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Morning Headlines 8/20/24

August 19, 2024 Headlines Comments Off on Morning Headlines 8/20/24

Buffalo startup raises $6.8 million

Sleep apnea-focused digital healthcare company Ognomy announces a $6.8 million seed funding round.

These techies are solving US healthcare challenges

Providence (WA) will hire an additional 2,000 staff at its IT hub in India by the end of 2025.

Well Health plans to spin out, publicly list SaaS and services business in 2025

Canadian healthcare provider and IT company Well Health will spin off and publicly list its Well Provider Solutions software business in the first half of next year.

Comments Off on Morning Headlines 8/20/24

Curbside Consult with Dr. Jayne 8/19/24

August 19, 2024 Dr. Jayne 1 Comment

Nearly every health system has some kind of telehealth initiative in place even though rates of growth are much slower than they were during the height of the pandemic. Many of them are cautiously watching and waiting to see if Congress will extend telehealth access provisions for Medicare patients. People in the know think it’s likely that the extension will happen, but many suspect that it won’t happen until after the upcoming US election cycle, when they are included in end-of-year legislation.

Patients have become dependent on telehealth services. It has been a huge benefit for seniors who previously had to travel large distances to see specialists at tertiary care centers, but who can now have follow up visits from the comfort of their own homes. The current provisions expire at the end of 2024, and I don’t think any health system CEOs or COOs enjoy that kind of down-to-the-wire finish.

It’s hard enough to predict your patient care volumes for January and February given the unpredictability of influenza seasons that have changed a bit since COVID has been on the scene. Those months are also challenging for elective procedure volumes because patients have yet to reach their deductibles for the year and often avoid scheduling surgeries during the first quarter of the year. What happens if you go ahead and allow scheduling of telehealth visits on your physician schedules (which sometimes are opened more than a year in advance) and changes to the rules force you to have to move or cancel all those visits? There’s not enough modeling in the world to make you feel comfortable with what might happen.

Even when looking at non-Medicare populations, health systems have gotten creative with how they deploy telehealth care. I worked with one organization that implemented telehealth in their urgent care centers, diverting patients to sign up for telehealth encounters before they had a chance to check in at the registration desk. A fair percentage of patients would return to their vehicles and access the organization’s patient portal to get in line for a virtual visit. Those who made it to the front desk were signed in for the urgent care wait list, but were also offered the option to go into the queue for a virtual visit as well. From a patient standpoint, it’s nice to have the option to hold a place on the in-person wait list in case the telehealth physician feels your condition needs in-person evaluation.

For the physicians who were working at the sites where this concept was piloted, it caused stress at the end of the shift, where they worried about a potential burst of patients deciding to go ahead and come inside before the doors closed, just in case. Policies about patient care at the end of shift vary dramatically from urgent care to urgent care, so depending on how the practice runs, I can understand their nervousness. I worked with one urgent care organization whose policy was that every patient who signed in prior to the posted closing time would be seen, which led to providers staying a couple of hours late every night. When you’re already working a 12-hour shift, that can be a significant negative. The organization that was piloting the telehealth hybrid stopped accepting registrations 30 minutes prior to closing time, which seemed to mitigate those stresses at least somewhat.

I’ve also seen a slight uptick in organizations that are implementing so-called asynchronous telehealth in states where the modality is accepted. In many states, there has to be an existing physician / patient relationship before this type of visit can be done, although some allow it for new patients. For an asynchronous visit, patients complete a symptom-based questionnaire and provide relevant medical history and then a provider — more often a nurse practitioner or physician assistant — reviews that information and determines whether the patient can be treated via a response message or whether they need to be seen for a real-time telehealth visit or referred for in-person care.

Some insurance companies don’t pay for these kinds of visits, and the situations where I’ve seen them used most are when the organization has risk-sharing contracts where they are incentivized to keep patients out of the office and manage them as cheaply as possible. That’s fine if you have a younger and healthier population, but gets trickier when you have higher-acuity patients.

Asynchronous care technically also encompasses those organizations that are billing for patient portal messages where a new condition is discussed or a new treatment is requested. It’s unclear what kind of an impact those actions will have on overall telehealth volumes. A recent study that was published in JAMA this month showed that billing for messages at UCSF Health corresponded with a slight decrease in overall message volume. Not surprisingly, in that study a significant decline was noted among self-pay patients and adult patients under the age of 50. The authors noted a study limitation in that they could not look at patient outcomes or causality, but it’s an interesting starting point. I’ll be keeping an eye out for further studies of this phenomenon as more health systems adopt the practice. If you’re doing research in this regard, feel free to drop me a line.

Thousands of leaders from Epic-using health systems are descending on Madison, Wisconsin this week for the annual Epic User Group Meeting. They’re expecting more than 7,000 attendees for sessions that range from reviews of the research and development roadmap to specialty-specific forums. The event kicks off with Sunday’s “Taste of Epic” picnic/campfire event and runs through midday Thursday. Highlights include Tuesday’s executive address and “Cool Stuff Ahead” sessions as well as that evening’s “The Very Hungry Dinner” event named to go along with this year’s “Storytime!” theme. “The Very Hungry Caterpillar” is a book that I can recite from memory, so I got a chuckle out of the agenda’s callout that attendees could “eat through one of everything until you get a stomachache.” I’m unable to make it this year due to other commitments, so if you’ve got pictures or stories to share, feel free to send them my way.

Email Dr. Jayne.

Morning Headlines 8/19/24

August 18, 2024 Headlines Comments Off on Morning Headlines 8/19/24

Epic Commends Carequality

Epic expects all of its customers to go live on TEFCA by the end of 2025 using its Epic Nexus QHIN.

McLaren Health confirms ransomware attack, says recovery will last through August

McLaren Health Care (MI) reports that it will take another several weeks to fully recover from an August 4 ransomware attack.

Palomar Health Medical Group restores operations following cyberattack

Palomar Health Medical Group (CA) announces that it has fully restored its computer systems after a cyberattack discovered in early May forced them offline.

Comments Off on Morning Headlines 8/19/24

Monday Morning Update 8/19/24

August 18, 2024 News 4 Comments

Top News

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Epic expects all of its customers to go live on TEFCA by the end of 2025 using its Epic Nexus QHIN.

The company says that all of its hospitals use Carequality, but national participation is 70% and TEFCA “is the nation’s best opportunity to get the remaining 30% of US hospitals off the sidelines.”


Reader Comments

From Anonymouse: “Re: Anthem / Elevance Health. Another huge RIF. Word on the street is 12% of the total workforce, hitting people working on government plans and technology supporting them hardest. Behavioral Health was decimated. This follows one in February and one from September of last year, and there is due to be another one this Thursday (8/22). The hot goss is that per leadership, ‘if you’re not talking AI’ your head is on the block.” Lots of online employee chatter about this. ELV shares are up 18% in the past 12 months, valuing the health benefits company at $126 billion.


HIStalk Announcements and Requests

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Personal connections are pretty important for landing a job. Poll respondents had less success with recruiters, LinkedIn, and social media exposure.

New poll to your right or here: Which factor would be most important in deciding to take a new job?


Webinars

September 10 (Tuesday) noon ET. “Overcoming Hurdles in Specialty Med Access Under Medical Benefits.” Sponsor: DrFirst. Presenters: Drew Hunsinger, VP of corporate business development, DrFirst; Tyler Wince, MEd, VP of product and technology specialty solutions, DrFirst. More specialty medications, which made up 80% of FDA’s new drug approvals last year, are falling under medical benefits, which challenges the patient care processes and efficiency of providers. Medication access experts will discuss how automation and unified medication management solutions can ensure better outcomes for patients and providers by addressing patient access hurdles and enhancing the ‘stickiness’ of EHRs. They will also provide insights into how regulatory changes such as interoperability and prior authorization mandates will affect healthcare stakeholders.

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


Sales

  • Florida Orthopaedic Institute chooses HealthMark Group for release of information.

People

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Stephanie Wallace (Huntzinger) joins HealthNet Systems Consulting as VP of sales and marketing.

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Pivot Point Consulting, a Vaco Company, hires Nick Patel, MD (Children’s Hospital of Philadelphia) as physician executive partner.


Announcements and Implementations

Press Ganey expands its PX Connect Suite that includes the ability to collect patient surveys via Epic’s MyChart and NLP-powered summarization of patient comments. Early adopters were Vanderbilt University Medical Center and New York University Langone Health.

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Epic posts Volume 2 of its Epic Almanac, which includes articles on the company’s use of AI, a review of its international business, photos of its offices around the world, a behind-the-scenes look at its all-hands monthly staff meetings, and fun pieces on its artwork and culinary team recipes.


Government and Politics

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Hard right TV network Newsmax takes issue with Epic’s connectivity to Vot-ER that allows people to register to vote via MyChart, with the host questioning, “Is this setting up a scenario where millions of illegals and non-citizens passing through safety net hospitals who serve lower income and undocumented could be registered to vote?” Guest Katarina Lindley, DO — – a Croatia-educated Texas direct primary care operator — complains that psychiatric hospitals are registering people to vote who are incapable and also seems to veer off into other gripes as she cites an unnamed physician who she claims intentionally misdiagnoses conservative patients. UPDATE: an Epic spokesperson provided this company response:

Software provided by Epic to customers does not collect voter registration information or connect to any voter registration organization or voter registration website. There is no partnership between Epic and any voter registration organization. We are not aware of any customer configuring their instance of Epic to collect voter registration information. If a customer chooses to engage in voter registration efforts or partner with a voter registration organization, it is up to them.


Sponsor Updates

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  • Symplr employees help Gladiola Elementary School staff in Grand Rapids, MI, prepare for the new school year.
  • ZeOmega adds Wolters Kluwer Health’s UpToDate member education solutions to its Jiva member engagement navigator platform.
  • Tegria will sponsor and present at Meditech Live September 25-27 in Foxborough, MA.
  • Waystar will exhibit at the MedInformatix Summit August 20-22 in New Orleans.

Blog Posts


Contacts

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

Morning Headlines 8/15/24

August 15, 2024 Headlines Comments Off on Morning Headlines 8/15/24

Caresyntax Raises $180 Million Funding to Accelerate Growth and Adoption of Precision Surgery

Precision surgery platform vendor Caresyntax raises $180 million in a Series C funding round.

Scaling Photon

Text-based prescription management software startup Photon announces $9 million in new funding, bringing its total raised to $16.4 million.

OmniSYS Becomes XiFin Pharmacy Solutions, Launches Pharmacy Payor Rate Transparency Monitor and Receives Industry Recognition with Pharmacy 500 Award

XiFin rebrands pharmacy technology business OmniSys to XiFin Pharmacy Solutions and announces plans to launch a visualization tool that will help pharmacies compare payer reimbursement rates.

Comments Off on Morning Headlines 8/15/24

News 8/16/24

August 15, 2024 News Comments Off on News 8/16/24

Top News

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The private equity owner of healthcare consulting firm Chartis sells a majority stake to private equity firm Blackstone.

Insiders say that the deal values Chartis at about $1.4 billion.

The 23-year-old Chartis has 1,000 employees.


Reader Comments

From Fine Corinthian: “Re: LinkedIn. It has become a podcast marketplace.” I would say that maybe 25% of my feed involves someone announcing that they are hosting or guesting on a podcast. Sometimes both, in the puzzling decision for one podcast host to interview another, although maybe it’s inevitable since it seems that everyone has one. For LinkedIn, if each participant publicizes it before and after, that’s a lot of content that I ignore.


Webinars

September 10 (Tuesday) noon ET. “Overcoming Hurdles in Specialty Med Access Under Medical Benefits.” Sponsor: DrFirst. Presenters: Drew Hunsinger, VP of corporate business development, DrFirst; Tyler Wince, MEd, VP of product and technology specialty solutions, DrFirst. More specialty medications, which made up 80% of FDA’s new drug approvals last year, are falling under medical benefits, which challenges the patient care processes and efficiency of providers. Medication access experts will discuss how automation and unified medication management solutions can ensure better outcomes for patients and providers by addressing patient access hurdles and enhancing the ‘stickiness’ of EHRs. They will also provide insights into how regulatory changes such as interoperability and prior authorization mandates will affect healthcare stakeholders.

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


Acquisitions, Funding, Business, and Stock

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Precision surgery platform vendor Caresyntax raises $180 million in a Series C funding round


Sales

  • Kaiser Permanente will implement Abridge’s ambient documentation product in its 40 hospitals and 600 medical offices, apparently ending its highly touted pilot of Nabla at The Permanente Medical Group.
  • Northwestern Medicine will implement Nuance DAX Copilot.

People

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Leidos hires Kris Mork, PhD (Guidehouse) as chief data officer.

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Digital pathology AI vendor Paige promotes Razik Yousfi to CTI/CEO. Former CEO Andy Moye, PhD will leave the company.


Announcements and Implementations

Trilliant Health releases a free version of its provider directory that contains the basic information of 2.9 million US providers that has been updated and corrected by analyzing claims data.


Privacy and Security

Diagnostic testing firm Enzo Biochem will pay $4.5 million to New Jersey, New York, and Connecticut after the data of 2.4 million patients was compromised by hackers who used login credentials that had been shared among employees. One of the passwords used by the hackers hadn’t been changed in 10 years. The company didn’t notice the intrusion for several days due to lack of system monitoring.


Sponsor Updates

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  • HealthMark Group staff volunteer at the North Texas Food Bank during the company’s annual volunteer day.
  • Bali International Hospital will implement the InterSystems TrakCare EHR platform.
  • Optimum Healthcare IT expands its Workday staffing service to Canada.
  • FinThrive will present at the Lone Star HFMA Summer Conference August 22 in Irving, TX.
  • Health Data Movers posts a new episode of the “QuickHITs” podcast with Chris O’Connor, CEO of Yale New Haven Health.
  • Optimum Healthcare IT’s ServiceNow Business Implementation services earns high customer satisfaction in a recent KLAS First Look Report.
  • Fortified Health Security names Aditya Jadhav threat analyst shift lead, Todd Cronin senior penetration tester, and James Stevenson director of people and culture.

Blog Posts


Contacts

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

Comments Off on News 8/16/24

EPtalk by Dr. Jayne 8/15/24

August 15, 2024 Dr. Jayne 2 Comments

Bain & Company recently released study findings looking at how patients perceive generative AI in healthcare. Long story short is that patients are more comfortable with AI tools taking notes during office visits or supporting analysis of radiology images. They’re less comfortable with AI running payer or provider call centers, and they’re least comfortable with AI providing medical advice, treatment plans, and prescriptions.

The authors of the piece also provided their opinions about the patient-physician relationship, which I found interesting since they differ from what I’ve seen in my own practice the last several years. In my community, we’ve seen a rise in transactional healthcare, where patients don’t seem to have a preference for seeing their own physicians and where they tend to place more value on being seen quickly or at a time that is convenient to them.

The authors feel that especially with telehealth, “the value of the relationship has prevailed,” with the majority of patients using telehealth only with their own existing providers. They also note that nearly equal numbers of physicians and patients (76% and 78%, respectively) see telehealth as complementary to in-person care, with only a small percentage eyeing it as a replacement. I suspect that varies dramatically depending on whether we’re talking about primary care or subspecialty care and the type of services that are being offered.

At my primary care physician’s office, the next available well visit for an established patient is in November 2025. The next available problem-oriented visit for an established patient is in November 2024. When you’re looking at wait times like that, I’d take telehealth as an alternative any day.

An article I read about single sign-on (SSO) technology resonated with me given the different environments in which I work. One organization has a robust SSO implementation and I literally enter zero passwords. We have card-based and biometric-based authentication, so regardless of what application I need to use, I’m good to go as long as I’m appropriately accessing the workstation.

Another facility has a hodgepodge of security solutions and I have to log in to the network then Citrix (fortunately with the same password) and then to the EHR separately. From there, I have to use different passwords to access clinical decision support tools, formulary information, and clinical quality measures dashboards. C’mon folks – if you want to make your end users’ lives easier, please implement SSO. Having all those different password entry points isn’t going to prevent you from being hacked and it doesn’t make you safer because it leads to people writing down passwords. Trust me.

From My Cousin Vinnie: “Re: the mouse. Did you see this article about the future of the mouse as a computing accessory?” I had just come home from the office supply store with a brand new mouse in hand when I saw this email. I’ve used a touch screen laptop for the last six years, but none of my company-issued devices are touch screen and I wanted a smaller mouse for travel. I have Raynaud’s Syndrome, and depending on the symptoms, a typical laptop touch pad doesn’t always work for me, despite the assurance of my health system’s ergonomics team that there is no technical explanation for what I observe, and that it should be working regardless.

The article quotes mouse giant Logitech’s CEO about a futuristic concept in which the mouse is a high-end accessory that you use forever “like a Rolex” with the benefit of periodic software updates. I’m not sure about the rest of you, but I’ve had my current desktop mouse for over a decade, which is just about an eternity in tech circles. I think I paid 40 bucks for it, so even if I had to buy two or three in a career, it’s going to be a hard sell to try to get me to purchase a premium product. Interestingly, the article notes that despite the CEO’s comments, a spokesperson for Logitech said that the so-called ‘forever mouse” is not actually on the product road map.

From Willie Nelson: “Waymo chaos. I couldn’t help but think of the lyrics to ‘On the Road Again’ after reading this piece about autonomous taxis going bonkers overnight in San Francisco.” The article describes a situation where Waymo’s driverless taxis converge on a parking lot, creating a situation for which their software isn’t optimized. The cars end up confused and begin honking while struggling to enter and exit parking spots. Residents of adjacent buildings note that it’s been happening repeatedly over the last few weeks, leading to sleep disruptions. A Waymo spokesperson is quoted as saying that they are “aware that in some scenarios our vehicles may briefly honk while navigating our parking lots. We have identified the cause and are in the process of implementing a fix.” Time will tell how proficient their coders are and how good their quality assurance process really is.

I was reminded the other day that if I am going to be doing contract IT work for the local health system in the coming months, I’ll need to show proof of influenza vaccination. They’ve had policies in place that address mandatory flu vaccines for more than 15 years, but I haven’t seen anything yet on what the policies will be for COVID vaccinations this season. It was particularly timely because I also saw this public health article today in JAMA Network Open that looked at how vaccine mandates impacted vaccine uptake among US healthcare workers. The authors looked at a sample of 31,000 healthcare workers across the US. Not surprisingly, they found that state vaccination mandates correlated with increased vaccine acceptance among healthcare workers.

We’re experiencing a COVID surge in our area, fueled partly by a contingent of individuals who attended a national youth rally on a college campus. The close quarters of tour buses, college dorms, packed arenas, and group breakout sessions created many exposure pathways, and according to those who attended, masking was nearly non-existent. I think we’ve been in a relative period of quiet with COVID and people have stopped thinking about it and their risks of exposure when they’re in large groups with crowded conditions, and it’s probably time to think about that again.

I’ve had several important work and family events lately that I don’t want to risk being sick for, so I’m typically one of the handful of people on planes who are masking. I just gave some N-95 respirators to a friend who was picking up two hospitalized elderly relatives at discharge, so it’s always good to have some supplies on hand and enough to share.

Has your institution announced COVID vaccination policies for the fall or are they sticking with only influenza requirements for now? Leave a comment or email me.

Email Dr. Jayne.

Morning Headlines 8/15/24

August 14, 2024 Headlines Comments Off on Morning Headlines 8/15/24

Mosaic Health Introduced as a National Primary Care Delivery Platform

Elevance Health (the former Anthem) partners with PE firm Clayton, Dubilier & Rice to launch primary care delivery company Mosaic Healthcare.

Chartis Announces Majority Investment from Blackstone to Advance Mission of Healthcare Transformation

Blackstone acquires a majority stake in healthcare advisory firm Chartis, parent company of HealthScape Advisors, Jarrard, and Greeley.

Google Pixel Watch 3: bigger, brighter, fine-tuned for fitness

Google launches the Pixel Watch 3, whose health-related features include workout biometrics, cardiac tracking, planning and guiding tools for runners; and loss-of-pulse detection that can contact emergency services.

Comments Off on Morning Headlines 8/15/24

Healthcare AI News 8/14/24

August 14, 2024 Healthcare AI News 1 Comment

News

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Google launches the Pixel Watch 3, whose health-related features include workout biometrics, cardiac tracking, planning and guiding tools for runners, and loss-of-pulse detection that can contact emergency services. The watch costs $350 for the Bluetooth/WiFi version in 41 mm size.

Google also announces Gemini Live, which offers conversational AI for hands-free conversations and integration with apps. It will be available via the Gemini app on Android or as a tab on the Google app for IOS.

Microsoft announces enhancements to Nuance Dragon Ambient EXperience (DAX) Copilot that include the ability to generate referral letters, summaries of evidence, after-visit summaries, and encounter summaries. It also provides user coaching for areas where additional verbalizing would create more complete notes.  


Business

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Medical device and equipment manufacturer Stryker will acquire Care.ai to offer customers smart hospital solutions that address nursing shortages, staff retention, and workplace safety. The technology will be integrated with Stryker’s Vocera system, which it acquired for $3 billion in January 2022.

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Elise.ai, which sells AI assistants and customer relationship technology to property management companies, raises $75 million in a Series D funding round that values the company at $1 billion. Its Health AI business automates patient conversations and manages appointment scheduling and patient payment.

Amazon describes how its AI work is helping transform healthcare:

  • Improving health visits via its HealthScribe ambient documentation service.
  • A collaboration with EvolutionaryScale to enable researchers to design new proteins.
  • More efficient prescription filling and better customer service in Amazon Pharmacy.
  • Using AWS Textract intelligent document processing in Amazon Pharmacy to extract and structure information from digital and paper prescriptions, which allows order processing that is up to 90% faster.
  • Partnering with health systems, insurers, and life sciences companies to uncover patient insights while ensuring privacy and security.

Research

Amazon describes the technical underpinnings of its Bedrock service that extracts unstructured data from standardized form entries, using healthcare as an example.


Other

Researchers postulate that clinicians, specifically radiologists, and AI do not make up a synergistic team, as humans rely on their knowledge and environment but AI learns from its own correlations and is not limited by context. They say that AI development is outpacing the understanding of its clinical value and the challenges that are involved in its integration.

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Tests of open-source, locally hosted LLMs such as Meta Llama 3 matched the performance of ChatGPT and Claude in answering radiology board exam questions, raising the possibility of healthcare use without the expense and privacy concerns of hosted LLMs.

The minister of health of the Netherlands believes that AI can help solve staff shortages, as tightened immigration laws rule out bringing in workers from other countries.


Contacts

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

Morning Headlines 8/14/24

August 13, 2024 Headlines Comments Off on Morning Headlines 8/14/24

Veradigm collects initial bids for potential sale

Insiders report that Veradigm has received bids for a potential sale of the company following its announcement that it is seeking strategic alternatives.

CareCloud Reports Second Quarter 2024 Results

CareCloud reports Q2 results: revenue down 4%, EPS $-0.14 versus –$0.37, exceeding estimates for both.

Doximity First Quarter 2025 Earnings: Beats Expectations

Doximity reports Q1 results: revenue up 17%, EPS $0.22 versus $0.15, beating expectations for both and sending shares up sharply to a 52-week high.

Comments Off on Morning Headlines 8/14/24

News 8/14/24

August 13, 2024 News 2 Comments

Top News

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Global conglomerate Hearst will acquire healthcare workforce management software vendor QGenda in a deal that is valued at up to $3 billion.

Insiders say the deal gives seller Francisco Partners a 15x return on its eight-year investment.

QGenda will become part of Hearst Health, a network of businesses that includes First Databank, Zynx Health, and Homecare Homebase, among others.


Reader Comments

From Ephemeron: “Re: acquisitions. Your sponsors seem to get acquired frequently, often by another sponsor. Have you analyzed those transactions to determine why that might be?” I haven’t, because only insiders know the genesis of the M&A, although I generally assume that the seller has come to profitable terms with the buyer in what would be consider a successful exit. As far as correlation, I like to think (having no proof whatsoever) that companies who are mentioned on HIStalk, whether sponsor or not, draw attention from potential acquirers or might be more aggressively seeking it. I suppose a third possibility is that I have enough sponsors that it’s likely that the industry consolidation dart will eventually hit a given company’s bullseye. 


Webinars

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


Acquisitions, Funding, Business, and Stock

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Medical device and equipment manufacturing company Stryker will acquire Care.ai, which specializes in smart healthcare facility and virtual care technologies. Stryker acquired healthcare communications technology vendor Vocera in 2022 for $3 billion. Care.ai co-founder and CEO Chakri Toleti sold his previous venture, HealthGrid, to Allscripts in 2018 for $60 million.

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The Federal Trade Commission shuts down HeHealth’s Calmara, a sexual health app that offered to help “all penis owners” who suspect they have an STD by letting them scan and submit photos for AI analysis. The $10 service was panned from the beginning for lack of medical evidence, poor AI training, and unconvincing privacy policies.

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Augmedix files what is likely its final quarterly report as a public company as it awaits closing of its $139 million acquisition by Commure: revenue up 27%, EPS –$0.16 versus –$0.12, falling short of analysis expectations for both. AUGX shares have lost 48% in the past 12 months, valuing the company at $111 million.

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CareCloud reports Q2 results: revenue down 4%, EPS $-0.14 versus –$0.37, exceeding estimates for both. CCLD shares are up 23% in the past 12 months, although down 39% from their mid-June high, valuing the company at $36 million.

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Insiders report that Veradigm has received bids for a potential sale of the company following its announcement that it is seeking strategic alternatives. MDRX shares are quoted on the over-the-counter market (OTCMKTS) following their February 2024 delisting by Nasdaq for failing to file financial reports due to accounting software problems.

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Doximity reports Q1 results: revenue up 17%, EPS $0.22 versus $0.15, beating expectations for both and sending shares up sharply to a 52-week high. DOCS shares are up 49% in the past 12 months, valuing the physician collaboration company at $6.6 billion.

Bankrupt Steward Health Care will sell its Stewardship Health physician group to a private equity-backed firm for a reported $245 million, subject to legal approvals. The acquiring entity, Nashville-based Rural Healthcare Group, was formed in 2022 and operates 17 clinics in North Carolina and Tennessee.


Sales

  • Ascension St. Thomas (TN) will make Suki’s AI healthcare assistant software available to its clinicians and second- and third-year internal medicine residents.
  • UChicago Medicine selects Loyal’s provider directory listings management software.
  • Indonesia-based PT Pertamedika Bali Hospital goes live on InterSystems TrakCare.

People

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Hippocratic AI names Amy McCarthy, DNP (Texas Health Resources) chief nursing officer.

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Hospital for Special Surgery (NY) will welcome Ashis Barad, MD (Allegheny Health Network) as its first chief digital and technology officer on September 10, when it also will promote Elizabeth Pearlman, MBA, MPH to CIO.


Announcements and Implementations

Innovaccer announces GA of AI-powered data and analytics solutions for government health organizations.

Telehealth platform vendor Caregility adds fall risk alerting for patient rooms, powered by AI-analyzed video.


Government and Politics

A UX pilot program reduces the number of clicks needed to send an email between VA and DoD staff at the Lovell Federal Health Care Center from 35-plus to just two, a feat the IT team believes bodes well for overcoming the challenges the facility is facing with its new, joint Oracle Health EHR. Prescription fulfillment, for example, has been hampered by what end users have deemed poor software functionality.

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US Air Force Colonel Thomas Cantilina, MD — deputy MHS Genesis functional champion at the Defense Health Agency and former chief health informatics officer — reflects on his time overseeing roll out of the EHR across DoD facilities as he prepares for retirement in October, noting that the entire project was more about change management than technology: “It’s easy to say, ‘If only the system did this,’ and get caught up in trying to achieve the ideal. It’s better to think, ‘How can we make what we have work a little better?’ You run into trouble when you search only for the perfect solution rather than work to improve upon what you have. Perfection is the enemy of getting better.”

Micky Tripathi, PhD, MPP explains in a blog post under ONC’s new name of Assistant Secretary for Technology Policy (ASTP) how HHS’s alignment policy will require the procurement processes that it funds to consider only technology that meets HHS standards in the interest of interoperability. 


Privacy and Security

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McLaren Health Care (MI) works to restore IT systems taken offline during last week’s ransomware attack, according to the health system’s August 12 update. While the majority of clinical services are running normally, some facilities are still diverting ambulances. Meanwhile, some McLaren employees (presumably those in non-patient-facing roles), complain that the health system has told them to use PTO or go without pay for their days missed while computers systems have been down.


Other

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Researchers find that emergency medicine physicians are sifting through more voluminous patient notes than ever, in some cases with a “War and Peace” length of 500,000 words.

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Missouri county commissioner Jason Withington, who spent 15 years as a Cerner system engineer, is not happy about Oracle’s handling of its Cerner acquisition.


Sponsor Updates

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  • Availity’s Growing Future Leaders group volunteers with The Giving Project at a local back-to-school pop-up shop, donating $680 worth of clothing for students in need.
  • Jade-Weser will implement Agfa HealthCare’s Orbis HIS across its hospital group in Germany.
  • Arcadia will present at Medicaid Enterprise Systems Conference 2024 August 14 in Louisville.
  • Artera will exhibit at the NACHC CHI & Expo Conference August 24-26 in Atlanta.
  • Ascom launches Telligence 7, the latest version of its nurse-call system for acute care.
  • Biofourmis publishes a new whitepaper, “Unlocking Hospital Capacity with Innovative Care at Home Strategies.”
  • Capital Rx releases a new episode of The Astonishing Healthcare Podcast, “Plan Sponsors Need a Source of Truth; Get Your Data Now & Find It, with Jeff Hogan.”
  • Consensus Cloud Solutions publishes a new whitepaper, “3 Reasons Healthcare Systems Should Invest in AI Technology Now.”

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
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Morning Headlines 8/13/24

August 12, 2024 Headlines Comments Off on Morning Headlines 8/13/24

Francisco Partners to Sell QGenda to Hearst in a More Than $2 Billion Exit

Hearst, parent company of the Hearst Health network of businesses, will acquire healthcare workforce management software vendor QGenda from Francisco Partners in a deal valued at between $2 billion and $3 billion.

Stryker announces definitive agreement to acquire care.ai, a leading virtual care and ambient intelligence solutions platform

Medical technology company Stryker acquires Care.ai, which specializes in smart healthcare facility and virtual care technologies.

Augmedix Delivers 27% Revenue Growth for Second Quarter of 2024

Ambient AI medical software vendor Augmedix, which will soon be acquired by Commure, sees a 27% increase in Q2 revenue but ultimately misses analyst expectations on earnings and revenue.

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HIStalk Interviews Steve Holloway, Managing Director, Signify Research

August 12, 2024 Interviews Comments Off on HIStalk Interviews Steve Holloway, Managing Director, Signify Research

Steve Holloway is managing director of Signify Research.

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Tell me about yourself and your job.

I’m one of the co-founders and managing directors at Signify Research. We are a healthcare technology specialist market intelligence firm. We provide a lot of market data, forecasts, and competitive analysis around the health technology space. 

We have a team of about 40 based here in the United Kingdom with full global coverage in terms of markets. In particular, I’d say specialism around some of the diagnostic and clinical IT areas, diagnostics and life sciences, and a lot of the digital health pieces such as EHRs, PHM, RCM, and the like. We are boutique specialist focused in health tech and we work with big vendors — the GEs, the Philips, and Siemens of the world — as well as big health IT and technology companies to help them shape their strategy for go-to-market in this segment.

What is the state of imaging informatics?

Imaging informatics is a fascinating area in terms of the juxtaposition of bringing new technology to the table and trying to drive technology-enabled change in healthcare systems while also dealing with some of the operational and change management elements at healthcare providers. This involves two main fundamental pushes in imaging informatics over the last few years. One has been enterprise imaging as a strategy for how you consolidate and better manage medical imaging, both in radiology and non-radiology imaging, across healthcare enterprises. There are both IT and software elements to that. Lots of the vendors who are clients with us are trying to push that more consolidated area of focus. 

There is a big care impact and outcome discussion there as well. How do you bring the right information to the right physicians at the right time in the care pathway? We spend a lot of time there. We’re also doing lot of work around how AI is coming into that space. You may have seen the most recent FDA update this morning or yesterday around the number of  AI regulated tools. Radiology is leading the way — I think it’s about three-quarters of approvals that are radiology based. We are learning from that transition. It is something that we have been capturing from the formation of Signify back in 2016.

AI in imaging has been one of the areas that we are closely tracking in terms of market adoption. Some interesting lessons are coming out of that around not being too early in the market. Also, understanding that once you’ve got regulatory clearance, how do you bring that to physicians, how do you build enough evidence for reimbursement, and can you prove the real return on investment for healthcare providers? There’s a fascinating debate going on about how to accelerate that moving forward. We are just getting into the interesting phase of the market, where the initial hurdles are overcome and now we’re getting into how to actually execute on this.

We’ve seen some companies get CMS approval for providers to bill separately for the use of their diagnostic hardware and algorithms. How important is that?

You need to divide the market into two. There’s a lot of AI investment and new products coming to market from established players, the big industrial companies that are reacting to this. With the new slice walls in CT imaging, the AI reconstruction is now seen as one of those critical R&D features that you need to sell more systems. In that sense, there’s less worry about reimbursement. It’s more about defensibility of their core business.

But on the other side, there’s obviously this whole gamut of new vendors and new disruptors coming into play, generally backed by private equity or venture capital money, who are looking how quickly they can enter the market and make a tangible difference. They have multiple stages to get through. There’s building the evidence to convince regulators to approve you to sell. 

Certainly during COVID and the kind of boom of money that we saw coming into the segment, many of those probably not particularly well informed investors were expecting that once the product is available in the market, suddenly it would sell. But I think actually what we’re seeing now is that reimbursement is very much the gold standard, particularly for any diagnostic or clinical decision support tools. You have to prove the case to payers as well that there is a clear return on investment. There have been a couple of very clear use cases in imaging that are the gold standard around that.

Two use cases in particular. If you look at what HeartFlow has done with 4D FFR, it removes a step and cost from the care pathway, but at the same time proves benefit in terms of care outcomes. They did an extensive study that was released I think late last year called the FISH&CHIPS study – which, with my British background, I approve of – where they could  show not just an improvement in outcomes for the patients within a specific cohort that they were targeting, but also in all-cause mortality improvement, which for payers is super critical in seeing that evidence base in the real world.

The other piece that’s become apparent with a lot of focus in the US is stroke triage tools. Actually being able to improve care decisions in terms of stroke pathways, because obviously stroke is a condition that requires quick intervention, and minutes instead of hours makes a big difference in terms of patient recovery. Providers have seen the benefit of some of these AI-enabled stroke tools to make those care decisions more quickly and to provide a definite benefit for care outcomes.

We’ve seen that from companies like RapidAI, Viz.ai, and now Brainomix starting to prove that point at scale in multiple markets. We are seeing other segments looking at what these forerunners have  proven what you can do with AI adoption and the proof point. We need to try and replicate that in our own segment. We have a few  good proof points and the question is how to expand that out into multifaceted solutions.

Many of the imaging vendors are large, multinational corporations, while AI companies are often startups that came from university work. Will the big companies partner with them and perhaps eventually acquire them, or will they develop their own capabilities?

It’s a bit of a free for fall at the moment in terms of market testing around what will work. You also have  a third category there of AI orchestration platforms, and those are both independent and from the imaging vendors. How do customers want to use AI and how closely and deeply do they want to integrate it into their existing systems and care pathways?  

From a business point of view, most of the major imaging vendors have been holding off in terms of aggressive M&A activity. They might have, in a few selective areas, made some early acquisitions where it’s incumbent on their core business that they seem to be innovating, or they’ve already identified the need and it bundles in with their strategy.

But for the most part, the 250-plus startup AI vendors that we see in the imaging informatics space have a waiting period for them to mature to a point where they’ve made their proof in the market. They’re getting towards either reimbursement or at least becoming a more consolidated offering in a given care area. Certainly over the last few years in a more challenging funding environment, we’re expecting that some of the big imaging technology firms will be starting to make acquisitions or at least partnering over the next 12 to 24 months. We will start to see more peer-to-peer M &A, but also acquisition of some of the category leaders into large industrials over the next probably two to four years as well.

The US interest seems strongest in ambient documentation, telehealth, and remote patient monitoring. Is there a global market for those technologies?

There absolutely is. The approach to commercialization and the approach to how you bring these technologies to market differs internationally versus the US. The US is very much regulation-first in terms of the FDA. That’s seen as a big hurdle to overcome because there is generally a higher level of scrutiny and jumping through hoops from a regulatory point of view to get to market first. But then driven by more of a commercial mindset around return on investment, operational and efficiency costs, and then a care outcome benefit. 

You see almost the inverse in many of the international markets that we deal with. It’s blended by how they are funded from a payer basis, but probably the highlights in where adoption of AI tools has been quick is where, as here in the UK, you have had national programs and investment around particular use cases. We’ve just closed out a 21 million pound funding investment around improving and using AI tools to support chest X ray screening. They’ve just awarded a number of contracts across the UK to a cohort of vendors that will drive a change in a particular care pathway. You’re seeing the same emerging now in the Middle East, breast screening in the Netherlands, or Australia adopting these tools. Those markets have more of a public payer piece, so they are looking whether there an evidence base here from a care outcome point of view, and if there is a workforce resource benefit along the way, then fantastic. But they tend to make decisions less on a commercial for-profit basis and more around the outcomes piece.

Getting into the market in those segments is easier from a regulatory point of view because international regulation pieces aren’t as stringent as you see in the FDA. But at the same time, the route to access some of the procurement frameworks, such as the NHS, can be very competitive and very difficult. Same initially in the tendering piece there, same in Australia. with its regional tendering infrastructure. That’s been a challenge in why you maybe haven’t seen quite the same in terms of commercial market adoption so far in these markets. It’s been a little more lumpy, purely because you’re tied to how quickly these procurement frameworks and these more bureaucratic healthcare system payer models can bring innovation on board. Typically that’s a bit slower than the for-profit sector.

In for-profit markets in international, which generally are a smaller segment of the market overall, we are seeing quite a lot of interest and traction.Teleradiology is a great example of that, where there’s a huge amount of investment at the moment going into bringing AI tools – diagnostic, clinical, and operational – to support winning more share of the radiology reading market overall.

You’re seeing the private market in international markets still driving faster than some of the public markets, but there’s a there’s a Catch-22. When it comes to big scale, it’s going to be those national tenders or those big public bodies that make those decisions on investment in the mid to long term. We are starting to see the market gear up for that more, but obviously you are dependent on you big public bodies making decisions, which could take a very long time.

Many of the market’s high flyers from 2020 and 2021 have taken a hard fall, especially those that rushed to go public via the SPAC route. We saw some significant companies shut down completely, such as Babylon Health and Olive. What are the lessons learned?

I hate to say that we have seen this before, but we have. If you go back into the late 2000s, there was obviously a surge in new software and technology, and a lot of that hype never really materialized. We’ve seen the same again with Theranos and the like overpromising and under-delivering. Grail most recently was prominent on the diagnostic side. Health tech can be littered with some of these hyped solutions that fail to deliver.

One lesson learned is that investors are now looking more than the scrutiny around break even, but also understanding the wider picture of how technology is brought into healthcare systems and how you become entrenched with customers and actually solve their underlying problems. Too many of those companies that we’ve listed went in with a very bold vision. Throw IBM Watson into this as well, making big claims and then failing to deliver overall. Investors are wise to that now. 

Because there was such availability of capital liquidity during the period of COVID, they had to put the money somewhere, so they were willing to take a lot more risks. Now we’re in a phase where the cost of debt is higher, although it’s coming down. There is considerably more scrutiny going into, have we really looked at the timeline for adoption here? We know that tech is hard. Have we really looked at how you get customer entrenchment? What’s the land and expand model here? 

Even beyond that, bringing technology to market is one thing, but healthcare is an area where market education is hugely key. It’s probably the most overlooked aspect in bringing health tech innovation into a market,customer education and market education of what you’re bringing to the table. In over 15 years of doing this, I’ve seen examples of companies who’ve brought innovation into the market super successfully, and they have done that by investing a huge amount in customer and market education as opposed to pitching to investors, raising loads of money, and then going to talk to customers and finding out it’s not really what they need. That customer proof point is super critical and often overlooked. 

We ado a little bit of work on that in supporting some of our clients around market education and understanding the forward-looking directional shifts in healthcare technology around AI, generative AI, and real-world data and the potential for precision diagnosis. All these pieces need to be well defined and understood for healthcare providers stakeholders or payer stakeholders to commit to them longer term, otherwise technology is just seen as another shiny thing to add to the to-do list. The change post-COVID is realizing that resources are limited, and therefore you have to be selective of when you’re bringing technology in, making sure that investment is going to move the needle in solving operational, resource, care outcomes, and improving the overall patient experience.

That has resonated far more than five to seven years ago, where it was OK that “this the new, cutting edge technology, and therefore we need to have it.” That balance has shifted back to pragmatism, particularly with some of the budget challenges and resource challenges out there. That’s a good thing for the market. We will weed out some of those that were founded on PowerPoint rather than good customer feedback and understanding the customer and healthcare provider challenge. It’s a really interesting rebalancing, but we’re seeing that resonating through a lot of the business investment case

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Curbside Consult with Dr. Jayne 8/12/24

August 12, 2024 Dr. Jayne Comments Off on Curbside Consult with Dr. Jayne 8/12/24

I’ve spent my entire career in healthcare and healthcare IT. I have worked in a number of settings, from small private practices to large health systems, and from startup technology organizations to major EHR vendors. In every one of those settings, the need for teamwork has been emphasized. When you work in a patient care organization, you learn that there are dozens of teams that support patient care, whether directly or indirectly. There are the frontline clinicians, but there are also people in engineering, environmental / housekeeping, supply chain, finance, and more. When you’re working a clinical shift in the hospital, how those teams function can be highly variable.

Where I trained as an intern, we were assigned to teams that rotated the responsibilities for accepting admissions and working up patients who were newly admitted to the hospital. However, we really didn’t function as a team. Each intern was assigned individual patients to care for, and a supervising resident oversaw the activities of the interns on the team. We were only a team in as much as we had similar working schedules for the days we took call. The work was much more individual, even down to the fact that when one intern finished they could go home, while other interns might be knee deep caring for extremely ill patients. In hindsight, after going through formal education on team dynamics, it would have been more accurate to refer to us as an “on-call cohort” rather than an “on-call team.”

I’ve seen that cohort concept play out among nurses who are working a shift on the same unit, where one member of the “team” might be assigned a disproportionate share of the work for a variety of reasons. One of my favorite nurses texted recently about a shift where there was a need to pull nurses away from nursing tasks to serve as sitters for patients that had been identified as having a high risk of falls, disorientation, or self-injury. Instead of figuring out a way to divide the work throughout the 12-hour shift, one nurse was assigned all of the nursing patients for the entire shift, and other nurses were assigned to be sitters for the entirety of the shift.

Since being a sitter is perceived as being an easier job by many, there wasn’t any incentive for people to volunteer to divide the work any other way, such as creating two six-hour nursing blocks and two six-hour sitting blocks, so that the work could be more evenly distributed. It’s difficult to feel like you’re a member of a team when you also feel like you’re the one that has been left holding the proverbial bag for all the patients on the unit, all by yourself.

I experienced a lot of non-team “teamwork” during the height of the pandemic when working in emergency and urgent care settings. Sometimes it just happens because of the varying levels of acuity of patients as they come through the doors, and chance determines whether you wind up with a patient who is relatively straightforward or whether you wind up with one who is extremely ill. While some facilities have algorithms to try to even out those patient loads, others work on a strict rotation that determines who is responsible to pick up the next patient that arrives. The combination of different types of patients you are responsible for often determines whether a shift is perceived as easy or hard, as does the makeup of your support team. When you have a team that clicks, it can make things seem much more tolerable, and it’s that feeling of teamwork that can get you through.

Unfortunately, that feeling of teamwork was also exploited during the busiest parts of the pandemic, as workers were forced to work while sick and when they were at the point of exhaustion. They were pushed to their breaking points and felt like they had to keep going because there was no one else to take their place, and that’s not a situation that anyone wants to be placed in again. That negative application of teamwork – the pressure that you have to do something because “you can’t let the team down” – led to many of my colleagues leaving direct patient care roles as the pandemic’s demands began to decrease. Unfortunately, I continue to see people who are asked to work under poor conditions with “the good of the team” being cited as a reason.

I recently had the chance to observe a technology team where members were not only cross trained, but were intentionally grouped to ensure redundancy. In the event of illness or competing priorities, the team was resourced so that responsibilities could be shifted to multiple other team members, reducing the risk that any one member would feel that work was being dumped on them should someone need to step back due to illness or personal conflicts. Part of the need for redundancy was inherent in the kind of work being done, which involved life support for individuals working in a hazardous environment. But it got me thinking about why we don’t take more of that kind of approach in healthcare. Certainly our patients, who are someone’s mothers, brothers, sisters, fathers, or other loved ones, deserve to have care delivered via processes that don’t allow them to fall through the cracks.

Why do so many care delivery organizations still use what could be described as single-threaded staffing models? For example, one physician, or one nurse, or one patient care technician is assigned to a certain number of patients. What would it be like if we cared for patients in groups, with backup and redundancy? Would we benefit from having more immediate collaboration around how we approach a patient in front of us? You see this in academic centers, where you may have physicians at different levels caring for a patient, such as an intern, a resident, a fellow, and an attending physician. Sometimes one will see something that another didn’t, which can lead to better outcomes for the patient.

I know some organizations are trying to do this in the nursing realm, using new models such as virtual nursing to provide additional layers of support for nurses working on hospital inpatient units. Sometimes the virtual nursing model carves out certain care tasks — such as intake and discharge functions that can be appropriately delivered via virtual modalities — and sometimes it’s more of a virtual mentor model to provide an extra set of eyes for nurses who may have recently completed their training and orientation. Although these models were originally designed to help solve nursing shortages by tapping available nurses who might not be able to work in person, there are additional less tangible benefits, such as improved collaboration and a feeling of collegiality.

The same thing holds for technology teams. I know everyone is trying to run as lean as possible, but there’s a cost to doing so. Running an engineering team ragged because it’s not staffed appropriately generally does not lead to strong performance in the long term. It does, however, lead to resentment, lack of focus, lack of buy-in, and often to employee turnover. Cutting corners may lead to short term savings, but ultimately there are long-term consequences that will need to be addressed.

I never thought I’d reach a point in my career where I would be excited to see organizations that were admittedly playing the long game and that were unashamed about putting people over profits. These are certainly the exception in our industry rather than the norm, but I’ll be keeping my eye out for other examples and following them over the coming months.

Do you work at a place that is willing to pay more to ensure higher quality outcomes? Are they focused on balancing work so that everyone can succeed? Leave a comment or email me.

Email Dr. Jayne.

Comments Off on Curbside Consult with Dr. Jayne 8/12/24

Readers Write: What Separates Winners from Losers in Population Health Management? Three Lessons

August 12, 2024 Readers Write Comments Off on Readers Write: What Separates Winners from Losers in Population Health Management? Three Lessons

What Separates Winners from Losers in Population Health Management? Three Lessons
By Billie Jo Nutter

Billie Jo Nutter is CEO of Chordline Health.

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There’s an alarming range of success and failure in population health management initiatives, with an ROI that spans from -$244.65 to $1,592.48 per year. As healthcare providers and health plans accelerate investments, ensuring organizations have the right data, tools, and processes to improve risk identification, care management, and value will be vital.

One area of untapped opportunity, according to pwc: driving payer-provider collaboration with a single care plan that is customized to each patient’s needs.

To get there, health plans and health systems must understand where breakdowns in population health management typically occur, how to evaluate their approach, and ways to drive better results.

Breaking Down Population Health Pain Points

Lack of trust and cynicism are two of the biggest factors that get in the way of payer-provider collaboration around population health, according to healthcare C-suite leaders who attended an HFMA population health colloquium last fall. Transparency  around population health data, analytics, outreach, and referrals can help unlock collaboration, but only if the data used to inform population health analyses and care management response are credible and actionable.

One way to build trust in population health data is by aggregating data from multiple sources, including community service organizations, to gain a whole-picture view of the patient, including the patient’s health-related social needs. Another is to tap into another organization’s data to compare a population against a similar population. This process can help uncover best practices in care management for a specific group. In instances where providers and payers are collaborating around population health management, it can also help to:

  • Align resources for more effective care management.
  • Point to opportunities to better manage multiple chronic conditions.
  • Uncover instances where medication management could be streamlined, avoiding adverse effects and unnecessary costs.

Trust also comes down to the ability to use the data at the point of care to improve patient outcomes and to demonstrate the impact that was made in ways that all key stakeholders can understand. This is an area where the data must not only be credible, but also be delivered in such a way that clinicians can determine, at a glance, the health risks that a patient faces and the interventions that offer the best chance to improve health.

In addition, clinicians and value partners, like health plans, need to see the impact that they have made, such as the number of people for whom they have helped to avoid hospital readmissions or progression of disease. This level of clarity reinforces professional satisfaction. It also motivates all stakeholders to do more to strengthen the health of a population.

How can healthcare providers and health plans collaboratively develop a population health management approach that delivers clear wins for both stakeholders and their patients?

  • Use shared data to develop a single care plan. Just as some providers leverage data from academic medical centers to better understand what works and what doesn’t in strengthening the health of specific populations, access to health plan data gives providers a more complete view of a patient’s healthcare utilization and care costs. From there, data scientists can not only analyze and forecast a population’s health needs, but also strengthen patient engagement in ways that improve overall health. That’s especially important for adults with chronic conditions, whose risk of hospitalization is two to eight times higher than that of adults without chronic disease.
  • Explore innovative approaches to managing chronic conditions, especially within managed Medicare populations. When high-risk patients are identified, bring care managers from the health plan and the health system together to design and implement strategies for care coordination. Then, leverage technology for remote monitoring and support. One essential element for success: a population health analytics platform that can integrate with any data system. This ensures that no matter where a care manager or clinician works, that person has the same data view to make care decisions and view progress.
  • Make it easy for clinicians to view population health data directly within their workflows. Intuitive patient dashboards can put population health data at clinicians’ fingertips, empowering them to understand the top factors that influence the patient’s health and population health. Such dashboards can also point to opportunities to reduce care costs, such as by highlighting medication prescribing trends for a particular population and ways to bring these patterns in line with evidence-based practices. One tip for success: make sure the dashboard offers flexible data filtering options to support the clinical team’s needs and enable the team to report on progress and opportunities in a variety of ways.

By taking a collaborative approach to population health management, health systems and health plans can more effectively improve the health of target populations while enhancing clinical workflows, patient outcomes and professional satisfaction.

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Morning Headlines 8/12/24

August 11, 2024 Headlines Comments Off on Morning Headlines 8/12/24

Five9 to Acquire Acqueon to Expand its Industry-Leading Omnichannel Outreach and Journey Orchestration for the Enterprise

AI-powered customer service technology vendor Five9 acquires Acqueon, which offers a revenue execution platform.

TrueClaim: The world’s first transparent, AI-enabled healthcare TPA (that doesn’t suck)

Former executives from Hinge Health, PMD, and Walgreens launch TrueClaim, an AI-enabled third-party administrator for self-insured companies that says it can save 7% of costs with no changes in benefits.

Massachusetts, California Weigh New Curbs on Private-Equity Medical Acquisitions

Massachusetts and California consider limiting private equity acquisitions of healthcare businesses, with the former proposing leverage limits and the latter considering mandatory state approval.

Comments Off on Morning Headlines 8/12/24

Monday Morning Update 8/12/24

August 11, 2024 News 3 Comments

Top News

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Walgreens Boots Alliance may sell its majority stake in VillageMD primary care clinics business as it streamlines its business to focus on retail pharmacies, according to SEC filings.

The company invested $6 billion in VillageMD in 2020 with plans to open hundreds of locations, but it says that the clinics haven’t attracted enough patients.

Walgreens also disclosed that $2.25 billion in loans that it provided to VillageMD are in default, but Walgreens will not exercise remedies while it is seeking a change in its investment.


HIStalk Announcements and Requests

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Technologies most used are above, with those finishing lower on the list being telehealth, health tracking or self-management, and virtual health assistants.

New poll to your right or here: Which factor was most responsible for your getting your current job?


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Welcome to new HIStalk Platinum Sponsor Prominence Advisors. Prominence Advisors is the healthcare data enablement company. The Prominence team helps healthcare organizations do more with their data to make healthcare smarter. Founded by former Epic leaders, Prominence works with more than 100 healthcare organizations across the nation, including seven of the top 10 hospitals in US News and World Report. Prominence is a winner of 2023 Best in KLAS Technical Services and 2024 Best in KLAS HIT Staffing, offering award-winning data enablement services to healthcare organizations. Thanks to Prominence Advisors for supporting HIStalk.

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I found an explainer video for Prominence Advisors on its website.


Webinars

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


Acquisitions, Funding, Business, and Stock

TruBridge announces Q2 results: revenue flat, adjusted EPS $0.16 versus $0.40. TBRG shares rose 25% on Friday following the announcement but are down 52% over the past 12 months, valuing the company at $189 million.

AI-powered customer service technology vendor Five9 acquires Acqueon, which offers a revenue execution platform.

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AMA’s Steps Forward program updates its detailed toolkit for reducing EHR inbox burden.

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Former executives from Hinge Health, PMD, and Walgreens launch TrueClaim, an AI-enabled third-party administrator for self-insured companies that says it can save 7% of costs with no changes in benefits.


Announcements and Implementations

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The local paper covers the virtual nurse program of HCA’s TriStar Skyline Medical Center in Nashville, which uses 100 cameras that are installed in the med-surg  and progressive care units. Contracted virtual nurses who work from home perform all admission and discharge paperwork for each patient from 6 a.m. until 2 a.m. seven days per week. HCA says it implemented the program to overcome nurse shortages and keep older nurses working without the physical workload of 12-hour and weekend shifts. I was interested that the nurse politely first says “knock, knock” over the speaker before asking permission to turn the TV and cameras on. 


Government and Politics

Massachusetts and California consider limiting private equity acquisitions of healthcare businesses, with the former proposing leverage limits and the latter considering mandatory state approval.

The government of Denmark, whose socialized health system was financially threatened by the cost of weight loss drugs, pressures Denmark-based Novo Nordisk to reduce the price to $130 per month versus the US price of $1,350 per month. The KFF Health News article notes that the drug companies are lobbying Congress to force Medicare to cover their drugs, which even with hefty discounts would cost $107 billion per year, which is just a bit less than the government’s entire Medicare Part D spending. It also observes that Wegovy, which costs $365 in Denmark and $1,400 in the US, sells for $92 in the UK. The GLP-1 companies use high US prices to convince other countries that they’re getting a deal.

Texas Governor Greg Abbott issues an executive order that requires hospitals to obtain the immigration status of patients, which the state will use to bill the federal government for the cost of treating undocumented migrants.


Sponsor Updates

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  • Waystar staff visit Family Health Centers of Louisville to distribute 250 bags of school supplies and care items to patients.
  • Healthcare IT Leaders releases a new “Leader to Leader” podcast, “IT Strategy at an Urban Teaching Hospital.”
  • Clinical Architecture announces that it has been selected by AWS as an Amazon HealthLake Partner.
  • Everest Group recognizes Nordic Consulting as a Major Contender in its Healthcare Industry Services PEAK Matrix Assessment 2024.
  • Nordic releases a new “Designing for Health” podcast, “Interview with David Berger, MD.”
  • Verato will exhibit at ESolutions Xchange August 25-28 on Amelia Island, GA.

Blog Posts

Sponsor Spotlight

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FinThrive is advancing the healthcare economy by rethinking RCM to pave the way for a healthcare system that ensures every transaction and patient experience is addressed holistically. We stand at the forefront of healthcare excellence, dedicated to transforming financial operations for customers across the ecosystem with cutting-edge technology and strategic insights. FinThrive delivers a smarter, smoother healthcare finance experience that increases revenue, reduces costs, expands cash collections and ensures regulatory compliance. To date, we’ve recovered over $10 billion in net revenue and cash to more than 4,000 customers worldwide.


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