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News 5/18/18

Top News

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Acting VA Secretary Robert Wilkie signs a 10-year, $10 billion contract with Cerner, saying its system will allow patient data to be “seamlessly shared between VA, DoD, and community providers.”

Wilkie adds that VA “will add capabilities as necessary to meet the special needs of veterans, VA clinicians, and our community care partners” and will collaborate with the DoD to share lessons learned.

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Wilkie said in the announcement, “President Trump has made very clear to me that he wants this contract to do right by both veterans and taxpayers, and I can say now without a doubt that it does.”

Cerner President Zane Burke said in an announcement that the company’s technology “has been deployed successfully at Department of Defense (DoD) medical facilities and thousands of provider sites globally … My thanks to the administration for selecting Cerner to collaborate in creating seamless care as service members transition from active duty to VA medical centers and community providers. We expect this program to be a positive catalyst for interoperability across the public and private health care sectors, and we look forward to moving quickly with organizations across the industry to deliver on the promise of this mission.”

The total project cost has been estimated at $16 billion. Cerner will serve as its own prime contractor.


Reader Comments

From Pilsner: “Re: Epic. Heard they have acquired a small revenue cycle form to jump start a outsourced services offering.” Not true, according to a company contact that I was kind of embarrassed to ask given the near-certainty that this didn’t actually happen. Which it didn’t — Epic has never acquired another company and I don’t expect that to change.


HIStalk Announcements and Requests

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I have zero responses to this week’s “Wish I’d Known” question, so it will be a skip week unless folks weigh in over the next day or two.

Here’s the recording of this week’s webinar titled “You Think You Might Want to Be a Consultant?” with Frank Poggio.


Webinars

May 24 (Thursday) 1:00 ET. “Converting Consumers into Patients: Strategies for Creating Engaging Digital Experiences People Demand.” Sponsor: Healthwise. Presenters: Antonia Chappell, director of consumer solutions, Healthwise; Josh Schlaich, senior product manager, Healthwise. Nearly three-quarters of US adults use a digital channel to manage their health and the internet to track down health information. It’s clear that consumers have come to expect online interactions as an integral part of their overall patient experience. In fact, the Internet may be the first way people come in contact with your organization. They have more choice than ever on where to get healthcare services, and their decisions are increasingly influenced by how well organizations connect with them in the digital space. This webinar will show you how to create engaging digital and web experiences that convert casual consumers into patients and keep them satisfied throughout their entire patient journey.

June 5 (Tuesday) 1:00 ET. “Increase Referrals and Patient Satisfaction with a Smarter ‘Find a Doctor’ Web Search.” Sponsors: Phynd Technologies, Healthwise. Presenters: Joseph H. Schneider, MD, MBA, FAAP, retired SVP/CHIO, Indiana University Health; Keith Belton, VP of marketing, Phynd. A recent survey found that 84 percent of patients check a hospital’s website before booking an appointment. However, ‘Find a Doctor’ search functions often frustrate them because their matching functionality is primitive and the provider’s information is incomplete or outdated. Referring physicians need similarly robust tools to find the right specialist and to send the patient to the right location. Attendees of this webinar will learn how taxonomy-driven Provider Information Management improves patient and referrer satisfaction by intelligently incorporating the provider’s location, insurance coverage, specialty and subspecialty, and services offered that can be searched via patient-friendly terms.

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


Acquisitions, Funding, Business, and Stock

The search for a CEO for the proposed joint healthcare venture of Amazon, Berkshire Hathway, and JPMorgan (or as Gizmodo likes to call it, the incredibly vague healthcare company of rich guys) stalls as the companies change their recruiting tactics to focus on someone with entrepreneurial experience. Payer and policy experts like Todd Park, Andy Slavitt, and Gary Loveman were on the initial wish list, as was entrepreneur and Grand Rounds Health CEO Owen Tripp, who has downplayed any interest in the position.


People

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Dennis Cail (Trintech) joins Nordic as VP of ERP solutions.


Sales


Announcements and Implementations

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Holy Cross Hospital (NM) implements Wellsoft’s EDIS.


Government and Politics

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Democrats call for the ouster of acting VA CIO Camilo Sandoval as part of an overall outcry about the lack of effective leadership they believe has led to agency waffling on the proposed Cerner EHR contract. Sandoval’s time as director of data operations for the Trump campaign while it was contracting with Cambridge Analytica and $25 million lawsuit filed against him for discrimination and harassment against campaign staffers have led the lawmakers to declare he “should be put nowhere near veterans’ health and benefits data.”

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An assessment of Delaware-based Vaughn Correctional Center’s healthcare services produces a long list of EHR-related problems, including poor connectivity, inefficient workflows, and numerous workarounds. One healthcare employee, who typically sees between 12 and 15 patients a day, reported spending 80 to 100 hours each week on documentation. Vaughn prisoners, who have complained of inordinately long appointment wait times, led a violent uprising last year that resulted in the death of a correctional officer.

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FDA says data vendor IQvia has for years provided it with incorrect national opioid dispensing data, as calculation errors “raise serious concerns about systemic issues with IQvia’s data and quality control procedures.” The agency is demanding a third-party audit of the company’s procedures. IQvia was known as QuintilesIMS until a November 2017 name change. Shares of the Durham, NC-based research company trade on the NYSE at a market cap of $20 billion.


Privacy and Security

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In Houston, the University of Texas Health Science Center alerts patients that an email sent last week announcing the departure of a physician at its Davis Clinic mistakenly exposed 2,800 patient email addresses.

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LifeBridge Health (MD) notifies patients of a September 2016 malware attack on the server that hosts its registration and billing systems, and the EHR used by its Potomac Professionals group. The health system, which detected the breach on March 18, has since enhanced password protocols and its cybersecurity system. CIO Tressa Springmann says the breach was the work of an external entity and that the organization is on a communications offensive in an effort to be transparent about the incident.

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The EU’s General Data Protecting Regulation goes into effect next Friday, making it a good time to review earlier guidance from Advisory Board that compares it to HIPAA. My interpretation is different from theirs – they say it applies to a US provider delivering care to anyone hailing from a EU country, while I read it as being only for patients who are physically in an EU country at the time services are rendered (telemedicine, website use, and marketing sign-ups are the only use cases I can think of).


Other

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In Australia, SA Health brings in 30 staffers to help clear a data entry pileup brought on by burdensome data entry requirements of the $37 million Cerner enterprise pathology laboratory information system it implemented last year. The backlog has caused delays in getting test results to patients, and in some cases, lost results. SA Health is in the midst of a 10-year, $471 million Allscripts EPAS roll out, which has also been plagued with problems and political hand-wringing.

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A federal jury convicts Suresh Mitta and several co-conspirators for their roles in Cerner impersonation schemes that included selling a fake MRI machine to Dallas Medical Center for $1 million. Mitta even sued an international tech company under the guise of Cerner LLC, ultimately winning $24 million. UPDATE: Suresh Mitta died in the custody of US Marshals hours after his conviction, with law enforcement officials saying it appears he had a seizure in the cell he shared with other prisoners.

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Columbia University Medical Center raises the ire of some ethicists by creating a family tree from inpatient EHR data – including each patient’s emergency contact along with more obvious connections such as mother-child status – to study inherited conditions. “It’s a way of looking at genetics but without having any genetic data,” one author said of the assumption that emergency contacts are often blood relatives. Bioethicists object that those emergency contacts did not give their consent (one compared the study to Cambridge Analytica) and observe the irony in finding “information to help your health, but we’re not going to give you that information.” Columbia is sharing its 2-million de-identified patient record database and its algorithms for detecting family relationships for similar studies. The authors say they can now say as a result that runny noses are inherited, although they admit that they can’t discern shared environmental issues or the possibility that the EHR does not list all conditions.

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Anesthesiologist and Surgeon General Jerome Adams, MD comes to the aid of a Delta passenger who had lost, then regained consciousness before takeoff. Adams, with help from two nurses, saw that the passenger was taken back to the gate and on to a hospital.


Sponsor Updates

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Blog Posts

Sponsors Named to Modern Healthcare’s “Best Places to Work in Healthcare 2018”


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
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