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Monday Morning Update 9/4/17

September 3, 2017 News No Comments

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An article in Wired says that despite widespread use of electronic medical records, people with medical needs aren’t faring any better after Hurricane Harvey than following Hurricane Katrina in having their medical history available to first responders and new providers.

The article blames lack of interoperability and EHR downtime caused by flooding and power outages.

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The author describes PULSE (Patient Unified Lookup System for Emergencies), an HHS-funded pilot project to create a data-sharing network that can be activated in a crisis. A January 2017 HHS announcement describes the California pilot that uses technology from Audacious Inquiry:

PULSE is currently being built to facilitate exchange during a declared emergency by extending interoperability across disparate technologies to support health information exchange. PULSE will allow Alternative Care Facilities (think of these as aid stations or MASH units set up during an emergency) so that EMS and authenticated volunteer providers can quickly get access to often life-saving data, when and where they need it. In the future, the PULSE system could facilitate patient lookup capability in an ambulance.

During a recent demonstration by Audacious Inquiry, the contractor that developed the PULSE technology, the program’s benefits become readily apparent. In the event of an earthquake, or forest fire (like the one that recently ravaged Eastern Tennessee), first responders (defined under PULSE as any of six provider types, including doctors, nurses and EMTs) can query PULSE with standard eHealth exchange patient demographics—including name, date of birth, and gender.  PULSE then sends out data tendrils to California-based HIEs, health systems and hospitals, for instance, looking for a match to the query. PULSE then enables first responders to see recent care notes from treating providers – including hospital discharge summaries and the Consolidated Clinical Documents (CCDs).

As PULSE is being developed, we have tried to ensure that it can be a model for other states to use. To support future scalability, PULSE is utilizing industry standards when communicating with HIEs and hospitals.


HIStalk Announcements and Requests

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Poll respondents are OK with — clinicians with or without formal informatics credentials — calling themselves “informaticists” and are equally accepting of non-clinicians who have earned a graduate degree in informatics, but draw the line at a non-clinicians whose only credential is work experience. Harry suggests calling technically focused people “informaticists” and those specializing in clinical applications and user experience “informaticians.” Kelley says a challenge in public health is separating informatics from IT.

New poll to your right or here: What is the primary reason hospitals don’t exchange patient information freely?


This Week in Health IT History

One year ago:

  • CMS offers providers four “pick your pace” Quality Payment Program options for 2017.
  • St. Jude Medical sues a medical security services vendor, claiming its pacemaker vulnerability testing was not only improperly performed, but also part of stock short-selling scheme.
  • Apple announces the iPhone 7.
  • In England, NHS announces a digital exemplar grant program for trusts.

Five years ago:

  • Merge Healthcare hires an investment bank to review strategic alternatives.
  • Vocera announces its public offering.
  • Harris Corporation investigates potential US bribery law violations by its Carefx China division, whose employees were found to have provided gifts and payments to prospects.
  • A computer hacker in Italy shares his brain cancer-related medical records on the Internet in seeking help in a project he calls “My Open Source Cure.”

Ten years ago:

  • Ingenix acquires Healthia Consulting.
  • Athenahealth prices its IPO.
  • Allscripts announces its largest EHR sale in its history to Columbia University Medical Center.
  • A UK hospital blocks employee access to Facebook after heavy use degrades its network performance.
  • Health Evolution Partners, started by former National Coordinator David Brailer, MD, PhD, begins its search for investments.

Last Week’s Most Interesting News

  • FDA announces a voluntary recall of St. Jude Medical pacemakers to install a firmware update to fix cybersecurity vulnerabilities.
  • CHIME and DirectTrust announce plans to promote universal deployment of the Direct network.
  • Advisory Board announces plans to sell its healthcare business to UnitedHealth Group.
  • Texas hospitals struggled with flooding from Hurricane Harvey.

Webinars

September 13 (Wednesday) 1:30 ET. “How Data Democratization Drives Enterprise-wide Clinical Process Improvement.” Sponsored by: LogicStream Health. Presenter: Katy Jones, program director of clinical support, Providence Health & Services. Providence is demonstrating positive measurable results in quality, outcomes, and efficiency by implementing clinical process improvement solutions in arming operational and clinical stakeholders with unlocked EHR data. Providence’s army of process engineers use their self-service access to answer questions immediately and gain an understanding of how their clinical care delivery is impacting outcomes. The presenter will describe practical applications that include antibiotic stewardship, hospital-acquired infections, and comprehensive knowledge management.

Previous webinars are on our YouTube channel. Contact Lorre for information on webinar services.


Decisions

  • Mercy Medical Center (MD) will replace Meditech with Epic.
  • Southeast Health Center Of Stoddard County (MO) changed from Medhost to Evident in June 2017.
  • Integris Canadian Valley Hospital (OK) replaced Cerner with Epic in May 2017.

These provider-reported updates are supplied by Definitive Healthcare, which offers a free trial of its powerful intelligence on hospitals, physicians, and healthcare providers.


People

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Orion Health hires Terry Macaleer (Anthelio Healthcare Solutions) as president of its US operations.

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Henry Mayo Newall Hospital (CA) hires Ray Moss (Cedars-Sinai) as VP/CIO.


Announcements and Implementations

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A new Reaction report finds that only one in four cardiology facilities use speech recognition, with far less enthusiasm and effort than their counterparts in radiology, but cardiology use is increasing quickly. Nuance and MModal hold 89 percent of that market.

Cerner and its customer HealthSouth will work together to develop tools to manage post-acute care patients.


Privacy and Security

A university in Canada loses $12 million to scammers who impersonated an employee of its construction company vendor in requesting that checks be sent to their new address that was actually that of the scammers.


Other

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Artificial intelligence researcher Oren Etzioni proposes in a New York Times op-ed piece that AI be regulated in three ways, based on Isaac Asimov’s 1942 “three laws of robotics”:

  • Companies that deploy AI systems must be held accountable for any illegal behavior that results.
  • The AI system, such as a chatbot, must disclose that it is not a human in any conversations with humans.
  • AI systems must not retain or disclose confidential information they receive, such as background audio recorded by Amazon Echo.

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Google’s Verily life sciences company develops a way to predict cardiovascular risk factors by analyzing a person’s retinal image with a machine learning algorithm instead of performing blood tests. The model showed high accuracy in using only the retinal image to predict age, blood pressure, body mass index, gender, and smoking status.

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A federal judge certifies as class action a lawsuit covering all Medicare recipients who were hospitalized but categorized by the hospital as observation patients, which means that as outpatients without necessarily knowing it, they pay more for drugs, co-insurance, and nursing home care.


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Mr. H, Lorre, Jenn, Dr. Jayne, Lt. Dan.
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Reader Comments

  • Code Jockey: Mr. H - this is a response to 'Really' but I'm not sure how to respond to his post. Also, this is a note for both you an...
  • Clarence: From my experience 7 years as an Epic employee and then 4+ years integrating 3rd party clinical content/software into EH...
  • meltoots: I take issue with one thing in this. The ACR AUC system is ridiculous for specialist physicians. I am a board certified ...
  • Really: Come on Code Junkie... Would any software company on the planet let you take their code, do a minor modification and ...
  • Code Jockey: Sigh.... Code Corrections - the origin of this conversation was a statement by someone that Epic clients were creating t...
  • WhatstheretoWonder: Fairly clear that the ambitions were crushed by unchecked capitalism and Republican waffling on doing the necessary chec...
  • Woodstock Generation: Re: Mr. HIStalk's response to Post-Acute Pat - Mr. HIStalk, you couldn't have said it better about today's healthcare i...
  • It'sNotYouIt'sMe: I also at some point "consented" to give my bank and credit data to Equifax. If you asked the average person when they s...
  • Michael: Re: WSJ article - "without the patient's knowledge or approval." All of the patients consent to give their DNA for resea...
  • DataPlay: If Allscripts flames out of the inpatient market, does that kill their data play as well? I know roughly who buys inpati...

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