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Monday Morning Update 9/6/21

September 5, 2021 News 3 Comments

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A BMJ-published review of using AI for breast cancer screening finds that 34 of 36 reviewed systems were less accurate than a single radiologist and all performed more poorly than two radiologists.

Excluded from the review were studies that used the same data for training and validation, which likely perform worse in analyzing new data.

The authors conclude that AI is “a long way from having the quality and quantity required” to use in clinical practice, especially without further radiologist review, such as in screening “normal” mammograms.


Reader Comments

From New Vince Fan: “Re: Vince Ciotti’s HIS-tory. Will be continue to be available on HIStalk?” Yes. Vince and I had agreed two years ago that his HIS-tory was in danger of being lost when stored as individual PowerPoints that he had created over several years, so I spent a day assembling them all into a single PDF that is permanently available from the top menu under Navigation / Information (or directly here). Vince cheerfully admitted that his memory of events from 40-50 years ago wasn’t perfect and someone who worked within one of the companies he wrote about would be more knowledgeable of specific details that he speculated about, but Vince had a rare broad view of the industry having worked in much of it, known most of its pioneers, and seen with clarity what went right or went wrong with corporate decisions. It was touching when he told me that he considered his HIS-tory series to be his legacy after a 50-year career.


HIStalk Announcements and Requests

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I just couldn’t find a sensible way to word the question I asked last week about who companies might hire for a CEO position – triggered by Cerner’s two-for-two in hiring people in their first-time CEO job – so I’ll allow the answers to speak for themselves. My poorly worded question even confounded the issue at hand – David Feinberg had CEO experience before Cerner named him to that job, but it was for a non-profit health system.

New poll to your right or here: Which of these HR actions have happened to you?

Listening: the first new music from ABBA since 1982, accompanied by a sweetly reminiscent look back at their history via photos and video from when the then-married couples donned spacey costumes and eyeliner to sing with Swedish accents the best Europop of that era and perhaps any other. They don’t look quite like the members you remember since they’re in their mid-70s now, but they sound fine. The band had refused the richest contracts in history to reunite over fears that fans would be disappointed, but they have reconciled their personal differences to record a new album and an avatar-powered concert experience that will be backed by live musicians. I will say as a music fan that ABBA’s was fresh more than skilled (though written by Benny and Bjorn with an immensely strong commercial pop ear) and was mostly just a lot of youthful fun with the occasionally darker overtone later in their career, but I still like it (my favorite album: 1981’s “The Visitors,” which was their last, and my favorite song “Slipping Through My Fingers” from that same album). The BB boys have always called the shots, made fortunes in commercial music ventures, and are the active participants in this reunion, while the girls (Frida and Agnetha) provided the most memorable performing component but then chose a quiet, mostly non-musical life and seem to have a background role in the new content. I’ll say that the boys could just write their songs and then stay home and count their money and I would be equally happy watching AA bring them to life without them. BB are making fortunes from songwriting royalties and finding new ways to resell the group’s old music.


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Webinars

September 16 (Thursday) 1 ET. “Patient Acquisition and Retention: The Future of Omnichannel Virtual Assistants.” Sponsor: Orbita. Presenters: Harris Hunt, SVP growth product, Cancer Treatment Centers of America; Patty Riskind, MBA, CEO, Orbita; Nathan Treloar, MSc, co-founder and COO, Orbita. Consumers want the same digital healthcare experience from healthcare that they get in online shopping, banking, and booking reservations, and the pandemic has ramped up the patient and provider need for frictionless access to healthcare resources and services. Health systems can improve patient acquisition and retention with the help of omnichannel virtual assistants that engage and delight. Discover how to open and enhance healthcare’s digital front door to offer care that goes beyond expectations.

September 16 (Thursday) 1 ET. “ICD-10-CM 2022 Updates and Regulatory Readiness.” Sponsor: Intelligent Medical Objects. Presenters: June Bronnert, MSHI, RHIA, VP global clinical services, IMO; Theresa Rihanek, MHA, RHIA, mapping manager, IMO; Julie Glasgow, MD, clinical terminologist, IMO. IMO’s top coding professionals and thought leaders will discuss the coding changes in the yearly update to allow your organization to prepare for a smooth transition and avoid negative impacts to the bottom line. The presenters will review new, revised, and deleted codes; highlight revisions to ICD-10-CM index and tabular; discuss changes within Official Coding Guidelines, and review modifier changes.

Previous webinars are on our YouTube channel. Contact Lorre to present your own.


Acquisitions, Funding, Business, and Stock

The Global X Telemedicine and Digital Health ETF gained 1.7% in the past month versus the Nasdaq’s 3.7% rise. EDOC shares were launched nearly a year ago and have risen 19% since versus the Nasdaq’s 36% gain.

Achieve Partners acquires cybersecurity services vendor Metmox to develop a training and mentorship program, the same reason it acquired Optimum Healthcare IT in July.


Sales

  • The VA renews its CliniComp contract for another five years.

People

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Adirondac Health (NY) names Aaron Kramer, MS as president and CEO. Most of his career has been spent in IT, including work as an IBM systems administrator, an IT director, and CIO of Adirondac through June 2019.

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Susan Salahshoor, RN, MMIS (PatientSafe Solutions) joins TransformativeMed as VP of clinical success.


Announcements and Implementations

McLaren Northern Michigan goes live on Vocera, deploying its Vina smartphone app and Smartbadge voice-controlled wearable.


COVID-19

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HHS reports that most states have 25% or more of their ICU beds occupied by COVID-19 patients (dark red above), requiring 25,000 beds nationally of 85,000 available. Seven-day deaths per 100,000 population are highest in Louisiana, Nevada, Arkansas, Georgia, South Carolina, Oklahoma, and Texas.

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Eric Topol wonders why we have to base US decisions on data from Israel (reason: they collect it, we don’t). Another challenge here is that vaccine records are not reliably centralized and tied to a national patient identifier, which is not surprising when the main proof of vaccination is an easily counterfeited paper card with scrawled handwriting that focused on product information rather than the recipient.

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Texas has only 81 pediatric and 200 adult ICU beds available for its 29 million residents, as schools have reported 50,000 new student cases in two weeks and a dozen school districts have closed temporarily. Eight counties are using refrigerated trucks to store the bodies of COVID-19 patients.


Other

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TechRepublic profiles Rush University Medical Center’s use of Amazon HealthLake to track COVID-19 cases. HealthLake, which became generally available in July, includes FHIR connectivity.

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University of Connecticut profiles UConn Health interim CIO Adam Buckley, MD, MBA (University of Vermont Health Network) who joined the health system in July in replacing interim Chuck Podesta, who is now CIO at Renown Health (NV).

Four of six traveling ICU nurses that were contracted by Providence St. Joseph Hospital Eureka (CA) to care for COVID-19 patients quit the next day, which CEO Roberta Luskin-Hawk, MD says is due to their unfamiliarity with its EHR even though it is “used by many hospitals.” Still, she says, “We are excited to be transitioning to a more widely used electronic medical record system in the coming weeks.”

Atlanta-area telehealth nurses tell a local TV station that they lack clinical training and are telling patients “hold while I review your records” and then are frantically Googling their symptoms. Nurses report that hold times are up to one hour as high numbers of callers are turned away in EDs and urgent care centers. One nurse says, “We have no knowledge of childhood illnesses, diseases, or parameters of vital signs and I just felt that that’s a very dangerous situation” as better trained nurses haven left for higher-paying jobs.


Sponsor Updates

  • Clearwater publishes a new case study, “Digital Health Company CaringWays Partners with Clearwater for Cybersecurity and HIPAA Compliance.”
  • EClinicalWorks publishes a new customer success story, “Using EClinicalWorks Tools to Measure Quality for Shared Savings at Innova Primary.”
  • Change Healthcare offers a new Supporting Accurate Claims content hub.
  • OptimizeRx CEO Will Febbo will present at the Lake Street Capital Markets’ The Best Ideas Growth Conference September 14-15, and at the Piper and Sandler 2021 Heartland Summit September 29-30.
  • Symplr publishes a new case study, “Baystate Health’s New Digital Peer Referencing Integration is a Dream Come True.”
  • Protenus publishes a new case study, “Seattle Children’s Hospital Uses AI to Protect Pediatric Patients’ Privacy.”
  • Seniors at Douglas County Health Center stay connected using technology from Sonifi Health.
  • Data-protection vendor Spirion announces its inclusion in seven 2021 Gartner Hype Cycle reports.
  • WebPT becomes The Alliance for Physical Therapy Quality and Innovation’s first at-large member and strategic partner.

Blog Posts


Contacts

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Currently there are "3 comments" on this Article:

  1. While I see value in the categories that were selected for what background you’d like a new CEO to come from, one that I really would love insight from the community on is what they think about finding CEOs from external sources vs. being promoted within the company. I’ve tended to feel that if someone in one background or role within a company is really very smart and knowledgeable, they’ll be able to learn and speak to what the other roles do, or at least what they need to be able to do, whereas someone just starting from the outside doesn’t instinctively know those things.

    Although I haven’t worked for public, for-profit companies, I’ve also had that universal experience where you start the first day, don’t know the organization, barely know a soul, and where a good argument can be made for several months that you don’t deserve to be there. That made for some really ugly first years. The executive class likes to have us convinced that they are smarter and more deserving than the rest of us. Many of them are fairly intelligent. I simply reject that someone coming from outside can just drop in and be more effective than someone who knows the company, how it operates, and what might really be going well or poorly. It’s also a risk that can blow up spectacularly when the company is in dire straits and needs to turn quickly. I mean, just Google “Yahoo” to see what I’m referring to.

    I’d argue that the best supply chain for the CEO, and for most leadership positions, is from within.

  2. I have always loved ABBA’s music and drive my husband crazy watching Mamma Mia every time it’s on TV. Reading your comments this morning about their new album, I had a Helen Keller moment (picture Patty Duke vocalizing “waa-waa” at the water pump). I never knew ABBA was an anagram of their names!

  3. While I’ve always liked ABBA, somehow the movie Mamma Mia jumped the shark for me. The writers of that plot felt that all the primary characters HAD to wind up in relationships with each other. That aspect of the plot felt forced and artificial.

    And it was unnecessary. While the whole script was essentially just a feel-good delivery vehicle for the songs? They could have had that anyways.

    It broke my Willing Suspension of Disbelief. And as a frothy musical the bar was already pretty low.

    Oh well, it’s hardly the worst thing to happen in movies!







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Reader Comments

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