Morning Headlines 4/2/14

Securities and Exchange Commission: Form S-1, Imprivata, Inc.

Imprivata files paperwork for a $115 million IPO. The company’s revenue has increased by 30 percent in each of the last two years, but it booked a net loss of $5.5 million at the close of 2013.

Selected Defense Programs Need to Implement Key Acquisition Practices

A GAO report finds that the Department of Defense is not accurately calculating future costs for its information systems projects, with 11 of the 13 programs inspected missing their long-term cost targets. One program, an in-country EHR called the the Theatre Medical Information Program, was originally budgeted to cost only $67 million, but has already ballooned to $1.6 billion.

“Litigious nature” of software vendors preventing unbiased reviews of healthcare software

In England, hospitals trying to collect and publish unbiased EHR reviews are being pressured to stop by EHR vendors. One hospital executive explains, "We would like to see something like Comparethesoftware.co.uk… but our pockets are not deep enough to confront the legal departments of the suppliers."

Doctors prescribe scribes

Brigham and Women’s Hospital will expand the use of scribes across its facilities to help doctors manage EHR-related data entry. Scribes join physicians during patient exams and take real-time electronic notes while the doctor and patient talk.

Morning Headlines 4/1/14

Senate Approves ICD-10 Delay, ‘Doc Fix’

By a vote of 64 to 35, the Senate approves the "Doc Fix" bill, delaying the implementation of ICD-10 until October 2015, and preserving the current Medicare physician reimbursement rate for 12 months.

HealthCare.gov stumbles twice on deadline day

Healthcare.gov goes offline twice on its final day of registration, first due to heavy traffic, and then again due to software issues. Despite the problems, analysts tracking the registration numbers expect that the final count will come very close to meeting the original goal of seven million new registrations.

Appropriate Use of the Copy and Paste Functionality in Electronic Health Records

AHIMA calls for stronger technical and administrative controls over the use of copy and paste in EHRs, and recommends that the industry develop and publish best practices as a condition of its continued use.

Emergency Department Utilization: Update on Assumed Savings from Best Practices Implementation

A program in Washington state that tracks ED utilization rates for individual patients and alerts PCPs of frequent fliers results in a decrease in Medicaid ED visits and Medicaid narcotic prescriptions.

Morning Headlines 3/31/14

Maryland set to replace troubled health exchange with Connecticut’s system

Maryland’s $125 million health insurance exchange website is being called “broken beyond repair” and will be shut down and replaced by the Deloitte-built system that Connecticut is successfully using.

Morgan Stanley Reveals Stocks on Takeover Target

Cerner is included in a Morgan Stanley report which looks at financial and market sector data to predict which companies are acquisition or takeover candidates this year.

Big data: are we making a big mistake?

A Financial Times article explores the state of ‘big data,’ warning that building larger datasets does not guarantee that statisticians will unlock exciting new answers from them. To illustrate that ‘big data’ comes second to good data, the article cites two presidential polling surveys from the Landon vs. Roosevelt 1936 election. One poll surveyed 3,000 voters and correctly predicted that Roosevelt would win, while the other surveyed 2.4 million voters and incorrectly predicted that Landon would win. The 3,000 sample-size survey called the election correctly because the researchers focused their efforts on building a clean and unbiased sample set, rather than building a massive sample set and assuming its size would correct for any statistical bias.

Medical First: 3-D Printed Skull Successfully Implanted in Woman

A 22-year-old woman in the Netherlands is the first person to receive a 3D plastic scull implant. The woman suffered from a condition that was causing her skull to thicken, leading to severe headaches and total loss of vision. Once the replacement skull was implanted, the woman’s vision returned and her and headaches stopped.

Morning Headlines 3/28/14

House Passes ICD-10 Delay Bill, Senate Next to Vote

The House of Representatives passes a bill that will delay the mandatory use of ICD-10 until October 2015. The bill now moves to the Senate for a Monday vote.

Racial differences in cancer screening with electronic health records and electronic preventive care reminders

A study published in JAMIA looks at an estimated 2.4 billion US adult primary care visits, and finds that orders for screening for breast, cervical, or colon cancer did not differ between clinics with and without EHRs.

Survey: 95% of organizations are at or below budget on ICD-10 transition

The Advisory Board publishes results from its ICD-10 Readiness Survey, which suggests that while there are still significant challenges ahead for ICD-10 adoption, 95 percent of providers are at or under their allocated budgets.

CMS System for Sharing Information About Terminated Providers Needs Improvement

The HHS OIG publishes a report which criticizes the effectiveness of a federal program responsible for broadcasting the identity of providers who have been banned from Medicaid due to fraud to all state Medicare agencies. Specifically, it found that about one-third of the 6,439 records in MCSIS did not relate to providers terminated "for cause," and that 17 states are not submitting provider names at all.

Morning Headlines 3/27/14

ICD-10 Delay, SGR Temporary Fix Up for Congressional Vote

A bill that would delay the ICD-10 transition until October 2015 and extend the current Sustainable Growth Rate for 12 months will be voted on in the House this Thursday.

AAO officially launches IRIS Registry

The American Academy of Ophthalmology has launched the Intelligent Research in Sight Registry (IRIS), a comprehensive national database that will be used for research and benchmarking. The database will interface with 18 EHR systems and aggregate 20 million patient records by 2017.

Cedars-Sinai Designing ‘Operating Room of the Future’ to Streamline, Improve Trauma Care

Cedars-Sinai and the US Military will work together to build an "Operating Room of the Future" that will focus on improving coordination of care during the so-called “golden hour,” when prompt medical attention can mean the difference between life and death.

Morning Headlines 3/26/14

HHS Strategy to Address Information Exchange Challenges Lacks Specific Prioritized Actions and Milestones

The GAO publishes a review of HIE efforts being undertaken in four states, and finds that cost, insufficient data standards, problems with patient record matching, and concerns over variance in state privacy laws are all collectively dragging down progress. 

Uncertainty clouds federal Test EHR Program

Providers are struggling with the technical aspects of trying to use ONC’s Designated Test EHR Program to validate their ability to exchange health data with other vendor systems.

A better flu tracker using Twitter, not Google

Researchers from Johns Hopkins University and George Washington University have developed algorithms that track the spread of flu using Twitter data with a 93 percent accuracy.

IMS Health IPO could value company at up to $6.97 billion

IMS Health, an analytics firm focused on aggregating and reselling prescription drug data, prices its IPO at $18 – $21 per share, valuing the company at $7 billion.

Morning Headlines 3/25/14

HHS lays out 4-part health IT strategic plan

HHS publishes a broad health IT strategic plan for 2014-2018 that focuses on expanding health IT adoption, coordinating the development of interoperability standards, and integrating clinical best practices.

Western Maryland Regional Medical Center staff adheres to ‘circle of care’ approach

In a recently released Maryland Hospital Patient Safety Program Annual Report, the state Department of Health and Mental Hygiene named EHR systems as a culprit in some adverse events. The report explains, “The inability to access pending tests or results has led to delays in treatment, inappropriate discharges and futile surgeries.”

Proposed patient-centered telemedicine policy raises licensing questions

The Federation of State Medical Boards will vote on a new telemedicine policy that requires physicians to be licensed in the state where the patient is located when telemedicine visits are conducted.The proposal is being called an unnecessary barrier to telehealth expansion and adoption by advocates.

ONC, West Health see mobile interoperability saving $30B annually

A white paper published by the Gary and Mary West Health Institute claims that if mobile medical devices had greater interoperability the nation could avoid $30 billion a year in wasteful healthcare spending.

Morning Headlines 3/24/14

Metro Detroit health systems Beaumont, Oakwood and Botsford sign letter of intent to merge

In Detroit, Beaumont, Botsford, and Oakwood health systems announce plans to merge, citing integrated medical records as a driving factor behind the decision. The new system will span eight hospitals and consolidate $3.8 billion in annual revenue.

McKesson Technologies Anesthesia Care: Recall – Patient Case Data May Not Match Patient Data

The FDA issues a Class-1 recall of McKesson’s Anesthesia Care product. The decision suggests that the FDA sees clinical applications, ones that provide CDS but do not control medical devices, as falling into the high-risk category that warrants a class 1-level recall. McKesson issued a voluntary recall of the system in 2013 after customers reported that anesthesia data had been erroneously saved to the wrong patient’s record..

‘Flawed’ patient record system led to crisis on jubilee weekend

In England, the troubled Meditech go-live at Rotherham NHS Foundation Trust is profiled by a local paper, which says that after a four-year install, the system go-live compromised key cancer treatment schedules, ER workflows, outpatient appointment bookings, and generated $17 million in cost overages.

Conn. health official accuses Mass. of hoarding federal grant for New England health insurance collaborative

Connecticut officials are seeking $10 million from Massachusetts over a $45 million federal grant that had been issued to Massachusetts in 2010 to build an HIE infrastructure that was supposed to then be shared with other New England states. The project never resulted in a platform that other states could use, prompting Connecticut to seek reimbursement for work it eventually had to do on its own.

Morning Headlines 3/21/14

M*Modal Files Voluntary Chapter 11 Petitions to Facilitate Financial Restructuring

M*Modal files for chapter 11 bankruptcy two years after being acquired by private equity firm OneEquity for $1.1 billion. M*Modal markets cloud-based transcription and voice recognition solutions, and says that it will continue on with normal operations throughout the bankruptcy proceedings.

Harvard Research Reveals EarlySense Monitoring System Reduces Length of Stay in the Hospital and ICU

Harvard Researchers testing the effectiveness of the EarlySense monitoring system, a sensor that sits beneath a bed mattress and monitors heart rate, respiration rate, and movements, find that its use led to a reduction in length of stay, a reduction in ICU days, and a reduction in code blues.

REC Program Evaluation Interim Report: Round 1 Case Studies

ONC publishes findings from a review that was conducted with nine RECs, highlighting the most difficult challenges faced, and emerging best practices for helping providers achieve MU.

Key leadership in OHA, Cover Oregon to be replaced following investigation

The head of the Oregon Health Authority has resigned over the poor performance of Oregon’s health insurance exchange. The exchange, which was developed by Oracle, remains the only exchange in the US that has still not enrolled a single person in an insurance plan.

Morning Headlines 3/20/14

Penetration Test Of the Indian Health Service’s Computer Network

The OIG conducts staged cyber attacks on the Indian Health Services computer network and finds significant and addressable vulnerabilities. During the exercise, OIG hackers were able to access internal IHS networks and databases, uncover user account and password details, and remotely take over IHS computer terminals.

IBM Watson goes after brain cancer

A group of New York hospitals along with researchers from the New York Genome Center will team up with the IBM Watson group to start work on a new Watson application that will evaluate a patient’s genome and EMR data, and then reference medical literature and a library of medical charts to help create a personalized treatment plan based on outcomes probability. To start, researchers will focus on glioblastoma, an aggressive and malignant brain cancer.

Healthcare Organizations Haven’t Maximized Full Potential of Meaningful Use, According to HIMSS14 Stoltenberg Consulting Survey

A non-scientific study conducted by Stoltenberg Consulting during HIMSS finds that a lack of resources is the number one barrier to advancing meaningful use adoption, followed by restricted timeframes, a lack of buy in, and competing IT projects.

Morning Headlines 3/19/14

From vital signs to clinical outcomes for patients with sepsis: a machine learning basis for a clinical decision support system

Researchers at the University of California Davis Health System have demonstrated that EHR data can be used to predict sepsis, and are working on an algorithm that can be incorporated into EHRs to generate alerts and drive interventions.

Colorado health exchange workers are paid more than similar positions in three other states

20 percent of the 36 employees working at the Colorado health insurance exchange make more than $100,000 per year, drawing criticism from local papers. Patty Fontneau, the executive director over the HIE, defended the salaries, saying "I had to hire individuals with skill sets to implement a significant project in a short period of time."  Colorado has one of the best performing exchanges in the country, but it did have significant technical issues at launch, and its enrollment numbers are below the state’s expectations.

New York Presbyterian Hospital Announces Winners and Results from NYC’s First Hospital ‘Hackathon’

New York Presbyterian Hospital awards the three winners of its hospital hackathon $50,000, $25,000, and $10,000 respectively. The two-day hackathon it held drew 17 teams and focused on developing tools to improve patient engagement and the patient experience.

Google’s Flu Tracker Suffers From Sniffles

David Lazer, a Northeastern University computer science professor, publishes a paper criticizing Google Flu Trends for presenting highly inaccurate data, saying that last year Google predicted twice as many flu cases as the CDC later said there were.

Morning Headlines 3/18/14

CMS Wants Money Back from PQRS, eRx Programs

According to a Federal Register notice, CMS will launch a four-year program that will survey PQRS and eRx program participants to verify data quality. The project will include efforts to "evaluate incentive payment information for accuracy and identify improper payments, with the goal of recovering these payments.”

Group advocates for single-payer system over HIX

Several states, including Pennsylvania, discuss following in Vermont’s footsteps by creating a state-level single-payer system as an alternative to supporting expensive and problematic health insurance exchanges.

Massachusetts to Cut Ties With CGI Group Over Troubled Online Health Exchange

Massachusetts fires healthcare.gov contractor CGI Federal over the state’s own failing health insurance exchange rollout. CGI Federal is also under investigation for fraud in Vermont stemming from another failed health insurance exchange rollout there.

Morning Headlines 3/18/14

Castlight Health Soars in Stock Market Debut

Castlight Health’s stock price climbed 149 percent during its Friday IPO. The company was seeking a $1.4 billion valuation, but closed its first day of trading at $3 billion. Some are calling the IPO evidence of a tech bubble because Castlight ended 2013 with only $13 million in revenue and a net loss for the year of $62 million, yet was still valued as a billion dollar company.

VA Is Competing For The Pentagon’s Electronic Health Record Contract

The VA will enter its newly revamped VistA EHR platform into the competition to be the DoD’s next EHR.

Form 8-K for ACCRETIVE HEALTH, INC.

Accretive Health has been delisted from the NYSE after failing to file restated financial reports from 2012.

Hospital database hacked, patient info vulnerable

Valley View Hospital (CO) discovers that a computer virus within its network has been taking screenshots of sensitive patient information, including social security numbers and credit card numbers, and saving them in a hidden folder on one of its servers. The virus went undetected for three months and captured information on 5,400 patients.

Morning Headlines 3/14/14

Validic Secures $1.25 Million in New Funding, Adds Key Executives

Durham, NC-based Validic closes a $1.25 million convertible note to support expansion for its mHealth integration engine.

MMRGlobal and Cerner Announce Patent Agreement

Cerner signs a confidential agreement with MMRGlobal over MMR’s Personal Health Record patents.

Unique Database Collaboration Will Enable Improved Care for Heart and Lung Surgery Patients

The Society of Thorasic Surgeons will link its database with CMS to provide researchers a means of tracking long-term outcomes.

Wearable Computing at BIDMC

John Halamka, MD, CIO at BIDMC, writes about his hospital’s trial use of Google Glass in the ED.

Morning Headlines 3/13/14

Late on restatement, Accretive expects stock to be delisted

Accretive Health, a healthcare focused revenue cycle management firm and debt collector, announces that it will miss its deadline to file restated financial statements and expects that the NYSE will delist it as a result.

GAO comes down on meaningful use program

A GAO report finds that the EHR Incentive Program is not helping CMS improve overall quality because there are "reliability issues" within the clinical quality measures data that is being collected. The report concludes, "Although HHS expects that the use of EHRs can help achieve improved outcomes and support other efforts that are also intended to improve care, that result is not yet assured."

EHR Incentive Program Exceeds $22.5 Billion Payout Estimate

According to the January 2014 EHR Incentive Payment report, $22.7 billion has been paid out in incentive payments to hospitals and providers thus far, passing CMS’s estimate for what the total cost would be for the program over a 10-year timeframe.

Leidos Awarded Contracts by Department of Veterans Affairs

Leidos, an SAIC spinoff made up of former MaxIT and Vitalize consulting firms, signs a $16 million deal with the VA to provide IT support for several health IT initiatives, including technical development services for the VA’s Repositories Program, an project that will consolidate administrative and clinical data from across all VA sites into a single set of databases that centralize EHR data within the VA.

Morning Headlines 3/12/14

Federal panel approves MU Stage 3 recommendations

The Health IT Policy Committee approves the Stage 3 Meaningful Use requirements that were recommended by its health policy workgroup, but only after cutting 30 percent of the functionality that was originally proposed.

2014 CEHRT Hardship Exception Guidance

CMS publishes its revised hardship exemption criteria for EHs and EPs. The new criteria essentially rubber stamps the exemption application for anyone that asks for one so long as they report "2014 Vendor Issues" in their request.

Carolinas HealthCare seeks to cut costs through prevention, technology

Carolinas HealthCare System is turning to predictive analytics to help identify ED patients that would likely be readmitted so that preventative measures can be taken. The hospital recorded a $5 million loss this year, its first loss in 30 years, and executives hope that analyzing the data from its EHR system will help it recover that loss.

Integrating Electronic Health Records into Clinical Workflow

A report from the National Institute of Standards and Technology finds that ambulatory EHR vendors are not doing a good enough job building key clinical workflows into EHR software.

Morning Headlines 3/11/14

GOP senators want specifics on hardship exemptions

Six Republican senators are calling on CMS to provide more details on its plan to grant healthcare providers more lenient hardship exemptions for Stage 2 Meaningful Use.

Coroner blames "failure" of NHS computer system for boy’s death

In England, a coroner at Royal United Hospital blames a new outpatient scheduling system in his report after a three-year-old boy passes away because he missed months of appointments booked to monitor a heart condition. The appointments were properly scheduled but were lost when the hospital migrated its scheduling data to the new system.

County Government Settles Potential HIPAA Violations

The HHS Office of Civil Rights settles a HIPAA violation with Skagit County, WA for $215,000. The case marks the first time that the OCR has targeted a county government.