...which is strongly suggestive, that the VA's problem with Cerner implementation? It's coming a lot more from the VA, than…
Oracle EVP Mike Sicilia tells the US Senate Committee on Veterans’ Affairs that Oracle will move the VA’s Cerner implementation to the cloud and rewrite Cerner’s pharmacy module, completing both tasks within 6-9 months. Notes:
- Sicilia told the committee to consider that Oracle’s acquisition of Cerner gives VA, DoD, and the Coast Guard “a new, vastly more resourced technology partner overnight to augment Cerner.”
- Oracle says it will shift its top talent to working on the federal government’s Cerner challenges and is running the project from a war room that is staffed by senior Oracle engineers and developers.
- Sicilia says that Cerner, like its EHR competitors, is running on dated architecture using technology that is up to two decades old, making it hard to manage, support, and scale. Oracle says it will quickly move the Cerner application to a “modern, hyperscale cloud data center,” the same infrastructure that Oracle uses for critical industries in financial services and utilities. That conversion will be performed at no cost to the federal government.
- Oracle quickly fixed a database bug that caused 13 of the most recent 15 outages once the acquisition was completed and Oracle gained access to Cerner’s source code.
- The “unknown queue” was designed to account for human error rather than to mitigate it, so it will be redesigned.
- Sicilia says Oracle will “start over” with the Cerner pharmacy module, rebuilding it as a showcase of a cloud-optimized web application.
HIStalk Announcements and Requests
Most poll respondents aren’t too worried about negative job changes.
New poll to your right or here: Which conferences you plan to attend in person in the next 12 months? A sponsor asked if I planned to create a sponsor guide for conferences other than my usual HIMSS one, so the poll results will help me decide.
It’s an interesting phenomenon that so much of my LinkedIn feed is filled with “I’ve been laid off and need a job” posts, many of them from Olive because it laid off so many employees (450) at once. I’ve laid people off and been laid off myself and the double whammy is that not only are you out of a job, you are competing for a new position along with a bunch of your comparably skilled co-workers, most of them vastly preferring to avoid relocation. Maybe LinkedIn, combined with remote work options, will be effective in reducing the lost time between being marched out of one door (often virtually these days) and waiting for a new one to open.
August 10 (Wednesday) 12:30 ET. “Navigating healthcare’s data quality challenge: An actionable discussion.” Sponsor: Intelligent Medical Objects. Presenters: Alastair Allen, CTO, Better; Dale Sanders, chief strategy officer, IMO. Achieving a consolidated patient record is challenging in an environment of hospital M&A, where EHR rip-and-replace projects are expensive and HIEs and FHIR connectivity haven’t significantly accelerated progress. The underlying problem is that systems don’t speak the same language due to a lack of comprehensive, persistent clinical terminology and data standards adoption. UK-based Better offers a unique, FHIR-based approach to integrating disparate EHR data. The presenters will explore how to improve clinical data quality and how interoperable information can be used to support patient safety, reimbursement, and population health management.
Acquisitions, Funding, Business, and Stock
Ascom acquires Appliware, a France-based developer of long-term care solutions for patient monitoring and alarming.
Elevance Health, the former Anthem, says in its earnings call that it will develop solutions that go beyond selling health insurance, touting its Carelon health services offering in which the company’s own providers will coordinate and provide patient care. Carelon offers services for behavioral health and value-based care and operates IngenioRx, an pharmacy benefits management and home delivery pharmacy company. ELV shares are up 20% in the past 12 months versus the Dow’s 8% loss, valuing the company at $110 billion.
- New York City Department of Health and Mental Hygiene will implement CareMesh’s national provider directory, which is available via FHIR APIs, file uploads, and web app.
- Hawaii’s Med-QUEST Division awards NTT Data a health analytics contract.
Divurgent hires Collin Jones, MBA (RedZone Technologies) as VP of finance.
Announcements and Implementations
Clearwater launches ClearConfidence, a managed services program covering cyber risk management and compliance.
An Optum consumer survey finds that providers fall short in offering online scheduling for both in-person and telehealth visits, particularly for younger adults who are not satisfied. Half of the respondents missed a scheduled healthcare appointment in the past year, one-third of those because they forgot, suggesting that appointment reminders could help reduce that number.
Three studies show that use of Bayesian Health’s AI technology for sepsis early warning reduced inpatient mortality by 18%. Founder and CEO Suchi Saria, PhD is an associate professor at Johns Hopkins University, where she also runs healthcare AI and engineering groups.
WHO declares monkeypox as a global health emergency as world case counts rise to 16,000. US infections have risen from 200 to 3,000 in the past four weeks.
In the UK, IT and telephone system servers at one of NHS’s largest trusts go down as data center cooling systems fail to keep up with a record heat wave. The UK recorded its highest-ever temperature Tuesday of 104.5 degrees F. Clinicians are recording information by hand and asking patients to bring their own records to appointments. One doctor reports, “We are back to using paper and can’t see any existing electronic notes. We are needing to triage basic tests like blood tests and scans. There’s no access to results apart from over the phone, and of course the whole hospital is trying to use that line. Frankly, it’s a big patient safety issue and we haven’t been told how long it will take to fix. We are on divert for major specialist services such as cardiac, vascular, and ECMO.”
A widely cited 2006 research article on Alzheimer’s is found to contain what appears to be “shockingly blatant” examples of image tampering, leading to speculation that the authors may have altered data to support a hypothesis and thus sending researchers off on wild goose chases for years. In an interesting case of money driving the scientific process, the research was performed by scientists who were associated with the manufacturer of an Alzheimer’s drug, while the neuroscientist who reported the altered images was hired to do so by two other neuroscientists who were short sellers in shares of the same drug company. NIH spends $1.6 billion per year on research of amyloids for Alzheimer’s and scientists report that suggesting other causes of the condition to study pits them against the “amyloid mafia.” The only marketed drug in that category is Aduhelm, which earned the FDA widespread scientific scorn for approving a drug despite unimpressive research results.
- Azara Healthcare staff train for the Pan-Mass Challenge, a bike race that will raise money for the Dana Farber Cancer Institute. Azara BKRS will ride in honor of colleague Heather Budd, who lost her battle with ovarian cancer last November.
- Northwest Clinics in the Netherlands adds Agfa HealthCare’s Rubee for AI platform to its Agfa enterprise imaging solution.
- GHX has grown its technology group by 12% in the last year, and plans to grown another 21% by the end of 2022.
- Baker Tilly releases a new Healthy Outcomes Podcast, “The rise of CCBHCs and the importance of quality of care measures in behavioral health.”
- Oracle Cerner releases a new podcast, “Improving health equality and equity through digital innovation.”
- Clinical Architecture Manager of Research & Strategy Jordan Rose becomes the co-vice chair of the HIMSS Chapter Advocacy Task Force.
- CloudWave appoints CompuGroup Medical CEO Derek Pickell to its board.
- ReMedi Health Solutions posts a white paper titled “How a Clinically-Driven Chart Preparation Process Improves the Continuum of Care.”
- RCx Rules publishes a case study titled “How US Dermatology Partners Achieved Their Highest Clean Claim Rates Despite Staffing Challenges.”
- Health Data Movers appoints former Bluetree CEO Jeremy Schwach to its Board of Directors.
- Lyniate announces a referral partnership with Solarity, which has developed an intelligent automation engine for easier use of clinical data.
- Nuance expands the availability of Dragon Medical One through the Microsoft Marketplace.
- Nordic Consulting achieves ISO 27001 certification.
- Pivot Point Consulting publishes a new case study, “A Multi-Pronged Success: AthenaOne EHR Support & Cures Act Education.”
- PeriGen earns the 2022 Frost & Sullivan Best Practices Product Leadership Award for its maternal and infant care solutions.
- PerfectServe publishes a case study, “Children’s Hospital & Medical Center Omaha: Centralizing Provider Scheduling Across an Enterprise.”
- MGMA’s podcast features Surescripts Senior Product Analyst Nicholas Chambers, “How Medical Practices Improve Medication Adherence and Patient Safety.”
- Vocera publishes a new white paper, “Smart, connected hospital framework.”
- Wolters Kluwer Health expands its Lippincott portfolio, using open science to support the higher velocity exchange of scientific findings.
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