Meditech News

January 2023

Meditech UK chooses CloudWave’s OpSus Cloud Services to deploy its cloud-based Meditech Expanse implementation at two NHS trusts. (1/13/23)

December 2022

A KLAS report on practice management systems for mid-sized and large practices finds Athenahealth and Epic topping the list for large practices — although Meditech Expanse was right on their heels but with an insufficient sample size – while Cerner and EClinicalWorks need improvement. Mid-sized practices are most satisfied with Athenahealth and NextGen Healthcare, while independent practices like NextGen Healthcare. Two-thirds of Oracle Cerner customers report dissatisfaction due to outdated technology, inadequate training, and functionality gaps that require adding third-party products, with many of those having low expectations for the company’s RevElate replacement product because of Cerner’s history of unfulfilled RCM promises. (12/21/23)

Meditech confirms that founder and board chair A. Neil Pappalardo has retired from the company that he started 54 years ago. (12/12/22)

Mater Private Network in Ireland begins its Meditech Expanse implementation. (12/7/22)

Russell Medical Center AL) converts from Meditech Magic to Meditech as a Service with help from CareCloud’s MedSR division. (12/7/22)

November 2022

Floyd County Medical Center (IA) goes live on Meditech Expanse. (11/16/22)

Andrew Burchett, DO (Avera) joins Meditech as executive director of medical informatics. (11/14/22)

Warren General Hospital (PA) will replace its legacy Meditech system and three ambulatory EHRs with Meditech Expanse. (11/11/22)

Thirty-year Meditech customer HCA Healthcare will upgrade its hospitals to Meditech Expanse as its go-forward EHR. (11/9/22)

Nine organizations licensed the cloud-based model of Meditech Expanse in the third quarter, raising the count of Meditech as a Service hospitals to 70. Five of the nine were new to Meditech. (11/4/22)

Meditech will use Health Gorilla’s Health Interoperability Platform for the Traverse Exchange Canada network for sharing data among participating providers. (11/2/22)

Meditech announces Traverse Exchange Canada, a cloud-based interoperability network that supports information flow among participating organizations. (11/2/22)

October 2022

A review finds that Canada’s Newfoundland and Labrador Centre for Health Information was warned that its 40-year-old Meditech Magic system was vulnerable to hackers a year before a fall 2021 ransomware attack exposed patient information and caused treatment delays. NLCHI has been recommending for years that the province issue a tender to replace Magic, with one study projecting that a move to Meditech Expanse would cost $85 million over 10 years, but would more than pay for itself. (10/31/22)

Meditech launches Expanse Population Insight, which uses claims and EHR data from the Innovaccer Data Platform to provide information about risk, care gaps, and utilization at the point of care. (10/21/22)

Campbell County Health (WY) kicks off its year-long, $8 million project to replace Meditech with Epic in an affiliation with UCHealth. An HIStalk search finds several references to the health system – it sent employee W-2s to a hacker who impersonated a hospital executive in 2017, lost $200,000 in Medicaid payments due to billing system failures in its acquisition of a private surgery center in 2018, and went on diversion due to a ransomware attack in 2019. (10/14/22)

Harnett Health (NC) switches from Meditech to Epic as part of its affiliation with Cape Fear Valley Health. (10/5/22)

Box Butte General Hospital (NE) postpones its roll out of Meditech Expanse as it takes into account lessons learned from a mock live event held in late September. (10/10/22)

Meditech adds patient transport workflows, including an app for transport staff, to its Expanse EHR. (10/3/22)

September 2022

Mater Private Network will implement Meditech Expanse across its nine facilities in Ireland by 2024. (9/28/22)

Houlton Regional Hospital (ME) will go live on Meditech Expanse on October 1. (9/14/22)

August 2022

Southern Ohio Medical Center reports a 30% reduction in hospital-acquired C. difficile infections following work with Meditech Professional Services and implementation of Expanse tools. (8/31/22)

Warren General Hospital will implement Meditech Expanse in a $2.3 million project. (8/19/22)

British Columbia’s Fraser Health Authority chooses Picis Preop Manager, Anesthesia Manager, and PACU Manager for 11 acute care hospitals, integrated with Meditech as the health system replaces Client / Server with Expanse in an agreement signed in April 2022. (8/19/22)

Gaylord Specialty Healthcare (CT) selects Meditech Expanse. (8/3/22)

July 2022

Meditech announces Meditech Live, a customer leadership conference that will be held in Foxborough, MA September 20-22. (7/15/22)

In England, two Cheshire NHS trusts will collaborate to replace their paper-based systems with Meditech Expanse. (7/8/22)

In The Bahamas, Doctors Hospital Health System chooses CloudWave to host its new Meditech Expanse EHR on OpSus Healthcare Cloud. (7/8/22)

A new KLAS report on EHRs for practices of 11 or more clinicians finds that Epic and Meditech lead the the pack in finishing a close 1-2. Ease of use and workflow is by far the most pressing concern of practices of that size. Cerner users are frustrated with outpatient workflows and the company’s focus on resolving inpatient problems, while Greenway Health’s customers are an outlier in putting functionality improvements at the top of their list of needs. Allscripts has two of the three bottom-rated products, along with poor ratings for support, relationships, and overselling product capabilities. (7/6/22)

June 2022

Pawnee Valley Community Hospital (KS) transitions its family medicine clinic to Meditech. (6/1/22)

May 2022

Garrett Regional Medical Center (MD) will use $650,000 in federal funding to replace its 20-year-old Meditech EHR with Epic. (5/25/22)

April 2022

KLAS summarizes US hospital EHR market share activity for 2021 (click the graphic to enlarge):

• Epic gained four new customers representing 28 hospitals and 13,000 beds last year, losing four due to M&A.
• Meditech Expanse was chosen by 74% of the company’s legacy customers that made a replacement decision in 2021, compared to 38% retention in 2020.
• Epic has 33% of hospitals and 44% of beds versus Cerner’s 24% and 27%, respectively.
• Allscripts and CPSI lost ground in 2021.
• Cerner had the largest net decrease in bed count last year, with half of those hospitals choosing Epic as a replacement and the other half switching to Epic after being acquired.
• Cerner hasn’t had a net-new large health system sale since 2013. (4/27/22)

Canada’s Newfoundland and Labrador — which is running a 1980s-era Meditech Magic system that is no longer enhanced — hasn’t followed through on recommendations that it upgrade to a new version of Meditech in a $92 million project that auditors say would more than pay for itself. (4/25/22)

Golden Valley Memorial Healthcare (MO) goes live as the first site running Meditech Expanse Genomics. (4/22/22)

Fraser Health will upgrade its Meditech Client/Server system to Expanse. (4/15/22)

March 2022

Newman Regional Health (KS) will connect its Meditech Expanse EHR to nearby Coffey Health System. (3/18/22)

Meditech will pilot the FHIR-enabled integration of Google’s search and summarization capabilities within its Expanse EHR. (3/16/22)

Floyd County Medical Center (IA) hires Cristina Thomas, MBA (The HCI Group) as interim CIO. The hospital is preparing to implement Meditech Expanse in the fall. (3/2/22)

Meditech makes Expanse Ambulatory available to independent and physician-owned practices. (3/2/22)

February 2022

Meditech adds COO to the title of 32-year company veteran EVP Helen Waters. The COO role was previously held by President and CEO Michelle O’Connor before her promotion in early 2021. (2/25/22)

In Australia, cancer center Chris O’Brien Lifehouse goes live on Meditech Expanse. (2/9/22)

Highlights from the just-announced Best in KLAS awards:

• Epic, Nordic, Galen Healthcare, and The Chartis Group were named as overall best.
• Epic won Best in KLAS awards in 11 market segments.
• Most-improved products include Infor ERP and Greenway Intergy Practice Management.
• Epic was the top-rated physician practice vendor by far, followed by Athenahealth, NextGen Healthcare, Greenway Health Intergy, Allscripts, and EClinicalWorks.
• Topping the overall software suite rankings was Epic, followed by Meditech Expanse, Cerner, CPSI Evident Thrive, and Allscripts.
• Nordic led overall IT services firms, followed by Pivot Point Consulting, Bluetree Network, Experis Health, Impact Advisors, Engage, and Cerner. (2/9/22)

January 2022

Meditech will integrate SecureLink’s critical vendor access management software with its systems. (1/12/22)

December 2021

The Massachusetts Supreme Court rules in favor of a former Meditech employee who claims he was fired for exercising his right to file a rebuttal in his personnel file. Terence Meehan says Meditech reorganized its 12-person regional sales department in demoting three sales reps – including Meehan – to the newly created position of “sales specialists,” who sales reps rarely used because they don’t want to share commissions. Meehan says he and the other demoted employees were placed on performance improvement plans in July 2018, and when he sent his supervisor a rebuttal, the president and CEO of Meditech immediately terminated him. He filed a complaint of wrongful discharge and the court agreed with him. (12/20/21)

Sage Memorial Hospital goes live on Meditech-as-a-Service with the assistance of Healthcare Triangle. (12/17/21)

HCA Healthcare will go live on Meditech Expanse at three hospitals in New Hampshire by the end of 2022, with the assistance of CereCore. (12/8/21)

November 2021

Health officials in the Canadian province of Newfoundland and Labrador say health IT systems, including its Meditech EHR, are slowly being brought back online after last week’s cyberattack. (11/10/21)

October 2021

A new KLAS report looks at Meditech implementation services. Tegria-owned Engage scores highest although all validated engagements involved under-100 bed hospitals, while Tegria-owned Navin Haffty, Huron, and MedSR (the merged MedMatica and Santa Rosa Staffing) scored high in broader settings. Meditech’s recently launched implementation services also score above average. (10/29/21)

September 2021

Unity Health (AR) will implement Meditech Expanse across its three hospitals and long-term acute care facility. (9/29/21)

Mile Bluff Medical Center (WI) will convert from NextGen to Meditech Expanse on October 1. (9/29/21)

Meditech will hold its Physician and CIO Forum September 29-30 as both an in-person and virtual event. (9/24/21)

Long-time Meditech executive Roberta Grigg, who retired in 2001, died last month at 79. (9/10/21)

July 2021

A Georgia law firm files an ONC information blocking complaint against Doctors Hospital of Augusta, Meditech, and Ciox Health, claiming that the patient records the firm requested on behalf of its malpractice client were not provided as an OCR-readable PDF file. (7/23/21)

Meditech officially confirms the months-ago promotion of President and COO Michelle O’Connor to president and CEO. She replaces Howard Messing, who remains on the company’s board. (7/14/21)

June 2021

California launches its digital COVID-19 vaccination record system, built on the open source SMART Health Card Framework of VCI, whose members include Cerner, Epic, Meditech, Allscripts, HIMSS, and The Sequoia Project. (6/21/21)

Major Health Partners (IN) goes live with Meditech Expanse Patient Care as an early adopter. (6/18/21)

Meditech announces its upcoming integration with IOS 15’s enhancements to Apple Health, in which providers can launch a web-based dashboard within Expanse to view the information that a patient has shared with them. (6/11/21)

KLAS distills its information on each of the four major health system EHR vendors into individual “Complete Look” reports, which conclude:

• Allscripts — C- in product, C- in loyalty, 18% of customers report deep interoperability as adoption of DbMotion wanes. Sunrise has 4% of US hospital beds. Sunrise is an integrated, highly customizable platform, but Sunrise Ambulatory Care and Sunrise Financial Manager are not widely used. For transformational technology, significant interface maintenance is required since each system has its own database.
• Cerner — C in product, C+ in loyalty, 28% of customers report deep interoperability as customers benefit from its CommonWell connection. Millennium has 25% of US hospital beds. Cerner offers a broad Millennium suite that reduces third-party integration and is proven in both large and small organizations, but patient accounting is a weakness and the company’s less-prescriptive implementations lead to variability in customer success.
• Epic — B+ in product, A in loyalty, 63% of customers report deep interoperability with Care Everywhere and its connection to Carequality. Epic has 42% of US hospital beds. The company’s fully integrated suite has topped all software suites for 11 years running, is proven in big health systems, and offers a widely used patient portal and population health management solution, although it has a high upfront cost and some modules require in-house expertise to build.
• Meditech — B+ in product, A- in loyalty, 10% of customers report deep interoperability as most customers use point-to-point interfaces or HIEs, although its CommonWell connection is used by some early adopters. Expanse has 4% of US hospital beds. Meditech offers consistent development on Expanse, integrated offerings, and affordability that has made it the leading product for community hospitals, but Expanse costs more than the company’s legacy solutions and larger health systems have been historically hesitant to choose it. (6/9/21)

A new KLAS report on patient privacy monitoring finds that Maize Analytics and Protenus are the standouts, offering strong service and deploying AI-powered monitoring that reduces manual work. Managed privacy services customers of Imprivata’s recently acquired FairWarning report high satisfaction, although non-MPS users of the product are less optimistic about its functionality and development path. Cerner customers often use its low-satisfaction P2 Sentinel but have Imprivata, Maize, and Protenus as alternatives; Epic sites fare best with Maize and Protenus; and Harris-owned Iatric Systems performs best for Meditech sites. (6/4/21)

May 2021

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. (5/21/21)

Six hospitals in Ottawa, Canada develop a version of Meditech’s patient portal for French speakers. (5/21/21)

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. (5/5/21)

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. (5/5/21)

April 2021

CHIME, which recently ended its participation in the HIMSS conference, partners with the HLTH conference to offer Vive, an annual “reimagined health technology event” whose first conference will be held March 6-9, 2022 in Miami Beach. It will offer digital health innovation content, CHIME’s Spring Forum, an exhibit hall, and a matchmaking program that pairs potential buyer attendees with vendors. Some of the 18 title sponsors are also exhibiting at HIMSS21, but notable companies that will be only at Vive, at least according to HIMSS21’s exhibitor list so far, include Allscripts, Cerner, and Meditech. In an interesting adjacency of time and space, Vive will convene eight days before and 230 miles away from HIMSS22 in Orlando. (4/16/21)

Twenty-three hospitals in Northeastern Ontario will implement Meditech Expanse as part of a new record-keeping alliance. (4/14/21)

Meditech announces Expanse Patient Connect, which uses Well Health’s text, phone, email, and chat messaging solution to send patients reminders, instructions, and follow-up instructions that can be accessed from Meditech’s patient portal and app. (4/9/21)

March 2021

Meditech works with Code, Dryrain Technologies, and ACS MediHealth to develop a mobile barcode scanning app that is compatible with its Expanse EHR. (3/24/21)

Meditech adds vaccine eligibility checking to the self-scheduling component of its patient portal. (3/22/21)

Speare Memorial Hospital (NH) will implement Meditech’s Expanse EHR using Meditech as a Service. (3/19/21)

Kingman Regional Medical Center (AZ) works with Meditech Professional Services to redesign workflows based on key performance indicators. (3/17/21)

Meditech launches a genomics solution for its Expanse EHR, which includes the ability to collect and store patient genetic information, connect to reference labs, and enable personalized treatment. Its embedded pharmacogenomic alerts are provided by First Databank. (3/10/21)

Community Hospital (CO) goes live on Meditech Expanse. (3/3/21)

February 2021

Beauregard Health System (LA) goes live on Meditech Expanse with consulting help from Engage. (2/10/21)

Meditech wins “Best in KLAS Software & Services 2021” distinctions in the top software suite, small-hospital acute care EMR, small home health EHR, and small-hospital patient accounting and management categories. (2/3/21)

January 2021

Halifax Health (FL) implements Pure Storage’s FlashArray to ensure the stability of its Meditech system during natural disasters. (1/27/21)

RML Specialty Hospital (IL) selects Engage to provide cloud hosting for its upcoming implementation of Meditech Expanse. (1/27/21)

Eighteen hospitals of Steward Health Care complete their virtual implementation of a regionally shared Meditech Expanse EHR. (1/25/21)

Meditech offers a short-form Quick Vaccination solution that allows hospitals to administer COVID-19 vaccine at high-volume locations and transmit vaccine data to state systems. (1/15/21)

KLAS takes a look at the hospital EHR market in Canada, which in many cases involves group- or province-led collective decisions that are intended to keep costs down. Meditech leads Epic in hospital count, but has lost some market share as 88 big-system hospitals have replaced Meditech with mostly Epic from 2015 to 2019, while 31 legacy Meditech hospitals have upgraded to Expanse. Customers report satisfaction with Expanse, but say they could have used more guidance and best practices before going live and a better idea of the maintenance requirements afterward. Satisfaction with Cerner is stable, but customers say the Citrix-heavy client-server footprint requires a lot of maintenance, although experience with Cerner’s recently introduced remote-hosted option is good. Allscripts hasn’t had a new Sunrise sale in Canada in the past 10 years, Harris Healthcare is rarely considered in new deals, and Telus Health’s Oacis is rarely considered and hasn’t sold since 2015. (1/11/21)

December 2020

A newly updated KLAS report on EHR interoperability finds that “deep interoperability” (access to outside data, easy location of patient records, visibility of outside data within EHR workflow, and positive impact on patient care) has improved considerably since 2017 except in the most important “impact on care” category. Epic is the clear leader in record-sharing, while Cerner is improving significantly and EClinicalWorks is doing well but isn’t proactive. Little progress has been seen for Meditech, Greenway Health, and Allscripts. Cerner has the highest adoption rate of APIs, especially FHIR ones, while Epic is being selective on which vendors it will work with and is less focused on APIs. (12/23/20)

Runnymede Healthcare Centre goes live with Meditech Expanse following an eight-month implementation involving its relationship with Humber River Hospital, North America’s first fully digital hospital. (12/11/20)

Avera Health goes live with Meditech’s Google Cloud-powered High Availability SnapShot to give clinicians access to patient data via a web browser during unexpected downtime. (12/9/20)

Meditech announces a Google Cloud-hosted platform that includes Expanse Now, High Availability SnapShot, and Virtual Care. (12/4/20)

November 2020

A KLAS study of health system connectivity to post-acute care organizations finds that only Epic and Meditech provide solutions in all areas, as Cerner offers long-term and behavioral health modules but resells home health and hospice technology from strong performer MatrixCare. Netsmart has significant market share in standalone organizations that aren’t connected to health systems, having acquired solutions from Allscripts, Change Healthcare, DeVero, and HealthMedx, but customer satisfaction has dropped following post-acquisition lapses in support, development, and integration. PointClickCare is the strongest performer in long-term care, but no vendor consistently meets behavioral health needs. Records-sharing with acute care organizations from which referrals are sent is inconsistent, with Cerner and Epic having a high percentage of customers connected to CommonWell or Carequality, Meditech and Allscripts having low interoperability adoption, and the majority of users of all four systems reporting faxing as the most common method of exchanging information. (11/16/20)

Meditech launches Virtual On Demand Care, which allows patients to choose “see a provider now” from the Expanse patient portal or app to launch a video chat. (11/6/20)

Meditech reports Q3 results: revenue down 5.3%, EPS $0.82 versus $2.44. Product revenue decreased 29.9% due to pandemic-related implementation delays, but service revenue increased 6.3% as more customers went live. (11/4/20)

October 2020

San Luis Valley Health (CO) implements Meditech with consulting help from Engage. (10/7/20)

Meditech will end its status as an SEC public reporting company by running a reverse stock split that will allow it to de-register its shares. Shareholders with fewer than 5,000 shares will be paid out at $45 per share to reduce the shareholder count to under 300, which will allow the company to take itself private. Meditech says that its public reporting status benefits its competitors, incurs costs, and provides little benefit since its shares are not traded on any public market. More than 1,500 current and former shareholders will receive a cash buy-back that ends their company ownership and will trigger capital gains taxes. Neil Pappalardo controls 45% of the company‘s shares, both his own $450 million worth as well as another $308 million worth that he votes as the sole trustee of the company’s profit sharing trust. Shareholders will vote on the proposal, but board members have unanimously approved it and own enough shares to ensure its passage.  (10/5/20)

September 2020

AHIMA will offer Meditech Expanse as part of its online VLab, which offers students access to multiple software programs and corresponding lab lessons. (9/16/20)

Meditech launches Expanse Virtual Assistant, a voice navigation system powered by Nuance that can allows users to perform hands-free actions. (9/11/20)

August 2020

Meditech reports Q2 results: revenue down 3.4%, EPS $0.88 versus $0.44. Product revenue declined 22%, but net income increased to $33 million. (8/3/20)

July 2020

Meditech launches a diabetes prevention toolkit in Expanse. (7/14/20)

June 2020

Remote EHR implementations enable Cayuga Medical Center (NY) and Mt. Graham Regional Medical Center (AZ) to go live on Meditech amid the COVID-19 pandemic. (6/9/20)

Newton Medical Center (KS) creates COVID-19 dashboards within Meditech’s business and clinical analytics to gain insight into bed occupancy, testing, and PPE supply. (6/5/20)

May 2020

Meditech adds Apple Health support to Magic and Client/Server, making the app usable by all of its customers. (5/15/20)

A new KLAS report on US hospital EHR market share finds that Meditech Expanse is drawing new interest from customers outside its usual small-hospital base, with a new 400+ bed health system sale in 2019 giving the market a chance to see how Expanse scales. Meditech won about half the decisions made by its legacy customers in 2019, and half of its losses came from product standardization and provider M&A. Small, standalone hospitals were left with few choices after Athenahealth exited the inpatient market, with Cerner CommunityWorks and Meditech Expanse coming closest to meeting their needs. (5/1/20)

News 7/17/20

Top News

Congressional Democrats criticize HHS for issuing a no-bid, $10.2 million contract in April for developing a hospital bed and supply tracking database to TeleTracking Technologies, the Pittsburgh-based hospital equipment and bed tracking vendor.

HHS has ordered hospitals to submit their COVID-related capacity, patient count, and supply information to the TeleTracking system, called HHS Protect, instead of the CDC’s National Healthcare Safety Network (NHSN), starting this past Wednesday. The administration says CDC’s database is outdated and requires manual entry that delays analysis.

CDC Director Robert Redfield, MD said Wednesday that CDC provided input into developing HHS Protect, which previously accepted both data that was submitted directly from hospitals as well as extracts from NHSN. Redfield says that requiring hospitals to send their data directly to HHS Protect will reduce duplicate reporting, help HHS make quick field changes, and allow CDC to focus its system on capturing reports from nursing homes.

Redfield says that CDC and state and local health agencies will have access to HHS Protect, adding that CDC will continue to provide daily updates and dashboards. Several outside sites use CDC’s dashboard for modeling, such as school reopening readiness.

Meanwhile, CDC’s hospital capacity dashboard went offline on Wednesday, the final day in which hospitals could submit data to NHSN.

UPDATE: HHS Assistant Secretary of Public Affairs Michael Caputo said Thursday afternoon that HHS has ordered CDC to restore the COVID-19 hospital dashboards that CDC “withdrew from the public Wednesday.” However, the dashboard indicates that information will not be updated after July 14.

Reader Comments

From Data Deliverance: “Re: HHS changing hospital-submitted operational data from CDC to HHS. The new database isn’t publicly visible. Can the public use other dashboards, such as the one from Johns Hopkins?” HHS collects daily hospital reports about beds, ventilators, cases, admissions, ED visits, remdesivir inventory, and details about staff and PPE shortages. Most of this information has minimal overlap with the infection dashboards published by Hopkins and other sites that I assume use data that hospitals have submitted to state health departments.

From Epic Historian: “Re: Kaiser Permanente. Early on they were considering both Cerner and Epic. Cerner offered a complex plan to rebate KP the software cost in the form of Cerner company shares, basically giving them the software for free (UPMC may have fallen for this). KP decided to pick Cerner for inpatient and Epic for outpatient (since it was already being used in some regions), and they asked Judy end Epic to run the integration. She told them to forget it, just use Cerner because one vendor is better than two. KP realized what she was saying and took Epic even though the inpatient system was pretty untested back then.” Unverified, but fascinating. This was in response to an email conversation I had with EH in which I described one instance (there were actually two, but I just now remembered the second) in which we as a big health system seriously pondered whether it would be cheaper to buy our fading vendor of choice as a company instead of their product, or if we did buy the product, whether our contractual demands that they were desperately willing to accept might drive them out of business anyway.

From Kay: “Re: HIStalk. I’ve enjoyed most of the 50-year career I’ve had in health IT and am lucky to have found something I loved. I’m finally retiring and will miss the industry and the wonderful people. You have made a huge difference to me and how I was able to do my job. You are the best. Ever. I want to thank your family for sharing you with us. By the way, I’m not retiring from reading your blog. Stay safe and well and clever and endlessly interesting.” I excerpted some of Kay’s comments, without including personal details, purely to thank her for those thoughts (hold on, got something in my eye here) and to wish her a happy retirement as an industry pioneer, a concept that I hope she celebrates both as the beginning of a fresh chapter as well as a reward for completing the previous one. I’m always uplifted to hear from someone who has enjoyed their career and their simultaneous personal life that raced by while they were pursuing it – it’s a lot easier to continue gratification than to catch up from deferring it.

Webinars

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Acquisitions, Funding, Business, and Stock

Digital access and care navigation company Gyant raises $13.6 million in a Series A investment round. The company launched a COVID-19 digital screening tool several months ago with development help from investor Intermountain Healthcare that has since been deployed by 16 healthcare organizations.

Boston-based care coordination software startup Cohere Health launches with a $10 million Series A funding round. The company offers care paths, care journey recommendations, and physician behavior change. CEO Siva Namasivayam, MS, MBA was previously CEO of SCIO Health Analytics and an executive with Perot Systems.

Cerner says it will keep employees working from home for at least several more months, pushing back its phased plan to bring up to 50% of employees back to office-based work.

The six-month health IT review of Healthcare Growth Partners says that while COVID-19 has accelerated the shift to “hospitals without walls,” M&A transaction activity has slowed a bit and will likely stay that way through the end of this year, although not as much as in other industries. Underlying health IT investment sentiment remains strong among private equity firms. Private equity investors generally see COVID-19 as neutral with regard to valuations. The most common COVID-19 strategies that companies are using include applying for federal government relief (40%), accessing additional capital (30%), and delaying payables (30%). Many of them are furloughing or laying off employees or imposing pay cuts.

Sales

• Banner Health signs up for Cerner’s revenue cycle system, expanding its Millennium implementation.
• Boulder Community Health (CO) will implement data and analytics, RCM, and care coordination services from Optum.
• Virginia Mason Health System (WA) will use supply chain services and cost-management analytics from Premier.
• Parkview Medical Center (CO) will go live on Epic through a software-sharing arrangement with UCHealth.

People

Appriss Health promotes Krishan Sastry, MBA to president and CEO. He replaces Michael Davis, who will remain as executive chair.

Tom Underman (Accuray) joins Loyale Healthcare as VP of enterprise sales.

Announcements and Implementations

Banner Health implements acute-care telemedicine capabilities developed by VeeMed and Intel across its 28 hospitals.

Phynd Technologies announces GA of advanced provider search capabilities for patient-facing hospital websites and internal directories.

Vanderbilt University Medical Center profiles its Clickbusters campaign to reduce alert fatigue from Epic-generated best practice advisories. The program, operated by Vanderbilt Clinical Informatics Center, has reduced the nearly 500,000 weekly generated alerts by 10% and has set a goal of having users act on the recommendations 30% of the time instead of the current 8%. VUMC has also added a feature to allow clinicians to score their satisfaction with individual alerts and add suggestions for refining them that are sent to a review team.

Urgent care provider Remedy is working on virtual care solutions with Redox, one of 13 virtual care customers Redox has added to its network since March in a 46% increase.

A new KLAS report on legacy data archiving finds that Harmony Healthcare IT and MediQuant have a record of satisfying customers that have complex needs, while Triyam and Ellkay customers report getting their projects finished on time and with good communication. Sites that used MediQuant, Galen Healthcare, and Harmony Healthcare IT reported more delays, but some of those customers say it was their own lack of planning and expectation-setting that extended their timelines.

Athenahealth renames its Centricity product line to AthenaIDX, which includes Centricity Business (AthenaIDX), Centricity EDI Services (AthenaEDI), and Centricity Group Management (AthenaIDX). The product line has a long but tortuous history — the former IDX developed and sold the systems for years, GE Healthcare acquired IDX for $1.2 billion in 2005, GE Healthcare sold part of that business to private equity firm Veritas Capital in mid-2018 for $1.05 billion, Veritas named the acquisition Virence Health Technologies a few weeks later, and Veritas acquired Athenahealth for $5.7 billion a few months later and combined it with the Virence product line under the Athenahealth brand.

Government and Politics

An HHS OIG audit finds that CMS Administrator Seema Verma inappropriately spent millions of taxpayer dollars on contractors — some of them connected to Republican loyalists — who she engaged to polish her public image. CMS had paid more than $5 million to the contractors at above-market rates – up to $380 per hour — before halting the program following Politico’s investigation. CMS has 235 FTEs in its Office of Communications. Politico previously reported that Verma had directed contractors to craft her speeches, book her media appearances, obtain invitations for galas, and work to get her included on “Power Women” lists. HHS accepted the inspector general’s recommendations, but Verma disputed the findings and scolded OIG for investigating her when CMS is dealing with coronavirus. HHS Assistant Secretary for Public Affairs Michael Caputo, an advisor to President Trump, responded that the White House has confidence in Verma, but not his own department’s inspector general. Note: that acting inspector general is Principal Deputy Inspector Christi Grimm, who drew the White House’s ire and the nomination for her replacement in April after HHS OIG published results of a 300-hospital survey that indicated widespread shortages of PPE.

COVID-19

Oklahoma Governor Kevin Stitt, who was among the majority of attendees of President Trump’s June 20 rally in Tulsa who refused to wear masks, becomes the first state governor to test positive for COVID-19. He attended state meetings unmasked after being tested while awaiting results, forcing state and local officials who were exposed to him to begin their own testing and self-isolating.

New research using EHR data finds that, contrary to previous speculation, blood type has little impact on COVID-19 susceptibility or outcomes.

University of California Health uses de-identified patient data from its Epic system to create a database for COVID-19 treatment research.

The UK’s cybersecurity center warns that a Russian hacking group is targeting COVID-19 vaccine research and development organizations in the US, UK, and Canada to steal their intellectual property.

White House Press Secretary Kayleigh McEnany says in a press briefing on school reopenings that “the science should not stand in the way of this.”

In Bangladesh, a hospital owner is arrested for selling migrant workers certificates that they tested negative for COVID-19 without actually testing them. He sold 10,000 of the $59 certificates that allowed his untested customers to work in Europe as restaurant workers and grocery store clerks. The hospital owner, who sports a long criminal record, was arrested while trying to cross the border into India dressed as a woman.  Two other doctors were previously arrested in Bangladesh for issuing thousands of phony certificates.

Other

A small survey of health systems by The Chartis Group finds that 40% expect it to take at least a year to return to pre-pandemic patient volumes, and that 45% will reduce expenses by at least 10% during that time.

Weird News Andy acknowledges that stories like this are hard to swallow. Japanese doctors resolve a woman’s throat irritation by removing a sashimi-transmitted parasitic worm from her tonsils. You’re welcome for me not showing you the photo.

Sponsor Updates

• Frost & Sullivan recognizes Wolters Kluwer Health as a Frost Radar global leader in AI for healthcare IT.
• Healthwise names Cydni Waldner (Hawley Troxell Ennis & Hawley) general counsel.
• Hyland Healthcare partners with Life Image to optimize data and imaging access between providers and patients.
• The Philadelphia Business Journal honors InstaMed CFO Frank McAnally with its CFO of the Year Award.
• Black Book ranks Imprivata as the top company for client satisfaction for identity governance solutions.
• Redox has increased its roster of virtual care customers by 46% over the last several months.
• Loyale Healthcare parent company RevSpring integrates Loyale’s payment facilitator program with its Merchant Services offering.
• PMD adds a Web-based telemedicine option for patients who lack access to or don’t feel comfortable using mobile devices.

Blog Posts

• How Grady Improved Patient Safety in the ICU with Computer-Guided IV Insulin Therapy (Glytec)
• CGH Medical Center Finds Root Cause and Resolves End-User Citrix Performance Issues in Minutes (Goliath Technologies)
• The Best Virtual Care Setup for Your Clinicians (Access)
• Caring for caregivers: UNC’s Heroes Health Initiative supports healthcare workers’ mental health (Google Cloud)
• Employee Engagement During COVID-19: Using Culture to Manage Stress, Maintain Productivity (Health Catalyst)
• Pitfalls of Long Prescription Renewal Turnaround Times (Healthfinch)
• The Key to Improving Coaching Efficiency and Member Outcomes (Healthwise)
• Hey Epic – Epic’s New Voice Assistant (Optimum Healthcare IT)
• AHIP: Payers are Addressing Socioeconomic Needs During COVID-19 and Beyond (Imat Solutions)
• In the COVID-19 battle, did we leave our best players on the bench? (Imprivata)
• How to avoid expanding IT costs (Infor)
• Information Blocking: To Block or Not to Block (Nordic)
• 5 Ways to Increase Revenue with Healthcare Business Analytics (Ingenious Med)
• At a glance: Medical coding system updates for 2020-2021 (Intelligent Medical Objects)
• Healthcare’s COVID-19 Secret Weapon – Innovation (Loyale Healthcare)
• The Pros and Cons of Hiring Individual Contract Physical Therapists (MWTherapy)
• 10 Essential Elements of Wound Care Documentation (Netsmart)
• Human Connections and Telehealth: Navigating the COVID-19 Era (PMD)

Contacts

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

News 7/15/20

Top News

A New York Times article says that a broken data system — which often includes fax machines as a primary means of communication — is hampering US COVID-19 response.

The article notes that:

• Nearly all lab results were reported digitally to public health departments before the pandemic, but a shortage of testing capacity and high payments brought in new lab companies that aren’t set up for public health reporting and they insist on using fax.
• Washington State’s health department brought in 25 National Guard members to perform manual entry of information that is not being sent electronically.
• The public health department of infection hotbed Harris County, TX was overwhelmed when its fax machine was “just shooting out paper” when a lab faxed hundreds of pages of test results all at once.
• Information that is sent outside of data feeds – by phone, email, snail mail, and fax – is often duplicated, sent to the wrong recipient, or missing important patient information. Nationally, 80% of test results are missing demographic information and half don’t have addresses. New federal guidelines, which recommend but don’t require that senders include such information, don’t take effect until August.
• Reporting test results in Austin, TX requires reviewing 1,000 faxes per day that arrive on average 11 days after the test was taken, making the results worthless for contact tracing. The health department is telling people who are experiencing symptoms to just assume that they are positive.

In related news, the White House is considering asking governors to send the National Guard into hospitals to help them collect daily COVID-19 information about patients, supplies, and capacity. The American Hospital Association is not happy with this news, saying that hospitals have cooperated with “evolving data requests” and suggesting that the Guard’s expertise could be better used elsewhere.

Reader Comments

From Livongo vs. Allscripts: “Re: CEOs. Tullman’s big mistake was keeping his existing executive team with the Eclipsys acquisition, and they didn’t understand the acute market. Black’s dbMotion acquisition was a disaster since it sold only to existing customers and many of them have dumped the whole thing for Epic. Black also purchased garbage products from NantHealth right after its owner bought Sunrise for his Verity hospital chain, after which Allscripts sunset the products and Verity filed bankruptcy and bagged out of the contract. The Healthgrid acquisition was good, but the McKesson acquisition was a disaster, sending the Paragon customers who could afford to switch to competitors. The Practice Fusion acquisition fueled Veradigm, which has done well, but it cost them $160 million in DOJ fines plus legal fees. I haven’t seen any announcement of new Sunrise or TouchWorks sales for a long time. Bottom line is that the industry seems to trust Tullman more than Black and somehow the board has for some reason allowed Black to remain after seven-plus years as the stock dropped 50%.”

From Gerald Aldini: “Re: management. I’ve been offered a promotion that would place me over my co-workers. Good idea or not?” Becoming the boss of your peers is certainly awkward, but more importantly, are you a builder or a leader? Which makes you prouder, sequestering yourself to create something amazing or being in charge of people who do so under your guidance? Rules-breaking artists won’t likely be happy taking a rules-enforcing job supervising other artists, regardless of the expanded authority, office, and paycheck that comes with that responsibility. I’ve had quite a few conversations with management peers over the years in which we secretly expressed a longing to return to our happy days of headphones-on programming, where our cubicles were a secret doorway to a universe of our own creation and we left our work problems behind when we headed home. Take the management job if you get that same satisfaction from convincing or coercing people to do what you want instead of what they want and love conference room arm-wrestling with peers over resources and priorities. One more piece of advice, which I took myself when I begrudgingly accepted a health system promotion from doing what I loved to taking a promotion doing something I didn’t even like — a co-worker will probably take the job if you don’t, so reporting to a former peer may be more distasteful than the other way around even if you don’t really relish the new job.

HIStalk Announcements and Requests

Welcome to new HIStalk Platinum Sponsor Jvion. The Suwanee, GA-based company delivers clinical AI solutions that allow providers and payers to manage unforeseen health risks, improve health outcomes through personalized recommendations, improve patient and member engagement, and reduce costs. These go beyond simple predictive analytics and machine learning to identify at-risk patients who are likely to benefit from specific interventions. The company’s product has been deployed by 300 hospitals across 50 health systems that report an average 30% reduction in preventable harm and annual savings of nearly $14 million. Specific use cases include hospital-acquired conditions, healthcare-associated infections, readmissions, bedside patient rescue, discharge optimization, patient experience, oncology care, and behavioral health. The company just released its solution suite for payers, which includes population health, cost and utilization management, behavioral health, and member activation and engagement. The company was recently featured in a New York Times article for its COVID-19 employer recovery package that predicts exposure and infection risk. Industry long-timer Jay Deady is CEO, so thanks to Jay and to Jvion for supporting HIStalk.

I found this recent YouTube video in which Duke University Health System’s chief analytics officer describes how the health system uses Jvion to manage falls and allocate resources.

Listening: new from Everybody Loves an Outlaw, a Texas duo who can crank out Janis Joplin-like blues. I’m not a fan of slide guitar and handclapping bar songs so I pass on those, but their moodier songs hit the spot. I’m fascinated that Taylor kept laying down tasty guitar licks as Bonnie practically mounted him lustily on camera at the 2:20 mark before she redirected her passion back to the song “I See Red,” which describes killing a philandering lover.

Webinars

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

Sales

• FDA licenses access to the TriNetX global health research network for its Sentinel Program, which will give it access to de-identified, real-world data for monitoring the use and potential shortages of critical COVID-19 drugs.
• In England, the National Institute of Health and Care Excellence and Flatiron Health will study real-world evidence from Flatiron Health’s EHR database starting with a comparison of predicted versus actual survival outcomes. NICE produces evidence-based guidance for the National Health Service.

People

Chris Belmont, MBA (The HCI Group) joins Memorial Hospital at Gulfport as VP/CIO.

Direct Recruiters, Inc. promotes Kasey Kaiser and Josh Olgin to partner.

Apervita hires industry long-timer Miya Gray, MS (BrainScope) as SVP of customer success.

Meta Healthcare IT Solutions founder and CEO Sal Barcia, RPh, MS announces on LinkedIn that he is leaving the company after 29 years.

Announcements and Implementations

Surescripts announces that 21 healthcare organizations are live on its Clinical Direct Messaging service for transmitting Electronic Case Reporting of COVID-19, with another 18 sites in progress.

Amazon will conduct a health center pilot with primary care service provider Crossover Health, which will operate 20 Neighborhood Health Centers in five cities that will serve Amazon employees and their families. The first center will open in Las Colinas, TX and will offer extended hours to accommodate employee work schedules.

COVID-19

The White House orders hospitals to bypass CDC in their COVID patient data submissions, telling them to send their daily Excel files instead to CDC’s parent HHS to track hospital capacity, resources, and PPE availability. People sometimes forget that the sprawling HHS bureaucracy includes the alphabet soup of OCR, ONC, AHRQ, CDC, CMS, FDA, and NIH.

A CDC editorial in Tuesday’s JAMA Network calls for universal wearing of masks, saying that “the public needs consistent, clear, and appealing messaging that normalizes community masking” as a civic duty.

Quest Diagnostics admits that its average turnaround time for COVID-19 results has increased from 4-5 days two weeks ago to more than seven days now. The company also warned investors that Q2 revenue will be 6% lower because it is performing fewer more lucrative tests during the pandemic.

In one city in India, COVID-19 patients will be required to use city-issued electronic token to be admitted to private hospitals, whose beds the city wants to reserve for patients who have symptoms. Private IT firms developed the technology that an around-the-clock city team will use to assign tokens that contain a specific bed number.

In what could be a preview of sending kids back to school, a New York mom who kept bringing her child to an in-home daycare while waiting to receive her own COVID-19 test results spreads the infection to at least 16 people in four families, including six children, a sibling, seven parents, and two grandmothers. The mom was tested on a Tuesday and continued to bring her child to daycare every day until she received her results on Friday. She apologized for ignoring the quarantine, saying she had nobody else to care for her child, who also tested positive.

The public health department of Catawba County, NC does an amazing job of contact tracing in showing how a 20-person, mask-free family gathering led to 14 infections, with those symptom-free folks then spreading COVID to at least 41 people over just 16 days, including a bunch of co-workers, some beach trip companions, an 85-year-old neighbor, and some children. It’s probably safe to assume that the spread has gone further since.

Four former CDC directors say in a Washington Post op-ed piece that public health faces two opponents – COVID-19 as well as political leaders who are determined to undermine CDC’s work. They particularly dislike the White House’s threat to weaken CDC’s return-to-school guidelines, saying that “the only valid reason to change released guidelines is new information and new science, not politics” and observing that disdain for policies and practices that worked all over the world has led the US to have 4.4% of the world’s population but nearly 25% of its coronavirus infections.

Israel reports that 47% of the people who were diagnosed with COVID-19 last month were infected in schools, following a sudden decision to reopen them.

In Florida, Sunday’s huge jump to 15,300 new COVID-19 cases on Sunday may be due to Florida Department of Health data reporting backlogs. A Virginia lab that performs 10,000 to 13,000 tests every day for Florida residents says it can’t explain how state data showed 52,000 results from it on Sunday, of which 7,000 were positive, both numbers representing around half of the state’s total. Still, 16% of the state’s tests were positive, which indicates an increasing infection spread.

The Texas Tribune reports that hospitals are turning away COVID-19 patients and holding up ambulances for up to 10 hours at their EDs due to a lack of capacity.

A CNBC article describes why Israel was so successful in the initial phase of the pandemic before fanning a viral resurgence by opening too soon:

• Universal healthcare coverage is offered, sold by four competing non-profit insurers, They all use the same technology, making public health surveillance easy.
• The country created a predictive model to identify high-risk people, then sent them SMS and phone messages and doctors to offer them telemedicine and home care.
• The largest of the insurers sent daily symptom questionnaires to members to identify potential hot spots early.

Other

Two people file a class action lawsuit against Teladoc Health, claiming that telehealth company hired a marketing firm to make robocalls that pitched Teladoc’s $30 monthly membership plan, which in their case involved dozens of calls made to their numbers that they had listed on the Do Not Call registry.

An observational and interview study of IT-involved people in nine healthcare organizations characterizes in broad terms how they see the relationship they have — or want to have — with their EHR vendor, with these categories:

• Marine drill sergeant. Healthcare organizations with limited knowledge or discipline expect their EHR vendor to force them to follow a standard implementation or configuration, especially if they have struggled previously with a heavily customized system that reflected illogical workflows.
• Mentor. The client wants the vendor to make non-binding recommendations based on their experience with other customers.
• Development partner. An organization that sees itself as an innovator chooses an EHR vendor that can develop new features to support their experimentation.
• Seller. The customer just wants to buy a system with minimal ongoing vendor contact.
• Parasite. A vendor with one dominant customer neglects its other customers to the detriment of both the vendor and the singularly important customer.

My take on this: the above EHR vendor categories highlight the industry’s change in which early (and mostly failed) inpatient EHR vendors encouraged customers to make programming demands to support their often illogical processes in the “we are special” heyday. It’s pretty remarkable that Epic has made the “marine drill sergeant” vendor role not only acceptable, but desirable (although Meditech arguably developed that role). Nobody would have predicted that young, healthcare-inexperienced EHR vendor employees could convince C-level executives with decades on the job to re-examine their processes that were often in place only because the hospital’s managers had never worked elsewhere and didn’t know any better. Epic’s brilliance is bribing clients (in the form of rebates) to follow best practices, applying pressure at the CEO/CFO level where those big checks made out to Epic are signed, and gaining buy-in for massive organizational changes using go-live pressure that keeps the customer from noticing that their long-protected Band-Aid is being ripped off.

Epic publishes yet another press release, which makes me wonder what’s changing in Verona since they had never run any until recently.

Tweet of the day.

Sponsor Updates

• Modern Healthcare lists in its “Best Places to Work 2020” list these HIStalk sponsors: CereCore, Health Catalyst, Impact Advisors, Imprivata, Nordic, Pivot Point Consulting A Vaco Co., PMD, Santa Rosa Consulting, Strata Decision Technology, and Surescripts.  
• The Chartis Group names John Wiest (Navigant) director of its performance improvement practice.
• Clinical Architecture will present during NCQA’s Digital Quality Summit July 22-23.
• Impact Advisors publishes a white paper titled “A Move to the Cloud Is Making ERP a Top Strategic Priority for Hospitals and Health Systems.”
• Clinical Computer Systems, developer of the Obix Perinatal Data System, releases a new Clinical Concepts in Obstetrics Podcast, “Peripartum Cardiomyopathy – The Fundamentals.”
• Ensocare will exhibit at ACMA’s virtual 2020 National Conference beginning July 15.
• Hyland Healthcare partners with Life Image to improve data and imaging access between providers and patients.

Blog Posts

• Why Physician Champions are Critical for Successful Epic Go-Lives (314e)
• What to look for in a revenue cycle management provider (Ability Network)
• Best Practices for Building a Telehealth Team Now (Access)
• Telehealth Challenges & How to Overcome Them in Your Practice (Part 1) (AdvancedMD)
• 5 Ways to Increase Revenue with Healthcare Business Analytics (Ingenious Med)
• Mitigating a post-covid-19 surge on imaging departments with joined tech (Agfa Healthcare)
• How ACOs Manage Beneficiaries with Complex Needs (Collective Medical)
• Customer Spotlight: How Hospital de la Concepcion is Using Analytics to Quickly Respond to COVID-19 (Dimensional Insight)
• It’s Time for a Better Check-In Solution (EClinicalWorks)
• Ready, Set, STOP! How to Discharge Difficult-to-Place COVID Patients (Ensocare)
• Why We Gave Hospitals Our Free COVID Dashboard and What Happens Next in Healthcare (EPSi)
• ESolutions’ Tool Helps Providers Manage New CMS Prior Authorization Requirements for Outpatient Procedures (ESolutions)

Contacts

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

Monday Morning Update 7/13/20

Top News

A KLAS report on pediatric practice ambulatory EHRs names PCC as the clear leader.

PCC and Athenahealth scored well in product robustness and value.

The report says that PCC significantly outperforms other vendors in relationships with its personal approach, proactive support, and hands-on executive involvement.

Reader Comments

From Livongo and Prosper: “Re: CEOs. In 7.5 years as CEO of Allscripts, Paul Black has taken the stock from $13 to $6.50 per share with a $1B market cap. In one year, Glenn Tullman has Livongo’s stock at $108 with a market cap of $10B. Black helped push Tullman out and now Tullman is laughing all the way to the bank. How does Black still have a job?” I’ll offer these points in resisting the urge to oversimplify the situation:

• Tullman had Allscripts in a complete mess during the last few years of his tenure, including making questionable acquisitions, infighting with Eclipsys loyalists after buying that company, taking a snake oil sales approach to milking the Meaningful Use cow, fumbling clownishly over the MyWay EHR, claiming that the company’s science fair of acquired old products were integrated by definition since they all ran Microsoft SQL, and desperate suing its own customers and prospects that had chosen competing products.
• Black’s performance has been more measured, but not very inspiring or visionary. He, too, was at the helm during some major corporate gaffes, such as making a deal with equally desperate NantHealth, announcing but never actually selling the Avenel EHR, and buying Practice Fusion with the full knowledge that it was waiting for the DOJ hammer to fall for helping drug companies push opioids inappropriately. He’s made some potentially good decisions that have taken the company outside its core EHR business in hoping to avoid getting squashed by the Epic juggernaut and strong ambulatory competitors, but I can’t recall hearing anything all that exciting about TouchWorks and its stablemates in years.
• Livongo is surfing on a sea of employee health hype that it’s hard to see lasting forever, especially given the failure of similar companies to prove their value via unbiased outcomes studies. Tullman has deep experience in working the stock market, having taken Allscripts through a Series J funding round or something like that before going public, so he’s in his element as Livongo board chair.
• Black is better than Tullman was in always announcing something new that makes it hard to judge apples-to-apples quarterly company performance, usually an acquisition that promises fresh opportunities in some hot sector.
• Allscripts wasn’t much of an innovative development shop under either CEO and has exhibited little in the way of vision or passion.
• Tullman mostly stuck to EHRs and related technology during his Allscripts days, while Black favors buying distressed health IT merchandise to wring out a few drops of profit while hoping to sell the customer base something else.
• We don’t know how much of either company’s success is due to its highest-ranking executive. Neither Tullman nor Black were board chair of Allscripts while serving as CEO. Tullman is board chair at Livongo but not CEO. Nor do we know that Allscripts would perform any better under a different CEO who doesn’t control the board. You can do only so much while investors are staring you down quarter by quarter and most of your products are in mature markets that have strong competitors.
• My conclusion is that only some degree of a publicly traded company’s performance can be attributed to the CEO. Tullman was damaged goods after the board put the company out of its misery by firing him, but he has certainly made a better name for himself after founding Livongo, which surprised me.

HIStalk Announcements and Requests

It’s 55-45 on my poll asking whether it’s OK for an employer to fire someone for off-work action or social media posts that don’t result in legal charges. Commenters point out that free speech protection in the First Amendment applies only from the actions of government, not employers, and employers are free to send an employee packing for nearly any reason that doesn’t violate Equal Employment Opportunity requirements. My definition of “OK” was intentionally fuzzy since company reasons for termination can be equally so, but the bottom line is that people lose their livelihoods every day for reasons that may have little to do with job performance.

New poll to your right or here: Which of these activities have you performed on a mobile device in the past year?

Webinars

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

People

Mick Brown (Change Healthcare) joins post-acute telehealth provider Third Eye Health as VP of strategy for health systems and ACOs.

COVID-19

The US has nearly 52,000 people hospitalized with COVID-19, approaching April’s peak of 60,000 and nearly doubling the June 15 count. Texas has 10,000, California 8,000, and Florida 7,000. Florida reported 15,300 new cases on Sunday. Deaths have finally taken a national upturn as expected from the case and hospitalization counts, now standing at 134,000. Nursing homes are once again being hit hard, with some reporting dozens of deaths and residents making up 40% of the COVID-19 deaths in Texas.

America’s push to get students back in school will be a global experiment since no other country has every tried to institute a return to campus during raging coronavirus outbreaks.

The White House reportedly canceled the scheduled media appearances this week of Anthony Fauci, MD after he disputed President Trump’s assertion that a lower death rate shows US progress, which Fauci he called a “false narrative” that could lead to complacency. Fauci says he hasn’t spoken to the President since early June.

Morgues in parts of Texas and Arizona are full and refrigerated trucks are being set up there.

The federal government sends an Army medical task force and HHS disaster response team to Houston.

Atlanta will reactivate a 200-bed COVID-19 field hospital at the Georgia World Congress Center after closing it in May after it had treated just 17 patients. The state has also contracted with Piedmont Healthcare to add 100 ICU and surgical beds to deal with the COVID-surge. Both actions came after health system CEOs urged the governor to help them continue their profitable elective surgeries. 

More than two dozen Mississippi state senators, its lieutenant governor, and its House speaker test positive for coronavirus after weeks of close-quarters meetings in which most or all of them ignored mask recommendations.

Intensivist Nick Mark, MD describes the problems with using the benign term “ICU capacity”:

• Critically ill patients go to the nearest hospital, so statewide figures mean little if the nearest available ICU beds are hundreds of miles away.
• Higher ICU census is associated with worse outcomes.
• ED boarding of patients waiting for ICU beds have an increased risk of death because EDs don’t have the staffing ratios and facilities needed for long-term patient care.
• COVID-19 patients need much longer stays than the ICU average of around three days, tying up beds for a long time and more likely to need ventilator support.
• ICU capacity is often calculated across all types of beds (medical, surgical, cardiac, burn, trauma, and even pediatric) and in some cases count PACU beds as ICU.
• Not all ICUs can provide interventions such as negative pressure rooms, dialysis, and ECMO and other interventions for acute respiratory distress syndrome.
• Step-down rooms can be “upleveled” into an ICU, but skilled staff will be in short supply. ICU staffing is based on an expected occupancy of around 60%.
• Burnout, PPE shortages, and healthcare worker infection are likely with expanded ICUs.

I missed this earlier: hospitalist and CMIO Dirk Stanley, MD, MPH lays out how to determine COVID-19 status from a patient’s EHR. Thanks to @CraigJoseph for tweeting the link.

Other

A former VP of finance for an Atlanta medical device packaging company pleads guilty to trashing the company’s computer systems after being fired, which he accomplished by using a phony logon that he had created beforehand. The company distributes PPE, shipments of which were delayed due to deleted data from its ordering and fulfillment systems.

Sponsor Updates

• Selling Power includes Nuance as a “Best Company to Sell for” on its annual list.
• PatientPing publishes a new e-book, “CMS’s E-Notifications CoP: The Route to Compliance.”
• Black Book Research publishes a new report, “Exploring Physicians’ Perspectives on How COVID-19 Changes Care.”
• Pure Storage publishes a case study, “St. Joseph’s Health achieves speed and reliability with Pure Storage.”
• Redox releases a new podcast, “The Digital Episode of Care with Bronwyn Spira of Force Therapeutics.”
• The Journal of Psychopharmacology publishes an article on a study of comparative rates of delirium of various types of AHTs that used real-world data from TriNetX.
• Vocera releases a new Caring Greatly Podcast, “Physician Suicide and the Impact of COVID-19 – Pamela Wible, MD.”

Blog Posts

• Put contact center technology at the heart of your customer experience (OpenText)
• Hospitals Need Secure Text Messaging-Plus to Support “Mobilized” Clinicians (PatientKeeper)
• Untapped Potential: Telehealth in Rural and Underserved Communities (PMD)
• The Challenge with Scaling Clinical Best Practices During a Pandemic (Premier)
• Overview of Nordic’s Patient Access Solution (Nordic)
• COVID-19 Has Transformed Healthcare – and Exposed Where More Change is Needed (Surescripts)
• CMS Offers MIPS Flexibility in Light of COVID-19 (WebPT)

Contacts

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

News 7/10/20

Top News

A Health Affairs blog post calls for ONC to start measuring the impact of the interoperability requirements of the 21st Century Cures Act, using these initial metrics:

• The percentage of patients that can gain timely access to their common clinical data set information via an API.
• Whether a given EHR vendor allows patients to write their personally generated data to their systems via an API, as well as the percentage of their provider customers that have enabled at least one of those APIs.
• The percentage of care transitions and referrals in which a summary-of-care record was exchanged via API.
• The number of third-party apps that can connect to each EHR, along with the number of apps that are actually being used by patients and providers.
• The EHR vendor’s availability and provider’s use of an API that supports bulk data transfer.
• The number of information blocking reports on ONC’s website by actor as well as the resulting determination of each complaint

Reader Comments

From Tele Say What?: “Re: telemedicine. The number of visits are dropping, which does not make sense after everyone said COVID experience would make it the standard.” It’s a good time to cynically remind everyone to follow the money since healthcare is not a consumer-driven or even a clinician-driven industry. Stacking up patients in a long hall of always-filled exam rooms is not only more efficient for the provider, it supports upselling opportunities that can’t happen over a video connection. Patients also feel shortchanged if their visit doesn’t result in a prescription or an order for lab or imaging, which presents telehealth with the classic last-mile problem. Yet another issue is that while coronavirus may have temporarily forced bricks-and-mortar providers to send patients to national telemedicine practices who have their own doctors, those providers aren’t about to permanently give up their brand identity and the recurring revenue stream that each patient represents. Buildings, people, and human contact are differentiators that keep patients happy and profitably captive. The pandemic has proven that healthcare, education, and work life can be temporarily shifted online out of necessity, but it has not proven that the virtual alternative is ideal or likely to be sustained.

HIStalk Announcements and Requests

Welcome to new HIStalk Platinum Sponsor eSolutions. The Overland Park, KS company offers best-in-class Medicare and Multi-Payer revenue cycle management, workflow automation, and analytics that help providers get paid quickly and accurately. Its 1,000-plus hospital and health system customers see a 20% reduction in problematic claims in the first 30 days and a 22% reduction of days in A/R within six months. The company processes 164 million claims annually, connects directly to 5,500 payers, and completes 500 million eligibility transactions annually with the fastest response time. It has racked up a 95% customer retention rate over in its 20-year history. ESolutions just announced that its Medicare electronic submission of documentation tool supports CMS’s new requirement for obtaining prior authorization for five types of surgery in hospital outpatient departments. CEO Gerry McCarthy’s first job out of college was in health IT and he’s still here nearly 30 years later with an impressive track record of leadership and company success. Thanks to eSolutions for supporting HIStalk.

I asked some folks to help me put together a media kit for companies that are interested in sponsoring HIStalk and probably think twice after seeing the primitive one I unskillfully cobbled together years ago. There’s a link on the top menu.

Webinars

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

Acquisitions, Funding, Business, and Stock

Analytics vendor Health Catalyst will acquire Healthfinch, which automates physician EHR workflow. SEC filings indicate a purchase price of $40 million in cash and shares.

Doctor on Demand raises $75 million in a Series D investment round that brings its total funding to $236 million.

Truepill a $25 million funding round and the launch of an integrated telemedicine service that will leverage the company’s in-house EHR. The B2B online pharmacy powers fulfillment for brands like GoodRx, Nurx, and Hers.

For-profit Cancer Treatment Centers of America, which operates five hospitals and five outpatient centers, is evaluating buyers who appear willing to acquire the company at a valuation exceeding $1 billion. Six potential bidders are involved, insiders say, and two of them are private equity firms that are teaming up with huge, not-for-profit health systems (that is certainly interesting). The company started out in 1988 by embracing an out-of-network model for out-of-state residents, but has moved to an in-network model with health system partnerships.

Scotland-based charge master and cost management systems vendor Craneware reports $71 million in annual sales, the same as last year even though revenue took a Q4 hit due to COVID-19’s effect on its US customers. EBITDA for the year was up $500,000 to $24.5 million.

Sales

• Peninsula Regional Medical Center (MD) will implement tele-neurology software and services from SOC Telemed.
• SCL Health (CO) selects patient access and provider data management software from Kyruus.
• Philips signs a 10-year, $100 million contract with the VA to expand development of its Tele-Critical Care Program.

People

Silver Cross Hospital (IL) promotes Teresa Andrea, MSHA, RN to VP/CIO.

Bryan Humbarger (AliveCor) joins digital health vendor Eko as SVP, commercial.

Appriss promotes Krishnan Sastry to president and CEO.

The Chartis Group promotes Shawna Schueller to VP of practice operations.

Michele Morton, MS, RN (SCIO Health Analytics) joins HealthMyne as chief marketing officer.

Reimbursement software vendor Alpha II hires Todd Doze, MBA (TransUnion) as CEO.

Announcements and Implementations

The VA launches the Veterans Data Integration and Federation Enterprise Platform using HealthShare data aggregation software from InterSystems.

After a pandemic-induced two-month delay, University Health System in San Antonio will go live on its $170 million Epic project this weekend.

Henry Schein Medical integrates its VisualDx clinical decision support system with Medpod’s telemedicine solutions, for which it is the exclusive distributor.

KLAS looks at bidirectional interoperability between smart IV pumps sold by BD and ICU Medical and EHRs from Cerner and Epic. ICU has 26 organizations live on interoperability and offers strong project guidance, while BD’s 104 live organizations benefit from standardized implementation but don’t always get help with non-standard problems. Epic and Cerner users wish they would make smart pump interoperability a priority with more timely updates, better documentation and verification workflows, and actionable reports, with the sites that are happiest being those who use their own employees to drive improvements and write reports.

Government and Politics

The VA issues an RFI for a robotic process automation tool that can help import external patient documents into its EHRs (both VistA now and Cerner later). The VA has suffered from a huge backlog of external documents since 2014, when veterans were allowed to seek care outside the VA and those external providers often provided only paper copies of the resulting patient records. The VA is looking for a system that can handle internal folders, email, fax, paper, electronic exchange, and API access to its referral management system.

COVID-19

It’s like COVID déjà vu from March, as the country’s many hotspots are one again reporting PPE shortages, lack of testing supplies, long delays in receiving test results, and lack of available ICU beds.

Arizona reported 4,000 cases and a shocking 35% test positivity rate as the US reported more than 60,000 new cases on Wednesday. Florida reported 9,000 new cases, a 19% test positivity rate, and 120 new deaths. Hospitalizations have more than doubled over the past four weeks in several states, including Texas with 4.8 times the previous number and excluding Florida, which does not report hospitalizations. Mississippi says five of the state’s largest hospitals, including University of Mississippi Medical Center, have no available ICU beds.

PPE shortages are forcing neurologists, cardiologists, and oncologists to leave their offices closed and their patients without care. AMA President Susan Bailey urges the White House to invoke the Defense Production Act for PPE and to develop a coordinated national strategy. Caregivers are being ordered to see COVID-19 patients even though no N-95 masks are available and a Houston hospital has told its doctors to reuse single-use masks for up to 15 days.

Sacramento County, CA closes five COVID-19 testing sites because they can’t get basic test supplies. They’ve asked Quest Diagnostics for help, but the company says it is already at capacity. The county says that’s OK anyway since it’s taking 8-9 days to get results back from tests that are perform several days into the suspected illness, making testing pointless – someone with a known positive result would be quarantined for just 14 days, meaning they would complete their isolation (assuming they do it) before seeing their results.

Vice-President Pence says CDC it will soften its just-published school opening guidelines after President Trump scolded CDC on Twitter for being too tough, then threatened to cut off funding for schools that don’t reopen by fall. CDC Director Robert Redfield, MD later clarified, however, that CDC won’t change the recommendations, but instead will provide additional guidance.

Other

We should do this in the US. Volunteers at Glasgow, Scotland’s 50-year-old, donation-supported charity Hospital Broadcasting Service work from home 24 hours per day playing music, offering friendly talk, and dedicating songs to patients that they or their love ones have requested by text message or email. Listen live and you might hear some surprisingly contemporary music as I did. On-demand video streaming, podcasts, and generic satellite radio leave me feeling disconnected with the world, which is nice sometimes but not always, and it must be worse when confined alone in a hospital bed with too much time to assume the worst.

Sponsor Updates

• Arcadia’s population health platform earns HITRUST CSF Certification for data security.
• MobileHelp adds MDLive’s telemedicine service to its personal emergency response system for home-based patients.
• Healthfinch publishes a new case study, “Increasing Centralized Capacity for Prescription Renewal Requests.”
• Swedish software and services vendor TietoEvry extends its collaboration with Hyland Healthcare for a best-in-class solution for digital pathology.
• CareSignal publishes a new case study, “How STRIDE FQHC Increased Engagement and Chronic Condition Self-Management Among Medicaid Patients to Prepare for Value-Based Care.”
• Kyruus obtains recognition from Avia for its enterprise-wide patient access platform.
• Wolters Kluwer Health announces that Clinical Effectiveness CEO Denise Basow, MD has been ranked among the Top 25 Women Leaders in Healthcare Software of 2020.

Blog Posts

• 11 best practices for operational efficiency and cost reduction with Google Cloud (Google Cloud)
• HAS 20 Virtual: Reimagining the Healthcare Conference (Health Catalyst)
• A picture is worth a thousand words: The role of photography in patient care – Part 1 (Hyland)
• Payers: How to Scale SDOH Across Lines of Business and Demographics (Imat Solutions)
• Healthcare Supply Chain: PAR vs. Perpetual Inventory Systems (Impact Advisors)
• How to avoid security breaches and malicious attacks (Infor)
• High-Performing EHR Training Teams: Coaching for Success (Optimum Healthcare IT)
• How Primary and Specialty Care Practices Can Recover from the Financial Burden of COVID-19 (InstaMed)
• Is COVID-19 the Burning Platform We Need to Move to Value-Based Care? (InterSystems)
• Untapped Potential: Telehealth in Rural and Underserved Communities (PMD)
• COVID-19 and Children’s Healthcare: Key Takeaways from Kyruus’ Virtual Access Forum (Kyruus)
• Building Brand Confidence Through Physical Therapy Marketing in 2020 (MWTherapy)
• Difficult Decisions: How Adversity Can Strengthen Identity (Netsmart)

Contacts

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

News 7/8/20

Top News

A new KLAS report that looks at advanced users of clinical communications platforms finds that Epic, Halo, and TigerConnect have the greatest breadth of workflows; PerfectServe and Telmediq have fewer workflows and are more widely used in inpatient settings; and Cerner, Hillrom (Voalte), Mobile Heartbeat, and PatientSafe Solutions focus on inpatient settings and have less use in outpatient.

Cerner and Epic have tight integration with their own EHRs, as Epic Secure Chat provides fully embedded functionality and Cerner offers CareAware Connect Communications as a separate app.

Telmediq, PerfectServe, Halo Health, and Vocera top the list for contacting physicians based on their schedules.

The most commonly achieved outcomes among advanced users are reduced phone calls, improved patient satisfaction or outcomes, more efficient workflows, and replacement of SMS messaging with HIPAA-compliant asynchronous communication.

Users conclude that communications platforms are expensive but worth it; success requires focusing on the patient care team and integrating with the EHR; connecting with the right people requires an enterprise scheduling approach; and health systems should choose a vendor based on their ability to develop rapidly rather than those who claim to have it all today.

Reader Comments

From Smallie Biggs: “Re: sales. Aren’t strategies and desires like this what we are trying to eradicate in this industry? Everyone wants to make money, but why would someone who leads a healthcare practice publish a book that does not align with the focus of delivering solutions to healthcare clients?” John Orton, US healthcare practice leader for Avaya, publishes “Super Seller Secrets Exposed,” in which he explains how he has “been able to collect huge commission checks, but he has also traveled the globe and continues to live a Super Seller lifestyle.” I will generously assume that John is no different than other authors of sales and motivation books who thrust hyperbole in the faces of prospects to convince them to press the “buy” button (he’s a Super Seller, after all). Those of us without sales experience may find healthcare sales unsavory, but I’ve learned to accept that while it’s obviously the salesperson’s job to convince you to buy something, they aren’t necessary unethical connivers who exert their will over health system people using Jedi mind tricks (unless they sell for a drug company, in which they probably are). In fact, having been on the receiving end of endless sales pitches that were made to my health system peers, I was more frustrated by their behavior than that of the salesperson since their gullibility and need to feel important made them an easy mark. John has worked for the same company for 10 years, which suggests that he’s not a wandering gunslinger who is burning bridges behind him. I am fascinated but ignorant of how salespeople move prospects along to contract signing in healthcare, especially with regard to prospect psychology, and the industry richly values those folks who can move iron. Somehow I doubt that reading John’s book will endow marginal salespeople with the superpowers that are required to cavort with John and his Super Seller compadres, but those who are destined for sales success are irrationally optimistic and will thus probably buy a copy in hopes of sharpening their saw.

HIStalk Announcements and Requests

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

Webinars

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

Sales

• OptimizeRx announces two sales of its point-of-care prescription messaging system for patient affordability, adherence, and care management to unnamed clients.

People

Tele-nephrology platform vendor TeleNeph hires Ron Kubit (Sopris Health) as CEO.

Announcements and Implementations

LiveProcess announces the release of Aware, a real-time virtual situation management platform.

Government and Politics

The White House’s 2021 budget request includes $105 billion for the VA, including $4.9 billion for IT and $2.6 billion (versus $1.5 billion this year) for its Cerner project.

COVID-19

The New York Times had to sue CDC under the Freedom of Information Act to force the federal government to provide COVID-19 case data broken out by race, ethnicity, and county of residence, which confirms that Latinos and African-Americans are three times as likely to be infected as their white neighbors and twice as likely to die. These disparities cross state and regional lines. The Times notes that race and ethnicity data are missing from more than half of the 1.5 million cases CDC has documented, its information is current only through the end of May, and it does not included the suspected source of infection. CDC says it has asked state and local agencies to collect and report this data, but cannot force them to do so.

The disconnect between increasing COVID-19 case numbers and decreasing death rates is being attributed by some experts to Simpson’s Paradox, where conclusions that are drawn from big datasets can hide insights that would be visible within smaller data clusters. Trends in COVID case counts, positivity rates, hospitalizations, and death rates may be dramatically observable at the city or county level but can get buried when looking only at counts for a state or the entire US. Expert data review will find insight that computational methods will miss. The common example of Simpson’s Paradox is the batting averages of two baseball players, where Player A has a higher batting average than Player B every month, yet Player B ends up with a higher average for the whole season. The COVID example is that low numbers in the former hotspots in the Northeast are making the US look better as a country when in fact the pandemic is burning out of control in specific areas in the form of regional outbreaks, which will have a strong impact on local resources.

A large seroprevalence study in Spain finds that despite widespread infection there, the country is not even close to herd immunity, if that even matters since nobody knows whether antibody presence indicates protection from reinfection.

Brazil President Jair Bolsonaro, who has downplayed COVID-19 dangers and ignored public health advice, tests positive and starts taking hydroxychloroquine.

People who go to the hospital ED with COVID-19 symptoms are being stuck with huge bills by some insurers if they leave without being tested due to not meeting the hospital’s criteria or not having tests available.

Arizona reports that 3,300 patients are hospitalized with COVID-19 in the state, 870 of them in ICUs that are at 89% capacity. Tucson hospitals are reportedly sending new patients to Phoenix, San Diego, Las Vegas, and Albuquerque. Houston hits a record of COVID-19 hospitalizations for the fifth time in the first seven days of July so far, with 981 in the ICU, Texas Medical Center at 103% of ICU usage, and 47% of ICU patients there due to COVID-19.

Former CMS Administrator Andy Slavitt summarizes his conversations with multiple scientists who have reviewed early data from prospective vaccines:

• Preliminary vaccine data looks good, but early versions may work more like flu vaccine in offering modest protection for some people for some unknown period of time. They expect iterative improvement as new vaccines are brought to market.
• Monoclonal antibody therapy as a COVID treatment may be more promising than vaccines for prevention, and clinical trials for it can be completed easier and and faster.
• The likely future state is that we will see reduced COVID-19 lethality but without eradication as a gradually occurring “new normal” with few big developments along the way.
• Many deaths will occur before a vaccine is available, but even the early versions are likely to be safe and effective to some degree.

The White House notifies Congress and the UN that the US is withdrawing from the World Health Organization, effective July 6, 2021.

HHS Secretary Alex Azar says in a panel discussion about reopening schools that, “Healthcare workers don’t get infected because they take appropriate precautions. They engage in social distancing, wear facial coverings.” He didn’t mention that thousands of healthcare of workers have tested positive for COVID-19 and at least 600 have died.

My young relative still hasn’t received her COVID-19 test results 10 days after being tested after potentially being exposed at work. Her father, who is a doctor, started having symptoms this morning and he is now waiting on his test results while not practicing medicine. I can see why experts say it’s too late to implement contact tracing here since we’ve let our outbreak run wild and we are once again regionally running out of testing supplies, watching lab backlogs grow, and running out of hospital capacity. The virus loves our lack of national planning and coordination. 

Other

A startup in China develops a “pulse fax machine” that sends a user’s pulse reproduction to practitioners of Chinese medicine, who uses pulse palpation to assess health and diagnose problems. The company hopes to sell the system to 50 hospitals in the next year. It also uses it in its own chain of private clinics and distributes it via a hospital systems vendor. The company is Maizhiyu, which means “the language of the pulse.”

Sponsor Updates

• Glytec partners with ThunderCat Technology to make Glytec’s Glucommander insulin management software more widely available to VA facilities.
• CI Security will integrate its Critical Insight Managed Detection and Response offering with solutions from Internet of Things and Internet of Medical Things security vendors Order, Medigate, and Cylera.
• Clinical Computer Systems, developer of the Obix Perinatal Data System, releases a new Clinical Concepts in Obstetrics Podcast, “A Preeclampsia Case Study.”
• Diameter Health will lead a roundtable discussion, “Paper Killers: Innovative Solutions in Digital Health,” during the virtual NCQA Digital Quality Summit July 23.

Blog Posts

• 3 Ways to Optimize Epic Training (314e)
• Best Practices for Building a Telehealth Team Now (Access)
• Hitchhiker’s Guide to Managing a Sustainable Patient Mix (AdvancedMD)
• Enterprise Imaging Goes Live at AdventHealth (Agfa HealthCare)
• A conversation with Tammy Combs and Melissa Potts of the American Health Information Management Association (AHIMA) (Artifact Health)
• The State of Medication Access (CoverMyMeds)
• 8 Most-Asked Questions About Employee Health Screening Tools (Dina)
• ‘The new system:’ How will healthcare organisations navigate COVID-19 and beyond? (Elsevier Clinical Solutions)
• How to Digitize Your Front Office (EClinicalWorks)
• Interoperability Rules are Delayed: Why That’s Good News and Bad News (Ensocare)

Contacts

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

Monday Morning Update 7/6/20

Top News

Medical informatics pioneer G. Octo Barnett, MD died June 30 at 89, according to colleagues.

Massachusetts General Hospital hired Barnett in 1964 to implement a hospital information system on a time-sharing computer, from which the Laboratory of Computer Science was founded. Barnett was director of the lab until his retirement in 2012.

Barnett, who referred to himself as a “farm boy” and “country doctor” from his upbringing in Alabama, was involved with the development of COSTAR, one of the first ambulatory EHRs, and DXplain, a diagnostic decision support system. He led the LCS group that in the mid-1960s developed early versions of the MUMPS programming language and Cache’ database, which are still used by vendors such as Epic, Meditech, and InterSystems and formed the foundation of the VA’s VistA. He was a founder and original member of AMIA.

Joan Ash and Dean Sittig interviewed Barnett in 2004 as part of a medical informatics oral history project. It is a fascinating read. An excerpt from his advice for informatics fellows:

Get to know the people in the field. Listen and to learn from them. Go to meetings and try to be open to a whole variety of different viewpoints and projects. Don’t get discouraged too easily because there’s going to be some bad times. Hope that in some sense, you’re lucky, that basically things work at the right time and place, because it is very much fortuitous circumstances. It’s very much a time for questioning. I could certainly never have planned my career on any sort of rational, “OK, here’s what I’m going do: Step 1, Step 2, Step 3 … “ You can’t demand a hope for serendipities. That’s the problem, you can’t plan for them. I suppose the best you can do with serendipity is be aware it’s an opportunity when it’s your time.

Reader Comments

From Epic Watcher: “Re: Epic. All these headlines from unfortunate internal emails to pulling employees back to campus. You haven’t provided many thoughts about this.” I’m not an Epic employee, so I’m not all that interested and have no basis on which to opine. They can run the company however they like, and employees and customers are free to act accordingly. My only observation is that Epic has no problems attracting and keeping employees and their industry dominance speaks for itself. I don’t think the company is known for crowdsourcing its strategy and tactics to insight-blessed cheap-seaters .

From HIT CEO: “Re: HIStalk. Thanks for what you’re you’re doing. You have literally changed the industry for better and for good. There aren’t that many people that you can isolate, but what you’ve done with your site, all the way back to the early 2000s, is really fascinating, and seeing the way it has evolved is kind of cool. It hasn’t always been flattering to companies I’ve worked for, but that doesn’t matter because it gives a voice to people.” Thanks.

HIStalk Announcements and Requests

The good news for conference organizers is that most poll respondents think they will return to some semblance of in-person normalcy, but the bad news is that they think it will take years to do so. 

New poll to your right or here: Is it OK to fire an employee for off-work actions or social media posts for which no legal charges are filed?

It has been more than a week since my young relative was tested for COVID-19 after potentially being exposed at work. She still has not received her results and her family (including a doctor) are anxious about how to conduct their lives meanwhile and what will change for them if her results are positive. We aren’t going to make much of a dent in this pandemic if we can’t fix the simple logistics of testing for it and reacting quickly to positive results.

We streamed “Hamilton” on Friday and it was spectacular, right down to playing the Roots over the closing credits. Related to it is the best health IT video ever, Mary Washington Healthcare’s self-introduction to Epic from 2017 that featured “Hamilton” inspired music and costumes that are appropriate to their historical location of Fredericksburg, VA.

Webinars

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

Acquisitions, Funding, Business, and Stock

Montreal-based patient scheduling and waiting room management software vendor Chronometriq acquires Health Myself, a Toronto patient portal startup.

People

Allegheny Health Network names John Lee, MD (Edward-Elmhurst Health) as SVP/CMIO. He replaces Robert White, MD, who is retiring.

COVID-19

COVID-19 test positivity rates continue to increase, especially among young adults, leading to the near certainty of wider spread and increased hospitalization and death weeks down the road. New US cases were at 57,000 on Friday and total deaths are over 132,000.   

North American retail traffic is slowing after weeks of strong gains, suggesting that consumers are choosing to limit their exposure regardless of local, state, and federal government policies. It’s down 50% from this time last year.

The US-Mexico border closes to visitors due to COVID-19 concerns, only this time it is Mexico that is preventing Americans from entering Sonora, which is on the other side of the wall from infection-ravaged Arizona. Meanwhile, England joins the EU in trying to keep visitors from the US out, waiving its mandatory 14-day quarantine for visitors from 50 countries. That policy is still more generous than that of the EU, which banned American travelers entirely last week.

Premier calls for national stockpiling standards after its survey finds that 90% of healthcare providers as well as states are months-long quantities of masks, gowns, and test kits, creating product shortages and directing supplies away from frontline caregivers in the absence of a national strategy.

Houston doctors say hospital EDs are sending patients with obvious COVID-19 symptoms home without testing them, reserving testing for patients who meet the criteria for immediate admission. A Memorial Hermann ED doctor says hundreds of likely cases are sent home from its 17 EDs without testing because of concerns about the availability of supplies.

In India, low-cost ventilator manufacturer AgVa Healthcare is accused by former employees of manipulating its software to show that patients were receiving more oxygen than they actually were. One hospital reported significant differences between the device’s FiO2 display and patient response, with ventilated patients experiencing restlessness, tachypnea, and sweating. Another hospital rejected the company’s ventilators, but eventually accepted them only as backups to their ICU-grade counterparts. AgVa Healthcare says the accusations are misleading, as its ventilators were tested on actual patients in both hospitals following these reports and the hospitals agreed that they worked as expected.

A research institute in South Korea develops a robot that performs COVID-19 nasal swabs as controlled by a remote technician. It includes a live video connection and force feedback for the operator, who is not exposed to the patient during the process.

This is an epidemiologist’s nightmare, as LA residents flee their closed restaurants, bars, and beaches for less-restrictive San Diego in moving a lot of virus around and increasing the chances of another stay-at-home order. Unfettered travel should come with a free tee shirt that says, “My neighbor took a road trip and all I got was this lousy coronavirus.” My suspicions are that viral spread on beaches is minimal, but it’s the bars and restaurants that are involved in beach trips that create a COVID Petri dish.

Other

Chicago’s Roseland Community Hospital loses telephone and Internet service for more than 24 hours when a car crash brings down the connectivity of broadband provider Wow and the hospital’s failover to cell phones didn’t work.

Sponsor Updates

• Spok publishes an e-book titled “The link between the quadruple aim and improved clinical communications.”
• VentureFizz’s Lead(H)er series features PatientPing Chief People Officer Tiffany Mosher.
• RxRevu reaches 100,000 prescribers and exceeds 10 million transactions through its real-time prescription benefit solution in 2020.
• SymphonyRM releases a new video, “HonorHealth’s AVP Healthcare Marketing on Growth and Loyalty.”
• Visage Imaging makes the latest version of its Visage 7 Enterprise Imaging Platform available.

Blog Posts

• Imbio lung AI models support lung disease diagnosis and care via Nuance AI Marketplace (Nuance)
• Plan a Telehealth Strategy for the Long Run (Pivot Point Consulting)
• Designing Scalable Love (PMD)
• Five Years of Redefining the Storage Industry (Pure Storage)
• Three Questions with Sandy Dunn, CISO at a Large Health Insurance Provider in Idaho (SailPoint)
• The link between the quadruple aim and improved clinical communications (Spok)
• EMPI – The Lightweight Solution You’ve Been Looking For? (Summit Healthcare)
• Offering Expertise, Appreciation and Commitment to Those on the Virtual Front Lines (Surescripts)
• Why Cognitive Bias is Ruining Your Clinic’s Outcomes Data Quality – and How to Fix it (WebPT)

Contacts

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

News 7/3/20

Top News

Private equity firm TPG is considering the sale of post-acute care software vendor WellSky at a potential valuation of $3 billion.

TPG acquired Mediware from Thoma Bravo in early 2017, then renamed it to WellSky in September 2018.

Mediware was formed in 1980 with a focus on blood and pharmacy management solutions. It went public in 1991. Thoma Bravo took the company private in 2012 for $195 million.

Reader Comments

From Lab Matters: “Re: more existential writing style issues. EHR or EMR?” The term EHR is aspirational marketing-speak for the purely imaginary technology that contains all of your provider’s health information, your own observations and narrative, health alerts and reminders, and your health and wellness practices and purchases, all happily interoperating in real time from all data sources (including wearables) to allow an individual to monitor themselves and share their information with anyone they like as an overall picture of their health, a tiny part of which involves provider visits. What we actually have an EMR, which is an electronic but siloed version of a specific provider’s paper chart that records the episode information that clinicians need to send bills. Meaningful Use rechristened decades-old EMRs to EHRs provided they met easy, questionably relevant certification requirements, causing marketing people to wet their pants in anticipation of lipsticking their poorly selling EMR pigs for doctors to ride to the taxpayer trough. I still call it an EHR even though I’m violating my principal of not using terms incorrectly just because everybody else does. Every encounter I’ve had in hospitals and medical practices involved technology that barely met the definition of EMR, much less EHR.

From Mr. T: “Re: Baylor, Scott & White Health. The largest not-for-profit health system in Texas completed their Epic deployment with a go-live on 6/27 at their seven remaining non-Epic hospitals. This completes a multi-year rollout to standardize all BSWH clinics and hospitals on Epic and displaces Allscripts at the 13 hospitals that were the former Baylor Healthcare System.”

Webinars

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

Sales

• OU Medicine and OU Health Sciences Center (OK) choose Optimum Healthcare IT for their Epic implementation.

People

Anesthesiologist Lee Fleisher, MD joins CMS as chief medical officer and director of its Center for Clinical Standards and Quality.

Announcements and Implementations

Intermountain spinoff Castell implements analytics from Arcadia to help its provider, payer, and ACO customers transition to value-based care.

After its investment news last month, QGenda announces GA of Insights, analytics that aggregate scheduling and labor data across departments for greater visibility into provider capacity and availability.

Children’s of Alabama implements virtual desktop and EHR infrastructure from Pure Storage.

Health Catalyst offers Care Management Suite, a set of analytics-based apps designed to help providers with patient risk stratification, enrollment, and program management.

Government and Politics

The FCC adds nearly $200 million to 2020 funding for its Rural Health Care Program, which has helped providers in remote areas leverage broadband networks for telemedicine during the COVID-19 pandemic.

COVID-19

The outbreak continues to careen out of control as the US surpassed 50,000 new cases in a single day for the first time on Wednesday, with a national positivity rate of over 7% even with higher testing numbers. Florida reported more than 10,000 new cases on Thursday. Arizona reported more than 3,000 news cases with a 25% positivity rate. The county with highest number of new cases per 100,000 population is in East Carroll Parish, LA, with 194 versus the national average of 7. Florida does not publish hospitalization and death counts, but Arizona’s daily deaths are continuing their sharp climb.

Good advice to state governors from former FDA Commissioner Scott Gottlieb, MD: focus on functions that are critical for keeping the economy going and society functioning rather than “congregant settings inside that are purely entertainment” that should be closed. He says he would prioritize getting schools back open.

More than 40 high school principals who attended an in-person school leadership meeting in California are quarantined after one attendee who wasn’t having COVID-19 symptoms at the time tests positive days later. 

Young people in Alabama are throwing COVID-19 parties, urging infected people to attend to intentionally spread coronavirus to the others. Organizers are offering a cash prize for the first attendee who gets infected.

The NBA reports that 25 of its 351 players have tested positive since June 23, plus 10 of 884 team employees.

The White House plans to implement pooled testing by the end of the summer, where portions of 5-10 samples will be pooled into a single sample, and if it tests positive for COVID-19, the retained amount of the individual samples from the batch will be individually tested to identify infected individuals. Experts wonder why the US hasn’t already implemented that strategy already given its low cost, preservation of testing capacity, and success in other countries such as China, Germany, and Israel. CMS has ruled that pooled tests are not diagnostic and thus can be performed by any lab, but retesting samples from a positive batch is considered a diagnosis and can be performed only by certified labs, adding a delay of several days. Pooled testing isn’t practical in situations where positive results are common, such as in meatpacking plants or states whose infection is rampant.

Former CDC Director Tom Frieden, MD, MPH says that most US testing isn’t much good because it takes days to receive results, people aren’t isolated in the meantime, and contact tracing isn’t being employed to warn contacts quickly.

A young relative of mine was notified that her restaurant co-worker had tested positive for COVID-19 and thus my relative needed to be tested. This was last weekend, and she still hasn’t received her results five days later. I didn’t ask if she has been isolating while waiting to hear whether she is infected, but studies have shown that most people don’t. Tom Frieden is right – we’ll get a ton of spread from people who are tested but waiting for results, and that’s not even counting the several pre-symptom days where they were shedding virus without knowing they were infected.

Other

Bloomberg questions the health IT vendor rating methods of Black Book Market Research, which they say (a) is funded by vendors despite claims of independence; (b) conducts a huge number of surveys despite being a tiny company and thus is more like Yelp than J.D. Power, and (c) published two conflicting EHR surveys in which it first declared Cerner to be the VA’s best choice for meeting President Trump’s VA-related health issues, then shortly after named Allscripts the top EHR vendor (in Black Book’s defense, they were clear about applying different criteria, although naming Allscripts as #1 vendor was indeed odd). The scattershot Bloomberg article claims that Black Book published bios of fake executives, but I think that’s because a development website is visible online that I suspect was mocked up from random LinkedIn headshot grabs (including one person who is pictured twice under different names) but that was never on the production site from the web caches that I checked. It’s really a lot of nothingness – try to extract a list of factual bullet points as I did and you’ll see that the story mostly just throws unrelated items against a wall on which none stuck.

The advent of drive-through COVID-19 testing sites may be giving rise to drive-through clinics. A global architecture firm has designed such a facility for hospitals that are hoping to attract outpatients back with convenient, contamination-free appointments. Two Northeast facilities have expressed interest.

Sponsor Updates

• Halo Health will co-present with Atrium Health during the virtual AWS Healthcare & Life Sciences Web Day July 9.
• The Orange Chair Podcast features Hyland VP of Product and Strategic Planning Scott Dwyer.
• Medhost President Ken Misch discusses his personal health journey and the future of rural healthcare on the A Second Opinion Podcast.
• NextGate publishes a new white paper, “Patient Privacy and Data Governance in the Era of COVID-19.”
• Redox partners with Vonage to offer providers private, embedded, and customizable video capabilities; and the ability to build apps; share health data, and securely connect with patients and other providers.
• CarePort Health shares the success Henry Ford Health System has had using its care coordination technology to safely transition patients from the hospital to post-acute care.

Blog Posts

• 5 Reasons Why Providers Need Electronic Support for Glycemic Management (Glytec)
• How the Google AI Community Used Cloud to Help Biomedical Researchers (Google Cloud)
• Digital Transformation: Lessons Learned from Retail (The HCI Group)
• 2021 E/M code documentation: It’s the end of the world, and I feel fine (Nordic)
• What Health Systems Need to Know About COVID Relief Funding (Health Catalyst)
• The Right Mix: Assembling a Prescription Renewal Protocol Committee (Healthfinch)
• Thinking Small: 5 Things I’ve Learned About Writing Health Content for Kids (Healthwise)
• Pivoting Patient Access Strategies: Connecting Patients to Care During COVID-19 (Kyruus)
• Financial Recovery for Health Systems is at Least a Year Away. Going Digital Can Accelerate It (Loyale Healthcare)
• Helping Fund the Future of Healthcare (Netsmart)

Contacts

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

News 7/1/20

Top News

UCSF pays $1.14 million to ransomware hackers to regain access to servers in its medical school.

BBC gained real-time access to the price negotiations between UCSF and the customer service website (!!) of the hackers, which was used to negotiate the final payment amount.

The UCSF negotiator told the hacker that the university had been financially devastated by COVID-19 and offered $780,000 instead of the demanded $3 million, finally settling on $1.14 million.

Reader Comments

From TheRona: “Re: KLAS. Santa Rosa Consulting and The HCI Group have their scores temporarily suspended pending a ‘data integrity review.’ What’s the scoop?” I reached out to KLAS and received a statement from Adam Gale that I’ll summarize as follows. KLAS found during its routine data checks that an unnamed company was offering to boost vendor KLAS scores for a price via sample manipulation, sometimes falsely claiming to vendors to whom it was pitching that they were working in partnership with KLAS. KLAS says it immediately removed suspicious survey responses and data, also noting that few companies responded to the unnamed company’s offer.

From Buzzword Compliance Department: “Re: telehealth and telemedicine. Interested in the difference. Anyone care to elaborate?” I’ve seen unconvincing arguments that the terms mean different things, and I acknowledge the vast difference between “health” and “medicine” without the prefix, but I think usage has made the terms synonymous. It’s like EMR and EHR – we pretend to support “health” and use that term even though we really just care about the “medicine” part of delivering profitable encounters. I would say that telemedicine specifically refers to physicians practicing medicine from a location that is remote from the patient, while telehealth theoretically could involve other kinds of practitioners or non-professionals who are helping someone with health issues or even activities that don’t involve patients directly. Now let’s move on to “virtual visit” – is that video only, or does a telephone conversation, SMS message, or email exchange count? (I’m voting the latter).

HIStalk Announcements and Requests

Welcome to new HIStalk Platinum Sponsor RxRevu. The Denver-based company improves healthcare by supporting informed, consistent, and frictionless prescription decisions, partnering with the largest PBMs and payers to bring accurate insurance coverage and cost data into the prescriber’s EHR workflow. The company’s Real-Time Prescription Benefit cost transparency solution brings real-time patient- and pharmacy-specific information, such as cost, coverage restrictions, deductibles, and therapeutic alternatives. Prescription Decision Support promotes condition-appropriate prescribing and cost transparency to improve patient safety and satisfaction while reducing prior authorization work. The company is working with 2,000 health systems that use Epic or Cerner, and in the first five months of 2020, it processed coverage and cost information queries from 110,000 providers in completing 10 million transactions with PBMs. Thanks to RxRevu for supporting HIStalk.

I rarely edit or otherwise alter reader comments, but I’m reminding myself and readers of the significant exception – I don’t allow comments that accuse people by name of doing something illegal or immoral. I’ve edited or deleted a couple this week because it is not fair to allow someone who is anonymous to make unproven accusations about someone who isn’t, although sometimes the political ones fall into that gray area of “public figure” with some health IT relevance and I’ll let them slide.

Webinars

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

People

Fortified Health Security hires Dave Glenn (CBI) to the newly created role of chief revenue officer.

Announcements and Implementations

New Zealand’s MercyAscot private surgical facility goes live with InterSystems TrackCare during the country’s COVID-19 lockdown, using Microsoft Teams and remote training tools to perform a virtual implementation.

Healthcare managed detection and response services vendor CI Security announces integration with Internet of Things and Internet of Medical Things security vendors Ord, Medigate, and Cylera.

AMIA changes its November 14-18 annual meeting to a virtual event.

Government and Politics

DOJ charges Miami entrepreneur Jorge Perez and several co-defendants with fraudulently billing $1.4 billion in healthcare charges from his EmpowerHMS hospitals, netting him $400 million. Jorge Perez bought or took over management of 18 struggling, tiny hospitals and promised to save them by using them to bill out-of-state lab tests at rural hospital rates. One hospital in a town of 1,800 billed $92 million in lab tests in just six months. Insurers got wise and stopped paying for the tests, causing 12 of the hospitals to file bankruptcy and eight to close. Hospital employees reported that their electricity was turned off for non-payment, they were stuck with medical bills due to unpaid insurance premiums, and one hospital had its beds repossessed while patients were in them. One of the defendants is Seth Guterman, MD, who had developed software to maximize rural hospital billing and who is president and founder of Chicago-based EHR vendor Empower Systems.

COVID-19

Anthony Fauci, MD tells the Senate’s HELP committee on Tuesday that he wouldn’t be surprised if the daily number of new COVID-19 infections in the US rises from 40,000 now to an eventual 100,000. He warned Sunday that the US may not reach herd immunity even if a successful vaccine is developed because so many people will probably refuse to take it.

CDC Principal Deputy Director Anne Schuchat, MD says it is no longer possible to bring COVID-19 under control in the US, with the daily record number of new infections making it impossible to control the outbreak with contact tracing and quarantine. She says the experience with coronavirus will be similar to the Spanish flu of 1918 and nothing will stop it until a vaccine is developed. Schuchat was a key CDC player in previous outbreaks of H1N1 and SARS. Meanwhile, HHS Secretary Alex Azar says the” window is closing” to use the only available tools to address COVID-19 – distancing and masks.

Morgan Stanley’s COVID-19 model says epidemic doubling time has worsened to 41 days from 46 days last week, with Texas and Florida likely to have uncontrolled spread within 10 days if they don’t take aggressive action.

Arizona reported 4,700 new cases on Monday, with the largest increase being those aged 20-44 who also make up 22% of hospitalizations. The state has re-closed bars and other businesses, prohibited gatherings of more than 50 people, and pushed back school openings until mid-August. Florida reported 6,000 new cases on Monday with a positive testing rate of 14.4%.

A Harvard-NPR analysis finds that while US testing has improved to about 600,000 per day, it would take 4.3 million tests per day, coupled with contact tracing and a focus on people in high-risk settings, to suppress the infection’s spread.

The EU opens travel to its 27 countries starting Wednesday to residents of 14 nations whose 14-day COVID-19 infection rate per 100,000 people is as good or better than the EU average. Residents of the US will not be traveling to Europe for the foreseeable future.

Texas Medical Center redesigns its ICU capacity report to reflect the ability of its hospitals to use flexible capacity, responding to concerns from Governor Greg Abbott, who said that the previously reported 100% ICU occupancy was unduly alarming people. Projected bed occupancy growth predicts a move to Phase 2 ICU capacity on Wednesday. The total number of admitted patients who tested positive for COVID-19 was stable for weeks at under 500 per day until May 30, when the number started its steep, steady climb to the current 1,500+. The state’s Phase 2 reopening started on May 18.

Researchers find an emergence of a condition they are calling Multisystem Inflammatory Syndrome in children who are hospitalized for COVID-19. Those affected have heart problems, coagulation disorders, and gastrointestinal symptoms.

Former FDA Commissioner Scott Gottlieb, MD says that rapidly increasing case numbers in high-population states like Florida, Texas, and California mean that half of the US population will have had COVID-19 by the end of the year even if the current rate doesn’t increase.

Two Texas friends got tested for COVID-19 at the same facility before spending two weeks camping with others, yielding the same result (negative) but wildly different charges – one who didn’t want to bother using his insurance paid $199 in cash, while his friend is now stuck with a $900 balance that remained from Austin Emergency Center after her insurance company negotiated down the original $6,400 charge. She then went to the local TV station, after which the facility predictably cancelled her balance due.

A Michigan college bar that was allowing patrons to ignore distancing and mask requirements is linked to 107 new cases of COVID-19. Meanwhile, UW Health says that contact tracers are finding that a high percentage of newly infected COVID-19 patients in Epic’s home county of Dane were exposed from large gatherings in bars.

Other

Telehealth visit counts have steadily declined since their mid-April peak, dropping from 14% of all visits to less than 8% as the availability of in-person visits returned. Potential red flags in this finding are: (a) telemedicine visits were counted from scheduling software appointment types, which may not be reliable; and (b) the report counted percentage of total visits as in-person visits were increasing, which provides no insight into the change in the absolute count of telehealth visits.

Sponsor Updates

• Johns Hopkins Medicine will add HCPro’s library of physician query templates to its physician query system from Artifact Health.
• The Chartis Group publishes a new white paper, “Under Attack: Five Practical Steps to Thwart Increased Cyber Threats.”
• Clinical Architecture makes available its presentation from HL7’s FHIR DevDays, “Data Quality in FHIR: Lessons from the Field.”
• Ensocare welcomes Ashley Gorham (Medical Solutions) as an account executive.
• Hyland Healthcare will use MedPower analytics and tools to manage end-user training on its enterprise information platform.
• In Australia, MercyAscot implements TrakCare patient administration and billing software from InterSystems.
• Dimensional Insight will sponsor the St. Jude Walk/Run Boston on September 26.
• Health Data Movers hires recruiters Brett Kimes (Oxford Healthcare IT) and Durc Strand (Pivot Point Consulting).

Blog Posts

• Healthcare Supply Chain: PAR vs. Perpetual Inventory Systems (Impact Advisors)
• How to Prepare for Epic Optimization and Upgrades (314e)
• The Essential Resource Guide to Hospital-Enabled Virtual Care – Part 2 of 5 (Access)
• Simple Efficiency Strategies & Tools that Allow You to See More Patients (AdvancedMD)
• Lessons Learned for Locating Displaced Individuals Following Hurricanes (Audacious Inquiry)
• COVID-19 Financial Recovery Guide: Leveraging Patient Financial Clearance (Bluetree)
• Maximize Top-Line Revenue with Care Automation (Bright.md)
• Creating better healthcare experiences for transgender and gender-nonconforming patients (Nordic)
• Digesting the Data: CMS COVID-19 Nursing Home Numbers (CarePort Health)
• The COVID Factor: What Health System CIOs Are Saying About Their IT Priorities Now (CereCore)
• How to Keep Care – and Hospital Revenue – Going During a Pandemic (Central Logic)
• 3 Indicators to Monitor for Business Email Compromise (BEC) (CI Security)
• COVID-19 and the New Normal for Health Plans (Collective Medical)
• Diameter Health Technology’s Impact on HEDIS Reporting, by the Numbers (Diameter Health)
• The Value of Data in COVID-19 Contact Tracing (Dimensional Insight)
• How Advocare Put Healow TeleVisits to Work (EClinicalWorks)

Contacts

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

Monday Morning Update 6/29/20

Top News

Cybersecurity firm Expanse finds from monitoring the Internet traffic of six unnamed Fortune 500 healthcare companies that:

• Half are getting traffic from exposed Remote Desktop Protocol servers, which allows brute force password guessing.
• One-third are receiving Internet accesses from the deprecated Server Message Block v1 that is used for printer and port access, a popular way to spread major attacks such as Petya and Wannacry.
• One-third showed regular traffic from servers and devices in Iran, opening them to the possibility of state-sponsored attacks in the absence of geographic traffic filtering.
• Every company had outbound Tor traffic originating from its network, indicating that their security policies do not prohibit it.

Some of the RDP servers had brute-force password-guessing attacks underway and did not have Network Level Authentication enabled.

The SMB traffic indicates that those companies were already the victim of data exfiltration.

HIStalk Announcements and Requests

Three-fourths of poll respondents who have had a recent telehealth encounter provided their pre-visit information via an electronic form or upon being asked by someone other than the provider. Some gave their information directly to the clinician, while 12% either weren’t asked about allergies, meds, history, etc. or had to volunteer it.

New poll to your right or here: When will healthcare conference attendance rise to 75% of pre-COVID levels? Your answer will need to incorporate your predictions of the underlying factors, such as availability of an effective COVID-19 vaccine, healthcare business conditions, attending conferences versus alternatives, etc.

I was thinking about the challenge of getting people to wear masks despite their indifference, ignorance, or pathetic choice of ways to protest whatever it is that they’re angry about. My idea – hire marketing people to mount multiple targeted campaigns like the successful “Don’t Mess with Texas” anti-littering one from years ago. We know now that the pandemic isn’t going away soon, so we have time to convene focus groups and think of creative ways to encourage people to put them on given that rational thought isn’t doing it. I suggest distributing free masks that bear the same kind of lowbrow messages that people are willing to deface their cars to display publicly — think stick figure families, cartoons of a Ford truck owner peeing on a Chevy, 13.1 and 26.2 ones (ironically placed on vehicles), or those oval ones with made-up airport codes touting town pride. We know that marketing and social media advertising change behavior in ways that science and empathy won’t.

Webinars

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

Acquisitions, Funding, Business, and Stock

Microsoft will close all of its physical stores.

People

Predictive EHR workflow vendor Wellsheet hires Frederik Lindberg, MD, PhD (Friend Health) as VP of product management.

Announcements and Implementations

Redox publishes a podcast that describes its recent layoff of 44 employees and how it made the decisions that were required, making the process transparent in hoping to help other companies that are navigating their recovery from the pandemic.

Government and Politics

The White House asks the Supreme Court to overturn the Affordable Care Act, which would eliminate health coverage for 23 million Americans.

COVID-19

Case counts spiked in 36 states over the weekend, with Florida’s nearly 10,000 new cases on Saturday rivalling New York’s worst historic levels. More than 40,000 new cases were reported nationally on Friday as the CDC reports that actual numbers are likely six to 24 times higher. The US death count is at 127,000 as experts question whether the economic pain that was inflicted during the months-long but effective national shutdown was worth it now that complacence has raised the “flatten the curve” imperative once again.

Texas Medical Center stops publishing its base and surge ICU numbers, right after Houston area hospitals walked back their “our ICUs are about to be overwhelmed” message just 18 hours later in saying that they have plenty of capacity and their earlier dire warnings were overly alarming. This came days after the governor ordered hospitals in four Texas counties to stop performing profitable elective surgeries. Some Harris County hospitals are ignoring the governor’s order and the Texas Hospital Association says individual hospitals should be able to decide for themselves whether to perform elective procedures. The state has 5,500 patients hospitalized with COVID-19, extending its 16-day string of ever-increasing inpatient counts. TMC just announced that it will bring back the missing information in a form that better explains the capacity situation.

Texas reports hours-long lines for COVID-19 testing, along with limited capacity due to a shortage of supplies and crashing of websites for testing sign-up.

In Australia, the government’s $2 million COVID-19 contact tracing app has been downloaded 6 million times, but has yet to identify any contacts that hadn’t already been found via manual tracing. The app seems to have problem when the IPhone of the user or their contact is locked. Problems have also been noted with IPhones and Android phones sharing information. Of 926 new cases, only 40 people had the app installed and allowed health officials to look at the contacts it had flagged.

Former FDA Commissioner Scott Gottlieb, MD predicts that schools won’t open in the South in the fall due to the overwhelming infection spread. He also notes that the US was doing a poor job of contact tracing even before the daily new infection count hit 40,000, where such activity becomes basically impossible anyway.

A New York Times report says that college towns will be hit hard economically from COVID-19 due to reduced on-campus living, cancelled sporting events, and closed bars, calling out specifically campuses in rural areas such as those of Cornell, Amherst, and Penn State.

Arizona — which still hasn’t closed bars, mandated the wearing of masks, or prohibited large indoor political rallies without masks — publishes a point system to decide who gets ICU resources versus those who will be left to die without them. Arizona has 2,700 patients hospitalized with known or suspected COVID-19 (triple the number from a month ago) and nearly 500 are on ventilators (double the month-ago count). Nearly 90% of adult ICU beds are occupied. Imagine how bad it would be if the mostly elderly snowbirds in Arizona and Florida weren’t gone for cooler weather elsewhere.

New York State reported just five COVID-19 deaths on Saturday versus its previous peaks of around 800. The state mandates a 14-day quarantine for visitors from high-infection states.

Harvard’s Ashish Jha, MD, MPH raises the interesting point that while young patients have lower COVID-19 mortality rates than older ones, it is true of every disease that younger people have better survival odds. He looks at it differently: a 40-year-old patient who is admitted for COVID-19 has the same mortality rate as a 70-year-old who has a heart attack. Coronavirus still kills 5% of hospitalized patients aged 35-44 and Florida’s numbers are skewing much worse.

Members of the Congressional Hispanic Caucus demand that HHS explain its HHS Protect COVID-19 data project, for which it issued a $25 million contract with Palantir, whose data products are used by ICE to find and arrest immigrants. HHS says the HHS Protect information is de-identified. The CIA is an investor in the company.

UCSF’s Bob Wachter, MD summarizes the present state nicely.

Sponsor Updates

• PMD VP of Business Development Ted Ranney, MBA publishes a Medical Economics article titled “Telehealth best practices: Building a long-term workflow.”
• Nuance announces that its AI Marketplace for Diagnostic Imaging is accelerating AI adoption for radiologists at leading healthcare systems.
• OmniSys and RedSail Technology announce a strategic partnership to bring innovative clinical and revenue cycle solutions to independent and long-term care pharmacy markets.
• IDC recognizes Pure Storage as a top five vendor in the OEM storage space.
• Redox releases a new podcast, “Layoffs.”
• Saykara launches a YouTube channel.
• Summit Healthcare publishes a new case study, “Surgery Partners: Improving Processes with RPA Across all Meditech Platforms; Magic, 5.x, 6.x, and Expanse.”
• Researchers publish “Factors Associated with Prescribing Oral Disease Modifying Agents in Multiple Sclerosis: A Real-World Analysis of Electronic Medical Records” based on data from TriNetX’s network.

Blog Posts

• A Real View: Radiology’s Post-COVID Road to Recovery (Nuance)
• Are You Ready for the Busiest Immunization Season Ever? (OmniSys)
• How Real-World Evidence is Shaping the Response to COVID-19 (Premier)
• Building Remote Cultures Before, During and After Zoom Pandas (SailPoint)
• Your gauge for patient education (StayWell)

Contacts

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

News 6/26/20

Top News

Kaufman Hall spins off its enterprise performance management software division as Syntellis Performance Solutions, with investment from private equity firms Thoma Bravo and Madison Dearborn Partners.

Kaufman Hall’s Kermit Randa will move to the new company as CEO.

The business was created from Kaufman Hall’s Axiom Software and its recently acquired Connected Analytics practice of Change Healthcare.

Reader Comments

From Barely Covered Enmity: “Re: Shafiq Rab leaving Rush University Medical Center. Interesting that his LinkedIn says he is a senior advisor to Michael Dandorph, the CEO of Wellforce. Bill Shickolovich is still listed as CIO, but Dandorph came from Rush. Wellforce is a relatively new player in MA, with Tufts Medical Center primarily on Siemens, Lowell General on Cerner, and Melrose-Wakefield on Meditech. Most affiliated providers are on eCW. They have announced plans to move all to Epic.”

From Generally Specific, MD: “Re: telemedicine EHR entries. Our billers tell us that we have to record three numeric entries in the vital sign section of our EHR to quality for telemedicine payment. You’re allowed to take the patient’s word on height and weight (yup). Some people will give you a temp, home blood pressure check, or data from Apple Watch or Fitbit. When all else fails, I see if they can feel a pulse (big one in neck if wrist fails) and have them count while I time 15 seconds on my phone. Or watch them breathe. If someone doesn’t look good, I have to get them seen in person anyway.”

From Swag Seeker: “Re: conferences. Will HLTH cancel?” They already have. HLTH announced last week that the October event will be virtual (meaning: a flop.) HLTH has held just two conferences in its short existence, the first in May 2018. I would not want to be HIMSS, RSNA, or other non-profits that fill the bank mostly from their member conferences, but HLTH is even worse off in being funded by VCs and having no other line of business to fall back on. HLTH made some puzzling decisions about locations and dates early on but managed to lure a lot of healthcare luminaries and their expense accounted-fueled groupies to generally positive reception. They will now try again in Boston in October 2021, assuming that (a) they survive, and (b) that anyone cares by then. Conferences aren’t coming back strong until a year or two after a vaccine is proven to be effective, if ever, and we may have found better ways to spend the time and money of our employers by then.

HIStalk Announcements and Requests

I’m watching and recommending  the Netflix medical documentary series “Lenox Hill,” which follows four doctors and their patients at Northwell Health’s Lenox Hill Hospital. Fun fact: Northwell pays featured neurosurgeons David Langer, MD (above) and John Boockvar, MD more than $2 million each per year. Google-stalking suggests that Langer’s summer house in the Hamptons, site of the retreat the doctors attended, is worth a cool $3 million. Still, they seem like highly competent, mostly nice guys, although I bet that being surgeons that some critical, loudly recited monologues to eyes-downcast co-workers were left on the virtual cutting room floor.

Webinars

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

Acquisitions, Funding, Business, and Stock

The Massachusetts EHealth Collaborative will sell its remaining assets and shut down operations. The non-profit sold its technology assets and customer accounts to population health management and analytics vendor Arcadia last month. The majority of its employees, including President and CEO Micky Tripathi, have joined Arcadia.

Sales

• Idaho will integrate its PDMP data into statewide EHR and pharmacy systems using Appriss Health’s PMP Gateway solution.
• Teleradiology company Rapid Radiology selects OpenText’s EMR-Link software to ensure smoother transfer of imaging results to providers at long term care and skilled nursing facilities.
• The University of Illinois Hospital and Health Sciences System will implement PhysIQ’s PinpointIQ remote patient monitoring technology to monitor employees for signs of COVID-19, and high-risk COVID-19 patients for signs of deterioration.
• Wexford PHO goes live on the all-payer population health management solution of SPH Analytics.
• Fairfield Medical Center (OH) chooses Updox for patient flow management, in-office productivity, and virtual care.
• The DoD gives Leidos a $170 million task order for MHS Genesis services that will include program management, enterprise sustainment, license maintenance, and operational management services.
• Texas Health Aetna will use the SMS/IVR technology of CareSignal for remotely monitoring patients with diabetes, hypertension, and asthma.

People

Cambridge Health Alliance names Hannah Galvin, MD (Beth Israel Lahey Health) as CMIO.

Shannon Werb (Virtual Radiologic) joins DispatchHealth as COO.

The HCI Group names Will Conaway (Prime Healthcare) VP of provider delivery.

Announcements and Implementations

The Froedtert & the Medical College of Wisconsin rolls out a remote patient monitoring program for pregnant patients using technology from Babyscripts made available through digital health prescription vendor Xealth, which includes the health system among its investors.

PatientPing launches an e-notification service for patient admissions, discharges, and transfers that ensures providers are compliant with the Condition of Participation laid out in the final Interoperability and Patient Access rule from CMS.

Nordic develops an evaluation and management transition service to help health systems comply with CMS’s E/M updates, set to take effect January 1.

UCI Health (CA) adds Everbridge’s MediNav wayfinding technology to its My UCI Health app.

MuleSoft announces GA of Accelerator for Healthcare, a set of prebuilt APIs, integration templates, and best practices that can help developers more easily integrate data from different EHRs into healthcare projects. Salesforce acquired the company in 2018 for $6.5 billion.

Mayo Clinic (MN) launches a home healthcare service using technology from Medically Home. The service falls under the health system’s relatively new Mayo Clinic Platform, an initiative led by John Halamka, MD that aims to create new ventures using the latest technologies.

Healthcare voice AI vendor Suki launches a new voice service that it says will deliver faster, more accurate company responses from normal physician speech. Its digital clinical assistant has also been enhanced with ICD-10 coding, Epic integration, and delivery of an app for Android smartphone users.

COVID-19

Texas Governor Greg Abbott bans elective surgeries in Bexar, Dallas, Harris, and Travis counties to free up bed space for the state’s rapidly expanding epidemic. Texas Medical Center says it will need to tap surge capacity this week and is on track to exceed total capacity within two weeks. The governor will also halt further reopening phases, acknowledging the state’s “massive outbreak” after it rushed to reopen despite increasing numbers. Abbott said two weeks ago that there was no reason to worry about reopening because “we have so many hospital beds available to anybody who gets ill.” Texas allows churches, governments, daycare centers, and camps to operate without occupancy limits, while bars, sporting events, swimming pools, libraries, and amusement parks can operate at 50% occupancy. Restaurants are limited to 75% capacity. Abbott, who previously refused to require mask-wearing and barred local officials from implementing their own mask requirements, encouraged Texans to wear masks in announcing his executive order Thursday. Perhaps it bears repeating that being discharged alive from a COVID-19 hospital stay doesn’t preclude a shortened lifetime of suffering, never-ending medical interventions, and hugely diminished quality of life. The ability to get an ICU bed and ventilator should not provide a false sense of security.

Public health officials in Austin, TX blame COVID-19 case counts that vary wildly by day on labs that are sending test results by fax, requiring their employees to re-enter the information manually. County officials want to know which labs are involved for possible enforcement of the state law that requires digital reporting.

COVID-overwhelmed Arizona is experiencing the same problems that other states ran into early in the pandemic — long lines for testing, a shortage of testing capacity, and a lack of coordination among hospitals and doctors offices to match testing demand to availability.

West Virginia Governor Jim Justice fires Cathy Slemp, MD, MPH, commissioner of the state’s Bureau of Public Health, claiming that her office unintentionally inflated COVID-19 case counts by failing to exclude recovered patients.

CVS Health announces GA of Return Ready, a customizable COVID-19 screening, testing, and analytics program for employers and universities that also offers digital tools for symptom monitoring and contact tracing.

Bars are increasingly looking like a COVID-19 breeding ground in states where they are open, with factors being close quarters, fearless young customers who don’t wear masks, proprietors who flout distancing and crowd size mandates, and loud conversations that spray more droplets. Patrons who don’t know they’ve been infected are spreading the infection to people who are more cautious.

COVID-19 is forcing health system to change their plans for developing hotels to house elective surgery patients and visitors, many of them cash-paying residents of other countries. Miami’s $500 million, 680-foot tall Legacy Hotel and Residence will feature a 256-room hotel, a 100,000 square foot medical center, condos, bars, restaurants and shops, but its CEO says he doesn’t use the term “hospital” for reasons that go beyond the legal one of not offering emergency services — “You’re in a luxury hotel. You don’t want to be around people who are dying.”

Other

The American Hospital Association loses its bid to stop the federal government from requiring hospitals and insurers to publish their negotiated prices. AHA had argued that the White House did not have the legal authority to require such disclosure, that compliance would create overwhelming administrative burdens, and that such transparency might increase prices. The federal judge disagreed, ruling that informed customers should drive prices down and that hospitals attack transparency measures in general to keep patients in the dark about pricing. Hospitals are appealing the ruling.

A review of the VA’s HIT-related outpatient diagnostic delays over several years finds five key high-risk areas: overwhelming EHR inbox notifications and communications and lack of coverage for absences; lack of interoperability and visible surfacing of important information; technical problems; data entry issues; and systems that don’t track test results. It cites previous studies in which PCPs reported missing abnormal test results because of an overloaded EHR inbox that requires more than an hour per day to work through. Specific cases were interesting:

• Physicians who were notified by note to correct an EHR entry sometimes signed off without actually making the correction.
• One clinician missed an abnormal test result that was among the 200 inbox notifications they received in one day.
• Results were sent to clinicians who were on leave or who had left the organization with no one assigned to cover their inbox.
• Use of note templates sometimes caused the recipient to miss important information.
• Clinicians missed information due to delays in obtaining records, missing fax reports, delays in outside organizations posting diagnostic information to record-sharing portals, and failure to notify the clinician to review records that had been scanned.
• Clinicians sometimes failed to review abnormal test results in subsequent encounters.
• One clinician had customized the EHR to display only abnormal results, but missed one abnormal result because an abnormal cutoff value had not been defined.
• Inactive radiology codes failed to trigger notification.
• Abnormal result warnings were set to disappear when opened, so clinicians lost track if they were interrupted.

Sponsor Updates

• VMblog features an interview with Goliath Technologies CMO Stacy Leidwinger.
• Google Cloud hires Kathy Bonanno (Palo Alto Networks) as finance lead.
• Halo Health publishes a case study, “Schedule-Driven Communication Improves Collaboration for Great River Health System.”
• Pivot Point Consulting expands its telehealth services to offer end-to-end solutions, from strategy to platform selection to implementation.
• Hyland CEO Bill Priemer shares his thoughts on potential challenges and the unknowns around working from home.
• The Boston Globe features Imprivata CEO Gus Malezis in an article assessing COVID-19’s impact on office work.
• Seeking Alpha profiles digital prescription savings and patient engagement company OptimizeRx.
• Vocera partners with Mediaplanet to launch the “Empowering Our Healthcare Heroes & First Responders” media campaign.
• PMD successfully completes its annual SOC 2 Type II and HIPAA security audits.

Blog Posts

• The Essential Resource Guide to Hospital-Enabled Virtual Care / Part 2 of 5 (Access)
• Cyberattacks: Don’t Overlook Medical Devices (Capsule)
• Overview of Nordic’s Upgrades and Ticket Backlog Solution (Nordic)
• Cross-State Nurse Licensing: One Way to Improve Care During COVID-19 (Health Catalyst)
• Clinical NLP Part 3: Streamlining, Optimizing Medical Necessity Review (Wolters Kluwer Health Language)
• Tracking Renewal Request Volumes to Optimize Staffing (Healthfinch)
• Bridging the Social Determinants of Health Gap Between Payers and Providers (Imat Solutions)
• IT Assessment: Am I Organized for Success in the Long Run? (Impact Advisors)
• Everyone wants to work remotely … now what? (Infor)
• Pivoting Patient Access Strategies: Connecting Patients to Care During COVID-19 (Kyruus)
• Providing feedback to HIT vendors: Five strategies that work (Intelligent Medical Objects)
• Five Critical Operational and Financial Capabilities Required for Healthcare’s Financial Survival (Loyale Healthcare)
• The Pros and Cons of Hiring Contract Physical Therapists (MWTherapy)
• Best Practices: Building a Long-Term Telehealth Workflow (PMD)

Contacts

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

News 6/24/20

Top News

CMS Administrator Seema Verma says that analysis of Medicare claims confirms that socioeconomic status, race, and ethnicity of COVID-19 patients affect their likelihood of complications.

Verma says the US health system needs to transition from fee-for-service to value-based care and to hold providers accountable for outcomes.

CMS has started publishing a monthly Medicare COVID-19 Data Snapshot. The initial release indicates that 325,000 Medicare beneficiaries were diagnosed with COVID-19 through May 16, with 110,000 of them being hospitalized. Blacks were hospitalized at a rate four times that of whites.

CMS also announces the creation of CMS’s Office of Burden Reduction and Health Informatics, which will look at the burden of meeting CMS compliance requirements, fostering innovation through interoperability, and using technology to create new tools to allow patients to own and carry their health data and to give clinicians their complete medical history.

Reader Comments

From Wilson’s Gremlin: “Re: telehealth visits. I’m wondering what percentage have deficient pre-screenings performed (temperature, blood pressure) because appointments are remote? Or that require patients to leave home afterward for follow-up (for blood to be drawn or for a nasal swab)?” Good question – maybe someone knows. That would lead me to wonder whether traditional practices had to reconfigure their EHR to make in-person measurements such as temperature optional rather than required. It would also be interesting to know how many physical trips a virtual visit generates (lab, pharmacy, X-ray, PCP, etc.) although most of those would have been required even with a face-to-face visit.

HIStalk Announcements and Requests

Newbie vendor prospecting and marketing people are working energetically from home with minimal supervision and mentorship, so I’ll provide these tips:

• Do not “circle back” if a health IT executive didn’t find your first unsolicited email interesting enough to respond the first time.
• Do not hound people on LinkedIn with unsolicited connections and boilerplate messages.
• Do not send unsolicited calendar appointments.
• Whatever your company sells may well be the most important part of your universe, but the provider world is dealing with decimated revenue and COVID-19 challenges, so you aren’t anyone’s top priority.
• Those books on lead generation, sales funnels, and social media marketing that you ordered from Amazon push ideas that are not only ineffective in selling to the health system C-suite, but often detrimental.
• Focus on their problems, not your needs.
• It is risky for an industry newbie to pursue a conversation with someone who has decades of health IT leadership. Your unfamiliarity with the industry’s lingo, lack of broad knowledge, and insecurity-driven adherence to the company-approved conversational script makes success unlikely even if you get someone on the phone.

Webinars

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

Acquisitions, Funding, Business, and Stock

Cerner conducts another round of layoffs, this time involving 100 employees. The nails-on-blackboard corporate phrase “new operating model” was uttered yet again as an explanation.

CoverMyMeds finds in a comprehensive prescription access report that 70% of patients have made sacrifices to obtain their medications, while 30% of providers say their patients are unable to pay for meds. COVID-19 has caused changes – 20% of patients paid cash for prescriptions; two-thirds say they are more likely to use telehealth going forward; 30% of providers say their biggest telehealth challenges are privacy concerns and lack of EHR integration; and 80% of providers say their telemedicine use is hampered by patients who lack technology skills. Patients who are prescribed specialty medications report delays of up to several weeks waiting for prior authorization. Most prescribers don’t trust the formulary and insurance benefit information contained in their EHRs and 86% of them say their office bears a “high” or “extremely high” workload burden in managing prior authorization requests.

High-acuity house call provider DispatchHealth raises $136 million in a Series C funding round, increasing its total to $217 million. It offers home visits that can include lab work, EKG, infectious disease tests, medications, IV placement, breathing treatments, suturing, catheter placement, and splinting.  The company operates in 19 cities and accepts many insurances, leaving patients an out-of-pocket cost that averages $5 to $44.

Sales

• Billings Clinic (MT) will implement TransformativeMed’s specialty- and disease-specific EHR workflows, which include notification, messaging, and a COVID-19 app. The company will also be developing a nursing handoff app.

People

Physician practice change analytics vendor Empiric Health hires Spiro Papadopoulos (Stanson Health) as VP of business development.

Shally Pannikode (WellStar Health System) joins Humana as CVP/CIO of healthcare services.

Rush University Medical Center SVP/CIO Shafiq Rab has resigned, according to his LinkedIn.

Announcements and Implementations

AbleTo launches population-based virtual mental health services to payers.

PatientKeeper develops its Charge Capture software into a FHIR-based app that is embedded in Cerner, allowing clinicians to launch the charge entry screen within their Cerner workflow to record patient charges.

COVID-19

US COVID-19 infection doubling time has dropped from 60 days last week to 52 days now, with 31 states reporting an expanding epidemic. Deaths are at their lowest levels in three months, however, leading to interesting speculation as to why. Most likely answer – younger people are getting increasingly infected without becoming seriously ill, but the infection’s spread to more vulnerable populations in the absence of mitigation strategies is inevitable. Most optimistic but unlikely answer – treatments and care management are improving outcomes.

Coronavirus seems to be infecting people under 50 at higher rates than were observed in the Northeast, with 50% of hospitalized patients and 30% of those in ICUs being under 50 in the Dallas-Fort Worth area. The median age of people who are testing positive in Florida has dropped from 65 years in March to 35 now, which may be a function of more widespread testing, but also possibly because older people are protecting themselves better. Florida hospitals are admitting more COVID-19 patients in their 20s, 30s, and 40s.

Texas Children’s Hospital starts admitting adult patients to free up Houston-area beds for the expected surge of COVID-19 patients. Houston Methodist Hospital says COVID-19 admissions have tripled since Memorial Day.

A preliminary report suggests that oral dexamethasone – which is cheap, readily available, and low in significant side effects — can reduce mortality in hospitalized COVID-19 patients, especially those who are ventilated or receiving oxygen.

The European Union is likely to add the US to its list of countries whose citizens will be barred from entering its 27 countries because of out-of-control COVID-19 spread. Travel restrictions will be loosened on July 1 for countries whose new infections in the previous 14 days meet or beat the EU’s average of 16 per 100,000 residents. The US is at 107.

A COVID-19 congressional hearing finds that President Trump hasn’t spoken to the government’s key pandemic players in several weeks, including NIAID Director Anthony Fauci, MD and FDA Commissioner Stephen Hahn, MD. CDC Director Robert Redfield, MD declined to answer when asked.

Other

A White House executive order suspends issuance of H-1B work visas through at least the rest of the year, prohibits US companies from transferring foreign executives to long-term US assignments, and blocks US entry of spouses of foreign-born workers. The federal government says the order will keep 525,000 people out of the country to protect American jobs. The H-1B employer program is for highly educated people in specialty occupations, most of them in technology, medicine, academics, and engineering.

Cerner VP of Government Services Julie Stoner says the VA’s rollout will take 10 years.

Sponsor Updates

• Pivot Point Consulting performs a virtual Epic go-live at Carle Foundation Hospital (IL).
• Central Logic CEO Angie Franks will describe health system telehealth use cases in a presentation this week to the virtual American Telemedicine Association Conference & Expo.
• Health Catalyst joins the FDA’s COVID-19 Evidence Accelerator.
• Optimum Healthcare IT and University of North Florida create an EHR apprenticeship program called Last Mile Training.
• Capita Healthcare Decisions adds Healthwise’s evidence-based information to its Salus Universal patient engagement and relationship software.
• The Chartis Group publishes a new white paper, “After the Surge: Five Health System Imperatives in the Age of COVID-19.”
• Clinical Computer Systems, developer of the Obix Perinatal Data System, releases the latest edition of its Critical Care Obstetrics Podcast, “DKA Made Simple.”

Blog Posts

• 3 Aspects of Epic Interfaces Worth Outsourcing (314e)
• Improve staff-manager relationships with collaborative scheduling (Ability Network)
• 3 Ways You’re Wasting Time in Your Medical Practice (AdvancedMD)
• Nurses of Spok: Kiley Black on blending technology and nursing (Spok)
• Agfa HealthCare shortlisted at the new Health Tech Leaders Awards 2020 (Agfa Healthcare)
• Supporting Epic Clinical Users During Staffing Mobilization (CereCore)
• Why It’s Critical to Choose an ONC-Certified EHR Solution (ChartLogic)
• The Increasingly Critical Role of Home Health (Collective Medical)
• Removing Barriers to Patient Care at the Pharmacy (CoverMyMeds)
• What Are the New CMS and ONC Interoperability Rules for Payers? (Cumberland Consulting Group)
• Using TCM to Improve Care & Capture Revenue (EClinicalWorks)
• Using NEMT to Solve for COVID-Related Obstacles (Ensocare)

Contacts

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

Monday Morning Update 6/22/20

Top News

In Russia, President Vladimir Putin calls for the healthcare system there to roll out out digital systems and to use artificial intelligence.

Putin told health workers in a videoconference that Russia should use its experience in successfully addressing coronavirus to improve the overall reliability of its healthcare system.

Reader Comments

From Options Exercise Program: “Re: PatientPing’s delayed funding announcement. If you’re going to disclose a raise, make it timely. When public companies do this, we (the investor research community) used to call it ‘painting the tape.’ It matters because the backdrop between now and then is very different. Raising the money during this current time (COVID) sends a very different signal of optimism than it did when the raise occurred. Same quarter plus or minus is fine, but not 16 months.”

HIStalk Announcements and Requests

More than half of poll respondents expect the use of virtual provider visits to increase in the next year over today’s already-increased levels, although two commenters correctly observed that the challenges are not related to technology limitations, consumer or provider preference, or clinical outcomes – it’s all about payments by CMS and insurers.

New poll to your right or here: For those who have had a recent telehealth visit: how was pre-visit information (allergies, meds, recent history, current problem, etc.) collected?

Listening: new from Travis, a Scotland-based (“Glaswegian,” a new word to me) indie band that has been around for 30 years. They couldn’t make a video for the new tune because of coronavirus lockdowns, so singer Fran Healy and his son drew their own.

Webinars

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

People

Arcadia promotes Debbie Conboy to VP of risk adjustment and quality products and hires Catherine Turbett, MHA (Lumeris) as VP of ACO and health plan account operations.

Announcements and Implementations

KLAS didn’t send me its “US Hospital EMR Market Share 2020” report, so I’ll summarize what its blog post says. Only Epic and Meditech had a net gain in hospitals in 2019. Epic has won most of the new big-hospital decisions over several years, but Cerner bagged the DoD/VA elephant. KLAS says there is room for another market entrant, but it glosses over the time, money, and determination that would be required to develop, sell, and install a new hospital EHR. On an unrelated note, I have a minor grammatical quibble with KLAS for writing “multi-tenet” instead of “multi-tenant.”

COVID-19

The New York Times reports that nursing homes are taking advantage of being off limits to ombudsmen during the pandemic by evicting low-profit residents — such as those on Medicaid — to free up beds for profitable COVID-19 patients. Some facilities have discharged residents with no notice to unregulated boardinghouses and cheap motels, sometimes without notifying their families. Nursing homes make much of their profit from post-surgery rehab patients who are covered by private insurance, the supply of which has dwindled as hospitals halted non-essential services. Seventy percent of US nursing homes are for-profit businesses, with 11% of them being owned by private equity firms.

Former FDA Commissioner Scott Gottlieb, MD says that the 10 states that are seeing record-high new COVID-19 cases (AL, AZ, CA, FL, NV, NC, OK, OR, SC, TX) are losing control of the epidemic, as doubling time has fallen to under 10 days. He questions whether the governments of those states possess the political will to implement mitigation steps that could slow the spread. Researchers have noted that states that have higher mobility and low testing and tracing are more likely to be experiencing outbreaks. Arizona’s positive test rate is at 17% and its case count has turned sharply upward, far more than any other state. Thoughts that COVID-19 will throttle itself back in the heat – which were already questionable given its early impact in warm areas of the globe – should consider Arizona (highs in Phoenix are at 110 degrees) as evidence to the contrary, or perhaps more specifically, that congregating indoors under air conditioning without masks once lockdowns have eased is great viral exploit.

President Trump tells attendees of his Tulsa rally that he ordered government officials to slow down COVID-19 testing. He explained, “When you do testing to that extent, you’re going to find more people. You’re going to find more cases. So I said to my people, slow the testing down, please.”

The American Red Cross says blood donations have dropped sharply due to lockdowns and coronavirus fears, and as an incentive to lure donors back, is offering them a free COVID-19 antibody test.

A Harvard working paper finds that the COVID-19 mortality rate of black people ranges from seven to nine times higher than that of white people, depending on age group, meaning that the “years of potential life lost” of both blacks and Hispanic / Latino populations are higher than that of whites despite their much smaller population. 

ProPublica reports that 12% of New Jersey’s nursing home residents died of COVID-19, along with 6% of all nursing home residents in New York, when the states ordered unprepared nursing homes to take all hospital transfers and prohibited them from testing prospective residents for COVID-19 in a “reverse triage” attempt to free up hospital beds. State officials based their order on federal guidance that allowed such transfers if the nursing home met a list of criteria, but nobody was sure who was responsible for assessing their readiness. A Wall Street Journal investigation found that 50,000 of the country’s 122,000 COVID-19 deaths have involved long-term care residents and employees.

Former FDA Commissioner Robert Califf, MD says that while the US is applying impressive technology expertise to COVID-19, we’re ignoring the basics, such as wearing masks and distancing.

Other

A federal grand jury indicts a Detroit man for the 2014 hack of UPMC’s HR system, where he is accused of selling the information of 65,000 employees on the dark web to conspirators who used it to file fraudulent tax returns. The LinkedIn of Justin Sean Johnson says he is a Oracle PeopleSoft expert who worked as a a self-employed cybersecurity researcher for several years, now employed as an IT specialist at FEMA.

Sponsor Updates

• Premier develops Intersectta, an oncology-focused group purchasing organization to source cancer and other specialty drugs.
• Relatient publishes a new case study, “Cherokee Health Systems Powers Telehealth with Patient Engagement, Goes Live Across 24 Locations During COVID-19.”
• CareSignal publishes a case study titled “How Mercy Built a Technology-Enhanced Care Management Model to Scale Care Management and Increase Patient Engagement.”
• Saykara congratulates customer OrthoIndy on receiving the Healthgrades 2020 Patient Safety Excellence Award.
• Spok appoints Brett Shockley (Journey.AI) to its board.
• TriNetX will partner with Parexel to advance real-world data use in clinical development.

Blog Posts

• IT Assessment: Am I Organized for Success in the Long Run? (Impact Advisors)
• PMD: Helping Practices and Patients Navigate Telehealth When They Need it Most (PMD)
• Getting Back to Regulatory Readiness (Premier)
• How to Put Your RPA in 6th Gear (Summit Healthcare)
• Leading a Data-Driven Healthcare Marketing Culture (SymphonyRM)
• Year of the Nurse and Midwife 2020 – What’s Your Story? (Vocera)
• More than PPE: Safety Precautions for Physical Therapists in the Age of COVID-19 (WebPT)

Sponsor Spotlight

Get-to-Market Health is a specialized consultancy focused exclusively on accelerating sales and driving revenue growth for healthcare solution providers. We work with business leaders to simplify the complexity and unique buying patterns of the healthcare market. Bringing deep, broad experience and valuable network connections, the partners at Get-to-Market Health are industry experts. We have worked at and with dozens of healthcare technology businesses ranging from small startups to large, established companies. We help our clients navigate the challenges they face as they work to drive revenue and market innovation.

(Sponsor Spotlight is free for HIStalk Platinum sponsors).

Contacts

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

News 6/19/20

Top News

Member-owned health plan Health Care Service Corporation will create a Payer Platform to connect its health plans to in-network Epic-using health systems for reviewing patient data, managing claims payment and prior authorization, and facilitating care management.

HCSC is the country’s fifth-largest health insurer, with 16 million members enrolled in Blue Cross Blue Shield plans in Illinois, Montana, New Mexico, Oklahoma, and Texas.

HCSC acquired care management solutions vendor Medecision for $121 million in mid-2008 and is a partial owner of clearinghouse operator Availity.

Reader Comments

From Cellular Terrorist: “Re: COVID-19. You should call out the states that refused to apply sound public health measures and are now having record-breaking case numbers.” The problem with the federal government allowing states to do whatever they want is that we as a country can’t or won’t curtail unencumbered travel, so a Florida resident or visitor who parties down mask-free could spread COVID to more responsible areas in the “weakest link” theory. COVID-19 has demonstrated that we Americans don’t care much about science and can’t be bothered with inconveniences like wearing masks unless they promise to save us instead of someone else, so perhaps the “we’re all going to get it eventually anyway” crowd is right. What happens in Vegas doesn’t unfortunately stay in Vegas when it comes to coronavirus.

From Contact Tracy: “Re: contact tracing. See this press release for what my company is about to launch.” As an occasional bearer of bad news, allow me to level-set you: (a) use of any contact tracing app in the US will be under 15% and will drop quickly, making zero difference, and what little adoption there is will be all Apple and Google; and (b) contact tracing in general in the US won’t work because nobody trusts anybody, especially anyone connected with government in any form, enough to give them any personal information, much less their contact names and information, and they won’t even answer phone calls and emails from public health officials. We had better excel at developing a vaccine since every prevention strategy that worked elsewhere — lockdowns, masks, widespread testing, contact tracing, travel limitations, and immunity passports – requires nearly universal adoption and won’t fly in a fatally divided country like ours. Not to mention that we are a lot unhealthier than much of the developed world and will experience a higher rate of coronavirus-related deaths as result. We’re at 120,000 now, more than two Vietnam Wars’ worth (and to paraphrase Chief Brody said in “Jaws,” you’re gonna need a bigger wall). 

HIStalk Announcements and Requests

The grocery chain pharmacy (those are always cheaper than drugstore chains in my experience) filled my 360-day prescriptions for blood pressure and cholesterol meds with a 91-day supply even though I wanted a full year’s worth and was paying cash using a GoodRx coupon. They said GoodRx rejected the 360-day quantity, so I called GoodRx and was quickly connected to a pleasant, actual human who verified that some vaguely described policy limits fills to a 91-day supply in some cases. She could not describe those cases or explain why the app would issue a coupon that was not valid. I still got a year’s supply, paying $82 instead of the expected $60, and only then because the pharmacist found a coupon from a GoodRx competitor. At least the recent federal change that prohibits PBMs gagging pharmacists from telling patients about lower-cost options worked for me and I was impressed with GoodRx’s customer service. Meanwhile, CNBC reports that the software guys who started GoodRx have built a business worth $3 billion in finding yet another illogical loophole in our illogical healthcare non-system.

Webinars

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

Acquisitions, Funding, Business, and Stock

PatientPing confirms the reader rumor that I recently ran: the $60 million Series C fund raise that it announced last week was actually completed in February 2019. The company told me that it held the announcement “to peg it to exciting company milestones and product capability rollouts,” which was explained to the Boston business paper as waiting on CMS to publish legislation that requires hospitals and EDs to send ADT notifications, a core capability of PatientPing. That CMS action was delayed, so the announcement was held as well. Experts note that private companies like PatientPing can announcing funding whenever they want or can skip an announcement altogether. It doesn’t feel right to me to hold off for 16 months, but only because a prospect might infer overly optimistic business conditions during a pandemic in which health systems have been nearly shut down for months.

Redox confirms a reader-reported rumor I sent their way, acknowledging that it laid off 44 people, about 25% of its headcount, on Tuesday. The company says it had planned to double its size in 2020 as it had in 2019 and hired accordingly, but COVID-19 changed the focus of financially strapped health systems. Redox is working with customers and partners to place those of its employees who were affected  –contact christine@redoxengine.com.

Social services referral software vendor Unite Us acquires Staple Health, an analytics company that focuses on social determinants of health.

Signify Research reviews the plan of Mednax to sell its radiology groups and Virtual Radiologic teleradiology business, with the company renaming itself back to its original name of Pediatrix Medical Group as a pediatrics and obstetrics business. Signify notes that the company paid $500 million for VRad in 2015, added 10 practices, and grew revenues by 10% to $3.5 billion, but piled on debt and saw EBITDA slide 24% over the four years. VRad is the world’s largest teleradiology provider. The company announced in early April that it would cut executive salaries, furlough and reduce the pay of non-clinical employees, and cut non-essential expenses in reaction to COVID-19. Signify expects VRad to benefit from its work on AI algorithms over the past several years.

Sales

• MultiCare Connected Care (WA) selects Innovaccer’s Data Activation Platform and InGraph population health analytics.
• Stonewall Memorial Hospital District (TX) selects CPSI’s Evident EHR and TruBridge RCM software and services.
• AdventHealth will implement Virtustream’s Healthcare Cloud to power its new Epic system.

People

Craig Joseph, MD (Avaap) joins Nordic as chief medical officer.

Arcadia promotes Debbie Conboy to VP of risk adjustment and quality products and hires Catherine Turbett (Steward Health Care) as VP of ACO and health plan account operations.

Announcements and Implementations

OrthoIndy (IN) implements Saykara’s AI-based physician charting app.

COVID-19

NIH’s All Of Us research project adds three COVID-19 data collection components for researchers who are approved to study data from its 350,000 participants:

• Testing at least 10,000 samples from recent enrollees for COVID-19 antibodies, hoping to determine rates of exposure by region.
• An online survey that asks about COVID-19 symptoms, stress, social distancing, and economic impact that participants can take monthly to understand effects over time.
• EHR data analysis from the 200,000 participants who have shared their information, with plans to standardize the information to investigate patterns, symptoms, associated health problems, and the outcome of drugs and other treatments.

Scientific American explains the accuracy rates of COVID-19 antibody tests, which are particularly important since the results are often considered reliable without verification. The authors explain that false-positive results, which are the most impactful, are more likely with low infection rates. Example: the same test that has 95% specificity (few false positives) and 95% sensitivity (few false negatives) will give a false-positive rate of 14% when the infection rate is 25%, but will issue falsely positive results 50% of the time when the infection is 5%. In other words, COVID-19 antibody tests are likely to issue a lot of false positive results that may encourage people to return to normal life because they think they are immune (not to even mention that nobody has proven that people who have COVID-19 antibodies are immune from reinfection).

FDA will participate in the COVID-19 Diagnostics Evidence Accelerator, a real-time diagnostic testing evaluation program that is a companion to the previously announced Therapeutic Evidence Accelerator.

The Equal Employment Opportunity Commission says that employers can’t require employees to take COVID-19 antibody tests before returning to work, basing its decision on CDC’s warning that antibodies don’t equate to immunity and therefore testing for them should not drive workplace decisions.

Other

It’s not just COVID-related fears that are keeping people away from medical practices and hospitals – the New York Times reminds readers that millions of Americans have lost jobs, income, and health insurance during the pandemic and can’t afford the high cost of healthcare, especially after reading about the aggressive debt collection practices of hospitals and practices. I’ll add one more item – even those who are able to get new health insurance will see their deductibles reset, meaning that someone with an ACA plan could be looking at several thousand dollars of deductibles before insurance starts paying anything.

Epic employees will return to the company’s headquarters in Verona, WI in four stages during July and August. Over one-third of the company’s employees have already returned to office work. The company says it is slowly resuming essential travel.

Researchers note that patient race and ethnicity are often used by algorithms that drive clinical decisions even though nobody knows whether underlying genetics are causing the observed differences in outcomes. The researchers caution that it’s not wise to simply apply a race-based digital fudge factor without knowing if genetic differences are responsible rather than societal issues, economic factors, or past inequities. Otherwise, minority patients may be denied services because of misinterpreted risk factors or the assumption of suboptimal outcomes.

Sponsor Updates

• RamSoft adds QliqSoft’s virtual visit technology to its RIS/PACS solutions.
• Healthwise receives five Digital Health Awards during the Health Information Resource Center’s 2020 spring competition.
• Intelligent Medical Objects publishes a new white paper, “The Evolution of the EHR.”
• Medhost joins the Amazon Web Services Partner Network as a Technology Partner.
• Black Book ranks Netsmart #1 in 10 categories across behavioral health and post-acute settings, including top overall post-acute care IT services and solution vendor.
• BridgeHealth offers its members access to flexible physical therapy solutions through WebPT’s Networks program.
• MDLive CMO Cynthia Zelis, MD joins the NCQA’s Taskforce on Telehealth Policy.

Blog Posts

• First CGM Basal-Bolus Insulin Titration Study Shows Future Potential for Remote Patient Monitoring (Glytec)
• Data scientists assist medical researchers in the fight against COVID-19 (Google Cloud)
• Finding the telehealth-life balance (Greenway Health)
• HealthNxt: The Next Great Advance in Virtual Care (The HCI Group)
• The Right Skills at the Right Time for Healthcare IT (HCTec)
• Activity-Based Costing in Healthcare During COVID-19: Meeting Four Critical Needs (Health Catalyst)
• I am still a nurse: Supporting the clinical voice of our customers (Hyland)
• Role of Health Data Analytics in Post COVID-19 World (Imat Solutions)
• Use Your COVID-19 Work to Build Data Governance (Impact Advisors)
• How to avoid disruption from loss of technical expertise (Infor)
• An Unprecedented Challenge: Serving Our Customers Through Passion and Commitment (InterSystems)
• CFO Playbook – Turning Financial Trauma into Transformation (Loyale Healthcare)
• Key Tips to Address Technology Frustration Within Your Organization (Netsmart)

Contacts

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

News 6/17/20

Top News

Epic cancels its UGM 2020 user meeting, which was scheduled for August 24-27 in Verona, WI.

Epic says some UGM elements will be offered online even though “we truly believe that an in-person meeting is irreplaceable.”

A CIO reader says the CEO council and CIO roundtable will still be offered, although they add, “Not sure who is attending either one given travel budget cuts.”

Reader Comments

From Newly Jobless: “Re: [company name omitted.] Laid off 25% of staff today.” Unverified. I didn’t get this in time to confirm with the company before my Tuesday evening deadline and I saw nothing on TheLayoff.com, but if you were affected, let me know.

From Prudent Investor: “Re: your readership stats. How now compared to last year?” Up, and I’m surprised to be getting more inquiries from potential sponsors than back in the heady days of Meaningful Use. I guess the lost conference year of 2020 left companies with more marketing money but fewer channels for exposure. Investment activity seems robust as well, so I suspect companies are eyeing the opportunity to gain competitive advantage in a suddenly leveled playing field.

From Hopeful Employee: “Re: Revint. I’ve been here two years and they just announced the third CEO since I started. I hope this one fires the management team and invests to integrate all these companies that New Mountain Capital has thrown together. They weren’t even honest about firing the current CEO, we employees aren’t idiots.” Scroll down to the People section for the new CEO’s details.

HIStalk Announcements and Requests

Welcome to new HIStalk Platinum Sponsor Halo Health. The Cincinnati-based, physician-founded company offers the Halo Clinical Communication and Collaboration Platform (CCCP), a scalable, AWS cloud-based solution that includes secure messaging, on-call, role-based scheduling, VoIP calling, critical results, alerts, and care team tools in a unified mobile platform. The Halo Platform’s unique workflow management system instantly delivers time-sensitive information to the right person, role, or team, allowing health systems to accelerate patient care, increase clinician efficiency, and improve financial outcomes. Halo is a strategic technical and clinical workflow partner dedicated to achieving customer objectives such as standardizing communication, consolidating technology, and connecting the physician community. Thanks to Halo Health for supporting HIStalk.

Webinars

June 18 (Thursday) 12:30 ET. “Understanding the ONC’s Final Rule: Using FHIR HL7 for Successful EHR Integrations.” Sponsor: Newfire Global Partners. Presenters: Bob Salitsky, healthcare IT expert, Newfire Global Partners; Jaya Plmanabhan, MS, healthcare data scientist. This fast-paced, 30-minute webinar will provide an overview of the Final Rule and describe how technology vendors, payers, and providers can use FHIR HL7 to deliver true interoperability. Attendees will learn how to define the data, technology, and flows needed for their EHR integration projects; how products can retrieve health information while meeting compliance regulations; and the benefit of adopting quickly to the future of data exchange while simplifying future integration efforts.

Acquisitions, Funding, Business, and Stock

Proteus Digital Health, the “smart pill” digital health darling that was once valued at $1.5 billion, files Chapter 11 bankruptcy. The company staked its future on the support of drug manufacturers, who are known for deep pockets but a short attention span for shiny technology objects.

Walmart acquires the technology assets of online pharmacy CareZone for a rumored $200 million. The company’s app allows consumers to scan their pill bottles to create a medication profile, set up reminders, and track health measurements. CareZone will continue to operate its pharmacy, which was excluded from the network of pharmacy benefits manager Express Scripts a couple of years ago in a contract dispute.

Abacus Insights, which combines EHR and third-party data to allow health plans to personalize the care experience of their members, raises $35 million in a Series B funding round.

CareMesh – whose communications platform includes a national provider directory, event notifications, secure communications, and care transition workflows – raises $5 million in a seed funding round.

Surgisphere, the tiny company whose questionably sourced aggregated EHR data was responsible for two major research article retractions, takes down its website and social media accounts. I noticed that founder Sapan Desai, MD, PhD has also removed his LinkedIn. Some speculate that the company has shut down, which would be reasonable given the permanent stench that is now attached to its name.

People

Geeta Nayyar, MD, MBA (Greenway Health) joins Salesforce as executive medical director.

Revenue integrity technology vendor Revint hires Lee Rivas (RELX) as CEO.

Announcements and Implementations

Experity launches Face Sheet, a patient history view of its urgent care EHR that provides an overview of past visits, supporting urgent care “hybrid clinics” that are providing primary care services or other continuing services.

Inspira Health (NJ) goes live on KyruusOne and ProviderMatch for Consumers, both from Kyruus.

COVID-19 testing company Curative is using the interoperability platform of Redox to send results to state health departments.

Epic highlights the use of its Pulse Central, which aggregates data from 1,200 Epic-using hospitals, to send standard COVID-19 metrics to public health organizations in near real time.

Carequality publishes an implementation guide for electronic case reporting, which can be used to report infectious disease cases to public health organizations.

Access releases Impression, a new version of its paperless, web-based electronic forms solution that allows hospitals to send patients forms (such as for pre-registration) for electronic completion and signing from anywhere. 

The American College of Cardiology will offer its members Heartbeat Health’s digital platform for cardiology-specific telemedicine and virtual care, which incorporates doctor-patient sharing of wearables-powered diagnostics, remote patient monitoring, and outcomes tracking. I interviewed Heartbeat Health founder and CEO Jeff Wessler, MD, MPH a few months back and I confess that it’s one of my favorites – he was refreshingly thoughtful about his vision of how cardiology practice can be optimized with a combination of in-office visits and virtual care that emphasizes prevention as well as treatment.

COVID-19

FDA revokes its emergency use authorization of hydroxychloroquine and chloroquine for treating COVID-19, finding that the drugs don’t have enough potential benefit to outweigh their risk of side effects that are sometimes fatal. HHS Secretary Alex Azar says that the only impact of the decision is that hospitals can no longer use federal stockpiles of the drugs — doctors can still prescribe them however they want and the FDA change may clear up misunderstanding that they are for hospitalized patients only.

Researchers question whether the medical journal peer review process is broken following retraction of articles by NEJM and The Lancet whose flaws that were obvious to expert readers. Issues:

• Peer review isn’t intended to detect outright fraud, which may or may not be involved in the retracted articles that used data from Surgisphere.
• COVID-19 has created an urgency to get information to the front lines within days rather than the usual many months, leaving little time for review.
• The supply of unpaid, uncredited, well-credentialed peer reviewers is limited.
• NEJM says it should have used hospital data experts in its peer review and pledges to require independent validation of database quality going forward.

The New Yorker describes how some Utah startups with little healthcare knowledge threw together COVID-19 tools (testing, online assessments, and a command center) to rush into a no-bid contract with the state in public-private partnership called TestUtah that was expanded to other states. The reliability of TestUtah’s results came into quick question; it was using tests that had not been allowed in the US until an FDA emergency use authorization was issued; its testing machine was approved only for use on agricultural DNA rather than human RNA; and it was stockpiling hydroxychloroquine in planning to offer treatment as well as diagnosis. TestUtah processed its lab tests in an unmarked back room of a 122-bed hospital that had equipment stacked on old desks and conference room tables sitting on carpeted floors, using a home food sealing machine to seal specimens. CMS inspectors noted several problems with its process and threatened to sanction the hospital’s lab for failing to supervise its work. TestUtah blames the criticism it received on political partisanship and the desire of University of Utah’s lab company and Intermountain Healthcare to squelch competition. The state overrode the recommendations of its public health director to extend TestUtah’s contract, then demoted her.

A tiny lab in Texas is billing insurance companies several thousand dollars for a COVID-19 test that costs just $100 from the major labs, taking advantage of a mandate from Congress that requires insurers to pay the full costs of the tests for out-of-network lab work.

FDA gives emergency use authorization for US hospitals to use an AI-powered COVID-19 patient deterioration early warning tool that was developed by Israel-based tele-ICU platform vendor CLEW. 

Other

A study finds that the rate and completeness of public health disease reporting by hospitals, practices, and labs improves when using HIE-generated, pre-populated forms instead of filling out and faxing paper forms.

Sponsor Updates

• Pivot Point Consulting will offer health-risk trajectory analytics from Jvion to help hospitals get employees back to work and patients back to their normal care activities.
• A proof-of-concept study finds that patients who used Glytec’s Glucommander insulin dosing software with a continuous glucose monitoring system showed a 26% improvement in time in range.
• AdvancedMD releases a new e-book, “Post-COVID-19: Moving to ‘Better Than Normal’ – four essential elements in getting past merely normal.”
• Microsoft features Central Logic in its special COVID-19 podcast series.
• Clinical Computer Systems, developer of the Obix Perinatal Data System, releases a new episode of its Critical Care Obstetrics Podcast, “Simulation Mistakes.”
• Black Book ranks Nordic as #1 in client satisfaction in the category of strategic initiatives advisory.

Blog Posts

• 3 Reasons You Need Professional Healthcare IT Testing for Interoperability (314e)
• Three tips for a better nurse engagement that drives quality care (Ability Network)
• The Essential Resource Guide to Hospital-Enabled Virtual care: Part 1 of 5 (Access)
• 5 Reasons Why Health Systems Need to Implement an Enterprise Imaging Platform (Agfa Healthcare)
• The Case for a Situational Awareness Network for Emergency Response (Audacious Inquiry)
• Health Plan Learnings from Our COVID-19 Efforts (CarePort Health)
• Legacy Data Archive: Avoiding the Sticker Shock of Data Retention (CereCore)
• ChartLogic Lands Among SoftwareAdvice’s EHR FrontRunners (ChartLogic)
• Navigating new Medicare hospital outpatient department authorization requirements (Nordic)
• Be Ready for a Breach: The Case for Remote DFIR and Virtual Incident Response (CI Security)
• 10 Steps to Ensure ERP Health (Optimum Healthcare IT)
• Meeting the Needs of Complex Patient Populations Through Care Collaboration (Collective Medical)
• Electronic Prescription Management and Enrollment for Specialty Medications (CoverMyMeds)
• The Future of Healthcare: How Telehealth Will Change After COVID-19 (Dimensional Insight)
• BAYADA: Proactive COVID Safety Plan Helps Client Acquisition, Staff Retention (Dina)
• Finding a New Normal: The Patient Experience (EClinicalWorks)
• 7 must haves for your patient scheduling system (Experian Health)

Contacts

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

Monday Morning Update 6/15/20

Top News

Milliman acquires Wisconsin-based employee health monitoring technology vendor Healthio, which it will pair with its predictive analytics offering.

Reader Comments

From Lab Matters: “Re: article titles. I see some that capitalize just the first letter of the first word, while others capitalize each word. Am I stuck in the grammar rules of the past? Please help settle my existential conflict.” I capitalize each word because a title looks like a weird sentence to me otherwise. Not to mention that the style guides of AP, APA, Chicago, MLA, and New York Times all agree that the first, last, and important words of an article’s title should be capitalized. However, a recent AP change suggests using “sentence style” for headlines and websites, where only the first word and any proper nouns are capitalized in a “Hawaiian shirt Friday” kind of formally dictated informality. This would be one of a few cases in which I disagree with AP since it seems to be bowing to those who didn’t know or didn’t follow its longstanding rules, although I acknowledge that sentence case is probably a bit easier to read as long as it is used consistently within the same website. I resolve my existential conflicts on style by carefully thinking through the options, choosing the one that makes most sense to me, and sticking with it, and in the spirit of grammatical harmony in the title capitalization question, I use the original style rather than my own when I cite an article from elsewhere. Let’s not even acknowledge that some health IT vendor website capitalize all letters in their press release and blog titles, maybe the same ones that insist on capitalizing all the letters in the company’s name (which gets put right back to first-letter-only here per AP style).

HIStalk Announcements and Requests

Folks who work in health IT are nearly evenly split over whether they would trust research findings based on aggregated EHR information.

New poll to your right or here: How will the use of virtual provider visits change between now and June 2021?

Welcome to new HIStalk Platinum Sponsor Saykara.The Seattle-based company is working to combat the epidemic of physician burnout that has surfaced from increasingly burdensome documentation requirements and time spent on EHR data entry. They’ve built the first fully ambient and autonomous AI-powered assistant for physicians. Their iPhone app, named Kara, listens to physician-patient conversations, then interprets and transforms the salient content required for notes, orders, referrals, and more, and enters both structured and unstructured data directly to the EHR. Kara is specialty agnostic and being used by doctors all across the country. Data shows that time spent charting is reduced by an average of 70%, after-hours (“pajama time”) charting is eliminated, and note quality and completeness is enhanced by 25%. Saykara was founded in 2015 by Harjinder Sandhu, a serial healthcare technology entrepreneur and former Nuance executive who has stood at the forefront of innovations in speech recognition and machine learning for more than 20 years. See their video featuring doctors from Hancock Health. Thanks to Saykara for supporting HIStalk.

Webinars

June 18 (Thursday) 12:30 ET. “Understanding the ONC’s Final Rule: Using FHIR HL7 for Successful EHR Integrations.” Sponsor: Newfire Global Partners. Presenters: Bob Salitsky, healthcare IT expert, Newfire Global Partners; Jaya Plmanabhan, MS, healthcare data scientist. This fast-paced, 30-minute webinar will provide an overview of the Final Rule and describe how technology vendors, payers, and providers can use FHIR HL7 to deliver true interoperability. Attendees will learn how to define the data, technology, and flows needed for their EHR integration projects; how products can retrieve health information while meeting compliance regulations; and the benefit of adopting quickly to the future of data exchange while simplifying future integration efforts.

Acquisitions, Funding, Business, and Stock

The investment firm owner of Clinical Ink is putting the drug clinical trials electronic tools company on the market after owning it for two years.

A false claims act whistleblower lawsuit brought against EHR vendor Medhost and Community Health Systems by two former CHS IT executives is dismissed, with the judge saying that the “heaps of alleged facts” that were presented don’t prove the claimed misconduct.

Sales

• United Methodist Communities (NJ) will implement systems from VirtuSense and Netsmart as funded by a grant from the FCC’s COVID-19 Telehealth Program.
• MetroHealth (OH) will use the social services referral platform of Unite Us. Co-founder and CEO Dan Brillman, MBA is a US Air Force Reserve major and pilot with campaigns in Iraq and Afghanistan, while co-founder Taylor Justice, MBA graduated from West Point and served as a US Army infantry officer.

People

Digital ambulatory surgery platform vendor ValueHealth hires Don Bisbee, MBA (Cerner) as president.

COVID-19

One-fifth of US nursing homes have less than a week’s supply of PPE on hand despite the federal government’s April 30 promise to help them with their needs to address COVID-19, which has killed 43,000 residents. Many have not received PPE shipments, some received only cloth masks and low-quality ponchos, and most say the quantities they received will last only a few days. The head of one Catholic nursing home group concludes, “The federal government’s failure to nationalize the supply chain and take control of it contributed to the deaths in nursing homes.”

A Seattle man who recovered from COVID-19 after a 62-day hospital experiences survivor’s guilt after seeing his hospital bill of $1.1 million, which doesn’t include the two-week rehab stay that followed. Medicare will cover most of his bill and he may pay nothing because of the federal government’s COVID-19’s bailout money, which the Seattle paper says is “like we’re doing an experiment for what universal health coverage might be like, but confining it to only this one illness.”

Rates of new cases and test positivity are trending up in Arizona, California, Florida,and Texas, suggesting that hospitalization and ICU bed usage will be increasing to possibly dangerously high levels over the new few weeks.

A new study of COVID-19 in Japan finds that symptom-free people aged 20-39 were most often the source of primary exposure, while healthcare facilities were most often involved. The authors also conclude that close-proximity singing, cheering, exercising, and bar conversation were associated with many of the clusters.

Other

Former Mass General Brigham and Cerner executive John Glaser, PhD makes the case to redesign EHRs around the patient-clinician medical plan rather than their current role as a place to record the byproducts it generates. He advocates keeping existing EHRs while addressing specific needs via wrap-around modules that providers can buy to meet their specific challenges (population health management, HIEs, patient-facing apps, and analytics). The next-generation EHR should include:

• A library of situation-specific care plans.
• Treatment algorithms.
• A master plan that is supplemented with to-do lists for each type of caregiver.
• Interoperability that allows the plan to travel across care settings, geographies, and EHRs.
• Decision support and workflow.
• Analytics tools that assess the patient’s individual plan and apply relevant lessons learned from the broader patient population.

County-owned, 647-bed New Hanover Regional Medical Center (NC) entertains acquisition and partnership offers from the state’s big health systems, with Duke Health offering $1.35 billion, Novant committing to $1.5 billion at closing and $2.5 billion in improvements, and Atrium Health offering a 40-year lease at $28 million per year and along with $2.2 billion in improvements.

Epic sends an internal email only to its diversity, equity, and inclusion employee groups, warning them that they should not participate in a virtual walkout in support of Black Lives Matter. Some white employees complained to the local paper that the email should have gone to everyone.The company also updated its employee policy to limit use of company resources for work purposes.

In Canada, the medical association of Newfoundland and Labrador complains about the government’s new app that connects people with a nurse practitioner in an extension of its 811 HealthLine telephone program. The doctors are unhappy that they weren’t consulted and are worried that the NP won’t see the patient’s electronic record, but the health minister says that’s a problem in general because some doctors use paper charts, some use an EHR, and some use Meditech’s regional implementation. He adds that the service was launched because people are happy with their virtual visits with doctors and they are equally effective as face-to-face visits in most cases, also noting that doctors don’t have a monopoly on providing healthcare services.

Sponsor Updates

• ChartLogic is named as a SoftwareAdvice.com’s EHR FrontRunner.
• PatientKeeper wins a Bronze PR Club Bell Ringer Award for its integrated marketing communications strategy.
• The local paper profiles PerfectServe’s efforts to provide providers with free software and services during the pandemic.
• The Big Unlock podcast features Phynd CEO Tom White.
• Redox releases a new podcast, “Powered by Battery with Redox CEO Luke Bonney.”
• Summit Healthcare names Amanda Mehlenbacher (Nicholas H. Noyes Memorial Hospital) implementation engineer.

Blog Posts

• How health systems can optimize revenues and resources (Ingenious Med)
• AI in Healthcare: 3 Tips to Avoid Common Pitfalls (Pivot Point Consulting)
• The Not-so-New Normal (PMD)
• Meeting Unparalleled Demand for Critical Supplies and Drugs (Premier)
• Explore the Pure//Accelerate “Un-keynote” Keynotes (Pure Storage)
• Virtual Patient Waiting Rooms: What They Are, Why You Need One, and How to Create It (Relatient)
• In Favor of the Shift (SailPoint)
• Classifying Data Processing (Spirion)
• Checking Up on Content, to Check in with Patients (StayWell)
• Right Around the Corner: 2021 CMS Rule Requiring Real Time Benefit Tools (Surescripts)
• End-of-Life Visitation with Safety and Compassion (Vocera)
• Everything You Need to Know About Legally Providing Telehealth (WebPT)

Contacts

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

News 6/12/20

Top News

Silicon Valley investment firm Iconiq makes a “significant” investment in healthcare workforce management software vendor QGenda that values the company at just over $1 billion.

Francisco Partners, which considered selling the company in May, will remain Atlanta-based QGenda’s majority owner.

Reader Comments

From Going Live: “Re: EHR go-lives. Are they still happening? What measures are being taken to protect those involved?” The only go-lives I’ve heard about in the past couple of months were done remotely, but perhaps others have been involved in the traditional version and can report. I would be surprised if hospitals that were preparing for COVID overrun and banning patient visitors were simultaneously undertaking a go-live that involved on-site help.

From Confused: “Re: [vendor name omitted.] Announced new funding, but this news is 16 months old, according to former employees.” I reached out to the company, which says it held the announcement “to peg it to exciting company milestones and product capability rollouts.” I’m not listing their name since this could be commonly accepted practice for all I know and there’s no reason to call them out if so. I didn’t find any of the usual investment sources that listed the actual funding date — they all used the recent announcement date instead. Maybe the biggest takeaway here is that while it is impressive that companies are announcing new funding during a pandemic and its associated economic downturn, the funding itself may have occurred before all that happened or when its competitive situation was different than now.

From Doctor Doctor: “Re: COVID-19. I’ve seen a lot of dumb opinions and advice from doctors quoted on news sites and social media.” As have I. People erroneously think that all doctors from every practice setting are science-based, apolitical, free of commerce-related bias, current in their knowledge, and just as qualified as epidemiologists, virologists, and public health experts to speak authoritatively on COVID-19’s transmission, mitigation strategies, and treatment.

HIStalk Announcements and Requests

Somehow I missed that John Glaser left Cerner back in November 2019, according to his LinkedIn. He’s on the board of health IT-related organizations Press Ganey, EHealth Initiative, InTouch Health, American Telemedicine Association, PatientPing, Relatient, and Scottsdale Institute, also serving as a senior advisor to Brighton Park Capital.

Webinars

June 18 (Thursday) 12:30 ET. “Understanding the ONC’s Final Rule: Using FHIR HL7 for Successful EHR Integrations.” Sponsor: Newfire Global Partners. Presenters: Bob Salitsky, healthcare IT expert, Newfire Global Partners; Jaya Plmanabhan, MS, healthcare data scientist. This fast-paced, 30-minute webinar will provide an overview of the Final Rule and describe how technology vendors, payers, and providers can use FHIR HL7 to deliver true interoperability. Attendees will learn how to define the data, technology, and flows needed for their EHR integration projects; how products can retrieve health information while meeting compliance regulations; and the benefit of adopting quickly to the future of data exchange while simplifying future integration efforts.

Acquisitions, Funding, Business, and Stock

Provider search and scheduling software vendor Kyruus raises $30 million in a venture round from Francisco Partners, bringing its total funding to $155 million.

Wellsheet raises $3.8 million in a Series A funding round. The New Jersey-based startup has developed software that uses predictive analytics to optimize provider workflows.

Genetic clinical decision support company ActX secures a patent pertaining to cloud-based storage and real-time distribution of biological information.

Automated virtual care vendor Conversa Health raises $12 million in a Series B funding round.

Sales

• Health and Social Care Northern Ireland signs a $351 million contract with Epic for implementation across five trusts and its ambulance service.

People

Optum promotes former Center for Medicare and Medicaid Innovation director Patrick Conway, MD to CEO of its Care Solutions group.

Virtual care technology vendor Conversa Health promotes Murray Brozinsky to CEO.

Kevin Lynch (Netgain) joins Datica as CEO. Co-founder and former CEO Jeremy Pierotti takes on the role of president.

Announcements and Implementations

Goliath Technologies helps Maimonides Medical Center (NY) anticipate, troubleshoot, and resolve Citrix slowdown issues.

Nuance Dragon Medical One voice assistant users can now access UpToDate clinical content from Wolters Kluwer Health.

Novant Health (NC) implements iQueue for Operating Rooms from LeanTaas to help its surgical facilities ramp back up to pre-COVID-19 capacities.

Health Catalyst will launch a quality reporting product that combines its Data Operating System with measures, visualizations, and workflows from Able Health, which it acquired earlier this year.

Government and Politics

The VA gives Cerner a $99 million task order for sustainment support of hardware and software associated with its $10 billion EHR modernization project.

COVID-19

Regeneron begins the first clinical trials of antibodies for COVID-19 treatment, which if successful, could be cleared for emergency use by fall assuming production can be ramped up.

Researchers identify 12 malware-distributing Android apps that were disguised to look like COVID-19 contact tracing apps issued by the governments of Brazil, Italy, Russia, Singapore, and other countries.

Business Insider reports that just three states – Alabama, North Dakota, and South Carolina – will use contact tracing apps from Apple and Google. Seventeen states have said they won’t use contact-tracing apps at all, while 19 remain undecided.

None of the 140 customers of a Missouri hair salon whose hair was cut by two stylists who worked for eight days despite having active, symptomatic COVID-19 infection have become infected. Health department officials credit the salon’s insistence on mask-wearing by both customers and employees, its wider spacing of chairs, and its staggered appointment times to reduce group waiting. The stylists have been released from isolation. Experts are increasingly convinced that wearing masks could significantly reduce the spread of COVID-19.

Mount Sinai (NY) uses a grant from Microsoft’s AI for Health program to develop an informatics center dedicated to COVID-19 research.

The Department of Justice charges the president of a biotechnology company with submitting $69 million in fraudulent COVID-19 and allergy testing claims to mislead investors. Arrayit’s Mark Schena, PhD allegedly paid kickbacks to doctors for ordering allergy testing regardless of medical need, used the revenue to misrepresent the company’s prospects to investors, then jumped on the COVID-19 bandwagon with diagnostic tests whose accuracy was questionable.

Privacy and Security

StayWell secures the portal it hosts for the State of Kentucky’s health and wellness incentive program after discovering two data breaches that exposed employee email addresses, passwords, and biometric screening and health assessment data. The breach also resulted in fraudulent gift card redemptions.

Other

Bloomberg Businessweek describes the negative effects of private equity firms buying dermatology practices, 10% of which are now owned by PE firms:

• The PE formula of drastically cutting costs and flipping the business for a profit in 3-5 years with a 20-30% annualized return makes it difficult to serve both patients and investors effectively.
• Corporate-owned medical practices are illegal in many states, but lawyers get around that by creating a management company that buys a practice’s non-clinical accesses and bills its doctors for its services, which is supposed to keep medical decisions separate from profit-seeking ones even though PE firms admit that they insert themselves into the clinical side of the practice.
• Doctors in solo practice can sell out for $7-12 million, with some of that paid in equity. Patients are not notified of the practice’s new owner.
• Some of the acquiring firms pay cash bonuses to offices that hit daily and monthly financial goals, encouraging them to perform as many procedures as possible. In some cases, medical assistants earned their bonuses by falsifying documentation and doctors were told to falsely claim that they were supervising PAs.
• PE firms push dermatologists to perform more high-profit procedures such as cosmetic surgery, laser treatments, and Mohs surgeries, the latter of which are sometimes performed by traveling labs that are flown in or that work from temporary parking lot clinics.
• PE firms buy labs and hire their own pathologists to keep revenue in-house, which is legally allowed under Stark laws only for dermatology and a few other specialties.
• Doctors are pushed to see more patients and sometimes are forced to use inferior medical supplies and equipment. One dermatologist says their employer insisted that surgery patients be sent home with open wounds so they would be forced to return the next day for suturing, which allowed the practice to bill them a second time.
• 25% of the dermatologists with the highest biopsy rate work for private equity-backed groups who encourage diagnosing “Pre- pre- pre-cancer” to get patients to have skin blotches removed.
• A dermatologist says that the debt-saddled chains are struggling to find their expected buyers since “there’s a limit to how much money you can make when you’re sticking knives into human skin for profit.” As a result, the PE firms are moving into specialties that perform more invasive procedures, such as urology.

Sponsor Updates

• Banner Health (AZ) expands its use of Spok’s Care Connect communication software.
• Health Catalyst will partner with life sciences company Sprim to use real-world evidence to inform clinical trials for liver disease.
• Gartner includes Imat Solutions in its “US Healthcare Payer CIOs Boost Medicare Advantage Star Ratings Using Engagement Hubs and Insights” report.
• The “HIT Like a Girl” podcast will feature Intelligent Medical Objects CEO Ann Barnes on June 10.
• NextGate’s identity-matching EMPI solution is now available in the Microsoft Azure Marketplace.
• Arcadia makes available a COVID-19 Recovery Toolkit to help its customers resume normal operations.
• Wolters Kluwer Health helps to develop and virtually host the American Diabetes Association’s 80th Scientific Sessions June
• Providers from five health systems will present their experience with implementing Glytec’s EGlycemic Management System during the 2020 Diabetes Technology Society Virtual Hospital Poster Session. 12-16.
• PCare adds on-demand movies and television shows from Tubi to its COVID-19 Tablet Configuration Solution.
• Optimum Healthcare IT posts a case study titled “ Virtual Epic Go-Live at Valley Children’s Healthcare.”

Blog Posts

• 5 ways to enhance your cloud storage security and data protection (Google Cloud)
• Tackle your billing backlog to increase cash flow (Greenway Health)
• What is Clinical Communication? (Halo Health)
• Enabling Digital Foundations for the Future (The HCI Group)
• Clinical NLP Part 2: A Better Equation for Calculating Quality Measures (Wolters Kluwer Health Language)
• Why It’s Necessary to Integrate Protocols into Existing Workflows (Healthfinch)
• The Secret to Creating the Most Satisfied Patients (Healthwise)
• The Essential Resource Guide to Hospital-Enabled Virtual Care | Part 1 of 5 (Access)
• Overview of Nordic’s Capacity Simulation and Management Solution (Nordic)
• 2020 health IT trends: Revisited (Hyland)
• A Leading Look at Revenue Integrity (Impact Advisors)
• Are you getting the most from your IT investments? (Imprivata)
• Creating an effective remote workforce strategy (Infor)
• Help simplify nurses’ lives: 5 ways to streamline nursing workflows (Spok)
• MIPS Registry and Reporting: Increase Quality Time with Patients While Maximizing Revenue (Ingenious Med)
• Moving Toward Meaningful Mental Health Data (InterSystems)
• Meeting Your Communities’ Mental Health Needs During and After COVID-19 (Kyruus)
• How COVID-19 is Advancing Healthcare’s Need for a Digital Transformation (Medhost)
• Strategies to Bolster Infection Control and Surveillance Amid COVID-19 (Netsmart)

Contacts

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