Congressional seat being vacated in her home state of Alabama.

Announcements and Implementations

Healthix and the Brooklyn Health Information Exchange will merge into a single RHIO and retain the name Healthix. A new board of directors will govern the entity and leadership and staff from both RHIOs will continue to support the organization.

Salford Royal NHS Foundation Trust implements Allscripts Sunrise Clinical Manager three months ahead of schedule and on budget.

KershawHealth (SC) implements a paperless clinical data bridge solution from Access to transfer EKG traces and other clinical data into its EHR.

6-13-2013 10-47-59 PM

Marshfield Clinic (WI) will form Marshfield Clinic Information Services, a  separate for-profit subsidiary that will support the clinic and technology and services to other customers. The clinic’s 350 IS employees will join the new entity.

IBM, the Premier healthcare alliance, and four healthcare systems launch the Data Alliance Cooperative, which will allow members to share experiences and co-develop solutions that integrate data across the care continuum. Initial focus will be on reducing medication non-compliance and readmissions through predictive modeling.

Innovation and Research

6-13-2013 10-50-30 PM

Interested in Google Glass? Kyle, who writes for HIStalk Connect, is part of Pristine, a startup that’s developing Glass apps for physicians. He has received his pair and invites readers to give them a try at a party in New York City on Thursday, June 20 from 6 to 9 p.m. at Galway Pub. E-mail Kyle to RSVP and bring friends if  you like.


6-13-2013 10-53-33 PM

Nuance releases a new version of Dragon Medical Practice designed for smaller practices that includes voice shortcuts to aid searches for medical information and more than 90 specialized medical vocabularies.


6-13-2013 10-54-53 PM

Care Logistics sues Ohio-based Catholic Health Partners of Cincinnati and Mercy Health Systems of Toledo, claiming it has lost $50 million after the health systems reneged on a 2008 deal to serve as reference sites for the company’s bed management software in return for royalties. 

Inga is so proud of beating Weird News Andy to this story. A trucker sues a urologist for what he claims was a botched penile implant that caused him to have an erection for eight months. The doctor says the man should have told him when his scrotum swelled to volleyball size, but the man says he was told to expect swelling. The patient, who changed his wardrobe to baggy sweatpants and long shirts, made his case to the jury: “I could hardly dance, with an erection poking my partner … It’s not something you want to bring out at parties and show to friends.”

Sponsor Updates

  • CollaborateMD will add educational content from Elsevier into its ClaimGear solution for medical billing and coding education.
  • NoMoreClipboard will integrate ICA’s HIE offerings with its PHR and patient portal.
  • Vitera Healthcare releases Vitera Medical Manager EHR, a Web-based EHR, analytics, and transaction platform for its customers.
  • Ingenious Med integrates Wolters Kluwer Health’s Health Language code search engine into its point-of-care charge capture solution.
  • Impact Advisors Principal John Stanley discusses analytics as it relates to HIE.
  • Emdat publishes a case study highlighting Illinois Bone and Joint Institute, which reduced its documentation costs by 50 percent after implementing Emdat’s medical documentation platform.
  • Porter Research discusses the role of NLP technology in healthcare transformation with Nuance CMIO Nick van Terheyden.
  • Perceptive Software CTO Brian Anderson offers five predictions for business process management, enterprise content management, and capture and search.
  • The office manager for Summersville Pediatrics (SC) shares her practice’s experience migrating from MyWay to Aprima.
  • PeriGen publishes a case study featuring Summit Healthcare’s (AZ) experience of implementing advanced perinatal technology.
  • David Laureau, CEO of Medicomp Systems, discusses the importance of giving providers the data required to better manage the health of individual patients in real time and at the point of care.
  • VitalWare’s VP of Compliance Jill Wolf will discuss the benefits and limitations of predictive modeling at next week’s HIMSS ICD-10 Forum Washington, DC.
  • Wolters Kluwer Health’s customer advisory board says that improving clinical outcomes through expanded integration of clinical decision support is a top priority.
  • iSirona will remain in Panama City, FL after the county and state promise $1.8 million in incentives. The company will 300 new jobs in the next three years.

EPtalk by Dr. Jayne

The United States Supreme Court ruled this week on Oxford Health Plans v. Sutter. Essentially this paves the way for physicians to use class arbitration to resolve issues with payers. Dr. Sutter, a pediatrician, alleged that Oxford systematically bundled, downcoded, and delayed patients for more than 20,000 network physicians but Oxford claimed physicians had to participate in arbitration as individuals. The case has been in the courts for more than a decade. I like to see the little guy stick it to the payer at least once in a while.

Medicare will be issuing a redesigned Medical Summary Notice to beneficiaries. Aimed at preventing fraud and abuse, it will show the services and supplies billed to Medicare during the past three months, the amount paid, and the patient responsible portion.

I’d like to see all payers take this approach. I’m still getting Explanation of Benefits statements from a procedure last year that the practice erroneously billed yet keeps trying to hit me up for the insurance balance. Guess what, not paying it. And to my orthopedic surgeon – guess what, you’re going to be refunding me all the co-pays you’re making me pay for follow-ups in the global period. Dr. Jayne has her summary plan description and knows how to read it. And if you cross me, I might just demand an electronic copy of my record, which I know will cause much consternation in your office. Welcome to the era of patient empowerment.

Athenahealth offers an ICD-10 Guarantee for practices that are live by June 30, 2014. Additionally, practices experiencing cash flow disruptions may be eligible for cash advances against outstanding claims. There’s a fair amount of fine print involved, but I like the idea.

Apple announced this week that the next generation of its mobile operating system will contain a virtual “kill switch,” or activation lock to allow stolen devices to be deactivated.

A couple of my friends convinced me to sit for the Clinical Informatics subspecialty certification from the American Board of Preventive Medicine. In reading through the various requirements I have one major concern (other than the cost of the exam, which is substantial). The criteria require current certification by one of the other ABMS specialty boards. This is problematic for informaticists who have let their clinical certifications lapse. I understand why they’re doing it, but the thought of maintaining two certifications isn’t a happy one. I’d be interested to hear from others who are planning to take the exam.

E-mail Dr. Jayne.


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

More news: HIStalk Practice, HIStalk Connect.

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June 13, 2013 News 3 Comments

News 6/12/13

June 11, 2013 News 12 Comments

Top News

6-11-2013 11-33-45 PM

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

Reader Comments

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

6-11-2013 7-47-46 AM

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

6-11-2013 11-36-58 PM

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

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

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

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

Acquisitions, Funding, Business, and Stock

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

6-11-2013 8-08-02 AM

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

6-11-2013 7-18-19 PM

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


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

6-11-2013 11-39-47 PM

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

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

Piedmont Eye Center (VA) selects SRS EHR.

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

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

6-11-2013 11-40-40 PM

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

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


6-11-2013 7-16-48 PM

iSALUS Healthcare promotes Kimberly Poland to VP of client engagement.

6-11-2013 12-34-46 PM

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

6-11-2013 12-54-32 PM

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

6-11-2013 1-06-04 PM

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

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

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

Announcements and Implementations

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

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

6-11-2013 10-22-21 PM

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

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

6-11-2013 11-11-19 PM

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

6-11-2013 11-45-30 PM

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

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

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

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

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

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

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

Government and Politics

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

Innovation and Research

6-11-2013 11-46-43 PM

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


6-11-2013 3-02-19 PM

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


6-11-2013 11-50-36 PM

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

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

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

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

Sponsor Updates

6-11-2013 10-59-18 AM

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


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

More news: HIStalk Practice, HIStalk Connect.


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June 11, 2013 News 12 Comments

Morning Headlines 6/10/13

June 9, 2013 Headlines No Comments

When e- stands for enemy: Installing e-medical records systems costly, frustrating

An office manager from a solo practice in North Carolina discusses the growing cost and frustration HITECH is having on managing a small practice.

Parkland researchers develop system to flag those in danger of death

Researchers at the Parkland Center for Clinical Innovation are profiled by a Dallas newspaper for their work with  predictive surveillance and population health management.

Olympic Medical Center: Progress made in digital conversion

Port Angeles, WA-based Olympic Medical Center CEO Eric Lewis discusses the hospital’s recent Epic go-live, describing the experience as “kind of like going from a landline to an iPhone.”

April 2013: EHR Incentive Program

According to a monthly update released by CMS, $14.6 billion has been paid to hospitals and providers since the EHR incentive program started in 2011.

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June 9, 2013 Headlines No Comments

Monday Morning Update 6/10/13

June 9, 2013 News 7 Comments

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

6-8-2013 6-51-05 AM

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

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

6-8-2013 7-30-03 AM

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

6-8-2013 7-46-25 AM

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

6-8-2013 8-06-02 AM

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

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

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

6-8-2013 8-28-13 AM

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

6-9-2013 11-42-13 AM

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

6-9-2013 1-09-46 PM

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

6-9-2013 12-19-37 PM

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

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

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

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

6-8-2013 7-21-05 AM

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

6-8-2013 8-01-31 AM

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

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

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

Sponsor Updates

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


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

More news: HIStalk Practice, HIStalk Connect.


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June 9, 2013 News 7 Comments

Morning Headlines 6/7/13

June 6, 2013 Headlines No Comments

Ambulatory Physician Leadership Reports a 30-Point Usability Gap between EMR Vendors

A new KLAS report looks at ambulatory EMR usability by measuring performance across various common tasks such as e-prescribing, physician documentation, and medication reconciliation. Athenahealth come out on top, followed by Epic.

China’s PLA Among Eight State-Sponsored Groups to Hack VA, Ex Official Says

Former VA chief information security officer Jerry Davis reports that eight different state-sponsored organizations have been hacking into VA networks and databases that contain millions of veterans patient information. The continued breaches are due to weak user authentication and a lack of encryption of VA databases.

Cleveland Clinic Making Electronic Medical Records More Transparent To Patients Online

Cleveland Clinic will add physician notes, images, and results to its MyChart patient portal. A recent Robert Wood Johnston trial concluded that giving patients unrestricted access to physician notes led to increased patient engagement rates.

Dozens of health groups to create massive gene database

More than 70 medical, research, and advocacy groups are joining forces to create a massive databases of genetic and clinical data that will be accessible to doctors and researchers worldwide.

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June 6, 2013 Headlines No Comments

News 6/7/13

June 6, 2013 News 14 Comments

Top News

6-6-2013 10-40-50 PM

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

Reader Comments

6-6-2013 7-58-13 PM

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

6-6-2013 10-31-19 PM

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

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

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

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

6-6-2013 4-01-04 PM

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

HIStalk Announcements and Requests

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

6-6-2013 7-16-27 PM

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

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

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

6-6-2013 7-35-40 PM

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

Acquisitions, Funding, Business, and Stock

6-6-2013 10-33-56 PM

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

Ascension Health Ventures makes a strategic investment in GetWellNework.

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


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

6-6-2013 10-36-36 PM

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

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

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


6-6-2013 6-45-30 PM

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

6-6-2013 6-46-11 PM

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

6-6-2013 6-47-08 PM

Passport Health Chairman Jim Lackey joins NextGxDx’s board.

6-6-2013 6-47-40 PM

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

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

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

Announcements and Implementations

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

6-6-2013 10-38-10 PM

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

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

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

6-6-2013 8-16-19 PM

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

Innovation and Research

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


6-6-2013 10-05-14 PM

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

6-6-2013 10-12-54 PM

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


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

6-6-2013 3-44-34 PM

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

6-6-2013 3-52-55 PM

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

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

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

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

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

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

Sponsor Updates

6-6-2013 2-07-45 PM

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

EPtalk by Dr. Jayne

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


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

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

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


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

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

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

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


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

More news: HIStalk Practice, HIStalk Connect.


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June 6, 2013 News 14 Comments

News 6/5/13

June 4, 2013 News 3 Comments

Top News

6-4-2013 11-24-49 PM

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

Reader Comments

6-4-2013 11-23-21 PM

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

6-4-2013 7-56-50 PM

6-4-2013 7-56-06 PM

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

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

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

Acquisitions, Funding, Business, and Stock

6-4-2013 11-26-05 PM

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

6-4-2013 11-26-58 PM

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


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

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

6-4-2013 11-30-10 PM

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

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

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

6-4-2013 11-31-36 PM

Ocean Beach Hospital (WA) chooses Healthland Centriq EHR.

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

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


6-4-2013 7-10-05 PM

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

6-4-2013 7-12-14 PM

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

6-4-2013 7-59-45 PM

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

6-4-2013 8-24-39 PM

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

Announcements and Implementations

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

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

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

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

Sanford Bemidji (MN) goes live on Epic.

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

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

Government and Politics

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

Innovation and Research

6-4-2013 11-34-53 PM

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

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

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

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

6-4-2013 10-20-58 PM

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


6-4-2013 11-38-02 PM

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

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

6-4-2013 10-53-20 PM

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

6-4-2013 7-33-11 PM

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

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

6-4-2013 7-41-35 PM

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

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

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


Sponsor Updates

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


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

More news: HIStalk Practice, HIStalk Connect.


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June 4, 2013 News 3 Comments

Morning Headlines 6/4/13

June 3, 2013 Headlines 2 Comments

Mass EHR mandate draws criticism, impact remains unclear

A change introduced with the Massachusetts health reform law comes under fire for requiring physicians to demonstrate proficiency in the use of CPOE, e-prescribing, and EHRs as a standard of eligibility for medical licensure in the state.

Secure health data helping patients, doctors improve care and health

HHS Secretary Kathleen Sebelius kicks off Health Datapalooza IV by announcing that CMS will release new data sets that include outpatient procedure data, Medicare spending and utilization data, and de-identified data on Medicare beneficiaries with chronic conditions. HHS also announced a $25,000 challenge encouraging developers to design "an innovative app or tool using Medicare data that primary care providers can use to help manage patient care."

HIE Participation Doesn’t Create Test Savings, Study Says

A new study published in the Journal of American Medical Informatics Association concludes that the deployment of a health information exchange is unlikely to produce significant cost savings through reduced testing rates, contradicting the study’s hypothesis that duplicate tests would be reduced if physicians were given access to the results.

MMRGlobal Retains Counsel in Australia and Issues Patent Update

Patient portal vendor and patent troll MMRGlobal retains legal representation in Australia and will pursue discussions with the Australian government and the National E-Health Transition Authority over potential patent infringement issues after NEHTA spent nearly $1 billion designing and implementing a national patient portal.

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June 3, 2013 Headlines 2 Comments

Monday Morning Update 6/3/13

June 2, 2013 News 8 Comments

From Misys-Ex: “Re: QuadraMed. Something is taking place. Employees will learn Monday how much longer their employment will last. Some members of management have already packed their offices.” Unverified.

From The PACS Designer: “Re: absence. TPD will be taking a leave of absence from HIStalk to pursue a new development partnership in the healthcare area of expertise. While I will miss the interaction with my fellow HIStalk contributors, I will still read HIStalk regularly and contribute comments on postings when appropriate to do so for my fellow HIStalkers. In the mean time, you’ll be seeing guest bloggers contributing in my absence.”

6-1-2013 7-47-30 PM

Sixty percent of respondents think the Meaningful Use program should be ended after Stage 3. New poll to your right: would you choose a hospital for elective admission whose clinicians have complained publicly about the safety of its EHR?

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

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Weird News Andy says “Sick Ambulance Kills.” A Washington, DC ambulance transporting a gunshot patient breaks down in the middle of I-295 when its EPA-mandated emissions device shuts the engine down for mandatory cleaning. The patient died during the 5-7 minute delay required to dispatch a backup ambulance. The EPA says it offers an exemption for emergency vehicles.

6-2-2013 9-25-49 AM

Montefiore Medical Center (NY) will buy Sound Shore Health System (NY), which filed bankruptcy on May 14 due to indigent care costs, a drop in patient volume, and a 2011 attempt to install clinical and financial systems, apparently from Allscripts, that continue to cause billing problems even now.

6-2-2013 9-12-03 AM

An article in the magazine of the Johns Hopkins Bloomberg School of Public Health describes the use of EMR information by care managers at Johns Hopkins HealthCare to identify women at risk for premature births and offer them specific interventions. Maryland’s Secretary of Health and Mental Hygiene hopes to use the information to dig deeper into population health, saying, “If you have a map, you might say, ‘All these different doctors are seeing what looks to them like a one-on-one phenomenon.’ But you can see actually it’s a certain community where there are very high rates of asthma. And maybe there’s something going on here… If there’s an anti-smoking effort, maybe the goal today is to hit the whole county. But if you knew that there was a very high concentration of smokers in a particular area and they were having very poor health outcomes, you might target particular buildings.”

6-2-2013 6-34-30 AM

Maryland-based Parallax Enterprises begins development of a pilot-like heads-up display system for the OR that will display EMR information, a patient-individualized surgical checklist, and the patient’s health literacy score so that the OR team can communicate at the right level. I mentioned the company in February when it raised $1 million in funding, also noting the military pilot background of CEO Jeff Woolford, MD. Surgeons will use the  CHaRM heads-up display to interact with the system while remaining sterile. Surgeons can use the system by moving their hands above the sterile field thanks to gesture-sensitive cameras.

Interesting thoughts from Brandon Hull, co-founder of VC firm Capital Partners, at Internet Week New York: “Every other company presenting at Internet Week operates in a clearly defined market economy where we can easily identify buyers and sellers. Healthcare, by contrast, much more closely resembles a command economy full of price fixers and adjusters, oversight and bureaucracy. Stalin-era Soviet Union would be proud … [hospitals] have terrible business practice patterns, aren’t particularly well managed, and soak the federal government for vast subsidies to keep maintaining their existing behaviors. They’re going to be disintermediated.” He says the Affordable Care Act gives hospitals a cheap way to remake themselves into insurance companies in the form of ACOs, while insurance companies that fear being regulated like public utilities are rushing to become providers.

6-2-2013 6-53-04 AM

The New York Times looks at the $10 billion spent annually in the US on colonoscopies, observing, “Largely an office procedure when widespread screening was first recommended, colonoscopies have moved into surgery centers — which were created as a step down from costly hospital care but are now often a lucrative step up from doctors’ examining rooms — where they are billed like a quasi operation.” This is the first in a series of articles that will explain that US healthcare is disproportionally expensive compared to the rest of the world not because of heroic technical interventions, but rather the high prices charged for routine services in the only industrialized nation that allows providers to charge whatever they want without oversight except for Medicare and Medicaid patients.

It happened purely by accident that I was staying up late Thursday night as usual writing HIStalk when I ran across Farzad Mostashari’s just-published letter to the editor of The New York Times, earning the unwarranted but appreciated accolades of some of my favorite tweeple who must have been up late with me to read the new post so quickly.

An Atlanta-area newspaper profiles practice systems vendor Nuesoft, which says its partnership with Practice Fusion could double the company’s 140-employee headcount in the next two years and require  a $20 million capital infusion.

England’s Department of Health issues tenders worth up to almost $2 billion for physician office systems to replace the limited choices offered by the defunct NPfIT.

Vince finishes up the HIS-tory of Allscripts this week.


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

More news: HIStalk Practice, HIStalk Connect.


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June 2, 2013 News 8 Comments

Advisory Panel: Recent Vendor Experience

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: Can you describe any notably good or bad experiences you’ve had with a  company in the last three months?


5-31-2013 8-56-13 PM

The best has been athenahealth so far.


5-31-2013 9-05-28 PM

Dell SecureWorks managed services. I’d suggest any IT department lift some burden off their security person/persons by letting someone else watch the logs and manage the firewalls. Then the security people can audit the systems and investigation anomalies. 

Harmony HIT

We are working with Harmony to install their Health Data Archiver tool. We are using it to archive data from legacy clinical and financial systems that practices we’ve acquired used to run on.  I wish we’d found it several years ago because it would have avoided a ton of headaches, met customer needs better, and done it more cost effectively.

Impact Advisors

5-31-2013 8-54-15 PM

Doing some great planning work with Impact Advisors. They have some good experience in the Epic world.


5-31-2013 9-00-03 PM

Notably good experience with KLAS and their evolving assessment of the BI/analytics market.


5-31-2013 9-03-51 PM

We have done a lot of interface work with McKesson over the last three months. They are implementing an EMR at a seven-hospital system and we are working through interfaces with them as each site goes live. They have been wonderful and very helpful. 


5-31-2013 9-08-10 PM

NetApp proactively proposed to conduct an end-to-end assessment of our storage environment. Their assessment surfaced a number of gaps, some of which were critical and urgent, needing increased attention from our technical management. It was refreshing to see a storage vendor looking out for our best interests and taking a proactive approach to service. By focusing on NetApp’s recommendations, we likely avoided some major problems that could have affected availability of EMR production and other critical systems.


5-31-2013 8-58-11 PM

Hands down my worst experience has been with NextGen, especially their billing "Practice Solutions." 

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May 31, 2013 Advisory Panel No Comments

Morning Headlines 5/31/13

May 30, 2013 Headlines No Comments

Health Care Innovation

In a letter to the editor of The New York Times, National Coordinator Farzad Mostashari, MD, concurs with an Times piece published earlier this week which identified the booming health IT startup market as an unintended positive consequence of the Affordable Care Act. Mostashari added that widespread adoption of EHRs and a shift from fee-for-service to value-based purchasing are also positive outcomes of recent public policy.

Computer prompt boosts flu vaccine rates

Pediatricians in New York City were able to increase pediatric flu vaccination rates nine percent by having a pop-up alert built into the practice’s EMR. alerting doctors if the patient had not yet received a vaccination.

RBH faces £18m loss over IT system

In England, Royal Berkshire Hospital writes down $23 million in expenses, much of which it blames on unanticipated costs associated with its Cerner Millennium implementation.

Despite Challenges, MEDITECH 6.0 Customers Say They Are Not Going Anywhere

Despite performance challenges with Meditech 6.0, 95 percent of the company’s customers surveyed by KLAS say Meditech is part of their long-term plans, citing affordability and usability.

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May 30, 2013 Headlines No Comments

News 5/31/13

May 30, 2013 News 5 Comments

Top News

5-30-2013 8-38-04 PM

A letter to the editor in The New York Times by National Coordinator Farzad Mostashari says public policy is making the healthcare system smarter, citing the recently announced figures that half of practicing physicians and 80 percent of hospitals are using EHRs.

HIStalk Announcements and Requests

inga_small Some HIStalk Practice highlights from the last week or so: WNA makes a rare HIStalk Practice appearance to comment on a physician who has quit taking insurance. Physician satisfaction with their EHR vendors has declined over the last year. Almost one-third of physicians buying EHRs today are replacing legacy EHRs. Physicians fear that declining reimbursements, rising costs, and ACA-related requirements will threaten practice profitability. Athenahealth recognizes Midland Orthopaedics with its athenaVision award. Most nurse practitioners believe a practice led by an NP should be certified as a PCMH, but most physicians disagree. Dr. Gregg posts a letter to Allscripts. Thanks for reading.

We’ve had some interesting posts on HIStalk Connect lately, so you might want to sign up for e-mail updates if you follow mHealth, innovative technology, and startups. Lt. Dan also does a Friday weekly news recap there that provides a great summary. Some recent articles:

Tim Cook Discusses Wearables, Acquisitions, and Executive Changes at D11 Conference
The Third Screen Revolution in Healthcare Is Before Us
How Consumers Enter the System
EHRs Propagate “Best” Practices
Healthcare Q&A
VentureHealth Launches Equity Backed Crowd Funding Site
Texting for Health Revisited

Acquisitions, Funding, Business, and Stock

5-30-2013 10-27-09 PM

Shareable Ink raises an additional $3 million, bringing its total funding in the last three years to over $14 million.


Bon Secours Health System Center for Clinical Excellence and Innovation selects Quantros to advise on performance improvements to advance ED quality and safety.

5-30-2013 3-59-37 PM

Southpoint Surgery Center (FL) selects Wolters Kluwer Health’s ProVation MD and ProVation MultiCaregiver.

5-30-2013 4-00-19 PM

The Pennsylvania eHealth Partnership Authority signs a five-year agreement with Truven Health Analytics for its HIE solution.

Clyo Internal Medicine (OH) selects simplifyMD as its EHR provider.

5-30-2013 4-01-48 PM

The University of Miami and the University of Miami Health System will deploy Hyland Software’s OnBase enterprise content management solution across 60 academic departments, 30 outpatient facilities, and three hospitals.

5-30-2013 4-03-04 PM

John C. Lincoln Health Network (AZ) selects Besler Consulting to assist in the identification of Medicare Transfer DRG underpayments.


5-30-2013 4-04-35 PM

AirStrip names OptumInsight CEO Bill Miller to its board.

5-30-2013 5-23-59 PM

Verisk Health EVP Brian Smith joins the advisory board for telemedicine provider SnapMD.

5-30-2013 2-19-16 PM

Explorys appoints Cleveland Clinic CFO Steve Glass to its board.

Announcements and Implementations

5-30-2013 5-31-21 AM

Advocate Physician Partners (IL), a care management collaboration with Advocate Health Care, implements its 500th independent physician on SynAPPs, Advocate’s cloud-based version of eClinicalWorks EHR.

Practice Fusion announces preferred billing partnerships with ADP AdvancedMD, CollaborateMD, and NueMD.

The Idaho Health Data Exchange and St. Luke’s Health System launch Image Exchange viewing capabilities by eHealth Technologies.

5-30-2013 10-29-54 PM

Malcom Randall VA Medical Center (FL) installs Welch Allyn’s Connex Electronics Vitals Documentation System.

Edward Hospital & Health Services (IL) deploys Levi, Ray & Shoup’s VPSX print management and document delivery system its Epic system.

5-30-2013 10-31-36 PM

PDR Network will distribute drug company patient support coupons from OPTIMIZERx via EHRs.

SCI Solutions releases Order Facilitator v10, which includes mobile ordering, expanded messaging, and enhanced capabilities for lab order requisitioning, collection, and labeling.

Nuance publicly confirms for the first time that its speech recognition technology powers Apple’s Siri, with CEO Paul Ricci stating at a conference, “We are the fundamental provider of voice recognition for Apple.”

In England,NHS chooses BJSS and Valtech as finalists to develop an electronic referrals service to replace Cerner’s system.

5-30-2013 8-17-36 PM

The MUSE conference is underway this week in National Harbor, MD, wrapping up Friday. The photo above of Farzad Mostashari delivering the keynote was posted to Twitter by Dan McQueen.

5-30-2013 9-03-02 PM

CureMD will demonstrate a new chemotherapy administration module of its oncology EHR that it says took five years to develop next week at the American Society of Clinical Oncologists conference in Chicago.

Government and Politics

CMS advises practices on the role of clearinghouses in the ICD-10 transition, noting that, “While clearinghouses can help, they cannot provide the same level of support for the ICD-10 transition as they did for the Version 5010 upgrade.”

The HHS Office of Inspector General finds that healthcare provider information maintained in the National Plan and Provider Enumeration System (NPPES) and Provider Enrollment, Chain and Ownership System (PECOS) was often inaccurate, occasionally incomplete, and generally inconsistent between the two databases. In NPPES, 48 percent of records contained inaccurate data; 58 percent of PECOS records contained inaccuracies. 

5-30-2013 8-03-47 PM

HHS launches the “Information is Powerful Medicine” campaign that targets HIV/AIDS sufferers.

A group of Senate Republicans calls for an independent investigation of HHS Secretary Kathleen Sebelius, claiming that her fundraising efforts for Enroll America, a non-profit that promotes the Affordable Care Act, is inappropriate and possibly illegal in appearing to solicit donations from industries she is responsible for regulating.


5-30-2013 2-41-02 PM

The Health Information Trust Alliance, which promotes data security among healthcare providers, experiences a cyber attack of a non-critical, standalone public Web server. HITRUST a test database with fictitious data was compromised.

Bon Secours Hampton Roads Health System notifies 5,000 patients of a potential EHR security breach after discovering that two clinicians had accessed patients’ medical records “in a manner that was inconsistent with their job functions and hospital procedures.” The hospital has terminated the pair and is offering affected patients free credit monitoring services.

In England, Royal Berkshire Hospital says its problem-plagued Cerner Millennium EPR forced it to write down $23 million. According to the hospital’s CEO, “Unfortunately, implementing the EPR system has at times been a difficult process and we acknowledge that we did not fully appreciate the challenges and resources required in a number of areas.”

Australian researchers review the use of CSC and Cerner CPOE systems in a small-scale study that suggests systems with more drop-down menus may increase error risk.

EMR reminders driven by a connection to New York City’s vaccine registry increased children’s flu vaccine rates by 9 percent, and when physicians chose not to order the vaccine, they documented the reason 98 percent of the time. The results were presented at a pediatrics conference earlier this month.

Despite performance challenges with Meditech 6.0, 95 percent of the company’s customers surveyed by KLAS say Meditech is part of their long-term plans, citing affordability and usability.

5-30-2013 10-34-42 PM

A New York Times article says Beth Israel Medical Center (NY) allowed an elderly heiress worth $300 million to occupy one of its rooms for the last 20 years of her life, but launched “an all-out fundraising campaign” in having executives hang around her room to hit her up for donations and drop hints about making a will. The CEO’s mother even watched a Smurfs video with her hoping to get on her good side.  

Weird News Andy titles this story Step 1: Insert Pencil. A German man complaining of headaches and a runny nose is found to have a four-inch pencil embedded in his head, lodged there 15 years previously in a childhood accident.

Sponsor Updates

  • SIIM and Brad Levin of Visage Imaging have developed a three-minute survey for IT imaging leaders to bring visibility to imaging challenges before next week’s SIIM13 conference in Dallas.
  • Dorland Health names Vocera subsidiary ExperiaHealth the winner of its Case in Point Platinum Award for Discharge Planning Program for its use at Cullman Regional Medical Center (AL).
  • RazorInsights exhibits its ONE Enterprise EHR at next week’s Alabama-Georgia Rural Health Clinic Conference in Opelika, AL.
  • SuccessEHS client ARCare (KY/AR) achieves Stage 6 on the HIMSS Analytics EMR Adoption Model.
  • Imprivata announces that it has the highest market share of any SSO solution among US Meditech EHR hospitals (36 percent) and that the number of hospitals using Imprivata OneSign has increased about 57 percent in the last year.
  • e-MDs posts a Webinar that includes advice for physician practices on health information exchange and Stage 2 MU.
  • Impact Advisors principal Laura Kreofsky and senior advisor Jason Fortin discuss why achieving Stage 2 MU could be challenging.
  • Awarepoint is named a Red Herring Top 100 North America Tech Startup.

EPtalk – by Dr. Jayne


ICA achieves EHNAC Accreditation as a Direct Trusted Agent. Other vendors recognized include Cerner, Max.MD, and Surescripts. All four were accredited for Registration Authority, Certificate Authority, and Health Information Service Provider criteria.

The HIMSS14 Call for Proposals ends next week. It’s hard to submit timely topics nearly a year in advance, but if you’re like those of us in the nonprofit trenches, it may be the only way to have a trip to HIMSS approved. You wouldn’t want to miss an opportunity to attend HIStalkapalooza, would you?

Speaking of educational opportunities, CMS offers a National Provider Call on June 5 to help providers get started with PQRS and the Value-Based Payment Modifier programs. CMS experts will also be available after the presentation to answer questions.


The University of Illinois at Chicago creates an ICD-9 to ICD-10 website. Maybe I have a warped sense of fun, but I enjoyed fiddling with it, and the results make for some frightening diagrams to spice up ICD-10 presentations.

A friend of mine e-mailed this blog by Reid Blackwelder MD, president-elect of the American Academy of Family Physicians. He tells the tale of a neighbor who fell and was taken to the ER where he was possibly misdiagnosed and discharged, then had to return for more extensive testing and a final diagnosis. Along the way, key clinical signs (like his inability to walk) were missed. Treating the numbers (test/lab/film) rather than the patient has become epidemic in the US. Is it defensive medicine, time pressure, the influence of Big Data, or simple lack of caring? I don’t know the answer, but we have to figure out a way to do better.

The article came at the same time that I was having a heated e-mail exchange with an IT colleague about whether we should push our vendor to incorporate genomics content in the EHR. I find it difficult to think that the average physician is going to be able to understand and act on genomic data when our healthcare delivery system so stressed that stories like Dr. Blackwelder’s exist. Of course that’s assuming we figure out a way to pay for gene sequencing and the subsequent treatments suggested by the data, which was the source of the original heated exchange.


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

More news: HIStalk Practice, HIStalk Connect.


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May 30, 2013 News 5 Comments

HIStalk Interviews Frank Naeymi-Rad, Chairman and CEO, Intelligent Medical Objects

May 29, 2013 Interviews 8 Comments

Frank Naeymi-Rad, PhD is chairman and CEO of Intelligent Medical Objects of Northbrook, IL.

5-29-2013 7-22-20 PM

Tell me about yourself and the company.

I received my computer science doctorate degree from Illinois Institute of Technology. My dissertation research work was in developing medical dictionaries that support electronic medical records, decision support, and information retrieval used at the point of care.

I got introduced to medical terminology when I was teaching classes to medical students, where I was directing academic, research, and administrative information services at the Chicago Medical School. These classes included use of computers for directed history and physical documentation, informatics workup, and concepts in medical artificial intelligence as senior electives.

During the senior elective setting, I wanted students to build knowledge for different decision support applications. The major task and challenge that we had developing knowledge for the decision support was standard terminology. Each system had its own dictionary. The systems we used were MEDAS, Dxplain, QMR, Knowledge Coupler, and Iliad. The medical students had to build knowledge for pattern recognition as well as rule-based decision support and application.

The knowledge created by students for a given diagnosis was then compared to knowledge within these expert systems for the same topic. The key learning objective was that everyone learned how the computers were used to make decisions and the results could be manipulated to reflect the new discoveries.

During that process, the most important aspect that came out was when we compared students’ patterns to other expert systems. It became clear that what was missing was standard medical terminology. This became the topic of my dissertation. It was really the concept of capturing and preserving the truth, what the source of truth about a given decision was and how the decision was made by the computer.

It was then necessary to reverse engineer the patterns back to the original form to explain why it led to the need to build a dictionary that students used to codify the rule. This allowed us to compare the pattern across multiple domains using the same foundation dictionaries. This led to my dissertation topic, which was a feature dictionary for clinical systems and electronic medical records.

The ultimate test was how the students’ knowledge would perform when interfaced to real patient data. Into the late 1980s and early 1990s, there were no coded electronic records. This led to the development of a history and physical documentation program on the Apple PowerBook for medical students. This program was expanded as a tool for second-year students as part of a supplement for the introduction to the clinical medicine class.

This program allowed students to develop comprehensive documentation for the history and physical exam. While the objective was to a develop a patient electronic record that could be used to test the student decision support pattern, instead it led to the creation of an electronic medical record which was used a the Cook County ER. IMO was created to help commercialize the product that was sold to Glaxo Wellcome, which at that time was called HealthMatic.

Later on, HealthMatic was sold to a company called A4 Sytems, and then A4 Systems sold its assets to Allscripts. The EMR that we developed at the medical school, with the help from many of the same IMO team developers working with me at the medical school, helped commercialize it. The current generation is called Allscripts Professional.

You can understand how the team who is working at IMO right now are key players in the industry. This is the same team from the medical school as well as the same team that developed the early clinical documentation for HealthMatic and medical content work for Glaxo Wellcome.


Describe how IMO’s product and the terminology works with EHRs.

Our flagship product is interface terminology. Our primary objective is to capture and preserve the clinical intent and then map that clinical intent — the truth — to their corresponding regulatory requirement. Interface terminology manages and maps between clinicians’ terms and the required regulatory code terminology like ICD-10 and Meaningful Use codes as well as reference terminology like SNOMED CT.

The way we have succeeded is that we have removed the overhead of making a clinician to be a coder. They can say what they want to say. We manage the code and mapping and help our EHR partners to capture and preserve the truth.


Who is your most significant competitor?

The competitors that I see are people who do not really understand the challenge of terminology and the importance of preserving the clinical intent. Fortunately and unfortunately for us, I think the knowledge base within the marketplace is growing. We need a dynamic model to respond to these changes as soon as possible.

We are very happy that we are able to help our partners meet regulatory standards. Adaption of standards is a very daunting task for many of our vendor partners. There has been a lot of movement in our space because most of the new regulatory standards require several new coding subsets.

We expect large and innovative competitors coming into the terminology space. What they are missing is the understanding of the electronic medical record and how terminology should be used within the electronic medical record. Having the EHR knowledge expertise gives a true edge to IMO’s team as the market moves from fee-for-service to fee-for-performance.

There are many competitors within the terminology space. We have competitors who are managing the coding for reimbursement and now have to also do clinical. We have competitors who sell you tools in order for you to manage the complex mapping for the coding within the clinical setting.

Terminology management is hard and tedious work. We have a unique group of knowledge workers and physicians because they are good at it and love doing it. Adding to that our technology team, with the understanding of the electronic medical record and how terminology is used within the electronic medical record, creates a major barrier for others to match the quality of our service delivery.


What parts of HITECH have caused both vendors and providers to seek you out as a company?

It’s compliance to the Meaningful Use requirement and making sure that they are able to manage the changes associated with Meaningful Use requirements. When you look at our portfolio of clients, they initially used us to enhance clinical searching and finding codes for reimbursement. I believe Meaningful Use is creating a unique challenge for them because it is moving the market from fee-for-service to fee-for-performance and that aspect of care creates a unique attribute and need of understanding the use of terminology within the state of care. Our interface terminology service is to make sure that the truth about clinical data is stored as expressed by the clinical team.

For example, when you’re on the same term within the assessment, it may have a different ICD-9 code versus that same term in the history section. Being able to have a concept-based architecture that manages this complexity allows for correct mapping to ICD-9 as well as to ICD-10 complex billing post-coordination, but also maps to SNOMED CT and other required Meaningful Use terminology subsets.

We take that complexity out. We manage that complexity within our tool set and then we deliver those to our client base, allowing their clinical user community intent to be preserved so we can also code for care.


A recent study found that IMO’s interface terminology can identify population health issues when paired with EHR data. What are the implications of what that study found?

The early studies that I did historically looked at finding the clinical truth. You really want to make sure that what clinicians are saying is preserved in their words and that the data being collected is following guidance dictated by the clinical team. The data collection service needs to provide terms that reflect the clinician intent in its original form.

We as a company have been very fortunate to be trusted by and permitted to serve one important population of our society, and that’s the clinician. We believe clinicians are under massive pressure to do their job through primitive electronic documentation services that do not speak their language.

I worked at the medical school for 12 years and I observed students going through all of the different stages of medical training. I understand and appreciate the difficulties physicians have to go through in their medical training. The knowledge base learned as part of their training is their most important tool to make them master problem solvers. Capturing and preserving their clinical intent is always the best card we have in understanding exactly what is wrong with the patient and even when a physician is making a wrong assumption.

Our interface terminology allows the truth to be preserved and not distorted by coding optimization templates or services. Preserving the physician intent is responsible for the success of this study, identifying 99 percent plus patients correctly in this publication. By empowering the clinical team and using IMO interface terminology, we are going to have a near perfect understanding of our patients at risk.


What’s your perception of the state of readiness for ICD-10 transition and what impact this is going to have on providers?

The impact for our vendor partners is going to be nominal because we knew going from 14,000 ICD-9 codes to 90,000 ICD-10 codes will be a massive transformation for many EHR vendors. But for our clients, it’s different because we started distributing ICD-10 mapping last year and we have been working with them to deliver their point of service solution.

As part of our support for ICD-10 CM, PCS, and MU 2, we are expanding our terminology foundations by 3,000-plus concepts and as many as 30,000 interface terms per month. What that really means is that our clients are able to manage all these lexical variants long before the regulatory deadlines for ICD-10 and MU2.


ICD-10 is just a different mapping for you and you allow customers to create or maintain their own in addition to what you supply, correct?

Correct. We don’t allow them to manage their own mapping outside of our mapping because we really believe in this crowd-based or wiki-based model. It creates transparency that our clients have the correct standard mapping. Our mapping obviously grows and changes faster because of this transparent model and medical knowledge changes. We have developed sophisticated tools and workflow to manage all the mapping ourselves. 

Normally when people go to IMO we move them to what we call a migration process to make sure that everybody standardizes their local dictionaries to the same datasets. If there is an error in our mapping or if there is an inconsistency, we can always correct it quickly in the next release. But if we allow local mapping, it really can violate some of the principles that we have. We don’t prevent them from having local variation and mapping. They can have their own lexicons if they want to, but we don’t take responsibility for those maps and will not distribute to other sites.


If they have like a certain phrase that they use locally, they can build it into the equivalent of a dictionary so that even if it’s not commonly used they can still understand?

They could still understand, but they should normally be asking to send it to us. If it matches our editorial policies, we distribute to everybody else. Everybody else would use that as well.

But I think it is important for them to be cognizant of the bigger picture because we really believe that this is the grand opportunity to really make standards like SNOMED and ICD-10 to truly work, because if we map correctly to them, at least these standard coding systems and these regulatory coding systems become more valuable for our future. Obviously they will be changing as well. If people start mapping their own local terms, there’s no way to be able to validate or review that and then challenge it.


That would be unusual, right?

That’s unfortunately not true. There is always going to be new concepts requested. We have term request workflow to incorporate new valid terms in our next release within six weeks and to have everything made available to our community. There are going to be some domains that most likely our clients would need to have their own local terminology, but terminology as it relates to clinicians’ decisions, like the problem list, the past medical history, assessment, and plan, which are foundations for clinical team decision making and requires billing codes that need to be codified correctly.


Has ICD-10 changed your business substantially so that people are seeking you out for a painless solution?

I don’t believe that ICD-10 alone is the issue. The reason our product has been sought out is EHR adoption and usability by clinicians. I really do believe that clinicians are commanders-in-chief when it comes down to fighting diseases and planning treatments. Clinicians are the key stakeholders as we transform from fee-for-service to fee-for-performance. They must be in control.

What our vendors do is use IMO as a source of truth for tracking clinician commands and orders, preserving the patient problem list and differential diagnosis using their dictation into the electronic medical record. ICD-10 is just a byproduct that the EHR vendors needed to comply to. You could say the usability is how the value of IMO is realized when complying with ICD-10, SNOMED CT, and within a few years ICD-11 are byproducts.


What research and development is the company working on?

We have been done with ICD-10 for quite a while. Our biggest research and development is invested in tools to manage our growth that we are facing right now. We are becoming the foundation technology innovation platform for many of our EHR partners. What that really means is that we have worked very, very hard to make sure to marry technology with terminology.

We have a cloud-based solution we call our portal service that allows the physicians to search the way they want to search. We can then rank order the search results in context of the domain that they’re searching for. This new technology allows us to do what we call just-in-time vocabulary releases. We have 60 releases a year total and for diagnostic and procedures 10 releases each. Using the portal eliminates many of the overheads associated with local dictionary normalization.

But these 60 releases a year historically without our technology would be impossible to adopt with import/export technologies. In most cases it takes maybe some times two or three months for people to deploy updates or in many cases people only deploy the regulatory requirements rather than updating on a monthly basis. By having this portal technology available, allowing the marriage of technology and terminology, we are able to make these datasets available at the point of service for our clients almost instantaneously after delivery of our service.

This has really increased our product usage. We have over 350,000 physician users and over 2,500 hospitals using our product. Many of our vendors are moving to our portal as their terminology innovation platform. One comment that we get from our clients is that they know when IMO is not there. That’s by far the biggest compliment that we could get.


What does the physician see differently if they’re using a system that uses IMO versus one that doesn’t?

They can find what they’re looking for and the description that they want to assign to the patient’s problem in the right lexical context and within the top three to five term list results.


Is that time-saving for them?

Absolutely. We are seeing up to three minutes for complex visits and as much as 30 seconds per common visit. The most valuable is a more granular problem list and orders in their clinical speak. We have not measured the IMO factor in follow-up time saving. We hope to work with our partners and perform independent research on the effects of having IMO in time and quality.


Where do you see the company going in the next five years?

Where we are going is to empower our vendor partners to deliver the best EHR solutions in the marketplace. We believe that our technology and removing this complexity associated with its managing terminology makes our partners stronger. They can do more innovations for clinician documentation. That is the most important thing to us.

We believe we want to participate in the success of the care delivery organizations in our country. I believe that as clinicians become empowered in the clinical setting and take over the responsibility of delivery of care using IMO-enabled EHRs, they and care delivery organizations will see a reward based on the quality of care they’re delivering. We would be a key part of this transformation for our vendor partners, their clients, and users.

As we allow our vendor partners to innovate, many of IMO’s portfolio terminology-enabled assets that we have been developing in the last 20 years will become more valuable at the front line and will allow our partners to build a positive distance between their offerings and others not using IMO. We hope to grow with our vendor partners to eventually make the US destination healthcare through new innovations in medical terminology-enabled technology. This is the way it should be.


Do you have any final thoughts?

Thank you for your time and opportunity to present IMO to your audience. We are honored with the finding of the independent study result showing that when using IMO interface terminology, nearly perfect agreement is achieved with greater than 99 percent in a peer-reviewed CDC publication. This article was truly energizing for me and the IMO team working in this space of dictionaries and terminology innovation to capture clinicians’ intent. It seems that finally after all these years we can actually see the fruit of our work, and that is really a good feeling.

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May 29, 2013 Interviews 8 Comments

Advisory Panel: Handling Information Overload

May 29, 2013 Advisory Panel 1 Comment

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, as requested by a reader: How do you manage information overload about new devices, new software, and new services?

"Make the users producers." A good way to keep up with all the new stuff is to engage end users in affinity groups to bring forward their recommendations within a context of a strategic plan. Personally, I keep abreast of new stuff through conferences, reading, talking with physicians and clinical staff, and occasionally meeting with vendors.

It is a zero sum game and always something-else has to give. Like not going to the gym as much or sacrificing some extra time with the family to go to an extra meeting in the effort to stay in the know how. Or reading “Medical Economics” instead of a fiction novel hoping that it will pay off someday by making a smart decision or help  someone else making a smart one for an organization. Or reading your blog instead of watching a show on TV because your blog is so much more fun.

If I’m not talking or listening, I’m reading constantly, 16 hours a day. HIStalk is a very important source of news — very important. I also watch the Advisory Board, Chilmark, and Circle Square. Twitter is a great source of news because of its brevity with links to more detail.

The amount of information we get is absolutely insane! We have taken a formal stand on this. We split different areas up and made them the responsibility of individuals. For instance, one person reads up on new devices, another person reads up on new software, another on new services. Everyone knows who is responsible for which area and forwards pertinent information to them. Once a month, we do an update with each person reporting on what they feel is important. This way, we are all not drowning in e-mails, snail mail, webinars, and conferences. We even split up at HIMSS and AHIMA to explore our own area of update responsibility.  It works for us and no one is overwhelmed with trying to sort through it all.

I try to first see what the demand is from our end users – what are they asking for and for what purpose is the technology needed for? After that I  generally look at KLAS reports to see opportunities to identify best of  breed and go from there.

I make sure to keep my popular blogs to a mall number and read them when time permits. That  is mainly on the weekend or while eating breakfast.  ;)  Boy Genius Report and others on device/mobile. HIStalk on the HIT front, of course! 

We have an Enterprise Architect. Among other things, his job is to stay ahead of new technology and evaluate what might work for our organization and just as important what technology to stay away from. He has a budget to acquire new technology and test it with small pilots (usually using the IS department.) Anytime I get an interesting e-mail (which is rare) regarding new technology, I send it to him for evaluation. I always tell him he has the best job in the organization since he gets to play with new toys.

We let the information enter our consciousness, but only do deep dives if we have a need for a solution or a product replacement or if someone tries to buy something and they need our opinion. It is a never ending task and the first step to not losing your mind over it is to admit it is a never ending task!

(sigh) I don’t have a good answer for this issue. The best I have been able to come up with is regular networking with peers. I tend to target the items that will meet the needs of my current business problems when conducting research. Networking gives me the opportunity to hear about solutions that others have used for problems I have not yet experienced.

Just try to keep from drowning. It is nearly impossible.

You can’t read everything and we focus so much of our time on making sure what we read, communicate, and do is based on quality data. The healthcare space is changing very fast we have to keep up.

We don’t face this issue as frequently as you might expect  However, we rely on our staff to relay back to leadership the market trends – which we in turn take great effort to communicate back to the balance of the client facing staff.

Personally, I will always try something and if it makes my life easier quickly (e.g. within the day), I will stick with it. If it does not, I will move on. At the group level, we are careful to introduce new technologies and do lots of vetting and prototyping to make sure that when we roll it out we have a clear reason to do so and there is a clear ROI to the users.

I listen to everybody and look at anything that any colleague tells me is worth a look — that’s a look, not usually a meeting. Search Twitter, G+ and Google generally for any discussion about that tech.

I am sorry; what did you say? I was too busy checking my iPhone and didn’t hear you. :)

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May 29, 2013 Advisory Panel 1 Comment

Morning Headlines 5/29/13

May 29, 2013 Headlines 1 Comment

Accent on Integration

At MUSE on Wednesday, Iatric Systems will announce the acquisition of the business assets of Accent on Integration. AOI’s products and services, including the Accelero Connect integration platform, will continue to be marketed by Iatric.

Cerner Announces 2-For-1 Stock Split

Cerner has approved a 2-for-1 stock split effective June 17, a strategy employed to reduce a company’s stock price, as CERN shares approaches $100.

Harper Government Invests in eHealth Innovation

The Canadian government announces that it will encourage the creation of local eHealth initiatives by issuing grants to 16 research projects focused on developing technologies that enable patients to self-manage their conditions via eheath applications.

Direct: Implementation Guidelines to Assure Security and Interoperability: May 2013

ONC releases updated guidelines for Direct HIE implementations that will facilitate a MU Stage 2-compliant exchange of information between organizations.

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May 29, 2013 Headlines 1 Comment

News 5/29/13

May 28, 2013 News No Comments

Top News

5-28-2013 6-57-33 PM

Iatric Systems will announce Wednesday that it has acquired the business assets of Accent on Integration. Iatric will continue to market the Accelero Connect integration platform, as well as AOI’s consulting and professional services. AOI President and CEO Mark C. Andiel will transition to Iatric as SVP of professional services and VP/CTO Jeff McGreath will serve as VP of patient care device integration.

Reader Comments

5-28-2013 10-05-57 PM

From Irene: “Re: Twitter. Did you see this?” MedCity News names 10 healthcare IT professionals to follow on Twitter. It’s actually nine since one of those listed is not a healthcare IT professional, but the rest of us are working CIOs, CMIOs, and clinical informatics professionals. HIStalk is described nicely as, “the pseudonym for a man who describes himself as ‘an informatics guy’ and is also the name of his long-running news and opinion blog on all things healthcare IT. It strikes a nice balance between health IT vendor news and perspectives from hospitals as well as industry trends.” I don’t really do a lot on Twitter since I don’t have much time, but I do appreciate the 5,600 people who follow me.

Acquisitions, Funding, Business, and Stock

5-28-2013 10-10-21 PM

Cerner announces a 2-for-1 stock split for shareholders of record as of June 17, 2013. Had you invested $10,000 in CERN shares at the beginning of 2000, they would be worth $191,000 today.


Bon Secours Health System (MD) renews its contract with MedAssets for revenue cycle technology and consulting services.

5-28-2013 10-14-17 PM

John Muir Health (CA) selects ZirMed’s RCM, clinical communications, and analytics tools.


5-28-2013 6-33-37 PM

Cumberland Consulting Group hires Taylor Ramsey (Surgical Information Systems) as director of business development.

5-28-2013 6-34-52 PM

Paul Uhrig, chief administrative and legal officer and chief privacy office of Surescripts, is named to the board of DirectTrust.

5-28-2013 6-35-47 PM

Explorys appoints Objective Health CEO Russell Richmond, MD to its board.

5-28-2013 6-37-12 PM

Valence Health names Scott J. Cullen, MD (Kaufman Hall) executive director of consulting services.

5-28-2013 6-56-17 PM

Leland Babitch, DO (University Pediatricians, Wayne State University School of Medicine) is named senior medical director of Clinovations.

5-28-2013 8-00-55 PM

Children’s Hospital and Clinics of Minnesota promotes Dave Overman from COO to president/COO. He joined the organization as CIO in 2005 and led its EMR implementation (Cerner, I believe.)

Announcements and Implementations

5-28-2013 3-54-51 PM

Alego Health becomes the first organization to join the HIMSS Innovation Center as Founding Collaborator, which requires a $100,000 “investment.”

5-28-2013 4-14-16 PM

ADP AdvancedMD launches MyICD-10, a Website to help practices prepare for the ICD-10 transition.

The Georgia Health Information Exchange changes its name to the Georgia Health Information Network to more accurately reflect its mission of creating network of existing health information networks.

Medhost begins marketing the Vanderbilt-developed perioperative management system its parent company bought with its acquisition of Acuitec, calling it Advanced Perioperative Information Management System.

Government and Politics

The ONC releases updated guidelines for Direct HIE implementations to enable the easy and secure exchange of patient health information under Stage 2 MU.

5-28-2013 7-11-25 PM

Canada’s Minister of Health announces that the government will fund 16 new eHealth projects with $100,000 grants, choosing potential innovations that empower patients, create a new generation of decision support tools, and monitor population health. Among the funded projects, all of which are led by an academically affiliated principal investigator: diabetes self-management, depression screening, self-management of cardiovascular disease risk factors, diabetes interventions, anticoagulation therapy management, mental health screening of pregnant women, depression telemetry, a rheumatoid arthritis decision aid, pediatric weight management, ICU discharge planning, and collaborative care for adolescent cancer.

Innovation and Research

Australian researchers find that using an electronic medication management system did not take time away from providers who were providing direct care.

Startups can apply for a one-minute showcase introduction and networking with a Madison, WI-area audience at Start Me Up in Madison on June 10.


The US Patent Office issues two patents to Greenway Medical Technologies that cover the receipt and transmission of data from multiple EHRs for the purpose of certifications, accreditations, and monetary incentives and for the tracking clinical events.


Sonoma Valley Hospital (CA) notifies 1,350 patients that their information was mistakenly uploaded to the hospital’s public website, making it accessible to Google searches.

A blog post by anesthesiologist Shirie Leng, MD laments the impending end of informal “curbside consults” between physicians due to malpractice concerns. “Lawyers have taken an intrinsic part of human decision-making and interaction and made it, well, dangerous … The minute your doctor thinks better of asking an expert informally what he thinks about my condition or if he thinks you need a formal consultation, the quality of your healthcare goes down.”

Weird News Andy is interested in research that concludes that “sitting is the new smoking” given that he has the equivalent of a three-packs-per-day sitting habit. Researchers say “the chair is out to kill us” in finding that one hour of seated TV-watching cuts lifespan by 22 minutes, while smoking one cigarette shaves off only 11 minutes. Bars must be the most dangerous place on the planet given that patrons are sitting, drinking, smoking (although usually outside) and eating lethal foods like wings and nachos.

Police arrest a man driving 80 miles per hour and using emergency lights and a siren after he initially tells them he’s rushing a friend to the hospital. He finally admits to  playing a police siren app from his Android phone through his car’s speakers.

Sponsor Updates

  • Orion Health will incorporate its Rhapsody Integration Engine into Novari’s Access to Care solution, which integrates physician offices with hospital IT systems for online appointment scheduling and automated reporting of wait times.
  • Impact Advisors principal Laura Kreofsky discusses the use of social media to drive patient engagement.
  • Beacon Partners is conducting a survey on ACO experience.


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

More news: HIStalk Practice, HIStalk Connect.


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May 28, 2013 News No Comments

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