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News 7/6/18

July 5, 2018 News No Comments

Top News

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England’s NHS announces December 2018 availability of a new app that will allow all citizens to book doctor appointments, order prescription refills, manage chronic conditions, and make calls to its 111 non-emergency medical helpline.

The app will also allow users to record their data-sharing, organ donor, and end-of-life care preferences.

Health and Social Care Secretary Jeremy Hunt said of the app, “I want this innovation to mark the death-knell of the 8 a.m. scramble for GP appointments that infuriates so many patients.”

Thursday was the 70th birthday of NHS, formed on July 5, 1948 to bring together all health services under a single organization.


Webinars

None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre for information.


Acquisitions, Funding, Business, and Stock

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The investment fund of David Einhorn – a long-time, vocal critic and stock-shorter of Athenahealth that he dismissed as “a business process outsourcer with a very promotional CEO” that stood no chance against Epic – is losing investors as the value of its investments dropped 11 percent from 2014 to 2017 as the S&P 500 rose 38 percent. Einhorn is also shorting Amazon and Netflix, which have gained value, and is long on Brighthouse Financial, whose shares have dropped 31 percent so far this year.


Sales

  • In England, NHS Digital awards IBM a three-year contract for cybersecurity services that include vulnerability scanning, threat detection, and threat intelligence.
  • Atrium Health (the former Carolinas HealthCare System) chooses Golden Hour’s EMSHIE solution for exchanging patient information with emergency responders.

People

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Our Lady of the Lake Regional Medical Center (LA) hires Stephanie Manson, MBA, MS (Franciscan Missionaries of Our Lady Health System) as COO.


Announcements and Implementations

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Holzer Health System (OH) goes live on Athenahealth.

Cleveland Clinic joins the list of hospitals that give patients access to their medical records on Apple Health Records. Apple lists more than 60 health systems that are participating in the Health Records beta.


Government and Politics

Politico reports that Cerner hired two former Congressmen as lobbyists for its VA project the day the contract was signed – Jeff Miller (R-FL) and James Moran (D-VA), both employed by McDermott Will & Emery.


Privacy and Security

A former patient information coordinator at UPMC and Allegheny Health Network (PA) is indicted on federal charges involving her retrieval of the information of 111 patients and her disclosure of the information of three of them “with the intent to cause malicious harm” if an unspecified nature. She faces an 11-year prison sentence and a fine of $350,000.

Facebook can continue tracking the browsing habits of people who have deleted their Facebook account, the company confirms, where it obtains information from any site that uses its Like or Share buttons or that runs Facebook ads to nag the former user into returning to Facebook and to serve them ads.


Other

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A small study finds that adding a second exam room monitor that mirrors the clinician’s EHR screen can be helpful in engaging patients. Patients liked the transparency, not having to look over the clinician’s shoulder in feeling engaged, and having the clinician’s conversation reinforced by seeing their information on the EHR screen. However, they found the EHR user interface, screen-flipping, and on-screen jargon confusing. Clinicians liked the ease of sharing information with patients, but noted that not all patients are interested. They also worry that raising more patient questions would extend visit time. Both groups noted that exam rooms were not well laid out for adding a second monitor.

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Epic adds to its quirky campus art collection by buying the old-fashioned carousel and decorations of the recently closed Ella’s Deli of Madison, saying that it was an easy decision to preserve part of the iconic landmark.

In Wales, Assembly member Lee Waters says the country is struggling with NHS’s IT systems, claiming that the unreliability of its Cancer Network Information System Cymru (Canisc) is causing daily problems. BBC says the system is over 20 years old, is not supported by Microsoft, and went down 11 times in a recent four-week period, delaying some chemotherapy and radiation therapy treatments.

A Fortune opinion piece by a venture partner observes that companies are claiming their systems are AI-powered when they are really capable of doing only basic data analysis via pre-programmed logic or plain old algorithms. His investment evaluation checklist for AI-claiming companies is:

  • Do their systems get constantly smarter?
  • Do they leave a large trail of proprietary data collected from interesting sources?
  • Does their technology reduce the need for humans to be involved?
  • Do the founders have deep technical understanding of machine learning models and how they can be applied to a large data set?
  • Is their AI expertise so deep that they have an extreme advantage over competitors and can they attract the right talent to go after their market?

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Independence Day always generates some fireworks-related cautionary tales. A Dayton, OH man who had just purchased fireworks couldn’t wait to light one and throw it out his car window, with his unsuccessful toss igniting his in-car stash and causing an explosion that severely injured him and several people nearby, set off car airbags down the street, and damaged a nearby house. A 21-year-old Maryland man sustains severe hand injuries when he tries to launch an illegal firework from a mortar over his head during a party, not realizing that he was holding the mortar upside down.  A Florida man holding an M80 blows off all his fingers. Another Florida man loses his fingers and eyebrows when a mortar he had modified went off in his hand. Kudos to NFL’er Jason Pierre-Paul, who, as he does annually, posted gruesome photos of his July 4, 2015 fireworks-caused hand injury in warning people to be careful with fireworks (ESPN’s tweeting of a hospital OR schedule to scoop the world on his finger amputation kicked off a privacy firestorm, you may recall). 


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
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News 7/4/18

July 3, 2018 News 2 Comments

Top News

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UK-based private equity firm Hg will buy Orion Health’s Rhapsody healthcare integration technology business for $138 million and will pay another $14 million to acquire a 25 percent share of its population health unit.

In a complicated transaction, Orion will then reinvest some of the proceeds to buy back equity from the same acquirer, leaving it with 25 percent of Rhapsody and 75 percent of population health. It will use the rest of the money to buy back shares and fund its hospital division.

Orion shares, traded on the New Zealand exchange, rose sharply on the news but are still down 81 percent since the company’s December 2014 IPO.  


Reader Comments

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From Gaunt Survivor: “Re: HIStalk ‘like’ buttons. Which items have earned the most votes?” That’s an interesting question since I’ve never looked at the statistics from those little thumbs up/down icons I added to each post and comment, and in fact I didn’t know I could look up historical results. The all-time top three items by net score (likes minus dislikes over the past 18 months since I first turned on voting) are a diverse group:

From Sprachen: “Re: telemedicine. Some harsh tweets say it was overhyped.” The virtual visit companies have certainly hyped themselves (which is what companies do, especially when they are trying to create a new consumer market) and uptake has been slower than you might expect because of state-specific laws, reimbursement issues, and natural market consolidation. However, there’s no way telemedicine can fail to attract a significant share of some market elements — specifically non-urgent acute issues, mental health, and chronic disease management – because it eliminates the geographical challenges that are caused by irregular provider distribution and challenging physical access. The biggest challenges to telemedicine vendors are (a) they have to market directly to consumers, which is expensive and difficult; and (b) they have to maintain a supply of competent providers who are wiling to conduct video visits at reasonable compensation levels. They have an advantage that both insurers and consumers should find appealing in that they can operate as a de facto national medical practice that is professionally managed to follow sound medical standards defined by policy and procedures and measured by analytics across a broad scale, which could be a lot better than a rogue independent doctor whose practice patterns stray from the accepted. There’s actually a third challenge that sounds worse than it is – it’s not as good as having access to your regular doctor via email or telephone, but most medical practices are eliminating that threat by hiding themselves behind the four walls of their insurance billing factory.


HIStalk Announcements and Requests

Listening: new from The Wild Feathers, which breaks my lifetime-long streak of never recommending a country-rock band. It’s like the Eagles with the annoying parts excised, with remarkable harmonies and enough minor chords to keep me from quickly flipping on. I only wish they would ditch the cliché cowboy hat affectation that is emblematic of Nashville-based artists even though I’ve never seen anyone the South (except for Texas) wear a cowboy hat in public since they have no actual cowboys, especially the kind that work indoors at night miles away from the nearest horse that they couldn’t ride anyway.

It’s the beginning of the July Syndrome, when fresh batches of frightened, newly minted medical residents begin working in US hospitals in scarily defining why we call it the “practice” of medicine. You will be well advised to steer clear for non-emergent needs for the next month or so.


Webinars

None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre for information.


Acquisitions, Funding, Business, and Stock

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Laid-off IBM Watson Health engineers describe the challenges faced by the company following its expensive acquisition of Phytel, Truven, and Explorys in 2015-2016 in trying (and failing so far) to turn its $15 billion investment into profits:

  • Phytel employees thought they would accomplish great things under IBM, but has seen the company lose half its clients and 80 percent of its employees
  • IBM halted everything Phytel was doing for the first post-acquisition year as it “bluewashed” the company by making it do things IBM’s way
  • Non-technologist IBM leaders tried to create new Watson products from the capabilities of its acquisitions, but didn’t have clear ideas, kept changing their mind, and sketched out products that were impossible to create
  • IBM is losing the war to attract AI talent
  • Former engineers say IBM is “not anywhere close to injecting AI into the provider space” as the planned new products don’t use AI
  • Asking Phytel’s customers what they wanted resulted in their demand to bring back the pre-IBM product

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Rock Health’s Midyear Funding Review says:

  • Digital health investments continue to grow at a record pace
  • Startups are increasingly having their products validated even in a post-Theranos shadow
  • Two-thirds of digital health investors have made previous deals in the sector
  • M&A activity is down from its 2015 high as companies are staying private longer even when they have raised more than the $136 million average of previous IPOs, instead choosing to be acquired pre-IPO
  • Half of the digital health companies acquired so far in 2018 were bought by other digital health companies, although the number overweighted by virtual visit providers that aren’t really technology companies

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CNBC notes that e-cigarette maker Juul – whose USB-recharged vaporizer is easily concealable before and during use — is enjoying an 800 percent sales jump and a valuation of $15 billion, even as public health experts warn that while the company claims its products are intended to help adults quit smoking tobacco, many of its users are teens and adults who have never smoked. The company and its knock-off competitors offer nicotine-containing pods in such flavors as apple honeydew, donut cream, and Gummy Bear.


Sales

  • University of Mississippi Medical Center chooses Kyruus’s ProviderMatch for Access Centers to allow call center agents to identify the right provider based on a patient’s needs.

Announcements and Implementations

Japan’s first telemedicine intensive program goes live, developed in conjunction with Philips.


Government and Politics

Politico reports that the VA will not continue its Epic-powered MASS scheduling project beyond the pilot stage and will instead use Cerner’s capabilities. The VA ended up spending $28 million of the $624 million contract. However, the publication has since issued a “clarification” that its original report was incorrect, and the VA in fact hasn’t yet decided whether to continue the MASS project.


Privacy and Security

A former peer review coordinator of Memorial Hermann Healthcare System sues the health system, saying it fired her for her refusal to reveal confidential surgery-related information at open meetings.

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A developer whose company’s mission-critical monitoring application runs on Google Cloud is dismayed to find his entire site down, shut down hard by Google’s automated systems after “potential suspicious activity” with warnings that the entire site would be deleted within three business days. He reports that Google’s customer chat was offline and no support telephone number was provided – Google requires completing an online form and attaching a scan of the credit card use for payment as well as the holder’s picture ID, requiring him to wake up the company’s CFO in whose name the card was issued. He advises using Amazon Web Services instead, having experienced this problem twice with Google Cloud.

In England, NHS Digital blames one of its technology vendors (TPP) for failing to send it patient opt-out requests, a just-uncovered problem going back to 2015 that has caused the information of 150,000 patients to be shared against their wishes.


Other

Stat profiles Biobot Analytics, whose technology analyzes a city’s wastewater as a “public health observatory” that uses “wastewater epidemiology” to perform population-level, toilet-based studies. The company’s challenge is that cities don’t really want to know (and to have publicized) their incidence of opioid use and it would merely confirm the extent of a problem already known to be extensive.

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The New York Times says people are being unnecessarily frightened by false positives after they send information from their consumer genetic tests to third-party analysis companies like Promethease, which looks for health-related mutations in the raw data of companies like 23andMe even though they aren’t certified clinical laboratories. The other (unstated) issue is that like much of today’s sophisticated diagnostic testing, we can recognize and name it without being able to fix it.

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This medical versus financial decision repeats itself endlessly every day in the only country where an urgent medical need can leave you broke for the rest of your life.

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Cordova Community Medical Center (AK) won’t close after all, despite having warned the community that it would shut its doors on July 1 when it expected to run out of money to pay for the Internet access that its computer systems require. The hospital CEO says the FCC’s cuts to the Rural Healthcare Fund left the hospital to pay for its Internet access in full, leaving it with an accumulated $1 million bill. The hospital didn’t say how it resolved the issue, although the FCC boosted the program’s funding on June 1 to account for inflation, possibly restoring the subsidy that allowed the hospital to receive $80,000 per month worth of broadband services for $1,000.

A Detroit jury awards a 17-year-old girl a $135 million judgment in her malpractice lawsuit against Detroit Medical Center, which she claims botched her spinal surgery when she was 10 and left her with permanent weakness that the hospital says was due to a blood clot.

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Reno, NV police arrest a 31-year-old man who was running around a hospital’s public areas wearing scrubs and a doctor’s nametag, although he wasn’t booked for that charge specifically since he didn’t identify himself as a doctor and there’s no law against “just throwing a stethoscope around your neck and walking around.” The charge involved a similar incident at a different hospital in which he came in as a patient and then decided to video himself wearing someone’s scrubs. He has led an interesting life – he had two airplane crash landings in two days after convincing aircraft owners that he was a pilot and potential buyer and needed to take their planes up for test drives, then crashing them. His scrubs in the video carry the name of “Denver Prinz, MD,” suggesting that he might be this guy (Prince Denver of Prussia) who claims to be a prince, a charity CEO, a friend to countless celebrities (“my friend Jeff Bezos, owner of Amazon”), a talented keyboard player (whose fingers aren’t shown and whose body movements clearly don’t match the music), and a pilot of everything from helicopters to stunt planes.


Sponsor Updates

  • Waystar (the former Navicure and ZirMed) rolls out its “The All-New Rev Cycle” branding campaign at the HFMA annual conference.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates. Send news or rumors.
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Readers Write: The Opioid Crisis: Fix the Process, Fix the Problem

July 2, 2018 News No Comments

The Opioid Crisis: Fix the Process, Fix the Problem
By Brita Hansen, MD

Brita Hansen, MD is chief medical officer of LogicStream Health of Minneapolis, MN.

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As the nation continues to grapple with the overprescribing and misuse of opioids, reaching a solution often feels far out of reach. According to the US Department of Health and Human Services, more than 11 million individuals have been documented as having misused prescription opioids, resulting in an alarming 116 opioid-related deaths daily.

Despite this growing epidemic, provider organizations are uniquely positioned to address a key issue contributing to improper prescribing practices – inefficient clinical processes. Outdated and obsolete clinical processes built into electronic health records (EHRs) can be significant factors driving inappropriate drug utilization and impaired patient safety and quality care.

While the opioid crisis has no single origin point, one contributing factor can be traced back to the early-2000s when the Joint Commission implemented its revised pain management standards in response to the under-treatment of pain that was reported throughout the industry. In turn, many healthcare organizations interpreted these standards as a mandate and began to adopt clinical processes that aggressively treated patients’ acute and chronic pain. This also contributed to the then-growing trend of patients and caregivers equating pain management with medication use, which led to a demand that helped drive the increase in opioid prescriptions, and subsequently, opioid-related abuse and overdoses.

Despite evolving patient expectations and the emergence of new best practices for opioid prescribing, EHRs still lack the ability to appropriately guide clinicians and provide effective decision support during the prescribing process. Further, healthcare organizations also face the challenge of ensuring that clinicians understand and adhere to both general opioid ordering practices and best-practice guidelines. Gaining insight into these clinician’s ordering habits has been a continuous issue, and while clinicians express interest in reviewing and improving their ordering practices, this information is difficult and time-consuming to gather.

In addition to fixing and controlling processes and improving clinician adherence, provider organizations must ensure content in EHRs are continuously and reliably aligned with evidence-based guidelines to enable sustainable opioid therapy. For instance, recently developed treatments limit patients’ exposure to opioids, and instead, provide them with powerful yet non-addictive drugs such as corticosteroid injections for rapid pain relief and local anesthetics used during surgery or physical therapy sessions.

Facing the pressures to curb the country’s misuse of prescription opioids and adhere with rapidly changing prescribing guidelines, many healthcare organizations are increasingly leveraging health IT to encourage and improve the use of evidence-based best practices at the point of care. However, these tools are only as effective as the upstream clinical processes governing them, processes that are too often overlooked in the overall improvement strategy.

The data and trends contained within EHRs provide the key insights needed to optimize, measure, and manage the clinical processes related to opioid prescribing. With this critical information, frontline care teams can target and eliminate obsolete opioid protocols and order sets, thereby helping to improve, standardize, and better control processes and decrease the variability in how opioids are prescribed.

By identifying inefficiencies in workflows and the EHR build that often drive inappropriate prescribing practices, care teams can eliminate these issues. With the right tools, they can also continuously monitor the clinical processes guiding opioid prescribing and ensure they are aligned with current clinical evidence, regulatory requirements, and internal workflow needs. It’s equally imperative to continuously monitor clinician interaction with and adoption of the clinical processes that have been implemented, as various barriers inevitably lead to low compliance with set prescribing standards and protocols among some clinicians. Regular monitoring of opioid ordering enables clinical leaders to identify outliers, address barriers, and deploy appropriate interventions as needed.

To truly address the current opioid epidemic, provider organizations must fix the process to fix the problem, which begins with maintaining upstream improvements to clinical processes guiding opioid prescribing. While these steps may be one part of the nation’s opioid strategy, they remain key to providing healthcare organizations with the proactive support needed to combat the crisis.

Monday Morning Update 7/2/18

July 1, 2018 News 8 Comments

Top News

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CNBC’s talented and prolific reporter Chrissy Farr (she’s smart because she listens instead of talks, unlike most vain, vacuous TV talking heads whose raison d’etre is a buffoonishly gleaming smile rather than journalism) ponders why telemedicine “has been such a bust so far,” as 82 percent of Americans don’t use it.” Reasons:

  • People don’t know about it
  • Companies use the word “telemedicine,” which consumers don’t understand
  • Patients worry about the cost since most video visits require cash payments that aren’t affordable to a lot of people
  • They worry that doctors who are willing to offer video visits may be inexperienced or questionably skilled
  • Sick people want personal reassurance that an app can’t deliver
  • The common $75 charge is more than the co-pay of a doctor visit and not much less than a Minute Clinic cash visit

Still, I’m not sure I’d call telemedicine a bust. It only recently overcame technical and legal challenges to enter mainstream healthcare and its potential to more geographically evenly distribute medical expertise is promising. We have plenty of doctors, just not enough of them in primary care and an overabundance in big cities like Boston and New York where doctors prefer to live.

I’ve never had a video visit myself, but I would be more inclined to use it for a conversation with a skilled specialist in obtaining a second opinion since I have my $60-per-month concierge doctor available at all times anyway. 


Reader Comments

From Ms. Security: “Re: Quest Diagnostics. Their online bill password protection is a joke — MM-DD-YYYYZIPCODE.” Unverified. I registered on MyQuest to see how it works – the site requires creating a case-sensitive password that’s at least eight characters long that contains at least one alpha and one numeric or special character. Maybe it varies by the way the site is accessed.


HIStalk Announcements and Requests

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Two-thirds of poll respondents admire and respect their employer’s big boss.

New poll to your right or here: provider employees, how many work days do you spend attending conferences each year? I admit that I’m skeptical that conference attendance delivers employer value beyond giving providing an ego stroke for employees who enjoy feeling important among external peers (for which patients are paying, of course). However, I acknowledge those who say their attendance is important for building relationships with vendors and staying current (OK, I’m still skeptical).

Happy birthday, Canada (July 1) and United States of America (July 4).

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I was in Trader Joe’s early on a recent morning and was surprised to hear the immediately recognizable opening and then the growling Hammond organ of “Fire” by the bizarre 1960s psychedelic band The Crazy World of Arthur Brown, which made my day as I felt a secret, shared rebelliousness with a grocery store that is too cool to play “Daydream Believer.” In fact, I’m picturing a dramatic opening for presentations by FHIR expert Grahame Grieve, in which he takes the podium wearing a giant flaming helmet as an overdubbed version of “Fire” blares with these modified lyrics: “I am the god of health FHIR and I bring you FHIR. I’ll take you to learn.”


Webinars

None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre for information.


Acquisitions, Funding, Business, and Stock

I’m fascinated with the comments of investor and technology executive Dave Kellogg, who ponders the “does the emperor have clothes?” question in reviewing the S-1 filing of BI tech vendor Domo, about which he observes (think of Theranos as you read this):

  • The Silicon Valley goal is now to raise more capital, generate more hype, and buy the most customers.
  • The ratio of venture capital to annual recurring revenue is the “hype factor,” for which Domo’s is 6.4, meaning “you give them $1 and you get $0.15 of heat and $0.85 of light.”
  • The founder controls nearly all the voting shares.
  • The company’s growth is leveling, but its burn rate is $150 million per year and it carries an $803 million accumulated deficit.
  • Market penetration is less than 4 percent.
  • The company leases a private jet from the founder for $1 million per year and spends $300,000 per year on catering by a company owned by the founder and his brother.
  • Kellogg says Domo is “the Kardashians of business intelligence” in being famous for being famous as its product description is nearly indecipherable other than it uses a lot of VC buzzwords in concluding that its product “enables CEOs to manage their entire company from their phone.”

Sales

  • Duke Regional Hospital (NC) chooses Glytec’s EGlycemic Management System for insulin therapy.

Decisions

  • Community Hospital of Staunton (IL) will switch from Evident to Meditech in November 2019.
  • Beatrice Community Hospital & Health Center (NE) will replace Allscripts with Epic on December 1, 2018.
  • Neshoba County General Hospital (MS) will go live with Cerner in February 2019.

These provider-reported updates are supplied by Definitive Healthcare, which offers a free trial of its powerful intelligence on hospitals, physicians, and healthcare providers.


People

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T-System President and CEO Roger Davis has resigned, verified by the company in response to my query from a reader-reported rumor.


Government and Politics

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Los Angeles prosecutors name nine new defendants, including a former hospital CFO and three orthopedic surgeons, for their alleged participation in a kickback scheme involving surgeries, compounded drugs, home health services, and hospice care as orchestrated by the former owner of Pacific Hospital on Long Beach, CA. He is charged with paying $40 million in kickbacks to generate $950 million in fraudulent bills over 15 years. Orthopedic surgeon Daniel Capen, MD (above) will plead guilty for his part in creating $142 million in fraudulent bills, for which Pacific Hospital was paid $56 million. Michael Drobot, the former hospital owner, was sentenced to 63 months in prison earlier this year for billing worker’s compensation hundreds of millions of dollars for spinal surgeries for which he paid kickbacks of up to $15,000 per case, which he funded by billing the hospital at inflated prices for spinal surgery implants used in the cases. He also bribed a state senator to keep the spinal device law in effect, for which the former senator went to prison. The federal government rather wittily refers to its investigation as “Operation Spinal Cap.”


Other

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Don’t read this if you’re of the “healthcare is a calling, not a business” frame of mind. Atrium Health (the former Carolinas HealthCare System) replaces its anesthesiology group for refusing to lower their prices, choosing instead a local group based in Charlotte. The displaced group, which is owned by a publicly traded company valued at $4 billion, launches a media campaign that warns the public that the decision will jeopardize patient safety and says the health system’s previous cost-cutting efforts simply padded its bottom line to pay for huge executive salaries and its aggressive expansion. The company also notes that its anesthesiologists signed non-compete agreements that prevent them from accepting the job offers that the new company made.

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More US healthcare system madness as uncovered by Medicare claims analysis that would make Martin Shkreli beam with pride from his prison cell:

  • An old drug whose only approved use is for a rare condition in babies was being sold by Drug Company A for $40 in 2000.
  • Drug Company B bought the drug’s rights for $100,000 in 2001 and immediately raised its price to $750.
  • Drug Company B kept raising the prices, including a 2007 jump overnight from $1,600 to $23,000.
  • Drug Company C bought Drug Company B in 2014 and raised the price another $7,000.
  • Drug Company C immediately began aggressive promotion of the drug for questionable uses that included paying speaking fees (“peer-to-peer speaking engagements”) to doctors, writing checks to 80 percent of the drug’s prescribers.
  • Medicare spent $2 billion on the drug from 2011 to 2016 even though far cheaper drugs, such as prednisone, work just as well.
  • Overall, the drug’s price has been increased from $40 to $39,000 per vial and the company boasts that “current regulatory guidelines … make a generic unlikely.”

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Don’t show up here with a medical emergency. Despite its appearance and name, CHI Health Center isn’t a hospital – the Omaha arena that hosts concerts and wrestling matches sells its naming rights to CHI Health (part of Catholic Health Initiatives) for $24 million over 20 years. 


Sponsor Updates

  • Definitive Healthcare is named as the 5th Best Place to Work by the Boston Business Journal.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates. Send news or rumors.
Contact us.

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News 6/29/18

June 28, 2018 News 7 Comments

Top News

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Amazon will acquire online pharmacy PillPack, which dispenses patient prescriptions as individual time-sorted doses. The company is also known for its sophisticated technology, which includes patient apps and order processing systems.

Shares of CVS and Walgreens dropped sharply on the news that Amazon has made its long-rumored healthcare entry.

I wrote about PillPack in mid-2015, amused by the physical description of its pharmacist founder as, “the guy you might buy pot from at a Dead concert.” He also offered his reaction to its just-raised $50 million, “We should probably hire a finance guy.”

Amazon’s acquisition price wasn’t disclosed (rumor: $1 billion in cash), but PillPack had raised $122 million through its Series D round in September 2016. The company said last year that it expected to bring in $100 million in revenue for 2017. Walmart was rumored to have been close to buying the company in April 2018 for under $1 billion, but didn’t pull the trigger fast enough.

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The founders, who are both around 30 years old, met through MIT’s Hacking Medicine.

As someone noted on Twitter, you can now buy everything Walgreens sells through its drugstore from Amazon. Amazon could also connect with insurers who want an alternative to giving business to pharmacy benefits manager Express Scripts, which Cigna acquired for $67 billion a few weeks back. That would take some work since to my knowledge, PillPack offers just the prescription-filling service and doesn’t negotiate manufacturer prices or manage the use of specialty medications.

Still, Amazon has the clout to turn the company into a PBM given that it now has the necessary pharmacy licenses (49 of 50 states, excluding Hawaii), multiple fulfillment locations, and the technology needed to scale.


HIStalk Announcements and Requests

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Maybe it’s unreasonable to expect an India-based research firm that covers everything from strollers to glass tableware to understand healthcare intricacies, but one might ponder the wisdom of spending $3,300 for a report that in every instance refers to “HER” instead of “EHR.” I generously offer this free advice: in Word, click File, Options, Proofing, AutoCorrect Options, and then remove the entry that corrects “ehr” to “her.” Svaagat hai.

Thank you, The Atlantic, for noting “exclamation-point inflation” in which two or more exclamation points are now required to properly indicate written enthusiasm. The article notes the precedent of diluting the value of “awesome” as overused term in an attempt to overcome the non-signaling blandness of email conversation. I’ve seen Facebook posts that (a) ended every phrase with one or more exclamation points like the writer was on their eighth cappuccino of the morning; (b) ran a single sentence for hundreds of words with seemingly random blurting separated only by ellipses; and (c) use those annoying text-as-a-picture things whose point I clearly don’t understand since I find them nearly as aggravating as running movie clips turned into GIFs to indicate one’s reaction on Twitter.


Webinars

None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre for information.


Acquisitions, Funding, Business, and Stock

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Medical procedure shopping app and “on-demand insurance” vendor Bind raises $10 million from investors that include Ascension Ventures and UnitedHealth Group, increasing its total to $70 million. The company offers basic medical benefits from insurers and then allows employees of it customers to shop for procedures by price, where they pay co-pays but no deductibles. The founder and CEO is Tony Miller, a former health benefits company CEO who is a managing partner of healthcare services venture capital firm Lemhi Ventures, whose other active investments include PokitDok and Recondo. 

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Here’s what market power allows you to do – ATT increases its easily overlooked “administrative fee” cell phone bill line item from $0.76 to $1.99 (I’m paying $1.26, from my bill above), which sounds innocent enough until you do the math and realize the company will get a free $800 million per year to help pay for its $85 billion acquisition of Time Warner. Because it can.

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Cerner settles a class action lawsuit brought by employees who say they weren’t paid overtime, but details may not be released since Cerner has asked the court to seal the agreement’s details (legal sources place the figure at $4.5 million). The company denies wrongdoing but says the settlement is in its best interest as long as the details aren’t made public. The lawsuit was filed on behalf of delivery consultants and system analysts by a former employee who says those are entry-level jobs that require no background in systems analysis, software engineering, or programming. 


Sales

  • LabCorp will deploy the Phillips IntelliSite digital pathology system for reducing diagnostic time and for collaborating with specialty pathologists.
  • Jackson Health System (FL) signs an 11-year agreement with Philips for enterprise patient monitoring for a per-patient fee.

People

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Healthwise promotes chief medical officer Adam Husney, MD to president.

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The Johns Hopkins School of Nursing hires Kenneth Dion, PhD, RN, MSN, MBA to the newly created position of assistant dean for business development and strategic relationships. His work history includes the founding of Decision Critical and incubator TurnPath as well as time spent as a VP of HealthStream.

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T-System promotes Robert Hitchcock, MD to EVP and GM of documentation.

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Harvard Medical School professor and EHR pioneer Warner Slack, MD has died at 85. He floated the idea in the mid-1960s that computers could be used to “help patients to help themselves with their medical problems” extending his belief that “patients are the most under-utilized resource in healthcare.” Slack was a UW-Madison medical resident in 1965 when he proposed that computers could interview patients to give their doctor better information for their treatment. He was co-chief of BIDMC’s Division of Clinical Computing, which created early hospital computer systems. He wrote a 2001 book titled “Cybermedicine: How Computing Empowers Doctors and Patients for Better Care.”


Announcements and Implementations

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Meditech customer Alliance Community Hospital (OH) goes live on CommonWell’s interoperability services. I was about to write “FHIR-powered services,” which made me realize my own suppressed marketing potential as I then contemplated trademarking the term “FHIRpower” to cash in on the lowbrow punning by those who are endlessly amused that “FHIR” can be questionably contrived to sound like “fire” if you fancy yourself a health IT wit.

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The endlessly-hyped HLTH conference will move its planned second iteration from May 2019 to October 2019. Somehow the founders – who raised a fortune in VC money – failed to notice that the HIMSS conference owns the springtime conference schedule (duh) and the idea of holding theirs immediately afterward in the same city (Las Vegas) was kind of stupid. Investors now have to wait an extra five months before the company’s next revenue bolus, assuming it really does rebound from its amateurish error for a late 2019 redux. It will probably be fine since many in our industry never met a conference they didn’t like attending, raising the question of how valuable they are to employers that chug along fine without them.

Verily (the former Google Life Sciences) will provide digital health technology for an insulin patch pump for diabetics that it will commercialize with drug maker Sanofi and micro-pump technology vendor Sensile Medical.  


Government and Politics

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Congressman Phil Roe, MD (R-TN) says in a Tuesday VA EHR hearing, “It’s incredibly important that these health information exchanges work, that we can share information. It’s a problem in the private sector, trust me. You can’t go to a hospital and get the information .. One of the things that bothered me when I was out at Fairchild was that on MHS Genesis, when you came in, what was entered into the EHR was basically allergies, medications, medications, procedures. I can get that in one minute of asking somebody. Other data, what I really want to see, are your lab results, x-ray reports, notes from previous visits, discharge summaries. You have to use the Joint Legacy Viewer to look back. That slows you down … are we going to be able to put all this information in … without using two systems? If we do, what’s the point of using Cerner?” Roe also noted that the VA’s needs are different from DoD’s since active military members are mostly young and healthy. The VA responded that Cerner will ingest all records, including those from community providers.

Also from the VA hearing: Congressman Tim Walz (D-MN) noted that VA Acting CIO Camilo Sandoval wasn’t invited: “At the heart of the single biggest electronic project maybe we’ve ever done in government, we haven’t received one phone call, one text, or one interaction at all with Mr. Sandova,l” but the VA’ers in attendance assured him that project governance structures and GAO oversight is being developed, to which Walz reminded the committee that the VA does not have a confirmed secretary, deputy secretary, undersecretary for health, or CIO. The VA also acknowledged that the project will require up to $6 billion for infrastructure and project management on top of the $10 billion that will be paid to Cerner. Cerner President Zane Burke (misidentified as CEO by as least one site) told the committee that ongoing costs will be less than with VistA. Burke stammered a tortured response (as a reader noted) when he was zinged by Congressman Bruce Polquin (R-ME) with the question of whether DoD is on time and on budget with its own Cerner implementation: “They’re on… to date that that there were on that’s I … we’ve think we’ll be ah … we’ll be a stay on time and on budget as it relates to that … in the … in that perspective.”

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The Department of Justice charges 601 defendants — including 165 doctors, nurses, and other licensed professionals – for $2 billion in fraudulent billings for medically unnecessary or compounded prescriptions. Among the details of the largest health fraud takedown in history: 84 of of the cases involve the illegal distribution of 13 million doses of opioids; claims for hundreds of millions of dollars were filed for phony substance abuse treatment services; a compounding pharmacy provided prostitutes and dinners to podiatrists who issued prescriptions on pre-printed forms that generated $250 million in fraudulent pharmacy claims; doctors were charged for taking kickbacks from home health agencies; and a medical transportation company that cruised the street for people willing to take cash for fraudulent physical and occupational therapy took in $7 million.

Zuckerberg San Francisco General Hospital examines a South Korean tourist’s baby who had fallen off a hotel room bed, determining that the child was fine and required no treatment. Two years later, the family receives a bill for $19,000, $16,000 of which involved “trauma activation” fees, in which any trauma center can make up an activation fee even for cases in which no trauma services were actually delivered. Another patient seen for a broken ankle was hit for the same $16,000 trauma response fee, which with other charges insurance wouldn’t cover, left her with a bill for $31,000. Another patient seen by a California hospital for a minor motorcycle accident was sent home after receiving no diagnostic tests and treatments that included only an IV, ibuprofen, and staples, leaving him with a $27,000 bill, of which $23,000 was a trauma response fee. Because they can.


Other

In Australia, the federal government announces that a three-member panel will spend the next five months reviewing the paused rollout of South Australia’s Allscripts-powered Enterprise Patient Administration System, which the health minister describes as an “enormous frustration for many clinicians and a rolling disaster for South Australian taxpayers.” Project costs are running double the 2013 estimate of $162 million as doctors criticized the system as “unfit for purpose” and “dangerous.”

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Diagnosis chatbot vendor Babylon Health, which powers NHS’s GP at Hand app, claims that its AI-powered bot scores as well as human doctors on medical exams, although doctors are skeptical since they can’t verify the company’s claims and they say patient will still end up seeing a doctor. The company says it will roll the system out as an Alexa skill.

Some lawyer’s family is now financially set for at least three generations: a California county and its tree inspection contractor will pay $47.5 million to settle the case of a seriously injured 12-year-old public park camper whose tent was crushed by a falling tree.

In the UK, a drug-abusing anesthesiologist who was previously accused of looking up celebrity medical records and injecting himself with leftover patient opiates dies on the last day of his honeymoon after taking medications he bought on the dark web.


Sponsor Updates

  • Patientco adds patient financing solutions from Curae to its SmartFinance platform.
  • Mobile Heartbeat and Amplion Clinical Communications will integrate their respective enterprise mobility and nurse call systems.
  • PatientKeeper publishes a new ebook, “Attending to Physicians: Why Healthcare Must Focus on Improving Physician Experience.”
  • James Welsh joins Mazars USA’s Pennsylvania office practice as partner.
  • The Chartis Group publishes a white paper titled “The Disruption of Primary Care: How Customer-Obsessed Companies are Changing Everything”

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates. Send news or rumors.
Contact us.

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News 6/27/18

June 26, 2018 News 6 Comments

Top News

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GE will spin off its GE Healthcare into a standalone business as the struggling behemoth that yearns to be a “simpler, stronger GE” focuses on its aviation, power, and generator businesses.

GE Chairman and CEO John Flannery said in a statement, “GE Healthcare and BHGE [the former Baker Hughes oil field division] are excellent examples of GE at its best—anticipating customer needs, breaking barriers through innovation, and delivering life-changing products and services. Today’s actions unlock both a pure-play healthcare company and a tier-one oil and gas servicing and equipment player. We are confident that positioning GE Healthcare and BHGE outside of GE’s current structure is best not only for GE and its owners, but also for these businesses, which will strengthen their market-leading positions and enhance their ability to invest for the future, while carrying the spirit of GE forward.”

GE Healthcare President and CEO Kieran Murphy will continue his role with the standalone company, which brought $19 billion in 2017 revenue before its jubilant unlocking.


Reader Comments

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From Sullen VIsage: “Re: Athenahealth. This poll says they should not sell out to Elliott Management.” I wouldn’t assign much value to an online poll whose results are headlined without indicating how many people voted (that site’s past polls have had a pitiful turnout), but there’s also the bias of customers and employees to resist change. Publicly traded companies, however, have just one customer – their investors — and the company is obligated to take whatever course of action that maximally enrichens them. The real question is whether that enrichment might be woefully short term versus the longer-term value that could be wrung out by keeping customers happy, improving efficiency, and allow their strategies the time to mature. However, corporate raiders are more interested in yard saling the assets and moving on to the next company rather than building value, while investors aren’t opposed of the idea of banking a quick profit by selling off the body parts.

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From Pomposity: “Re: CareSync. Clueless management strikes again and leaves employees hanging.” Maybe, but we don’t know why the company suddenly closed its doors. The timing suggests a due diligence issue that was performed late in the process, plus we already know from the “ran out of time” comments that the company was desperate to mate with a sugar daddy. You have to stop the bleeding at some point. It is hard to fathom, however, how a company could raise nearly $50 million, hire a ton of people and move them into a swanky headquarters, operate in what seems like a promising business sector, and then blow up whatever asset value and goodwill remained by just turning off the lights for good. I can only speculate that despite the investment interest, the company was burdened with so much debt that even bankruptcy couldn’t have saved it. It’s also hard to fathom why CareSync needed 300 employees to run what seems like a simple, modestly promising business, but I can’t second guess the folks in charge since their money was on the line and mine wasn’t.


Webinars

None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre for information.


Acquisitions, Funding, Business, and Stock

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Clinical interoperability network vendor Health Gorilla raises $8.2 million in a Series A funding round.

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Outcome Health co-founders Rishi Shah and Shradha Agarwal – who had already resigned their top executive positions in a settlement with investors who claimed the company had defrauded them – leave their board positions as the company tries to regain credibility and its pre-scandal $5 billion valuation.  


Sales

  • AllianceRx Walgreens Prime —  the specialty pharmacy formed by Walgreens and pharmacy benefits manager Prime Therapeutics – chooses Inovalon’s specialty pharmacy system.
  • Amita Health selects R1 RCM for revenue cycle management services.
  • Memorial Healthcare (MI) selects Parallon Technology Solutions to lead its conversion from Meditech’s Magic to Expanse.
  • West Virginia’s pharmacy board will use Appriss Health’s PMP Gateway to give all state prescribers and pharmacists workflow access to the company’s NarxCare system for detection of opioid misuse.

People

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Microsoft Healthcare hires Jim Weinstein, DO, MS (Dartmouth-Hitchcock) as head of innovation and health equity and Joshua Mandel, MD (Verily) as chief architect.


Announcements and Implementations

Change Healthcare releases Assurance Attach Assist, which reduces provider claims rejection by recognizing the documentation that payers require and providing an electronic platform for its submission and management.


Government and Politics

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A GAO report finds that the VA was spending $1 billion per year maintaining VistA, but even as it plans that system’s replacement with Cerner, work remains to define exactly what VistA is – especially regarding its site-specific customization – and how Cerner can replace the nearly 50 percent of VistA applications that don’t have a Cerner counterpart.

The American Hospital Association tells CMS that it “strongly opposes” making interoperability a requirement of Medicare participation, noting these problems:

  • Not all providers who would be potential exchange partners use EHRs
  • The information exchanged might not be useful
  • The required workflow is cumbersome
  • Lack of a single patient identifier hinders accurate exchange
  • Information exchange across different EHRs is hard
  • Metrics for measuring interoperability are lacking

Other

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Oklahoma State University will name its nearly-completed, $20 million women’s soccer stadium after alumnus, major benefactor, and former Cerner Chairman and CEO Neal Patterson, who died a year ago.

A Bloomberg analysis finds that government-encouraged employer experimentation with high-deductible health plans in the 1990s has made them nearly universal, with the result being that cash-strapped patients have simply stopped getting medical care instead of shopping for healthcare value as politicians had predicted. The plans have saved employers money, but in ways that seem to have harmed the long-term health of their employees in ways that may eventually become the problem of taxpayers who fund Medicare and Medicaid. A Comcast executive says, “Why did we design a health plan that has the ability to deliver a $1,000 surprise to employees? That’s kind of stupid.” He didn’t mention the people who buy their own insurance on the individual market who will be likely sucked in by the lower premiums of junk policies such as association health plans, whose nearly indecipherable terms exclude basically anything that requires a significant payment, such as those involving pre-existing conditions. As a restaurant guy told me once, you can buy hamburger meat at nearly any price you want to pay, but that doesn’t mean you would want to eat it.

A TransUnion Healthcare study finds that an average hospital stay sticks the patient with a $781 bill after their insurance has paid, a 67 percent increase in the past five years.

In Japan, two people with cancer die untreated after hospital radiology departments fail to share their diagnostic images with other departments within the same hospital , while several other patients required more complex surgeries due to treatment delays. An expert says information sharing has become more complicated as increasingly sophisticated medical equipment has increased data volume.

Interesting: the Kansas City paper describes a county IT guy’s experimentation with a cheap antenna to allow his laptop to pick up TV stations, during which he started intercepting unencrypted hospital pager messages that included names, demographics, and diagnoses. The paper contacted one of the patients whose name appeared in the message, to which she offered her succinct reaction: “What the hell?”


Sponsor Updates

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates. Send news or rumors.
Contact us.

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Monday Morning Update 6/25/18

June 24, 2018 News 3 Comments

Top News

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The Tampa paper provides more details about CareSync’s abrupt closure last Thursday:

  • Founder and CEO Travis Bond had  left the company “unexpectedly” several weeks before.
  • The interim CEO assured employees last Monday that the company was “on incredibly good financial footing” because it was about to be acquired by Bill Smith, the founder of grocery delivery company Shipt.
  • Smith said at an all-hands employee meeting last Monday (photo above), “My family will own 100 percent of the company going forward. We’re making a very significant financial commitment to the company, and my perspective on this is that we’re going to build this company for the long-term. I didn’t come into this thing to flip this company in a couple years … I don’t want you to have to worry about where your next paycheck is coming from.”
  • The deal fell through Thursday as the company “ran out of time,” after which employees were told to vacate its two Florida locations immediately as the company would be shutting down at midnight. 
  • 292 employees lost their jobs. They will not receive severance payments and their health insurance was immediately terminated. 
  • CareSync announced its closure on its website, but says its servers will remain operational so that customers can continue to access their medical information.

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HIStalk Announcements and Requests

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A slight “most” of poll respondents say their employer hasn’t laid people off in 2018. Layoffs are business as usual for many companies, it seems. Maybe that’s a more face-saving option for employees who would otherwise be fired – the health system layoffs I’ve had a hand in orchestrating were all designed to part ways with subpar performers without having to go through the internal and legal challenges of firing them.

New poll to your right or here: do you admire and respect the highest-ranking executive of your employer?


Webinars

None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre for information.


Acquisitions, Funding, Business, and Stock

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Cost-cutting Qualcomm is seeking a buyer for a majority stake in its Qualcomm Life subsidiary, which includes the 2net remote patient monitoring system and Capsule medical device integration platform.

The New York Times covers Humana’s acquisition of two for-profit hospice companies that made it the country’s largest hospice care provider, noting that profit margins are high.

Politico reports that Allscripts is offering voluntary retirement to a large number of employees.


Sales

Memorial Healthcare (MI) chooses CloudWave to implement Meditech Expanse.


Decisions

  • Cozad Community Hospital (NE) went live with Evident supply chain management in May 2018.
  • Arkansas Children’s Hospital System (AR) will go live with Workday supply chain management software on July 1, 2018.
  • Holton Community Hospital (KS) switched from Medhost to Athenahealth on June 19, 2018.

These provider-reported updates are supplied by Definitive Healthcare, which offers a free trial of its powerful intelligence on hospitals, physicians, and healthcare providers.


Announcements and Implementations

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A Reaction Data report finds that negative opinion about payers acquiring vendors has increased, as has hesitation about sharing information with those companies.   


Privacy and Security

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A JAMA Network op-ed piece co-authored by former CMS administrator and IHI President Emeritus Don Berwick, MD, MPP says HIPAA causes “serious obstacles to patient care” as misinformed providers refuse to share information with each other and to provide information to family members. The authors note that any time a clinician or clerk says, “I wish I could tell you but HIPAA won’t let me,” they are likely untrained or working under misguided organizational policies. They recommend:

  • HHS should undertake a study of how often the HIPAA privacy rule is misinterpreted and the impact that has on patients
  • HHS OCR should publish model policies and procedures
  • HHS should create and enforce penalties for failing to release patient information to treating clinicians and create a ‘’wall of shame” to call out repeat offenders
  • Professional societies and patient advocacy groups should mount campaigns to clinicians and patients that call out common misinterpretations of HIPAA

Other

The Madison newspaper describes the VA’s early success in rolling out Epic’s scheduling system. Lead contractor Leidos says it can implement the entire VA system on the system in two years for $350 million versus its contract that calls for a five-year implementation at a cost of $624 million, although the VA hasn’t committed yet or announced its plans following its selection of Cerner. 

Former doctor Elisabeth Rosenthal’s New York Times opinion piece says that the White House’s detail-light hopes that encouraging free-market principles to bring drug prices down hasn’t worked historically, as drug companies keep raising prices as a group even as competing products are introduced. It notes that lifesaving leukemia drug Gleevec – invented by a researcher who didn’t seek a patent for it and never made a penny from it – cost $26,000 when it was first marketed in 2001 and has spawned several competing products since, but all of them now cost $150,000 per year.

I received several emails that provided details about the reorganization of Ascension Information Services in which somewhere between 200 to 1,000 employees were rumored to have been let go:

  • AIS was ordered by Ascension to reduce its FY2019 budget by $155 million
  • It will retire some legacy systems and reduce the use of contractors such as Cerner and Kaufman Hall
  • Some employees expressed anger that they weren’t told about the layoffs in advance, that management won’t confirm how many people were let go, and AIS’s lack of transparency about any changes that would affect its Cerner, Epic, and Meditech teams.
  • Employees were escorted out of the building and weren’t allowed to retrieve their personal items, which were boxed up and delivered to them

Sponsor Updates

  • Medicity and Philips Wellcentive will present at the Internet of Health event June 26-27 in Boston.
  • Bill Macaitas (Slack) joins Liaison Technologies in a brand advisory role.
  • Kyruus releases its ProviderMatch for Consumers solution in Spanish.
  • Vyne Medical publishes a new case study, “Standardizing Patient Estimating to Improve Upfront Collections.”
  • Meditech will host the 2018 6.1/Expanse Revenue Cycle Summit June 28-29 in Foxborough, MA.
  • Navicure/Waystar will exhibit at the AAHC Conference Expo June 27-28 in Scottsdale, AZ.
  • Netsmart will exhibit at Post-Acute 360 Strategy & Solutions Conference June 25-27 in National Harbor, MD.
  • Clinical Computer Systems, developer of the Obix Perinatal Data System, will exhibit at the Indiana Rural Health Association Conference June 26-27 in French Lick, IN.
  • OmniSys will exhibit at Cardinal Health RBC June 27-30 in San Diego.
  • Recondo Technology’s automated RCM suite achieves HFMA Peer Review Status for patient access and business office software.
  • Experian Health publishes a new white paper, “Driving customer engagement in the healthcare financial journey.”
  • WebPT will exhibit at the Next APTA Conference and Exposition June 27-30 in Orlando.
  • ZappRx will exhibit at the Pulmonary Hypertension Association’s annual meeting June 29-July 1 in Orlando.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates. Send news or rumors.
Contact us.

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News 6/22/18

June 21, 2018 News 2 Comments

Top News

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Chronic care management company CareSync shuts down. Reader Holy Mackerel alerted me to the development: ”Shipt founder Bill Smith offered on Monday to buy 100 percent of company stock for $7 million. Keeping in mind that investors poured in $79 million, he’d essentially be buying at $0.10 on the dollar. Bill backed out of the sale today. CareSync informed all employees at 9 AM of the news, and told them doors were closing and they had to leave by 10 AM.” Social media posts from disgruntled, former employees point to bankruptcy as the cause of the abrupt closure, which has left over 100 jobless.


Reader Comments

From ml: “Re: Ascension IS. On June 14th, 2018, Ascension Information Services eliminated over 450+ positions throughout the US. This included directors, upper level as well as mid-level managers, and the majority of employee’s being IT at both the senior and junior level. This vast amount of cuts came as a shock to most employees. AIS was told from their parent Ascension Health that for FY18 to cut $100 million from their budget and now for FY19 starting July 1, 2018, they were told to cut another $155 million. This obviously included headcount since they were not even able to cut the $100 million from 2018.” Unverified.


Webinars

None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre for information.

Check out the recording of Thursday’s webinar titled, “Healthcare Organizations: Operationalizing Data Science Models.”


Acquisitions, Funding, Business, and Stock

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Wildflower Health acquires Circle for an undisclosed sum. Circle’s EHR-compatible pregnancy and parenting app was developed by providers and the digital innovation team at Providence St. Joseph Health (WA).

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CNBC reports that prescription drug comparison pricing and coupon company GoodRx is considering selling itself. Analysts predict it will go for between $1.5 billion and $3 billion. Co-founded by Yahoo and Facebook veteran Doug Hirsch, the company has been around since 2011.

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Verscend Technologies will acquire healthcare payments technology company Cotiviti for $4.9 billion. Verscend is backed by Veritas Capital, which acquired GE Healthcare’s Value-Based Care Division earlier this year for $1 billion. Veritas sold off Truven Health Analytics to IBM Watson Health for $2.6 billion in 2016.


People

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Surgeon, professor, and author Atul Gawande, MD will become CEO of Amazon, Berkshire Hathaway, and JPMorgan Chase’s new nonprofit healthcare venture, effective July 9. The still unnamed company will operate as an independent entity out of Boston. Gawande briefly mentioned his new gig at the end of his AHIP keynote: “I’ll only say it is a long target and I’m lucky to have an expectation that we’re going to take on the kinds of problems I’m talking about over the next decade. It’ll be gradual progress and there won’t be instant solutions.”


Sales

  • Piedmont Healthcare (GA) will implement Patientco’s billing and payment technology.
  • Parkview Medical Center (CO) selects clinical decision support, and referral and case management software from Pieces Technologies.
  • Mount Sinai Medical Center (FL) chooses Voalte’s smartphone-based communication and alert system.
  • OhioHealth signs a three-year agreement with Clearwater Compliance for cyber risk services.
  • Neshoba County Hospital and Nursing Home (MS) will convert its disparate digital and paper medical record and billing systems to Cerner.

Announcements and Implementations

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Richmond University Medical Center (NY) implements population health management tools including analytics, risk stratification, care management, and reporting from Lightbeam Health Solutions.

Omada Health adds programs for hypertension and type 2 diabetes, plus medication management and remote monitoring features, to its digital therapy offerings for employers and payers.

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Beaumont Health (MI) deploys HealthEC’s population health management technology.

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Marshall Browning Hospital’s (IL) clinics will go live on Meditech July 2.


Government and Politics

Members of the House Committee on Veterans’ Affairs will create a subcommittee devoted to keeping a close eye on the VA’s EHR overhaul and other major IT projects. Committee Chairman Phil Roe, MD (R-TN) is especially insistent on oversight given his own experience with health IT: “Having personally gone through a transition to a new health record system in private practice, I know how much potential there is for a project like this to be a huge and expensive disruption.”

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A year after its debut, the FDA updates its software pre-certification program guidelines to emphasize benefits for startups and small companies that haven’t yet established a track record of reliable development. The FDA plans to open up its pilot program, which initially accepted nine fairly big-name companies, to a broader applicant pool next year.

Pending Congressional approval, HHS will be renamed the Department of Health and Public Welfare if it takes on the $70 billion food stamp program outlined as part of President Trump’s proposed government overhaul.

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Former VA Secretary David Shulkin, MD shares why he believes competition – not privatization – will be key to the VA’s success as it works towards offering veterans greater access to care from non-VA providers:

“Although competition alone is not sufficient to improve quality, it can help to modernize performance standards, lead to new management practices within VA medical centers, and move the VA away from the possibility of privatization. Competition also ensures that private-sector providers that wish to care for veterans adhere to the highest quality standards — and formalizing those standards through legislation would allow the VA to better fulfill its responsibility to veterans and taxpayers. Veterans deserve a continually improving health care system, and the best way to ensure that they receive it may be to support the VA at levels that allow it to successfully compete with the private sector.”


Privacy and Security

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Passwords are losing relevance, yet gaining in popularity.


Other

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This extremely small study looks at the technical challenges of integrating patient generated-data from the Asthma Health app with Epic’s MyChart. Noted pain points included device maturity, lack of Android compatibility, and patient and provider training.

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We’ve still got a long way to go.


Sponsor Updates

  • EClinicalWorks will exhibit at the California Rural Health Conference June 26-27 in Folsom, CA.
  • Premera Blue Cross will use InterSystems HealthShare software to aggregate health data from HIEs, EHRs, and claims to build a better picture of its members.
  • Kyruus will host its fifth annual Thought Leadership on Access Symposium (ATLAS) October 15-17 in Boston.
  • Experian Health achieves HITRUST CSF Certification.
  • Agfa HealthCare announces that the latest version of Enterprise Imaging is operational in 21 healthcare systems throughout North America.
  • Kern Health Systems (CA) goes live with the second implementation phase of its ZeOmega’s Jiva population health management software.
  • Meditech announces that 150 hospital customers have received ‘A’ grades from Leapfrog.
  • Philips Wellcentive publishes a new white paper, “Funding the transformation to value-based care: Seven strategies for success at each step of the maturity curve.”
  • Computerworld names Health Catalyst one of the best places to work in IT for the second year in a row.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates. Send news or rumors.
Contact us.

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News 6/20/18

June 19, 2018 News 3 Comments

Top News

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Walmart patents a system for storing a patient’s vital medical information in blockchain database housed in a wearable device.


Reader Comments

From Uncle Carbuncle: “Re: IT department names. I’ve seen it go from DP to MIS to IT and now sometimes to technology services.” I would add “information services” to your list. I once worked in a health system’s IT department that used that name, I had a pretty great office in the executive building near the flagship hospital’s entrance. Many early mornings a patient or a visitor would exit confused from the elevator and follow the light to my door (since I was usually the first one in the office suite). They had seen the “information services” sign on the sidewalk close to the hospital’s entrance and were looking for directions. I actually enjoyed riding back down the elevator with them and walking them to the front door, especially since I’m sure some of them were nervous. I also knew that their way-finding challenges were just beginning since we had a remarkably unhelpful system of colored floor lines, puzzlingly named zones, and signage that failed to overcome user-unfriendly hallways created by constantly tinkering with the available space in ways that left even employees lost at times.

From Electric Avenue: “Re: your list of sponsors that are leaving. Did you insult them with something you wrote or failed to write?” Never, as far as I know, since my sponsors understand that they don’t get editorial control or the option to post fluff pieces on HIStalk like other sites offer. The most common reasons for dropping are: (a) the company’s low-level marketing person who was assigned to deal with us leaves and nobody left knows anything; (b) the company is acquired; (c) they’re out of money; or (d) a new marketing VP is trying to score points by cancelling any relationships they didn’t personally initiate. The first reason is by far the most common – turnover in vendor marketing departments, especially among the less-senior folks, is apparently astronomical. 


HIStalk Announcements and Requests

I forgot to mention another gratifying aspect of my unplanned urgent care visit this past weekend that happened while taking a mini-vacation way out in the sticks. I was worried whether my problem required an ED visit and recalled that my new concierge service includes having the personal cell number of my solo practice PCP. I reluctantly called him just after dawn on Saturday morning. My doc was perfectly caring, thoughtful, and supportive in suggesting a plan of action. I told him how much I hated waking him up and he reassured me with, “that’s what I’m here for.” It’s an amazing deal for an all-inclusive price of $60 per month, which includes many lab tests, imaging procedures, minor surgical procedures, and at-cost prescriptions. He treats me like a valued customer with whom he has a long-term relationship that benefits us both. I only hope he doesn’t go broke in hesitating to price his services more reasonably.


Webinars

June 21 (Thursday) noon ET. “Operationalizing Data Science Models in Healthcare.” Sponsor: CitiusTech. Presenters: Yugal Sharma, PhD, VP of data science, CitiusTech; Vinil Menon, VP of enterprise applications proficiency, CitiusTech. As healthcare organizations are becoming more adept at developing models, building the skills required to manage, validate, and deploy these models efficiently remains a challenging task. We define operationalization as the process of managing, validating, and deploying models within an organization. Several industry best practices, along with frameworks and technology solutions, exist to address this challenge. An understanding of this space and current state of the art is crucial to ensure efficient use and consumption of these models for relevant stakeholders in the organization. This webinar will give an introduction and overview of these key areas, along with examples and case studies to demonstrate the value of various best practices in the healthcare industry.

Previous webinars are on our YouTube channel. Contact Lorre for information.


Acquisitions, Funding, Business, and Stock

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Appleton-WI-based healthcare provider management and network access technology vendor Quest Analytics acquires provider management system vendor BetterDoctor.


Sales

Christus Health will implement Vyne Medical’s Trace voice recording and quality assurance platform to identify discrepancies or confusion about the information given to patients.


Announcements and Implementations

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Ascension’s shared services subsidiary launches Agilify, which will offer help with intelligent process automation.

A Change Healthcare payer study finds that value-based care is reducing healthcare costs more than expected and now account for two-thirds of payments.

UK-based Medicalchain will explore the potential benefits of blockchain in healthcare with Mayo Clinic. 

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A new KLAS report on cybersecurity services (advisory, technical, and managed) finds that CynergisTek leads in breadth of services and number of engagements for advisory and technical services, while Fortified Health Security has the highest number of managed services engagements. The most commonly requested services are performing risk assessments and security program assessments. 


Government and Politics

An HHS law judge upholds HHS OCR’s $4.3 million HIPAA fine against MD Anderson Cancer Center for losing two unencrypted USB drives in violation of its own policies that require encryption.

The pre-existing conditions political football has generated interesting debate, including the Republican argument that guaranteeing coverage and the same premium prices to those who are either sick or well tests well in voter polls … until the question is reformulated to ask whether it’s OK for sick people to pay the same premiums as healthy ones, in which case even many Democratic voters say no. It’s an interesting exercise trying to educate healthcare-uninformed voters exactly how insurance works, who pays and who profits, and how risk pools work to calculate premiums.


Privacy and Security

Washington Health System (PA) suspends at least 12 employees who are suspected of looking at the medical records of a co-worker who was killed when a driver lost control of his car and ran into a WHS building.


Other

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An Indiana doctor sues Apple for interrupting his medical practice with the “devious trick” of forcing IOS updates without the user’s approval as a requirement for its further use. He sent Apple a bill for the $200 time he claims he lost and demanded that his phone be returned to the previous IOS version, then filed the lawsuit after Apple declined to do either.

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Bloomberg profiles – with an embarrassingly click-baiting headline – the outcome-predicting Medical Brain project of Google. It notes (barely) the failure of IBM Watson Health to accomplish the same goals of reducing cost or improving outcomes. The author’s analysis must have been superficial in failing to note that Google has already tried and failed to “break into the healthcare business” with its miserable, short-term Google Health project.

I missed this article until someone tweeted it out: “Why Doctors are Running Out of Empathy,” a physician’s bleak look at what our healthcare “system” has turned into with some interesting insights:

If we take the word “healthcare” to mean the mishmash of hospitals, doctors, insurance companies, and vendors that profit from our physical and mental maladies, then perhaps it would be more accurate to call [our healthcare system] “sickness-billing” … Government food policies … resulted in a massive increase in calorie-dense, nutrient-poor, and highly processed “foods” in our diet …led to dramatic increases in obesity, diabetes, heart disease, cancer, and autoimmune disorder rates in the United States. The costs borne by Medicare and insurance companies consequently swelled, producing a strained “system” unprepared to handle the increasing need for preventive care. In response to rapidly rising costs, Medicare (to which most insurance companies look for guidance) created a growing number of obstacles to reimbursing doctors and hospitals, and all payers followed suit. These obstacles started as documentation-focused rules, requiring doctors to record a certain number of data points for each medical visit, otherwise reducing reimbursement. This is why your doctor, during your visit for an ankle sprain, may ask if you have had any constipation, vaginal bleeding, or ringing in your ears … EMRs dramatically reduced physician productivity. This was primarily because the EMR companies got away with designing software with horrendous user interfaces and user workflows .. . the Internet buzzed with stories of Epic bullying anybody who criticized its software. Can you imagine the backlash if Microsoft or Google tried to place gag orders to prevent criticism of their software?
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This says a lot about US healthcare. UK-based drug company Indivior will seek an injunction to halt FDA’s approval of a generic to its opioid addiction drug that generates 80 percent of its $1.1 billion revenue and $320 million profit. It also obtains a restraining order against an India-based competitor that was preparing to launch the generic. Indivior says it will introduce a generic of its own for some reason and will cut its operational costs, Shares dropped 23 percent on the FDA news.

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A McKinsey analysis of claims data finds that opioid prescribing patterns vary wildly among doctors:

  • Opioid prescribing is widespread and not just the result of clinician outliers
  • Geography plays a significant role
  • Much of the prescribing resulted from a surgery rather than acute medical care, with up to 70 percent of the patients who underwent specific procedures being given opiate prescriptions
  • Prescribing was inconsistent even within a single medical practice, varying by the condition being treated
  • Doctors often prescribe opiates to patients who have known risk factors, such as having a history of non-opioid substance abuse, having two or more behavioral health issues, or using more than four doctors or pharmacies to obtain opioid prescriptions in the preceding six months
  • Most prescriptions are written by a clinician who isn’t the “quarterback” for managing the patient’s primary problem
  • EDs issue relatively few opioid prescriptions

WHO adds “gaming disorder” to ICD-11, saying that it is similar to drug addiction because it can take precedence over the patient’s other activities, they can’t stop playing even after they experience negative consequences, and their sleep, diet, and work performance suffer.  


Sponsor Updates

  • Formativ Health will exhibit at HFMA’s annual conference June 24-26 in Las Vegas.
  • PeriGen will demonstrate its AI-powered Vigilance fetal and maternal early warning solution at AWHONN Connection June 23-27 in Tampa.
  • North West Anglia NHS Foundation Trust goes live with Agfa Healthcare’s enterprise imaging for merged Peterborough City, Stamford, and Hinchingbrooke Hospitals.
  • Boston Software Systems signs a multi-year contract with a national health system for RPA, EHR, and data optimization services.
  • Chief Executive profiles CarePort Health CEO Lissy Hu, MD.
  • The Tech Tribune includes CareSync in its list of “10 Best Tech Startups in Florida.”
  • Kyruus will host its Fifth Annual Thought Leadership on Access Symposium (ATLAS) in Boston October 15-17.
  • CenTrak reports significant growth in its hand hygiene business and an increase in hospital compliance rates.
  • Change Healthcare publishes a new payer study, “Finding the Value: The State of Value-Based Care in 2018.”
  • CoverMyMeds will exhibit at the ASAP Mid-Year Conference June 20-22 in Palm Beach, FL.
  • The Cleveland Plain Dealer recognizes Direct Companies, the parent company of Direct Consulting Associates, as a Top Workplace in Northeast Ohio for 2018.
  • Divurgent publishes a new health system case study, “Success Story: Windows 10 Upgrade.”

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates. Send news or rumors.
Contact us.

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Monday Morning Update 6/18/18

June 16, 2018 News 26 Comments

Top News

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The US Attorney indicts Theranos founder and CEO Elizabeth Holmes and former President and COO Sunny Balwani for fraud, charging that as Theranos executives, they knew that the company’s blood testing technology was unreliable and was not competitive with conventional lab testing.

Holmes resigned as Theranos CEO just before the charges were announced Friday. She will remain on the company’s board, for whatever that’s worth when the company in question is on its last legs.

Holmes and Balwani face up to 20 years in prison plus fines and restitution payments. 


Reader Comments

From Portal in the Storm: “Re: patient portals. My EClinicalWorks patient portal still lists the prep for my year-ago colonoscopy on my current medication list. I asked the doctor’s nurse to fix it, so she changed it to ‘not taking,’ but it was still listed on my portal as a current med. I mentioned it to my doctor, who discontinued it, but it still shows up on my current medication list. ECW’s My PHR shows the status as ‘not taking.’ Also, my poor doctor sees all meds, both taking and not taking, in a single current medication list with no option to sort or filter to show just the active meds. When folks complain about usability, I always assume it’s some advanced review these systems need, when in fact it’s obvious things any new user could point out.” Unverified.


HIStalk Announcements and Requests

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A slight majority of poll respondents think Athenahealth will be a lesser company without Jonathan Bush. Some respondents worry that the finance guys will take over from the visionary and cultural leader and instead of fixating on customers and product delivery, will jack up prices and hack at costs to improve the bottom line. Others say that without his dogged determination in focusing on long-term objectives, the bean counters will stifle innovation by just delivering what short-sighted customers say they want. One respondent said directly, “Steve Jobs was a douche, but I don’t think Apple is better off today.”

New poll to your right or here: has your employer had layoffs or other workforce reductions so far in 2018?

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Thanks to respondents who provided honest, painful thoughts about how suicide has affected them.

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This week’s question involves co-worker relationships.

Welcome to new HIStalk Platinum Sponsor Goliath Technologies. The Philadelphia-based company’s technology improves EHR user experience by helping IT departments anticipate, troubleshoot, and prevent issues related to slow log-in and application performance. It brings application monitoring for Cerner, Epic, Meditech, and other EHRs and business applications into a single console with real-time performance data, covering everything from endpoint to Citrix or VMware Horizon delivery infrastructure. Universal Health Services uses the system to monitor performance of its hosted Cerner system deployed nationally, where it logs into several Cerner applications every 30 minutes using a user’s exact keystrokes and network access to identify failures or slowdowns so they can be fixed quickly. That monitoring allowed UHS to pinpoint WiFi problems in a specific hospital. The company offers a demo and a 30-day free trial. I interviewed CEO Thomas Charlton a couple of weeks ago just because he sounded interesting and the company then decided to become a sponsor as a result. Thanks to Goliath Technologies for supporting HIStalk.

Here’s a video I found on YouTube describing Goliath’s Cerner monitoring system.

I had a good experience this weekend with an independent urgent care center in a tiny, remote town whose physician assistant recently treated my minor injury. The place was well staffed but empty, so I didn’t have to wait. They don’t accept my insurance but they charge just a fixed $75 (which in my case included a lidocaine injection, a bunch of silver nitrate sticks, and the usual odds and ends) and they used the insurance card information to retrieve my meds and problem lists, which they verified with me at the start of the visit. I received an email immediately afterward containing a link to sign up for the practice’s Athenahealth patient portal, and that went painlessly in simply entering the numeric code that was texted to my telephone number on file. I really worried about being forced to some hospital’s ED with the strong likelihood of getting stuck with out-of-network charges, so being quoted $75 made me happy, even more so when they treated and streeted me quickly.


Webinars

June 21 (Thursday) noon ET. “Operationalizing Data Science Models in Healthcare.” Sponsor: CitiusTech. Presenters: Yugal Sharma, PhD, VP of data science, CitiusTech; Vinil Menon, VP of enterprise applications proficiency, CitiusTech. As healthcare organizations are becoming more adept at developing models, building the skills required to manage, validate, and deploy these models efficiently remains a challenging task. We define operationalization as the process of managing, validating, and deploying models within an organization. Several industry best practices, along with frameworks and technology solutions, exist to address this challenge. An understanding of this space and current state of the art is crucial to ensure efficient use and consumption of these models for relevant stakeholders in the organization. This webinar will give an introduction and overview of these key areas, along with examples and case studies to demonstrate the value of various best practices in the healthcare industry.

Previous webinars are on our YouTube channel. Contact Lorre for information.


Acquisitions, Funding, Business, and Stock

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IBM Watson Health executives tell employees that the company will scale back its hospital pay-for-performance tools business.

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Former Cleveland Clinic President and CEO Toby Cosgrove, MD joins the board of Denver-based prescription decision support vendor RxRevu. The company’s board chair, Stephen McHale, was founder, CEO, and board chair of Cleveland Clinic spinoff Explorys,  which was acquired by IBM in 2015 and rolled into Watson Health.

Google is hiring for its Brain division, apparently for a research project called Medical Digital Assist that will use AI and speech recognition to create physician documentation. It may be a continuation of its Stanford Medicine digital scribe study from last year.


Announcements and Implementations

The AMA weighs in on augmented intelligence in a policy approved at its annual meeting, insisting in its own involvement to set direction, ensure physician friendliness, and integrate it with medical practice. AMA used the term AI to describe “augmented intelligence,” with the subtle difference being important – “augmented” means that AMA considers AI’s role as offering recommendations to doctors who are free to use them or not.


Sponsor Updates

  • Vocera will exhibit at the Cleveland Clinic Patient Experience Summit June 18 in Cleveland.
  • In the Netherlands, The Princess Maxima Center for Pediatric Oncology implements Wolter Kluwer’s UptoDate and Lexicomp solutions.
  • ZappRx expands its partnership with prior authorization services company PARx Solutions to include all treatment areas on the ZappRx platform.

Blog Posts


HIStalk Sponsors Named to the HCI 100

#4 Change Healthcare
#5 Philips
#9 Leidos
#17 Nuance
#20 Ciox Health
#21 Wolters Kluwer Health
#23 Roper Technologies
#26 InterSystems
#30 EClinicalWorks
#31 Meditech
#41 Experian Health
#43 MModal
#44 Netsmart
#47 Waystar
#52 Hyland
#56 Nordic
#58 Spok
#59 Elsevier
#60 Harris Healhcare
#61 Vocera
#62 CSI Healthcare IT
#65 Optimum Healthcare IT
#66 Imprivata
#67 Medhost
#68 Agfa Healthcare
#72 HCTec
#73 The HCI Group
#82 Cumberland Consulting Group
#87 AdvancedMD
#89 Impact Advisors
#90 Medecision
#93 The SSI Group
#97 WebPT


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates. Send news or rumors.
Contact us.

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News 6/15/18

June 14, 2018 News 5 Comments

Top News

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Cancer informatics technology vendor Inspirata acquires Caradigm from GE Healthcare. Imprivata bought Caradigm’s identity management business in October 2017. Microsoft, originally a 50-50 Caradigm joint venture investor with GE Healthcare to which it contributed its Amalga data platform, sold its share to GE Healthcare in April 2016.


Reader Comments

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From Witty Lad: "Re: Techsoft’s MDRhythm. We are considering their EHR for a volunteer-run clinic. I can’t tell if they’re still in business, but I want to give them the benefit of the doubt with[out] embarrassing them if they indeed are. Wondering if you know anyone who is a current or former client?" Not off the top of my head, so I’ll invite readers to weigh in. I discovered they are indeed still in business after a quick phone call to the company (answered promptly by the helpful Maria once I navigated through the automated phone tree), though their website is woefully out of date.

From Pampered Poodle: “Significant layoffs at Ascension Information Systems today. Ascension has been in financial strife and is in the process of a major reorganization of IT services.” I assume PP means Ascension Information Services, the IT shop out of the similarly named St. Louis-based health system. Unverified, though in line with a reader’s comment shared in April.


Webinars

June 21 (Thursday) noon ET. “Operationalizing Data Science Models in Healthcare.” Sponsor: CitiusTech. Presenters: Yugal Sharma, PhD, VP of data science, CitiusTech; Vinil Menon, VP of enterprise applications proficiency, CitiusTech. As healthcare organizations are becoming more adept at developing models, building the skills required to manage, validate, and deploy these models efficiently remains a challenging task. We define operationalization as the process of managing, validating, and deploying models within an organization. Several industry best practices, along with frameworks and technology solutions, exist to address this challenge. An understanding of this space and current state of the art is crucial to ensure efficient use and consumption of these models for relevant stakeholders in the organization. This webinar will give an introduction and overview of these key areas, along with examples and case studies to demonstrate the value of various best practices in the healthcare industry.

Previous webinars are on our YouTube channel. Contact Lorre for information.


Acquisitions, Funding, Business, and Stock

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Cardinal Health sells a majority stake in post-acute care services and analytics company NaviHealth to private investment firm Clayton, Dubilier & Rice for an undisclosed amount. Cardinal acquired the private equity-backed company in 2015 for $290 million.

Google looks to grow its Medical Digital Assist project, which seems to be toying around with physician note transcription using the company’s AI-powered Home and Assistant technology. Project team members have been working with Stanford Medicine (CA) on a digital scribe study that will conclude in August. Stanford physician and Google project liaison Steven Lin, MD admits training AI-powered speech recognition software to extract meaningful data to add to an EHR is “more of a complicated, hard problem than we originally thought.”

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Text-based telemedicine app company Medici raises $22 million in a Series A funding round.

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Strategic Management Consultants acquires Digital Reasoning’s anesthesiology-focused Shareable Forms (fka Shareable Ink) clinical documentation technology.

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Hackensack Meridian Health (NJ) dips into its $25 million innovation investment fund to finance Pillo Health’s digital home health companion. Hackensack and Pillo will work to launch a medication management pilot using the device with an eye towards eventual commercialization.


People

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Nick Martin (Optum International) joins DuPage Medical Group (IL) as CTO.

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The American Medical Association names psychiatrist Patrice Harris, MD president-elect at its annual meeting. She will succeed newly sworn-in New Mexico Oncology Hematology Consultants CEO Barbara McAneny, MD.

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Cantata Health hires Wesley Brown (SQLWatchmen) as VP of development.

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Outcome Health picks up the pieces with the appointment of Matt McNally (Publicis Health) as CEO. The waiting room media company has spent the last several months settling lawsuits stemming from allegations that it misled advertisers and investors, shuffling CEO Rishi Shah and President Shradha Agarwal to less visible positions, and watching its $5.5 billion valuation take a beating in the press. Publicis Health was an Outcome Health advertiser, having pulled out pending the results of a third-party verification of Outcome Health’s audience – the results of which haven’t yet been released.


Sales

  • The HealtheConnect Alaska HIE will implement NextGate’s Enterprise Master Patient Index.
  • Nantucket Cottage Hospital (MA) selects bedside patient engagement software from Aceso.
  • Tallahassee Memorial HealthCare (FL) chooses Voalte’s clinical communication and alert notification system.
  • The New Jersey Hospital Association and its Health Research and Educational Trust will offer Collective Medical’s opioid tracking tool to EDs across the state.

Announcements and Implementations

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SoutheastHealth (MO) develops a virtual ICU program with technology from Avera ECare.

Cohealo develops cloud-based software that uses EHR data to help hospitals better manage and utilize medical equipment.


Other

The Cardiovascular Research Consortium will leverage TriNetX’s data aggregation capabilities and analytics to give its biopharma partners access to clinical data.

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I can’t decide whether this article is a disturbing look at the sleazy means some plastic surgeons will use to puff up their already inflated egos, hopefully gaining new patients in the process, or an accurate portrayal of the way surgeons and their savvy marketing teams use social media to get the word out about their services.


Sponsor Updates

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  • The PatientKeeper team volunteers at The Giving Factory and donates over $5,000 to its Cradles to Crayons program.
  • Adventist Health System (FL) expands its use of Stanson Health’s clinical decision support software across its 46 hospital campuses.
  • Liaison Technologies and Aberdeen release the results of a new survey, “Enterprise Data in 2018: The State of Privacy and Security Compliance.”
  • Navicure/Waystar will exhibit at Florida MGMA June 20-22 in Orlando.
  • Nordic will exhibit at the Healthcare Industry User Group meeting June 17-20 in Phoenix.
  • Recondo Technology signs a large IDN, several major universities and an affiliated large physician group, helping it close $5 million in new contracts so far this year.
  • Experian Health achieves HITRUST CSF Certification and EHNAC Healthcare Network Accreditation.
  • To improve care coordination, the Wisconsin Statewide Health Information Network will offer participating providers and payers access to PatientPing’s real-time patient notifications.
  • Pivot Point Consulting hires Jenn Bula, RN (MedSys) as director, advisory services.
  • EClinicalWorks will exhibit at the North Carolina Primary Care Conference June 14-16 in Charlotte, NC.
  • HBI Solutions will exhibit at the Minnesota Dept. of Health E-Health Summit June 14 in Brooklyn Center.
  • Healthfinch will present at the AMDIS Physician Computer Connection Symposium June 18-22 in Ojai, CA.
  • Ciox Health Chief Digital Officer Florian Quarre joins the Forbes Technology Council.
  • Image Stream Medical parent company Olympus partners with accelerator MedTech Innovator.
  • InterSystems will exhibit at HL7 FHIR DevDays 2018 June 19-21 in Boston.
  • Intelligent Medical Objects will exhibit at the AMDIS Physician Computer Connection Symposium June 18-22 in Ojai, CA.
  • Kyruus will exhibit at the Cleveland Clinic Patient Experience Summit June 18-20 in Cleveland.
  • Patientco adds AccessOne financing products to its SmartFinance patient financing feature.
  • ChartLogic publishes a new white paper, “The True Value of Using Revenue Cycle Management.”
  • KLAS recognizes TransUnion Healthcare’s EScan Insurance Discovery solution with an an overall score of 89.4 out of 100 for Coverage Discovery in its latest software and services report.
  • HBI Solutions announces that two customers have implemented its predictive suicide risk model.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates. Send news or rumors.
Contact us.

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News 6/13/18

June 12, 2018 News 3 Comments

Top News

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An Axios report says that private equity firms love buying healthcare provider companies that wield a lot of market power, especially physician and ED staffing groups and air and ground ambulance companies. Those businesses make money when their providers are forced on hospital inpatients (often at out-of-network rates) or during moments when the patient has no choice.

Part of the company’s high margins come from the “surprise” portion of bills that insurance doesn’t cover.

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The article was triggered by news of KKR’s planned acquisition of Envision Healthcare Corporation for $9.9 billion.

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Envision provides ED doctors, hospitalists, anesthesiologists, radiology, and children’s services in 1,800 clinical departments in 45 states. It also operates a freestanding surgery center.

Elizabeth Rosenthal, author of last year’s bestseller “An American Sickness” and editor of Kaiser Health News, tweeted out in response her book’s rules of our medical market.


HIStalk Announcements and Requests

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This week’s question has generated quite a few heart-wrenching but sometimes uplifting recaps. I didn’t explain well why I solicited stories that are in ample supply elsewhere — these are coming from health IT peers and might resonate more strongly with struggling folks who work in our industry.

My least-favorite word of the moment: “seasoned,” a self-descriptive adjective used mostly by executives but sometimes companies who feel their experience needs its own laudatory designator. The mental picture it always creates for me is either (a) someone getting salted and peppered, or (b) a person or company as a stack of firewood that has dried up and is ready to go up in flames. It’s kind of like “innovative,” “nimble,” “entrepreneurial,” and “successful” in being self-congratulatory, yet conveniently unquantifiable.

Listening, only because it immediately caught my ear as played on a pirate sort of anti-corporate streaming radio station: Kevin Ayers, whose 1969 “Lady Rachel” was new to me (as was he himself, in fact). He was an original member of Soft Machine in the mid-1960s and played in the prog subtype of Canterbury Sound, which can range from whimsical to psychedelic, but always melodic (Soft Machine shared bills with Pink Floyd). Kevin died in 2013 at 68 with his Soft Machine heyday long passed. The lyrics and the voice he sings them in are kind of creepy: “Then she unwraps the parcel, And discovers a castle inside, The drawbridge is open, And a voice from the water, Says welcome my daughter, We’ve all been expecting you to come. She climbs…” His life’s finale was 2007’s “The Unfairground,” recorded with members of then-popular bands such as Teenage Fanclub and Roxy Music. 


Webinars

June 21 (Thursday) noon ET. “Operationalizing Data Science Models in Healthcare.” Sponsor: CitiusTech. Presenters: Yugal Sharma, PhD, VP of data science, CitiusTech; Vinil Menon, VP of enterprise applications proficiency, CitiusTech. As healthcare organizations are becoming more adept at developing models, building the skills required to manage, validate, and deploy these models efficiently remains a challenging task. We define operationalization as the process of managing, validating, and deploying models within an organization. Several industry best practices, along with frameworks and technology solutions, exist to address this challenge. An understanding of this space and current state of the art is crucial to ensure efficient use and consumption of these models for relevant stakeholders in the organization. This webinar will give an introduction and overview of these key areas, along with examples and case studies to demonstrate the value of various best practices in the healthcare industry.

Previous webinars are on our YouTube channel. Contact Lorre for information.


Acquisitions, Funding, Business, and Stock

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Billionaire doctor Patrick Soon-Shiong says that despite the poor stock performance and heavy criticism of his two publicly traded companies NantHealth and NantKwest, he will IPO a new chemotherapy development company later this year. Investors might want to proceed cautiously – shares in NantHealth and NantKwest have dropped 77 percent and 46 percent since their respective IPOs.

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Private equity firm GPB Capital acquires Maryland-based RCM/EHR vendor Health Prime International. Among GPB’s other holdings are dozens of car dealerships, several garbage collection companies, a concert video streaming service, life sciences firms, and health IT vendors Cantata Health, ITelagen Healthcare, MDS Medical, and Meta Healthcare IT Solutions.

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Inova’s healthcare accelerator invests in CoverMyTest, which automates prior authorization workflow for genetic and genomic testing. The company name seems like it would be legally challengeable by McKesson-owned CoverMyMeds, which offers the same type of PA service for medications.

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Sentry Data Systems, which sells 340B hospital drug subsidy program software, wins the first round in its antitrust lawsuit against CVS, which bought its own 340B administrator and required that its hospital and clinic customers use that company exclusively.

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Moody’s downgrades the credit rating of Beth Israel Deaconess Medical Center parent CareGroup, citing concerns about its $534 million BIDMC expansion project and significantly lower margins at Mount Auburn Hospital following its $110 million FY2017 implementation of Epic. Moody’s also worries about planned Meditech upgrades at three CareGroup community hospitals. However, the ratings firm says a proposed merger with Lahey Health would create economy of scale and market share that could make CareGroup competitive with Partners HealthCare in the Boston area.


People

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John Elms (Connexall USA) joins nurse call system vendor Critical Alert Systems as CEO.


Announcements and Implementations

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A Cincinnati Children’s study that is really small in sample size and scope finds that TempTraq’s Bluetooth-powered continuous temperature monitoring patch detects early fevers better than the usual episodic methods. The company says it can be integrated into central monitoring and EHR systems.TempTraq is part of Blue Spark Technologies, which makes flexible printed batteries similar to the temp-monitoring patch.

The Concord newspaper profiles former medical software technologist Chris Stakutis, who is working on a skill for Amazon Alexa for elderly people that reads news and emails aloud, allows creating messages, and asks questions about their health.


Other

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In Australia, doctor finder and appointment scheduling service HealthEngine is caught modifying more than half of patient-submitted practice reviews to make them sound more positive, with the local paper somehow tinkering with the site’s HTML to obtain before-and-after images. The company says it “has never intended to be a traditional ratings and review site” since its goal is to “celebrate high-performing practices” by publishing only positive reviews and sending negative ones privately to the practice (which is the real story that the paper mostly missed). Hopefully it takes fewer liberties with its medication management app. Meanwhile, it has removed the reviews from its site as it contemplates its future.

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A new KLAS report on digital rounding technologies – which includes rounding by nurses as well as non-clinical employees – finds the market to be immature, with few use cases and low customer expectations beyond replacing paper-based systems. Most of the vendors had too few customer responses to assure data validity.

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Spok’s annual mobile strategies report, derived from a smallish survey of 300 hospital employees, finds that 57 percent of hospitals have a mobile strategy, a decrease from 2017. Half said their strategy addresses communications needs, with 25 percent each saying it’s either a clinical or a technology initiative. The survey found that clinicians are increasingly involved in developing mobile policies, mostly to offer input on technology selection and to improve adoption rates. In-house Wi-Fi and cellular coverage remains the biggest problem, reported by more than half of respondents.

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Weird News Andy gets this potty started by filing this breaking news item under Porta-Jong. A North Korean defector who served in the military says that Kim Jong-un always travels with his own private restroom, including one that’s installed in an armored black limousine for motorcading. WNA assumes that if Western intelligence agencies gained access to his leavings, it might lead to a serious data dump about his health, although he acknowledges that the rumor was leaked by a stool pigeon. 


Sponsor Updates

  • ChartLogic’s ambulatory EHR earns ONC’s 2015 Edition certification, with the company noting that 100 percent of its clients who participated in its 2017 MIPS program attested successfully.
  • Memorial Medical Center (TX) is featured in a video testimonial about its use of the hosted version of the Obix Perinatal Data System.
  • Santa Rosa Consulting publishes a white paper titled “Utilizing Lean Management Principles During a Meditech 6.1 Implementation.”
  • Meditech posts a podcast titled “Rural Healthcare and the Role of the CIO,” featuring Methodist Hospital CIO and 2017 Gall CIO of the Year winner Randy McCleese.
  • In Ireland, Aut Even Hospital moves to an integrated radiology department with Agfa HealthCare’s enterprise imaging.
  • A new customer study shows that medical practices using Aprima’s EHR with Kno2 saved 103 hours per provider annually.
  • AssessURHealth publishes a new customer success story featuring Mark Weissman, MD of GMS Florida West Coast.
  • Burwood Group accelerates its cloud management practice with the adoption of HyperGrid’s HyperCloud platform.
  • Change Healthcare will exhibit at the AMDIS 2018 Physician-Computer Connection Symposium June 18-23 in Ojai, CA.
  • Divurgent publishes a new white paper, “Blockchain: The Challenges and Opportunities in Healthcare.”

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates. Send news or rumors.
Contact us.

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Monday Morning Update 6/11/18

June 10, 2018 News 2 Comments

Top News

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UMass Amherst nursing professor Rachel Walker, PhD, RN is named to the American Association for the Advancement of Scientists.

Walker says doctors are too often credited with innovations that were actually invented by nurses, such as feeding tubes, hospice care, and hand sanitizer.

Walker’s own inventions include glasses that measure fatigue in cancer patients, a machine that turns water into IV fluid in disaster zones, and a device that measures chemotherapy toxicity. Her background includes working as a rural EMT, volunteering with the Peace Corps, and oncology nurse certification.

She serves on the steering committee of Center for Personalized Health Monitoring, with her interest being using smartphone-connected wearable sensors rural areas that don’t have broadband access.


Reader Comments

From Cosmos: “Re: pre-existing conditions. Please comment on this news item if you would be so kind.” The Trump administration says its Department of Justice will no longer legally defend the ACA requirement that insurers offer the same coverage and premium price to everyone regardless of their medical history, threatening the guaranteed insurance coverage of somewhere between 50 million and 130 million people with pre-existing conditions. The challenge of 20 conservative states isn’t likely to succeed since Congress explicitly retained the pre-existing requirements (probably because voters would have reacted negatively otherwise) and there’s also the tricky legal footing involved with the White House ordering DOJ to selectively defend and enforce only the laws it likes. Regardless of this announcement, it’s going to be a new financial world for providers as the rate of uninsured patients goes up because of ever-increasing premiums, lack of companies willing to sell policies to individuals or to those with a history of illness, the sale of junk policies riddled with coverage exclusions, and the realization by many people that they might as well drop their expensive insurance and go without because they don’t have the money to even hit their deductible before insurance starts helping. US healthcare just keeps getting uglier in its transition from charitable human endeavor to big business to political weapon.


HIStalk Announcements and Requests

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Insurance companies were most identified by poll respondents as being responsible for high US healthcare costs, with drug and device vendors coming in second and health systems a distant third. Readers noted the lack of regulation over insurance companies, employer-provided insurance that separates patients from payments, aging Baby Boomers, poor lifestyle choices, and a society willing to spend big on delaying death.

New poll to your right or here: will Athenahealth be a better company without Jonathan Bush as CEO? Vote and then click the poll’s “comments” link to explain why you think so.

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I’ve been happy with the IPad Mini 2 that I bought in late 2015, but it had lost its snap in sometimes locking up on web pages full of crappy ads and videos and it was finicky about its WiFi connection, not to mention that it seemed to be shrinking the more I enviously saw people using larger ones with shockingly crisp displays. My decision was made when I ran across Apple’s GiveBack trade-in program, in which they gave me $90 toward the $329 cost of the 32GB IPad 9.7-inch model, which I can confidently say is the best value among all tablets for 95 percent of people. I’m happy in every respect so far, especially since the Mini originally cost me only $199 at Walmart. My Apple Store experience, unlike my last visit, was stellar – I was greeted quickly, my salesperson walked me through the transaction in a friendly and efficient manner, and I got to hang out with the cool kids at the “setup table” as they made sure my ICloud restore worked (which it did, flawlessly). I’m happy it uses the same Lightning connector and mini headphone jack so that I don’t need to buy anything else other than a case.

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I gained a new appreciation for marketing and PR folks after reading their responses to “What I Wish I’d Known Before … Working in Public Relations or Marketing,” which should be mandatory reading for C-level executives and salespeople.

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This week’s question will be more serious as I try to make sense of the death of Anthony Bourdain. Your responses are anonymous and may help someone.


Webinars

June 12 (Tuesday) 2:00 ET. “Blockchain in Healthcare: Why It Matters.” Sponsor: Quest Diagnostics. Presenter: Lidia Fonseca, CIO, Quest Diagnostics. Blockchain technology is gaining traction in many industries, including healthcare. It’s not only a hot topic, but is also showing promise with real-world applications. This webinar will share how blockchain may play a key role in the future of healthcare IT by helping to solve some of the industry’s challenges, distinguishing the hype from reality by discussing how it works, how it can impact healthcare providers, and its future application in healthcare IT.

June 21 (Thursday) noon ET. “Operationalizing Data Science Models in Healthcare.” Sponsor: CitiusTech. Presenters: Yugal Sharma, PhD, VP of data science, CitiusTech; Vinil Menon, VP of enterprise applications proficiency, CitiusTech. As healthcare organizations are becoming more adept at developing models, building the skills required to manage, validate, and deploy these models efficiently remains a challenging task. We define operationalization as the process of managing, validating, and deploying models within an organization. Several industry best practices, along with frameworks and technology solutions, exist to address this challenge. An understanding of this space and current state of the art is crucial to ensure efficient use and consumption of these models for relevant stakeholders in the organization. This webinar will give an introduction and overview of these key areas, along with examples and case studies to demonstrate the value of various best practices in the healthcare industry.

Previous webinars are on our YouTube channel. Contact Lorre for information.


Acquisitions, Funding, Business, and Stock

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WJS reporter and “Bad Blood” author John Carreyrou provides a couple of new tidbits about Elizabeth Holmes. He says she believes Theranos employees were responsible for the company’s problems and that “she sees herself as sort of a Joan of Arc who is being persecuted.” Amazingly, Holmes is apparently pitching a new startup idea (hopefully not healthcare-related) to potential investors who must certainly be out of their minds to even listen.


Decisions

  • Garfield County Memorial Hospital (WA) will replace its NextGen ambulatory EHR with Athenahealth in September 2018.
  • Pickens County Medical Center (AL) will go live with Cerner by fall 2018.
  • Fillmore County Hospital (NE) will go live with Cerner in October 2018.

These provider-reported updates are supplied by Definitive Healthcare, which offers a free trial of its powerful intelligence on hospitals, physicians, and healthcare providers.


Announcements and Implementations

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William Hersh, MD and Robert Hoyt, MD publish the seventh edition of “Health Informatics: Practical Guide.”

Newly formed Lancaster, PA-based accelerator Smart Health Innovation Lab will offer a 12-week certification program for validating new healthcare technologies and integrating them into clinical workflows. 


Government and Politics

The VA will create a medical implant registry to allow it to notify patients about recalls, identify devices in emergencies, and track outcomes.


Other

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Vanderbilt University Medical Center fires Asian-American surgery resident Eugene Gu, MD three years into his five-year program after his social media criticism of President Trump, Republicans, gun culture, and the hospital itself. He was one of seven people who successfully sued President Trump for violating their First Amendment rights by blocking them on Twitter. Vanderbilt says it decided not to renew his contract because of unspecified work performance issues, adding that it has chosen not to address his “many claims over the past two-plus years.”

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A federal judge certifies as class action a 2012 lawsuit brought by a nurse practitioner against the VA that claims that NPs and physician assistants are required to work unpaid overtime to monitor its View Alerts patient updates system.

In England, Sandwell Hospital cancels 147 appointments and goes back to paper when an “unplanned internal update” takes several of its IT systems offline. They’re putting their planned go-live on their Unity project (which I believe is Cerner) on hold to catch up on the patient backlog and will freeze IT changes until after go-live.

North Carolina’s legislature considers giving police officers access to an individual’s records in the state’s controlled substances prescribing database when they are working an active case, raising privacy concerns. One of bill’s sponsors admits, “We are not going to arrest our way out of the addiction epidemic.”

NYU Langone Health is testing Amazon Business for allowing employees to order supplies directly. Amazon Global Healthcare Leader Chris Holt said in speaking at the hospital’s Health Tech Summit that location and past experience won’t be enough to attract patients to hospitals as telehealth takes over, adding, “”Probably in the next 10 years, I’m only going to interact with a person for the most acute care issues in my life. Everything else will be done digitally. You’re going to have reinvent your brand in a digital setting with a new type of customer.”

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Rhode Island Hospital will spend at least $1 million to improve its patient-order matching process following mistakes in which it performed three tests (a CT angiography, an angiogram, and a mammogram) on the wrong patients and operated on the wrong vertebra of another patient. Among the consent agreement’s requirements is that the hospital give the Department of Health a worksheet listing all of its EHR users and the number of patient records they can open, access, or edit simultaneously, suggesting that a contributing factor was charting orders on the wrong patient because of multiple open EHR windows.

A Massachusetts court rules that a pharmacist must alert both the prescribing doctor and the patient when a prescription requires prior authorization, triggered by the 2009 seizure death of a 19-year-old woman who went without her anticonvulsant  prescription when Walgreens didn’t send the PA forms to her doctor. A previous ruling had found that Walgreens isn’t responsible for serving as the intermediary between doctor and insurer.

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In India, five ICU patients die when the hospital’s air conditioning fails. Some families claim that the AC worked, but was turned on only when doctors were rounding. Daily temperature highs in Kanpur reach 105 to 110 degrees. 


Sponsor Updates

  • Qventus will exhibit at the Lean Healthcare Transformation Summit June 14-15 in Chicago.
  • The SSI Group will exhibit at the Gulf States ASC Conference June 13 in Biloxi, MS.
  • Surescripts will host the 2018 Empowering Exceptional Care User Conference June 13-15 in Dallas.
  • Vocera’s Rounds solution wins the Best Overall Patient Engagement Solution Award from MedTech Breakthrough.
  • Philips Wellcentive will exhibit at the NG Healthcare Summit June 13-15 in Houston.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates. Send news or rumors.
Contact us.

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News 6/8/18

June 7, 2018 News 6 Comments

Top News

A survey of clinical trials participants finds that 93 percent are willing to share their clinical data with university scientists and 82 percent are OK with researchers from for-profit companies looking at their information.

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Participants mostly aren’t concerned with how their information is used, although around one-third worry that their data might reduce study participation, could be used for marketing, or might be stolen. They also don’t trust drug companies.

Previous studies involving biospecimens and EHR data found that patients were less willing to share, which is a seemingly contradictory finding since clinical trials data is a usually a superset of EHR data. The authors speculate that clinical trials participants trust researchers and are enthusiastic about contributing to their scientific efforts.


Reader Comments

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From Former Insider: “Re: University of Iowa Health Care. Never had any internal controls. The leaders were given $30 million to spend and spend it they did! Everyone is being let go. A tremendous waste of Iowa taxpayer dollars.” UIHC says it needs $7.5 million to exit the UI Health Alliance and dissolve its ACO, which is operated as a separate non-profit, UI Health System. Within UI Health Ventures is Community Connect, a 50-FTE operation that is implementing EHRs in seven critical access hospitals and clinics. A previous audit found that Community Connect had poor data controls, inaccurate patient scheduling and billing, and sloppy financial reporting, which the university still hadn’t corrected six months after the six-month deadline passed. Community Connect’s Epic implementation work will be transferred to UI Health Care’s IT department, which UI Health Care CIO Lee Carmen told me in November back when the decision was made.


HIStalk Announcements and Requests

Wednesday was a busy day on the HIStalk server as I got the Athenahealth news out before anyone else, even the Boston Globe, meaning that over 500 folks were online simultaneously for a couple of hours but with no ill effect except some minor site slowdowns. Page views for the day ended up at over 12,000, which isn’t hugely higher than normal, but it’s the burst of activity that sometimes causes a “server not responding” error at the peak. I had some adjustments made a few weeks ago (after the VA contract news) and that might have helped. The all-time high remains at 17,327 page views on July 30, 2015 when the DoD announced its Cerner decision and even I couldn’t get in that day.

I missed listing some companies the other day who won’t be continuing their HIStalk sponsorship, so I’ll add some additional thanks and goodbyes to:

  • Logicworks
  • Learn on Demand Systems
  • Salesforce
  • Sutherland

Webinars

June 12 (Tuesday) 2:00 ET. “Blockchain in Healthcare: Why It Matters.” Sponsor: Quest Diagnostics. Presenter: Lidia Fonseca, CIO, Quest Diagnostics. Blockchain technology is gaining traction in many industries, including healthcare. It’s not only a hot topic, but is also showing promise with real-world applications. This webinar will share how blockchain may play a key role in the future of healthcare IT by helping to solve some of the industry’s challenges, distinguishing the hype from reality by discussing how it works, how it can impact healthcare providers, and its future application in healthcare IT.

June 21 (Thursday) noon ET. “Operationalizing Data Science Models in Healthcare.” Sponsor: CitiusTech. Presenters: Yugal Sharma, PhD, VP of data science, CitiusTech; Vinil Menon, VP of enterprise applications proficiency, CitiusTech. As healthcare organizations are becoming more adept at developing models, building the skills required to manage, validate, and deploy these models efficiently remains a challenging task. We define operationalization as the process of managing, validating, and deploying models within an organization. Several industry best practices, along with frameworks and technology solutions, exist to address this challenge. An understanding of this space and current state of the art is crucial to ensure efficient use and consumption of these models for relevant stakeholders in the organization. This webinar will give an introduction and overview of these key areas, along with examples and case studies to demonstrate the value of various best practices in the healthcare industry.

Previous webinars are on our YouTube channel. Contact Lorre for information.


Acquisitions, Funding, Business, and Stock

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Athenahealth shares took a sharp turn upward Wednesday on the news of Jonathan Bush’s resignation and the company’s plan to explore strategic alternatives. ATHN shares rose 4 percent Wednesday and another 1 percent Thursday.

HP will lay off between 4,500 and 5,000 employees by 2019 as part of its ongoing restructuring plans.

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Meditation app company Headspace launches a new subsidiary that will focus on developing FDA-approved, prescription-strength meditation apps targeted at specific medical conditions. Founder Andy Puddicombe became a Tibetan Buddhist monk and trained with the Moscow State Circus before starting the company in 2010.

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A New York bankruptcy court selects MTBC as the “stalking horse” primary bidder for the assets of Houston-based Orion HealthCorp, which offers revenue cycle services, practice management, and group purchasing. You might be appreciating the irony of a revenue cycle services vendor going bankrupt, but there’s more to the story – it was part of Constellation Healthcare Technologies, whose since-fired CEO Paul Parmar and his fellow executives have been charged by the DOJ for part in an elaborate $300 million fraud scheme involving phony acquisitions. He claims he earns $1 billion per year and he lives in a 39,000-square-foot mansion worth a few dozen million.


People

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Steve Wretling (DaVita) joins HIMSS in the new role of chief technology and innovation officer.

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Act.MD names Amy Vreeland (LifeImage) as chief commercial officer.

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Altruista Health appoints Brad Kuebler (Agiliko) VP of technology operations.

Berkshire Hathaway Chairman Warren Buffett tells CNBC that he and JPMorgan CEO Jamie Dimon have selected a CEO for their healthcare venture with Amazon and will name the individual within the next two weeks.


Sales

  • Regional physician network Georgia Health Select will implement population health management software from EQHealth Solutions.
  • Greater Ormond Street Hospital for Children in London contracts with Hyland Healthcare for its OnBase content management technology.
  • Landmark Hospitals (FL) chooses RCM software and services from HCS Interactant.
  • Ballad Health (TN) will implement Epic in a two-year process that will kick off in 2019.
  • In the UK, Royal Devon & Exeter NHS Foundation Trust officials sign off on an Epic implementation that will begin in September.

Announcements and Implementations

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Midland Health (TX) goes live on Cerner.

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Patientco adds customizable SmartFinance patient financing options to its line of payment technologies and services.

DrFirst adds pharmacogenomic test ordering to its Rcopia e-prescribing system.


Government and Politics

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The DOJ charges the CEO of a chain of Midwest pain clinics and laboratories, along with four doctors, for running a $200 million fraud scheme involving the prescribing of 4.2 million dosage units of medically unnecessary opiates to Medicare beneficiaries who were either addicted to the drugs or selling them on the street. DOJ says the doctors also required patients to consent to receiving the maximum number of injections that Medicare would pay for. CMS stopped payment to one clinic and a lab when it found that 100 percent of their claims were not eligible, after which it says the defendants created new shell companies and swapped out signs on the company doors so the billing could continue. Prosecutors say 37-year-old CEO Mashiyat Rashid lived in a $7 million mansion, drove a Lamborghini and Rolls Royce Ghost, and wore expensive designer clothes. Federal agents had him under surveillance last year when he withdrew $500,000 in 100-dollar bills from the bank, which his lawyer says is reasonable because he’s a venture capitalist. 


Privacy and Security

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A presumably independent security researcher alerts consumer DNA testing company MyHeritage to an October 2017 data breach involving 92 million customer email addresses and passwords stored on an unauthorized server. The company may soon face scrutiny from the FTC, which is investigating the data privacy practices of competitors Ancestry.com and 23andMe.


Other

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The Madison, WI hippie weekly says its time for Epic employees to unionize following the Supreme Court’s ruling that forcing employees into arbitration over labor issues and prohibiting them from filing class action lawsuits is legal. It adds that a union could also fight the company’s famous non-compete clause that prevents them from working at any Epic-using site, not just the company itself.

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Over half of the 4,000 patients surveyed by University of Michigan Medical School researchers report that a physician’s attire is important and one-third admit it influences their level of satisfaction. Most prefer a white coat no matter the care setting, professional role, or gender of the provider.

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Allscripts CEO Paul Black throws out the first pitch for the Healthcare Professionals Night at Wrigley Field for the Cubs vs. Phillies game. Not to be nitpicky, he’s not a healthcare professional even though Allscripts paid for the promotion. 

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I wrote about the tiny California town whose one-bed hospital would either be sold to the only private investor who wanted it or be closed. They voted to sell Surprise Valley Community Hospital to 34-year-old Beau Gertz (above, right), the owner of nutraceutical and lab companies who plans to run his lab and telemedicine bills from all over the country through the hospital to earn higher payment. The hospital tried that previously with another company that left them high and dry. Apparently the main claim to fame of Cedarville, CA is that it’s the last chance to gas  up on the way to Burning Man.

The New York eHealth Collaborative expands patient care alerts for hospital admittance, discharge, and transfer across the state’s eight regional HIEs via the Statewide Health Information Network for New York.


Sponsor Updates

  • Stanson Health’s Caden (Clinical Advisory Delivery Engine) goes live on Epic’s App Orchard.
  • Lightbeam Health Solutions publishes a new case study, “Princeton HealthCare System Reduces Inpatient Admissions 15% using Care Management.”
  • LiveProcess publishes a self-assessment quiz on the CMS Emergency Preparedness Rule.
  • LogicStream Health receives the 2018 MedTech Breakthrough Award for Clinical Efficiency Innovation.
  • Meditech will exhibit at the 2018 Nurse and Home Care Forum June 13-15 in Foxborough, MA.
  • Netsmart will exhibit at the I2I Center for Integrative Health Spring Policy Forum June 11 in Raleigh, NC.
  • DocuTap wins a MedTech Breakthrough Award for Best EHR Service; its Clockwise.MD technology wins in the Best Overall Patient Engagement Company category.
  • Kyruus wins a MedTech Breakthrough Award  for best patient scheduling solution.
  • Leidos Health will develop health IT for Maxim Healthcare Services and its post-acute care workforce.
  • Glytec incorporates Smart Meter’s iGlucose diabetes care solution with its Glucommander Outpatient software.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates. Send news or rumors.
Contact us.

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Jonathan Bush Resigns as Athenahealth CEO

June 6, 2018 News 27 Comments

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Athenahealth President and CEO Jonathan Bush has resigned, effective immediately.

Executive Chairman Jeff Immelt and CFO Marc Levine will assume responsibility for day-to-day operations. Board member Amy Abernethy, MD, PhD of Flatiron Health will advise the company on data strategy.

Bush was the subject of misconduct allegations and the pressure of activist investor Elliott Management.

Athenahealth’s board is exploring a sale, merger, or other transaction involving the company, but will also consider continuing as an independent company. It has opened a search for Bush’s replacement as CEO.

Bush said in the announcement, “I believe that working for something larger than yourself is the greatest thing a human can do. A family, a cause, a company, a country – these things give shape and purpose to an otherwise mechanical and brief human existence. Athenahealth is a near once-in-a-life time example of such a thing. With that lens on, it’s easy for me to see that the very things that made me useful to the company and cause in these past 21 years are now exactly the things that are in the way. I cannot imagine a single organization more loaded with potential to transform healthcare.”

Board Chair Jeff Immelt said, “Athenahealth is the most universally connected healthcare network in the country and we believe there remains significant, unrealized value in the company. To ensure Athenahealth maximizes shareholder value and is best positioned to realize the full potential of its premier healthcare technology platform, the board has authorized a thorough evaluation of strategic alternatives, including a potential sale or merger or continuing as an independent company under new leadership. We approach this process with an open mind and a commitment to continuing to strengthen the company – including its rich data asset, platform strategy, and culture of innovation. We are fully focused on serving the best interests of our shareholders, employees and clients.”

News 6/6/18

June 5, 2018 News 6 Comments

Top News

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Apple releases an API that allows developers to build apps connected to Apple Health Records.

Third-party developers can create IPhone apps that use medical information that is stored in Health Records and HealthKit, which Apple says can connect to 500 hospitals and clinics. Doctors can also integrate the stored patient information into their ResearchKit study apps to replace health questionnaires.

Apple says developers are creating apps for medication tracking, disease management, nutrition planning, and medical research.


Reader Comments

From Over Easy: “Re: Athenahealth. What are the odds that Elliott Management is behind the sudden surfacing of the old domestic news of Jonathan Bush?” I can’t speculate, but Googling turns up accusations that the hedge fund that’s pressuring the company has used shady tactics in the past hoping to discredit resistant CEOs, including hiring investigators to spy on their families and neighbors in hopes of turning up something salacious. The hedge fund denies that it has ever done that. However, the timing of the sudden interest in 12-year-old court documents certainly seems suspicious, especially since they involve divorce and custody proceedings rather than criminal activity.


HIStalk Announcements and Requests

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Designer Kate Spade has died at 55 in an apparent suicide. I mention this only because I received an email from the National Action Alliance for Suicide Prevention asking media to report such events responsibly and to recommend that anyone who needs help call the 24/7 National Suicide Prevention Lifeline at 800-273-8255, so it seems like a good time to get the word out, especially since we have a physician suicide problem in our own industry. 

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Here’s a reminder to answer this week’s question if you’re so inclined. It’s a little-understood profession onto which you might shine some light.


Webinars

June 12 (Tuesday) 2:00 ET. “Blockchain in Healthcare: Why It Matters.” Sponsor: Quest Diagnostics. Presenter: Lidia Fonseca, CIO, Quest Diagnostics. Blockchain technology is gaining traction in many industries, including healthcare. It’s not only a hot topic, but is also showing promise with real-world applications. This webinar will share how blockchain may play a key role in the future of healthcare IT by helping to solve some of the industry’s challenges, distinguishing the hype from reality by discussing how it works, how it can impact healthcare providers, and its future application in healthcare IT.

June 21 (Thursday) noon ET. “Operationalizing Data Science Models in Healthcare.” Sponsor: CitiusTech. Presenters: Yugal Sharma, PhD, VP of data science, CitiusTech; Vinil Menon, VP of enterprise applications proficiency, CitiusTech. As healthcare organizations are becoming more adept at developing models, building the skills required to manage, validate, and deploy these models efficiently remains a challenging task. We define operationalization as the process of managing, validating, and deploying models within an organization. Several industry best practices, along with frameworks and technology solutions, exist to address this challenge. An understanding of this space and current state of the art is crucial to ensure efficient use and consumption of these models for relevant stakeholders in the organization. This webinar will give an introduction and overview of these key areas, along with examples and case studies to demonstrate the value of various best practices in the healthcare industry.

Previous webinars are on our YouTube channel. Contact Lorre for information.

Here’s the recording of Tuesday’s webinar titled “Increase Referrals and Patient Satisfaction with a Smarter ‘Find a Doctor’ Web Search.”


Acquisitions, Funding, Business, and Stock

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Microsoft acquires open source repository GitHub for $7.5 billion in stock. The company, whose income is generated by charging enterprise customers for private repositories, has never made a profit. Developers are apparently already fleeing the platform on rumors that Microsoft – which once called the open operating system Linux “a cancer” — was taking over. GitHub was valued at just $2 billion in 2015. VC Andreessen Horowitz will make over $1 billion on the sale from its $100 million investment in 2012.

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Teladoc acquires virtual visit provider Advance Medical for $352 million. The Westwood, MA-based Advance Medical is the leading virtual care provider outside the US.

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Teladoc shares are up 61 percent in the past year vs. the Nasdaq’s 22 percent rise, valuing the company at $3.4 billion despite increasing annual losses.


Sales

  • Advocare will replace GE Centricity with EClinicalWorks for its 600 providers in New Jersey and Pennsylvania.
  • Estonia’s Tartu University Hospital joins the TriNetX global research network to expand its clinical trials population internationally.
  • North Mississippi Health Services selects Mercy Technology Services to install Epic’s ambulatory EHR.
  • Johns Hopkins Medicine will implement the Voalte Platform at Johns Hopkins Bayview Medical Center and Sibley Memorial Hospital for voice calling, secure text messaging, and alarm management.
  • Children’s Hospital Colorado chooses Mediware’s blood management solutions.
  • Lawrence General Hospital (MA) selects Santa Rosa Consulting as its Meditech Expanse implementation partner.

People

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Adam McMullin (Voalte) joins pharmacy technology vendor FDS as CEO.

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Cantata Health promotes Jonathan Isaacs as CEO and hires Krista Endsley (Abila) as president.

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Columbia University nursing and biomedical informatics professor Suzanne Bakken, RN, PhD is named editor-in-chief of JAMIA.


Announcements and Implementations

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Penn State Health St. Joseph goes live on Cerner.

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Ciox Health announces GA of HealthSource, a cloud-based clinical information-sharing platform that can extract information from disparate health records using artificial intelligence, optical character recognition, and natural language processing. Three modules were also announced: Clarity (release of information), Smart Chart (medical records aggregation into a longitudinal profile), and Vault (a patient- and provider-centric data repository). 

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InstaMed publishes its annual healthcare payments trends report, with these findings:

  • 75 percent of Americans question the value they receive from the nation’s $10,400 per capita cost of healthcare
  • 65 percent of consumers say they would change providers to obtain a better payments experience
  • 58 percent of providers rely on statements to collect patient money owed as “paper is the sandpaper of healthcare”
  • Consumer out-of-pocket spending is growing rapidly to a projected $608 billion as high-deductible health plans and ever-increasing deductibles become common
  • Annual health insurance premiums have risen to an average of nearly $19,000
  • Nearly three-fourths of consumers can’t make sense of EOBs or bills and only nine percent of them can define the basic health insurance concepts of premium, deductible, co-insurance, and out-of-pocket maximum
  • More people (40 percent) fear the cost of illness more than the illness itself
  • Only 21 percent of consumers regularly use their provider’s patient portal
  • 80 percent of consumers want to check in for provider visits on their phones and 65 percent would use a phone app to pay medical bills as mobile payments have increased to 24 percent of the total
  • The survey found strong increases in the use of online payments, digital wallets, and automatic payment plans

Imprivata launches Mobile Device Access for fast clinical mobile device authentication.

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Mary Meeker’s influential Internet trends report finds that:

  • Smartphone sales and Internet user growth have slowed as more than half the world is connected, but people are spending even more time online, with US adults averaging 5.9 hours per day
  • People are spending more on healthcare, which may drive improvements in office convenience, digitized transactions, and on-demand pharmacy services
  • The reach of digital payments is increasing
  • Data and data-driven personalization can be an important driver of customer satisfaction
  • Social media discovery is driving some product sales
  • Return on ad spending is going down, with “customer lifetime value” receiving more emphasis as a result
  • Household debt is at its highest historical level as consumers spend more on housing, insurance, and healthcare but less on food, entertainment, and clothing

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Florida Hospital will develop a clinical operations command center for its nine campuses using GE Healthcare’s AI-powered Wall of Analytics.

ZappRx expands its partnership with prior authorization services vendor PARx Solutions to cover gastroenterology, rheumatology, and neurology.


Government and Politics

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The Defense Department’s OIG is investigating allegations about White House physician and one-time VA secretary nominee Ronny Jackson, MD, who has been accused of improperly providing sleeping pills, drinking on the job, and violating the privacy of the wife of VP Mike Pence by sharing her medical information with other providers.

The Department of Justice charges two nurse practitioners and a surgery technician with opioid distribution after they allegedly sold prescriptions that they wrote on a doctor’s stolen prescription pad. DOJ also announces that a 65-year-old family practitioner in North Carolina who also ran an office-based opioid treatment has pleaded guilty to trading opiate prescriptions for sex with at least seven female patients, billing Medicare and Medicaid along the way for office visits that didn’t actually happen.

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An HHS OIG investigation finds that even though the number of Medicare Part D prescriptions for brand name drugs dropped 17 percent from 2011 to 2015, drug companies made 77 percent more money as they simply raised prices at six times the inflation rate, which then automatically raised Medicare’s cost since it is based as a percentage of list price.


Other

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The 514 residents of Surprise Valley, CA grapple with whether to sell the town’s one-bed, bankrupt hospital to the 34-year-old owner of nutraceutical companies who wants to use it for billing insurance companies for lab tests and telemedicine visits. He already loaned the hospital district $2.5 million to allow the hospital to buy one of his businesses, allowing him to advertise that it’s a wholly-owned subsidiary of the hospital and to keep 80 percent of the resulting lab billing profits. The bankrupt hospital tried a similar arrangement last year with EmpowerHMS, which it says abandoned the hospital after facilities it owned were accused of billing at least $175 million for lab services to patients who weren’t seen at those locations.

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A Stanford Medicine survey of 500 EHR-using primary care doctors finds that:

  • Two-thirds of them think EHRs have improved care and say they’re at least somewhat satisfied with their systems
  • 59 percent think EHRs should be overhauled
  • More than half say that using an EHR detracts from their satisfaction and clinical effectiveness
  • A 20-minute patient visit involves 12 minutes of interaction, eight minutes with the EHR, and another 11 minutes of after-visit EHR time
  • Suggested short-term improvements are EHR user interface redesign, shifting work to support staff, and using voice recorders as scribes
  • Suggested long-term improvements are improving interoperability, using predictive analytics, and integrating patient cost information into the EHR

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“Bad Blood” author and Wall Street Journal reporter John Carreyrou partially blames business-friendly Arizona for the “giant, unauthorized experiment” in which Theranos used its faulty technology to process blood samples collected from patients at Walgreens in the company’s original “wellness center” rollout in Phoenix, also noting that Theranos and its lobbyists convinced state legislators to pass a law that the company mostly wrote itself that allows patients to get blood tests performed without a doctor’s order.

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Blount Memorial Hospital (TN) says a “corrupted file” caused a three-day downtime of its physician group’s network in early May, requiring restoring from backups.

Examination of the work computer of former dean of Michigan State University’s School of Osteopathic Medicine – who retired after charges of sexual harassment and failing to oversee child sex abuser Larry Nassar — turns up pornographic images of women wearing MSU Spartan gear.

A consultant says that every state should develop an all-payer claims database to study healthcare trends and to allow building consumer transparency tools for cost and quality. Twenty states are working on them, but the author notes that California – which spends $367 billion per year on healthcare – has rolled out an incomplete system even though it would cost only around $20 million to do it right.

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Weird News Andy thinks this idea is dope. California is giving drug users free fentanyl test strips in hopes of reducing overdoses caused by the 40 percent of heroin that contains the powerful narcotic.The Canadian company that sells the $1 strips warns that they were designed to test urine, not drug products, and says the tests shouldn’t give users a false sense of security.


Sponsor Updates

  • Ready Computing offers an off-the-shelf solution that combined InterSystems HealthShare HIE and Clinical Architecture’s Symedical content management to give physicians a graphical view of test results, diagnoses, and treatments.
  • Impact Advisors is named to CRN’s 2018 Solution Provider 500 list.
  • Spok joins Zebra’s PartnerConnect channel partner program.
  • HBI Solutions contributes to a journal article titled “Assessing Statewide All-Cause Future One-Year Mortality: Prospective Study with Implications for Quality of Life, Resource Utilization, and Medical Futility” that features the work of its solutions staff and clients.
  • Change Healthcare, ACO Partner, and BCBS of Arizona announce successful results of a shared savings plan.
  • The Boston Business Journal ranks Definitive Healthcare the 11th fastest growing company in Massachusetts.
  • Nordic is named to Inc. Magazine’s “Best Workplaces” list.
  • AdvancedMD will exhibit at Masters in Ophthalmology June 8-10 in Orlando.
  • Aprima will exhibit at the NJMGMA Practice Management Conference June 6-8 in Atlantic City.
  • Arcadia will exhibit at the Millenium Alliance Healthcare Payers Transformation Assembly June 7 in Marana, AZ.
  • Bernoulli receives the Best Research Paper award from AAMI Journal Awards for the paper, “Continuous Surveillance of Sleep Apnea Patients in a Medical-Surgical Unit.”
  • Burwood Group will exhibit at the NCHICA Academic Medical Center Security & Privacy Conference June 11-12 in Chapel Hill.
  • Centrak will exhibit at APIC 2018 June 13-15 in Minneapolis.
  • EClinicalWorks will exhibit at the Value-Based Summit Series Telehealth 2018 June 7-8 in San Diego.
  • FormFast will exhibit at the AZHIMA Annual Meeting June 14-15 in Mesa.
  • Healthfinch will exhibit at the Healthcare Call Center Times event June 13-15 in Pittsburgh.
  • Huntzinger Management Group EVP and Partner William Reed will speak at the Investment and M&A Opportunities in Healthcare Conference June 6 in Nashville.
  • CRN names Impact Advisors to its 2018 Solution Provider 500 list.
  • Intelligent Medical Objects will exhibit at the NextGen Large Client User Group Meeting June 6-8 in Chicago.
  • Kyruus will exhibit at the Healthcare Transformation Summit June 7-8 in Austin, TX.
  • EY names Collective Medical’s Chris Klomp, Adam Green, and Wylie van den Akker Entrepreneur of the Year 2018 Utah Region Award Winners.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
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Monday Morning Update 6/4/18

June 3, 2018 News 6 Comments

Top News

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The Illinois Procurement Policy Board rejects Cerner’s challenge of the seven-year, $62 million Epic contract signed by University of Illinois Hospital and Health Sciences System.

The board had previously recommended cancelling the contract and letting the state executive ethics commission render an opinion based on Cerner’s complaint that its bid was lower, that it wasn’t allowed to demonstrate its product, and that the selection involvement of Impact Advisors created a conflict of interest since that consulting firm also offers Epic implementation and staffing assistance.

The procurement board realized that Epic had not been offered a chance to request its own hearing, and after listening to arguments from both companies, declined to pursue the matter further and will let the contract stand.

UIC executives said when Cerner filed its protest in December 2017 that it has had problems with Cerner as a current customer, that it has failed twice in trying to roll out Cerner ambulatory due to Cerner-admitted performance problems, and that Cerner failed its technical review and was therefore excluded from demonstrating per state procurement law.

UIC’s Epic project will replace systems from Cerner and Allscripts.


Reader Comments

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From Norway José: “Re: Cerner in central Norway. It seems they’ve pulled out, assuming the translation is correct. Wonder if this is a sign of things to come as they turn their attention and resources to the VA?” The Health Center Norway RHF article says that Epic will get the contract after Cerner pulls out for unstated reasons.

From You Don’t Need a Weatherman: “Re: referrals. Interesting timing in light of the Steward case.” A case before the US Supreme Court regarding how antitrust laws are enforced may change how courts look at anti-steering provisions. The case involves credit card companies, but if the Supreme Court upholds a lower court’s decision, hospitals and insurers would be allowed to include anti-referral rules in their contracts. The AMA argues that physicians would be unable to send patients to out-of-network specialists even when they believe it’s in the patient’s best interest. 

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From PitVIper: “Re: provider data. Humana, Aetna, UnitedHealthcare, ONC, SureScripts, VA, and other organizations got together and defined an industry roadmap to address issues in provider data.” A CAQH-convened group develops “An Industry Roadmap for Provider Data” in hopes of reducing the inefficiency created by inaccurate provider data. The groups involved will declare a commitment to the vision, form a governance structure, define an initial dataset and standards, engage regulators, and begin measuring impact.


HIStalk Announcements and Requests

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More than 80 percent of poll respondents had a negative reaction to Cerner President Zane Burke’s labeling the DoD’s negative internal report on the MHS Genesis pilot sites as “fake news” that was influenced by an unnamed competitor in unnamed ways.

New poll to your right or here: who is most responsible for high US healthcare costs? Next week I’ll compare the new results from the same poll I ran a couple of years ago.

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I received too few entries to last week’s question, so here’s one last try. I should note that I’m not looking only for negative answers with these questions even those are often in the majority.

Thanks to the following companies that recently supported HIStalk. Click a logo for more information.

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Following through on my long-ago promise to a reader to also recognize companies that have chosen not to renew their sponsorship, I’ll say thanks and goodbye to these companies that have left the HIStalk building since January 1:

  • Conduent
  • Dynamic Computing Services
  • Ellis & Adams
  • Encore Health Resources (acquired by Emids)
  • Harris Healthcare (although it has added a sponsorship for its QuadraMed EMPI business)
  • Haystack Informatics
  • Healthlink Advisors
  • Infor
  • InMediata
  • Lifepoint Informatics
  • Protenus
  • Sphere 3
  • UltraLinq

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Welcome to new HIStalk Platinum Sponsor Ciox Health. The Alpharetta, GA-based company facilities and manages the movement of health information with the industry’s broadest provider network, deploying capabilities in release of information, record retrieval, health information management, audit management, coding services and education, imaging services, clinical abstraction, and oncology data management. The company has 40 years of HIM experience and provides services to 60 percent of US hospitals, 16,000 physician practices, and 100 health plans. It manages 40 million requests for health information each year and complies with rigorous standards to ensure privacy and security. The company manages health information to support continuity of care, patient access to data, and reimbursement improvement. Thanks to Ciox Health for supporting HIStalk.

Here’s a Ciox Health intro video I found on YouTube.

I paid $65 to run the HIStalk email list through a third-party email validation tool that performs a deep dive into each subscriber’s email service. No wonder people say they aren’t getting my emails – a big chunk of company servers don’t let them through because of anti-spam systems, incorrectly configured servers, and readers who entered their email address wrong. At least I feel better telling people that the problem is on their end, not mine.

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I also learned this by accident – if you export your LinkedIn connections from the Privacy menu, you’ll get an Excel file that includes every one of your contacts along with their job title, employer, email address, and connection date.

Thanks to the long-time readers who sent nice thoughts about HIStalk’s 15th birthday, some of whom were reading way back in my first lonely, fumbling year of 2003 (it’s still lonely and fumbling, but I accept it more readily).

Listening: new from Black Thought, aka Tariq Trotter, the genius co-founder and performer of The Roots. The lyrics are simultaneously angry, crude, and poetic: “Picture my daughter drinkin’ water with a sign; say ‘for colored girls,’ I ain’t talkin’ Ntozake Shange; Who said it’s cynical? I was a king and general; Rich in every resource, precious metal and mineral; Before the devil entered the land of the plentiful.” Lyrics are undervalued now that music is dominated by good looks, slick dance moves, and computer-enhanced songs written by someone other than the singer, but check out his freestyle rap from December to hear what Shakespeare might sound like if he were born 46 years ago in Philadelphia to parents who were separately murdered by the time he was 16.

I just finished reading the Theranos book “Bad Blood: Secrets and Lies in a Silicon Valley Startup.” Book report to follow.


Webinars

June 5 (Tuesday) 1:00 ET. “Increase Referrals and Patient Satisfaction with a Smarter ‘Find a Doctor’ Web Search.” Sponsors: Phynd Technologies, Healthwise. Presenters: Joseph H. Schneider, MD, MBA, FAAP, retired SVP/CHIO, Indiana University Health; Keith Belton, VP of marketing, Phynd. A recent survey found that 84 percent of patients check a hospital’s website before booking an appointment. However, ‘Find a Doctor’ search functions often frustrate them because their matching functionality is primitive and the provider’s information is incomplete or outdated. Referring physicians need similarly robust tools to find the right specialist and to send the patient to the right location. Attendees of this webinar will learn how taxonomy-driven Provider Information Management improves patient and referrer satisfaction by intelligently incorporating the provider’s location, insurance coverage, specialty and subspecialty, and services offered that can be searched via patient-friendly terms.

June 12 (Tuesday) 2:00 ET. “Blockchain in Healthcare: Why It Matters.” Sponsor: Quest Diagnostics. Presenter: Lidia Fonseca, CIO, Quest Diagnostics. Blockchain technology is gaining traction in many industries, including healthcare. It’s not only a hot topic, but is also showing promise with real-world applications. This webinar will share how blockchain may play a key role in the future of healthcare IT by helping to solve some of the industry’s challenges, distinguishing the hype from reality by discussing how it works, how it can impact healthcare providers, and its future application in healthcare IT.

June 21 (Thursday) noon ET. “Operationalizing Data Science Models in Healthcare.” Sponsor: CitiusTech. Presenters: Yugal Sharma, PhD, VP of data science, CitiusTech; Vinil Menon, VP of enterprise applications proficiency, CitiusTech. As healthcare organizations are becoming more adept at developing models, building the skills required to manage, validate, and deploy these models efficiently remains a challenging task. We define operationalization as the process of managing, validating, and deploying models within an organization. Several industry best practices, along with frameworks and technology solutions, exist to address this challenge. An understanding of this space and current state of the art is crucial to ensure efficient use and consumption of these models for relevant stakeholders in the organization. This webinar will give an introduction and overview of these key areas, along with examples and case studies to demonstrate the value of various best practices in the healthcare industry.

Previous webinars are on our YouTube channel. Contact Lorre for information.


Sales

  • Boulder Community Hospital (CO) chooses Epic.

Decisions

  • Cumberland Memorial Hospital (WI) will replace Evident with Athenahealth on August 1.
  • Caldwell Memorial Hospital (LA) switched from Healthland to Evident in September 2017.
  • Faulkton Area Medical Center (SD) will replace Healthland with Cerner on June 25.

These provider-reported updates are supplied by Definitive Healthcare, which offers a free trial of its powerful intelligence on hospitals, physicians, and healthcare providers.


People

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Curt Thornton (Capsule) joins Quantros as SVP of sales.

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Intelligent Medical Objects hires Ann Barnes (MedData) as CEO. She replaces co-founder Frank Naeymi-Rad, PhD, MS, MBA, who will continue as board chair and will add the role of chief innovator.


Announcements and Implementations

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Amazon Web Services announces GA of Amazon Neptune, a graph database that allows developers to query relationships to power social networks, recommendation engines, fraud detection, and drug discovery. A life sciences startup is using it to study disease by connecting genomics, pathology, neurochemistry, and device and patient clinical data.

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A new KLAS report on HIT assessment and strategic planning finds that Cumberland and EMids Technologies (the former Encore Health Resources) are more consistent in exceeding client expectations; Impact Advisors and Chartis Groups excel at delivering high-quality outcomes across a large number of clients and projects; Nordic is the highest overall performer; and Accenture finishes worst as clients report less value obtained. The report highlights Nordic and Deloitte for thought leadership.


Other

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A University of Michigan poll finds that half of older adults have set up a patient portal, with those aged 65-80 who haven’t done so saying they aren’t comfortable with technology while those 50-64 say their biggest barrier is that they just haven’t bothered. Respondents gave portals a slight edge in their ability to understand the information they’re given, but telephone contact with the practice won for the ability to explain what they need and also with the hope of getting a faster response.

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In England, The Daily Telegraph looks at the digital revolution in healthcare, giving kudos to Epic-powered alerts for quickly detecting and treating sepsis at Cambridge University Hospital’s NHS Foundation Trust, where 80 percent of newly diagnosed sepsis patients are being given antibiotics within one hour. It also mentions the Pediatric Early Warning Score for escalating peds issues quickly. The article also quotes Eric Topol, MD, who is reviewing an NHS technology review and who predicts the end of expensive “hotel hospitals” as patients are increasingly monitored at home.

Australia’s new, $2 billion Royal Adelaide Hospital is spending an annualized $2 million to store and deliver paper medical records after the incoming new government pauses its Allscripts rollout. The health minister says the EPAS project is “hundreds of millions of dollars over budget and years behind schedule.”

A small poll finds that 88 percent of Americans aged 40 and over would be comfortable receiving care via telemedicine, although half worry that care could be of lower quality.

A tiny new study finds that doctors can predict which patients will do well on chemotherapy by looking at activity data from their fitness trackers. Those who are non-sedentary more than 60 hours per week seem to require fewer hospitalizations and ED visits.

Newly published research finds that many cancer patients could safely skip chemo and surgery without affecting their survival, including eliminating chemotherapy after surgery for early-stage breast cancer. 

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Baylor St. Luke’s Medical Center (TX) temporarily suspends its heart transplant program following publication of investigative reports calling out patient deaths and surgeon turnover. Meanwhile, the hospital’s chief of staff says in a Houston Chronicle opinion piece that “these journalists will need to have a contingency plan to go to Europe or maybe the Cayman Islands” if they need cardiac care after the authors noted the high death rates of heart surgeon Bud Frazier, MD even though the hospital itself had found problems with his work years ago.

Apple announces Digital Health, which despite the name, is an app to help consumers wean themselves off their electronic devices by limiting their time online. Google has introduced a similar feature in its Android operating system that records the time spent within each app and allows the user to set time limits.

In France, two doctors face disciplinary action after getting into a fistfight in an OR after an anesthesiologist complains about having to work after 4:00 p.m. because the urologist’s case ran over. The anesthesiologist says the urologist threw a bottle of Betadine in his face, with the latter then going after the urologist with surgical scissors. They continued their fracas in the OR dressing room afterward, when the urologist is alleged to have smacked the anesthesiologist in the face with his computer bag, shattering his eye socket and requiring a month-long recovery.


Sponsor Updates

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  • Pivot Point Consulting’s Seattle team volunteers at the Hopelink food bank.
  • Netsmart will exhibit at the NAPHSIS – Vital Records Annual Conference June 4 in Miami.
  • Datica lists its milestones attained as it reaches its fifth anniversary.
  • Clinical Computer Systems, developer of the Obix Perinatal Data System, will exhibit at the Epic Michigan User Group Conference June 5 in Ypsilanti.
  • OmniSys will exhibit at PioneerRx Connect June 7-10 in Nashville.
  • Meditech will host  its 5.x/6.0 Revenue Cycle Summit June 26-27 and 6.1/Expanse Revenue Cycle Summit June 28-29, both in Foxborough, MA.   
  • Quadramed will exhibit at the CHIA Convention and Exhibit June 3-6 in San Diego.
  • Wisconsin Health News features Redox CEO Luke Bonney.
  • Nordic reports that its score of 98.1 on KLAS’s “HIT Assessment & Strategic Planning 2018” report is the highest of all companies mentioned.
  • WebPT announces the speaker lineup for its annual Ascend Summit September 28-29 in Phoenix, AZ.
  • Access joins Athenahealth’s More Disruption Please program.
  • Philips Wellcentive publishes a white paper titled “Is there a business case for value-based care?”
  • ZappRx achieves HITRUST CSF Certification.
  • The SSI Group earns certification under the HHS Optimization Program Pilot of Administrative Simplification.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates. Send news or rumors.
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