Monday Morning Update 6/7/21

Top News

SAIC will acquire government health IT contractor Halfaker and Associates for $250 million in cash.

Former Army Captain and West Point graduate Dawn Halfaker started the company in 2006 after she retired as a combat-wounded amputee from injuries she sustained from a rocket-propelled grenade attack in Baghdad in 2004. She was commander of a military police platoon in the 3rd Infantry Division during Operation Iraqi Freedom. She is the company’s president and CEO.

Halfaker and Associates brought in $166 million in revenue last year from contracts with the VA, HHS, and CMS. 

SAIC says the acquisition will help it increase its digital transformation presence.

Reader Comments

From Stout Lad: “Re: HIMSS21. No keynote speakers named yet?” All are marked “TBD” except for a couple of former governors and Alex Rodriguez providing his healthcare viewpoint from between second and third base. Exhibitor count is at 535, about the same as at the 1998 conference. 

HIStalk Announcements and Requests

Poll respondents who sneak looks at their phones during work meetings are most often checking email or text messages. I’m happy that HIStalk finished OK in the list, but mystified at the appeal of LinkedIn unless the meeting is going so poorly that job-hunting is the obvious alternative.

New poll to your right or here: Should the federal government issue a national patient identifier?

Welcome to new HIStalk Platinum Sponsor Intrado Healthcare. The company helps health systems leverage communications technology to improve care coordination, increase patient volumes, and reduce operational burdens—all while delighting patients through meaningful digital engagement. Deep EHR integration means clients manage even the most complex engagement workflows with ease. Offerings include patient engagement, appointment management, care management, on-demand messaging, patient digital experience, and vaccination solutions. Intrado, formerly known as West Corporation, delivers 40 million patient engagements each year to its 10,000 provider customers, with a 25-year history of supporting leading healthcare providers. Thanks to Intrado Healthcare for supporting HIStalk. 

Thanks to these companies for recently supporting HIStalk. Click a logo to learn more.

Webinars

June 24 (Thursday) 2 ET: “6 Recommendations to Create a Better Patient & Member Experience.” Sponsor: Avtex. Presenters: Mike Pietig, VP of healthcare, Avtex; Matt Durski, director of healthcare patient and member experience, Avtex; Patrick Tuttle, COO, Delta Dental of Kansas; Chad Thorpe, care ambassador, DispatchHealth. The live panel will review the findings of a May 2021 survey about which factors are most important to patients and members who are interacting with healthcare organizations. The panel will provide actionable strategies to improve patient and member engagement and retention, recover revenue, and implement solutions that reduce friction across multiple channels to prioritize care and outreach.

Here’s the recording of week’s webinar “Diagnosing the Cures Act – Practical Prescriptions For Your Success.”

Acquisitions, Funding, Business, and Stock

Shares in the Global X Telemedicine and Digital Health exchange-traded fund dropped 3.9% in the past month versus the Nasdaq’s unchanged value. It’s up 12% in its 10-month existence versus the Nasdaq’s 27% rise. Its biggest holdings are Nuance, Guardant Health, Omnicell, Agilent, LabCorp, Insulet, Illumina, and Change Healthcare.

Sales

• Mayo Clinic will implement Visage Imaging’s AI Accelerator and collaborate with the company to commercialize the product.

People

Joi Smith, MBA (Bodhi Lane) joins Protenus as VP of people operations.

Announcements and Implementations

McLaren Bay Region (MI) goes live on Cerner.

Other

UF Health Central Florida’s two hospitals go back to paper following a May 31 ransomware attack.

Sally Sliger, a clinical data analyst at non-profit hospice TRU Community Care (CO), wins the first of five $1 million lottery prizes that the state of Colorado is randomly drawing from those who have been vaccinated for COVID-19. People who are dying of COVID-19 in vaccine-deprived countries must have interesting thoughts about Americans who refuse free shots that could save themselves or others until someone ups the ante with a free lottery ticket, beer, or doughnut.

Sponsor Updates

• The following HIStalk sponsors have achieved “Cybersecurity Transparent” designations from KLAS and Censinet: Agfa HealthCare, AGS Health, Arcadia.io, Cerner, Divurgent, Health Catalyst, PerfectServe, and Twistle.
• OptimizeRx will be inducted into LD Micro’s “Hall of Fame” for best-performing companies that have attended prior LD Micro conferences.
• KLAS rates Nordic a top performer in the expansive firms category in its latest “Application Management & Help Desk Services” report.
• PatientPing will present during the DirectTrust Summit June 10.
• Audacious Inquiry publishes a new e-book, “Disaster Preparedness and Emergency Planning: How to Improve Care Coordination During Natural Disasters.”
• PerfectServe’s Nurses of Note program honors Hampton Roads Community Health Center COO Erica Johnson and the COVID-19 vaccination nursing team.
• Pure Storage is recognized by TrustRadius as a leader in enterprise flash array storage and object storage for the second year in a row.
• WebPT co-founder and Chief Clinical Officer Heidi Jannenga joins the Flinn Foundation’s Board of Directors.
• SOC Telemed will host the Telemed IQ Summit October 20-21 in Fort Lauderdale, FL.
• Spirion earns a “Major Player” position in the IDC Marketscape: Worldwide Data Privacy Management Software 2021 Vendor Assessment.”
• Summit Healthcare publishes a new client use case, “Ste. Genevieve County Memorial Hospital Selects Summit Exchange Interface Engine for Affordable, Power Integration.”
• Revive Health’s podcast features SymphonyRM VP of Applied AI & Growth Chris Hemphill.
• Talkdesk announces the agenda for Opentalk 2021: Making every moment matter.

Blog Posts

• How Technology is Positively Impacting Green Initiatives in Healthcare (Vyne Medical)
• Remote Work: Three Ways to be More Present (Impact Advisors)
• Why Self-Care Matters (Netsmart)
• The good stuff is rarely learned in meetings (Nordic)
• Post COVID-19: How Providers Can Invest in Health Outcomes (PatientBond)
• Overcoming Vaccine Hesitancy: Andy Brailo with St. Luke’s University Health Network (Premier)
• Finally, A Decision Healthcare Leaders Can Make Without Losing Sleep (Protenus)
• The (Rx) Price is Right! (RxRevu)
• Nursing perspective: Cognitive overload and burnout in healthcare (Spok)
• Strategies to reduce out-of-network physician referrals (Krames)
• Helping the Nation Weather the Storm (Surescripts)
• How technology is improving patients’ experiences for leading endocrinologist (Twistle)
• Three Tips for Maintaining Active Engagement with Patients and Families (Vocera)
• Top 3 Ways to Speed Up Your Physical Therapy Documentation (WebPT)
• Overcoming the Challenges of Balancing Patient Care and Administrative Functions (Vyne Medical)
• Evidence-Based Clinical Decision Support to Improve Care in Skilled Nursing Facilities (Zynx Health)

Contacts

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

Weekender 6/4/21

Weekly News Recap

• Ascension begins its mass layoff of remote IT employees with 82 workers in Indiana, whose jobs will go to offshore outsourcers.
• CareCloud acquires Santa Rosa Staffing from MedMatica Consulting Associates.
• Ensemble Health Partners acquires automated patient engagement software company Odeza.
• Scripps Health starts notifying 147,000 patients that ransomware hackers offloaded their data.
• A review finds that healthcare AI design is nearly always flawed by lack of large-scale training and external validation.
• England’s Clarity Informatics is acquired by Agilio Software.
• Epic begins bringing employees back to campus and announces an in-person UGM 2021 for vaccinated attendees.
• Doctors in England warn consumers about NHS Digital’s plan to extract the GP clinic data of 55 million people to create a de-identified research database.
• Doximity announces IPO plans.
• Virtual care company Babylon Health will reportedly go public via a SPAC merger that will value the company at $3.5 billion.

Best Reader Comments

The Meditech database literally cannot contain French language data as there is no support for the various accented characters. Thus you also have the issue of, the portal may be in French, but the data will all be English. The net result? No matter how technically good this portal effort was, it’s a kluge solution. Citizens using it will see an awkward mix of English and French content. (Brian Too)

I am always amused when someone assumes that they can take software that was built specifically in one language, for that language, and somehow migrate it to other languages. Software localization and translation are non trivial things, with considerations for everything from how dates are represented to how the thousand marks are “ticked.” “All your bases are belong to us” anyone? I even had a group tell me that they were going to sell to the Japanese market because that market used English. The idea died quickly with the purchase of a Japanese keyboard and switching to Romanji that ‘looked like English’ but was UTF16 character based. (AnInteropGuy)

Has any clinician had a positive experience with Doximity? It seems like they make their money off recruiter spam and fake clicks on their ads. (IANAL)

Watercooler Talk Tidbits

Readers funded the Donors Choose teacher grant request of Ms. B in Louisiana, who asked for a USB headset for her class of first graders, half of whom will be in the classroom and the others on virtual connections. She reports, “The headset has provided me the opportunity to keep the two types of learners separate. My coworkers complain that the background noise is an issue for the learners at school and at home. My virtual students can unmute and ask me questions without my in person students getting distracted. More importantly, the virtual students, who already have the distraction of being at home, do not have to hear the constant commotion of the classroom. For me personally, I had such anxiety to start this year; the year of the unknown and how to make all this work. The headset is not only comfortable, but has made teaching much easier.”

VA OIG says an Arkansas VA hospital should have done more to oversee a pathologist whose alcoholism has been blamed for at least 600 major diagnostic errors, including some that were related to cancer. The facility did not act on complaints that he was working while intoxicated, even after he failed a blood alcohol test. He received a 20-year prison sentence.

The British Indian Nurses Association, which was formed last year to support nurses from India who take jobs with NHS, offers virtual COVID-19 care training for nurses who are still in India.

A nurse in England who publicly claims that NHS is a “death squad” that is murdering vulnerable patients with COVID-19 vaccine, that no vaccine has ever been proven safe or effective, and that COVID-19 is caused by 5G telephone signals loses her nursing license for spreading disinformation. Former NHS nurse Kate Shemirani, who appeared publicly and on videos while wearing scrubs and a stethoscope and touting her nurse background, now calls herself an “aesthetic nurse practitioner.” She previously said that the people who accuse her being wrong or lying are mostly”overweight, envious nurses” who are jealous of her appearance.

Northwell Health Nurse Choir receives accolades for its performance on “America’s Got Talent.”

In Case You Missed It

• News 6/4/21
• EPtalk by Dr. Jayne 6/3/21
• News 6/2/21

Get Involved

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• Contact Mr. H

Morning Headlines 6/4/21

Ascension lays off 92 remote IT workers in Indiana

Ascension begins its layoff of 651 remote IT employees with 92 Ascension Technologies workers in Indiana, whose jobs will be moved to an offshore outsourcer.

UPMC Forms Realyze Intelligence to Drive Patient Care with AI

UPMC and its commercialization arm launch Realyze Intelligence, which mines structured and unstructured EHR data to identify patients who could benefit from interventions.

We at MedMatica and Santa Rosa, are incredibly proud to announce that we have joined CareCloud.

CareCloud acquires Santa Rosa Staffing, which was formerly part of Santa Rosa Consulting, from MedMatica Consulting Associates for $10 million in cash.

CentralReach Acquires Behaviorsoft, a Fast-Growing End-To-End EMR Platform Catering to the Needs of Small Applied Behavior Analysis Therapy Providers

Behavioral EHR vendor CentralReach acquires Behaviorsoft, which offers EHR/PM solutions for small applied behavior analysis therapy practices.

The Future of Our Workplace: Flexibility to Manage Work and Life at Cerner

Cerner will offer its employees a hybrid working environment in the fall, with individual teams choosing their own time frames for returning to in-office work.

News 6/4/21

Top News

Ascension begins its layoff of 651 remote IT employees with 92 Ascension Technologies workers in Indiana. Their jobs will be moved to an offshore outsourcer.

Reader Comments

From Spam in the Can: “Re: heading back to work. Let’s see photos of readers returning to their offices!” Above is a posted photo of Jonathan Teich’s work group back in the office at InterSystems. Send me your team-in-office photo to celebrate another step toward a new, vaccine-enabled normal.

From IANAL: “Re: Jonathan Bush. Zeus Health lists him as CEO in its job listings, but his LinkedIn says he is still executive chairman at Firefly Health.” Zeus Health is in Watertown, MA and has several former Athenahealth executives on its team, but I’ve seen no confirmation of Bush’s employment. I assume it won’t conflict with his Firefly board responsibilities. Zeus Health seems to be doing healthcare API work in stealth mode.

From Shingle Hanger: “Re: striking out on my own. What success have you seen with people who leave a health system or vendor job to work for themselves?” Not much. Most of the folks I know who have done it realized pretty quickly that they had overestimated their marketability, sending them back into corporate arms at first opportunity. That’s especially true of those who ventured out mid-career or beyond, often after they were let go or realized that their streak of upward career mobility had ended, but failing to realize the significant differences involved in working for themselves instead of someone else. I assume it’s not easy to give up a predictable income and benefits, corporate trappings such as an assistant and sweet office, and the reliable ego-stroking of aspirational underlings. It must be jarring to just sit at home with ever-increasing desperation waiting for the phone to ring while trying to remain upbeat. I would personally omit from LinkedIn those 1-2 year self-employment stints as solo consultants, executive coaches, and freelancing that are squeezed in between corporate jobs since their presence signals failure of either planning or execution.

HIStalk Announcements and Requests

Welcome to new HIStalk Gold Sponsor KONZA. The Topeka, KS-based company operates health information exchanges in multiple states, including Kansas, Missouri, Louisiana, Mississippi, Georgia, South Carolina, New Jersey, and Connecticut. It is deeply committed to connecting healthcare providers, patients, health plans, and its technology partners together to organize healthcare data into information that will drive healthcare transformation. Patients, health plans, physicians, healthcare facilities, and other healthcare providers from across the country benefit from KONZA’s delivery of unequaled actionable intelligence. Thanks to KONZA for supporting HIStalk.

Webinars

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

Acquisitions, Funding, Business, and Stock

CareCloud acquires Santa Rosa Staffing, which was formerly part of Santa Rosa Consulting, from MedMatica Consulting Associates for $10 million in cash.

Revenue cycle solutions vendor Ensemble Health Partners acquires Odeza, which offers an EHR-integrated consumer communications platform.

Behavioral EHR vendor CentralReach acquires Behaviorsoft, which offers EHR/PM solutions for small applied behavior analysis therapy practices.

Social care marketplace vendor Aunt Bertha raises $27 million in funding.

Emme, which offers a birth control pill reminder app and tracking case, launches a birth control prescription delivery and telemedicine service that covers 16 states.

Cerner is named to the Fortune 500.

London-based “hospital at home” and decentralized clinical trials platform vendor Huma makes an unspecified investment in Pluto Health, a Duke University spinout that assembles patient data from multiple sources for review by researchers, providers, and patients themselves.

Sales

• Mongolia’s Ministry of Health licenses the UpToDate clinical decision support from Wolters Kluwer, Health for all of the remote country’s healthcare professionals, who can download the content to mobile devices to use in areas that have no internet connectivity.
• Canada’s Royal Victoria Regional Health Centre implements Everbridge’s digital wayfinding solution for indoor turn-by-turn navigation, which became more important as COVID-19 forced closing some entrances and eliminated volunteer access.
• Antelope Valley Hospital selects Goliath Technologies to troubleshoot Citrix and Cerner issues for faster resolution.
• Baptist Health of Northeast Florida chooses Gozio Health’s mobile wayfinding system.
• Geisinger is implementing Certify Health’s facial biometrics positive patient ID system.

People

Alphabet-owned Verily names Amy Abernethy, MD, PhD (FDA) as president of its clinical research business, which is expanding to offer a clinical evidence generation platform that will support clinical trials and real-world evidence studies.

Relatient hires David Klasnick, MBA (StayWell) as COO.

GAO appoints Caravan Health founder and executive chair Lynn Barr, MPH to the Medicare Payment Advisory Commission. Her career includes time spent as a health IT consultant and hospital CIO.

Tod Thompson, MBA (Optum) joins Central Logic as COO.

Stanford Health Care CIO Eric Yablonka, MBA retires.

England’s NHS Digital hires informatics nurse Jo Dickson, MS (Nuffield Health) as chief nursing officer.

Announcements and Implementations

Galesburg Cottage Hospital goes live on Medsphere’s CareVue Cloud EHR and RCM Cloud.

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

Aigilx Health will integrate NextGate’s EMPI with its HIE data aggregation platform to support identity matching, expanding on work that was done for Rochester RHIO.

UPMC and its commercialization arm launch Realyze Intelligence, which mines structured and unstructured EHR data to identify patients who could benefit from interventions.

Change Healthcare expands its self-service API resources for developers, which include an API marketplace, technical documentation and tutorials, a testing sandbox, and a developer community.

Other

A Stat article says that while healthcare AI interest is strong, a review of 400 studies that were related to using it for COVID-19 shows that all were flawed, mostly due to lack of large-scale training and validation against external datasets. The authors found that just 73 of 161 FDA-approved AI products have disclosed the amount of data that was used to validate their product and only seven reported the racial makeup of their study populations. It notes a high-profit Icahn School of Medicine study that touted a COVID-19 detection algorithm for chest CT scans that equaled the performance of senior radiologists, but the system was actually trained, tuned, and tested on a tiny sample of unknown completeness from hospitals in China and was then not retested against an independent dataset of known provenance.

Scripps Health begins notifying 147,000 people that hackers downloaded their information during a ransomware attacked that left the health system offline for four weeks. Scripps says the patient information was obtained from documents and the hackers did not penetrate Epic.

Systems at UF Health – The Villages (FL) are taken offline due to a ransomware attack.

Sponsor Updates

• Get-to-Market Health founder Steve Shihadeh and Microsoft CNIO Kathleen McGrow, DNP, MS participate in a fireside chat that looks back at the accuracy of their healthcare predictions for 2020 and what they expect in the next 12 months.
• The Chartis Group will collaborate with HFMA on a four-part research series about the future of the healthcare industry.
• KLAS names InterSystems a top leader in EHR market share in Italy and the Middle East, according to a new report on “Global (Non-US) EMR Market Share 2021.”
• Jvion Chief Marketing Officer Lizzie Feliciano contributes to STAT, “The US mental health care system failed my brother – and millions like him.”
• Meditech releases a new podcast, “How The Valley Hospital used surveillance technology to move nurses from the computer to the bedside.”

Blog Posts

• Threat Hunting in Healthcare: What It Is & Why It Matters (Fortified Health Security)
• Mental Health: A Key Element of a Patient’s Well-Being (GetWellNetwork)
• FDA Regulation of Insulin Dosing Software: What You Should Know (Glytec)
• Hurricane Season is Upon Us (Optimum Healthcare IT)
• Optimized Staff Communication in Long Term Care Can Improve Mental Health of Residents (Halo Health)
• Choosing a Managed Services Partner for EHR Support (HCTec)
• Four Elements that Bridge the Gap Between Using Data and Becoming Data-Driven (Health Catalyst)
• Risk adjustment challenges brought on by COVID-19 (Wolters Kluwer Health)
• Cybersecurity Executive Order (Imprivata)
• Addressing the Challenge of Increasing Mental Health Concerns Following the Global COVID-19 Pandemic (Avtex)
• Supporting strong clinical documentation through terminology (Intelligent Medical Objects)
• Spinning your wheels with data integrations? Lyniate Envoy can get you moving (Lyniate)
• Microsoft Monkey Wrench (Medhost)

Contacts

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

EPtalk by Dr. Jayne 6/3/21

I had a virtual happy hour this week with some friends who also practice telehealth. We were swapping war stories about trying to help patients navigate their technology so that we could have more productive telehealth visits. One of them mentioned a story that they had seen recently about California-based Welbe Health and its goal to integrate telehealth into their PACE programs.

For those of you who might not be familiar with the CMS Program for All-inclusive Care for the Elderly (PACE), it’s been around for approximately 30 years. It is designed to serve older patients who are covered by both Medicare and Medicaid. The goal is to keep the population healthy and provide additional supports beyond traditional medical care, including meals, socialization, and day programs.

Welbe Health has partnered with a company called GrandPad to provide “senior-friendly” tablets to allow program participants to easily access their care team along with additional health and wellness resources. Since PACE programs typically include a multidisciplinary team of physicians, social workers, dieticians, and home health staff, it makes sense to be able to bring all of those players into the patient’s home virtually when the patient can’t travel or otherwise needs to remain distant.

GrandPad published a case study on Welbe Health. It looks like they did a rapid rollout to more than 250 seniors over a few days, with the average age of users being 85. I’ll definitely be keeping an eye out for more data and information on the project since it’s not one that many organizations seem to be tackling. If the devices are truly as intuitive as they sound, I’m sure all the grandchildren who may be used to performing tech support for their elders will be breathing a sigh of relief.

Speaking of telehealth, Teladoc health has announced its annual Forum, to be held July 20-21 as a virtual event. They held a similar event last year that had some great speakers and offered some solid telehealth perspectives, so I’ve added it to my calendar. There are also regional receptions being offered for both face-to-face and virtual interaction, so it will be interesting to see how those play out.

I hope the Mayo Clinic System offers telehealth services to support the patients at the six clinics that it is closing across Iowa, Minnesota, and Wisconsin. The clinics are said to have had low patient volume even prior to the pandemic. Patients are being referred to nearby communities for care. It’s never easy to have to change doctors, and I hope the transition is as seamless as the Mayo Clinic Health System website makes it sound. Physicians continue to retire at a rapid pace in my community and others who aren’t quite to retirement age are starting to reduce their practice commitments. The next few years will be challenging to those who are looking for primary care physicians.

As someone who has spent many years dealing with patient matching, I’m always eager to read about initiatives dedicated to solving the problem. The Patient ID Now coalition recently released a document titled “Framework for a National Strategy on Patient Identity.” The coalition, which has 40 healthcare organization members, calls for a public / private partnership including the federal government, public health authorities, and the private sector. Many of us have experienced the perils of poor matching for decades and are gratified that the COVID-19 pandemic has shined a light on some of the challenges. We’ve seen problems with making sure that test results are affirmatively matched with the correct patient regardless of the site of testing or the setting of downstream care, and also issues with trying to have accurate vaccine data when patients may have received doses from a National Guard-run drive through clinic and also a retail pharmacy.

The Patient ID Now workgroup formed in January 2021 and includes representatives from HIMSS, the American College of Surgeons (ACS), the American Health Information Management Association (AHIMA), CHIME, Intermountain Healthcare, Premier Healthcare Alliance, the American College of Cardiology (ACC), academic institutions, hospitals, and more. Only time will tell whether the group can help kick the patient ID issue forward after years of congressional roadblocks and pressure from highly vocal opponents.

As many organizations are moving to make distributed workforce arrangements permanent, Epic has fired up its homing beacon to bring workers back to campus. Starting July 19, workers are expected to be on site at least three days each week. This increases to four days each week August 1, and by September 1, they will need to be onsite nine days out of every two weeks. Employees who are not fully vaccinated will be required to mask and distance. The annual Epic Users Group Meeting is slated for August 23-25, but only for those attendees that are fully vaccinated. I’m curious what solution they’ll choose for validating vaccine status. All of my colleagues who work at Epic-using systems are still under travel restrictions, so it will be interesting to see how many people are actually able to attend.

Uber continues to offer free rides for vaccine appointments. From May 24 through July 4, users can get up to four free rides (up to $25 each) to and from vaccination appointments. Users can select the Vaccine button to schedule a trip. Drivers will be paid in full, but according to the email I received, tips are still appreciated. I wonder how many drivers are thinking carefully about having unvaccinated or partially vaccinated people in their cars, as opposed to just generally not knowing the vaccine status of most of the people they are transporting. As a healthcare provider, whether my clients / patients were vaccinated or not gave me some sense of peace, but I suppose it’s different when you’re up close in a patient’s face examining them versus having them at least a couple of feet away in your back seat.

I was invited to become a beta user for Accelerate, which states it is “the purpose-built digital platform from HIMSS.” I’m not sure whether this is a true beta testing opportunity or if they are just telling everyone who signs up in the first wave that they’re beta testers, but I was intrigued. The invitation notes that “Accelerate is still in development, access to the platform as well as any content posted on Accelerate is shared with you on a confidential basis; we appreciate your discretion.” I feel a bit spy-like, so I won’t even tell you if I signed up or not. If anyone else signed up and wants to anonymously share your impressions, leave a comment or email me.

Email Dr. Jayne.

Morning Headlines 6/3/21

Ensemble Health Partners Acquires Digital Patient Communications Platform, Odeza, to Transform Patient Experience

RCM vendor Ensemble Health Partners acquires automated patient engagement software company Odeza.

Nation’s leading social care network Aunt Bertha raises $27MM to deepen social impact, expand products

Digital social services referral company Aunt Bertha raises $27 million in a funding round led by Warburg Pincus, bringing its total funding to $49 million.

Privia Health Reports First Quarter 2021 Financial Results

After going public in April, Privia Health reports a slight increase in Q1 revenue to $213.6 million.

Morning Headlines 6/2/21

CompuGroup Medical acquires VISUS Health IT

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

147,000+ May Have Had Personal Information Compromised in Cyberattack: Scripps Health

Scripps Health (CA) begins notifying patients that their data may have been compromised in the May 1 ransomware attack that forced its IT systems offline for several weeks.

Healthcare tech firm Clarity Informatics sold to fast-growing firm

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

GPs warn over plans to share patient data with third parties in England

Doctors in England warn the public about NHS Digital’s plan to extract the medical data of 55 million people in de-identified form to a database that will be made available for third-party research and planning.

News 6/2/21

Top News

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

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

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

HIStalk Announcements and Requests

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

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

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

Webinars

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

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

Acquisitions, Funding, Business, and Stock

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

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

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

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

People

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

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

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

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

Announcements and Implementations

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

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

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

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

Other

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

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

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

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

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

Sponsor Updates

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

Blog Posts

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

Contacts

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

Morning Headlines 5/31/21

Web Doctor Babylon Is Said to Near $3.5 Billion SPAC Deal

Virtual care company Babylon Health is in talks to go public via a merger with special purpose acquisition company Alkuri Global Acquisition Corp.

Health-tech company Doximity files for IPO and says doctors will get up to 15% allocation

Physician networking site Doximity, which introduced a telemedicine service last year, files IPO paperwork that includes allocating up to 15% of its shares to physician members.

Epic Systems requiring workers to return to office July 19, resuming in-person customer meeting

Epic employees will return to its Wisconsin headquarters in a part-time capacity beginning July 19, while fully vaccinated customers will be invited to its on-campus users conference in late August.

Weekender 5/28/21

Weekly News Recap

• Ireland’s health system says it may be weeks before it goes back online following a May 14 ransomware attack.
• McKesson will combine RelayHealth and two of its other businesses under the CoverMyMeds organization and name.
• VA OIG says the VA’s $16 billion Cerner implementation budget failed to include up to $2.6 billion in required infrastructure upgrades.
• Google will develop algorithms for HCA Healthcare using HCA’s patient data.
• Iodine Software acquires Artifact Health.
• Weight loss app vendor Noom raises $540 million in new funding at a $3.7 billion valuation.
• Bassett Healthcare will outsource analytics, IT, and RCM to Optum, which will take on 500 Bassett employees.
• Zocdoc fixes a software problem that exposed patient data.
• FBI says that at least 16 US healthcare and first responder networks were attacked by Conti ransomware in the past year.

Best Reader Comments

PE has absolutely brought a net negative in terms of societal value – they have sucked dollars out and devastated so many major areas of our society and economy – newspapers, retailers, housing stock, emergency rooms, ambulances and now of course, hospitals. And VCs are not too far behind. But as the guy says in the documentary – hey, don’t blame them for taking advantage of the way rules of the game are set up. Of course, no one says the quiet part aloud – that these guys are also actively funding politicians who block any changes to rules of the game. (Ghost of Andromeda)

Buried in an Epic EHRN.org study published today, Epic now has data on over 100 million people in Cosmos. (EHRN Watcher)

Looks like a net shift of ~30,000 beds from Epic to Cerner in the United States. I think it raises a couple of questions – although # of hospitals are still roughly similar does this put a dent in the narrative that Epic and Cerner are the two biggest fish in the sea? Seems like Epic is starting to pull away on this one. Perhaps the DoD and VA contracts may have been a bit of a poison pill for Cerner. (EHRMusing)

I don’t think it is reasonable to expect health insurance or health insurance tech startups to be profitable before they are at national scale. There are high costs to enter that market. To my mind, there are two Medicare Advantage strategies that potentially could work. First is that mega health systems are well positioned to offer MA plans but don’t have the organizational competence to do it. Bright is sort of going for that. Second is for the insurer to successfully insert themselves between the patient and the interaction with the high cost healthcare system, then guide the patient to lower cost alternatives. If there aren’t lower cost alternatives available in the market, the insurers should provide them. This is a little bit of Devoted Health’s strategy and a bit of UHC’s strategy. (IANAL)

Does Cerner currently have an employee exodus? That seems to be a concern at the hospital organization I work with. Lots of turnover in IT. Can’t imagine it wouldn’t also apply to vendors, especially if one is struggling. How is Cerner doing? And Meditech? And Epic? Or what about Allscripts? I’m definitely concerned for our own turnover, but am much more scared.if our vendor is also losing people we work with. (Neil’s Parking Lot)

For all those who are vaccinated, what’s the concern by August whether there are people on the [HIMSS21] floor that are not? I have an idea. “Let’s assume attendees are stupid and will all require vaccinations. Then we will tell them if they present a topic, they need a face shield to protect vaccinated people from vaccinated people. Oh, and we can’t have the vaccinated people too close, so we’ll spread out their booths. Then, cocktail hours in booths, oh no, we can’t have that. Push them outside in the August Las Vegas temps and they can drink warm wine and beer to go along with to go bags. They can shout at each other six feet away. Plenty of business will get done there. Oh and we won’t tell them that we cannot require the support staff, Venetian employees, and anyone else that will be on prem to be vaccinated.” Never mind what everyone does on their own time in casinos, bars, restaurants and god knows where in Vegas. But, we are protecting them and others.” LAUGHABLE – who’s falling for this stuff? (Mike_T)

Watercooler Talk Tidbits

Readers funded the Donors Choose teacher grant request of Ms. M in California, who asked for a headset and webcam for teaching her transitional kindergarten students virtually, She reports, “Thank you for helping this old teacher ( I didn’t think I was old until we started Distance Learning) get hip with new technology! Having a extra webcam that I can use as a document reader really helps my instruction daily. I can Zoom with students on one screen and share the work with the camera. This is especially important with our littlest learners when we are learning how to write our letters. Students learn so much through teacher modeling, I can model how to color in the lines, write from top to bottom and read from left to write. So much learning fun. Thank you!”

Doctors in India threaten to sue a politically connected, billionaire yoga guru who told followers that “allopathy [medicine] is a stupid and bankrupt science,” claimed that medicinal treatment has killed more people in India than oxygen shortages and COVID-19, and questioned why doctors get sick if medicine is so efficient. He also recorded a video mocking people who were desperately searching for oxygen cylinders for their relatives who were dying of COVID-19, urging them to “just breathe the free oxygen.” His company sells a COVID-19 cure that is made up of three herbs, falsely claims that the product has been cleared for use by WHO, and when threatened with charges for misleading claims, instead convinced the BJP government to distribute 100,000 of his kits as an immune booster. 

A new book called “Women in White Coats” looks at the “she-doctor” panic of 1869, when students of Woman’s Medical College of Pennsylvania attended a medical lecture at Philadalphia’s Pennsylvania Hospital. They were forced to enter via the back stairs; subject to curses, thrown objects, and tobacco-spitting by the 300 male medical students in attendance; and were stoned by the male students as they left while someone played the taunting military discharge song “The Rogues March.” The county medical society had previously barred women from attending public teaching clinics or joining medical societies.

The husbands of two IT employees of Children’s Healthcare of Atlanta go into renal failure within days of each other, requiring a transplant from someone other than their wives due to blood type mismatch. The employee were sharing their stories with each other when they realized that they were each a match for the other’s husband, so they donated kidneys that were successfully transplanted.

In Case You Missed It

• News 5/28/21
• EPtalk by Dr. Jayne 5/27/21
• News 5/26/21
• Curbside Consult with Dr. Jayne 5/24/21
• Readers Write: How the New ONC Cures Act Will Transform Patient Access to Healthcare Data
• Readers Write: Alert: Three Keys to Navigating the Traffic Ahead on the Road to Healthcare Access
• Monday Morning Update 5/24/21

Get Involved

• Sponsor
• Report a news item or rumor (anonymous or not)
• Sign up for email updates
• Connect on LinkedIn
• Contact Mr. H

Morning Headlines 5/28/21

Change Healthcare Inc. Reports Fourth Quarter and Full Year Fiscal 2021 Financial Results

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

HSE staff asked to turn on computers but it will ‘take weeks to get back online’

Ireland’s health service asks employees to turn on their 80,000 computers to automatically install a ransomware decryption key that a cyberattacker reportedly provided at no cost, but says it will still take weeks to return systems to normal.

Digital Health Company Pack4U Secures $20 Million in Private Equity Funding to Optimize Prescribed Medication

Prescription delivery and remote patient monitoring company Pack4U raises $20 million in a private equity financing round.

News 5/28/21

Top News

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

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

Reader Comments

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

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

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

Webinars

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

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

Acquisitions, Funding, Business, and Stock

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

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

Sales

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

People

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

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

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

Announcements and Implementations

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

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

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

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

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

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

Government and Politics

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

Other

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

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

Sponsor Updates

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

Blog Posts

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

Contacts

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

EPtalk by Dr. Jayne 5/27/21

Last week, Best Buy Health launched a smartphone designed specifically for older adults who want to connect to virtual care services. Named Lively Smart (in contrast to the Lively Flip device they launched last September), the phone allows users to have one-touch access to Lively Health and Safety Services. The urgent care services offered are 24/7 and don’t require an appointment, health insurance, or co-pay. Emergency response services are also available via contacting an agent. Best Buy Health notes that its services are tailored to the “active aging population,” which is one of its key demographics.

I visited the Lively website to try to get more information about the services and how they are doing urgent care without co-pays or insurance. Despite a label to “select each product to learn more about it, including plans and pricing” on the home page, there were no links to pricing. I had to tool through the website to get more information, visiting multiple pages before I found the pricing. The Preferred Plan includes Urgent Response Service, Urgent Care, and Lively Link (which keeps caregivers informed about the health and safety of the person using the Lively products) for $24.99/month.

Centene CEO Michael Neidorff fired a shot across the bow of the Missouri Legislature, questioning whether the company will keep its headquarters there in light of the legislature’s refusal to fund Medicaid expansion even after being approved by Missouri voters. Centene is the state’s largest employer and spends plenty of money on healthcare IT and related consulting services, so a potential move would likely provide a boost to some other part of the country should they leave. Missouri has been all kinds of last in the healthcare technology game, being the last state to launch a statewide immunization registry as well as the last to have legislative approval for a Prescription Drug Monitoring Program (PDMP). The latter isn’t remotely live yet, with St. Louis County’s PDMP serving as a de facto registry for the state.

The University of Pennsylvania Health System (UPHS) announced a requirement for all employees and clinical staff to receive the COVID-19 vaccine no later than September 1. Nearly 70% of staff are fully vaccinated at this point, and those who plan to refuse vaccine must apply for medical or religious exemptions. UPHS joins the mandatory vaccine club founded by Houston Methodist, which requires vaccines by June 1. Also in the clubhouse but not quite a full member is New Jersey’s RWJBarnabas Health, which is requiring vaccination for supervisors and executives by June 30 with an anticipated mandate for all staff to follow.

I was excited to hear that Change Healthcare is entering the digital vaccine record space. The enthusiasm about their vaccination record solution was tempered by the fact that the only information available on the site was in video format and didn’t have a closed caption option, excluding some who might visit. I’m much more likely to learn more about a solution if I can just read about it as opposed to having to watch a video. From what I could gather from the video, it’s still fairly conceptual. The only way to get more information is to reach out to the company, and I definitely don’t have time to go through the usual forms and emails. If anyone at Change Healthcare wants to drop me some information, I’d be happy to read it.

We’ll get a preview of what HIMSS21 might look like as Las Vegas allows most venues to move to 100% capacity effective June 1. First in the lineup at the Las Vegas Convention Center is the International Esthetics, Cosmetics, and Spa Conference, which typically has about 20,000 attendees. The year will wrap up with the return of the National Finals Rodeo, which moved to Texas in 2020 to avoid COVID-19 restrictions. Come January 2022, the Consumer Electronics Show will be back in town. Although the event typically hosts 170,000 people, it is anticipating smaller turnouts as travel restrictions remain in place for many nations.

Speaking of consumer electronics, an AI-enabled “Smart Toilet” is being developed that will photograph stool and transmit it for analysis, specifically looking at consistency and whether blood is present. Investigators hope that the real-time evaluation will allow patients with concerning symptoms to be referred earlier. Research found the smart toilet to be 85% accurate at identifying stool consistency and 76% accurate for detecting gross blood, with findings being presented at the Digestive Disease Week 2021 virtual meeting. The AI algorithm was tested on over 3,000 images gleaned both from study participants and the internet. Gastroenterology specialists also reviewed more than 500 images to evaluate agreement with the AI-driven ratings.

The authors, hailing from the Duke Smart Toilet Lab at Duke University, hope the smart toilet will be more accurate and reliable than asking patients to keep a symptom diary. The Smart Toilet Lab page is worth a read and I tip my hat to their copy writer: “Imagine a world where important health information is leveraged, instead of flushed down the toilet.” The prototype design performs image analysis post-flush with a fingerprint scanner on the flush handle identifying the user. Apparently, the authors are well versed in the many humorous comments they hear and are also being “very systematic” about documenting them in their collection. Monitoring of sewage for public health has been a mainstay for COVID-19 surveillance in many communities, so here’s to better digestive health at the individual level as well.

I started working on the questions for my upcoming “Women in Health IT” interviews. I’ve had several good suggestions for interview candidates, but would appreciate additional nominations focusing women entrepreneurs or those in leadership roles that you’d like to hear from.

If they have sassy shoes and will be wearing them to the upcoming HIMSS conference, that’s a plus. I’m starting to put together my plan for the week even though we don’t know what we don’t know about the conference. I’ll definitely be looking for sassy mask photos as well as sassy shoe photos this time around. Regardless, it will be good to see people in person again.

Monday is Memorial Day in the US, a day designated for honoring the military personnel who have given their lives in service of the US Armed Forces. This picture from my visit to the World War II Memorial still gives me chills six years later. Please take a moment on Monday to remember those who made the ultimate sacrifice.

Email Dr. Jayne.

Morning Headlines 5/27/21

Google cuts a deal to help develop health algorithms using patient data

Google will build custom algorithms for national hospital chain HCA Healthcare using data culled from 32 million annual patient interactions.

IG Says VA Underestimated Health Records Project Costs by Up to $2.6B

A new analysis finds that the VA will likely end up paying between $1 billion and $2.6 billion more than the original $16 billion estimated for its EHR project due to unaccounted-for physical infrastructure costs.

Press Ganey Acquires SPH Analytics

Healthcare advisory and analytics firm Press Ganey acquires healthcare measurement and analytics company SPH Analytics.

Twilio invests in adaptive communications platform Hyro

Automated healthcare communications startup Hyro raises $10.5 million in a Series A funding round.

CoverMyMeds brand grows as owner McKesson unites four health IT units

The local business paper reports that McKesson has brought its four prescription technology businesses into one operating unit under the CoverMyMeds brand.

Morning Headlines 5/26/21

Iodine Software acquires physician engagement platform Artifact Health

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

Weight-Loss App Noom Gets $540 Million in Silver Lake-Led Round

Weight loss coaching app vendor Noom raises $540 million in new funding, valuing the company at $3.7 billion as it expands into stress management, sleep, diabetes, and hypertension.

Scripps enters fourth week of ransomware attack

Scripps Health CEO Chris Van Gorder says the May 1 attack on the hospital’s computer systems was ransomware, and that its EHR and patient portal systems should be back up by the end of the week.

Bassett Healthcare Network and Optum Launch Strategic Relationship to Advance Quality Care and Improve Experiences for Patients in Central New York

Bassett Healthcare will give 500 employees the opportunity to transition to Optum as the vendor prepares to enhance the health system’s analytics, and IT and RCM systems.

News 5/26/21

Top News

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

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

HIStalk Announcements and Requests

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

Webinars

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

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

Acquisitions, Funding, Business, and Stock

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

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

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

Sales

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

People

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

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

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

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

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

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

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

Announcements and Implementations

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

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

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

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

Other

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

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

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

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

Sponsor Updates

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

Blog Posts

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

Contacts

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Morning Headlines 5/25/21

Zocdoc says ‘programming errors’ exposed access to patients’ data

Appointment-booking website Zocdoc fixes a software glitch that improperly allowed current and former employees of doctor and dental offices to access patient data.

Recuro Health Acquires SupDoc: Expands Digital Care Platform, Enhances Virtual Primary Care and Behavioral Health Solutions

Virtual care company Recuro Health acquires chat-based telemedicine startup SupDoc.

Clinigence Holdings Announces the Signing of a Binding Letter Of Intent to Acquire Procare Health

Population health analytics company Clinigence Health acquires ProCare Health, a managed services organization serving four IPAs in California.

CHS Makes Bold Move Acquiring Healthcare Division From Selent and Associates, Inc.

Complete HealthCare Solutions, a health IT developer, reseller, and services company, acquires the healthcare division of Selent and Associates, including Computerized Business Systems and medicalbillingsoftware.com.