News 6/2/21

Top News

Physician networking site Doximity, which introduced a telemedicine service last year, hopes to raise $100 million in an IPO that would allocate up to 15% of its shares to qualifying physician members.

Doximity’s filing notes that it is used by 1.8 million medical professionals working in the nation’s top 20 hospitals and health systems.

The company’s revenue, which is largely subscription-based, jumped nearly 80% last year to $207 million.

HIStalk Announcements and Requests

Happy 18th birthday to HIStalk, which I started spontaneously on a Memorial Day weekend back in 2003 when I didn’t have anything interesting to do. I apparently still don’t.  

Slicing and dicing last week’s poll results shows that 29% of those who were planning to attend HIMSS21 won’t go because of the conference’s mandatory COVID-19 vaccination requirements, while 7% of whose who weren’t planning to attend now will. Announcement of the new policy failed to change the intentions of 86% of respondents, most of whom weren’t going to attend anyway.

New poll to your right or here: Which do you surreptitiously check three or more times daily during live or video work meetings? I edited the poll after posting it to include HIStalk just for fun although I doubt many folks (other than me) are pulling it up three times per work day.

Webinars

June 3 (Thursday) 2 ET: “Diagnosing the Cures Act – Practical Prescriptions for Your Success.” Sponsor: Secure Exchange Solutions. Presenters: William E. Golden, MD, MACP, medical director, Arkansas Medicaid; Anne Santifer, executive director, Arkansas Department of Health – Office of Health Information Technology; Kyle Meadors, principal, Chart Lux Consulting. A panel of leading experts will provide practical guidance on how to prepare for the Cures Act. Will it upend your business model? What is information blocking? How can standardized technologies be applied to meet Cures Act requirements? What must I do now as well as in the next five years?

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

Acquisitions, Funding, Business, and Stock

CompuGroup Medical acquires Germany-based PACS and healthcare content management vendor Visus Health IT.

Virtual care company Babylon Health may go public via a merger with special purpose acquisition company that has lined up $270 million in funding in valuing the company at $3.5 billion. London-based Babylon’s first attempt at going public via an SPAC fell apart earlier this year.

Epic will require employees to return to work at its Wisconsin headquarters in part-time capacities beginning July 19. The company had attempted a similar return-to-work scheme last August, but dropped the plan after facing pushback from employees.

Clarity Informatics, whose back office software is used by 80% of GPs in England, is acquired by medical practice software vendor Agilio Software.

People

Industry long-timer David Madaffri (Philips) joins Mach7 Technologies as SVP of global sales.

Cone Health (NC) promotes CMIO Valerie Leschber, MD to SVP / chief medical officer.

Loyal hires Angela Jones, MS (Meazure Learning) as VP of customer success.

UofL Health promotes Debbie Mullins, MBA to VP/CIO.

Announcements and Implementations

Epic announces that its UGM 2021 – Stories of Legend and Lore – will be held as an on-campus event in Verona, WI August 23-25, 2021 for fully vaccinated attendees. Registration and hotel reservations open June 17.

Hampton Regional Medical Center (SC) opens a tele-ICU that connects ICU patients virtually with clinicians from telemedicine company Hicuity Health and Medical University of South Carolina, which provided grant money for the unit.

Syracuse Area Health (NE) will convert to Cerner this fall.

Surveyor Health develops SurveyorAI, technology that combines patient data with drug knowledge from First Databank to offer clinicians medication management tools for remote care, including risk stratification, clinical decision support, and educational resources.

Other

Doctors in England warn the public about NHS Digital’s plan to extract the medical data of 55 million people – everyone who has been registered in a GP clinic – in de-identified form to a database that will be made available for third-party research and planning. The Doctors’ Association UK says NHS DIgital has not done enough to explain to patients how their data will be used and how they can opt out. A medical confidentiality group cautions, “They’re trying to sneak it out. They are giving you six weeks nominally, and if you do not act based on web pages on the NHS Digital site and some YouTube videos and a few tweets, your entire GP history could have been scraped, never to be deleted.”

Insurer Lemonade, which portrays itself as a AI-savvy technology company, apologizes for suggesting in a since-deleted tweet that its AI analyzes non-verbal cues (physical or personal features) to automatically reject claims. The company – which sells homeowner’s, renter’s pet, and life insurance – clarifies that it uses facial recognition technology to detect claims that are submitted under more than one identity, but then sends those claims to human reviewers for a final decision. The company’s IPO filing says that its AI Jim chatbot system “handles the entire claim through resolution in approximately a third of cases … without human intervention,” but Lemonade admits that while it calls the system “AI Jim,” it uses plain old programming rules rather than the sexier-sounding AI do much of the work.

Sturdy Memorial Hospital (MA) reveals that it paid hackers an undisclosed amount of ransom after some of its systems were held hostage in February.

University of Washington researchers review several AI models that have claimed to be able to diagnose COVID-19 from chest X-rays and find that they rely on irrelevant data, such as patient position or age. They caution that such models therefore may not be generalizable outside the original setting, also noting that that most providers don’t use X-rays to diagnose COVID-19 anyway. At least one of the models has been deployed in multiple hospitals. 

The New Yorker posts a sad, enraging article called “The Death of Hahnemann Hospital,” which describes how selling a historic hospital that served vulnerable patients to a private equity firm turned out to be a predictably bad idea.

Sponsor Updates

• Kyruus appoints Tina Brown-Stevenson (UnitedHealth Group) and Rob Coppedge (Echo Health Ventures) to its Board of Directors.
• Health Catalyst will present during the William Blair Growth Stock Conference June 2.
• SOC Telemed will present during the William Blair Growth Stock Conference and Jefferies Virtual Healthcare Conference June 2.
• Agfa HealthCare publishes a new white paper, “What is Enterprise Imaging, Really?”
• AGS Health meets KLAS/Censinet Cybersecurity Transparent Initiative requirements.
• Alcatel-Lucent Enterprise receives a 2021 Silver Medal rating by sustainability assessor EcoVadis.
• Ascom signs a six-year contract with a German hospital group for mobile IP-DECT communications and alarm solutions.
• CareSignal joins the Population Health Alliance.
• Cerner releases a new podcast, “Geisinger’s innovative approach to wellness and addressing healthcare inequities.”
• EnterpriseTalk features Change Healthcare VP of Platform and Marketplace Gautam Shah.
• CHIME will host its Summer Forum June 16-17 across three cities featuring eight past and present ONC leaders.
• PM360 features ConnectiveRx Product Manager of Enterprise Analytics Kylie Hall as part of its Elite 2021 Leader of the Future program.
• CloudWave is included on Modern Healthcare’s list of “Best Places to Work in Healthcare.”
• Divurgent VP of Technology Emily Carlson has been named one of Consulting Magazine’s “2021 Women Leaders of Technology” in the category of Innovation.
• Elsevier Clinical Solutions supports the State of California in expanding its COVID-19 online learning program for registered nurses.
• PatientPing announces that Innovaccer will become a reseller of its Pings real-time notification solution, embedding it within the Innovaccer Health Cloud.

Blog Posts

• Long-term care facilities now required to report COVID-19 vaccinations under new CMS rule (Ability Network)
• Blueleaf Banter: Improving Outcomes by Aligning Workflows with Technology (Bluetree)
• Measuring SNF Quality with the CarePort Quality Score (CarePort)
• Overcoming the Challenges of Balancing Patient Care and Administrative Functions (Vyne Medical)
• How to Maximize Patient Enrollment in Your Chronic Care Management Program (ChartSpan)
• Supporting the Breastfeeding Dyad During the Pandemic (Obix Perinatal Data Systems, developed by Clinical Computer Systems)
• Our journey to do bigger things – together (CoverMyMeds)
• A Prescription for Safety, Legibility, and Ease of Use (EClinicalWorks)
• Beyond the pandemic: digital patient intake is here to stay (Experian Health)

Contacts

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

News 5/28/21

Top News

McKesson will combine four of its business units – RelayHealth, McKesson Prescription Automation, CoverMyMeds, and RxCrossroads by McKesson – under a single business operating as CoverMyMeds. The business segment was previously known as Prescription Technology Solutions, but each company operated under its own name.

The president of the 5,000-employee unit is McKesson long-timer Nathan Mott, MBA.

Reader Comments

From Mario: “Re: Nuance Escription. New owners DeliverHealth Solutions just experienced a multi-day outage during a routine maintenance window. Very little mention of this on news or social media.” Unverified, but Mario forwarded an email that DeliverHealth sent to customers indicating that the system was down from Sunday night until Tuesday evening. Nuance is a minority shareholder in the company, which bought Nuance’s HIM transcription and EHR go-live services businesses in November 2020.

From MC: “Re: PHS Frontline episode on safety net hospitals. I would love your thoughts.” I was going to take just a quick look at the 53-minute program that’s free to watch on YouTube, but it was too compelling to turn off. It describes how big hospitals use their marketing clout and cash to skim off profitable patients, leaving safety net hospitals with low-paying Medicaid, Medicare, and charity care. The section toward the end about how private equity firms are looting the healthcare system will make your blood boil – they buy safety net hospitals on the cheap and then cut staffing and supplies to allow paying themselves huge bonuses. Example: PE-backed Prospect loaded its Rhode Island hospitals with $1 billion in debt, immediately paid itself and its investors $457 million, has a huge debt payment due in 2022 with no obvious way to pay it, and the PE company owner (Leonard Green) is now threatening to shut down the hospitals because the state wants it to escrow $120 million to make sure the hospitals can survive.

From Mark: “Re: Base. Unnecessary testing?” Looks like it. Base is following the vanity prescription drug model in offering continuous tests and tracking to medical system-averse 30-somethings (based on the fake sample patients pictured) without concern for value received or how they will use the results, using a slick website, Apple-like physical packaging, and a coaching app with subscription-based pricing. Labs are grouped into sleep, stress, energy, sex drive, and diet, all the areas that are bothersome, hard to measure, and even harder to address. The disclaimer makes it clear that they aren’t offering medical advice, which is good since the founder quit medical school to work as an Amazon engineer, and I saw no mention of a physician’s order. It’s the usual lessons learned: (a) companies can make money selling unnecessary but desirable medical services; and (b) young folks are so turned off by the healthcare system that they will impulse-buy lab tests and drugs from websites like they would sneakers from Amazon, failing to see the value of a medical home or foreseeing their eventual need to address chronic conditions with something more than a cute app that pushes navel-gazing analytics masquerading as health management. I actually think this is good since nobody has managed to disrupt an entrenched, unhealthy healthcare non-system so far, so this kind of “buy whatever you want and see what happens” approach may open some eyes about access, skepticism, and unimpressive outcomes despite horrendous cost. I doubt anyone’s health will be improved much over the life of a subscription (which I would guess will be short), but it probably won’t hurt anything, so caveat emptor.

Webinars

June 3 (Thursday) 2 ET: “Diagnosing the Cures Act – Practical Prescriptions for Your Success.” Sponsor: Secure Exchange Solutions. Presenters: William E. Golden, MD, MACP, medical director, Arkansas Medicaid; Anne Santifer, executive director, Arkansas Department of Health – Office of Health Information Technology; Kyle Meadors, principal, Chart Lux Consulting. A panel of leading experts will provide practical guidance on how to prepare for the Cures Act. Will it upend your business model? What is information blocking? How can standardized technologies be applied to meet Cures Act requirements? What must I do now as well as in the next five years?

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

Acquisitions, Funding, Business, and Stock

Press Ganey acquires health insurance member experience measurement firm SPH Analytics.

Change Healthcare reports Q4 results as it prepares to be acquired by OptumInsight: revenue flat, adjusted EPS $0.42 versus $0.42.

Sales

• HCA Healthcare chooses Google Cloud for workflow tools and analytics.
• EHR vendor Oasis will deploy Canada-based Think Research’s clinical decision support tools to its 41 hospital customers in Saudi Arabia.
• UCSF will use Philips HealthSuite for interoperability and to develop navigation tools.
• Bassett Healthcare Network (NY) outsources revenue cycle management, analytics, and IT to Optum, which will take on 500 of the health system’s employees.

People

Brian Norris, RN, MBA (Marathon Health) joins Indiana University Health as CNIO.

Optum expands the role of Kristi Henderson, DNP, RN – who is SVP of its Center for Digital Health – to include CEO of its MedExpress urgent care center business.

Industry long-timer Chuck Duncan (CJD Healthcare IT Enterprises) joins consulting firm CPeople as CEO.

Announcements and Implementations

Six hospitals in Ontario, Canada go live on Cerner Millennium, which will provide a common patient chart across the four groups involved. Some of the hospitals went live without onsite help last fall since Cerner’s US employees were not allowed to enter Canada because of COVID-19.

Imprivata announces a mobile facial recognition solution that will initially allow clinicians to electronically prescribe controlled substances.

Blue Shield of California has saved $20 million over two years by using Gemini Health’s medication cost transparency system for prescribers and pharmacists.

Microsoft opens up the Teams APIs, store, and tools to allow third-party app developers to create apps that integrate with the meeting canvas, offer in-app purchases or subscriptions, and access Teams real-time video and audio.

A new KLAS report on payer care management finds that ZeOmega leads the category, 60% of interviewed Medecision customers are dissatisfied, and Casenet has struggled with a painful HTML5 rewrite.

Another new KLAs report on application management and help desk services says that Nordic, Tegria-owned Cumberland, and HCTec execute strongly and communicate well in the “expansive” offerings category. NTT Data is transitioning to larger customers with a sharp drop in satisfaction due to staff quality and low executive involvement, while Cerner satisfaction has improved. Strong performers in the “broad” category include Ettain Health, GuideIT, and Pivot Point Consulting, while in the “niche” category, the top performers are Talon Healthy IT Services (Epic help desk), ROI Healthcare Solutions (ERP), Tegria-owned Bluetree Network, and Avaap (Infor). 

Government and Politics

A VA OIG review says the VA underestimated the $16 billion budget for its Cerner implementation by $1 billion to $2.6 billion by failing to account for physical infrastructure costs, such as for electrical work and cabling. OIG also noted that the VA did not obtain the required independent cost estimate that would have allowed the omission to be identified.

Other

The CEO of Children’s Hospital Colorado declares a state of emergency in youth mental health, saying that it is overwhelmed with children who have attempted suicide or show symptoms of mental illness. The hospital’s chief medical officer says that in many weeks of 2021, the #1 reason for ED visits has been attempted suicide.

Ireland’s health service asks employees to turn on their 80,000 computers to automatically install a ransomware decryption key that a cyberattacker reportedly provided at no cost, but says it will still take weeks to return systems to normal. The May 14 attack has limited lab capacity to 20% and forced some cancer patients to travel to other cities for treatment.

Sponsor Updates

• Redox co-founder and CTO James Lloyd joins Vericred’s board.
• PatientBond announces several accolades, including an A grade from KLAS for customer peer recommendations and executive involvement with 95% overall customer satisfaction, high-performer status on the G2 vendor review website, and inclusion in the top 20% of the Financial Times’ 2021 list of the fastest-growing companies in the Americas.
• Newfire Global Partners publishes a digital cookbook to celebrate its five-year anniversary.
• Change Health publishes an e-book titled “Wired for Transformation: The State of Healthcare APIs.”
• EClinicalWorks posts a video case study titled “Neuro2Go + healow: Expertise Is Just a Click Away.”
• OptimizeRx CEO Will Febbo will present at the William Blair Annual Growth Stock Conference June 2.
• Spirion wins four Global InfoSec Awards from Cyber Defense Magazine for privacy management software, digital footprint security, compliance, and cybersecurity analytics.
• Talkdesk makes its CX Cloud available in Epic’s App Orchard.
• Vocera announces a distribution agreement with Wavelink in Australia.

Blog Posts

• Making the Complex Simple with a Data Analytics Solution for Investigating Real-time Medical Device Data (Part 1 of 2) (Capsule)
• A Clinical Perspective on Large-Scale Healthcare IT Implementations (Medhost)
• How one physician’s experience helped define Cambridge Memorial’s approach to COVID-19 (Meditech)
• Creating a Financial Forecast for Your Practice 101 (MWTherapy)
• Gartner Innovation Case Study Spotlight: A Look Inside NTT Data’s Commitment to Disruption (NTT Data)
• OptimizeRx Specialty Solutions: Technology That Optimizes Your Access Support Ecosystem (OptimizeRx)
• What Job Will Providers Do Today? (PatientKeeper)
• 5 Steps to Guard Patient Data When Using Virtual Care (Pivot Point Consulting)
• Is Your Revenue Cycle Vendor a True Strategic Partner? They Should Be … (PMD)
• Premier Data: Gap Analysis of Annual Patient Contact Hours in Primary Care (Premier)
• Insider-Related Breaches Spike After 4-Year Decline, Potentially Costing Hospitals Millions (Protenus)
• Lessons Learned from a Cerner TIP Beta Project (Optimum Healthcare IT)
• Everyone’s Looking Toward the Future, but What Does Virtual Care Need Right Now? (Redox)
• 5 Health Campaign Ideas That Really Work (Relatient)
• Positive Distraction: Pediatric entertainment ideas to ease anxiety (Sonifi Health)
• Bringing Patient Insights into Focus (Surescripts)
• PatientBond Recognized by KLAS & G2 for High Customer Satisfaction (PatientBond)
• Integrating EHRs with your healthcare contact center platform for seamless patient experiences (Talkdesk)
• Remove Barriers to Medication Adherence with Step-by-Step Support (Twistle)
• 4 Things Every PT Must Do to Deliver an Excellent Patient Experience (WebPT)
• Helping Rehabilitation Facilities Succeed in 2021 (Zynx Health)

Contacts

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

News 5/26/21

Top News

AI-powered revenue cycle company Iodine Software acquires Artifact Health, which offers a physician engagement and patient documentation query technology platform.

Artifact CEO Marisa MacClary, MBA will join Iodine as EVP of the Artifact team.

HIStalk Announcements and Requests

A generous donation from reader Deborah, with matching funds applied from my Anonymous Vendor Executive, allowed me to fully fund the Donors Choose teacher grant request of Ms. H in Los Angeles, who asked for 3D geometry kits for her middle school class.

Webinars

June 3 (Thursday) 2 ET: “Diagnosing the Cures Act – Practical Prescriptions for Your Success.” Sponsor: Secure Exchange Solutions. Presenters: William E. Golden, MD, MACP, medical director, Arkansas Medicaid; Anne Santifer, executive director, Arkansas Department of Health – Office of Health Information Technology; Kyle Meadors, principal, Chart Lux Consulting. A panel of leading experts will provide practical guidance on how to prepare for the Cures Act. Will it upend your business model? What is information blocking? How can standardized technologies be applied to meet Cures Act requirements? What must I do now as well as in the next five years?

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

Acquisitions, Funding, Business, and Stock

Baptist Health South Florida severs ties with Health System Solutions, which had been handling the hospital’s revenue cycle management since 2018. BHSF created the RCM company as a joint venture with Navigant, transitioning nearly 600 hospital staff to the new business. The hospital will bring those employees back in-house.

The private equity arm of Adu Dhabi Investment Authority acquires a minority stake in health IT provider Dedalus Holding.

Weight loss coaching app vendor Noom raises $540 million in new funding, valuing the company at $3.7 billion as it expands into stress management, sleep, diabetes, and hypertension. The company hopes to expand from individual subscribers, who pay $60 per month, to employers and insurers. 

Sales

• MSU Health Care (MI) will implement Epion Health’s patient Check-In and Digital Screeners software.
• McLaren Health Care contracts with India-based HCL Technologies to deliver IT services to its 15 hospitals in Michigan and Ohio and create a global EMR Center of Excellence.
• Clinical management company SCP Health will expand its use of SOC Telemed’s Telemed IQ acute care telemedicine platform as it extends its telemedicine practice so it can offer both on-site and virtual care.
• US Orthopedic Alliance selects 2bPrecise’s precision medicine platform to identify drug-gene interactions.
• Colorado Center for Personalized Medicine will make the de-identified data of 7.3 million patients available to UK-based Sensyne Health, which will mine it and sell insights to drug companies, with revenue shared with CCPM. The company signed a similar deal with St. Luke’s University Health Network last week.

People

Tidelands Health (SC) family physician and Air Force veteran Gerald Harmon, MD will become AMA president next month.

Shelagh Fraser, MD (Priority Physicians) joins LifeOmic as its first CMO.

Jackson Hospital (AL) names Mark Lauteren (El Centro Regional Medical Center) AVP/CIO.

Tania Schade (Slalom Consulting) joins The Greeley Company, a division of The Chartis Group, as VP of business development.

Connect America hires Rosemary Kennedy (ECare Informatics) as chief health informatics officer.

Babylon names Darshak Sanghavi, MD (UnitedHealthcare) as global chief medical officer.

NextGen Healthcare hires Srinivas Velamoor, MBA (McKinsey) as EVP / chief growth officer.

Announcements and Implementations

Qardio implements Redox’s health data exchange API to enhance the interoperability of its remote patient monitoring solution.

Geisinger Health System (PA) launches ConnectedCare365, a remote patient monitoring program for people with chronic conditions. The program’s technology comes from virtual care delivery startup Noteworth.

CareAlign offers free access to its task management system through the rest of 2021 for clinicians who sign up as beta testers.

Queen Anne County, MD will equip paramedics and EMTs with DrFirst’s Backline for EMS, which will allow them to scan a driver license barcode to confirm identity and retrieve a six-month medication history. It also allows them to exchange messages with local hospitals.

Other

Appointment-booking website Zocdoc fixes a software glitch that improperly allowed current and former employees of doctor and dental offices to access the patient data of 7,600 people via its provider portal. The company revealed similar programming errors in 2016.

St. Luke’s Health System in Idaho expands virtual emergency services to all nine of its EDs across the state. Patients will have access to virtual neurologists, behavioral health providers, pediatricians, social workers, critical care and nursing support specialists, plus emergency physicians and nursing teams through the system’s Virtual Care Center in Boise.

Cleveland Clinic seeks a digital health venture partner for its commercialization arm.

Scripps Health CEO Chris Van Gorder says the May 1 attack on the hospital’s computer systems was ransomware, and that its EHR and patient portal systems should be back up by the end of the week. He said the organization has kept quiet about the specifics of the attack to avoid copycat hackers: “Other attackers are already using what is being reported in the media to send scam communications to our organization.”

Sponsor Updates

• SCP Health expands its use of SOC Telemed’s technologies to include its Telemed IQ software for acute care.
• Ascom publishes a new whitepaper, “The high-reliability ICU.”
• Cerner’s Charitable Foundation honors 39 employees with Volunteer Impact Awards.
• The local paper profiles CoverMyMeds’ new $240 million headquarters, set to open in the coming weeks as the company begins bringing back its 1,500 workers.
• Diameter Health Software Architect Sam Schifman will present at the 2021 HL7 FHIR DevDays on June 9.
• Avtex publishes “Omnichannel Healthcare Experience Report 2021.”
• Meditech will convene its virtual “2021 Nurse Forum: Setting the Pace” June 16-18.
• KLAS recognizes Engage as a leader for its response to the COVID-19 crisis with a perfect score within the All Services Firms category.
• Ellkay recognizes Nuance EVP and GM Diana Nole as part of its Women in Health IT program.
• WHO Director-General Tedros Ghebreyesus will speak at the Everbridge COVID-19: Road to Recovery Executive Summit May 26-27.
• First Databank is included on Modern Healthcare’s “Best Places to Work in Healthcare” list.
• Glytec releases a new video, “An Update in Glycemic Management in the Hospital: Impact and Lessons from COVID-19.”
• WebPT CEO Nancy Ham joins the HST Pathways Board of Directors.
• Georgia Hospital Health Services, a subsidiary of the Georgia Hospital Association, will promote Jvion’s All-Cause Readmissions product to member hospitals across Georgia.

Blog Posts

• How a SaaS-based scheduling system can help overcome the healthcare staffing crisis (Ability Network)
• “What About My Ovaries?” Part 2: The Paper Scanning Conundrum (Access)
• How to Bring Non-DICOM Imaging into Your Enterprise Imaging Strategy (Agfa HealthCare)
• Wildfire and Hurricane Preparedness: New PULSE Enterprise Features to Increase Flexibility and Scalability in Disaster Responses (Audacious Inquiry)
• OMOP Common Data Model: Build, Deployment, and Limitations (Bluetree)
• The Truth About Advanced Analytics: What Healthcare Leaders to Know (CereCore)
• Uber-izing the COVID Vaccination Experience (Change Healthcare)
• Role of the Healthcare CIO in Driving Digital Transformation (Divurgent)
• It’s Always Time to Switch for Value and Performance (EClinicalWorks)
• New Changes and Updates to Medical Decision-Making Guidelines from the AMA (Experity)
• “What About My Ovaries?”A Case Study Series Where It All Went Wrong – Part 1, Part 2 (Access)
• Back to Basics: HIPAA-Compliant Texting (Halo Health)
• Robotic Process Automation: An Essential Co-worker for the Digital Age (The HCI Group)
• Drive Better Outcomes with Four Data-Informed Patient Engagement Tactics (Health Catalyst)
• A Bite Size Update on Digestive and Metabolic Health IT (Healthcare Growth Partners)
• New Forrester study reveals COVID-driven Digital Identity issues and solutions (Imprivata)
• COVID-19 and the Biden administration jump-start policy focus on social determinants of health (Intelligent Medical Objects)

Contacts

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

Monday Morning Update 5/24/21

Top News

An FBI advisory says that at least 16 US healthcare and first responder networks were attacked by Conti ransomware in the past year.

Reader Comments

From Pat Hand: “Re: CEO selling. Can you ask your readers at what stage of a company’s growth it become detrimental for the CEO to lead pitch meetings with the prospect hospital’s C-suite? My startup employer has hired tremendous HCIT leaders, but our CEO (who is also a co-founder) struggles to relinquish control of the initial discovery and pitch process. He isn’t great at reading a room, asking discovery questions, giving succinct answers, and simplifying the pitch based on need. When our sales execs ask him to let the salespeople do their jobs, he says that the first meeting should be C-suite to C-suite and they can take over afterward. Do prospects see this negatively and do they question a premium price tag when the CEO is the de facto sales rep?” I’ll invite readers to weigh in. My experience from being on the health system receiving end of pitches is that I would find it puzzling and perhaps a bit desperate to have a vendor CEO show up in the first meeting. I would rather meet with the sales folks, decide mutually what happens next, and hold back the CEO’s participation until either (a) the first meeting on the vendor’s campus, and even then just for a short meet and greet; or (b) as a final reassurance during contract negotiations. The company folks will defer silently when their CEO is in the room, which is the same reason that I as the health system person wouldn’t invite our high-ranking folks to those first meetings. I think the company should stop sending the CEO out on sales calls as soon as it can afford to hire experienced salespeople.

HIStalk Announcements and Requests

Poll respondents are generally upbeat about the hiring practices of their employers through the end of the year.

New poll to your right or here: How does the HIMSS21 “vaccinated attendees only” policy change your plans to attend?

It’s a shorter post and no Weekender since Mrs. H and I took a great 12-hour drive in the splendor of late spring to a family event, a road trip that I enjoyed immensely. She probably needed some “Lonesome Dove” backstory to understand my enthusiastically blurted quote: “Ain’t nothing better than riding a fine horse in new territory.”

Webinars

June 3 (Thursday) 2 ET: “Diagnosing the Cures Act – Practical Prescriptions for Your Success.” Sponsor: Secure Exchange Solutions. Presenters: William E. Golden, MD, MACP, medical director, Arkansas Medicaid; Anne Santifer, executive director, Arkansas Department of Health – Office of Health Information Technology; Kyle Meadors, principal, Chart Lux Consulting. A panel of leading experts will provide practical guidance on how to prepare for the Cures Act. Will it upend your business model? What is information blocking? How can standardized technologies be applied to meet Cures Act requirements? What must I do now as well as in the next five years?

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

Sales

• France’s Institut Curie will implement digital pathology from Sectra.

People

Jeff Webber (Healthcare Triangle) joins Tegria-owned Navin Haffty as VP of operations.

JoRel Nye (Aledade) is named chief product officer at Stellar Health.

Announcements and Implementations

Change Healthcare launches a vaccination record solution that is based on the open standards of the  Vaccination Credential Initiative. Vaccination and testing providers, state registries, pharmacies, and labs can send their vaccination records at no cost, allowing pharmacies, testing labs, and government agencies to develop API-powered digital vaccine proof apps. The company notes that this approach puts consumers in control of how their vaccination information is selectively shared.

Bose launches an $850, no-prescription hearing aid – the first that FDA has approved for direct-to-consumer sale — for people with mild to moderate hearing loss, which includes an app that wearers use to tune them to their preference or to their immediate surroundings.

Other

This is an interesting concept: robotic process automation vendor UIPath offers StudioX, a no-code builder that allows employees to automate their own tasks that also includes corporate governance tools, such as permissions control and logging. I’ve used Macro Scheduler for many years to automate desktop and browser tasks and to tie applications together like the examples above.

Two ED doctors in Ireland, whose national health IT systems remain down from a ransomware attack, say that a big problem is that the country never developed a universal identifier that would allow accessing a patient’s records from multiple hospitals.

Advocate Aurora Health will change 12,000 non-clinical positions to remote-first, eliminating their physical offices in departments such as finance, accounting, administration, and consumer experience in allowing employees to work from wherever they want.

Sponsor Updates

• LexisNexis Risk Solutions releases the “2021 COVID-19 Mental Health Impact Report,” validating that mental health telehealth claims have increased significantly during the pandemic.
• Nordic, Pivot Point Consulting, Protenus, and Surescripts are included on Modern Healthcare’s “Best Places to Work in Healthcare” list.
• The Business of Pharmacy Podcast features RxRevu CEO Carm Huntress in its episode on improving prescribing decisions.
• Innovaccer will integrate the Healthwise Knowledgebase patient education solution into its Health Cloud
• Spirion wins four Global InfoSec Awards from Cyber Defense Magazine, including for next-gen in privacy management software.
• Visage Imaging will sponsor the virtual SiiM21 Annual Meeting May 24-27.

Blog Posts

• Celebrating Skilled Nursing Clinicians with Strategies for Self-Care Success (Netsmart)
• Pharma-HCP Interactions Go Virtual During the Pandemic (PatientBond)
• How Outdated On-Call Scheduling is Hurting Your Hospital (PerfectServe)
• When It Comes to Your Patients, Good Communication is Key (PMD)
• Five Ways Predictive Analytics are Driving Proactive Clinical Care (Premier)
• A $25B Health System’s Investment Arm is Banking on Protenus – Your Hospital Should, Too (Protenus)
• What are Custom Claim Edits and Why are They Important? (RCxRules)
• Guide to Phone Appointment Reminders with Free Call Scripts (Relatient)
• Dramatic Telehealth Growth During COVID Driven by Mental Health Surge (SOC Telemed)
• Working with Spok just became even easier (Spok)
• Broward Health expands print pub to digital to drive patient traffic (Krames)
• Scaling Up Your Workflows (Summit Healthcare)
• Three Tips for Maintaining Active Engagement with Patients and Families (Vocera)
• 4 Steps to Take Now if You Dream of Opening Your Own Practice Someday (WebPT)
• Enhancing Home Healthcare Delivery with Evidence-Based Care Plans (Zynx Health)

Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
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News 5/21/21

Top News

A new KLAS report on EHR market share in US hospitals finds that Epic gained the most in 2020, adding 101 hospitals representing 19,000 beds.

Cerner saw its second consecutive year of net market decrease in losing 19 hospitals and 10,000 beds, which KLAS attributes to big-hospital concerns about its revenue cycle functionality.

Epic’s market share is 31% of all hospitals and 42% of all beds, while Cerner has 25% and 27%, respectively.

All the hospitals that Meditech added in 2020 were under 100 beds and 62% of its legacy customers that made EHR decisions in 2020 moved to other vendors, Epic in almost all cases.

Reader Comments

From HIPAA To Be Square: “Re: vaccination record for conference attendance. Isn’t this a HIPAA violation involving PHI?” Of course not. HIPAA does not prevent an individual from voluntarily disclosing their own information to whoever they want. PHI is a concept that applies only to covered entities and business associates, otherwise you couldn’t tell anyone your name or email address since they are among the 18 PHI identifiers. You aren’t required to disclose your vaccination status, but conferences are not legally required to let you in if you don’t. I trust the vaccine and don’t worry about what everybody else is doing, such as presenters wearing face shields and exhibitors wiping down booth surfaces, but I’m curious why HIMSS is insistent on distancing when CDC says it isn’t necessary (HIMSS hasn’t decided on masks yet, but there’s zero chance they will voluntarily enter that minefield). More interesting to me is how conferences will use mostly untested technology to efficiently check vaccination status at scale, HIMSS21 being particularly at risk given that we’re just 80 days out. My guess is that proof will involve waving dog-eared (and easily faked) paper vaccination cards, which is ironic for a healthcare technology conference. HIMSS hasn’t said if it will allow vaccination exceptions, but its virtual version of HIMSS21 should protect it from any legal challenge by prospective attendees who can’t or won’t be vaccinated since it will be offering “reasonable accommodation.” Companies should be careful about requiring employee attendance, however, since that means asking about vaccination status and deciding how to respond to those who refuse to be vaccinated.

Webinars

June 3 (Thursday) 2 ET: “Diagnosing the Cures Act – Practical Prescriptions for Your Success.” Sponsor: Secure Exchange Solutions. Presenters: William E. Golden, MD, MACP, medical director, Arkansas Medicaid; Anne Santifer, executive director, Arkansas Department of Health – Office of Health Information Technology; Kyle Meadors, principal, Chart Lux Consulting. A panel of leading experts will provide practical guidance on how to prepare for the Cures Act. Will it upend your business model? What is information blocking? How can standardized technologies be applied to meet Cures Act requirements? What must I do now as well as in the next five years?

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

Acquisitions, Funding, Business, and Stock

JPMorgan, fresh off its failed Haven healthcare joint venture with Amazon and Berkshire Hathaway, launches Morgan Health to improve the medical care of its 165,000 US employees and family members. The business will partner with leading healthcare organizations to develop models for other employers and will be given $250 million to invest in companies that offer promising healthcare solutions. Named as Morgan Health CEO is Dan Mendelson, MPP, who spent 21 years as CEO and founder of consulting firm Avalere Health, which was acquired by Inovalon for $140 million in 2015.

UK-based chatbot and virtual visit vendor Babylon acquires 700-physician Meritage Medical Network (CA). The company has raised $631 million in funding through a Series C round and is considering whether to launch an IPO or merge with a SPAC at a valuation of over $4 billion. 

White-labeled virtual care technology and clinician network vendor Wheel raises $50 million in a Series B funding round.

Harris acquires ER Express, which offers EDs and urgent care facilities software for online check-in, patient intake, and online referral. It will be placed within Harris’s PulseCheck business.

Providence-founded Tegria acquires RCM robotic process automation vendor Colburn Hill Group.

Allscripts files a federal trade secrets and non-solicitation complaint against its former senior VP Raj Toleti, who was CEO of mobile patient engagement platform vendor Health Grid when Allscripts acquired that company in 2018. Allscripts made Toleti an executive and he stayed until March 2020. Allscripts claims that Toleti’s other companies, Andor and India-based Mahathi, offer staff augmentation for the implementation of Allscripts FollowMyHealth and used Allscripts intellectual property in their products.

Israel-based healthcare Internet of Things cybersecurity vendor Cynerio raises $30 million in Series B funding.

Money-losing Medicare Advantage insurer Bright Health, which offers plans in 13 states, files for an IPO, having raised $1.6 billion in funding and booked a five-fold revenue increase in 2020 from its several acquisitions. The company’s S-1 form says it has developed analytics to provide care advice and is “in the process of making it fully operational.” 

Sales

• Banner Health will enable “digital health prescriptions” using the deployment platform of Xealth.
• Geisinger Health Plan will use the cost and quality transparency platform of HealthSparq as integrated with the provider search and scheduling solutions of Kyruus, which acquired HealthSparq in April 2021.

People

PeraHealth promotes Joe Beals, PhD, MBA to CEO.

Edwin Miller, MBA joins telehealth vendor Sitka as chief product officer.

ArborMetrix names Maria Siambekos, MBA (Champion Healthcare Technologies) as CEO.

Announcements and Implementations

Anthem signs an agreement with Epic to support bi-directional health information exchange between Anthem’s affiliated health plans and providers using Epic’s Payer Platform. Anthem says it will use patient information to identify care gaps, streamline prior authorization, and to notify providers when their patients are discharged.

Six hospitals in Ottawa, Canada develop a version of Meditech’s patient portal for French speakers.

KLAS looks at the telehealth ecosystem, concluding that Amwell and Teladoc offer feature-rich virtual care platforms, Health Recovery Solutions has broad capabilities in remote patient monitoring, Doxy.me stands out among videoconferencing platforms, Epic customers report deep adoption, and NextGen Healthcare’s EHR-agnostic product is strong in ambulatory practices and specialties.

Mitre publishes a draft national strategy for digital health that includes:

• Universal broadband access.
• A sustainable, tech-prepared workforce.
• Digital technologies that empower people to manage their health.
• Data exchange architectures, APIs, and standards.
• A digital health ecosystem that provides information for public health decision-making.
• Integrated governance.

TransformativeMed brings its Core Work Manager App to Epic as University of Washington / UW Medicine – which originally developed the specialty-specific workflow and handoff coordination tool as a Cerner-embedded MPages tool – migrates to Epic and continues its use of Core Work Manager. The original developers, trauma surgeon Erik Van Eaton, MD and lead EHR architect David Stone, founded TransformativeMed and have implemented the product in 130 hospitals.

Microsoft will retire Internet Explorer next year in favor of its Edge browser, which holds a 3% browser market share. IE is still present on Windows 10 PCs, accessible from the Search window for those looking to take a trip back in time with a browser that was slow and clunky even in its heyday.

Other

Ransomware hackers post sample information from Ireland’s health service online after the government declines to pay their demanded $20 million. The information includes patient medical files, meeting minutes, contracts, and correspondence with patients.

New Zealand’s Waikato District Health Board is experiencing “absolute chaos” after a ransomware attack Tuesday, going back to paper records and trying to properly identify patients.

Wyoming’s health director and the state’s CIO resign after COVID-19 test results ended up on GitHub due to an apparent mistake by a health department employee. Scammers have used the exposed data to call people they hope will be convinced to disclose their financial and insurance information.

A Minnesota doctor is charged with sexual assault after a female patient complained that he performed a rectal exam on her during an unrelated visit, then afterward had one hand on the computer keyboard and the other down his pants.

Sponsor Updates

• The Healthcare Technology Report includes Wolters Kluwer Health Business Unit GM Karen Kobelski and Central Logic CEO Angie Franks on its list of “The Top 25 Women Leaders in Healthcare Software of 2021.”
• Carrot Health will add social determinants of health data from LexisNexis Risk Solutions to its SDOH data and analytics software for providers and payers.
• Everbridge achieves its 16th Authority to Operate on the FedRAMP Marketplace.
• Experity, formed in 2019 in the merger of DocuTAP and Practice Velocity, says its urgent care clinic customer base – 50% of the US total – experienced a 58% increase in visit volume in 2020.
• Lumeon, Fortified Health Security, Impact Advisors, and First Databank are included on Modern Healthcare’s “Best Places to Work in Healthcare” list.
• Jvion publishes the “AI Champions Connect Quarterly Report: Artificial Intelligence & Population Health.”
• Meditech congratulates customers Avera Health and HCA Continental Division/HealthONE on being named among the Watson Health 15 Top Health Systems for 2021.
• CHIME’s Opioid Action Center Podcast features Meditech Associate VP Janet Desroche.
• NTT Data and its affiliates donate $10 million to help India through its COVID-19 surge.

Blog Posts

• The Difference Between SIEM and EDR/MDR, and Why You Need Both (Fortified Health Security)
• Active Shooter Preparedness: Best Practices and Recommendations (Everbridge)
• Partnering with The Daisy Foundation to Recognize Nurses (GetWellNetwork)
• What Are Custom Claim Edits and Why Are They Important? (RCxRules)
• Celebrating National Nurses Month and International Nurses Day: Part Two – Lorraine (Laurie) Porcaro, and Part Three – Christina Averbeck (Glytec)
• Select a Partner, Not a Clinical Communication Vendor (Halo Health)
• Consider the Benefits of ServiceNow (Optimum Healthcare IT)
• Robotic Process Automation: An Essential Co-worker for the Digital Age (The HCI Group)
• The Rebound: Healthcare IT/EHR Staffing in a Post-Pandemic World (HCTec)
• Return of the RACs – What You Need to Know About Recovery Audit Contractors (Vyne Medical)
• Six Steps Towards Meaningful, Ongoing Healthcare Performance Improvement (Health Catalyst)
• 15 Tips for RCM Leaders Implementing a New Patient Accounting System (Healthcare IT Leaders)
• Nurses Week Blog Series: A conversation with Donna Houlne, RN, BSN, MHA, MHRM (Infor)
• The Eyes of a Cicada: Healthcare Analytics Architectures of the Future (InterSystems)
• Making the medical problem list problem-oriented (Intelligent Medical Objects)
• Warning Letters Are in the Mail After CMS Price Transparency Audits (Medhost)
• Creating a Financial Forecast for Your Practice 101 (MWTherapy)

Contacts

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

News 5/19/21

Top News

The 2021 HIMSS and HLTH conferences will require in-person attendees to show proof that they have been fully vaccinated for COVID-19.

HLTH attendees will need to present vaccination proof via Clear’s Health Pass app, which is not yet available for COVID-19. HIMSS hasn’t decided how attendees will prove their vaccination status, but suggests that it will choose a digital solution.

Other announced items related to HIMSS21:

• Attendees, exhibitors, and HIMSS staff who have not received the full regimen of vaccines from Pfizer-BioNTech, Moderna, J&J, or AstraZeneca will not be allowed to enter conference areas.
• Exhibit hall booths will be spaced, as will the layout within individual booths.
• Presenters will be required to wear face shields.
• HIMSS has not yet decided whether attendees will be required to wear masks.
• Seating in educational sessions will be spaced with reduced capacity guidelines, with overflow seating and live stream simulcast offered for some sessions.
• HIMSS is still reviewing rules for networking events, but may require them to be conducted outdoors, to serve only individually portioned food and beverage items, and to employ distancing.

In other conference news, RSNA confirms that it will return to an in-person conference this year, starting on its usual Thanksgiving weekend at McCormick Place. RSNA  work with the convention center and the city to determine health and safety requirements.

Reader Comments

From Eadric: “Re: Meditech surgical case data. Do you know of any experts who can help point my company in the right direction to get it for our shared clients?” I don’t, but I will forward any contacts that readers suggest.

From Co-Vegas: “Re: HIMSS21. The HIMSS conference precautions won’t mean much in Las Vegas, which is anything-goes when it comes to coronavirus.” Read down the page for the just-announced HIMSS21 precautions. Las Vegas is the probably the worst US city for trying to seal off a conference to control viral spread given the mask-free intermingling of domestic and international tourists along with conference attendees in hotels, casinos, and restaurants. Convention centers are usually freestanding entities that control access to their entire footprint with their own security, but that’s not possible in Las Vegas, which intentionally makes it impossible to get from Point A to Point B without passing through crowded casinos, packed elevators, and throngs of sketchy Strip occupants.

Webinars

June 3 (Thursday) 2 ET: “Diagnosing the Cures Act – Practical Prescriptions for Your Success.” Sponsor: Secure Exchange Solutions. Presenters: William E. Golden, MD, MACP, medical director, Arkansas Medicaid; Anne Santifer, executive director, Arkansas Department of Health – Office of Health Information Technology; Kyle Meadors, principal, Chart Lux Consulting. A panel of leading experts will provide practical guidance on how to prepare for the Cures Act. Will it upend your business model? What is information blocking? How can standardized technologies be applied to meet Cures Act requirements? What must I do now as well as in the next five years?

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

Acquisitions, Funding, Business, and Stock

Healthcare staffing, resource, and telemedicine company AMN Healthcare acquires virtual care startup Synzi from Kinderhook Industries for $42.5 million.

Provider management and credentialing software vendor Symplr acquires HealthcareSource, which specializes in healthcare employee recruitment, retention, and development. Symplr acquired competitor Phynd Technologies in January.

Employer-focused mental health tech company Lyra Health raises $200 million just four months after securing $187 million, bringing its estimated value to $4.6 billion.

Sales

• National medical group Mednax selects R1 RCM.

People

Darren Dworkin (Cedars-Sinai Health System) joins Press Ganey as chief strategy officer and managing partner of PG Ventures. He has been at Cedars for 16 years as SVP/CIO, managing director of its venture organization, and executive managing director of its accelerator.

Culbert Healthcare Solutions names David Francis (Steward Medical Group) SVP of management consulting services and Charlie Brown (Tower Health) VP of Epic revenue cycle consulting services.

Luyuan Fang (Change Healthcare) joins Prescryptive Health as chief AI and data officer.

Advanced Medical Strategies names David Cardelle (Change Healthcare) chief strategy officer.

Patient Discovery Solutions hires Theresa West (Signify Health) for the new role of chief commercial officer.

Dina hires Bob Maluso, MBA (Woundtech) as chief growth officer.

Announcements and Implementations

The American Medical Association announces Return on Health, which will develop a framework for assessing the value of digitally enabled care, such as telehealth.

The Minnesota Board of Pharmacy will give prescribers access to the state’s prescription monitoring program data through Appriss Health’s PMP Gateway interface.

Sutter Health (CA) implements Docent Health’s patient engagement technology as part of its new virtual mental healthcare program. GetWellNetwork acquired the company in January.

Blessing Health System (IL) deploys Allscripts Sunrise at Blessing Health Keokuk, Hannibal Clinic, and Scotland County Hospital. It has also signed on for the company’s managed services.

Medhost chairman and CEO Bill Anderson describes in an Amazon Web Services blog post how its multi-tenant, cloud-based EHR benefits customers and supports innovation such as machine learning, analytics, telehealth, ambient listening, mobile-friendly apps, and Alexa-based services.

Cleveland Clinic expands its virtual second opinion program for employers and health plans, offered with Amwell, to brain and prostate cancer.

Other

Scripps Health remains offline more than two weeks after it was hit by a ransomware attack.

A survey by mental health vendor Woebot Health finds that users of its therapy encounter app develop a bond — similar to that between human therapists and patients — within 3-5 days of use without diminishing over time. The “relational agent” app simulates a supportive conversation using AI and NLP that monitors and manages symptoms of stress, depression, and anxiety. I started a free trial to check it out and am not all that impressed so far – it led me through a heavily scripted “chat” that was mostly me clicking on canned responses, went through a “lesson,” insisted on a daily session (no more, no less), and then didn’t have anything useful to offer when I revisited for the second time today and said I was feeling anxious to see what would happen. Maybe it will perform better over time or as it learns.

Kaiser Health News calls out dentists who recommend unneeded or more-expensive procedures to boost their bottom lines, quoting an insurance fraud journal that concludes, “Medicaid fraud is the most lucrative business model in US dentistry today.” Corporations and private equity firms who acquire small practices sometimes order their employed dentists to push profitable procedures and fire them if they don’t. One dentist was charged with fraud after billing for $2 million in crown procedures in 18 months, which authorities say he made possible by intentionally breaking the teeth of patients with his drill while filling their cavities.

Sponsor Updates

• Wolters Kluwer Health announces that the global customer support teams for Ovid, Lippincott, and Audio Digest have received the CRMI’s NorthFace ScoreBoard Award for the 10^th consecutive year.
• SOC Telemed will present during the virtual 2021 RBC Capital Markets Global Healthcare Conference May 18.
• Athenahealth integrates Nuance’s Dragon Medical speech and virtual assistant technology into its AthenaOne EHR and mobile app.
• Patient engagement vendor Sonifi Health announces a partnership with CipherHealth.
• Capsule Technologies publishes a new white paper, “Remote Monitoring Assessment of COVID-19 Patients.”
• Epocrates becomes the exclusive reseller of ConnectiveRx’s ScriptGuide patient savings messages.
• Netsmart earns its seventh consecutive top post-acute technology solutions vendor ranking from Black Book Market Research.

Blog Posts

• What About My Ovaries? A Case Study Series Where It All Went Wrong (Access)
• Is Requesting Proof of a COVID-19 Vaccine a HIPAA Violation? (AdvancedMD)
• Enrich your collaboration: XERO Universal Viewer and Microsoft Teams (Agfa HealthCare)
• Bridging the Gap Between Ambulatory Providers and Home or Community Resources (CarePort)
• Epic Appointment Reminders: 4 Tips to Standardize Patient Notifications (CereCore)
• Collaborating on Technical Standards to Build Better Healthcare (CoverMyMeds)
• Making the Case for Enterprise Clinical Data Integration (Diameter Health)
• Why Upgrading Your Software Matters (EClinicalWorks)
• Healthcare Marketing to New Residents (Experian Health)

Contacts

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

Monday Morning Update 5/17/21

Top News

Ireland’s health service shuts down its IT systems due to ransomware, with several hospitals cancelling appointments and elective surgeries.

The government says it will not pay the demanded ransom, which some sources say is $150,000 but others report seeing locked screens that gave the amount at $20 million.

The attack involved Conti ransomware, in which attackers send an employee an email that looks like it came from a trusted colleague and contains a link to a Google Drive document that contains the payload.

Reader Comments

From Pipeline Fretter: “Re: ransomware. Can you ask readers what they have done lately in response to healthcare ransomware threats?” Here’s a one-question survey. Please complete and I’ll compile the results.

HIStalk Announcements and Requests

Brent Shafer gets a weighted average grade of C- from respondents for his time at Cerner.

New poll to your right or here: How do you expect your employer’s headcount to change between now and 12/31/21?

Webinars

June 3 (Thursday) 2 ET: “Diagnosing the Cures Act – Practical Prescriptions for Your Success.” Sponsor: Secure Exchange Solutions. Presenters: William E. Golden, MD, MACP, medical director, Arkansas Medicaid; Anne Santifer, executive director, Arkansas Department of Health – Office of Health Information Technology; Kyle Meadors, principal, Chart Lux Consulting. A panel of leading experts will provide practical guidance on how to prepare for the Cures Act. Will it upend your business model? What is information blocking? How can standardized technologies be applied to meet Cures Act requirements? What must I do now as well as in the next five years?

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

Acquisitions, Funding, Business, and Stock

SOC Telemed reports Q1 results: revenue flat, with an adjusted loss of $4.6 million versus $2.7 million, beating revenue expectations but falling short on earnings. Shares in the acute care telemedicine vendor are down 26% since they began trading in November 2020 in a SPAC merger, valuing the company at $700 million.

Bloomberg Businessweek says that billionaire “SPAC king” Chamath Palihapitiya is raking in the cash even as the SPAC market is cooling off and investors are losing big chunks of money. The article describes his involvement with Clover Health, a small, money-losing insurance company that tries to dazzle investors with its technology:

• Unlike traditional IPOs, SPAC companies can make whatever wild business projections they want.
• The SPAC’s sponsor keeps 20% of shares as their fee.
• Palihapitiya uses his huge social media following to hype his SPACs. He and his partners doubled their money, much of it borrowed, to $320 million as Clover Health’s investors watched their shares drop in value.
• Clover wasn’t a startup. It had been flailing along on technology hype since 2012, but has burned through hundreds of millions of investor dollars while missing growth targets and replacing executives.
• Clover Health’s plans are rated in the bottom 15% of the government’s star rating system.
• The company’s efforts to expand outside of New Jersey have not been successful and it still sells only Medicare Advantage plans, but it has changed its story to position itself as a software business because of its Clover Assistant physician advice software.
• The reporter contacted four doctors who the company had recognized as being dedicated Clover Assistant users, of which only one confirmed that he had actually used it and even then that doctor said it wasn’t useful. The company claims that they have analytics showing regular use even though doctors may not recognize the product name.
• The company did not disclose Department of Justice inquiries about its sales practices or that its co-founder ran a hospital chain that had been accused of price gouging.
• CLOV shares are down 50% since their first day of trading in early January, the same average percentage loss as all of Palihapitiya’s SPACs.

Sales

• University of Vermont Health Network will deploy Visage Imaging’ s enterprise imaging platform via a public cloud.

COVID-19

CDC reports that 56% of eligible Americans have received at least one dose of COVID-19 vaccine and 44% are fully vaccinated. An astonishing 158 million people have been given at least one shot.

Here’s what a vaccine can accomplish in four months.

Experts say the eight-player COVID-19 outbreak among the New York Yankees is evidence that the vaccine works since seven of them had no symptoms and nobody got sick. They remind the public that while vaccines aren’t quite 100% protective against infection, they are nearly 100% effective against hospitalization and death. The article notes that most or all of the players would likely not have known they were infected except for the regular testing that pro sports requires.

Sponsor Updates

• Clinical Architecture will present during the virtual AMIA Clinical Informatics Conference May 18.
• OptimizeRx will present at the RBC Capital Markets Global Virtual Healthcare Conference May 19.
• PatientPing releases a new e-book, “CMS’ E-Notifications CoP: The Route to Compliance – Part 3.”
• Relatient publishes a case study, “The Power of a Platform: How This Medical Group Improved Patient Satisfaction, Reduced No-Shows and Increased Revenue with a Comprehensive Patient Messaging Strategy.”
• Premier will host a tweet chat (#PremierChat) with President and CEO Michael Alkire May 19 at 6pm ET.
• Providence Ventures’ Funding the Future of Healthcare Podcast features Protenus CEO Nick Culbertson.
• Pure Storage recognizes six customers driving innovation in its inaugural Breakthrough Awards program.
• RCxRules publishes “Best Practices Guide to HCC Coding: 9 Ways Top-Performing Organizations Improve RAF Scores.”
• CRN includes Spirion Senior Director of Business Development Melissa Murillo on its “Women of the Channel” list for 2021.
• AI Tech Park interviews Wolters Kluwers Health VP & GM Frank Jackson.

Blog Posts

• How Telemedicine Can Help Prepare for the Next Pandemic (SOC Telemed)
• Birmingham Radiological Group-GV achieves increased efficiency and quality with PowerScribe One (Nuance)
• 4 Strategies for Building a Solid Foundation of Integration (Netsmart)
• An enterprise roadmap to data conversions (Nordic)
• Prioritize Providers This Mental Health Awareness Month (PatientKeeper)
• Honoring Nurses of Note 2021: Vera Hall, SVP/Chief Nursing Executive, St. Elizabeth Healthcare (PerfectServe)
• Be the Superhero: Create Breakthroughs with Pure (Pure Storage)
• Why cloud computing in healthcare is more important than ever (Spok)
• HIT: An overlooked key to improving CAHPS survey scores and HCAHPS star ratings (Krames)
• Breaking Down Silos in Specialty Medication Prescribing and Fulfillment (Surescripts)
• Why Healthcare is Ripe for Disruption and How it Can Respond (Twistle)
• Effective Communication: Foundation for Nurse Safety (Vocera)
• Why Cash-Pay Physical Therapy is the Best Way to Diversify Clinic Revenue in 2021 (WebPT)
• Healthcare Providers Ought to Deliver Patient Satisfaction Survey Through Text (Well Health)
• Transforming the healthcare supply chain: Better processes, better outcomes (West Monroe)
• 8 Key Areas Representing $13.3 Billion in Cost Saving Opportunities for Healthcare Administration (Vyne Medical)
• Making the Case for Evidence-Based Chronic Condition Management Clinical Decision Support (Zynx Health)

Contacts

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

News 5/14/21

Top News

Patient payments platform vendor Cedar will acquire competitor OODA Health for $425 million.

OODA’s co-founder, chairman, and co-CEO is Giovanni Colella, MD, who also co-founded Castlight Health and founded RelayHealth.

Colella founded OODA with two other former Castlight executives in 2017.

Reader Comments

From Notinda House: “Re: Salesforce. Sad to see them let go another leader of their healthcare vertical, Ashwini Zenooz. Like a few of her predecessors, she was only there two years. Not sure her VA experience is a good fit for a sales focused organization. Do you think SF has a hiring problem in that they hire the wrong leader consistently? Or maybe they do a good job because they are consistent?” The LinkedIn of radiologist Ash Zenooz, MD says she left her Salesforce job as chief medical officer / GM in April and is now president and chief medical officer of Commure.

From Gladhander: “Re: HIMSS21. Predictions on attendance? Time to run another poll about who’s going?” No and no. All I can say is that I’ll be there to recap whatever happens. I won’t have a booth, but I’ll do my usual guide to what HIStalk sponsors will be doing there, cover everything I hear in the exhibit hall and hallways, run photos of what it looks like, and share any big announcements (if indeed companies are holding any back for the conference’s first day). As I wrote the other day, unlike previous years, many registrants are just carrying over their use-it-or-lose-it HIMSS20 registration, plus hotels can be cancelled up until right before the conference starts with minimal penalty (zero if by July 12, one night’s stay after that), so no amount of data will predict who will actually show up. The good news is that COVID-19, as it relates to both infection risk and hospital workload, should not be a factor. I don’t have any sage wisdom for companies that are trying to decide whether paying full price to participate in a potentially scaled-back conference is worth it, although perhaps the potential competitive penalty for sitting out is light since the full, normal HIMSS22 will be just six months later.

HIStalk Announcements and Requests

Reader Lloyd’s generous donation, with matching funds applied from my Anonymous Vendor Executive and other sources, fully funded these Donors Choose teacher requests:

• A document camera for Ms. C’s sixth grade class in Provo, UT.
• Science kits for Mr. C’s elementary school class in Westminster, CA.
• Science mystery kits for Ms. L’s eight grade class in El Paso, TX.

Listening: Who bass player John Entwistle, in this remarkable video that isolates his work on “Won’t Get Fooled Again” in a live performance. He looks entirely bored while flawlessly and apparently effortlessly playing the most complex and musically rich bass lines imaginable, surely later inspiring Rush’s Geddy Lee to forget just laying down root notes and instead rip it like a lead guitarist. The song is simple and I would not have suspected that so much bass artistry was happening underneath, especially since I don’t particularly like the song. He died in 2002 at 57.

Webinars

June 3 (Thursday) 2 ET: “Diagnosing the Cures Act – Practical Prescriptions for Your Success.” Sponsor: Secure Exchange Solutions. Presenters: William E. Golden, MD, MACP, medical director, Arkansas Medicaid; Anne Santifer, executive director, Arkansas Department of Health – Office of Health Information Technology; Kyle Meadors, principal, Chart Lux Consulting. A panel of leading experts will provide practical guidance on how to prepare for the Cures Act. Will it upend your business model? What is information blocking? How can standardized technologies be applied to meet Cures Act requirements? What must I do now as well as in the next five years?

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

Acquisitions, Funding, Business, and Stock

“Hospital at home” and decentralized clinical trials platform vendor Huma raises $130 million in a Series C funding round, increasing its total to $200 million. The London-based company, which changed its name from Medopad a year ago, will use the money to expand its platform to the US, Asia, and Middle East.

Mayo Clinic and Kaiser Permanente make an unspecified investment in Medically Home, which offers technology and services to support delivering acute care and recovery services at home. The company had previously raised $65 million.

Regulators in England block Imprivata’s planned acquisition of Manchester-based digital identity vendor Isosec, which has 120 NHS customers. The Competitions and Markets Authority said that the companies are rivals in the digital identity verification business and removal of a competitive threat to Imprivata would negatively impact taxpayer value.

New York City-based digital cancer care organization platform vendor Jasper Health launches with $7 million in seed funding, naming as its top executives two veteran leaders of CVS Health and Walgreens.

Amwell reports Q1 results: revenue up 7%, EPS –$0.16 versus –$0.58, beating earnings estimates but falling short on revenue. Shares dropped nearly 25% Thursday following the report and have shed nearly 60% of their value in the past 12 months, valuing the company at $2.4 billion.

DrFirst closes a $50 million equity investment that increases its total raised to $118 million.

CPSI acquires encoder solutions provider TruCode.

Sales

• Penn Highlands Healthcare (PA) selects Infor CloudSuite Healthcare and Cloverleaf Cloud.

Announcements and Implementations

In the UK, Cognetivity will use InterSystems IRIS for Health to integrate its IPad-based early detection questionnaire for early dementia detection, which it Cognetivity says can identify the condition up to 15 years earlier than conventional methods.

A new KLAS report on revenue cycle outsourcing finds that the mostly mid-sized clients of Ensemble Health Partners are highly satisfied, while R1’s clients tend to be larger and are happy with the company’s direction and technology. Those companies top the “most likely to buy again” list. More than 80% of NThrive’s clients are dissatisfied and the company trails competitors in every segment in which the company is rated by KLAS, while 43% of Conifer Health Solutions clients report dissatisfaction because they say the company is not proactive or innovative.

Government and Politics

ONC will spend $80 million to train public health professionals to modernize the public health data infrastructure, part of the White House’s $7.4 billion in spending under the American Rescue Plan to expand the public health workforce.

ONC invites submissions for outcome statements related to its Health Interoperability Outcomes 2030 project.

COVID-19

New CDC guidance says that fully vaccinated Americans don’t need to wear masks or distance from others under any circumstances, including while indoors or outdoors and in gatherings of any size, except where local regulations or a business’s rule require it or when using public transportation. CDC Director Rochelle Walensky, MD, MPH announced, “If you are fully vaccinated, you can start doing the things that you had stopped doing because of the pandemic. We have all longed for this moment when we can get back to some sense of normalcy.”

The seven-day rolling average of US COVID-19 deaths was at 629 Wednesday, the lowest since last July. That’s down more than 80% since the peak in mid-January. US deaths are at 580,000.

Other

A security researcher discovers an unprotected online database that contained the records of 200,000 patients of a national disability evaluation services company based in Jacksonville, NC. United Valor Solutions responded quickly to have its (unnamed) contractors shut down public access, although the researcher also found ransomware-related files on the server.

Ocean City, MD first responders celebrate the heroism of Atlantic General Hospital (MD) CIO Jonathan Bauer, who saw that a two-year-old girl had been ejected – still in her car seat — into the Assawoman Bay during a five-car crash. He dove off the bridge, which was 30 feet above water that is five feet deep, and kept the girl’s head above water until both were rescued by boat. He asked to remain anonymous, but the city wanted to recognize him. The toddler is fine.

Forbes is right – I have never heard of Judy “Falkner.” The accompanying video is as lame as the headline writer’s spelling skills (also botched was writing “women” instead of “woman”).  Was there a time when Forbes had credibility?

Sponsor Updates

• EClinicalWorks posts a new episode of its podcast titled “How Software Updates Promote Usability and Patient Safety.”
• Critical event management company Everbridge completes its acquisition of XMatters to accelerate digital transformation for enterprise IT and cyber resilience.
• Healthwise partners with the City of Boise, Idaho to develop and open the Hillside to Hollow Reserve and trailhead.
• Optimum Healthcare IT publishes a white paper titled “Governance: What’s the Big Deal?”
• Fast Company recognizes Jvion’s COVID Community Vulnerability Map with an honorable mention in its 2021 World Changing Ideas Awards.
• St. Luke’s Health System uses Meditech’s self-scheduling for COVID-19 vaccination.

Blog Posts

• 5 Focus Areas for Cyber Resilience (Everbridge)
• The 7 Worst Urgent Care Billing Mistakes That Could Cost You (Experity)
• Hidden Signs of a Healthcare Data Breach (and How to Detect Them) (Fortified Health Security)
• Honoring Moms Through Personalized Patient Engagement (GetWellNetwork)
• Celebrating National Nurses Month and International Nurses Day Part One: Christine Digan (Glytec)
• Why Googling Symptoms is a Bad Idea (Gyant)
• Nurses Week 2021: Nursing & Clinical Collaboration (Halo Health)
• How Data Can Reduce Length of Stay and Keep the Revenue Stream Flowing (Health Catalyst)
• How Home-Based Care is Helping Health Systems Engage More Patients at Scale (Dina)
• Nurses Week Blog Series: The pandemic, technology, and the enduring need to connect (Infor)
• Big data and interoperability: The keys to better healthcare interactions (Nordic)
• There’s an ICD-10 code for that (somewhat) irrational childhood fear (Intelligent Medical Objects)
• The buck stops here: why providers must take the initiative with patient scheduling (Lumeon)
• Using Rhapsody as a FHIR Façade (Part One) (Lyniate)
• 2021 Hospital National Patient Safety Goal Series: Reducing Anticoagulant-Associated Patient Safety Risks (Medhost)
• How data brought ‘new life and new hope’ amid COVID-19 (Meditech)
• Getting Your Patient Engagement Messaging Right (MWTherapy)

Contacts

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

News 5/12/21

Top News

Aetion, which offers a real-world evidence platform for drug companies and payers, raises $110 million in a Series C funding round, increasing its total to $212 million.

Former FDA Commissioner Scott Gottlieb, MD serves on the company’s board.

Reader Comments

From Mr. F: “Re: HIMSS. I am a long-time member, speaker, and volunteer for HIMSS, but for the first time ever I find myself on the vendor side. We are about to pull the trigger on investing in exhibiting so I asked HIMSS to share as of today (91 days prior to the conference) how is registration looking compared to 91 days prior to the start of the 2019 conference. I was provided the following from HIMSS — approximately 2,800 registered in-person attendees for HIMSS21 (made sure they removed the digital-only participants) compared to 2,000 registered attendees this time in advance of the 2019 conference. The HIMSS employee also commented that it is a significantly larger proportion of C-Suite attendees and extremely high engagement on the conference website.” It seems odd that a conference with 42,000 attendees in 2019 had less than 5% of them registered 90 days out since it’s hardly an impulse item and you lose out on early bird pricing. That makes me wonder how many of the total headcount were full-paying registrants versus exhibitors, students, etc. I suppose those exhibitors who rent the HIMSS21 attendee list will get an early idea of attendance and job breakout. There’s also the question whether the many folks who rolled over their HIMSS20 registrations for free will actually show up to HIMSS21 given their unprecedented lack of skin in the game. Exhibitor count is at 462. I assume Mr. F’s pseudonym identifies them as a fellow fan of “Arrested Development,” to which I extend them a belated Happy Cinco de Cuatro.

From Job Hopper: “Re: employment. The near end of the pandemic seems like a good time to start job-hunting, so I am.” I expect a heightened level of employee churn over the next several months as folks start to feel free to move around after a long hibernation, companies are likely to be hiring, and remote work policies become a bargaining chip. That will be magnified by the recruiting efforts of new companies that are flush with investor cash and need more bodies to chase the pitch deck promises of hockey stick growth.

From Bama Jelly: “Re: Ro and other telehealth prescription companies. What standards do you suppose they use in evaluating a ‘patient’ who will become a ‘customer’ only if the doctor clears them?” Probably the same as my thankfully short-term vendor days in which I was tasked with filling out zillion-page RFPs — the answer is always “yes” unless (a) all possibilities have been exhausted, including custom programming and manual intervention; and (b) even then, someone in sales will probably twist your arm into semi-agreeing so that they can override your “no” to “yes” given the lack of a “sort of” as an option. I would be shocked if the hired gun doctors aren’t retained based on their percentage of evaluations that result in prescriptions, which they can probably justify by the minimal vetting that happens in the office anyway and that they can save time and thus make more money by going straight to yes. I would also wager that the forms that patients fill out nudge them into saying whatever it takes to get what they’ve already decided they want. Billions of dollars of investment has been poured into companies whose business model is based on hiring rubber-stamp doctors to bypass the good-intentioned by often bureaucratic prescribing process. I’ve known doctors over the years who just did this on their own and kept the proceeds for themselves, so mass corporatization is the only new feature.

HIStalk Announcements and Requests

Welcome to new HIStalk Platinum Sponsor Twistle. The Albuquerque, NM-based company uses secure, patient-centric communication to drive care plan and protocol adherence, improve outcomes, lower costs, and build brand loyalty. A library of multi-disciplinary clinical communication pathways and best practices, combined with remote physiologic monitoring capabilities, generates clinical, financial, and operational ROI, such as 90% patient engagement rates, 20% improvement in medication / device adherence, 32% fewer readmissions, and more. Care teams realize productivity gains through the automatic initiation of personalized, HIPAA-compliant message pathways, and alerts and dashboards that focus attention on patients that require early intervention. Twistle enhances virtual healthcare initiatives by keeping patients on track as they navigate care journeys. The company offers case studies from Virginia Mason, Providence, AdventHealth, ChristianaCare, Swedish, and others. Check out the video, “The Narrated Patient Experience with Twistle.” Thanks to Twistle for supporting HIStalk.

Today I learned a fun saying from the Internet: “the plural of anecdote is not data.” I will pair that with the Twitter bio of my favorite COVID-19 information source Ashish Jha, MD, MPH, which says “an ounce of data is worth a thousand pounds of opinion.”

Dear companies and PR firms, I genuinely appreciate that you are often now including a LinkedIn bio link to your company new executive hire announcements since that’s where I look for what I need for my “People” section (advanced degrees, previous job, and headshot).

Webinars

June 3 (Thursday) 2 ET: “Diagnosing the Cures Act – Practical Prescriptions for Your Success.” Sponsor: Secure Exchange Solutions. Presenters: William E. Golden, MD, MACP, medical director, Arkansas Medicaid; Anne Santifer, executive director, Arkansas Department of Health – Office of Health Information Technology; Kyle Meadors, principal, Chart Lux Consulting. A panel of leading experts will provide practical guidance on how to prepare for the Cures Act. Will it upend your business model? What is information blocking? How can standardized technologies be applied to meet Cures Act requirements? What must I do now as well as in the next five years?

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

Acquisitions, Funding, Business, and Stock

CPSI reports Q1 results: revenue down 3%, EPS $0.28 versus $0.28, beating estimates for both. CPSI shares are up 33% in the past 12 months versus the Nasdaq’s 47% gain, valuing the company at $444 million.

Nuance announces Q2 results: revenue up 10%, adjusted EPS $0.20 versus $0.16. The company’s acquisition by Microsoft remains on track, to be closed by the end of the year.

Heartbeat Health raises $20 million in a Series B funding round. The New York City-based company offers a cardiovascular care management platform that includes telemedicine, remote diagnostics, and digital health programs. I interviewed CEO Jeffrey Wessler, MD last year.

Automated care workflow company Memora Health raises $10.5 million. The company, which launched out of Y Combinator in 2018 with its proprietary “Felix” software and six employees, now serves patients at 55 healthcare facilities with a staff of 22.

Sales

• The Oklahoma Health Care Authority selects Orion Health’s Amadeus data-sharing software to power its statewide HIE, set to go live this fall. Consulting firms HealthTech Solutions and Cureous Innovations will also assist with HIE development.
• Jackson Hospital (FL) will implement Emerge’s ChartScout and ChartPop medical record data search, visualization, and reporting software.
• Tandigm Health (PA) selects NextGate’s Enterprise Master Patient Index and Provider Registry.
• Temple University Health System chooses ElectrifAi’s machine learning models for contracting and financial accounting.

People

Vish Anantraman, MD, MS (Northwell Health) joins Mayo Clinic as CTO.

Digital voice assistant company Suki promotes Erin Palm, MD to VP of clinical.

Wes Cronkite (Bright Spring Health Services) joins CPSI in the new role of chief innovation officer.

Edifecs names Sundar Shenbagam (Oracle) SVP of engineering and Scott Davis (MedeAnalytics) associate VP of product marketing and demand generation.

AMIA hires Tanya Tolpegin, MBA (American Academy of Audiology) as CEO, returning to pre-Don Detmer separation of the CEO (hired) and president (elected) jobs in which the former manages the organization and the latter handles the science and policy.

Loyal hires Tyler Bennett, MS  (Icebreaker) as VP of operations and analytics.

GetWellNetwork hires Todd Strickler, MBA (Marriott International) as SVP of product.

Announcements and Implementations

Olive establishes an AI command center at TriHealth’s offices in Cincinnati to help the six-hospital system automate tasks, initially starting with its revenue cycle. Olive, which has raised nearly $500 million since launching in 2013, has established 22 such sites across the country and plans to develop over 40 more by year’s end.

In an effort to help hospitals reduce call wait times, Well Health’s communication software now gives patients the option to switch their calls to text messaging and automatically receive texts when their calls are dropped or abandoned.

Surescripts will sunset v10.6 of its E-Prescribing and Medication History services in accordance with the CMS-mandated shift to the National Council of Prescription Drug Programs SCRIPT Standard v2017071 on September 1.

COVID-19

FDA extends its emergency use authorization to Pfizer’s COVID-19 vaccine to those aged 12-15.

California will allow pediatricians to administer COVID-19 vaccine to children without using its cumbersome, Accenture-developed MyTurn vaccine management system that cost $50 million.

Other

A ransomware attack on pharmacy administrative services business CaptureRx has exposed the PHI of patients at health systems in Pennsylvania, New York, and Vermont; plus the customers of Thrifty Drug Stores.

Australia’s SA Health determines that Microsoft’s RemoteApp feature caused the glitch in its Allscripts Sunrise system that duplicated the last digit of medication doses, mistakenly displaying a 10 mg dose as 100 mg.

A survey of mental health professionals finds that while 50% of them would rather conduct virtual sessions instead of in-person ones, 39% admit that they are distracted by social media and email during those virtual sessions. A similar percentage say their attention wanders because of other people around them, Internet browsing, and noise from outside their home. One-third of those responding say they deliver a lower level of care in virtual sessions, with the #1 problem being distracted clients and the challenge of assessing and engaging them online. Half of the therapists say they were dealing with their own symptoms of anxiety and depression in the past year and 38% were already in therapy themselves before the pandemic.

Reflect on your larger-than-life legacy with this humorous obituary of 48-year-old plastic and reconstructive surgeon Thomas Flanigan, MD, which sounds jarringly self-written but as actually cobbled together by friends after his death from unstated causes using snippets of his annual New Year’s Eve letters. The “Ginger God of Surgery and Shenanigans” expresses pride in his role as “a beacon of light shining upon those who couldn’t scan the internet for their own hilarious and entertaining comic relief.”

Sponsor Updates

• Dutch hospital Alriine Zorggroep expands its enterprise imaging contract with Sectra to include cardiology.
• SOC Telemed names Gyasi Chisley (Cancer Treatment Centers of America Global) and Chris Gallagher, MD (Access Physicians) to its board.
• Agfa HealthCare announces its first enterprise imaging installation in Colombia, at the Fundación Valle del Lili.
• Cerner publishes a new customer story, “Truman Medical Centers/University Health offers community-based vaccine clinics to vaccinate underserved community.”
• The local business paper profiles ChartSpan’s journey to a hybrid work-from-home model.
• CHIME releases a new edition of its Leader to Leader Podcast featuring GAVS Technologies CEO Sumit Ganguli.
• Ellkay features Tivity Health SVP and CIO Sarah Richardson in its Women in Health IT series.
• Ohio’s Hospice expands its relationship with Netsmart to include a 10-year innovation partnership that will focus on enhancing value-based care leveraging the CareFabric platform.

Blog Posts

• With permanent Medicare coverage, telehealth is here to stay (Ability Network)
• MyChart Activation and Utilization (Bluetree)
• 5 Ways We Celebrate Nurses and Improve Healthcare Technology, Today and Everyday (CereCore)
• How Virtual Reality is Helping to Make Surgery Training Safer and More Efficient (Dimensional Insight)
• Smart Alert: A Harbinger of Adverse Events in Critical Care Settings (Capsule)
• PCMH: Putting Patients at the Forefront of Healthcare (EClinicalWorks)
• Enriching patient identity management with social determinants of health (Experian Health)

Contacts

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

Morning Headlines 5/11/21

Heartbeat Health Raises $20M Series B Funding to Expand Virtual Heart Care

Telehealth company Heartbeat Health raises $20 million in a Series B funding round led by Echo Health Ventures.

Ransomware attack on healthcare admin company CaptureRx exposes multiple providers across United States

A ransomware attack on pharmacy administrative services business CaptureRx has exposed the PHI of patients at several health systems and customers of Thrifty Drug Stores.

Medicus IT Acquires Managed Services Provider HITCare

Atlanta-based IT and managed services provider Medicus IT acquires California-based HITCare, a health IT services and consulting firm focused on nonprofit community health centers and human services organizations.

Monday Morning Update 5/10/21

Top News

Walmart Health acquires telehealth provider MeMD, which it will roll out as a national virtual care service for urgent, behavioral, and primary care.

The company offers solutions to employers, health systems, and individuals, the latter paying $67 for an urgent care, men’s health, or women’s health visit.

MeMD was founded in 2010 by internist, attorney, and entrepreneur John Shufeldt, MD, JD, MBA, who previously founded NextCare Urgent Care, which operates 145 locations in 11 states. He left the private equity-backed NextCare in 2010 after that company declined to partner with his new venture MeMD.

Reader Comments

From People Sectioned: “Re: Meditech. I didn’t see the promotion of Michelle O’Connor to president and CEO mentioned.” I saw no company announcement, but her LinkedIn says she was promoted this month. She has worked for Meditech for 33 years as her only post-college employer. The executive page shows these changes from a cached copy from February:

• Howard Messing – from CEO to vice chairman.
• Michelle O’Connor – from president and COO to president and CEO.
• Steven Koretz – from SVP of client services to emeritus.
• Shannon Connell, JD – added as chief governance officer and general counsel. She started with the company in 1998 as an applications consultant, attended law school at night, and moved to the legal department in 2005.

From Pay Me Now: “Re: Aprima EHR. Down for nearly two weeks from ransomware.” Unverified, but reported by several readers. Jenn hasn’t heard back from the couple of PR folks she reached out to (it’s complicated because EMDs acquired Aprima in January 2019, then CompuGroup Medical acquired EMDs in November 2020). Users say that they received an email from CGM saying that Aprima’s hosting provider, MedNetwoRX, had sustained a ransomware attack. None of the companies involved seems to be making public statements or responding to inquiries.

From Sopwith Camel: “Re: health IT vendors. How do you keep track — maintain a list?” My only list is the HIStalk search function via Google Site Search, which turns up companies that I have mentioned – good or bad – over many years. I include a company news item only if it is truly newsworthy or interesting (and 95% are not), so finding few to zero mentions means the company in question hasn’t made much of a dent. Lorre sometimes asks me what I know about a company that has inquired about sponsoring, correctly predicting in many cases that my somewhat surprised answer will be “never heard of them” even though I’ve followed the industry for many years, giving me a chance to learn something new. The industry is a lot bigger than all of us think.

HIStalk Announcements and Requests

Many poll respondents aren’t willing to fill out a personal information for to download a vendor’s white paper, but the rest will share most information other than their work phone number. I included the seemingly ridiculous “work address” because I had just seen a download form that required it, which seemed excessive given that hospital addresses are unchallenging to find.

New poll to your right or here: How would you grade Brent Shafer’s three-year tenure as Cerner’s top executive? Click the poll’s comments link after voting to explain your role (employee, investor, competitor, observer, etc.) and what you think he did right or wrong. If you are feeling loquacious, describe the kind of person Cerner should choose to replace him.

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

Webinars

May 11 (Tuesday) noon ET. “Modern Healthcare Innovation Leaders: How Top Health Systems Plan and Execute Innovation.” Sponsors: RingCentral, Net Health. Presenters: Todd Dunn, MBA, VP of innovation, Atrium Health; Paul Nagy, PhD, co-founder, Technology Innovation Center at Johns Hopkins Medicine; Roy Rosin, MBA, chief innovation officer, Penn Medicine; Patrick Colletti, founder, Net Health (moderator). This panel discussion will provide insights from innovative healthcare leaders who have embarked on the journey of planning and implementing innovation projects in their organizations and the wisdom they learned through the process. Topics will include predictive analytics and AI, potential challenges and risks of implementing innovation projects, challenges of interoperability and emerging technologies, and when to build versus buy when working with emerging and established vendors.

June 3 (Thursday) 2 ET: “Diagnosing the Cures Act – Practical Prescriptions for Your Success.” Sponsor: Secure Exchange Solutions. Presenters: William E. Golden, MD, MACP, medical director, Arkansas Medicaid; Anne Santifer, executive director, Arkansas Department of Health – Office of Health Information Technology; Kyle Meadors, principal, Chart Lux Consulting. A panel of leading experts will provide practical guidance on how to prepare for the Cures Act. Will it upend your business model? What is information blocking? How can standardized technologies be applied to meet Cures Act requirements? What must I do now as well as in the next five years?

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

Acquisitions, Funding, Business, and Stock

Health Catalyst reports Q1 results: revenue up 24%, adjusted EPS –$0.06 versus –$0.16, beating Wall Street expectations for both. HCAT shares are up 115% in the past 12 months versus the Nasdaq’s 52% rise, valuing the company at $2.4 billion.

OptimizeRx reports Q1 results: revenue up 48%, adjusted EPS $0.03 versus –$0.06, beating expectations for both. Shares jumped 9% on the news and are up 356% in the past 12 months, valuing the company at $880 million.

Sales

• Israel’s Shaare Zedek Medical Center will implement Sectra’s digital pathology solution.

Announcements and Implementations

The American Bar Association updates its Mind Your Loved Ones advance directive app, which costs $8 per year for two users. Elder law and estate planning attorney Barbara Keller bought the rights to an app that ABA had previously distributed, then expanded it and reintroduced it through ABA.

COVID-19

CDC updates its guidance to indicate that coronavirus spreads by airborne transmission, changing its previous position that infections mostly spread by “close contact, not airborne transmission.” Distancing alone isn’t enough in poorly ventilated spaces and close-quarters workers may need to wear respirators rather than surgical masks.

Daily US vaccinations drop below two million per day for the first time since early March, as American vaccine supplies pile up unused while other parts of the world have none. Some experts call for the government to stop underselling the benefits of vaccination with overly cautious post-vaccination advice and instead aggressively loosen restrictions for those who have been vaccinated. The biggest-lagging states are Mississippi, Alabama, and Louisiana, with only about one-third of eligible residents receiving at least their first vaccine dose.

WHO approves the emergency use of COVID-19 vaccine from China-based Sinopharm, concluding that the efficacy of the inactivated virus product – it’s an old-school vaccine that does not use the MRNA platform — is 78%.

The Lancet runs a scathing opinion piece about India’s COVID-19 crisis, blaming the country’s government for prematurely declaring the pandemic to be over, hiding data, suppressing criticism of its policies, allowing religious festivals with millions of participants to proceed with lack of mitigation measures, and botching its vaccination campaign. The editorial urges the government to admit its mistakes, provide responsible leadership and transparency, and start basing its public health efforts on science. India is reporting 400,000 new cases and 4,000 deaths each day, both numbers assumed to be wildly underreported as experts say deaths are closer to 25,000 per day or maybe more as crematories there are operating 24/7 and running out of fuel.

A hospital in India orders medical staff to flee and hide as oxygen runs out in an ICU that is caring for COVID-19 patients, raising concerns of violence by several angry families who found dead relatives in the abandoned ICU. Hospital employees in India have been physically attacked by angry family members following the deaths of loved ones.

A KHN investigation finds that large health systems are billing insurers from $20 to over $1,400 for a simple, inexpensive COVID-19 test that the tested consumer believes is free. Insurers have no bargaining power because federal law requires them to pay the full billed price and to charge the patient nothing. Some freestanding EDs in Texas have charged over $1,000 per test plus several thousand dollars more in facility fees, while Quest Diagnostics quadrupled its Q1 profit over last year by selling PCR tests for $100.

Other

Administrators at Dartmouth’s medical school accuse 17 students of cheating on their remotely taken exams, which they detected by secretly using the school’s learning system to identify students who accessed course material during the tests. Technology experts say the school’s findings aren’t reliable since students often leave course pages open in the Canvas learning management system and the system performs background activities that look like user page views. Accused students have been threatened with expulsion, suspension, or a forced repeat of the school year. Commenters on the article question why rote memorization for medical school exams is important when doctors have to pass rigorous licensing exams and then are then encouraged as practicing physicians to use external knowledge resources and real-time clinical decision support to keep their practice current.

A random LinkedIn news feed item led me to the biography of NASA astronaut and Navy Lieutenant Jonny Kim, MD, whose accomplishments include training as a Navy SEAL and Special Operations combat medic right out of high school; deployment in over 100 combat operations in Iraq as a sniper, navigator, and point man man in earning a Silver Star and Bronze Star with valor in combat; graduation from Harvard Medical School and an emergency medicine residency with Partners Healthcare; and now an astronaut candidate awaiting an Artemis Team moon mission assignment. I’ll feel like even more of a slacker when he’s walking on the moon.

Sponsor Updates

• EClinicalWorks publishes a video case story from Potomac Urology, which uses the company’s cloud product.
• Appriss Health completes its acquisition of PatientPing in a transaction valuing the combined company at $1.5 billion.
• Protenus will host its fifth annual PANDAS conference virtually May 11-12, featuring a keynote from Afia Asamoah, head of legal at Google Health.
• The Business Unusual Podcast features ReMedi Health Solutions CEO Sonny Hyare, MD.
• Spirion hires Chris Thomley (Canopy Capital Partners) as CFO and promotes Scott Giodano to general counsel.
• Talkdesk will donate $20,000 during its Digital Showdown: Innovations in CX virtual event May 26.
• Vocera publishes the “2021 CNO Perspective” report.
• In India, Wolters Kluwer provides free access to UpToDate coronavirus resources and tools for front-line clinicians and medical researchers.

The following sponsors have won MedTech Breakthrough Awards:

• Kyruus, Provider Match for Consumers (Best Patient Registration & Scheduling Solution).
• Elsevier Clinical Path (Best Computerized Decision Support Solution).
• WebPT Reach (Best Patient Relationship Management Solution).
• Vocera Ease (Best Overall Patient Engagement Solution).
• Pure Storage (Best EHR Security Solution).
• Capsule Vitals Plus (Best Overall Medical Data Solution Provider).
• SOC Telemed, Telemed IQ (Best Overall Telemedicine Platform).
• Fortified Health Security (Best Overall Healthcare Cybersecurity Company)

Blog Posts

• Nurses Week 2021: From nurses week to year of the nurse (Spok)
• Honoring the hard and “heart” work of the nursing profession (Nuance)
• Three Key Strategies to Improve Your Success with Multi-State Billing (Netsmart)
• Patient identifiers: A solution whose time has come (Nordic)
• Healthcare Market Share Opportunities Beyond COVID-19 (PatientBond)
• 5 Healthcare Managed Services Myths You Shouldn’t Believe (Pivot Point Consulting)
• Why I became a labor and delivery nurse (PeriGen)
• Grab Your Healthcare by the Data, Part 2: Choosing the Right App (PMD)
• Why ACOs are Evolving from a Retrospective Coding Review to a Concurrent Coding Review (RCxRules)
• Adverse Events Can Happen Anywhere, Anytime, Including Patient Transport (Capsule)
• 4 Tips to Create a Culture of Informed Decision-Making (RxRevu)
• Telemedicine for Mental Health During the Pandemic (SOC Telemed)
• Why ACOs Are Evolving from a Retrospective Coding Review to a Concurrent Coding Review RCxRules)
• Your Definitive Guide to Growing Revenue with Payments (Sphere)
• Healthcare’s Collective Innovation During COVID-19 Saved Patients Money on Medication (Surescripts)
• Talkdesk makes history (Talkdesk)
• Why patients aren’t using your patient portal (Waystar)
• How to Breathe after Receiving an Audit Letter (WebPT)
• How to Communicate with Your Team Effectively Even if You are Rarely in the Same Physical Space (Vyne Medical)

Contacts

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

News 5/7/21

Top News

Cerner announces that Chairman and CEO Brent Shafer will leave the company. The company has hired a search firm to identify external candidates. Shafer will remain in the role until his replacement has been hired, then will serve as advisor for a year.

Shafer, who was previously CEO of Philips North America, took the top Cerner role in January 2018.

CERN share price is up 4% since Shafer took over. The Nasdaq composite index has risen 92% in that period.

Cerner also announced Q1 results: revenue down 2%, adjusted EPS $0.76 versus $0.71, beating consensus expectations for earnings but falling short on revenue.

From the earnings call:

• CFO Mark Erceg said that as a recently hired newcomer looking back at Cerner history, he thinks that the company’s lack of focus and sub-optimal execution hindered revenue and margin growth, placing it in the bottom quartile of shareholder return among its peer group.
• Brent Shafer said that he expects the new CEO to focus on operations rather than strategy development or portfolio management.
• Providers engaging patients at home has emphasized the need for a unified communications strategy for reaching consumers.
• President Don Trigg says that the entry of life sciences data competitors to Cerner’s Learning Health Network validates Cerner’s strategy and its investment in Kantar Health, also noting data opportunities with the federal government that go beyond DoD and VA.
• Cerner thinks that the federal government’s TRICARE program will provide opportunities in value-based care for data aggregation and longitudinal records. CDC is also a prospect and signed a real-world data contract in Q1.
• Shafer says Cerner is doing everything it can to be an attractive employer given the global competition for technology talent, emphasizing to prospective employees that they can make a difference in the world since their work involves healthcare.

Reader Comments

From Eric: “Re: Donors Choose. How do I make a donation?” I support Donors Choose, but just to be clear, your donations are your own business and I’m squeamish about soliciting them since I’m just the occasional conduit, armed with matching funds from my Anonymous Vendor Executive. However, since you asked in response to my recap of the projects I funded using reader Mike’s generous donation, the steps are:

• Purchase a gift card in the amount you’d like to donate.
• Send the gift card by the email option to mr_histalk@histalk.com (that’s my Donors Choose account).
• I’ll be notified of your donation and you can print your own receipt from Donors Choose for tax purposes.
• I’ll pool the money, apply all matching funds I can get, and publicly report here which projects I funded, including teacher follow-up messages and photos.

HIStalk Announcements and Requests

Welcome to new HIStalk Platinum Sponsor Talkdesk. The San Francisco-based company is a global consumer experience leader for patient-obsessed providers. Its solutions provide a better way for healthcare and patients to engage with one another. The company’s speed of innovation and global footprint reflect its commitment to ensure that businesses everywhere can deliver better experiences through any channel, resulting in higher patient satisfaction, cost savings, and profitability. Talkdesk gives providers an end-to-end patient experience solution that combines enterprise scale with consumer simplicity. Thanks to Talkdesk for supporting HIStalk.

I found an interesting Talkdesk video on YouTube, showing how its contact center platform is being used for COVID-19 vaccine administration.

Webinars

May 11 (Tuesday) noon ET. “Modern Healthcare Innovation Leaders: How Top Health Systems Plan and Execute Innovation.” Sponsors: RingCentral, Net Health. Presenters: Todd Dunn, MBA, VP of innovation, Atrium Health; Paul Nagy, PhD, co-founder, Technology Innovation Center at Johns Hopkins Medicine; Roy Rosin, MBA, chief innovation officer, Penn Medicine; Patrick Colletti, founder, Net Health (moderator). This panel discussion will provide insights from innovative healthcare leaders who have embarked on the journey of planning and implementing innovation projects in their organizations and the wisdom they learned through the process. Topics will include predictive analytics and AI, potential challenges and risks of implementing innovation projects, challenges of interoperability and emerging technologies, and when to build versus buy when working with emerging and established vendors.

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

Acquisitions, Funding, Business, and Stock

Patient medical records access technology vendor Ciitizen acquires the HIE business of Stella Technologies.

Vida Health, which offers employer-funded virtual coaching for mental and physical health, raises $110 million in a Series D funding round.

Premier reports Q3 results: revenue up 40%, adjusted EPS $0.64 versus $0.73. Mike Alkire, newly promoted to president and CEO, said in the earnings call that the company will evolve into a technology-based healthcare solutions provider using its network, data, and machine learning. PINC shares are up 17% in the past 12 months versus the Nasdaq’s 55% rise, valuing the company at $4.3 billion.

Israel-based Vim, whose technology connects health plans to providers, raises $60 million in a Series B funding round let by Walgreens.

Sales

• Mary Washington Healthcare (VA) will implement Sectra’s enterprise imaging solution under the Sectra One subscription service. 
• HHS will support development and installation of PeraHealth’s Rothman Index Risk Triage tool as a COVID-19-focused hospital triage tool.

People

AGS Health hires Thomas Thatapudi, MBA (thegrok.io) as CTO. 

Intelligent Medical Objects names Dale Sanders (Health Catalyst) as chief strategy officer. 

EHR workflow tools vendor Wellsheet hires Ryan Sadlo, MBA (Podimetrics) as VP of growth.

Clay Ritchey, MBA (Evariant) joins EMPI and patient matching technology vendor Verato as CEO.

Patient engagement platform vendor Twistle promotes Matt Revis, MBA to president.

Announcements and Implementations

Conversational AI platform vendor Avaamo makes its virtual assistants available on Epic App Orchard.

COVID-19

Two real-world studies find that Pfizer’s COVID-19 vaccine is highly effective against the UK and South Africa variants.

A man from Argentina admits that he probably should not have flown from Miami to Buenos Aires last week given that he had just tested positive for COVID-19. He obtained a “fit to fly” certificate from a Florida medical clinic via a telehealth visit. He was arrested and quarantined upon landing by Argentinian health officials, who found that his temperature was 101.3 degrees.

A KHN report says that the state of California has weakened its public health infrastructure by outsourcing life-and-death duties in no-bid contracts to big tech firms, most of them donors and supporters of Governor Gavin Newsom. State officials praise the public-private partnerships, while others warn that companies like Salesforce and Google are accountable only to shareholders and the deals are siphoning money away from the already gutted public health infrastructure.

Other

Systems at Scripps Health are apparently still down after a weekend ransomware attack.

Australia’s SA Health investigates whether patient harm has resulted from an apparent bug in Allscripts Sunrise, which it says is duplicating the last digit of medication doses in displaying a 10 mg dose as 100 mg.

Kansas Heart Hospital files a federal complaint against its former CFO and COO, claiming that they conspired with the hospital president to divert $31 million through bonuses and other compensation payments. The hospital also accuses Steve Smith and Joyce Heismeyer of copying and then deleting computer files and creating a $1.5 million severance package for themselves before suddenly resigning.

Wired recaps last fall’s data breach at Finland-based Vastaamo, the “McDonald’s of psychotherapy” that shut down after hackers gained access to its full records – including psychotherapy notes – and then extorted 25,000 clients individually to keep their information private. Vaastamo had built its own EHR and decided not to pursue newly created Class A standards that would have allowed it to connect to the national health data repository, making it a lightly regulated Class B system that was intended for small organizations that keep paper records. Hackers breached the system, demanded payment that was not made, and then posted the system’s database to the internet. Finnish authorities later seized millions of dollars from Vastaamo’s owner, who they suspected covered up the breach while selling the company to an investment firm. The incident has raised questions about whether therapist notes should be entered electronically at all, much less shared with a national repository, whether EHRs are secure, and if the government should be more involved on oversight.

An opinion piece by author and former New York Times reporter Elisabeth Rosenthal, MA, MD says that “COVID-19 let virtual medicine out of the bottle” and the result could be lower-quality care, inequities, and even higher charges as startups focus on the benefits to providers and investors rather than patients. She says that evidence – lacking at present – rather than the market should drive telemedicine decisions to avoid focusing on the most profitable services.

Sponsor Updates

• Protenus announces that its fifth annual PANDAS healthcare compliance conference – addressing patient privacy monitoring and controlled substance diversion surveillance — will be held virtually on May 11-12.
• Cerner releases a new podcast, “The tipping point of healthcare consumerism and engagement.”
• PerfectServe recognizes 100 outstanding nurses in its inaugural “Nurses of Note” Awards program.
• Relatient announces that Greenway Health users now have access to its Appointment Reminder solution.
• Fast Company recognizes Jvion’s COVID Community Vulnerability Map with an honorable mention in its 2021 World Changing Ideas Awards.
• MedTech Breakthrough names Fortified Health Security as “Best Overall Healthcare Cybersecurity Company.”
• Lumeon’s Pre-surgical Readiness solution and COVID-19 Remote Home Monitoring solution each win a Silver Stevie Award for Best New Product in the Healthcare Technology Solution category of the American Business Awards.
• Meditech releases a new podcast, “How St. Luke’s doubled patient portal enrollment during the pandemic.”
• Forbes includes Pure Storage CIO Cathy Southwick on its list of 50 innovative technology leaders.

Blog Posts

• 100+ Hospitals Approved for Hospital at Home Waiver (Dina)
• 3 Advanced Capabilities Needed in EHRs to Safely Prescribe Opioids (First Databank)
• How Healthcare Organizations Should Strengthen Their Cybersecurity Framework Against the Latest Cyber Attacks (Fortified Health Security)
• Honored by KLAS Recognition of Our COVID-19 Response (GetWellNetwork)
• Glytec’s Research Highlights 6X Mortality Risk for Hospitalized DKA Patients with COVID-19 (Glytec)
• How Does an AI Symptom Checker Work? (Gyant)
• Physician Groups, Ambulatory Care Can Boost Productivity Using Clinical Collaboration Platforms (Halo Health)
• Three Data-Informed Ways to Drive Optimal Pediatric Care (Health Catalyst)
• It’s time for a national strategy on patient identity (Imprivata)
• Health IT events still adapting to pandemic pause (Intelligent Medical Objects)
• Social Determinants of Health: Less Talk, More Action (Jvion)
• How Healthcare Leaders Can Create Inclusive Vaccine Rollout Strategies (Kyruus)
• How to stop revenue leakage with effective patient scheduling (Lumeon)
• Technology Strategies Helping Healthcare Leaders Get Through the COVID Crisis (Lyniate)
• Part II – 2021 Hospital National Patient Safety Goals Series: Preventing Mistakes in Surgery (Medhost)
• Why Provider Data Management is Ripe for Disruption (NextGate)

Contacts

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

News 5/5/21

Top News

R1 RCM will acquire digital payment solutions provider VisitPay for $300 million in cash.

R1’s acquisitions over the last several years have included Cerner’s RevWorks business and SCI Solutions, which it purchased for $190 million.

R1 says the acquired capabilities will allow it to lead the healthcare payments market in price transparency, flexible payment options, tailored communications, and analytics.

Reader Comments

From PitViper: “Re: attrition. Are health tech companies experiencing it? What reasons are you hearing that staff are leaving?” I’ll let readers answer whether they see this as a trend.

HIStalk Announcements and Requests

Welcome to new HIStalk Platinum Sponsor NTT Data. Plano, TX-based NTT Data Services is a digital business and IT services leader, the largest division of trusted global innovator NTT Data Corporation, a top 10 provider and part of the $109B NTT Group. With the company’s consultative approach, it leverages deep industry expertise and leading-edge technologies powered by AI, automation, and cloud to create practical and scalable solutions that contribute to society and help clients worldwide. The Healthcare division within NTT Data Services is committed to improving patient outcomes by connecting the healthcare ecosystem. A recognized leader in healthcare, the global team delivers one of the industry’s most robust and integrated portfolios, including consulting, integration, interoperability, applications, data intelligence and analytics, hybrid infrastructure, workplace, RPA, cybersecurity, and business process services to help organizations accelerate and sustain value throughout their digital journeys. Thanks to NTT Data for supporting HIStalk.

I found this NTT Data overview video on healthcare digital transformation on YouTube.

Reader Mike sent a generous donation from his COVID stimulus check to my Donors Choose project, which when paired with matching funds from my Anonymous Vendor Executive and other sources fully funded these teacher grant requests:

• Math materials from Ms. L’s elementary school class in Toppenish, WA.
• Acid rain test kits for Ms. H’s high school class in Cincinnati, OH.
• Multiplication flash cards for Ms. C’s elementary school class in Oklahoma City, OK.
• Biology and science resources for Ms. A’s high school class in Crewe, VA.
• Dinosaur learning activities for Ms. D’s special education class in New York, NY.
• Math games for Ms. V’s middle school class in Hosford, FL.
• Document camera for Ms. T’s first grade class in Buffalo, NY.
• Math games and books for summer learning kits for Ms. P’s third grade class in Tucson, AZ.
• Math manipulatives for Ms. T’s elementary school class of autism students of Staten Island, NY.
• 3D printing supplies for Mr. S’s second grade class in Cleveland, OH.
• A library of 13 read-aloud science books for Ms. H’s kindergarten class in Columbus, OH.
• Virtual whiteboards for Ms. S’s elementary school class in Indianapolis, IN.

Ms. V was among the majority of teachers who emailed their thanks almost immediately, explaining that her class has missed almost two years of in-person instruction due to Hurricane Michael and then the pandemic. She says, “Sending love and much appreciation for your support. We will start our summer program the first of June. These materials will go a long way towards helping our students recover academic loss due to Hurricane Michael, followed by the pandemic. Your support is a blessing for many. Thank you again!”

Webinars

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

Acquisitions, Funding, Business, and Stock

Clinical documentation software vendor Provation acquires IProcedure, which specializes in cloud-based anesthesia documentation and perioperative data management.

Headway, which matches patients with mental health therapists in 11 states for virtual or in-person sessions, raises $70 million in a Series B funding round that values the company at $750 million.

Employer health benefits manager Collective Health raises $280 million in a Series F funding round, valuing the company at $1.5 billion.

Berkshire Hathaway CEO Warren Buffett tells shareholders that Haven, the company’s joint employee-focused healthcare venture with Amazon and JP Morgan, failed due to its inability to overcome the challenges of working with so many different stakeholders on a problem that accounts for 17% of the country’s GDP. Buffett added that Berkshire Hathaway was able to identify inefficiencies and cost savings in its own healthcare pipeline, “so we got our money’s worth.”

Allscripts seeks to sublease 56,000 square feet of the nine-story building it occupies in Raleigh, NC for which it holds naming rights. The space is not needed since CarePort Health, which Allscripts sold to WellSky, won’t be returning employees to the building.

Sales

• Utah Navajo Health System will work with Emerge to consolidate its legacy EHR data with its Athenahealth system.
• St. Luke’s Health System (MO) selects automated operations software from Qventus to better manage patient throughput.
• Nexus Health Systems (TX), Grady Memorial Hospital (OK), and Duncan Regional Hospital (OK) select cloud hosting services for Meditech from Tegria companies Navin Haffty and Engage.

People

Moffitt Cancer Center (FL) hires Santosh Mohan, MMCI (Brigham and Women’s Hospital) as VP of digital.

Angie Stevens (Kaiser Permanente) joins Iron Bow Healthcare Solutions as chief strategy officer.

CereCore names Paul Fabrizio (NTT Data) and Mark Rowland (Nutanix) as regional sales VPs.

David Carr, RN (DeliverHealth) joins HC1 as executive director of high-value care.

Palantir Technologies hires William Kassler, MD, MPH, MS (IBM Watson Health) as its first US Government chief medical officer.

Ken Levitan, who was the CIO of Einstein Health Network from 2005-2015, is named president and CEO of that organization.

Announcements and Implementations

CEO Coalition — founded by Vocera Chairman and CEO Brent Lang and Chief Medical Officer Bridget Duffy, MD – develops a Declaration of Principles that has been signed by 10 health system CEOs who agree to principles that improve safety, well-being, and equity for healthcare workers.

A new KLAS report finds that non-US EHR activity was strong in 2020, with 135 net new deals and 23 migrations, although 30% less than in 2019. The biggest winners were Epic, Dedalus, InterSystems, and Cerner. Epic’s market share in Canada has grown from three hospitals in 2016 to 146 now, but migration to Meditech Expanse is becoming more common.

Government and Politics

The State of Connecticut launches a statewide HIE dubbed “Connie.” The exchange is the fifth such project attempted over the last 14 years, to the tune of nearly $40 million. Forty-four organizations, including Hartford HealthCare, Yale New Haven Health, and the Pro Health Physicians network, have already signed on.

COVID-19

Public health experts say that the US will probably never reach the COVID-19 herd immunity of 80% given the circulation of variants and vaccine hesitancy, but even smaller numbers will make coronavirus a manageable threat that hospitalizes and kills far fewer people. They also say that while herd immunity is a national target, disease transmission is local, and areas with lower vaccination numbers will see more spread. Meanwhile, President Biden says federal focus will shift away from mass vaccination centers to drugstores and mobile clinics in hoping to vaccinate 70% of American adults with at least their first dose by July 4.

The federal government says it will redirect COVID-19 vaccine supplies that are allocated to individual states who don’t order them to other states that want more. This variability in demand, often along political party lines, means that hospitals in low-vaccination areas will likely see a hard winter as COVID-19 infections selectively ramp back up.

FDA will reportedly authorize use of Pfizer’s COVID-19 vaccine in people aged 12-15 years as early as next week.

New York City will resume 24-hour subway service in two weeks and will also lift all capacity restrictions, including museums, concert halls, restaurants, and Broadway theaters.

Other

Scripps Health (CA) continues to recover from a weekend cyberattack – apparently ransomware that also infected its backup servers — that forced it to divert some critical care patients, postpone appointments, and take several systems offline.

A Wall Street Journal reports says that corporate benefits executives are being overwhelmed by richly funded digital health startups for which they are the target audience. Those prospects say that too many startups are offering redundant or overpriced services and urge the companies to consider merging with others or offer deals to stand out in the crowd.

Sponsor Updates

• Built In honors CarePort Head of Product Sara Radkiewicz with its 2021 Moxie Award.
• Cerner publishes a new client achievement, “North Kansas City Hospital leverages Cerner technology to expedite COVID-19 vaccine distribution.”
• A Kyruus survey finds that two-thirds of consumers think virtual care will play a role where they receive care, cost and convenience are the most common decision criteria, and 60% say their preferred method for scheduling COVID-19 vaccine appointments is online.
• Clinical Architecture releases a new episode of The Informonster Podcast, “mCODE, CodeX, and Accelerating Healthcare Innovation – Part 1.”
• The Cyber Pro Podcast features CloudWave CTO Matt Donahue.
• Modern Healthcare includes Optimum Healthcare IT on its list of largest IT consulting firms.
• KLAS rates Divurgent as a market leader for speed and matching of resources in its “April HIT Staffing 2021 Performance Report.”

Blog Posts

• Celebrating healthcare heroes During Nurses Month (Ability Network)
• How charge aggregation technology can help billing companies (AdvancedMD)
• Leeds Hospitals go live with Agfa HealthCare’s Enterprise Imaging to improve image sharing across Yorkshire (Agfa HealthCare)
• Protected: Conditions of Participation for Medicare and Medicaid Hospitals: CMS’ ‘Carrot and Stick’ Approach to Bolster Real-Time E-Notifications (Audacious Inquiry)
• Considerations for Multi-Site Research Collaboration Data Collection (Bluetree)
• Health IT Infrastructure: Tips for Ensuring a Strong Networking and Technology Foundation (CereCore)
• How Providers Can Support the Telehealth Needs of Patients in 2021 (CoverMyMeds)
• Adaptability: The Key to Healthcare Technology Planning (Dimensional Insight)
• Spanish Updates for Healow (EClinicalWorks)
• Leveraging comprehensive consumer data to improve healthcare collections (Experian Health)
• Mike Alkire: Three Objectives Guiding Me As I Step into the Role of Premier President and CEO (Premier)

Contacts

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

Monday Morning Update 5/3/21

Top News

Miami-based CareCloud will pay $3.8 million to settle a lawsuit that was brought by an employee whistleblower who said the company paid kickbacks to its users to gain referrals to boost its EHR sales.

The United States joined the suit, alleging that CareCloud’s Champions marketing referral program violated the False Claims Act and Anti-Kickback Statute by offering clients cash and credits to recommend its EHR to prospects. Those clients also signed agreements to not say anything negative about the company’s EHR.

The government says the company violated the False Claims Act because the kickback payments rendered false Meaningful Use and MIPS incentive payments.

Former CareCloud manager Ada de la Vega will receive $800,000 of the settlement as the filer of the qui tam lawsuit.

Publicly traded health IT software and revenue cycle management vendor MTBC acquired CareCloud for $40 million in January 2020, then renamed itself to CareCloud in March 2021.

HIStalk Announcements and Requests

Most poll respondents hold ownership or shares of a health IT-related company, most of those involving a present or former employer.

New poll to your right or here: Which information would you accurately provide to gain access to a vendor’s white paper? (multiple answers OK). I did a similar poll years ago and given that 75% of respondents said they would either leave immediately or enter phony info, I confirmed my suspicious that making prospects complete a bunch of fields to gain access to a white paper or webinar is a big mistake no matter what the marketing folks think.

Webinars

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

Acquisitions, Funding, Business, and Stock

Vocera announces Q1 results: revenue up 20%, adjusted EPS $0.09 versus –$0.14. VCRA shares are up 96% in the past 12 months versus the Dow’s 39% rise, valuing the company at $1.2 billion.

Spok announces Q1 results: revenue flat, EPS –$0.12 versus –$0.24. SPOK shares are unchanged in the past 12 months versus the Nasdaq’s 57% rise, valuing the company at $199 million.

From the Allscripts earnings call:

• The company sold one new Sunrise client in the quarter, Mercy Iowa City.
• President / CFO Rick Poulton says bringing in consultants a year ago to scale back company costs is paying off.
• The company expects to focus on cost in its core clinical and financial solutions, and even though it’s not a high-growth market, it expects to be a net winner.
• Allscripts expects new business to nearly exclusively involve cloud-based systems, as on-premise customers will probably move to cloud hosting in the next 18-24 months.
• CEO Paul Black says that Microsoft is getting into healthcare in a big way and customers will be interested in being able to implement cloud-based AI and voice capabilities more quickly as a result.
• Asked about drug companies buying EHR advertising based on the company’s Veradigm business, Black said that Practice Fusion taught Allscripts about what kinds of advertising and clinical decision support was OK or not OK. He added that it’s easier to push ads with Practice Fusion than the company’s other EHRs because it is cloud based, but overall a big part of buying Practice Fusion was learning more about selling drug company advertising. The company also says that it sees opportunities to create revenue from users of its personal health records. 

The Global X Telemedicine and Digital Health ETF is up 3.3% in the past month versus the Nasdaq’s 6.3% increase. It’s up 27% since its July 2020 inception, lagging the Nasdaq slightly.

People

Protenus hires Jay White (Blackboard) as VP of engineering.

Loyal names Rachelle Montano, MS, MBA, RD (Perficient) as VP of clinical strategy.

In England, NHS Digital names Simon Bolton (NHS Test and Trace) as interim CEO. He replaces Sarah Wilkinson, MBA, who will leave the role in June.

Government and Politics

The VA posts a request for information for partnerships in a variety of innovative technologies that could be applied to areas that include emerging technology to transform clinical care delivery advanced clinical decision support, clinical simulation training, and service transformation through design thinking.

CloseLoop.ai wins CMS’s Artificial Intelligence Health Outcomes Challenge, which includes a prize of up to $1 million. Geisinger finished second and will receive up to $230,000. The contest looked at AI solutions that can predict health outcomes for Medicare beneficiaries.

COVID-19

CDC reports that 56% of US adults have received at least one dose of COVID-19 vaccine and 40% are fully vaccinated.

India becomes the first country to exceed 400,000 new cases in a single day, also experiencing a 21% test positivity, full hospitals, and a vastly understated official daily death toll of 3,500 that will surely increase as a lagging indicator of widespread infection. President Biden joined several EU countries in restricting travel from India starting this week as experts worry about introduction of new coronavirus variants such as B1617.

Turkey goes into its first COVID-19 lockdown as its infection rates reach the highest in Europe, while Iran’s daily death toll hits highest-ever numbers. Brazil continues to record the world’s highest rate of COVID-19 deaths per million people. Global COVID-19 cases and deaths have risen for several straight weeks even as Western countries with high vaccination numbers trend down and begin a return to normal.

The federal government implements an easy way for people to find available COVID-19 vaccine – text a ZIP code to 438829 (“getvax” on the phone keyboard) and a list of locations is immediately returned. Vaccines.gov has also been relaunched to make finding COVID-19 vaccine easy.

Pfizer will ship COVID-19 vaccine to Canada starting this week from its Kalamazoo, MI plant, which also sends doses to Mexico. 

Other

Epic’s campus was running on 18 backup generators for a few hours Friday night a widespread, raccoon-caused power outage occurred on Madison’s west side.

In India, private hospital beds in Bangalore are being overbooked because of problems with the government’s software, forcing them to turn away patients who in some cases have died shortly after of critical medical problems.

Ascension Technologies files WARN act paperwork with the state of Missouri indicating that it will lay off 651 out-of-state IT employees between August 8, 2021 and December 10, 2021 as it outsources their jobs.

Sponsor Updates

• Experity publishes a new report, “The Effect of COVID-19 on Reimbursement in 2020.”
• Spok Go improves emergency department outcomes at TidalHealth.
• Mozzaz will integrate Jvion’s AI insights on modifiable clinical risk and social determinants of health into its virtual care platform.
• Krames takes home 34 Hermes Creative Awards.

Blog Posts

• Sharing Perspectives: Women in Tech at Nuance (Nuance)
• Let’s Make Connections, Not Assumptions (Netsmart)
• 3 Steps to Follow When Patients Don’t Pay Bills (PatientBond)
• PatientKeeper’s Mobile App Can Help Improve Patient Care and Interprofessional Collaboration (PatientKeeper)
• 3 Best Practices for Implementing Unified Patient Communication Platform (Pivot Point Consulting)
• Grab Your Healthcare by the Data, Part 1: Collecting Your Records (PMD)
• In Providers’ Words: What’s Working and What’s Not in Value-Based Care Today (Premier)
• Search Redox Engine Traffic for up to 45 Days (Redox)
• TelePsychiatry Rising to Meet Mental Health Surge (SOC Telemed)
• Spotlight: Health IPass Platform for 100% Mobile Patient Intake and Payment (Sphere)
• How EHRs Can Help Prescribers Talk Dollars and Sense with Patients (Surescripts)
• Musings from a PT Marketing Director: How to Create Campaigns that Actually Convert (WebPT)
• A 2021 Guide to Choosing a Patient Engagement Platform (Well Health)

Contacts

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

News 4/30/21

Top News

Clinical communications and workflow platform vendor Vocera announced after Thursday’s stock market close that it will acquire PatientSafe Solutions, which offers a unified inbox of messages, alerts, and notifications that is integrated with EHR data.

Reader Comments

From Descension: “Re: Ascension. EHR is the latest to be outsourced, but not the last. Best part is that they told us they are doing it to help the poor and vulnerable, not to save money. Is it time for me to find another career since it’s tough all over and outsourced offshore health IT is the future?” I’ll invite readers to weigh in on that latter question. I honestly don’t know. While it seemed inevitable, absent major user pushback, that most technical support would be shifted to cheaper offshore providers, I wasn’t so sure about specialized areas such as EHR support. The pessimistic view is that the old saying was right – if your job doesn’t involve touching something, plenty of people outside the US would be thrilled to do it cheaper and maybe even better. Ascension is running a billion-dollar quarterly profit as its contribution to the US’s world-leading healthcare costs that make our workforce non-competitive in the first place. On the other hand, sometimes health systems that are looking for “one neck to wring” elect to indeed wring that neck by insourcing everything back in-house down the road.

From Cond-Ascension: “Re: Ascension. Has outsourced IT, starting a while back with contact center and desktop support, now all application and EHR support. EHR support is considered a non-strategic commodity to Ascension now. Folks are being asked to stay until August, where they will probably need to apply for jobs to earn severance. Ascension allows a 10% pay reduction as a suitable offer when a role is eliminated. Tons of great talent will be flooding the market.” Anyone who is looking for Epic people should pay attention.

From CIO: “Re: VisuWell firing their CEO. The actions of the former CEO were obviously atrocious on any number of levels, but VisuWell did everything a company could do. The acting CEO and board chair got on the phone with the CMIO and me to make sure we understood what they were doing, then followed up yesterday to make sure we had everything we need and were completely understanding about us taking any action we thought we needed to. I can’t think of anything else they could have done short of inventing a time machine. We aren’t changing our relationship with them, and in fact chose them initially because we felt they were a better fit in dealing with a diverse patient population than some other vendors.”

From We Aren’t the Champions: “Re: WaitButWhy. What do you think about its most recent post? It seems like an overly optimistic exercise to get something like this off the ground, especially in the US, much less to have it succeed for the long term. I’m in Canada and there’s no chance of provinces paying for comfy chairs or coffee in the waiting room.” The article, which is titled “Why going to the Doctor Sucks,” calls out limited appointment times, unfriendly front desk employees, making patients write the same information on the same clipboard forms every visit, and doctors running behind and shortchanging patients whose appointment is late in the day. It concludes that in the US healthcare non-system, patients aren’t treated like customers because they actually aren’t customers, so cold interactions and indifferent waiting areas echo the DMV or post office. The author’s wife and a friend (non-physicians) decided to start a $2,400 per year, no-insurance primary care club in which members are assigned a doctor, a wellness advisor, and a concierge coordinator. My thoughts:

• I already have this concept covered in my direct primary care doctor’s practice. I pay $75 per month to have direct access to her at all times (phone, mail, text, video, etc.), appointments are quickly available and booked for 30 or 60 minutes of uninterrupted time, in-office lab testing is included, she can provide prescription medications at cost, and simple procedures carry no extra charge. These no-charge extras save enough of my deductible alone to more than cover her annual fee.
• I keep my health insurance  to cover specialists, ED, hospitalization, etc. that might come up, of course, but I haven’t seen a PCP using my insurance for several years. 
• I don’t know what my doctor’s waiting room looks like because I’ve never seen one. She meets me at her office’s front door, we walk to the exam room, and we talk face to face with no keyboard between us. I’m the customer, so she will provide advice on whatever I need – exercise, stress, and diet are listed on her website. But she won’t just prescribe something because I ask for it (I don’t ask because I don’t like taking meds unnecessarily, but she made that clear upfront).
• Quite a few investor-backed companies are placing big bets on practices – both general primary care and specific to Medicare beneficiaries – that feature better creature comforts, a more customer-friendly environment, and more convenient access.
• These models are better for the doctor, who doesn’t need to jam their schedule full, practice substandard but profitable medicine, bow to corporate overlords like health system executives and insurers, and get stuck with patients who just want drugs. You can do the math – if my doctor has 500 members, she takes in maybe $40,000 per month of all-recurring revenue (cost varies by age), has minimal overhead, and can use just the tiny portion of EHR functionality that actually benefits the patient and her. She has to be careful about patient mix since having all Medicare-aged patients could require too much work, but she is allowed to set her panel any way she wants.
• Here’s the beauty of the screwed-up system we have. Neither patients nor doctors like it and it is so wastefully expensive that it it’s easy to find enough cost savings in a new model so that neither pays more. Those corporate overlord middlemen I mentioned are bureaucratically inclined and thus ripe for disruption, and while the cash-only membership system excludes those who don’t have the resources to pay on their own, it assures equal treatment among those who do (and leaves assistance programs for those who need them most). Our suits-to-scrubs ratio makes fat-trimming easy.

Webinars

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

Acquisitions, Funding, Business, and Stock

UK-based Halma acquires perinatal safety technology vendor PeriGen. Halma, which operates many brands in the safety, environmental, and medical sectors, acquired healthcare location services vendor CenTrak in early 2016 for $140 million.

Allscripts announces Q1 results: revenue down 3%, adjusted EPS $0.19 versus $0.02, beating earnings expectations but falling short on revenue.

Castlight Health announces Q1 results: revenue down 10%, adjusted EPS $0.01 versus –$0.01. CSLT shares are up 140% in the past 12 months versus the Dow’s 40% rise, valuing the company at $288 million.

Surgery analytics vendor Caresyntax raises $100 million in a Series C funding round.

CVS Health launches a $100 million venture fund that will invest in early-stage companies that are “focused on making healthcare more accessible, affordable, and simpler.” The company cites previous success in its direct investments, such as Unite Us and LumiraDx.

Shares of national medical group and practice support technology vendor Privia Health closed Thursday with an IPO-day share price jump of 51%, valuing the ownership stake of parent Brighton Health Group at $2.75 billion. CEO Shawn Morris holds shares worth $144 million.

Online pharmacy operator Capsule raises $300 million in a funding round that values the company at more than $1 billion. The pharmacy fills and delivers prescriptions in six cities.

Sales

• Orange County, NC selects Everbridge’s vaccine distribution platform.
• UK’s Guy’s and St. Thomas NHS Foundation Trust will use Nuance Dragon Medical One to support its Apollo service transformation project, integrated with Epic.
• Cigna will offer virtual mental health services to its behavioral health members from Ginger, of which Cigna is an investor.
• Seattle Children’s moves its Epic system to the healthcare cloud of Virtustream, which is owned by Dell Technologies.
• American Health Communities will implement live video consults for residents of 28 skilled nursing facilities in Tennessee using videoconferencing, live bio-analytics, and instruments from Let’s Talk Interactive.

People

Tonya Hongsermeier, MD, MBA (Lahey Health) joins Elimu Informatics as VP / chief clinical innovation officer.

NTT Data hires Michael Petersen, MD (Accenture) as chief clinical innovation officer.

Announcements and Implementations

Omnicell’s EnlivenHealth division will use Twilio’s customer engagement platform to expand its retail pharmacy offerings that include personalized communication by IVR, texting, chatbots, email, and a mobile app.

AHIMA creates DHealth, a catalog of digital health products whose developers have attested that they meet security and privacy standards. 

The US Army’s General Leonard Wood Army Community Hospital (MO) goes live with MHS Genesis / Cerner, the first facility to use the system for in-processing of newly arrived trainees. Above is Major Cynthia Anderson, chief nursing information officer, overseeing use of the mass readiness module that was developed for military medicine and is used at GLWACH to process 100 trainees per hour.

A small interview-based study of VA facilities looks at why timely follow-up on abnormal test results doesn’t always happen:

• Rotation of medical residents, who may be sent results after they have left.
• Lack of ownership of secondary findings.
• Providers ignoring or not seeing EHR alerts with no standardized follow-up defined.
• Lack of current contact information on file for the patient.
• Communications breakdown caused by referrals to another facility.
• Providers covering for each other.
• Uncertain responsibility for reviewing results that were pending on discharge.

COVID-19

A new, small study finds that COVID-19 vaccines manufactured by Pfizer and Moderna are 94% effective in reducing COVID-associated hospitalization of those who are over age 64.

California’s COVID-19 case rate is now the lowest in the country.

Some experts say that President Biden missed a chance to reduce vaccine hesitancy in his Wednesday address to a joint session of Congress, where audience members were spaced, masked, and asked not to make physical contact. A better approach, some say, would have been to allow only vaccinated attendees and then permit them to behave in a 2019-like manner to send the message that vaccination can end the pandemic and return life to normal.

Pfizer expects to release a protease inhibitor for experimental use in treating early-stage COVID-19 by the end of the year, potentially keeping people with early symptoms out of the hospital.

The Public Health Company — which will advise businesses, providers, and public health organizations on public health issues using data, containment best practices, and genomic epidemiology – launches with an $8 million seed funding round. Its scope includes, beyond COVID-19, healthcare-acquired infections, antimicrobial-resistant infections, and foodborne infections. The co-founders are a California public health physician executive and a former Goldman Sachs partner. The business case involves the cost of avoidable business interruption, including supply chain and labor issues.

Other

A University of Missouri study finds that nurse workload is doubled when patients are seen in virtual visits rather than in-office appointments, as nurses have to review, document, and act on blood glucose and blood pressure readings multiple times each week instead of the average in-person visit frequency of every three months.

China’s government is considering allowing prescription drugs to be sold online, which a state-controlled magazine says is a warning shot to public hospitals that profitably overprescribe drugs, including IV drips and antibiotics. The article notes that the government tried to fix the problem in 2017 by mandating that doctors and hospitals sell drugs to patients at their cost, but the providers wormed around that requirement by manipulating cost data and retaining rebates. The country does not have a system to make prescriptions universally accessible and Internet-based sales raises issues of prescription authenticity and supply chain safety. 

Sponsor Updates

• Medicomp Systems releases a new “Tell Me Where It Hurts” podcast, “Reimaging Healthcare Through NLP.”
• Meditech offers a new case study, “How Meditech and Interlace Health support integrated electronic patient consent.”
• KLAS recognizes GetWellNetwork as a top-performing vendor for COVID-19 response.

Blog Posts

• Is Electronic Protected Health Information (ePHI) Getting Outside Your Healthcare Organization? (Fortified Health Security)
• What is Digital Health – Healthcare Industry Transformations of 2021 (Gyant)
• The Impact of COVID-19 on Clinical Communication and Collaboration (Halo Health)
• Developing the Next Generation of Healthcare IT Professionals (Optimum Healthcare IT)
• EHRs in Urgent Care Clinics (HCTec)
• Charge Capture Optimization: Target Five Hotspots to Boost the Bottom Line (Health Catalyst)
• 2021 Infor User Group Conference is a Wrap! (Infor)
• Proof-of-Concept Study Shows CGM Benefit in Patients with COVID-19 (Glytec)
• Five Ways Independent Physicians Can Capture and Keep More Revenue (Ingenious Med)
• Data complexity and its impact across the health IT sphere (Intelligent Medical Objects)
• How Top Health Systems are Scaling COVID-19 Vaccine Scheduling with Kyruus (Kyruus)
• Looking Back and Leaping Forward: How Unprecedented Times Shaped the Way of the Future for Health Seekers’ Online Experience (Loyal)
• What payers and providers need to know about the ONC and CMS information blocking rules (Lyniate)
• Time is Almost Up! Are You ADT Notification Compliant? (Medhost)
• EHRs as healthcare, not software: Highlights from Meditech at the CHIME21 Spring Forum (Meditech)
• 7 Signs It’s Time to Update Your PT Billing System (MWTherapy)

Contacts

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

News 4/28/21

Top News

Telemedicine software vendor VisuWell fires CEO Sam Johnson in response to a widely circulated video that appears to show him publicly harassing an 18-year-old boy who had worn a dress to their prom.

Johnson says the video was edited to misrepresent a situation in which he asked a group of loud teens in a Tennessee restaurant to tone it down in the presence of families and children.

VisuWell says Johnson was terminated immediately, removed from the company’s board, and will not serve in any advisory role. It has appointed President and COO Gerry Andrady to lead the company.

Johnson was previously founder and CEO of Relatient and held sales executive positions with Misys and Greenway Health.

Reader Comments

From @anotherdrgregg: “Re: prescriptions that are a waste of my time. Nearly all of them. Ask me to write a prescription for three reasons: (a) payment, in which you can buy your own wheeled walker but you need me to prescribe it if you want Medicare to pay for it; (b) liability, where the mechanism used to impose accountability (liability) is the prescription; and (c) stewardship, which mostly involves only society-influencing medications such as antibiotics and opiates.” It’s fascinating that the prescription process, at least for cash-paying patients, is that they, their doctor, or both decide on what meds to take and the doctor then writes a sticky note (oversimplifying the prescription process) that gives someone else permission to sell them the product. The prescription is the presumed evidence of clinical decision-making that may or may not have added any value, especially in the many cases where patients demand what they want and the doctor dutifully complies knowing that harm is unlikely and that their patient satisfaction or retention numbers will suffer otherwise. Drug companies also have an incentive to keep their wares as prescription-only so that insurance will pay for them, the price can remain high in the absence of store shelf competition, and they can track who is using their product for marketing purposes. I also wonder how much value is added by state pharmacy laws or insurance requirements that make doctors issue new prescriptions every 6-12 months when the patient has been taking that chronic med for years with no problems or dose changes. Incentives would be aligned if doctors simply recommended products, then patients would either then buy or not with their own money. In other words, if healthcare worked like every other industry.

From Pee-on Analyst: “Re: Ascension. Conducting meetings to announced a country-wide outsourcing of at least all acute and outpatient EHR support to India and Tech Mahindra. Cerner, Epic, Athena, everything. Positions eliminated as of August 8.” Unverified, but reported by two readers.

HIStalk Announcements and Requests

Welcome to new HIStalk Platinum Sponsor Protenus. The Baltimore-based company’s artificial intelligence platform reduces risk and saves resources for the nation’s leading health systems by detecting and preventing compliance violations, such as breaches to patient privacy and incidents of clinical drug diversion. Compliance analytics provide healthcare leaders full insight into how health data is being used and issues alerts of inappropriate activity to privacy, pharmacy, and compliance teams. Protenus, KLAS’s category leader in patient privacy monitoring for 2020, helps its partner hospitals make decisions about how to better protect their data, their patients, and their institutions. The company’s “2021 Breach Barometer” report has been widely featured by national news organizations. Thanks to Protenus for supporting HIStalk.

Listening: Yusuf / Cat Stevens performing the moving “Father and Son” in 1970, when he was 22. He recorded a new version and a tremendous live video last year at 72. 

Webinars

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

Acquisitions, Funding, Business, and Stock

Insulin management software vendor Glytec raises $21 million through debt financing and investment.

Remote cardiac monitoring company Vector raises $12.5 million in a Series A funding round. Its technology enables cardiologists to receive, manage, and analyze data from a patient’s cardiac device and integrate with their EHRs.

Healthcare interoperability company Lyniate acquires Datica’s health data integration assets. Lyniate has incorporated Datica’s API capabilities into its newest product, Envoy, which enables customers to develop, maintain, and monitor data-exchange connections across organizations. Datica’s website suggests that the company will continue to offer its Next Gen Compliance Platform.

Sweden-based telehealth services and health center operator Kry raises $312 million in a Series D funding round that increases its total to $568 million.

Sales

• Region 1 Disaster Health Response System will offer Bluestream Health’s telehealth services to hospitals during disasters or public health emergencies.
• Lehigh Valley Health Network (PA) selects LexisNexis MarketView, business intelligence software incorporating de-identified medical claims data.

People

Crossings Healthcare Solutions promotes Marlon Ali, MD to CMIO.

Cindy Gaines, RN (Philips) joins Lumeon in the newly created position of clinical transformation executive.

ConnectiveRx promotes Jim Corrigan to CEO. He succeeds Harry Totonis, who will become chairman of the board.

Claus Jensen (Memorial Sloan Kettering Cancer Center) joins Teladoc Health as chief innovation officer.

Announcements and Implementations

Northern Maine Medical Center goes live on Cerner.

Black Book Research names Cerner as its top-rated inpatient EHR vendor as well as earning the highest client experience scores in academic medical centers.

Leidos Partnership for Defense Health brings 10,000 clinicians live on MHS Genesis / Cerner in a wave deployment that covered locations in 12 states.

Life sciences communication solutions vendor OptimizeRx announces new partnerships that will expand its EHR reach within Epic, Cerner, and Athenahealth.

CloudWave and Ettain Health will partner to offer their combined IT infrastructure and consulting solutions, respectively.

Patient ID Now, whose coalition includes AHIMA, CHIME, and HIMSS, publishes a framework for a national strategy on patient identity.

COVID-19

Former FDA Commissioner Scott Gottlieb, MD says in a Wall Street Journal article that CDC needs to loosen its mask recommendations and gathering size limits now that US infection levels are dropping, the number of people who have either been vaccinated or recovered from COVID-19 is significant (in the 60% range), and warm weather has moved people outdoors where it’s safe. CDC announced new guidance immediately after the article ran in which fully vaccinated people don’t need to wear masks at small outdoor gatherings or when eating outside, although CDC still recommends wearing masks in crowded outdoor settings, such as concerts.

CDC reports that 54% of American adults have received at least one COVID-19 vaccine dose and 37% are fully vaccinated. However, the daily number of doses administered has dropped significantly since their April 1 peak of more than 4 million.

Other

At least 40 health systems in the US have been impacted by last week’s cybersecurity breach at Swedish radiation software vendor Elekta.

A real estate journal says that HIMSS got a fantastic deal on new Chicago headquarters space because of pandemic-driven discounts and concessions, with its sublease from Gartner Research of 30,000 square feet that has never been occupied being one of the largest downtown.

A great YouTube music video randomly popped up my way as employees from LexisNexis Risk Solutions Group cover “Times Like These” in support of Hope and Homes for Children. It’s not a cheesy, poorly produced corporate gimmick — in my mind, this version is musically and visually better than the Foo Fighters original from nearly 20 years ago or the chart-topping, all-star version that supported COVID-19 charities from April 2020. The video appropriately ends with the message, “In loving memory of those we have lost from COVID-19. May their love, laughter, memories, and music play on in our hearts forever.”

Sponsor Updates

• Cerner releases a new podcast, “Cerner Health Forum ’21 preview – A healthier bottom line.”
• Diameter Health co-founder and CEO Eric Rosow wins a 2021 Connecticut Entrepreneur Award in the Entrepreneur (Scaling Company) category.
• Consulting Magazine recognizes Divurgent Chief Strategy Officer and EVP of Consulting and Innovation Sam Hanna as a global leader of consulting in the excellence in innovation category.
• Securance Consulting recognizes Engage as a Meditech hosting “Best Practice” consulting firm, and awards it an overall five-star rating for the sixth consecutive year.
• Wolters Kluwer Health adds Picmonic’s visual mnemonic lessons to its Lippincott® CoursePoint+ digital course solution for nursing education.
• CloudWave and Ettain Health partner to offer hospital customers bundled cloud solutions and consulting services.
• OptimizeRx announces new partnerships within Athenahealth, Cerner, and Epic networks, plus increased exposure to oncologists across the country.
• Baylor College of Medicine (TX) adds Sectra’s digital pathology module to its Sectra enterprise imaging system.

Blog Posts

• How new legislation and policies impact SNF infection prevention and control (Ability Network)
• Even the Best Technologies Fail: The Value of Professional Services (Access)
• Flipping the script – Peer Learning in Enterprise Imaging (Agfa HealthCare)
• How COVID-19 shed light on the mobile technology needed in senior living (Ascom)
• Five Ways Independent Physicians Can Capture and Keep More Revenue (Ingenious Med)
• Streamlined Referrals and Better Patient Care with Technologies for Home Health (CarePort)
• Tom Kurtz’ CIO Perspective on The Future of Telehealth & Importance of Team Agility (CereCore)
• The Power of Adaptability (ConnectiveRx)
• One Year In: COVID-19 Impact on Prescriptions, Pharmacists & Providers (CoverMyMeds)

Contacts

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

Monday Morning Update 4/26/21

Top News

J2 Global will separate into two publicly traded companies, one of them being the healthcare-focused Consensus.

Consensus will offer the healthcare-focused EFax cloud fax and messaging business that it positions as an interoperability platform to integrate systems and workflows. That business has annual revenue of $340 million and a 35% EBITDA margin.

J2 Global operates Internet brands that include IGN, Mashable, Oookla Speedtest, Medpage Today, and PCMag.

Scott Turicchi, J2’s president and CFO, will move to CEO of Consensus.

Reader Comments

From Super Saver: “Re: healthcare costs. I see a lot of technologies that promise to lower them. Not necessarily for consumers, though.” Agreed. My experience is limited to healthcare systems, but few of the technologies we implemented to reduce cost ever really did so, especially if the savings involved labor that we just moved to some other area. It’s also safe to say that healthcare savings rarely trickle down to actual patients —  they just swell the profits and executive payroll of billion-dollar health systems, insurers, and employers in the absence of a competitive, consumer-driven market where reduced costs would support lowered prices to gain market share.

From Alhambra: “Re: new job. Thanks for the recent mention. I’ve never had so many people reach out to me with the same screenshot letting me know I’m famous!” Thanks. Along those lines, I sometimes warn folks I’m interviewing that few people realize how many readers are out there, and that it’s possible that the interviewee will get a lot of emails and LinkedIn messages when the interview runs. Some have told me they got hundreds of messages within a few hours and one closed a long-delayed sale the next day that the customer attributed to being reminded by the interview. Many types of business would moan that customers – readers, in my case – rarely offer testimonials and word-of-mouth advertising, but I actually kind of like being a secret, guilty pleasure. Sometimes an industry luminary emails out of the blue to tell me they are a regular reader, direct feedback I appreciate as a solitary filler of empty screens.

From Are Ex: “Re: prescriptions. Here’s a brilliant comment.” I agree. FDA’s prescription-only requirements to require certain items to be used only under a doctor’s supervision are a bit paternalistic and anti-consumer, although they have created a vigorous market in telehealth, online pharmacies that offer minimally vetted prescriptions paired with shipment of their particular wares, urgent care centers, and even hospital EDs who are happy to write that prescription at a high cost with little actual value added. COVID-19 has brought the issue to the forefront, as consumers were not trusted to buy their own testing kits even though getting a prescription did little to improve their chances of safe, effective outcomes. We are one of the least-healthy industrial nations in the world, so it would be interesting to see how our rigorous prescription requirements compare to healthier ones, especially when obtaining said prescription is often a financial rather than a clinical exercise. Also interesting would be a poll of doctors of which prescriptions they write that they consider a waste of time versus the patient being allowed to buy it themselves.

HIStalk Announcements and Requests

The top discretionary reason of poll respondents to attend HIMSS21 is socializing.

New poll to your right or here:  Do you hold shares or an ownership stake in a health-related technology company?

My brilliant idea of the week: some company should pay telehealth providers for the privilege of running ads on video visit screens for the patient to watch until the provider starts their encounter, kind of an Outcome Health model of cramming drug company advertising into waiting and exam rooms. I thought of this while being interrupted endlessly by YouTube targeted ads that injected themselves at the most inopportune moments of the concert video I was trying to watch. 

Webinars

April 27 (Tuesday) noon ET. “The Modern Healthcare CMIO: Best Practices for Implementing Digital Innovations.” Sponsor: RingCentral, Net Health. Presenters: Nathan Gause, MD, assistant professor of medicine and orthopedic surgeon, University of Missouri Healthcare; Ehab Hanna, MD, MBA, VP/CMIO, Universal Health Services; Subra Sripada, MSIE, partner, Guidehouse; Jigar Patel, MD, VP/chief medical officer, Cerner Government Services. This panel of CMIOs will discuss how their organizations are leveraging digital medicine to improve patient outcomes and provider workflows. Topics will include AI and analytics, effectively implementing AI solutions, establishing data governance and oversight for AI-powered products, care and treatment changes on the horizon, and interoperability of large EHR systems.

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

Here’s the recording of last week’s webinar, “Is Gig Work For You?”

Acquisitions, Funding, Business, and Stock

Health and benefits solutions vendor Accolade will acquire PlushCare, which offers virtual primary care and mental health treatment. Accolade will pay $450 million, mostly in stock, for the company that had $35 million in 2020 revenue. Accolade acquired telemedicine second opinion startup 2nd.MD in March for $460 million.

Sales

• UT Health East Texas at Ardent Medical Services chooses TheraNow’s telehealth platform to provide telemedicine and remote physical therapy treatment.

People

Relatient hires Raj Bhavsar, MS (ConnectYourCare) as CTO.

Patient engagement and behavior change technology vendor The Affective Computing Company hires one of its investors and advisors, Matt Dobski (Amwell) as president. The company will also start styling itself as Affective.health.

Announcements and Implementations

Vermont Care Partners and four member agencies go live on Netsmart’s MyAvatar behavioral and addiction services EHR.

Long-term care pharmacy provider ExactCare connects to CarePort to offer hospitals coordinated medication management.

Symplr renames the provider data management platform of Phynd, which it recently acquired, to Symplr Directory.

Southern Sun Pathology, Australia’s largest skin cancer lab, goes live on Sectra digital pathology.

COVID-19

FDA approves resumed use of Johnson & Johnson’s COVID-19 vaccine, declining to limit it use to specific ages or gender, but with a label warning about possible rare blood clotting disorders. CDC’s advisory panel has identified 15 cases and three deaths due to the blood clotting issue of eight million doses that have been administered in the US, most of the cases involving young women. Critics say the pause accomplished little beyond making people unnecessarily wary of the J&J product and COVID-19 vaccines in general.

CDC reports that 8% of people who got their first dose of the two-shot Pfizer and Moderna COVID-19 vaccines haven’t completed their vaccination by the date due. Reasons: fear of side effects, the believe that one shot offers enough protection, lack of transportation or work time off, and providers cancelling second-dose appointments because of shortages of the vaccine that the patient received in their first dose. Still, the 92% second-dose follow-up is historically high.

Experts say that India’s COVID-19 death toll is 2-5 times higher than the official reports, as local officials and hospitals are reportedly being pressured to attribute suspected COVID-19 deaths to other conditions or to simply label all death certificates as “sickness.” A New York Times audit of funeral facilities in the city of Bhopal found more than 1,000 deaths in a 13-day period versus the officially reported 41 as crematories are operating around the clock. India is the world’s largest vaccine manufacturer, but less than 10% of its residents have received a dose. Daily new cases have jumped from 13,000 in March to 350,000. Brown University public health school dean Ashish K. Jha, MD, MPH urges in a Washington Post opinion piece that the US provide assistance to the world’s largest democracy and ally by sending excess testing kits, PPE, oxygen, drugs, and vaccine doses, particularly the 30 million stockpiled doses of AztraZeneca’s product that has not earned FDA’s authorization and is likely never going to be used here given ample supply of alternatives. 

University of Oxford researchers report results of clinical trials of a malaria vaccine candidate, with the new product being the first to hit WHO’s goal of 75% efficacy. The commercial partner is US-based Novavax, whose COVID-19 vaccine will likely reach the US market soon after recent clinical trials results showed a 96% efficacy. The company is also working on a combination vaccine that incorporates its COVID-19 and flu vaccine candidates.

Other

The second-highest paid CEO of a publicly traded US company made $200 million in compensation in 2020, that being Amir Dan Rubin, CEO primary care practice chain 1life Healthcare (One Medical). Trading began in late January, with shares up 227% since in valuing the company at $12 billion.

Sponsor Updates

• GigaOm names Pure Storage’s FlashBlade a leader in its latest report on high-performance object storage.
• Vocera’s customer success team wins the Business Intelligence Group’s 2021 Excellence in Customer Service Award.
• The Federation of Royal Colleges of Physicians in the UK approves Wolters Kluwer Health’s UpToDate clinical decision support for continuing professional development.

Blog Posts

• Abdali Hospital’s vision for the future of healthcare technology (Nuance)
• 4 Must-Know Clinical Practices for Revenue Cycle Success (Netsmart)
• CHIME Spring Forum thoughts: Create great user experiences for all the users (Nordic)
• How Providers Build Loyalty Through Transparency (PatientBond)
• Put Together the EHR and ERP Integration Puzzle (Pivot Point Consulting)
• How Baptist Health South Florida is Leading the Way in COVID-19 Therapeutics (Premier)
• Accelerate Real-Time Genomic Surveillance and Analytics (Pure Storage)
• How to Achieve Clean Claims with Less Effort (RCxRules)
• Expanded Vaccination Data Integration Capabilities (Redox)
• How TeleICU Solves the Challenge of Cost-Effective ICU Staffing (SOC Telemed)
• Hospital smart rooms: What to consider (Sonifi Health)
• Save the Date for Connect 21: Innovation. Interaction. Inspiration. (Spok)
• Moving Value-Based Care Forward (Surescripts)
• What is unique about real-world data from TriNetX? (TriNetX)
• Automating claim status checks to accelerate cash (Waystar)
• PT Perspectives: What Clinicians Are Saying About the Lasting Legacy of COVID-19 (WebPT)
• Well Health’s Top 10 Remote Moments (Well Health)
• Interoperability in healthcare: 5 ways to unlock value from new requirements (West Monroe)

Contacts

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