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Readers Write: Strengthening the Net: The FTC’s Expanded Reach on Health Data Protection

May 29, 2024 Readers Write 2 Comments

Strengthening the Net: The FTC’s Expanded Reach on Health Data Protection
By Chris Bowen

Chris Bowen, MBA is founder and CISO of ClearData.

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The Federal Trade Commission (FTC) recently finalized changes to the Health Breach Notification Rule (HBNR), signaling a move from fragmented, independent privacy and security measures towards a unified, collaborative defense. This new rule puts patients and consumers in the driver’s seat of their privacy and serves as a call to action for companies that create, collect, manage, and use health information, providing a potent deterrent against vulnerabilities that could expose their data.

Understand this: The FTC’s stance is unwavering and authoritative. It demands not mere compliance, but the utmost adherence to rigorous standards of care and caution in handling confidential health information.

The Health Breach Notification Rule mandates that vendors of personal health records and associated entities that are not covered by HIPAA must inform individuals in case of a breach with unsecured data. If a third-party service provider to these entities experiences a breach, it must inform the entity, which then notifies the individuals. The Rule also outlines the specifics of when, how, and what to notify in the event of specific breaches.

HBNR specifically applies to personal health record vendors and other entities that offer products or services through them, and third-party service providers to them. It covers a variety of platforms from health apps to wearable technologies. Unfortunately, 81% of Americans assume that all protected health data that is collected by digital health apps is protected under HIPAA.

In May 2023, the FTC proposed amendments to the Health Breach Notification Rule (HBNR) to clarify its scope regarding the collection of consumer health data by health apps and related technologies. The finalization of these changes is an unambiguous signal to the digital health ecosystem that the integrity of healthcare data is non-negotiable. No longer can firms hide behind the complexities or nascent nature of digital health technologies; the time to comply and protect is now, and the FTC has implemented rules that leave no uncertainty about the seriousness of the endeavor.

The updated HBNR ushers in several key shifts that set a higher standard for security and transparency. First among these is the expanded content required in a breach notification to patients. This move is not merely bureaucratic; it aligns with the growing demand for clarity and accountability that patients and providers alike require to maintain trust in the face of technological unknowns.

The Commission has made significant revisions and clarifications to the rules governing health apps and technologies that are not covered by HIPAA, enhancing the protection of personal health information (PHI). Among these changes are revised definitions to emphasize the rule’s application to health apps, clarification on what constitutes a “breach of security,” and a more precise scope for “PHR related entities” that includes those offering services via online and mobile platforms.

Additionally, the final rule expands the methods and content of breach notifications to consumers, including the use of electronic communication and detailed information on the breach’s impact.

It also adjusts the timing for notifying the FTC in the event of a breach, setting strict deadlines to ensure prompt action. These updates mark a significant step forward in securing PHI and underscore the importance of compliance and clear communication in the digital health space.

The FTC’s action demands not just compliance, but leadership — leadership in technological integrity, transparency, and fortitude in the face of cyber threats. Change will require investment, invention, and unwavering commitment, but the benefits extend far beyond mere regulatory peace of mind. In championing cybersecurity, we champion the future of healthcare, a future that is secure, trusted, and resilient. Digital health entities that fall short will find themselves lacking not just in regulatory compliance, but also in the trust and investment of a discerning public.

Consumer Protected Health Information is not just a term. It embodies the very essence of what is ours, our narratives of health, history, and future.

The time has come for a unified front in healthcare cybersecurity. We, the technologists, innovators, lawmakers, and guardians of the healthcare digital landscape, must rise to this challenge with unity and tenacity.

It is time for every digital health company, every healthcare professional, and every policymaker to reassess, reinvent, and redouble their efforts in cybersecurity. The FTC’s changes provide the roadmap. It is now up to us to ensure a future where patient data is as secure as the healthcare we strive to provide.

The stakes are too high, the threats too real, and the need for action too pressing.

Morning Headlines 5/29/24

May 28, 2024 Headlines Comments Off on Morning Headlines 5/29/24

Veradigm Announces Leadership Update

MDRX shares rose 16% Tuesday on news that it has replaced its interim CEO and is exploring strategic alternatives that could include a sale of the company.

2024 VA AI Tech Sprint Award Ceremony

The VA announces AI competition winners in ambient documentation and outside medical record summarization.

Cybersecurity Event Update

Ascension’s most recent cyberattack update from May 24 says that its recovery progress will be visible this week and that partners are reconnecting to its network.

Cue Health to Pursue Wind Down of the Business

Connected health vendor Cue Health, which went public in 2021 at a valuation of $2.3 billion, lays off all of its employees and files Chapter 7 bankruptcy following FDA’s warning that its COVID-19 tests are unreliable.

Comments Off on Morning Headlines 5/29/24

News 5/29/24

May 28, 2024 News 1 Comment

Top News

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Veradigm will seek strategic alternatives for the company, which could include its sale.

The company has named President and Chief Commercial Officer Tom Langan as interim CEO, starting June 7. He will replace interim CEO Yin Ho, MD, MBA, who will leave the company and resign from its board now that her term of service has expired.

Veradigm dismissed CEO Richard Poulton and CFO Leah Jones in December 2023 as the company struggled to address overdue financial reports that threatened its stock listing.

MDRX shares are down 37% in the past 12 months, valuing the company at $812 million. They closed up 16% Tuesday on the news.

Veradigm acquired AI company ScienceIO in March 2024 for $140 million in cash.

SEC filings indicate that Veradigm’s board has approved stock awards of $1 million to $3 million for each of its top four officers, with accelerated vesting following a change of control.


Reader Comments

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From Bombast: “Re: Ascension outages. My elderly mother, who is being treated at a Florida Ascension facility, found that the results of her CT scan can’t be shared digitally with her care team. That leaves her anxiously waiting to see if she really has a suspected blood clot near her heart, and if so, how her respective providers plan to treat it. ARPA-H’s UPGRADE effort is too little, too late.” Media sites are offering superficial coverage of Ascension hospital wait times, ambulance diversions, and patient inconvenience that are driven by its downtime, which is at 21 days and counting. Soothing corporate reassurances aside, you can bet that it’s chaos and patient harm in the uncarpeted areas of its hospitals. Health systems always justify their gazillion-dollar implementation of Epic or Cerner by touting its patient care benefit, but when that system goes offline for an extended period, they always claim that patient care is unchanged.

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From Benevolence: “Re: the Business Insider article on Oracle Health. Living in KC, this felt like a giant pile-on to current and former Cernerites, deserved or not. Morale is already pretty low after rounds of layoffs and bad press.” The article was a mishmash in trying to tie together previous incursions of Big Business into healthcare IT, the VA’s stalled rollout of Oracle Health, and the legacy Cerner problems that Oracle claims that its pre-acquisition due diligence didn’t uncover. I didn’t see much new or insightful in the article other than some quotes from insiders. Oracle Health should be more worried that the industry learned nearly simultaneously – via a KLAS report that went live three days before the Business Insider article – that it lost 71 hospitals and 15,000 beds in 2023 while Epic gained 153 and 29,000, respectively. My takeaways: (a) the bandwagon effect, if nothing else, will send more Cerner clients into the arms of Epic; and (b) Oracle is already griping about low Cerner margins that are likely to worsen as customer count drops. Larry Ellison’s plans to use customer data for medical advancement won’t fly if health systems walk that data over to Epic. The article’s focus was on the VA, which is a bit harsh to Oracle Health since the VA has a long history of botching technology implementations via the disconnect between its officials who see the need for change versus civil service employees who are threatened by it. My conclusion is that the former Cerner business continues to be a nagging distraction to the otherwise surging Oracle except in Larry Ellison’s mind, and if he loses interest or dies in the saddle, a fire sale seems inevitable. Meanwhile, Oracle’s next earnings report is due June 18.


HIStalk Announcements and Requests

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Two-thirds of poll respondents who hold certification or fellowship credentials don’t list them on their business cards or email signatures.

New poll to your right or here: Should the federal government fund the development of cybersecurity tools for health systems? Argument for: it’s arguably critical national infrastructure. Argument against: health systems are private businesses that are raking in huge profits that could fund their own security instead of waiting for taxpayers to foot the bill.


Webinars

June 6 (Thursday) noon ET. “From Data to Decisions: The Vital Combination of AI and Human Expertise in Patient Care.” Sponsor: DrFirst. Presenters: David Wetherhold, MD, CMIO of ambulatory systems, Scripps Health; Dana Darger, RPh, director of pharmacy, Monument Health Rapid City Hospital; Colin Banas, MD, MHA, chief medical officer, DrFirst. In this Epic Med Management Fireside Chat, two health system leaders will share real-world examples of how AI is working in concert with their clinicians to streamline medication management by populating medication histories into Epic. generating initial drafts of patient conversations, and summarizing complex information. The presenters will also cover the latest developments on the critical and expanding role of pharmacists in patient care.

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


Acquisitions, Funding, Business, and Stock

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CVS Health is reportedly looking for a private equity partner to provide capital to expand its primary care chain Oak Street Health, which it acquired for $10 billion last year.


Sales

  • Community Action Association of Pennsylvania will use Findhelp’s closed loop referral platform and network to develop PA Navigate, a statewide community information network that will connect people with community services.

Announcements and Implementations

Waystar says that tests of its Google Cloud-powered AI solutions show that the time that is needed needed to generate procedure pre-authorization was reduced by 99.9% by extracting requirements from payer datasets.


Government and Politics

The VA announces the winners of its AI Tech Sprint, which had use case categories of ambient dictation and outside medical record summarization:

  • Ambient dictation – Nuance, Abridge, Knowtex, Althea Health, and TranscribeMD.
  • Outside medical record summarization: Palantir, Althea Health, Abstractive Health, Commure, and TranscribeMD.

Privacy and Security

Ascension’s most recent cybersecurity event update from May 24 says that it hopes that patients and clinicians “will see progress across our points of care” this week. It adds that vendors and partners are reconnecting to its network.


Other

“South Park” brilliantly skewers the US healthcare system in a widely shared clip from its “The End of Obesity” episode, in which Cartman’s insurer refuses to cover Ozempic. It includes typewriters, fax machines, paper forms on clipboards, and line printers churning perforated paper. The insurance company’s refusal to pay is summarized as, “The medical director’s job is just to say no.” 


Sponsor Updates

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  • AdvancedMD supports The Family Institute at Northwestern University during its Gratitude Gala fundraiser benefiting the Bette D. Harris Clinic.
  • EClinicalWorks customer Rocky Mountain Women’s Clinic reports its integration of AI medical scribe software Sunoh.ai has helped its clinicians save at least two hours a day on clinical documentation.
  • Nordic releases a new Designing for Health Podcast, “Interview with Diana Anderson, MD.”
  • TruBridge earns “Peer Reviewed by HFMA” designation for its medical coding services, the company’s third solution to earn the honor.
  • Mayo Clinic expands its partnership with QGenda and will implement QGenda Advanced Scheduling and On-Call for its clinicians at all campuses.
  • RLDatix launches the RLDatix Safety Institute, an approved Patient Safety Organization that will research safety design and care delivery risk reduction best practices.
  • Sectra publishes a new whitepaper, “Navigating the challenges of radiography – from student attrition to workforce shortages.”
  • Symplr is a proud sponsor of the Children of Fallen Patriots Foundation.
  • Tegria will sponsor the 2024 Cognizant Health Sciences Conference June 10-13 in Orlando.
  • Verato will exhibit at the CSTE Annual Conference June 10-12 in Pittsburgh.
  • CereCore publishes a new edition of its magazine, “Partnership Perspectives.”

Blog Posts


Contacts

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

Morning Headlines 5/24/24

May 23, 2024 Headlines Comments Off on Morning Headlines 5/24/24

Atropos Health Raises $33M to Scale the Automation of High-Quality, Personalized Real-World Evidence Leveraging Generative AI

Real-world data and evidence platform vendor Atropos Health raises $33 million in a Series B funding round.

Interoperable Exchange of Patient Health Information Among U.S. Hospitals: 2023

ONC reports that 70% of hospitals engaged in all four domains of interoperability (send, receive, find, and integrate) in 2023, up from 46% in 2018.

CVS seeks private equity funding for Oak Street Health, Bloomberg News reports

CVS Health is looking for investors to fund growth at Oak Street Health, a chain of Medicare primary care clinics it acquired last year for $10.6 billion.

Comments Off on Morning Headlines 5/24/24

News 5/24/24

May 23, 2024 News 4 Comments

Top News

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HHS/NIH’s Advanced Research Projects Agency for Health (ARPA-H) offers up to $50 million to fund development of technology that can secure hospital IT environments.

The system, which it calls UPGRADE, will scan hospital computer systems for vulnerabilities and weaknesses and automatically apply patches as needed.

ARPA-H says that achieving its goals will likely require the formation of teams with different kinds of technical expertise. A virtual Proposers’ Day webcast will be held on June 20.


HIStalk Announcements and Requests

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Welcome to new HIStalk Platinum Sponsor RLDatix. Every day around the world, thousands of patients are harmed by care delivery errors, many of which are preventable. We want to change that. RLDatix is on a mission to improve healthcare by enabling a world where patients receive the best and safest care possible. Trusted by thousands of clients around the world, our connected healthcare operations platform combines software and trusted services to empower organizations with critical data insights across risk, safety, compliance, provider lifecycle, and workforce management. Our user-centric approach provides a holistic, real-time view of healthcare operations, connecting disparate information across the enterprise, thus giving organizational leadership the contextualized data they need to make better-informed decisions. Thanks to RLDatix for supporting HIStalk.


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It’s Summer Doldrums ‘round these parts, where the industry takes a collective hammock nap until Labor Day and we do a PBS-like sponsor pledge drive. Do you need website traffic, exposure to potential business or M&A partners, or to stay top of mind with prospects? You read HIStalk and so do many of the industry’s decision-makers. Contact Lorre, Jenn, or me about sponsorship spiffs for:

  • Former sponsors who return to the fold.
  • Startups.
  • Webinar promotion (Lorre does BOGO in the slow months).
  • Email promotion.

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Today I learned that the nine-question PHQ-9 paper form that primary care doctors use to screen patients for depression was developed by a drug company to increase sales of its antidepressants. The marketing team of drug maker Pfizer designed the form to overcome the reluctance of PCPs to prescribe antidepressants such as Pfizer’s own Zoloft. Such drugs were previously ordered almost entirely by psychiatrists who weren’t likely to generate big sales volumes. The form was never intended to be anything more than a conversation-starter between doctor and patient, but overloaded PCPs often use it as a standalone tool.

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Check out what some HIStalk sponsors have in store for the 2024 Muse Inspire Conference next week in the Denver area.

I was amused that EHR vendor Fusion Health announced a sale to Illinois Department of Corrections, a target market that the company calls “movement-restricted communities.” They might have made up that term since I don’t see it used elsewhere.


Webinars

June 6 (Thursday) noon ET. “From Data to Decisions: The Vital Combination of AI and Human Expertise in Patient Care.” Sponsor: DrFirst. Presenters: David Wetherhold, MD, CMIO of ambulatory systems, Scripps Health; Dana Darger, RPh, director of pharmacy, Monument Health Rapid City Hospital; Colin Banas, MD, MHA, chief medical officer, DrFirst. In this Epic Med Management Fireside Chat, two health system leaders will share real-world examples of how AI is working in concert with their clinicians to streamline medication management by populating medication histories into Epic. generating initial drafts of patient conversations, and summarizing complex information. The presenters will also cover the latest developments on the critical and expanding role of pharmacists in patient care.

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


Acquisitions, Funding, Business, and Stock

Vancouver-based  technology-based workplace health solution provider CloudMD will be taken private by a private equity firm as it struggles with liquidity following several acquisitions and its failure to file a Q4 earnings report. DOC.V shares are at $0.045, valuing the company at $14 million.

Twin Health, which uses a digital twin AI platform to help members achieve remission from type 2 diabetes, expands into the obesity market with a program that focuses on sustainable weight loss that complements the use of GLP-1 drugs.

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Real-world data and evidence platform vendor Atropos Health raises $33 million in a Series B funding round. The company was founded in 2019 by three Stanford University PhDs as the Green Button research project.


People

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Ellkay hires Nicholas Szymanski, MBA (Signature Healthcare) as COO.

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Industry long-timer Terri Steinberg, MD, MBA (Medecision) retires.

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Cynthia Porter, MBA retires after 34 years as CEO of Porter Research.


Announcements and Implementations

Ontario-based Halton Healthcare joins Project AMPLIFI, care coordination program that connects long-term care facilities and Meditech hospitals to allow sharing patient medical histories.

Microsoft announces GigaPath, a whole-slide foundation model for digital pathology that it developed with Providence and University of Washington.

Redox will partner with Snowflake to facilitate data exchange between legacy healthcare systems and Snowflake’s Healthcare & Life Sciences Cloud.


Government and Politics

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The Irish government publishes “Digital for Care: A Digital Health Framework for Ireland 2024-203.”

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ONC reports that 70% of hospitals engaged in all four domains of interoperability (send, receive, find, and integrate) in 2023, up from 46% in 2018. Other tidbits:

  • The percentage of hospitals that routinely engage in that exchange rose from 28% to 43%, with a much higher percentage among system-affiliated hospitals.
  • While 71% of hospitals have electronic access to clinical data from other providers, only 42% of clinicians regularly use that information.
  • Most hospitals aren’t sending summary of care documents to external hospitals or ambulatory care providers.
  • While 17% of hospitals send information to long-term, post-acute care providers, only 8% receive information back from them.
  • ONC concludes that the interoperability bar needs to be raised to focus on routine exchange of information.

Sponsor Updates

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  • In Kansas, Blue Valley School District honors Netsmart COO Tom Herzog with its Friends of Education Award.
  • DrFirst announces the winners of its 2024 Healthiverse Heroes Awards.
  • Meditech’s Traverse Exchange Canada connects its first pilot organization, Champlain Association of Meditech Partners, to Oracle’s e-Hub.
  • The Association for Community Affiliated Plans names First Databank a preferred vendor.
  • FinThrive releases a new Healthcare Rethink Podcast, “Got a Healthcare IT Renovation Project? We have a DIY Book for you!”
  • Five9 will present at three upcoming investor conferences.
  • MRO launches a new podcast, “The MRO Exchange: Connecting Healthcare Executives,” with healthcare quality reporting as its first topic.
  • Fortified Health Security welcomes Alex Callahan as its summer accounting intern.
  • Healthcare Growth Partners releases the May edition of “HGP Observations.”
  • Konza National Network announces that Family Health Center (MS) has joined its QHIN.
  • MRO launches a podcast, “The MRO Exchange: Connecting Healthcare Executives.”
  • NeuroFlow develops a suicide risk calculator to help healthcare leaders understand the risk in their patient populations.

The following HIStalk sponsors will exhibit at the MUSE Inspire Conference May 28-31 in Denver – CereCore, CloudWave, Consensus Cloud Solutions, Dimensional Insight, DrFirst, Ellkay, Elsevier, FinThrive, First Databank, Meditech, Nuance, Tegria, TruBridge, Vyne Medical, and Waystar.

Blog Posts


Contacts

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

EPtalk by Dr. Jayne 5/23/24

May 23, 2024 Dr. Jayne 1 Comment

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I’m reporting this week from the AMIA Clinical Informatics Conference in beautiful downtown Minneapolis. Although I usually prefer to be in the great outdoors, I must say I’ve enjoyed being in the city and having zero cicadas flying in my face compared to what I’m used to at home. AMIA wins the best badge ribbons title hands down and has something to meet everyone’s needs for pop culture references.

The conference has been filled with great sessions and plenty of networking opportunities. It’s been nice to see people who I rarely see in person and to make new contacts. Of all the AMIA meetings, this one focuses the most on applied informatics. I’ve already jotted down several pages of helpful tips for upcoming projects. 

Speaking of jotting notes, I’m glad that the included AMIA pen writes smoothly, because it’s been a long time since I’ve taken notes by hand. I appreciate the workshop sessions that have had table setups because it makes it much easier to manage your notes or laptop as well as any snacks or drinks you might have with you.

I also heard some great quotes that were worth making note of. One of my favorites so far is, “People who are into tech aren’t always into communication.” This resonates with anyone who has encountered detailed instructions for electronic devices that don’t take into account the fact that end users aren’t necessarily engineers. Another quote in the patient safety realm was, “Pharmacists don’t break rules, so if they’re doing it, you know you’ve run off the rails.” I was also excited to hear two people at the poster session and reception discussing something they had read about in HIStalk, which always makes my day.

One conversation between sessions included anecdotal reports about what is going on inside Ascension hospitals during their ransomware-inflicted downtime. Someone with inside knowledge mentioned a situation where younger members of the staff were unable to read the cursive handwriting used by some clinicians. My local public schools stopped teaching cursive around 2008 or so, causing some entertaining moments at family birthday parties as the youngsters try to read their grandparents’ handwriting in greeting cards. Cursive or not, physician handwriting has been the butt of jokes for decades, and poor penmanship can result in significant medical errors. Something for hospital and healthcare delivery organization leaders to consider as they’re reviewing and revising their downtime plans.

Back to Ascension, the organization is providing updates on a state-specific basis. I noted these nuggets from the Wisconsin section: Ascension retail pharmacies remain unable to fill prescriptions and patients have been asked to “bring notes on symptoms and a list of current medications, including prescription numbers or bottles.”

Lawsuits related to potential HIPAA violations have been filed on behalf of Ascension patients in the US District Courts of the Northern District of Illinois, Western District of Texas, and Eastern District of Missouri. I couldn’t find information on the other two, but the one from Texas appears to be a class action. Buckle up, Ascension, it’s going to be a wild ride.

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As far as cyberattacks and downtime are concerned, the Workgroup for Electronic Data Interchange (WEDI) sent an eight-page letter to the Department of Health and Human Services highlighting the vulnerability of the US healthcare system and the need for greater oversight and improved business continuity planning. It asks for a new Office of National Cybersecurity Policy led by a “Cyber Policy Czar” and a National Health Care Cyber Fire Drill Week. Regarding the latter, organizations would be charged to work not only with internal systems, but with “critical trading partners” to test systems and define contingency plans. I’m happy to dust off my high-visibility Incident Command vest for the occasion, I just need to find some snappy shoes to go with it.

From Hybrid Curmudgeon: “Re: Dell flagging employees that aren’t coming back to the office as much as they’re expected to. How degrading.” Apparently, Dell is aggregating the data from VPN usage and in-person badge swipes to assign color codes for employees to make it clear how much they are working in the office versus from a remote location. Workers are expected to be in-person for 39 days each quarter. Starting this month, workers will receive weekly updates via the company’s HR platform and will be assigned a color (green, yellow, or red) based on respective time in the office (regular, some, limited). Top performers with a consistent presence in the office will be flagged in blue. I’ve worked in organizations where a variety of indicators are used to identify employees to be placed on the block for the next round of cuts, and this is just one more piece of data to add to those matrices. Nine box talent grids, anyone?

Speaking of talent, one of the hot topics among CMIO types this week was the challenge of retaining talented clinical informatics staffers when they’re partnered with physicians who need to move across the country either for training or for improved job prospects. Allowing staff to work remotely would be an easy fix, but I understand the reluctance of health systems to want to deal with multi-state employment law and payroll regulations. I still find it humorous that these same systems will outsource their IT departments, sometimes outside the US, but won’t make accommodations to retain successful team members.

I also heard some discussion about the number of burned-out physicians who are trying to cross into clinical informatics as a “way out” and the political implications of having them appear in the hiring process. It sounds like some are claiming that they’re “in clinical informatics” because they’ve used an EHR in their career, despite the lack of deeper knowledge of healthcare information systems or the processes and governance needed to sustain them.

My outbound flight for the conference had a mechanical issue which led to a delay of about an hour. Although passengers weren’t thrilled, I didn’t hear a lot of people voicing concern about connections, so that’s a good thing. At least it wasn’t an issue like the one that occurred recently when a United flight from Zurich to Chicago had to divert when a passenger’s laptop was swallowed up by a business class seat. The crew was unable to retrieve it, and due to the risk of fire with lithium-ion batteries, the flight landed in Ireland. The ensuing chain of events, including the inability to access the laptop from anywhere but through the cargo hold, led to a crew time out and an overnight stay for passengers.

What’s the strangest maintenance delay you’ve experienced on a flight? Leave a comment or email me.

Email Dr. Jayne.

HIStalk’s Guide to MUSE Inspire 2024

May 23, 2024 News Comments Off on HIStalk’s Guide to MUSE Inspire 2024

CereCore

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Booth 417

Contact: Jillian Whitefield, business development manager
jillian.whitefield@cerecore.net
248.891.5557

We get it. You need more from your EHR. Discover our full lineup of sessions and resources that can help you. Go beyond the basics by attending one of our seven educational sessions covering Expanse workflows, digital scheduling, charge reconciliation, rules-driven order screens, and much more. Moving to Expanse? Find guides and how we saved a hospital $115k in build costs with automation. Need a roadmap to the most productive optimization projects? Request a MEDITECH assessment and gain insight on immediate functionality and revenue cycle opportunities. Evaluating MEDITECH hosting and backup? The “Buyer’s Guide to MEDITECH Hosting” helps you compare the options. Need to streamline manual processes? Check out rules and worklists and our downloadable starter pack. Find CereCore MUSE 2024 session times, resources, or schedule a meeting here.


Healthtech

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Booth 218

Contact: Steve McDonald, MEDITECH practice lead
stephen.mcdonald@nordicglobal.com
617.777.3822

Healthtech, a Nordic Global Company, is thankful and proud of our 40+ year journey helping MEDITECH customers achieve their healthcare IT objectives while enhancing patient care and optimizing their performance. Our experience with MEDITECH clients has extended across the U.S., Canada, and Europe. By leveraging our deep clinical and operational knowledge, global reach, and the full suite of offerings from Nordic, our MEDITECH clients are achieving success at an exceptional rate. Some of our key offerings include: MEDITECH Expanse implementation with embedded performance improvement; MEDITECH MAAS implementation, training, and maintenance support; total cost of ownership comparisons and full planning engagements; complete managed services for MEDITECH – support and maintenance of all applications; legacy system support and maintenance; revenue cycle optimization; and digital health.

Nordic’s extensive knowledge of the patient experience and the healthcare ecosystem enables us to identify and deliver measurable outcomes for healthcare organizations. From initial assessment through design and implementation of customized solutions, we listen to understand strategic priorities and operational and technology needs. Clients turn to us again and again, because we share industry best practices and put partnership and collaboration first, all to improve quality of care and financial sustainability. Please visit us at Booth #218


DrFirst

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Booth 313

Contact: Erin Lease Hall, senior manager, events marketing
eleasehall@drfirst.com
216.650.7687

Since 2008, we have provided MEDITECH with innovative EHR enhancements, DrFirst’s e-prescribing and medication history are integrated with MEDITECH, giving clinicians access to best-in-class solutions. Adding SmartSig technology to safely translate and infer medication history data can streamline medication reconciliation by up to 50%. Other integrations that support e-prescribing include price transparency, electronic prior authorization, and controlled substance modules.

Don’t miss Ii: Wednesday, May 29, 2024, 2:20 PM MST. Ben G. Long, MD, and Brooke Brown, RN, Magnolia Regional Health Center. Congestive heart failure (CHF) is a significant burden on patients and health systems nationwide. Hear how Magnolia Regional Health Center’s Nurse Navigator program reduced prescription gaps in standard medication treatment for CHF and improved medication adherence using digital tools, clinical documentation, and report writing in MEDITECH Expanse.


Vyne Medical

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Booth 228

Contact: Meg Michael, chief client officer
meg.michael@vynecorp.com
336 254.2951

Is your health system struggling under the weight of a heavy administrative burden? Vyne Medical solutions can help. Trusted nationwide as a leading healthcare workflow tool for 25+ years, our software functions as a suite of products that can be customized to meet a health system’s unique processes and needs. By harnessing automation to complete the front-end’s mundane, manual tasks like capturing, managing, and exchanging disparate data, our software integrates with your EMR system to automatically index captured data directly to the patient record, providing significant time and money savings. Vyne Medical’s newest innovative tool, FormUSign Powered by Docubee, is digitizing and automating traditional form management in healthcare. By facilitating the creation of a reusable template that can be easily shared among multiple users, FormUSign allows users to choose specific fields for automatic population. Visit booth 228 to schedule a product demo or to learn more about our healthcare-specific solutions, plus get a preview of other exciting upcoming products.

Comments Off on HIStalk’s Guide to MUSE Inspire 2024

Morning Headlines 5/23/24

May 22, 2024 Headlines Comments Off on Morning Headlines 5/23/24

Boulder Secures $35 Million in Series C Funding to Provide High-Quality Addiction Medicine to Medicaid Beneficiaries

Digital addiction treatment provider Boulder Care raises $35 million in Series C funding.

Trego County hospital targeted by ransomware attack

Trego County Lemke Memorial Hospital, a 25-bed hospital in Kansas, works to recover from a May 6 cyberattack

Cue Health lays off remaining employees after FDA warning on COVID-19 tests

COVID-19 testing company Cue Health, which went public in 2021 at a $3 billion valuation, lays off all of its employees in the wake of FDA’s warning that its tests may yield false results.

Videra Health Secures 5.6M in Funding to Advance Mental Health AI Solutions Led by Peterson Ventures

Videra Health, developer of AI-powered, video-based mental health assessments, raises $5.6 million in seed funding.

Patient portal, phones still offline weeks after Palomar Health reports ‘suspicious activity’

Palomar Health Medical Group (CA) works to get its patient portal and phone lines back up and running after a May 5 cyberattack.

Comments Off on Morning Headlines 5/23/24

Healthcare AI News 5/22/24

May 22, 2024 Healthcare AI News Comments Off on Healthcare AI News 5/22/24

News

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Epic is using Microsoft Azure’s Phi-3 small language model to summarize patient histories faster and cheaper than other generative AI models. Small language models can be run offline when extensive reasoning isn’t required and fast responses are needed. Phi-3 can also analyze images.

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A VA official says that AI and predictive analytics have been a “game changer” in identifying and supporting veterans who are at risk for suicide. The REACH VET system, which was launched in 2018 and is active at 28 sites, identifies 6,700 veterans each month who need additional support.

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Microsoft introduces Copilot+, which are AI-optimized Windows 11 PCs that feature high performance and a Recall function that takes regularly scheduled, locally stored screenshots that can be searched across applications, websites, and documents.

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Y Combinator-backed Bland AI releases an AI phone agent that can carry on human-like conversations with callers. Website visitors can enter their name and phone number to initiate a sample call with AI agent Blandy. The platform can also perform live call transfers and add live data into phone calls. Suggested users are inbound sales, customer support, and B2B data collection.


Business

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Remote patient monitoring solution vendor Implicity earns FDA’s 510(k) clearance for its AI-powered risk assessment for heart failure. The vendor-agnostic SignalHF analyzes data from implanted devices such as defibrillators, pacemakers, and cardiac resynchronization therapy devices. The company notes that 75% of the alerts that are triggered for patients who eventually require hospitalization are issued at least 14 days in advance, allowing time to adjust medications or take other measures.

Precision medicine system vendor Tempus AI files for an IPO at an estimated deal size of $600 million. The company reported $562 million in revenue for the 12 months ending March 31, 2024.


Research

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Researchers review the technical ways that healthcare AI could be improved to provide more generalizable information about patient subsets, especially for underrepresented groups. They provide breast cancer as an example, where AI models underrepresent male patients and therefore should be selectively deployed where they are known to perform well, but call out the ethical challenges in adapting models based on sociocultural factors. They conclude that AI models should be trained on datasets that exclude samples that don’t meet carefully considered exclusion criteria.


Other

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Two students of The University of Texas Health Science Center at San Antonio will graduate this month with dual degrees, the MD as well as an MS in artificial intelligence, a program that was launched last year as the first of its kind. Click the graphic for an enlarged view of the program’s timeline.

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Robert Pearl, MD, Stanford University School of Medicine professor and former CEO of The Permanente Medical Group, offers some pearls (no pun intended) from his new book, “ChatGPT, MD”:

  • AI can help clinicians override confirmation bias, where they might favor data elements that fit their mindset and ignore others.
  • The short-term use of AI will be to manage chronic conditions, such as to analyze data from wearables, and to guide patients with personalized health recommendations.
  • AI’s ability to analyze EHR data will transform medicine by helping clinicians understand the optimal ways to manage diseases and perform procedures.
  • The biggest challenges to reap AI benefits are (a) clinicians have to be willing to empower patients; and (b) the fee-for-service payment model must shift to value-based care because doctors won’t do something that reduces their income and they aren’t paid to keep people healthy.
  • Pearl lists ChatGPT as a co-author of his book, which he says shortened its completion time from two years to six months. He fed all of his writing into ChatGPT so it could understand his voice and writing style, then had it suggest changes to his draft versions.

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Educator Henry Buchwald, MD, PhD says that AI can help overcome “natural stupidity,” comparing it to his time in the Air Force where he flew his plane upside down because he trusted his instinct instead of the instrument panel. He offers this:

In contrast to AI, let us examine natural stupidity. Unfortunately, there is an abundance of that in our world, perhaps a preponderance. In medicine, we hope that every physician is intelligent, or at least competent. But that may not be the case. When I was still in active academic practice, conducting patient rounds, I asked a medical student for his thoughts on a patient’s differential diagnosis and how he would proceed to narrow the potential options. He whipped out his iPhone to consult an algorithm. I told him to put the instrument away and to speak from the knowledge base of his nearly four years of medical training to make his own analysis of variables. He proved that he had little knowledge of established facts and, even when prompted, could not produce a reasonable thought sequence.

After graduation, this student became someone’s doctor, treating afflictions, counseling fellow human beings. Fortunately, after a patient consultation, this doctor will be able to postpone diagnosis and therapy by waiting for laboratory and imaging results, allowing him time to go to his iPhone, consult the algorithms and then come to a conclusion for the patient. In essence, AI may be the patient’s ghost doctor. In some instances, medical AI might prevent the physician from crashing into an unappreciated mountain.


Contacts

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Comments Off on Healthcare AI News 5/22/24

Morning Headlines 5/22/24

May 21, 2024 Headlines Comments Off on Morning Headlines 5/22/24

Health-tech startup Tempus AI files for a $100 million IPO

AI-enabled precision medicine software startup Tempus AI hopes to raise up to $600 million in a forthcoming IPO.

Cloud21 acquires identity management and IT services company BDS Solutions

Tegria-owned digital healthcare consulting firm Cloud21 acquires BDS Solutions, which specializes in automated identity management software for NHS organizations in the UK.

Tuesday Health Launches Revolutionary Supportive Care Solution with $60 Million of Strategic Investment from Healthcare Leaders

Tech-enabled supportive care management company Tuesday Health raises $60 million.

SamaCare Secures $17M Series B Investment to Scale Specialty Drug Prior Authorization Platform

Specialty medication prior authorization software vendor SamaCare announces $17 million in Series B funding, bringing its total raised to $33 million.

Comments Off on Morning Headlines 5/22/24

News 5/22/24

May 21, 2024 News 5 Comments

Top News

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A Business Insider piece titled “Oracle’s deadly gamble” says that Oracle’s Larry Ellison had a vision that acquiring Cerner and then applying Oracle’s AI models to its data would create the EHR of the future, but found out afterward that “Cerner was a total mess.”

Points from the piece:

  • Cerner was receptive to the acquisition when approached in 2021 because problems with its architecture and software were piling up.
  • Oracle took a black eye when care lapses and deaths in the VA system were attributed to the Cerner system. One Oracle executive describes the VA contract as a “shackle” that distracts Ellison from his grander vision.
  • Oracle has stopped taking customization requests from the VA because every facility wanted the system to work exactly their way, which was a luxury they had with the VA’s custom-written VistA. VA officials hoped to force standardization by implementing Cerner.
  • Company executives admit that much of the client dissatisfaction was created when Oracle laid off experienced Cerner resources.
  • The article notes that Ellison’s big bet on applying AI to Cerner’s patient data is losing value as clients and their data move to Epic, including flagship accounts such as Intermountain and UPMC.
  • Providence’s chief strategy and digital offer says that people perceive that “Cerner is circling the drain.”

Webinars

June 6 (Thursday) noon ET. “From Data to Decisions: The Vital Combination of AI and Human Expertise in Patient Care.” Sponsor: DrFirst. Presenters: David Wetherhold, MD, CMIO of ambulatory systems, Scripps Health; Dana Darger, RPh, director of pharmacy, Monument Health Rapid City Hospital; Colin Banas, MD, MHA, chief medical officer, DrFirst. In this Epic Med Management Fireside Chat, two health system leaders will share real-world examples of how AI is working in concert with their clinicians to streamline medication management by populating medication histories into Epic. generating initial drafts of patient conversations, and summarizing complex information. The presenters will also cover the latest developments on the critical and expanding role of pharmacists in patient care.

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


Sales

  • St. Vincent’s Private Hospital in Ireland will implement Agfa HealthCare’s enterprise imaging software.
  • Children’s Nebraska selects remote patient monitoring technology from Locus Health.
  • Great Western Hospitals NHS Foundation Trust, Royal United Hospitals Bath NHS Foundation Trust, and Salisbury NHS Foundation Trust in England will roll out a shared Oracle Health system in 2026.
  • Centra (VA) will enhance its stroke care with Sevaro’s OneCall telemedicine service.
  • WakeMed Health & Hospitals will implement Regard’s automated clinical data review and insights software across its three hospitals in North Carolina.
  • University Hospitals (OH) selects insulin management software from Glytec.
  • Beacon Health System will implement Notable’s AI platform to reach out to patients who have had diagnostic procedures and tests ordered and then allow them to schedule their appointments digitally.

People

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CareCloud promotes Crystal Williams to COO.

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Apprio hires Srinivasan Krishnan, MS (Greenway Health) as CTO.


Announcements and Implementations

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St. Luke’s Mid America Heart Institute (MO) implements Story Health’s virtual and asynchronous care program for AFib patients.

WellStar Health (GA) co-develops and pilots patient check-in software that incorporates Clear Verification technology.


Privacy and Security

Ascension’s May 21 update contains no new information about the restoration of their systems from a May 8 cyberattack.

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The American Medical Association, state medical societies, CHIME, and AHIMA ask HHS to confirm that Change Healthcare and UnitedHealth Group, not providers, will be responsible for HIPAA breach notifications related to their cyberattack.


Sponsor Updates

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  • Impact Advisors donates $10,000 to the Midwest Health Foundation in support of its UChicago Medicine AdventHealth GlenOaks School and Transition Program.
  • AvaSure announces the winners of its 2023 AvaPrize Winners for Virtual Care Excellence.
  • Clinical Architecture sponsors the AMIA 2024 Clinical Informatics Conference May 21-23 in Minneapolis.
  • Nordic publishes a new episode of its “In Network” podcast titled “Designing for Health: Interview with Diana Anderson, MD.”
  • Divurgent will present at the E-Health Conference and Tradeshow May 27 in Vancouver.
  • Ellkay wins a KLAS Points of Light Award for its collaborative work on closing care gaps for HEDIS measures through natural language processing.

Blog Posts


Contacts

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

Morning Headlines 5/21/24

May 20, 2024 Headlines Comments Off on Morning Headlines 5/21/24

Centivo Acquires Eden Health to Serve Escalating Demand for Affordable, High-Quality Primary Care

Centivo, which offers primary care-focused health plans to employers, acquires virtual-first, direct-to-employer provider Eden Health.

ARPA-H announces program to automate cybersecurity for health care facilities

The Advanced Research Projects Agency for Health announces its UPGRADE program, which will invest $50 million in the development of proposed automated cybersecurity solutions for hospitals.

Better medical record-keeping needed to fight antibiotic overuse, studies suggest

A pair of studies conducted by University of Michigan physicians finds that a lack of detailed record-keeping – specifically, information about why an antibiotic is prescribed – could drive up unnecessary and potentially harmful prescriptions.

Comments Off on Morning Headlines 5/21/24

Curbside Consult with Dr. Jayne 5/20/24

May 20, 2024 Dr. Jayne 1 Comment

We’ve all heard about so-called “quiet quitting” and other strategies that employees are using to try to cope with less than ideal workplaces. There is plenty of literature out there on organizational culture and time management, so I thought I would share a couple of the most intriguing things I’ve come across in the last few weeks.

One concept has been referred to as “intentional inflexibility,” which seems to be a fancier way of saying that you protect the time you need to get your work done and to perform your best. This could mean that you decline meeting requests if they are for your most productive times of the day, or that you refuse to be constantly accessible via email, messaging, app, or text. Maybe it’s letting emails sit for a couple of hours until someone else replies to them, or maybe it’s only checking your email twice a day and hoping that churn has already occurred before it gets to you (viewing your emails as a conversation is particularly effective for this approach).

One has to be careful of company culture when applying this approach, however, because an employee “having good boundaries” might be interpreted as not being a team player.

A related article was about having a sense of false urgency at work. I’ve been in situations where people text you to find out why you haven’t responded to their Slack message, when the overarching reason is that you’ve been on three hours of back-to-back calls dealing with acute issues. I was once hounded by a member of the marketing team about “what is your favorite movie” since that was part of a project around getting to know the executive team. He had sent it on a Saturday, I hadn’t responded by Monday afternoon, and he was on a deadline. Expecting turnaround on an item like that in under one business day definitely falls under the banner of false urgency.

As a member of senior leadership, I was happy to have a conversation with the marketing leader about realistic deadlines and the need to coach the team about how to interact with other members of the C-suite. Of course, this kind of issue could also have been avoided by having a communication policy that addressed how to identify urgent requests versus non-urgent requests and how to know what an appropriate turnaround time is for different types of interactions. One company I worked for had a policy that if you needed an answer within 24 hours, you had to call the person with your request. It made people think twice about how urgent a request might actually be before making their move.

Another idea I’ve been reading about is that of organizational drag, which is when teams lose productivity due to policies and processes, whether formal or informal, that waste effort and decrease output. This includes being required to attend meetings that should have been emails and spending time reading emails that shouldn’t have been sent in the first place. It can also refer to wasteful processes, such as time and attendance tracking that could be completed in more simplified ways.

I’ll never forget when one organization I worked with migrated to a well-known project management and time tracking platform. The build was so much more complicated than it needed to be and added hours each week to the tracking requirements for consultants. Consultants make money when they’re billing clients and not when they’re manually keying extraneous data. Despite the immediate negative impacts, it took over a year to get the system optimized.

I’m also re-reading “Out of Office: Unlocking the Power and Potential of Hybrid Work.” I know I’ve mentioned this one before, but after working a couple of consulting gigs in in health systems across the US, some of the content is resonating differently than when I first read it. In one of the early chapters, the book addresses how “just in time” staffing became the norm in organizations today, even though in reality it means relative understaffing, since you don’t have any surplus capacity if you’re taking that approach. When you’re understaffed, people are reluctant to take time off or to use their time off to its maximum, especially when they fear that teammates will have extra work dumped on them, or that they’ll have to do a mammoth clean-up effort when they return to the office.

Having managed large teams during my career and especially having managed teams whose time is billable, it’s important to understand what overhead goes into just being an employee. These are the nonproductive parts of a job and may include items like corporate compliance training (HIPAA and fraud, waste, and abuse anyone?), maintaining proficiency and certification on different software platforms, managing professional licensure, and learning the tools that are needed to perform your job, especially when your employer decides to rip and replace those tools while you’re still expected to be productive.

Particularly in organizations that are trying to be intentional about company culture, you have to bake that time into capacity management as well. If you’re having multiple monthly all-hands meetings, socials, and mixers that you expect people to attend, you need to account for those. All too often, I still see management teams overlooking how initiatives like this directly impact workers, especially if they are on teams that are hanging on by a thread.

I worked on one team where the manager planned to have a holiday party with the theme of decorating miniature Christmas trees. First off, there was no recognition of the fact that not all employees celebrated that particular holiday, and that even if they did, that decorating trees was part of their tradition. Then there was the fact that this gathering was set for an entire half day during the end-of-year push that many healthcare organizations feel if their fiscal year follows the calendar year.

There was a lot of grumbling about the event and the organizer was frustrated by the low level of RSVPs. Several of us staged an intervention and convinced her to call off the event and instead to have a post-holiday party to blow off steam after the year-end close was done. Rather than a gift exchange, employees were invited to bring a ridiculous item to swap, either something that they received as a gift or just had around the house and didn’t need or want, with any leftover items being taken to a charity drop-off site.

We all got a laugh out of the unlikely items, especially when someone actually wanted them, and people who wanted to de-clutter were thrilled to get rid of things. Did it end up 180 degrees from where it started? Yes, but it was exponentially more well received.

What trends are you seeing as far as how employees are trying to navigate ever-changing workplace conditions? Leave a comment or email me.

Email Dr. Jayne.

Readers Write: Health Tech Innovation Requires Accurate Person Matching

May 20, 2024 Readers Write 1 Comment

Health Tech Innovation Requires Accurate Person Matching
By Jitin Asnaani

Jitin Asnaani, MBA is chief product officer of Rhapsody.

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Elsevier’s “Clinician of the Future” report shows that nearly as many clinicians agree the widespread use of digital health technologies will enable the positive transformation of healthcare (70%) that believe digital health technologies will be a challenging burden (69%). This means health tech must innovate to maximize the positive while minimizing the burden.

The pressure is on to build solutions that capture the potential to revolutionize healthcare and address the increasing challenge of accurately managing and leveraging the data generated from these innovations.

Healthcare generates about 30% of the world’s data volume and is growing with a compound annual growth rate faster than any other industry. Sources for this data explosion are numerous and diverse, including primary care facilities, hospitals, clinics, pharmacies, consumer-generated data, plus IT systems such as EHRs, patient registries, radiology information systems, and medical devices. This brings an immense opportunity and challenge.

As health tech companies onboard data from this expanding number of sources, it becomes increasingly harder to confidently manage and reconcile identity data. In fact, studies indicate that errors in matching records to the correct person occur up to half of the time.

Correctly managing person data and tying the data together is non-trivial. To maintain trust in the data-driven solutions provided, clinicians and patients must be able to interpret and use all this data. Health tech companies are responsible for each piece of information they collect, regardless of where it’s generated. Consequently, internal teams and even customers are forced to spend time resolving duplicates, which increases total cost of ownership and reduces trust in data quality.

Consider the example of an at-home glucose monitoring device. To make the device data actionable, information must be obtained not only from the device but also directly from the consumer, the provider managing diabetes care, a pharmacy, and an insurance provider. Each source uses a different system with inconsistent data cleanliness.

Complicating this further, a person may be known by variations of their name in different systems –John, Jon, or Johnny, for example. The complexity in matching all data from various sources and formats into a single, clean record makes the potential for error and the strain on data stewards’ time extremely high.

Enterprise Master Person Index (EMPI) technology emerges as a critical element in overcoming these challenges. By offering a centralized repository for identity information that also adds a layer of science to improve match rates, EMPI facilitates accurate person matching across diverse systems while ensuring data integrity and interoperability. This centralized approach streamlines data management processes and enhances the reliability of electronic records, ultimately leading to better clinical outcomes.

Advanced EMPI solutions leverage AI and machine learning capabilities to further enhance data accuracy by automating the linking of person records. By mimicking human decision-making processes, these solutions reduce manual intervention, improve data consistency, and increase efficiency in data management workflows. This not only saves time and resources, but also enhances the overall quality of healthcare data.

For health tech companies building innovative technologies and data-driven applications, an EMPI is foundational to ensuring data accuracy within their solutions. This builds customer trust around the quality of information delivered by or powering, the product, especially when ingesting, integrating, and reconciling data across multiple sources.

When considering whether to buy or build an EMPI solution, health tech companies must weigh the benefits of leveraging a reliable EMPI partner against the costs and complexities of in-house development. Partnering with an established EMPI provider can accelerate time to market, ensure scalability, and mitigate risks associated with infrastructure development, allowing companies to focus on their core competencies and innovation.

Effectively managing person data is essential for driving innovation and improving patient outcomes. By leveraging advanced EMPI technology, health tech innovators can effectively manage person data and improve data accuracy and consistency, aiding their customers in enhancing the quality of care provided while maintaining trust in their data-driven solutions.

Readers Write: ATA 2024 Spotlights How Collaboration, AI, and Patient-Centricity Will Define Telehealth’s Future

May 20, 2024 Readers Write 1 Comment

ATA 2024 Spotlights How Collaboration, AI, and Patient-Centricity Will Define Telehealth’s Future
By Amy Window

Amy Window is vice president of strategic alliances at Infermedica.

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The American Telemedicine Association’s (ATA) annual conference united experts to discuss how technology is transforming telehealth. While recognizing that technology is just one facet of the solution, attendees emphasized its vital role in improving care quality and access, with collaboration and AI adoption surfacing as central topics.

Among the themes emerging from ATA Nexus 2024:

  • Technology-driven healthcare. While technology is pivotal to medicine’s future, it’s not a standalone solution but rather part of a comprehensive approach. To truly impact healthcare, we must look beyond the tech itself and consider how it interacts with evolving human behavior.
  • Radical collaboration. Transforming healthcare demands collaboration rather than circumventing existing systems. Partnerships can align goals and uncover innovative solutions that enhance care quality and accessibility. Companies are increasingly joining forces to offer end-to-end telemedicine platforms spanning the patient journey, with health systems favoring unified solutions over piecemeal offerings.
  • AI adoption. Integrating AI should be a top priority, given its potential to boost efficiency and predictive power in healthcare. However, maximizing its impact and ensuring adoption by professionals and consumers alike will require refined implementation strategies. Building trust and developing responsible AI practices were key topics at the conference.
  • From patients to consumers. As telemedicine shifts to a consumer-centric model, understanding and catering to the choices and expectations of healthcare consumers is paramount. Empowered consumers demand personalized, convenient care options, and providers must rise to meet their evolving needs. This means treating virtual encounters with the same care and attention as in-person visits and offering a variety of care modalities. Virtual appointments are every bit as important as face-to-face visits.

Attendees stressed the importance of treating telemedicine with the same thoughtfulness as in-person care. To truly personalize and improve the convenience of care, providers must offer diverse care modalities, meet patients where they are, and let them choose their preferred methods. Seamless, patient-centric technology will be essential to achieving this.

The spirit of “radical collaboration” was palpable, with companies increasingly partnering to provide comprehensive telemedicine solutions across the patient journey. In some cases, this entails corporate mergers, but often it’s just good old collaboration. Health systems are abandoning point solutions in favor of unified platforms. Building trust and developing responsible AI practices were also major topics.

The well-publicized nursing shortage put virtual nursing in the spotlight. AI and video allow nurses to efficiently monitor more patients remotely, alleviating strain while enabling the delivery of high-quality care. AI is also being leveraged to reduce administrative burdens, enabling clinicians to focus on delivering exceptional care.

Additional growth opportunities include AI-powered triage in call centers, where non-medical operators use care navigation technology to appropriately direct patients, as well as self-triage and care navigation tools for patients themselves.

Delivering seamless, personalized experiences that meet patients where they are will be essential as telemedicine becomes increasingly consumer centric. Carefully integrating AI and other technologies through strategic collaboration will be crucial to shaping the future of healthcare.

The innovations and insights from ATA Nexus paint an exciting picture of what lies ahead for telemedicine, and I’m looking forward to seeing what’s on the horizon at ATA 2025.

Morning Headlines 5/20/24

May 19, 2024 Headlines Comments Off on Morning Headlines 5/20/24

US Acute Care EHR Market Share 2024

The KLAS report on the US acute care EHR market finds that Epic now holds a 39% market share of US hospitals, representing 52% of beds.

Payments-Company Waystar Plans to Restart IPO Pitch

Waystar is reportedly considering a June IPO after tabling those plans last year due to market conditions.

CloudMD to be Taken Private by CPS Capital

Canadian private equity firm CPS Capital will take Vancouver-based, tech-enabled workplace healthcare provider CloudMD private in a deal valued at $36 million.

Houston startup secures $10M to expand into rural communities

Hamilton Health Box, which offers hybrid primary care delivery services to rural communities, raises $10 million in a Series A funding round.

Comments Off on Morning Headlines 5/20/24

Monday Morning Update 5/20/24

May 18, 2024 News 1 Comment

Top News

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The all-important KLAS report on the US acute care EHR market finds that Epic gained 153 hospitals in 2023 while losing none, while all other vendors showed a net loss of hospitals and beds. Epic now holds a 39% market share of US hospitals, representing 52% of beds.

Oracle Health finished last in losing a net 71 hospitals representing 15,000 beds.

Most of Oracle Health’s wins since 2016 have been in standalone hospitals of under 200 beds. Those hospitals aren’t buying due to economic pressures.

Meditech, which enjoyed an all-time high customer retention rate of 84% in 2022, saw that drop to the lowest-ever 30%, with 25% of that due to M&A.


Reader Comments

From Benny Jets: “Re: article naming the top 10 healthcare AI companies. Most of the list is obvious, but the interesting name is Merative. This is the IBM Watson Health spinout that is led by Gerry McCarthy. In two years, they have reversed the ridiculous IBM strategy and have led each of the core solutions back to the top of their respective markets. Big tech shouldn’t be allowed in healthcare. It is just a matter of time before Oracle drives Cerner into the ground and Francisco Partners buys and fixes that too.” IBM sold the business – which includes the former Truven, Merge Healthcare, and Curam — to Francisco Partners for a reported $1 billion in 2022, after which it hired Gerry – who has spent nearly 35 years in our industry — and renamed itself. I’m not linking to the article in the UK-based magazine because that publication reeks strongly of pay-for-play, it does not include the criteria of how it chooses its many click-baity Top 10 lists, and nobody involved seems to have any experience or knowledge about healthcare. I also don’t know how much AI is used in Merative’s offerings or why even cursory research should have caught the May 2024 list’s inclusion of Babylon Health, a pretty scammy company that filed bankruptcy and died an ugly death last summer. But I agree that Merative is flying under the radar and seemingly shedding the Watson Health baggage.


HIStalk Announcements and Requests

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Most poll respondents support the idea of a mandatory, government-issued national patient identifier, although thoughtful comments address the realities of making that happen.

New poll to your right or here: does your business card or email signature list a certification or fellowship credential?

I’m watching more YouTube videos as their quality has improved – documentaries, concert videos, and travel recaps. My use and satisfaction has always been limited by intrusive ads (not Ryan Reynolds again), but I wasn’t willing to spend $18.99 per month to avoid them. I was happy to find that I don’t need to since YouTube Premium is only $13.99 per month or $11.67 if paid annually, provided that you buy it from the website and not the IOS app, where Apple’s 30% skim will cost you an extra $5 per month. There’s also a 90-day free trial. I’m enjoying the ad-free experience, the ability to download videos, playing videos in the background, and the surprisingly strong Apple Music, which I would use constantly if I didn’t already have Spotify Premium. Dig beyond the narcissistic, TikTok style dreck that is good only for wasting time while stunting your brain and you’ll find some solid content out there. Not only that, the experience is stupendously better when played on the big screen.

I’m finding that I use ChatGPT more for web searching. It’s like a pleasant vacation from Google’s ads, spam, and SEO-juiced junk content. I see why Google started holding emergency meetings basically the day that OpenAI released ChatGPT 3.5.

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Readers funded the Donors Choose teacher grant request of Ms. I in New York, who asked for STEM manipulatives for her class of three year olds. She reports, “I hope this note finds you well and filled with the same warmth and gratitude with which our classroom overflows, thanks to your incredible generosity. As a teacher, witnessing the excitement and enthusiasm radiating from my students as they engage with the STEM supplies you’ve provided fills my heart with. Your generosity has transformed our classroom into a dynamic learning environment where curiosity thrives, creativity flourishes, and innovation knows no bounds.”


Webinars

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


Acquisitions, Funding, Business, and Stock

Waystar is reportedly considering a June IPO after tabling those plans last year due to market conditions.


Sales

  • Sturdy Health will implement Notable’s healthcare operations platform, integrated with Oracle Health, for patient outreach and self-service.

People

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Cleveland Clinic promotes Sarah Hatchett, MBA to SVP/CIO.


Announcements and Implementations

The Toronto newspaper covers the Meditech Expanse rollout in 23 hospitals in northeastern Ontario.

Epic issues a rare press release in recapping the 9,000-attendee XGM (Expert Group Meetings) that concluded on May 9. It seems like a university’s Alumni Weekend, where people flock back to campus to once again to reconnect with with the like-minded in the hallowed halls, sit around the campfire, and pose for treehouse pictures. All that’s missing is a football game.

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HCA Healthcare runs a Q&A with Chief Nursing Informatics Officer Sherri Hess, RN, MS-IS.


Privacy and Security

Ascension has issued no ransomware attack updates since May 15.


Other

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Therapists are making more money as influencers who crank out empathetic TikTok self-help videos than they made seeing patients, according to The Cut, which quoted the therapist above who is making $1 million per year via brand deals, selling merchandise, and charging for subscriptions. Still, that therapist still warns that he’s burned out from making videos, dealing with hate comments, and working under a system where “Daddy Algorithm is my boss and I get a performance review every single day based on an algorithm that’s mysterious and doesn’t make any sense.”


Sponsor Updates

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  • HCTec sponsors the AltaMed Foundation’s annual golf tournament, supporting patients of the AltaMed Medical and Dental Group (CA).
  • QGenda announces new and add-on customers of its enterprise credentialing solution, including UT Health San Antonio, Crouse Health, OB Hospitalist Group, and Parkland Health.
  • Availity wins two Bronze Stevie Awards for sales and customer service.
  • Wolters Kluwer Health launches Ovid Nutrition and Health, an exclusive interdisciplinary health research database.
  • Redox releases a new Diagnosing Healthtech Podcast, “Data interoperability now: Why healthcare can’t afford to wait.”
  • Hospital Universidad del Norte in Colombia selects Sectra’s enterprise imaging technology.
  • Spok publishes an e-book, “Six strategic advantages of consolidated contact centers.”

Blog Posts


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

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