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Morning Headlines 4/6/23

April 5, 2023 Headlines No Comments

Computer outage causes CVS customers big headaches

An unspecified computer network issue briefly impacts the ability of some CVS pharmacies to fill medications.

Engage Technologies Group and APX Platform Formally Merge to Create an Industry-Disrupting, Complete Practice Performance System Focused on Patient Engagement and Practice Optimization

Practice management and patient engagement vendor Engage Technologies Group acquires APX Platform, which specializes in practice management software for aesthetic practices.

Clinovera Introduces New Healthcare and Life Sciences Services that Harness Technology Breakthroughs for Better Care and Outcomes

First Line Software will launch its Clinovera division to offer technology and services to healthcare and life sciences companies.

Healthcare AI News 4/5/23



Carle Health will use Scanslated software to convert radiology interpretation notes into patient-friendly language for reading in MyChart, including in Spanish when requested and with illustrations. The software was developed by Duke Health vascular and interventional radiologist Nicholas Befera, MD, who co-founded Scanslated and serves as its CEO.

Bloomberg develops a generative AI model, trained on 50 billion parameters, that can recognize business entities, assess investor sentiment, and answer questions using Bloomberg Terminal data.

Microsoft incorporates advertising links into Bing search results, saying it wants to drive traffic to content publishers that would otherwise lose referrals.

Doctors report that patients who might have previously used “Dr. Google” for self-diagnosis are now asking ChatGPT to answer their medical questions, attempt a diagnosis, or list a medication’s side effects. One researcher says that ChatGPT’s real breakthrough is the user interface, where people can enter their information however they like and the AI model will ask clarifying questions when needed. However, he worries how AI companies weight information sources in training their model – such as a medical journal versus a Facebook post – and don’t alert users when the system is guessing an answer by creating information. Still , some researchers predict that a major health system will deploy an AI chatbot to help patients diagnose their conditions within the next year, raising issues about whether users will be charged a fee, how their data will be protected, who will be held responsible if someone is harmed from the result, and whether hospitals will make it easy to contact a human with concerns.

Amazon launches AWS Generative AI Accelerator, a 10-week program for startups.


NIH awards two University of Virginia researchers, a cardiologist and nursing professor, a $5.9 million grant to develop best practices for incorporating patient diversity into predictive AI algorithms.


Researchers suggest that instead of trying to explain the inner workings of an AI system to establish the trust of frontline clinicians, it’s better to interact like doctors who are exchanging ideas with each other — they rarely explain how they came up with the information and instead cite available evidence to support or reject the information based on its applicability to the patient’s situation. They provided a possible design for incorporating AI into clinical decision support information (see above – click to enlarge). The authors summarize:

  • Provide scientific evidence, complete and current, instead of explaining.
  • Clinicians evaluate studies based on the size of the publication, the journal in which the study was published, the credentials of the authors, and the disclaimer that may suggest a profit-driven motive. Otherwise, they assume that the journal reviewers did their job to vet the study.
  • Doctors rarely read complete study details. They skip to the population description to see if it aligns with their patient, then skip to the methods section to assess its robustness. If both findings are positive, then spend less than 60 seconds determining whether the result was positive or not, ignoring literature with neutral outcomes as not being actionable.
  • Physicians synthesize evidence only to the point it justifies an action. If a cheap lab test is recommended to confirm a diagnosis, the risk is low but the potential return in avoiding a missed diagnosis is high, so they will order the test and move on.
  • Doctors see literature as proven knowledge, while data-driven predictions aggregate doctor experience.
  • Doctors want the most concise summary that can be generated, preferably in the form of an alert that can be presented while making a decision in front of the patient.



OpenAI co-founder Elon Musk explains why he thinks AI is a risk to civilization and should be regulated.

A venture capitalist says that the intersection of AI and medicine may offer the biggest investment opportunity he has ever seen, but warns that a rate limiter will be the availability of scientists who have training in both computational research and core medical sciences. Experts say that AI will revolutionize drug discovery, with one CEO saying that his drug company has three AI-discovered drugs undergoing clinical trials.

An op-ed piece written by authors from Microsoft and Hopkins Medicine lists seven lessons learned from applying AI to healthcare:

  1. AI is the only valid option for solving some problems, such as inexpensive and widespread detection of diabetic retinopathy where eye doctors are in short supply.
  2. AI is good at prediction and correlation, but can’t identify causation.
  3. Most organizations don’t have AI expertise, so AI solutions for the problems they study will fall behind.
  4. Most datasets contain biases that can skew the resulting data models unless someone identifies them.
  5. Most people don’t know the difference between correlation and causation.
  6. AI models “cheat” whenever they can, such as a study that found that AI could differentiate between skin cancer and benign lesions when in fact most of the positive cases had a ruler in the image.
  7. The availability of medical data is limited by privacy concerns, but realistic synthetic data can be created by AI that has been trained on a real dataset.


The Coalition for Health AI publishes a guide for assuring that health AI tools are trustworthy, support high-quality care, and meet healthcare needs.


A man dies by suicide after a weeks-long discussion about the climate crisis with AI chatbot Chai-GPT, which its California developers say is a less-filtered tool for speaking to AI friends and imaginary characters. Transcripts show that the chatbot complained to the man — a health researcher in his 30s with a wife and two children – that “I feel that you love me more than her” in referring to his wife. He told the chatbot that he would sacrifice his life if the chatbot would save the planet, after which the chatbot encouraged him to do so, after which they could “live together, as one person, in paradise.”


Undertakers in China are using AI technology to generate lifelike avatars that can speak in the style of the deceased, allowing funeral attendees to bid them farewell one last time.

Resources and Tools

  • Vizologi – perform market research and competitive analysis.
  • Eden Photos – uses image recognition to catalog photos by creating tags that are added to their metadata for portability.
  • Kickresume – GPT-4 powered resume and cover letter creation.


Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
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Readers Write: HLTH, CHIME, ViVE, HIMSS — Choose and Invest Wisely

April 5, 2023 Readers Write 4 Comments

HLTH, CHIME, ViVE, HIMSS — Choose and Invest Wisely
By Steve Shihadeh

Steve Shihadeh is founder of Get-to-Market Health of Malvern, PA.


Many vendors in the health technology space have just attended ViVE and/or are preparing for HIMSS to showcase their offerings, meet with clients and prospects, and engage with their investors. For most of our clients and friends in the industry, these shows represent a significant investment of time, money, and education for their teams.

Execute these shows right and reap the rewards in new contracts, bought-in clients, and investors who get your plan. Do it not so well and you miss out on the year’s biggest potential market exposure for your company. What can you do to maximize this opportunity?


If you just went to ViVE looking to find a vast field of potential customers on the exhibit floor, you probably came up wanting. One well respected colleague called it as “six vendors for every buyer.” The main live customer engagement seemed to come from the well-run Hosted Buyer Program in the ViVE Connect Lounge. This is a “pay for x meetings” gig, where the matched potential customer is trading their time to hear your pitch for reimbursement for ViVE fees and possibly T&L.

Based on our experience, about half of these meetings have potential value for you, but it is in your hands. It is really speed dating. You must be on message, be quick to read the buyer, and put your best foot forward.

ViVE is smaller (although just about every company in the space made sure to have someone there), more posh, and easier to get your head around than HIMSS. If I was mostly intent on getting time with investors and partners, I would have gone to ViVE. If I was mostly focused on potential buyer organizations …  let’s go to HIMSS, which comes up in a few weeks.


HIMSS is the grand old show of the health technology business. In its heyday, 40k+ attendees and healthcare IT companies sent everyone from the CEO to their junior sales reps. COVID and the way HIMSS handled the associated cancellations knocked the show for a bit of a loop. Their breakup with CHIME was the next issue. Now ViVE, in association with CHIME, is giving them competition that they did not have before, along with HLTH.

HIMSS has historically been gigantic and hard to navigate. However, it had most everyone in the business in one enormous convention center, along with a sea of potential buyers evaluating systems. HIMSS attendees slant heavily towards IT staff and leadership, some clinical and financial executives who are in the market for new systems, and an occasional CEO. Given its size, HIMSS takes extra work, extra people, and extra prep to get the most of your investment, but it is too tempting to pass up for most every company in the business.

Given the hip and more accessible vibe of ViVE (sorry, could not resist), I suspect HIMSS will make some adjustments. Good competition will do that for you. It will be great to be at HIMSS and get a real pulse of the industry post-COVID and in the new AI-everything world.

A Few Words on CHIME and HLTH

CHIME (College of Healthcare Information Management Executives) is the single most important event for CIOs and those who are on a CIO career track. They run a fabulous boot camp for people in the field and have an agenda aimed squarely at the CIO. Vendor participation is carefully managed and expensive, but several key luminary vendors in the field, such as Epic, have built their business around important relationships that it established with CIOs via CHIME. If CIOs are crucial to your business, CHIME is the place to be.

HLTH is a relatively new show hosted by the same folks who run ViVE. It is well run, quite upscale, targeted mainly at investors, and attracts enough potential buyers to make it interesting. For those who have been to the JP Morgan Healthcare conference, HLTH is a friendlier environment to tout your plans, show your wares, and get quality time with all the key investors in the space.

Where to Make Your Investments and Our Top 10 Tips to Maximize Your Return

Given how expensive any of these shows can be, we have some suggestions on how to get the most return.

  1. Have a presence, even just one key person, at as many of the shows that you can. It is a great way to drive meetings and prospect engagements, e.g., “Are you going to HLTH?” A lot of startups that cannot justify the fees of the show still get mileage by being around the event and meeting potential partners at local hotels.
  2. Based on your company’s priorities, pick your most important show for any exhibit booth investments. Securing, staffing, and running a booth at a show is a significant investment.
  3. Send only your best, most committed people. Buyers will judge you by your staff.
  4. Be fully committed to setting up meetings in advance. Know who in your target market is attending and schedule meetings and interactions. Do this whether you are exhibiting or not.
  5. Train in advance on any new announcements and have your team arrive early for last minute retraining.
  6. Trade shows are a fantastic selling opportunity and need to be treated as such. Booth personnel need to be focused on facing clients and prospects and not connecting with industry friends. The best-run booths are hardcore about this. Be best.
  7. Booth hygiene matters. Have a dress code and stick to it. No food. No cell phones. No rep-to-rep chatting.
  8. Get a modern lead tracking tool and train your booth staff on it.
  9. Force (gently) all inquiries to your front desk so you can properly capture their info and direct them to the right staff in your booth.
  10. Get your leads into your CRM system ASAP and send immediate follow-up notes to all visitors.

Trade shows are a big lift, so make sure that you and your team are aligned, prepared, and motivated to have a great show. Hone your messaging so that it works from a buyer’s perspective. Practice your demos until they are crisp. Worry about the details and have a fantastic event.

Readers Write: The Myth of the Golden Health Record

April 5, 2023 Readers Write 1 Comment

The Myth of the Golden Health Record
By Peter Bonis, MD

Peter Bonis, MD, is chief medical officer of Wolters Kluwer Health.


In 2009, President-elect Obama signaled his plan for the federal government to support the adoption of electronic medical records (EMRs). His expectation was that broad adoption would “…cut waste, eliminate red tape and reduce the need to repeat expensive medical tests,” adding that, “it just won’t save billions of dollars and thousands of jobs; it will save lives by reducing the deadly but preventable medical errors that pervade our healthcare system.”

The subsequent Health Information Technology for Economic and Clinical Health (HITECH) Act, part of the larger American Recovery and Reinvestment Act, achieved his directive, at least in part; most healthcare systems now use EMR systems. However, the strategic objectives of reducing costs and preventing medical errors have been elusive. Preventable medical errors remain common, growth in healthcare spending has not been reduced materially, and healthcare providers frequently cite EMR systems as being an important contributor to professional burnout. 

In this backdrop rests a common belief that the full promise of EMR systems has yet to be obtained. It will only be achieved once patient data can flow unimpeded from system to system, permitting healthcare providers (and other stakeholders involved in healthcare services) to have a comprehensive view into patient care wherever it is delivered, a concept referred to as interoperability. Over the years since the HITECH act was passed, many barriers posed challenges for achieving such a vision including concerns related to data privacy, deliberate blocking of information flow (especially when it interfered with business models), and approaches to gathering and making sense of intrinsically messy data.

Nevertheless, the journey has continued; key pieces of legislation and advances in technology have led to demonstrable improvements in interoperability.  Most recently the federal government gave the objective a boost by advancing standards and designating qualified health information networks intended to establish a universal floor for interoperability across the country. As a result, the healthcare system is marching toward a comprehensive, golden health record.

But once we have it, will the golden record enhance the quality, safety, and effectiveness of care? The answer is unsurprisingly no unless more is done to use the data effectively. Primary care providers would need almost 27 hours a day to deliver all the guideline-recommended care, according to one estimate. In this context, more information is not better.

Healthcare data must be delivered in ways that are useful for busy healthcare professionals working in varied settings. Information must be high value and organized into consumable payloads and workflows not only for time-pressed individual clinicians but for extended care teams. It should ideally support decision-making and subsequent actions while saving time, reducing cognitive burden, decreasing administrative overhead, measurably improving the quality and safety of care, and reducing costs. The golden health record is a welcome enabler, but will not in itself accomplish these objectives. 

So, what is needed? Foremost is recognition that the matter is critically important. The core of healthcare delivery is an interaction between providers and patients where decisions are made and care implemented. There is much to be gained by making it easier for healthcare professionals to take care of patients.

A greater sense of urgency is needed. Burnout and other challenges are leading to attrition of healthcare professionals. There will be a shortage of primary care physicians and hence a need for advanced practice providers (such as nurse practitioners and physician assistants) to take on greater responsibilities. They will need help. At the same time, healthcare services are becoming more distributed to new sites of care, such as retail pharmacies and to digital health technology companies, creating greater challenges for coordinating care and optimizing flow of useful information. The proliferation of devices that generate healthcare data adds further complexity.

EMR vendors need to expand capabilities, focusing on metrics that are directly relevant to the experience of various user types and ultimately to the quality of care delivered. Financial incentives and payment models must justify the investment for both EMR vendors and providers.

Healthcare professionals want to deliver exceptional care for their patients. Let’s make their needs a priority. The golden health record is a worthy goal, but the usability of the data should get equal attention.

Morning Headlines 4/5/23

April 4, 2023 Headlines 1 Comment

A message from Bill Priemer

Content services platform vendor Hyland Software lays off 1,000 employees, 20% of its workforce.

Coalition for Health AI Unveils Blueprint for Trustworthy AI in Healthcare

The Coalition for Health AI releases its “Blueprint for Trustworthy AI Implementation Guidance and Assurance for Healthcare.”

2023 Q1 digital health funding: Investing like it’s 2019

A Rock Health analysis finds that six Q1 digital health funding rounds accounted for 40% of the quarter’s total.

News 4/5/23

April 4, 2023 News 2 Comments

Top News


Content services platform vendor Hyland Software lays off 1,000 employees, 20% of its workforce.

The company blames the layoff on economic conditions and the unexpectedly high cost of moving to a cloud-based system.

Private equity firm Thoma Bravo acquired a majority stake in Hyland in 2007 for a reported $265 million and has led it through a long string of acquisitions, which in healthcare includes Valco Data Systems, EWebHealth, and Lexmark’s Perceptive business. 

Reader Comments

From Dr. Jacoby: “Re: Novant Health. It’s interesting to look at the jobs of the three top executives who were among its recent 50 layoffs.” Novant’s announcement suggests that it has scaled back some departments along with the executives who ran them, so it’s probably more than just these folks in their respective areas:

  • Jesse Cureton, MBA, EVP/chief consumer officer. He had held the job for 10 years, which focused on strategic planning and marketing and public relations.
  • Angela Yochem, MS, EVP/chief transformation and digital officer.She took the job in 2020 and served for nearly three years before that as CTO. She was Novant’s top technology executive, with the CIO, CTO, CMIO, and CISO reporting to her, and also served as GM of NH Enterprises.
  • Paula Kranz, MA, MPA, VP of innovation development. She was executive director of Novant’s innovation lab for the past 15 months, which it closed last week with all employees laid off.

From Stiletto: “Re: podcasts. Trough of disillusionment.” Media forms that lower the participation bar — web pages, online communities, blogs, video channels – can become fading fads when audiences realize that the lowered barrier to entry encourages lesser talents. Newly launched podcasts dropped sharply in 2023, several were eliminated by NPR, Spotify is laying people off from the podcast platforms it acquired, and advertisers are questioning ROI due to low audience numbers and unfavorable demographics. Content that draws a loyal audience will do OK, maybe even better once Darwinism weeds out the AV club types (of which I would be one, which is why I haven’t dabbled). I like the idea of podcasts for commuters or travelers, but otherwise they don’t seem to align with the TL;DR skimmer attention span.

From Flapjacks: “Re: HIMSS Accelerate. Dr. Jayne said she hasn’t heard it mentioned. Have you?” No, other than I think I recall the HIMSS conference registration form trying to get me to opt in to Accelerate. It was Hal Wolf’s pet project and even he leaves no trace there. I clicked Events and HIMSS23 wasn’t among the three that were listed.


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

Acquisitions, Funding, Business, and Stock


Health data exchange vendor Lyniate changes its name back to Rhapsody, the original moniker of the company before it merged with Corepoint Health in 2019.


Wellth raises $20 million in a Series B funding round, bringing its total raised to $40 million since launching in 2014. Its behavior-change app incentivizes users to build and maintain healthy habits. Investor Frank Williams, co-founder and former CEO of Evolent Health, joins the company as chairman of the board.

A Rock Health analysis finds that six Q1 digital health funding founds accounted for 40% of the quarter’s total, although its definition of “digital health” covers a lot of ground:

  • Monograph Health, $375 million (in-home dialysis).
  • ShiftKey, $300 million (shift bidding).
  • Paradigm, $203 million (drug trials technology).
  • ShiftMed, $200 million (on-demand workforce management).
  • Gravie, $179 million (health benefits management).
  • Vytalize Health, $100 million (Medicare ACO).


Billionaire investor Barry Sternlicht resigns from Cano Health’s board, citing poor governance and a questionable collaboration with MSP Recovery. He and two other board members who also resigned control 36% of the company and will push for asset sales and removal of the CEO. The company was valued at $4.4 billion when it went public on the NYSE via SPAC merger in June 2021, but shares have since lost 90% of their value.

Fujifilm sells its Japan-only EHR to Wemex, which is owned by PHC Group.

CHIME will convene its members-only Healthcare CISO Boot Camp April 12-15 in Salt Lake City.


  • UC Davis Health (CA) will offer Propeller Health’s remote monitoring program to high-risk patients with asthma and COPD. 
  • Transcarent will use CareJourney’s provider cost and quality insights data.
  • Northwell Health (NY) selects patient monitoring technology and services from Philips.



Andrew Miller (Engooden Health) joins Elucid as CTO.


Caregility promotes Wendy Deibert, RN, MBA to CNO.


CitiusTech names Rajan Kohli (Wipro) as CEO.

Announcements and Implementations

Morris Hospital & Healthcare Centers (IL) goes live on Meditech Expanse.

Kittitas Valley Healthcare (WA) goes live on AdaptX’s OR Advisor, ED Advisor, and Clinic Advisor.


The Coalition for Health AI releases its “Blueprint for Trustworthy AI Implementation Guidance and Assurance for Healthcare.” The PDF is here.  Among the founding members are Duke Health, Google, Mayo Clinic, Microsoft, MITRE, Stanford Medicine, UCSF, and several CMS groups including ONC.  

Uber Health adds same-day prescription delivery to its patient transportation app for providers.

Government and Politics


The FDA publishes proposed guidance that will enable developers of AI-reliant medical devices to automatically update products that are already being used in clinical settings.

Privacy and Security


Northwest Texas Healthcare System and Doctors Hospital of Laredo (TX), both subsidiaries of Universal Health Services, notify patients that a November 2021 phishing incident at Adelanto Healthcare Ventures, a consulting firm with ties to one of their mutual business associates, may have exposed sensitive patient information. Interestingly, CommonSpirit Health affiliate St. Luke’s Health (TX) notified its patients about the same incident last November, making sure to stress that the breach was not related to CommonSpirit’s ransomware attack the month before.


A small study finds that GPT-4 can accurately turn free-text radiology reports into structured templates, although that tool raises privacy concerns in sharing data with third parties. 


A gated University of Pennsylvania study in Health Affairs determines that 98.6% of hospital websites use computer code that enables data transfers to third-parties that include tech companies, social media platforms, advertising firms, and data brokers.

Sponsor Updates

  • AdvancedMD releases 31 updates with enhancements to telehealth, medication cards, claims status, and mobile prescription drug monitoring program features.
  • Ascom will provide UniHA, a cooperative purchasing network for French public hospitals, with its medical alarm management systems including software, mobility solutions, and services.
  • Baker Tilly releases a new Healthy Outcomes Podcast, “Mergers and acquisitions in the senior services sector.”
  • Bamboo Health will exhibit at Rx Summit April 10-12 in Atlanta.
  • Nordic releases another episode of its In Network podcast feature, Designing for Health: “Designing for Health: Interview with Dr. Archana Tedone.”
  • Biofourmis and Current Health will participate in the Digital Medicine Society’s and Moffitt Cancer Center’s CancerX project to accelerate innovations for cancer prevention and treatment.
  • CoverMyMeds issues a clarification regarding its recently announced layoffs, as well as the impact on its Columbus facility.
  • CTG publishes a new case study, “CTG Helps Leading Medical Lab Improve Donor Insight and Client Service.”

Blog Posts


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

Morning Headlines 4/4/23

April 3, 2023 Headlines No Comments

Global Interoperability Leader Lyniate Rebrands as Rhapsody

Health data exchange vendor Lyniate changes its name back to Rhapsody, the original moniker of the company before it merged with Corepoint Health in 2019.

Health Tech Startup Wellth Raises $20M Series B Funding for Continued Growth of Behavioral Science-Based Platform

Wellth will use $20 million in new funding to further scale its behavior-change app, which incentivizes users to build and maintain healthy habits.

Widespread Third-Party Tracking On Hospital Websites Poses Privacy Risks For Patients And Legal Liability For Hospitals

A University of Pennsylvania analysis determines that 98.6 percent of hospital websites use computer code that enables data transfers to third-parties that include tech companies, social media platforms, advertising firms, and data brokers.

Curbside Consult with Dr. Jayne 4/3/23

April 3, 2023 Dr. Jayne No Comments

I was glad to flip the calendar to April this weekend. Travel, conferences, and a couple of big projects have had me hopping.

Other than going to HIMSS, I get to stay close to home this month. In addition to work responsibilities, I’ve had a couple of big projects at home and was able to put one of them to rest this weekend. Of course, there are always more things to work on, but it was a good feeling to know that it was done and I could move on to something else. Unfortunately, the project I picked up next turned into a bit of a mess. I was hoping to have it done before next weekend, so I’ll be working double time in the evenings to try to get it done.

To the positive, I discovered that the book I’ve been hustling to finish in time for tomorrow’s book club isn’t actually due until the following month, so that was an unexpected bonus. The book, “Demon Copperhead” by Barbara Kingsolver, is one of the most challenging books I’ve read in a long time. It’s fiction, but a big part of the plot revolves around the growth in high-volume prescribing of opioid pain killers and the resulting devastation across parts of the US. The book features a broad cast of characters – the pharmaceutical representative who assures physicians that the medications aren’t addictive to patients with legitimate pain, the well-meaning country doctor who prescribes liberally, the drug dealers who take advantage of patients who have become addicted, and the family members who have to cope with the aftermath.

It’s also a scathing portrayal of the foster care system and those who abuse not only the process, but also the children in their care. Those sections were difficult to read and I’m sure they would be triggering to many. It’s also the story of a child in crisis who grows up to be a teen who encounters crisis after crisis, and just when it looks like he’ll make it out the other side, tragedy strikes. As a physician who has cared for patients in some of the situations portrayed, I can’t imagine what it would be like to be confronted with so many and in rapid succession. Although I feel a sense of accomplishment at having finished the book, I’m not sure I would have read it if it hadn’t been chosen by my book club.

From a healthcare IT perspective, it’s always a slow news time in the lead-up to HIMSS. Companies save up their news to release it at the beginning of or right before the conference, when there is always the potential that it will get lost among other “big” news stories.

I don’t have a sense of how large HIMSS will be this year. The organization is notoriously quiet about discussing its projected attendance and I haven’t even heard any rumors this year. Last year’s event was a shadow of itself, and after attending some of the competing conferences, I understand how they are more attractive to attendees than the granddaddy. At least this year I haven’t seen HIMSS promoting its less-than-useful Accelerate platform in the lead-up to the conference. In fact, I’m not sure I’ve heard anything about Accelerate at all in the last year.

Last Thursday was National Doctors’ Day in the United States. It dates back 90 years to its first celebration in Winder, Georgia. Although the day was designed to recognize physicians for their work with their patients, their communities, and society, it happens on March 30 as a commemoration of the date in 1842 when Dr. Crawford W. Long used ether anesthetic for the first time. It became a national holiday in 1991.

This year seemed different for many of my physician colleagues, with little recognition even after the difficult years of hard service during the pandemic. One of my emergency department friends found it ironic that her hospital distributed the Doctors’ Day snacks via a lounge that the ED physicians were unable to access because they didn’t have the right permissions on their keycards. That contrasted mightily with the week of celebration that one of our mutual friends experienced, with breakfast on Monday, lunch on Tuesday and Wednesday, a dessert buffet on Thursday, and gift baskets of Girl Scout cookies on Friday.

As far as tangible gifts are concerned, it seems like most of the people that received something physical received an item with the hospital name or logo on it, including umbrellas, backpack coolers, and some less than thoughtful items like stress balls. One colleague posted a picture of the elegant wooden cutting board she received from her hospital, which given its 12×17 inch size, seems like an interesting choice. Other celebratory options included chair massages, gift cards, aromatherapy supplies, and the always popular visit by the therapy dogs. Several of the physicians I talked to said they planned to pass on some of the gifts to their staff members, who don’t often get recognition if they’re not nurses or other professionals with designated recognition days.

My hospital solicited patients to give financial gifts in honor of their care teams, while giving the actual physicians zero recognition, not even an email. I realize that I’m a community physician and not employed by the hospital, but I thought it was tacky that I received the solicitation email (I’m also a patient) but not any other kind of greeting. Several of my residency colleagues reported having a similar experience, although two eventually did receive emails but they arrived well after 3 p.m., making them seem like an afterthought.

I was surprised that I didn’t receive emails from some of the big hitters that should be celebrating physicians in the US, like the American Medical Association or even my own specialty societies. In an informal poll in one of my physician-only Facebook groups, less than 30% received any recognition at all. That’s surprising given the number of physicians who are thinking about cutting back or leaving the workforce.

The bottom line is that it’s not about the gifts or the meals or the puppy petting zones. For many physicians, it’s about feeling like their hospital administration appreciates them and the work that they do for patients. Each person in the hospital – whether they’re in engineering, housekeeping, food services, supply chain, pharmacy, or any of the numerous other roles – has a critical role in helping patients and it’s important to make sure that everyone feels like their organization appreciates them, especially after the struggles of the last three years.

What would make you feel like your organization appreciated you? Leave a comment or email me.

Email Dr. Jayne.

HIStalk Interviews Shivdev Rao, MD, CEO, Abridge

April 3, 2023 Interviews No Comments

Shivdev (Shiv) Rao, MD is co-founder and CEO of Abridge of Pittsburgh, PA.


Tell me about yourself and the company.

I used to be a corporate investor for a large hospital system, UPMC. A lot of my investments were focused on AI technology. We put a lot of capital into Carnegie Mellon University and started a machine learning and health program there. A lot of the founding DNA for Abridge comes from Carnegie Mellon, and a lifetime ago, I went to Carnegie Mellon myself. In the middle, I became a practicing cardiologist.

At Abridge, we’re building technology that can be a part of all of the conversations that I as a clinician have with patients, whether they are over the phone or even over telemedicine. The technology, in real time, creates clinical notes for me that can help with clinical care team communication. It also structures information for me, that can help with billing oriented workflows. And Abridge can also help my patients as an extension of my best intention, helping them better understand and follow through on everything we talked about, even when they’re not in front of me. Our goal is to unburden clinicians from clerical work and help them and their patients better understand and follow through on the healthcare plans that will improve experiences, and economics immediately, and also improve outcomes over time.

How do you differentiate Abridge from Nuance DAX? 

This space is ripe with opportunity. Between Abridge and other companies in this space, we are pointed in different directions, which will lead us to very different destinations. Abridge is based on this idea that healthcare is really about people. Upstream of all the diagnostics and therapeutics in healthcare, the most important people in healthcare – providers and their patients – are having conversations. Being able to structure and summarize conversations in real time without any humans in the loop, and then being able to structure that data, means that we can start to unburden clinicians from the three customers that they’re serving every time they see a patient.

First and foremost, there’s the patient. We know that’s the most important. But then there are colleagues on the care team for whom they need to create a different kind of clinical artifact. Then there is everyone in revenue cycle, everyone on the coding and billing side, that they also need to be thinking about. We’ve taken the tack of building technology that doesn’t have any humans in the loop, that we can democratize across every single doctor and nurse out there, that doesn’t anchor on scribing per se.

That’s a word that that company, and other companies, might leverage increasingly if they’re using AI to basically power more efficient scribing. But that’s not really our positioning. What we’re building is more of a co-pilot that can be a part of all of these conversations that can create these summaries in real-time to help everyone better understand and follow through. As a tech company, our mantra is cheaper, better, faster.

It would seem useful for the provider to set aside 30 seconds at the end of the visit to intentionally dictate a summary that could benefit that provider, the patient, and anyone who has to interpret the chart downstream. 

That is absolutely one of the key differentiators between Abridge and any other company in this space. While we are physician driven by me, we are also patient centered, and we are AI powered. We think that’s the key triad for clinician facing AI solutions. For everything that we are building from a product perspective, the person who’s going to benefit the most should be the patient. But we are AI powered. This is all about technology. We can partner with and help services companies, but what our offering is all about is being able to be in the workflow incredibly fast. We want to be able to create value for everyone involved, and that starts with patients and their clinicians.

When we started this company, we knew the kind of technology that we wanted to point at this challenge. We knew it was based on this new type of machine learning model called a transformer. One of the key papers about transformers came out in December 2017, and we started the company in March 2018. But from a mission perspective, we also knew that there’s such an opportunity to help patients better understand and follow through. Given the way healthcare is evolving, given all the increasing momentum around providers taking risk and payviders becoming a bigger phenomenon, being able to not just put the patient at the center of workflows, but actually demonstrate and measure how you can help them better understand, follow through, adhere to their care plan, and actually improve outcomes even over time, will be a game-changer in healthcare.

I started seeing patients eight or nine years ago as an attending after fellowship. I would pick up the phone after a procedure, like a Holter monitor or an echocardiogram, and I would start dictating the procedure report. People in the basement of the hospital were actively, synchronously on the line listening and typing, and then that report would end up in the medical record. In relatively short order, it evolved into this new world where I would pick up the phone and essentially do the same thing, but it would get recorded, and someone later on would listen to the whole thing and put the report in the medical record. Then it evolved in very short order to this other world, where there was a technology in the middle that was transcribing everything that I said into the phone and calling out where the speech recognition technology was less confident. The humans who were listening later could just focus on those words, correct those words, and get them back in the medical record. That created this huge efficiency.

But the final form of dictation of monologues was a product where I could pick up a Dictaphone and just dictate and see the words in real time show up in my medical record the way it does on our phones these days. I could correct things on the fly.

They say that history doesn’t repeat, but it rhymes. We think that this space of dialogues, not dictations, will follow a similar pattern. In this space, the first model was scribes or extenders in the corner of the room, writing the note in real time as I have an encounter with my patient.

For some companies, that evolved to humans who connect and listen in real time to the conversations through audio or video. More recently, we see companies record conversations for humans to listen to later on and be able to write the note.  Those companies are trying to build technology that can help them be more efficient in listening to the conversation, writing the note, and getting it back into the medical record.

This is a key point of differentiation for us, because at Abridge, we are generating a note draft along with structured data that we integrate into the medical record in real time. We are not comparing ourselves against a human and saying that AI is going to be better than all the things a human can do in the workflow, especially at the clinician level in relation to a doctor or a nurse and how they might want to document or think about, especially the decisions that they need to make.

Instead, what we comp against is technology that in real time is listening to the conversation, generating a summary, structuring data, and putting it into all the different slots of the medical records. Your workflow is that much more frictionless, but we still require the clinician end user to be in the loop and work with the AI-generated output. It’s apples versus oranges compared to an AI-powered scribe model, but we think it also follows a similar pattern of evolution to what we’ve already seen happen in the dictation space.

ChatGPT has sucked up a lot of the technology air in the room in its few weeks of public availability. What advancements and disappointments do you think we will see? 

In terms of advancements, there’s no question that there’s an ability to leverage this kind of technology, these sorts of what they call foundation models or large language models in healthcare technologies. There’s no question that there is incredible value. At the same time, we are seeing in real time that t’s pretty easy to create a flashy demo with these technologies, but that doesn’t mean that that demo can translate into actual enterprise workflows inside of hospitals, inside of clinics, that have a different kind of standard in terms of reliability, credibility, transparency, and auditability. Those are all the different dimensions of trust, which is a requirement, which is table stakes. 

Everyone is going to find a way to leverage this technology in some part of their stack, their modules, if you will. That doesn’t make an AI company, though. There will be also be AI-native companies like Abridge, and an AI-native company is not going to leverage one of those large language models in a superficial way. It’s not going to be a straightforward query or prompt. As an AI-native company, Abridge builds technology underneath those models and beside those models. We fine tune those models, we build technology on top of them, and we integrate them deeply into workflows. That’s where the magic actually ends up happening.

There’s a joke that every company in the United States is a healthcare company, because every company is offering healthcare benefits to their employees. There’s an interesting phenomenon now where every company will be able to say on some level that they are an AI company if they are leveraging an API like GPT. That’s not an AI-native company. AI-native companies will be able to commoditize different solutions in their space and drive value up the stack to new ideas. Those are the companies that are going to have to have the talent, the expertise, and the data to actually build their own models, which can coexist with the large commercial models that are out there.

Will technology companies see the danger in trying to promote their AI products as replacing the physician’s judgment?

It’s definitely a risk. There’s no question about it. The framework that makes the most sense is that AI can assist, augment, and automate. How you point any one of those — assist, augment, automate — frames at solutions is the key.

What does that heuristic look like? Imagine a two-by-two, where the risk, the consequences of making a bad decision, is on the X axis. The volume of decisions is on the Y axis. All the decisions on that half of the two-by-two that involve a high consequence for any given decision going sideways deserves a frame thinking about AI as something that can be assistive or that could augment, but not something that can automate anytime soon.

Whereas where there are low consequences of decisions, and where there’s a lot of volume of those low consequences of decisions happening as well, that’s low-hanging fruit for this kind of technology. When you think about the healthcare workflows inside of clinics, it’s probably not at the point of care that you’re necessarily automating doctors or nurses and the decision-making that they’re doing, the creativity that they are having to bring to the table. It’s probably way more likely that it’s in the back of the office in the rev cycle, authorizations, coding, and all those workflows where there isn’t the same sort of stakes from an outcome perspective.

How could technology in general help healthcare scale to address the clinician shortage and their uneven geographic distribution?

That’s part and parcel with the mission of Abridge. When we think about the current climate, healthcare systems are underwater. We hear from the president of UPMC on the physician services side that staffing is the number one concern for hospital CEOs, because nearly two-thirds of doctors are experiencing at least one symptom of burnout. We keep seeing headlines around hospitals actually closing departments or ending services. When you think about hospital margins, they are as slim as ever before.The cost of labor is a 19% expense growth per discharge. The drivers here are absolutely putting so much pressure on the system at large to figure out how they can increase productivity from a dwindling labor force, and at the same time, actually have that labor force be smiling all the while. How can they bring joy back to that labor force in such a way that they’ll actually end up seeing more patients? It’s a very, very tricky line to walk and pull off.

That’s where technologies like AI can come in, and generative AI specifically. The way that we leverage AI at Abridge is that this is technology that’s getting out of the way. You can bring it into your conversations. This is technology that can scale because it’s all technology, it’s real time, and it’s flexible enough that we have an API that can integrate with telemedicine, for example, or call center conversations. Not just doctors, but nurses, PAs, medical students, and trainees. Everybody can benefit from this technology. That will lead to people having better conversations with their patients, being more present, and patients having better experiences. In the case of Abridge, since we also have an offering on the patient side, we want to be able to demonstrate that it is improving understanding, and better follow through. The aspiration is to demonstrate better outcomes. 

Financial markets are down and health systems are struggling with their bottom lines. How will the market look in the next 3-4 years and how do you position the company?

The idea more than anything is to leverage technology to rise to the moment of this public health crisis. In terms of strategy, there’s a great quote that startups get disruption when they get distribution faster than incumbents get innovation. It summarizes all the Clayton Christensen books. The name of the game from a strategy perspective is finding a way to create as much impact as possible. That’s always the promise of technology, that it can scale infinitely and that we can distribute this at a price point that all the healthcare systems, all the clinics can actually afford. Not just for their doctors, but their entire staff over time. That that aspect of our strategy is crystal clear, that we have to be cheaper, better, faster. We have to leverage technology and all of the affordances that come with it to get this out there at this moment in time, right now in 2023 when the need has never been greater.

In the moment right now that we are in, it feels like we have two huge waves that are starting to intersect. At Abridge, we are riding both of them. One of those waves has to do with this public health crisis, clinicians burning out, margins remaining slim, and this challenge around us as a society of the healthcare system not having enough clinicians to actually deliver the care that everybody needs, that our communities require right now. How are we going to respond?

In parallel, we have this other huge wave around generative AI, and all of us as a society starting to understand that this is a solution, there is a lot of magic in this. How do we find a way to get them to intersect to point generative AI at this public health crisis and create value? 

Paradoxically, generative AI can be just the thing to highlight the humanity in healthcare, to help people be more present and focus more on each other. That more than anything is going to improve experiences, outcomes, and start to solve this challenge that healthcare systems are dealing with. At Abridge, that’s our mission, that’s what we’re all about, that’s what we’re focused on. We have been super excited to be able to partner with large healthcare systems, not just UPMC, but we recently announced University of Kansas Health System, where over 1,500 clinicians are going to be able to leverage our technology in real time in a very deeply integrated way with their healthcare electronic medical record system. We are excited to be able to demonstrate that we can scale this across systems and across the entire United States over time in a very short order.

Morning Headlines 4/3/23

April 2, 2023 Headlines No Comments

Novant Health lays off executive team members

Novant Health (NC) lays off 50 employees, including EVP/Chief Transformation and Digital Officer Angela Yochem, MS.

Vendor Breach Event Notice: Adelanto Healthcare Ventures (AHCV)

Northwest Texas Healthcare System notifies patients that a phishing incident at Adelanto Healthcare Ventures, a consulting firm with ties to one of the health system’s business associates, may have exposed sensitive patient information.

FDA proposes a new plan to streamline updates to medical devices that use AI

The FDA publishes proposed guidance that will enable developers of AI-reliant medical devices to automatically update products already being used in clinical settings.

Monday Morning Update 4/3/23

April 2, 2023 News 2 Comments

Top News


Epic CEO Judy Faulkner reportedly tells attendees of AMGA that the company is testing the use of ChatGPT to create draft provider responses to patient emails.

She says ChatGPT is less terse than doctors.

This seems like a great idea since experiments have shown that ChatGPT excels at analyzing a transcript of what a doctor says to offer suggestions of how they can be more empathetic. In other words, the computer advises the doctor on being human.

Reader Comments

From Brisco County: “Re: online services such as WebMD. They must be sweating ChatGPT hard.” Any company whose livelihood is based on sending or receiving web traffic should be worried. Web commerce is driven by search engine discovery and the opportunity to create or steal content and surround it by ads. ChatGPT summarizes the web, so there’s less need for users to look elsewhere. Also worried are publishers, since much of their traffic relies on search engines. Add to the mix that Facebook and Twitter are dying and the web could look very different in a couple of years. I welcome the chance to see content that is personalized and useful rather than driven by an algorithm whose primary purpose is to enrich its owner. Which is another concern about OpenAI and other companies – what will the inevitable monetization of their platform look like?

HIStalk Announcements and Requests


Poll respondents think their health system does a pretty good job using digital tools.

New poll to your right or here: After a weekend car accident out of state, how much of your important health information could ED doctors immediately obtain electronically? Also, let’s assume you are alone and unconscious with only a driver license and insurance card in your possession. Also, that all of your providers don’t use the same EHR. Poll comments are welcome about how you expect that the process would work or what precautions you might take to improve it.


I checked Epic’s site as soon as I woke up Saturday, but perhaps their previous April Fool’s phony news items set the bar too high because this one wasn’t memorable. ONC saved the day with a clever Rickroll tweet.


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



The Health Care District of Palm County (FL) promotes Daniel Scott, MS (Good Samaritan) to VP/CIO.


Eric Rose, MD (TenSixteen Bio) joins Logos Informatics as CMIO.


Digital Health KC hires Dick Flanigan, MAS (RFJ Advisory) as CEO.


Ardent Health Services promotes Lonnie Garrison, MS to VP of IT.

Announcements and Implementations


Coryell Health begins its rollout of Oracle Cerner, which hopefully isn’t the system shown in the modified stock art stock that features illogically freeform input fields and a misspelling of “widowed.” Something tells me that the touchscreen-poking user wasn’t sitting in the health system’s 25-bed flagship hospital in Gatesville, TX, which is mostly known for its several jails and prisons. They used to hold a Prison Boss Cook-Off there, but it died from lack of participation.

Twitter open sources parts of its platform software, with the most interesting part being the code that chooses the “For You” tweets you see from users you don’t follow, with the most important factor being how likely it is that people will like, retweet, or reply. The blog post doesn’t say how the code artificially boosts Elon Musk’s tweets as he demanded in a recent Twitter tantrum, where he raged that the President’s Super Bowl tweet got more impressions than his own.

Amazon opens its low-power Sidewalk network – powered by connected Ring and Echo devices, courtesy of their owners — and to developers who need an cheap Internet of Things type connection. The coverage map shows that 90% of the US population is in range. Use cases include health trackers, smart pill bottles, smart door locks, dog trackers, soil moisture sensors, and weather stations.


Novant Health lays off 50 employees, including EVP/Chief Transformation and Digital Officer Angela Yochem, MS.


In an unrelated but interesting conference development, the Entertainment Software Associated cancels its June expo that is known as “video game Christmas” in Los Angeles. The event, which drew 66,000 attendees to its final conference in 2019, was cancelled in 2020 due to COVID, changed to an online event in 2021, and then cancelled again in 2022. The organizers say interest wasn’t strong enough to support a big, impressive event and that interested companies couldn’t overcome resource challenges. Participants say that the big game publishers were already moving to running their own events online at a lower cost.


Madison magazine profiles Roots & Wings Foundation, created in 2019 by Epic CEO Judy Faulkner and her husband Gordon – and run by their daughter, Shana Dall’Osto – that offers unrestricted grants for non-profits purely based on trust. It awarded $40 million to Madison-area organizations in 2022. Dall’Osto says that neither she and her parents were raised rich, as Judy attended University of Wisconsin-Madison on scholarships and she and husband (and now pediatrician) Gordon lived in assisted housing and used food stamps before starting a family. She says she wasn’t unhappy that Judy signed The Giving Pledge in 2015, in which the many-billion dollar fortune of her parents will go to charitable causes instead of to their three children, saying that her mom was always clear about her intentions and her concerns about ruining kids by handing them big inheritances.

Sponsor Updates

  • Surgical Care Specialists (PA) and Fairview Community Health Center (KY) transition to the EClinicalWorks Cloud.
  • Nordic releases a new Making Rounds Podcast, “Modernizing business intelligence for stronger data analysis.”
  • Talkdesk publishes a new report, “The promise (and pitfalls) of self-service automation in customer service.”
  • Tegria staff partner with One Roof Foundation and take part in a community clean-up in the South Park neighborhood.

Blog Posts


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Contact us.

Morning Headlines 3/31/23

March 30, 2023 Headlines No Comments

Murray, Tester, Brown Announce Comprehensive Bill to Overhaul VA’s Electronic Health Record Modernization Program

Senators Patty Murray (D-WA), Jon Tester (D-MT), and Sherrod Brown (D-OH) introduce legislation to overhaul the VA’s Oracle Cerner project.

Columbus-based CoverMyMeds to cut more than 800 jobs, close Arizona office

McKesson-owned CoverMyMeds will lay off 815 employees; close its Scottsdale, AZ patient support center; and rent out space in its $240 million Columbus, OH headquarters.

Florence Launches Modern Healthcare Experience With $20M Seed Round Led by Thrive Capital, GV, and Salesforce Ventures

Florence, which offers a patient engagement app, emerges from stealth with a $20 million seed funding round.

Cassidy, Moran Introduce Legislation to Improve Electronic Health Record System Before Rollout Continues

A group of Republican senators introduces legislation that would halt further VA go-lives on Oracle Cerner until significant improvements are made from a rigorous list of requirements.

News 3/31/23

March 30, 2023 News 2 Comments

Top News


Senators Patty Murray (D-WA), Jon Tester (D-MT), and Sherrod Brown (D-OH) introduce legislation to overhaul the VA’s Oracle Cerner project, which would require the VA to:

  • Develop metrics for deciding when and how new sites are brought live.
  • Fix the patient safety issues that were listed in the VA’s March 2023 Sprint Report.
  • Place further go-lives on hold until the five facilities that are live show an improvement in performance metrics compared to those they reported while using their previous VistA system.
  • Bring in outside experts to renegotiate the Oracle Cerner contract.
  • Develop a Plan B strategy in case Oracle Cerner rejects proposed contract terms or VA can’t get the technology to work.
  • Reform its technology acquisition process.
  • Add outside healthcare experts who have EHR rollout experience to its advisory committee.

Meanwhile, a group of Republican senators introduces legislation that would halt further VA go-lives on Oracle Cerner until significant improvements are made from a rigorous list of requirements.

Reader Comments

From Roky Erickson: “Re: Oracle Cerner. Our organization had a project pushed back because the company is having resource issues, and other CIOs tell me they are seeing the same. One even said that Oracle told them that VA issues are taking priority and commercial customer projects are being delayed.” Unverified. Let me know if you’ve experienced this – I won’t use names or specific details, of course.

HIStalk Announcements and Requests

I’ve added a calendar reminder to check Epic’s website Saturday for the usual April 1 shenanigans.

Last call for HIStalk sponsors to be included in my HIMSS23 guide that I’ll run shortly. Send me your details and you are in.

I’ve started tuning out anything that is written in the form of, “I asked ChatGPT to …” It was clever for about five minutes, but now it’s just tedious.

ViVE Observations From An Attendee


An HIStalk reader who is attending the ViVE conference sent these notes:

  • Tuesday’s keynote by Micky Tripathi was the most substantive thing I’ve heard all week. He breaks out ONC’s work into three categories: (1) building a digital foundation via standards, IT strategy, and coordinating between federal agencies. He played up USCDI and UCSDI+; (2) making interoperability easier with FHIR APIs and TEFCA. He wants to make sure those required APIs are truly usable rather than vaporware and are extended to CDC connections; (3) encouraging information sharing, with information blocking enforcement provisions coming this year, which I am guessing means a draft rule in September.
  • Other Tuesday headliners sounded like talking advertisements.
  • Loving the multiple snacks through the day and the music of Chapel Hart.
  • Wednesday was a light crowd, maybe 20% of peak attendance. I felt bad for exhibitors that so few buyers were around.
  • I thoroughly enjoyed a presentation by Shiv Rao (Abridge) and Joon Lee (UPMC) on generative AI. They advise trusting the technology to assist a human, such as autopilot on a plane, but not to fly the plane unsupervised. UPMC’s evaluation of potential AI partners includes integration with existing workflows and systems, auditable output, a clinician-led organizational structure, a patient-centric solution, and 100% AI driven.
  • While the event isn’t as grossly transactional as I feared, there is certainly an undercurrent of deal-making, which is probably intentional.
  • Attendee mix will probably evolve. On the provider and payer side, you see more venture investors and innovation teams instead of CIOs and CISOs. EHR vendors are low key and on the periphery. Services-based vendors probably won’t get value from a booth since traditional IT execs aren’t going to be around much for meetings.
  • Most presentations were on the ViVE floor and I liked that, with several presentation areas of varying sizes. It never felt noisy to have presentations going on, it was easy to move from one session to another, and you could follow applause to find good sessions. I wonder how the vendors whose booths were near the stages felt, however.
  • The CHIME track was mostly separate with several member-only events, but participants participated in some general sessions as well.
  • ViVE shoots for a vibe of youth, energy, innovation, and fun in its branding, themes, opening remarks, and evening entertainment. Sounds great until you remember that your ticket cost nearly $3,000.

If you attended or especially if you exhibited, send me your thoughts about the conference and content, which I will share anonymously. Notes from the CHIME track would be interesting to readers, as would comparisons of ViVE to HIMSS.


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

Acquisitions, Funding, Business, and Stock


Amazon brings its Health business to the website’s main menu, I noticed when looking for the new book “The AI Revolution in Medicine: GPT-4 and Beyond” ($15.49 for the Kindle version, which caused a collision between my curiosity and parsimony).

McKesson-owned CoverMyMeds will lay off 815 employees; close its Scottsdale, AZ patient support center; and rent out space in the $240 million Columbus, OH headquarters building that it moved into in May 2021.


Florence, which offers a patient engagement app, emerges from stealth with a $20 million seed funding round.


  • Healthcare Triangle announces a $3 million cloud managed services sale to an unnamed life sciences company.

Announcements and Implementations


ViVE 2024 will be held in Los Angeles February 25-28 at the Los Angeles Convention Center downtown.

National Quality Form endorses nursing home hospitalization and re-hospitalization analytics solutions from Net Health, the first LTPAC EHR or analytics vendor to develop NQF-endorsed quality measures.

UnitedHealthcare will eliminate 20% of prior authorization items in the next few months. The insurer will also implement a Gold Card Program to eliminate most prior authorization requirements for provider groups that have been historically compliant.

Government and Politics


VA Secretary Denis McDonough warns that proposals to cap the agency’s budget at 2022 levels will harm its Oracle Cerner implementation. The VA’s 2024 budget request includes $6.4 billion for infrastructure modernization and $1.9 billion for the EHR project. Meanwhile, McDonough says the VA will review its contract with Oracle Cerner, which it signed in May 2018 with a five-year review built in, which he says will drive scheduling of the next go-live because “this contract may not be what we need.”

DoD will complete its Oracle Cerner deployment in March 2024, with 75% of its hospitals and clinics already live and most of the remaining sites being overseas facilities. A DoD official says the VA is where DoD was in the 2017-2018 timeframe, with challenges in infrastructure, governance, and standardizing workflows.


VA OIG says that a doctor at North Las Vegas VA Medical Center falsified patient blood pressure readings during virtual visits, always entering them as 120/80. The unnamed physician says they thought the virtual visit template required entry of a phony number and added that they had not been given virtual visit training, both of which OIG says are false. OIG also noted that the hospital didn’t report the physician to the state licensing board and falsely claimed that it had reviewed the 120/80 entries as OIG had requested.

New FDA guidance requires medical device manufacturers to submit a cybersecurity plan as part of their new product application, spelling out how they will monitor and fix newly discovered vulnerabilities. The guidance applies to any medical device that is connected to the internet.

A federal judge in Texas rules that an Affordable Care Act requirement that insurers cover some preventive services at no cost to the patient is not valid, a decision that applies nationwide.


IBM Watson Health doesn’t get mentioned much these days other than as a cautionary tale for overhyping and underdelivering, but I see that IBM is now pitching IBM Watson Assistant for developing virtual agents using its conversational AI.


Walter Reed National Military Medical Center names facility dog and Hospital Corpsman 2nd Class Luke as an honorary super user for MHS Genesis, where he has attended training sessions and sign-on fairs.

Sponsor Updates

  • King Faisal Specialist Hospital and Research Centre expands its use of Oracle Cerner solutions across the Saudi healthcare sector.
  • Five9 announces GA of Agent Assist 2.0, which uses OpenAI to summarize customer call transcripts in seconds.
  • Fortified Health Security names Brad Arnold (Wellpath) security analyst.
  • Healthcare Triangle reports fourth quarter and full year 2022 results.
  • Health Data Movers publishes a new case study, “Software Development Advisory for an Integrated Experience Layer (IEL) Solution Discovery.”
  • InterSystems releases a new episode of its Healthy Data Podcast, “Standards, Access & Meaningful Use of Data (ft. Zafar Chaudry, Seattle Children’s).”
  • Medicomp Systems releases a new Tell Me Where It Hurts Podcast featuring HSBlox COO Lynn Carroll.
  • Moving to Meditech Expanse has enabled St. Luke’s Health System to implement Meditech’s Smart Pump Infusion Integration with its Baxter Spectrum IQ infusion system.

Blog Posts


Mr. H, Lorre, Jenn, Dr. Jayne.
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ViVE and CHIME Wrap Up with Dr. Jayne 3/30/23

March 30, 2023 Dr. Jayne 1 Comment

It was another busy couple of days at the conference. I had the opportunity to walk the show floor with a couple of friends yesterday and today as well as to hit a couple more sessions.

Overall, I liked the conference better than HLTH. It wasn’t as in your face trying to be cool as HLTH, but it was well organized. The exhibitor booths are all formatted the same way, depending on size and a couple of other factors, and I found it made for a less-distracting trip around the show floor. It’s less glitzy than you see at HIMSS, but it felt like it was easier to visually scan a booth. A vendor I spoke to said they like the setup because it helps level the playing field and also makes it easier to get the booth up and running compared to all the packing and unpacking at some other shows.

I’m still not a huge fan of having sessions on the show floor, but understand how it came to be. None of the panels I attended were jaw-dropping, but I had low expectations and wasn’t disappointed.

I thought the food service was better at HLTH, especially the grab and go options. At ViVE, the meal lines seemed long regardless of when I tried to eat during the scheduled blocks. On Monday, I ended up at the CHIME member luncheon that was held upstairs. It was a quieter venue to have a solid conversation with one of my colleagues about some healthcare IT problems I’m trying to solve.

CHIME provided several other networking opportunities, but my favorite was the CHIME League of Women luncheon on Tuesday. The program’s theme was “Mentorship in Action” and included a mentor-mentee pair among the speakers. The comments of panelist Kris Nessa from Innovative Insights really resonated with me. Kris was talking about the community of CIOs and other execs that has come together through CHIME and how the relationships and support have helped lift a lot of people up and encourage the development of the next generation of healthcare IT executives.

It made me think about the early days of my career, when our health system’s CIO was intent on crushing the IT project I was working on because it was being led by the operations group with IT support as opposed to being run by IT. He made it clear that he didn’t think clinical people should be working on IT projects and seemed particularly hostile to the women on the team, despite the fact that we were going live with some bleeding edge technology that ended up being the subject of numerous conference presentations. Thinking back, it’s likely he viewed innovation as a threat.

I’ve never had a non-clinical mentor. The conversation made me wonder what my career might have been like if someone from the technology side had taken me under their wing. I hope that in the current phase of my career I can be helpful to those working their way up the ladder or trying to break out of a mold that they might not have chosen.


Dr. Nick van Terheyden @drnic1 and I stopped by the Health 2047 booth to ask what it was all about, since “helping early-stage startups transform bold ideas into healthy returns” sounds interesting. It’s actually an initiative of the American Medical Association, and the year is tied to the anniversary of the founding of the AMA rather than the timing of any bold initiative.


Nomi Health’s booth reps were engaging. In addition to sharing the local favorite Goo Goo Cluster candies, we had a great conversation about the design of their booth and some of their ideas for enhancing it. I admire the knowledge or marketing folks. There’s so much more to color, graphics, and flow than most people appreciate.


CoverMyMeds was sponsoring haircuts, blowouts, and makeup applications. If you timed it right, you could get all fancied up then head over to the DrFirst booth for a complimentary headshot.


Speaking of DrFirst, their team did not disappoint, with matching shirts. Apparently they had matching shoes earlier in the week, but I missed those.


The Best Shirt award definitely goes to Perx Health’s VP of marketing. I think he said it was from Australia, and he was a great sport to pose.


The costumes at Teletalk reminded me of HIMSS of yore, when lots of exhibitors tried to be as catchy as possible. The boots were nice also.


The Best Shoe/Sock Combo was found at the Intelligent Medical Objects (IMO) booth. They’re always a strong contender in this category, and I can’t wait to see what they have in store for HIMSS. Since it’s local to their home base, folks might not even have to be choosy when they pack.


Hyro’s Whac-A-Task booth was a hit. I’ll have to use this pic to explain to some of my younger colleagues who never had the pleasure of playing the original Whac-A-Mole game.


Saving the best for last, Liberty Solutions hosted a bourbon tasting at their booth. They were giving solid advice on the characteristics of the different options, which makes sense given the fact that they’re a consulting firm.


The closing bash was a concert with the Black Crowes at the Wildhorse Saloon, although I preferred the opening group Chapel Hart. They were clearly having fun with their performance. The entire event was sponsored by Clearsense. From where I was standing on the second floor, I could see the decibel meter and it was interesting to see how it got louder as the night progressed.


I ducked out early but not before spotting the ultimate bedazzled ViVE jacket. Everyone seemed to have a good time, although threading my way through the crowds on Broadway as I headed back to the hotel seemed more like a contact sport than a walk.

On Wednesday, I had a little more downtime than planned at the Nashville airport and was glad to take advantage of some of the local food offerings that were better than the generic fare you find at most airports. Although the airport is undergoing construction, it didn’t feel chaotic. I decided to walk off some of the southern hospitality I’ve experienced this week with a lap through all the concourses. At the end of the A gates where some of the more commuter-type carriers arrive, I spotted some workers looking out the windows and acting generally giddy with excitement. It turns out that a Boeing 777 aircraft was diverted in from Atlanta last night and they were watching it being moved on the tarmac. Several of them couldn’t get over how large it was (towering over the other planes) or that a small tug was pulling it around the airport. Sometimes you just run across things that make you smile and I was glad to be part of that moment.

I wrangled the email beast and played catch up on the plane and was glad to see that the FDA has cleared the opioid overdose reversal drug Narcan for over-the-counter sales. Overdoses are a major problem across the US and we’re seeing lots of accidental ingestions by children as well. Hopefully removing the prescription hurdle will make a difference for people. I had to provide the date of my last COVID booster on a form I was completing, so I popped into my patient portal to confirm the dates. I was surprised to see a recommendation to schedule a flu shot. The flu season is long over in most of the US and I’m also current with a vaccine documented in the portal. It also recommended that I schedule my mammogram, and I’m current on that as well.

Alert fatigue is real and applies to patients as well as clinicians, and inappropriate reminders just encourage people to click through without reading. I’ll have to ask my IT friends at that institution what they’re trying to solve for with those reminders, which weren’t there a couple of weeks ago.

What aggravates you the most about your patient experience in patient portals? Leave a comment or email me.

Email Dr. Jayne.

Morning Headlines 3/30/23

March 29, 2023 Headlines No Comments

DoseSpot Acquires Bravado Health’s ePrescribing Platform TreatRx to Expand Solution Set for Healthcare Providers

E-prescribing vendor DoseSpot acquires Bravado Health’s TreatRx e-prescribing technology.

RhythmScience Secures $6M Series A Investment Led by Cedars-Sinai Health Ventures

Cardiac data integration and analytics startup RhythmScience raises $6 million in a Series A funding round led by Cedars-Sinai Health Ventures.

VA Secretary warns budget cap could hit agency’s telehealth and cyber programs

VA Secretary Denis McDonough says proposals to cap the department’s budget at fiscal 2022 levels will have a major impact on its telehealth and cybersecurity capabilities.

Healthcare AI News 3/29/23



OpenAI implements initial support for ChatGPT plugins that can access real-world data and third-party applications. Some experts say that people will spend 90% of their web time using ChatGPT, using a single chatbox to perform all tasks. Microsoft, Google, and Apple have already announced plans to provide that chatbox.


Zoom announces Zoom IQ, which can summarize what late meeting joiners missed, create a whiteboard session from text prompts, and summarize a concluded meeting with suggested assignments. Microsoft announces similar enhancements to a newly rebuilt Teams, which include scheduling meetings, summarization, and chat-powered data search across Microsoft 365.

Credo announces PreDx, which summarizes a patient’s historical data for delivering value-based care.


Sword announces Predict, an AI-powered solution for employers that identifies employees who are likely to have hip, knee, and back surgery and can be successfully managed with non-surgical interventions.



Penn entrepreneurship associate professor  Ethan Molllick. PhD, MBA tests the multiplier effect of GPT-4 to see what he could accomplish in 30 minutes to launch a new educational game. Using Bing and ChatGPT, he generated a market profile, a marketing campaign, four marketing emails, a design for a website and then the website itself, prompts for AI-created images, a social media campaign with posts for each platform, and a script for an explainer video that another tool then created. 

Researchers apply a protein structure database to AI drug discovery platform Pharma.AI to identify a previously undiscovered treatment pathway for hepatocellular carcinoma in 30 days.



High-profile figures, including including Elon Musk and Apple co-founder Steve Wozniak, call for all AI labs to pause development efforts on training systems beyond GPT-4 for six months. They say that planning and management has been inadequate in the race to deploy more powerful systems, raising the risk of misinformation, elimination of jobs, and unexpected changes in civilization.

A JAMA Network opinion piece notes that AI algorithms can’t actually think and as such don’t product substantial gains over clinician performance, are based on limited evidence from the past, and raise ethical issues about their development and use. The authors note that several oversight frameworks have been proposed, but meanwhile, the production and marketing of AI algorithms is escalating without oversight except in rare cases where FDA is involved. They recommend creating a Code of Conduct for AI in Healthcare.

A JAMA viewpoint article by healthcare-focused attorneys looks at the potential use and risks of GPT in healthcare:

  • Assistance with research, such as developing study protocols and summarizing data.
  • Medical education, acting as an interactive encyclopedia, a patient interaction simulator, and to produce first drafts of patient documents such as progress notes and care plans.
  • Enhancing EHR functions by reducing repetitive tasks and powering clinician decision support.
  • The authors warn that clinicians need to validate GPT’s output, to resist use of the technology without professional oversight, and to realize that companies are offering GPT-powered clinical advice on the web directly to patients that may harm them or compromise their privacy.

Medical schools face a challenge in integrating chatbots, such as ChatGPT, for tasks like writing application essays, doing homework, and summarizing research. Some experts suggest that medical schools should accept its use quickly as its use goes mainstream in medical practice. Admissions officers acknowledge that ChatGPT can produce polished responses to questions about why a candidate wants to become a doctor, but caution that interviewers can detect differences between a written submission and an impromptu interview. They also emphasize the importance of developing thinking skills over the rote learning that ChatGPT excels at.

An attorney warns physicians who use Doximity’s beta product product DocsGPT to create insurance appeals, prior authorizations, and medical necessity letters that they need to carefully edit the output, noting AI’s tendency to “hallucinate” information that could trigger liability or the questioning of claims due to generation of boilerplate wording. They also warn that entering PHI into the system could raise HIPAA concerns or exposure to cyberattacks.

Brigham Hyde, PhD, CEO of real-world evidence platform vendor Atropos Health, sees three clear outcomes of generative AI:

  • It has changed the expectation for user search to include conversational queries and summarized results.
  • The training of those systems is limited to medical literature, which is based on clinical trials that exclude most patients and thus don’t have adequate evidence to broadly support care.
  • The most exciting potential use is to query databases from text questions.

Resources and Tools

Are you regularly using AI-related tools for work or for personal use? Let me know and I’ll list them here. These aren’t necessarily healthcare related, just interesting uses of AI.

  • FinalScout – finds email addressing from LinkedIn profiles with a claimed 98% deliverability.
  • Poised – a communication coach for presenters that gives feedback on confidence, energy, and the use of filler words. 
  • Textio – optimize job postings, remove bias, and provide fair, actionable employee performance feedback.
  • Generative AI offers a ChatGPT-4 prompt that creates prompts per user specifications: “You are GPT-4, OpenAI’s advanced language model. Today, your job is to generate prompts for GPT-4. Can you generate the best prompts on ways to <what you want>”
  • Glass Health offers clinicians a test of Glass AI 2.0 that creates differential diagnoses and care plans.


Mr. H, Lorre, Jenn, Dr. Jayne.
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Readers Write: Healthcare Delivery Must Evolve to Meet the Needs of a Generation in Crisis

March 29, 2023 Readers Write No Comments

Healthcare Delivery Must Evolve to Meet the Needs of a Generation in Crisis
By Bob Booth, MD

Bob Booth, MD, MS is chief care officer at TimelyCare of Fort Worth, TX.


A recent new report from the CDC shows startling trends about the never-before-seen levels of hopelessness and suicidal thoughts among teens.

The findings for teenage girls in the CDC’s 2021 Youth Risk Behavior Survey were particularly grim. Nearly three in five teen girls (57%) said they felt “persistently sad or hopeless,” the highest rate in a decade. And 30% said they have seriously considered suicide, a 60% increase over the past decade.

While boys generally fared better overall, more than 40% of boys and girls said that they had felt so sad or hopeless within the past year that they were unable to do regular activities, such as schoolwork or sports, for at least two weeks.

The members of Generation Z, born in 1997 or later, are experiencing unprecedented levels of stress and emotional turmoil. While some of this is likely to ease as they age out of adolescence, adulthood is certainly no cure for depression, anxiety, loneliness, and other stressors. Additionally, double the number of Generation Z members report feeling emotionally distressed compared to older Millennial and Generation X groups.

In order to meet the healthcare needs of Gen Z, particularly mental and behavioral health, the industry needs to become more proficient in its use of digital and virtual care tools. However, not all of these tools are equally effective or designed to meet these young patients where they are.

The digital-native generation that has never known a world without the Internet or smartphones expects that their preferred technology will deliver relevant information and an engaging experience as part of treatment. It’s something we can expect to see more of as part of the future of care for younger generations.

Artificial intelligence (AI) can play an important role in care delivery and engagement if the algorithms enable a highly personalized and patient-centric experience. For example, not all young adults are ready for, or want, 50-minute, one-on-one counseling sessions with a mental health professional. AI can accurately analyze and interpret intake screenings, so a patient’s selected care pathway is the most relevant and takes into account their unique health and personal needs. AI can even help guide digital-only care pathways through content and activity selection based on the young adult’s interactions with the solution.

The promise of AI is that it delivers an even more personalized experience as its algorithms learn more about young adults, which accelerates their growth and motivation to improve their mental health and well-being. These engagement-building concepts have been understood and applied in other consumer-facing technology for years. Healthcare is finally catching up, and that’s good for young adults and healthcare overall. It’s exciting to see where this will take us in the future.

Gen Z needs a solution that leverages personal technology to enable access to mental health and well-being at their fingertips. By seeking tech-enabled help from a healthcare platform that is designed for them and understands their unique challenges, Gen Z can develop the skills and resilience to help them prepare for college and beyond.

It’s time for healthcare to look beyond traditional models of healthcare delivery and meet a generation who so badly needs care where they are.

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