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From HIMSS with Dr. Jayne 3/4/25

March 5, 2025 Dr. Jayne Comments Off on From HIMSS with Dr. Jayne 3/4/25

Although Monday had been overcast, Tuesday dawned clear and cool but without the winds of the weekend. After declining the $14 croissant at my hotel, I found a nearby Dunkin where I could satisfy my sweet tooth via a donut with spring-themed sprinkles. It was a quick walk to the convention center, and from what I understand, that took about half the time that it took to arrive on the HIMSS-sponsored shuttles.

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I had a chance to visit with Edifecs #2451about their #WhatIRun campaign. This year’s shirts feature Audrey Hepburn. I enjoyed hearing about the company’s efforts to empower women in the workplace and around the world. They’re a friendly bunch and great to talk to, so be sure to drop by.

From there, I was off to meetings with clients and prospects. I made a few key introductions that will hopefully turn into future engagements. Although organizations have been fairly conservative in their spending lately, they are realizing that optimization and adoption projects have value, and if they are able to keep physicians from burning out, the cost savings can be enormous. As a boutique consultancy, I’m significantly more cost-effective than the big firms, so hopefully that will resonate as well.

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The day was also full of booth visits. I thoroughly enjoyed my visit at PointClick Care #3454. Their rep, Tasha, is an emergency department nurse who clearly gets it as far as understanding how their solution can play a role in healthcare. The demo data they were using sent me right back to the days when I was working in the ER. She also was able to banter back and forth with my physician colleague even though we took her well off script, which is refreshing to see. Their demo data was great with a realistic portrayal of the patient journey, rather than a sanitized one, and I was glad to see their level of detail. It’s a slick solution to help clinicians understand where their patients might be seeking care other than with them. If you’re in the market for a tool that can bridge across disparate EHRs and other data sources to help you get a single picture of the patient, it’s worth a look.

If you’re less interested in tracking your patients outside of the hospital and more interested in knowing where they are within your brick and mortar establishment, I enjoyed learning about Kontakt.io #2250. They have what I can only describe as an RTLS on steroids, with the ability to track patients, staff, equipment, or any other assets using a variety of disposable or durable sensors. It made me reminisce about my days performing hospital rounds, when you could never guarantee the patient would be in their room and sometimes had to go back multiple times during the day to try to find them. The idea of using AI to take that RTLS data and do things like creating intelligent rounding lists has huge potential. Props also to the booth team that was clear, concise, and hospitable as they invited us to step out of the aisle and onto their plus carpet, which was much appreciated since we were well into a long day.

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The footwear game was strong in the exhibit hall. I was envious of these animal print kicks.

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Lightbeam Health had new corporate hosiery.

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Relatient snuck in with a sharp shoe/sock combo.

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Ultimately, however, the team from IMO won the day with this amazing entry.

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I was happy to see sponsor CTG showing off their HIStalk credentials.

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I found a corner of the exhibit hall that had edgier clinical solutions than I’m used to seeing at HIMSS. I declined the offer to stand barefoot on the body water analysis sensors even though they were being wiped down between patrons.

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This vibrating light therapy cocoon was enticing, but I again took a pass.

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Dr. Nick van Terheyden @drNic1 was brave and took the plunge in a red light therapy bed. He and I had a great time strolling through the booths looking at things like smart medication boxes to better enable remote patient monitoring, and of course, all things AI.

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We were both impressed by the rep from Lightit.io, who engaged us and drew us into a conversation. It’s good to see sales pros on the floor. I liked their kicky luggage tags, which was the only piece of swag I picked up today.

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The best booth of the day, however, was this one that was populated only by a screaming fax machine. It was attention-grabbing and nostalgic at the same time.

The day ended with some in-booth happy hours, and after that, I was ready for rest. Hopefully the rest of the trip to HIMSS will be as productive as Tuesday was.

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Morning Headlines 3/5/25

March 4, 2025 Headlines Comments Off on Morning Headlines 3/5/25

23andMe rejects CEO’s second take-private offer

The board of 23andMe rejects the take-private proposal of CEO Anne Wojcicki, who had reduced her proposed price from last month by 84%.

Ntracts Acquires Compliatric, Expands Capability to Support Administrative Compliance Needs in Healthcare

Ntracts, a healthcare contract lifecycle management company based in Tennessee, acquires healthcare regulatory, accreditation, and compliance management technology vendor Compliatric.

Bluebird Kids Health Raises $31.5M to Transform Value-based Pediatric Care

Tech-enabled pediatric practice Bluebird Kids Health (FL) announces $31.5 million in new funding.

Familiar face in the tech policy office

HHS/ASTP appoints Steven Posnack, MS, MHS as acting head of ASTP/ONC.

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News 3/5/25

March 4, 2025 News Comments Off on News 3/5/25

Top News

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Clearlake Capital acquires a majority stake in specialty-focused health IT vendor ModMed from Warburg Pincus in a deal that values the company at $5.3 billion.

Warburg Pincus first invested in ModMed eight years ago and considered selling its stake in 2022, the same year in which the vendor paid $45 million to settle a 2017 whistleblower lawsuit.


Reader Comments

From Joyful Noise: “Re: HIMSS25. Hal Wolf reports 28,600 in attendance, 11,000 of them non-vendors.”

From Dr. Anton Phibes: “Re: health stations. Here we go again. Is anybody making money off these or improve patient access or care?” Predictmedix AI launches Smart Health AI Stations for the US market, hiring an outside marketing firm to sell devices that don’t yet exist while hoping to generate interest in demos of the 10 units it apparently hasn’t yet built (thus no photos, even a mock-up). The company seems too busy to post product details — or even its own press release — on its website. Its marketing partner, best known for car fleet management, has also dabbled in COVID-19 disinfection tech and pharmacogenomic testing for seniors. The market has repeatedly expressed its lack of interest in these health telephone booths, even when sold by companies with far better odds than this one.

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From No HIMSS For Me: “Re: HIMSS25. The federal government has cancelled all travel, and by extension, participation in HIMSS. This follows the abrupt ‘retirement’ of the DHA director that was announced the same day.” Army Lt. Gen. Telita Crosland, MD, MPH, MS, the top official in the Defense Health Agency, retired (reportedly not voluntarily) after 32 years in Army Medicine. She oversaw the MHS Genesis rollout.


HIStalk Announcements and Requests

Please take a couple of minutes to fill out my anonymous HIStalk Reader Survey. It’s the only way I can understand my audience, plus I always get good content ideas from the ideas of respondents.

Get in touch: become a sponsor, receive email updates, or contact Mr. H.


Sponsored Events and Resources

Live Webinar: March 20 (Thursday) noon ET. “Enhancing Patient Experience: Digital Accessibility Legal Requirements in Healthcare.” Sponsor: TPGi. Presenters: Mark Miller, director of sales, TPGi; David Sloan, PhD, MSc, chief accessibility officer, TPGi; Kristina Launey, JD, labor and employment litigation and counseling partner, Seyfarth Shaw LLP. For patients with disabilities, inaccessible technology can mean the difference between timely, effective care and unmet healthcare needs. This could include accessible patient portals, telehealth services, and payment platforms. Despite a new presidential administration, requirements for Section 1557 of the Affordable Care Act (ACA) have not changed. While enforcement may unclear moving forward, healthcare organizations still have an obligation to their patients for digital accessibility. In our webinar session, TPGi’s accessibility experts and Seyfarth Shaw’s legal professionals will help you understand ACA Section 1557 requirements, its future under the Trump administration, and offer strategies to help you create inclusive experiences.

Live Webinar: March 27 (Thursday) noon ET. “How to Improve Clinical Workflows with AI Chart Summaries and Risk Predictions.” Sponsor: Health Data Analytics Institute. Presenter Scott Cullen, MD, senior advisor, Health Data Analytics Institute. Learn how the EHR-embedded HDAIAssist tool is transforming the ability of clinicians to pull insights out the mountains of data that have accumulated in the EHR, quickly, accurately, and cost-effectively. HDAlAssist, which is part of HealthVision, the intelligent health management system, combines AI chart summaries and granular risk predictions to quickly inform care planning decisions, especially for the most complex, high-risk patients.

Contact Lorre to have your resource listed.


Acquisitions, Funding, Business, and Stock

The board of 23andMe rejects the take-private proposal of CEO Anne Wojcicki, who had reduced her proposed price from last month by 84%. Shares dropped hard on the news,taking the company’s market cap down to $37 million.

CareCloud acquires Mesa Billing as it restarts its acquisition strategy for aggressive expansion.


Sales

  • Summa Health (OH) will adopt Clearsense’s 1Clearsense data-enablement platform.
  • League will add longitudinal patient data from Arcadia to its healthcare consumer experience platform.
  • Signature Healthcare (MA) selects Health Catalyst’s Ignite data and analytics software.
  • LucidHealth (OH) will replace its legacy PACS system with Visage Imaging’s Visage 7 Enterprise Imaging Platform.
  • Suki will incorporate Wolters Kluwer Health’s UpToDate clinical decision support capabilities into its ambient clinical documentation assistant.
  • Emory Healthcare chooses Atropos Health to generate evidence from real-world data.

People

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Ellkay promotes President Ajay Kapare, MBA to the additional role of CEO.

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Volpara Health Chief Customer and Financial Officer Craig Hadfield will become CEO April 1.

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Dan Zamansky, MBA (Amazon) joins Amwell as chief product and technology officer.

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EHealth Technologies names Ken Wolf as chief commercial officer.

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DirectTrust names Lisa Nelson, MS, MBA (ADVault) chief technical officer.

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Inovalon names Adam Kansler, JD (S&P Global) CEO.

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HHS/ASTP appoints Steven Posnack, MS, MHS as acting head of ASTP/ONC.

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Augusta Health (VA) promotes Leigh Williams, MHIIM to VP/CIO.


Announcements and Implementations

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Beginning next week, NYU Langone Health patients will be able to verify their identity upon check-in using Amazon One palm-scanning technology integrated with the hospital’s Epic software. The health system is the first healthcare organization to deploy the technology. It plans to implement the feature across its facilities by the end of the year.

Harmony Healthcare IT announces GA of ClearWay, an AI-based solution that automates the abstraction and submission of clinical registry data.

Microsoft launches Microsoft Dragon Copilot, a clinical workflow assistant that combines the capabilities of Dragon Medical One and DAX Copilot. Capabilities include ambient note creation, AI-powered medical information searches, and automation of tasks such as referral letters and after-visit summaries.

Stryker announces a badge communication device for care team members. The company acquired Vocera for $3 billion in early 2022.

Emory Healthcare (GA) pilots Atropos Health’s evidence-generation platform as part of a new clinical decision-making tool.

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AvaSure launches Virtual Care Assistant, which receives and routes inpatient requests for assistance.

Cisco will integrate Webex Contact Center with Epic.

InterSystems launches IntelliCare, which brings AI capabilities to its TrakCare EHR that is sold outside the US.


Government and Politics

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The Advanced Research Projects Agency-Health (ARPA-H) selects Planned Systems International to support the design of a new electric vehicle-based care delivery platform that incorporate networked medical devices and virtual care capabilities to improve healthcare access for rural patients.


Sponsor Updates

  • Waystar launches Auth Accelerate to automate the authorization submission process.
  • CliniComp wins a Platinum Pinnacle Award in the trailblazer in healthcare technology category.
  • Meditech introduces new intelligent workflows to its Traverse Exchange interoperability network.
  • A new FinThrive survey highlights the top three actions that healthcare organizations are taking in light of an escalation in industry cyberattacks.
  • Symplr launches its SymplrAI Evidence Analysis chatbot as a part of its new Operations Platform.
  • Frost & Sullivan honors DrFirst with its Enabling Technology Leadership Award.
  • Meditech collaborates with Google Cloud to bring the latest advancements in multimodal AI to its Expanse EHR.
  • Surescripts publishes its “2024 Annual Impact Report,” noting that it exchanged patient clinical and benefit information 27.2 billion times, a 14.2% increase over the prior year.
  • Capital Rx releases a new episode of “The Astonishing Healthcare Podcast” titled “Medicare Star Ratings: Updates, How Judi Helps, and More, with Angela Kalantarova, PharmD.”
  • Philips Capsule Surveillance wins a User Experience Design – IF Design Award.
  • Clearwater will sponsor McDermott Will & Emery’s HPE Miami 2025 March 5-6.
  • CloudWave announces it is using Google Security Operations to enhance its managed Cybersecurity as a Service and Medical Device Security offerings.
  • Elsevier announces enhancements to ClinicalKey AI clinical decision support solution, including new integrations with Epic and DrFirst’s IPrescribe software.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
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Follow on X, Bluesky, and LinkedIn.
Contact us.

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From HIMSS with Dr. Jayne 3/3/25

March 4, 2025 Dr. Jayne Comments Off on From HIMSS with Dr. Jayne 3/3/25

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It was a chilly opening day at HIMSS, punctuated by high winds and a splash or two of rain. The check-in process was smooth for those of us who had our barcodes at the ready. This year’s conference bag is definitely on the smaller side, with my hand model noting that it would probably make a good lunch bag.

Temperatures were in the low 60s, and people were fairly bundled up for the outdoor opening reception. HIMSS is under new management and the opening event wasn’t its finest effort from a food and beverage standpoint. Offerings were minimal (sliders, spring rolls, hummus cups with vegetables that weren’t long enough to scoop the hummus) and ran out early. Napkins and utensils were nonexistent.

Lines were long and the buffets frequently ran out of food, waiting for staff to bring more trays. Having worked as a “cater waiter” in a past life, it’s easier to work an indoor conference space because there are usually access hallways that let you replenish food from multiple points. In this arrangement, staff had to wade through the crowds to bring food to the buffets and could only do so from one side of the venue.

The entertainment consisted of circus-type acts and a band, which was good but so loud you couldn’t have any kind of sustained conversation despite the outdoor location. The hula hooping dancer was good, as was the performer in the mirrored suit balancing on a giant ball that he rolled throughout the venue.

As the evening unfolded, it became apparent that there weren’t enough trash receptacles or bus trays for people to drop off their plates, so they were piling them up underneath serving tables and on lighting stanchions. It felt more like a trip to the ballpark than a professional networking event. It’s a good thing the entertainment was solid because that distracted people from the fact that the food serving tables were broken down before the reception was even over.

Overall, I give the event space (which was basically a large concrete patio adjacent to the High Roller observation wheel) a B-minus and the food and beverage a solid C.

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A reader shared this pic from inside the exhibit hall during setup. It looks like Epic’s iconic hanging butterfly artworks travel in style. I’ve been backstage at other trade shows but never at HIMSS, and from what I understand it’s a mammoth effort to get it all together. Can’t wait to see it in person tomorrow!

Email Dr. Jayne.

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Morning Headlines 3/4/25

March 3, 2025 Headlines Comments Off on Morning Headlines 3/4/25

CareCloud Reignites Acquisition Strategy with MesaBilling Acquisition

Ambulatory health IT vendor CareCloud acquires MesaBilling as part of a renewed acquisition push.

Amazon One introduced at NYU Langone Health facilities to improve check-in for its millions of patients

NYU Langone Health patients will soon be able to check in using Amazon One palm scanning technology integrated with the hospital’s Epic system.

Accelerating Rural Access to Distributed and InteGrated Medical Care (PARADIGM) program to Develop Revolutionary Mobile Healthcare Solution

The Advanced Research Projects Agency-Health selects Planned Systems International to support the design of a new mobile care delivery platform incorporating networked medical devices and virtual care capabilities to improve healthcare access for rural patients.

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Curbside Consult with Dr. Jayne 3/3/25

March 3, 2025 Dr. Jayne 3 Comments

One of my areas of focus this year is trying to be more mindful of the time that I spend online. It has been a challenging goal, because as a healthcare IT consultant, staying up to date on the industry is a major part of my job.

With that in mind, it’s more about using resources effectively and not being sucked into clickbait headlines or stories that aren’t going to somehow contribute to projects that I’m working on or knowledge I need to obtain. I spend a great deal of time following developments in AI since that’s a key topic for my clients. Still, it’s hard to keep up on everything even with search alerts and my own AI tools in support of those efforts.

I’ll admit I missed the introduction of HR 238, the Healthy Technology Act of 2025 that was introduced at the beginning of January. The bill was referred to the House Committee on Energy and Commerce, and if passed, it would amend the Food, Drug and Cosmetic Act to pave the way for artificial intelligence solutions to serve as practitioners, prescribing medications as long as states authorize the practice and it is approved by the US Food and Drug Administration.

Although there are AI solutions out there that are looking at delivering diagnosis information based on a clinical picture, and those that can suggest appropriate prescriptions based on drug data, I haven’t seen anything that pulls it all together in a cohesive fashion even at a base level. I definitely haven’t seen anything that also pulls in data on drug pricing, patient values, habits, and preferences, or any of the other dozen or so things that physicians regularly consider when we’re deciding which potential treatments to discuss with our patients.

Even if we had great AI tools that could cut through all of the data and noise that are out there, there’s also the human element of creating a therapeutic alliance with a patient and understanding how various comorbid conditions might impact a treatment that we’re suggesting.

Let’s take a simple example, like recommending that a woman over a certain age gets a certain amount of calcium every day. That’s a very simple recommendation that most EHRs can prompt us to do based on simple rules. First we need to assess the patient and determine if they’re already at goal, which may require teaching them about calcium in their diet and how to track it, plus motivating them to do so. If you have a motivated patient, they might track it for a week or two, but most tend to taper off.

Now let’s think about a patient who isn’t motivated to be concerned about their calcium intake. Maybe it’s a patient who is grappling with depression, anxiety, or worries that they’re going to lose their job. They might also have other health issues that are higher priority, such as the need to follow up on an abnormal cervical cancer screening test or to address high blood pressure that puts them at risk for heart disease. Add in the fact that they have a high-deductible insurance plan with crummy coverage that makes it difficult for them to afford the care they need and you have a recipe for a low likelihood to actually drive a change with that patient.

These are the situations that AI really isn’t equipped to address and that make up a good part of what many of us consider the “art” part of practicing medicine. Another important element of clinical care is managing the next steps after a recommendation fails.

Let’s take our calcium recommendation as our example again. Assuming we have a motivated patient who has tracked her diet, figured out she needs a supplement, and buys one after asking friends for recommendations. After a week of trying it, she’s having daily nausea and wants to talk to someone about strategies to either make it more tolerable for her to take the supplement or about recommendations for a different supplement. Is AI going to be ready to field those follow up questions, or will it be one more thing for a busy primary care physician to follow up on, but this time without the benefit of context and conversation at the time the medication was initially prescribed, like we have now?

Of course, this is just a very simple example, involving an over-the-counter dietary supplement and not even a prescription medication, but if we don’t have solutions that can handle straightforward clinical scenarios, we’re certainly not ready to be discussing actual prescriptive authority.

If we think that there is a shortage of people who can prescribe, there are other options out there that have good data behind them, such as expanded prescriptive authority for pharmacists who are managing specific conditions that range from smoking cessation to anticoagulation management. It’s tempting to just throw AI solutions at problems when we forget that there are already options that we haven’t taken advantage of, which helps remind us that we’re all likely suffering a bit from so-called “shiny object syndrome.” Not to mention that when one has a hammer, everything tends to look like a nail. Similarly, when people are dumping millions into AI solutions, it’s tempting to try to deploy them in places they don’t belong.

As for this particular bill, I don’t personally see it going anywhere anytime soon, based on some of the other priorities in government at the moment.

Speaking of priorities, I’m making my last-minute plans for HIMSS and trying to decide what makes the cut for my packing list, since temperatures are looking a little cooler than I had hoped. Still, it will be better than the freezing weather we’ve had in the Midwest for the last several weeks, so I’ll take the mid-40s to mid-60s any day. I’m looking forward to getting some much-needed sunshine (albeit through the screen of my usual SPF 50) as well as being out and about during the day rather than having to stay close to my desk for meetings and calls. I can’t wait to see my favorite HIMSS booth crawl buddies and to see what the wild and wacky world of healthcare IT has to offer us this year.

What are you looking forward to at HIMSS? Or are you happy to be at home while others brave the smoky casinos and hustlers handing out stripper cards? Leave a comment or email me.

Email Dr. Jayne.

Readers Write: From “Make It Work” to “It Actually Works”: App Rationalization as a Bridge to the Technologies of Tomorrow

March 3, 2025 Readers Write Comments Off on Readers Write: From “Make It Work” to “It Actually Works”: App Rationalization as a Bridge to the Technologies of Tomorrow

From “Make It Work” to “It Actually Works”: App Rationalization as a Bridge to the Technologies of Tomorrow
By  Wes Gattis, RN

Wes Gattis, RN is director of health informatics solutions at Cordea Consulting.

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Healthcare IT has long been a patchwork of legacy systems, quick fixes, and digital duct tape. Over time, hospitals and health systems accumulate an overwhelming number of applications, each added with the best intentions but rarely assessed holistically. The result? Bloated tech stacks, hidden security risks, and skyrocketing maintenance costs.

App rationalization isn’t just a cleanup exercise. It’s a strategic approach to aligning IT investments with healthcare organizations’ business and clinical goals. By evaluating, consolidating, and modernizing applications, CIOs can unlock efficiencies, enhance security, and redirect budgets toward innovation.

Why App Rationalization Matters in Healthcare

Hospitals and health systems often inherit an unwieldy IT environment through years of incremental purchases, mergers, and regulatory shifts. This creates significant challenges:

  •  Excessive IT costs. Licensing, maintenance, and support costs add up quickly when hospitals run redundant or outdated applications.
  • Cybersecurity risks. Legacy systems often lack modern security protocols, making them prime targets for ransomware and data breaches.
  • Operational inefficiencies. Poorly integrated applications lead to fragmented workflows, duplicated efforts, and user frustration.
  • Lack of interoperability. When systems can’t communicate, it hinders data sharing and coordinated patient care.
  • Regulatory compliance risks. Outdated applications may not comply with evolving HIPAA, CMS, and ONC requirements.

App rationalization addresses these pain points by eliminating redundancy, improving system performance, and ensuring that T investments align with clinical and operational priorities.

Key Benefits of App Rationalization

Hospitals and health systems can realize several critical advantages through a five-step structured app rationalization effort:

  • Cost savings. Reducing redundant applications lowers licensing fees, support costs, and infrastructure expenses.
  • Improved performance. Optimized IT environments improve response times, uptime, and overall system reliability.
  • Stronger security and compliance. Eliminating obsolete applications minimizes vulnerabilities and enhances regulatory adherence.
  • Better user experience. Clinicians and administrative staff benefit from streamlined workflows, reducing frustration and inefficiencies.
  • Scalability and innovation. Freeing up budget and IT resources allows organizations to invest in forward-looking initiatives such as AI, cloud computing, and population health analytics.

A Step-by-Step Guide to App Rationalization

A successful app rationalization effort follows a structured approach:

  1. Inventory and categorize applications. Start by creating a comprehensive inventory of all applications used across the organization. Document key details such as application owner, user base, licensing costs, usage frequency, and integration dependencies.
  2. Assess business and clinical value. Evaluate each application based on its contribution to clinical workflows, operational efficiency, and alignment with organizational goals. Rank applications using a simple framework. Keep high-value applications that are essential to operations. Replace outdated but necessary applications requiring upgrades. Consolidate redundant applications that can be merged. Retire obsolete applications that no longer provide value.
  3. Analyze costs and security risks. Perform a total cost of ownership (TCO) analysis, factoring in licensing, maintenance, and infrastructure costs. Assess security risks that are associated with legacy applications, especially those that are no longer receiving vendor support.
  4. Develop a future state architecture. Map out a streamlined IT environment that eliminates redundancies, enhances interoperability, and aligns with strategic objectives. Establish technology standards, cloud strategies, and integration frameworks.
  5. Implement and optimize. Execute the rationalization plan in phases to minimize disruption. Prioritize applications that pose the highest security risks or yield the greatest cost savings. Continuously monitor system performance and user satisfaction.

Best Practices for App Rationalization Success

App rationalization best practices include:

  • Engage key stakeholders early. Seek input from clinicians, administrators, and IT leaders to ensure that rationalization efforts support real-world workflows.
  • Leverage data-driven decision-making. Use analytics to assess application utilization, costs, and user feedback.
  • Prioritize interoperability. Ensure that remaining applications integrate seamlessly to support coordinated care and data exchange.
  • Review regularly. Reassess the IT environment at least annually to prevent future system bloat and inefficiencies.

A Special Note About Organizational Change Management

Organizational change management (OCM) is often overlooked in an application rationalization effort, but its impact on the effort’s success can’t be overstated. A well-planned OCM strategy ensures that key stakeholders, from IT teams to clinicians and administrative staff, are engaged from the outset, understand the rationale behind changes, and receive necessary support throughout the transition.

Resistance to change is a major hurdle in any IT initiative, and proactive communication, training, and leadership alignment are essential to overcoming it. By embedding OCM practices early in the process, organizations can increase adoption, minimize disruptions, and maximize the benefits of their rationalization efforts.

Moving Forward: Beyond “Make It Work”

Healthcare IT can no longer afford to operate under the “just make it work” mentality. The shift toward value-based care, digital transformation, and patient-centric models requires IT environments that are lean, secure, and adaptable.

Through application rationalization, hospitals and health systems can shed unnecessary complexity, enhance security, and redirect valuable resources toward technologies that drive better patient outcomes. It’s time to build IT ecosystems that actually work.

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Morning Headlines 3/3/25

March 2, 2025 Headlines Comments Off on Morning Headlines 3/3/25

Clearlake to buy majority stake in ModMed that values it at $5.3bn

Clearlake Capital is reportedly preparing to acquire specialty-focused health IT vendor ModMed from Warburg Pincus.

Minister Carroll MacNeill launches the new HSE Health App

Ireland’s Health Service Executive launches a health app that allows patients to maintain a medical list, store health-related ID cards, access vaccination records, and search for HSE services.

The next chapter: Moving from Skype to Microsoft Teams

Microsoft encourages Skype users to transition to Microsoft Teams before it retires the video call application in May.

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Monday Morning Update 3/3/25

March 2, 2025 News 7 Comments

Top News

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Ireland’s Health Service Executive launches a health app that allows patients maintain a medical list, store health-related ID cards, access vaccination records, and search for HSE services.

Planned enhancements for this year include appointment scheduling and checking referrals and wait times.


HIStalk Announcements and Requests

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The majority of poll respondents say that prescribers, regardless of the terms under which they earn a telehealth paycheck, are most to blame for irresponsible prescribing. I’m finishing the Pulitzer-winning novel “Demon Copperhead” and its depiction of opioid overprescribing and harm in Appalachia – not to mention that of the foster care system – supports the “people suck” argument.

New poll to your right or here: Which of the following items did you earn after age 35 that has been most valuable in your career? It’s perfectly fine to choose the “N/A” option if you didn’t earn one of the listed choices. I’ll run a variation next week titled, “Which of your credentials has provided the least career benefit relative to the time and effort required?”

It’s HIMSS25 week, where the official tagline of “where visionaries unite to revolutionize healthcare” translates to “I would stay home if it wasn’t for the parties and personal networking that my employer pays for;” AI will once again fix everything; and meaningful improvements in cost and outcomes are, like “free beer tomorrow,” always a year away. Attendees, half of whom will be hosting or guesting in a podcast or video, will see highs in the low 60s, lows in the mid-40s, and zero rain (because, desert). Peruse my guide for HIStalk sponsor presentations, parties, and private meeting options. Last year’s event pulled in 26,800 registrants and 971 exhibitors, and my rough exhibitor count for HIMSS25 is 940. I wish you safe travels and achievement of whatever HIMSS25 goals you are pursuing.

Expect a minimal dribble of news items Monday (and now, in fact) as vendors sit on their announcements until the HIMSS exhibit hall opens on Tuesday.


Sponsored Events and Resources

Live Webinar: March 4 (Tuesday) noon ET. “Securing a competitive edge in value-based care with AI: Data-driven strategies for enhancing returns across MA, ACO and Commercial programs.” Sponsors: Navina, AMGA. Presenters: Dana McCalley, MBA, VP of value-based care, Navina; Ron Rockwood, executive director of value-based care, Jefferson City Medical Group; Jonathan Meyers, CEO, Seldon Health Advisors. As value-based care models evolve, healthcare organizations must leverage AI to stay competitive and drive better financial and clinical outcomes. This webinar offers data-driven strategies for improving risk adjustment accuracy, optimizing risk stratification, and streamlining clinical and administrative workflows. You’ll walk away with proven techniques for measuring and quantifying the impact of your value-based care initiatives across your organization

Live Webinar: March 20 (Thursday) noon ET. “Enhancing Patient Experience: Digital Accessibility Legal Requirements in Healthcare.” Sponsor: TPGi. Presenters: Mark Miller, director of sales, TPGi; David Sloan, PhD, MSc, chief accessibility officer, TPGi; Kristina Launey, JD, labor and employment litigation and counseling partner, Seyfarth Shaw LLP. For patients with disabilities, inaccessible technology can mean the difference between timely, effective care and unmet healthcare needs. This could include accessible patient portals, telehealth services, and payment platforms. Despite a new presidential administration, requirements for Section 1557 of the Affordable Care Act (ACA) have not changed. While enforcement may unclear moving forward, healthcare organizations still have an obligation to their patients for digital accessibility. In our webinar session, TPGi’s accessibility experts and Seyfarth Shaw’s legal professionals will help you understand ACA Section 1557 requirements, its future under the Trump administration, and offer strategies to help you create inclusive experiences.

Contact Lorre to have your resource listed.


Acquisitions, Funding, Business, and Stock

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Microsoft will retire Skype in May. Skype users can log in to Microsoft Teams for free using their Skype login, which will import their Skype chats and contacts. Skype usage peaked in 2016 with 300 million users, but 90% of those have since moved on. Hopefully the Teams switchover will be smooth for any remaining providers who have been using Skype to deliver virtual visits.


Sales

  • AdventHealth will implement Hellocare.ai for in-room virtual care.
  • Alaska Behavioral Health chooses Netsmart CareFabric and will adopt its Bells AI ambient documentation solution.

People

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Jackson Hospital and Clinic (AL), which filed Chapter 11 bankruptcy last week, names Maureen Gaffney , DHSc, MS, RN (Gaffney Consulting Group) as CIO.

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SureTest promotes Phillip Furukawa to chief revenue officer.


Announcements and Implementations

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Epic will hold a one-day Open@Epic conference on its Verona campus on September 25. Anyone who wants to connect an app or service to Epic is invited. Sessions will cover FHIR, standards, and an overview of Epic’s interoperability programs and roadmap.

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HIMSS recognizes Mednition’s KATE AI’s nurse-empowering patient flow solution as “Best in Show” in its hospital capacity innovation challenge.

Preventive health and diagnostics clinic Biograph launches, offering a range of diagnostic and longevity-focused tests. Core members pay $7,500 annually for lipid testing, body composition analysis, hereditary screenings, and neurocognitive assessments. The $15,000 Black membership adds dementia risk assessment, sleep apnea screening, coronary angiography, and personalized exercise and nutrition coaching.

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Salesforce announces pre-built healthcare AI agents that include provider search and scheduling, care coordination, benefits verification, and customer service.


Privacy and Security

Canada’s Island Health is investigating an hour-long outage of its Oracle Health-hosted EHR on Tuesday. Oracle Health was recently named in a leaked chat log of a Russian ransomware hacker group.


Other

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Hospital ED doctors tell a San Francisco man who had been in a biking accident that he needs to be checked out by a trauma center, which requires a six-mile ambulance ride. Trauma doctors found no need for further treatment and sent him home. He was billed $13,000 for the out-of-network ride from AMR, which is owned by a private equity-backed parent company that runs ambulance, fire, and air transport services. Complaints and media attention led to his share of the cost being waived, but the article notes that the federal No Surprises Act excludes ground ambulances.


Sponsor Updates

  • Inovalon announces that its Patient Payment Management and Patient Statement Management solutions are now available on the PointClickCare Marketplace.
  • Nym becomes a sponsor of the Tennessee Health Information Management Association.
  • Optimum Healthcare IT expands its CareerPath program into Canada.
  • Redox releases a new episode of its “Shut the Back Door” podcast titled “The final logoff: Streamlining secure departures.”
  • Rhapsody secures HITRUST e1 certification.
  • TrustCommerce, a Sphere Company, offers a new e-book, “Why Tokenization is Essential for Protecting Patient Payment Information.”
  • Waystar will exhibit at Experity Urgent Care Connect March 3-6 in Louisville.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Follow on X, Bluesky, and LinkedIn.
Contact us.

Morning Headlines 2/28/25

February 27, 2025 Headlines Comments Off on Morning Headlines 2/28/25

Federal government officials drop out of HIMSS health information conference

Stat reports that federal officials won’t be attending HIMSS25 due to a travel freeze.

Bias Capital Cancels $25 Million Investment in Parker Health Amid Serious Fraud Concerns

Bias Capital cancels its $25 million Series A investment in EHR vendor Parker Health after its due diligence raises concerns of fraud.

As seasoned doctors exit the field, SimCare AI raises $2M to scale clinical training with AI patients

SimCare AI, which creates AI patients for clinician training, raises $2 million in seed funding.

Comments Off on Morning Headlines 2/28/25

News 2/28/25

February 27, 2025 News Comments Off on News 2/28/25

Top News

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A White House executive order requires hospitals to publish their actual prices for 300 shoppable services online. A similar order that was issued by the Trump administration in 2019 has been largely ignored.

The Secretaries of Treasury, Labor, and HHS are tasked with enforcing compliance.

The White House projects up to $80 billion in healthcare savings and cites a report that suggests that price transparency could lower employer costs by 27% for 500 common healthcare services.


HIStalk Announcements and Requests

Please support HIStalk’s sponsors at HIMSS25 by exploring their activities and connecting with them if you’re interested.

I might be the only person who finds it grating when someone writes “Vegas” instead of the city’s actual name. Maybe they’re from Diego or Angeles. 


Sponsored Events and Resources

Live Webinar: March 4 (Tuesday) noon ET. “Securing a competitive edge in value-based care with AI: Data-driven strategies for enhancing returns across MA, ACO and Commercial programs.” Sponsors: Navina, AMGA. Presenters: Dana McCalley, MBA, VP of value-based care, Navina; Ron Rockwood, executive director of value-based care, Jefferson City Medical Group; Jonathan Meyers, CEO, Seldon Health Advisors. As value-based care models evolve, healthcare organizations must leverage AI to stay competitive and drive better financial and clinical outcomes. This webinar offers data-driven strategies for improving risk adjustment accuracy, optimizing risk stratification, and streamlining clinical and administrative workflows. You’ll walk away with proven techniques for measuring and quantifying the impact of your value-based care initiatives across your organization

Live Webinar: March 20 (Thursday) noon ET. “Enhancing Patient Experience: Digital Accessibility Legal Requirements in Healthcare.” Sponsor: TPGi. Presenters: Mark Miller, director of sales, TPGi; David Sloan, PhD, MSc, chief accessibility officer, TPGi; Kristina Launey, JD, labor and employment litigation and counseling partner, Seyfarth Shaw LLP. For patients with disabilities, inaccessible technology can mean the difference between timely, effective care and unmet healthcare needs. This could include accessible patient portals, telehealth services, and payment platforms. Despite a new presidential administration, requirements for Section 1557 of the Affordable Care Act (ACA) have not changed. While enforcement may unclear moving forward, healthcare organizations still have an obligation to their patients for digital accessibility. In our webinar session, TPGi’s accessibility experts and Seyfarth Shaw’s legal professionals will help you understand ACA Section 1557 requirements, its future under the Trump administration, and offer strategies to help you create inclusive experiences.

Contact Lorre to have your resource listed.


Acquisitions, Funding, Business, and Stock

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Teladoc Health reports Q4 results: revenue down 1%, EPS -$0.28 vs. -$0.17, meeting revenue expectations but missing on earnings. BetterHelp segment revenue dropped 10% year-over-year. Shares plunged Wednesday and Thursday on the results and lowered revenue guidance. TDOC shares are down 38% over the past 12 months, valuing the company at $1.6 billion. From the earnings call:

  • The company added 4 million members and increased visit volumes by 6% in 2024.
  • It will launch technology that will enable external partners to integrate with its data to support longitudinal care.
  • BetterHelp stabilized its number of paying users, but revenue per user declined due to lower international pricing.
  • Health plan sales have slowed due to the upcoming end of Affordable Care Act subsidies, uncertainty about Medicaid expansion, and inflation.
  • Weight management remains a growth driver, but employers are still defining their GLP-1 strategies and working to capture the rebates that typically go to pharmacy benefit managers.
  • BetterHelp is a variable margin business, so revenue growth is key to maintaining economy of scale.

SimCare AI, which creates AI patients for clinician training, raises $2 million in seed funding. Use cases include residency training, practicing social work interventions, and testing job applicants.

Bias Capital cancels its $25 million Series A investment in EHR vendor Parker Health after its due diligence raises concerns of fraud. The investment was announced in July 2023.

A study finds that cancer care quality declined after HCA acquired Mission Health in Asheville, NC. Under HCA, the hospital has faced staffing shortages, inadequate resources, and poor management, leading to service cutbacks. All of its oncologists resigned, the oncology pharmacy closed, and a local oncology group stopped using the hospital for inpatient therapy due to understaffing, lab delays, and a lack of chemotherapy-trained pharmacists. The lead author states, “In the view of many observers, HCA aims to maximize profits while maintaining quality just high enough to avoid legal and regulatory issues and retain business.”


Sales

  • New Mexico Health Care Authority chooses Findhelp for its rollout of a statewide social care closed loop referral system
  • Inova Health selects Abridge for ambient documentation.
  • Sacramento County Department of Health Services will launch Sacramento Health Connect, powered by Innovaccer’s GHAAP.

People

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Wolters Kluwer Health CEO Stacey Caywood, MBA will succeed Wolters Kluwer CEO Nancy McKinstry when she retires in February 2026. The health division provides software and information solutions as part of its $6 billion parent.

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Medlogix hires Alan Horton as chief growth officer.

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Connexall names interim CEO Sandy Saggar to the permanent position.

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Karen Thomas-Smith (Parata Systems) joins Arcadia as chief marketing officer.


Announcements and Implementations

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CliniComp introduces Intrinsic AI, which adds clinician-centric workflow tools to its cloud-based New Era EHR solution suite.

Meditech announces the Expanse Outreach Portal, which enables hospitals to connect with nursing homes, urgent care centers, and medical practices that use the hospital’s lab service.

MassHealth launches a statewide solution to expedite psychiatric inpatient admissions using PointClickCare’s platform.

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Inbox Health launches a support service that it says resolves 90% of patient billing inquiries with a 95% satisfaction rate.

China-based Ping An Good Doctor will provide 24×7 health consultations using an AI-driven digital avatars. Its Renowned Doctor AI Medical Assistant was trained on the company’s own medical databases, with additional resources and tuning provided by the doctor that the avatar represents. The company says that the tool improves family doctor efficiency by 30%.


Government and Politics

Stat confirms an HIStalk reader’s previous report that federal officials won’t be attending HIMSS25 due to a travel freeze.

The US military successfully tests treating deployed sailors through video virtual visits, although network latency remains a challenge.

The FDA reinstates an unspecified number of employees who oversee medical device safety and AI software just days after their termination under the White House’s DOGE program. Lawmakers and trade groups had warned that the layoffs could create a backlog of medical device reviews and disrupt the medical supply chain. Many of the affected employees were funded by manufacturer fees rather than taxpayer dollars.

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Former VA Secretary David Shulkin, MD calls for a relaunch of the VA’s Oracle Health implementation with these principles:

  • Use the updated software instance.
  • Set clear goals and timelines at each site.
  • Accelerate deployment, as only six of 164 sites are live.
  • Limit change orders, given the 1,800 requests filed in the current instance, as noted in a GAO report.
  • Update the project budget and hold leaders accountable to it.
  • Thoroughly test pharmacy, referral, and behavioral health modules to ensure veteran safety.

In England, a 30-year-old NHS supply chain system that was originally provided by ISoft (now CSC) is found to have caused shipping delays in 2024 due to 35 high-priority computer alerts.

In Canada, Alberta’s health minister is challenged for firing Penny Rae, the CIO of Alberta Health Services amidst a provincial government healthcare restructuring.


Other

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A Nebraska father struggles to get authorities to correct the birth record name of his daughter, to whom a hospital assigned a temporary name of Unakite Thirteen Hotel that was never updated. He learned that he was the father of an abandoned two-year-old girl, gained custody, and named her Caroline. Then he found that her birth record was wrong, she hadn’t been issued a Social Security number, and her birth certificate is unusable because it was stamped “for government use only.”


Sponsor Updates

  • Frederick Health launches precision medicine integration between Meditech’s Expanse Genomics and GenomOncology’s Precision Oncology, which will provide clinicians with enhanced decision support. 
  • Arcadia, Inovalon, InterSystems, Ellkay, Linus Health, MRO, and Navina will exhibit at RISE National 2025 March 11-14 in San Antonio.
  • Black Book Research releases its 2025 rankings of top-rated vendors in population health and value-based care solutions, giving top marks to Elsevier (patient education) and Inovalon (population health reporting, analytics and benchmarking for payers and employers).
  • WellSky drives momentum with new innovations and breakthrough growth in 2024.
  • ServiceNow recognizes Optimum Healthcare IT as its partner of the year.
  • Impact Advisors releases a new episode of the “Impactful AI” podcast, titled “Escaping Pilot Purgatory.”
  • The Medicomp Systems “Tell Me Where It Hurts” podcast features Altera Digital Health VP of Policy and Public Affairs Leigh Burchell.

Blog Posts


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Follow on X, Bluesky, and LinkedIn.
Contact us.

Comments Off on News 2/28/25

EPtalk by Dr. Jayne 2/27/25

February 27, 2025 Dr. Jayne Comments Off on EPtalk by Dr. Jayne 2/27/25

A purple rectangle with white text

AI-generated content may be incorrect. 

I’m deep into my HIMSS prep this week, figuring out what vendors I need to visit and of course which booths will be having the best happy hour offerings. I was excited to see that my friends at Edifecs will be running their #WhatIRun campaign again this year. The initiative highlights all the things that women “run” in the world, whether it’s meetings, departments, companies, projects, or carpools.

Especially for those of us in healthcare IT, it’s important to remember that women play a role in 80% of all healthcare decisions made, but only fill 19% of C-suite roles in healthcare IT organizations. If you’re at HIMSS, stop by and see them in booth 2451. If you’re not able to attend, share your story with the #WhatIRun hashtag and Edifecs will donate $1 to the brightpink.org in efforts to focus on women’s health.

I also downloaded the HIMSS app today after receiving notifications via email about people who were messaging me through the HIMSS platform. I get what they’re trying to do with their one-stop shop for communications, but it’s annoying. I don’t have time to keep up with appointments coming in through email, text, and now from the HIMSS app. I wish that colleagues would just stick with whatever usual method we use to communicate if they want to reach out about a HIMSS meeting. I live and die by my Outlook calendar, which is the single source of truth for where my body needs to be and what my mind needs to be doing at any given time.

I was interested to see that the HIMSS opening reception is being hosted at an outdoor venue this year. Although hopefully it will make for easier chatting than the traditional “try to yell over the music and entertainment in a cavernous ballroom” experience, the forecast for Monday is looking cloudy and cool. Temperatures for the rest of the event will runn mid-40s to mid-60s for us Fahrenheit-using folks.

Other than including comfortable but sparkly shoes that I’ve had picked out for weeks, I have no idea what I plan to pack. A fair number of my customers have adopted the low-key tech wardrobe with jeans, sneakers, and fleeces or other jackets. Several still tend to wear full business dress. We will have to see what inspiration the closet and the forecast give me. I think nostalgically about the days in my past life when I could just wear scrubs and running shoes every single day and no one batted an eye.

I’m still digging through the lists of sessions and presentations to figure out where I’ll be spending most of my time. I’ve long complained about the length of the lead time for HIMSS educational presentations, which results in the risk that content is outdated before it ever gets presented. I’ve identified quite a few good sessions to add to my list, but unfortunately, it seems like there are several good ones that are scheduled at the same time and then long gaps without anything in which I am particularly interested. I bought the cheapest badge this year so I won’t be getting the on-demand versions, but in the past, the quality has been low so it seemed like the right decision at the time.

Pet peeve of the week: One of my consulting clients asked me to sit in on a vendor demo this week as they begin the process to solve a pesky business problem. We were minutes into the demo when the sales rep bungled a couple of industry terms and company names. Rule of thumb: if you’re going to name drop, make sure you know how to pronounce the names of companies and products that you’re citing. If you’re going to use clinical terminology, make sure you are able to pronounce the words. Appearing as if you don’t know what you’re talking about is one of the fastest ways to lose credibility during a pitch. There are plenty of references out on the interwebs to help you learn how to pronounce pesky words. And for company names – if you’re in doubt, pronounce it the way the CEO says it. YouTube is your friend here.

A table with books on it

AI-generated content may be incorrect.

A friend of mine who knows I’m a clinical informaticist but also knows I’m a huge fan of reading sent me this interesting piece on the intersection of ChatGPT and literature. It reviews recent work that looked at whether GPT was better at reproducing the style and tone of male authors than female ones, as well as follow up work that looked at other attributes of GPT-generated writings. The authors ultimately looked at 10 well-known 19th-century authors including Jane Austen, Louisa May Alcott, Charles Dickens, Mark Twain, and others. A generative AI tool was asked to create new works in the style of each. The authors noted that prompt writing was somewhat challenging, but were able to move forward. They also identified ways to classify the writings based on sentence length, selected words, and other factors.

Ultimately they were able to develop a model that was 99% accurate in identifying synthetic versus author-created texts. Interestingly, they also found that GPT was surprisingly good at imitating Mark Twain, which a higher proportion of synthetic writings being mischaracterized as authentic. The researchers plan to explore this further in a future phase of the project, but hypothesize that the phenomenon was caused by the fact that there isn’t as much Twain-adjacent material online compared to the other authors. Hopefully my friend will keep an eye out for the future research since it’s nearly impossible to keep up with everything going on in the world of GPT.

I recently completed a series of novels that seemed to have a break in the middle where it felt like a ghostwriter stepped in and the editors were AWOL. Characters changed names, plot elements morphed, and there was a lot of confusion. Was it GPT or just sloppy writing and editing? I wasn’t the only one who noticed the change, based on some online review sites. We may never know, but the idea of GPT did cross my mind.

Would you want to read a GPT-created novel in the style of one of your favorite writers? If so, what writer would be on the top of your list? Leave a comment or email me.

Email Dr. Jayne.

Comments Off on EPtalk by Dr. Jayne 2/27/25

Morning Headlines 2/27/25

February 26, 2025 Headlines Comments Off on Morning Headlines 2/27/25

These engineers raised $8.1 million for a new healthcare AI startup after OpenAI acquired their last company. See the 11-slide pitch deck they used.

Charta Health, which offers a product that uses AI to automate patient chart reviews to find missed billing codes, raises $8.1 million in seed funding.

Teladoc shares tumble on wider-than-expected loss, disappointing revenue guidance

Teladoc Health shares drop on the news of dips in Q4 and full-year revenue, attributable in part to the company’s poorly performing BetterHelp business.

Defense Health Network-National Capital Region and U.S. Navy Conduct Milestone Virtual Health Test Aboard USS Gerald R. Ford

The Defense Health Network-National Capital Region, Navy Medicine, and Medweb successfully test their ability to conduct a virtual medical consultation between a patient aboard the docked USS Gerald R. Ford and Walter Reed National Military Medical Center.

Comments Off on Morning Headlines 2/27/25

Healthcare AI News 2/26/25

February 26, 2025 Healthcare AI News Comments Off on Healthcare AI News 2/26/25

News

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OpenAI expands access to its recently released Deep Research tool, which generates in-depth reports, to all paying ChatGPT users. It previously required a Pro-level subscription at $200 per month. The output above comes from my request to compare atrial fibrillation symptom relief and quality-of-life outcomes between cardiac ablation and rate-control drugs. The tool provided a running narrative of insights from 22 reputable sources before compiling a comprehensive report, which took several minutes to generate.

Meanwhile, XAI makes Grok 3 – which has similar DeepSearch agentic search functionality – available for free to all users.

Arizona lawmakers unanimously pass a bill that prohibits insurers from using AI alone to reject claims, deny prior authorization, or make other decisions that require medical judgment. The legislation mandates that insurers assign a clinician to review AI-generated decisions.

A survey of 10,000 people across 20 countries on AI replacing human jobs finds that their top concerns are doctors and judges.

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Amazon adds AI capabilities to Alexa, enabling it to make reservations and appointments, play music, order food or restaurant delivery, and book service providers. A new mobile app allows seamless conversations across Echo devices, the web, and the app. Users can also share documents like schedules, study materials, and emails for reminders, summaries, or actions. Alexa+ costs $19.99 per month but is free for Prime members. Early rollout begins in the coming weeks, with priority given to recent Echo Show models.


Business

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Charta Health, whose founders sold their previous AI company to OpenAI, raises $8.1 million in a seed funding round. Its product uses AI to automate patient chart reviews to find missed billing codes.

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OpenEvidence, which offers a clinical decision support chatbot for providers, announces $75 million in funding at a $1 billion valuation. It recently signed a content agreement with The New England Journal of Medicine.

A physician reviews how Hims uses its MedMatch AI system to drive business:

  • The AI analyzes basic patient data to suggest optimal medications.
  • Physicians can prescribe faster with personalized treatment recommendations and improved outcomes.
  • Patient trends help identify custom or compounded medications that Hims can sell at higher margins than generics, creating a competitive advantage. More than half of Hims patients use personalized medications, distinguishing the company from generic drug sellers.
  • The system can justify selling compounded versions of drugs like GLP-1s for weight loss by recommending doses that vary from commercially available products by more than 10%, which avoids FDA oversight.

Research

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A small study of hospital clinicians finds that use of the DAX Copilot ambient scribe that is integrated tool with the Epic Haiku mobile EHR app was associated with greater efficiency, lower mental burden, and a greater sense of engagement with patients.

Researchers develop a framework for radiologist reading of chest X-rays that follows the gaze of the radiologist, then focuses on the image areas that drew the most attention.


Other

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An AMA physician survey finds that 61% worry that payer use of AI will increase denials of their prior authorization requests. One-third of respondents say that their PA requests are often or always denied, while 82% say that the process at least sometimes forces patients to receive something other than the physician’s preferred treatment.

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Another AMA survey finds that physician use of AI jumped from 38% last year to 66% now. Common use include creating billing and visit notes documentation, creating discharge instructions and progress notes, language translation, and diagnostic support.


Contacts

Mr. H, Lorre, Jenn, Dr. Jayne.
Get HIStalk updates.
Send news or rumors.
Follow on X, Bluesky, and LinkedIn.
Contact us.

Comments Off on Healthcare AI News 2/26/25

Readers Write: Narrow Your Focus: Amplify Your Impact

February 26, 2025 Readers Write 1 Comment

Narrow Your Focus: Amplify Your Impact
By Steve Shihadeh

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

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Recently, we have observed the healthcare technology market and evolving companies that are feeling pressure to be all things to all people by offering broad solutions and application suites. This product approach is tempting in today’s healthcare technology field as health systems lean toward buying from fewer vendors.

Based on recent trade shows and our read of the market, too many companies end up with a murky product strategy and struggle to land a differentiated message. Our clear recommendation is to:

Focus and then focus 10 times harder.

When you look at some of the biggest success stories in our field, they all started with a very narrow problem set and got great at solving it. Here are three relevant examples:

  • Epic’s first application was built to address ambulatory clinic scheduling in large academic medical centers. It was tricky and complicated, but they mastered it and gained credibility with market leaders who then looked to Epic for more.
  • Nvidia saw graphics-based processing as the best trajectory for tackling challenges that had eluded general-purpose computing methods. They were obsessed about how to make their graphics processing units increasingly powerful. Subsequently, Wall Street has anointed them with a massive market cap, and Nvidia has a significant order backlog.
  • The Livongo team did not try to be awesome at 10 things. They focused squarely on helping employers manage a single disease, diabetes. The market rewarded them with a $18 billion buyout.

Where are you trying to excel? If you are looking to solve real healthcare challenges, you need to be completely dialed into your customers’ needs and issues. To use a cliché, what is really keeping your customers up at night and stressing their metrics? Deeply understand a narrow set of their pain points and work obsessively to make their business function better.

For example, be great at connecting payers and providers, or be the best at the back third of the rev cycle, or deliver amazing tools to help radiologists get the full patient care picture of the images they are viewing. Whatever you prioritize, first be fantastic at one important function that solves a key customer priority.

Being magnificent at one thing can solve key challenges, especially for emerging health tech companies:

  • It helps employees, clients and investors get your “why.”
  • Focusing intently on narrow greatness builds a natural moat that defends against competitors and protects your growing business
  • It leads you in the right direction for key product investment decisions.
  • It helps potential buyers secure funding for your solution by giving them superlatives by which to remember you.
  • Concentrating in one area allows you to demonstrate a straightforward ROI.
  • It makes you an attractive partner for other healthcare tech solutions, as you may not be able to go it alone forever.
  • It enables investors to clearly see your path to profits.

Once you are excellent at one thing, options multiply for your company. Become the brand that KLAS and others praise. Then build adjacent apps that amplify your presence and/or make you attractive to potential buyers.

With some buyers looking for suite solutions, our advice might seem contrarian. However, most great companies buck the trend to break through the noise, and there is a lot of noise in the health tech landscape. It ranges from claims of “AI-everywhere” to changing regulatory impacts from the new administration. Our current environment is extremely confusing and distracting to healthcare buyers, and it will take your focus, obsession, and amazing solutions to stand out in the crowd.

Give important stakeholders a reason to understand what you do by going for narrow greatness that will drive dividends down the road.

HIStalk Interviews Stuart McLean, CEO, Nordic Global

February 26, 2025 Interviews 3 Comments

Stuart McLean, MBA is CEO of Nordic Global.

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Tell me about yourself and the company.

I’ve been in healthcare for about three decades now. I started by doing merger work for what is now Northwell. I did that for half a dozen years as we built that system, which led me to have a deep appreciation for the importance of scale and operating efficiency. I co-founded my own turnaround firm and merged it into Alvarez and Marsal. I’ve been focused for the last couple of decades on strategic financial operational strength for healthcare providers.

Nordic has been in place for about 15 years. We’ve greatly evolved over that time. We have a handful of areas of strength, certainly EHR – Epic, Oracle, and Meditech. We are increasingly working as implementation partners for Workday and Infor and seeing that as an important part of what our client healthcare systems need.

We’ve also developed a real strength in cloud, working with our partners AWS and Azure. The healthcare industry is moving to the cloud, at least on a hybrid basis, so it’s an important question about how best to do that. Finally, I would want to highlight the transformation that we have taken on to move in the direction of a full-service, end-to-end managed information technology company for our clients.

How do you characterize the health tech consulting market and how do you differentiate Nordic within it?

I think it’s getting increasingly crowded. Private equity views this as an important part of the healthcare transformation, so there’s a bit of a rush into this business.

We have maturity and a deep team. We have 3,300 professionals who have been at this for a while. We began 15 years ago with a deep expertise in the implementation, optimization, and integration of EHR systems. We think that makes a significant difference.

What are the benefits and drawbacks of being such a large organization that also provides services in Europe?

The expansion into Europe has been interesting. We operate in four countries in Europe — England, Ireland, Switzerland, and the Netherlands. We are growing pretty rapidly in that market as those markets recognize the benefits of the EHR platform as part of their strength. Because of our focus on managed services, we do a good bit of outsourcing work both in Ireland and in the Philippines.

How far along is the move to the cloud? Are health system worried about the cost or vendor lock-in?

This is a very early game. We just published an e-book that is available on our website where we dive into that a little bit deeper. We think it’s important to have a comprehensive evaluation so that we understand the benefits from an integration perspective and the concerns with regard to security since health systems are, and should be, risk-averse with regard to patient care information. That’s an important element of the response that health systems must make to the financial pressures that they are feeling.

Oracle Health has a lot of resources when it comes to cloud and technology and general. How will that influence its position in healthcare?

We are all going to benefit from that competitive dynamic between Epic and Oracle Health. Each company comes from a slightly different place. Both companies see the massive market size here and are pursuing it. They are pursuing it thoughtfully. I don’t pretend to have a clear crystal ball into who will be the winner here. They both will survive. They both will thrive. Here again, the health systems will benefit from that kind of competitive dynamic.

How much do health systems margins, M&A, and changes in staffing patterns affect your business?

As somebody who knows the health system industry really well, I’m surprised at the government’s response to the desire and the need for scale with health systems. I’m really surprised by it. When you compare UnitedHealthcare or any number of these large, national, fully consolidated insurers and the desire by the US government to keep healthcare pretty fragmented, it makes the work that Nordic does even more important. Those health systems are simply unable to access the scale economies that they would if they were allowed to be $20 to $50 billion super-regional health systems. We at Nordic can deliver the benefit of that scale.

How are health system IT departments affected by cloud adoption and the challenge to find and keep employees with specific skills?

It’s a little overwhelming. Without naming or getting into any competitive information, we have clients who are very concerned about the competition for their IT talent.  That’s where I think we can be beneficial, because of the size that that we have, for those clients that choose to establish an outsourced relationship with us.

Two things happen. One, they no longer have to worry about access to talent, because we have it on a national and international basis. Secondly, we think we’ve struck the right mix of offshore, lower-cost delivery and onshore capacities.

Will the shift from onsite consulting to remote services last?

I think so. I’m an individual on this question, but also we at the leadership level have given some thought to this. We see efficiencies from non location-specific delivery of these services.

Will AI change your business?

For AI adoption to be successful, it’s a balance. It’s technology, but also humanity and empathy. The focus in the health systems space today is principally around decision support, predictive analytics, and workflow optimization.

We don’t see a revolutionary impact in the near term, in the next year or two. To your earlier question, with regard to Epic and Oracle, those organizations are spending a tremendous amount of energy and effort in this area and are working with early adopters to beta test and refine these capabilities.

I think the AI promise is very real, but it’s more likely three to five years away than one to two years.

Will it deliver tangible ROI to health systems in the short to medium term?

I don’t see it in the short term. I’m not even sure that this will ever be an ROI topic for health systems. It’s about the quality of care and population health, with the ability to become more proactive, more targeted, and more precise with regard to patient- specific situations.

How much of an AI driver is clinician satisfaction and wellness?

It’s not a primary ask from our clients at this point. It’s a bit more of an evolutionary component of this. The clinician and physician wellness part of it will be supported by the healthcare heuristics element. Have you asked this question? Have we considered this diagnosis? Rather than the AI providing the answer, it will offer help with going down the decision tree in the pursuit of the answer.

Shifting to business climate, what kind of companies will be winners and losers now that cheap financing is gone and investor demands have changed?

I think there will be a fair bit of chaos in this space. Nordic is in a very strong position. W are owned by Bon Secours Mercy Health, and their ownership interest is strategic and long-term.  We’re not worried about capital structure and those sorts of things. We are focused on the strategic value of the work that is delivered by Nordic to our clients. We have a longer and more patient horizon, and that will make us stronger over time. There is money pursuing quick earnings, and this business requires patience.

Does General Catalyst’s acquisition of Summa Health foretell significant industry change?

I don’t follow General Catalyst closely, but I’m aware of that situation. I think they see the health system ownership as platform, almost a laboratory, for innovation that could then be deployed and delivered to others. I think that Bon Secours Mercy Health is in a better, stronger position as an independent, not-for-profit. long-term that’s less interested in capitalizing and creating dollars than they are in supporting the quality of care over long periods of time.

What factors will be important to Nordic in the next three to five years?

Strategic partnerships with other large health systems. We’ve been a contractor and we remain a contractor, largely. We’re hired by a health system to run a project to implement the EHR or optimize the EHR. We see our benefit increasingly in long-term, five-plus year agreements with health systems to be their technology partner. Not developing technology, which is the role of Epic and Oracle and others, but managing that technology cost-efficiently because the pressure is real. We think that we can be worth 25 to 30% over time in terms of the technology spend while still ensuring a strong, durable, consistently available platform.

Morning Headlines 2/26/25

February 25, 2025 Headlines Comments Off on Morning Headlines 2/26/25

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