DCH Health System in Alabama agrees to pay Russian hackers after an October 1 ransomware attack forced it to divert patients and revert to paper processes. Officials haven’t been able to pinpoint when systems will be back up and running normally: “We have been using our own DCH backup files to rebuild certain system components, and we have obtained a decryption key from the attacker to restore access to locked systems. We have successfully completed a test decryption of multiple servers, and we are now executing a sequential plan to decrypt, test, and bring systems online one-by-one. This will be a deliberate progression that will prioritize primary operating systems and essential functions for emergency care. DCH has thousands of computer devices in its network, so this process will take time.”
DCH, plus hospitals in Ontario and Australia, attribute their recent ransomware attacks to Ryuk malware, named for a Japanese comic book character who can’t be destroyed by conventional human weapons. A total of 13 facilities were impacted, with all still in various states of recovery.
From concerned: “Re: Athenahealth. Athenahealth will be leaving the hospital market in the next few months.” A company marketing exec responded with this statement: “We continue to be active in the hospital market through our support and investment in the experience of our existing athenahealth hospital customers. We are also committed to our customers who use the Centricity Business product, and are actively building that customer base, investing in that product, and are focused on our relationships with hospital and IDN revenue cycle clients.”
HIStalk Announcements and Requests
Responses are nearly evenly split, which isn’t surprising given the schismatic nature of healthcare these days. A deeper dive might look into insurance status, health savings accounts, employer contributions, and the like. The one thing I’m sure most respondents have in common is feeling an increasing squeeze on their wallets for healthcare services that may be hard to access and are priced so that they’ll never truly understand what they’re paying for until the debt collectors come calling. Mr. T says American patients fear the cost of a diagnosis more than the diagnosis itself, while North American attic laughs at the thought of a Canadian being in such a situation: “Deferred or declined recommended medical care for financial reasons? Canadians would not even comprehend the question.”
Nick van Terheyden paints a bleak but realistic picture for many: “Yes. At one end of my personal extreme I broke my ankle (or at least as best as I could tell clinically) but refused to visit any doctor or facility for an X-ray and treated myself with a boot that I had already been charged a huge sum of money for for a pervious fracture. I have told my family and any friends that I do not want an ambulance called under any circumstances – get me to a hospital if you must but by taxi or car. I don’t want my family lumbered with crushing medical debt from me. I buy my drugs overseas to save money – in bulk and at double strength, and use a pill cutter to save money. Were I to get cancer, I highly doubt I would take treatment given the debilitating nature of medical debt that accompanies this and the thought of leaving my family to lose what little we have to some large healthcare billing corporation. I’ll manage any chronic disease I have the misfortune of getting under any and all circumstances – again rather than be a burden to my family leaving them with debt they will struggle to pay. What a sorry commentary on a system that works precisely as designed.”
New poll to your right or here: For those with employer-sponsored health plans, would you be willing to use employer-approved providers if given a financial incentive to do so? As Walmart pilots a program that will do just that, and Amazon offers virtual employee care, I wonder how many of us would go that route to save a few bucks.
Acquisitions, Funding, Business, and Stock
NextGen Healthcare acquires Topaz Information Solutions, a NextGen reseller that works with behavioral health providers and social services organizations.
Court documents reveal that attorneys defending ex-Theranos CEO Elizabeth Holmes in a civil suit filed by former Theranos patients have asked to withdraw from the case because they haven’t been paid in over a year. The Cooley LLP lawyers believe they’ll never be paid given the “dire financial situation” of Holmes, whose blood-testing startup was once valued at $4.5 billion.
- Fayette County Memorial Hospital (OH) will switch from Medhost to Cerner in February.
- Butler County Health Care Center (NE) will switch from Meditech to Cerner In November.
- St. Francis Medical Center (NJ) will switch from Sunquest To an Epic Beaker laboratory information system in 2021.
- Franciscan Health Rensselaer (IN) will switch from Omnicell to BD Pyxis automated dispensing machines next year.
These provider-reported updates are supplied by Definitive Healthcare, which offers a free trial of its powerful intelligence on hospitals, physicians, and healthcare providers.
Retail pharmacy tech vendor OmniSys names David Pope chief innovation officer. Pope co-founded Strand Clinical Technologies, which OmniSys acquired in July.
Peyman Zand (Community Health Systems) joins CereCore as VP of advisory services.
Announcements and Implementations
Banner Health (AZ) implements online scheduling using Kyruus ProviderMatch for Consumers.
Health Catalyst announces GA of Closed-Loop Analytics to offer providers deeper clinical insights within workflows at the point of care.
Privacy and Security
UAB Medicine (AL) notifies nearly 20,000 patients of an August email phishing scheme in which hackers tried without success to divert automatic employee payroll deposits to an account they controlled.
Iris Kulbatski petitions the government of Ontario to enforce fee regulations related to accessing medical records after University Health Network charged her $1,100 to retrieve her late father’s medical records. She appealed the charges for the 3,000-page file, saying that the health system backdated its policy so that it could charge her – and other patients requesting digital copies – more. UHN eventually honored the newer policy, charging Kulbatski the $40 she originally anticipated.
Hardware malfunctions in the sub-basement data center of $1.3 billion “superhospital” McGill University Health Centre in Montreal cause its computers and back-up system to crash. MUHC suffered a similar event last year when back-up generators failed during a blackout, and in 2013 when a goose got into the electrical system at an off-site vendor, starting a fire that eventually caused similar downtime.
The local paper commemorates the centennial of South County Health with a look at how computers have impacted provider workflows (and lab hygiene) at the Wakefield, RI hospital. While SCH physicians acknowledge the game-changing benefits of electronic records, they bemoan the lack of interoperability when logging into five different EHRs every day. Cost is a big barrier to getting all systems on the same page. Hospital officials say it would cost $12 million to integrate its inpatient and outpatient systems. It pays $30,000 to $40,000 per year per physician to keep systems updated.
- Meditech will host its 2019 Revenue Cycle Summit October 8-9 in Foxborough, MA.
- Mobile Heartbeat will exhibit at the ANCC Magnet Conference October 10-12 in Orlando.
- Waystar, Experian Health, and Relatient will exhibit; and SymphonyRM will present at MGMA October 13-16 in New Orleans.
- Netsmart will exhibit at the NAHC Annual Meeting October 13-15 in Seattle.
- Clinical Computer Systems, developer of the Obix Perinatal Data System, will exhibit at the AWHONN 3rd Annual Fall Conference October 11 in Traverse City, MI.
- PatientPing congratulates customer Bane Care Management on its silver ribbon in the McKnight’s Excellence in Technology Quality Awards.
- Pivot Point Consulting, StayWell, Summit Healthcare, Surescripts, TransformativeMed, and Zynx Health will exhibit at the Cerner Health Conference October 7-10 in Kansas City, MO.
- Redox will host its Interoperability Summit October 15-16 in Boston.
- Vocera will exhibit at the ANCC National Magnet Conference October 10-12 in Orlando.
- Wolters Kluwer Health releases an enhanced version of its Lipincott CoursePoint+ digital education solution for nursing education programs.
- OIG Series Blog 3: Managing Beneficiaries with Costly or Complex Care Needs (Lightbeam Health Solutions)
- Six Ways to Engage Patients for Better Consumer and Provider Outcomes (Loyale Healthcare)
- AI Can Improve Access to Care, but Won’t Replace the Human Touch: Why Medicine Will Always be Both Art & Science (MDLive)
- 3 areas to target when preparing for CMS’ imaging appropriate use criteria (Meditech)
- 5 Tech and Software Basics for Your Physical Therapy Practice (MWTherapy)
- 5 steps to improve your risk-adjustment process (Omni-HealthData)
- OpenText Enfuse: A Must Attend Event (OpenText)
- 5 Key Steps to Building Provider Access in Meditech Expanse (CereCore)
- How top-performing ACOs use data insights to drive success (Experian Health)
- A Guide to Addressing Negative Online Reviews (PatientBond)
- Two Women CEOs from Nashville’s Health IT Scene Share Their Stories: Here’s What We Can Learn From Them (Relatient)
- Enterprise security – brought to you by the letters A and I (SailPoint)
- Peaceful state-of-mind: Mindfulness can help with surgical resident burnout (StayWell)
- The Need for Services – Unlocking the Full Potential of Your Software (Summit Healthcare)
- Does the New California Consumer Privacy Act Apply to Your Physical Therapy Practice? (WebPT)
- Expanded Interoperability Solutions – What’s New? (Zen Healthcare IT)
- Nordic rated among best US companies for work-life balance (Nordic)
- Cloud-native vs. cloud-hosted technologies in healthcare: What’s the difference? (Spok)
- Pause to Consider: Connected Medical Devices (Fortified Health Security)
- 3 Questions to Ask When Switching EHRs (EClinicalWorks)