Morning Headlines 9/8/14

PwC to Propose Open Source EHR System to the Department of Defense Healthcare Management Systems Modernization Program

PwC enters the DoD EHR vendor search, proposing VistA and partnering with General Dynamics as a system integrator, and MedSphere and DSS as commercial resellers of VistA.

Nine Ways Hospitals Can Use Electronic Health Records to Reduce Readmissions

The Society of Hospital Medicine’s Health Information Technology committee publishes a list of nine strategies that hospitals can deploy within their EHRs to reduce all-cause readmissions.

Propeller Health Raises $14.5 Million Series B Financing Led by Safeguard Scientifics

Madison, WI-based Propeller Health raises a $14.5 million Series B and hires Practice Fusion VP Chris Hogg as its COO. The company helps health systems manage their asthma and COPD populations through a rescue inhaler sensor that tracks medication usage, pushing the captured data to both a smartphone app for patients, and a population health dashboard for health systems.

Morning Headlines 9/5/14

After quitting tobacco, CVS makes its next health-care moves

CVS pulls tobacco from its shelves a month ahead of its published goal, cutting $2 billion in annual revenue in the process. The company will expand its Minute Clinics and pursue new payer and health system partnerships to compensate for the loss.

President Obama Names Megan Smith U.S. CTO, Alexander Macgillivray Deputy U.S. CTO

Megan Smith, former Google VP of new business development, replaces Todd Park as the new US CTO, while Alexander Macgillivray, Twitter’s former lead council, will assume the role of Deputy US CTO.

Cover Oregon needs Oracle’s help to avoid delays in federal health exchange transition

After Oracle and the state of Oregon sue each other over the failed Cover Oregon health insurance exchange, Oracle puts the brakes on efforts to move on by refusing to provide access to the servers and source code for the site. The impasse will likely compromise Oregon’s ability to launch a functional exchange before the start of the next open enrollment period on November 1.

Morning Headlines 9/4/14

Task force taps the brakes on interoperability

During Wednesday’s Health IT Policy Committee meeting, members decide that a JASON report on health data interoperability that had been created to guide future policymaking is inadequate and overlooks the pressures on EHR vendors.

Google’s Calico, AbbVie forge deal against diseases of aging

Google’s Calico initiative to extend human life enters into a $500 million research agreement with US drugmaker AbbVie to help create life sciences research facilities in Silicon Valley, and then collaborate on drug development projects. Each business will contribute $250 million initially, with the option of adding an additional $500 million over the lifetime of the partnership. The team will share both costs and profits equally as new drugs are developed and marketed.

Groups press FDA to encourage medical-device registries

Pew Charitable Trusts, the Blue Cross and Blue Shield Association, and the Science Infrastructure Center run by Weill Cornell Medical College are collectively calling on the FDA to create a medical device registry that would be tasked with post-market surveillance and capturing data for long-term research initiatives.

CMS finalizes auto-enrollment process for current Marketplace consumers

CMS publishes a final rule that will provide consumers who purchased their health insurance over an insurance exchange with a simple way of to renewing the plan.

Morning Headlines 9/3/14

‘Find My iPhone’ exploit may be to blame for celebrity photo hacks

A long-known vulnerability within Apple’s Find My iPhone portal allowed hackers to gain access to the login details of dozens of celebrities’ iCloud accounts, ultimately leading to the exposure of hundreds of nude photos. The embarrassing security lapse comes just ahead of Apple’s planned roll out of HealthKit, a service that Apple will use to store and share personal health data.

U.S. Digital Services Playbook

The newly created US Digital Services group publishes its Digital Services Playbook for public comments. The playbook outlines 13 best practices borrowed from private industry that will become the standard operating procedure for future government IT projects.

Failure to join up medical records ‘is a health risk’, says GP chief inspector

In England, the chief inspector for primary care doctors calls the country’s lack of integration between primary and acute care EHR systems a health risk. He proposes giving patients unrestricted access to their own primary care EHRs as a potential solution.

Morning Headlines 9/2/14

CHIME Statement on Finalization of Meaningful Use ‘Modifications’ Rule

CHIME publishes a statement calling the decision to mandate a 365-day reporting period for 2015 attestations deeply disappointing, going on to say that as a result “the very future of Meaningful Use is in question.”

Providers see little enthusiasm to join Pioneer ACOs

While federal officials debate expanding recruitment efforts for Medicare’s Pioneer ACO model, existing Pioneer ACO executives are speaking out over the logic of such a decision, explaining that “Organizations are not gravitating toward the Pioneer ACO model because the downside risk is not outweighed by the opportunity for economic gain—the business case is not compelling.”

Doctors Use Canadian Technology to Tackle Prescription Drug Crisis

In Canada, physicians are using a government-funded opioid management toolkit made by CognisantMD to help combat the increased prevalence of prescription drug abuse and opioid overdoses.

Taking the pulse of Beaumont Health hospital merger

Crain’s covers the formation of Beaumont Health, an eight-hospital health system that will finalize its formation this week. While the merger is imminent, key strategic decisions are still unresolved. One consultant explains “The new organization officially goes online Sept. 1, and none of the executives know what their jobs will be”

Morning Headlines 9/1/14

New CMS rule allows flexibility in certified EHR technology for 2014

CMS publishes a final rule that will delay the start of MU Stage 3 until 2017, but does little to help providers and hospitals still struggling to meet Stage 2 requirements.

Hundreds of blood tests to be re-checked after computer crash at hospital

In Ireland, Cork University Hospital will have to redraw and rerun hundreds of blood tests after an IT failure leads to the loss of the original test results.

More Data to Be Withheld from Database of Physician Payments

CMS reports that additional data will be withheld from the Open Payments platform set to go live September 30. Payment data stemming from research grants made by pharmaceutical companies to doctors through intermediaries, such as contract research organizations, will be suppressed until doctors have time to verify or dispute the reported payment data.

Morning Headlines 8/29/14

Apple prohibits HealthKit app developers from selling health data

Apple has updated its privacy policy to prohibit developers that connect to its HealthKit API from selling health data to marketers. The announcement comes on the heels of rumors that Apple will finally unveil the iWatch during its upcoming September 9 marketing event.

Google’s Smith Is Top Candidate for U.S. Chief Technology Officer

The VP of Google’s secretive X labs is rumored to be a top candidate for next US CTO position, replacing Todd Park who recently announced that he would be moving on.

Greenway has completed its implementation of Walgreen’s pharmacy EHR, the largest centralized pharmacy EHR system ever deployed.

Making Science Fiction a Science Reality: 10 Finalist Teams Selected For $10 Million Qualcomm Tricorder XPRIZE

Qualcomm has unveiled the final 10 teams in its $10 million tricorder XPRIZE competition.

Morning Headlines 8/28/14

Medtronic Buys NGC Medical To Expand Hospital-Services Offerings

Medtronic acquires Italian-based hospital services firm NGC Medical for $350 million. NGC Medical will be integrated into Medtronic’s hospital managed-services business.

Federal auditors sought documents related to troubled Md. health exchange launch

Auditos from HHS’s Office of the Inspector General are investigating the now fired Noridian Healthcare Solutions over fraud allegations surrounding the failed health insurance exchange it was contracted to develop for Maryland.

NIH issues finalized policy on genomic data sharing

The National Institutes of Health issues its final policy on genomic data sharing. The new policy will apply to all NIH-funded projects that generate genetic data.

Twitter helps Chicago find sources of food poisoning

Health officials within the Chicago Department of Public Health are using aggregated Twitter feed data to identify restaurants causing food poisoning in the city.

Morning Headlines 8/27/14

DoD Takes Next Step in Modernizing Electronic Health Records

The Defense Department issues an $11 billion RFP for its next generation EHR. The RFP calls for initial field testing by the end of 2016.

There’s finally someone in charge of HealthCare.gov

CMS names Kevin Counihan to the newly created CEO of Healthcare.gov position. Counihan was previously the chief executive of Connecticut’s largely successful health insurance exchange.

VA Takes Next Step to Modernize Scheduling System

The VA announces that it will issue an RFP for a new medical appointment scheduling system by the end of September, one of many corrective actions being put in place following the VA’s recent off-the-books scheduling scandal.

In Indiana, state government tries using big data project to reduce infant mortality

Indiana will spend $9.1 million to implement SAP’s data analytics platform with goals of reducing its infant mortality rate from 7.7 to 6.89 deaths per 1,000 births.

Morning Headlines 8/26/14

Assessing The Financial Impact Of 4.5 Million Stolen Health Records

Forbes looks back on prior data breaches to calculate the likely true cost that Community Health System will incur as a result of its recent 4.5 million-record data breach, pegging the total cost at between $75 million and $150 million.

No proof deaths caused by delay in care, VA says

After completing its assessment of scheduling improprieties at the Phoenix VA Health System, a VA inspector general’s report concludes that there is no evidence that the unethical delays in care directly contributed to preventable veterans deaths.

EMR Market Share by the Numbers: The Cerner/Siemens Acquisition, Part I

In the first of a two-part piece, KLAS covers the Cerner/Siemens acquisition and what it might mean for Cerner’s market share in the years ahead.

Morning Headlines 8/25/14

U.S. CTO stepping down

Todd Park steps down as US CTO after two-and-a-half years in the position and will transfer to a new White House staff position where he will lead a team responsible for recruiting technology leaders from Silicon Valley to work on government projects.

Usability and Impact of a Computerized Clinical Decision Support Intervention

Researchers at the University of Pennsylvania Health System test CDS alerts designed to boost timely urinary catheter removals and found that customized CDS alerts are far more effective, and result in more significant improvements to patient outcomes, than basic CDS alerts provided by EHR vendors.

Oregon: State Sues Over Health Website

Oregon files its anticipated lawsuit against Oracle over the state’s failed health insurance exchange website, which Oracle was contracted to develop and deploy.

Patient Portals. Patient Engagement: The Holy Grail of Meaningful Use

Peer60 publishes a report that trends patient portal engagement rates by hospital size, patient portal vendor, and local population sizes.

Morning Headlines 8/15/14

Keys to HIT Success: Results from the 2014 Survey on ACOs

A survey of 62 ACOs finds that most operate with a basic health IT infrastructure comprised of an EHR with clinical decision support features, a data warehouse, and a disease registry. Most do not use population health systems, referral management systems, or telehealth platforms and more than 90 percent reported having concerns with the cost and return on investment potential of health IT solutions.

Update: 8/14/14 – Intermittent EHR access restored

Practice Fusion’s cloud-based EHR went down Tuesday and Wednesday, leaving customers unable to access their schedules or patient charts. Practice Fusion reported that the problem was likely caused by a “global internet brown-out,” citing a recent Fox News report as evidence.

The Meaningful Use Stage 2 Finish Line

John Halamka, MD and CIO of Beth Israel Deaconess Medical Center, reports that the hospital will attest for Stage 2 by the September 30 deadline, but that they are struggling to meet the 10 percent transition of care threshold because there are not enough practices ready to receive CCDs electronically.

HHS on the hunt for HealthCare.gov emails Issa wants

HHS has spent 23,000 staff hours trying to recover deleted emails from CMS administrator Marilyn Tavenner’s email account in response to Congressional investigations into the failed Healthcare.gov rollout. Tavenner, whose email address is public, receives between 10,000 and 12,000 emails a month.

Morning Headlines 8/14/14

Health Policy Brief: Interoperability

“Health Affairs” discusses the state of health data interoperability in the US given the nation’s $26 billion investment in health IT adoption.

Norton Healthcare stabilizes as EHR expenses fall

Five-hospital Norton Healthcare (KY) returns to a net positive revenue after two years of posting losses brought on by its system-wide Epic implementation. With the implementation complete, overhead costs have dropped and Norton’s revenue has climbed 4.7 percent.

Secretary Burwell further strengthens HHS management team

HHS welcomes Kevin Thurm as its new senior counselor. Thurm worked with HHS under the Clinton administration, and most recently worked at Citigroup as a senior executive overseeing corporate compliance.

Morning Headlines 8/13/14

Dallas County gets futuristic general hospital

A local paper highlights some of the technology being installed at Dallas-based Parkland Memorial Hospital, a $1.3 billion “digital hospital” set to open in May 2015.

The new No. 1 private-sector employer

Cerner has grown to become the top private sector employer in Kansas City, driven by a hiring spree that added 1,500 new hires in the past year.

Apple prepares Healthkit rollout amid tangled regulatory web

Apple is reportedly in discussions with Allscripts, Johns Hopkins, Mount Sinai, and Cleveland Clinic as it continues recruiting new digital health partners ahead of its upcoming HealthKit rollout.

Telemedicine could yield $6B per year in savings

A new study claims that adopting telemedicine as the primary means of treating certain non-urgent conditions could theoretically save US employers $6 billion annually.

Morning Headlines 8/12/14

Nuance fourth-quarter forecast misses expectations

Nuance downwardly revises its Q4 earnings forecast to $500 million or $0.24 per share, well below analyst expectations of $0.34 per share, driving stock prices down 10 percent in after hours trading.

White House launches ‘U.S. Digital Service,’ with HealthCare.gov fixer at the helm

The White House launches a new program, the US Digital Service, that will recruit the “country’s brightest digital talent” to providing strategic guidance on major IT projects like Healthcare.gov and iEHR. The department will be run by Mikey Dickerson, the engineer credited with saving Healthcare.gov.

Lawsuit Filed After Doctor Diagnosed Homosexuality as "Chronic Condition"

A Los Angeles man is suing his primary care provider for documenting “homosexual behavior” as a chronic condition in his medical record, and for subsequently failing to remove it when a compliant was made. The practice was given a year to remove the entry, but reported in a court document that “due to the highly complex software used in creating an electronic medical record,” the code could not be completely removed.

Morning Headlines 8/11/14

Massachusetts will keep state-based health website

Massachusetts officials have announced that the state will move forward with a plan to rebuild its failed health insurance exchange, rather than migrating to the federal exchange.

Oracle Sues Oregon Over Health Insurance Exchange

After overseeing the development of the worst-performing health insurance exchange in the country, now-fired Oracle Corp. is suing the state of Oregon for $23 million plus interest that it claims it was owed but never paid.

Google Fit Preview SDK now available

Google unveils the developer kit for its recently announced health data aggregator service, Google Fit.

Morning Headlines 8/8/14

Allscripts announces second quarter 2014 results

Allscripts reports Q2 results: a nine percent increase in quarterly bookings drove revenue up two percent, to $354 million. Adjusted EPS EPS $0.09 vs. $0.05, meeting analyst expectations.

More Than Half of US Hospitals Have At Least A Basic EHR, But Stage 2 Criteria Remain Challenging For Most

A Health Affairs study finds that only 5.8 percent of hospitals are currently able to meet all of the MU Stage 2 criteria.

Walgreens stock smacked after tax inversion out

Walgreens acquires overseas pharmacy chain Alliance Boots in a move many assumed would be followed by a tax-dodging transfer of its headquarters out of country. Instead, Walgreens announced that it would keep its headquarters in the US, leading to a 14 percent drop in its stock price.

Health Information Technology in the United States: Progress and Challenges Ahead, 2014

RWJF publishes a report on the EHR incentive program and the state of EHR adoption across the US.