Monday Morning Update 6/11/18

Top News

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

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

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

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

Reader Comments

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

HIStalk Announcements and Requests

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

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

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

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

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

Webinars

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

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

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

Acquisitions, Funding, Business, and Stock

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

Decisions

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

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

Announcements and Implementations

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

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

Government and Politics

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

Other

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

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

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

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

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

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

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

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

Sponsor Updates

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

Blog Posts

• Four Steps to Succeed in BPCI Advanced (Medecision)
• REST Easy Integrating Healthcare Applications (Sansoro Health)
• Ambulatory Surgery Center Financial Outlook and Structure (The SSI Group)
• It’s Time to Make Interoperability Meaningful (Summit Healthcare)
• Healthcare communication is not an app. (Voalte)
• Turning Values into Value: Respect at NewYork-Presbyterian (Vocera)
• 5 Innovative PT Business Models (WebPT)
• Scaling care management while activating patients and providers (Philips Wellcentive)

Contacts

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

News 6/8/18

Top News

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

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

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

Reader Comments

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

HIStalk Announcements and Requests

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

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

• Logicworks
• Learn on Demand Systems
• Salesforce
• Sutherland

Webinars

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

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

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

Acquisitions, Funding, Business, and Stock

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

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

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

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

People

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

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

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

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

Sales

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

Announcements and Implementations

Midland Health (TX) goes live on Cerner.

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

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

Government and Politics

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

Privacy and Security

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

Other

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

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

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

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

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

Sponsor Updates

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

Blog Posts

• Freeing Trapped Data for Health Research: It is Possible (Liaison Technologies)
• Virginia Medicaid Expansion (MedData)
• Epic Implementation at Integris Health (Optimum Healthcare IT)
• Here’s how 4 organizations are leveraging IT to address social determinants of health (Advisory Board)
• How to Start an Information Governance Initiative (Dimensional Insight)
• 3 Clever Ways to Get More Out of Your EHR (Spok)
• Winning Partnerships: How to make rural IT hosting relationships work (Meditech)
• Yes, you can strengthen portal security without disrupting patient satisfaction (Experian Health)
• Consultants as Business Partners: Cost Consciousness and the Bigger Picture (Pivot Point Consulting)
• Does Opaque Drug Pricing Affect Consumer Trust in Medicine? (PokitDok)

Contacts

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

Jonathan Bush Resigns as Athenahealth CEO

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

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

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

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

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

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

News 6/6/18

Top News

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

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

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

Reader Comments

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

HIStalk Announcements and Requests

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

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

Webinars

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

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

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

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

Acquisitions, Funding, Business, and Stock

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

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

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

Sales

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

People

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

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

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

Announcements and Implementations

Penn State Health St. Joseph goes live on Cerner.

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

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

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

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

Mary Meeker’s influential Internet trends report finds that:

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

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

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

Government and Politics

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

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

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

Other

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

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

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

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

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

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

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

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

Sponsor Updates

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

Blog Posts

• Executive Q&A with Dr. Edmondo Robinson (Qventus)
• Top 5 Reasons for Surgical Services Delays (Access)
• AdvancedMD Certified Great Place to Work (AdvancedMD)
• Time for your annual physical – and genetic screening test? (Advisory Board)
• The Value-Based Care series – Episode #4: Collaboration and Communication (Agfa Healthcare)
• Top Revenue Cycle Blogs You May Have Missed (Leidos Health)
• #Traverbal With Me (Bluetree Network)
• Winning Partnerships: How to Make Rural IT Hosting Relationships Work (Meditech)
• May Conference Roundup: Datica on the Main Stage at MSBuild and HLTH (Datica)
• Security, Scale, Control: Leveraging the Power of Cloud Technology with Google Cloud (Burwood Group)
• Healthcare AI: Game Changers for Medical Decision-Making and Remote Patient Monitoring (CareSync)
• 3 Lessons Analytics Leaders Can Learn from the Sports World (Dimensional Insight)
• Optimum Healthcare IT: Redefining ERP in Healthcare (Optimum Healthcare IT)
• One Dinosaur’s Evolution to Embrace Change – A True Story (Impact Advisors)
• Tips to Successfully Navigate EHR Training (Optimum Healthcare IT)
• Helping NYC Youth Reach Their Potential (EClinicalWorks)
• Virtual EHR Training: 6 Benefits That You Can’t Ignore (The HCI Group)
• Think Outside the Classroom (HCTec)
• Blockchain 101 – What Exactly is Blockchain? (HealthCast)
• One Dinosaur’s Evolution to Embrace Change – A True Story (Impact Advisors)
• Reputation Management for Doctors (Influence Health)

Contacts

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

Monday Morning Update 6/4/18

Top News

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

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

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

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

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

Reader Comments

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

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

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

HIStalk Announcements and Requests

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

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

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

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

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

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

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

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

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

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

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

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

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

Webinars

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

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

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

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

Sales

• Boulder Community Hospital (CO) chooses Epic.

Decisions

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

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

People

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

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

Announcements and Implementations

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

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

Other

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

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

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

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

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

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

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

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

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

Sponsor Updates

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

Blog Posts

• How an Integrated System Can Work For Your Emergency Department. (Santa Rosa Consulting)
• Prior Authorization Software Benefits Patients and Providers (The SSI Group)
• Next Generation Healthcare Consumer Marketing Requires an Advanced Targeting Methodology (SymphonyRM)
• You don’t know what you don’t know. (Voalte)
• Reducing Alarm Fatigue and Interruptions: Clinicians See a Bigger Problem than IT Does (Vocera)
• Why corporate values fail to resonate (and how to make sure yours do) (Nordic)
• The State of Rehab Therapy in 2018 (WebPT)
• Clinical Process Improvement & Innovation in Care Delivery at #HIMSS18 (LogicStream Health)
• ED Utilization: Addressing the Ongoing Industry Challenge (Medecision)
• How one hospital prepared for the new home health conditions of participation (Meditech)
• Strong Physician and IT Collaboration Drive Organization Success (Medicomp Systems)
• Tending Your RCM Garden (Navicure/Waystar)
• Enhancing Autism Services Through Technology (Netsmart)
• Four Questions Series: Alex Binder, VP of Visiting Physician Services, Visiting Nurse Association Health Group (PatientPing)
• Are paperless bills suppressing your patient payments? (Patientco)
• PokitDok joins Hyperledger (PokitDok)

Contacts

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

News 6/1/18

Top News

Athenahealth investor ClearBridge Investments jumps on the Elliott Management bandwagon, urging the health IT company to launch sale proceedings in light of a “litany of executive turnover, misexecution on several initiatives and persistent downward trajectory of a variety of financial measures.”

Reader Comments

From Only the Lonely: "Re: Allscripts. Getting ready to drop the bomb on vast swaths of employees. If you have a total of 60 years combining age and number of years with the company, you have been given notice to accept a early retirement package or else. Numbers said to be 500+." Unverified. I can say from past experience that the company won’t comment on personnel actions, so I didn’t bother to ask. The rumored effective date is July 1.

Webinars

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

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

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

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

Acquisitions, Funding, Business, and Stock

Withings co-founder Eric Carreel plans to sell the Nokia Health (née Withings) products he re-acquired earlier this year, and to relaunch the Withings brand by the end of 2018. The company still employs 200 at its headquarters in France.

Omada Health becomes the largest Diabetes Prevention Program provider to achieve full recognition status from the CDC. Founded in 2011, the company has raised $126 million to develop and market a technology-based diabetes management program for employers and payers.

Ovulation-tracking wearable company Ava raises $30 million in a Series B round, bringing its total raised to just over $45 million.

Madison, WI-based Propeller Health secures $20 million in a funding round led by Aptar Pharma. With help from Aptar, Propeller Health plans to scale its digital therapeutics beyond its core chronic respiratory disease market.

People

Voalte hires Keith DeYoung (Wolters Kluwer Health) as VP of sales.

Alan Stein, MD (Hewlett-Packard) joins medication risk management technology vendor Tabula Rasa Healthcare as SVP of healthcare analytics.

Announcements and Implementations

After a successful pilot last year during Hurricane Harvey, UTHealth’s (TX) physician group will offer the Babyscripts prenatal remote monitoring app to all of its pregnant patients.

Premier launches a new collaborative to help health systems navigate physician practice acquisitions.

Robin Healthcare announces GA of an Alexa-like device for orthopedics and other specialties that uses machine learning and natural-language processing to capture physician notes and add them to the EHR.

Fitango Health develops care management and patient engagement software for oncologists.

Hyland debuts new enterprise imaging solutions including PACSgear Image Link Encounter Workflow and upgrades to its NilRead enterprise viewer.

Samsung will embed video visit and symptom checker capabilities from Babylon Health within its Health app on Galaxy devices sold in the UK. Babylon, which powers the NHS “GP at Hand” telemedicine service, hopes the deal will propel it beyond British borders should Samsung decide to expand the partnership beyond the UK.

Sales

• Capital Regional Medical Center (MO) selects Infor’s CloudSuite Healthcare and Cloverleaf Clinical Bridge software.

Privacy and Security

Several Aultman Hospital (OH) employees fall prey to an email phishing scam, resulting in a late-March data breach that potentially exposed patient medical record, driver’s license, and Social Security numbers.

Other

This article highlights the blind-like trust consumers put into Ancestry.com’s DNA testing services, despite the secretive nature of what the Utah-based company does with biological samples after it sends customers their ethnicity profiles. Ancestry has expanded its DNA database to include samples from over 5 million people, and won’t reveal where it stores the DNA or how long it will be kept. “Right now they see the benefit as being able to have cocktail-party conversation about their genetic makeup,” says former FDA commissioner Peter Pitts, who now heads up the nonprofit Center for Medicine in the Public Interest. “They aren’t thinking about the risks of giving up their personal information, and the long-term implications.”

A literature review of HIE studies finds that community HIEs do indeed reduce healthcare utilization and associated costs, especially in the areas of duplicate procedures and imaging. The finding contradicts a 2015 study that found few HIE benefits in similar areas.

Laurent Duvernay-Tardif, MD becomes the first active NFL player to graduate from medical school. The Kansas City Chiefs right guard hopes to add his new honorific to the back of his jersey.

A study conducted by researchers at the University of Virginia using software from National Decision Support Co. finds that radiology trainees are more apt to select appropriate imaging studies when aided by clinical decision support technology from within an EHR. CDS utilization in turn helped to reduce unnecessary imaging and related costs.

A KLAS report on HIT assessment and strategic planning recognizes Nordic as the top overall performer.

Weird News Andy points out that high-profile donors don’t guarantee great outcomes: An elderly dementia patient is found dead in the stairwell of the Zuckerberg San Francisco General Hospital’s power plant. The woman had gone missing from a nearby mental health facility 10 days before. The hospital experienced a similar tragedy in 2013, when a patient was found dead in a stairwell two days after being admitted.

Sponsor Updates

• Medicomp Systems publishes a new infographic, “Phoenix Children’s By The Numbers: Enhancing Patient Care, Increasing Physician Productivity, and Saving Big with Medicomp’s Quippe.”
• A.T. Still University of Health Sciences will use Aprima’s EHR as part of its grant-funded falls risk assessment and prevention program for older adults.
• EClinicalWorks will exhibit at Digestive Disease Week 2018 June 2-5 in Washington, DC.
• FormFast will exhibit at the California Health Information Association Convention & Exhibit June 2-6 in San Diego.
• Healthwise will exhibit at the Cerner North Atlantic Regional User Group Meeting June 4-6 in Grantville, PA.
• Impact Advisors promotes Kevin Gately to principal advisor and Molly Ekelof to senior advisor.
• With help from Engage, Island Hospital (WA) wraps up initial implementation of Meditech Expanse.
• Gainsight recognizes Imprivata for customer success excellence.
• In New Zealand, MercyAscot selects the InterSystems TrakCare EHR.
• Mobile Heartbeat VP of Professional Services James Webb will speak at Cisco Live US 2018 on June 13 in Orlando.
• CTG consolidates several of its enterprise information management services into a single solution dubbed EIM Advantage.
• Salesforce invests in Virsys12, a healthcare-focused Salesforce implementation and consulting company.
• Datica celebrates its fifth anniversary as a cloud-based compliance and security company.
• The SSI Group achieves HHS Optimization Program Pilot of Administrative Simplification certification.

Blog Posts

• ADHD and Telemedicine: A Natural Fit (EClinicalWorks)
• Unlock the Code to a Better CDI Program (HCTec)
• Another Trip to the Hospital (Healthfinch)
• 3 Ways Content as a Service Helps You Win at Social Media (Healthwise)
• Don’t ignore encounter-based medical images (Hyland)
• The Walking Gallery – My Sepsis Story (Iatric Systems)
• 5 Secrets to Healthcare Content Marketing Success (Influence Health)
• Crossing the Payer/Provider Chasm – Getting to Shared Risk, Shared Data (InterSystems)
• Laying the Foundation for Enhanced Patient Access: The Importance of Analytics (Kyruus)
• The Real-Time Enterprise is Coming – Are You Ready? (CTG)
• Why corporate values fail to resonate (and how to make sure yours do) (Nordic)

Contacts

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

Morning Headlines 5/31/18

Healthcare startup Qliance files for bankruptcy, lists more than 100 creditors — including CEO’s new company

Membership-based primary care company Qliance Medical Management files for bankruptcy after abruptly shutting its doors last year.

Manhattan Doctor Sues Patient For $1 Million For Posting Negative Reviews Online

Joon Song, MD of New York Robotic Gynecology & Women’s Health sues patient Michelle Levine for $1 million in damages plus legal fees after she posted negative reviews on Healthgrades, Yelp, and Zocdoc.

Next time you buy a TV at Best Buy, you may be also offered health care

Best Buy looks into offering seniors aging-in-place technologies and services as part of a potential push into healthcare.

VA Announces New Acting Secretary, Retirement of Deputy Secretary

VA Chief of Staff Peter O’Rourke takes over as acting VA secretary from Robert Wilkie, who has returned to his position within the DoD while he waits out the VA secretary nomination process.

News 5/30/18

Top News

Providence St. Joseph Health publishes a state-specific online advance directive toolkit and customizes its EHR to store the advance directives of its patients.

Patient wishes will be displayed via the EHR — along with goals-of-care conversations — to clinicians. The EHR will also send an alert to the physician if treatments are ordered that conflict with the patient’s desires.

Clinicians will also prescribe videos and other resources to help patients understand their end-of-life options in a partnership with the non-profit foundation ACP Decisions.

The project is being led by the health system’s Institute for Human Caring, which also offers “Get to Know Me” posters that it hopes will “deliver patients from anonymity.” 

The 20 members of the IHC team include technical experts Matthew Gonzales, MD (CMIO), Shahrooz Govahi (data scientist), and Paul Park (senior clinical data analyst).

Reader Comments

From Closed Doors: “Re: [vendor CEO’s name omitted]. Making headlines for attacking his former wife.” Sorry, but this isn’t news despite the reporting tabloid’s eagerness to pass it off as such and lazy parroting of the irrelevant story by other publications. The rag dug up divorce custody documents that are more than 10 years old and pressed the former couple for comments, both of whom admirably said they regret the way their divorce unfolded. Family stuff that has nothing to do with business should be off limits even if you are a public figure. Staying solvent as a newspaper or news site apparently means dumbing down content to the time-wasting drivel that Americans are anxious to read on their phones while sitting on the toilet, which is exactly where this story belongs. At some point your conscience needs to kick in, thus I won’t be part of it.

From Spurious Emission: “Re: poll. You didn’t offer your reaction to Zane Burke’s claim that the DoD report was competitor-instigated ‘fake news.’” I thought it was one of the stupidest things he could have blurted out on the record. It made the company look belligerently whiny instead of humbly grateful after winning a no-bid, $10 billion government contract. It also invites unflattering comparisons to thin-skinned others who define “fake news” as anything they wish had been kept secret. That plus suing a customer / prospect for voting to replace Cerner with Epic recalls the low points of the increasingly desperate Tullman regime at Allscripts before it was overthrown. I assume Burke was passed over in favor of his new, oddly experienced boss Brent Shafer, which might be a friction point for both sides that would encourage treading cautiously.

From Gene Parmesan: “Re: Cerner. We all assume the unnamed competitor was Epic that Zane was bitching about, but what if it was CliniComp, which sues everybody in sight for threatening its federal government revenue stream?” That’s an interesting thought. I don’t know if CliniComp has enough DoD juice to have had some influence over the MHS Genesis pilot project report. Anyone want to weigh in, or for that matter, to speculate on what the heck Zane was talking about?

From NoHorseInThisRace: “Re: CMS forcing hospitals to publish their charge masters. There actually is one way in which the charge master is immediately relevant and could impact consumer choice if made public – taxes. While no one will actually pay the CM rate even out of pocket, the IRS considers any debt forgiveness as taxable income. Therefore if a low-income consumer who’s likely to receive forgiveness has a choice between two hospitals — one that lists a knee replacement at $18,000 on the CM and one that lists it at $57,000 — the consumer would be well advised to select the former (assuming care metrics are roughly equal). At the end of the day, publishing CM isn’t going to be a cure-all (pun intended) for our cost woes, but it’s a start.”

HIStalk Announcements and Requests

Please sign up again if you’ve stopped getting your HIStalk email updates, which long-time readers report several to me times each week. I’ve noticed that quite a few emails have been suddenly been bouncing back as undeliverable. Rejecting the emails in significant numbers are the mail servers of Allscripts, Athenahealth, the former Carefusion, the former Carolinas Healthcare, Cerner, Epic, HIMSS, Medhost, Medicity, Meditech, and Nuance. There’s no downside to entering your email again if you aren’t sure – you won’t get multiple copies regardless.

Here’s a post-holiday reminder to consider contributing your thoughts to this week’s “Wish I’d known” question. Maybe Zane Burke will chime in.

Sunday will be HIStalk’s 15th birthday, which is hard for me to comprehend. Back in June 2003:

• 50 Cent’s “In da Club” and “21 Questions” topped the charts
• The final episode of “Dawson’s Creek” had just aired
• Martha Stewart was indicted for insider trading
• Most of the useful health IT news came from snail-mailed newsletters like “Inside Healthcare Computing” and “HIS Insider” that were far better than most industry websites then and now
• The HIMSS conference had just been held in San Diego and the short-lived HIMSS Summer Conference was getting underway in Chicago (before one last, hot gasp the next year in Las Vegas)
• Epic reached 800 employees and signed Kaiser Permanente in a $4 billion project just 18 months after it expanded from ambulatory-only to inpatient

I needed a distraction from my unsatisfying health system IT leadership job and decided that jotting down my industry thoughts each day would keep me sharp as I scouted for something better. I finally found that job in mid-2005, after which I decided that I should stop screwing around with HIStalk after two years (and no benefit beyond my own satisfaction) and focus instead on staying employed, which I reconsidered when I realized I had nothing else going on after work anyway. I’m still here as a case study of the “80 percent of success is showing up” model. If you’ve been a reader since 2003, tell me how you found the site and why you’ve spent a significant chunk of your life with me.

Webinars

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

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

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

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

Acquisitions, Funding, Business, and Stock

IBM Watson Health reportedly had big layoffs last week, with the “resource action” mostly focused on employees from its big-bet acquisitions Truven, Merge, and Phytel. You would think the machine’s claimed intelligence could have been used to predict the likelihood of acquisition success, but the technology’s capabilities are looking increasingly limited or “man behind the curtain” powered to the point that Ken Jennings must be embarrassed to have been beaten by it on “Jeopardy.”

Home monitoring technology vendor ResMed will acquire HealthcareFirst.

New Zealand-based Orion Health is discussing the sale of all or part of the company with unnamed parties, reports suggest.

Sales

• Adventist Health chooses HCTec to provide Cerner and Epic application managed services for its Oregon hospitals.
• The Medical Center of Southeast Texas (TX) chooses Ascom’s nurse call, smartphones, mobile handsets, and Unite software.

People

Pharmacy management and software vendor PharmaPoint hires Bobby Middleton (McKesson) as VP of product operations.

Benton Barney (Wolters Kluwer Health) joins prescribing decision support vendor RxRevu as SVP of strategic partnerships.

Shaun Priest (Streamline Health) joins Clearwave as chief revenue officer.

Michael Brozino (7th Wave Ventures)  joins IScript as CEO.

Announcements and Implementations

In Canada, South Okanagan General Hospital goes live with DrFirst’s MedHx electronic patient medication history service, integrated with Meditech and British Columbia’s prescription network.

Other

Duke University researchers use artificial intelligence to analyze keystrokes to determine whether a computer user’s slow mouse scrolling and errant clicks might suggest early symptoms of Parkinson’s disease.

Otswego Memorial Hospital (MI) fires an orthopedic surgeon after he is charged with cocaine possession, carrying an unlicensed firearm, and hiring a prostitute online. [insert the obligatory “where do you hide a $20 bill from an orthopedic surgeon” joke here]

The New York Times questions why the US spends so little on public health efforts that often pay for themselves given the massive amount spent on healthcare services, concluding that: (a) companies can’t make money from it; (b) the government focuses on projects that offer more immediate benefits; and (c) people resent being told what to do even when it’s in their best interest.

Craig Hospital (CO) describes its occupational therapy department’s use of adaptive gaming in the rehabilitation programs of patients with brain and spinal cord injuries. The hospital modified game controllers, undertook trials of commercially available adaptive controllers, and used the accessibility features of games – including sip-and-puff devices, voice controllers, and modified buttons – to help patients increase strength, balance, dexterity, and endurance.

AI did a better job than dermatologists in distinguishing malignant melanomas from benign ones, researchers find.

The New York Times says health policy experts are insisting that taxpayers are paying twice for expensive new drugs – once in funding the drug’s development (via NIH grants) and then again when the drug hits the market at prices of up to hundreds of thousands of dollars. NIH did most of the work to develop the cervical cancer vaccine Gardasil and then licensed it to Merck, which sold more than $2 billion worth last year alone.

Sponsor Updates

• DrFirst is exhibiting at MUSE this week.
• Meditech announces that its Physician and CIO Forum will be held October 17-18 in Foxborough, MA.
• Aprima will exhibit at the Association Professional Sleep Societies Annual Meeting June 4-6 in Baltimore.
• Bluetree Network Analytics Specialists Matt Kesler and Erik Sederstrom contribute to the new book, “Clinical Analytics and Data Management for the DNP.”
• Bernoulli Health, Burwood Group, and Centrak will exhibit at the AAMI 2018 Conference & Expo June 1-4 in Long Beach, CA.
• Carevive will present and exhibit at the ASCO Annual Meeting June 1-5 in Chicago.

Blog Posts

• Questions when building your Community Connect Team (Optimum Healthcare IT)
• How one hospital prepared for the new home health conditions of participation (Meditech)
• My Experience as the Patient’s Father (Spok)
• Why You Should Never Buy Business Technology from a Used Car Salesman (And Should Calculate ROI Instead) (Access)
• Best Practices to Improve Patient Payments (AdvancedMD)
• Patients are struggling to make ends meet. Here’s how Boston Medical Center put $3M back in their patients’ pockets. (Advisory Board)
• The Value-Based Care series- Episode #2: Supporting the acquisition (Agfa Healthcare)
• The Dark Myth of the High-Deductible Plan (Arcadia)
• What do these “technical” people do, anyway? (Bluetree Network)
• Digital Health Funding Already Billions in Q1 2018 (Datica)
• 5 Reasons Healthcare Contact Centers Should Embrace Social Media (Burwood Group)
• Mental and Behavioral Health Support for Chronic Disease Patients Means Better Health Outcomes (CareSync)
• What Does It Mean to Be ONC Certified and Why Does It Matter? (ChartLogic)
• Can Appropriate Prescribing Practices Curb the Opioid Crisis? (Clinical Architecture)
• Developing a Quality & Patient Safety (QPS) Program (Culbert Healthcare Solutions)
• Digital Health: Hospitals must keep pace or be exposed to risk, experts say (Direct Consulting Associates)
• Interoperability between Clinical and Claims Data, Standard Supplemental Data, and a (Very) Brief History of Clinical Quality Measurement (Diameter Health)
• Want to Cure Cancer? First Liberate the Data (Dimensional Insight)
• Five Things Urgent Cares Should Know About MIPS (DocuTap)

Contacts

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

Monday Morning Update 5/28/18

Top News

A Massachusetts urologist files a whistle-blower lawsuit against Steward Health Care, claiming that the venture capital-owned hospital operator not only pressured him to refer patients only within the health system, but also strong-armed his patients directly and cancelled their appointments his office had made for them at competing hospitals.

Steward then terminated the surgical privileges of Stephen Zappala, MD, claiming his patient care was substandard.

The company’s attorney said in a court hearing that policies intended to reduce network leakage are common, earning the judge’s contempt for using the “all the other kids are doing it” excuse. He argued that patients were not harmed since the the doctor sent them to the providers he felt were best for them, thus making his whistle-blower claims invalid.

Cerberus Capital’s holdings, other than Steward, include the Albertsons grocery chain, Staples, Avon, and defense contractor DynCorp.

Reader Comments

From Tracking Man: “Re: Awarepoint. The RTLS company has apparently shut down operations. The website is down.” I can only verify that the website is not displaying pages – executive LinkedIn profiles remain unchanged and the 800 sales number still gives a PBX recording. I’ve emailed CEO Tim Roche without a response so far. 

From Communal Well: “Re: pricing transparency. Do you know of any health systems that have taken action on CMS’s FY19 rule requiring them to publish standard prices on the Internet? Do patients understand that charges aren’t the same as patient responsibility?” I don’t think CMS-1694-P has been approved yet and won’t take effect until January 1, 2019 in any case, so I doubt hospitals have done anything. It would require them to publicly post their charge masters, which sounds good only to clueless folks who think CDM prices mean something or that consumers can make constructive use of the information. Hospital charge masters are mostly indecipherable to the public, aren’t relevant to what a given patient or their insurance company will pay, and are not very useful for comparing prices among competitors. The proposed rule also won’t address the ever-increasing problem of hospitals contracting with doctors (ED, anesthesia, radiology, etc.) without requiring them to accept the same insurances, sticking patients with unexpected out-of-network charges from an in-network visit. I’m still not convinced that providers shouldn’t be forced to offer the same published price to any willing party rather than conducting secret negotiations with every insurer.

From OneHITwonder: “Re: Practice Fusion. I created an account many moons ago just to see what all the fuss was about (I’m not even a physician) and received this today.” Practice Fusion users who don’t sign up for a paid plan by June 1, 2018 will be switched to a view-only mode, with their only option being to view, download, or print their patient records. The monthly cost is $99 for a one-clinician practice, which includes three secondary licenses (for clinicians who don’t submit claims) and an unlimited number of unlicensed staff. The Allscripts-owned company says subscribers will get new features such as 2018 MU, MIPS, and ECQM dashboards; enhanced reporting; e-prescribing of controlled substances; and advanced QI tools.

From WebinAren’t: “Re: webinars. Do people still watch them? Some sites don’t get many participants.” We get a good number of registrants in those cases where the presenter listens to my suggestions about a choosing a broadly interesting and non-pitchy topic, a snappy title, a concise write-up, good speakers (preferably not all from the vendor side), and a sign-up form that contains few required fields. I postulate that the no-show rate, at least in our case, is because registrants know we post the full webinar on YouTube for any-time, any-place viewing afterward. Most of our webinars have had at least 200 YouTube views (some have thousands) and our channel has more than 500 subscribers, so some folks certainly are participating.

HIStalk Announcements and Requests

Most poll respondents think Cerner was the VA’s best choice, but they would have advised the VA to wait to see how the DoD’s rollout goes before signing a contract. Cosmos says it’s going to be hard and expensive for the VA and DoD to be simultaneously competing for experts from Cerner and consulting firms, while Matthew Holt thinks it’s the worst time to be buying an EHR because lipsticked, non-cloud based products will be passé in the next 5-10 years and waiting it out on VistA would have been smarter.

New poll to your right or here: What was your reaction to Cerner calling DoD’s analysis of its Cerner pilot sites competitor-aided “fake news?”

Thanks to the thoughtful folks who provided answers to my question of “What I Wish I’d Known Before … Taking My First Job Managing People.”

This week’s question is timely. I’m all ears.

Monday is Memorial Day, set aside to honor those one million US Armed Forces members who died while serving, many of them teenagers whose parents never got to see them grow up. Their sacrifice allows you the luxury of having a fun-filled long weekend free of contemplating that it was made possible by those who made the ultimate sacrifice on your behalf or feeling empathy for the families who experienced their loss, but it would be nice if you did anyway.

Things I learned about the increasingly competitive streaming landscape when playing around with the Roku this weekend, seeking an alternative to the frustratingly clunky, slow Pandora user interface:

• It’s at least a little bit easier to navigate Pandora by installing the Roku app on my Android phone and then using it instead of the remote, especially when typing text (ditto for Netflix)
• Roku competitor Amazon (which sells Fire TV) doesn’t enable Prime Music streaming on its Roku channel, making it pretty much worthless for me as a Prime benefit since I stream only from the Roku since it’s connected my ancient surround sound system with those VCR-type red-yellow-white RCA audio cables
• Spotify has disabled its Roku channel, but it still works on Fire TV

I’ve always wanted an HIStalk theme song like those of podcasts and radio shows, so I was happy that Max Yme wrote and performed a masterful prog rock instrumental for me. You can stream it from the player widget in the right margin of this page or from your player here if you’re in need of background music while reading.

Webinars

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

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

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

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

Decisions

• Memorial Hospital (IL) has gone live with Cerner supply chain management.
• Frio Regional Hospital (TX) will switch from Evident to Athenahealth.
• Mary Washington Healthcare (VA) will go live on Epic June 2, replacing Cerner.

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

People

Maine’s HealthInfoNet promotes acting CEO Shaun Alfreds to the permanent position.

Announcements and Implementations

Emory Healthcare (GA) and Sharecare launch an innovation hub for “studying, creating, and implementing digital health technologies.”

Other

You will have to decide if this Politico article is a feel-good story or a depressing look at our healthcare system. A tiny, remote Kansas town turns its struggling hospital into the county’s largest employer after boosting its profitable OB business by recruiting young doctors, obtaining grants to upgrade equipment, and adding luxury birthing suites that took business away from hospitals in neighboring counties. Macroeconomically speaking, is a growing, high-employing health system a positive contributor to a given region?

California’s medical board threatens to rescind the medical license of a 75-year-old Stanford-trained MD and homeopathic doctor who sells $5 “ERemedies,’ prescribed 13-second-long “hissing sounds” that he claims cured 36 of 37 people with malaria within four hours.

Personal injury lawyers in Philadelphia are using geofencing technology to identify smartphone users who are in hospital EDs, then sending their devices a weeks-long string of “call if you’ve been injured” ads.

This is a great tweet.

Contacts

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

News 5/25/18

Top News

A new KLAS report on hospital EHR market share finds that:

• 80 percent of the 216 hospitals that signed new EHR contracts in 2017 were under 200 beds in size, mostly choosing less-expensive, lower-maintenance offerings from Athenahealth, Meditech, and the community deployment models of Epic and Cerner.
• Athenahealth earned the most small-hospital wins by far, although all were under 50 beds and the company lost 13 contracted customers that backed out before going live to return to their previous vendor, mostly CPSI.
• Meditech had its first market share net increase in three years because of its newly named Expanse web-based product, which its migrating legacy customers chose 58 percent of the time vs. the 42 percent that went with other vendors.
• Allscripts doubled its customer base in 2017 by acquiring McKesson’s Paragon and Horizon product lines, but finished worst in net market share change of all vendors due to already-planned migrations from those platforms as well as losing two existing large Sunrise health system customers to Epic.
• Cerner gained the most customers overall, but also lost enough to place it behind Epic in net market share change with +29 vs. +46.
• The one-third of US hospitals that are using CPSI, Medhost, Soarian, and legacy Meditech products are looking for replacements at a high rate.

HIStalk Announcements and Requests

It’s last chance time for this week’s “Wish I’d Known” question. Apparently the number of people willing to complete the form for these questions is considerably lower than those who say they love reading the answers, leading to the possibility that I’ll just allow it to cross the rainbow bridge due to lack of participation.

Webinars

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

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

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

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

Here’s the recording of this week’s webinar, “Converting Consumers Into Patients: Strategies for Creating Engaging Digital Experiences People Demand.”

Acquisitions, Funding, Business, and Stock

Epic responds to the Illinois Procurement Board about Cerner’s claim that a conflict of interest was involved in University of Illinois-Chicago’s September 2017 choice of Epic over Cerner. Epic founder and CEO Judy Faulkner said in a May 21 letter forwarded to me by a reader that:

• Cerner’s claim of a conflict of interest doesn’t involve Epic but instead seems to reference Impact Advisors, which UIC engages for help with technology projects. Epic says Impact Advisors didn’t cause UIC to choose Epic, all selection committee members work for UIC, and there’s no guarantee Impact Advisors will get implementation work just because Epic is chosen. UIC has already said it will need outside help regardless of whether it picks Epic or Cerner.
• Epic disputes Cerner’s claim that it was unfairly denied the chance to demonstrate its product, with Epic noting that Cerner’s RFP response didn’t earn the minimum threshold score required to advance to the demo phase and thus was excluded as state procurement law requires.
• Epic disputes Cerner’s contention that Epic’s $62 million proposal did not include implementation services. It says the RFPs listed UIC’s total implementation cost at $151 million for Epic vs. $154 million for Cerner. It also cites KLAS customer surveys in which Cerner gets a poor rating for nickel and diming its customers.
• Epic says its system is better, noting that 94 percent of US News & World Report hospitals use Epic and KLAS has ranked it #1 for eight years. It also notes that Epic has most of the Illinois health system EHR business and that “many Cerner systems are not able to interoperate.”
• Epic cites numbers saying that many health systems have replaced Cerner with Epic, also observing that Epic has never been sued by a customer or has sued a customer, while Cerner has been sued by several of its users.
• Epic notes that “UI Health has used both Epic and Cerner, so the health system has experience with each vendor and with each vendor’s products.”

Prescription affordability and adherence solutions vendor ConnectiveRx acquires The Macaluso Group, a tech-enabled prescription benefits company based in Fairfield, NJ. This is the second acquisition for ConnectiveRx, which is also based in New Jersey. It bought competitor Careform in November 2017.

The tit for tat between Athenahealth and Elliott Management continues, with the investment fund sending yet another letter — peppered with quotes from analysts in favor of a sale — pressuring the EHR company to take its buyout offer seriously. Athenahealth reps have fired back with a letter of their own, stressing (testily, if you read between the lines) that they will take their time in reviewing Elliott’s offer. They also made it clear that Elliott’s prior offer was deemed by the board to not be in the best interest of shareholders.

Announcements and Implementations

Global health research network TriNetX announces GA of new analytics tools for epidemiologists and clinical researchers conducting observational and outcomes studies.

South Georgia Medical Center integrates Patientco’s new payment terminals with its Epic system.

In England, The Dudley Group NHS Foundation Trust implements Allscripts Sunrise across its three hospitals.

KT, South Korea’s largest telecommunications provider, will install a telemedicine system on the trans-Siberian railway and connect six hospitals managed by state-owned Russian Railway to clinicians at Seoul National University Bundang Hospital. The railway, which involves a seven-day journey, will be equipped with blood and urine diagnostic equipment, ultrasonography, a mobile EHR, and AI-powered chest x-ray interpretation.

Meditech partners with DrFirst, Imprivata, and Forward Advantage to add e-prescribing for controlled substances to its EHR software.

People

Gilad Kuperman, MD, PhD (New York-Presbyterian Hospital) joins Memorial Sloan Kettering Cancer Center as associate chief health informatics officer.

Consulting firm Evergreen Healthcare Partners hires Erica Neher (Kno2) as managing partner and VP of advisory services.

Government and Politics

The Senate passes the VA Mission Act, a $55 billion bill that will give vets more leeway to see private-sector providers, expand family caregiver stipends, and mandate a review of aging facilities. President Trump is expected to sign the bill soon.

Other

Reaction Data looks at the five big health systems that are starting their own non-profit generic drug manufacturing company in an effort called Project RX. Sixty percent of provider respondents weren’t aware of the project, but 90 percent said customers will flock to it. Drug company respondents were negative, saying the health systems would be better off negotiating more aggressively with existing generic drug manufacturers. Payers are skeptical, predicting that hospitals will just keep whatever cost savings they generate without benefiting patients.

Kaiser Permanente researchers find that the combined information from EHRs and standard depression questionnaires predicts 90-day suicide rates better then PCP or mental health visits. The strongest predictors include prior suicide attempts, diagnoses of mental health issues or substance abuse, medical diagnoses, prescriptions for psychiatric drugs, hospital encounters, and depression questionnaire scores.

In an effort to separate the wheat from the chaff of the 250,000-plus mobile health apps now available for download, researchers at Bond University in Australia find only 23 published reports on evidence-based app effectiveness, leading them to conclude that just a tiny fraction of the apps are suitable for prescription by a doctor.

Penn Medicine Center for Health Care Innovation reps advocate for adding social media update-like feeds to EHRs to keep better tabs on the status of patients in real time. “We’ve been treating the electronic health record as a communal trough of information that we all have to sift through when we don’t do that in any other part of our lives,” they write. “If you can subscribe to feeds about a football team, why can’t you subscribe to Mrs. Jones in room 328?”

A policy brief from the Network for Excellence in Health Innovation addresses data-based gaps that hinder the treatment of patients with chronic or acute pain. Recommendations for policy makers include:

• Making state-based PDMPs more interoperable.
• Including federal opioid prescribing guidelines in all EHRs and clinical decision support systems.
• Amending regulations as necessary to increase the use of e-prescribing for controlled substances.

A Datica survey finds that compliance, security, and privacy are top concerns for hospital CIOs contemplating cloud-based health IT purchases.

In the New Yorker, sociologist Allison Pugh takes issue with findings that show patients are more apt to be truthful about symptoms and concerns when speaking to avatars rather than with live caregivers. While AI may be better than nothing in some cases, she points out that patients will eventually slide into apathy if they don’t receive motivating pushback from human healthcare professionals.

Sponsor Updates

• Coinciding with the grand opening of its new 61-story office tower at its campus in San Francisco, Salesforce donates $1.5 million to the Hamilton Families Heading Home Initiative.
• Elsevier Clinical Solutions publishes a new white paper, “Shaping Longitudinal Care Plans for the Future of Healthcare.”
• Medical Laboratory Observer profiles Ellkay CIO Kamal Patel.
• EClinicalWorks posts a customer success story for The Door Adolescent Health Center in New York City.
• Leidos Health publishes a white paper titled “Creating Clinical Value: 4 Steps to Drive Change And Improve Care.”
• Hospital Association of Southern California will offer Collective Medical’s network and EDie care collaboration tool to its members.
• Formativ Health wins a Silver Stevie Award for Startup of the Year.
• FormFast will exhibit at the E-Health 2018 Conference and Tradeshow May 27-30 in Vancouver.
• Iatric Systems, Imprivata, Intelligent Medical Objects, LogicStream Health, PatientSafe Solutions, PatientKeeper, Santa Rosa Consulting, The SSI Group, and Clinical Computer Systems, developer of the Obix Perinatal Data System, will exhibit at the International MUSE Conference May 29-June 1 in Orlando.
• Black Book recognizes Impact Advisors as a top-ranking supplier for cybersecurity advisory and consulting services in its annual cybersecurity survey.
• HITRUST certifies TransUnion Healthcare’s EScan Insurance Discovery Solution for information security.
• Black Book names Fortified Health Security as the top cybersecurity services and solutions vendor in its medical device and IoT category.
• Logicworks achieves HITRUST CSF Certification.
• Medecision acquires transformational change firm Aveus.
• Meditech reports a strong finish to 2017 and continued growth in 2018.
• Netsmart will exhibit at the FHPCA Forum May 31 in Orlando.
• AllMeds adds NVoq’s SayIt speech-recognition software to its EHR.
• For the fifth year in a row, Securance Consulting awards CloudWave a Best Practice rating for its OpSus Live cloud-based infrastructure.
• Visage Imaging will exhibit at SIIM 2018 May 31-June 2 in National Harbor, MD.
• Vocera CFO Justin Spencer will present at the Craig Hallum Annual Institutional Investors Conference May 30 in Minneapolis.
• WebPT publishes a new guide on ensuring optimal patient care while reducing costs and hospital admission rates.
• Wolters Kluwer Health announces a publishing partnership with the American Urological Association.
• Solutionreach takes the Parity Pledge to improve leadership pathways for women.
• Divurgent announces its support for CHIME’s Opioid Task Force.

Blog Posts

• Interoperability 2.0 Through Collaboration (Medicity)
• Getting Online with Patient Engagement (EClinicalWorks)
• Client Success: Improved Transitions of Care at DFD Russell Medical Centers (HBI Solutions)
• Seven of the Biggest Concerns for Healthcare CIOs (The HCI Group)
• Beyond 10,000 steps: How wearable technology can improve health care delivery (Advisory Board)
• What You Need to Know to Be “In the Know” (HCTec)
• Beebe Healthcare, a Huntzinger Client, Wins Clinical Solution Award (Huntzinger Management Group)
• Visualizing an enterprise imaging strategy (Hyland)
• Are you Prepared for the Next Cyber Attack? (Optimum Healthcare IT)
• Walmart embraces EPCS: Retail Giant Will Soon Accept Only Electronic Prescriptions for Controlled Substances (Imprivata)
• CMS and HIPAA Compliance … is Your CMS a Hacker Welcome Mat (Influence Health)
• It’s Time for Mobile Payments in Healthcare – Here’s How to Keep Them Secure (InstaMed)
• The Catalyst: Data Analytics and the Evolution of Modern-Day Health (InterSystems)
• Transition and Communication: The Dynamic Duo of Legacy Support (Leidos Health)
• Pairing process improvement and technology to increase clinician satisfaction (LogicStream Health)
• Next-Generation Care Management: The Importance of Data Collection and Member Engagement (Medecision)
• Nurses remain in critical role amid changes in healthcare (Meditech)
• Reduce Recidivism and Save Money by Coordinating Justice and Behavioral Health Services (Netsmart)
• Helping Green Bay’s homeless population by extending Bellin Health’s EHR (Nordic)
• Helping Patients Avoid Long-Term Impact of Medical Debt with Responsive Payment Technology (OnPlan Health)
• Epic Quarterly Release Schedule: 3 Things You Need to Know (Parallon Technology Solutions)
• PatientPing Success Story: MedNetOne (PatientPing)
• The Future of Healthcare, According to HLTH (and Patientco!) (Patientco)
• The Case for Physician Dashboards (PatientKeeper)
• Who Benefits From The Efficiencies Blockchains Will Create in Healthcare? (PokitDok)
• Four Steps to Prepare for the GDPR on May 25th (Salesforce)
• Intellectual Property: Lessons from Shark Tank & Seinfeld (Sansoro Health)
• Health System Mergers: Why Hospitals Won’t Stop Merging (The SSI Group)
• Can a Better Process Generate Revenue as well as Save Labor? (Summit Healthcare)
• I Heard It Through the Go-Live (Visage Imaging)
• A perfect marriage of nursing and technology. (Voalte)
• The Great 8 Elements of the Patient Experience (WebPT)
• CMS ACO risk and reward stakes growing (Philips Wellcentive)
• A Digital Billboard of Your Emergency Department’s Wait Time and Your ED EHR (Wellsoft)
• An Interview with Jay Crowley: An Insider’s Look at Unique Device Identifiers, Part 2 (FDB)

Contacts

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

News 5/23/18

Top News

A New York Times article says that hospital EHRs are a “medical records mess” that impede research efforts because of incompatible data formats and the reluctance of health systems to share their patient data.

The creator of the Metastatic Breast Cancer Project says that genetic tumor analysis is easy compared to manually reviewing hospital charts that are always delivered as paper copies or faxes. He also noted that health systems ignore the patient-approved medical records requests more than 50 percent of the time.

The article notes that six-year-old oncology EHR and data vendor Flatiron Health – sold to drug maker Roche for $1.9 billion early 2018 by its 31- and 32-year old co-founders — has published the de-identified hospital records of 2.2 million cancer patients, but it took 900 nurses and tumor registrars to extract the 50 percent of required data elements that were stored as unstructured text.

Reader Comments

From Martin Shkreli: “Re: blockchain. This article has a good explanation of blockchain and health IT.” The article offers a balanced and easily read overview of blockchain and its potential uses. The author, who is a Bitcoin developer, concludes that the decentralized nature of blockchain comes with high costs and lack of scalability that make the “slow, expensive database” unsuitable for nearly everything except as currency and for feeding hype to investors:

This naturally means that the software or database must not change things around often, if at all. There should be little upside to upgrading and much downside to screwing up or changing the rules. Most industries are not like this. Most industries require new features or upgrades and the freedom to change and expand as necessary. Given that blockchains are hard to upgrade, hard to change, and hard to scale, most industries don’t have much use for a blockchain. The one exception we’ve found is money.

From Tonsorial Advances: “Re: Epic. Judy once hinted during a staff meeting that it would offer billing services. It was followed by a slide showing Cerner’s much higher services revenue. That is probably where the rumor you were sent came from, since an RCM acquisition might make sense.”

Webinars

May 24 (Thursday) 1:00 ET. “Converting Consumers into Patients: Strategies for Creating Engaging Digital Experiences People Demand.” Sponsor: Healthwise. Presenters: Antonia Chappell, director of consumer solutions, Healthwise; Josh Schlaich, senior product manager, Healthwise. Nearly three-quarters of US adults use a digital channel to manage their health and the internet to track down health information. It’s clear that consumers have come to expect online interactions as an integral part of their overall patient experience. In fact, the Internet may be the first way people come in contact with your organization. They have more choice than ever on where to get healthcare services, and their decisions are increasingly influenced by how well organizations connect with them in the digital space. This webinar will show you how to create engaging digital and web experiences that convert casual consumers into patients and keep them satisfied throughout their entire patient journey.

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

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

Acquisitions, Funding, Business, and Stock

Patient communication and appointment management system vendor Luma Health raises $6.3 million in a Series A funding round, increasing its total to $9.7 million.

Doctor house call provider Heal raises $20 million in funding, increasing its total to $69 million. The service operates from 8 a.m. to 8 p.m. in parts of California and Washington, DC, with house calls covered by some insurance plans or $99 otherwise. Singer Lionel Richie is a company investor and pitchman.

Athenahealth’s second-largest shareholder — London-based Janus Henderson Investors, which owns 11.9 percent of the company — urges Athenahealth’s board to put the company up for sale. Meanwhile, Deutsche Bank thinks the company is worth $170 per share, but warns that the company’s suitor, activist investor Elliott Management, takes a long time to close deals. ATHN shares rose slightly Tuesday to around $154.

The US Supreme Court sides with Epic and two other companies in finding that mandatory employee arbitration and non-disclosure agreements are enforceable, meaning employees may not organize together to file workplace-related class action lawsuits.

Sales

• Columbus Regional Healthcare System (NC) chooses Cerner Millennium via the CommunityWorks hosted model.
• Australia’s NSW Health names Sectra as its preferred RIS/PACS vendor.

People

Todd Plesko (Vocera) joins Management Health Solutions as CEO.

HHS CTO Bruce Greenstein joins home health provider LHC Group as chief innovation and technology officer.

Announcements and Implementations

InstaMed announces Engage, a patient app that allows patients to check in for visits via Bluetooth beacon alerts or text messaging, view benefit information, pay for services with a digital wallet, and enroll in payment plans. 

Adventist Health System joins Florida HIE’s Encounter Notification Service to monitor out-of-network admissions, facilitate transfers, and plan discharges, The services is operated in partnership with Audacious Inquiry.

A Black Book survey of 900 physician organization finds that medical practices are moving to value-based care instead of selling out to health systems, with two-thirds of practices with 10 or more doctors planning to hire consultants in the next year to help them transform their operations. Nearly all respondents say they need outside help with implementing value-based care and population health management as well as choosing new software needed for those efforts.

A new KLAS report finds that most organizations are missing at least some elements of a mature enterprise imaging strategy in the categories of IT support and funding, the ability to electronically ingest images, defining an encounter-based imaging strategy, and applying strong governance. Most of those that have deployed a VNA and universal viewer are not fully meeting the four goals of image access, physician productivity, care collaboration, and data management, with customers of IBM Watson (Merge Healthcare) and Agfa performing best.

Life Flight Network launches an Uber-like mobile app that allows hospitals and first responders to request its air ambulance transport services.

COPD disease management app vendor HGE Health partners with Change Healthcare to support population health management and improve health plan-provider communication in managing chronic conditions.

Government and Politics

The House passes a bill that would require the VA to provide Congress with regular updates on its Cerner project and to notify lawmakers promptly if it experiences contract or schedule changes, milestone delays, bid protests, or data breaches.

A federal report finds that 40 percent of Americans would have to borrow money or sell something to pay an unexpected $400 expense, which is at least better than 2013’s 50 percent. The report also says that 25 percent of people have zero retirement savings.

Privacy and Security

A 28-year-old doctor in Nigeria is arrested for hacking into bank accounts and for creating fake payment notices to car dealers to steal cars, including an $80,000 Porsche. He says Nigerian banks are easy to hack and claims to have targeted actors such as John Travolta.

An investigation by Ireland’s data protection commissioner finds that hospitals are giving patient records to researchers without the patient’s consent. It also notes the presence of employee snooping, lack of computer audit trails, insurance companies being given full access to a patient’s medical history, and patient information being discussed in public areas where it could be overheard.

Other

Sutter Health President and CEO Sarah Krevans addresses last week’s system downtime in a video message to employees, deeming it unacceptable that clinical services were impacted “despite all of our planning, our protocols, our investment in technology, despite our emergency systems.” Meanwhile, two anonymous Sutter Medical Center nurses say the hospital, unlike other Sutter facilities, continued to perform elective surgeries even though the surgical team did not have access to the history and physical information of patients.

In Australia, an investigation into February’s hospital-wide power outage at Royal Adelaide Hospital finds that its facilities management company ignored erroneous low-fuel warnings from its diesel generators, not realizing that the false alarms prevented the fuel tanks from filling and caused the generators to run out of fuel during system testing.

In England, University College London Hospitals partners with an artificial intelligence institute to explore automating ED triage, sending appointment reminders, and analyzing images for research projects.

Marketers from addiction treatment centers, which are making fortunes from treating insured opioid addicts, are joining private Facebook addiction support groups to recruit patients, sometimes posing as concerned strangers. Some have been arrested for taking kickbacks for referring patients to rehab companies. The owner of a marketing company that runs a support website sued a treatment center for unpaid patient recruitment fees totaling $700,000 in 18 months from just that single facility.

Mary Washington Healthcare (VA) reprises its outstanding, “Hamilton”-themed EHR video from last year with a sequel that celebrates its Epic go-live next week.

A Georgia plastic surgeon who refers to herself as “doctor to the stars” and who made 20 YouTube videos of herself singing and dancing over unconscious surgery patients is being sued by several patients for malpractice. Windell Davis-Boutte, MD recently settled a case in which a patient claimed to have been left with permanent brain damage after an eight-hour tummy tuck procedure. Her website claims she’s board certified in both surgery and dermatology, but state records indicate that she is certified only in dermatology.

Sponsor Updates

• The Texas Hospital Association endorses Collective Medical’s care collaboration network for identifying and supporting complex patient populations and for manage ED usage and ED opioid prescribing.
• Access releases ESignatures 8.0, which includes a patent-pending handoff function.
• Meditech associate VP Larry O’Toole joins CommonWell’s board.
• Black Book names Impact Advisors as a leading cybersecurity consulting firm.
• Bernoulli Health will exhibit at the 108 IHI/NPSF Patient Safety Congress March 23-25 in Boston.
• CompuGroup Medical will exhibit at COLA – Symposium for Clinical Laboratories May 30-June 2 in Miami.
• Collective Medical Clinical Advisory Board Member Anne Zink, MD wins several ACEP awards.
• Conduent is named to the Fortune 500 list of largest US companies.
• The 2018 EPA National Adoption Scorecard from CoverMyMeds wins a Stevie Award for Best Annual Report.
• Dimensional Insight will exhibit at the MUSE International Conference May 29-June 1 in Orlando.

Blog Posts

• Physician Suicide Loss Survivors: Janae Sharp and The Sharp Index (Optimum Healthcare IT)
• Adding EPCS to Your Meditech System: What You Need to Know (Meditech)
• Mobile Form Solutions for Patient Consent Process: 8 Benefits (Access)
• The Calm After the Storm (AdvancedMD)
• Seven lessons on developing a sustainable community partnership (Advisory Board)
• Are you missing out on revenue and reimbursements? (Agfa Healthcare)
• Tackling Social Determinants of Health in Oregon (Arcadia)
• Shocking Facts About Paging (Spok)
• Cloudy Outlook: A 2018 CIO Cloud Perspective Survey (Datica)
• Ignore At Your Own Risk: How GDPR Will Impact US Companies (Burwood Group)
• Change Healthcare and the Fight for Blockchain Solutions (Change Healthcare)
• What You Need to Know About GDPR (Dimensional Insight)
• 50 Questions to Ask Prospective EHR Vendors (DocuTap)
• Samuel Getachew’s Success with ChartLogic Revenue Cycle Management (ChartLogic)

Contacts

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

Monday Morning Update 5/21/18

Top News

Cerner President Zane Burke blames an unnamed competitor (presumably Epic) for publicizing negative reports about the DoD’s MHS Genesis project, labeling the resulting coverage as “fake news” in Friday’s annual shareholder meeting.

Burke said, “If you had an axe to grind with us and wanted to perhaps keep us from getting to a Veterans contract, and you’re one of our competitors, you might want to use some information negatively. There was some negative information out there.”

He didn’t specify whether the “fake news” involved publication of the DoD’s own internal assessment of the project or some other event.

Burke said that just keeping VistA running would have cost more than $20 billion in the next 10 years vs. the $10 billion the VA will spend on Cerner, so it’s a good deal for taxpayers. Chairman and CEO Brent Shafer, ,asked about what issues keep him up at night, answered, “The VA was keeping me up at night until last night. It was a good night last night,” but added that his big issue is retooling the company to move more quickly.

Cerner has posted the audio recording and presentation from the shareholder meeting.

HIStalk Announcements and Requests

It’s an even split among the minority of respondents who care either way about someone’s use of fellowship credentials such as FHIMSS and FCHIME.

New poll to your right or here: what should the VA have done about an EHR? Show your work by clicking the comments link on the poll after voting and explaining.

This week’s “Wish I’d Known” question involves taking the first leap to overseeing the work of others.

Webinars

May 24 (Thursday) 1:00 ET. “Converting Consumers into Patients: Strategies for Creating Engaging Digital Experiences People Demand.” Sponsor: Healthwise. Presenters: Antonia Chappell, director of consumer solutions, Healthwise; Josh Schlaich, senior product manager, Healthwise. Nearly three-quarters of US adults use a digital channel to manage their health and the internet to track down health information. It’s clear that consumers have come to expect online interactions as an integral part of their overall patient experience. In fact, the Internet may be the first way people come in contact with your organization. They have more choice than ever on where to get healthcare services, and their decisions are increasingly influenced by how well organizations connect with them in the digital space. This webinar will show you how to create engaging digital and web experiences that convert casual consumers into patients and keep them satisfied throughout their entire patient journey.

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

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

Acquisitions, Funding, Business, and Stock

Cerner shares rose only 1 percent Friday after the announcement Thursday after the market’s close that the VA had signed its $10 billion contract with the company. CERN shares are down 4 percent in the past year vs. the Nasdaq’s 21 percent gain, while over five years CERN us up 28 percent vs. the Nasdaq’s 113 percent gain.

TransUnion will acquire Fort Worth-based Healthcare Payment Specialists, which offers solutions for hospital Medicare reimbursement that include Medicare bad debt review and disproportionate share analysis. 

Decisions

• Major Health Partners Medical Center (IN) will switch from NextGen Healthcare to a Meditech ambulatory EHR system by the end of 2018.
• East Carroll Parish Hospital (LA) plans to go live with JumpStock inventory control software.
• Brooklyn Hospital Center Downtown (NY) will switch from Allscripts to Epic ambulatory EHR in August 2018.

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

People

RCM vendor Access Healthcare hires Jim Carlough (Cognizant) as SVP of North America operations.

David Adams (Revenue Platforms) joins consulting firm Crux Strategies as VP of business development and revenue cycle management.

Government and Politics

President Trump will nominate acting VA Secretary Robert Wilkie to the permanent position, adding in Friday’s announcement at a prison reform event, “He doesn’t know this yet. I’m sorry that I ruined the surprise.” Wilkie is a former lawyer and White House security advisor.

Other

Eastern Maine Health Systems (ME) ends its addiction treatment partnerships with two cities that named individual physicians – some of them present or former EMHS doctors – in their billion-dollar lawsuits brought against drug manufacturers and distributors. The city councils of Bangor and Portland voted to join the lawsuits, causing the health system to say that it will withdraw from any initiatives involving cities or counties that sue it.

I belatedly learned via a tweet that former UPMC CIO Dan Drawbaugh has since 2015 been CEO of orthopedic group The Steadman Clinic and its research institute in Vail, CO.

Weird News Andy says there’s “so much wrong” in this story, in which a former hospice executive pleads guilty for her involvement in a $60 million fraud scheme that also involved intentionally killing unprofitable patients as ordered by the hospice’s owners, a CPA and his wife (above). The former operations director says the owners ordered her to falsify EHR entries to admit patients who weren’t eligible for hospice services, fabricated “do not resuscitate” orders to avoid paying for ambulance trips when families called 911, and took patients off medications solely because they weren’t covered by insurance. The FBI’s search warrant says the CPA texted a nurse, “You need to make this patient go bye-bye.”

Medical residents at an hospital in India go on strike to demand better hospital security after the angry family members of a patient who died prior to planned gallbladder surgery beat up two doctors, a nurse, and a visiting relative of another patient who tried to stop the attack. The hospital realized afterward that it had never followed through with installing a security alarm as planned two years ago and says it will get that done.

Rainbow City, AL police arrest a doctor for breaking into the office of the medical practice from which he had recently resigned to steal six computers, a server containing patient information, and medical equipment. He opened the practice’s safe, apparently in an effort to make the break-in look like a robbery, but police immediately suspected him because the safe’s contents were intact, including cash and narcotics.

Sponsor Updates

• HBI Solutions posts a case report titled “Client Success: Improved Transitions of Care at DFD Russell Medical Centers.”
• The SSI Group will host a regional user group meeting May 22-22 in Scottsdale, AZ.
• Sunquest will exhibit at the Pathology Informatics Summit May 21-24 in Pittsburgh.
• TriNetX will exhibit at the ISPOR Annual International Meeting May 19-23 in Baltimore.
• Wolters Kluwer wins eight Stevie Awards during the 2018 American Business awards.
• ZappRx CEO Zoe Barry will speak at the Greater Boston Chamber of Commerce’s Executive Forum May 22.
• ZeOmega will host ZeOmega Connections18 May 21-24 in Plano, TX.

Blog Posts

• Just What the Doctor Ordered: Healthcare & Life Sciences at Connections (Salesforce)
• Norman Doors and Healthcare IT (Sansoro Health)
• What Do Healthcare Consumers Really Want? (The SSI Group)
• Professional services that bring results. (Voalte)
• Reducing Alarm Fatigue and Interruptions: Clinicians See a Bigger Problem than IT Does (Vocera)
• The Bare Bones Social Media Guide for PT Clinics (WebPT)
• The high cost of low-value healthcare (Philips Wellcentive)

Contacts

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

News 5/18/18

Top News

Acting VA Secretary Robert Wilkie signs a 10-year, $10 billion contract with Cerner, saying its system will allow patient data to be “seamlessly shared between VA, DoD, and community providers.”

Wilkie adds that VA “will add capabilities as necessary to meet the special needs of veterans, VA clinicians, and our community care partners” and will collaborate with the DoD to share lessons learned.

Wilkie said in the announcement, “President Trump has made very clear to me that he wants this contract to do right by both veterans and taxpayers, and I can say now without a doubt that it does.”

Cerner President Zane Burke said in an announcement that the company’s technology “has been deployed successfully at Department of Defense (DoD) medical facilities and thousands of provider sites globally … My thanks to the administration for selecting Cerner to collaborate in creating seamless care as service members transition from active duty to VA medical centers and community providers. We expect this program to be a positive catalyst for interoperability across the public and private health care sectors, and we look forward to moving quickly with organizations across the industry to deliver on the promise of this mission.”

The total project cost has been estimated at $16 billion. Cerner will serve as its own prime contractor.

Reader Comments

From Pilsner: “Re: Epic. Heard they have acquired a small revenue cycle form to jump start a outsourced services offering.” Not true, according to a company contact that I was kind of embarrassed to ask given the near-certainty that this didn’t actually happen. Which it didn’t — Epic has never acquired another company and I don’t expect that to change.

HIStalk Announcements and Requests

I have zero responses to this week’s “Wish I’d Known” question, so it will be a skip week unless folks weigh in over the next day or two.

Here’s the recording of this week’s webinar titled “You Think You Might Want to Be a Consultant?” with Frank Poggio.

Webinars

May 24 (Thursday) 1:00 ET. “Converting Consumers into Patients: Strategies for Creating Engaging Digital Experiences People Demand.” Sponsor: Healthwise. Presenters: Antonia Chappell, director of consumer solutions, Healthwise; Josh Schlaich, senior product manager, Healthwise. Nearly three-quarters of US adults use a digital channel to manage their health and the internet to track down health information. It’s clear that consumers have come to expect online interactions as an integral part of their overall patient experience. In fact, the Internet may be the first way people come in contact with your organization. They have more choice than ever on where to get healthcare services, and their decisions are increasingly influenced by how well organizations connect with them in the digital space. This webinar will show you how to create engaging digital and web experiences that convert casual consumers into patients and keep them satisfied throughout their entire patient journey.

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

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

Acquisitions, Funding, Business, and Stock

The search for a CEO for the proposed joint healthcare venture of Amazon, Berkshire Hathway, and JPMorgan (or as Gizmodo likes to call it, the incredibly vague healthcare company of rich guys) stalls as the companies change their recruiting tactics to focus on someone with entrepreneurial experience. Payer and policy experts like Todd Park, Andy Slavitt, and Gary Loveman were on the initial wish list, as was entrepreneur and Grand Rounds Health CEO Owen Tripp, who has downplayed any interest in the position.

People

Dennis Cail (Trintech) joins Nordic as VP of ERP solutions.

Sales

• Faith Regional Health Services (NE) will implement Epic over the next 18 months through a purchasing arrangement with Nebraska Medicine.
• Crisp Regional Health (GA) will deploy Cerner Millenium across its ambulatory, acute, and post-acute facilities.
• Arkansas Surgical Hospital (AR) chooses perioperative software from Picis Clinical Solutions.

Announcements and Implementations

Holy Cross Hospital (NM) implements Wellsoft’s EDIS.

Government and Politics

Democrats call for the ouster of acting VA CIO Camilo Sandoval as part of an overall outcry about the lack of effective leadership they believe has led to agency waffling on the proposed Cerner EHR contract. Sandoval’s time as director of data operations for the Trump campaign while it was contracting with Cambridge Analytica and $25 million lawsuit filed against him for discrimination and harassment against campaign staffers have led the lawmakers to declare he “should be put nowhere near veterans’ health and benefits data.”

An assessment of Delaware-based Vaughn Correctional Center’s healthcare services produces a long list of EHR-related problems, including poor connectivity, inefficient workflows, and numerous workarounds. One healthcare employee, who typically sees between 12 and 15 patients a day, reported spending 80 to 100 hours each week on documentation. Vaughn prisoners, who have complained of inordinately long appointment wait times, led a violent uprising last year that resulted in the death of a correctional officer.

FDA says data vendor IQvia has for years provided it with incorrect national opioid dispensing data, as calculation errors “raise serious concerns about systemic issues with IQvia’s data and quality control procedures.” The agency is demanding a third-party audit of the company’s procedures. IQvia was known as QuintilesIMS until a November 2017 name change. Shares of the Durham, NC-based research company trade on the NYSE at a market cap of $20 billion.

Privacy and Security

In Houston, the University of Texas Health Science Center alerts patients that an email sent last week announcing the departure of a physician at its Davis Clinic mistakenly exposed 2,800 patient email addresses.

LifeBridge Health (MD) notifies patients of a September 2016 malware attack on the server that hosts its registration and billing systems, and the EHR used by its Potomac Professionals group. The health system, which detected the breach on March 18, has since enhanced password protocols and its cybersecurity system. CIO Tressa Springmann says the breach was the work of an external entity and that the organization is on a communications offensive in an effort to be transparent about the incident.

The EU’s General Data Protecting Regulation goes into effect next Friday, making it a good time to review earlier guidance from Advisory Board that compares it to HIPAA. My interpretation is different from theirs – they say it applies to a US provider delivering care to anyone hailing from a EU country, while I read it as being only for patients who are physically in an EU country at the time services are rendered (telemedicine, website use, and marketing sign-ups are the only use cases I can think of).

Other

In Australia, SA Health brings in 30 staffers to help clear a data entry pileup brought on by burdensome data entry requirements of the $37 million Cerner enterprise pathology laboratory information system it implemented last year. The backlog has caused delays in getting test results to patients, and in some cases, lost results. SA Health is in the midst of a 10-year, $471 million Allscripts EPAS roll out, which has also been plagued with problems and political hand-wringing.

A federal jury convicts Suresh Mitta and several co-conspirators for their roles in Cerner impersonation schemes that included selling a fake MRI machine to Dallas Medical Center for $1 million. Mitta even sued an international tech company under the guise of Cerner LLC, ultimately winning $24 million. UPDATE: Suresh Mitta died in the custody of US Marshals hours after his conviction, with law enforcement officials saying it appears he had a seizure in the cell he shared with other prisoners.

Columbia University Medical Center raises the ire of some ethicists by creating a family tree from inpatient EHR data – including each patient’s emergency contact along with more obvious connections such as mother-child status – to study inherited conditions. “It’s a way of looking at genetics but without having any genetic data,” one author said of the assumption that emergency contacts are often blood relatives. Bioethicists object that those emergency contacts did not give their consent (one compared the study to Cambridge Analytica) and observe the irony in finding “information to help your health, but we’re not going to give you that information.” Columbia is sharing its 2-million de-identified patient record database and its algorithms for detecting family relationships for similar studies. The authors say they can now say as a result that runny noses are inherited, although they admit that they can’t discern shared environmental issues or the possibility that the EHR does not list all conditions.

Anesthesiologist and Surgeon General Jerome Adams, MD comes to the aid of a Delta passenger who had lost, then regained consciousness before takeoff. Adams, with help from two nurses, saw that the passenger was taken back to the gate and on to a hospital.

Sponsor Updates

• The Lightbeam Health Solutions team packs 5,625 meals for distribution by the North Texas Food Bank.
• Diameter Health becomes a Group Solution Partner of the Strategic Health Information Exchange Collaborative.
• PokitDok adds its real-time health insurance eligibility app to the Salesforce AppExchange.
• Learn on Demand Systems becomes the official lab provider or the Veeam Certified Engineer technical certification program.
• Medicomp Systems will host Medicomp U May 21-24 in Reston, VA.
• National Decision Support Co. will exhibit at the NPSF Annual Patient Safety Conference May 23-25 in Boston.
• Netsmart will exhibit at the LeadingAge TX Annual Conference May 22 in San Antonio.
• Optimum Healthcare IT will sponsor and present sessions at Health IT Expo May 30-June 1 in New Orleans.
• Hewlett Packard Enterprise names CloudWave and its customer, Upson Regional Medical Center, the Grand Prize Winner of its 2018 Awards for Customer Excellence.
• Clinical Computer Systems, developer of the Obix Perinatal Data System, will exhibit at the E-Health Conference & Tradeshow May 27-30 in Vancouver.
• Gartner recognizes Healthfinch and Redox as one of its “2018 Cool Vendors in Healthcare Providers.”
• Platinum System adds Solutionreach’s patient relationship management capabilities to its practice management and EHR software for chiropractors.
• Healthwise partners with XG Health Solutions to deliver evidence-based assessment and care plan content to payers via Epic’s Healthy Planet software.
• Phynd publishes a new white paper, “Solving the Health System Network Management Challenge with High Quality Provider Information.”
• Vecna adds Imprivata’s biometric palm vein scanning technology to its patient check-in platform.
• In the UAE, Healthpoint implements GetWellNetwork’s interactive patient care system.

Blog Posts

• Are You Ready for Audit Time? Compliance Assessment for AWS and Azure (Logicworks)
• How nurses can immunize your organization against cyberattacks (Meditech)
• Healthcare Is A Journey and We’re Providing a Roadmap (Leidos Health)
• Risky Business: 3 Problems With Outdated Software (Spok)

Sponsors Named to Modern Healthcare’s “Best Places to Work in Healthcare 2018”

• Burwood Group
• CTG
• Cumberland Consulting Group
• Divurgent
• Experian Health
• Health Catalyst
• Huron
• Impact Advisors
• Pivot Point Consulting, A Vaco Company
• PMD
• ROI Healthcare Solutions
• Santa Rosa Consulting
• The Chartis Group

Contacts

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

News 5/16/18

Top News

Sutter Health confirms that some of its electronic systems remain down from an unstated problem that started late Monday. Sutter’s Epic system in at least some of its facilities as well as its public website are offline.

Some of the health system’s 24 hospitals have cancelled surgeries and gone back to paper during the downtime, but have access to Epic’s locally stored copy of patient information.

A spokesperson said late Tuesday that the downtime was caused by the activation of a data center fire suppression system.

Reader Comments

From Don’t Understand Investments: “Re: investors. Why don’t they put their money into companies that address problems like social determinants of health, public health, and mental illness? Those are the biggest issues we face.” Here it is in a nutshell:

• The only goal of investors is to make a profit, preferably quickly with a rapidly scalable offering.
• The only way a company can make a profit is to find willing customers who believe the benefits of its product or service (tangible or intangible) outweigh its cost.
• Most health IT products can’t really boost provider profit other than by the nebulous ideas of capturing more market share or increasing productivity measurably (and hospitals are poor at labor management, so that’s a tough sell), so their pitch nearly always involves lowering cost. (An exception would be anything related to revenue cycle, where the massive amount of billing and collections activities makes even a small amount of skim lucrative as long as enough patients have insurance to make collection likely).
• Lowering cost by reducing volume works for health systems only if they are paid at mostly capitated rates, where spending less means profiting more, or if they can keep non-paying patients out of their facilities. Most hospitals are still paid mostly as fee-for-service, which means they don’t want to reduce their big costs because they would also then be reducing their big revenue from patients who are insured. You don’t see a lot of hospital billboards trying to recruit more charity patients.
• Other than consumer plays such as telemedicine, that leaves deep-pocketed, for-profit companies as the most likely technology customer – insurers hoping to reduce unnecessary care they have to pay for or drug companies trying to keep a lucrative market share. It’s no coincidence that nearly every startup’s unrealistically optimistic business plan carries the built-in expectation that insurers or drug companies will make it rain and then stick someone else with the newly added cost.
• Consumers mostly can’t afford healthcare on their own, so their only value as a profitable widget is if they are insured. Charity care is a social construct, not a promising investment for VCs.
• In summary, like most endeavors that involve societal good without having for-profit fingers stuck in the pie, investors have every reason to invest in something less noble that is more likely to be profitable. You would do the same with your money, then perhaps donate some of your profits to charity to help the many Americans who aren’t as fortunate in their interactions with our healthcare and economic systems.

From Skip Tumalu: “Re: EHR vendors and prescription pricing. I’ve heard that some insurers provide real-time prescription pricing to EHR vendors for physician use in helping patients get their meds filled, but in return they bar those EHR vendors contractually from displaying anyone else’s lower drug prices. That forces patients to buy medications from the payer’s own pharmacy benefits manager. Is this widespread?” Tell me anonymously if you’ve seen one of these contracts, or even better, send me a copy that I will redact.

HIStalk Announcements and Requests

Welcome to returning HIStalk Platinum Sponsor Advisory Board, now part of Optum. The best practices firm combines research, technology, and consulting to improve the performance of 4,400 healthcare organizations. It offers research memberships, workforce surveys, consulting (medical group, IT strategy, revenue cycle, and its Clinovations implementation, optimization, and support services). Technology offerings include the Crimson product line (referral patterns, medical group performance, continuum of care, population health, surgical profitability), HealthPost (patient self-scheduling), IRound (real-time hospital experience and service recovery), and Audience Rx (consumer engagement). Consider doing what I’ve done for years in subscribing to the company’s “Daily Briefing,” which is the most information-packed, BS-free daily email healthcare newsletter I’ve seen and actually use to uncover news nuggets worth mentioning on HIStalk. Thanks to Advisory Board for supporting HIStalk.

Webinars

May 16 (Wednesday) 1:00 ET. “You Think You Might Want to Be a Consultant?” Sponsor: HIStalk. Presenter: Frank Poggio, CEO/president, The Kelzon Group. Maybe you just got caught in a big re-org and don’t like where things are headed, or, after almost a year of searching for a better opportunity your buddy says, “You’ve got decades of solid experience and you’re a true professional, you should become a healthcare IT consultant.” Now you start thinking, “This could be my ticket to success. I know the healthcare industry and can show people how to do things right. The sky’s the limit!” Not so fast. Consulting offers many advantages, and many pitfalls. This webinar will discuss both the rewards and the risks of moving into a full-time consulting role, as an independent, or part of a large firm. It will present a checklist you can apply to assess whether consulting is a good fit for you, and present the ground work necessary to be a successful consultant.

May 24 (Thursday) 1:00 ET. “Converting Consumers into Patients: Strategies for Creating Engaging Digital Experiences People Demand.” Sponsor: Healthwise. Presenters: Antonia Chappell, director of consumer solutions, Healthwise; Josh Schlaich, senior product manager, Healthwise. Nearly three-quarters of US adults use a digital channel to manage their health and the internet to track down health information. It’s clear that consumers have come to expect online interactions as an integral part of their overall patient experience. In fact, the Internet may be the first way people come in contact with your organization. They have more choice than ever on where to get healthcare services, and their decisions are increasingly influenced by how well organizations connect with them in the digital space. This webinar will show you how to create engaging digital and web experiences that convert casual consumers into patients and keep them satisfied throughout their entire patient journey.

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

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

Acquisitions, Funding, Business, and Stock

Elliott Management scolds Athenahealth’s board publicly for failing to respond to its $7 billion acquisition offer, adding that it knows Athenahealth has received acquisition interest from other parties as well. Elliott’s offer letter said Athenahealth’s value has been hurt by executive turnover, low margins, product execution, quality of service that fails to meet its “grand vision,” and poor financial forecasting and guidance. It also says former GE Chairman and CEO Jeff Immelt was a poor choice for Athenahealth’s board chair and questions why the company hasn’t hired a full-time president since promising to relieve CEO Jonathan Bush of that additional responsibility nine months ago.

Crowdsource investing platform RedCrow is focusing on early-stage healthcare startups and has partnered with Cleveland Clinic, but that’s not nearly as interesting as this: one of the co-founders is Jerry Harrison, former guitarist of long-defunct band Talking Heads.

Sales

Colorado’s CORHIO HIE will use Verato’s patient matching technology.

In Bulgaria, Puls Hospital joins TriNetX’s clinical trials research network.

People

Phynd hires Prashant Gharpure (Xpanxion) as CTO, Cathy Jones (Nuance) as VP of sales operations, and Keith Belton (Belton Strategies) as VP of marketing.

HIMSS hires Charles Alessi, MD (Public Health England) as chief clinical officer of HIMSS International and Bruce Steinbert (Big White Wall) as EVP/managing director of HIMSS International.

Retired HIMSS CEO Steve Lieber’s victory lap continues as he joins recruiting firm Quick Leonard Kieffer to assist with executive search in the oddly titled position “of counsel,” of which that company has several.

Announcements and Implementations

Market research firm Kalorama names Cerner as the global EHR market leader with a 17 percent market share, followed by Epic at 9 percent and Allscripts at 6 percent, although: (a) the company doesn’t disclose the methodology behind the $4,000 report; (b) they don’t say what they mean by “market share” (I’m guessing annual sales, which would be a SWAG for privately held companies that don’t release that information and not the same as market penetration or number of beds or providers); and (c) the author’s credibility is questionable given her quote that Epic is “acquiring technology” for physician practices (apparently unaware that Epic has never made an acquisition) and listing Kronos as a EHR vendor (perhaps confusing the labor management systems vendor with actual EHR vendor DrChrono).

LifeImage launches LITE (LifeImage Transfer Exchange), an API-powered interoperability platform for sharing medical images and other clinical information.

Government and Politics

A GAO investigation commissioned under the 21st Century Cures Act finds that patients are sometimes charged more than HIPAA allows for copies of their medical record. Two patients interviewed were charged over $500 for a single request, one had to pay $148 for a PDF copy, two were told they couldn’t get their information unless they paid a subscription fee, and one was charged a retrieval fee by the hospital’s release-of-information vendor, which is explicitly prohibited under HIPAA. Investigators also found that providers were often unaware of the patient’s right to their records or that the federal government limits the allowed fees. GAO asked HHS OCR how it handles patient access complaints and the results are not surprising – providers are basically never penalized but instead are given “technical assistance” that, at least in my personal experience with filing a complaint about a hospital that refused to give me my records electronically in saying they aren’t required to do so, lets the provider off without doing anything.

Former VA CIO Roger Baker – now an independent consultant — comments on the military’s report that called out extensive problems with its MHS Genesis pilot sites, saying:

• The VA will have an even tougher time installing Cerner than the DoD given that VistA is #1 in user satisfaction while the DoD’s AHLTA is dead last.
• Military physicians have to follow orders, but VA doctors have more autonomy about system changes and are more likely to express dissatisfaction.
• The firing of former VA Secretary David Shulkin left the VA without a strong Cerner champion who is willing to spend political capital to get the job done.
• Most big government IT projects fail, with Baker warning, “VA needs to remember that the probability they’re flushing that $16 billion down the toilet is actually greater than 50 percent.”
• All that aside, Baker thinks the VA has gone too far down the Cerner path to reconsider despite the DoD’s report.

Privacy and Security

A Black Book survey of 680 provider organizations finds that 96 percent of their IT security professionals worry that hackers are outpacing their ability to maintain information security due to flat budgets and lack of staffing. One-third of executives whose organizations recently bought cybersecurity solutions say they did so blindly and 57 percent of IT management respondents say they don’t even know the full extent of available solutions for mobile security, intrusion detection, attack prevention, forensics, and testing. Thirty-two percent of organizations didn’t scan for vulnerabilities before an attack and one-fourth of them haven’t performed measurable cybersecurity assessments.

Sheriff’s deputies arrest an underage high school student for hacking into his high school’s computer system to change grades. He set up a replica of the school’s website, spent five minutes sending a phishing email asking teachers to log in, then used the credentials they entered on his site to log in to the real system himself. Officers tracked him down at his parents’ house by getting a warrant to obtain the IP address of the fake website from his web host, then used an electronics-sniffing dog (who knew?) to find the flash drive he had hidden in a tissue box (a lot of good jokes are awaiting your creative ribaldry).

Other

A new KLAS report on interoperability in England’s NHS finds that data-sharing is rarely integrated with physician workflow and the exchange of structured data is uncommon, with one-third of organizations displaying external information via a separate EHR tab and another one-third using a standalone portal. Other challenges include unstructured data, inconsistent formatting, and missing data. The most significant barriers to interoperability are lack of standards, unwillingness to share, vague information governance, and a lack of understanding across care setting. The most widespread sharing is via HIEs, of which InterSystems and Cerner are the top vendors.

New York Times-owned Wirecutter looks at online therapy providers and rates Amwell tops, followed by Doctor On Demand. Amwell’s sessions run $59 to $99 for cash-paying customers seeking help for anxiety, OCD, PTSD, depression, or life transitions.

Newly released tax forms indicated that UPMC paid 32 executives $1 million or more and 10 of those more than $2 million in FY17.  I couldn’t find its CIO’s salary in the non-searchable PDF, but it was a large document and I might have missed it.

Forbes profiles money-losing ED and anesthesiology outsourcer Envision, which is taking heat for increasing healthcare costs through out-of-network billing (62 percent of its bills vs. a hospital average of 26 percent) that increases cost more than 100 percent in hospitals that hire it. A stock short-seller claims Envision’s business model is a “scam,” claiming that it pays physician groups cash upfront to lock them in at below-market rates for up to 10 years and thus is capitalizing salaries and then using its cash flow to sign up new practices. Envision blames high-deductible insurance plans, inadequate insurer payments to ED doctors, and the fact that EDs have to evaluate all patients regardless of ability to pay.

My favorite newfound healthcare expert is Austin Frakt, PhD, a professor and VA policy director who is a fun writer contributes to The New York Times. His latest piece on why healthcare costs took a dramatic upward turn versus other developed countries in 1980 even as life expectancy started declining is getting extensive exposure, but I also like his informal speculation about the cause:

Maybe our health system caters to the wealthy. As their incomes grow, so does their demand for ever more expensive, high-tech care that is only marginally better than what came before. Political and social influence being what it is, they get it, but we all pay for it. The share of our economy going to healthcare grows. But outcomes for the vast majority of the population with lower incomes don’t improve as much, because more high-tech, expensive, low-value healthcare isn’t what they need as badly as they need higher wages, better education, better housing — things provided by other social programs that the healthcare budget is consuming.

Sponsor Updates

• Change Healthcare releases InterQual 2018, which includes AutoReview automated real-time medical review using EHR data.
• Formativ Health wins a Silver Stevie Award in the Startup of the Year category at the American Business Awards.
• TriNetX will present at the ISPOR 2018 annual meeting May 19-23 in Baltimore.
• Access publishes an e-book titled “7 Signs It’s Time to Upgrade Your EMR.”
• The Center for Plain Language honors Healthwise with its Grand ClearMark Award.
• Arcadia will exhibit at the Greater Oregon Behavioral Health Spring Conference May 16-18 in Bend.
• Meditech EVP Helen Waters is named to Health Data Management’s “Most Powerful Women in Healthcare IT.”
• Bluetree Network will exhibit at the Minnesota HIMSS Spring Conference May 22 in Minneapolis.
• CompuGroup Medical will exhibit at the AUCH Annual Primary Care Conference May 17-18 in West Valley City, UT.
• Columbus CEO features CoverMyMeds CEO Matt Scantland.
• Culbert Healthcare Solutions will exhibit at the Centricity Live 2018 User Conference May 16-18 in Las Vegas.
• Cumberland Consulting Group will exhibit at the CBI Medicaid and Government Pricing Congress May 21-23 in Orlando.
• Elsevier collaborates with the International Association of Forensic Nurses to enhance forensic nursing content.
• EClinicalWorks will exhibit at the 2018 Star Ratings & Quality Improvement Summit May 21-22 in Championsgate, FL.
• Hayes Management Consulting and InterSystems will exhibit at Centricity Live 2018 May 16-18 in Las Vegas.
• Healthwise will present at ZeOmega Connections18 May 23 in Plano, TX.
• The Chartis Group publishes a white paper titled “Are You Overlooking the Power of Technology to Address Your Mission-Critical Imperatives?”
• Imprivata’s marketing team receives the SiriusDecisions 2018 ROI Award at the SDSummit for their use of account-based marketing.
• InstaMed will exhibit at the HFMA Region 1 Annual Conference May 23-24 in Uncasville, CT.
• Kyruus will present at the Millenium Alliance Patient Experience Transformation May 17-18 in Dove Mountain, AZ.

Blog Posts

• Is Your Practice Ready When the Next Hurricane Hits? (AdvancedMD)
• Can patients & care providers communicate conveniently, in both directions? (Agfa Healthcare)
• What We’re Building: Datica’s Public Product Strategy and Roadmap (Datica)
• Operate with Care: The Cloud is Like a Bugatti (Burwood Group)
• Why We Love Nurses: A Collection of Nurse Appreciation Stories and Quotes (CareSync)
• ChartLogic Revenue Cycle Management: Bringing Revenue Back to the Practice (ChartLogic)
• 4 Questions with Amy Andrade, AVP of Research, Meharry Medical College and Data Science Center (Optimum Healthcare IT)
• Piedmont Healthcare Partners with PerfectServe to Standardize After-Hours Communications Across all Physician Practices (PerfectServe)
• The Backbone of Healthcare (Clinical Architecture)
• Content Conundrum? Content as a Service Brings a Lot to the Table (Healthwise)
• Hyland Healthcare is heading to HIMSS Europe (Hyland)
• Healthcare Listings Management: Here’s How to Keep Up (Influence Health)
• Why Every Hospital Needs an eForm Management Solution for Surgical Consent (Access)
• 4 Takeaways from the WSWA 75th Annual Convention & Exposition (Dimensional Insight)
• ERP Implementation: How to Get Started on the Right Foot (Divurgent)

Contacts

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

Monday Morning Update 5/14/18

Top News

A newly declassified April 30 Department of Defense evaluation of the military’s four MHS Genesis pilot sites concludes that the system “is neither operationally effective or operationally suitable” and says it is inadequate for managing and documenting care delivery.

The DoD’s Director of Operational Test and Evaluation Robert Behler – a retired major general with executive experience in software engineering and consulting — found that the Cerner-powered MHS Genesis isn’t scalable enough for a full DoD rollout. Pilot sites experienced ongoing response time and downtime problems that worsened as each new site was brought online.

Some items from the report, which was published by FCW:

• 156 critical or severe incident reports were filed.
• Drop-down selection lists include options from all four pilot sites, requiring users, for example, to search through every provider from all four sites to book an appointment.
• User were only able to complete 56 percent of the 197 performance measurement tasks, leading the auditors to report that MHS Genesis “does not contain enough functionality to manage and document patient care.”
• Users questioned the system’s interoperability with medical and peripheral devices.
• Uses rated the system’s usability at 37 on a 100-point scale, far short of the 70 percent minimum target. They also lowered their scores as they gained experience with the system, the opposite of what would be expected.
• Seven long downtime events occurred during the three go-lives, with users unable to log in for hours at a time or one pilot site being down for several hours due to another site’s go-live.
• Help desk personnel were overwhelmed by the 14,000 tickets that were opened from January through November 2017.
• Testing at the largest of the four pilot sites, Madigan Army Medical Center, was postponed because of poor results from the first three sites.
• Prescription fill time at pharmacies increased from 15-20 minutes to 45 minutes or longer and pharmacists had to perform manual workarounds due to interface problems. The system does not support the use of NDC drug numbers or NPI provider IDs, requiring pharmacists to perform manual searches to select drugs and prescribers.
• Providers were unable to review radiology results because radiologists couldn’t match patients to images due to interface problems.
• The Joint Legacy Viewer did not always display critical MHS Genesis patient data.
• The report found that, “Essential capabilities were either not working properly or were missing altogether (e.g., referral requests not processing, lab results not showing, oral surgery apps not launching). To compensate for missing functionality, users relied on lengthy and undocumented workarounds (e.g., telephoning to check whether referrals had been received). Additionally, ineffective or non-existent workflows (e.g., the inability to flag certain patient records, insurance eligibility inaccuracies, appointments tracked to the wrong clinic) caused some users to create their own workarounds. Actions that used to take one minute to complete were taking several minutes using MHS GENESIS. Users reported that, even under conditions of proper functionality, actions required up to three times as many mouse clicks than before. User comments accompanying the IRs and user interviews indicate that MHS GENESIS increased patient encounter times to the point that providers were seeing fewer patients per day, despite some providers working overtime. Users also noted operational incidents (e.g., system freezes, lockouts, login errors) that caused mission failure or delay.”

Politico reports that DoD officials said in a Friday briefing that improvements have been made since the review ended in November, allowing visit and prescription volume to increase significantly. It quotes a White House spokesperson who noted that Senior Advisor Jared Kushner wasn’t involved the DoD’s bidding process but still believes that it’s important for the the VA to use the same system.

Reader Comments

From El Mariachi: “Re: fellowships. I was surprised by your comments. My organization’s fellowship does not require extra application fees, extra dues, or mandatory CE.” I don’t know what AMIA will do with its new FAMIA fellowship beyond requiring AMIA membership, peer recommendation, and AMIA involvement, but HIMSS doesn’t charge applicants directly either upfront or ongoing, although previous HIMSS participation is required. CHIME’s fellowship is attainable only if you’re a CHIME lifer since it requires 10 years of membership plus heavy participation in its activities. AHIMA requires 10 years of HIM experience and previous membership and levies a $250 application fee. All of these fellowships are a combination of loyalty points and industry experience. None of these appear to charge renewal fees or impose mandatory education once the credential has been earned, which I think is unlike medical fellowships such as FACOG and FACC. The terminology could be confusing since scholarship-based “fellowship” and the resulting F-letters to a doctor, academic, or researcher means obtaining additional specialty study and practice, which is vastly different than just sending in a reformatted resume to a membership organization and becoming labeled as its loyal fellow in return. Even more confusingly, AMIA already offers FACMI, conferred by simple voting (17 of those fellow designations were awarded in 2017). The “pro” argument from AMIA is that members who work in a hands-on informatics role should have a way to “celebrate their accomplishments” that are “evident in the settings in which they work.”

From Darth Vader: “Re: EHR vendors. With Elliott making a play for Athenahealth, how long until Optum uses its deep pockets to acquire an EHR vendor?” I would hope that Optum is too smart to spend money buying an EHR vendor in an era of declining product demand, vendor consolidation, and questionable profit potential. It will be interesting to see if Athenahealth sells out to the aggressive (some say ruthless) Elliott Management, stays the course, or entertains new interest from other potential acquirers. Lots of companies have lost fortunes thinking they could crack the code selling EHRs. Probably the biggest financial winner but operational loser in this drama is Jonathan Bush, who owns around $70 million worth of shares (and who would benefit from the company’s change-in-control golden parachute that was enacted in October 2017) but who is in the crosshairs for not making improvements until the activitist investor stepped in and who is now prepared to put his money where his mouth is. Elliott’s challenge would be deciding whether it can leave Bush in charge (he was already stripped of his board chair role because of Elliott’s pressure) since much of the company’s success and identity was the result of his charismatic engagement with Wall Street, customers, and employees. Athenahealth without Bush would be a lot less interesting.

From Alhambra: “Re: the DoD’s analysis of MHS Genesis. It’s impossible to know whether the two competing teams would have performed better, but Cerner is failing in one of the most important areas – Military Medical Readiness. I hope the pause allows Leidos / Cerner to fix this critical component. As for me, I’m ticked that the DHMS PEO PR machine touted deployment and operational success for months and it turned out to be lies.” The people associated with projects, either on the vendor or user side, have a vested career interested in making their work appear to be successful regardless of reality, but the DoD’s scathing review of MHS Genesis is stunning in the extent of the rollout’s problems, even for a huge project like this one. I don’t know how a review could be much worse. Nor could the report’s timing, which comes out just before the VA is set to sign a White House-pressured, no-bid contract with Cerner, which also contains a massive risk that nobody is talking about – the DoD and VA implementations would be occurring simultaneously and thus would compete for resources and vendor attention, not to mention that Cerner would be the VA’s prime contractor versus its role as a subcontractor under Leidos with the DoD. There’s also the unlikely scenario in which the VA signs a $10 billion Cerner contract and then the DoD bails out (note to VA: get that in the contract). VA and DoD technology implementation projects share the common theme of disappointing outcomes despite wildly high costs, a decades-long trend that won’t end any time soon regardless of whether the software is developed internally, by consulting firms, or by commercial vendors.

HIStalk Announcements and Requests

Welcome to new HIStalk Platinum Sponsor Sansoro Health. The Minneapolis-based company’s API solution provides real-time data exchange between EHRs and digital health applications. Its supports chart retrieval (medical records requests, prior authorization, release of information, quality reporting, risk adjustment); advanced analytics; telehealth; surveillance; and clinical workflow that improves user satisfaction and patient outcomes with intuitive, mobile, and voice-driven interfaces. The Emissary real-time RESTful API solution allows information to be exchanged securely across any EHR platform within days rather than months of setup time while avoiding data-mapping exercises and time-consuming maintenance. It eliminates copy/paste and system toggling to provide a better user experience and improve patient outcomes. Co-founder and CEO Jeremy Pierotti is an industry long-timer, having spent time at Leidos Health,  Stanford Health, and Allina. Thanks to Sansoro Health for supporting HIStalk.

This YouTube explainer video describes Sansoro Health’s Emissary API solution.

Poll respondents aren’t too interested in connect their Fitbit to an EHR, with comments suggesting a lack of added value and concerns about privacy.

New poll to your right or here: what is your reaction to seeing a fellowship credential such as FHIMSS, FCHIME, or the upcoming FAMIA on someone’s bio or business card?

Responses to last week’s “What I Wish I’d Known Before” question were thoughtful in relaying both good and bad examples of physician participation in technology projects.

This week’s question is for anyone who has worked for a solo medical practice in any capacity.

Webinars

May 16 (Wednesday) 1:00 ET. “You Think You Might Want to Be a Consultant?” Sponsor: HIStalk. Presenter: Frank Poggio, CEO/president, The Kelzon Group. Maybe you just got caught in a big re-org and don’t like where things are headed, or, after almost a year of searching for a better opportunity your buddy says, “You’ve got decades of solid experience and you’re a true professional, you should become a healthcare IT consultant.” Now you start thinking, “This could be my ticket to success. I know the healthcare industry and can show people how to do things right. The sky’s the limit!” Not so fast. Consulting offers many advantages, and many pitfalls. This webinar will discuss both the rewards and the risks of moving into a full-time consulting role, as an independent, or part of a large firm. It will present a checklist you can apply to assess whether consulting is a good fit for you, and present the ground work necessary to be a successful consultant.

May 24 (Thursday) 1:00 ET. “Converting Consumers into Patients: Strategies for Creating Engaging Digital Experiences People Demand.” Sponsor: Healthwise. Presenters: Antonia Chappell, director of consumer solutions, Healthwise; Josh Schlaich, senior product manager, Healthwise. Nearly three-quarters of US adults use a digital channel to manage their health and the internet to track down health information. It’s clear that consumers have come to expect online interactions as an integral part of their overall patient experience. In fact, the Internet may be the first way people come in contact with your organization. They have more choice than ever on where to get healthcare services, and their decisions are increasingly influenced by how well organizations connect with them in the digital space. This webinar will show you how to create engaging digital and web experiences that convert casual consumers into patients and keep them satisfied throughout their entire patient journey.

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

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

Acquisitions, Funding, Business, and Stock

Spartanburg, SC-based retail pharmacy technology vendor QS/1 lays off around 30 employees in a restructuring.

Meditech reports Q1 results: revenue up 4.5 percent, EPS $0.08 vs. $0.39. Product revenue jumped 17 percent quarter over quarter. Accounting changes involving unrealized marketable securities makes comparisons to previous quarters mostly irrelevant – the company’s operating income actually increased by 19 percent quarter over quarter but net income took a major hit due to the $18 million expense entry. 

Cumberland Consulting Group acquires EHR-focused managed services firm LinkEHR, expanding its consulting and services offerings into Epic-focused help desk, application break-fix, maintenance, physician concierge support, and build / optimization.

Vision insurer VSP Global makes an unspecified investment in PokitDok. VSP’s innovation lab has been testing PokitDok’s blockchain solution and says blockchain technology will be implemented quickly in healthcare for claims adjudication, supply chain management, and interoperability with EHRs.

Venture capitalist and early Theranos investor Tim Draper says founder and CEO Elizabeth Holmes was “bullied into submission,” adding that he is “thrilled at what she has done” despite SEC charges that the company was a massive fraud from the beginning. Draper previously called for the Wall Street Journal to fire reporter John Carreyrou, whose investigative reporting (“like a hyena going after her”) triggered CMS investigations and sanctions. He also blamed worried competitors and the federal government for causing the company’s problems, saying last week, “I think it was a great mission and she did a great job … We have taken down another great icon.”

Decisions

• Johnson Memorial Hospital (IN) went live with Cerner supply chain management software in August 2017.
• Sagecrest Hospital-Grapevine (TX) will change from a long-term acute care hospital to a short-term acute care hospital by the end of 2018 and plans to construct surgical suites.
• Matheny Medical and Educational Center (NJ) will go live with a Yasasii healthcare information system in May 2018.

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

People

T-System hires Steve DeCosta (Research Now) as CFO.

Cedars Sinai hires Anne Wellington (Techstars) as managing director of its accelerator program.

Announcements and Implementations

Intensivists at Western Australia’s Royal Perth hospital will monitor the ICU patients of Emory Healthcare (GA) overnight, exploiting the 12-hour time difference by using Philips eICU remote monitoring.

Privacy and Security

Two California hospitals announce that the information of 900 patients was inappropriately viewed by a former employee of its medical transcription vendor Nuance.

Other

A coroner in Australia urges medical providers to stop using “antiquated technology” after a hospital faxed a patient’s lab results that suggested chemotherapy complications to the wrong number. Without the information the second hospital gave the patient another round of chemo. He died four days after. The coroner couldn’t say for sure that the lack of communication killed the patient, but said it was “difficult to understand why such an antiquated and unreliable means of communication (faxes) exist at all in the medical profession.”

In England, an 88-year-old computer programmer creates Doctor Tick-Tack, an Android app that helps doctors communicate with patients who don’t speak the same language.

A Hong Kong man credits his Apple Watch with saving his life after it warns him of an elevated heart rate, sending him immediately to the ED where doctors diagnosed him with coronary artery blockage that required angioplasty. I’m not sure that the diagnostic power of non-baseline, first-episode, asymptomatic tachycardia is good enough to warrant emergency medical evaluation in every case, but it worked out for him.

GeekWire profiles Seattle-based MultiScale, a joint venture between Providence St. Joseph Health and a life sciences computing vendor whose product extracts EHR data into a secure cloud to allow building apps, creating dashboards, performing analytics, and sharing data with third parties.

Google’s new AI-powered Duplex voice system for making appointments is so realistic that it has raised ethical concerns, forcing the company to add a notice to the call recipient that they are in fact talking to a computer.

In England, chain bookstore operator WHSmith blames a computer glitch and apologizes for pricing Colgate toothpaste at $11 in one of its 129 hospital outlets, more than triple the price it charges at its other stores. A 2015 BBC investigation caught the company marking hospital prices up heavily on items ranging from bottled water to notepads, reports of which led to government pressure that forced the company to lower prices in its hospital locations.

Sponsor Updates

• Liaison’s Alloy Platform now exceeds GDPR compliance standards.
• National Decision Support Co. will exhibit at the Society for Pediatric Radiology Annual Meeting May 15-19 in Nashville.
• Netsmart will exhibit at the MHCA Spring Conference May 15 in Savannah.
• Clinical Computer Systems, developer of the Obix Perinatal Data System, will exhibit at the NOHIMSS Spring Conference May 18 in Warrensville Heights, OH.
• The Technology Association of Georgia recognizes Patientco with its 2018 Advance Award.
• Pivot Point Consulting will exhibit at the Oregon Chapter of HIMSS 2018 Annual Conference May 17 in Portland.
• Surescripts will exhibit at Centricity Live 2018 May 16-18 in Las Vegas.

Blog Posts

• Executive Spotlight, Kelli Mangino, Community Connect (Optimum Healthcare IT)
• Think Outside the Box to Tackle the Healthcare IT Staffing Crisis (Liaison Technologies)
• 3 Blogs to Celebrate National Nurses Week (Meditech)
• Phoenix Children’s Hospital realized $1M in cost savings with the help of clinical documentation technology (Medicomp Systems)
• Does Your Revenue Cycle Technology Pass the Test? (Navicure/Waystar)
• The biggest priorities for perioperative EHR optimization in 2018 (Nordic)
• How Northwell Health cut claim denials by 50 percent in four years (Experian Health)
• PatientPing Success Story: HCR ManorCare (PatientPing)
• National Nurses Week 2018 – Moments Mean Everything (PatientSafe Solutions)
• Nota Bene – or Not (PatientKeeper)
• HIMSS18 and the future of clinical communications (PerfectServe)
• Let Nurses be Nurses (Qventus)
• HL7 Standards: The Implementation Process, Unique Challenges, and Solutions (Redox)
• Healthcare Artificial Intelligence Outlook: Benefits, Projected Growth & Challenges (The SSI Group)
• Sunquest helps labs respond to healthcare market forces and lab challenges (Sunquest)
• A Training Revolution: Visage 7 Powers UF Health’s SIMulation (Visage Imaging)
• The power of pink pants. (Voalte)
• Inspire, Innovate, Influence: This Is How Nurses Lead (Vocera)
• The Ultimate Checklist for PT, OT, and SLP New Grads (WebPT)

Contacts

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

News 5/11/18

Top News

VA CFO Jon Rychalski tells the Senate Appropriations Committee in a Wednesday budget hearing that the agency will decide if it wants to move forward with a Cerner contract by May 28.

Asked about the project’s delays, Rychalski said, “[Acting VA Secretary Robert Wilkie] has said that he’s going to make a decision by Memorial Day. He explained that when he came in, he sort of came in cold. He knew what was going on within DoD, but not enough about the VA and needed to do due diligence to make sure he was comfortable with making a decision of this magnitude … Before that, they were looking at the contract, the interoperability, which was probably worthwhile because they came up with about 50 recommendations to improve it.”

The most interesting aspect of this quote is that it suggests the possibility that the VA may be reconsidering signing with Cerner at all rather than just hammering out specific contract terms and conditions, although at this point the money has been allocated, the no-bid decision has been announced, Wilkie doesn’t seem to have a problem with Cerner, and various members of Congress and the White House have made it clear they expect the VA to get the project underway, making it likely that the deal will be done.

Reader Comments

From Apricot Sky: “Re: [EVP/CIO name omitted]. Heard he has left the organization. That’s huge!” Unverified, so I’ve expunged the person’s name until if/when I get a response to my inquiry from the health system. His LinkedIn remains unchanged. UPDATE: Memorial Hermann Health System confirms that EVP, Chief Strategy Officer, and CIO David Bradshaw has left the organization after 20+ years.

From Clapton is a Bishop at Best: “Re: GDPR. I seem to have slept through the discussion. Do readers feel US health IT will require changes before the end of the month, or is everybody assuming we’ll be OK as long as we are HIPAA-compliant and not operating in the EU?” The EU’s General Data Protection Regulation enhances the privacy of all EU citizens and regulates the exportation of their personal data outside the EU. It guarantees “the right to be forgotten,” mandates prompt breach reporting, requires opt-in consent for data sharing, and carries big fines for violation. US companies, including health systems, fall under GDPR requirements only if they collect information from anyone who is physically in the EU at that moment (or at least that’s how I read it) and that’s the big out – GDPR doesn’t apply when a EU resident receives care in the US since they aren’t physically in an EU country at that moment. Potential health system problem areas for the May 25 implementation date mostly involve web pages that collect information from anyone via a contact form, survey, or newsletter signup, in which case you’re on the hook if one of your respondents is in an EU country. I look at GDPR as a potential competitive advantage for a US-based health system since patients are always worried about privacy, although I doubt GDPR awareness is high among the US population and therefore they might not care either way. I don’t know what impact GDPR has on EHR vendors that sell to EU customers. I’ll open the floor to readers.

From Southern CIO: “Re: CHIME. It bothers me when I receive a message from CHIME that includes a vendor name, as in this example. I looked to CHIME as being focused on members and not corruptible by the industry. I will chalk it up to a sign of the times.” HIMSS long ago eliminated the line of decorum between vendors and providers and in fact turned itself into one big, profitable vendor itself in its “ladies drink free” model of using low-paying provider members to attract high-paying vendors anxious to sell them something. It’s brilliant as a business strategy as long as providers don’t rebel at being exhibited like Amsterdam red-light district hookers to salivating vendor-johns, which based on casual HIMSS conference observation, is questionable behavior that is nonetheless entirely consensual all around. 

HIStalk Announcements and Requests

Welcome back to returning HIStalk Gold Sponsor Burwood Group. The 250-employee, Chicago-based healthcare IT consulting and integration firm helps organizations develop strategy, deploy technology, and create an operational model, also working with them to improve patient safety, quality, and satisfaction outcomes by applying expertise in technology selection, clinical communication strategy, facility transformation, and end-user adoption planning. The company’s clients have realized improved staff engagement and waste reduction through workflow automation, meaningful clinical alerts, and streamlined communication and collaboration. Thanks to Burwood Group for supporting HIStalk.

Listening: new suave harmonies from The Temptations, which despite frequent member changes in the group’s 50+ year history, still have one original member left in the 76-year-old Otis Williams (I’ll defer to their amazing musical legacy by declining to snarkily dismiss the group as “The Temptation”). The album features covers of present-day hits from Bruno Mars, The Weeknd, and others, while the album’s bonus track of “Stay With Me” covered gospel style is stunning. I shall acknowledge and support this premise – after some number of decades, a band with few or even no original members left can still rightfully perform under the original name as long as it respects its legacy in accepting the torch as handed off by the founders, no different than a symphony whose membership revolves while its sound remains the same. Anyway, today’s Temptations may well still dutifully cover the band’s nostalgia-inducing hits while strutting 1960s-style hokey dance moves, but they are far from a novelty act – their new music is nothing short of contemporary and grand.

Webinars

May 16 (Wednesday) 1:00 ET. “You Think You Might Want to Be a Consultant?” Sponsor: HIStalk. Presenter: Frank Poggio, CEO/president, The Kelzon Group. Maybe you just got caught in a big re-org and don’t like where things are headed, or, after almost a year of searching for a better opportunity your buddy says, “You’ve got decades of solid experience and you’re a true professional, you should become a healthcare IT consultant.” Now you start thinking, “This could be my ticket to success. I know the healthcare industry and can show people how to do things right. The sky’s the limit!” Not so fast. Consulting offers many advantages, and many pitfalls. This webinar will discuss both the rewards and the risks of moving into a full-time consulting role, as an independent, or part of a large firm. It will present a checklist you can apply to assess whether consulting is a good fit for you, and present the ground work necessary to be a successful consultant.

May 24 (Thursday) 1:00 ET. “Converting Consumers into Patients: Strategies for Creating Engaging Digital Experiences People Demand.” Sponsor: Healthwise. Presenters: Antonia Chappell, director of consumer solutions, Healthwise; Josh Schlaich, senior product manager, Healthwise. Nearly three-quarters of US adults use a digital channel to manage their health and the internet to track down health information. It’s clear that consumers have come to expect online interactions as an integral part of their overall patient experience. In fact, the Internet may be the first way people come in contact with your organization. They have more choice than ever on where to get healthcare services, and their decisions are increasingly influenced by how well organizations connect with them in the digital space. This webinar will show you how to create engaging digital and web experiences that convert casual consumers into patients and keep them satisfied throughout their entire patient journey.

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

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

Acquisitions, Funding, Business, and Stock

Analytics vendor Innovaccer secures $25 million in a funding round that brings its total raised to $41 million.

The Sequoia Project will divide its corporate structure into two subsidiaries – Carequality and EHealth Exchange – this summer. The EHealthExchange health information network, which will adopt the Carequality framework, is used by 59 HIEs and 15 EHR vendors.

Healthcare Growth Partners examines the trend of publicly traded health IT companies going private, as in the case of what Elliott Management is proposing in its bid for Athenahealth. HGP says market dynamics have changed such that private companies may be valued higher than their publicly traded counterparts, adding that acquirers may believe that paying a premium for full control may more than offset the built-in discount for share illiquidity. My unsolicited enhancement to HGP’s analysis is this – in a poor, thin IPO market, it may make sense for investors to take over a struggling company private by buying all shares at a premium, improve its operations and financials, and then take it public again down the road when conditions have improved and investors are ready to chase the next sure thing.

NantHealth reports Q1 results: revenue up 18 percent, EPS –$0.21 vs. -$0.34. NH shares have lost 10 percent in the past year vs. the Nasdaq’s 21 percent gain, valuing the company at $334 million.

People

Wes Wright (Sutter Health) joins Imprivata as CTO.

Announcements and Implementations

AMIA announces a fellowship (FAMIA) program that targets applied informatics practitioners. It sounds much like the lightly-regarded, non-academic FHIMSS or those fellowships sold by medical membership groups (FACOG, FACC), whose primary focus seems to be creating an ongoing revenue stream for the parent organization by charging would-be fellows to evaluate their credentials and provide them with mandatory ongoing education and membership (although to its credit, HIMSS does not require FHIMSS holders to renew their fellowship, so there’s no ongoing expense). It appears that you’re in as long as you work in a relevant job, have been a member for years, and can get other members to vouch for you – no effort is required beyond completing the application. I would question whether the accomplishment really means anything that isn’t already clear on someone’s resume, but people love having alphabet soup after their names and a wall full of self-love certificates.

AdvancedMD develops Rhythm, cloud-based software that puts EHR, PM, RCM, and patient engagement tools on a single platform.

Wellsoft works with GoRev to develop integrated EHR, PM, and RCM software for urgent care practices.

Medication administration software vendor EBroselow offers a free version of its dosing software for medical emergencies.

Sales

• The Indiana Family and Social Services Administration will implement Cerner Millenium and RCM software at its six inpatient psychiatric facilities.
• Mayo Regional Hospital (ME) chooses Cerner Millennium and revenue cycle solutions using the CommunityWorks hosted deployment model.
• Northern Valley Indian Health will deploy EHR software from EClinicalWorks at seven locations in California.

Government and Politics

At AHA’s annual meeting, HHS Secretary Alex Azar laments the lack of interoperability he encountered during his recent inpatient stays for diverticulitis:

Today’s compartmented system is a burden on both patients and providers. Imagine if I could have shared my medication list just once. Imagine if, instead of running through my story with each new contact, I could have told it just once. Think about the opportunities for mistakes and inaccuracies that would eliminate—and think about the time that would free up for seeing more patients, offering them the care and attention they need. Now, think about that not just in the context of one guy with an angry colon, but across 330 million Americans: It is amazing what freer exchange of information would mean for our whole system. That is the promise of interoperability.

At the VA budget hearing, VHA Executive in Charge Carolyn Clancy, MD says telehealth will be the VA’s “killer app,” not only for providing services, but also for recruitment. By 2020, all VA clinicians will be required by their job descriptions to be available to provide telehealth services.

The CEO of drug maker Novartis goes into damage control mode after STAT reveals that the company paid $1.2 million to President Trump’s personal lawyer Michael Cohen in trying to get a leg up on a new, unknown White House administration. The company said  paying a self-proclaimed Trump fixer to gain access was a mistake, but blames its former CEO, who left in February 2018. It also notes that Cohen was unable to deliver the work he promised, but couldn’t be fired because of the contract the drug company signed (he’s a lawyer, after all).

Other

Mayo Clinic attempts to cheer the 400 transcriptionists it is laying off with gifts for Medical Transcriptionists Week, which starts May 13. The transcriptionists, who have until May 19 to accept severance packages, aren’t convinced that the provider’s new Epic system in Rochester isn’t responsible for their downsizing.

Meanwhile, a local TV station says it has received several complaints from temporary nurses who were hired by contractor HCI to help with the implementation. One unnamed nurse was quoted as saying, “Since we’ve been in orientation with HCI, we have been verbally abused, we have been intimidated, we have been threatened that we would lose our job, not on a daily basis, but almost a nearly hourly basis.” HCI Group says it will look into the issues raised during the training sessions.

The Michael J. Fox Foundation and Alphabet’s Verily division will outfit 800 participants with the Verily Study Watch as part of a two-year project that will capture fitness, environmental, and physiological data, which will then be made available to independent Parkinson’s researchers.

A small survey of hospital RCM decision-makers finds that 69 percent use more than one RCM vendor, resulting in problems with denials that impact their bottom line.

A senior living center nurse is charged with the death of the father of former National Security Adviser H.R. McMaster. The contract LPN is accused of failing to perform neurological checks after finding his patient following an unwitnessed fall, then falsifying the medical record to indicate that he had done the exam.

A Black Book survey of 7,400 hospital nurses finds that only 4 percent are so frustrated with their EHR that they want to go back to paper recordkeeping, down from 26 percent in 2015. Nearly all respondents say their IT department responds quickly to their suggestions for EHR documentation changes, although 82 percent complain that they don’t have easy access to computers or mobile devices in patient care areas and their productivity suffers accordingly. Nearly all respondents say that  that EHR competency is a highly-sought employment skill, while 80 percent of  job-seeking RNs indicate that the EHR a hospital uses is an important part of their decision to take a new job.

Sponsor Updates

• The American Cancer Society adds the Healthgrades physician search finder tool to its website.
• CareCloud adds speech-recognition technology from NVoq to its EHR documentation tools.
• Loren Mann (Advisory Board) joins The Chartis Group as performance practice director.
• Cumberland Consulting Group will sponsor CBI’s Medicaid and Government Pricing Congress May 21-23 in Orlando.
• LogicStream Health releases a new podcast, “Partnering with physicians to make a solid business case and deliver ROI with Dr. Richard Priore.”
• Elsevier partners with PerkinElmer and its ChemDraw software to enable faster, more intuitive chemistry research.
• EClinicalWorks will exhibit at the Kentucky Primary Care Association 2018 Spring Conference May 14-15 in Lexington.
• Hayes Management Consulting will exhibit at Centricity Live 2018 May 16-18 in Las Vegas.
• HBI Solutions will exhibit at Pop Health East May 14-15 in Boston.
• The HCI Group partners with the Mayo Clinic (MN) on a successful go live in Rochester.
• Healthwise and Iatric Systems will exhibit at ANIA through May 12 in Orlando.
• Huntzinger Management Group congratulates customer Adena Health System on its 2018 Gallup Great Workplace Award.
• Image Stream Medical will present at Product Camp Boston May 12.
• InterSystems will exhibit at the Healthcare Providers Transformation event May 15-16 in Dove Mountain, AZ.
• Kyruus will present at RevDev18 May 16 in Boston.
• Audacious Inquiry Director of Master Data Management Services Jeremy Wong joins The Sequoia Project’s new Patient Unified Lookup System for Emergencies Advisory Council.
• Aprima concludes an award-winning fiscal year as it looks ahead to its 20th anniversary.
• Change Healthcare announces it will work with Microsoft and Adobe to improve patient relationship management and engagement initiatives.
• Spok forms physician and nurse advisory councils for its Care Connect platform.
• Access HealthNet partners with Datica to ensure compliance requirements are met for its healthcare bundling platform.
• Datica will provide security and compliance layers for cloud-based bundled payment solutions vendor Access HealthNet. 

Blog Posts

• National Nurses Week: Celebrating All Nurses from the Bedside to the Keyboard (FormFast)
• Developing a Revenue Integrity Program? Get Help with the Right Partner (Hayes Management Consulting)
• Athenahealth & Elliott Management – Why Health IT Companies are Going Private (HGP)
• With Grit and Compassion, Nurses are Everyday Heroes (Healthgrades)
• How to Execute the Perfect Go-Live (Part 2) (Leidos Health)
• Structured Content and Content Strategy: Beyond the Migration (Healthwise)
• Choosing the “Host” of Your EHR Extension in the Acute Setting (Impact Advisors)
• Debunking SSO Security Myths (Imprivata)
• Top 3 blogs to celebrate National Nurses Week (Meditech)
• Why Cultural Awareness can Improve Patient Outcomes (Influence Health)
• Integrating EMS into the Healthcare System (InterSystems)

Contacts

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

News 5/9/18

Top News

Athenahealth shares spike on yesterday’s news of an unsolicited takeover bid from Elliott Management, which has made several buy-out offers since taking on a 9-percent stake in the company last year. The hedge fund this time around made an all-cash offer of $160 per share for Athenahealth, putting the total value of the transaction between $6.5 and $6.9 billion. Elliott representatives believe they can close the deal in as little as three weeks, after which they plan to take the company private.

Athenahealth’s Board of Directors responded with a letter to shareholders announcing that they will review the offer.

HIStalk Announcements and Requests

Responses to this week’s question so far run the gamut, from realizing that tantrum-solving skills would come in handy, to going into projects with a more appreciative attitude for “physicians who were not only generous with their time, but also key contributors.” There’s still time to share your experience.

Webinars

May 9 (Wednesday) 2:00 ET. “How to Make VBC Work for You: The Business Case to Transform Into the Health System of the Future.” Sponsor: Philips Wellcentive. Presenters: Mason Beard, co-founder and chief product officer, Philips Wellcentive; Scott Cullen, MD, principal, ECG Management Consulting; Seema Mathur, director of strategy, Sage Growth Partners. How well is your organization funding its transformation to VBC? This free webinar explains how to achieve ROI as your organization transforms to meet the future. You’ll learn how VBC is impacting healthcare system management, three strategies for funding your transformation, and what the healthcare system of the future will look like.

May 16 (Wednesday) 1:00 ET. “You Think You Might Want to Be a Consultant?” Sponsor: HIStalk. Presenter: Frank Poggio, CEO/president, The Kelzon Group. Maybe you just got caught in a big re-org and don’t like where things are headed, or, after almost a year of searching for a better opportunity your buddy says, “You’ve got decades of solid experience and you’re a true professional, you should become a healthcare IT consultant.” Now you start thinking, "This could be my ticket to success. I know the healthcare industry and can show people how to do things right. The sky’s the limit!" Not so fast. Consulting offers many advantages, and many pitfalls. This webinar will discuss both the rewards and the risks of moving into a full-time consulting role, as an independent, or part of a large firm. It will present a checklist you can apply to assess whether consulting is a good fit for you, and present the ground work necessary to be a successful consultant.

May 24 (Thursday) 1:00 ET. “Converting Consumers into Patients: Strategies for Creating Engaging Digital Experiences People Demand.” Sponsor: Healthwise. Presenters: Antonia Chappell, director of consumer solutions, Healthwise; Josh Schlaich, senior product manager, Healthwise. Nearly three-quarters of US adults use a digital channel to manage their health and the internet to track down health information. It’s clear that consumers have come to expect online interactions as an integral part of their overall patient experience. In fact, the Internet may be the first way people come in contact with your organization. They have more choice than ever on where to get healthcare services, and their decisions are increasingly influenced by how well organizations connect with them in the digital space. This webinar will show you how to create engaging digital and web experiences that convert casual consumers into patients and keep them satisfied throughout their entire patient journey.

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

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

Acquisitions, Funding, Business, and Stock

Mobile messaging vendor MPulse Mobile raises $11 million in a Series B round led by SJF Ventures. The company also announced development of AI-based chat bot messaging capabilities.

Microsoft patents related to sensors for stress and blood pressure monitoring emerge, suggesting the company may be getting back into wearables. It discontinued its Band fitness tracker in 2016 as smart watches began to overtake trackers in popularity and capabilities.

Wall Street Journal Theranos investigator John Carreyrou uncovers a list of high-profile investors who helped the company secure hundreds of millions of dollars in funding. Founder Elizabeth Holmes, who settled with the SEC in March over fraud allegations, has told the last remaining shareholders that the company will be liquidated by August.

Former CMS Administrator Andy Slavitt launches Town Hall Ventures to invest in health IT companies focused on serving Medicaid and Medicare populations.

Sales

• Cody Regional Health (WY) selects Plexus Technology Group’s Anesthesia Touch EHR.
• University of Missouri Health Care will extend its Cerner Millenium system to affiliate Capital Region Medical Center.

People

Kristin Gillen, RN (HonorHealth) joins Bluetree Network as CNIO.

HealthTap’s Board of Directors ousts CEO Ron Gutman after looking into high turnover rates and concerning reports about his abusive conduct. Career CEO Bill Gossman has been tapped to take over the position.

Announcements and Implementations

Patientco announces availability of its Smart Patient Financial Engagement Platform.

Developers and healthcare organizations can now leverage FHIR for data exchange on the Redox network.

Meditech announces GA of its Expanse Web-based EHR in the UK and Ireland.

The VA San Diego Healthcare System rolls out LiveData’s PeriOp Manager in its eight ORs.

Health Fidelity investor UPMC (PA) implements the company’s HF360 Provider workflow software to identify and close gaps in risk across patient populations.

Privacy and Security

After visiting three Navy facilities and two Air Force facilities, the DoD’s Office of the Inspector General finds glaring disregard for data security across 17 information systems. The laundry list of problems included a lack of multifactor authentication, adequate passwords, system review and assessment procedures, and physical security standards to protect PHI. Excuses included a “lack of resources and guidance, system incompatibility, and vendor limitations.” Resulting HIPAA violations could cost up to $1.5 million annually for each violation.

Other

In an effort to help cancer patients avoid the ER, Fred Hutchinson Cancer Research Center (WA) and Microsoft will develop and pilot AI-powered technology to identify and help those patients likely to suffer from severe chemotherapy side effects. The company has also committed $25 million over the next five years to develop AI that will help people with disabilities.

In order to cut down on fraud and abuse, Walmart will require that all opioid prescriptions be filed electronically with its pharmacies by 2020.

A Black Book survey of 709 inpatient facility executives finds the majority are open to outsourcing clinical areas of expertise, particularly teleradiology and medical imaging, as they focus already stretched internal resources on the move to value-based care.

Sponsor Updates

• Surescripts publishes its annual National Progress Report.
• Aprima opens registration for its user conference August 17-19 in Dallas.
• Audacious Inquiry achieves EHNAC accreditations recognizing excellence in information security.
• Bluetree Network will exhibit at the HIMSS Executive Institute Leadership Live Conference May 14-15 in Dallas.
• The Editorial Board from Biomedical Instrumentation & Technology awards Bernoulli Health a Best Research Paper Award for its “Continuous Surveillance of Sleep Apnea Patients in a Medical-Surgical Unit” paper.
• Influence Health partners with Sg2 to add strategic planning capabilities to its hospital marketing services.
• Collective Medical partners with the Florida Hospital Association, giving members access to its real-time, risk-adjusted event notification and care collaboration platform.
• CompuGroup Medical will exhibit at the AUCH Annual Primary Care Conference May 17-18 in West Valley City, UT.
• Conduent will exhibit at the National Medicare Advantage Summit May 16-18 in Washington, DC.
• CoverMyMeds will exhibit at AAACN May 9-12 in Orlando.
• CTG publishes a new case study, “Inova Health System Relies on CTG for Epic Clinical Service Desk Solution.”
• Culbert hosts its 12^th annual employee celebration at Baltimore’s Inner Harbor.
• Divurgent publishes a new white paper, “A Culture of Security: Turning Your Greatest Threat into an Asset.”
• The local news highlights Docent Health’s patient experience work at Dignity Health’s Memorial Hospital (CA).
• The Microsoft Build 2018 Developer Conference showcases Datica’s compliant cloud technology.

Blog Posts

• Why Every Hospital Needs an eForm Management Solution for Surgical Consent (Access)
• In or Out-source Your Value-Based Care (VBC) Revenue Cycle Management? (AdvancedMD)
• A Mobile Imaging Workflow to “mobilize” your image-enabled EHR (Agfa Healthcare)
• What Current Issues Concern ACO Leaders? (Arcadia)
• Unleashing the EHR with Real-Time Data (Bernoulli Health)
• Medicare Advantage Evolving Star Ratings Criteria: How Technology Can Bridge the Post-Acute Gap (CarePort Health)
• Using Healthcare Artificial Intelligence in Explaining Lab Test Results to Patients (CareSync)
• 6 Tips for Dealing with Workplace Stress (Direct Consulting Associates)
• Customer Spotlight: Salinas Valley Memorial Healthcare System (Dimensional Insight)
• 6 Healthcare Innovations You May Not Know Were Created by Nurses (Spok)

Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
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