Morning Headlines 1/21/13

EDs with HIE more likely to avoid repeat imaging

One of the first large-scale studies on the links between HIE participation and imaging in hospital emergency departments finds that redundant CT scans, x-rays, and ultrasounds decreased significantly, with savings in the millions of dollars, at hospitals connected to an HIE.

How Data Analytics Helped Spark a $36.5M Turnaround at Boston Medical Center

Boston Medical Center President and CEO Kathleen Walsh attributes a data analytics project to the hospital’s financial turnaround in which it went from a $32 million loss to a $4 million surplus in two years.

Survey says: EHR incentive program is on track

National Coordinator Karen DeSalvo, MD outlines the progress made thus far under the EHR incentive program.

St. John embraces digital records

A local paper covers St. Johns Medical Center’s (WA) Epic go-live. St John’s is Part of PeaceHealth’s system-wide Epic install.

Morning Headlines 1/20/14

GE Healthcare revenue flat, earnings up 4%

GE Healthcare reports Q4 earnings, revenue declined one percent to $5.12 billion, but profits were up four percent.

Netherlands hospital staff visits St. Rita’s Medical Center

Epic appears to be expanding its presence in Europe as nine members of St Jansdal Hospital, located 40 miles from Amsterdam in the Netherlands, go on a site visit to St. Rita’s Medical Center in Lima, OH.

Girish Navani, on Why Titles Don’t Matter

Girish Navanti, CEO of eClinicalWorks, is interviewed by the New York Times on his leadership style. Navanti hires directly from college, and does not believe in firing people. He enjoys an 80 percent approval rating on employee review website Glassdoor.com, higher than the CEO’s of Greenway, Allscripts, or Epic.

Royal Berkshire Hospital booking system ‘still flawed’

In England, the new CEO of Royal Berkshire Hospital addresses employee concerns over the hospital’s $47 million Cerner Millennium system which went live in 2012.

Morning Headlines 1/16/14

Surgical Information Systems Acquires Healthcare Software Leader AmkaiSolutions

Surgical Information Systems, a perioperative specialty EHR vendor, acquires AmkaiSolutions, an ambulatory EHR vendor that provides software for ambulatory surgery centers. The partnership extends SIS’s reach into the ambulatory space within its niche EHR market segment.

Allscripts rises after giving 2014-16 outlook

Allscripts reports that it expects five to eight percent annual growth per year through 2016, while analysts were expecting the company to report a flat five percent growth rate. The aggressive forecast drove Allscripts’ share prices up seven percent by the end of the trading day Wednesday.

HHS makes progress on Health IT Safety Plan with release of the SAFER Guides

The ONC releases a set of guides and tools to help healthcare providers and organizations assess and optimize EHRs for improved safety. The guides represent a part of the Health IT Patient Safety Action and Surveillance Plan, which was published in July of 2013 to address EHR safety concerns.

Morning Headlines 1/15/14

NantHealth Unveiled at J.P. Morgan 32nd Annual Healthcare Conference

Healthcare billionaire Patrick Soon-Shiong, MD, launches his long awaited healthcare IT startup NantHealth. Soon-Shiong spent $800 million on 60 acquisitions in preparation for the launch. His company will focus on population health management, cancer care coordination, care transition management, in–home monitoring, and personalized wellness.

Navicure Announces Key Findings from Second ICD-10 Readiness Survey

A new ICD-10 readiness survey of physician practices finds that 74 percent have not started their ICD-10 preparations, with 27 reporting that they are unsure of how or where to start preparing for the transition.

Providers seeking more strategic integration of CDS tools

KLAS evaluates clinical decision support systems which survey respondents reported are not integrated enough with core EMR systems to deliver the kind of strategic direction providers are looking for.

New Peer-Reviewed Study Shows Mixed Results in ACO Medication Readiness To Achieve Quality, Cost Goals

A new study published by the Journal of Managed Care Pharmacy questions whether ACOs are ready to be held accountable for medication prescribing and adherence, as the report finds that most ACOs do not have policies in place to prevent duplicate medications from being prescribed, and do not have the ability to notify physicians once prescriptions have been filled.

Morning Headlines 1/14/14

Vocera Acquires mVisum to Address Alarm Fatigue

Secure mobile communications vendor Vocera acquires mVisium for $3.5 million. mVisium markets an FDA approved, mobile optimized, closed loop alert management platform.

OhioHealth and IBM Scientists Join Forces to Prevent Infections in Hospitals

OhioHealth pilots a new RFID monitoring system that is integrated into the hand washing stations and tracks hand washing compliance of individual hospital employees, as well as compliance of overall units, and shifts. The new technology led to a 90 percent hand washing compliance rate within the hospital, a 20 percent increase from before the system was installed. 

Edward Marx Named CHIME-HIMSS 2013 John E. Gall, Jr. CIO of the Year

Ed Marx, a frequent HIStalk contributor that writes CIO Unplugged, is awarded the 2013 John E. Gall Jr. CIO of the Year Award by HIMSS. Ed is the CIO of Texas Health Resources, a 25 hospital ACO that has achieved HIMSS Stage 6 or Stage 7 EMR adoption across all of its acute facilities, and has been recognized as a leader in pioneering population health practices. Congratulations Ed!

Morning Headlines 1/13/14

Obama administration to end contract with CGI Federal, company behind HealthCare.gov

CGI Federal, the Canadian contractor responsible for developing Healthcare.gov, will lose its contract for the job because of the failed rollout, and ineffective performance since. Accenture, who developed California’s insurance exchange, is expected to sign a one-year $90 million deal to take over responsibility for fixing the site.

NHS data move opt-out ‘damaging’

In England, the NHS is sending pamphlets to all households to educate the public on its care.data program after widespread public concerns over privacy resulted in an increase in opt-out requests. The care.data program connects NHS databases with private practice offices to help the government assess diseases, examine new drugs on the market, and identify infection outbreaks.

Quality Systems, Inc. Announces Expected Impairment in Its Hospital Solutions Division

QSII, parent company of NextGen, announces that it expects to record a loss on its Q3 financial reports once its Hospital Solutions Division completes a long-lived asset impairment analysis. The company could write down as much as $30 million depending on the results of the review.

IBM Set to Expand Watson’s Reach

In an effort to increase profitability of its Watson business unit, IBM announces that it will invest $1 billion in the project. The money will be used, in part, to expand its sales and marketing force, and to launch a $100 million VC fund aimed at kick starting Watson-based development efforts.

Morning Headlines 1/10/14

Merge Revises Previously Announced Subscription Backlog Totals

After an internal audit at Merge uncovers that 25 percent of its backlog contracts were fraudulently submitted by a salesperson attempting to collect unearned commissions, the company is forced to republish its previously reported subscription backlog. Merge stock prices have dropped 16 percent since Wednesday’s announcement.The salesperson has since resigned and offered to pay restitution, and incident has been reported to the US Attorney’s office.

Are drug companies using your health records to sell you stuff?

According to a Reuters report, pharmaceutical companies are partnering with freeware ambulatory EHR vendors to push medication ads into the exam room and, in some cases, are even emailing patients refill and vaccination reminders in the physicians name.

AHIMA: Board of Directors

AHIMA members elect Angela Kennedy, EdD, MBA, RHIA as president and chair of the board of directors. Kennedy is the chairman of the department of health informatics and information management at Louisiana Tech University.

Morning Headlines 1/9/14

The HIMSS Health IT Value Suite

HIMSS launches a platform designed to help hospitals substantiate the value of healthcare IT investments by collecting hundreds of case studies that demonstrate EHR related safety, quality, or financial improvement, and then creating a nice data visualization that lets you explore the information.

A Standard Model For Evaluating Return On Investment From Electronic Health Record Implementation

Citing a wealth of conflicting studies that base their findings on non-standardized research methodologies, the Institute of Medicine proposes a standard framework to help providers identify and quantify both the costs and benefits of EHR implementation.

FDA Wants to Leverage Electronic Medical Records to Probe for Adverse Events

The FDA is looking for contractors to help it begin mining EHR data for signs that a post-market drug may be causing unknown adverse events.

Cincinnati Children’s Hospital Reaches Stage 7

Cincinnati Children’s Hospital, an Epic hospital, earns HIMSS Stage 7 designation for both its hospital and 14 of its associated ambulatory offices. 2.2 percent of US hospitals and 1.2 percent of ambulatory practices have now achieved Stage 7 designation.

Morning Headlines 1/8/14

Governor Blames IBM For Minnesota’s Troubled Obamacare Website

Minnesota Governor Mark Dayton blames IBM for the state’s health insurance exchange problems. IBM was not the main contractor of the $46 million website, but is taking the brunt of the blame because it provided the critical components that failed.

Providers Look For Next Level of Healthcare Analytics

KLAS evaluates the the healthcare analytics market, which it says has yet to deliver products that offer robust functionality while being easy to use.

Whidbey General Hospital billing system gets pricey

Coupeville, WA-based Whidbey General Hospital’s $7.5 million Meditech implementation caused billing issues that prevented claims from being sent out, leaving the hospital with just 2.5 days of cash on hand at one point.

House leader unveils exchange security act

Representative Joe Pitts (PA) will introduce The Health Exchange Security and Transparency Act, which would require that HHS notify individuals of any data breach on the health insurance exchanges within two business days.

Morning Headlines 1/7/14

IMS Health files for potential billion-dollar offering

IMS Health, a health care data analysis and consulting firm that works primarily in the pharmaceutical industry, filed initial IPO paperwork Thursday. Analysts estimate that the company should raise between $500 million and $1 billion with the offering.

McKesson Introduces Paragon Ambulatory Care Practice Management Solution

McKesson extends its Paragon HCIS footprint into the ambulatory space with a new practice management solution that promises scheduling, billing, registration, patient education, and health maintenance support along with an enterprise-wide integrated database and a unified look and feel.

Usability of EHRs remains a priority for ONC

Jacob Reider, MD, acting national coordinator for health IT publishes a blogpost calling for a renewed emphasis on EHR usability, saying "But as a physician who has used an EHR in my clinical life since 2001, I worry that some of the usability challenges that we early adopters tolerated “for now” (a decade ago) remain unresolved."

Senators press for EHR interoperability

Senators John Thune (SD) and Mike Enzi (WY) added an amendment to the recently passed short term budget deal that calls for meaningful EHR interoperability to be achieved by 2017. A separate, more specific, amendment was also added that directs HHS to adopt a common interoperability standard by 2017, as part of the rules for Meaningful Use Stage 3.

Morning Headlines 1/6/14

Biotech Firm: We Will 3D Print A Human Liver In 2014

Organovo, a San Diego-based biotech company, says it will produce functional 3D printed human livers by the end of 2014. The organs will be used for pharmaceutical testing, not implanting.

Online Doctor’s Notes a Hit with Patients, Study Shows

A study published in the New England Journal of Medicine follows three hospitals as they go live with patient portals that include unedited physician notes. The year-long study found that 80 percent of participating patients had read their physician’s notes, and that "large majorities reported having better recall and understanding of their care plans and feeling more in control of their health care. Moreover, two thirds of patients who were taking medications reported improved adherence."

Computer failure adds to ambulance patients’ pain

In Australia, an ambulance service is seeking a government bailout after its electronic billing system malfunctioned and left it with $7.5 million in unbilled services.

Morning Headlines 1/3/14

President Obama Announces More Key Administration Posts

Leon Rodriguez, director of the Office for Civil Rights of HHS, will be nominated to take over as the Department of Homeland Security’s director of the United States Citizenship and Immigration Services.

Other new NC laws taking effect with the new year

In North Carolina, a law that took effect on January 1 requires that all hospitals connect with the North Carolina HIE and submit data on any services paid for by Medicaid.

Pentagon Kicks Off Procurement To Maintain Current Health Record Until 2018

The DoD initiates a procurement process that will allow it to stick with its existing EHR until 2018.

Cerner ‘seals the deal’ on $4.3 billion office plan at Bannister site

Cerner completes its purchase of a 237-acre property outside Kansas City where it will build a $4.3 billion campus over the next 10 years, eventually providing office space for 15,000 employees.

Digital Health Funding: A Year In Review

Health IT startups raised $1.9 billion in VC funding during 2013, a record breaking year and 39 percent increase over last year. Most money went to EHR vendors, big data startups, population health tools, wearable biosensors, and patient engagement platforms.

Morning Headlines 1/2/14

White Sulphur Springs hospital says company never installed health records system

Mountainview Medical Center (MT) is suing NextGen Healthcare Information Systems for failing to install a certified EHR by a contractually agreed upon install date of June 1, 2013. When the date passed, the NextGen and Mountainview agreed to a new delivery date of October 1 but, according to the lawsuit, the extra time did not resolve the underlying issues and no system was ever installed.

3 hospitals start new year at Stage 7

Hilo Medical Center (HI), Round Rock Hospital (TX), and White Health System (TX) are all named to the HIMSS stage 7 list. Round Rock and White Health’s ambulatory clinics received stage 7 ambulatory designation as well. Both run Epic across their networks, while Hilo is a Meditech 6 site.

Stocks of KC firms large, small did well in 2013

Cerner is profiled by the Kansas City Star newspaper in a year-end review of the city’s top performing businesses. Cerner shares grew 43 percent in 2013.

Morning Headlines 12/31/13

10 things to know about Karen DeSalvo

Karen DeSalvo, the new national coordinator for health IT, is profiled in a GovHealthIT article that reviews her past accomplishments and experiences.

Hospital patients can track care with bedside tablet computer

Ohio State University’s Wexner Medical Center is profiled by local media after piloting Epic’s myChart Bedside, a patient portal designed for patients currently admitted to the hospital. The app allows patients to see pictures and profiles of their care team, review their daily plan as well as lab results, and read or watch patient education material.

The December deluge: 1.1 million have enrolled on HealthCare.gov

Healthcare.gov turns in its best month to date, with 975,000 newly enrolled in December, for a total of 1.1 million since launch.

Dermatology practice settles potential HIPAA violations

A dermatology practice in MA pays $150k in fines to HHS over HIPAA violations after an unencrypted thumb drive with the ePHI of 2,200 patients get stolen from an employees car. Officials from HHS say this case marks the first time that a covered entity has been fined for not having implemented the breach notification provisions of the HITECH act.

Morning Headlines 12/30/13

PCORI Awards $93.5 Million to Develop National Network to Support More Efficient Patient-Centered Research

The Patient-Centered Outcomes Research Institute will invest $93 million in a new project aimed at developing a collaborative network of health systems, payers, and patient groups working together to conduct more efficient health research.

Use of a Text Message Program to Raise Type 2 Diabetes Risk Awareness and Promote Health Behavior Change (Part I): Assessment of Participant Reach and Adoption

A study published in the Journal of Medical Internet Research designed to measure the participation and adoption rates of a text-based type 2 diabetes program finds that only 39 percent of enrolled participants completed the 14 week program, leading researchers to conclude that text-based programs may not be appropriate for everyone.

HIMSS Career Services to Focus on Veterans

HIMSS will launch a program aimed at introducing military veterans to " future careers in the health IT industry." The program, which was government funded, will be located on the exhibit floor at HIMSS14. Any military veterans that might be interested in the health IT industry need only get themselves down to the HIMSS conference, pay $575 for a single day conference pass, and then proceed to the “A Hero’s Welcome to Health IT” booth. Once there, they’ll meet other veterans that are working in health IT that will be able to answer questions for them, and they’ll learn about HIMSS entry-level certification exams.  

Morning Headlines 12/27/13

Centers for Medicare & Medicaid Services (CMS) and Office of Inspector General (OIG) Extend Sunset Dates for Electronic Health Records (EHR) Subsidy Rules

CMS extends the sunset date on the Stark exception to December 31, 2021. The decision will allow hospitals to continue to finance EHR implementations for referring physician practices without breaking anti-kickback laws.

More partnerships between doctors and hospitals strengthen coordinated care for Medicare beneficiaries

123 new ACOs are announced, bringing the national total to 360.

MaineHealth increasing spending on software system that was involved with billing glitches

MaineHealth will increase the budget on its Epic install from $145 to $200 million. Bill Caron, president of MaineHealth, says that the health system underestimated the total cost of training all its staff on Epic, and acknowledges that it was a mistake to start the install at 600-bed Maine Medical Center, the systems largest hospital.  The additional funding will be used to provide end users additional Epic training.

EMR alert cuts sepsis deaths

Active surveillance alerts generated by the EHR at Mount Sinai Hospital (NY) have led to earlier detection of sepsis in its inpatient census, resulting in a 40 percent reduction in its sepsis mortality rate.

Morning Headlines 12/26/13

Technology, prevention will move health care costs down

In a USA Today article, David Blumenthal, MD, outlines a multi-pronged plan for reducing national healthcare costs.

Investing in the nation’s health

In a Washington Times op-ed piece, NIH director Francis Collins says that spending cuts on top of small annual budgets have weakened NIH’s ability to carry out its mission of turning scientific discoveries into better health. Still, he holds hope for the administrations BRIAN initiative, as well as the rise of big data.

The year in HIE: Public, private sectors prodded to interoperability

In a 2013 year end review, various developments in the HIE sector are discussed.