Providence St. Joseph Health publishes a state-specific online advance directive toolkit and customizes its EHR to store the advance directives of its patients.
Patient wishes will be displayed via the EHR — along with goals-of-care conversations — to clinicians. The EHR will also send an alert to the physician if treatments are ordered that conflict with the patient’s desires.
Clinicians will also prescribe videos and other resources to help patients understand their end-of-life options in a partnership with the non-profit foundation ACP Decisions.
The project is being led by the health system’s Institute for Human Caring, which also offers “Get to Know Me” posters that it hopes will “deliver patients from anonymity.”
The 20 members of the IHC team include technical experts Matthew Gonzales, MD (CMIO), Shahrooz Govahi (data scientist), and Paul Park (senior clinical data analyst).
From Closed Doors: “Re: [vendor CEO’s name omitted]. Making headlines for attacking his former wife.” Sorry, but this isn’t news despite the reporting tabloid’s eagerness to pass it off as such and lazy parroting of the irrelevant story by other publications. The rag dug up divorce custody documents that are more than 10 years old and pressed the former couple for comments, both of whom admirably said they regret the way their divorce unfolded. Family stuff that has nothing to do with business should be off limits even if you are a public figure. Staying solvent as a newspaper or news site apparently means dumbing down content to the time-wasting drivel that Americans are anxious to read on their phones while sitting on the toilet, which is exactly where this story belongs. At some point your conscience needs to kick in, thus I won’t be part of it.
From Spurious Emission: “Re: poll. You didn’t offer your reaction to Zane Burke’s claim that the DoD report was competitor-instigated ‘fake news.’” I thought it was one of the stupidest things he could have blurted out on the record. It made the company look belligerently whiny instead of humbly grateful after winning a no-bid, $10 billion government contract. It also invites unflattering comparisons to thin-skinned others who define “fake news” as anything they wish had been kept secret. That plus suing a customer / prospect for voting to replace Cerner with Epic recalls the low points of the increasingly desperate Tullman regime at Allscripts before it was overthrown. I assume Burke was passed over in favor of his new, oddly experienced boss Brent Shafer, which might be a friction point for both sides that would encourage treading cautiously.
From Gene Parmesan: “Re: Cerner. We all assume the unnamed competitor was Epic that Zane was bitching about, but what if it was CliniComp, which sues everybody in sight for threatening its federal government revenue stream?” That’s an interesting thought. I don’t know if CliniComp has enough DoD juice to have had some influence over the MHS Genesis pilot project report. Anyone want to weigh in, or for that matter, to speculate on what the heck Zane was talking about?
From NoHorseInThisRace: “Re: CMS forcing hospitals to publish their charge masters. There actually is one way in which the charge master is immediately relevant and could impact consumer choice if made public – taxes. While no one will actually pay the CM rate even out of pocket, the IRS considers any debt forgiveness as taxable income. Therefore if a low-income consumer who’s likely to receive forgiveness has a choice between two hospitals — one that lists a knee replacement at $18,000 on the CM and one that lists it at $57,000 — the consumer would be well advised to select the former (assuming care metrics are roughly equal). At the end of the day, publishing CM isn’t going to be a cure-all (pun intended) for our cost woes, but it’s a start.”
HIStalk Announcements and Requests
Please sign up again if you’ve stopped getting your HIStalk email updates, which long-time readers report several to me times each week. I’ve noticed that quite a few emails have been suddenly been bouncing back as undeliverable. Rejecting the emails in significant numbers are the mail servers of Allscripts, Athenahealth, the former Carefusion, the former Carolinas Healthcare, Cerner, Epic, HIMSS, Medhost, Medicity, Meditech, and Nuance. There’s no downside to entering your email again if you aren’t sure – you won’t get multiple copies regardless.
Here’s a post-holiday reminder to consider contributing your thoughts to this week’s “Wish I’d known” question. Maybe Zane Burke will chime in.
Sunday will be HIStalk’s 15th birthday, which is hard for me to comprehend. Back in June 2003:
- 50 Cent’s “In da Club” and “21 Questions” topped the charts
- The final episode of “Dawson’s Creek” had just aired
- Martha Stewart was indicted for insider trading
- Most of the useful health IT news came from snail-mailed newsletters like “Inside Healthcare Computing” and “HIS Insider” that were far better than most industry websites then and now
- The HIMSS conference had just been held in San Diego and the short-lived HIMSS Summer Conference was getting underway in Chicago (before one last, hot gasp the next year in Las Vegas)
- Epic reached 800 employees and signed Kaiser Permanente in a $4 billion project just 18 months after it expanded from ambulatory-only to inpatient
I needed a distraction from my unsatisfying health system IT leadership job and decided that jotting down my industry thoughts each day would keep me sharp as I scouted for something better. I finally found that job in mid-2005, after which I decided that I should stop screwing around with HIStalk after two years (and no benefit beyond my own satisfaction) and focus instead on staying employed, which I reconsidered when I realized I had nothing else going on after work anyway. I’m still here as a case study of the “80 percent of success is showing up” model. If you’ve been a reader since 2003, tell me how you found the site and why you’ve spent a significant chunk of your life with me.
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.
June 12 (Tuesday) 2:00 ET. “Blockchain in Healthcare: Why It Matters.” Sponsor: Quest Diagnostics. Presenter: Lidia Fonseca, CIO, Quest Diagnostics. Blockchain technology is gaining traction in many industries, including healthcare. It’s not only a hot topic, but is also showing promise with real-world applications. This webinar will share how blockchain may play a key role in the future of healthcare IT by helping to solve some of the industry’s challenges, distinguishing the hype from reality by discussing how it works, how it can impact healthcare providers, and its future application in healthcare IT.
June 21 (Thursday) noon ET. “Operationalizing Data Science Models in Healthcare.” Sponsor: CitiusTech. Presenters: Yugal Sharma, PhD, VP of data science, CitiusTech; Vinil Menon, VP of enterprise applications proficiency, CitiusTech. As healthcare organizations are becoming more adept at developing models, building the skills required to manage, validate, and deploy these models efficiently remains a challenging task. We define operationalization as the process of managing, validating, and deploying models within an organization. Several industry best practices, along with frameworks and technology solutions, exist to address this challenge. An understanding of this space and current state of the art is crucial to ensure efficient use and consumption of these models for relevant stakeholders in the organization. This webinar will give an introduction and overview of these key areas, along with examples and case studies to demonstrate the value of various best practices in the healthcare industry.
Acquisitions, Funding, Business, and Stock
IBM Watson Health reportedly had big layoffs last week, with the “resource action” mostly focused on employees from its big-bet acquisitions Truven, Merge, and Phytel. You would think the machine’s claimed intelligence could have been used to predict the likelihood of acquisition success, but the technology’s capabilities are looking increasingly limited or “man behind the curtain” powered to the point that Ken Jennings must be embarrassed to have been beaten by it on “Jeopardy.”
Home monitoring technology vendor ResMed will acquire HealthcareFirst.
New Zealand-based Orion Health is discussing the sale of all or part of the company with unnamed parties, reports suggest.
- Adventist Health chooses HCTec to provide Cerner and Epic application managed services for its Oregon hospitals.
- The Medical Center of Southeast Texas (TX) chooses Ascom’s nurse call, smartphones, mobile handsets, and Unite software.
Pharmacy management and software vendor PharmaPoint hires Bobby Middleton (McKesson) as VP of product operations.
Benton Barney (Wolters Kluwer Health) joins prescribing decision support vendor RxRevu as SVP of strategic partnerships.
Shaun Priest (Streamline Health) joins Clearwave as chief revenue officer.
Michael Brozino (7th Wave Ventures) joins IScript as CEO.
Announcements and Implementations
In Canada, South Okanagan General Hospital goes live with DrFirst’s MedHx electronic patient medication history service, integrated with Meditech and British Columbia’s prescription network.
Duke University researchers use artificial intelligence to analyze keystrokes to determine whether a computer user’s slow mouse scrolling and errant clicks might suggest early symptoms of Parkinson’s disease.
Otswego Memorial Hospital (MI) fires an orthopedic surgeon after he is charged with cocaine possession, carrying an unlicensed firearm, and hiring a prostitute online. [insert the obligatory “where do you hide a $20 bill from an orthopedic surgeon” joke here]
The New York Times questions why the US spends so little on public health efforts that often pay for themselves given the massive amount spent on healthcare services, concluding that: (a) companies can’t make money from it; (b) the government focuses on projects that offer more immediate benefits; and (c) people resent being told what to do even when it’s in their best interest.
Craig Hospital (CO) describes its occupational therapy department’s use of adaptive gaming in the rehabilitation programs of patients with brain and spinal cord injuries. The hospital modified game controllers, undertook trials of commercially available adaptive controllers, and used the accessibility features of games – including sip-and-puff devices, voice controllers, and modified buttons – to help patients increase strength, balance, dexterity, and endurance.
AI did a better job than dermatologists in distinguishing malignant melanomas from benign ones, researchers find.
The New York Times says health policy experts are insisting that taxpayers are paying twice for expensive new drugs – once in funding the drug’s development (via NIH grants) and then again when the drug hits the market at prices of up to hundreds of thousands of dollars. NIH did most of the work to develop the cervical cancer vaccine Gardasil and then licensed it to Merck, which sold more than $2 billion worth last year alone.
- DrFirst is exhibiting at MUSE this week.
- Meditech announces that its Physician and CIO Forum will be held October 17-18 in Foxborough, MA.
- Aprima will exhibit at the Association Professional Sleep Societies Annual Meeting June 4-6 in Baltimore.
- Bluetree Network Analytics Specialists Matt Kesler and Erik Sederstrom contribute to the new book, “Clinical Analytics and Data Management for the DNP.”
- Bernoulli Health, Burwood Group, and Centrak will exhibit at the AAMI 2018 Conference & Expo June 1-4 in Long Beach, CA.
- Carevive will present and exhibit at the ASCO Annual Meeting June 1-5 in Chicago.
- Questions when building your Community Connect Team (Optimum Healthcare IT)
- How one hospital prepared for the new home health conditions of participation (Meditech)
- My Experience as the Patient’s Father (Spok)
- Why You Should Never Buy Business Technology from a Used Car Salesman (And Should Calculate ROI Instead) (Access)
- Best Practices to Improve Patient Payments (AdvancedMD)
- Patients are struggling to make ends meet. Here’s how Boston Medical Center put $3M back in their patients’ pockets. (Advisory Board)
- The Value-Based Care series- Episode #2: Supporting the acquisition (Agfa Healthcare)
- The Dark Myth of the High-Deductible Plan (Arcadia)
- What do these “technical” people do, anyway? (Bluetree Network)
- Digital Health Funding Already Billions in Q1 2018 (Datica)
- 5 Reasons Healthcare Contact Centers Should Embrace Social Media (Burwood Group)
- Mental and Behavioral Health Support for Chronic Disease Patients Means Better Health Outcomes (CareSync)
- What Does It Mean to Be ONC Certified and Why Does It Matter? (ChartLogic)
- Can Appropriate Prescribing Practices Curb the Opioid Crisis? (Clinical Architecture)
- Developing a Quality & Patient Safety (QPS) Program (Culbert Healthcare Solutions)
- Digital Health: Hospitals must keep pace or be exposed to risk, experts say (Direct Consulting Associates)
- Interoperability between Clinical and Claims Data, Standard Supplemental Data, and a (Very) Brief History of Clinical Quality Measurement (Diameter Health)
- Want to Cure Cancer? First Liberate the Data (Dimensional Insight)
- Five Things Urgent Cares Should Know About MIPS (DocuTap)