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February 6, 2018 News 5 Comments

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Former CMS Acting Administrator Andy Slavitt joins several luminaries to launch the non-profit United States of Care, a non-partisan group that will push for federal healthcare policies that it believes are nearly universally supported despite political differences.

Among its members are health system executives, actors, Mark Cuban, Atul Gawande, former US CTO Todd Park, and former Republican Senate Majority Leader Bill Frist.

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Slavitt describes the group’s goals in a Health Affairs blog post.


Reader Comments

From Orbiter: “Re: HISsies awards. I got my ballot, but how are you presenting the results without an HIStalkapalooza?” I could do some kind of Web extravaganza via GoToWebinar with celebrity participants and live reaction from the winners (perhaps including a virtual pie in the face), with the cost underwritten by the “worst vendor” winner. Or, maybe I’ll just run the PowerPoint results sometime before, during, or after the HIMSS conference. Guess which?

From Integumentary Film: “Re: HIMSS. What are you looking forward to most?” Two things: (a) not having to deal with HIStalkapalooza headaches, and (b) checking out vendors undercover in the exhibit hall. I have planned nothing for the entire week – no events, no meetings, no must-see educational sessions – so I’ll just be letting the HIMSS breeze (including the inevitable hot air) carry me.


HIStalk Announcements and Requests

Does it seem that there’s less industry news to read today? It’s that time of year when vendors start creating their backlog of self-serving announcements, mistakenly thinking that they’ll get more exposure and booth traffic if they hold off announcements until Tuesday, March 6. HIMSS is just 25 days away and the smart companies are building the PR momentum now instead of after it’s too late to take advantage of it.


Webinars

February 13 (Tuesday) 1:00 ET. “Beyond Sliding Scale: Closing the Gap Between Current and Optimal Glycemic Management Practices.” Sponsor: Monarch Medical Technologies. Presenter: Laurel Fuqua, BSN, MSN, EVP/chief clinical officer, Monarch Medical Technologies. The glycemic management practices of many hospitals and physician staff differ from what is overwhelmingly recommended by experts and relevant specialty societies. As a result, they are missing an opportunity to improve the quality, safety, and cost of care for their patients with diabetes and hyperglycemia, which commonly represent more than 25 percent of their inpatient population. Hospitals that transition from sliding-scale insulin regimens to consistent use of basal / bolus / correction protocols are seeing reductions in hyperglycemia, hypoglycemia, and costs. Making this shift more effective and efficient is the use of computerized insulin-dosing algorithms that can support dedicated staff using a systematic approach.

February 14 (Wednesday) 2:00 ET. “Time is Money: Aurora Health’s Journey of Implementing and Advancing Cost Accounting.” Sponsor: Strata Decision Technology. Presenter: Patrick Nolan, VP of finance, Aurora Health Care. Aurora Health Care’s implementation of Strata’s Decision Support module involved not only building an improved cost accounting model, but improving the process to engage a cross-functional team in cost development. It now has accurate, consistent cost data to support decision-making. Aurora’s next phase will be to use actual procedure and visit times to allocate costs. This presentation will provide a detailed view into both the implementation and future direction of the Strata Decision Support program within Aurora.

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


Acquisitions, Funding, Business, and Stock

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Cerner announces Q4 results: revenue up 4 percent, adjusted EPS $0.58 vs. $0.61, missing Wall Street expectations for both. President Zane Burke describes the company’s FY2017 as, “We finished the year on a mostly positive note, with record bookings and all other key metrics except for earnings in line with our expectations,” which glosses over the significant point that the company’s all-important profit number disappointed everyone, including Cerner itself.

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Varian acquires radiation oncology QA software vendor Mobius Medical Systems for undisclosed terms.

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JPMorgan billionaire CEO Jamie Dimon had to soothe the ruffled feathers of the company’s healthcare clients after the announcement that his company — along with Amazon and Berkshire Hathaway – will work together to reduce the healthcare costs of their 1.2 million employees. The company’s healthcare bankers – who drive $682 million in annual revenue – reassured their customers that the partnership won’t really be as disruptive as people are wildly speculating, but instead will be more like a group purchasing organization that will help the companies negotiate better prices for services their employees consume. Insiders say that more-disruptive activities that were discussed, especially with Amazon’s involvement — such as offering health insurance, starting a pharmacy benefits management company, and distributing drugs – are now off the table.

NantHealth CEO Patrick Soon-Shiong is rumored to be close to acquiring the Los Angeles Times and San Diego Union-Tribune for $500 million. Declining business and a series of missteps at the LA Times by owner Tronc – the former Tribune Publishing, in which Soon-Shiong is a major shareholder – have resulted in a two-thirds cut in reporting staff, heavy-handed management intervention into editorial issues to appease advertisers, and a vote by newsroom employees to join the union.


Sales

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UCSF Health (CA) selects Voalte for enterprise communications across six hospitals.

Pickens County Medical Center (AL) chooses Cerner Millennium, delivered via the CommunityWorks hosted model.


Announcements and Implementations

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Michigan Medicine offers virtual visits for minor illnesses such as adult flu, offering a same-day response to symptom questionnaires submitted by noon or within 24 hours if completed later in the day. The seven-day-per-week service costs $25 and is accessed through the health system’s Epic MyChart patient portal.

LifeImage launches Clinical Connector, a vendor-neutral, standards-based platform by which clinicians and patients can access medical images and information from PACS and EHRs across sites. The project began as the LifeImage-powered RSNA Image Share pilot that winds down in March.

DrFirst announces that its real-time prescription benefit checking service has been used 6 million times, saving patients an average of $11 for a 30-day prescription.


Government and Politics

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This isn’t directly health IT related, but it’s important for healthcare journalism, of which I’m the fringest of players. CMS threatens to ban Modern Healthcare Washington bureau chief Virgil Dickson from its news conferences after he wrote a story blaming the resignation of a high-ranking Medicaid official on that official’s clashes with CMS Administrator Seema Verma. I Googled the name of the spokesperson who told Dickson’s editor that he would be banned unless he rewrote his story — Brett O’Donnell is working under a private contract with CMS after (or during) his career as a political communications consultant (nicknamed “Tea Party Whisperer”), during which he pleaded guilty in 2015 to lying to House ethics investigators.


Privacy and Security

In England, Department of Health officials admit that every one of 200 NHS trusts have failed new, tougher cybersecurity requirements, many of them because of delays in system patching.


Other

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Google’s DeepMind reports “promising signs” from its research project with NHS Moorfields Eye Hospital to analyze retinal scans with AI to detect eye disease. Its report has been submitted to a peer-reviewed medical journal.

In Ireland, a review of last year’s incident in which the country’s national imaging system was found to ignore the “less than” symbol finds that no patients were harmed as a result. The Health and Safety Executive says Change Healthcare did not tell it about a software update that fixed the problem, so it didn’t apply that update.

Lancaster County, PA’s Coalition to End Homelessness creates a social services data system that allows people to sign up for multiple programs with a single, universal electronic form that sends information to 40 participating organizations and then allows the groups to coordinate their efforts. The local health system CEO says she has HIPAA concerns with such a project and the hospital won’t participate because it doesn’t have the resources. The cloud-based system vendor is CaseWorthy, which says its system meets HIPAA requirements. It is apparently working on integrating its system with Epic.

In Australia, a coroner finds that an inpatient’s death after routine knee surgery was due to a drug overdose that was caused by an anesthesiologist entering the wrong product in Macquarie University Hospital’s just-implemented InterSystems TrakCare system. The doctor admitted that he wasn’t trained on the system and didn’t follow up when he noticed his patient wearing a pain patch that he didn’t intentionally prescribe.

Vince takes a look back 30 years, when magazine ads featured decisive hospital executives wearing three-piece suits and clinicians literally dancing with EHR delight, which might make you think the hospital IT wars had been fought and won to the musical backdrop provided by chart-toppers Tiffany and the manufactured Latin-influenced band Exposé.

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This tweet is brilliant.


Sponsor Updates

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  • DocuTap employees restock The Teddy Bear Den, an incentive and education program for limited-income pregnant women and their children.
  • PerfectServe publishes a new customer success story, “Chicago-based ACO and managed care organization Advocate Medical Group (AMG) strengthens continuity of care for patients.”
  • AdvancedMD will exhibit at the Association of Dermatology Administrators & Managers February 12-14 in San Diego.
  • Besler releases a new podcast, “The impact of 340B changes on providers and beneficiaries.”
  • CarePort Health will exhibit and present at the California Hospital Association’s Post-Acute Care Conference February 15-16 in Redondo Beach, CA.
  • Healthx teams with Change Healthcare to provide cost transparency tools.
  • CompuGroup Medical encourages support for health center funding via the Red Alert campaign.
  • Cumberland Consulting Group will sponsor Model N Rainmaker 2018 February 12-14 in Carlsbad, CA.
  • Dimensional Insight will host a regional user meeting February 8-9 in Amelia Island, FL.
  • Divurgent publishes a new success story, “Cybersecurity Transformation Program.”

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
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Currently there are "5 comments" on this Article:

  1. I was pretty bummed to hear about Jamie Dimon hitting the phones to play down the JPMorgan/Amazon/Berkshire deal. Either they’re lying to their health care clients and they actually do want to do something disruptive or they shouldn’t even bother because they won’t move the needle. If JPMorgan and Amazon can’t bargain based on volume already I don’t know what makes them think they’ll be more successful together. Group purchasing is probably more beneficial in the small/mid market. They want to attack health care costs yet they don’t seem to want to cut any of the cost.

    • Eh,

      Berkshire, Amazon, & JP aren’t going to enlist the details of how exactly they’ll buy the mid-to-small market, in my personal opinion, they shouldn’t have broadcast the talks to the public. They can learn from some of the successful startups to unveil the business deal at the last minute, rather than now at this minute.

  2. I actually applaud your decision not to host the party at HIMSS. No reason to keep doing something you got marginal enjoyment from.

  3. On the Cerner Earnings Call, re: MHS GENESIS, Zane said:

    “… the project has led to a HIMSS Level 6 designation with all four sites using functionality they didn’t have prior to implementing Cerner, such as advanced clinical decision support, proactive care management, structured messaging, business and clinical intelligence and the capability to share data with the community-based EHR.”

    I was skeptical of the claim “capability to share data with the community-based EHR” but figured HIMSS would be somewhat trustworthy validation.

    Turns out, the ability to share data is a Stage 7 criterion, not Stage 6. Per HIMSS Analytics website:
    “STAGE 7: Complete EMR; External HIE; Data Analytics, Governance, Disaster Recovery, Privacy And Security”

    Hopefully, Secretary Shulkin is paying more attention than the analysts on the call. Funny also, in the very next paragraph, Zane says, “it’s good to have the requirements clearly defined.” That’s the most true thing he’s said in a year.

  4. Re: JPMorgan/Amazon/Berkshire deal.

    Oh sure, these for profit gurus are gonna make tons of money cutting healthcare costs.
    OR
    They’re gonna make tons of money but not cut costs in order to serve their constituents.

    Which is it?







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Reader Comments

  • Sam Lawrence: Except in this case, coding = medical billing, not development. Though the same warning may be true...
  • BeenThere: Partners will find the savings from their cuts of coders as fools gold. There are a lot of hidden costs running an outs...
  • JC: If there is not there can be. VistA has a reference lab interface that can create the manifests/labeling and such as we...
  • Tom Cornwell: Great stuff from Dr. Jayne as usual. One small typo, last sentence of second-to-last paragraph: should be 'who's' not 'w...
  • HIT Observer: What I find most interesting here, is people defending their common practices rather than truly taking this as invaluabl...
  • Bob: There's no incentive for the provider to spend time doing a price comparison for the patient. Nor is it a good use of th...
  • Peppermint Patty: Veteran - can you clarify what was "fake "? Was something made up (definition of fake) or did you disagree with Vapo...
  • Pat Wolfram: Such a refreshing article. Thanks -- there really can be a simpler version of an acute HIT implementation. But I do ...
  • Woodstock Generation: Bravo to HIStalk's Weekender recaps and other news/opinions. I read it first thing on Monday mornings..................
  • Veteran: #fakenews...

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