My radical, probably very bad idea to solve this problem is to base health insurance premiums on one's ability to…
From South Bend Snoop: “Re: Press Ganey. CEO Rick Siegrist is resigning. There are rumors of a possible sale of the company to GE, J&J, or 3M, which seem farfetched.” Unverified. I didn’t realize that he co-founded TSI, PatientFlow Technology, and HealthShare Technology.
From Mr. Roboto: “Re: Meditech. They’ve always steered clients to JJWild, now Dell. A former Meditech person told me that Meditech was getting financial considerations for every system sold by JJWild. I find it highly unlikely that Dell (like JJ) is doing anything technically proprietary for Meditech except throwing them a fee for each system sold.” Unverified.
From Komodo: “Re: Meditech. Dell and Meditech have a gentleman’s agreement that Dell will supply all 6.x hardware and therefore design consulting, leading to application and conversion consulting. Now that Dell is becoming cozy with Epic, Howard Messing may be re-thinking this position since his customers don’t like the no-choice solution. I hope you can get Howard to respond.”
Welcome to new HIStalk Platinum Sponsor The Advisory Board Company. I’ve been a fan of the DC-headquartered company for quite awhile since I’ve always liked their super-summarized best practice guides covering big hospital issues such as capacity management and medication errors (I made myself look like a star once by skimming their throughput document and applying its recommendations to my hospital’s particular bed management challenges). Other than best practices research and tools, the company also offers clinical research, leadership development, BI and analytics, and consulting services. The ABCO connection to HIStalk, however, is its Crimson Initiative, a physician performance management analytics solution that gives hospitals (and their physicians) a 360-degree view of physician performance measures such as patient satisfaction, compliance with order sets, and adherence to key quality and utilization metrics. Crimson is used by over 400 hospitals and contains physician analytics and benchmarking information covering 15% of the entire country’s admissions. Paul Roscoe, CEO of the Crimson business unit (and former president of Sentillion and GM of Microsoft Health Solutions Group) e-mailed me awhile back to say that his Sentillion experience with HIStalk was so positive that he asked ABCO’s marketing team to sponsor, saying that HIStalk is “insightful, thought-provoking, funny, and a great source of inspiration for my iTunes collection,” of which the latter is of course the most satisfying to me. You may recall that Advisory Board acquired University of Michigan spinoff Cielo MedSolutions in February 2011, which gives it capabilities in population management analytics and patient registries for physician practices that support risk-based arrangements by making sure patients are current on preventive care and screenings. Thanks to The Advisory Board Company and its Crimson Initiative for supporting HIStalk.
Speaking of Crimson, above is a video from Robert Wood Johnson University Hospital that describes a pilot study that reduced length of stay by 8% and cost per case by $276. Another study by Memorial Hermann found that it saved $358 per patient admission.
Larry Garber MD, medical director of informatics for Fallon Clinic (MA), sent over a press release indicating that as of May 23, Fallon doctors make up more than 10% of those who have successfully attested to Meaningful Use. An amazing 99% of Fallon’s doctors have achieved MU with their use of its Epic system.
Chris Rauber, a reporter for the San Francisco Business Times who I exchange information with fairly often, is writing a story about UCSF’s IT struggles and needs insider sources (anonymous is OK). If you can help him out with details and confirmation, he would appreciate an e-mail.
This week’s e-mail from Kaiser CEO George Halvorson talks about their control of hypertensive patients through use of a care team, proactive interventions, evidence-based medicine, and EMR tracking. The result: Kaiser went from 44% of hypertensive patients controlled to 80% (vs. the national average of less than 50%).
I’m not sure what to make of these survey results: 40% say it’s a good, technically reasonable idea to give patients a list of all views of their EHR information if they ask, while 32% like the idea but think it’s too challenging technically (which would have been my vote). A solid 28% think it’s just a bad idea in general, which puzzles me a bit since I’m not seeing the downside. New poll to your right, following up on all the discussion generated by Thoughtful CIO’s guest post about “why Epic?”: what factor is most responsible for Epic’s sales success?
My Time Capsule editorial that’s seeing daylight for the first time since April 2006: If You Want Testing For Usability, Reliability and Maintainability, Tell CCHIT. A sample: “CCHIT standards that address data management within the four walls will prepare organizations to feed the data demands that RHIOs will create. As I’ve said before, a RHIO without data-ready members is like TV cable with no programs.”
Vince Ciotti says he has received quite a few e-mails from his fellow memory lane strollers about his HIStory series, so his latest chapter should unleash golden memories from the sunny slopes of long ago: the story of McAuto, once a household word (in HIT-related households, anyway), but largely forgotten today.
Retiring Compuware co-founder and CEO Peter Karmanos Jr. says he has two goals to accomplish before leaving the company in two years: boost annual sales of the application performance management division from $250 million to $2 billion and to get an IPO done for Covisint, whose healthcare offerings include the Covisint ExchangeLink Platform for connectivity among hospitals, practices, and HIEs.