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From HIMSS 4/14/15

April 14, 2015 News 1 Comment

HIStalkapalooza took up a lot of my time yesterday, so I didn’t even have time to post. This will be a dribs-and-drabs version – I’ll have more time the rest of the week to get organized. Let me know if there’s something I should make sure to see since I’m just flailing around for the most part.

From Anonymous Vendor President: “Re: Dana Moore and DonorsChoose donations. We will anonymously match whatever total you raise up to $5k. Let’s make this thing really work! Many of my family and countless within our company have ties and heartstrings attached to the cause.” Centura SVP/CIO Dana Moore will be in our booth Wednesday, meeting with vendors for 20 minutes each in return for their $500 donation to DonorsChoose. I’ve scheduled six sessions with him so far, meaning with with the very generous anonymous matching funds, we’ll be donating $6,000 for individual classroom projects via DonorsChoose. I have a bunch of teacher thank-you emails to get through from the projects already funded. Next up is the fun of funding new projects. Thanks to everyone involved.

From Kaboodle: “Re: MedStar in Maryland. You failed to mention their GE Centricity EHR crash, where all clinics were down and back to paper. But, but mind you, care was not affected!” Unverified. I haven’t heard anything about it.

HIStalkapalooza

I haven’t had much time to do the post-mortem on HIStalkapalooza since I didn’t get back until well after midnight. House of Blues was perfect and ran things with great skill, the food and bar service was really good, and the band was as outstanding as I remember them from last year. I was backstage the whole time so I didn’t experience the event as an attendee this time around, which I sort of regret, but I could feel the energy and excitement. Some notes:

Lorre Wisham worked on the event for many months going back to last spring. She arranged everything you saw or did as an attendee, wrangling an enormous list of to-do items (contracts, menus, sponsors, band details, banners and signs, etc.) The many hundreds of hours were in addition to her doing her “real” HIStalk work.
I would have gone seriously broke without the financial help of the event sponsors since we had to sign band and venue contracts almost a year ago, putting me at complete financial risk if sponsors hadn’t participated. Thanks to Elsevier, Santa Rosa Holdings, Divurgent, Sagacious Consultants, Aventura, CommVault, Falcon Consulting Group, Greenway Health, PatientSafe Solutions, Sunquest, Thrasys, and Validic for making it happen. Those who had opera boxes seemed to be enjoying themselves as Lorre checked in with them several times through the evening.
Sagacious did a superb job checking people in (and apparently, according to their report, keeping quite a few people out who showed up but weren’t supposed to be there). HOB says we had close to 1,000 people in the house (of 1,500 invited), meaning their folks got everybody in professionally and cheerfully. Elsevier ran the red carpet and I heard people enjoyed that.
The House of Blues staff was super professional and treated us like the big-name acts they host there.
Rocking doctor Ross Martin kicked it off in style despite a technical snafu that prevented us from enjoying the big finish of his freshly updated Interoperetta. I’ll try to get something on audio or video from Ross so we can hear the full version.
Barry Wightman and Jennifer Lyle were great hosts on stage. It’s harder than it looks to engage a huge room full of partygoers and managing the people and equipment on stage.
Special thanks to Judy Faulkner and Jonathan Bush for presenting each other awards on stage in a funny but classy manner.
I can’t really say anything about Party on the Moon because if you were there, you already know how electrifying they were, and if you weren’t, words alone can’t describe it. Lorre had vendors coming up to her wanting to know how to book them for their own events. The 13 band members came all the way from Atlanta on their tour bus to spend the evening with us. You know a band is killing it when, as one attendee pointed out, you have nerdy IT guys so anxious to participate that they dance with each other. There were some great moments out there in the audience. According to one attendee, “Easily the best party I have ever been to, as good or better than any fraternity party.”
We have photos and video coming from several sources that I haven’t had time to review yet. Stay tuned and we can all relive the evening all over again.

Neil Versel took some good pictures of the Judy and JB show, even though he annoyed me by dismissively referring to HIStalk as the “National Enquirer of health IT.”

A nice HOB exterior shot by Rudy Flores. The stencil over the light that shines the logo — I now know having ordered three of them for this event — is called a “gobo,” just in case you want to increase your vocabulary.

Somewhat Interesting News Announcements

IBM creates Watson Health with the announced acquisition of Explorys (analytics and population health management) and Phytel (population health management). The company also announced health partnerships with Apple, J&J, and Medtronic.
Surescripts creates a National Record Locator Service along with EClinicalWorks, Greenway, and Epic that will allow providers to locate and exchange patient health records using the Carequality trust framework.
InterSystems announces a vendor-neutral, interoperable patient portal.
HIMSS turns the work of its interoperability workgroup into a certification program for EHRs, HIEs, and HISPs, run by ICSA under the name “ConCert by HIMSS.” I don’t think of HIMSS as the group that should be certifying products, but apparently their opinion differs from mine.
KPMG acquires Beacon Partners, as was predicted in an HIStalk rumor report a couple of weeks ago.
Peer60 publishes a free report titled “Will mhealth Drive Patient Engagement?” that questions whether EHRs provide adequate mobile support to meet consumer expectations.

Today in our booth (# 5371)

All day (I think): Regina Holliday will be painting
11:00 Funny lawyer Steve Blumenthal will be handing out swag and dry humor.
2:00 NVoq will hand out Garrett Popcorn (it’s the great Chicago kind that costs a fortune in the airport).
3:00 Your HIStalkapalooza host Barry Wightman will be autographing copies of his book “Pepperland” (which I enjoyed a lot).
4:30 The Walking Gallery will meet.

I forgot that we intended to auction off Regina’s HIStalking original painting from which we made the scholarship winner tee shirts. Make Lorre an offer if you are interested. Maybe she can post the highest current bid on an index card underneath it or something.

My Fitbit shows that I walked 12 miles Monday. It felt like I wasted a lot of time just walking around, but that’s par for the course on the first day of the conference.

The folks at XG Health Solutions (a new HIStalk sponsor that I haven’t announced yet) invited me to a breakfast briefing covering their new apps. It’s a Geisinger spinoff that will sell software based on work done there to present clinicians with a better view of EHR data and collect additional information to make it easier to quickly understand patient problems and concerns and to document additional specialty-specific findings (rheumatology is the first one). Partnerships were announced with Epic, Cerner, and Athenahealth, whose EHRs will exchange information with the XG apps using SMART on FHIR. They have four apps going to beta testing by summer and plan to roll out six over the next 18 months.

From the hallway conversations I heard and my own opinions, here are the positives: Geisinger has developed a lot of expertise and content that’s less ivory tower than most big academic medical centers, they put some thought into involving the patient in the use of their apps, and the SaaS-based subscription means new best practices can be put into place quickly. Negatives: the company has significant venture capital ownership (they aren’t Geisinger, in other words), you might suspect that Geisinger applied soft pressure to the newly named EHR vendor partners to get on board with uncertain future commitments, and so far they’re a company that hasn’t done much to dent the market other than to do Geisinger stuff and make announcements. Success in commercializing hospital software is elusive, and while Version 1.0 is easy, it’s Version 2.0 that gets ugly with upgrades, design decisions, and testing. The first non-Geisinger betas will be important.

Some notes from my circuits around the exhibit hall (actually both of them – it’s a split hall that ensures confusion and uneven booth traffic). My badge is intentionally unimpressive to vendors, so I get the same treatment as everybody else.

Trying to find a given booth even when you know its number is maddening given the gerrymandered aisles. The printed floor layout is laughable – you would need a high-powered microscope to read any part of it except the anchor booth companies (which may be the intention, come to think of it).
Booth reps were screwing around with their phones literally from the moment the exhibits opened. It was depressingly easy to find booths where every single person was staring in rapt attention at their phones while prospects passed by without even being acknowledged. Vendors are really stupid in not coaching and policing their people.
Even the fake patient in the hospital bed was surreptitiously killing time with her phone while waiting for her next scene. Check her out in the photo above – I wasn’t quite sure what was going on under those sheets until I came around to the head of the bed.
I have three mandatory HIMSS kickoff rituals – I have to stroke the sultry curves of the latest Enovate cart; I have to have amazing scones from MedData (the orange chocolate chip were great, but I swung by later for one that had ham, cheese, and what looked like chives); and I have to see the magic guy in Hyland’s booth (above), who is simply amazing not only magically, but in snarky humor and getting people to come closer. I don’t usually like that kind of stuff, but he has been my favorite part of HIMSS for a bunch of years.
Amazon Web Services had a little booth, which was interesting.
A guy from Network Detective for Healthcare pitched their product that analyzes the network looking for HIPAA-related problems. It seemed pretty cool, especially the report showing the results in plain English with cross-references to HIPAA sections.
Scotland-based Nugensis had guys in kilts and bottles of Scotch on the shelf.
I tried to use the HIMSS app, but it locked up, spammed me with some guy’s endless and boring motivational quotes, and then started pushing ads as notifications. Big waste of time. The conference is basically just one giant advertising platform already.
The NextGen booth was very cool with clear walls and a waterfall.
Elsevier demoed their Tonic iPad app that collects information from patients. One of the cool aspects is that it can steer patients to automatically log on to the patient portal without their even realizing that it’s a separate app, which is nice for Meaningful Use. I didn’t see many products Monday, but this one was my favorite. That’s my bad iPhone picture of it above with the beer mug.
The nice folks at zCover gave me a new iPhone case to replace the one they gave me a couple of HIMSS conferences ago. Stop by and they’ll even put it on for you.
The FHIR puns were plentifully irritating. IT geek humor doesn’t usually work.
Kforce was giving out pretty decent pizza way back in a low-density corner of the hall.
Sagacious had their fun HIStalkapalooza posters out.
InterSystems had a huge audience for one of their presenters. Their presence was significant.
I stopped by the Microsoft booth and, as happens every single year, the reps were too busy yapping at each other to even look at all those prospects invading their space. As also happens every year, I stood patiently in front of a display (mobile devices and Surface this time) and the nearest Microserf stormed by scowling while nearly pushing me out of his way. Perhaps that’s why, unlike years past, their booth didn’t have much traffic.
The Georgia display featured the sign I had made for them a few months ago following Atlanta’s HIStalk poll win.
Bathroom capacity and seating space were ridiculously inadequate. I hiked forever down a long hall following the restroom sign, only to be met with the dreaded “pardon our dust” sign that said to find another restroom without actually saying where one might be. Another one had a grand-looking entrance, but inside was just one stall and one urinal. I’m thinking of one of those parking space type apps where I hire people to sit in the very few actual seats where people can relax or eat, then providing an app for attendees to find and buy their seats. It makes me uneasy to watch guys in crisp white shirts slopping down a wildly overpriced commissary barbeque sandwich while standing in front of a trash can.

Tahoe Forest Hospital (CA) names CIO Jake Dorst as interim CEO. He’ll also continue as CIO.

The outcome of dueling lawsuits between Allscripts and Medfusion may hinge on interpretation of the use of an Oxford comma in their agreement, which is pretty fascinating.

A reader wants to know if anyone else thinks that having costumed female entertainers at the HIMSS opening reception crossed the border into sexism territory. I wasn’t there, but if they didn’t have any men, that might at least make me think about it. I noticed fewer obvious booth babes in the hall this year, so maybe the “skin to win” sales approach is finally and deservedly dying off. It would seem especially inappropriate to have a provocatively clad model pretending to be a company rep in trying to get the attention of a female CEO, CIO, or CMIO.

A terribly written and insight-free Forbes article click-baitingly titled “Two Dirty Little Secrets About Electronic Health Records” says EHRs are “a threat to freedom of speech and academic freedom” in claiming that EHR vendors (and Epic specifically) requires customers to sign non-disparagement clauses. The author works up righteous indignation for Bob Wachter, MD, who the author says had to get Epic’s permission to write about a UCSF medication error and to use Epic’s screenshots to illustrate it. The problem is the author just made stuff up rather than asking anyone involved and Bob had to correct him – Epic doesn’t include non-disparagement language in its contracts, although the screenshot part is true and Bob’s not thrilled about that (he emailed me to clarify that the author was wrong on the first point and has since changed the story). The second big secret is that EHRs are designed to help with billing and management. The author magnanimously proclaims that, “I’m not against EHRs,” which would be comforting except nobody’s ever heard of him and his mastery of the subject is clearly minimal.

That’s all for now. I’m headed over to McCormick Place later than I’d like.

Jenn’s HIMSS Day 2 4/13/15

April 14, 2015 News Comments Off

I can’t even begin to break down my second day at HIMSS without first mentioning the highlight: the now-epic pie-throwing incident at HIStalkapalooza involving Judy Faulkner and Jonathan Bush. Both were good sports, and both had only gracious things to say to one another as they accepted their respective HISsie Awards. More on the party towards the end of the post.

My second day at HIMSS started off with a quick trek in the rain to the shuttle stop, followed by a pleasant conversation with Intelligent Medical Objects President and CTO Regis Charlot. (Note to HIMSS newbies: Shuttle rides, elevator rides, and lines can be great opportunities to strike up a conversation with your next client. A simple “Good morning. How are you enjoying the show?” typically kicks off great conversation.) Charlot waxed poetic about the challenges providers are facing when it comes to transitioning to ICD-10, though he did reiterate that IMO’s clients (and the general populace) are in good shape. Providers have accepted their fate and seem to be working diligently to prepare for the October 1 switch. His crystal-ball predictions for healthcare involves Intel’s Edison platform, a “[h]igh performance, dual-core CPU and single core micro-controller that supports complex data collection,” and that seems like it will help drive super-computing in the wearables space. Seems like it might have a unique play in telemedicine and the quantified self movement.

My next stop was the morning keynote, which included a rousing performance by a local gospel choir and a not-quite-so rousing introduction from HIMSS Paul Kleeberg. “This sounds like an infomercial,” was one audience member’s description of Kleeberg’s contribution. The real meat of the keynote was given by Alex Gourlay, executive vice president of Walgreens Boots Alliance and president of Walgreens . It was engaging, as keynotes go. He emphasized the role of retail clinics and pharmacists in achieving the Triple Aim, outlining the many partnerships Walgreens has entered into (WebMD, PatientsLikeMe, Qualcomm Life, MDLive) in an effort to take e-prescribing, telemedicine, medication compliance, and better outcomes to the next level. Gourlay also announced that the company will be launching a medication reminder app for Apple Watch next month.

I had the pleasure of sitting next to two women from MultiCare Health System (WA), both of whom seemed very excited by what Walgreens is doing in the mobile space. Debbie Embree, director of applications, and Brenda Bowles, RN director of clinical informatics, told me they were going to spend their time at the conference looking for ways to push their patient engagement strategy beyond their Epic MyChart portal and out into the retail space. Personal device integration via mobile apps is likely their next step.

After a mind-numbingly slow exodus from the keynote with 3,000 of my closest friends, I made it to the HIStalk booth. I spent a great five hours in the exhibit hall meeting and greeting loyal readers and attendees who had never heard of us but just couldn’t resist picking up a bag of Garrett’s Popcorn, courtesy of our friends at nVoq. I finally got the chance to spend time with The Walking Gallery Founder Regina Holliday and our HIStalking patient advocate scholarship winners, who, despite a few hiccups with registration, seemed very excited to be at HIMSS. Regina’s live painting was definitely a crowd-pleaser, and I appreciated the opportunity it gave us to talk with attendees about the importance of patient advocacy in the world of healthcare IT.

Several hot topics bubbled up in my booth conversations with providers: The majority of them seemed to be wandering the exhibit halls looking for solutions and strategies around security and privacy, patient engagement, and ICD-10. Not a one had anything positive to say about the education sessions. As Dr. Jayne explained to me, the sessions suffer from the fact that they had to be submitted nearly a year ago, and have likely lost their luster in the preceding 10 months or so.

Other booth drive-bys included a chat with AJ Montpetit from the Mayo Clinic Center for Innovation, looking quite dapper in bowtie and pink mustachioed socks.

I also had a chance to meet Modernizing Medicine CEO Dan Cane and his colleagues. The company, which made headlines a few weeks ago for its partnership with IBM Watson, is busy expanding office space and hiring new staff. You can read my interview with Cane about the Watson partnership here.

I managed to do a quick walk-about, and ran into the #IHeartHIT meetup at the HIMSSpot. It was great to see patients and HIMSS15 social media ambassadors like Linda Stotsky share their healthcare IT stories. There definitely seems to be a stronger patient presence at this year’s conference. I’m really looking forward to reading about the HIMSS15 experiences of our HIStalking team.

It was great to see the Georgia Dept. of Economic Development and the Metro Atlanta Chamber, sponsors of the morning keynote, proudly displaying the sign we awarded them earlier this year for being nominated as “the Nation’s Capital of Health I.T.”

After my jaunt through .05 percent of the exhibit hall, I spent a final hour at our booth then rushed back to my hotel to change into HIStalkapalooza-worthy attire. As I mentioned above, the party was amazing. (Check out the #HIStalkapalooza hashtag on Twitter for great pictures and recap.) Our sponsors did a tremendous job of making sure everyone got in, got fed and watered, and got on the dance floor. Party on the Moon was phenomenal. I must have danced for an hour-and-a-half straight, which does not bode well for my feet during the rest of my time in Chicago!

I even managed to snag a few dances with “Jenn’s Secret Crush” Cynthia Porter, who, despite holding the stuffy title of president of Porter Research, really knows how to have a good time.

Lorre and I were not the only ones decked out. This year’s HIStalk King and Queen were definitely worthy of their titles, and displayed just as much dancing prowess as they did fashion savvy. All in all, my second day at HIMSS was a blast. I appreciated the opportunity to chat with readers at our booth, dance with sponsors at our party, and finally rest my swollen feet at the end of the night.

Contacts

Jennifer, Mr. H, Lorre, Dr. Jayne, Dr. Gregg, Lt. Dan

More news: HIStalk, HIStalk Connect.
Contact us online.
Become a sponsor.

JennHIStalk

Jenn’s HIMSS Day 1 4/12/15

April 13, 2015 News 1 Comment

Ah, HIMSS. This year marks my fifth, and like the previous four, I doubt it will disappoint. There’s just no other event that can offer up such a unique mix of nonstop networking, educational sessions catering to every HIT acronym under the sun, exhibit hall #HIMSSanity, sleep deprivation, and over-the-top caffeine consumption. I genuinely enjoy it every year, mainly for the relationships made and fostered. HIMSS 2010 in Atlanta was, in fact, where I first heard about HIStalk and Mr. H’s predilection for walking around with a paper bag over his head to keep his anonymity in tact.

Speaking of Atlanta, my day started well before the sun rose on an overbooked Delta flight full of folks en route to HIMSS. Honeywell, Oneview Healthcare, Patientco, McKesson, and Gozio Health were all represented. I didn’t even attempt to enter the always notoriously long taxi queue at Midway in Chicago, instead opting to reach my hotel via a 20 minute subway ride that cost all of $3. I found myself further impressed with Chicago when the clerk at my hotel allowed me to check in at 10:30 a.m. A 30-minute lie-down after a 4:45 a.m. rise wound up being essential to staving off the aforementioned #HIIMSSanity.

Refreshed, and with a few hours to spare, I spent time wandering around Chicago’s Museum campus and nearby lakefront. The weather was slightly warm and sunny, with just a hint of the city’s famous wind. I had a thoroughly enjoyable time eating my first “Chicago-style” hot dog while people-watching on a park bench. It’s not often that I get to while away an hour and a half doing not much of anything. The lure of the convention center came soon after lunch, and I found myself walking three short blocks to grab the shuttle to McCormick Place. (Is it just me, or does the shuttle drop off in the dark bowels of the trade center remind anyone else of the Lonely Mountain?)

After grabbing my press pass, I ran into Sara Zellner at Health Data Consortium giving away “I Love Health Data” buttons. (I’m a sucker for fun “pieces of flair.”) She reminded me that HDC’s annual Health Datapalooza is coming up at the end of May in Washington, D.C., with HHS Secretary Sylvia Burwell and Acting CMS Administrator Andy Slavitt scheduled to speak.

From there, it was a quick quarter mile (kidding, it was probably only a fifth) to the Venture+ Forum, a day-long event featuring startups pitching in three-minute lightning rounds to a panel of devil’s advocates. I came in at the tail end of the forum, only getting to see full pitches from Heal, Medivizor, Sensentia, and Open Health Networks. Heal’s app for on-demand house calls caught my eye, as did the realization that anyone thinking of speaking in public should avoid saying “um” at the end of every sentence and remember there is a slide deck to scroll through at the beginning of the presentation, rather than halfway through. It seemed like the Forum was at capacity of around 150 or so, which probably means it will warrant a bigger space next year.

A number of other pre-conference symposia took place on Sunday, including the inaugural Revenue Cycle Solutions Summit. Patientco’s Josh Byrd sent me this report:

The Revenue Cycle Solutions Summit provided over 200 attendees with thought-leading presentations from providers who are paving the way for what the revenue cycle of the future will look like. The common thread weaved throughout was a focus on patient-centered care after the episode of care. Highlights included:

Mike Simms, VP of revenue cycle at Cone Health talking about how to choose vendors who align with your key revenue strategy;

Leigh Williams, director of revenue cycle at University of Mississippi, who shared how they engaged physicians in using HIT to achieve financial success;

Andrew Ray, manager of physician revenue cycle operations at Stanford Children’s Hospital, who talked about how to centralize and automate the revenue cycle to increase reimbursement and decrease denials; and

Key members of the HIMSS Revenue Cycle Improvement Task Force, who shared insights on how they are working together to bridge the gaps between payers, vendors, banks, providers, and other key stakeholders to create a better patient financial experience.

Josh told me that the attendee mix was mostly CEOs and CIOs, so it will be interesting to see how many CFOs attend next year’s event. Could HIMSS be looking to give the HFMA ANI conference a run for its money?

After a quick change into Roaring 20s-inspired flapper garb, I put in an appearance at the opening reception, which I found surprisingly well attended given the amount of smaller HIMSS symposia receptions taking place at the same time. The jazz band was great, and definitely got me excited about performances by Ross Martin, MD and Party on the Moon at HIStalkapalooza.

My next and final stop of the evening was the HIStalk Sponsor’s Reception, which was a great opportunity to meet and greet the people behind the companies whose support makes HIStalk happen. I can’t thank them enough. Special thanks to the lovely folks at Aventura who gifted me with these classic kicks, which I may have to put on tomorrow once the HIStalkapalooza red carpet shoe-judging festivities have concluded and the dancing is ready to begin.

Stay tuned for more updates. I’m off to get some shut-eye, still debating whether or not to start my morning off with some YogaEspresso. Down dog and healthcare IT seem like a natural combination, don’t you think?

Contacts

Jennifer, Mr. H, Lorre, Dr. Jayne, Dr. Gregg, Lt. Dan

More news: HIStalk, HIStalk Connect.

Get HIStalk Practice updates.
Contact us online.
Become a sponsor.

JennHIStalk

From HIMSS 4/12/15

April 11, 2015 News 7 Comments

Top News

HHS proposes to shorten the Meaningful Use attestation period to 90 days for 2015 in an announcement released, as always, late on a Friday (they also seem to like to put out big news right before the HIMSS conference). It also proposes removing requirements that are duplicative or no longer needed. Interestingly, HHS wants to reduce the five percent threshold for view/download/transmit to just a single patient – if even one patient retrieves their information, then the capability has been proven and the requirement is met. That addresses the argument that providers can’t force patients to access their data who are unwilling or technically unprepared to do so.

Reader Comments

From Hermanically Sealed: “Re: Evan Nordgren lawsuit against Epic for not paying overtime. Stories reported that the employees were encouraged to donate their settlement money to the health center where Judy Faulkner’s husband works as a physician.“ Unverified. I haven’t seen anything about donation requests. Sounds unlikely to me and easy enough to prove if you’ve received such suggestions.

HIStalk Announcements and Requests

I’ll be posting differently this week, with less emphasis on the clutter of questionably interesting announcements and more on the conference. I may post more than once daily and Jenn will post separately, but I’ll probably send just one email blast daily to avoid overloading inboxes.

I VRBO’ed a little apartment in Bridgeport, south of downtown within a few blocks of US Cellular Field (the unfortunately and opportunistically renamed Comiskey Park, which was a replacement for Old Comiskey Park). It costs less than a boxy hotel room, is in a cool neighborhood with interesting restaurants within walking distance, and is a short Uber ride to downtown or McCormick place. It’s much better having a kitchen, plenty of room to spread out, and a bay window looking out at White Sox fans heading down the sidewalk to the game than sitting in an airless room in a sterile building packed to the gills with lost, badge-wearing geeky HIMSS peers clogging up slow elevators and chattering way too loudly from being jacked up on exhibit hall adrenaline.

Saturday was stunningly beautiful in Chicago, with temperatures in the mid-60s with blue skies and sunshine. The trees are still denuded, but the grass has greened up and daffodils are poking up. I did some site checking of the House of Blues (looking great there), walked around the river, took a boat ride, and went to the Bulls game courtesy of a reader who invited me. I even Uber’ed back after the game, got picked up quickly near United Center, and didn’t even get hit with the dreaded surge pricing.

I downloaded the HIMSS15 mobile app and found it to be pretty buggy, requiring a bunch of iPhone restarts and confusing password prompts that didn’t make it clear whether it was the HIMSS website password or a new one (I’m still not sure since I had to do a password reset just to get it going). It has pretty good information, although I’m not sure the educational session list will replace the need for the little spiral-bound book that I always carry, assuming they’re still printing them. I used to study the agenda carefully and plan which educational sessions to attend weeks ahead, but they’ve been disappointing in the past few years (too much vendor involvement, boring presenters, too much reliance on PowerPoint, etc.) and I’m going to fewer and fewer of them.

Response has been brisk to the gracious offer of Dana Moore, CIO of Centura, to meet in the HIStalk booth with anyone willing to donate $500 to DonorsChoose.org in return for 20 minutes of his uninterrupted attention. Six companies have donated and I’ve funded the first wave of classroom projects that their $3,000 is supporting. The donations paid for the full cost of these projects, all of which are for classrooms in high-poverty areas, most of which involve Teach for America teachers, and many of which include matching funds from other charitable organizations:

Two Fire HD devices for a middle school reading program in San Diego, CA
A projector for a kindergarten class in Erie, PA
Professional development books for kindergarten teachers in Charlotte, NC
A Chromebook for an elementary school class in Toppenish, WA
Algebra calculators for a high school class in Auburn, WA
A sand and water table for K-2 children, all with multiple disabilities, in Rosamond, CA
Headphones for K-2 classes in Portland, OR
A drawing tablet for the iPad for grades 3-5 in Lockhart, TX
Three iPad Minis for a sixth grade class in Oklahoma City, OK

I’ve already received appreciative emails from most of the teachers (it seems to be a pattern that good teachers work through the weekend) and I’ll follow up with photos, teacher comments, and student thank you notes once they put the materials to use. I also have quite a few more projects to fund given the generous response. A couple of companies have taken the “top spot” banners at the top of the page in the next week and most of that money will go to DonorsChoose as well.

Poll respondents favor disbanding ONC’s certification program after Stage 3, although a few folks wouldn’t mind seeing ONC keep the program alive but with more input from previously attesting users. New poll to your right or here, for those who aren’t attending the HIMSS conference: will you be working more, less, or about the same this week?

I’m puzzled at companies (HIMSS Analytics, among them most recently) that proudly boast via a grandiose press release of having redesigned their websites. People who already follow the company will see for themselves, while those who don’t aren’t likely to rush to the nearest browser to gaze in wonderment. More self-congratulatory marketing run amok.

Last Week’s Most Interesting News

The Texas Medical Board, protecting the interests of its members, prohibits prescribing medications for patients who have been examined only by telemedicine.
Health IT issues once again make ECRI Institute’s list of top patient safety concerns.
Allscripts agrees to pay $10 million to settle a shareholder class action lawsuit claiming the company’s executives misled investors with overly positive comments following its 2010 acquisition of Eclipsys.
FTC warns ONC about unintentionally limiting consumer choices in setting or approving interoperability standards.

Webinars

April 22 (Wednesday) 1:00 ET. “Microsoft: The Waking Giant in Healthcare Analytics and Big Data.” Sponsored by Health Catalyst. Presenter: Dale Sanders, SVP of strategy, Health Catalyst. Microsoft has been quietly reengineering its culture and products to offer the best value and most visionary platform for cloud services, big data, and analytics in healthcare. This webinar will cover the Healthcare Analytics Adoption Model, the ongoing transition from relational databases, the role of new Microsoft products such as Azure and Analytic Platform System, the PowerX product line, and geospatial and machine learning visualization tools. Attendees will learn how to incorporate cloud-based analytics services into their healthcare analytics strategies.

Acquisitions, Funding, Business, and Stock

Patient engagement solutions vendor PatientBond acquires consumer profiling company C2b Horizons.

SSI Group will announce Monday that it has acquired patient access management software vendor Provider Advantage. Readers who reported the rumor earlier almost got it right – the only part they missed is that SSI Group was the acquirer rather than the acquiree (and SSI’s response to my inquiry was truthful – they weren’t going to be acquired). I call that a win all around.

People

Parallon promotes Curtis Watkins to CEO of its technology business unit.

Truven Health Analytics hires former CMS Healthcare.gov official Kirk Grothe as VP of its federal government business.

Announcements and Implementations

MedEvolve, Salar, and Net Health choose VitalWare’s ICD Sherpa as their ICD-10 partner.

Aprima announces a mobile app for its products.

ARC Devices and Orchestrate Healthcare launch ARC VitalConnect, which transmits readings from ARC’s non-touch digital thermometer to EHRs.

Senior care software vendor PointClickCare joins the Surescripts network.

Government and Politics

ONC delivers its congressionally mandated report on information blocking, defining the term as when “persons or entities knowingly and unreasonably interfere with the exchange or use of electronic health information.” I’m not quite sure how a company could “reasonably” interfere with information exchange, although ONC later mentions possible patient safety concerns that I would take to mean mental health information. ONC admits that it doesn’t really know how extensive information blocking is since stories are anecdotal or how that practice could be assessed other than by in-the-field product reviews. ONC is clear on practices it considers detrimental to information exchange, including contractual restrictions, charging for information exchange, developing or implementing systems in non-standard ways that increase interoperability difficulty or cost, and practices that lock users in with regard to a particular technology (from vendor’s standpoint, good business practices, in other words). ONC’s recommended actions: start in-the-field testing as part of certification, tighten technical standards, increase product and vendor transparency (although ONC admits it can’t do much in that regard), mandate sharing, clarify to providers what information sharing is allowed under HIPAA, and refer obvious cases for review under anti-kickback statutes or even to law enforcement agencies where appropriate.

The problem with provider information blocking is that only patients could report it and they’re not likely to call up ONC to complain. Vendor practices, whether contractual or technical, are easier, so it seems to me the most effective way to move the market is to call them out publicly (800.ONC.BLOK, anyone?) It would also be nice for ONC to provide suggested contract boilerplate language for providers, especially medical practices that seem inclined to sign everything shoved in front of them by a exuberant salesperson without even reading it, much less altering it favorably. That’s assuming that providers even care about sharing information, which is the biggest unknown of all. I’d like my local paint store to electronically exchange information on textures and shades with their competitors so I have more freedom of choice, but I doubt they share my enthusiasm.

Sponsor Updates

Medicity CEO Nancy Ham pens a blog for HFMA entitled, “Do You Know Where Your Patients Are?”
MedData launches major upgrades to its client reporting portal and iPhone app.
Navicure releases an upgrade to its billing and payments platform.
NVoq offers “The Link Between the Simple Checklist and Improved Patient Safety.”
Experian Health/Passport launches a video contest to show how its solutions have helped improve client organization’s patient access processes.
PatientPay produces a video detailing its new solution that enables practices to get real-time pricing for patients who call to request estimated visit costs.
A PDS blog, “When I Was Your Age: The Challenge of Generational Patient Engagement,” is featured in the HIMSS15 blog carnival.
PMD offers “Apple’s Most Important iOS Security Update.”
Talksoft’s Hamilton, NJ office is featured in the local paper in a piece about recycled office spaces.
TeleTracking asks, “Are U.S. Hospital Operations in Need of an Operation?”

Contacts

Mr. H, Lorre, Jennifer, Dr. Jayne, Dr. Gregg, Lt. Dan.

More news: HIStalk Practice, HIStalk Connect.

Get HIStalk updates.
Contact us online.

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News 4/10/15

April 9, 2015 News 8 Comments

Top News

The Federal Trade Commission likes ONC’s interoperability roadmap for the most part, but observes that interoperability will continue to be hampered by the competitive interests of providers and vendors. It also gently warns ONC that its strategy of using policy and funding levers to create interoperability demand might encourage less innovation than if the government instead created market forces as a payer (i.e., Medicare). FTC says that its experience shows that vendor participation in creating standards and certifying products causes anti-competitive behavior, such as withholding certification from a competitor, excluding new products from meeting prior standards, rigging the standards-setting organization with vendor-friendly members, and not paying enough attention to patient rights. FTC is also worried that vendor-recommended standards will lock consumers onto a platform that may have been created with the intention of stifling competition. Lastly, FTC is concerned that any standards ONC chooses will be treated as law, so if they really want to get into the standards-setting business, they had better choose carefully.

Reader Comments

From Pulpit Bully: “Re: Georgia Medicaid Fair. Here’s a free training event for those who want to get some insight into why our industry is hopelessly complex. I hate to sound like a curmudgeon, but this is an ENTIRE DAY of sessions about how insurance companies and the government make it difficult for people to manage their health.” It doesn’t sound like a target-rich environment for booth swag.

From Nasty Parts: “Re: CPSI. Heard there is an ‘all hands on deck’ meeting on Monday and they have rented a large facility. Wonder why would they do this during the HIMSS conference?” Unverified. At least some of their hands won’t be on deck in Mobile unless they vacate their HIMSS exhibit. It’s probably their user group meeting in Sandestin, which is also next week.

From Beaker: “Re: self-ordered lab tests. This should end well.” A just-signed Arizona law that will take effect in July will allow people to order their own lab tests without a doctor’s involvement. It was pushed by Silicon Valley lab high-flyer Theranos. I like the patient-centered aspect, although certainly Theranos has executed a smart business coup in removing physicians as its sales bottleneck. The obvious unknown is how consumers will react to receiving abnormal results – treat themselves inappropriately, pester their doctors, or demand that their insurance pay for tests of questionable medical usefulness. Doctors serve both as clinical and utilization gatekeepers and it’s a brave new world when those roles are removed and consumers are turned loose with minimal knowledge.

From Epic Doesnt Market: “Re: Epic marketing. Not sure if you’d consider the $2 million that Epic pays KLAS as marketing, but I do.” I would. Every company does marketing. Epic is different only in that it’s a bit lower key about it and it doesn’t place actual ads most of the time. Marketing isn’t the same as advertising, as everybody who has taken an MBA marketing class knows, and while Epic does little or none of the latter, it does quite a bit of the former under the label of “events.” It milks its KLAS results hard, as anyone who has seen the giant displays plastered on its HIMSS booth knows, and those billboards didn’t just jump up on the wall without help.

From Epic Does Too Market: “Re: Epic marketing. If they don’t market, someone forgot to tell their employees, or maybe they don’t control the ones who have left. At least eight former Epic employees identify themselves as marketing people on LinkedIn and one career marketer (who has since moved to another vendor) says she reported directly to Epic’s CEO. They’ve had several spokespeople quoted. I see the work Epic produces on their website, fact sheets, slide presentations, dance numbers, etc. Whether they call it marketing or not, they must have full-time people engaged in producing it all.”

HIStalk Announcements and Requests

Welcome to new HIStalk Platinum Sponsor Recondo Technology. The Denver-based revenue cycle technology company’s patented, no-touch ReconBots find and assemble critical payer information to speed up eligibility, authorization, and claim status transactions. Its business office products cover claim data integrity, claim adjudication status, and payer follow-up, while the company’s patient access solutions include eligibility, registration quality assurance, point-of-service patient financial responsibility statements, prior authorization, and a real-time dashboard for reporting KPIs. Recondo’s rules, legacy integration, and data mining are used by 900 hospitals and 500 payers to ensure proper payments and financial clarity. You probably know industry long-timers CEO Jay Deady and Chief Growth Officer Ralph Keiser. The just-released Gartner report “Cool Vendors in Healthcare Providers 2015” notes Recondo as providing health systems with innovative technologies to help solve their evolving problems. Thanks to Recondo for supporting HIStalk.

Also supporting HIStalk as a Platinum Sponsor is Practice Unite, which offers a customizable, HIPAA-compliant mobile platform for delivering real-time care (secure communications, clinical data display, and customized workflow). Clinician-friendly communication and collaboration tools include consults, secure text, lab results, patients, on-call and hospital directory, news, events, and several others. Customers have reported six-times-faster inpatient-related communication, a 20 percent ED wait time reduction, easier MU Stage 2 compliance, and reduced network leakage. Check out the case studies. Thanks to Practice Unite for supporting HIStalk.

Here’s an overview video of Practice Unite that I found on YouTube.

Every year I tell vendors how stupid they are in listening to clueless marketing people who advise them to hold their big announcements until HIMSS conference week, which ensures they’ll sink without a trace in all of the confusion and real news happening there. Finally they’re seeing the light and making significant announcements this week instead. Reporters are too busy partying excessively or wasting time doing cookie cutter executive interviews to pay attention to self-serving HIMSS week announcements.

This week on HIStalk Practice: PointNurse partners with Swarm Fund to offer clinicians new telehealth business model. New York’s physician profile website stays alive. Montana Primary Care Association taps eCW for HEDIS help. AMA makes no bones about who it won’t support in the presidential election. Maryland creates a new accelerator for healthcare IT startups. Aledade CEO Farzad Mostashari, MD hints at the EHR features he’ll be looking for at HIMSS15. Thanks for reading.

This week on HIStalk Connect: ONC launches a resource center for states interested in incorporating digital health tools into care delivery. Rock Health releases its quarterly funding report on the digital health industry, noting a slight decline in funding this quarter compared to Q1 2014, but still generating $600 million in new investments. An MIT student is building the Stack Overflow for mental health in his new startup Koko. Weight Watchers acquires fitness social media platform Weilos for an undisclosed sum.

Dana Moore, SVP/CIO of Denver-based Centura Health, has generously offered to collaborate with me on a purely charitable HIMSS conference project. He’ll be in our booth (#5371) Wednesday morning 10 until noon. Vendors (or anyone else, for that matter) can have 20 minutes of uninterrupted one-on-one time with Dana in return for a $500 donation (I chose that value) to DonorsChoose.org since Dana and I both like funding education projects. Then, he and/or I will recap his impressions about your pitch right here on HIStalk to a pretty big audience. Contact me if your company is interested and we’ll book a time. It’s a heck of a lot cheaper than trying to get his attention and then flying to Denver to meet there, you’ll be benefitting a classroom, you’ll get prime HIStalk real estate, and Dana just might be interested enough in your pitch to want to speak further (startups take note).

Webinars

April 22 (Wednesday) 1:00 ET. “Microsoft: The Waking Giant in Healthcare Analytics and Big Data.” Sponsored by Health Catalyst. Presenter: Dale Sanders, SVP of strategy, Health Catalyst. Microsoft has been quietly reengineering its culture and products to offer the best value and most visionary platform for cloud services, big data, and analytics in healthcare. This webinar will cover the Healthcare Analytics Adoption Model, the ongoing transition from relational databases, the role of new Microsoft products such as Azure and Analytic Platform System, the PowerX product line, and geospatial and machine learning visualization tools. Attendees will learn how to incorporate cloud-based analytics services into their healthcare analytics strategies.

Acquisitions, Funding, Business, and Stock

Specialty EHR vendor Modernizing Medicine signs a lease for new office space in Roseville, CA to expand headcount from 24 to up to 70 for the former Aesyntix Health, which it acquired in December.

NextGen parent Quality Systems, Inc. acquires healthcare analytics vendor Gennius.

UnitedHealth Group will pay $12 million in damages after a federal jury finds that its OptumInsight subsidiary infringed on physician efficiency calculation patents held by Cave Consulting Group, which offers several products including the CCGroup EfficiencyCare physician efficiency measurement module.

Sales

YourCareUniverse chooses VisionWare for master data management.

EvergreenHealth Partners (WA) selects Wellcentive to coordinate care of 400,000 residents served by the 500 physicians of the clinically integrated network.

Announcements and Implementations

McKesson announces Conserus, a vendor-neutral diagnostic imaging interoperability lineup that includes workflow, work lists, image repository, and data exchange.

Cerner will integrate visual analytics from Tableau Software into its enterprise data warehouse and analytics products.

Validic announces that it integrated with 27 additional digital health devices in Q1 and is beta testing its connectivity with Apple HealthKit. The company has also released a developer platform that provides API access to its marketplace.

MEA-NEA adds HIPAA-compliant email encryption from Virtru to its information exchange, storage, and attachment solutions.

ZeOmega adds a medication management module to its Jiva population health management system.

Awarepoint announces a Bluetooth Low Energy RTLS platform.

Caradigm’s latest release includes new modules for condition management and utilization management.

Greenway Health announces a new patient portal.

Aventura will offer biometric authentication for electronic prescribing of controlled substances.

Lifepoint Informatics offers free trial of an API toolbox for medical necessity validation and ICD-9 to ICD-10 crosswalk.

The non-profit, hospital-focused Center for Medical Interoperability, funded by a $10 million grant from the Gary and Mary West Foundation, names its initial board of directors.

Government and Politics

The Texas Medical Board is considering barring doctors from generating prescriptions for patients they haven’t met in a face-to-face visit, although the wording seems vague on whether “face-to-face” excludes video consultations. Dallas-based telemedicine provided Teladoc says the state is moving backward in prohibiting use of a technology that can help solve access and cost problems, but others think it’s the state’s job to avoid creating a double standard that devalues the traditional office visit and relies on new technology.

Privacy and Security

A painfully long and overwrought Wired article with the obligatory “click me please” headline (“Drug Pump’s Security Flaw Lets Hackers Raise Dose Limits”) prattles at length about the purely theoretical possibility that hackers could alter the drug libraries of smart IV pumps, meaning they couldn’t do much of anything other than altering the minimum and maximum allowed doses (not a given patient’s actual dose). Sometimes security analysts find real, previously undocumented security holes of major importance, but sometimes their announcements are more boastful than useful.

Innovation and Research

NPR covers the use of telemedicine by Houston firefighters, who instead of driving people with non-emergent needs to the ED, can instead connect them with a doctor using iPad video. They can assess the patient and connect with a doctor in real time to decide whether an ED visit is warranted, and if not, schedule them for a regular doctor’s appointment (including a free cab ride). The project addresses the fact that 40 percent of Houston ED visits are for non-emergent primary care issues.

Technology

Surescripts and Accenture join HL7’s Argonaut Project.

Box integrates with Carebox to support EHR integration and patient portals.

Doximity announces a secure clinician communication app for the Apple Watch that sends the user to their iPhone for more detailed information (since Watch does nothing without being connected to an iPhone). In a bizarre “only in healthcare” intermingling of old and new technologies, it will alert doctors when they receive a fax.

Cerner will release an Apple Watch version of its HealtheLife that will offer consumers push notification health reminders and data tracking while collecting biometric data to send to Millennium.

Other

In an HIStalk Practice interview, former National Coordinator Farzad Mostashari, MD (now CEO of Aledade) says he’s surprised that the certified EHRs he now has to deal with personally “can’t perform in a real clinical setting” and he’s happy that ONC is considering field testing and a mechanism to deal with EHR customer complaints. He says he’ll be cruising the HIMSS exhibit hall to look for systems for his participating practices that create “practice happiness,” meet MU requirements in a workflow-friendly manner, and are sold by vendors who are willing to work with third-party health applications. He adds that EHR vendor interfacing charges are “outrageous” and that every public and private HIE should offer ADT notifications. On fuzzy, buzzwordy topics like patient engagement, population health management and precision medicine, Mostashari says vendors should have embraced Meaningful Use enthusiastically as a roadmap that would have gotten them there, but instead took a compliance-only approach that frustrated their users.

Here’s a smart idea from HCS since HIMSS badges don’t make it clear what kind of organization an attendee works for: they’re offering badge ribbons that denote long-term care, behavioral health, and long-term care acute hospitals so that attendees with similar interests can find each other. Not to take away from HCS’s efforts, I had a similarly great idea for identifying attendees by their personal characteristics, but I’m hampered by limited attendee demand for badge ribbons that indicate “Self-Important Douchebag,” “Incompetent Despite Appearances,” “Obliviously Intellectually Challenged,” and “No, This Isn’t the First Sales Job I’ve Lied In.” Perhaps I should instead have them manufactured in the “Kick Me” back-attached variant that could be applied by observers who are more situationally objective than the wearer.

A New York Times article examines the trend of insurance companies trying to boost lagging life insurance sales by offering premium discounts to customers willing to share electronic data that includes real-time tracking of gym utilization and overall physical activity via a monitored Fitbit. A privacy expert questions how all of that consumer data will be used, while a law professor ponders whether the program is just a way for life insurance companies to weed out less-healthy customers: “The people who have the time to devote to jumping through all the hoops are likely to be better off than average, and those healthy enough to do wellness activities may be unrepresentative of the chronically ill. I believe that is one reason why there is empirical research severely questioning the value of wellness programs.”

A jury awards $1.38 million to a former billing supervisor of Harrison Medical Center (WA) who was fired after filing a whistleblower lawsuit in which she questioned why she was told to run a monthly Medicare billing program daily instead.

Sponsor Updates

VitalWare earns Service Organization Controls Reports (SOC) 2 Type 1 certification of its revenue cycle private cloud. It also announces that Epic consulting firm E-Volve Health will offer VitalWare’s revenue cycle solutions.
Medhost posts a video describing how its physician advisory board impacts product development.
Logicworks achieves Amazon Web Services partner network healthcare competency.
Extension Healthcare offers “Knowing is Half the Battle – Measuring clinical interruptions with advanced alarm management middleware.”
Impact Advisors posts “mHealth — The Newest Front Door to Your Organization.”
Galen Healthcare asks, “How does Mirth Connect stack up as an HIT Interface Engine?”
LifeImage writes “Medical Image Sharing for Trauma Care.”
Hayes Management Consulting offers “Making the Case for Physicians as Part of the EHR Project Team.”
The HCI Group offers “Technology Partnerships and Data Mergers: Challenges for Small and Medium-sized Hospitals.”
HDS CEO Bill Horne takes a pie in the face to raise money for the American Heart Association.
Healthwise earns certified status for data security and protection of health information.
Holon Solutions offers “Health IT Interoperability Must Be Built From The Bottom Up.”
Liaison Technologies offers “The Right Way to Address Today’s Data Challenges.”

Contacts

Mr. H, Lorre, Jennifer, Dr. Jayne, Dr. Gregg, Lt. Dan.

More news: HIStalk Practice, HIStalk Connect.

Get HIStalk updates.
Contact us online.

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News 4/8/15

April 7, 2015 News 8 Comments

Top News

ECRI Institute names its top patient safety concerns for 2015:

Alarm hazards.
Missing or incorrect data in EHRs and other IT systems.
Patient violence.
Wrong IV line drug administration.
Care coordination problems due to lack of medication reconciliation.
Failure to perform double checks.
Opioid events.
Improper instrument sterilization.
Inadequate handoffs during patient transport.
Medication dosing errors due to weight confusion in kilograms vs. pounds.

Reader Comments

From Nature Valley Sweet and Salty: “Re: Beacon Partners. Guess the acquisition is true.” I see the slide that contains both company names, but I’ll have to say “Unverified” until something more definitive comes out. Everybody is holding their big news for next week, so we’ll know soon.

From Consensual Sects: “Re: SSI Group. Acquisition by an unnamed company to be announced this week.” I heard that a couple of weeks ago, with the rumor reporter claiming the acquirer is Medhost. I asked my SSI Group contact and they flatly denied that anything is in the works, but then again companies always say that since “no comment” is the same as verifying the rumor. Consensual Sects was told it’s a West Coast-based patient access company with a recognizable name.

From One M Dammit: “Re: HIMMS. Here’s another sighting.” There are many, unfortunately, with even mHealth News (published by HIMSS Media) managing to misspell it as HIMMS. Googling “HIMMS” for news sources turns up 157 examples.

From Occupy HIMSS: “Re: Scripps. Check out the spelling on this LinkedIn article.” It was posted on April 1, so perhaps its Epic author, who looks almost old enough to buy his own beer, was going for subtle rather than unintentional humor.

From Senor CMIO: “Re: Tennessee-based Mountain States Health Alliance and Wellmont merger. Wellmont just installed Epic under a year ago (and may be suffering financially, partly due to this). MSHA runs Siemens Soarian. MSHA will likely have final control of the merged company since its CEO is chairman of the merged board. It will be interesting to see if Epic will be replaced by Soarian or if efforts at HIE will be ramped up successfully between the two systems.”

From Panko: “Re: Epic. I read a site’s in-depth profile about Epic that struck me as odd since there was no really newsworthy item. It basically read as a press release touting Epic ahead of the DoD’s decision and brushed aside interoperability criticisms. I was wondering what your take on this is? Epic supposedly does not do press or marketing, but this article seems to me to be the result of a really carefully orchestrated media push.” Epic has been making itself slightly more visible to the press. Some of its people have been quoted in articles and there’s no way that happened without Judy’s approval. It hired a lobbyist. It is mentioned in announcements every now and then. All of this happened after the DoD bid came up and the interoperability and cost criticisms started getting potentially damaging airtime. I’m pretty sure Judy Faulkner still doesn’t do interviews although her words from quick email responses are sometimes passed off as an “interview” by sites hoping to give the impression that they’re so important that Judy took the time to sit down with them (you can recognize those articles because they contain dozens of paragraphs of regurgitated common knowledge along with about two actual Judy sentences inside quotation marks). Epic says it doesn’t do marketing, which I’ll generously interpret as being true since the company doesn’t have employees whose full-time job is marketing. Epic gets visibility when it wants it most, so while it keeps a lower public profile than most vendors, doesn’t advertise, and doesn’t fawn over the press, it also doesn’t just sit in a Verona barn and crank out MUMPS code while ignoring the fact that it’s a multi-billion dollar market-leading company whose interests have always been competitive, With the DoD bid and the involvement of prime bidder IBM, Epic seems to be slightly more active in managing the press as public opinion dictates, but often in a minimally visible way.

From Belle: “Re: Epic overdose warning. Here’s our setup and the error that displays with a massive overdose as UCSF ordered.” This hospital keeps it simple by configuring Epic to order Septra DS by the whole tablet rather than in either mg or mg/kg of the trimethoprim component alone, which probably works great for adult patients but maybe not so for peds. The overdose warnings are pretty clear and even offer the choice of just switching to the maximum dose of two tablets per day with a single click. UCSF’s resident and pharmacist both received similar overdose warnings, which they didn’t heed. We talk about alarm fatigue when referring to patient monitors, but it happens a lot with CPOE drug warnings (dose, allergy, drug interaction, etc.) I’m sure someone has done a presentation on how to analyze and detune drug warnings in a way that is appropriate for a given hospital and/or provider since, as illogical as it seems, one size doesn’t fit all when it comes to such warnings. Reducing the clutter is better than just shutting off all alerts as some doctors claim they would prefer (until they get sued for missing a conflict, of course).

HIStalk Announcements and Requests

The HIMSS conference crunch has officially begun. Vendors are queuing up their announcements for next week, people are flooding my inbox with issues they think are important (although I often don’t share their level of excitement), and lots of people are packing up for their migration to Chicago. The weather is looking great with daytime highs in the 60s predicted, so it will be brown but comfortable.

Here’s the schedule of who will be holding court in our value-sized HIStalk HIMSS booth (#5371) next week:

Monday 2:00: Niko Skievaski of Redox, signing copies of “ICD-10 Illustrated” and maybe “Meaningful Use Stage 2 Illustrated.”
Monday 3:00: Ed Marx, signing copies of “Extraordinary Tales From A Rather Ordinary Guy.”
Tuesday 11:00: Steve Blumenthal of Waller Lansden Dortch and Davis LLP, answering health IT legal questions, being way funnier than you’d expect for a lawyer, and giving away swag while Lorre attends our CMIO get-together lunch.
Tuesday 2:00: nVoq, dispensing Garrett popcorn and collectible pins.
Tuesday 3:00: Barry Wightman of Forward Health Group, signing copies of “Pepperland” and dishing on what it was like hosting HIStalkapalooza the night before.
Tuesday 4:30: The Walking Gallery get-together.
Wednesday 11:00: Ross Martin, MD of AMIA and the American College of Medical Informatimusicology, handing out ACMImimi pins and badge ribbons for current Fellows.

We did a tweet chat Tuesday called “The Role of Patient Engagement and Advocacy in HIT” (the link goes to Jenn’s Storify recap). Thanks to those who participated, especially our patient advocate scholarship winners.

We’re doing video interviews with DrFirst at the HIMSS conference, asking folks for their impressions. Want to be included? Sign up here.

HIStalkapalooza

The HIStalkapalooza timeline looks like this:

5:00 House of Blues closes to the public.
6:30 House of Blues outside doors open only for HIStalkapalooza registered guests. Security will turn away anyone who wasn’t invited, so don’t plan to crash or to bring an unregistered guest (I don’t have any more invitations, so please don’t ask).
6:30 Pick up your badge, check your coat, and walk the red carpet to participate in the shoe and apparel judging. Visit the event sponsor tables and stake out a good spot. We’ll have caricature artists, a photo booth, videographers, and other activities to be checked out. Bars and food won’t be open yet – that way people can enter leisurely without trampling each other in a rush to get to the first visible bar.
If one of the event sponsors has invited you to their private opera box, use your sponsor-issued wristband to pass security to the third and fourth floors (everybody without wristbands will be limited to the first two floors). We’ll have food service on the third floor, bars open on both floors, plus cocktailer (that’s a new word I’ve learned) service to the opera boxes, which will also be stocked with appetizers.
6:45 Jazz combo starts playing dinner music on stage.
7:00 Bars and dinner buffet stations open in multiple locations.
7:40 Stage activities start, include sashing, the HISsies, and special guests. Your hosts will be Jennifer Lyle, Barry Wightman, and Lorre Wisham.
8:30 (approximate) Party on the Moon’s stage performance begins.
8:30 House of Blues doors outside doors will be closed. No one will be admitted after 8:30.
10:00 Bars switch over from open to cash. I’m buying until 10:00, you’re buying after.
11:00 Event ends.

If you can’t make it to HIStalkapalooza or didn’t receive an invitation, event sponsor PatientSafe Solutions will be live streaming video from the event via Periscope, a new Twitter-powered video service. Follow @PatientSafeSoln on Twitter, install the Periscope app, and watch for live tweets tagged #HIStalkapalooza. Next time maybe I’ll just stay home and throw a viewing party with a keg and some Italian beef sandwiches.

Webinars

April 8 (Wednesday) noon ET. “Leveraging Evidence and Mobile Collaboration to Improve Patient Care Transitions.” Sponsored by Zynx Health. Presenter: Grant Campbell, MSN, RN, senior director of nursing strategy and informatics, Zynx Health. With mounting regulatory requirements focused on readmission prevention and the growing complexity of care delivery, ACOs, hospitals, and community-based organizations are under pressure to effectively and efficiently manage patient transitions. This webinar will explore the ways in which people, process, and technology influence patient care and how organizations can optimize these areas to enhance communication, increase operational efficiency, and improve care coordination across the continuum.

Acquisitions, Funding, Business, and Stock

Livongo Health raises $20 million to expand its connected glucometer-powered diabetes management service. Former Allscripts CEO Glen Tullman started and runs the company.

Lexmark will consolidate its acquired brands, including Perceptive Software, under the single name Lexmark and a new logo. Perceptive will be placed under the Lexmark Healthcare banner.

Mansa Capital Management acquires Accreon with a $5.5 million investment and the participation of the company’s founders and management team.

Sales

Baptist Health (KY) chooses Capsule for medical device integration.

Meditech chooses Validic to integrate clinical, fitness, and wellness data into its applications.

People

Gary Meyer (Financial Chief) joins Cumberland Consulting Group as CFO.

Announcements and Implementations

A PerfectServe survey with decent methodology finds that 71 percent of doctors waste time trying to communicate with other care team members, the EHR is rarely used to communicate with external providers about complex issues, and respondents report extensive dissatisfaction with their clinical communications tools that often span telephone, texting, and other forms of messaging. Nearly two-thirds think HIPAA requirements impede care team communication.

Cerner and Banner Health sign a collaboration agreement that would seem to cement the strong possibility that Banner’s new acquisition, Tucson-based University of Arizona Health Network, will eventually be migrated from Epic to Millennium.

Healthgrades announces its annual awards for patient experience and patient safety, naming the top hospitals based on analysis of claims data, HCAHPS scores, and reported patient safety incidents. It’s interesting that some questions that formerly well correlated with “likely to recommend” now don’t, suggesting that consumer expectations are changing.

TeraMedica will launch analytics and dashboard additions to its Evercore vendor-neutral archive next week.

Privacy and Security

Tulare County HHS (CA) suggests that 800 people change their email addresses after a county employee used CC: rather than BCC: in sending out emails to clinic patients. The department also disabled the exposed email addresses for its patient portal.

Other

Jamie Stockton, CFA of Wells Fargo Securities sent over his latest slice-and-dice of Meaningful Use data. For hospitals, nearly every Epic user has reached Stage 2, while users of Cerner, Meditech, CPSI, and McKesson are congregated at around the two-thirds mark.

Wells Fargo’s EP numbers suggest that Athenahealth customers lead the MUS2 pack at 71 percent, although not up to the 98 percent it boasted a couple of weeks ago that in reality measured the percentage of EPs that attempted MUS2, not the percentage of its overall customer base. Obviously EPs aren’t nearly as willing and able as hospitals to keep chasing HITECH money, and if they purchased these EHRs with intentions of getting it, they are likely not only disappointed, but potentially more likely to replace the systems they bought for that reason.

Carequality publishes collaboration and trust principles that data-sharing participants can legally agree to follow.

A Minnesota couple hears music playing from their child’s bedroom, finally realizing that an Amsterdam hacker had taken over their nanny cam. Theirs was one of thousands of cameras that had screen shots and live stream links posted online because the parents did like many people in buying an IP security camera and ignoring the instructions for changing the default password.

Sponsor Updates

CitiusTech launches a healthcare practice focused on big data and Hadoop.
ADP AdvancedMD offers the “Top 4 claim exclusions & resolutions.”
AtHoc offers “Diversity Makes Us Stronger.”
Besler Consulting offers a new video on the clinical impact of readmissions.
Medecision publishes a video of Neil Kudler, MD, CMIO of Baystate Health, discussing how he uses the Aerial platform to engage patients.
PDS posts “When I Was Your Age: The Challenge of Generational Patient Engagement.”

Contacts

Mr. H, Lorre, Jennifer, Dr. Jayne, Dr. Gregg, Lt. Dan.

More news: HIStalk Practice, HIStalk Connect.

Get HIStalk updates.
Contact us online.

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Monday Morning Update 4/6/15

April 5, 2015 News 7 Comments

Top News

Allscripts will pay $10 million to settle a 2012 class action lawsuit in which investors accused the company of hiding problems after its 2010 acquisition of Eclipsys. Allscripts unsuccessfully filed to dismiss the case, saying that its executives didn’t intend to deceive shareholders with their “unspecific puffery,” “immaterial optimism,” and “vague aspiration.” I didn’t realize until just now that the lawsuit extensively quoted parts of my 2010 interview with former Allscripts CEO Glen Tullman and former Eclipsys CEO Phil Pead right before the announcement.

The lawsuit accuses the company of painting an overly rosy picture of how Allscripts would absorb the Eclipsys people and integrate its products, pointing out the extensive head-rolling that followed (head of sales, CTO, COO, board chair, three directors, the CFO, the president, Pead, and finally Tullman) and revenue projections that required tripling Sunrise sales even as prospects held back because of a bad 5.5 release and uncertain integration progress. The suit also quoted internal company witnesses who said Allscripts canceled its reseller agreement with Medicity and chose instead what the witness said was the inferior product of dbMotion (which Allscripts acquired in March 2013 for $235 million) and laid out an ugly story of Tullman steamrolling those who questioned him, executives who believed the incorrect information being fed to them by subordinates, salespeople unable to make quotas because of product deficiencies, hospitals with increasing ambulatory needs either replacing their Allscripts practice EHRs or moving to Epic, Pead losing his job after failing to get Tullman fired, and customer unhappiness with product releases and integration. It’s a pretty fascinating read even allowing for the fact that it’s just one side of the story. It’s probably reflective of that tumultuous time in the company’s history that it won the HISsies “Smartest Vendor Action Taken” category in both 2013 and 2014 for taking the same action in both preceding years – firing its executive team.

Reader Comments

From Sturges: “Re: Epic-Mayo deal. Epic supposedly bought Mayo’s data center for $45 million and is leasing it back to them at an infinitesimal cost. Buying Mayo’s business?” Unverified.

From Pickle Loaf: “Re: IBM’s new provider apps. I heard they developed these for Tenet originally. They look nice, but came out of nowhere and IBM didn’t commit to integration or ongoing maintenance. Companies, especially those new to healthcare, often jump to mobility as just another interface without considering the app itself.”

HIStalk Announcements and Requests

Poll respondents say the most important reason they would avoid doing business with a startup is the fear that the company isn’t financially viable. That might be a surprise to startups that think they are failing mostly because they don’t have reference sites. New poll to your right or here: what should happen to ONC’s certification program after MU Stage 3?

Welcome to new HIStalk Gold Sponsor Burwood Group. The Chicago-based consulting firm’s healthcare business offers help with clinical collaboration, adoption, regulatory compliance, medical device strategy and integration, and strategic planning. The company’s client roster includes Palomar Health (which hired the company to develop the infrastructure strategy for its new 740,000 square foot hospital of the future) and North Shore-LIJ Health (for which the company created a far-reaching clinical collaboration and communications strategy). The company’s healthcare leadership team is available for meetings at the HIMSS conference. Thanks to Burwood Group for supporting HIStalk.

Interesting people will be meeting and greeting in our tiny HIMSS booth (it’s as small and sparsely furnished as my 11-year-old econobox car) including authors, CIOs, and other characters that I think are interesting. I’ll consider giving you an hour to meet your fans if you email me describing why you in fact have fans (or if you don’t have them, why you think you should). We don’t have anything to sell or business to conduct, so we’re just hanging out there as I try to forget how much it’s costing. I’ll run a schedule of who’s dropping by later this week. I know the Walking Gallery folks are meeting there.

Find out what HIStalk sponsors are doing at the HIMSS conference by checking out our guide.

Join Jenn and our patient advocate HIMSS conference scholarship winners for an #HIStalking tweet chat Tuesday at 11 a.m. ET. @LAlupuslady, @woodymatters, @leffet_papillon, @carlyRM and @bostonheartmom will talk about patient engagement, advocacy, and healthcare IT. You can brush up on their backgrounds here. They’ll be wearing their Walking Gallery tee shirts at the conference as they follow a busy schedule of interviews, meetings, and exhibit hall cruising.

I saw a restaurant menu the other day that had sections labeled “nibbles” and “drinkies.” I like to think it was intentionally self-ironic, but I passed anyway since maybe they’re just clueless. I’m not eating anywhere that leans hard on grammatical cutesiness, like writing “veggies,” “sammies,” or anything in the form of “Get your _____ on.”

Thanks to the following sponsors, new and renewing, that recently supported HIStalk, HIstalk Practice, and HIStalk Connect. Click a logo for more information.

Last Week’s Most Interesting News

IBM releases four iPhone apps for healthcare providers, although the company offered no details about integration or validation testing.
Two visible CIOs, Chuck Christian and Ed Marx, resigned their jobs, as did HHS CTO Bryan Sivak.
CommonWell announced several new vendor members.
In Australia, 30 doctors resigned over patient safety concerns with its new Department of Defence EHR.
The Senate deferred its deliberation of the SGR doc fix bill, which so far is free of ICD-10 delay language, until after its two-week vacation.

Acquisitions, Funding, Business, and Stock

Chicago Mayor Rahm Emanuel helps ZirMed celebrate the opening of its Chicago office, for which the company plans to hire 200 employees for its predictive analytics business.

Vince Ciotti covers mid-range vendors in his new series on 2014 company revenue.

Aetna SEVP Joe Zubretsky, who is in charge of the company’s Healthagen business, sells $22 million worth of stock and still holds shares worth $23 million.

People

Pharmacy automation vendor Parata Systems promotes D.J. Dougherty to CEO. He replaces Tom Rhoads, who will become CEO of HAP Innovations, a Parata spinoff that is developing consumer medication adherence technologies.

Announcements and Implementations

Sacred Heart Hospital (FL) goes live on GetWellNetwork’s interactive patient care system.

Government and Politics

Premier’s comments on ONC’s interoperability roadmap suggest that ONC develop interoperability standards and add them to its EHR certification criteria, require EHR vendors to publish APIs, and prohibit EHR vendors from “data blocking” by charging fees to access standard information or by not providing adequate interoperability documentation.

Privacy and Security

Indian River Medical Center (FL) blames an unnamed software vendor for a mistake that exposed the records of 30 of its patient portal users to other patients. Their patient portal appears to be from RelayHealth, but the hospital’s broad description suggests that the problem was exporting information from another system rather than the portal itself. On the EHR side, I think they used to run McKesson Horizon but migrated fairly quickly to Paragon.

Technology

Walmart’s head of payments says chip-based credit cards won’t help much with fraud and says the US banking industry’s failure to adopt a PIN-based system for credit cards (as has already been done for debit cards) is “such a joke.” Experts blame the cost of adding PINs and the fear of banks that the extra user step might reduce the use of their high-interest credit cards.

Microsoft co-founder Paul Allen tweeted this photo of the cover page of the source code from the company’s first product, BASIC, that was created 40 years ago. Microsoft was formed April 4, 1975. Allen is on the lower right in the 1978 company photo, with Bill Gates at the lower left. While you’re pondering just how long ago that was, recall that Meditech was formed six years before Microsoft in 1969.

Other

I asked readers to send screenshots of how their system configuration would have handled the error that Bob Wachter, MD writes about in his book aimed at consumers, in which he mostly blames a ridiculous medication error on the IT systems his employer (UCSF) bought and configured rather than the people UCSF turned loose on patients with minimal experience and questionably effective training (I wrote about the error, in which a nurse gave a peds patient 38.5 adult tablets, last week). Above is UCFS’s Epic screen, which forces the prescriber to order every drug by weight in mg/kg, a requirement they imposed along with their Epic implementation just over a year before the error. The resident was trying to enter a patient’s home med of one Septra DS tablet daily, which in UCSF’s laborious setup would require her to divide the home dose of 160 mg by the patient’s weight of 38.5 kg on a separate calculator, then enter the dose into Epic as 4.15 mg/kg to allow it to calculate the already-known dose. She screwed it up by entering the dose as 160, which as the screen plainly showed (and warned her about) would be a massive overdose (160 mg/kg x 38.5 kg, or 6,160 mg instead of the intended 160 mg). The resident and the pharmacist ignored Epic’s dose warning and the brand new nurse working on an unfamiliar unit was afraid to speak up, so she gave the patient 38.5 tablets, luckily without harm. Bob pretty much blames Epic specifically and EHR vendors generally for allowing people to make mistakes.

A CMIO reader from a children’s hospital provided this screenshot, which shows the mistake-proof way his hospital configured Epic. Prescribers can click the most common doses in either mg/kg or the overall dose, so the UCSF resident would have simply needed to click the 160 mg button and everything would have been fine. This screen makes it easy for doctors to to the right (and most common) things (note that they put the preferred dosing method first on the screen, but didn’t prevent use of the other method). This CMIO says this is the way most Epic sites do it – UCSF created a cumbersome, error-prone screen just to force doctors to order in mg/kg even when it doesn’t make sense and they could have killed their patient as a result.

The UCSF error made me recall errors I’ve seen that were caused by faulty configuration assumptions, all of which mortified the application analysts who had failed to consider the oddball exceptions or the possibility of irrational prescriber behavior:

Invoking peds dosing pathways as deduced from patient location. Sometimes adults get moved to a peds bed and are inadvertently dosed using pediatric formulas.
Invoking a particular dosing pathway as deduced by age, which caused a problem in my hospital’s 14-year-old, 300-pound patient.
Assuming that only adults are assigned to a particular service, such as when our 12-year-old patient was overdosed on oxytocin while in labor.
Complex IV order entry screens that led some doctors to simply give up and enter plain IV fluids with their desired additives entered as free-text comments.
Accidentally moving acetaminophen liquid to the top of the pick list, driving its usage through the roof as doctors failed to notice that tablets no longer came up first.

As the CMIO commented, you have to be very careful with the assumptions you use in creating forcing functions that limit the doctor’s options.

Forbes Hospital (PA) finally replaces paper charts and fax machines by implementing its first EHR. They’re the first Allegheny Health Network hospital to go live on Epic.The 350-bed hospital was supposed to implement Allscripts several years ago, but scrapped that plan when insurance company Highmark acquired the struggling West Penn Allegheny Health System in 2013 after an ugly ongoing fight with cross-town competitor UPMC.

A psychiatrist says patients sometimes show up for their first appointment with a folder full of Google search results about her that contain scarily personal details, also adding that ED psychiatrists often Google new patients before seeing them to make sure they aren’t dangerous or famous. She also says patients threaten doctors who refuse to give them drugs or special treatment by vowing to write negative online reviews. She adds a positive example of how overhearing patients on phone calls lets her see how they behave outside her office::

My patients arrive in my office and, like gunslingers in a saloon, unload their various electronic devices, laying them on the sofa, often two or even three, before turning them off. But there are times when the phones have to stay on: There’s a sick child at home or the boss may call. Hearing in real time patients’ responses to important figures in their lives gives me an unfiltered glimpse into those relationships. A man who sarcastically belittles his girlfriend to me is surprisingly tender speaking with her on his cellphone. An unhappy, self-deprecating executive is suddenly a confident and even commanding figure speaking with one of his subordinates. An aggressive lawyer becomes shy and awkward when speaking with his mother.

An interesting New York Times article cleverly titled “When ‘Moneyball’ Meets Medicine” describes how health economists are measuring personal, public, and global health using a sports-like measure called disability-adjusted life years (DALYs), which count not only premature deaths but also the detractive effect that chronic conditions have on good health (example: being paralyzed is half-healthy). It sounds geeky, but it isn’t — car accidents, for example, are 2.5 times worse for humanity than lung cancer, which mostly affects older people and leaves few of its sufferers with lingering disabilities. Mexico used the calculation to prioritize medical treatments that reduced DALYs the most, while Australia allocated public health spending using the method. US figures highlight several high-impact, low-fatality conditions that don’t get the research and awareness money spent on less-impactful conditions such as stroke and breast cancer — low back pain, depression, neck pain, and anxiety disorders. I’m interested in the new book called “Epic Measures: One Doctor. Seven Billion Patients” about economist, physician, and public health professor Christopher Murray, MD, DPhil, whose “Global Burden of Disease” work was funded for $100 million by Bill Gates.

Sponsor Updates

Sunquest hosts its Point of Care Summit April 7 in San Francisco.
Versus Technology offers a blog on how wireless technology works to track the spread of infection.
NVoq describes “The Link Between the Simple Checklist and Improved Patient Safety.”
Zynx Health posts “Zynx Carebook: Real People, Real Impact.”
MBA HealthGroup offers “5 Ways to Optimize Your Revenue Cycle on Allscripts PM.”
MedData offers a sneak peek at its ICD-11 conversion tool.
New York eHealth Collaborative will exhibit at the Health 2.0 Mental Health Digital Innovation Challenge April 8 in New York City.
Perceptive Software offers the third of its series on “Tips for Sustainability Progress in 2015.”
NTT Data posts its top five takeaways from Mobile World Congress.
Oneview Healthcare offers “Eight Steps to Improved Patient Experience and Outcomes.”
Orion Health posts “Improving Patient Care, One eReferral at a Time.”
Patientco offers “The Future of Patient Engagement: Going Beyond the Clinical.”
PMD shares “On the Cutting Edge in Anchorage.”
Dodge Communications interviews Porter Research President Cynthia Porter.

Contacts

Mr. H, Lorre, Jennifer, Dr. Jayne, Dr. Gregg, Lt. Dan.

More news: HIStalk Practice, HIStalk Connect.

Get HIStalk updates.
Contact us online.

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HIStalk’s Guide to HIMSS15

April 4, 2015 News Comments Off

Download the printable PDF version of this guide to bring along to the conference here.

Access

Booth 2256

Contact: Lindsey Keith, sales and marketing operations manager
lindsey.keith@accesseforms.com
913.752.9938

One place. One view. ALL of your forms. Access develops electronic forms management solutions that eliminate the expense, risk, and inefficiency of paper forms. Our software, including Web-based Access Passport, enables organizations to capture, manage, sign and share e-forms data with other systems without paper, printers or scanners. Staff can interact with paperless e-forms anywhere, anytime using any device. Stamp your passport to paperless at HIMSS booth 2256 and learn more at www.accessefm.com.

AirStrip

Booth 4421

Contact: Jeaniene Outley, executive assistant
jeanieneoutley@airstrip.com
678.432.7813

AirStrip enables health systems to achieve interoperability with vendor- and data-agnostic mobile technology solutions for doctors, nurses, and other caregivers that seamlessly provide the engagement, collaboration, and insight required to care for others anytime, anywhere. AirStrip is the trusted champion for complete interoperability across all sources of health information throughout the continuum of care. HIMSS15 is the perfect opportunity to see how the AirStrip ONE mobile interoperability platform and solutions integrate disparate systems, data and devices, and eliminate barriers between technologies, people, and processes. Visit the AirStrip booth to discuss the technology you are using today. We’ll focus on your immediate needs as well as your plans for future innovation.

AirStrip will donate $1 for every badge scanned at the AirStrip HIMSS booth to a local Chicago charity. AirStrip is also running a #HIMSS15 giveaway on Twitter. Follow @AirStripmHealth to learn more.

AirWatch by VMware

Booth 8164

Contact: Jeff Pool, director of healthcare solutions
jeffpool@air-watch.com
470.247.4041

AirWatch by VMware is the leader in healthcare mobility management, with more than 14,000 global customers. The AirWatch platform includes industry-leading mobile device, email, application, content, and browser management solutions. This year at HIMSS15 we have a demo station in our booth where you can meet with sales executives to get an overview of our solution. We also have a presence in the VMware booth (2268), featuring theater-style presentations and a separate demo area. Acquired by VMware in February 2014, AirWatch is based in Atlanta and can be found online at www.air-watch.com.

Anthelio Healthcare Solutions

Booth 7132

Contact: Andrea Watson, executive sales assistant/conference coordinator
andrea.watson@antheliohealth.com
214.257.7167

Anthelio is the largest independent provider of healthcare technology solutions. The company impacts quality care for over 6 million patients through its innovative solutions in the areas of IT, interoperability, EHR, HIM, patient engagement, and analytics. Stop by booth 7132 during HIMSS15 to learn about our cutting-edge solutions and shoot hoops with us!

We invite you to join Anthelio’s Casino Night for the ultimate HIMSS15 experience atop Willis Tower, the second-tallest building in the country. The breathtaking views, free drinks, cocktails, heavy hors d’oeuvres, appetizers, DJ, casino games, prizes, gift certificates, and much, much more await you … reserve your space early since capacity is limited. To RSVP, contact Andrea at andrea.watson@antheliohealth.com.

Aprima Medical Software

Booth 3020

Contact: Judy Friedman, marketing and events
jfriedman@aprima.com
847.800.2214

Aprima is unveiling its new Aprima NOWtechnology at HIMSS. This important new technology gives users greater functionality than ever before when viewing and managing patient data from their mobile and tablet devices. Thousands of providers have left their old EHR and made the move to Aprima. Aprima ranks among the top five vendors that physicians choose to replace their previous EHR. Here’s just a few reasons why:

You’ll document patient visits with lightning speed.
Aprima helps you navigate MU, ICD-10, PQRS, CQMs and more.
More than 50,000 people already use Aprima.
All customer support is US-based.
Our customers tell us they can see more patients, enjoy improved financial performance and are able to spend more time with their families.

Aprima is one of the few companies with a 17-year track record of success. To learn more about Aprima, or for a demo of the Aprima NOW app, visit us at HIMSS in booth 3020 or visit www.aprima.com.

Arcadia Healthcare Solutions

Booth 7834

Contact: Greg Chittim, vice president, strategic marketing and business development
Greg.chittim@arcadiasolutions.com
781-202-3653

Arcadia Healthcare Solutions is an EHR Data Aggregation and Analytics technology company trusted by provider groups, health plans, and integrated delivery networks nationwide. Key events at HIMSS15 include:

Monday, 4:30pm @ Booth 7834 – “Have a Sam Adams with Sam Adams” – join our SVP Sam Adams for an open bar, appetizers, and informative demos. Prizes to anyone who has a name joke that Sam hasn’t heard before.
Monday, 6:30pm @ Palmer House Hotel – Healthcare Informatics Innovator Awards – Join longtime Arcadia client Carlos Olivares, CEO of the Yakima Valley Farm Workers Clinic, as he is honored as “Innovator of the Year.”
Tuesday, 12:00pm @ Room S501-BC – “6 Things You Don’t Know About Your Patient … Because You’re Underutilizing EHR Data” – a Lunch and Learn sharing key insights and “a ha!” visualizations of populations and practices.
Wednesday, 1:00pm @ Room S404 – “Bad Data’s Effect on Pop Health” – Join Bill Gillis, CIO at Beth Israel Deaconess Care Organization, as he presents the implementation and outcomes of an EHR Data Quality program.

Giveaway: Stop by our booth, 7834, for the chance to win an Apple Watch, Moto 360, or Fitbit Surge smartwatch.

Aspen Advisors, part of The Chartis Group

To schedule a meeting:

Contact: Dan Herman, information and technology practice leader
dherman@aspenadvisors.net
412.370.4900

Aspen Advisors is a top-ranked IT advisory services firm that works with leading healthcare organizations across the country to enhance care delivery, improve community health status, and achieve market distinction through the strategic and effective use of technology. In November 2014, Aspen joined The Chartis Group, a leading healthcare strategy consultancy, to deliver leading-edge capabilities in information technology in a way that is powerfully integrated with client strategy, clinical delivery, and evolving business models. Together, we provide healthcare providers with uniquely experienced senior healthcare professionals and consultants who apply a distinctive knowledge of healthcare economics, markets, clinical models, and technology to help clients achieve unequaled results.

Ultimately, our goal is to help you realize the value of your IT investments and continue to improve the effectiveness of your organization in improving the patient experience of care and the health of populations, while reducing the per capita cost of healthcare. Learn more at AspenAdvisors.net.

Billian’s HealthDATA

Booth 2045

Contact: Jessica Clifton
jlclifton@billian.com
678.360.9043

Billian’s HealthDATA and Porter Research offer unparalleled healthcare business insight and go-to-market research programs that help HIT firms and healthcare suppliers identify the best avenues to sell and market their products and services. Schedule your healthcare sales intelligence database demo by contacting jlclifton@billian.com or learn more at www.billianshealthdata.com.

Stop by booth 2045 on Tuesday, April 14, between 4:00 and 6:00 p.m. to learn more over complimentary cocktails and appetizers.

Capsule Tech

Booth 455

Contact: Brianna Roy, marketing and even specialist
briannar@capsuletech.com
978.482.2339

Capsule unlocks the power of medical device data to provide healthcare organizations with the critical patient and device information they need to provide safer, more efficient patient care. Its SmartLinx Medical Device Information System delivers connectivity, advanced integration, and analytics that turn volumes of patient data into relevant information.

Giveaway: Raffling off a Samsung Galaxy 4 Tablet

CareTech Solutions

Booth 7819

Contact: Lisa Kennedy, director of marketing and communications
lisa.kennedy@caretech.com
248.251.4539

CareTech Solutions is an information technology and Web products and services provider for U.S. hospitals and health systems, creating value for clients through customized IT solutions that contribute to improving the patient experience while lowering healthcare costs. From implementing emerging technologies to supporting day-to-day IT operations, CareTech offers clients expert health information technology services earning it the 2008, 2009, 2010, 2011, 2013 and 2014 Best in KLAS award for IT Outsourcing (Extensive), and the 2012 and 2013 IT Partial Outsourcing Award as ranked by healthcare executives and professionals in the respective annual “Best in KLAS Awards: Software & Services” report.

Come visit us at HIMSS15, booth 7819! We have your passport to healthcare innovation – everything you need to know to be successful in navigating the changes in the healthcare industry! For more information, please visit www.caretech.com/HIMSS15.

CenterX

Booth 4094

Contact: Christopher Marshall, COO
christopher@centerx.com
855.236.8379

CenterX is a comprehensive e-prescribing network focused on improving patients medication adherence. CenterX offers advanced e-prescribing services, electronic prior authorization, clinically relevant prescription history, full clinical fax service, and clinical messaging and HISP services/CCD exchanges. CenterX works with prescribers, pharmacies, payers, and software vendors to create an open, efficient network that reduces cost and improves patient care.

Giveaway: Stop by booth 4094 to learn about CenterX, view a demo, and to pick up a swag bag, water bottle, pens and notepads.

ChartMaxx by Quest Diagnostics

Booth 1280

Contact: Vicki Joyce, ChartMaxx Marketing Specialist
Vicki.M.Joyce@QuestDiagnostics.com
513.204.2621

Coffee, Lattes and Actionable Insights. Visit ChartMaxx at Quest Diagnostics booth 1280 for your favorite barista java and learn more about how to transform your data into actionable insights with our ECM and BPM solutions.

Giveaway: Fill out a "Slice of the Windy City" game card and enter for a chance to win one of four Chicago prizes.

Clinical Architecture

Booth 2074

Contact: John Wilkinson, Vice President, Business Development
john_wilkinson@clinicalarchitecture.com
317.313.0013

Clinical Architecture is the leading provider of innovative healthcare terminology solutions. We develop software that evolves the way the healthcare industry overcomes challenges related to information; with a focus on improving quality, usability and reducing the burden on resources. We developed Symedical®, our comprehensive software suite, as a fully customizable platform for the acquisition, maintenance, and distribution of the terminologies you need. Let us show you how Symedical can provide the foundation for establishing and maintaining semantic interoperability.

Stop by booth 2074 to talk with one of our team members, enter to win our raffle, and check out our giveaways. For more information, and to schedule a time in advance to meet at HIMSS, visit: www.clinicalarchitecture.com.

Clockwise.MD

Booth 8191 Kiosk M-28 in the HX360 Innovation Pavilion

Contact: Michael Burke, CEO
mike@clockwisemd.com
404.271.8652

Clockwise.MD – a finalist in this year’s HX360 Innovation Challenge – improves the experience of waiting for care. Patients can make online reservations or appointments, and are kept informed of wait status via text message and a dashboard in the waiting area. During delays, patients can leave the waiting area and receive a message when it’s time to return. On discharge, patients review the facility via a text survey and are invited to share their experience on review sites. Come see us in the Innovation Pavilion, booth 8191, kiosk M-28.

CommVault

Booth 4873

Contact: Jay Savaiano, director, worldwide healthcare business development
jsavaiano@commvault.com
816.520.7367

Come learn how CommVault can turn your data into a valuable strategic asset. Our data storage and backup solutions can help you unlock data silos and put your data to work for you.

Giveaway: Enter to win an Xbox One with Kinect and a one-year Xbox Gold Live membership. Daily drawings, must be present to win.

CoverMyMeds

Booth 6027

Contact: Alison Bechtel, marketing manager
abechtel@covermymeds.com
614.300.1595

At HIMSS15 you will have the opportunity to speak with our experts on how CoverMyMeds automates the electronic prior authorization process for EHRs, PBMs and health plans, prescribers, and pharmacists. We are the only ePA vendor with all payer, all medication ePA functionality and we’d love to show you how it works. ePA National Adoption Scorecard talks will be held at booth 6027 Monday at 11:30 a.m. and 3:30 p.m. for EHR/Health Systems track and Tuesday at 11 a.m. and 2 p.m. for PBM/Plans track.

CTG Health Solutions

Booth 1580

Contact: Amanda LeBlanc, managing director, marketing and communications
Amanda.LeBlanc@ctghs.com
225.772.8865

Established in 1987, CTG Health Solutions, the healthcare business unit of CTG, is one of the largest providers of IT consulting services in the U.S. today with 600+ clients, and is dedicated to helping provider/payer organizations achieve their strategic, clinical, financial, and operational objectives by providing the highest quality clinical, business, and IT solutions. CTG (NASDAQ: CTG) is a publicly owned IT services and solutions company that generated revenue of $393 million in 2014. CTG Health Solutions will partner with IntrepidHealthcare to broadcast interviews—in a program called “#TalkHITwithCTG” – with many of today’s leading authorities on #HealthIT during #HIMSS15 (in our booth 1580, April 13 & 14) and then sharing the recorded version of these interviews after HIMSS.

Cumberland Consulting Group

To schedule a meeting:

Contact: Dave Vreeland, partner
david.vreeland@cumberlandcg.com
615.335.5272

Cumberland Consulting Group is a national information technology advisory, implementation, and support services firm serving the payer, provider, accountable care, and life sciences healthcare verticals. We specialize in providing technology implementation and project management support to help our clients advance the quality of services they deliver and improve their overall business performance. There will be several Cumberland representatives at HIMSS and we’d love to chat with you about your IT project needs. For more information on Cumberland, please visit www.cumberlandcg.com.

Direct Consulting Associates

To schedule a meeting:

Contact: Anthony Caponi, vice president of healthcare IT
acaponi@dc-associates.com
440.996.0863

Direct Consulting Associates (DCA) provides a broad range of IT consulting and staffing solutions including staff augmentation, temp-to-perm, and direct hire for enterprise and healthcare IT initiatives. Whether you’re an IT professional searching for that perfect opportunity or a client company looking for the very best IT talent you can trust, rely on DCA to help meet your goals.

Divurgent

Booth 1891

Contact: Keri DeSalvo, marketing manager
keri.desalvo@divurgent.com
757.213.6875

Divurgent will feature a fast-paced, interactive Trivia Charity Drive inspired by the explosively popular mobile app game, Trivia Crack. It will be hard to miss the vibrantly-colored Trivia Charity Wheel as HIMSS attendees spin to see what trivia category they will land on, along with what donation value Divurgent will contribute on the attendee’s behalf. Everyone is welcome to participate to help Divurgent meet its goal of raising $5,000 for Lurie Children’s.

Divurgent is a nationally recognized healthcare IT consulting firm, specializing in cyber-security and privacy solutions, population health management, clinical documentation improvement, and activation management and training. Visit booth 1891 to learn how Divurgent can help improve your operational effectiveness, financial performance, and quality of patient care. To view all of Divurgent’s exciting events and happenings during HIMSS, click here.

e-MDs

Booth 7832

Contact: Patrick Hall, executive vice president, business development
phall@e-mds.com
512.638.6966

E-MDs is a leading developer of integrated EHRs and practice management software for physician practices and enterprises. Founded and actively managed by physicians, the company is an industry leader for usable, connected software that enables physician productivity and a superior clinical experience. E-MDs software has received continual top rankings in physician and industry surveys including those conducted by the American Academy of Family Physicians’ Family Practice Management, AmericanEHR Partners, MedScape, and Black Book. E-MDs has a proven track record of positioning clients for success as demonstrated by Meaningful Use attainment in 2011, 2013, and 2014, and is currently rolling out Meaningful Use Stage 2-compliant solutions to clients. According to data provided by CMS, E-MDs clients are attesting in the top proportion of all major vendors. For more information, please visit www.e-mds.com, facebook.e-mds.com, and Twitter.com/emds.

ESD

Booth 2749

Contact: David Tucker, vice president of national sales
dtucker@contactesd.com
512.350.1735

Celebrating our 25th year in business, we pride ourselves on assisting healthcare organizations make the most out of their healthcare IT investments. Our team of clinical support professionals increases adoption and usability among clinical and physician teams by helping prepare, implement, and optimize your EHR systems. Stop by booth 2749 to discuss your goals and challenges. We would be happy to help!

Experian Health/Passport

Booth 2677

Contact: Cindy Dullea, chief marketing officer
cindy.dullea@passporthealth.com
703.802.1376

Experian Health and Passport provide the healthcare industry with a single platform that orchestrates every facet of the revenue cycle. Our integrated offering redefines efficiency with an exception-based workflow, Touchless Processing, and data and analytics to ensure unmatched payment certainty from patients and payers.

Giveaway: Visit booth 2677 and receive a Starbucks gift card—all while learning more about our Best in KLAS solutions to automate up to 80 percent of manual processes with intelligent automation.

Extension Healthcare

Booth 4408 / Intelligent Hospital Pavilion Booth 6656-23

Contact: Jenny Kakasuleff, PR manager
jkakasuleff@extensionhealthcare.com
317.345.4176

Extension Healthcare will exhibit in booth 4408, as well as part of the Intelligent Hospital Pavilion in booth 6656-23. Our main booth will feature:

Demonstrations of the new release of Extension Engage (v5). Recharging lounge with seating, multiple charging stations, and individual tablet demos. The first 250 visitors who "listen and learn" will receive their own ear buds and case. Grand prize drawing for visitors who fill out a short survey worth $500. Private room available to meet with an Extension Healthcare representative.

Our solutions will also be featured in Cisco Systems booth 2002.

Falcon Consulting Group

To schedule a meeting:

Contact: Brendan Downing, partner
brendan@falconconsulting.com
312.751.8900

Falcon Consulting is a comprehensive Chicago-based healthcare consultancy founded in 2010 that boasts a primary capability as a provider of Epic Systems implementation and support services. Falcon has experienced tremendous growth over the last three years and now deploys more than 130 consultants at 35 clients across the nation, serving in myriad capacities supporting a wide range of Epic applications and functions. Falcon recently pivoted its operating model by focusing on the acquisition of several operational experts from a market-leading Big 4 management consulting firm in an effort to continue driving value across all aspects of our provider organizations.

Falcon Consulting partitions its services into three main categories: Technology Services/Staff Augmentation, Professional Services, and Tools/Analytics. Our Technology Services team consists mainly of former Epic employees with market leading expertise, which is continually underscored by our outstanding client references. The Professional Services vertical focuses on strategy and operations across all areas of the provider organization- from Planning and Strategy to Performance Improvement. Lastly, our tools are developed internally to tackle the most complex issues that our clients have faced during our time on the ground. They are built to focus specifically on real issues with value driven results. It is Falcon Consulting’s mission to provide the highest quality consulting services that deliver industry leading value. We firmly believe in creating a partnership with our clients and generating a mutually beneficial relationship which, in the end, drives the best possible patient quality outcomes and financial sustainability.

Falcon has reserved a dedicated meeting room (MP7) to hold meetings with current and prospective clients. Please reach out to Brendan Downing (brendan@falconconsulting or 312-751-8900) if you would like to schedule time to hear about one of Falcon’s service offerings.

FDB (First DataBank)

Booth 2260

Contact: David Manin, director of marketing
dmanin@fdbhealth.com
650.872.4588

For HIMSS15, FDB (First Databank) has more than doubled its booth size (booth 2260) to share space with our sister companies – Zynx Health, MCG, and Homecare Homebase – under the Hearst Health network. FDB will highlight the following solutions: FDB Cloud Connector (FDB drug knowledge delivered though Web services); AlertSpace (for medication alert customization); MedsTracker (for medication reconciliation); Meducation by Polyglot (for patient medication adherence); Interoperability Module (for medication-related interoperability support); and OrderKnowledge (for medication ordering).

Giveaway: Stop by for a free cup of gourmet coffee!

FormFast

Booth 1538

Contact: Philip Blanks, marketing manager
pblanks@formfast.com
800.218.3512

Experience Higher Performance at FormFast Booth 1538! FormFast empowers hospitals by automating documents and workflow, capturing data and streamlining operations. FormFast’s productivity platform fills the gaps between different clinical and non-clinical hospital technologies. FormFast’s healthcare business solutions empower hospitals with actionable information and streamlined processes. By automating data capture and document workflow, we help hospitals achieve new levels of operational efficiency. This allows them to concentrate on their core mission – delivering quality care.

Giveaway: Come to booth 1538 and see FormFast’s productivity solutions; explore the innovative, evolutionary BMW i8; and win an all-expense paid trip for two to Las Vegas for a test drive.

Forward Health Group

Booth 5052

Contact: Barry Wightman, manager, media and communications
bmw@forwardhealthgroup.com
414.418.5654

Co-boothed with the American Heart Association and The Guideline Advantage, Forward Health Group will show off its powerful population health management toolset – PopulationManager. Highly ranked by KLAS, PopulationManager transforms chaotic data from disparate sources into valuable fuel, ready to identify and manage high-risk and/or high-cost patient populations, driving clinical outcomes improvement and financial success.

Giveaway: Stop by the booth and, if you’re really good, you’ll get a very cool LED flash light – shine a light on your data!

GE Healthcare

Booth 939

Contact: Chris Bowler, general manager, Americas region marketing
christopher.bowler@ge.com
860.620.3487

Visit GE Healthcare IT at booth 939 to learn how actionable insights can help you improve clinical, financial, and operational outcomes. Our 17 demo stations include solutions for financial management, population health, enterprise imaging, and care delivery management. And don’t miss our Augmented Reality Theater, where you can see firsthand how our software, services, and ecosystem help you spark success.

Giveaway: Enjoy fresh popcorn and a 35-foot-wide cinema experience.

GetWellNetwork

Booth 6627

Contact: Tony Cook, vice president, marketing
tcook@getwellnetwork.com
204.482.4212

Why come to our booth? Learn how our patient engagement solutions help healthcare providers engage, educate, and empower patients along the care continuum. Our patient-centered platform, delivered across mobile devices, computers, and televisions, enables providers to implement a care delivery model called Interactive Patient Care to improve performance and patient outcomes. The company extends the value of existing IT investments by integrating with EHR and patient portals. GetWellNetwork was named the category leader for Interactive Patient Systems for the fifth consecutive year by KLAS.

Giveaway: Visit our booth to learn more about GetWellNetwork and enter a drawing to win a FitBit Charge.

Greencastle Associates Consulting

To schedule a meeting:

Contact: Joe Crandall, director
crandallj@greencastleconsulting.com
856.685.0737

Greenway Health

Booth 1806

Contact: Ryan Grable, Director, Demand Generation
ryan.grable@greenwayhealth.com
813.202.5055

Get connected to Greenway Health at booth 1806 and discover innovation that helps you practice medicine your way. With 10 percent of ambulatory providers in the U.S. using our solutions today, we offer intuitive EHRs and other tools; clinical templates that rank as the best in the business; and robust population health, patient engagement, and revenue cycle solutions. We’re also leading the industry in exchanging clinical data. Ask how we can help you! Visit Greenway Health at booth 1806!

Hayes Management Consulting

To schedule a meeting:

Contact: Patty Kellicker, Vice President, Marketing
pkellicker@hayesmanagement.com
617-559-0404, Ext 249

Hayes Management Consulting partners with healthcare organizations to streamline operations, improve revenue, and enhance technology to drive success in an evolving healthcare landscape. We are different than other consulting firms – our consultants come from the frontlines of healthcare and not only understand the day-to-day challenges you face, but weave those realities into everything we do, which is why 75 percent of our clients come back for another project. Learn more at www.hayesmanagement.com.

The HCi Group

Booth 5155

Contact: Mitch Paine, executive vice president of business development
mitch.paine@thehcigroup.com
904.337.6320

At the HCi Group, we take pride in being a high-quality, value-driven provider for our clients. The HCi Group was founded on the principle that hospitals can have superior talent at reduced cost. We take a holistic approach to provide creative solutions and bring exceptional staff to our clients, ensuring the success of their initiatives. Many clients recommend the HCI Group as a result of our personal, prompt attention from leaders. The HCI Group forms working partnerships based on flexibility, responsiveness, and an entrepreneurial spirit. From the top down, our people will take on your project as our own.

Flexibility. The HCI Group produces highly creative and flexible solutions that will reduce risk and enhance outcomes. Quality. The HCi Group’s team of experienced professionals will consider every detail and go above and beyond to ensure success. Cost-effective solutions. Through collaborative planning and a lean business model, the HCi Group is able to target your pain points and offer comprehensive solutions at competitive rates, ensuring positive outcomes. We believe that selecting the HCi Group as your agile vendor partner will help to reduce the cost of implementing healthcare by delivering nimble, innovative solutions. And we prove it every day we go to work.

Health Care Software (HCS)

Booth 1709

Contact: Tom Visotsky, executive vice president, sales and marketing
tvisotsky@hcssupport.com
732.938.5600, Ext 325

The HCS Interactant platform is an enterprise solution that includes integrated clinical and financial modules that address regulatory and functional requirements for acute care, post-acute care, and behavioral health. Please visit HCS at booth 1709 to experience Interactant, our single platform solution that offers revenue cycle, financial management, EHR, and reporting and analytics capabilities.

Giveaways: Visit us for a demo and enter our drawing for a $250 American Express gift card. HCS is participating in the HIMSS LTC and Behavioral Health Task Force and will be giving away special gifts to LTPAC and behavioral health providers that visit our booth. We will also be hosting a night of baseball, beer, and burgers at the Brixen Ivy Rooftop overlooking Wrigley Field on Tuesday, April 14. In addition to fun, food, and HIT friends, we’ll be sending one lucky attendee home with a baseball autographed by Cubs Hall of Famer Ernie Banks. We invite LTPAC and behavioral health providers to contact us at tvisotsky@hcssupport.com or visit booth 1709 for details.

Health Catalyst

Booth 7545

Contact: Patty Burke, program manager
patricia.burke@healthcatalyst.com
208.861.5406

Click here to set up a meeting or a time to view a short demo and be entered for a chance to win a $100 Amazon Gift card. Or, simply swing by booth 7545 to say hello and meet our team.

Healthfinch

Booth 5273

Contact: Karen Hitchcock, director of marketing
karen@healthfinch.com
608.513.6566

Healthfinch makes Care Redesign applications that seamlessly integrate with the EHR to automate, delegate, and simplify the clinical tasks that are overwhelming physician inboxes. Our flagship product, Swoop (formerly RefillWizard), is used by major health systems to automate the prescription renewal request workflow. Using Swoop, organizations have dramatically decreased physician inbox tasks, saving over 1.5 million minutes of physician time. In addition to the time and efficiency savings, Swoop’s “care gap batching” feature identifies when patients are due for an office visit or diagnostic test. This proactive approach to patient care can be a critical component to quality improvement programs.

We invite HISTalk supporters to stop by the Healthfinch booth, 5273, at HIMSS. Meet our leadership team, including Lyle Berkowitz, MD a thought leader in #doctorhappiness, care redesign, and medical informatics. For those who schedule meeting times with us before April 11, we’re setting aside our limited edition Evolution of Care T-shirts, featuring Charlie, the happiest, hardest working healthfinch in the industry! See you there! (To book a specific meeting time and to reserve your T-shirt, please contact karen@healthfinch.com.)

Huron Healthcare

Contact: Casey Liakos
cliakos@huronconsultinggroup.com
608.234.9537

Huron Healthcare is the premier provider of performance improvement and clinical transformation solutions for hospitals and health systems. By partnering with clients, Huron delivers strategy and solutions that improve quality; increase revenue; reduce expenses; and enhance physician, patient, and employee satisfaction across the healthcare enterprise. Clients include leading national and regional integrated healthcare systems, academic medical centers, community hospitals, and physician practices.

Iatric Systems

Booth 7815

Contact: Judy Volker, marketing director
Judy.volker@iatric.com
978.805.3191

We hope you’ll stop by the Iatric Systems booth, #7815, at the HIMSS conference from April 12-16, 2015, in Chicago, and learn how we can help you get the right data to the right people at the right time. We also would love to discuss your upcoming needs regarding integration, patient privacy, medical device connectivity, the patient experience, Meaningful Use, HIE implementation, and any other healthcare IT requirements you may have.

Also, be sure to attend the educational session, "Stop Insider Snooping and Protect Your Patient Trust," April 14, 4:00 – 5:00 p.m. CT, room S406, presented by Marc Combs, AVP and assistant chief information officer, West Virginia United Health System; and Rob Rhodes, director of patient privacy, Iatric Systems.

Giveaway: Have some fun while you’re with us – we’ll show some thrilling GoPro videos, and you can register to win a GoPro Hero3+ Silver.

Imprivata

Booth 3848

Contact: Mark Erwich, vice president, marketing
merwich@imprivata.com
978.394.5595

Imprivata, the healthcare IT security company, is a leading provider of authentication, access management, and secure communications solutions. More than 1,200 healthcare organizations and 3 million end users globally rely on Imprivata’s solutions to improve provider productivity for better focus on the patient experience. At HIMSS15, Imprivata will showcase its portfolio of solutions, including:

Imprivata OneSign, which delivers fast, secure No Click Access to EMRs, clinical applications, virtual desktops, and patient information.
Imprivata Cortext, which enables secure, efficient communication and care coordination between providers across multiple healthcare organizations.
Imprivata Confirm ID, which is the fast, secure signing solution for electronic prescribing of controlled substances.

In addition, Imprivata will feature a theater at its booth where customers will share their experiences and success stories using Imprivata solutions. Imprivata will have more than 35 presentations delivered by IT executives from hospitals and health systems providing details about their technology infrastructure, some of the challenges they faced, and how they are leveraging Imprivata’s solutions to address them. To pre-book a meeting with Imprivata, please visit http://www.imprivata.com/himss15.

Influence Health

Booth 3148

Contact: Anna Powell, vice president, marketing
anna.powell@influencehealth.com
205.982.5805

HIMSS15 is all about TRANSFORMATION at the Influence Health booth 3148 – from a platform that is transforming healthcare to a transformed name and booth. The Influence Health platform is the industry’s only integrated digital consumer engagement and activation platform. It is helping organizations transform healthcare by enabling providers, employers, and payers to positively influence consumer decision making and health behaviors well beyond the physical care setting through personalized and interactive multi-channel engagement. Since 1996, the Birmingham, AL-based company has helped more than 1,100 provider organizations influence consumers in a way that is transformative to financial and quality outcomes. For more information, please visit influencehealth.com.

InterSystems

Booth 961

Contact: Jerry Hinch, director of North American marketing
info@intersystems.com
800.753.2571

Be the first to know. Attend our new product announcement, Monday, April 13, 1:30 PM, for a revolution in patient engagement. InterSystems develops advanced software technologies that enable breakthroughs. With a passion for excellence and a focus on client success, InterSystems provides data management, strategic interoperability, and analytics platforms used in healthcare, financial services, government, and dozens of other industries. In selected countries, InterSystems also offers unified healthcare applications, based on these platforms, that deliver on the promise of connected healthcare. Founded in 1978, InterSystems is a privately held company headquartered in Cambridge, MA, with offices worldwide, and its products are used daily by millions of people in more than 100 countries. For more information, visit InterSystems.com/himss15.

Legacy Data Access

Booth 3455

Contact: John Hanggi, director
jhanggi@legacydataaccess.com
678-232-7922

Legacy Data Access has retired 163 different healthcare applications – a total of 362 healthcare applications! As a vendor-neutral archive provider, LDA has extensive experience in retiring numerous clinical applications including orders/results, nursing documentation, ancillary applications, and in many cases provides a Legal Medical Record for the stored data. Revenue cycle solutions include receivables functionality for earlier retirement of those applications. With a singular focus on the healthcare industry, Legacy Data Access stores data from applications – clinical, revenue cycle, ERP, ancillary, practice management and EHR – that are being retired and provides secure, Web-based access to the information. LDA’s solutions support financial and clinical processes and strategies by maintaining all detail, providing functionality based on your user requirements, improving productivity, and providing significant cost savings. If you are still running old applications just to get to the old data – we need to talk! We look forward to seeing you at our booth, 3455!

LifeImage

Booth 4674

Contact: Jackie Leckas, vice president, marketing
jackie@lifeimage.com
617.990.2262

Medical image exchange is gaining momentum as a must-have clinical capability. When physicians can easily access their patients’ external imaging histories, they can make faster, more informed decisions, and they also order fewer repeat imaging procedures. LifeImage provides a platform for medical image sharing that all of the ‘ologies in the healthcare enterprise can leverage to send and receive imaging, and import it to local systems. We also integrate with Epic and Cerner to make outside exams easily available to care providers who are already working in the EHR. Visit our booth at HIMSS to learn about adopting image exchange at your organization.

Giveaway: All booth visitors will take home a mobile phone power bank to ensure their devices stay powered up during their Chicago travels.

MEA I NEA

To schedule a meeting:

Contact: Christine Alfano, senior director of corporate and product marketing
christine.alfano@nea-fast.com
813.532.0059

MEA|NEA will conduct meetings at HIMSS with healthcare clients and partners interested in streamlining their revenue cycle via electronic claim attachment processes. CEO Lindy Benton will be on-hand, as well as Chief Development Officer Kent McAllister, VP of Sales Scott Hefner and Senior Director or Corporate and Product Marketing Christine Alfano. Our team would love to meet with you. To schedule an appointment, please contact christine.alfano@nea-fast.com and let us know your area of interest.

medCPU

Booth 108

Contact: Yoni Ben-Yehuda
ybenyehuda@medcpu.com

MedCPU delivers accurate, real-time, enterprise decision-support software and services through its proprietary Advisor technology. MedCPU captures the complete clinical picture from clinicians’ free-text notes, dictations, discharge summaries, and structured documentation entered into any EHR, and analyzes it against a growing library of best-practice content, generating real-time precise prompts for best care consideration. MedCPU’s founding multi-disciplinary team has been pioneering new clinical decision support for nearly 20 years, delivering intelligent error-reduction software systems to hospitals across the United States. MedCPU’s applications include clinical and compliance support solutions. Visit booth #108 to see the future of decision support today!

MedData

Booth 4851

Contact: Chris Farrell, vice president of marketing
chris.farrell@meddata.com
440.627.2642

MedData is a leading national provider of revenue cycle management and patient financial lifecycle solutions, including billing, coding, collections, and patient satisfaction. We’ve provided innovative billing solutions to the medical community across a variety of specialties since 1980.

Giveaways: Stop by our booth for freshly baked scones, Operation challenge, and daily drawings for an Amazon gift card.

Medhost

Booth 1817

Contact: Tom Mitchell, vice president of marketing
tom.mitchell@medhost.com
615.761.2011

Medhost is a provider of market-leading enterprise, departmental and healthcare engagement solutions to approximately 1,000 healthcare facilities. Our healthcare management system includes intuitive, easy-to-use and SaaS-enabled solutions, including YourCareUniverse, a comprehensive suite of cloud-based patient and provider engagement applications. Our robust offering of managed hosting, outsourcing and consulting services that are changing how clinicians and hospital leaders work and communicate, while generating notable operational, patient flow, care and revenue improvements. MEDHOST delivers value by enabling hospitals of all types and all sizes to better manage care and the business of healthcare while meeting evolving regulatory requirements.

Medhost will promote release of YourCareUniverse in our booth. YourCareUniverse, Inc. provides a comprehensive, integrated, cloud-based solution for managing the digital patient and supporting the consumer in a way that enables a healthcare organization to be the trusted source of health information and services within their community. Part of YourCareUniverse, we will also be highlighting YourCareEverywhere, a health and wellness site that provides medical information and localized branding for hospitals. We encourage all providers to come take a test drive of YourCareEverywhere. YourCareUniverse will also be highlighted in the Interoperability Showcase as part of a connected demonstration use case featuring the YourCareHealth portal.

Additionally, MEDHOST will be providing demos on our Physician Experience solution which provides charting, noting and the important orders management in a workflow that is natural to physicians. Other demos include our Emergency Department Information System, our Perioperative solution and AHA-endorsed Patient Flow application.

Medicity

Booth 3431

Contact: Lauren Tilelli, director of marketing
ltilelli@medicity.com
770.633.9013

Medicity, a Healthagen business, powers clinically integrated networks for over 100 organizations, which together have more than 1,000 hospitals and 250,000 end users. Its core solutions for real-time care coordination, population health analytics, and leakage and steerage empower clients to achieve accountable care goals while advancing population health today and tomorrow. As the healthcare industry transitions to value-based care, large organizations and independent practices alike are challenged to implement solutions that provide the data and integrated workflow tools needed to meet their population health goals. This will be Medicity’s focus at HIMSS2015, as it shares its latest developments to help organizations identify high-risk populations, meet Meaningful Use objectives, improve patient outcomes, and reduce cost of care.

We can help you: identify and reduce leakage while growing market share; gain a full historic view of each patient in your population in seconds instead of days; alert providers and care managers when patients are admitted to, or discharged from, a health care facility; and quickly and securely engage providers and communicate across care settings.

Medicomp Systems

Booth 2318

Contact: David Lareau, CEO
info@medicomp.com
703.803.8080

Lights, camera, action! Let’s play Quipstar! Back by popular demand, Medicomp Systems invites you to play Quipstar, the World’s Favorite HIT Quiz Show. Medicomp will show the live studio audience why doctors love Quippe, an easy-to-use documentation tool that works with your existing EHR, and that saves doctors time so they can see more patients. Contestants selected from the studio audience (this could be YOU!) will compete against popular HIT stars like Jacob Reider, MD Ross Martin, MD and Lyle Berkowitz, MD for cash and prizes.

Giveaways: At each show we’ll give away 10 (yes, 10!) iPad Air 2s, cash, and prizes. Only two shows daily so register now at www.medicomp.com/histalk.

Nordic

Booth 1699

Contact: John Pollard, senior director of marketing
john.pollard@nordicwi.com
608.358.6600

Nordic is the world’s largest Epic consulting practice. Since 2012, Nordic has been ranked #1 by KLAS for providing Epic EHR consulting services to healthcare organizations. You can find Nordic at booth 1699. Look for the green Nordic banner just down the aisle from Epic. To make sure the right experts are available when you stop by our booth, we’ve set up “office hours.” We’ll discuss population health, a variety of ROI-based approaches to Epic optimization, dealing with mergers and acquisitions, guiding you through health IT complexity, and saving money on maintenance and support daily. View the hours at Nordicwi.com While we’ll be sure to have specialists available during these times, we welcome you to arrange a time to discuss any of your Epic-related projects or challenges. Simply contact your Nordic representative or write events@nordicwi.com. We’ll be sure to make time for you!

NTT Data

Booth 3943

Contact: Larry Kaiser, senior marketing manager
lawrence.kaiser@nttdata.com
310.301.1284

NTT DATA offers healthcare organizations a complete IT solution with applications that increase efficiency, reduce medical errors, and enhance the revenue cycle. Led by our flagship solution, Optimum, NTT DATA helps bring together healthcare consumers and providers to share data and manage care effectively. We back that engagement process with a full range of clinical, RCM, accounting, and mobile solutions. NTT DATA will be promoting our complete hospital HIS at HIMSS.

NVoq

Contact nVoq (sales@nvoq.com) at HIMSS to learn more about SayIt, a true cloud-based speech recognition solution that converts speech to text within seconds. It also supports command and control through voice, or through voiceless “pop-up” shortcuts. NVoq will sponsor a Snack Hour in the HIStalk booth, 5371, on Tuesday, April 14 from 2-3pm CT. Stop by for Garrett’s popcorn and collectible lapel pins!

Oneview Healthcare

Booth 7330

Contact: Jeff Fallon, president, North America
jfallon@oneviewhealthcare.com
724.720.9389

The Oneview Healthcare patient engagement and clinical workflow solution is the most innovative interactive patient care system on the planet. Visit out booth to see why hospitals on four continents choose our platform to improve patient satisfaction, enhance outcomes and increase efficiencies.

Orion Health

Booth 4435

Contact: Sam Rosenbaum, senior marketing manager
sam.rosenbaum@orionhealth.com
857.301.2898

All attendees who schedule a meeting prior to HIMSS with Orion Health will have a donation made on their behalf to Alex’s Lemonade Stand Foundation For Childhood Cancer and be entered to win one of five Apple Watches. (Note: they will be shipped post-HIMSS as the release date is April 25.) Attendees can request a meeting by visiting www.orionhealth.com/himss/.

Park Place International

Booth 6015

Contact: Christine Mellyn, Director of Marketing
781.636.8169

Patientco

Booth 3639 in the Georgia Pavilion

Contact Josh Byrd, director of marketing
josh.byrd@patientco.com
404.444.2929

Patientco is the leading provider of cloud-based patient revenue cycle technology that empowers providers to optimize payments and increase business office efficiency through consumer-centric technology. Patientco goes beyond basic payment capture to connect every patient payment event throughout a healthcare system — delivering unrivaled visibility into and control over the patient revenue cycle. The result is improved cash flow, reduced A/R days, cost-saving efficiencies, and increased patient and provider satisfaction. For more information, visit www.patientco.com.

This year, we are a sponsor of the Revenue Cycle Innovation Task Force (RCITF) Event at HIMSS. The task force findings will be presented in a brochure that can be picked up at the Patientco booth, 3639. We are located in the Georgia Pavilion.

PatientKeeper

Booth 3212

Contact: Kathy Ruggiero, senior director of corporate marketing
kruggiero@patientkeeper.com
617.899.6521

PatientKeeper provides more than 60,000 physician users at hospitals and practice groups an intuitive way to view and act on patient information. PatientKeeper applications for order entry, med rec, documentation, charge capture, and other physician workflows run on desktop and laptop computers, smartphones and tablets, and integrate with existing IT infrastructure. Using PatientKeeper helps providers improve patient care, migrate smoothly to ICD-10, and achieve sustained Meaningful Use.

Giveaways: Visit the "PK Cafe" at PatientKeeper’s booth (3212) for a refreshing coffee or smoothie drink.

PDR

Booth 5225

Contact: Kimberly Koss, senior operations manager
kimberly.koss@pdr.net
314.567.0551

PDR is a trusted healthcare communications company providing targeted, clinically relevant information to Prescribers, Pharmacists, Payers, and Patients to improve health outcomes. PDR products and services integrate seamlessly within workflow in an effort to educate healthcare providers and impact prescribing behavior through access to information for better health. Reach over 300,000 contracted prescribers and 250,000 deployed prescribers within workflow by leveraging PDR’s proprietary business rules engine, a system that processes nearly 1 billion healthcare transactions annually.

PDR’s behavior-based messaging system is customized based on the specific actions providers take within their e-prescribing tool during patient encounters. The flow of information does not stop when the exam room door closes. PDR’s suite of professional educational tools now ranges beyond the education of healthcare providers to the education of their patients, providing resources that are certified to support Meaningful Use requirements and motivate patients to achieve medication adherence.

PerfectServe

Booth 7439

Contact: Tom Hills, executive vice president, sales
thills@perfectserve.net
877.844.2777

PerfectServe is a comprehensive communications and collaboration platform that provides a secure infrastructure uniting physicians, nurses and other care team members across the continuum. PerfectServe goes beyond secure text messaging to offer multimodal access and interoperability, minimizing your HIPAA-compliance risk and enhancing your EMR investment. Visit us in booth 7439 to learn how healthcare organizations can address the widest variety of communication workflows across all stakeholders, which drives maximum clinician adoption and results in meaningful quality and operational improvement. Plus, we have candy! To learn more about PerfectServe, visit perfectserve.com.

Phynd Technologies

Booth 2084

Contact: Thomas White, CEO
twhite@phynd.com
855.749.6363, Ext 710

The Phynd Provider Information Platform is a solution for poor provider data in the EHR and other systems. Phynd enables health systems to quickly and seamlessly integrate, manage, enroll "new" provider and analyze change data. With Phynd, hospitals improve revenue cycles, clinical communication, and productivity associated with managing provider data within multiple departments. At HIMSS, Phynd is part of the Interoperability Showcase with the leading EHR vendors and other related systems.

Porter Research, a Billian Company

Booth 2045

Contact: Cynthia Porter, president
cynthia@porterresearch.com
678.427.6241

Porter Research and Billian’s HealthDATA offer unparalleled healthcare business insight and go-to-market research programs that help HIT firms and healthcare suppliers identify the best avenues to sell and market their products and services. Learn more by contacting cynthia@porterresearch.com or visit www.porterresearch.com.

Stop by booth 2045 on Tuesday, April 14, between 4:00 and 6:00 p.m. to learn more over complimentary cocktails and appetizers.

Sagacious Consultants

Booth 1690

Contact: Jesse Adams, executive vice president
jesseadams@sagaciousconsultants.com
210-882-9658

Sagacious Consultants is your full-service business partner, leveraging technology to drive financial performance and improve patient care. Our strategic services help healthcare organizations increase revenue, decrease denials, and reduce AR days. Visit Sagacious Consultants at HIMSS booth 1690 for a chat with some of the EHR industry’s smartest leaders, including Founder and CEO Shane Adams and Principal Consultants Gordon Lashmett, George Evans, and Dr. Ron Jimenez. With experience as Epic CIOs and directors of clinical informatics, they will be available to offer advice about your most pressing technical and operational challenges.

Giveaway: Pick up some Sagacious swag while you’re visiting.

Sagacious Consultants will be rocking HIStalkapalooza as a Gold Sponsor. Invited guests can strut like rock stars on a red carpet at the House of Blues, grab a guitar or banjo prop, and strike a pose. Don’t leave without taking home a Sagacious rock poster commemorating this star-studded night for HIT.

Sandlot Solutions

Booth 2641 & 2939

Contact: Lisa Verrecchia, marketing director
lverrecchia@sandlotsolutions.com
800.370.1393

Sandlot Solutions is a leading provider of clinical interoperability and community health management solutions focused on the exchange of clinical and claims data across the care community, population data analytics, and enhanced care coordination. Sandlot provides the tools and technology that enable healthcare organizations to improve the quality of care, understand and manage risk, reduce costs, and transition to new business models.

Giveaways: Sandlot Solutions is offering a tiered giveaway at HIMSS15. More interactions equals eligibility for higher-value prizes.

1^st Tier Prize: Enter for a chance to win your choice of $100 Amazon Gift Card or iTunes Gift Card
2^nd Tier Prize: Enter for a chance to win an iPad mini
3^rd Tier Prize: Enter for a chance to win a Surface Pro 3

Interactions include a badge swipe at either of the Sandlot booths, a product demo at the main Sandlot booth (2641), and market research at the Sandlot attractor booth (2939).

Santa Rosa Consulting

Booth 2641 & 2939

Contact: Ashley Burkhead, sales operations and marketing manager
ashleyburkhead@santarosaconsulting.com
972.804.4216

Santa Rosa Consulting is offering a tiered give-away at HIMSS15. More visits equals eligibility for higher-value prizes.

Tier 1: Visit booth 2641 or Fortified Health Solution’s kiosk in the Cyber Security Command Center and be entered for a chance to win a $100 Amazon Gift Card.

Tier 2: Visit both booth 2641 AND our Fortified Health Solution’s kiosk in the Cyber Security Command Center and be entered for a chance to win your choice of an iOS or Android tablet valued at $500.

Tier 3: Visit both booth 2641, Fortified Health Solution’s kiosk at the Cyber Security Command Center AND participate in a Fortified Health Solution demo and be entered for a chance to win a LED TV of your choice valued at $700.

Sunquest Information Systems

Booth 923

Contact: Ajay Kapare, director, marketing
Ajay.kapare@sunquestinfo.com
520.570.2868

Talksoft

Booth 4390

Contact: Eric Pearlman, director of business development
epearlman@talksoftonline.com
866-966-4700

Founded in 1997, Talksoft is an applications service provider (ASP) of reminder and notification services using phone, text, email, and mobile app. Talksoft’s service-based approach provides affordable solutions for businesses of any size. Subscribers pay only a usage-based fee – there are no long-term contract commitments, and no computer hardware purchases. For more information, call (866) 966-4700 or visit talksoftonline.com.

TeraMedica

Booth 3239

Contact: Robin Schroeder-Janonis, vice president of sales
sales@teramedica.com
414.908.7719

TeraMedica is proud to be named the 2014 KLAS Category Leader for VNA/Image Archive. At HIMSS15, we are pleased to introduce our powerful analytics platform and dashboards. The new analytics platform takes advantage of existing customized, role-based dashboards. These dashboards support interactive reporting with dynamic data filtering and trending analysis across categories. Featuring one-click statistical data summaries and forecasts, the enhancements increase user productivity and insight. Complementing our VNA’s new user interface, the solution simplifies data management, access, and quality assurance.

Valence Health

Booth 5073

Contact: Kevin Weinstein, chief growth officer
kweinstein@valencehealth.com
312.273.6623

Valence Health provides value-based care solutions for hospitals, health systems, and physicians to help them achieve clinical and financial rewards for more effectively managing patient populations. Leveraging 20 years of experience, Valence Health works with clients to design, build, and manage value-based care models customized for each client including clinically integrated networks, bundled payments, risk-based contracts, ACOs, and provider-sponsored health plans. Providers turn to Valence Health’s integrated set of advisory services, analytical solutions, and managed services to make the volume-to-value transition with a single partner, in a practical and flexible way. Valence Health’s 600 employees empower 39,000 physicians and 130 hospitals to advance the health of 20 million patients. For more information, visit www.valencehealth.com.

Giveaway: Come visit us at HIMSS in booth 5073 for a demonstration of our newly enhanced population health technology solutions, and register to win a free Valence Health value-based care readiness assessment. The winning organization will work closely with our subject-matter experts to evaluate your healthcare IT capabilities as they relate to enhancing care outcomes and optimizing rewards for quality.

Versus Technology

Booth 2053

Contact: Stephanie Bertschy, director of marketing
info@versustech.com
231.946.5868

Move over EMR – it’s time for REAL-TIME automation! Manual data entry is so old school. The Versus real-time locating solution (RTLS) is the “engine” needed today to drive automated processes, increased access to care, and enhanced patient experiences. Take your own test-drive at HIMSS15 – Versus offers the only live RTLS demonstration on the exhibit floor. Our Experience Center features a fully operational Versus Sensory Network, demonstrating real-time updates in clinical workflow. Learn how we use location data, combined with powerful workflow intelligence, to not only drive efficiency at the point of care, but also automatically document key performance measures – helping you measure and manage your operations. Plus, be one of the first to see our new Clearview Net Badge and Asset Net Tag, featuring Versus’ accurate, patented infrared (IR) technology in combination with CCX Wi-Fi locating. With five clients presenting four educational sessions at HIMSS, we also offer ample opportunity to speak with real RTLS users. From asset tracking to patient flow process improvement, systems integration and hand hygiene monitoring, we’re sure to put you in touch with a peer who can offer insight into your own initiatives. Real hospitals, real clinics, real surgery centers rely on Versus as their partner for process improvement. Come to booth #2053 to put yourself in the driver’s seat and learn why.

Giveaway: The first 100 visitors to mention HISTalk will receive our collectible HIMSS15 blinky pin.

VisionWare

Booth 7139

Contact: Julie Bastien, marketing director
julie.bastien@visionware.com
508.449.4360

Meet the VisionWare team and find out what makes us the leading provider of master data management (MDM) solutions for hospitals, health systems and healthcare technology companies. We’ll walk you through a demo and show you how our solution ensures the success of our customers’ population health, big data, and patient engagement initiatives by providing a single source of truth across an enterprise. We enable multiple source systems to exchange data easily and empower decision-makers with a holistic view of their patients, providers or system as a whole. We look forward to seeing you at booth 7139!

Giveaway: Visit the VisionWare booth and have your personal caricature drawn by our onsite artists. You can wear it proudly around the halls of HIMSS or make it your new profile picture!

WeiserMazars

To schedule a meeting:

Contact: Marc Grossman, principal
marc.grossman@weiermazars.com
516.641.4210

Wellsoft Corp.

Booth 1742

Contact: Denise Helfand, vice president, sales and marketing
dhelfand@wellsoft.com
800.597.9909

Consistently ranked #1 Emergency Department Information System (EDIS) by KLAS, (most recently awarded Best in KLAS 2014), Wellsoft EDIS offers an exceptional combination of experience, extensive workflow analysis, and award winning customer support. Wellsoft EDIS is certified for Meaningful Use. Software features include patient tracking, clinical documentation, CPOE/results, charge capture including infusion charge capture, risk management and CCD document exchange. Wellsoft is EDIS at its BEST! Visit Wellsoft at booth 1742 for a brief demonstration and to discuss how Wellsoft EDIS fully integrates with HIS and ancillary systems, AND can help with your roadmap to Meaningful Use attestation.

Wolters Kluwer Health

Booth 8103

Contact: Alyssa Lamoreaux, director of communications
alyssa.lamoreaux@wolterskluwer.com
612.313.1510

A leader in point of care information, Wolters Kluwer Health Clinical Solutions provide best-of-breed offerings focused on improving the quality of care and driving clinical productivity. Hospitals, ASCs, physicians offices, payers, labs and retail pharmacies turn to us as their trusted partner for the content and tools they rely on every day. From clinical documentation, to clinical drug information, to clinical informatics and surveillance, to clinical decision support, our products deliver meaningful solutions clinicians value. Facts & Comparisons, Lexicomp, Medi-Span, ProVation Medical, ProVation Order Sets, Sentri7, Health Language & UpToDate.

Xerox

Booth 4426

Contact: Kirsten LeMaster, VP, marketing and communications, healthcare provider solutions
hcprovider@xerox.com
877.414.2676

Today’s Xerox simplifies the way work gets done in surprising ways. Like supporting healthcare professionals in over 1,900 hospitals. With consulting services, Midas+ analytics and adoption solutions from The Breakaway Group, A Xerox Company, we help healthcare providers apply, manage and use technology that simplifies caregiver workloads. So you have more time to focus on delivering the level of care everyone deserves.

Heather Haugen PhD, CEO of The Breakaway Group, a Xerox Company, will host a HIMSS session, “Beyond Implementation: Achieving Value from Your EHR after Implementation,” on April 15 at 8:30 a.m. in room S103 (Session ID: 33)

Giveaway: There will be a caricature artist in our booth drawing attendees that stop by our booth during exhibit hall hours.

News 4/3/15

April 2, 2015 News 17 Comments

Top News

The Apple-IBM partnership releases four healthcare-related apps in IBM’s MobileFirst for iOS series, although IBM is holding back the formal announcement until the HIMSS conference. The apps include an iPhone communication system for hospital nurses, an iPad workload app for hospital charge nurses, a notification and lab status app for hospital techs, and an app that allows home care nurses to upload information to an EHR.

Reader Comments

From Mobile Gas: “Re: IBM’s MobileFirst for iOS Healthcare. It seems like smoke and mirrors since they didn’t provide a list of customers and looks like they just built a series of applications without considering apps already deployed. The hospital nurse needs tight integration with the hospital EMR and Epic and Cerner both offer point-of-care applications. They also need connections to secure messaging and alarm notification from companies like Voalte and Vocera. This will lead to further market confusion as Apple and IBM build products in the ivory tower and expect customers to figure out the integration. I think this is another sign that Apple doesn’t understand the healthcare enterprise – they could have addressed enterprise issues, such as iOS management and WiFi connectivity, and instead are building generic applications that will be hard to integrate with hospital core systems.” Most surprising to me is that IBM didn’t announce integration partnerships with Allscripts, Epic, Cerner, or Meditech and didn’t mention working with health systems to design and test their apps or to validate that they offer something important that EHR vendors don’t. I’m skeptical. Just because health systems run applications on IBM systems doesn’t mean IBM can grab EHR data indiscriminately and use it intelligently, although maybe the announcements that are being held for HIMSS contain more vendor-specific details.

From John: “Re: gender bias. Have you counted how many interviews you’ve done with men vs. women?” I haven’t counted, but it’s probably proportional to the gender ratio within the specific job roles (CEO, CMIO, etc.) If your point is that men are disproportionately represented in those roles, then I obviously agree, although it’s a slippery slope to then propose fixing what is perceived as a societal problem based on the single factor of gender. I like to think I’m gender-blind since most of the people I’ve chosen to work with are female and some of the better interviews I’ve done were with women. I’ll interview anyone who has the potential to be interesting and who is willing to do it my way — don’t underestimate that second factor since it takes guts to be interviewed for a full transcript without knowing in advance what questions I’ll ask and not having the chance to review the answers before I publish them.

From Kopecky: “Re: Mark Cuban. Getting flamed on Twitter for urging quarterly blood tests ‘for everything available’ as a baseline.” He’s well-intentioned even though he’s wrong. He assumes that frequent testing will create a personal baseline that will be more useful than population-based normal ranges when something changes. Here’s the problem: the more results doctors see, the more pressure they feel to do something about them because that’s how they are trained and they don’t want to get sued. Things start going wrong when patients get roped into the healthcare system … medical errors, polypharmacy, and compounded drug side effects. That’s the same problem with apps that create a continuous stream of questionably valuable medical data that someone has to review and react to. I suspect we harm far more people by providing unnecessary knee-jerk treatment than we do by not collecting enough data to support an early diagnosis. It would be great if “health” was a simple as automatically applying harm-free interventions in response to well-defined physiologic inputs or genetic analysis, but it’s not. Healthcare is often dangerous to your health.

HIStalk Announcements and Requests

Welcome to new HIStalk Platinum Sponsor MedCPU. The tagline of the New York City-based clinical decision support company is “Accuracy is not optional.” Its MedCPU Advisor analyzes the complete electronic clinical picture (including both structured and free-text data) in real time against an algorithm matrix, providing case-specific prompting with minimal false alarms. No change in user worfklow is required since the system runs in the background with no separate logon or additional data entry required. The company’s experts build, configure, and maintain best-practice rules from its library of specialty modules with minimal client resources required. On the technology side, the company provides integration via reader technology that requires no IT resources and includes a patented Context Engine to process free text information. Founder and CEO Eyal Ephrat, MD is an obstetrician and previously founded E&C Medical Intelligence (now PeriGen). Thanks to MedCPU for supporting HIStalk.

My YouTube search turned up a new explainer video for MedCPU Advisor.

This week on HIStalk Practice: Iora Health takes on primary care nationally with a homegrown EHR. Community Health Center serves as a model for a new telehealth program in Colorado. Australian physicians get no respect from their EHRs. Health information exchange in Georgia moves forward, as does telemedicine in Delaware. Spruce raises $15M from headline-making Kleiner Perkins. Health Informatics Director Karen Schogel, MD weighs in on MU3 at Genesis Medical Associates. Thanks for reading.

This week on HIStalk Connect: Google partners with Johnson & Johnson to co-develop a surgical robot that will integrate real-time image analysis and decision support into the surgeons workflow. In England, students with the Royal College of Art and the Imperial College London have created a self-stabilizing pen designed to help patients with Parkinson’s disease maintain legible handwriting. Apple and IBM unveil their newest batch of co-developed enterprise apps, including four apps designed for nurses. Fitbit finalizes its $18 million acquisition of Fitstar, a paid app that develops personalized workouts based on user’s fitness goals.

If you want one of these pins, stop by our HIMSS booth # 5371 on next Monday since we intentionally ordered few enough of them to make them collectible (actually it was mostly to avoid the risk of lugging them back home). We suggested that our sponsors design their own buttons, although I don’t know which ones actually did.

HIStalkapalooza Sponsor Profile

Visit Sagacious Consultants at HIMSS Booth # 1690 for a chat with some of the EHR industry’s smartest leaders, including founder and CEO Shane Adams and principal consultants Gordon Lashmett, George Evans, and Dr. Ron Jimenez. With experience as Epic CIOs and directors of clinical informatics, they will be available to dish out advice about your most pressing technical and operational challenges.

Sagacious Consultants will be rocking HIStalkapalooza as a Gold Sponsor. Guests can strut like rock stars on a red carpet at the House of Blues, grab a guitar or banjo prop, and strike a pose. Don’t leave without taking home a Sagacious rock poster commemorating this star-studded night for HIT.

Acquisitions, Funding, Business, and Stock

VistA vendor Medsphere and IT solutions provider Phoenix Health Systems merge. The Medsphere name wins, adding consulting and outsourcing services from Phoenix.

Healthland acquires revenue cycle solutions firm Rycan.

Sales

Cedars-Sinai Health System (CA) chooses HealthLoop for automating patient follow-up.

MultiCare Connected Care (WA) selects Sandlot Solutions to create a community-wide electronic information exchange.

Xerox will incorporate SyTrue’s natural language processing and medical terminology platform into its Midas+ analytics to generate diagnostic and procedure codes from clinical documentation in real time to calculate risk and outcomes for case management.

Kindred Healthcare’s hospital division chooses transcription, front-end speech recognition, and clinical documentation improvement from MModal.

People

Dave Levin, MD (Nordic) joins PeraHealth as physician executive.

Ed Marx resigns as SVP/CIO of Texas Health Resources.

Chuck Christian (St. Francis Hospital) is named VP of technology and engagement of the Indiana HIE.

Mike Waldrum, MD, MSc, MBA, president and CEO of the University of Arizona Health network, leaves quickly after the system’s acquisition by Banner Health to become CEO of Vidant Health (NC). He was CIO at UAB Health System from 1999 to 2004.

CognitiveScale launches a healthcare business unit that will apply cognitive computing to chronic care management and names Charles Barnett (Seton Family Healthcare) as the healthcare group’s president.

Announcements and Implementations

Joining the CommonWell Health Alliance are Meditech, Merge, and Kareo as contributing members and PointClickCare and Surgical Information Systems as general members.

The Chicago business paper profiles MedDocLive, started by a former Epic project manager turned medical student, which provides medical students and residents to help hospitals with their EHR go-lives.

The New Mexico HIE goes live with technology provided by Orion Health.

Here’s an interesting graphic tweeted out by KLAS as a teaser to buy its latest $15,980 health analytics report, which according to the graphic, involved only 77 respondents of which 28 said no vendors offer emerging capabilities. Health Catalyst and Truven are at the bottom with just three votes each? I’d have to see the methodology before I’d believe that.

Practice Fusion enables doctors to print drug coupons right from its free EHR, no doubt charging the drug companies that provide them. Patients like prescription drug samples and coupons, not usually realizing the indirect cost to themselves or those paying for their care.

MModal announces that transcription employment at its Coimbatore, India office has reached 1,000.

Vocera announces integration of its communications system with Epic for bed cleaning and availability updates, with similar integration with other EHRs planned.

Summit Healthcare partners with S&P Consultants to offer Cerner solutions that include domain compare and synchronization, blood bank validation, and a scripting toolkit for workflow automation.

CVS Caremark announces new affiliations with Rush University Medical Center (IL) and Tucson Medical Center (AZ) that includes sending CVS prescription and visit information to the EHRs of participating providers and offering patients services via its in-store MinuteClinics. Meanwhile, CVS filings show that its CEO earned $32 million in 2014 and added another $11 million in stock value. CVS share price increased 38 percent in the past year.

Non-profit health information provider Healthwise offers a course on shared decision-making.

Government and Politics

Texas lawmakers are considering a bill that would prevent providers from recording a patient’s gun ownership status in their medical records. The office of Rep Stuart Spitzer, who is a surgeon, says consumers are alarmed at being asked gun-related questions during visits and that he doesn’t trust the National Security Agency and other government agencies.

Athenahealth CEO Jonathan Bush will host a $10,000 per person fundraiser at his Massachusetts home for his cousin, presidential contender Jeb Bush.

Other

Bob Wachter, MD is ubiquitous in plugging his new book (which I haven’t read), publishing endless excerpts all over the place including a series titled “The Overdose; Harm in a Wired Hospital.” It describes a single incident at UCSF Medical Center, his employer. It should be noted that despite the manufactured drama and hype-laden headlines (such as “How Medical Tech Gave a Patient a Massive Overdose”), the patient ended up being fine with no permanent harm from UCSF’s mistakes, although the salacious if inaccurate headlines might move a few more copies than just admitting institutional errors. Stripping away the novel-like prose leaves these facts:

A pediatric patient (16 years old) was given 38.5 Septra DS tablets due to a series of errors resulting from the resident’s botched attempt to re-order a home med of one tablet twice daily.
The incident happened in July 2013, just over a year after UCSF’s Epic go-live, but Bob doesn’t say if the resident had just started her rotation on July 1.
The hospital had decided to require clinicians to dose medications by weight for children under 40 kg without exception.
UCSF had elected not to turn on Epic’s overdose limits because teaching hospitals use research protocols that don’t always follow published standards.
The pediatrics resident entered the order correctly, but then had to adjust it to match the available tablet strength per UCSF policy. She then re-entered the same order incorrectly, apparently failing to notice the mg/kg dosing that, according to hospital policy, should have been present on every single order she had ever entered into Epic, including the same order she had just entered for that same patient. She entered the dose as “160” in trying to enter the milligrams of trimethoprim instead and then ignored the resulting overdose message. The resident blames UCSF’s Epic setup for issuing too many alerts and for failing to highlight the most important ones.
The UCSF pharmacist accepted the resident’s order after ignoring his own dose warnings.
The hospital had floated a a newly-licensed night shift nurse from her normal PICU assignment to the general pediatrics floor because of short staffing, She didn’t question the dose and didn’t ask the charge nurse because she “didn’t want to sound dumb,” so she helped the patient swallow 38.5 oversized tablets.

The article series isn’t finished yet, but my conclusions so far are:

Bob’s working the author angle of being the technology-wary guy to consumers. He writes well, but his lay audience probably won’t understand that hospitals make mistakes constantly even without technology. Paper orders were no picnic, believe me, and UCSF has some obvious people problems in putting newbies on the front line with questionable supervision. If your kid driving on a learner’s permit wrecks the family car while speeding, don’t blame the car manufacturer for not making the speedometer bigger.
This is a classic example of the “Swiss cheese effect,” where an event occurred only because a normally reliable system of checks and balances fell apart due to alignment of failed links in the chain (new resident, new nurse working off her normal unit, nobody caught the mistakes made by others).
The Epic screen is busy and doesn’t highlight the magnitude of the alert very well. UCSF’s decision not to hard-stop overdoses (in my experience, that’s probably because they don’t want to annoy easily angered doctors, although their research rationale is valid) would have prevented this mistake.
UCSF’s “mg/kg dosing only” rule is commendable for most but maybe not all medications. They apparently decided to make this change universally when putting in Epic. It would be interesting to see what training was offered to prescribers before this change was made and how many of them were in favor of it.
IT systems often lull people into a false sense of security since the screen always looks calm and rational. The alerts don’t, as Bob suggests, throw up a big skull-and-crossbones graphic – system designers assume that it’s the human’s job to understand the situation and not to cry wolf constantly.
I would be interested to know what steps UCSF took to reduce insignificant drug warnings both before and after the event since Bob thinks the number is excessive. How does UCSF compare with comparable users?
Epic could certainly redesign its screens to call more forceful attention to the biggest error outliers (or at least those it can detect with certainty), just like your PC says “Do you really want to do this?” before allowing you to accidentally format your hard drive. Perhaps Epic’s setup could (or should) require resident-entered orders that have seemingly big problems to be verified by an attending or chief resident before shooting them off to the pharmacy for immediate dispensing. IT-reduced turnaround time is not your friend when you make a mistake.
Professionals have to be responsible for their actions and their judgment in using software, whether they’re doctors, accountants, or stockbrokers. UCSF put a lot of very green people on the front lines and they screwed up in ways that would have been equally horrifying with or without a computer (38.5 oversized adult tablets for a kid? Come on, just-graduated nurse, use your critical thinking skills).
Errors usually happen when clinical employees are overworked, interrupted, or afraid of getting chewed out and all of these issues were reported by those involved.
Don’t go to an academic medical center unless you really need one (and I say that having worked a long time in both academic and community hospitals). The July 1 new resident screw-up phenomenon has been well documented. Huge size and specialization means that when they float nurses as in this case, they’re dumped into a complex environment where they don’t know the people or processes. Academic attending physicians often possess big egos and make anyone who questions them (including the software analysts who configure clinical alerts) feel shamed, so nobody challenges them. Doctors and staff see so many complex, throw-out-the-rulebook cases that questionable orders are overlooked. Handoffs and intra-department communications aren’t always efficient since so many people are involved and they don’t always even know each other. Bring someone to sit by your side the whole time and question everything. I doubt the mom would have allowed her child to choke down 38.5 pills knowing it’s supposed to be a single one like she’d been giving at home.

What do you think? Clinical folks, how would your system and your people handle a potential mistake like this? Here’s a challenge for you: enter the same order for a similar patient in your test environment and send me a screenshot of what the ordering physician would see (I’ll de-identify the image). Let’s see how other hospitals and other IT systems work.

Quite a few companies observed April 1 with phony commercials and news items. This one from Microsoft announcing “MS-DOS Mobile” is pretty good. Epic had its usual home page makeover.

The teen whose parents publicly shamed an Atlanta hospital into giving him a free heart transplant in 2013 despite his history of not complying with prescribed therapy crashes a stolen car following a crime spree and dies.

Sponsor Updates

Arcadia Healthcare Solutions client Yakima Valley Farm Workers Clinic will receive an IT innovator award at the HIMSS conference.
ESD posts 25 days of its history as it commemorates its 25th anniversary. Check out Day 7, where you’ll see its video of HIStalkapalooza 2012 in Las Vegas, which it did a great job of sponsoring. I still watch that video every couple of months because it’s fun and full of familiar faces, maybe even yours.
Extension Healthcare releases version 5.0 of its clinical alarm safety platform.
Hayes Management Consulting posts “Patient Portals: How to Balance Privacy and Engagement.
Healthcare Data Solutions is named Concur’s App Center Partner of the Year for the third year in a row.
Healthfinch asks “Is Primary Care in Rural America at Risk?”
QPID Health President and CEO Mike Doyle will present on maximizing technology’s value to patients and providers at the ACHE Massachusetts Spring Conference on April 15 in Needham, MA.
Healthgrades offers “5 Lessons I Learned from 10.10.10 in Denver.”
Impact Advisors offers “Population Health Management Vendor Selection.”
Liaison Technologies offers “Winning Lab Information Strategies for Value-Based Care.”
Healthwise shares “The Secret Behind Serving Up the Right Information Every Time.”
Holon Solutions will exhibit at the Texas Organization of Rural & Community Hospitals Annual Conference April 7-9 in Dallas.
Intellect Resources offers tips on “Networking at HIMSS.”
Galen Healthcare Solutions wraps up its experience at the InterSystems Global Summit.
InterSystems recaps its annual conference, Global Summit 2015.

Contacts

Mr. H, Lorre, Jennifer, Dr. Jayne, Dr. Gregg, Lt. Dan.

More news: HIStalk Practice, HIStalk Connect.

Get HIStalk updates.
Contact us online.

125x125_2nd_Circle

News 10/14/15

April 1, 2015 News Comments Off

Top News

DrFirst firms up $25 million in equity financing from Goldman Sachs, bringing its total financing over the last year to $42 million. The company, which announced last week the integration of its medication management software and secure communications with the Rx30 Pharmacy Management System, will use the investment to ramp up sales, marketing, and product development.

#HIStalking Tweet Chat – Patient Engagement Outside the Office

Loran Cook (@loranstefani) will host the next #HIStalking tweet chat on Thursday, October 15 at 1pm ET. Check out discussion topics here.

Acquisitions, Funding, Business, and Stock

Sunnyvale, CA-based Health Gorilla secures a $2.4 million Series A led by Data Collective with additional financing from True Ventures, Harris Barton, Orfin Ventures and Venture Investment Associates. The company has also expanded its diagnostic test automation platform to include electronic ordering and secure messaging. Complete health history capture and sharing will be added to the new Clinical Network in the coming months.

Nightingale Informatix finalizes the sale of its US-based PM business to Pulse Systems, with gross proceeds totaling $11 million. As part of the transaction, Nightingale and Pulse will refrain from selling into each other’s markets for three years.

Telemedicine

Announcements and Implementations

Georgia Health Information Network successfully connects to Alabama’s One Health Record HIE. The state-to-state connection is the second for GaHIN, which connected with South Carolina’s HIE late last year.

Three Pennsylvania-based HIEs – ClinicalConnect HIE, HealthShare Exchange of Southeastern Pennsylvania, and Keystone HIE – join the Pennsylvania EHealth Partnership Authority’s Pennsylvania Patient & Provider Network. (You can read my interview with Pennsylvania EHealth Partnership Authority Executive Director Alix Goss here.)

Smartphone patient scheduling vendor Everseat joins Athenahealth’s More Disruption Please program.

People

Pam Stampen (American Family Insurance) joins Nordic as vice president of human resources.

Research and Innovation

A two-year study of eight primary care practices and three mental health clinics determines that there’s no seamless way to bring behavioral health and primary care data together into their different EHRs. Clinicians developed workarounds to handle duplicate data entry, different templates for primary care and mental health, and reliance on physician or patient recall for inaccessible EHR information. Researchers conclude that vendors and physicians work together to design EHRs that better support: integrated care delivery functions, including data documentation and reporting; integrated teams working from shared care plans, template-driven documentation for common behavioral health conditions; and improved registry functionality and interoperability.

Other

Peer60’s new standalone ambulatory facility EHR report (not ambulatory EHRs in general as other sites misinterpreted) finds that Epic and Cerner are tied for mind share leadership, with Epic holding a big market share lead. Meditech and Allscripts have decent market share in hospital-owned facilities, but zero mind share, meaning their customers are at risk for defecting. NextGen is also at risk since it has the highest market share among independently owned facilities, but also zero mind share in which Cerner, Epic, and eClinicalWorks dominate. Respondents said vendors should make their product easier to use, improve reporting, and improve practice management capabilities, although 32 percent say it won’t matter since the hospital dictates the EHR used.

Quartz takes a refreshing crack at removing unnecessary business jargon from Twitter CEO Jack Dorsey’s memo announcing 336 layoffs. My inner journalist only wishes the editors had used red lines instead of black.

Sponsor Updates

Aprima will exhibit at the Oklahoma Primary Care Association event October 14-16 in Oklahoma City.
EClinicalWorks will exhibit at The National Conference on Correctional Healthcare October 17-21 in Dallas.

Blog Posts

How New Technologies are Expanding Care (Billian’s HealthData)
ICD-10 Applying Lessons from Implementation (Greenway Health)
6 Steps to Building Your Own Plain-Language Glossary (Healthwise)

Contacts

Jennifer, Mr. H, Lorre, Dr. Jayne, Dr. Gregg, Lt. Dan

More news: HIStalk, HIStalk Connect.

Get HIStalk Practice updates.
Contact us online.
Become a sponsor.

JennHIStalk

News 4/1/15

March 31, 2015 News 3 Comments

Top News

Marlin Equity Partners acquires PM/EHR vendor e-MDs and merges the company with another of its portfolio holdings, revenue cycle services vendor MDeverywhere. E-MDs founder and CEO David Winn, MD will retire.

Reader Comments

From Abe: “Re: Allscripts. I would like to know why the information of 250 people being laid off/fired at Allscripts is not on your web site. When all was good, you had them highlighted. Now that its looking grim … nothing.” Come on, Abe, at least read the darned posts before complaining – it was right there in Monday’s edition. I obviously wasn’t present for the layoffs and companies don’t announce them, so unless one of those 250 people tells me what happened (which they didn’t), I have no way of knowing, but I went with the second-hand report of two readers. And before you claim sponsor bias, Allscripts isn’t one any more – I got tired of their ignoring their months-overdue invoices and cancelled them. Meanwhile, a third reader who doesn’t indicate whether they work for Allscripts says “this very disorganized company” is laying off 265 people. The MDRX share price has dropped 35 percent in the past year, so the ever-struggling company is surely feeling pressure to try something different as it hopes its oft-repeated “population health management” mantra makes investors forget about the legacy ambulatory EHRs and low-selling Sunrise that make up most of its business.

HIStalk Announcements and Requests

I have to bite my tongue (or fingers) not to correct people who refer to times as “EST,” which is inaccurate until the clocks are turned back in November. We are in “EDT” and not “EST,” but if you want to simplify, just say “ET” year-round and you’ll always be correct. I’ve also had people get confused for interviews or calls when Lorre schedules them because she’s in Arizona, which doesn’t observe Daylight Saving Time (except for the Navajo Nation) and thus is on Mountain Standard Time year round, which is the same as PDT, meaning three hours behind EDT from spring until fall and two hours behind otherwise. We do all of this to try to unsuccessfully control nature, which ignores our human tinkering and raises and sets the sun regardless of how we play with our clocks.

Welcome to new HIStalk Platinum Sponsor Medecision. The Wayne, PA based company’s Aerial population health management technology identifies high-risk patients (or members), guides them to the most appropriate care, provides their clinicians with decision support tools, and automates manual operations, all via integration with existing systems. Aerial offers a unified clinical record, seamless integration feeds, hundreds of SOAP- and REST-based services, and a modular platform with 150 published Web services and APIs to facilitate interconnectivity. It’s appropriate for any healthcare organization that is bearing risk in the move from fee-for-service to fee-for-value, supporting care coordination, care management, case and disease management, advanced clinical content, and consumer engagement. Thanks to Medecision for supporting HIStalk.

I found a just-published YouTube video that introduces Medecision.

Also sponsoring HIStalk at the Platinum level is Peer60 of American Fork, UT, which describes itself as “the best B2B research solution on the planet.” CEO Jeremy Bikman founded the company after serving as a partner/EVP at KLAS. His folks tap into the company’s network of 100,000 decision-makers get feedback, generate leads, and perform custom market research. Client HIMSS Analytics got a response rate 500 percent higher than it expected after working with the company, while Sectra standardized all of its performance metrics on the Peer60 platform. You can download a free copy of “What Hospitals Plan to Buy in 2015” or its report on interoperability, among other available free reports. You can also visit them in HIMSS Booth # 5009, where they will again be giving away cool guitars. I also noticed the sly comment on their site that interoperability is “making news in the many of the largest news sources on the planet (WSJ, Fortune, Forbes, HIStalk),” which was cute. Thanks to Peer60 for supporting HIStalk.

I headed over to YouTube looking for a Peer60 video and came across this funny one called “It Was the Patient Catapult!”

Listening: new trippy-happy-hippie music from The Mowgli’s, who first claimed that their misuse of the apostrophe in their name “represented the marginalization of society,” but later admitted that they were just stoned when they chose it. It’s as light and frothy as a pina colada on a summery beach.

We received the shirts that our HIMSS conference patient advocate scholarship winners will be wearing. Look for long-sleeved white shirts with Regina Holliday’s HIStalking painting on the back.

HIStalkapalooza Sponsor Profile

HIStalkapalooza! As one of the platinum sponsors for this event, The Santa Rosa Family of Companies — Santa Rosa Consulting, Sandlot Solutions, InfoPartners, and Fortified Health Solutions — will be circulating the main floor as well as hosting up to 20 people at a time in our opera box. Stop by our caricature drawing station to pose for a fun way to remember the night! We’ll send you a digital file of your drawing after the event to avoid worries about holding the drawing all night or protecting it while travelling home after HIMSS. Bottles of water will be provided for you as you leave House of Blues so you can hydrate on the way back to your hotel for a good night’s rest for the next big day at HIMSS15.

You can find The Santa Rosa Family of Companies at various places throughout the HIMSS15 show floor: main booth #2641, Sandlot Solutions market research booth #2939, and the Fortified Health Solutions Kiosk within the Cybersecurity Pavilion. Don’t miss our presentation on Monday, April 13 at 4:45 p.m. on “The Importance of Sensitive Information Discovery.” Take a tour of all of our locations at HIMSS15 with our Passport Giveaway Program –pick up your passport, obtain your stamps at our various locations, and you’ll be entered to win prizes that grow in value with each interaction.

We look forward to seeing you in Chicago!

Here’s MedData’s webinar from Tuesday titled “Best Practices for Increasing Patient Payments.”

Acquisitions, Funding, Business, and Stock

Forbes profiles technology companies that are springing up to support the medical marijuana industry, with the pot equivalents of Yelp, Groupon, and Monster.com joining software developers that sell legally mandated inventory and sales tracking applications. One company is even creating a cannabis futures market that allows farmers to lock in prices for their crops.

Sales

HealthShare Exchange of Southeastern PA selects Audacious Inquiry’s encounter notification service for its regional exchange. The statewide Florida HIE’s Event Notification Service also uses the company’s technology.

Golding Living chooses HCS Interactant for revenue cycle management in its 300 long-term care centers.

Children’s Hospital Association chooses Health Catalyst’s data warehouse for its 220 hospital members.

Greenwood Leflore Hospital (MS) chooses Dbtech’s eFolders and Interactive eForms solutions for electronic forms, document storage, and electronic signatures.

People

HHS CTO Bryan Sivak resigns.

Shareable Ink names board member Hal Andrews (Availity) as CEO. He replaces Laurie McGraw, who is leaving the company.

Wake Forest Baptist Medical Center (NC) promotes VP/CIO Chad Eckes to EVP/CFO, where he will continue to oversee its IT department, and promotes Dee Emon to VP/CIO.

Announcements and Implementations

Forward Health Group joins the Health Data Consortium.

MedAptus launches Assign, which uses rules-based intelligence to automatically assign inpatients to hospitalists or other providers.

John Lynn of EMR & HIPAA posts a video interview with Vishal Gandhi, CEO of ClinicSpectrum.

Stanley Healthcare will offer Connexient’s MediNav indoor wayfinding solution.

Other

Consumers in the US, UK, and Germany want physicians to offer exam room privacy, explain their recommendations verbally, make eye contact, and offer physical contact. They also want (but don’t usually get) enough time during their visit to discuss their concerns. A commendable two-thirds of consumers bring a list of questions to their appointment, while 39 percent have checked an online source ahead of time. An amazing 97 percent are comfortable with their doctor’s use of technology, with 58 percent of them saying exam room computers improve their experience. The Nuance-conducted survey concludes that technology should serve a supporting role to the art of medicine and that physicians should provide time for discussion, advice, exam room privacy, and engagement.

Joint Commission issues Sentinel Event Alert #54 on the safe use of health IT and offers a free online course on the topic that’s good for one hour of CE credit.

The CSC-led EHR project of Australia’s Department of Defense, which wildly overran its budget and timelines, causes at least 30 doctors resign in protest who say the system compromises patient safety. A big concern is that anybody can modify the doctor’s entries. This is probably not the news Allscripts wanted to hear as the DoD chooses its EHR vendor since CSC and HP are its partners.

The RSA Conference bans scantily clad booth babes from the exhibit hall, specifically mandating business attire that doesn’t include tops that display excess cleavage, miniskirts, and Lycra body suits. Conference attendees said in surveys that they want access to technically competent booth reps who can answer their questions quickly, and as the Fortune article drily notes, “booth babes are usually temporary hires and therefore not your best best if you want a deep dive on the latest cryptographic solutions.” However, it also observes that only 15 percent of the conference’s 30,000 attendees are female, so the booth babe ban may reduce that number even further. It might be fun to collect photos of obvious booth babes from the HIMSS conference since they usually aren’t hard to find and then call out the vendors who can’t attract attention without the sexist eye candy.

Weird News Andy urges that we “hold the eye of newt.” Scientists testing a ninth-century folk remedy eye salve made of onion, garlic, and cow’s stomach find that it kills MRSA. I wouldn’t get too excited just yet since lots of products kill bacteria in the lab but not in humans or with effectiveness tempered by unreasonable side effects.

Sponsor Updates

Galen Healthcare Solutions will resell PinpointCare’s patient engagement, care coordination, and management platform.
PatientSafe Solutions posts “Compassionate Care Part 1: Unlocking the Shackles of the Computer.”
Forward Health Group posts a video of Northwestern Memorial Physicians Group talking about its use of PopulationManager.
ADP AdvancedMD offers “4 Foolproof Tips to Collect More Patient Payments.”
AtHoc offers “Connected to a Safer World.”
Caradigm will exhibit at the National Association of ACOs Spring Conference April 1-2 in Baltimore.
Culbert Healthcare Solutions offers “Improving Patient Satisfaction.”
HX360 names Clockwise.MD as one of four finalists in its innovation competition at HIMSS15.
CareSync will participate in the Live Pitch event at the AARP Health Innovation@50+ Tech Expo.
Clinical Architecture posts the captivating origin story of ICD-10.
Capsule Tech explains how “Healthcare Technology Can be Hazardous to Your Health.”
Besler Consulting publishes a white paper focused on Medicare cost report reviews.

Contacts

Mr. H, Lorre, Jennifer, Dr. Jayne, Dr. Gregg, Lt. Dan.

More news: HIStalk Practice, HIStalk Connect.

Get HIStalk updates.
Contact us online.

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Monday Morning Update 3/30/15

March 28, 2015 News 5 Comments

Top News

The Senate won’t review or approve the House-passed doc fix bill until after its two-week recess ends on April 13. You may recall that 2014’s one-year ICD-10 delay was inserted when the Senate, working hours before the previous SGR patch was set to expire, couldn’t muster enough votes to pass its own version of SGR bill that didn’t include the delay.

Reader Comments

From Raygun: “Re: Epic. They’ve never posted in social media, but I got this in my LinkedIn stream.”

From Hanoi Hotel: “Re: [vendor name omitted.] Supposedly laying off 300 people. Trying to get better intel.” I’ve omitted the name of the publicly traded company. Update: a second reader confirmed the first reader’s statement that the company is Allscripts.

HIStalk Announcements and Requests

The least-trusted interoperability organization is CommonWell, according to 50 percent of readers. If you add the totals of its members that are listed in the poll, the distrust number increases to 78 percent vs. Epic’s 22 percent. Respondent James explained his thought: “McKesson’s CEO has said in quarterly calls that he expects CommonWell to gush licensing money any day. Cerner’s documentation is near impossible to find. Epic’s HL7 documentation is there for all to see but that doesn’t do much in the expense department. Athena’s API is non-healthcare-industry-standard, which is a good thing, but it can’t move the market.” A third of the votes came from the Madison area, although Epic was hosting a bunch of customers there and there’s no way to separate their votes from those of Epic employees. New poll to your right or here: what’s the #1 reasons you would decline to do business with a startup?

A year ago I donated most of the proceeds from the Top Spot banner ad at the top of every HIStalk page (it mostly ran during the HIMSS conference) to classroom projects via DonorsChoose.org. Teach for America teacher Ms. Moore sent photos this week of her students enjoying the 50 library books we as HIStalk readers donated to her school (with matching funds from the Bill & Melinda Gates Foundation). Her school, in which 65 percent of students get free or reduced price lunches, is the sixth-highest performing school in North Carolina, with 97 percent of students performing at or above grade level and 100 percent of seniors accepted to college (85 percent of those are the first in their families to attend college). The Top Spot banners are still available if your company wants HIMSS exposure and to help me fund more classrooms in need.

Our networking event for HIStalk sponsors will be held Sunday evening (April 12). I’m offering great food and a premium open bar at a nice venue not far from the river and Miracle Mile. I had this last-minute thought: if you’re the CEO of a non-sponsor startup and want to network with some great folks, tell me why you’d like to come and I’ll choose up to five to join us at my expense.

Last Week’s Most Interesting News

The House passes an SGR doc fix bill that is free of ICD-10 delay language.
HHS publishes drafts of Meaningful Use Stage 3 and 2015 certification requirements.
Industry leaders John Halamka and Micky Tripathi question the direction and value of ONC’s Meaningful User and EHR certification programs.
Vermont’s governor threatens to shut down the state’s floundering health insurance exchange and move to Healthcare.gov.
The head of the Department of Defense’s EHR project suggests that it will choose the bid group that offers the best services, not necessarily the best EHR.

HIStalkpalooza Sponsor Profiles

Do you need a little Tonic to help face those Healthcare Challenges? Visit Elsevier booth #2207 to witness how our innovative solutions and services empower patients and providers and improve clinical outcomes embedding trusted medical content at every stage in the patient journey. Participate in our exciting Healthcare Challenge and win special event giveaways. Are you curious to learn about extreme patient engagement? If that doesn’t convince you, than how about cocktails and mocktails served with a flair? Please join us for our daily in-booth happy hours. We look forward to seeing you there.

Mark your calendars… HIStalkapalooza gold sponsor Divurgent will be bringing back their ever-popular Children’s Hospital Charity Drive to the HIMSS exhibit floor to raise monies for Ann & Robert H. Lurie Children’s Hospital of Chicago. Divurgent’s booth #1891 will feature a fast-paced, interactive Trivia Charity Drive, inspired by the explosively popular mobile app game, Trivia Crack. It will be hard to miss the vibrantly-colored Trivia Charity Wheel as HIMSS attendees spin to see what trivia category they will land on, along with what donation value Divurgent will contribute on the attendee’s behalf. Make sure to visit booth #1891 to help Divurgent meet their goal of raising $5,000 for Lurie Children’s.To view all of Divurgent’s exciting events and happenings during HIMSS, click here.

Webinars

March 31 (Tuesday) 1:00 ET. “Best Practices for Increasing Patient Collections.” Sponsored by MedData. Presenter: Jason Bird, director of client operations, MedData. Healthcare is perhaps the last major industry where the consumer does not generally have access to what they owe and how they can pay for their services. Collecting from patients is estimated to cost up to four times more than collecting from payers and patient pay responsibility is projected to climb to 50 percent of the healthcare dollar by the end of the decade. Learn how creating a consumer-focused culture, one that emphasizes patient satisfaction over collections, can streamline your revenue cycle process and directly impact your bottom line.

April 8 (Wednesday) noon ET. “Leveraging Evidence and Mobile Collaboration to Improve Patient Care Transitions.” Sponsored by Zynx Health. Presenter: Grant Campbell, MSN, RN, senior director of nursing strategy and informatics, Zynx Health. With mounting regulatory requirements focused on readmission prevention and the growing complexity of care delivery, ACOs, hospitals, and community-based organizations are under pressure to effectively and efficiently manage patient transitions. This webinar will explore the ways in which people, process, and technology influence patient care and how organizations can optimize these areas to enhance communication, increase operational efficiency, and improve care coordination across the continuum.

Acquisitions, Funding, Business, and Stock

Valence Health will move to a new Chicago location as it plans to add 500 jobs by 2019.

Vince continues his 2014 review of health IT vendors in covering those that serve large health systems – Cerner, McKesson, Epic, Allscripts, and GE Healthcare.

Sales

Public Hospitals Authority of the Bahamas chooses Surgical information Systems for perioperative systems.

Announcements and Implementations

EClinicalWorks subsidiary Healow announces integration with several wearable and fitness tracker products.

Government and Politics

Programming website GitHub is hit by a distributed denial of service attack from what appears to be the Chinese government, which is unhappy about GitHub tools that allow China-based users to bypass their government’s censorship.

Privacy and Security

A TransUnion Healthcare survey finds that two-thirds of recent patients (with a heavy representation of younger ones) would avoid a provider that has experienced a data breach. Half of the consumers expect to be notified within one day of the breach (hopefully of its announcement rather than the actual event since it’s foolish to announce a breach before doing preliminary investigation) and about the same percentage expect a dedicated phone hotline and website to answer their questions.

Technology

The local TV station profiles Seattle Children’s use of software from local startup Luum, which tracks how employees commute to work so that the employer can reward the use of sustainable transportation. Seattle Children’s gives employees a free fancy coffee if they don’t drive to work in a car.

Johnson & Johnson-owned medical device vendor Ethicon signs a collaboration agreement with Google to develop a robot-assisted surgical platform.

I’m interested in a couple of new apps (Meerkat and Periscope) that allow someone to stream a video broadcast from their smartphones to their chosen Twitter followers. It would be kind of cool to watch a live stream of the HIMSS keynotes or to show a first-person view of what’s going on at HIStalkapalooza.

Other

The City of Baltimore uses its Netsmart EHR to remind employees who are treating heroin addicts to test them for HIV and refer them to HIV care if positive.

I missed this until @Farzad_MD tweeted it out: great investor advice presented as quotes from venture capitalist Paul Graham:

“What investors are looking for when they invest in a startup is the possibility that it could become a giant. It may be a small possibility, but it has to be non-zero. They’re not interested in funding companies that will top out at a certain point. A startup is a company designed to grow fast. Being newly founded does not in itself make a company a startup. Nor is it necessary for a startup to work on technology, or take venture funding, or have some sort of ‘exit.’ The only essential thing is growth. Everything else we associate with startups follows from growth.… To grow rapidly, you need to make something you can sell to a big market … If you want to start a startup, you’re probably going to have to think of something fairly novel. A startup has to make something it can deliver to a large market, and ideas of that type are so valuable that all the obvious ones are already taken…. Usually, successful startups happen because the founders are sufficiently different from other people – ideas few others can see seem obvious to them.

Weird News Jeff channels WNA in providing this family-unfriendly story. Two UC Berkeley researchers develop SmartBod, an adaptive biofeedback app that manages the most personal of wearables in order to guarantee a happy ending, tracks performance over time, and allows proudly sharing the results with social media. If that’s not enough, the last names of the scientists (who are in fact a couple) are Klinger and Wang.

Sponsor Updates

Zynx Health client Meritage ACO (CA) achieves successful reduction of at-risk patient readmissions.
Senator Lois Wolk (D-CA) recognizes Geni Bennetts, MD of WeiserMazars as one of the Third Senate District’s “Women of the Year.”
Huron Consulting Group will sponsor and exhibit at the 2015 Cancer Center Administrators Forum March 29-31 in Lexington, KY.
Verisk Health offers “How the Boomers will Change the Shape of Medicare.”
T-System President and CEO Roger Davis weighs in on EHR interoperability.
Shareable Ink names Chris Buckley as regional sales director of the year.

Contacts

Mr. H, Lorre, Jennifer, Dr. Jayne, Dr. Gregg, Lt. Dan.

More news: HIStalk Practice, HIStalk Connect.

Get HIStalk updates.
Contact us online.

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News 3/27/15

March 26, 2015 News 6 Comments

Top News

The Congressional Budget Office says the Medicare doc fix bill that passed the House Thursday and moves on to the Senate will add $141 billion to the federal deficit. The cheers you may have heard came from people getting the money, not those providing it. Somehow “reform” always ends up costing taxpayers more. At least nobody has slipped in another ICD-10 Easter egg like last time, although Congressman Gary Palmer (R-AL) tried to work in another one-year ICD-10 delay Wednesday that was rejected in committee.

Reader Comments

From Lemmy: “Re: Children’s Hospital Boston. The EMR is down, clinics are cancelling appointments, and the labs are sending samples out.” I contacted CIO Dan Nigrin, MD, who explains:

“We recovered yesterday (Wednesday) from an extended, unplanned downtime caused by a failed segment of a storage array for the database underlying our EHR, and which caused significant database corruption. As you would expect, the hardware was architected to be fully fault-tolerant with complete redundancy, yet nonetheless it failed us. So we’re still figuring out root cause with the vendor. We used our disaster recovery system and paper-based processes to run the operation. To be on the safe side, we postponed a few elective admissions (for less than 48 hours), but otherwise care was delivered normally at the hospital.”

From DoDEHR: “Re: US Coast Guard. Considering scrapping their $40 million Epic rollout as the DoD selects its vendor. Funding is frozen and USCG hasn’t gone live in any of its 42 clinics after four years with no dates projected. They are in danger of reverting back to AHLTA/VistA.” Unverified.

From Booth Babe: “Re: HIMSS exhibitor tips. Can you recap those you’ve run before?” You can use the search box to find them, but here’s my #1: confiscate the cell phones of employees while they’re working the booth. They are hopelessly addicted and will start by slipping furtive glances at email, but before you know it, they will be heads-down immersed in screwing around instead of paying attention to the prospects milling around their expensive telephone booth. I’ve seen guys playing with their phones while standing at an airport restroom urinal, so I guarantee people (especially the shorter attention span younger ones) won’t make it through a multi-hour booth shift unless you remove the temptation. I also suggest making it clear that booth employees aren’t allowed to talk to each other unless they’re collaborating on an attendee question because they’ll end up socializing, with is a huge turn-off to a prospect who might want to ask a quick question or who has a reasonable expectation of being welcomed without feeling like they’re intruding. It’s depressingly easy to find expensive booths staffed by inattentive employees. If your carrot needs a stick enhancement, mention that every year I take candid photos of inattentive booth employees and it will be pretty embarrassing to be memorialized on HIStalk that way.

From Job Hunter: “Re: taking a new job. Can you give me the link to what you ran previously about company danger signs?” I don’t think I’ve ever run such a list, but I would try to steer clear of companies with these characteristics:

The CEO is a well-traveled hack who has left a trail of corporate destruction behind him or her or is a private equity hired gun whose primary job is to boost the bottom line by whatever short-term means are necessary to get the company sold before the wheels come off.
The CEO can’t be bothered to relocate to the city where most of the employees work.
The executive job you’re being offered is not housed at the home office. Out of sight means out of mind, which is great until your ambitious peers conspire to stab your absent back.
The company requires new hires to sign a restrictive non-compete agreement that will harm your ability to find their next job. My favorite strategy is from Dilbert: scan the non-compete into Acrobat, change the wording, then print it and sign it. Chances are the always-clueless HR department won’t notice that what you signed isn’t what they handed you.
Budget and travel freezes are common. That means lazy executives don’t have a clue about what is essential, so they just penalize everybody equally regardless of corporate consequences.
They’ve laid people off in the past couple of years. Layoffs are a symptom of executive failure (either in hiring choices or in strategy) and indicate that the company would rather jettison people who have been loyally working in their assigned roles instead of retraining them even though they have a lot of reusable positive attributes beyond specific product knowledge. That or they don’t have the guts to fire people for cause and instead conduct a layoff of losers.
Executives with reserved parking spots. I loathe big shots who think they’re better than everyone else.
Your interviewer is late, distracted, or someone you wouldn’t hang out with after work. They’re on their best behavior during your interview, so it can only get worse.
You get a vague answer when you ask what happened to your predecessor or the company declines to name them for fear you’ll solicit their honest opinion about why they left.
Your prospective boss talks about himself or herself instead of you.
Two people who are related serve on the executive team, especially if the position you are considering is also on the executive team. You, Sammy Hagar, serve at the pleasure of the brothers Van Halen.

HIStalk Announcements and Requests

I’m doing a video interview series at the HIMSS conference along with DrFirst and we need interviewees. We’ll probably ask simple questions, such as what interesting things you’re seeing at the conference or who has the best giveaways. Let me know if you’re willing to participate and we’ll set a time to connect in the exhibit hall.

Welcome to new HIStalk Platinum Sponsor Engage. The Spokane, WA-based company, a division of Inland Northwest Health Services, is one of the largest Meditech hosting partners in the country and offers four service lines: hardware integration, hosting services, Meaningful Use, and professional services. Its 225 application analysts provide Meditech implementation and support to 130+ customers, among them some of the first hospitals to successfully attest for MU Stage 1 and Stage 2. Its infrastructure solutions include hardware refresh, virtualization, data migration, and data center migration, working with partners such as HP, NetApp, IBM, and BridgeHead. Engage provides its customers with a 24x7x365 US-based help desk that covers both infrastructure and application support. Thanks to Engage for supporting HIStalk.

This week on HIStalk Practice: MUS3 proposed rules take the air out of one rural physician’s HIT sails. The Physicians Alliance expands its Wellcentive partnership. A new study confirms that urgent care and retail clinics are overtaking primary care practices in terms of patient preference. Aledade partners with WVMI and Qsource to establish ACOs in West Virginia and Tennessee. One MD makes the case for pulling primary care out of the insurance system. Practice Fusion integrates with Medi-Span. New study finds that the ACA did not flood physician practices with appointments. Dr. Tom offers practices tips on thinking like retailers. Dr. Gregg snapshots the technology-induced workloads of today’s busy physicians. Thanks for reading.

This week on HIStalk Connect: Meaningful Use 3 preliminary rules are published and include some aggressive patient engagement goals. Researchers from Mayo Clinic analyze potential use cases for drones in healthcare. A new Rock Health report finds that women are still sorely underrepresented in health IT leadership positions. In England, the NHS launches a mobile app library with clinically-vetted mental health apps.

Listening: the fairly new rarities boxed set from Seattle’s amazing grunge rockers Soundgarden. If you like Black Sabbath (and how could you not?) then you probably like Soundgarden. And since I’ve already mentioned Van Halen, they (including on-again, off-again singer David Lee Roth) will be touring heavily starting July 5, mostly doing the amphitheater circuit, and releasing a made-in-Japan live album from their 2013 tour. I called it nearly perfectly on that last tour when I said on February 13, 2012 that I wouldn’t buy tickets for shows after mid-March because I expected them to storm off mad and cancel the tour and sure enough they did, although not until a few weeks after I predicted. Eddie’s voice is mostly shot (just like DLR’s kicks only go about knee-high these days) but he can still shred the guitar and he looks a heck of a lot better at a slightly chunky 60 than a couple of years ago when could have passed for a homeless crackhead.

HIStalkapalooza

Thanks to the fun folks at DrFirst who have volunteered to provide a videography team to cover HIStalkapalooza. That was one of the features we were going to eliminate since we are too buried in other event details to deal with it, but DrFirst is filming (not literally, since there’s no actually film involved) and will produce a YouTube video we can all enjoy after the fact. DrFirst’s stepping up so enthusiastically restored my enthusiasm and faith in humanity since I was pretty tired and frustrated dealing with all the not-so-fun parts of putting on HIStalkapalooza. They’re a fun bunch.

The only thing we haven’t arranged is someone to shoot still photos, so we will probably ask attendees to send us those they take.

I invited each of our event sponsors (which I’ve listed in a link box to your right for ongoing reference) to provide a little background on what they do and what they’re planning for the HIMSS conference and for HIStalkapalooza, which seems fair given that they are paying for your food, drinks, and world-class band. Here’s what the folks at Falcon Consulting Group have to say.

Soaring into HIMSS15, Falcon Consulting Group looks forward to showing attendees and exhibitors alike that we are no ordinary flock of consultants. Falcon brings together specialized EHR technical and clinical talent, Big-4 operational and industry expert leadership, and avant-garde strategies and technological solutions. We are landing in a reserved meeting room inside the Lakeside Center Building (MP-7), and we would love for you to stop by and let us show you how we can help your organization fly to new heights. In the event has worn out your wings at the conference, we will also be hosting nightly events throughout Falcon’s home city of Chicago. For more information, contact Steven Stull at 312.751.8900 or by email.

Webinars

March 31 (Tuesday) 1:00 ET. “Best Practices for Increasing Patient Collections.” Sponsored by MedData. Presenter: Jason Bird, director of client operations, MedData. Healthcare is perhaps the last major industry where the consumer does not generally have access to what they owe and how they can pay for their services. Collecting from patients is estimated to cost up to four times more than collecting from payers and patient pay responsibility is projected to climb to 50 percent of the healthcare dollar by the end of the decade. Learn how creating a consumer-focused culture, one that emphasizes patient satisfaction over collections, can streamline your revenue cycle process and directly impact your bottom line.

Acquisitions, Funding, Business, and Stock

Analytics vendor Ayasdi, which offers a healthcare-specific package for identifying clinical best practices among its other non-healthcare products, raises $55 million in a round led by Kleiner Perkins, increasing its total to $100 million.

Orion Health’s US sales leader Paul Viskovich describes what it’s like being a New Zealand-based company selling predominantly to a US market and opening an office in Scottsdale, AZ: “It’s hard. You’re not from here. You talk differently. It wasn’t possible for us to go meet the CIO of UCLA — it was a good day if we talked to the security guard. Healthcare as a whole is largely not good with innovators either, and when you combine those two things, it’s very difficult … Our teams are cross functional. People in New Zealand are also working on projects at the same time as people in the United States, and if you manage that correctly, it can be a real benefit.”

Sales

Six-hospital Cone Health (NC) chooses Phynd to manage its 16,000 physicians in a single provider profile that crosses Epic and ancillary systems.

People

Jitin Asnaani (Athenahealth) is named executive director of CommonWell Health Alliance.

The Integrated Healthcare Association hires Jeff Rideout, MD (Covered California) as president and CEO.

Announcements and Implementations

Seniors Wireless announces TeleMed Assist, a $30 per month, contract-free program ($40 for couples) that offers unlimited 24×7 access to physicians by telephone or video. Being a cynic and wondering how all these virtual visit companies will find reasonably competent doctors willing to take calls in real time, I’m picturing those 1990s 976-number dial-a-porn services where the hot Brazilian dominatrix you’re talking to is actually an obese, hirsute, 60-year-old Medicaid recipient whispering sweet nothings with Cheetos breath and a genetically confused grandchild on her knee while watching the muted “Jerry Springer Show.” I would be interested to talk to a physician who provides services through companies like this since I’m curious how it works.

Practice Fusion adds the Medi-Span drug database from Wolters Kluwer Health to its free EHR.

The Florida HIE announces that 200 hospitals have signed up for its event notification service for admissions, discharges, and ED visits.

GetWellNetwork announces that it added 58 new facilities and 10,000 new beds in 2014, with a 13 percent growth in employees to 250.

Government and Politics

Even the ever-optimistic and supremely knowledgeable John Halamka and Micky Tripathi seem to be fed up with the endless Meaningful Use parade, concluding of the latest MUS3 and certification requirements:

”… each incremental proposal is tolerable, but the collective burden is making practice impossible … the sheer number of requirements may create a very high, expensive, and complex set of barriers to product entry. It may stifle innovation in our country and reduce the global competitiveness for the entire US health IT industry by over-regulating features and functions with complicated requirements that only apply to CMS and US special interests … The certification criteria are often not aligned with what EHR users ask for. In some cases, the criteria are completely designed to accrue benefits to people who aren’t feeling the opportunity cost … There needs to be a very public discussion with providers as to who should prioritize EHR development — ONC and the stakeholders they’ve included or EHR users.“

I’ll add my counterpoint, however. Providers who whine about irrelevant and burdensome MU requirements can ignore them completely, but rarely do. You sold your soul to the federal government, but you can buy it back by accepting the Medicare penalty and then start following your own agenda instead of someone else’s. MU money is either worth it or it’s not – your participation indicates that you think it is, and that acceptance drives the user-unfriendly development agenda of EHR vendors. You don’t even need to use an EHR at all if you truly (questionably) believe it has a negative impact on quality or revenue – it’s your business and your patients. I cite “Lost Boys” in reminding that a vampire can enter your home only if you invite them.

A great tweet from US Surgeon General Vivek Murthy, MD, MBA: “The levers for health aren’t in hospitals, they are in communities.” What Vivek didn’t tweet: “On the other hand, the hospital levers are raking in untaxed billions and thus they have little incentive to make communities healthier.” In the US, “public health” is export-only compassion and outreach to all who need help; domestic healthcare services delivery is a big business dominated by special interests that threatens to bankrupt the country; and never the twain shall meet.

Rep. Phil Roe, MD (R-TN) reintroduces a bill that would require the DoD and VA to develop a shared EHR using criteria established by a temporary panel that would be given 90 days to complete its work. The contract winner would get a flat $50 million upfront and then $25 million per year for five years to develop and implement the custom system, which Roe says would complement the $1 billion already spent by the DoD and VA in trying to create the integrated EHR. My opinion: the DoD-VA interoperability challenge is more about willingness and less about technology (the same as in the civilian world made up of uncooperative competitors, in other words). Those groups, despite how ridiculous it seems to taxpayers, distrust each other and refuse to stoop to each other’s level for the good of the serviceperson turned veteran. Perhaps they should be assessed a 1 percent CMS-type annual budget penalty for failing to interoperate.

Here’s an interesting quote from the head of DoD’s DHMSM project: “I’ve visited a number of facilities that have gone through this, and their message routinely is, it’s all about the change management and the training. It’s not about the tool. It’s about how you use that tool.” Maybe that’s a hint that DoD will choose whichever of the three bidding groups offers the best training, implementation, and optimization services rather than just the best EHR.

The Economist calls out inept US government financial management as chronicled by the GAO, including $125 billion in improper Medicare payments in the last fiscal year. The Brits seem to be enjoying our admittedly questionable DoD-EHR dual (or dueling) EHR projects:

”The GAO has few kind things to say about the government’s approach to information technology (IT), on which it plans to spend $79 billion in this fiscal year. Fragmented data storage and needless duplication have wasted billions of dollars. For example the Department of Defence—which accounts for around half of federal discretionary spending, and so may well not notice when billions of it vanish like loose change between sofa cushions—and the Department of Veterans Affairs are both now developing, from scratch, two separate electronic health-record systems, even though they will basically serve the same people. But the most common problem with the government’s IT ventures is a mix of grand ambitions and incompetence, as the launch of Healthcare.gov in 2013 handily showed.”

Technology

Michael Archuleta, IT director at 25-bed Critical Access Hospital Mt. San Rafael Hospital (CO), tweeted out this photo in announcing that the hospital’s server infrastructure is 99 percent virtualized. Nice.

Amazon announces unlimited consumer cloud storage for a flat fee of $60 per year with a free three-month trial.

Other

Among the reasons University of Mississippi fired its chancellor is the medical center’s signing of contracts without board approval, with an audit finding that its EHR RFP process in which Epic was chosen contained incomplete cost breakdowns.

An article by three prominent radiology informatics leaders questions whether IT centralization and standardization has caused radiologists — who were among the first hospital informatics practitioners — to lose control of the domain. It says early and profitable hospital radiology departments were able to hire clinical IT specialists that the IT department didn’t have, giving those departments the technical freedom to innovate that has since been revoked. The authors suggest that subspecialist informatics radiologists find a place at the hospital IT table despite current underrepresentation. My experience is similar – the other pioneering clinical departments (lab and pharmacy) integrated well into the IT environment because of share order entry systems that were used by a general audience, while radiology had its own pseudo-IT systems that were used by minimally visible doctors and techs working alone in dark rooms, often ignoring sound IT processes. The above graphic is correct – IT’s focus is on reduction of corporate risk exposure through standardization, centralization, and budget control, which usually extinguishes rather than encourages innovation. Whether that’s good or bad depends on whether you have a visionary CFO (is that an oxymoron?)

Reading Health System (PA) reorganizes its IT department and eliminates 33 positions after completing its $150 million Epic implementation.

Eighty percent of the 1,000 children and teens who have used Kurbo’s $25 per month weight management app and email-based coaching service have lost weight, the company says.

Group brainstorming meetings don’t work, says Harvard Business Review. Reasons: people expend less effort when working within a group, introverted and less-confident attendees participate less, stellar performers are dragged down to the level of the least-competent ones, and groups larger than 6-7 people have logistical problems getting everyone’s ideas on the table.

Sponsor Updates

A family practice improves hypertensive control rates from 78 percent to 94 percent in the year after implementing Forward Health Group’s PopulationManager.
The Health Management Academy partners with MedCPU to identify solutions to overcome point-of-care challenges.
ZeOmega Founder and CEO Sam Rangaswamy describes how ZeOmega’s acquisition of HealthUnity positions the company.
A new Healthcare Data Solutions case study confirms that pharmacies using its Prescriber Validation Subscription Service have saved millions in potential hydrocodone fines.
Ivenix produces a video that highlights how its Infusion Management System is designed to help nurses improve patient safety and workflow efficiency for infusion therapy.
Hayes Management Consulting offers “10 Tips to Create a Workflow Manual That Your Users will Love.”
Valence Health announces that its Further 2015 annual conference will be held in Chicago September 23-25.
Galen Healthcare Solutions CEO Jason Carmichael welcomes the new GHS leadership team in the latest company blog post.
Impact Advisors offers early impressions of Meaningful Use Stage 3, plus looks at data center trends.
Healthwise offers “Creating a Group Health Culture Where Shared Decision Making is the Norm.”
LifeImage posts “Medical Image Exchange for Cardiology Care.”
InterSystems writes “Salty Cookies, Sweeter Outcomes: Shared Healthcare Decision Making.”
The Atlanta Journal-Constitution names Navicure as one of its “Top Workplaces” for the second year in a row.
The New York eHealth Collaborative will exhibit at HxRefactored April 1-2 in Boston.
The latest episode in Nordic’s Making the Cut video series covers preparing for cutover and the role of operational management.
Patientco offers “Supergroup: Connecting the Stakeholders of Healthcare for a Rockin’ Future.”
Porter Research posts a blog on networking at HIMSS 15.

Contacts

Mr. H, Lorre, Jennifer, Dr. Jayne, Dr. Gregg, Lt. Dan.

More news: HIStalk Practice, HIStalk Connect.

Get HIStalk updates.
Contact us online.

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News 3/25/15

March 24, 2015 News 9 Comments

Top News

A brief preliminary statement from the American Hospital Association on the Meaningful Use Stage 3 draft says the government “continues to create policies for the future without fixing the problems the program faces today,” referring to the 2015 flexibility rules. Nobody else has had much to say about the draft, probably because it’s mind-numbingly long, was released late on a Friday yet again, and is increasingly irrelevant to providers who realize the strategic advantages they lost just to collect relatively small taxpayer handouts.

Reader Comments

From Opie: “Re: RelayHealth. Is in negotiations to sell their nursing call center and care management business to a private equity firm. The division has struggled with the business model and profitability for many years. The business has lost several key management members over the past year and they have deployed Rod O’Reilly to make a determination if McKesson can grow RelayHealth or if they should sell the entire business.” Unverified.

From Clinic Director: “Re: MU audit hell update with 96 of our 139 Epic-using providers audited. CMS was responsive and the auditor, Figliozzi and Company, offered to instead perform a fast-track pilot sample. If a EP doesn’t meet MU, the sample will be expanded, but if all EPs in the sample meet MU, the remaining audits will be cancelled and all EP payments will be released. Since we had already gone through so many audits, the remaining audits were cancelled. Great news!” I was impressed with the professional and reasonable response of Peter Figliozzi and CMS following up on the practice’s request. Well done all around.

From HIStalk Fan: “Re: BJC. Their website finally confirms their Epic project.”

HIStalk Announcements and Requests

Let us review 2009’s stellar “HITECH: An Interoperetta in Three Acts” by Ross Martin, MD, MHA and The American College of Medical Informatimusicology. Ross usually makes an inspired appearance at HIStalkapalooza, so perhaps you’ll see him on stage there.

I rarely look at readership stats, but for some reason noticed that Monday’s page views were the second-highest in the seven months since I had to switch stats counters, with 11,084 page views and 8,291 unique visits. January 20 had 13,509 page views for reasons I don’t understand since I hadn’t posted anything unusual.

I don’t consume many healthcare services since I’m healthy (and having worked forever in hospitals, I’m anxious to avoid them), but a recent experience reminded me of why the billing process is so frustrating to consumers. I went to the ED in March 2014 after being urged to go there by the urgent care center doctor (who was of questionable clinical skill) checking out my dizziness that turned out to be nothing, was kept overnight and tested endlessly because I had insurance and the malpractice-wary hospital was reluctant to send me on my way without commendably trying to answer the unanswerable (via a head CT, nuclear stress test, and tons of labs and EKGs, all of which showed nothing abnormal). I received the first bill from the hospital’s contracted ED doctor service nine months later in December 2014, which claimed I needed to pay $1,500 immediately since my account was being reviewed for collection due to the non-response of my insurance company. I left phone and email messages for the ED doctor billing company and was promised a quick response that still hasn’t come. I contacted my insurance company, whose nice lady said the ED doc billing company hadn’t even requested my medical records until nine months after my visit, which violates some sort of policy or law, so they basically told them to take a hike. The insurance company said they would talk to the ED doc billing service, so we’ll see what happens. I have to wonder what’s going on with that billing company that it took nine months to send a bill, but again, inefficiency abounds in healthcare.

What I dread most at the HIMSS conference: as a non-coffee drinker, I’ve always made fun of the mile-long line at Starbucks, which looks like a well-dressed morning rush at the methadone clinic. I’ve started drinking coffee in the morning, so I’ll have to decide if I want or need it badly enough to stand in that line myself. Thank goodness for in-room coffee makers.

The process of getting an HIStalkapalooza invitation hasn’t changed since 2008 – watch for the extensive notices in HIStalk, sign up, and hope you get picked before we run out of spots. Sponsor support allowed me to invite 1,400 people this year vs. 600 last year. Great, I thought – unlike last year, maybe I can get some actual work done instead of arguing with entitled people who think they should have been invited psychically since they didn’t otherwise express interest until after registration was closed. This year’s invitations went out and Lorre has already received over 100 emails from people requesting (sometimes demanding) additional invitations for guests, clients, and executives. They will all be politely turned down as will walk-ins that night – the count has been turned in, badges are being printed, and I’m on the hook personally for the $200 per attendee event cost if we run over our guarantee (like if the traditionally high no-show rate drops unexpectedly below the SWAG estimate we’ve built in). The massive HIStalk organization is maybe two FTEs total and we’re buried in our own pre-HIMSS work, so we don’t have time to individually debate the clearly explained process that 95 percent of people seemed to follow just fine. Last year I was so disgusted I was just going to give some whiner my ticket and hit a bar alone instead, which isn’t off the table for this year either.

I was thinking about the overuse of the word “disruptive,” usually by startups trying to convince investors and prospects that their lack of size and market traction is only temporary. I’d like to see the adjective reserved for companies that not only have the self-assessed potential to disrupt, but have actually done it.

Listening: YelaWolf, small-town rap from Gadsden, AL. I need to listen more to make sure I really like it, but my first impression is positive (other than his apparent need to have his hand planted firmly in his crotch for emotive rapping).

Acquisitions, Funding, Business, and Stock

Humana reconfigures some of its existing population health businesses under the Transcend name: Transcend, which will offer management services (the former Humana MSO) and Transcend Insights, the IT group (the former Certify Data Systems, Anvita Health, and Nnliven Systems).

Sales

Continuum Health Alliance (NJ) selects Caradigm for population health management.

MedStar Mobile Healthcare (TX) chooses the Infor Cloverleaf Integration Suite.

Maury Regional Medical Center (TN) will implement Professional Charge Capture from MedAptus.

People

Galen Healthcare Solutions promotes Jason Carmichael to CEO , Mike Dow to CIO, Erin Sain to COO, and Justin Campbell to VP of marketing.

Paul Holt (Quality Systems) joins NantHealth as CFO.

Englewood Hospital and Medical Center (NJ) names Dimitri Cruz (North Shore Long Island Jewish-Lenox Hill Hospital) as VP/CIO.

Barnabas Health (NJ) hires Stephen O’Mahony, MD (Norwalk Hospital) as CMIO.

Announcements and Implementations

The Physician Alliance (MI) expands its rollout of Wellcentive’s population health management solution.

Athenahealth says 98.2 percent of its AthenaOne users successfully attested to Meaningful Use Stage 2 in 2014. It also extends its MU and ICD-10 guarantee program to PQRS reporting and MSSP quality measures.

Hearst Health and the Jefferson School of Population Health of Thomas Jefferson University create a $100,000 award for outstanding achievement in managing or improving wellness.

Privacy and Security

SAP fixes bugs in its EMR Unwired mobile clinician app that would have allowed hackers to add phony information or change existing data.

Innovation and Research

I missed this item from a few weeks ago: Walgreens adds information from PatientsLikeMe to its personal health dashboard, allowing people who are taking a particular medication to see what side effects others have reported. Most side effects are subjective and questionably attributed to a drug that has no physiologic rationale (“Tylenol makes me hungry”), so this development is both brilliant and worrisome as patients may fail to consider that every drug has side effects, most side effects are rare and transient, and the prescriber has already weighed the risk vs. benefit. Yelp is great for finding a restaurant based on the sometimes iffy reviews of people you don’t know, but I’m not sure the science of medicine is improved by patients reacting to anecdotal reports.

Technology

Robert Wood Johnson Foundation gives Partners HealthCare a $468,000 grant to help people choose, buy, and use fitness trackers to create a personal fitness plan, which will be followed by a study of volunteer users that will look at outcomes. .

Other

Richmond-based lab vendor HDL will pay $50 million to settle DOJ charges that it gave doctors $20 per blood sample in kickbacks. HDL made hundreds of millions of dollars running cardiac biomarker tests, claiming that it paid doctors only because its competitors did. The company’s three co-founders pocketed $50 million in distributions in three years, while the two owners of its contracted marketing company personally took home $173 million.

Vox questions whether the dramatic rise in medical studies leads to ungrounded public enthusiasm for miracle cures, nearly all of which never pan out. Stats: only 6 percent of submitted single-study journal articles are accepted; of 49 highly cited studies, 14 were later proven wrong or had less impact than originally thought; and 85 percent of annual global research spending is wasted on studies that are poorly designed or redundant. It partially blames news outlets that don’t understand that “new” isn’t definitive when it comes to medical research – it’s the old, unexciting studies that have been validated by further research that change the human health.

Someone tweeted out this brilliant article that has healthcare startup implications, “The Battle Is For The Customer Interface.” Uber doesn’t own cars, Facebook doesn’t create content, and Airbnb doesn’t own real estate. “These companies are indescribably thin layers that sit on top of vast supply systems ( where the costs are) and interface with a huge number of people ( where the money is). There is no better business to be in … Our relationships are no longer with the service providers … In the modern age, having icons on the homepage is the most valuable real estate in the world, and trust is the most important asset. If you have that, you’ve a license to print money until someone pushes you out of the way.”

Sponsor Updates

RelayHealth Financial announces a new version of its RelayAccount online patient billing solution.
Meritage ACO (CA) announces that it has lowered its readmission rate to 10.2 percent using an evidence-based hybrid care model and ZynxCarebook care transition on mobile devices.
Impact Advisors posts “Meaningful Use Stage 3: Summary & Early Impressions.”
ADP AdvancedMD offers “6 facets of patient safety within a small private practice.”
Capsule Tech will exhibit at the HIMSS Middle East Conference and Exhibition March 31 – April 1 in Riyadh, Saudi Arabia.
Clinical Architecture offers the last installment of its blog series on precision medicine, plus a thorough summary of Stage 3 Meaningful Use objectives and measures.
Clockwise.MD Founder Mike Burke shares what he’s learned in the startup world at the #30in30 event at Atlanta Tech Village.
CompuGroup Medical will exhibit at the AMGA 2015 Annual Conference March 23-26 in Las Vegas.

Contacts

Mr. H, Lorre, Jennifer, Dr. Jayne, Dr. Gregg, Lt. Dan.

More news: HIStalk Practice, HIStalk Connect.

Get HIStalk updates.
Contact us online.

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ZeOmega Acquires HealthUnity

March 23, 2015 News Comments Off

Population health management system vendor ZeOmega announced this morning that it has acquired HealthUnity, which offers private and public HIE, MPI, referral management, and patient consent interoperability solutions. ZeOmega says the combined products will form a low-cost PHM infrastructure that overcomes EHR interoperability issues and allows payers and providers to drive value-based care.

I discussed the acquisition ahead of the announcement with Nandini Rangaswamy, co-founder, EVP, and chief strategy officer of ZeOmega.

Vendors of EHRs, HIE platforms, and population health management systems are all addressing population health management and analytics and insurance companies have acquired some big HIE and PHM players. What does the competitive landscape look like from ZeOmega’s perspective?

Hundreds of EMR, analytics, and HIE companies are trying to make a name in population health management, but they’re viewing PHM too narrowly. Competitors have some ingredients, but ZeOmega has an end-to-end strategy, anchored by what we call five pillars of PHM that includes the ability to drive an effective PHM program design and governance, aggregate data on the patient across the care continuum and all care settings, derive actionable insights from this data, enable effective real-time care coordination with those insights, and the ability to educate, engage and empower patients.

Acquiring HealthUnity lets ZeOmega close gaps in interoperability and patient resolution to become the industry’s first end-to-end PHM solution. So it’s my perspective that no other company can compete with our comprehensive offerings. That said, we will be competing with other companies who only have solutions for part of the care continuum. We’re so focused on doing what’s right for our clients, most of all eliminating information barriers to achieve real value-based care, so we probably will end up collaborating with come competitors’ solutions. We won’t shy away from that if it means enhancing value for our clients.

How do claims and psychosocial data fit into the set of information providers need to review a patient’s healthcare status?

In absence of interoperability, claims data can tell us about a patient’s health and their care-seeking and care-adherence behaviors. Psychosocial data can be used to determine factors that help influence and therefore predict patient behavior and outcomes. Analytics solutions that consider these variables can better predict the recommended course of action for the provider, which translates to more efficient use of provider resources while maximizing opportunities to impact patient health.

It’s easier to use an example. Let’s say a patient is being admitted for bypass surgery. Claims data can show if the patient has multiple co-morbidities, is taking multiple medications, or has a prior diagnosis of diabetes or a history of depression. Good analytics processes this data and identifies the patient as high-risk for readmission and hospital associated infections, perhaps even ICU psychosis, and may recommend an action plan to mitigate these risks, whether it’s by focusing on infection-risk areas or through medication reconciliation or tighter care transition.

Psychosocial factors can help determine the patient’s readiness to change. If an individual at high risk for diabetes is not motivated to change due to a situation in the family, the best thing to do may be to leave him alone until that situation changes for the better rather than spend costly resources to try to engage that patient.

Managing populations requires not just data, but making that data actionable so that busy clinicians don’t have to pore over records looking for ways to intervene proactively. How well is the industry transitioning to that model?

The industry is starting to see the value of actionable insight as they grapple with the challenge of providing timely and effective care while taking on outcomes risk with fewer resources. The industry is facing an information overload. It now also recognizes that insights from data alone are not sufficient.

Analytic capabilities can provide insights based on the data. However, if that insight isn’t actionable, then an organization may end up using valuable resources to translate that insight into the right action. For example, it’s relatively easy to tell from the claims data that an individual has diabetes but no foot exam and therefore has a gap in care. Actionable insights recommend a course of action. So knowing that the diabetic is a single mom, eligible for Medicaid, and at home with a sick child helps determine that the next best thing to do is to schedule a home health visit to cover the foot exam or provide for temporary child support so that the patient can make it to the doctor’s office. PHM platforms that deliver this effectively will make the industry’s transition to this model quicker.

How will you integrate HealthUnity’s offerings with those of ZeOmega?

HealthUnity’s portfolio of interoperability offerings – whether it’s their private and regional HIEs, patient resolution solutions, patient consent solutions, or referral management — are very complementary to ZeOmega’s solutions and will be offered as part of the Jiva PHM stack. Technologically, the integration between the HIE, master person index, and Jiva PHM platforms lets us develop a rapidly deployable infrastructure that payers and providers alike can leverage to better coordinate care and improve outcomes.

How does the acquisition fit with ONC’s interoperability roadmap?

ONC laid out 10 guiding principles and building blocks in Connecting Health and Care for the Nation. Acquiring HealthUnity helps ZeOmega meet ONC principles even better, whether that be flexibility, configurability, adaptability, reusability, simplification, modularity, privacy and security, or scalability and access.

For example, HealthUnity’s HIE supports multiple industry data exchange standards. Its Universal Patient Consent solution empowers the individual to designate which provider can see specific portions of their health record, while capabilities such as EHNAC-certified direct messaging capabilities enable providers to collaborate even though some may have less sophisticated infrastructure than others.

The HealthUnity acquisition further strengthens ZeOmega so we can continue making investments to keep our company and our clients in lockstep with the ONC’s 10-year vision.

Monday Morning Update 3/23/15

March 21, 2015 News 13 Comments

Top News

HHS, CMS, and ONC publish proposed rules for Meaningful Use Stage 3 and 2015 Edition EHR certification criteria. The announcement was posted as a Word document, bizarrely, and late on a Friday afternoon as is always the case. The Stage 3 rule is here and 2015 certification criteria here. Your comments are welcome, both here (any time) and at the Federal Register links (by May 29, 2015). I’ll be honest in saying that I’m so sick of the topic that I haven’t even bothered to read either document. I’m sure the many special interest groups will call out the parts they find objectionable and thus are probably the most needed. Feel free to chime in on parts you find interesting or surprising.

Reader Comments

From Yours in Nomenclature: “Re: SNOMED-CT MOOC. It’s going to happen. I might sign up since my work bumps against it.” The College of St. Scholastica offers a free massive open online course (MOOC) called “Exploration of SNOMED-CT Basics” that starts April 20. Registration stays open until May 18 since the student just needs to finish the course by June 15. It offers 12 AHIMA CEUs. The instructor is Mike Grove, PhD of Accenture.

From Paul: “Re: Epic’s Deep Space architecture award. While I must congratulate Judy, I just left Verona with a sense of dismay at what our organization has been putting up with to build this place — north of $400 million by estimates — for a forum we’re only visiting once a year.” I think they should have concerts there. It would be fun to go to Verona for training and then walk over to see Rush or U2.

HIStalk Announcements and Requests

Two-thirds of poll respondents don’t think Congress will insert another surprise ICD-10 delay into SGR legislation, a belief that seems well founded in the draft versions presented so far. New poll to your right or here: which company do you trust least to make information exchange common and inexpensive? Of course I’m fascinated to learn why you voted as you did, so click the “comments” link afterward and explain.

I’ve emailed the 13 CMIOs who expressed interest in attending my HIMSS conference lunch on Tuesday, April 14. I still have a handful of spots left. I don’t often volunteer to pick up the lunch tab, so it’s a rare opportunity.

I’m really getting annoyed at half-wits who think it’s hilarious to use “FHIR” as “fire” in creating a lame pun for a headline or tweet.

Listening, as I was taking an extended drive and used Siri’s “what is this song” option to get the titles of the radio tracks I liked best as I constantly scanned: Christian rocker Matthew West’s “The Motions,” The Smashing Pumpkins with “Today,” a forgotten classic by the indefatigable Butthole Surfers, “Pepper,” new from Incubus, and my favorite song (nearly 40 years old) of the amazing Electric Light Orchestra.

HIStalkapalooza

HIStalkapalooza invitations have been emailed. Spam filter problems are rampant these days, so I’ve added a second level of checking: see this page, which lists who was invited in a somewhat de-identified format (first three letters of the last name, comma, and first two letters of the first name). We cannot accommodate walk-ins or guests, so the security people will admit only those who are on their full registration list. Some sponsors didn’t submit their guest lists in time, so if you’re being invited by one of the event sponsors and aren’t on the list, you should be getting an invitation directly from that sponsor.

I’ll take a second to again thank the HIStalkapalooza sponsors that are making it possible for a large number of folks to attend the event. Several of those listed are going above and beyond, with Sagacious, for example, running guest check-in and badge printing and Elsevier managing the traditional red carpet entrance. These companies are springing for dinner, drinks, and entertainment, so it seems reasonable that you click their links in return to see what’s new with them.

Platinum Sponsors
Elsevier
Santa Rosa Holdings

Gold Sponsors
Divurgent
Sagacious Consultants

Silver Sponsors
Aventura
CommVault
Falcon Consulting Group
Greenway Health
PatientSafe Solutions
Sunquest
Thrasys
Validic

Speaking of red carpet, here are skeletal details of the ever-popular HIStalkapalooza fashion awards, where your hot shoes will be burning down the avenue (Dearborn Street in this case). We’ll have four winners: best shoes male and female and then best overall appearance, also male and female, which will earn the HIStalk King and HIStalk Queen sashes, since like high school, we overly emphasize appearance because it’s all we have time to evaluate. Plan to enter early (maybe 6:45 to 7:15) via the red carpet, where our distinguished judges will cast their critical eyes feetward and then full body. Your regular host Jennifer Lyle of Software Testing Solutions serve as expert along with one of our patient scholarship winners Amanda Greene, who was involved with the red carpet at the Oscars this year and who works with fashion magazines. We’ll bring the four winners up to the stage to be sashed.

Last Week’s Most Interesting News

A proposed Congressional SGR “doc fix” bill would make health IT interoperability a national priority to be achieved by the end of 2018 and proposes to penalize those who intentionally obstruct it.
A contracting billing company’s employee falls victim to a phishing scam, exposing the information of 14,000 patients of Sacred Heart Health System (FL).
Cerner and Athenahealth chide Epic via Twitter for its non-participation in CommonWell following its negative comments about the organization in congressional testimony.
Premera Blue Cross discovers that hackers have had access to its 11 million patient records since May 2014.
Meditech reports full-year 2014 results that include an 11 percent drop in revenue and profits that were reduced by 7 percent, although the company had previously restated its financials and that change may have affected the totals.
CHIME offers a $1 million prize for an idea or technology that increases patient ID matching from the current 80 percent to 100 percent, although presumably members of Congress who could enact national patient identifier rules are not eligible.
Implementation of New York’s mandatory e-prescribing law is delayed for a year, to March 27, 2016.

Acquisitions, Funding, Business, and Stock

Vince Ciotti has been tracking vendor annual revenue for decades. Here’s the first installment as he introduces the episodes to follow. He confirms the feeling I’ve had that HITECH goosed company revenues for a couple of big years, but that has tailed off and left a lot of software and consulting vendors scrambling to resize themselves appropriately.

People

Valence Health hires Kai Tsai (PwC Consulting) as EVP of consulting services and strategic initiatives and Mary C. Anderson, MD (Rush University Medical Center) as medical director of population health.

Karen Wavra (Allscript) joins Beacon Partners as Cerner practice director.

Announcements and Implementations

The headline “El Camino says goodbye to paper medical records” wasn’t written during its TDS implementation in the 1970s – it describes El Camino Hospital’s (CA) $125 million move to Epic.

Surescripts names 24 health systems and technology vendors for its “2014 White Coat of Quality Award” for electronic prescribing.

Government and Politics

This is a scary graph. Healthcare is the highest-employing industry in 35 states.

An editorial in the Burlington, VT paper applauds an announcement by the governor that if Optum can’t get the state’s insurance exchange working by October, he’ll shut it down and move to the federal exchange. The state will have spent $198 million in federal taxpayer dollars by the end of 2015, with unimpressive results following screw-ups by CGI that resulted in its replacement by Optum.

Acting VA CIO Stephen Warren says that even though the DoD is shopping for a commercial EHR, the VA will stick with VistA because it was developed for patient care rather than built around billing as were commercial systems.

Technology

Good Morning America goes inside Apple’s secret fitness lab, where employee volunteers tested various sensors and technologies over the past two yeas without knowing their work was for the development of Apple Watch.

Other

A Virginia Peninsula newspaper points out that the region is one of the first in the country in which all competing health systems (Bon Secours, Riverside, Sentara, and Chesapeake Regional Medical Center) use the same EHR, Epic in their case. Like a lot of newspapers and marginally informed pundits, this article mistakes HITECH as being part of the Affordable Care Act, but this one takes it a step further in proclaiming that hospitals didn’t start testing EHRs until the 1990s and that just two major players remain (Cerner and Epic, forgetting about still-common but somewhat fading Meditech).

UnitedHealthcare runs a cute commercial that features an ICD-9 code and virtual visits.

Bob Wachter, MD, pitching his new book, writes a New York Times editorial whose content he summarizes via Twitter as “Why health IT is so bad and how to make it better.” The former was mostly anecdotes and I didn’t see much of the latter: his suggestions are: (a) train doctors to focus on the patient, not the computer; (b) create new ways to practice provider teamwork in the absence of a shared chart; (c) create federal policies that promote interoperability; (d) increase collaboration between academic researchers and software developers. Doctors may hate EHRs, but all it took was $44,000 in federal money to get them to use them. My argument would be that doctors should redesign the encounter system so they don’t need to use computers at all unless they need its help — doctors are the only professionals (accountants, lawyers, psychologists, plumbers) who key their own information into the computer instead of focusing entirely on the paying client sitting in front of them, and not only that, do most of their keystroking for the benefit of someone other than themselves. You could argue that medicine is the only profession that is practiced as a team, which might hit Bob’s second point, but I’d still say bring on the scribes and let doctors be doctors and not the medical equivalent of the grocery store checkout clerk. Everybody agrees that the information needs to be recorded, but it’s not reasonable that the highest-paid professional in the medical food chain be the one doing it.

Bob Wachter tweeted out an interesting excerpt from his book as he quoted National Coordinator David Brailer responding to the question if ONC would shrink itself as the HITECH money runs out. “Bureaucracies don’t retrench,” Brailer said. “ When a bureaucracy that starts out as the Candy Man runs out of candy, it goes dark and turns into Regulatory Man.”

Anyone who attended HIMSS09 in Chicago saw the weather change from a near-blizzard on Sunday to pretty good later in the week. Here’s what the not-so-bad weather looked like at O’Hare on April 12 of previous years (the Sunday opening day of this year’s conference):

2014: low 42, high 69, rain 0.43 inches.
2013: low 34, high 45, trace of snow.
2012: low 40, high 66, no precipitation.
2011: low 36, high 68, no precipitation.
2010: Low 48, high 63, no precipitation.

The family of a Virginia radio personality who died after routine hernia surgery is awarded around $2 million from the hospital and its PCA pump manufacturers. Nurses mis-programmed the pump and delivered five times the ordered dose of narcotic, which just about everybody agrees was because of the device’s complexity, although the manufacturer claims the nurse hadn’t been properly trained, didn’t monitor her patient, and waited eight minutes after finding the patient unresponsive before calling for help.

This photo, which a paramedic took surreptitiously as a California ED doctor grieved after his 19-year-old patient died, has received a lot of Internet attention after being posted on social media. Minutes later, the doctor had moved on to his next patient with his game face on. It’s a good reminder that a hospital is just a very clean hotel with a lot of expensive executives and non-clinical hangers-on – lives get saved, as they do on the battlefield or in an ambulance, by a well-trained fellow human who is willing and able to help.

Sponsor Updates

Shareable Ink’s ShareQuality technology is featured in Nashville Medical News.
Voalte CEO Trey Lauderdale shares his belief that “With Apple ResearchKit, mHealth Springs Forward.”
Zynx Health will exhibit at the 2015 Population Health Colloquium March 23-25 in Philadelphia.
The SSI Group and ZirMed will present at the Region 4 Mid-Atlantic HFMA Education Conference March 24 in Baltimore.
Verisk Health will exhibit at the AMGA Annual Conference March 23-26 in Las Vegas.
Xerox Healthcare asks, “Does Better Healthcare Require Better Patients?”
Sunquest Information Systems will exhibit at the 2015ACMG Annual Clinical Genetics Meeting March 25-27 in Salt Lake City.
PMD offers “Telemedicine: The Work of the Gods.”
MedAptus, PatientKeeper, and Passport Health will exhibit at the AMGA 2015 Annual Conference March 23-26 in Las Vegas.
The local business paper interviews Quest Diagnostics CEO Steve Rusckowski about the company’s recent successes and future plans.
MedData will exhibit at the OHIMA Annual Meeting & Trade Show March 24-25 in Columbus, Ohio.
MEA I NEA CEO Lindy Benton discusses the importance of improving practice communications on eHealth Radio.
Navicure posts “Price Transparency: What does it have to do with Patient Engagement?”
NVoq offers how to “Avoid Those ‘Few Extra Clicks’ and Improve EMR Workflow.”
Nordic releases the second episode of its HIT Breakdown podcast entitled, “What does a great population health program look like?”
Park Place International publishes a blog on “Winders Server 2003 End of Life and Active Directory.”
Orion Health and Sandlot Solutions will exhibit at the 12th Annual World Health Care Congress March 22-25 in Washington, D.C.
NTT Data will exhibit at the CIO Summit March 22-24 in Chicago.
Perceptive Software’s In Context blog addresses “Hospital IT: Beyond the EHR.”
BBC’s Click Tech program features the Oneview Healthcare solution used by UCSF Medical Center (CA).

Contacts

Mr. H, Lorre, Jennifer, Dr. Jayne, Dr. Gregg, Lt. Dan.

More news: HIStalk Practice, HIStalk Connect.

Get HIStalk updates.
Contact us online.

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News 3/20/15

March 19, 2015 News 18 Comments

Top News

The House’s proposed doc fix SGR bill includes a requirement stating that “Congress declares it a national objective to achieve widespread exchange of health information through interoperable certified EHR technology nationwide by December 31, 2018” and orders HHS to take action if interoperability metrics aren’t reached that could include Meaningful Use penalties and EHR decertification. The bill would also require providers to declare that they that they haven’t restricted interoperability as part of their attestation (that sounds tricky to interpret). It also calls for studying the creation of an EHR feature comparison website. Other language in the proposed legislation addresses data usage and telemedicine, so it’s pretty heavy in IT-related language. Now the political sausage-making begins, hopefully without someone’s ICD-10 Hail Mary sneaked in as time expires.

Reader Comments

From Data Driver: “Re: Demand-Driven Open Data (DDOD). I’m cautiously optimistic about this new mechanism to open and track government data requests. I say ‘cautiously’ because I’ve seen competent people in HHS’s ‘Entrepreneur in Residence’ program have their projects stymied by unspecified limitations.” HHS’s DDOD program, launched in November 2014, lets startups, providers, and researchers tell HHS (via online use case requests on Github) what data or APIs from CMS, NIH, CDC, and FDA they would like to have. Requests are prioritized by potential cost savings and input from data users, and if approved, the requestor works with HHS to manage its development as a project. Some interesting use cases: retrieve Medicare pricing by CPT, create a consolidated registry of marketed medical devices, export FDA’s drug warning letters to data format, and create a de-identified claims dataset for tracking utilization and quality.

From Brutus: “Re: Standard Register. I haven’t seen any news on its implosion. The CFO resigned in January, they got booted from the NYSE, and now they’ve filed Chapter 11. They bought iMedConsent from Dialog Medical awhile back and seemed to be making a slow transition from their paper forms business.” They’ve announced restructuring plans to sell the company to a turnaround-focused hedge fund for only $275 million. Standard Register’s electronic healthcare offerings include electronic forms, document capture, electronic consent, electronic storefronts, medication history, discharge follow-up, and workflow. The company bought Dialog Medical for $5 million in 2011.

From Sturges: “On the noise around Epic and the Senate interoperability hearing, everyone is missing one piece: who asked the question on CommonWell to Epic’s Peter DeVault? The answer: Tammy Baldwin, US senator from Wisconsin. Judy is one of her largest political donors. So, Epic (and/or Brad Card, their lobbyist) planted the question with Baldwin’s staff. Baldwin is happy to help a large donor. Epic’s DeVault provides his rehearsed, untruthful reply. It is typical Washington." Senator Baldwin is not only Judy’s heaviest-supported politician (Judy’s campaign contributions are listed are above), Senator Baldwin was one of five members of a Congressional delegation that in 2011 wrote a letter to the Department of Defense urging it to consider buying Epic, which seemed cheeky at the time, but now Epic is one of three finalists for the DoD’s $11 billion EHR project and the free VistA is off the table.

From MrSoul: “Re: Spartanburg Regional Medical Center (SC). They’re going Epic, replacing GE Centricity in the clinics and McKesson Horizon inpatient. That means Bon Secours St. Francis, GHS, and Spartanburg Regional will all be Epic soon. No Epic jobs on their site yet.” Glassdoor is now showing some Epic jobs at Spartanburg Regional.

HIStalk Announcements and Requests

This week on HIStalk Connect: Health Catalyst raises a $70 million Series D round to expand its data analytics platform. Google secures a patent for a wrist-worn system that will search for and then attack cancer cells in the bloodstream. 23andMe announces that it will begin using its genome database for drug discovery research. HealthTap introduces RateRx, a platform for doctors to rate the effectiveness of medications.

This week on HIStalk Practice: Austin Regional Clinic gets into virtual visits via CirrusMD. Mettrum Health launches physician portal for medical marijuana services. AHIP attempts to one-up the AMA in Chicago. VSee helps telemedicine go galactic. Jerry Broderick outlines how practices can give themselves a leg up when it comes to capturing physician commitment. HHS and PwC look back at ACA hits and misses. Zobreus Medical takes its EHR to Kickstarter. Physician optimism around mobile apps may be naive.

Acquisitions, Funding, Business, and Stock

Clinical trials software vendors CentrosHealth and Clinical Ink merge.

The Houston business paper profiles seven-employee Medical Informatics Corp., which offers the FirstByte alarm management program and says its real-time clinical decision support application should pass FDA approval and enter the market in this year.

IBM invests an unspecified amount in Modern Medicine, which is working on Watson-powered ambulatory clinical decision support.

Sales

Washington’s Department of Social and Health Services chooses a hosted version of Cerner’s Millennium and revenue cycle for three psychiatric hospitals.

Announcements and Implementations

Premier announces PremierConnect Supply Chain to manage a health system’s entire purchasing process including, real-time supply analytics, online sourcing, catalog management, and materials management. Test sites included Adventist Health and Fairview.

Cerner and Intermountain announce implementation of iCentra — the EHR/PM system they’ve been working together to develop — at two hospitals and 24 clinics, with the rest of Intermountain going live through 2016. The announcement says the collaboration makes iCentra “more unique” (which is grammatically horrifying) than competing EHRs.

Government and Politics

California tax authorities and Blue Shield of California are criticized for failing to disclose that the insurance giant’s non-profit status was revoked seven months ago before people starting signed up for insurance on Healthcare.gov. The state’s insurance commissioner applauds, saying Blue Shield charges excessive rates and doesn’t operate any differently than for-profit insurance companies. The organization paid its CEO $4.6 million in 2011 (and has declined to say what it has paid him since) and spent $2.5 million for a San Francisco 49ers luxury box last year. Blue Shield’s just-resigned public policy director is running a public campaign to convert the insurer to a for-profit company that could be worth up to $10 billion and use the money for safety net care. The questions raised could be logically extended to health systems that don’t pay taxes despite billions in income, millions in surpluses, and the highest executive salaries in the non-profit world.

Privacy and Security

Sacred Heart Health System (FL) notifies 14,000 patients that their information was exposed when the email account of a contracted billing vendor’s employee is hacked. Please, well-intended writers and self-appointed experts – stop yammering about encrypting data at rest (which wouldn’t have prevented any of the recent big breaches) and focus on phishing attacks. They aren’t as easily detected as earlier primitive attempts that featured laughably poor English and poorly disguised links that would fool only the least computer-literate employees. Phishers have become convincing in luring even intelligent people into clicking official-looking links or opening malware attachments that claim to be faxes, legal documents, or password reset links. That doesn’t even account for phone phishing where smooth-talking people convince employees to divulge passwords. Encryption is worth zero if someone steals the password of an employee who has data access.

Innovation and Research

An AHRQ-funded review of how eight inpatient EHRs display lab values finds inconsistency and graphical limitations, with the authors suggesting that ONC beef up certification criteria. Some EHRs failed to include the patient’s birthdate, a description of the value being displayed, or a data legend.

Clinicians and technologists in Vermont join to create MEDSINC, a mobile app for poor countries that allows users with no medical training to input information about a sick child and then receive suggested treatment options based on local conditions. The app was envisioned by UVM pediatrician Barry Finette, MD, PhD and built by Physicians Computer Company co-founder John Canning with input from 10 university pediatricians who reviewed WHO protocols and evidence-based research. Testing at UVM suggests that pediatricians and the app agree 94 percent of the time vs. the 80 percent agreement typically found when two board-certified pediatricians review a case. Field deployment in Bangladesh begins later this year. The developers say it might eventually land in the US provided they can get through the FDA’s process. They’ve formed a company called ThinkMD.

A report says Apple decided to move ahead with ResearchKit in September 2013 after one of its executives heard a Stanford MedX talk by Stephen Friend, MD, PhD, a former drug company oncology SVP who co-founded Seattle-based non-profit Sage Bionetworks that provides tools for large-scale, transparent biomedical research. It says Friend decided to work with Apple rather than Google or Facebook because as a hardware manufacturer, Apple won’t sell data.

Technology

Don DeCoteau is developing BellaVista, an EHR-agnostic, native client (iOS, Android, and JAVA-supported desktop) that displays clinical results with a framework to integrate QR codes, real-time medical device streams, videoconferencing, and voice-based ordering and documentation. He’s got it running with the VA’s VistA to illustrate that the client can work with any EHR that offers an API for accessing clinical information. Don is looking for early adopters.

A New York Times Magazine article pokes fun at people who worship “optimization” because it’s easier to appease their “inner bean counter” than to develop talent or ambition also takes on the Apple Watch in comparing it to the Stalin Gulag’s computer-driven optimization of “maximum work given minimum food”:

After time keeping, the watch’s chief feature is “fitness tracking”: It clocks and stores physiological data with the aim of getting you to observe and change your habits of sloth and gluttony. Evidently I wasn’t the only one whose thoughts turned to 20th-century despotism: The entrepreneur Anil Dash quipped on Twitter, albeit stretching the truth, “Not since IBM sold mainframes to the Nazis has a high-tech company embraced medical data at this scale. And yet what attracts me to the Apple Watch are my own totalitarian tendencies. I would keep very, very close tabs on the data my body produces. How much I eat. How much I sleep. How much I exercise and accomplish. I’m feeling hopeful about this: If I watch the numbers closely and use my new tech wisely, I could really get to minimum food intake and maximum work output. Right there in my Apple Watch: a mini Gulag, optimized just for me.

Other

It’s fun to have a sideline seat for the public vendor interoperability squabbling generated by the Congressional testimony of Epic’s Director of Interoperability Peter DeVault, who disclosed upon direct Senatorial inquiry this week that Epic charges customers $2.35 per patient per year to send data to non-Epic systems. Athenahealth’s Jonathan Bush says he’ll pay Epic’s $1.4 million fee to join CommonWell, while Cerner calculates the many millions Epic receives from its data sharing tollbooth. Meanwhile, as reader Where’s Waldo suggests, we can take one important issue off the table right now if McKesson’s John Hammergren will simply state in writing that his RelayHealth business (CommonWell’s technology provider) will never sell data, which is different than having CommonWell itself say it won’t sell data. Hammergren has seemed awfully excited when describing CommonWell to investors.

A KLAS report on small-practice (1-10 doctors) EHRs puts Cerner at the top for broad market vendors in a fairly stunning turnaround, with PCC topping the specialty category (pediatrics in its case). Bottom-ranked and trending hard in the wrong direction are NextGen, Allscripts, and McKesson. McKesson leads the pack in clients planning to replace its product at 43 percent, while PCC has the highest planned retention at 98 percent. Small-practice customers in general say their EHR vendors spend too much time chasing Meaningful Use and ICD-10 rather than delivering customer-suggested enhancements. Users of Greenway Intergy, NextGen, and McKesson called their vendors out as having “black-hole syndrome” where support loses or ignores their tickets or fails to follow up. Customers of Allscripts, eClinicalWorks, and Bizmatics complained that the support reps often don’t speak English very well and one NextGen customer reporting that he’s tired of getting calls from overseas at 3 a.m. The biggest complaint by far of customers planning to replace their EHRs is poor usability (although those same EHRs had the same poor usability when those same customers bought them, so those customers are more to blame than anyone).

A random telephone survey (which raises validity flags every time even if you ignore the leading questions that are asked or days and times calls were made) finds that 75 percent of respondents think their providers should be able to share their information, while 87 percent don’t think either providers or patients (i.e., themselves) should have to pay for it. Most respondents also said they love puppies and their country (wait, I made that part up). The real way to tell if data sharing is important is to ask people (a) if they’ve switched providers who don’t or can’t share information, and (b) would they pay extra for it.

Epic’s underground Deep Space Auditorium is judged the best new building in America in the over $200 million cost category, with the Madison-based contractor that built it also winning a top award.

A female pediatrician in England accuses a gym chain of “blatant sexism” upon finding that she couldn’t enter the women’s dressing room because the gym’s security system assumes that anyone with a “Dr.” title is male.

An Internet domain company challenges a policy under which the new .doctor domain will be issued only to medical doctors who provide evidence of their credentials, saying it’s not fair to PhDs and companies with “doctor” in their name, such as Rug Doctor.

Sponsor Updates

PatientSafe Solutions President and CEO Joe Condurso publishes “Liberate and activate EHR data with mobile tools for clinicians and patients.”
InterSystems releases a white paper entitled, “Data Scalability with InterSystems Caché and Intel Processors.”
Intellect Resources posts a new blog on “Identifying Your Career Motivators.”
Hayes Management Consulting Offers “3 Ways to Minimize Anxiety During an EHR Implementation.”
HDS posts “The Push for Pull Marketing in Healthcare.”
InstaMed offers “Why Healthcare Needs Apple Pay.”
E-MDs will exhibit at American Academy of Orthopaedic Surgeons 2015 March 24 in Las Vegas.
Galen Healthcare Solutions introduces Web Access for VitalCenter in its latest blog.
Ingenious Med blogs about “The Future of Innovation.”
Healthwise will exhibit at the World Health Care Congress March 22-25 in Orlando.

Contacts

Mr. H, Lorre, Jennifer, Dr. Jayne, Dr. Gregg, Lt. Dan.

More news: HIStalk Practice, HIStalk Connect.

Get HIStalk updates.
Contact us online.

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