Oracle doesn't need FDA approval. Most EHRs are excluded from the definition of a medical device by the 21st Century…
News 10/28/22
Top News
In England, the British Medical Association’s general practice group warns members of possible unintended consequences of NHS England’s “Data Saves Lives” program that takes effect on November 1. Patients over 16 will be automatically granted access to all of their digital medical records as stored in TPP and EMIS. The same functionality is being developed for practices that use Cegedim.
BMA GPC suggests that practices use a specifically assigned SNOMED code that allows them to protect the information of patients whose relationships put them at risk.
They also note the “poor functionality of current software” that allows redacted records to be automatically activated when the patient changes doctors.
The group says a media campaign is needed to warn the public that their family members can access their records if they know (or can find or guess) their password.
HIStalk Announcements and Requests
The FOMO in me is calling for experimentation with the Meta Quest 2 virtual reality headset, although the cheapskate in me is countering with (a) the strong possibility I wouldn’t achieve ROI because I’ll lose interest; (b) waiting for the follow-up product’s release next year at about the same price; and (c) my reluctance to support Facebook with eyeballs or dollars.
Webinars
None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre to present your own.
Acquisitions, Funding, Business, and Stock
Google acquires five-employee Sound Life Sciences, which offers an FDA-cleared respiration app for smartphones and smart speakers.
Walmart Health will open 16 new health centers in its Florida Supercenters next year.
Sales
- PerfectServe chooses Lyniate Rhapsody as a Service for integration.
- AtlantiCare chooses Orbita’s healthcare virtual assistant and conversational AI platform for digital front door and outbound communications such as post-discharge follow-up and care reminders..
People
Everbridge hires Sheila Carpenter (Zix) as CIO.
Karen Luk (AbleTo) joins Vivante Health as SVP of product.
InteliChart hires Anthony Carter, MSEE, MBA (CloudFran) as COO.
Victor Bagwell, MPH, MAS, MBA, MSc (Optimal Analytics) joins FDA as division director, Center for Biologics Evaluation and Research, Office of Regulatory Operations.
Avicena hires Tesia Folse (Gainwell) as VP of marketing.
Announcements and Implementations
UCLA Center for SMART Health and Hearst Health announce the finalists for their $100,000 prize for using data science to manage or improve health:
- Constant Therapy Health (at-home speech, language, and cognitive therapy).
- Geisinger (linking people with chronic diseases to clinical services).
- Prenosis (assessing hospital inpatients for sepsis risk).
A Black Book poll of hospitals and physician practices names AQuity Solutions as highest ranked in virtual scribes, medical transcription, and document capture.
The Massachusetts Medical Society opens submissions for its IT in Medicine awards program for MA-based medical students and residents.
Healthcare Triangle launches a service to help healthcare and life sciences organizations implement Metaverse environments.
GetWell will enhance its inpatient offering as a consumer-forward solution, including a new user experience, mobile-first solutions, automated caregiver workflow and communications, and further EHR integration.
Net Health integrates its wound EHR with PointClickCare to support clinical documentation exchange with post-acute healthcare facilities.
A new KLAS report on home health technology finds that Homecare Homebase is vendor of choice for large, independent organizations even though its user satisfaction is average and innovation lags, largely because it offers broad, well-integrated functionality. Independent agencies rate MatrixCare tops, while health system-owned agencies rank Epic and Meditech highest.
Government and Politics
A VA official says that the 12,000-employee National Oceanic and Atmospheric Administration may join the VA’s Oracle Cerner project.
Politico notes that many state Medicaid programs are declining to pay for remote patient monitoring, either because they question its effectiveness in managing chronic conditions or because they are unwilling to spend the money.
Privacy and Security
Australia’s MediBank says that its October 12 breach was worse than the insurer originally reported, now acknowledging that the hacker had access to all of the personal data of its 4 million customers and significant amounts of their health claims data.
A Meta spokesperson says that use of its pixel user tracking tool to send sensitive information to advertisers, as several leading health systems appear to have done, violates its policies.
Other
Vanderbilt University Medical Center informatics professor Allison McCoy, PhD questions why practices ask long-term patients to input the information that is already documented in their EHR. I’ll join that bandwagon in observing that providers have always shoved the same literal or virtual clipboard full of poorly designed forms at every patient, long-term or otherwise. Beyond making the patient enter information that’s already on file, that raises the question – how are the two sets of information being reconciled, and by whom? Electronic questionnaires, or more specifically their improper use by practices who fail to tailor their messages, may have made the practice even more annoying. Healthcare interactions are among the most important and most expensive for many of us, so to greet loyal customers with blank faces and blank forms is inexcusable, especially when pharmacies, dental offices, accounting and law practices, banks, and even veterinary offices always make customers feel known and valued.
An entertainment publication profiles retired ICU nurse Amy Loughren, who helped convict friend and colleague Charles Cullen for killing hospitalized patients by adding lethal drugs that he obtained from Pyxis drug dispensing cabinets to their IVs. The story is dramatized in the new Netflix true crime film “The Good Nurse.” Loughren became suspicious in 2002 about several mysterious patient deaths at Somerset Medical Center (NJ). She looked at Cullen’s activity log in Cerner, which showed that Cullen was monitoring patients who weren’t under his care and some of those patients died unexpectedly. Cullen eventually confessed to murdering dozens of patients, having moved from one job to another at hospitals that declined to notify authorities about their suspicions or to give him a bad employment reference because they were afraid of being sued. In another health IT angle, investigators were initially told that the hospital’s Pyxis system retained records for only two months, but a detective found that information was actually stored indefinitely, which convinced Cullen to confess to the 40 murders that he could remember (the actual number of patient deaths was speculated to be as high as 400).
Sponsor Updates
- Intelligent Medical Objects will exhibit at NextGen UGM November 6-9 in Nashville.
- Loyal Health will exhibit at the Healthcare Internet Conference November 7-9 in Miami.
Blog Posts
- Managing Outside Influences on Your Urgent Care Billing (Experity)
- Dancing to Health Literacy (First Databank)
- Take This Step to Level Up Your Cybersecurity Program (Fortified Health Security)
- Let’s Get Well, Together (Get Well)
- Optimum CareerPath Celebrates HIMSS Global Health Equity Week (Optimum Healthcare IT)
- Choosing the Right Healthcare IT Staffing Agency (HealthTech Resources)
- UKG Workforce Central (WFC) End of Life: What Customers Should Know (Healthcare IT Leaders)
- Get to Know Clearsense CMO: Larry Kaiser (Clearsense)
- Changing the Outcome of the Zero-Sum Healthcare Staffing Game with Digital First Solutions (InterSystems)
- Not just a small adult: Medical problem list organization for pediatric needs (Intelligent Medical Objects)
- 3 Ways an EHR Supports Hospital Disaster Planning (Medhost)
- Healthcare Triangle Helps Lane Regional Deliver Value-based Care with MEDITECH Chronic Care Management (CCM) (Healthcare Triangle)
- Caring for What’s Been Coded (Medicomp Systems)
- How leading healthcare organizations are filling the gaps in health literacy (Meditech)
- Rev Cycle 911: What is Prior Authorization Triage and Why is it an Antidote for Preventable Denials? (Myndshft)
- Find the Entrepreneur Inside to Effect Positive Change in Rehab Therapy (Net Health)
Contacts
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> The FOMO in me is calling for experimentation with the Meta Quest 2 virtual reality headset, although the cheapskate in me is countering with (a) the strong possibility I wouldn’t achieve ROI because I’ll lose interest; (b) waiting for the follow-up product’s release next year at about the same price; and (c) my reluctance to support Facebook with eyeballs or dollars
Don’t. Just don’t. You’re missing nothing, and you’re only preventing yourself from seeing piles of cash burn.
Does anyone know why NOAA has an EHR? I know oceanographers are smart people, and I use to look up to Dr. Robert Ballard as a kid, but who trusts their healthcare to the guy who found the titanic?
An update says NOAA has 24 clinicians who will use Oracle Cerner, although it will be rolled out under the DoD program rather than the VA’s as initially reported. I was surprised to hear that NOAA has 12,000 federal employees, some of whom are writing front-page NOAA website stories such as “Spooky fish that are actually delish: Serve these for Halloween.”
First you get the clickbait headline clicks, then you get the money, then you get the research grants.
NOAA Corps is their uniformed service branch. Between ocean research, disaster relief work, and storm tracking, I’d expect their EHR needs to be rather similar to the Coast Guard.