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Monday Morning Update 6/19/23

June 18, 2023 News 5 Comments

Top News

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Oracle has declined to comment about its layoffs in the former Cerner business last week, but affected employees have cited numbers ranging from 500 to 1,200.

Reddit commenters said that recently hired managers were targeted, along with the HealthIntent and CommunityWorks teams, support service owners, and employees who were assigned to the VA’s stalled implementation.


Reader Comments

From Innit: “Re: [cancer screening technology vendor name omitted.] Fired the CEO and two of four salespeople after missing financial goals.” I left the name out pending a company response. Its leadership page and the LinkedIn profiles of the CEO and salespeople have not changed.

From Staffer: “Re: Children’s Mercy KC. Brought in expensive consultants to train the entire workforce on culture. Executive leadership talks the talk, but some are not changing or are almost weaponizing the culture concepts against staff. I’m curious about reader experience – how is the perception of your organization, has it run a culture initiative, did leaders change or did they get swapped out, and did the organization change following the initiative?” My only experience with this was in my short, long-ago stint with a for-profit company, but I suspect the same challenges remain:

  • The organizations that undertake these projects are already in trouble and expect consultants to fix their most pressing problems.
  • Executives who created the problems pretend to participate, but don’t actually plan to change their own behavior.
  • Hiring a bunch of expensive consultants creates pressure to deliver ROI quickly, but culture change is slow and uncertain.
  • Companies are paying consultants to ask their employees what they think instead of talking to them directly, which pretty much says it all with regard to the disconnect between management and employees.
  • It’s a big de-motivator to ask for opinions that are then ignored.
  • It’s easier to recognize a good or bad culture than to turn one around.

HIStalk Announcements and Requests

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Nearly half of poll respondents have experienced a negative impact of a previously signed non-compete agreement. A couple of folks mentioned that non-competes should include compensation – either the old company pays you while your time-out ticks away or gives you vesting or other benefits to offset your potential lost earnings – but the Epic model of pushing the non-compete onto providers and consulting firms means that you might not get offers and won’t know why.

New poll to your right or here, as suggested by a reader: does the fear of losing your job force you to work in a suboptimal or unethical way?

Listening The Descendents (that’s how they spell it), inserted into my YouTube feed because I’ve been listening to the Hives. An HIStalk search finds that I mentioned them in 2017, where I noted that the lead singers of at least three punk rock bands have earned PhDs – Bad Religion, The Offspring, and The Descendents. They look like Walmart-fashioned grandpas waiting for the Applebee’s early bird special, but then they just rip into blazing fast and highly skilled punk rock that sends youthful moshers flinging themselves off the stage. The band formed in 1977, with Milo Aukerman stepping down temporarily to earn a UCSD PhD in molecular biology followed by postdoctoral research. Also on my playlist: the reader-suggested collaboration between Dolly Parton and Judas Priest’s Rob Halford, in which Parton’s warbling pairs surprising well with Halford’s growl as collaborators whose combined age is 148.

Lorre always offers Summer Doldrums incentives to new HIStalk sponsors this slow time of year, along with some first-year perks for small startups that need a boost. Contact her.


Webinars

June 22 (Thursday) 2 ET. “The End of COVID Public Health Emergency is Here. Is Your Rev Cycle Ready?” Sponsor: Waystar. Presenter: Vanessa L. Moldovan, commercial enablement + insights program manager, Waystar. This webinar will describe the proactive steps that are needed to avoid increased rejections and denials. It will cover regulatory waivers and flexibilities, major shifts in telehealth, changes to reimbursement, and the impact of the end of the PHE on Medicaid coverage.

July 12 (Wednesday) 2 ET. “101: National Network Data Exchanges.” Sponsor: Particle Health. Presenter: Troy Bannister, founder and CEO, Particle Health. It’s highly likely that your most recent medical records were indexed by a national Health Information Network (HIN). Network participants can submit basic demographic information into an API and receive full, longitudinal medical records sourced from HINs. Records come in a parsed, standardized format, on demand, with a success rate above 90%. There’s so much more to learn and discover, which is why Troy Bannister is going to provide a 101 on all things HIN. You will learn what HINs are, see how the major HINS compare, and learn how networks will evolve due to TEFCA.

Previous webinars are on our YouTube channel. Contact Lorre to present or promote your own.


Acquisitions, Funding, Business, and Stock

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Optum dissolves its Startup Studio incubator after three years and 100 health companies incubated.


Sales

  • The VA awards Sierra7 and partner AvaSure a contract to provide a TeleCare Companion solution to seven VA medical centers in VISN 9, powered by AvaSure’s TeleSitter solution.

People

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John Noseworthy, MD (Mayo Clinic) joins Northwell-created virtual-first care ecosystem vendor Caire as executive chair.

Brent Averette (Komodo Health) joins Transcarent as SVP of enterprise sales.

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Damo Consulting founder and CEO Paddy Padmanabhan, MBA died Thursday of cancer.


Privacy and Security

Politico reports that Senators Peter Welch (D-VT) and Elizabeth Warren (D-MA) have expressed concern to Amazon President and CEO Andy Jaffy that the company’s virtual Amazon Clinic may be collecting and sharing health data from customers. They ask in a letter that Amazon provide its patient authorization form, which they have heard requires prospective patients to consent to data disclosure that waives HIPAA protections. They also want to review sample provider contracts and how collected is shared.

A newly declassified report confirms that US spy agencies routinely purchase commercially available data on US citizens that includes their browsing history and cell phone location.


Other

Anthem Blue Cross Blue Shield — noting that 60% of the claims it receives for Ozempic suggest that it is being prescribed for weight loss rather than diabetes — sends letters to prescribers warning them that it will alert law enforcement and state licensure boards when it suspects inappropriate use or fraudulent activity. The letter provides few details, but since prescribers can legally order drugs for off-label uses, it seems likely that the insurer is going after doctors who improperly claim that patients have diabetes in getting insurance to pay.

A New York Times report says that the corporatization of healthcare has alienated physicians whose bosses order them to behave in profit-seeking ways that don’t align with their values. It notes that some doctors have been fired for raising issues related to patient safety or poor working conditions and are forced to hit productivity targets that preclude showing empathy or support. They also have to manage patients whose don’t have the insurance or cash to afford potentially beneficial treatments.

A TV station in Australia profiles the country’s first standalone, nationally accredited virtual hospital.


Sponsor Updates

  • CereCore publishes a case study titled “Epic Advisory Services: An Acquisition and Install Story.”
  • Experity celebrates a successful investment cycle with an employee trip to Orlando.
  • Meditech publishes a new e-book, “A strong revenue cycle begins and ends with a satisfied patient.”
  • Nordic releases a new Making Rounds Podcast, “Turning data into insights with managed services.”
  • OmniSys parent company XiFin names Kyu Rhee, MD senior strategic advisor.
  • Surescripts publishes a podcast titled “Bringing Healthcare to the People: How Dr. Brett Giroir Serves His Nation.”
  • Le Bonheur Children’s Hospital, Children’s Hospital of Richmond at VCU, and Virginia Children’s Care Network join Premier’s Kiindo pediatric-focused collaborative and purchasing alliance.
  • Verato publishes a new white paper, “What Is Referential Matching?”
  • Waystar customer Alivi Health announces that it has achieved a 99.89% clean claim rate.

Blog Posts


Contacts

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

News 6/16/23

June 15, 2023 News 3 Comments

Top News

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Oracle conducts another round of layoffs in the former Cerner business, according to employee reports on Reddit and LinkedIn. Federal business groups, specifically teams involved in the VA’s now-paused implementation, were most often mentioned.

The company also reportedly rescinded some job offers.

Oracle CEO Safra Catz said of the Cerner business in this week’s earnings call, “You will be seeing some more significant changes, and we have legal entity combination imminently and that actually gives us a lot more flexibility regarding the way we operate the business. We are just at the very beginning of it. Their margins are nowhere close to the way we run our company.“

Oracle has reportedly laid off 3,000 of Cerner’s 28,000 employees in the year since the $28 billion acquisition.

Meanwhile, the stock market likes what it heard this week and has pushed ORCL shares to record highs, valuing the company at $342 billion and the wallet of CTO and Chairman Larry Ellison at nearly $150 billion. Shares rose another 3.5% on Thursday.


Webinars

June 22 (Thursday) 2 ET. “The End of COVID Public Health Emergency is Here. Is Your Rev Cycle Ready?” Sponsor: Waystar. Presenter: Vanessa L. Moldovan, commercial enablement + insights program manager, Waystar. This webinar will describe the proactive steps that are needed to avoid increased rejections and denials. It will cover regulatory waivers and flexibilities, major shifts in telehealth, changes to reimbursement, and the impact of the end of the PHE on Medicaid coverage.

July 12 (Wednesday) 2 ET. “101: National Network Data Exchanges.” Sponsor: Particle Health. Presenter: Troy Bannister, founder and CEO, Particle Health. It’s highly likely that your most recent medical records were indexed by a national Health Information Network (HIN). Network participants can submit basic demographic information into an API and receive full, longitudinal medical records sourced from HINs. Records come in a parsed, standardized format, on demand, with a success rate above 90%. There’s so much more to learn and discover, which is why Troy Bannister is going to provide a 101 on all things HIN. You will learn what HINs are, see how the major HINS compare, and learn how networks will evolve due to TEFCA.

Previous webinars are on our YouTube channel. Contact Lorre to present or promote your own.


Acquisitions, Funding, Business, and Stock

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Nasdaq gives Veradigm another extension to submit its annual and quarterly reports, with the company expecting to file Form 10-K on September 18, 2023 rather than June 14. The former Allscripts announced at the end of February that audits internal had uncovered revenue recognition problems that would force a 15-day delay in filing its report that was due March 1. The company then announced on March 22 that it had fallen out of Nasdaq compliance by failing to file its 10-K by the revised date. It was given another 60 days to file the report. Nasdaq issued a delisting notice for MDRX shares on May 18 for failing to file its reports on time. MDRX shares have lost 35% since January 1 versus the Nasdaq’s 30% gain, valuing the company at $1.3 billion. 

Nasdaq retracts its delisting warning for shares of Healthcare Triangle, determining that it made a mistake in calculating the company’s per-share value following its May 26 reverse stock split.

Healthcare staffing company Aya Health acquires Flexwise Health, whose software forecasts hospital staffing needs.

BurstIQ acquires the business intelligence solution of Olive AI.


Sales

  • Health risk management firm Captive Health will offer its covered members KeyCare’s virtual care services, accessed from MyChart and Captive Health’s mobile app.

Announcements and Implementations

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A new KLAS report on population health management technology vendors finds that Epic and Innovaccer stand out, and along with Arcadia, are most often considered. Customers give high partnership marks to Azara Healthcare, Relevant Healthcare, and Salient Healthcare.


Government and Politics

Human Rights Watch calls for the US government to protect Americans from aggressive billing and debt collection by non-profit hospitals, which the organization says is interfering with their other human rights such as housing, food, and education. It concludes that the US model of giving tax breaks to privately operated hospitals and hoping they will reciprocate by delivering charity care isn’t working, making the US a big outlier in medical debt. The report says the government should require hospitals to provide as much charity care as they receive in tax subsidies, for the IRS to set national standards for hospital financial assistance, and for the Consumer Financial Protection Bureau to require debt collectors to make sure that patients have been screened for financial assistance eligibility before pressing them for payment. 


Sponsor Updates

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  • Team Ellkay raises over $35,000 for the Alpine Learning Group during its annual Go the Distance for Autism cycling event.
  • Vyne Medical publishes a new case study, “How to Establish Proof of Patient Authorizations to Overturn Denials.”
  • A new report from Forester recognizes InterSystems as a strong performer among top data management and analytics vendors.
  • Redox publishes a new report, “Uncovering hidden data roadblocks of cloud and AI adoption in healthcare.”
  • Black Book lists the top-ranked payer technologies category leaders exhibiting at AHIP this week. HIStalk sponsors include Wolters Kluwer Health (member and consumer education solutions) and Optum (end-to-end payer RCM outsourcing, payer analytics outsourcing).
  • Wolters Kluwer Health and Laerdal Medical launch VRClinicals for Nursing to enhance nurse training with realistic, multi-patient scenarios using virtual reality.
  • Konza National Network’s interoperability platform earns certified status by HITRUST for information security.
  • Direct Recruiters parent company Starfish Partners acquires Global People and cybersecurity-focused NinjaJobs.
  • Fortified Health Security names Katarzyna Parzonka conference and event coordinator.
  • Healthwise wins six Digital Health Awards.
  • Loyal names Matt Gove (Summit Health/CityMD) senior advisor.

Blog Posts


Contacts

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

News 6/14/23

June 13, 2023 News 9 Comments

Top News

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Oracle reports Q4 results: revenue up 17%, adjusted EPS $1.67 versus $1.54, beating Wall Street expectations for both and sending shares to an all-time high. From the earnings call:

  • Total cloud revenue was up 55%.
  • The Cerner business contributed $1.5 billion to the company’s $13.8 billion of total revenue that was up 18%.
  • The company is partnering with Nvidia to build the world’s largest high-performance computer, which will run AI at 16,000 GPUs.
  • CTO and Chairman Larry Ellison says that cloud usage is charged by the minute, making Oracle half the price of competitors because it runs twice as fast. He adds that a new Oracle version of MySQL is 1,000 times faster than Amazon Aurora.
  • Ellison says Oracle loves Java for building applications, but the company uses Apex for a tenfold developer productivity gain, which he says is why the company believes that it can rewrite Cerner’s entire suite in a “very, very short period of time.”
  • Ellison says that the company will earn many healthcare wins because of Oracle’s application breadth, also noting that competitors say they are “cloud” when they are actually “hosted.”
  • Ellison adds, “We not only have all the Cerner healthcare apps for hospitals, we’ve specialized our ERP system for hospitals, we’ve specialized our HCM for managing the hospital workforce. We’ve done a bunch of things around the healthcare industry. One of the things we want to do is, you know, we’re the largest provider of clinical trial software. But the clinical — the results of the clinical trial goes to a government regulator. And we’re now working with the government regulators to develop the software that allows them to take the clinical trial output in digital form and get it through the regulatory process much faster at a much lower cost. So, we’re looking at the entire healthcare ecosystem and trying to automate both sides of the transaction.”
  • CEO Safra Catz says “we’re still at the beginning” with the Cerner business, as Oracle has been focused on stabilizing the operation, but work remains to increase Cerner’s profit margins and to move its products to Oracle Cloud.

Reader Comments

From Apex: “Re: Elation Health. We were notified that our implementation manager is no longer with the company, apparently part of a structured RIF. Not sure how big, but it was a sign of companies hunkering down for the recession and the lack of non-AI investor capital.” Unverified, because I couldn’t find a press contact on their site to confirm the non-anonymous report.


HIStalk Announcements and Requests

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Welcome to new HIStalk Platinum Sponsor Ronin. The San Mateo, CA-based company’s advanced data science and human-centered interfaces embedded in the EHR help clinicians make more precise, confident, and personalized patient care decisions while enhancing the patient and care team experience. Intuitive display of the patient journey: More efficiently and more confidently guide patient care using a reimagined dashboard within the EHR that presents all available patient data in a single click. Efficiently rendered data reduces clinicians burden and supports data-driven decisions. Actionable data insights for personalized care: Preempt adverse events and improve treatment effectiveness using predictive insights delivered at the point of care in the patient chart to accelerate informed, individualized decisions about patient care. Real-time symptom monitoring for effective intervention with PROs: Identify and proactively course-correct at-risk patients for fewer adverse events and emergency department visits through EHR-integrated capture of patient reported outcomes, remote monitoring, effective patient management, and intelligent alerting. Thanks to Ronin for supporting HIStalk.


Webinars

June 22 (Thursday) 2 ET. “The End of COVID Public Health Emergency is Here. Is Your Rev Cycle Ready?” Sponsor: Waystar. Presenter: Vanessa L. Moldovan, commercial enablement + insights program manager, Waystar. This webinar will describe the proactive steps that are needed to avoid increased rejections and denials. It will cover regulatory waivers and flexibilities, major shifts in telehealth, changes to reimbursement, and the impact of the end of the PHE on Medicaid coverage.

July 12 (Wednesday) 2 ET. “101: National Network Data Exchanges.” Sponsor: Particle Health. Presenter: Troy Bannister, founder and CEO, Particle Health. It’s highly likely that your most recent medical records were indexed by a national Health Information Network (HIN). Network participants can submit basic demographic information into an API and receive full, longitudinal medical records sourced from HINs. Records come in a parsed, standardized format, on demand, with a success rate above 90%. There’s so much more to learn and discover, which is why Troy Bannister is going to provide a 101 on all things HIN. You will learn what HINs are, see how the major HINS compare, and learn how networks will evolve due to TEFCA.

Previous webinars are on our YouTube channel. Contact Lorre to present or promote your own.


Acquisitions, Funding, Business, and Stock

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A new survey of C-level health system executives by marketing intelligence firm Panda Health looks at the “Churn Index,” as digital health contracts that health systems signed during the pandemic will start expiring, forcing customers to evaluate whether their renewal is cost effective. Telehealth and remote patient monitoring solutions have a potentially high Churn Score due to moderate levels of dissatisfaction.

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Forbes questions why Andreessen Horowitz led a recent $50 million seed funding round in healthcare startup Hippocratic AI even though its founder came from a Medicare Advantage broker with a history of debt, laid-off employees, and unpaid invoices.  Several Health IQ co-founders and executives, including CEO Munjal Shah, MS, moved to Hippocratic AI, angering the small companies – mostly lead generators and call center operators — that are stilled owed millions by Health IQ.


People

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Will Weider, MS (PeaceHealth) joins Aspirus Health as SVP/CIO.

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UCSF promotes Julia Adler-Milstein, PhD as chief of its clinical informatics and digital transformation division.

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Spencer Korn (Salesforce) joins League as SVP of sales and business development.

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PatientNow hires Bethany Little, MA (Community Brands) as CEO.

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Curt Thornton, MHS, MBA (Anatomy IT) joins Linus Health as chief growth officer.

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AvoMD hires Mark Citrone (Doximity) as chief commercial officer.


Announcements and Implementations

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Artera launches Artera Harmony to unify and streamline patient messaging from across the enterprise.

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KLAS reports that as health system acquire independent oncology practices and care centers, more are being moved to Epic and Oracle Health, with Epic users reporting satisfaction with the company’s development roadmap but noting that the system’s complexity creates a user learning curve. Oracle Health users say that PowerChart Oncology is customizable and well integrated, but development is slow and the system is hard to learn.


Government and Politics

Former Theranos CEO Elizabeth Holmes says she can’t afford to pay $250 per month toward the $452 million that she and former COO Sunny Balwani have been ordered to pay as restitution to defrauded investors. Holmes says she will spend the rest of her working life trying to pay her legal bills, although her attorneys did not object to starting a payment plan from prison at $100 per year. 


Privacy and Security

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St. Margaret’s Health (IL) will cease operations this week after failing to overcome staff shortages, the lingering effects of the pandemic, and a 2021 ransomware attack on parent organization SMP Health that prevented it from submitting claims to payers for nearly three months.


Other

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Bon Secours Mercy Health (OH) develops a Community Health Data Hub for public health research.

Allina Health will re-examine its recently exposed policy of withholding services from patients who have accrued $4,500 in medical debt. The Minnesota-based nonprofit will not, however, restore care for those who are already flagged as debtors.


Sponsor Updates

  • Five9 publishes a demonstration video titled “Five9 Helps with Medicaid Redetermination.”
  • AssociatesMD (FL) increases patient engagement after implementing Healow technology from EClinicalWorks.
  • Waystar enhances its healthcare payments platform for improved transparency, efficiency, and accuracy.
  • Baker Tilly releases a new Healthy Outcomes Podcast, “Navigating challenges in 2023 and beyond for healthcare provider organizations.”
  • Nordic releases an episode of its In Network podcast titled ““Making Rounds: Turning data into insights with managed services
  • Bamboo Health names Amelia Burnett and Laura Reese software engineers, David Antosh cloud engineer, and Bill Alderson senior payroll specialist.
  • The local business paper honors Care.ai with a 2023 Fire Award in the Fresh Faces category.
  • CHIME releases a new Trailblazers Podcast, “Digital Future Optimization, Efficiency, Process – Where Do We Start?”
  • AGS Health, Amenities, Arcadia, Availity, CereCore, Current Health, Medhost, Nordic, Nym Health, Optum, Sphere, VisiQuate, and Waystar will exhibit at HFMA June 25-28 in Nashville.

Blog Posts


Contacts

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

Monday Morning Update 6/12/23

June 11, 2023 News 9 Comments

Top News

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Madison, WI-based news site Isthmus questions whether Epic’s non-compete agreements limit Dane County’s entrepreneurial growth as compared to Microsoft’s startup influence in the Seattle area.

A former Epic employee says that it’s nearly impossible for people like him to launch a startup given the two-year non-compete that involves the 4,500 banned companies that Epic lists as competitors and its “all efforts” pledge that prohibits part-time, professional, or teaching work while working for Epic.

The article also notes that Epic requires independent consulting firms, vendors that are listed in its app marketplace, and its customers to incorporate the same two-year non-compete terms.

Some of the former employees who were interviewed say they took jobs that seemed unrelated to Epic, but were terminated by their new employers when Epic inquired.

The FTC is reviewing its proposed ban on non-compete agreements, which is almost certain to be legally challenged.


HIStalk Announcements and Requests

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A surprising number of poll respondents say their phone has driven life-changing improvements, with some examples being Pokémon Go leading to exercise, Reframe for sobriety, Apple Watch’s three-ring activity tracker, Strava for exercise, exercise trackers and monitoring, and calorie tracking.

New poll to your right or here: Has a non-compete agreement that you previously signed ever had a negative impact on your search for a new job?

My fascination with ChatGPT has been replaced by annoyance at the hucksters who are carpet-bombing LinkedIn and Twitter with dull, formulaic, and probably ChatGPT-generated drivel that practically begs for followers and newsletter sign-ups. They will disappear in a few months as they fight each other to be top-of-mind for short attention span crumbs, but meanwhile it’s getting tedious being swamped with repetitive content from self-proclaimed experts:

  • Pithy “ChatGPT for business” editorializing from people who have never held a real job beyond self-promotion and who have no documented education, experience in AI, or success in running a company.
  • Soulless, pointless one-sentence-per-paragraph eye-rolling insight haikus on LinkedIn.
  • Recirculating low-value lists of ChatGPT tools, prompts, and screenshots.
  • Making lists of predictions of companies or industries will be rendered obsolete by ChatGPT.
  • Posting the non-clever results of the “I asked ChatGPT and here’s what it said” type.
  • Folks, many of them in marketing and writing, who don’t realize that any leverage they get from ChatGPT will be quickly adopted by everyone else, erasing any temporary competitive advantage.

Webinars

June 22 (Thursday) 2 ET. “The End of COVID Public Health Emergency is Here. Is Your Rev Cycle Ready?” Sponsor: Waystar. Presenter: Vanessa L. Moldovan, commercial enablement + insights program manager, Waystar. This webinar will describe the proactive steps that are needed to avoid increased rejections and denials. It will cover regulatory waivers and flexibilities, major shifts in telehealth, changes to reimbursement, and the impact of the end of the PHE on Medicaid coverage.

July 12 (Wednesday) 2 ET. “101: National Network Data Exchanges.” Sponsor: Particle Health. Presenter: Troy Bannister, founder and CEO, Particle Health. It’s highly likely that your most recent medical records were indexed by a national Health Information Network (HIN). Network participants can submit basic demographic information into an API and receive full, longitudinal medical records sourced from HINs. Records come in a parsed, standardized format, on demand, with a success rate above 90%. There’s so much more to learn and discover, which is why Troy Bannister is going to provide a 101 on all things HIN. You will learn what HINs are, see how the major HINS compare, and learn how networks will evolve due to TEFCA.

Previous webinars are on our YouTube channel. Contact Lorre to present or promote your own.


Acquisitions, Funding, Business, and Stock

A Business Insider article predicts a startup “mass extinction event” for startups in late 2023 through 2024 that may have already started, although with low visibility since “most startups die quietly and slowly” since they aren’t publicly traded. The result could be asset sales, recapitalization at lower valuation, acqui-hires in which companies are bought simply to poach their employees, and low-visibility shutdowns.

A researcher in Australia says that employees value work-from-home options because of – in addition to time spent commuting — poorly designed corporate offices that stifle inspiration and creativity with cookie-cutter furnishings, high noise levels, and interruptions, also noting that companies tout serendipitous conversations and collaboration that usually doesn’t happen just because employees are forced to sit in a room together. She says the return-to-office push is being driven by Theory X managers who think lazy employees need to be observed and controlled as well as economic concerns about commercial property values.


Sales

  • The New York State Office of Mental Health chooses NTT Data to provide Independent Verification and Validation (IV&V) services for the Child Support Workstream of the Integrated Eligibility System (IES) Program.

People

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Cedars-Sinai hires James Jones, MHA, MSN, RN (UW Medicine) as its first CNIO.

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Bridget Bell (Nordic Consulting Partners) joins Cardamom Health as VP of business development.

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CommonSpirit Health promotes Karen Hunter, DNP, RN to system VP of clinical informatics.

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Industry long-timer Michael Kendzierski died May 26 at 61. He retired a few months ago from DrFirst and had held executive sales jobs with Spok, Vocera, CareFusion, Initiate Systems, Eclipsys, and Spacelabs.


Announcements and Implementations

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Orbita launches CallDeflectAI, a conversational virtual assistant for provider websites that answers common patient questions using only provider-approved documents and web pages. The company offers a 30-day free trial and promises a one-day launch.

Medhost will offer its partners the Sentri7 antimicrobial and sepsis surveillance suite of Wolters Kluwer Health.


Sponsor Updates

  • EClinicalWorks releases a new podcast, “Prisma: Enhancements & Benefits for Clinicians.”
  • Tegria will host a LinkedIn Live discussion June 21, “Demystifying Cloud Misconceptions for Healthcare.”
  • AdvancedMD publishes a new e-book, “The Private Equity M&A Playbook: A Guide for Private Practices.”
  • Meditech publishes a new whitepaper, “Insights on the evolution and implications of healthcare workforce challenges.”
  • NeuroFlow releases a new Bridging the Gap Podcast featuring Stephen Klasko, MD of General Catalyst.
  • Nuance will present at AHIP 2023 June 14 in Portland, OR.
  • Netsmart will present at the I2I Center for Integrative Health Spring Conference June 12 in Raleigh, NC.
  • A new KLAS report highlights the success PerfectServe’s customers have experienced with its clinical communication solutions.
  • Sectra will exhibit at SIIM 2023 June 14-16 in Austin, TX.
  • Volpara Health issues a statement on the new USPSTF breast cancer screening recommendations.
  • Waystar will exhibit at the FL AAHAM Annual Conference June 21-23 in Daytona Beach Shores.
  • Optum, Availity, Bamboo Health, Surescripts, West Monroe, Ellkay, First Databank, Intelligent Medical Objects, InterSystems, Trualta, and Wolters Kluwer Health will exhibit at AHIP 2023 June 13-15 in Portland, OR.
  • Medhost offers customers access to Wolter Kluwer Health’s Sentri7 surveillance suite with turnkey regulatory reporting.
  • Zen Healthcare IT’s Stargate IHE Gateway achieves EHealth Exchange Validated Product designation.

Blog Posts


Contacts

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

News 6/9/23

June 8, 2023 News 3 Comments

Top News

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Primary and urgent care chain Carbon Health launches hands-free, AI-powered EHR charting across all of its clinics and providers.

Audio recordings of patient visits are analyzed with AWS Medical Transcribe, then processed with GPT-4 to generate an EHR-ready notes document. The company say that chart completion time is reduced from 16 minutes to four.

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Carbon Health  is reviewing options to license the technology. It cut 200 jobs and ended several key initiatives in January 2023, shortly after opening conversations about licensing its EHR and days before announcing a $100 million Series D funding round led by CVS Health Ventures.


Reader Comments

From CTDeveloper: “Re: [company name omitted]. Fired 450 employees over the last three weeks. Was acquired by a private equity firm last year.” I’ve left off the company’s name while waiting on a response to my inquiry. The company and most of its employees are based in India.


Webinars

None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre to present or promote your own.


Acquisitions, Funding, Business, and Stock

Wolters Kluwer Health acquires Invistics, which offers AI-enabled software to detect drug diversion in hospitals and ambulatory surgery centers.

Carta Healthcare, which offers registry data abstraction and analytics, closes a $25 million Series B funding round.


Sales

  • Curana Health, which offers primary and post-acute care to senior living communities, chooses Netsmart’s CareFabric for consumer engagement, value-based care, and management of high-risk populations.

People

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William Crawford, MS, MBA (Medically Home) joins Newfire Global Partners as CTO.


Announcements and Implementations

HIMSS will move its global headquarters to Rotterdam, Netherlands this summer, after which its Chicago facility will be known as its Americas headquarters. HIMSS first announced the opening in September 2022.

A new KLAS report on clinical communication platform adoption finds that PerfectServe Telmediq and Stryker Vocera are closest to having comprehensive deployments that address customer strategies.

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Epic will build a campus in Bristol, England to house its 350 employees there along with others in the UK.

University of Pennsylvania receives a $10 million gift to establish a fund for student healthcare entrepreneurship.

Bankrupt weight loss center operator Jenny Craig will sell its Australia and New Zealand online business to Eucalyptus, which sells medical products online for weight and hair loss, erective dysfunction, menopause, fertility, and skincare. The Royal Australian College of General Practitioners has raised concerns that Eucalyptus may be illegally advertising drugs directly to consumers and allowing its doctors issue prescriptions from questionnaires rather than real-time consultations as the law requires.

Mayo Clinic will use Google’s low-code Enterprise Search in Generative AI App Builder to combine Google search with generative AI to provide information to clinicians and employees.


Government and Politics

The VA’s Northwest regional director says that Mann-Grandstaff VA Medical Center won’t be required to reduce staffing or services to address its expected $35 million budget shortfall that was mostly caused by its problematic implementation of Oracle Cerner.


Sponsor Updates

  • Lumeon publishes an infographic titled “Healthcare Is in Crisis: Is It About to Get Much Worse?”
  • HFMA awards Premier’s Pinc AI InflowHealth solution its Peer Reviewed by HFMA designation.
  • Care.ai’s Smart Care Facility platform integrates with Samsung’s healthcare-grade display.
  • Divurgent releases a new episode of The Vurge Podcast, “Using Data in HIT.”
  • Nordic publishes a new episode of DocTalk titled “An asset-based approach to health IT.”

Blog Posts

The following HIStalk Sponsors achieve top user ratings in Black Book’s analysis of financial and RCM solutions:

  • Optum – chargemaster and price transparency solutions.
  • AdvancedMD – end-to-end RCM outsourcing, small physician practices.
  • AGS Health – end-to-end RCM outsourcing, hospitals under 100 beds.
  • Rhapsody – enterprise master patient identifier solution.
  • Meditech – patient accounting, community hospital.
  • Upfront Healthcare – patient communications and financial RCM satisfaction solutions.
  • VisiQuate – revenue analytics solutions.
  • Waystar – inpatient claims management systems; end-to-end RCM software and technology, large hospitals and medical centers 250+ beds; end-to-end RCM software, large hospital chains, systems, corporations, IDNs; end-to-end RCM software, small to mid-size hospital chains, systems, corporations, IDNs; patient payment technology.

Contacts

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

News 6/7/23

June 6, 2023 News 1 Comment

Top News

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A science advisory group of the American Heart Association says that digital technology can address many of the challenges that are faced by center-based cardiac rehabilitation and care programs.

The authors list available technologies for patient assessment, nutritional counseling, risk factor management, exercise training, and digital  monitoring tools.

They predict that data from digital technology systems will be merged with clinical data to support integrate biomarker-directed risk identification, medication adherence, risk factor modification, and fully virtual cardiac rehab programs and AI-powered training plans.


Reader Comments

From Pilsner: “Re: HIStalk’s 20th birthday. How about the tenure of the rest of the crew?” I’m winging it from memory, but I think Dr. Jayne started 12 years ago, Lorre 10, and Jenn nine.


Webinars

None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre to present or promote your own.


Acquisitions, Funding, Business, and Stock

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Fuse Oncology, a Cone Health spin-off specializing in radiation oncology software, closes a $9 million Series A funding round.

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RxLightning, which specializes in digital specialty medication enrollment solutions, raises $17.5 million in a Series A funding round.

UnitedHealth Group makes an unsolicited cash offer of $3.3 billion to acquire home care provider Amedisys, which has already agreed to be acquired by Option Care Health for a slightly lower sum, for its Optum business.  UnitedHealth acquired home health and hospice provider LHC Group for $5.4 billion in February 2023, which is also operating under Optum.

Cardinal Health sells its Outcomes business to pharmacy software vendor Transaction Data Systems. Cardinal launched the business in April 2021 by combining its medication therapy management, patient engagement, telepharmacy, and vaccine administration scheduling products.


Sales

  • Renovis Health (MI) selects Innovaccer’s ACO REACH Solution Suite.

People

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LSU Health Shreveport (LA) names Viola Sprague, MBA (Kettering University) CIO.

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Reperio Health hires Nicole Brooks (Innsena Communications) as VP of marketing and communications.

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Tom Gregorio (Tufts Medicine) joins Care New England as SVP/CIO.

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University of South Alabama Health names Tyler Whetstine (Adventist Health) CIO.

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Newfire Global Partners hires Sonali Damle, MS, MBA (Innovaccer) as chief people and transformation officer.

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Sam Zebarjadi (Amazon) joins Moderna as VP of strategy and go-to-market innovation.


Announcements and Implementations

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Startup Remission Medical will work with the Mayo Clinic (MN) to further develop its virtual rheumatology clinic software, incorporating AI and machine learning to reduce time between diagnosis and treatment, and to predict flare-ups.

Emerus Holdings implements Orchard Software’s Point-of-Care LIS software at its eight hospitals in the Dallas-Forth Worth area.

In California, Seneca Healthcare District, Plumas District Hospital, and Eastern Plumas Health Care go live on Oracle Cerner through its CommunityWorks model.

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Bellevue Hospital in Ohio implements Meditech Expanse.

CloudWave rolls out a fully managed patching service.


Government and Politics

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Politico reports that HHS is accepting proposals from organizations that are interested in managing its TEFCA data-sharing initiative. The non-profit Sequoia Project has managed the framework since 2019 through a four-year contract and has applied to continue that work. Proposals are due June 27 and ONC expects to name the coordinating entity by September.

KFF Health News questions whether a federally created, independent National Patient Safety Board, similar to the National Transportation Safety Board, can succeed in helping hospitals learn from medical errors. The hospital industry’s influence will be hard to overcome given the $220 million it spent lobbying Congress last year and its role as the leading employer in 47 states. Proposed bills would allow the proposed group to investigate only when invited by the organization involved and would prohibit it from naming organizations or individuals, making it likely that it will be able to use only de-identified, voluntarily submitted data that is protected from public view.


Other

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Dartmouth Hitchcock Medical Center (NH) uses $2 million in initial funding to launch the Center for Precision Health and Artificial Intelligence, which will offer researchers and developers the means to evaluate new AI-powered digital tools in clinical settings.

Australia’s general practitioner professional group wants doctors to be paid for the time they spend referring patients to hospitals, a process that it calls “exporting hospital bureaucracy into general practice.” RACGP urges adoption of standardized digital referral forms, observing that while general practices have progressed past PDF forms and faxes, “hospitals are using not just unique forms, but archaic systems.”


Sponsor Updates

  • Horizon Health Care (SD) expands its use of EClinicalWorks to include the company’s behavioral health module.
  • Biofourmis, Current Health, and Volpara Health join The White House’s CancerX national accelerator.
  • Nordic publishes an episode of its Designing for Health podcast that features an interview with Allison McCoy, PhD.
  • Bamboo Health completes its SOC 2 examination, validating its commitment to critical security standards.
  • Remedi Health Solutions sponsors the CHIME Innovation in Clinical Informatics Summit in San Diego.
  • CloudWave will exhibit at the New England Spring HIMSS Annual Conference June 8 in Norwood, MA.
  • CTG publishes a new case study, “CTG Improves Healthcare System’s Patient Portal Support with Amazon Connect.”
  • Netsmart will integrate NVoq’s speech recognition software with its MyUnity EHR for post-acute care.

Blog Posts


Contacts

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

Morning Headlines 6/6/23

June 5, 2023 News Comments Off on Morning Headlines 6/6/23

General Electric to sell over $2 bln stake in GE HealthCare

General Electric plans to divest $2 billion worth of common stock in GE Healthcare Technologies, which spun off from GE earlier this year.

HHS Office for Civil Rights Reaches Agreement with Health Care Provider in New Jersey That Disclosed Patient Information in Response to Negative Online Reviews

New Jersey-based Manasa Health Center will pay $30,000 to settle HIPAA violations stemming from a response it posted to a patient’s negative online review.

New Dartmouth Center Applies AI to Improve Health Outcomes

Dartmouth Hitchcock Medical Center (NH) uses $2 million in initial funding to launch the Center for Precision Health and Artificial Intelligence, which will offer researchers and developers the means to evaluate new digital tools in clinical settings.

Monday Morning Update 6/5/23

June 4, 2023 News 8 Comments

Top News

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The National Eating Disorder Association shuts down its chatbot after users report that it gave them inappropriate advice for managing eating disorders, such as advising them to diet.

The association closed its human-staffed help line in May 2023, a few days after its employees unionized. Help line employees and volunteers fielded 70,000 calls per year.

The medical school team that created the chabot says it was never intended to be a replacement for the help line. They also suspect that the organization introduced bugs in trying to make the chatbot look like ChatGPT even though it is a rules-bases system that can’t generate unique responses. 


Reader Comments

From Smidge: “Re: HIE. I saw a new doctor who downloaded my health and demographic information from an HIE and some of it was outdated or truncated. I’m wondering if others have seen this. It may have been caused by another provider’s system merge.”

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From Another Dave: “Re: Scanadu Scout. Remember that? Mine still works on those occasions where I find it in my drawer of broken dreams. This one might make it to the marketplace.” Scanadu’s so-called Tricorder system died in a big cloud of hype dust when it gave up on bringing the Scout to market in mid-2017. Meanwhile, smartphones are slowly adding Scout-like technologies, and UCSD engineers have developed a 10-cent phone clip that allows measuring blood pressure using the phone’s camera and flash.


HIStalk Announcements and Requests

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Most readers aren’t making big money via side jobs.

New poll to your right or here: Has your cell phone ever been a key driver of a life-changing improvement to your health? Feel free to click the Comment link after voting to provide details.


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

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Webinars

None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre to present or promote your own.


Acquisitions, Funding, Business, and Stock

India-based Apollo Hospitals will sell a 6% stake in its online platform for $200 million, valuing the business at up to $3 billion. Apollo HealthCo was launched in June 2021, merging the company’s digital health and telehealth products with the intention of raising investor capital to expand.


Sales

  • Belgian hospitals AZ Sint Jan and AZ Sint Lucas select Sectra One Cloud for enterprise imaging.

Privacy and Security

Molecular diagnostic company Enso Biochem announces via an SEC filing that the clinical test information of 2.5 million people was exposed in an April 2023 ransomware attack.


Other

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Microsoft researchers train a GPT-4 model using a PubMed Central dataset extract of diagnostic images and their captions to inexpensively create a conversational assistant for biomedicine in one day.

Cancer screening company Grail blames third-party telemedicine vendor PWNHealth for sending 400 people letters inappropriately warning them that they may have cancer.

South Australia Health has failed to deliver on its promise of implementing a crucial result tracking and notification feature within its Altera Digital Health Sunrise EHR system, three years after the death of a patient whose adenocarcinoma diagnosis was delayed by three months. SA Health says a Sunrise upgrade later this year is required before introducing Compass, a task tracking function that reminds doctors when they don’t review test results promptly.

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Where would you start if you were CEO of this major ambulatory EHR vendor as profiled in a new KLAS report?


Sponsor Updates

  • Be Well Primary Care (TX) transitions to EClinicalWorks V12.
  • Azara Health publishes a new resource and strategy guide, “Leveraging Social Drivers of Health Data to Promote Health Equity Advancement.”
  • AvaSure adds AI enhancements to its TeleSitter virtual care platform, including augmented alerts for patient falls and elopement, and predictive fall risk identification.
  • NeuroFlow publishes a new whitepaper, “Navigating the Integrated Behavioral Health Landscape: A Roadmap for Providers and Organizations.”
  • Orbita will present at the Healthcare Contact Center Conference taking place June 7-9 in Atlanta.
  • Nuance publishes a new case study, “DAX expands access to care at WellSpan Health.”
  • Wolters Kluwer Health partners with Ariadne Labs and its Better Evidence program to donate over 100,000 UpToDate subscriptions.

Blog Posts


Contacts

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

News 6/2/23

June 1, 2023 News 4 Comments

Top News

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CMS announces that Medicare Part B will cover the use of FDA-approved monoclonal antibodies to slow the progression of Alzheimer’s disease, but will require doctors to populate patient registries for real-world tracking of the performance of those treatments.

The Alzheimer’s Association says that requiring patient registries for coverage should be reconsidered because of the clinician data entry workload that is required. The association wants to know more about how data will be submitted, how the CMS-facilitated portal or other registries will work, and how patients and physicians can enroll.


Reader Comments

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From Zippydoodle: “Re: non-existent HIPAA certifications. HIPAA compliance is a process, not an event, and there is no single body that certifies a company as being HIPAA compliant. Startups in particular that should be saying ‘we will sign BAAs’ instead declare that they are HIPAA compliant or HIPAA certified.” Companies need to be HIPAA compliant, not HIPAA certified,  and HHS has been clear that it requires the former and doesn’t recognize the latter. 

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From Austin Keeping Weird: “Re: Founder Wellness and Blood Draw Party. Some influencer who isn’t affiliated with healthcare is promoting a digital health startup event. So many things wrong: the free blood draw panel for folks who are likely amply insured while much of Texas isn’t, the IV bar that has nothing to do with wellness, and the ice baths that create images of attendees in Speedos. Digital health companies who attend will soon discover that their sustainability is associated with payers or prescribers, not vanity faux medicine.” Maybe the unnamed company should launch a TikTok challenge.

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From Laff Riot: “Re: Florida patient data law. I’m surprised that few comments have been made given the number of health IT companies that use offshore resources for support, development, or billing services. Florida providers and their vendors have little time to review or modify contracts to ensure that offshore resources do not have access to PHI.” The newly modified Florida Electronic Health Records Exchange Act, which takes effect July 1, prohibits providers from storing patient records offshore or allowing access to US-stored data to anyone who is outside the US or Canada. Providers must also ensure that patient data that is stored in the cloud is physically housed in the US.  A couple of websites mentioned of the law a few days after reading about it on HIStalk, but otherwise it has drawn little attention. Given that compliance will be far from universal by the due date, it’s all about enforcement and penalties.

From Billie Gene: “Re: gene editing to reverse/stop a hereditary condition. Laudable R&D to advance precision medicine or another over-reach by pharma?” Genetic telehealth provider Genome Medical will offer genetic counseling to participants in a company’s clinical trial of a gene editing process for treating sickle cell disease. Much of medical research isn’t laudable since profit is the intention and the reward, but I would have good feelings about the company if their treatment alleviated my SCD symptoms.


HIStalk Announcements and Requests

Are you Rockies-bound next week for MUSE Inspire? Some of my sponsors are, and here’s what they will be doing there.

I have some very slightly overlapping background with someone I was interviewing today and they asked if I knew Brad Dodge. I instantly said yes, recalling that his company back in the day, Dodge Communications and specifically Brian Parrish, designed the HIStalk logo you see at the top of this page that has served me well for more than 10 years (I am obviously from the “ain’t broke” school of rebranding). Thanks to Brad and Brian for volunteering to create what turned out to be a long-lasting graphic.

Listening: WITCH (We Intend To Cause Havoc), a Zamrock band from 1970s Zambia, where bands emulated the psychedelic sounds they heard from the US. The band’s (and the country’s) rough history left it with just one surviving member, 72-year-old Emmanuel “Jagari” Chanda, whose day job is gemstone miner. They are releasing a new album this week and are on a long US tour.

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HIStalk turns 20 years old this week. I was bored over the Memorial Day weekend of 2003 and decided to jot down a few temporary thoughts about my health system IT job to help me keep things straight in my head. I didn’t expect or necessarily even want anyone to read it, and given my limited attention span and lack of interest in hobbies in general, I definitely didn’t plan to still be doing it 20 years later.


Webinars

None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre to present or promote your own.


Acquisitions, Funding, Business, and Stock

BJC HealthCare and Saint Luke’s Health System will merge to form a 28-hospital system with $10 billion in annual revenue.


Sales

  • Ardent Health Services will deploy Loyal’s consumer engagement solutions.

People

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Leadership Development Worldwide hires Shane Danaher, MBA (Divurgent) as COO.


Government and Politics

President Biden will reportedly choose Aledade executive and former North Carolina health secretary Mandy Cohen, MD, MPH as director of the CDC.


Other

UnitedHealth cancels its plan to require prior authorizations for colonoscopies, instead requiring physicians to submit patient information before performing a procedure to quality for a “gold card” expedited approval process that will be rolled out next year. Three provider groups say the new plan is just as laborious for practices as the PA process would have been.

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A New York Times report says that doctors at the “wealth nonprofit” Allina Health System aren’t allowed to see patients who have unpaid medical bills. Reporters found a document in which employees were told to cancel appointments for patients who own $4,500 or more and to lock their EHR records so that appointments can’t be scheduled. Doctors say they are used to seeing EHR messages that a patient “will no longer be eligible to receive care because of unpaid medical balances.” Patients with unpaid bills can continue to be seen only if they obtain a loan from the hospital or file bankruptcy.


Sponsor Updates

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  • Careport Health staff volunteer with Cradles to Crayon, which provides children with the resources they need to thrive.
  • University Health (TX) upgrades to Agfa Healthcare’s Enterprise Imaging 8.2, and adds Enterprise Imaging for Cardiology.
  • Arrive Health publishes a new whitepaper, “The Terrifying Truth About America’s Healthcare Affordability Crisis.”
  • Baker Tilly releases a new Healthy Outcomes Podcast, “Key insights for not-for-profit leaders in behavioral health.”
  • ChartSpan partners with HAPevolve, a subsidiary of The Hospital and Healthsystem Association of Pennsylvania, to offer preventative care programs to Medicare patients.
  • CHIME launches its Trailblazers Podcast, with the first episode focused on “Developing the HIT Leaders of Tomorrow.”
  • Divurgent releases a new episode of The Vurge Podcast, “Tips for Managing Cyber Risks in Healthcare.”
  • Azara Healthcare releases a resource and strategy guide titled “Leveraging Social Drivers of Health Data to Promote Health Equity Advancement.”
  • Ellkay will exhibit at AHIP June 13-15 in Portland, OR.
  • The VA’s Veterans Data Integration and Federation Enterprise Platform, which supports longitudinal patient records using InterSystems HealthShare, wins a 2023 Forum Innovation Award.
  • Rhapsody publishes a new case study, “From data ingestion to production in less than 30 days: How Zephyr AI uses Rhapsody Semantic to create precise AI models at scale.”

Blog Posts


Contacts

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

Readers Write: Ineffective TCM Programs are Keeping Patients in the Hospital

May 31, 2023 News Comments Off on Readers Write: Ineffective TCM Programs are Keeping Patients in the Hospital

Ineffective TCM Programs are Keeping Patients in the Hospital
By Briana Rodriguez, RN

Briana Rodriguez, RN is director of clinical services of LIghtbeam Health Solutions of Irving, TX.

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The healthcare industry is facing an uphill battle, as staffing shortages persist while the demand for clinical professionals continues to increase. With fewer skilled workers to perform necessary care delivery tasks, healthcare organizations must be thoughtful with their clinical resources. One area that is causing clinical and financial strain on organizations due to limited resources is transitional care management (TCM) programs.

According to the Centers for Medicare and Medicaid Services (CMS), nearly 20% of all Medicare patients discharged from a hospital will be readmitted within 30 days, driving over $26 billion in additional costs each year. There are a multitude of reasons, both preventable and unpreventable, that a patient may be readmitted to the hospital. Chief among them is being enrolled into an inefficient, uncoordinated transitional care management program that fails to maintain engagement and make timely contact.

Understanding how and why your organization’s TCM program is insufficient is the first step to make meaningful process changes that demonstrate success in reducing readmission rates, lowering healthcare costs, and improving patient outcomes.

The goal of any TCM program is to perform timely and thorough patient follow-ups within crucial post-discharge windows to ensure quality of care and reduce patient complications. A standard transitional care management program comprises three main elements:

  • Interactive contact. Initial patient outreach is performed within 48 hours post-discharge by a supervised staff member with the skills to address the patient’s status.
  • Coordinating care behind the scenes. Care teams provide non-face-to-face services, such as clinical education, addressing follow-up needs, provider communication, referrals, and scheduling assistance.
  • Follow-up visit. A face-to-face visit is scheduled with a provider within 7-14 days post-discharge, depending on medical severity

However, staffing shortages and insufficient resources can make even the three basic components of a TCM program difficult to accomplish. What sets a successful, effective TCM program apart is the ability to provide regular outreach, keep patients engaged, and identify issues before they require inpatient stay. These processes begin long before a patient is discharged from a hospital.

In today’s digital age, healthcare organizations have options that have only emerged within the last decade. Solutions like remote patient monitoring and telehealth garnered attention following the social distancing periods that took place during the COVID-19 pandemic. Ever since, the healthcare industry at large has seen how beneficial similar strategies can be when it comes to reaching more vulnerable patients. When given the right capabilities, clinical professionals can work at the top of their license and provide the highest quality care to patients, wherever they are.

Leveraging these tools and resources, transitional care management teams can automate repetitive tasks, streamline workflows, and reach more patients by engaging them at home. Some key aspects that can be further built into an efficient TCM program to increase patient engagement and reduce costs include:

  • Coordinating with hospitals to notify care teams of discharges.
  • Making the initial patient contact within 48 hours of discharge.
  • Reviewing the discharge process and medication schedule with the patient.
  • Scheduling a face-to-face visit within 1-2 weeks.
  • Confirming all patient appointments to ensure continuity of care.
  • Performing follow-up calls.
  • Providing support for barriers to care by leveraging local, available resources.
  • Supporting patients in the 30-day period post-discharge.
  • Documenting all services throughout the patient’s TCM journey.

There are several reasons that transitional care management programs can fail. If providers are not able to identify high-risk patients with co-morbidities before they are discharged, these patients have a higher chance of developing complications that could result in further inpatient stay. TCM programs can also fail if clinical staff is not able to contact patients during crucial follow-up windows, especially the initial 48 hours post-discharge.

Noticing an increase in readmissions, post-discharge complications, and delays in interactive contact with patients may indicate that care teams are not reaching patients in a timely manner. If you notice these issues, it is important to find out the cause of the gap and to pinpoint the right solution, workflow, or strategy to close it.

Ineffective TCM programs cause patients to return to the hospital and drive avoidable costs into the billions. The first step to improve an inefficient TCM program is to arm healthcare staff with the tools and resources they need to reach out to patients, make an impact, and maintain engagement throughout their care journey. This can include investing in technology to streamline communication, leveraging analytics to identify high-risk patients, and enabling staff to work at the top of their license.

With the technology of today, healthcare organizations have access to solutions that weren’t available ten years ago. Outsourcing care coordinators extends the capabilities of care teams, while adopting tools like remote patient monitoring expands their reach.

Even when a TCM program possesses all these elements, it’s essential to assess their performance regularly, make process updates, and assess patient feedback and satisfaction. This can be done by tracking certain metrics, such as readmission rates, acute events, skilled nursing facility data, and more.

By understanding the elements of an efficient TCM program, identifying where gaps exist, and making necessary process changes, healthcare organizations can reduce readmissions, lower costs, and improve outcomes.

HIStalk’s Guide to MUSE Inspire 2023

May 31, 2023 News Comments Off on HIStalk’s Guide to MUSE Inspire 2023

Access EForms

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Booth #413
Contact: Landon Light, national sales representative for Meditech accounts
landon.light@accesseforms.com
972.897.2877

Access is the preferred ESignature partner for Meditech hospitals, and for good reason. Our relationship with Meditech goes beyond just being a “partner” – it’s a deep integration that enables our solutions to seamlessly integrate with Meditech’s ecosystem. By expanding Meditech’s capabilities, we empower hospitals to provide patients with convenient ESignature solutions on their own devices anywhere, anytime. With Access, Meditech hospitals can streamline their workflows, reduce errors, and improve the overall patient experience. Join the many Meditech hospitals that have already chosen Access as their trusted ESignature partner and revolutionized their patient ESignature solutions. And, discover Focus by Access, the solution that simplifies patient intake by extending ESignature and intake capabilities directly to your patients’ devices, providing the experience and convenience they expect in today’s modern world.


CereCore

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Booth #418
Contact: Jillian Whitefield, business development manager
Jillian.Whitefield@CereCore.net
248.891.5557

Your top priorities at MUSE are ours, too. Visit to see all the ways you can connect with CereCore about providing an EHR that best supports patient care, including educational sessions and career opportunities. Our team is ready to connect. Making the move to Meditech Expanse? Let’s talk about your journey to one EHR, navigating a multi-EHR health system, and more. Optimizing Meditech one of your priorities? Help us understand your goals, because we have helped health systems across the nation 0improve efficiency from clinical operations to revenue cycle. Looking for secure Meditech hosting and backup solutions? Sometimes this needs to be your first step. Let us help you determine the most cost-effective solution by comparing your options. Wanting to grow in your career? Career-changing, industry-shaping job opportunities are on our horizon, and possibly yours. Talk with us about your career plans.


CloudWave

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Booth #512
Contact: Christine Mellyn, VP of marketing
cmellyn@gocloudwave.com
781.636.8169

Visit us in booth #512 to learn how CloudWave can help with your cloud strategy or how to advance your cybersecurity readiness. The company will also be sponsoring the Charging Station. Also at the event, members of CloudWave’s team will be presenting the following educational and showcase sessions:  

  • “Best Practices for Securing Healthcare IT Across Public, Private, and Cloud Edge Environments.” Thursday, June 8 3:10 p.m. MT. Moderated by Tim Quigley, chief client officer, CloudWave. Presenters include Matt Donahue, chief technology officer, CloudWave; John Gomez, chief security and engineering officer, CloudWave; and Eric Gasser, RN, CHCIO, vice president and CIO, information systems, Wooster Community Hospital Health System.
  • “Take Advantage of Emerging Healthcare Cybersecurity Trends to Advance Your Security Strategy.” Saturday, June 10, 8:30 a.m. MT. Presented by John Gomez.
  • “Product Showcase: Cybersecurity-as-a-Service – Advance Your Cybersecurity Program and Remove the Burden from Your IT Team.” Thursday, June 8, 1:30 p.m. MT. Presented by John Gomez.

Elsevier

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Booth # 609
Contact: Clint Jones, senior director of partnerships
w.jones.2@elsevier.com
816.262.6634

As a global leader in information and analytics, Elsevier helps physician and nurse professionals advance science, reduce care variability, engage patients, and improve health outcomes for the benefit of society. For over 140 years, healthcare professionals have trusted our content to support education, training, development, and decisions about patient care. We offer solutions and services that help customers utilize and integrate content to improve practice, reduce care variability, engage patients, and promote a culture of quality, safety, and satisfaction.   

We invite MUSE attendees to stop by our booth #609 to discuss how Elsevier’s advanced clinical knowledge solution, ClinicalKey, streamlines access to consistent, evidence-based information to help clinicians, as well as hear your thoughts and input on future development, your needs, skills learning, and integration. Let’s talk about where you want to expand your own Meditech relations and where we can offer help. Elsevier is participating in the MUSEO prize drawings, so bring your game card with you when you come to visit us, and we’ll give you a MUSEO sticker to help you become eligible to win great prizes!


Fortified Health Security

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Booth 218

Contact: Rob Pullins, growth manager
rpullins@fortifiedhealthsecurity.com
615.600.4002

Fortified Health Security provides a wide variety of purpose-built services to help healthcare organizations evaluate their unique risk appetite, strengthen their cybersecurity posture, and improve operations throughout their security journey. The company is committed to creating a stronger healthcare landscape that benefits more clients, protects more patient data, and reduces more risk.   

Fortified activities and team member talks: 

  • “Incident Response Program Maturity: How to Prepare for the Worst Day Ever,” Thursday, June 8 at 2:20 pm with Russell Teague, VP, advisory services and threat operations.
  • Networking event and cocktail hour at the Après Ski section of the Pinyons Lobby Bar, Thursday, June 8, from 6-9 pm.   
  • Stop by our booth to play MUSEO.

Tegria

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Booth #409
Contact: Mark Valutkevich, senior account executive
mark.valutkevich@tegria.com

Tegria is a full service, READY-certified consulting and technology services firm. We offer comprehensive end-to-end solutions including advisory, consulting, and managed services to help clients maximize technology, transform operations, improve financials, and optimize care. Please stop by Booth #409 to say hello and speak with our Meditech experts.  

Tegria is hosting a subterranean happy hour at the Rockies Grotto in the Grand Lodge on Wednesday, June 7 from 4:30 to 7:00 p.m. MT. The event will feature an open bar and a variety of light bites. Prepare to unwind and connect with fellow MUSE attendees in this unique space. Tegria team members will be mingling and are ready to chat all things Meditech, including how you can best navigate the road to Expanse. We hope to see you there! RSVP here.

Tegria team members will be participating in two educational sessions:   

  • “Hardware Planning – Do’s and Don’ts When Moving to Expanse.” Thursday, June 8, 1:30 – 2:10 p.m. MT. Presenters: Priscilla Sandberg (Pure Storage), Nassim Abouzeid (Meditech), and Frank Tollefson (Tegria). Room: Red Rock 8. If you are planning on going to Expanse from Magic, Client/Server, or 6.x, there are few challenges you need to understand about the new infrastructure you will be running. Join us to discuss the major differences in platform infrastructure and some of the adjustments that customers can anticipate making when moving to Expanse. We will also be discussing the best practices behind the infrastructure design, data protection, and ongoing system support.   
  • “A Study in Moving to Expanse – Pre, Intra, and Post-LIVE.” Friday, June 9, 1:20 – 2:05 p.m. MT. Presenters: Mike Bartman (Tegria), Mark Valutkevich (Tegria), Todd Prellberg (RML). Room: Red Rock 8. This session aims to provide attendees with a comprehensive understanding of the key principles and best practices involved in successfully implementing Meditech Expanse in a hospital setting. By the end of the session, attendees will be able to apply these principles and practices to their own healthcare organizations, identifying opportunities for improving their current EMR systems or adopting new ones.

    News 5/31/23

    May 30, 2023 News 6 Comments

    Top News

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    Carrum Health, whose platform helps employers manage employee healthcare costs, raises $45 million in a Series B funding round.


    HIStalk Announcements and Requests

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    Poll respondents aren’t convinced that the VA will finish its Oracle Cerner implementation.

    New poll to your right or here: Did you sell $10,000 or more in products or services from your own company in the past year?

    Listening: new from Yes, a 55-year-old band with no original members left whose recent live shows have been innumerable but awful. I walked out on them a couple of years ago because they sounded like a bad tribute band (which they kind of are) in playing their old album cuts slower, lower, and lazier in a seemingly desperate money grab, but this new music is actually pretty good even if a bit wimpy compared to their sweeping epics of yesteryear. I still prefer old concert videos, such as original singer Jon Anderson doing “Awaken” with Iceland-based rock band Todmobile (gets me every time) and the the full band’s symphonic live version of “Soon.” For me, Yes scores high in the all-important “what music would you want played at your funeral” test. It will outlive the many band members who wrote, recorded, and performed it over decades.


    Webinars

    None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre to present or promote your own.


    Acquisitions, Funding, Business, and Stock

    Health IT and cybersecurity solutions vendor Anatomy IT acquires dental software company Iris Solutions.

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    Dock Health, which specializes in automated healthcare task management, raises $5 million in funding. The company was created from Boston Children’s Hospital’s innovation department in 2020.

    Weight loss app Noom launches a telemedicine service to offer consumers access to prescription weight-loss medications like Ozempic and Wegovy.

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    A new KLAS report looks at remote patient monitoring technology vendors.


    Sales

    • Niagra Health in Ontario will implement Sectra One enterprise imaging.
    • Corterra Healthcare (KS) chooses Medsphere’s Wellsoft EHR and RCM Cloud for a new behavioral health hospital.

    People

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    Rebecca Manne, RN (Optimum Healthcare IT) joins Continuum Health IT as EVP of EHR Implementation.


    Announcements and Implementations

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    Premier launches SmartPO, digital supply chain procurement and inventory management technology that will enable continuum of care providers to better identify cost savings and use staff resources more effectively.

    A University of Michigan national poll of people aged 50-80 finds that 78% have a patient portal (half of those have more than one), 55% used it in the past month, half provided access to family members, and most were comfortable logging in and navigating it. People preferred the portal over the telephone for getting test results, updating personal information, getting medical records copies, and requesting refills, but they liked the telephone better for reporting symptoms, scheduling appointments, and requesting referrals.

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    The former Cerner Continuous Campus is under purchase contract to be turned into apartments and commercial space, although no companies have expressed interest in the campus’s 660,000 square feet of vacant offices.

    A small study finds that smart watches and wristbands do a good job of correctly detecting atrial fibrillation even though they don’t have access to outside algorithms.


    Government and Politics

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    VA Secretary Denis McDonough promises to look into reports that the VA medical center in Spokane will be forced to cut staff due to a budget shortfall caused by the troubled EHR Modernization program. He reiterated that he stands by statements made by VA Under Secretary for Health Shereef Elnahal that budget concerns related to the Oracle Cerner system will not result in layoffs.

    Former Theranos CEO Elizabeth Holmes reports to a Texas prison after her losing her bid to remain free while appealing her conviction for investor fraud, which led to an 11-year sentence.


    Privacy and Security

    A new Florida law prohibits the state’s providers from storing EHR data outside the US, its territories, or Canada, including those patient records that are hosted in the cloud or by a third party.


    Other

    The bankrupt, non-profit Idaho Health Data Exchange replaces its executive director. The organization launched in 2009 using federal grants and ongoing funds from the HITECH act that ran out in 2021.

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    Mayo Clinic and University of California, San Francisco researchers determine that pairing AI imaging and volumetric breast density algorithms can help in predicting long-term risk of breast cancer, particularly invasive diseases. Their study used Volpara Health’s TruDensity algorithm and ScreenPoint Medical’s Transpara image-based risk tool.

    In perhaps the first incident of AI leading to professional embarrassment or worse, defense attorneys ask to have a man’s personal injury lawsuit dismissed after noticing that most of the legal citations it included were not real. The plaintiff’s lawyer, who has practiced for 30 years, admitted that he had used ChatGPT for the first time and was not aware that it could generate false information. He even asked ChatGPT if the citations were real and was assured incorrectly that the cases “are real and can be found in reputable legal databases.”


    Sponsor Updates

    • Wolters Kluwer Health wins the NorthFace ScoreBoard Service Award for the twelfth consecutive year for superior customer service.
    • OptimizeRx CEO Will Febbo provides a mid-year strategic update.
    • Nordic Consulting names Samara Lattimer (Akkodis) a new client partner in the UK and Ireland.
    • Aridhia Informatics Chief Data Officer Amanda Borens, MS is featured in an “Engineering Field of Dreams” podcast titled “Spelunking Adventures in Data.”
    • Spok will join the broad-market Russell 3000 Index on June 26.
    • West Monroe releases a new podcast, “Why All Companies Should ‘Shift Left’.”

    Blog Posts


    Contacts

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

    Morning Headlines 5/26/23

    May 25, 2023 News Comments Off on Morning Headlines 5/26/23

    Healthcare Triangle, Inc. Announces 1-for-10 Reverse Stock Split as Part of Nasdaq Compliance Plan

    Shares of Healthcare Triangle, Inc. drop sharply on the news that it will conduct a 1-for-10 reverse stock split to meet Nasdaq’s share price requirements.

    Quovis, a health tech startup in Cleveland, lands $1M investment

    Cleveland-based health information exchange startup Quovis raises $1 million.

    VA secretary says Spokane VA’s budget won’t suffer as result of flawed records system

    VA Secretary Denis McDonough promises to look into reports that the VA medical center in Spokane could be forced to cut staff due to a budget shortfall caused by the troubled EHR Modernization program.

    TA Announces Strategic Growth Investment in Alpha II

    RCM software vendor Alpha II secures an undisclosed amount of funding from TA Associates.

    Dock Health Secures $5M in Funding Led by MassMutual with Participation from DaVita Venture Group and August Capital

    Dock Health, which specializes in automated healthcare task management, raises $5 million in a funding round led by MassMutual.

    News 5/26/23

    May 25, 2023 News 2 Comments

    Top News

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    Mobile patient intake form platform vendor Florence acquires Zipnosis, which sells a white label asynchronous telehealth solution that is based on questionnaires.

    Florence launched in March 2023 with $20 million in seed funding.

    Failing insurer Bright Health acquired Zipnosis in April 2021.


    Webinars

    None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre to present or promote your own.


    Acquisitions, Funding, Business, and Stock

    Shares of Healthcare Triangle, Inc. drop sharply on the news that it will conduct a 1-for-10 reverse stock split to meet Nasdaq’s share price requirements. HCTI shares are down 50% in the past 12 months to $0.26, valuing the company at $11 million. Shares have lost 93% of their value since the company’s IPO in October 2021.

    Vodafone creates Vodafone in Health to accelerate the use of healthcare technology in the UK.


    Sales

    • Health information sharing non-profit Contexture will implement Verato’s healthcare master data management solution for patient matching.

    People

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    Nicole Kerkenbush, RN, MN, MHA (Monument Health) joins CHIME as VP of education.

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    Carteret Health (NC) promotes VP of general services / CIO Kyle Marek, MS to president and CEO.


    Announcements and Implementations

    Conduent releases a provider data management solution to help insurers keep their physician directories current.

    Synapse Medicine and CompuGroup Medical will partner to offer clinicians prescription support.

    In Canada, Meditech will support electronic prescribing for Expanse EHR users by connecting to the PrescribeIT national prescribing service.

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    UK-based Acurable earns US FDA clearance for its self-applied wearable that diagnoses sleep apnea without a polysomnography study.


    Government and Politics

    Rep. Cathy McMorris Rodgers (R-WA) demands that the VA avoid reducing headcount or services at its Spokane and Walla Walla facilities to offset a $35 million shortfall caused by its Oracle Cerner implementation. She says the VA should redirect the money that it would have spent to implement the system in other facilities since those go-lives are on hold, and instead move those funds to those hospitals that are already live.

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    Husband and wife doctors who are charged with sharing the medical records of US military officials with Russia to support its invasion of Ukraine were recorded by FBI agents who were posing as Russian operatives. Johns Hopkins anesthesiologist Anna Gabrielian, MD is accused of sharing her laptop screen containing patient records with the undercover agent. Her spouse, Army Major Jamie Lee Henry, MD – who was one of the first active duty US military officers to come out as transgender in 2015 – reportedly described themselves as a “coward” over potential HIPAA violations, struggled with technology problems in trying to share their screen with the undercover agent, and ending up giving the agent a paper notebook of records. The doctors, who are charged with conspiracy and HIPAA violations, argue that they were entrapped.

    The American Hospital Association asks HHS OCR to stop considering the IP addresses of hospital website visitors as protected health information under HIPAA. AHA says pending lawsuits over pixel tracking have pushed website technology providers such as Google to stop supporting hospital websites, making regulation unnecessary, but if HHS OCR disagrees, then IP addresses should only be considered PHI if they are used from within patient portals.


    Privacy and Security

    Medical practice services vendor Practicefirst will pay $550,000 to the state of New York for failing to protect patient records that were exposed in a 2020 cyberattack. The breach, which involved the records of 1.2 million people of which 428,000 were New Yorkers, happened after the company failed to apply firewall software updates.


    Sponsor Updates

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    • IntegrityCheck, the house band of InterSystems, wins $100,000 for the ALS Foundation in a Boston battle of the bands for charity.
    • Healthcare Growth Partners advised Intelligent Medical Objects in its acquisition of Melax Technologies.
    • InterSystems launches HealthShare Health Connect Cloud in AWS Marketplace.
    • Healthcare Triangle sponsors CalvertHealth’s annual golf tournament in Lothian, MD.
    • Indiana Health Centers reduces onboarding errors by using the EClinicalWorks Business Optimizer.
    • Tegria CMO Ray Gensinger, MD joins Symplr’s effort to “Advance Healthcare Operations.”
    • Nordic releases a new episode of its In Network podcast, “Designing for Health: Dr. John Whalen.”
    • Netsmart earns top user satisfaction rankings among home health technology vendors, according to a Black Book survey of 2,285 end-users.
    • Dimensional Insight publishes a new case study featuring Children’s Hospital of the King’s Daughters.
    • In Europe, elder care organization Korian Benelux selects AI-powered enterprise solutions from Juniper Networks, including wireless and wired access, to optimize network performance and reliability.
    • Konza National Network congratulates over 200 Konza-powered members that have been awarded accreditation through the NCQA Data Aggregator Validation program.
    • The Patient Journey Pioneers Podcast features Kyruus CEO Graham Gardner, “Find a Physician & Beyond: Guiding the Digital Patient Journey.”

    Blog Posts


    Contacts

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

    News 5/24/23

    May 23, 2023 News 6 Comments

    Top News

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    Clinical terminology management and data quality vendor Intelligent Medical Objects acquires Melax Technologies, which specializes in data extraction using AI and natural language processing.

    The acquisition, IMO’s first, will help extend its market reach to payer, life science, and pharmaceutical companies.


    HIStalk Announcements and Requests

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    Welcome to new HIStalk Platinum Sponsor Aridhia Informatics. The Glasgow-based company offers the Aridhia Digital Research Environment (DRE), a combination PaaS/SaaS offering that addresses challenges that are associated with the scale and sustainability of biomedical data science. It is used by research hospitals, pharma, and global consortia across nearly 100 countries. Adherence to FAIR data principles gives researchers and innovators the ability to discover and understand data through dataset search, classification, and efficient metadata browsing capabilities. Researchers can request access to datasets, while data owners get access to configurable and orchestrated data governance while making approval decisions within their own specialized pipelines. Principal investigators can invite team members who can securely upload, access, and analyze project data while taking advantage of an audited environment that is furnished with analytical tools, scalable compute resources, and virtual desktops. All of this is underpinned by comprehensive auditing, secure data management, reliable infrastructure that scales to user needs, and world-class analytics capabilities. The company manages high-level security accreditation, leaving the team to focus on the science using a personalized, next-generation research environment. Thanks to Aridhia for supporting HIStalk.

    YouTube has an intro video for the Aridhia DRE.


    Webinars

    None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre to present or promote your own.


    Acquisitions, Funding, Business, and Stock

    Nuance Communications CEO Mark Benjamin notifies employees of an unspecified number of layoffs as the Microsoft subsidiary adjusts to changing market conditions and a renewed focus on healthcare. Microsoft, which acquired Nuance in early 2022 for $20 billion, announced a separate round of 10,000 layoffs in January.


    Sales

    • Fifteen-bed Eureka Springs Hospital (AR) selects Oracle Cerner.
    • Palouse Specialty Physicians (WA) will implement CureMD Oncology’s EHR and practice management software.
    • Tampa General Hospital (FL) will roll out Navina’s AI-powered clinical data summary capabilities for primary care.
    • Atlantic Health System selects NeuroFlow’s caseload management software to support behavioral health screenings within its ACO.

    People

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    Zyter|TruCare names Joanne Berrios (Salesforce) VP and chief value officer.

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    Holly Urban, MD, MBA (Oracle Cerner) joins CliniComp as VP of clinical product design.

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    CRISP Shared Services promotes practicing pediatrician Marc Rabner, MD, MPH to chief medical officer.

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    Jordan Bazinsky (Cotiviti) joins Intelerad Medical Systems as CEO, replacing the newly retired Mike Lipps.

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    Telemetrix promotes Nancy Beale, RN to president.

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    Cynerio names Rasu B. Shrestha, MD, MBA (Advocate Health) as board chair.

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    Brooklyn Hospital Center promotes SVP/CMIO Sam Amirfar, MD, MS to chief medical officer.

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    Avalon Healthcare Solutions hires Pamela Stahl (Sidekick Health) as president.

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    Tegria hires Jen Morgan (Senta Partners) as CFO and Prasanna Gunjikar (HTC Global Services) as chief growth officer.

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    Aaron Green(Optum) joins OneMedNet as president.

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    Lanie Schenkelberg (Spring Health) joins Inovalon as VP of product marketing.


    Announcements and Implementations

    Gillette Children’s (MN) implements Notable’s automated Registration and Intake Assistant and Scheduling Assistant software across 11 multispecialty clinics.

    Garden City Pediatric Associates (MA) implements EClinicalWorks.

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    Box Butte General Hospital (NE) goes live on Meditech.

    Epic lists 26 of its customers that have pledged to join the TEFCA information sharing framework.

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    A new KLAS report on US EHR market share finds that Oracle Cerner saw its first double-digit net gain in hospitals since 2018, but 49 of its 50 wins were in under-200 bed facilities, giving it the biggest drop in total bed count of all vendors. Meditech gained 120 hospitals in 2022 via net-new sales and migrations, more than any other vendor, but still showed a decrease in total beds and total hospitals. Epic was the only vendor that gained both facilities and beds.


    Government and Politics

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    Mann-Grandstaff VA Medical Center (WA) Director Robert Fischer says the facility will need to reduce staff by 15% over the next several years to make up for an anticipated $35 million budget deficit it attributes to the rollout and use of its Oracle Cerner system. The software’s well-documented deficiencies have hampered the facility’s ability to keep up with patient demand, resulting in decreased funding, while its billing inefficiencies have delayed payer reimbursements. Surges in staffing for the system and pay raises and bonuses to help with recruitment and retention have also contributed to the budget shortfall.


    Privacy and Security

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    Norton Healthcare in Kentucky works to recover from a cyberattack two weeks ago that is still causing “delays in network-related capabilities” including patient portal messaging; imaging, lab and test results; and prescription fulfillment. Hackers reportedly sent a fax with threats and demands shortly after breaching the hospital network on May 9.

    Amazon Pharmacy’s PillPack reports that an unauthorized person logged into its website using individual user credentials that were identical to those shared from other breaches, with 3,600 of those accounts containing prescription information.


    Sponsor Updates

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    • AdvancedMD sponsors the Gratitude Gala in Chicago, benefiting The Bette D. Harris Family & Child Clinic.
    • Princeton Brain, Spine & Sports Medicine transitions to EClinicalWorks Cloud.
    • KeyCare pledges to adopt the TEFCA framework.
    • InterSystems launches its HealthShare Health Connect Cloud in the AWS Marketplace.
    • KLAS Research recognizes Availity as a co-recipient of the KLAS Points of Light Award.
    • AvaSure establishes a chief nursing executive advisory board.
    • Azara Healthcare publishes a new case study, “Improving Equity in Healthcare Access through Improved Data Exchange.”
    • Nordic publishes a technical paper titled “A New Horizon for IT Strategy: Prioritizing the Patient Experience Through Digital Transformation.”
    • Bamboo Health will exhibit at AHIP 2023 June 13-15 in Portland, OR.
    • Black Book survey-takers give Xifin top customer and user satisfaction ratings in nine out of 18 RCM KPIs.

    Blog Posts


    Contacts

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

    Monday Morning Update 5/22/23

    May 21, 2023 News 2 Comments

    Top News

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    The assets of bankrupt digital therapeutics vendor Pear Therapeutics fetch $6 million at auction.

    The company had raised $409 million in funding. It went public in a SPAC merger in December 2021 in a deal worth $1.5 billion.

    The auction proceeds, which must be approved in a court hearing Monday, won’t cover the $32 million that Pear owes to creditors.

    Successful bidders were:

    • Click Therapeutics, which offered $70,000 for Pear’s patents. That company offers a variety of digital therapeutics products.
    • Harvest Bio, which bid $2 million for Pear’s patent licenses. I couldn’t find any online presence for the company.
    • Nox Health, which offered to pay $3.9 million for Somryst, which is Pear’s insomnia treatment app. Nox Health offers sleep health solutions.
    • Welt, which will pay $50,000 for Pear’s migraine assets. The Korea-based company offers digital biomarkers and digital therapeutics.

    Reader Comments

    From Oracular Degeneration: “Re: David Feinberg. Will he leave Oracle Cerner at the one-year mark? It’s coming up.” I’m among many who expect him to leave at the earliest date that won’t jeopardize his $22 million reward for serving as Cerner’s CEO for a few pre-acquisition weeks. The one-year closing date is June 8, and other documents reference a 52-day period that would make it July 30. I don’t know why he would stay or why Oracle would want him to.


    HIStalk Announcements and Requests

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    Poll respondents have just two real problems with the behavior of their fellow attendees. I’ll side with the person who opines that Q&A pontification is the one item on the list that is insulting rather than just annoying and thus deservers having attendees emulate UK Members of Parliament and shout them down.

    New poll to your right or here: Will the VA eventually complete an enterprise-wide rollout of Oracle Cerner?

    I thought the once-respected Forbes couldn’t get any more hilariously irrelevant, but they have topped it by tasking a “content creator” (they deem her an “expert”) to compare Cerner to Epic. She helpfully informs us that neither company offers transparent pricing or a free trial, that both offer the “useful feature” of revenue cycle management, and that Epic does not offer third-party integrations. She concludes that in her expert opinion, Cerner is the better choice for “clinical practices and specialties,” while “Epic is our pick for bigger hospitals and care networks.” Should you wish to drink further from her Forbes fountain, check out “How To Make Business Cards At Home” or “How To Get Clients In Release Estate.”


    Webinars

    None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre to present or promote your own.


    Acquisitions, Funding, Business, and Stock

    RCM vendor Aspirion acquires Firm Revenue Cycle Management Services.


    People

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    Amwell hires Kathy Weiler, MA (Optum) as EVP / chief commercial and growth officer.

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    Today I (accidentally) learned that Care.AI founder and CEO Chakri Toleti – who previously co-founded Galvanon (sold to NCR) and HealthGrid (sold to Allscripts) – is a former actor and Bollywood film director. His brother Raj Toleti, who was involved with those companies along with others in health IT, such as Cytura and PatientPoint, is now founder, CEO, and chairman of Andor Health.


    Announcements and Implementations

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    Five pharmacies of the Wegmans grocery chain will pilot ScripTalk, an RFID tag for prescription containers that allows the drug’s name, dose, instructions, and warnings to be read out loud on the accompanying audio device or on the patient’s phone.


    Privacy and Security

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    The Harris County, TX attorney calls for privacy violation action against Texas Children’s Hospital after an unnamed person provided screen shots of the medical records of children to a conservative think tank, which published them in an article about the hospital’s gender-affirming care services.

    In England, a judge dismisses a hospital patient’s privacy lawsuit against Google, ruling that Royal Free London NHS Trust’s sharing of patient medical records with Google’s DeepMind Technologies in 2015 did not violate reasonable expectations of privacy.


    Other

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    In Canada, a Price Edward Island review finds that 1,700 patient referrals were missed when clinic staff forgot to fax them as required by the Telus EHR.

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    I found via a LinkedIn mention the “Simple Sabotage Field Manual” that was created by the US’s predecessor to the CIA in 1944 to guide “citizen-saboteurs” of occupied countries as gleaned from European experience. Some that pertain to businesses may still have corporate relevance:

    • Insist that everything go through channels and don’t allow shortcuts that could expedite decisions.
    • Make long speeches that include anecdotes of personal experience.
    • Refer all matters to committees that have at least five members.
    • Bring up irrelevant issues.
    • Revisit decisions made in previous meetings.
    • Recommend caution and emphasize avoiding embarrassment in guiding decision-making.
    • Promote employees who don’t deserve it and complain about achievers.
    • Add layers of required approval and unneeded paperwork.

    Sponsor Updates

    • CereCore promotes Bob Gronberg to AVP of Meditech professional services and Clay Posey to AVP of technical services.
    • Black Book releases the results of its analysis of population health data activation platforms and data management systems, based on the responses of 2,539 survey respondents.
    • EClinicalWorks releases a new customer success story featuring Shield Medical Group, “Data-Driven Decisions with Healow Insights.”
    • Wolters Kluwer Health releases the results of its second “Pharmacy Next: Consumer Care and Cost Trends” survey.
    • Nordic will exhibit at Infor Connect 2023 May 22-25 in St. Paul, MN.
    • OmniSys will exhibit at the HCP23 Spring Hospital Pharmacy Conference May 22-24 in Indianapolis.
    • Sonifi Health expands its customer engagements with Children’s Hospital of Philadelphia, Essentia Health, University of Arkansas for Medical Sciences, and Griffin Health.
    • Talkdesk earns TrustRadius Awards in the contact center, call center workforce optimization, call recording, and VoIP categories.
    • Waystar will exhibit at the EClinicalWorks 2023 Enterprise Summit May 22-24 in Boston.

    Blog Posts


    Contacts

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

    News 5/19/23

    May 18, 2023 News 9 Comments

    Top News

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    The VA and Oracle Cerner complete their scheduled five-year contract renegotiation.

    The VA’s next five-year renewal period will be changed to five, one-year terms.

    The revised contract will also include stiffer financial penalties if the Oracle Cerner system fails to meet specific performance metrics.


    Reader Comments

    From MmSEC Observer: “Re: Veradigm. This is how private equity firms steal shareholder value in taking public companies private. They are pillaging companies that misstep software accounting rules. See Avaya.” Publicly traded digital communications vendor Avaya filed bankruptcy a few weeks ago in a deal that allowed two private equity firm lenders to take control of the company, leaving Avaya’s shareholders with nothing. The company’s problems came to light after executive changes and delays in filing earnings reports that followed a previous bankruptcy filing in 2018. A bondholder class action lawsuit accuses Avaya’s board of “massive fraud” in misleading investors. MDRX shares have lost 34% in the past 12 months versus the Nasdaq’s 4% gain, valuing the company at just over $1 billion.


    HIStalk Announcements and Requests

    Reminder: if your company sponsors HIStalk and is participating in the MUSE conference, give me details for my conference guide.


    Webinars

    None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre to present or promote your own.


    Acquisitions, Funding, Business, and Stock

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    RCM automation vendor Adonis raises $17 million in a Series A funding round.

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    Virtual care management platform vendor HealthSnap raises $9 million in a Series A funding round.

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    CVS Health will close the clinical trials business that it launched in May 2021. The service provided technology-drive patient recruitment, real-world data collection, and clinical trial delivery.

    A Business Insider piece says that Oracle is “crushing morale” among former Cerner employees since its $28 billion acquisition of the company by these actions:

    • Laying off 3,000 of 28,000 employees.
    • Freezing raises and promotions.
    • Vacating Cerner’s former buildings in Kansas City.
    • Sidelining former Cerner CEO David Feinberg to a “ceremonial” role as chairman of Oracle Health.

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    Doximity reports Q4 results: revenue up 18%, adjusted EPS $0.20 versus $0.21, beating expectations for both. Shares dropped 6% on the news to their year-ago price, valuing the physician networking company at $6 billion.

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    NextGen Healthcare reports Q4 results: revenue up 18%, adjusted EPS $0.31 versus $0.19, beating analyst expectations for both but sending shares down on the news. NXGN shares have lost 16% in the past 12 months versus the Nasdaq’s 4% gain, valuing the company at $1 billion.


    Sales

    • Gundersen Health System will implement cloud-based Visage 7 Enterprise Imaging Platform in its seven hospitals and 65 clinics.
    • SUNY Downstate Health Sciences University will implement Memora Health’s care delivery platform.

    Announcements and Implementations

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    Executives for Health Innovation, which was known as EHealth Initiative through 2021, will shut down, 22 years after it was founded.

    UF Health will acquire Flagler Health+ (FL), with one of Flagler’s goals being to upgrade its IT systems. Flagler chose Allscripts Sunrise in 2011, while UF Health uses Epic.

    UnitedHealthcare takes heat for its decision to require prior authorization for colonoscopies starting June 1, a move that left the American Gastroenterological Association “profoundly alarmed and disappointed.” The insurer says approval will be immediate for procedures that follow evidence-based guidelines and within two days otherwise.

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    OpenAI launches ChatGPT for the IPhone on the Apple App Store.


    Government and Politics

    A judge orders Theranos founder Elizabeth Holmes to report to prison to begin serving her 11-year sentence for investor fraud, rejecting her last-minute bid to remain free while she appeals. Holmes and former Theranos COO Sunny Balwani, who is serving a 13-year sentence, were also ordered to pay $452 million in restitution to 12 defrauded investors and former partners Walgreens and Safeway.

    An Oklahoma doctor and pharmacist are charged with manslaughter in the death of a 75-year-old rehabilitation center patient from a methotrexate overdose. The physician admitted that he didn’t order correctly, while an investigation found that the pharmacist ignored the computer’s red-letter warning that the prescribed dose of 20 mg of methotrexate daily for seven days – instead of the intended 20 mg every seven days – was excessive.


    Privacy and Security

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    A proposed Federal Trade Commission order would bar ovulation tracking app Premom from sharing user health data in charging the company with making unauthorized disclosures to third parties when its privacy policies claimed it doesn’t. The company will also pay $200,000 in federal and state fines.

    Related to the Premom order, FTC seeks comments on its intention to extend the Health Breach Notification Rule to cover health apps.

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    An Oklahoma allergy clinic shuts down permanently following a cyberattack. The clinic’s physician owner says all of the practice’s technology was impacted when she and her husband downloaded an unspecified IPhone app, locking them out of all of its systems even as patients were receiving appointment reminder text messages. The owner says that the FBI, Department of Justice, and Department of Defense are investigating, but the FBI says it has received no reports about the issue. Social media comments claim that the same doctor abruptly shut down other clinics, including a medical spa, for reasons unrelated to technology.


    Sponsor Updates

    • Divurgent releases a new episode of The Vurge Podcast, “Digital Mental Health Insights: Breaking the Stigma with Data.”
    • Fortified Health Security names Candace Manning (Lifeway) client success manager.
    • Loyal wins Best Patient Registration and Scheduling Solution in the MedTech Breakthrough Awards.
    • Consensus Cloud Solutions partners with Hyland Software to offer a digital cloud fax solution that integrates with OnBase.
    • AvaSure, which offers acute virtual care and remote safety monitoring solutions, establishes a chief nursing executive advisory board with 10 inaugural members.
    • CereCore will recruit and train hundreds of EHR and clinical informatics staff over the next one to three years to support HCA Healthcare’s deployment of Meditech Expanse.
    • Nordic releases a video titled “The Download: Valuing IT as an Asset to Improve Patient Care.”

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