Morning Headlines 3/1/17

Mayo Clinic: Consolidated Financial Statement

Mayo Clinic’s will spend $1 billion for its five-year Epic implementation, according to its annual financial statement.

Shulkin proposes eliminating 40-mile, 30-day rule for non-VA care

Speaking at the Disabled American Veterans annual conference, VA Secretary David Shulkin proposes eliminating a policy that limits veterans from receiving private-sector care.

Hospital illegally overcharged patients for medical records: suit

New York-Presbyterian Columbia University Medical Center is sued after charging a patient $3,000 for a copy of their medical record.

The 21st Century Cures Act: Implications for Research and Drug Development

A panel discussion hosted by Harvard’s T.H. Chan School of Public Health covers the expected implications 21st Century Cures Act will have on the pharmaceutical industry.

Morning Headlines 2/28/17

Vanderbilt hospital employees breached patient records

An EHR audit at Vanderbilt University Medical Center (TN) finds that two patient transporters inappropriately accessed more than 3,000 medical records between May 2015 and December 2016. A spokesperson for the hospital reports that the transporters were disciplined, but additional details were not disclosed.

From Machine-Readable Provider Directories, A Preview Of A Revolution

Health Affairs reports on the potential benefit machine-readable provider directories could have for researchers and regulators working to improve healthcare access.

Top 25 Women In Healthcare 2017

Modern Healthcare publishes its annual list of top women in healthcare, with Epic CEO Judy Faulkner and IBM Watson Health General Manager Deborah DiSanzo representing health IT.

VA data show low rate of discipline for drug loss, theft

An AP investigation finds that while there were more than 11,000 reported incidents of drug loss or theft at federal hospitals last year, only 3 percent of those incidents resulted in disciplinary action.

Morning Headlines 2/27/17

Message is from Island Health President and CEO Dr. Brendan Carr

In Canada, Nanaimo Regional General Hospital shuts down its Cerner CPOE system, responding to safety concerns raised by the medical staff.

In Missouri, a Showdown Over Creating an Opioid Database

Political pressure mounts for Missouri state lawmakers to establish a prescription tracking database as the state becomes a tourist attraction to drug seekers.

Excessive computer use by doctors has negative impact on patient care: study

A study of three US hospitals finds ICU staff spend an average of 49 percent of their shift on a computer.

At 95, the doctor may be out, but never forgotten

A local paper covers the career of 95 year old Woodrow Batten, MD who helped found Johnston Memorial Hospital (NC) 60 years ago and continued to work there, even earning his Epic certification, until his recently announced retirement.

Morning Headlines 2/24/17

Screening for medication errors using an outlier detection system

A JAMIA study evaluates the effectiveness of using outlier detection software to identify potential medication errors.  5 years worth of EHR data was screened using the system to detect potential medication errors, and 75 percent of flagged charts had confirmed medication errors.

Letter to HHS Secretary Thomas Price, M.D

CHIME, MGMA, and 14 other medical societies co-sign a letter to HHS Secretary Thomas Price, MD lobbying for an indefinite delay of Meaningful Use Stage 3.

LabCorp buying Spokane-based PAML

LabCorp announces it will acquire Pathology Associates Medical Laboratories, a national medical reference lab co-owned by Providence Health & Services and Catholic Health Initiatives.

Republican-Led States Push to Reshape Their Medicaid Programs

More than half-dozen states are seeking federal permission to reshape state Medicaid programs to impose coverage restrictions as ACA reform efforts stagnate.

Morning Headlines 2/23/17

Epic’s new app program tries to connect EHR networks

Epic moves forward with its FHIR-based app store, Orchard.

Soon-Shiong’s new cancer vaccine is the “culmination” of NantWorks’ science

NantHealth CEO Patrick Soon-Shiong announces at HIMSS that his company has received FDA clearance to move forward with a “Cancer Vaccine” that he says will isolate the mutations that define a tumor and then prepare the patient’s immune system to fight back with four vaccine components administered over a 14-day cycle.

The Price of Health Records: Electronic Healthcare Data In the Underground

A Trend Micro cybersecurity report analyzes the dark web value of a stolen EHR database.

Obamacare launched a new wave of startups. Now they’re bracing for what’s next.

The Chicago Tribune profiles Stride Health in a piece on the uncertain future of digital health startups that proliferated under ACA.

Morning Headlines 2/22/17

One in Four US Consumers Have Had Their Healthcare Data Breached, Accenture Survey Reveals

Accenture publishes a report concluding that 26 percent of US consumers have had their personal medical information stolen from technology systems. The report says that half of those impacted went on to become victims of medical identity theft.

Swedish CEO resigns in wake of Seattle Times investigation

Swedish Health Services CEO Tony Armada resigns following a Seattle Times investigative report exposing internal pressures to increase patient volumes and a deference to unnecessarily complex procedures that appears to be taking a toll on patient care.

athenahealth Partners with Specialty Medical Societies to Roll Out Network Medicine Health Campaigns

Athena will work with a series of medical specialty societies to create patient registries for various diseases that will be used by Athena to develop search algorithms capable of scanning the Athenahealth network, identifying at risk patients, and alerting their care providers of the risk.

EHR and Clinical Documentation Effectiveness

Nuance announces survey results from hospital IT and clinical leaders, finding that only 37 percent are confident that their organization will be able to realize the intended benefits of their EHR.

Morning Headlines 2/21/17

Salesforce builds out ecosystem for Health Cloud, adds better patient targeting, risk scoring

Salesforce improves its healthcare-focused CRM product line, adding risk stratification and population segmentation tools.

NantHealth to Showcase New Oncology Solution Suite at HIMSS 2017 Annual Conference

NantHealth reports that it will be demonstrating its suite of oncology, medication adherence, and device connectivity tools at HIMSS.

HIMSS Analytics Launches LOGIC Discover Chrome Extension for Quick Visibility into Technologies Used by Healthcare Organizations

HIMSS introduces a new Chrome extension designed for vendor sales staff that, when viewing a healthcare organizations webpage, presents users with an overview of installed installed vendor products, hospital revenue and bed size, and physical location.

Conservatives See Obamacare Repeal Slipping Away

Efforts to repeal and replace Obamacare are moving slower than some GOP leaders had hoped as replacement bills in the Senate and House struggle to gain a consensus in either chamber.

Morning Headlines 2/20/17

Opening Keynote: The Art of Deception: How Hackers and Con Artists Manipulate You and What You Can Do About It

HIMSS17 kicks off as white coat hacker Kevin Mitnick takes the stage to discuss emerging cybersecurity threats and how to detect and defend against them.

Touted IBM supercomputer project at MD Anderson on hold after audit finds spending issues

Auditors find that MD Anderson Cancer Center’s now stalled effort to employ IBM Watson in the fight against cancer was paid for with funds that were secured by hospital executives that intentionally sidestepped purchasing rules.

$5.5 million HIPAA settlement shines light on the importance of audit controls

Memorial Healthcare Systems (FL) pays $5.5 million to settle HIPAA violations after discovering that a former employee continued to use his login credentials to access more than 80,000 patient records without permission.

Forbes World’s Most Admired Companies

Cerner, CVS Health, St. Jude Medical Abbott Laboratories, and Aetna are named to Forbes Most Admired Companies list.

Morning Headlines 2/17/17

City delays planned $764M record-keeping system at hospitals

NYC Health + Hospitals delays its $764 million Epic rollout after ending the year with a $779 million deficit. A hospital spokesman denies that the decision was financially motivated.

CommonWell Becomes First National Network to Use the Argonaut Project’s FHIR Specifications

CommonWell implements Project Argonaut’s FHIR specifications into its core services, allowing its customers to use FHIR-based outbound query and retrieval capabilities.

NHS Scotland Selects NextGate to Assign and Manage the Community Health Index (CHI) Unique Patient Identifier

NextGate is selected to implement a national master patient index system in Scotland.

Community Health Systems Announces Definitive Agreement to Divest Eight Hospitals

Steward Health Care (MA) acquires eight hospitals from Community Health Systems. The transaction is expected to close in the second quarter of 2017, following regulatory approvals.

Morning Headlines 2/16/17

Patient Protection and Affordable Care Act; Market Stabilization

CMS publishes a proposed rule aimed at stabilizing the individual and small group markets that would cut the open enrollment period in half.

Broad Institute wins bitter battle over CRISPR patents

MIT and Harvard’s Broad Institute wins its patent battle over CRISPR genome editing technology, likely the most valuable biotechnology patent ever filed.

Cybersecurity Actions Needed to Strengthen US Capabilities

A GAO report on federal information system cybersecurity readiness singles out EHRs and state insurance marketplaces as needing improvement to protect personally identifiable information from being compromised.

Anthem Files Suit Against Cigna Seeking a Temporary Restraining Order

After Cigna terminates its planned merger with Anthem and instead sues Anthem for nearly $15 billion, Anthem responds by filing its own lawsuit seeking a restraining order to prevent Cigna from terminating the merger.

Why you should donate your data (as well as your organs) when you die

Professors from the Universities of Cologne and Basel call for the development of a global system that would help patients donate their personal health data to research after their death in a way similar to the organ donor program.

Morning Headlines 2/15/17

VA moves ahead with homegrown scheduling IT

The VA will move forward with its rollout of its Vista Scheduling Enhancement, an “Outlook-style interface that gives schedulers a dashboard view of appointments.”

Government drops target for ‘paperless NHS’ by 2018

In England, NHS Secretary Jeremy Hunt drops his call for a paperless NHS by 2018, blaming “weak hospital IT systems.”

Great Ormond Street picks Epic in potential £50m deal

Great Ormond Street NHS Foundation trust has selected Epic as its next EHR vendor, making it the fourth Trust in the UK to select Epic.

Senate easily confirms Trump pick of Shulkin as VA secretary

The Senate confirms David Shulkin as the next secretary of Veterans Affairs in a 100-0 vote, making him the first non-veteran to run the organization.

Morning Headlines 2/14/17

DirectTrust Issues Recommendations to Significantly Improve Usability of EHRs and Health IT Applications Providing Secure Direct Messaging

DirectTrust issues a white paper containing recommendations to EHR vendors aimed at improving interoperability.

A millionaire’s mission: Stop hospitals from killing their patients by medical error

STAT profiles Joe Kiani, founder and CEO of medical technology company Masimo, focusing on his ongoing efforts to convince other medical technology vendors to make their systems more interoperable in the interest of patient safety.

Surrounding states push for Missouri to create prescription drug monitoring program

Neighboring states are lobbying for Missouri to implement a statewide drug monitoring program because it has become a magnet for “doctor shoppers.”

Ex-drug company CEO Martin Shkreli to speak at Harvard

While out on bail awaiting his federal securities fraud trial, Martin Shkreli will appear at Harvard to speak about healthcare an investing at an event being held by the Harvard Financial Analysts Club.

Morning Headlines 2/13/17

Cerner (CERN) Q4 2016 Results – Earnings Call Transcript

In its Q4 earnings call, Cerner President Zane Burke reports bookings were up seven percent, compared to 28 percent growth in 2015, calling the results “solid, particularly when you consider the headwinds created by declines in tech resale.”

Work, Health, And Insurance: A Shifting Landscape For Employers And Workers Alike

A Health Affairs study examines the relationship between work, health, and health insurance given the changing demographic and employment conditions in the US.

Bias in the ER

Michael Lewis, author of “Moneyball” and “The Big Short,” argues in his new book that doctors are just as likely to ignore statistics, often treating a statistically unlikely diagnosis that fits the observable symptoms. He quotes a Canadian trauma center doctor who explains, “You need to be so careful when there is one simple diagnosis that instantly pops into your mind that beautifully explains everything all at once.”

Marathon Pharmaceuticals to Charge $89,000 for Muscular Dystrophy Drug After 70-Fold Increase

Marathon Pharmaceuticals intends to bring a drug used to treat muscular dystrophy to the US for $89,000 per year, while it is available in Europe for just $1,600 per year.

Morning Headlines 2/10/17

Judge, Citing Harm to Customers, Blocks $48 Billion Anthem-Cigna Merger

A federal judge blocks the proposed $48 billion merger between Anthem and Cigna. The decision comes just two weeks after another federal judge blocked a similar merger between Aetna and Humana.

Black Book Survey Finds Top Rated Hospital EHR Vendors are also 2017’s FHIR and Interoperability Champions

A Black Book survey on interoperability finds that 70 percent of hospitals are not using any patient information generated outside of their EHR.

Nurse spared jail over fatal blood transfusion blunder

A nurse in England is spared jail time after transfusing a patient with blood of the wrong blood type, ultimately causing his death. The nurse opened the wrong chart in the hospital’s EHR to verify the patient’s blood type, explaining that both patients had the same last name and it was not clear to her that she was in the wrong chart.

Baidu shuts mobile health care unit to focus on artificial intelligence

Chinese search engine Baidu shuts down its mobile health business unit to focus on its AI-powered healthcare research unit.

Morning Headlines 2/9/17

VA ‘confident we’re going to commercial’ for EHR, scheduling fixes

During a House Committee on Veterans Affairs hearing Tuesday, Acting VA CIO Robert Thomas reported that he was confident the agency would eventually migrate to an off-the-shelf EHR system.

DOD plugs in new electronic health record system

DoD goes live with its first Cerner site at Fairchild Air Force Base in Washington.

Data breach at Verity Health could have affected 10,000 patients

Verity Health reports that the website of one of its hospitals was hacked between October 2015 and January 2017, potentially exposing the records of 10,000 patients.

Fitbit Faces Criminal Probe Into Jawbone Trade Secret Theft

Jawbone’s ongoing lawsuit against rival Fitbit intensifies as new court filings suggest that Fitbit is also under a criminal investigation for trade secret theft.

Morning Headlines 2/8/17

Multifunctional, inexpensive, and reusable nanoparticle-printed biochip for cell manipulation and diagnosis

An NIH-funded research project yields a reusable lab-on-a-chip that can be printed with a standard inkjet printer and costs just $0.01 to produce. The chip “can perform complex, minimally invasive analyses of single cells without specialized equipment and personnel.”

FDB and Translational Software Announce Collaboration to Deliver Pharmacogenomic Drug Knowledge

First Databank will incorporate pharmacogenomic data from Translational Software, Inc. into its drug formulary so that genetics data can be integrated into clinical decision support systems powered by First Databank.

Is Your Doctor Listening?

Danielle Ofri, MD, provider at Bellevue Hospital (NY), author of several books, and regular op-ed contributor to the New York Times publishes a piece for Slate describing an incident in which she lost a note she had written about a patient because she accidently closed the chart without saving it.

Morning Headlines 2/7/17

Examining the ‘Copy and Paste’ Function in the Use of Electronic Health Records

NIST publishes findings and safety recommendations from its review of “copy and paste” practices within EHR clinical documentation tools.

Trump, Congressional GOP Back Off From Immediate Obamacare Repeal

In an interview with Bill O’Reilly, President Trump dials back the timeline to develop an ACA replacement plan, saying “I would like to say by the end of the year, at least the rudiments.”

Uncertainty, Headwinds Hurt Final Marketplace Enrollment Total

Tim Jost provides commentary on Healthcare.gov’s final enrollment figures: 9.2 million individual enrollments, of which three million were new consumers.

A tale of two accountable care organizations

Modern Healthcare covers the experiences and associated financial results of two ACOs delivering value-based care to Medicare and private payer beneficiaries simultaneously.