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Morning Headlines 6/23/20

June 22, 2020 Headlines Comments Off on Morning Headlines 6/23/20

Cedar Accelerates Growth with $102M in Series C Funding Led by Andreessen Horowitz and New Innovation Partnership with Novant Health

Patient payment vendor Cedar raises $102 million and announces a contract with Novant Health in North Carolina.

Proprio Raises $23 Million in Series A Funding Led by DCVC

Augmented surgical imaging company Proprio raises $23 million in a funding round led by Data Collective.

OIG Strategic Plan: Oversight of COVID-19 Response and Recovery

The HHS Office of Inspector General publishes its oversight strategy for COVID-19 response and recovery, which includes protecting the integrity and security of IT systems and health technology.

Apple introduces new Covid-19 features: Hand washing guides and a mask-wearing emoji

Apple debuts several health-related Watch features at its virtual developers conference, including one that will help users wash their hands for the recommended amount of time using the proper technique.

Comments Off on Morning Headlines 6/23/20

HIStalk Interviews Suresh Venkatachari, CEO, Healthcare Triangle, Inc.

June 22, 2020 Interviews 2 Comments

Suresh Venkatachari is chairman and CEO of Healthcare Triangle, Inc. of Pleasanton, CA.

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Tell me about yourself and the company.

Healthcare Triangle combines two great companies, each successful but stronger together. One is rooted in proven healthcare and business methodologies, and the other is a born-in-the-cloud early adopter turn global leader. Together, we are a 360-degree solution with the know-how and innovation capacity to meet technology, data, care delivery, and business operation needs.

We offer solutions to three core healthcare customers — hospitals and health systems, health insurers, and life sciences companies. I’m proud of our commitment to support each one’s respective effort to improve health outcomes by enabling the adoption and optimal use of new technologies, data enlightenment, business agility, and response to immediate and emerging business needs and market trends.

I have 30-plus years of experience in creating and managing businesses in cloud, ecommerce, IT solutions and consulting services in healthcare, life sciences and banking. But nothing compares to the excitement of today’s healthcare innovative landscape.

How does the combination of traditional health IT consulting, such as EHR implementation and optimization, and cloud transformation and security benefit clients?

I am incredibly excited by this combination and its advantages. Our traditional consulting background helps us understand the complex challenges that are facing healthcare CIOs in the current ecosystem. Our technology expertise in cloud transformation and security in the life sciences space means we understand the power of cloud transformation in highly regulated environments.

The combination also guides our clients on a practical and achievable roadmap of digital transformation. For one hospital, for example, our work focus might be disaster recovery and backup, while simultaneously leading higher-level discussions on end-to-end managed healthcare IT services with the C-suite executives. Simply stated, we are all about alleviating a lot of headaches for the CIO with solutions for operational efficiencies and lowered costs.

What’s really thrilling is that bigger picture, the healthcare industry is on the cutting edge of realizing a monumental pivot among healthcare providers and life sciences. Significant high-tech advancements are happening in personalized healthcare at every stage of the patient’s healthcare journey. Innovative and customized solutions are reshaping delivery of better access to smarter and more effective care to everyone.

What pandemic-driven technology challenges and opportunities will health systems see in the near future?

We’ve recently highlighted key challenges with technology extensively in our “Return to Revenue” series. But underlying that, the greatest challenge will be maintaining the business agility that is needed to react quickly and deploy those technologies that have an impact on patient safety and are demanded by the patients themselves.

Our clients succeeded in meeting the COVID-19 crisis head on by rapidly adopting and adapting telehealth technology. Next, we recommend that they go to the next level by deploying virtual waiting rooms and exam rooms, in-home monitoring, and data solutions. Traditionally, these types of projects take years to plan and implement, but we’re seeing increasing need to drive change in weeks and even months. HTI is their enabler to continue to iterate quickly and set a roadmap for continuous practical innovation.

On the life sciences side, we witnessed two immediate COVID-19 related challenges. First, the need to analyze data extremely rapidly. Second, the need for rapid deployment of digital health technologies.

We have a customer, Stay Smart Care, who is the perfect example of digital health excellence. Their business purpose is to help people safely age in place in their home. Stay Smart Care offers remote patient monitoring, with real-time sensor data, dashboards, and chat functions. We built the entire digital health platform, from the digital health management application to the secure, compliant patient communication application. This technology offers amazing potential in multiple areas of telehealth.

My team has a deep knowledge of the healthcare system, cloud technology, and digital health applications,. We are advising our clients about solutions that will help them navigate and succeed in the next normal of telehealth.

How have the data sourcing and analytics needs of life sciences companies and researchers changed as they address COVID-19?

COVID-19 has dramatically fast-tracked research toward treatment and prevention. New collaborations are springing up to protect public health. Not surprisingly, researchers and life sciences companies find themselves having to obtain, analyze, and share a high volume of test results and other data rapidly and safely. The solutions we offer for cloud transformation make management and analysis of that data less challenging and allow researchers and life sciences companies to focus on what counts most, which is saving lives.

Specifically, our DataEZ solution – a data lake as a service, if you will – is used by five of the largest global pharma firms. It allows rapid analysis of clinical trial information, for example. One client went from conducting clinical trial to submitting the reports to compliance agencies in a matter of weeks. Before this, the process required several months.

Health system IT departments have quickly rolled out new technologies such as telehealth, chatbots, and remote worker support, delivering quick wins rather than the more typical implementation projects that can take years. Will this experience change how those IT departments manage projects and technology going forward? 

We did see some very quick technology implementations over the last few months. I hear health system leaders talking positively about the quick consensus-building and lean approach to implementation that it took to make that happen. It is a very agile approach to deploy a solution and iterate on improving it over time based on real-life experience impacting productivity and costs. We focus on delivering business agility whether we are supporting a cloud migration, providing data insights, or optimizing an EHR workflow, and I hope that momentum is sustained going forward.

How will cloud-based services change the job of the health system CIO over the next five years?

We’ve been saying for years that the role of the CIO is changing from functional technology leader to business strategist and transformationalist. Trends in innovation driving that change are digital health, personalized healthcare, telehealth, remote monitoring, data-driven decision support systems, and blockchain innovation. Cloud is the key that unlocks the capacity in our client CIOs.

Taking advantage of cloud technology and automation means that CIOs can focus on full-scale organizational transformation and drive business agility into their technology platforms. Instead of 30-day cycle to spin up a server, we’re talking seconds on the cloud. And that’s a cascading effect, right? Every win along the journey to the cloud allows the organization to transform faster and faster in today’s changing environment and our client CIOs to drive that change rather than constantly react to it.

What are your medium-term goals for the company?

We want to drive the conversation centered around digital transformation into a new phase of bold action. The disruption to the industry and our communities demands that we use technology to strengthen our ability to deliver healthcare despite the impact of external forces. We are flexible and practical. We will meet clients wherever they are in their digital transformation and make great advancements together accelerating the value that they see from technology.

The drive to improve care delivery and business agility in healthcare is limitless. I know that we are ready as an industry to deploy new technologies, gain enlightenment through data insights, and push toward the next frontier of digital innovation. That’s what Healthcare Triangle is here to do — to reinforce healthcare progress.

Readers Write: Major Trade Shows Continue to Cancel or Go Virtual, So Now What?

June 22, 2020 Readers Write 3 Comments

Major Trade Shows Continue to Cancel or Go Virtual, So Now What?
By Jodi Amendola

Jodi Amendola is founder and CEO of Amendola Communications of Scottsdale, AZ.

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As major healthcare and health IT conferences such as HIMSS, AHIP, RISE, MGMA and others continue to cancel their live events or go virtual, marketers and sales leaders are now faced with the new challenge of where to put the money that was originally slated for sleek exhibition booths, networking events, and all of the promotional activities leading up to these in-person events.

For many companies, trade shows eat up half of their marketing budget, so the decision about if and how to reallocate those dollars requires careful consideration in these uncertain, unprecedented, and budget-conscious times.

Trade shows get more expensive and more arduous to prepare for every year. But they are also one of the highest-value ways to network and to build new business relationships while renewing old ones. They can be a source of good leads that move the needle to influence important buying decisions. Importantly, for many companies, trade shows are where companies go to be seen.

Trade shows will eventually return, although when and in what form is still an unknown. In the mean time, they are not the only path to visibility and credibility with prospects, or even the most effective. What follows are some recommendations for re-allocating your trade show spend.

Public Relations

Most B2B sales have larger price tags and longer sales cycles than consumer products. Before making an investment in health IT, providers, health plans, and government agencies need to trust that a purchase will answer a need or solve a problem.

Coverage in credible media outlets is still where you get the biggest bang for your buck in B2B.

Peer-to-peer endorsements carry a lot of weight with buyers, and customer success stories — especially if you make the story almost entirely about the customer — are media gold. The same story can be approached from a number of angles to make it appealing to various media outlets with different audiences that align with your target markets.

You should also aim for getting thought leadership coverage—bylines, commentary, and other contributions on the big issues of the day. Thought leadership is most effective when it’s authentic and not afraid to take a stand, so avoid corporate-speak.

HIT leaders are increasingly interested in how PR impacts share of voice against the competition, and what the sentiment is in earned media coverage—positive, neutral, or negative. That can be measured, even by specific topics, with media monitoring and tracking tools such as Meltwater.

This measurement can help you understand how you’re dominating (or not) the most pressing conversations in the industry and media landscapes. Right now, the most pressing topic is of course COVID-19. You can assess your media reach compared to the competition on specific topics such as the pandemic. You can drill down even further on subtopics such as vaccine development, predictive analytics, and primary care that relate to COVID-19.

You can extend the shelf life of media wins by promoting your media placements to decision-makers and key influencers across social media and on your website, and by leveraging for lead gen and nurturing via e-newsletters, emails blasts with landing pages, electronic reprints for virtual conferences, and more.

Lead Generation Campaigns

Gated content, which requires whoever is interested to give up their name and email to obtain it, can capture far more qualified leads than those picked up at a trade show by a “claw” who really just stopped by for your cool giveaways. Examples of high-value content that can be placed behind a form for lead gen includes case studies, smart briefs, white papers, major reports and study results. and on-demand webinars, to name a few.

Targeted digital ad campaigns that promote the right content to the right audiences also are a powerful lead gen tool. One of the most exciting capabilities of digital advertising is how specifically you can target your outreach (as political campaigns like to do), but A/B testing is still needed. This is an area that often comes up short when trade shows need to be paid for, but now would be a great time to leverage those unused dollars to test these campaigns until they hit the right mark.

Marketing Asset Development

If there’s a bright spot in the time we’ve spent sheltering in place, it’s the interesting videos and podcasts we’ve discovered. For many of us, listening to a podcast at a certain time every day will be a permanent part of our schedule post-pandemic. Simply produced Zoom interviews are also likely to be a mainstay, having been validated by broadcast news channels while studios were closed.

Why not spend a portion of your newly freed trade show budget on commissioning some of these assets yourself? Over time, a series of thought leader podcasts or videos with provocative themes can elevate brands and thought leadership.

Surveys are another marketing asset to check off your marketing bucket list. Not only do they give you a current read on target audience sentiment, the findings can be newsworthy enough to promote via media outreach and nab more coverage.

When it comes to trade shows, nothing replaces human interaction. But now is the time to strategically reallocate those unused marketing dollars to take advantage of alternate strategies that can increase awareness and generate leads for your business.

Curbside Consult with Dr. Jayne 6/22/20

June 22, 2020 Dr. Jayne 2 Comments

Former CMS Administrator Donald Berwick was featured in the Journal of the American Medical Association last week, writing about “The Moral Determinants of Health.” I was glad to see it, as I sorely needed a break from COVID-related literature and from the ongoing firefighting related to the pandemic’s many downstream impacts. Given the level of turmoil in our society right now, coupled with a disease that is disproportionately affecting various segments of the US population, it was just the read that I needed.

Many of us chose careers in medicine because we wanted to make a difference. Those of us who selected the realm of primary care knew we were taking on the challenge of being among the lower-paid and often less-respected subspecialties, but that was often balanced out by the knowledge that what we would be doing would be important.

For many of our patients, we would be the first member of the healthcare team they would turn to. Our training would help us be uniquely positioned to help solve their problems, through promotion of healthy behaviors or the recommendation of medication therapies or surgeries when needed. We didn’t choose to fight insurance companies or administrators, but as we left residency training for the real world of healthcare, it was obvious we were going to have to operate in an environment for which we were ill prepared.

Whether or not a patient is insured often dictates the care a patient receives, and that quickly creates a line between the haves and the have-nots. My generation of physicians didn’t learn about social determinants of health (SDOH) in our training, but SDOH always formed an undercurrent as we rotated through various clinics and offices in different parts of town. Depending on the ZIP code, the care we recommended varied widely and was largely tied to factors that led certain patients to be sicker than others and whether they could afford to have the care the needed. I had been in practice for nearly a decade before I ever heard a label for this phenomenon.

Berwick notes how significant these factors are, stating that “the power of these societal factors is enormous compared with the power of healthcare to counteract them.” He mentions the “subway map” view of life expectancy, where life expectancies decline for every minute of a subway ride between the “have” and “have not” areas of cities such as New York or Chicago.

Berwick describes the lack of logic in how wealthy nations address health. Although science can identify social causes for poor health, we spend our resources on “expensive repair shops” including medical centers and emergency care, rather than on prevention. He notes a lack of political will to date in shifting the focus of spending upstream, where a difference could be truly made. He mentions the concept of moral determinants of health, one of which is “a strong sense of social solidarity in the US.” In this construct, “Solidarity would mean that individuals in the US legitimately and properly can depend on each other for helping to secure the basic circumstances of healthy lives, no less than they depend legitimately on each other to secure the nation’s defense.”

He goes on to describe the foundations of a “morally guided campaign for better health,” which includes such concepts as the US catching up with the rest of western democracies on such topics as ratification of international treaties and conventions on basic human rights, action on climate change, and statutory support for healthcare as a human right. He notes that “no sufficient source of power exists to achieve the investments required other than discovery of the moral law within… the status quo is simply too strong. The vested interests in the healthcare system are too deep, proud, and understandably self-righteous; the economic and lobbying forces of the investment community and multinational corporations are too dominant; and the political cards are too stacked against profound change.”

Berwick ponders what it means for healthcare to stay in its lane and whether health leaders should take on these social challenges. He believes that the healthcare community needs to go beyond caring for illness, and that “it is important and appropriate to expand the role of physicians and healthcare organizations into demanding and supporting societal reform.” He calls on the healthcare community to spend less time lobbying for regulatory relief and improved reimbursement and more time lobbying for universal health insurance coverage. He calls for the healthcare workforce to use the ballot box to drive change. He closes with this:

Healers are called to heal. When the fabric of communities upon which health depends is torn, then healers are called to mend it. The moral law within insists so. Improving the social determinants of health will be brought at least to a boil only by the heat of the moral determinants of health.

The physician community is a microcosm of our society, and I know plenty of physicians who would rapidly align either for or against these ideas. I spent time this weekend with a surgeon who is “so over this whole COVID thing” and just wants to operate, and also with a psychiatrist who is helping others deal with the trauma they’ve experienced from having multiple family members die due to the pandemic. They’ve had dramatically different exposure to the downstream effects of the pandemic, even though both “healers” live in the same ZIP code and their kids go to the same school. We have to find a way to get past the polarization and to see things from other’s perspectives rather than just shutting them out because we have different experiences that may have driven different viewpoints.

I’ve learned of healthcare organizations that are tackling these issues head on and others that are trying to go back to the pre-pandemic, pre-protest era we lived in prior to 2020. It will be fascinating to see how strategies evolve and what organizations are willing to shift revenue upstream to public health and community projects that might just eliminate good portions of certain service lines.

Berwick has certainly given us food for thought, and it’s an ambitious list of actions he proposes. However, we just picked one of them, such as the idea that healthcare should be a human right, and figured out how we could come to consensus, we would still be in a much better place.

Is your organization addressing the moral determinants of health, the social determinants of health, or just trying to figure out how to get elective procedures scheduled again? Leave a comment or email me.

Email Dr. Jayne.

Morning Headlines 6/22/20

June 21, 2020 Headlines Comments Off on Morning Headlines 6/22/20

Kaia Health gets $26M to show it can do more with digital therapeutics

Virtual physiotherapy startup Kaia Health raises $26 million in a Series B funding round led by Optum Ventures.

Philadelphia-area health system says it ‘isolated’ a malware attack

Crozer-Keystone Health System (PA) suffers a ransomware attack by hackers who have threatened to auction the stolen data off on the dark web if their demands aren’t met within six days.

Putin calls for artificial intelligence to be used in healthcare

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

FEMA IT Specialist Charged in ID Theft, Tax Refund Fraud Conspiracy

A federal grand jury indicts a Detroit man for the 2014 hack of UPMC’s HR system, where he is accused of selling the information of 65,000 employees on the dark web to conspirators who used it to file fraudulent tax returns.

Comments Off on Morning Headlines 6/22/20

Monday Morning Update 6/22/20

June 21, 2020 News 4 Comments

Top News

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

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


Reader Comments

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


HIStalk Announcements and Requests

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

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

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


Webinars

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


People

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


Announcements and Implementations

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


COVID-19

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

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

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

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

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

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

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


Other

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


Sponsor Updates

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

Blog Posts

Sponsor Spotlight

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

(Sponsor Spotlight is free for HIStalk Platinum sponsors).


Contacts

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

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Weekender 6/19/20

June 19, 2020 Weekender 1 Comment

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Weekly News Recap

  • Health Care Service Corporation, the country’s fifth-largest insurer, will create a Payer Platform to connect its health plans to Epic-using health systems.
  • Epic cancels UGM 2020.
  • Proteus Digital Health, once valued at $1.5 billion, files Chapter 11 bankruptcy.
  • Walmart acquires the technology assets of online pharmacy CareZone for a rumored $200 million.
  • Surgisphere, the tiny company whose questionably sourced aggregated EHR data was responsible for two major research article retractions, appears to have shut down.
  • Milliman acquires Wisconsin-based employee health monitoring technology vendor Healthio.

Best Reader Comments

I can’t help but wonder how this will affect minor telephone calls with doctors. In the past, I would occasionally call a doctor on the phone to check in on a test result or ask about a medicine and so on. These were relatively quick, focused calls for which there was no charge. But going forward, if telehealth becomes an accepted modality for paid services, what’s to stop a doctor from billing me for each of those calls? (Ben)

If you want providers to do something, you have to pay for it. I’ve got some nice cushy corporate insurance, so I can get my PCP to throw in a couple of freebie phone calls after he’s price gouged me on a few visits. If I had an ACA exchange plan, I doubt I’d get the same level of customer service. I’d rather the billing for telehealth and chat services gets formalized so that the people on government or skimpy plans can push for and get it. Otherwise it’s just going to be a perk for good employer plans, which means it won’t affect anything. (IANAL)

I am appreciative that CMS has relaxed some of the constraints for telehealth services billing during the pandemic but those rules were inane restrictions to begin with. Why should a patient ever have been precluded from getting telehealth at home, simply because they don’t live in a designated rural area? (ValueBasedSkeptic)

As to the hype around value-based payments, we’ve lived through this before with different names and slightly different variants. Improving quality sounds great, but we still can’t define or measure quality well, even for very clear-cut conditions. We’ve spent untold money and efforts on quality measures with lots of content from CMS, NQF and others. Yet for some specialties, there are few if any viable measures. Whether it’s framed as improving population health or some other positive sounding initiative, the main goal has always been shifting costs onto the backs of providers. (ValueBasedSkeptic)


Watercooler Talk Tidbits

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Readers funded the Donors Choose teacher grant request of Ms. H in North Carolina, who asked for game buzzers and wobble cushions for her fifth-grade ADHD students. She reported in February, “My students come in every day begging to use the wobble cushions, as well as wanting to know if we will be playing a game with the buzzers. We will continue using these resources daily in our classroom until the end of the school year. I know my future students will be just as excited next year using the wobble cushions and game buzzers.”

Federal authorities arrest a Chinese citizen at LAX as he attempts to board a flight to China, charging him with obtaining a UCSF post-doctoral fellowship position so he could record lab layout details that could be replicated in China. The man, who turned out to be a major in the People’s Liberation Army, admitted that he had been stealing information in his year of employment there. His laptop contained UCSF study information and he had wiped his WeChat phone messages right before arriving at the airport. He is charged so far only with visa fraud.

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Four ICU nurses sue Landmark Hospital (GA), claiming that the hospital ordered them to perform COVID-19 test swabbing incorrectly to ensure that the tests would come back negative.

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NASA’s next Mars rover, scheduled for launch on July 20, will bear a plate that honors those who are on the COVID-19 front lines.


In Case You Missed It


Get Involved


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Morning Headlines 6/19/20

June 18, 2020 Headlines Comments Off on Morning Headlines 6/19/20

Nation’s Largest Member Owned Health Plan to Launch Epic Platform to Improve Patient and Provider Experience

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

All of Us Research Program launches COVID-19 research initiatives

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

This Amazon-owned company says it will bring 500 jobs to Boise area by 2021

Online prescription drug delivery company PillPack will bring 500 jobs to Meridian, Idaho when it opens a 78,000-square-foot customer service center there next year.

Comments Off on Morning Headlines 6/19/20

News 6/19/20

June 18, 2020 News 5 Comments

Top News

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

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

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


Reader Comments

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

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


HIStalk Announcements and Requests

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


Webinars

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


Acquisitions, Funding, Business, and Stock

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

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

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

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


Sales

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

People

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

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


Announcements and Implementations

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


COVID-19

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

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

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

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

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


Other

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

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

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


Sponsor Updates

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

Blog Posts


Contacts

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

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EPtalk by Dr. Jayne 6/18/20

June 18, 2020 Dr. Jayne Comments Off on EPtalk by Dr. Jayne 6/18/20

More than 100 professional groups are lobbying Congress to create a safe harbor for COVID-19-related litigation. They are advocating protections against bad-faith legal action for primary care practices and physicians. The Coronavirus Provider Protection Act (HR 7059) would provide liability protection for services that are provided during the COVID-19 public health emergency period and for a reasonable time after the emergency declaration ends. It specifically notes issues around services that are provided or withheld in situations that may be beyond the control of physicians and facilities (e.g., following government guidelines, directors, lack of resources) due to COVID-19.

The threat of lawsuits hangs constantly over physicians. I’ve seen the toll it causes, both financially and emotionally, even if a case is dismissed. Some cases are filed well after the care was delivered, and we know that over the last six months, there has been quite a bit of care delivered that doesn’t follow published guidelines for a variety of reasons (including lack of guidelines, lack of appropriate personal protective equipment, lack of medical equipment, etc.)

Although some states have passed protections, it would be good to have a national standard, especially for providers who practice across state lines. There is also plenty of lobbying for protections in other industries, where workers might claim that their employers didn’t protect them adequately from the pandemic or that they were injured as a result. I see the waters becoming muddied rapidly and wouldn’t give the House bill good odds for passage. I would, however, give good odds on the US legal system becoming more entertaining if attorneys and judges started wearing wigs.

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Since most of my summer fun has been canceled, I’ve used the time to wade through scores of emails that I intended to answer and were pushed down the inbox by the pandemic. I had missed the announcement of the newest tools from Athenahealth’s Epocrates division, one of which delivers consensus guidelines on drug therapies. The main data table includes not only the recommending bodies, but also the date of last update in a clean format, which is great for those who don’t want to try to sort out the status of multiple recommendations on a daily basis. There’s also a tool for drug therapy trial updates and a great listing of COVID-19 resources, including key points about clinical conditions that can be related to or mistaken for COVID-19.

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As a consultant, I’m getting a little twitchy about the fact that I’ve spent three months in the same city without any travel. I’d love to get back on the road, spending time in other parts of the country and meeting people, but I’m not sure those days are ever coming back.

As much as I miss travel, I don’t miss being in a corporate office setting every day. As people go back to work, the CDC has recommended significant changes to US office settings. Recommendations to those returning to office jobs include temperature / symptom checks, distancing of desks (with plastic shields where spacing them out isn’t possible), and face coverings. All those organizations that spent money tearing out cubes and individual offices in favor of open-plan concepts are probably kicking themselves as they try to bring people back.

In a slap to the environment, CDC is recommending avoidance of mass transit or carpools in favor of solo transportation. Employee perks like communal coffee machines and snack stations are out as well, in favor of prepackaged, single-serve products. Not surprisingly, some companies are deciding that it’s better to keep workers remote and cut their office overhead. Even when I was in a corporate role, I was more productive on my “work from home” days due to the lack of interruptions and ability to frequently relax my brain with a distraction, even if it was moving laundry from the washer to the dryer between conference calls. We’ll have to see what productivity looks like over the long term.

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It’s been a while since I’ve been up close and personal with concerns about my facility having Certified EHR Technology, so I enjoyed reading this recent ONC blog about the ongoing certification process. The 21st Century Cures Act requires the Department of Health and Human Services to establish Conditions and Maintenance of Certification requirements for the ONC Health IT Certification Program. There are seven Conditions of Certification that vendors will have to meet, along with ongoing Maintenance of Certification requirements. As physicians who have dealt with our own Maintenance of Certification pains, welcome to the club.

As tiresome as I found the Information Blocking requirement to be (everyone talks about it, no one does anything about it), I was intrigued by the Communications requirement. It prevents health IT developers from restricting or prohibiting communications about usability, interoperability, and security of certified health IT modules. I’m sure some vendors will continue to apply plenty of pressure to prevent such discussions, but would love to see some clients come clean about how awful their technology really is before others buy the same tired software.

Those who know me going way back know that I initially dreamed of being not just a doctor, but the first doctor on a long-term space station assignment. Needless to say, that didn’t work out (much to my parents’ relief, I’m sure), but I still enjoy keeping track of what goes on in the next frontier. I enjoyed the recent GlobalMed blog talking about the role of telemedicine in space exploration. It included discussion of the similarities between space travel and research in undersea environments and the need to to use data-driven approaches and technology to solve clinical problems when humans are hundreds of miles above the earth’s surface. If you’ve ever seen the story of the Antarctic explorer who performed his own appendectomy, it gives new meaning to crisis standards of care.

There is so much we have to learn about our potential to live and work in space and the role of technology in making it happen. For instance, we’re just figuring out how to bake chocolate chip cookies in orbit, which would definitely be on my wish list.

What did you want to be when you grew up? How close did you get? Leave a comment or email me.

Email Dr. Jayne.

Comments Off on EPtalk by Dr. Jayne 6/18/20

Morning Headlines 6/18/20

June 17, 2020 Headlines 1 Comment

MTBC Acquires Meridian Medical Management, a Former GE Healthcare IT Company

Ambulatory health IT company MTBC acquires EHR, RCM, and practice management vendor Meridian Medical Management for an undisclosed sum.

TapestryHealth Purchases Telehealth Software Leader

Tech-enabled primary care support company TapestryHealth acquires Telemedicine Web Services.

Doximity Acquires THMED, Launches Curative Brand

Professional medical network Doximity acquires healthcare staffing company Thmed, which will rebrand to Curative as part of the deal.

Morning Headlines 6/17/20

June 16, 2020 Headlines Comments Off on Morning Headlines 6/17/20

Epic’s UGM 2020 is Cancelled

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

Proteus Digital Health, once valued at $1.5 billion, files for Chapter 11 bankruptcy

Proteus Digital Health, the “smart pill” digital health company that was once valued at $1.5 billion, files Chapter 11 bankruptcy.

Abacus Insights Raises $35 Million in Series B Financing to Help Health Plans Liberate Data, Enabling Consumers to Make Better Health Choices and their Providers to Offer More Informed Recommendations

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

Unite Us Acquires SDOH Analytics Company, Staple Health, To Provide Predictive and Comprehensive Social Care Integration

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

CareMesh Raises $5M in Seed Funding to Scale Integration of its Healthcare Communications Platform 

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

Comments Off on Morning Headlines 6/17/20

News 6/17/20

June 16, 2020 News 3 Comments

Top News

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

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

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


Reader Comments

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

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

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


HIStalk Announcements and Requests

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


Webinars

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


Acquisitions, Funding, Business, and Stock

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

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

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

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

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


People

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

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


Announcements and Implementations

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

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

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

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

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

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

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


COVID-19

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

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

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

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

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

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


Other

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


Sponsor Updates

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

Blog Posts


Contacts

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

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Morning Headlines 6/16/20

June 15, 2020 Headlines Comments Off on Morning Headlines 6/16/20

Walmart buys tech from Carezone to help people manage their prescriptions

Walmart acquires intellectual property and technology from medication management startup CareZone for $200 million.

Augmedics Employees Lead $15 Million Series B Financing to Secure and Successfully Launch Company Amid COVID-19 Crisis

Augmedics will use a new $15 million investment to further scale its augmented reality system, which allows surgeons to visualize 3D spinal anatomy and track instruments and implants while looking directly at the patient.

Microsoft 365: 1.2 million workers to get tools including Teams in this ‘landmark’ software deal

In an effort to improve security and connectivity between its users, England’s NHS will implement Microsoft 365 across its hospital trusts and data teams.

Kalderos Secures $28 Million in Series B Funding to Disrupt Business as Usual in the U.S. Healthcare System

Drug discount management software vendor Kalderos raises $28 million.

Comments Off on Morning Headlines 6/16/20

Curbside Consult with Dr. Jayne 6/15/20

June 15, 2020 Dr. Jayne 2 Comments

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I had the chance to catch up with a good friend last week. We were talking about the odds of telehealth truly achieving payment parity and continuing into the future. We share a healthy dose of skepticism, mostly around the fact that payers (including CMS) aren’t going to want to pay the same amount for an item that they used to get for less, and in some cases, for free.

Unless they’re involved in administration or work in a multi-state organization, most physicians don’t realize that CMS has different payment rates depending on what part of the country you’re in. These rates vary due to labor and real estate costs – it’s more expensive to hire nurses in the San Francisco area than in rural areas of the Midwest, for example. There have also been special payments to certain sites of care, such as designated Rural Health Clinics.

Providers are excited about being able to see patients in their own homes from their own homes, cutting down on commuting, office costs, budgets for professional clothing, and more. The reality, though, is that CMS and other payers are going to feel like they’re subsidizing your love of fuzzy bunny slippers, and it won’t be long before there is an adjustment.

CMS leadership has stated “I can’t imagine going back” and “People recognize the value of this, so it seems like it would not be a good thing to force our beneficiaries to go back to in-person visits.” I think a lot of folks in the technology space, especially those looking to get their piece of the pie with telehealth, are missing the key connection between doing the work and getting paid for it. Although equal payment drove the expansion of telehealth during the pandemic, it’s a good bet that once the payments start changing ,we start to see more visits being pushed back to the office setting unless providers are participating in programs where they’re paid on a capitated basis versus fee-for-service.

Mr. H picked up on conflicting comments that CMS has made around the long-term viability of telehealth and mentioned them earlier in the week, especially those made during announcements encouraging a return to face-to-face visits that “while telehealth has proven to be a lifeline, nothing can absolutely replace the gold standard: in-person care.” I bet it won’t be long until they begin changing the payment structure.

Another dose of reality comes in the readiness of practices to actually see patients in person. Despite the multiple announcements encouraging patients and providers to get back to business as usual, some facilities just aren’t ready. I continue to hear from colleagues who can’t get adequate supplies of personal protective equipment, and  when they find supplies, prices are exorbitant. It seems like not much has changed since the start of the pandemic as far as the availability of N95 respirators, despite our having had months to ramp up the supply chain.

My employer has provided four N95s to each employee, which we are expected to rotate indefinitely until they become soiled or the straps break, in which case we can get a new one. If I want to take advantage of the Battelle hydrogen peroxide processing unit that my state has brought in, I have to personally drive my masks to a drop point across town, wait three days for them to travel across the state and be processed, and then drive across town to pick them up. We have one option for masks and no formal fit testing (since CDC waived it due to the public health emergency), so doing your own quickie fit test every time you put it on is how we roll. If you become allergic to the foam on the office-provided masks as some of us have, you’re kind of on your own since officially the CDC says we don’t need N95s and that simple surgical masks are OK since there are shortages.

For providers, continuing or expanding telehealth necessitates understanding the reality that telehealth requires a paradigm shift, and not everyone can make the jump easily. You have to go from being able to use reliable measurements performed by your staff to trusting patient-reported data or hoping that your patient can use available technology to capture their vital signs or pictures of a rash. You have to also start trusting other indicators of a patient’s status, such as level of anxiety, tone of voice, etc. that some have tuned out during in-person visits because it seems like many patients are anxious and stressed by the entire in-office visit process, especially if it occurred at a large healthcare complex with parking challenges, wayfinding issues, etc. Additionally, some specialties aren’t amenable to telehealth visits, so brick-and-mortar offices will continue to be a must.

For patients, access can be a double-edged sword. While some rural communities have embraced telehealth as a way to avoid long and time-consuming travel, others struggle with the connectivity that is needed for successful telehealth visits. Although the majority of adults in the US have access to a smart phone, that doesn’t mean that it’s their personal phone or that the access is 24×7. Sometimes it takes patients a couple of visits to get the hang of telehealth, and even then there can be issues with dropped calls or anxiety about displaying video of their living situation.

Only time (and the will of patients and payers) will tell how this is going to play out. If payers cut back, will we reach a point where patients will be willing to pay a premium for telehealth visits? Will clinical employers use telehealth as a way to shift more burden (including scheduling, pre-visit data gathering, and more) onto providers while saving money on ancillary staff salaries? Or will they embrace using ancillary staff to continue to perform pre-visit clinical work to better support physicians? Will telehealth technology improve to a point where it’s almost like being there, perhaps with the addition of virtual reality devices? Will data from third-party tools flow seamlessly into the EHR, or will we be stuck working with multiple systems and siloed data?

I’d be interested to hear what the HIStalk community thinks. What does your crystal ball say? Leave a comment or email me.

Email Dr. Jayne.

HIStalk Interviews Gadi Lachman, CEO, TriNetX

June 15, 2020 Interviews Comments Off on HIStalk Interviews Gadi Lachman, CEO, TriNetX

Gadi Lachman, LLB, MBA is president and CEO of TriNetX of Cambridge, MA.

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What was your reaction when you heard that prominent medical journals retracted two COVID-19 research articles due to concerns about the quality of the underlying aggregated EHR data that researchers analyzed?

It’s easier for me to talk about what we do and how we do it as opposed to talking about other companies. I’ve never heard of Surgisphere, the organization whose data was used.

EHR data is super valuable. In the world of clinical research, you want to use all the tools available to develop therapies, to develop cures, and to save human lives on a massive scale. That goes without saying. There is a powerful do-good in this industry of utilizing data for drug development, for therapy development, to fight disease, and to find cures.

Then, what is data? There are many different categories of data. Claims data, EHR data, data collected in the lab in the process of a clinical trial, patient-reported outcomes, and things like that. EHR data is forever being used in the clinical research realm. Every data type has its pros and cons, and every data type has a lot of value in helping those who develop new cures and new therapies.

I would almost say when you’re developing a new cure or you’re trying to understand a disease, you cannot do that without looking at EHR data, because that tells you what happens in the inpatient and outpatient settings. What happens with those patients? What therapies, what diagnoses, what medications, what do they report as going on with them, and what is the medical community doing to them? Then you follow to see the outcomes of those interventions.

EHR data is fundamentally basic for clinical research and has been widely and popularly used in that space. The question becomes, how can you ensure the quality? How do you know, as a researcher, what data you are looking at and what processes have been put into place and how much capital and human labor has been deployed to ensure the quality of the data?

TriNetX is a global network. We are in 26 countries. We take data for more than 150 healthcare organizations, including the likes of Johns Hopkins, Boston Children’s Hospital, MUSC, University of Iowa, and others. We work with many, many pharmaceutical companies, such as Sanofi, Novartis, AstraZeneca. We interact as a trusted advisor with those healthcare institutions. We are making sure that this EHR data can be used for clinical research. We look at it, we test it, and we compare it to other big data that we have to make sure it’s consistent. We look at how people are coding and inputting the data and report back any inconsistencies. We compare structured data to unstructured NLP data and see if there are discrepancies.

We have deployed $150 million of capital to accomplish that. We have people all over the world. We have data scientists who make sure that the data is clean and consistent. That data is getting a lot of love and attention. It gets to a level of quality where a researcher can say, I trust it. It makes sense to me. I’m going to research on it. I’m going to publish on it. It takes a lot to get to a level of quality that will be acceptable by the industry, by the standards of clinical researchers, and valuable for humankind to drive what we need to drive.

When I read about the processes or the numbers of things that have been published, those numbers didn’t make sense to me. It takes more than a very small group of people to do what needs to be done to get to that level of quality that is required.

In normal times of publishing and research, there is time to do things. We spend an ungodly amount of time on the data quality, but then there is time for the researchers to run it by peers. COVID-19 was almost the perfect storm for this bad episode, where everyone was running so fast that there was no time for researchers to perhaps do the checks and balances and the validation that they would otherwise do. A lot of people with good intentions. Researchers and physicians spend their career to save lives. They were caught in the middle of that perfect storm and they maybe failed. They didn’t have enough time to do what they need to do to check the quality and validate. It was just happening too fast, and this is where mistakes can happen.

Even within a single institution, researchers are sometimes pressing for data that doesn’t exist in the black-and-white form they expect, with consistent validation and procedure across service locations and across EHRs that fits neatly into a table without requiring a lot of analyst footnotes. How do you turn data from multiple health systems into a reliable source for research?

No two installations of the same EHR will ever be alike. Then you compound the problem by looking at different EHRs, then compound it again by looking at different countries.

We have invested a lot of hours and capital in the past six-plus years to tackle exactly that problem that you said. We have almost a Rosetta Stone in our master ontology. We have a centerpiece, a language that TriNetX adheres to. You take the best standards from all over the world and then go healthcare organization by healthcare organization. It doesn’t matter what you find there — you have to map it into your master ontology.

But this is the beauty of it. By mapping it, you develop a deep understanding of how that healthcare organization is talking, because that’s the only way to map it to something that is more coherent and consistent. That is what we do. It’s difficult, but by doing that, you start to create this standardization abstract layers. The analytics that we build, and all the functions that need to interact with the data, can now speak one language because we’re taking care of the translation. It is a massive investment. It is a core component of what we do.

I’ll give you an example. When COVID-19 happened, old diagnoses for old coronavirus conditions existed in the platform. Very quickly the different regulatory organizations started to release new codes to capture those patients, specifically the COVID-19 patients and tests. We implemented those codes immediately. But that doesn’t mean anything because your hospitals have to report on that as well. We work with an amazing network of healthcare organizations that rose to the challenge in starting to report on those codes.

It’s an informatics and software effort on our part, but it’s also a coding and informatics effort on the healthcare organization’s part. You apply all the quality checks and all the work that we do together as a network to be able to then show researchers and government entities that we’re working the results. These are the patients that we see. This is what they have. These are their profiles. Let’s see what’s working, what’s not working. The utilization of drugs, the utilization of everything. Outcomes. This is the result of massive informatics efforts where all the players have to join forces. It worked very well, it worked fast, and it was on a global scale. Not just the US, but hospitals all over the world rose to that challenge.

What questions should researchers ask to make sure the data that someone else collected is appropriate for their study?

You have to work with reputable companies. We announce the names of who joins our network. We openly talk about the quality processes and the checks that we do. We have hundreds of publications that have been reported on our data. It creates a level of trust. A network of more than 40 industry partners — healthcare organizations, life sciences, and and research entities — have been using us for the past six years and have trust.

A researcher will very rarely go to the record level. No one will let them see that anyway. Even if you looked at the record, do you also want to interview the patient? When you interview the patient, do they even know what they have? At the end of the day, you must trust an organization to create a quality data asset for you. You can audit it if you want. We are very open for everyone looking and auditing our processes, how we look at data, how we do our work. There is a lot around data governance, process, and people that we are very open about. We are open to suggestions and always getting better and better. That creates confidence within the research community to use the data assets that we have time after time.

A lot of research has been published in the last many, many years. A lot of the time, we allow researchers to analyze our data to verify that they can replicate the results that have been achieved through other means. By doing that, you create the ability to validate that a similar set of data on which you run a different set of science and algorithms on it gives a similar conclusion. Or you get a different conclusion, but you can explain the difference. That validates that you can trust this data asset, because time after time, it delivers the answers that you expected, which then gives you confidence to start asking new questions.

Are you seeing impactful COVID-19 research being performed using your platform?

It’s a huge impact. The pharmaceutical industry, contract research organizations, government, and we ourselves are publishing around COVID using our data asset. We are helping find a lot of things that are moving the industry forward in this rapid development of cures. For example, we have published that with COVID, compared to other like conditions, you get more strokes with younger populations. We have validated that assumption. It’s a huge learning, because physicians and the frontline people who are treating those patient now know that in young patients, they need to be on the lookout for other things that could be going on and make appropriate diagnosis and therapy decisions. It saves lives on order of magnitude immediately, not to mention providing insight for those who develop the therapies.

We have many examples of uses of drugs and outcomes that we supported. TriNetX has been in the forefront of fighting the COVID-19 pandemic. That makes everybody who works at TriNetX proud.

Comments Off on HIStalk Interviews Gadi Lachman, CEO, TriNetX

Morning Headlines 6/15/20

June 14, 2020 Headlines Comments Off on Morning Headlines 6/15/20

Milliman Announces Acquisition of healthIO to Offer Powerful Preventive Health Solution to Employers

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

NovaQuest’s Clinical Ink in second round of process

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

Remote work continues: Dane County’s top employers not rushing to reopen offices

Thirty-five percent of Epic’s workforce returns to its campus in Verona, WI, with more of its 10,000-member staff expected back over the summer.

It’s Time for a New Kind of Electronic Health Record

Former Mass General Brigham and Cerner executive John Glaser, PhD makes the case to redesign EHRs around the patient-clinician medical plan rather than their current role as a place to record the byproducts it generates.

Comments Off on Morning Headlines 6/15/20

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