Morning Headlines 7/11/16

Elizabeth Holmes of Theranos Is Barred From Running Lab for 2 Years

CMS issues an unprecedented suspension barring Theranos and Elizabeth Holmes from owning or operating a medical laboratory for two years.

Two-year longitudinal assessment of physicians’ perceptions after replacement of a longstanding homegrown electronic health record.

A two-year study monitoring physician satisfaction during and after an Epic implementation finds that satisfaction levels never returned to pre-implementation levels, refuting the notion that a J-curve exists in which satisfaction levels initially dip but then climb above pre-implementation levels as providers get used to the new system.

HHS raises interim IT leader to permanent CIO

HHS promotes Beth Anne Killoran from acting to permanent CIO.

Surprise Medical Bills Fuel Fight Between Providers, Insurers

The Wall Street Journal covers the increase in surprise medical costs incurred by patients inadvertently getting care from an out-of-network provider while at an in-network hospital.

Morning Headlines 7/8/16

NHS to scrap single database of patients’ medical details

The NHS closes down its care.data initiative, a government attempt to store patient medical information in a single database.

The Number Of Health Information Exchange Efforts Is Declining, Leaving The Viability Of Broad Clinical Data Exchange Uncertain

A Health Affairs study finds that the number of health information exchanges operating has dropped from 119 to 106 as federal funding runs out, despite demand for interoperability solutions.

An Alternative Proposal for Certification

John Halamka, MD argues for simplified health IT regulations that would focus entirely on expanding FHIR- based data exchange.

Announcement of Requirements and Registration for “Blockchain and Its Emerging Role in Healthcare and Health-related Research”

ONC announces a contest soliciting ideas for how blockchain data structures might be used in healthcare.

Morning Headlines 7/7/16

Legal (Fraud and Abuse) Barriers to Care Transformation and How to Address Them

An AHA report suggests that the Stark Law is becoming an impediment to care coordination and the expansion of value-based payment adoption, arguing that “The risk of overutilization, which drove the passage of the Stark Law, is largely or entirely eliminated in alternative payment models.”

Island Health presses ahead on electronic record system in Nanaimo

In Canada, Island Health’s $174 million Cerner implementation moves forward amid a unanimous no confidence vote from representatives of the health system’s medical association.

HealthyCT crumbles under ACA risk adjustment charges

HealthyCT, Connecticuts co-op insurer, will shut down because it is unable to pay a $13.4 million ACA-mandated risk adjustment payment.

Valeant’s New CEO Brings Familiar Prescription

The Wall Street Journal recaps the past business decisions of Joseph Papa, the new CEO of Valeant Pharmaceuticals, as he works to turn around falling stock prices without resorting to drug price gouging.

Morning Headlines 7/6/16

Measuring Interoperability: Listening and Learning

ONC will address a MACRA requirement to establish metrics for measuring interoperability by incorporating two new interoperability-related questions into the AHA Information Technology Supplement Survey and the CDC’s annual National Electronic Health Record Survey.

Member Voice: ‘Medical Error’ Study Shows Major Flaws, Should Be Retracted

Neuroradiologist Shayam Sabat, MD calls for BMJ to retract a clickbait paper it published titled “Medical Error: The Third Leading Cause of Death in the US,” which he says a “shoddy piece of scientific and statistical work which cannot stand the close scrutiny of peer physician researchers and professional statisticians.”

Business Associate’s Failure to Safeguard Nursing Home Residents’ PHI Leads to $650,000 HIPAA Settlement

Catholic Health Care Services of the Archdiocese of Philadelphia will pay a $650,000 settlement stemming from a 2014 data breach that left 412 patients information exposed when an unencrypted company-issued iPhone was stolen.

Cluster failure: Why fMRI inferences for spatial extent have inflated false-positive rates

A study investigating algorithms used to process functional MRI results finds that the algorithms used generate false-positive rates up to 70 percent, leading authors to question the validity of 40,000 studies.

Morning Headlines 7/5/16

Conflicker Used In New Wave of Hospital IoT Device Attacks

A report from IT security firm TrapX Labs concludes that internet-connected medical devices remain a digital soft spot for hackers attempting to infiltrate networks.

NHS seeks cure for its costly digital headache

The Guardian discusses the need to improve data security as England pushes forward with its plans of digitalizing NHS medical records.

CMS updates rule allowing claims data to be sold

CMS publishes a final rule that will expand access to its claims data through the “Qualified Entity Program,” which grants approved organizations access to CMS data sets that include patient-identifiable claims information.

Here’s How a Hacker Extorts a Clinic

TheDarkOverlord , the anonymous hacker responsible for selling four healthcare databases on the dark web last week, says in an interview that he does not feel bad about what he is doing because he is “furthering the enhanced security and development of new protections.”

Morning Headlines 7/1/16

Data breach at Mass. General involves 4,300 dental patients

Massachusetts General Hospital informs 4,300 dental patients that their records were exposed after an unauthorized user gained access to records stored by dental practice management software vendor Patterson Dental Supply.

Teladoc to Acquire HealthiestYou in Cash, Stock Deal; Updates FY16 Outlook

Teladoc enters into a definitive agreement to acquire consumer engagement platform vendor HealthiestYou for $155 million in cash and stock.

Eligibility requirements for advanced health informatics certification

AMIA announces eligibility requirements to sit for the advanced health informatics certification examination.

Biden threatens funding cuts for researchers who don’t report clinical-trial data

During a conference at Howard University, Vice President Joe Biden was asked why research grants were being issued to organizations that were not reporting results to public databases in a timely fashion, to which Biden replied "Doc, I’m going to find out if it’s true, and if it’s true, I’m gong to cut funding. That’s a promise."

Morning Headlines 6/30/16

The Biggest Obstacle to the Health-Care Revolution

Former National Coordinator David Blumenthal, MD explores the idea of giving patients control of their own electronic records, which they can then use to overcome interoperability limitations, a system he calls a “consumer-mediated HIE.”

How IBM’s Watson Supercomputer Is Going to Help 10,000 Veterans

The VA is partnering with IBM’s Watson to bring precision medicine to cancer treatment within the health system. The VA delivers care for 3.5 percent of the US patient population, and the largest group of cancer patients within a single health care group.

But seriously, why did Theranos have just one spokesperson?

Brooke Buchanan, VP of communications and public spokesman for Theranos, has reportedly resigned from her position with the company on Friday.

Why there is no beta in health care

Re/Code examines the “move fast and break things” culture behind many software companies and outlines why it has failed to deliver solutions that address end user pain points in the health IT space.

Morning Headlines 6/29/16

About the Proposed Combination

McKesson confirms rumors that it will spin off its health IT business, merging it with Change Healthcare and in the process creating a new company with a combined annual revenue of $3.4 billion.

Jeremy Hunt suggests second EU referendum

In England, “remain” supporter Health Secretary Jeremy Hunt backs calls for a second Brexit referendum or, as an alternative, proposes a general election to establish sensible terms on the UK’s exit deal.

Relationship Between Clerical Burden and Characteristics of the Electronic Environment With Physician Burnout and Professional Satisfaction

A study measuring correlations between physician burnout and EHR use found that providers that use EHRs or CPOE report being unsatisfied with the amount of time they spend on clerical work and a higher level of physician burnout.

Patient Payment Responsibility up 13% in One Year

A TransUnion Healthcare report finds that patients experienced a 13 percent increase in both deductible and out-of-pocket maximum expenses in 2015.

Morning Headlines 6/28/16

Medtronic to Buy HeartWare for $1.1 Billion

Medtronic will pay $1.1 billion for ventricular assistant device manufacturer HeartWare. The deal, which is worth $58 per share, represents a 93 percent premium on closing prices Friday.

Our Comments on the Proposed MACRA Regulations: MIPS and AAPMs

Aledade, the startup of former national coordinator Farzad Mostashari, MD submits comments on the proposed MIPS and AAPM rule.

In healthcare, we’re flying blind

Jonathan Bush discusses the impact disconnected systems and missing patient data has on physician workflow, noting that analysis of Athena data has revealed the average provider has to “chase down 35 missing lab results, 18 missing imaging results, and 12 missing specialty referrals” per month.

Morning Headlines 6/27/16

Ethical hacking at the DoD draws interest from HHS

HHS considers launching a hackathon that will pay hackers for discovering cyber vulnerabilities within the agency. The program would be modeled after the DoD’s recent pilot program “Hack the Pentagon.”

Medical Image Sharing | 2016

Peer60 publishes survey results on the medical image sharing industry, with respondents favoring cloud-based and site-to-site data sharing models.

Unexpected medical bills can cost American consumers thousands

PBS examines the problem of patients receiving bills from out-of-network specialists that delivered care during a hospitalization at an in network facility.

DaVincian Healthcare Nabs Overall Champion Award in Pymnts.com /Amazon Alexa Challenge

Austin, Tx-based digital health startup DaVincian Healthcare wins Amazon’s Alexa Challenge, a design contest launched to attract innovators to build new solutions for Amazon’s voice-command personal assistant. DavIncian entered a medication adherence solution that uses the platform to track prescription refills and connect patients, caregivers, and providers.

Morning Headlines 6/24/16

Andy Gurman, MD, Takes Reins as AMA President

Incoming AMA president Andrew Gurman, MD says that he has no EHR in his practice and prefers to take a penalty than participate in the Meaningful Use program.

Nearly 1 in 3 On Medicare Got Commonly Abused Opioids

A federal report finds that 12 million Medicare beneficiaries were prescribed opioids last year, at a cost of $4.1 billion.

Implementation Of Prescription Drug Monitoring Programs Associated With Reductions In Opioid-Related Death Rates

A Health Affairs study finds that prescription drug monitoring programs reduced opioid-related overdose deaths by 1.12 per 100,000 people in the year after implementation.

Statement of Dr. David Shulkin Undersecretary of Health Veterans Health Administration

VA Undersecretary of Health David Shulkin, MD says during testimony before the Senate Committee on Veterans Affairs that its EHR modernization plans are “not dependent on any particular EHR.”

Morning Headlines 6/23/16

Justice Department Announces Biggest Medicare Fraud Crackdown

Federal agents have arrested 300 suspects in the largest ever crackdown on Medicare fraud, with suspected losses totaling $900 million.

Veterans Health Administration Review of Alleged Manipulation of Appointment Cancellations at VA Medical Center Houston, Texas

A VA OIG report finds that leadership at the Houston VA has been falsely reporting appointments cancelled by the clinic as patient requested cancellations. Investigators identified 223 appointments incorrectly reported as patient cancellations between July 2014 and June 2015.

Workarounds and Test Results Follow-up in Electronic Health Record-Based Primary Care

A study published in Applied Clinical Informatics finds that 43 percent of primary care physicians use workarounds, rather than standard EHR functionality, to manage test results. Authors conclude that analyzing common workarounds in the clinical setting could lead to improved EHR design.

State Department eyes electronic health records

The US State Department has issued an RFI for a commercial EHR to support roughly 1,000 medical professionals along with diplomats and embassy personnel stationed at posts worldwide.

Morning Headlines 6/21/16

Should digital health be regulated like air travel?

AMA CEO James Madara, MD doubles down on his “snake oil” analogy, reiterating that “That bluntness was by design” and citing a recent Commonwealth Fund study that looked at 1,000 healthcare apps for patients and concluded that only a minority were likely to be useful to patients.

First Human Test of CRISPR Proposed

Doctors at the University of Pennsylvania are seeking approval to use CRISPR gene editing technology on humans for the first time. The researchers seeking approval are working on a therapy in which immune cells are removed from the patient, edited to target myeloma, melanoma, and sarcomas, and then re-infused into the bloodstream.

Health Insurer Hoped to Disrupt the Industry, but Struggles in State Marketplaces

The New York Times profiles Oscar Health, a tech-focused health insurance startup that has raised $727 million in funding, but has yet to establish a profitable business model in the hyper-competitive ACA marketplaces.

Supercomputers Join the Fight Against Cancer

In an article published by Medium, US Secretary of Energy Ernest Moniz pledges to support the Cancer Moonshot project with supercomputers owned by the Department of Energy’s 17 national laboratories.

Morning Headlines 6/20/16

Up to 20 Percent of U.S. Trauma Deaths Could Be Prevented With Better Care

A report by the National Academies of Sciences, Engineering, and Medicine on trauma-based mortality rates in the US finds that quality of care for trauma patients varies greatly depending on when and where a patient is injured, resulting in 30,000 preventable deaths per year. The report calls for a national trauma care network to establish best practices and integrate civilian and military trauma care practices.

Online Trust Audit Briefing

An independent investigation recognizes Healthcare.gov as the second-most secure consumer website, while Twitter took top honors.

Doctors’ Hand Hygiene Plummets Unless They Know They’re Being Watched, Study Finds

A new study from Santa Clara Valley Medical Center (CA) finds that hand washing compliance rates improve dramatically when health professionals know they are being watched.

LeadingAge CAST Releases New Electronic Health Record Adoption Model

LeadingAge introduces an EHR adoption model for long-term and post-acute care organizations.

Morning Headlines 6/16/16

Cerner chips away at building $4.5B campus

A local Kansas City newspaper reports on the progress Cerner has made on its 10-year, $4.5 billion Trails Campus construction.

Florida Blues collected $471 million profit on ACA plans in 2015

Florida Blue Cross and Blue Shield reports $471 million in profits from its insurance exchange business, unlike the massive losses reported by other major insurers like Highmark, Humana, and UnitedHealth Group.

Consumerism in focus at AHIP 2016 this week, organizers say

Former CMS Administrator and current AHIP President and CEO Marilyn Tavenner presents the keynote speech at this year’s AHIP annual conference, calling for an increase in technology as healthcare reimbursement moves away from fee-for-service payment models.

New Methodology To Examine Spending Patterns For End-Of-Life Care

According to a Health Affairs study analyzing end-of-life spending data for Medicare patients finds that costs run five times higher for patients with multiple chronic diseases during the last year of life.

Morning Headlines 6/15/16

Why I Disagree with the Snake Oil Analogy

BIDMC CIO John Halamka, MD takes issue with the “snake oil” analogy AMA CEO James Madara, MD used to describe EHRs during a speech at the AMA Annual Meeting. Halamka acknowledges that current EHRs do not share data, engage patients, or enable population health effectively, but says “There is no snake oil.   We created the digital foundation that is a prerequisite for the next generation of tools.”

Sonoma West Medical Center chief nursing officer sues hospital, Dan Smith, after dismissal

The former CNO at Sonoma West Medical Center (CA) files a wrongful termination suit after being fired for voicing concerns that the home-grown EHR designed and implemented by a hospital board members’ startup company was unsafe.

Teladoc Secures Major Victory in Patent Dispute with American Well

A Massachusetts federal court judge dismisses a patent infringement suit filed by American Well against telehealth competitor Teladoc, concluding that American Well’s patent is invalid because major elements are “too abstract” to be patentable.

Patient wishes are tough to see in electronic health records

A Minneapolis newspaper discusses the difficulty providers have finding advance directives within EHRs, citing a recent study that found “less than one-third of ER doctors feel very confident they could locate information in the electronic record.”

Morning Headlines 6/14/16

Digital Dystopia

American Medical Association CEO James Madara, MD speaks at the AMA Annual Meeting about the state of technology in healthcare, saying, w“e’re seeing digital tools in medicine that, unlike digital tools in other industries, make the provision of care less, not more, efficient.”

Walgreens formally cuts ties with Theranos

Walgreens ends its relationship with Theranos, effective immediately, citing bad test results and ongoing federal investigations.

ONC Publishes New Reports on Health IT Safety

ONC publishes two health IT safety reports: Report of the Evidence on Health IT Safety and Interventions, and Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. The reports were drafted eternally with ONC support as part of ONC’s Health IT Safety and Surveillance Plan.

Americans’ Experiences with ACA Marketplace and Medicaid Coverage: Access to Care and Satisfaction

The Commonwealth Fund publishes survey results measuring the impact marketplace insurance coverage has had on consumers. The survey found that over 80 percent of consumers were satisfied or very satisfied with the insurance they purchased, while just over 70 percent report that coverage options are good, very good, or excellent.