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Healthcare AI News 7/10/24

July 10, 2024 Healthcare AI News Comments Off on Healthcare AI News 7/10/24

News

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OpenAI co-founder and CEO Sam Altman and Thrive Global founder and CEO Arianna Huffington announce that their companies will co-develop an AI-powered, hyper-personalized app for behavior change, which they say can be a “miracle drug” for preventing disease and optimizing health. Thrive AI Health will learn preferences and patterns related to sleep, food, movement, stress, and social connection and will be trained on the user’s biometric, lab, and other medical data. Some of the new company’s concepts are already being used by Thrive Global, which sells its product to employers.

Health wearables vendor Oura releases the AI-powered Oura Advisor, which it calls a personal wellness coach, for testing with its devices. Users can choose the chatbot’s communication style, notification preferences, and the training goals that it emphasizes.

A radiation oncologist creates prior authorization requests by telling ChatGPT the type of letter that he needs and the types of clinical studies that he could cite to support his request. He then tells ChatGPT to make the resulting letter four times longer because “if you’re going to put all kinds of barriers up for my patients, them when I fire back, I’m going to make it very time consuming.” A rehab medicine physician uses Doximity GPT, a HIPAA-compliant version of the chatbot, to analyze EHR data and coverage details to create a detailed request, which is says has boosted his coverage approval rate from 10% to 90%. The article notes that some Epic users are testing its new AI-powered PA functionality.


Business

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South Korea-based AIRS Medical, whose FDA-cleared SwiftMR speeds up MRI scanning time by up to 50%, raises $20 million in a Series C funding round.

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Amazon Web Services uses a large language model to design marketing content for disease awareness that it says balances accuracy and audience engagement. The company says that the AI assistant reduces creation time from weeks to hours and gives subject matter experts more control with its ability to create automatic revisions based on user instructions and comments. It also highlights any problems with required rules or regulations.


Research

Researchers survey oncologists about their possible use of AI, with these conclusions:

  • They will use AI to make clinical decisions only if they as frontline practitioners can understand its logic.
  • Most oncologists think that they should protect patients from biased AI tools, but few of them believe that they can recognize that bias.
  • More than 90% of oncologists believe that AI developers should be held accountable if their products are involved in medical or legal problems, about double the number who believe that doctors and hospitals should share accountability.
  • A medical oncologist predicts that AI tools will be used in three areas: making treatment decisions using a broader set of data, improving tumor characterization from images, and matching patients with clinical trials.

Boston researchers apply an AI model to demographic data, health history, exam results, neurological tests, and MRI scans to identify 10 distinct causes of dementia to support differential diagnosis.

Scientists at Dana-Farber Cancer Center and Weill Cornell Medicine develop digital pathology AI tools that can answer pathologist questions and compile results. They trained a private, secure Dana-Farber version of ChatGPT on 10,000 pages of recent digital pathology developments, which allows researchers to create detailed, summarized results quickly. They also developed a tool to allow pathologists who don’t program in the Python programming language to use the PathML computational pathology analysis tool.


Other

A philanthropy magazine profiles the $20 million donation to Mayo Clinic for AI work by Dwight Diercks, an engineering SVP and employee #22 at Nvidia, who grew up on a family farm in rural Minnesota. The focus of his donation is early cancer diagnosis.


Contacts

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

Comments Off on Healthcare AI News 7/10/24

Morning Headlines 7/10/24

July 9, 2024 Headlines Comments Off on Morning Headlines 7/10/24

SAIGroup Expands Healthcare AI Platform with Acquisition of Get Well

Private investment firm SAIGroup acquires patient engagement technology vendor Get Well.

Accuhealth and Signallamp Combine Forces with Additional Investment from Sunstone Partners

Remote patient monitoring and chronic care management company Accuhealth acquires competitor Signallamp Health.

Patient safety concerns arise over Amazon’s One Medical call centers after document leak

A PBS review of internal Amazon documents finds that some patients of its One Medical primary care business were put at risk when the company shifted their calls and texts to a call center that was staffed by minimally trained employees.

Comments Off on Morning Headlines 7/10/24

News 7/10/24

July 9, 2024 News 3 Comments

Top News

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Sam Altman (OpenAI) and Arianna Huffington (Thrive Global) announce that their companies will jointly fund Thrive AI Health, which will develop a personalized coaching application to support health-related behavior change.

The new company will be led by former Google sensor and fitness product management leader DeCarlos Love.

Launch partners include Stanford Medicine, the Alice L. Walton School of Medicine, and West Virginia University’s neuroscience institute.


HIStalk Announcements and Requests

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Welcome to new HIStalk Platinum Sponsor Crossings Healthcare Solutions. The King of Prussia, PA-based company is a subsidiary of Universal Health Services, a large hospital system and longtime Oracle/Cerner client and vendor. UHS’s dedicated resources develop solutions to optimize the Oracle Millenium EHR, with the support of Oracle leadership. These solutions embed directly into the Oracle EHR and do not create any third-party solutions. Its MPages and Advisor solutions are installed at more than 85 hospitals across the country, with tools that are tailored to nursing documentation, physician communication, and pharmacy workflows. All of these tools promote usability, safety, and satisfaction of the Oracle EHR. Aside from acute care, UHS also has a large behavioral health representation, with over 300 facilities across the country. It has developed electronic treatment planning with a number of additional MPage enhancements for their BH facilities that are also offered through Crossings. The company is dedicated to making sure that Oracle users are satisfied with the overall use of their EMR, as it is both a client and a vendor. Thanks to Crossings Healthcare Solutions for supporting HIStalk.


Webinars

July 18 (Thursday) noon ET. “New CMS Final Rule: Strategies to Get EHR and IT Vendors Up to Speed.” Sponsor: DrFirst. Presenters: Nick Barger, PharmD, VP of product, DrFirst; Tyler Higgins, senior director of product management, DrFirst. The new final rule that was issued by CMS on June 13, 2024, goes beyond a basic upgrade of SCRIPT standards and improves care connections among doctors, pharmacies, and patients. The presenters will lead EHR and IT vendors through the final rule, provide details on key provisions and compliance deadlines, offer tactics to tackle roadmap development, and provide direction on where and how partners can best leverage the requirements for the benefit of their customers.

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


Acquisitions, Funding, Business, and Stock

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SAIGroup acquires patient engagement technology vendor Get Well. The private investment firm’s portfolio also includes Concert AI, RhythmX AI, and SymphonyAI.

The Wall Street Journal reports that insurers questionably identified “gaps in care” that allowed them to pocket an extra $50 billion from the Medicare Advantage program without performing any additional services for patients. Insurance companies offered patients gift cards to convince them to agree to a home visit, during which time a clinician found – or made up – additional medical conditions that would increase CMS payments. More than 66,000 MA patients were diagnosed with diabetic cataracts even though their damaged lens had already been replaced with a plastic one, with members of UnitedHealth being 15 times more likely to have a diagnosis of diabetic cataracts that patients who were enrolled in traditional Medicare.

A PBS review of internal Amazon documents finds that some patients of its One Medical primary care business were placed at risk when the company shifted their calls and texts to a call center that was staffed by minimally trained employees. Patients of the former Iora Health, the high-touch primary care group for people 65 and over that One Medical acquired for over $2 billion in September 2021, were directed to call center staff who didn’t always have access to their charts. In several cases, patients who reported “red flag” urgent symptoms – such as chest pain or blood in their stool – were scheduled for future appointments instead of being quickly connected to a trained employee.


Sales

  • Ohio State University Medicine will use Andor Health’s ThinkAndor AI-powered virtual care software to improve access to remote specialty interventions.
  • P3 Health Partners selects physician engagement and population analytics software from Innovaccer.

People

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Ken Webb, MBA (OnShift) joins Artera as VP of sales.

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Yeman Collier (UT Health San Antonio) will join University of Chicago Medicine as SVP/CIO on July 28. Michael Schnabel, MBA will serve as UT Health San Antonio’s interim VP/CIO.

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Korea-based medical AI company Lunit names Terry Thomas, RN, MSN (Volpara Health, which was acquired by Lunit in May 2024) as chief business officer.

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Allan Kyburz, MBA (OnShift) joins HCIT Consulting as EVP of growth.

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DrFirst hires Todd Helmink (Atlas Health) as SVP of specialty strategy and business development.

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Dan Delaney (Wolters Kluwer Health) joins MRO as VP of enterprise implementation.


Announcements and Implementations

Hospitals in Israel report an EHR malfunction that caused errors in recording patient information such as blood types, diagnoses, and procedures.

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A new KLAS report on non-US EHR market share finds that Dedalus was the most-chosen vendor, but Epic contracted with more hospitals.


Government and Politics

Cybersecurity experts and NHS employees point to outdated IT systems as a major contributor to the recent ransomware attack on pathology services vendor Synnovis. Despite the fact that the NHS has spent $443 million on cybersecurity over the last seven years, some staff say they are still working with old computers that run Windows 7 and crash every few months. A 2022 report from the British Medical Association found that clinicians were wasting 13.5 million hours annually due to outdated systems.

A federal judge will likely invalidate the Federal Trade Commission’s ban on non-compete agreements based on her preliminary decision that FTC does not have the authority to issue a nationwide ban, in which case non-compete rules would shift back to individual states.


Other

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In Sacramento, UC Davis Health and WellSpace Health launch a digital support program for recently incarcerated patients that includes free smartphones, messaging capabilities, and guides to community and social care resources.

A patient in Iowa sues Zoll Laboratory Services and Zoll Medical after discovering that cardiac data attributed to her Zoll heart monitor was actually from another patient. That incorrect data led her to having a pacemaker implanted during an operation that was performed without sufficient sedation. Her physician discovered the discrepancy in data days after the unnecessary operation while reviewing Zoll data in her EHR, the dates of which didn’t line up with her usage of the device.


Sponsor Updates

  • Capital Rx releases a new episode of The Astonishing Healthcare Podcast, “Empowering Pharmacists, with NASPA’s Krystalyn Weaver, PharmD, JD.”
  • Divurgent VP of Delivery Jeff Fuller will speak on August 20 at the UNC Center for the Business of Health’s first event of the academic year.
  • CereCore releases a new podcast, “CIO Leadership Lessons and Advice from Marty Paslick.”
  • Vyne Medical publishes a new case study titled “Journey to Efficiency: An Award-Winning Hospital’s Path to Workflow Optimization.”

Blog Posts


Contacts

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

Morning Headlines 7/9/24

July 8, 2024 Headlines Comments Off on Morning Headlines 7/9/24

HarmonyCares Secures $200M to Expand Access to In-Home Primary Care

In-home primary care provider HarmonyCares will use new funding to expand beyond its 15 markets, improve its EHR, and develop new technology.

OpenAI Startup Fund & Arianna Huffington’s Thrive Global Create New Company, Thrive AI Health, To Launch Hyper-Personalized AI Health Coach

The OpenAI Startup Fund and Thrive Global launch Thrive AI Health to offer consumers AI-informed health coaching in the areas of sleep, diet, fitness, stress management, and connection.

Ohio Behavioral Health Providers Network (OBHPN) Partners with Alera Health to Build a Clinically Integrated ONEcare Network Across Ohio to Expand Access to Care, Improve Health Outcomes, and Lower Costs

Ohio Behavioral Health Providers Network will leverage technology and services provided through Alera Health’s Onecare Network to better integrate its offerings with primary care providers and improve its population health management.

Comments Off on Morning Headlines 7/9/24

Curbside Consult with Dr. Jayne 7/8/24

July 8, 2024 Dr. Jayne 1 Comment

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I enjoyed having some time off around the recent Independence Day holiday. Costco’s holiday cake did not disappoint, although I’m not entirely sure why it had 61 stars. Kudos to the cake decorator who managed to fit them all on there, even though there were a few spares. I hope everyone had a safe holiday and is heading back to their respective work weeks without any injuries that were caused by heat or fireworks.

Since I had some downtime, I worked through some training assignments for a new clinical employer. It’s always interesting to start at a new company and find out how they handle all the mandatory training sessions for providers. It’s not just HIPAA, but also Medicare-related fraud, waste, and abuse training, controlled substance training, and more.

The organization that I’m contracted with also includes cultural competency sessions as well as those on diversity and inclusion, rolling those up under a larger curriculum on being an effective clinician. One would hope that we learned these things during our training, but I understand their need to cover all their bases and make sure that everyone in the organization is operating under the same expectations.

Along with many of my colleagues who work in emergency and urgent care settings, sometimes we aren’t employed by the facility where we’ll be working. Many of us work for staffing companies or third-party medical groups that have contracted with the facilities to provide physicians. In addition to doing the training required by the organization that is actually paying us, we also have to do the mandatory trainings for the facilities where we’ll be working, even though the content is often similar. There’s no reciprocity for these trainings, sometimes not even within the same health system, and it can be mind-numbing to sit through so many duplicate sessions of the same content published under the auspices of different medical staff offices.

Depending on the situation, many physicians, especially those who are working for large, privately held telehealth providers, are considered independent contractors. The contracts are often heavily one-sided and physicians aren’t paid for the time spent in training, which is a bit of a double-edged sword as far as balancing attentiveness with the financial bottom line. I think most people would be more likely to pay attention if they’re being paid a fair rate for attending classes. However, when they’re asked to go through nearly a full day of training sessions without compensation, it seems like a recipe for people to multitask or otherwise not take the training seriously.

The training I completed this weekend had the added pain of misrepresenting the length of various modules, making it challenging to fit it into my allocated time frame. For example, a module that was advertised as “10 minutes” actually involved reading a densely formatted 40- page document, then attesting to having read and understood its contents. I’m no expert in reading comprehension, but I think that expecting someone to digest a full page of text in 15 seconds is unrealistic.

Even more concerning, that large document contained numerous links to other policies and procedures that we were also expected to attest to understanding, which is just ridiculous. I’m sure a good number of people just click through it and check the box, which isn’t going to serve them well if something bad happens. A couple of the links were broken, so I had to email the physician liaison team to get copies of the policies that I’m expected to read. I wonder how many of us are actually asking for the documents versus just going through the motions. Maybe asking for the documents from the broken links is a test to see if we actually read the pages.

Some of the other training sessions were sloppily constructed. For example, a 60-minute course contained three, 30-minute sessions. It feels like someone updated the training and threw something else into the course but didn’t update the learning management system with the correct information. The modules themselves had clearly been edited over time, and not with particular skill. Audio levels within a single recording ranged from virtually inaudible to painfully loud. 

Some of the written materials were pretty humorous. You have to wonder when a slide spells out “E-H-R” with intervening hyphens if it’s because they really don’t know that it’s simply “EHR” or whether they haven’t figured out how to adjust their slideware’s dictionary to keep it from autocorrecting to “HER.” There were also a couple of places where the voiceover incorrectly pronounced common medical words, which didn’t’ give me a lot of confidence.

The next piece of the onboarding that raised concerns was the organization’s demand for adherence to its conflict of interest policy, which basically says I can’t practice medicine anywhere else but at this facility. That conflicts with the whole ideal of being an independent contractor, and the idea certainly wasn’t included in any of the initial contracting documents that I signed.

Asking someone to sign a restrictive agreement after you’ve already contracted them is sneaky, to say the least. Other words that come to mind are “deceitful” and “unethical.” Another email was fired off, because I’m definitely not signing it. I only wish I had come across that little nugget sooner, because I wouldn’t have sat through several hours of unpaid training if that piece had been at the front.

I’m also wondering if there’s a whistleblower opportunity here, because if they are blocking the ability for independent contractors to have other employment, that sure sounds like a problem to me.

It’s sad when you feel burned out before you even start. I’m questioning whether I want to work for these people at all, even if we can resolve the various issues. If you can’t get the basics right, I have little confidence in your ability to support me through unwarranted patient complaints or a nuisance lawsuit.

I haven’t even made it to the EHR part of the training yet, which I was actually looking forward to because it’s always nice to see how someone else has their system configured and whether there are any tips and tricks that you didn’t already know. I’ll certainly chime in if I make it to the EHR training and strike gold.

What’s the most disappointing onboarding experience you’ve had? How does your current organization do better? Leave a comment or email me.

Email Dr. Jayne.

Readers Write: Revitalizing Healthcare’s Backbone by Empowering Nurse Leaders

July 8, 2024 Readers Write 1 Comment

Revitalizing Healthcare’s Backbone by Empowering Nurse Leaders
By Russ Richmond, MD

Russ Richmond, MD is co-founder and CEO of Laudio

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Nursing remains one of the most challenging parts of the healthcare ecosystem. Frontline nurses who are contending with understaffing and concerns for patient care continue to raise alarms and exit their roles.

Beset with high turnover and burnout rates, nurse managers constantly grapple with handling high spans of control and associated challenges without sacrificing patient care, quality, and organizational outcomes. A recent report noted that 20% of nurse managers are contemplating leaving their positions, and that the average nurse manager stays in their role for just two years. These figures point to deeper structural issues with the current state of nursing leadership roles and the overdue need to bring technology to these problems.

Another recent report that was co-published by the American Organization for Nursing Leadership (AONL) noted that the median span of control for nurse managers is 46 direct reports, making genuine engagement with team members on a day-to-day basis nearly impossible. Even more startling, 25% of all inpatient nurse managers have over 78 direct reports, further hindering meaningful manager-employee engagement.

The report also drew a direct correlation between nurse managers with large spans of control and higher rates of burnout, turnover, and incremental overtime on their teams. These consequences have real financial implications for health systems, especially as staffing costs and turnover continue to be some of the largest detractors from financial and organizational stability in healthcare. Better support for nursing leaders results in higher engagement scores among their teams and reduced turnover, both of which are targets of numerous initiatives among health systems.

As an industry, we frequently discuss transformation in healthcare, especially in a post-COVID environment, and how we need to work differently to improve outcomes for our patients and organizations. Yet the people who have the most direct impact in linking C-suite goals with frontline action are often overlooked. Few tools exist today to directly enable frontline nurse leaders to handle increased workloads while maintaining strong connections with their teams, which drives positive outcomes across the board. The same report referenced above noted:

  • A strong correlation between the number of purposeful leader engagements (e.g., regular check-ins, recognition, celebrations) with team members and crucial metrics like higher team retention.
  • A lack of span-breaking assistant managers with roles that are designed to share administrative burdens and support people processes.
  • An absence of deep HR, IT, and nursing department partnerships to enable nurse leaders with the right tools to achieve broad job responsibilities.

To date, innovation in nursing has primarily centered on clinical areas, with novel technologies like virtual nursing and remote monitoring of patients taking priority over investments that enable leaders to propagate broad operational and people-based positive change within their teams. This focus must expand and transition to a holistic approach that is aimed at easing the burden frontline nurses and their leaders face today.

A few examples of how organizations can use new approaches to create a broad positive impact across nursing teams include:

  • Use intelligent technology to automate much of the rote people work that frontline leaders perform today to allow them to their time where it matters most – on purposeful engagements with their teams.
  • Automate clinical documentation wherever possible to reduce administrative burden through solutions that simplify EHR workflows.
  • Introduce innovative leadership models to reduce spans of control and enable leaders to have more humanizing relationships with their team members and the work they do (e.g., dividing large departments into multiple parts, leveraging assistant nurse managers to break spans of control, utilizing nurse educators to lead professional development activities and continuing education around the nursing profession).
  • Allow flexibility for team members by implementing new and improved staffing and scheduling practices that center on team member preferences and wellbeing needs versus long-standing industry norms.
  • Build the right programs that frontline leaders can use to guide team members through established career paths and advocate for the professional development and skill expansion of team members.

Supporting nurse leaders has a quantifiable impact on organizational outcomes. Senior leadership teams have the opportunity to significantly improve metrics around nursing engagement and retention through purpose-built innovation. Moving the needle at the highest levels requires change that starts at the foundation – supporting, enabling, and empowering nurse leaders with the right processes and resources to drive success. Technology has the ability to redefine work and to scale the impact of leaders on organizational outcomes. Our nurse managers need these solutions now more than ever.

Morning Headlines 7/8/24

July 7, 2024 Headlines Comments Off on Morning Headlines 7/8/24

UCSF Health and AG Announce Agreement on Saint Francis, St. Mary’s

California’s attorney general approves UCSF Health’s acquisition of Dignity Health’s Saint Francis Memorial Hospital and St. Mary’s Medical Center, with terms that include UCSF Health spending at least $80 million on their EHR.

Florida health department data captured in cyberattack, hackers claim

The RansomHub ransomware group claims to have publicly posted 100 GB of information that it stole from the systems of the Florida Department of Health, which declined to pay the ransom that it demanded in accordance with state policy.

CentroMed Data Breach: basic operations restored after cyberattack

CentroMed, a Texas-based chain of federally funded clinics, restores its computer systems after a ransomware attack forced them offline in early May.

Comments Off on Morning Headlines 7/8/24

Monday Morning Update 7/8/24

July 7, 2024 News 1 Comment

Top News

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Oregon Health & Science University shuts down its Connected Care Center, the 16-nurse telehealth nursing unit that it launched at the beginning of the pandemic.

OHSU is eliminating 500 positions as it pursues an acquisition of Legacy Health, which would expand its footprint to 10 hospitals and 32,000 employees.


Reader Comments

From Peds MD: “Re: Epic Care Everywhere. A baby had a very high newborn screen for a condition where confirmatory testing and treatment need to be done urgently. The baby was tested within an hour at a local hospital, using the father’s last name. Not having access to the other hospital’s Epic, I logged into the baby’s birth hospital record (Epic), which still had ‘Baby Girl’ and the mom’s name. I asked Care Everywhere to find the baby’s results. Epic said no match even though the date of birth, sex, address, and phone number were the same. Luckily the ED clinician at the testing hospital sent me the results via text. Just to get the records connected officially, the next day I got the Care Everywhere ID from the testing hospital and plugged it in. Again, no match! Learning lesson for Epic — if you have the Care Everywhere ID, which is an amazingly long set of numbers and letters, you should at least be asked ‘Is this the right person?’ And you shouldn’t even need that if other information is the same. I called it in to IT and got the famous ‘working as designed’ answer.”


HIStalk Announcements and Requests

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Poll respondents are evenly divided on whether an oversupply of physician informaticists exists, with those who say yes pointing to the number of doctors who are seeking non-practice roles. 

New poll to your right or here: Who is most responsible for physician dissatisfaction?


Webinars

July 18 (Thursday) noon ET. “New CMS Final Rule: Strategies to Get EHR and IT Vendors Up to Speed.” Sponsor: DrFirst. Presenters: Nick Barger, PharmD, VP of product, DrFirst; Tyler Higgins, senior director of product management, DrFirst. The new final rule that was issued by CMS on June 13, 2024, goes beyond a basic upgrade of SCRIPT standards and improves care connections among doctors, pharmacies, and patients. The presenters will lead EHR and IT vendors through the final rule, provide details on key provisions and compliance deadlines, offer tactics to tackle roadmap development, and provide direction on where and how partners can best leverage the requirements for the benefit of their customers.

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


Acquisitions, Funding, Business, and Stock

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Private equity firm New Mountain Capital proposes to buy R1 RCM and take the company private at a valuation of around $5.6 billion. RCM shares are down 38% over the past 12 months, valuing the company at $4.6 billion.

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California’s attorney general approves UCSF Health’s acquisition of Dignity Health’s Saint Francis Memorial Hospital and St. Mary’s Medical Center, with terms that include UCSF Health spending at least $80 million on their EHR.

India-based hospital operator Narayana Health launches a Kaiser Permanente-type health plan that covers a family of four starting at $10 per month, which is about 20% of what private insurers charge. Founder, chairman, and cardiac surgeon Devi Shetty, MBBS says that Indian citizens need 70 million surgeries per year but only 20 million are performed due to lack of affordability, which he says causes many times the deaths of malaria, TB, and HIV that are covered by government programs. The policy’s benefits include treatment coverage of $6,000 and surgical expenses of $120,000. The company promises easy claims settlement, coverage of preventive checkups, and discounts on tests that are performed at Narayana’s hospitals. Thanks to the reader who sent this item my way.


Sales

  • Shepherd Center will implement Kemtai’s computer vision AI assessments for people with brain injuries.

People

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Primary care network Main Line HealthCare (PA) names SVP/CMIO Donald Klingen, MD as interim president.


Announcements and Implementations

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Bath Community Hospital (VA) goes live on Meditech Expanse.

Australia-based telemedicine service My Emergency Doctor implements InterSystems HealthShare Health Connect Cloud for interoperability with a major suburban hospital to perform virtual overnight supervision.


Government and Politics

National Coordinator Micky Tripathi, PhD, MPP and FDA Director of Digital Health Center for Excellence Troy Tazbaz resign as non-voting members of the board of Coalition for Health AI to avoid potential conflicts of  interest. Republican lawmakers criticized FDA’s involvement with the group last month, citing concerns about potential conflicts given CHAI’s membership that includes major technology companies and health systems that develop AI businesses.


Privacy and Security

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Palomar Health Medical Group (CA) notifies patients that their information may have been compromised in a May 5 cyberattack, but says it doesn’t yet know which patients and which information was involved. PHMG originally hoped to restore most of its systems by July 1, but now is targeting mid-July.

The RansomHub ransomware group claims to have publicly posted 100 GB of information that it stole from the systems of the Florida Department of Health, which declined to pay the ransom that it demanded in accordance with state policy.

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An Ascension Saint Agnes Hospital NICU nurse is forced to use a fax machine for the first time when clinicians lost access to the EHR during Ascension’s cyberattack. She says that staff weren’t prepared for a four-week systems outage, when patient medications were tracked on a shared spreadsheet that was faxed to the pharmacy.


Other

The FDA orders North Shore Medical Center (FL) to stop performing mammograms, determining that the facility’s tests failed to meet American College of Radiology image quality standards. The hospital has contacted all patients who had the tests over a two-year period to advise them to have their results re-evaluated and possibly to have the test repeated. The hospital, which is owned by the bankrupt Steward Health Care, will cover the cost if the patient has the rework performed at another Steward facility.

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“Jeopardy!” fans debate the decision by host Ken Jennings to accept the answer of contestant and Mary Washington Healthcare IT application coordinator Matt Brooks, who mispronounced “larynx” as “larnyx.” He eventually won the game. Some fans were appalled that Jennings accepted his answer given that it is equivalent to misspelling the word, while others said that the mispronunciation is common in the South and Midwest and noted that former host Alex Trebek had accepted the same mistake in 1997 and 2006 in explaining that a lot of people say it wrong.


Sponsor Updates

  • Black Book Research’s latest survey of health plans ranks Surescripts as the top technology solutions provider for payer member safety, PBM, and pharmacy solutions.
  • In Belgium, AZ Sint Lucas and AZ Sint Jan hospitals implement Sectra’s One Cloud public cloud service.
  • Over 400 Konza-powered sites achieve and/or maintain Validated Data Stream Designations in NCQA’s Data Aggregator Validation Program.
  • Meditech customer Humboldt Park Health becomes the first Midwestern hospital to achieve Healthcare Equity Certification from the Joint Commission.
  • Nordic releases a new “Designing for Health” podcast, “Interview with Jeff Mounzer, PhD, and Peter Kriss, PhD.”
  • Optimum Healthcare IT names Brad Sourwine (Pivot Point Consulting) director of recruiting.
  • Sana Kliniken in Germany implements RLDatix’s cloud-based workforce management solutions across the enterprise.
  • Waystar will exhibit at the EClinicalWorks Denver Day Show July 10.

Blog Posts


Contacts

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

Morning Headlines 7/4/24

July 3, 2024 Headlines Comments Off on Morning Headlines 7/4/24

New Mountain Capital Proposes Buyout of R1 RCM

R1 RCM shareholder New Mountain Capital goes solo in its bid to acquire the healthcare payments vendor in a deal valued at $5.6 billion.

Top Biden administration officials withdraw from Coalition for Health AI

National Coordinator Micky Tripathi and FDA Director of Digital Health Troy Tazbaz withdraw from the relatively new Coalition for Health AI, with Tripathi attributing his departure to potential conflicts of interest.

OHSU Fires Group of Telehealth Nurses It Lauded During COVID-19

Oregon Health & Science University lays off 16 nurses in its Connected Care Center as part of a wider restructuring that will result in the elimination of 500 positions.

Comments Off on Morning Headlines 7/4/24

Healthcare AI News 7/3/24

News

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The American College of Radiology launches an AI quality assurance program for radiology facilities that covers governance, algorithm documentation, security and compliance adherence, documenting use cases, and monitoring algorithm performance.

Mayo Clinic receives a $20 million gift to fund AI projects as well as Mayo Clinic Platform. The donors are Nvidia SVP of Software Engineering Dwight Diercks and his wife Dian.


Business

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PicnicHealth, which gives patients and life sciences companies access to medical records, announces an LLM that collects a patient’s medical records from all providers. The company says it product connects to 100% of US care sites, enabling patients to collect all their records and for life sciences companies to conduct observational studies. CEO Noga Leviner had no healthcare background when she co-founded the company in 2014.


Research

An MIT study finds that medical imaging AI models often use demographic shortcuts that cause them to issue biased predictions. The authors say that models may work when first trained (locally optimal), but may not maintain fairness in new environments (globally optimal). They caution that models can predict demographic information from images – such as race, sex, and age – and then use that and other data to make correlations that have no clinical basis.


Other

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Anesthesiologist, informaticist, and AMA immediate past president Jesse Ehrenfeld, MD, MPH says that the AI in healthcare hype curve is peaking, but he notes that a recent survey of doctors found that 38% are using AI in their practices, almost all of it for back-end office tasks. He says that it was a mistake to design, develop, and deploy EHRs without enough physician involvement, and that same error could be repeated with AI development. He explains, “I see this with entrepreneurial companies, where there’s a physician who might be involved, but it’s an afterthought. They’re not really driving the development of the solution. That’s a problem.”

Rep. David Schweikert (R-AZ) introduces legislation that would require Medicare to pay for AI-powered remote devices. He previous introduced bills that would allow AI to prescribe as a practitioner and to amend the Social Security act to pay for telehealth consultations such as AI-monitored wearables. 

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I read about this Google search error and replicated it: searching for “114/74 blood pressure” brings up an AI Overview that says that this is an elevated reading. I repeated the test on Google Gemini as well as ChatGPT and both correctly indicated that the BP is normal. Interestingly, the AI Overview was correct when searching for 113/73 and 115/74, incorrect for 114/71, but when I searched for 114/75, it correctly said that’s normal but added “along with a pulse of 89 beats per minute” for some reason.


Contacts

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

Morning Headlines 7/3/24

July 2, 2024 Headlines Comments Off on Morning Headlines 7/3/24

R1 RCM Shares Slide on Reduced Hopes for Buyout Deal

R1 RCM shares drop on the news that its two largest shareholders have failed to reach an agreement on a bid to jointly acquire the company.

Walmart has held talks to sell its shuttered medical clinics

Walmart is reportedly shopping its Walmart Health facilities to potential buyers that include health insurance companies like Humana.

Three Former Executives Sentenced for $1B Corporate Fraud Scheme

The Department of Justice recaps the recent sentences of three former Outcome Health executives who were involved in a $1 billion corporate fraud scheme, and notes that three other executives have pleaded guilty and are awaiting sentencing.

Comments Off on Morning Headlines 7/3/24

News 7/3/24

July 2, 2024 News 8 Comments

Top News

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Heritage Valley Health System (PA) will pay $950,000 to settle potential HIPAA security rule violations related to a 2017 ransomware attack that was caused by malware that spread from Nuance to multiple healthcare organizations.

The health system filed a lawsuit against Nuance in 2019 claiming that the vendor failed to prevent the attack, but the suit was dismissed due to contractual technicalities.


Reader Comments

From Angel of AI: “Re: healthcare fraud. What was the largest fraud by number of US patients impacted? Have any that involved medical devices run unto the tens of thousands of patients?” Zeroing in on documented “fraud” rather than just product-related issues narrows the field quite a bit. I was going to say HCA’s various legal and civil challenges over the years, which I believe included performing unnecessary invasive procedures, but I don’t know the extent of that. Theranos might also make the list since while the fraud involved lab testing machines that gave inaccurate results 10% of the time but with unknown effect on outcomes.


HIStalk Announcements and Requests

I’m a new customer, but YouTube Premium is already my most-valued streaming service. Why: it’s ad free, plays in the background, includes YouTube Music, and lets me download videos to play offline. It’s $13.99 for an individual membership and $22.99 per month for families of up to five members with discounts for paying annually. Tips: I play on the big screen through a Roku streaming device, use the Roku app’s remote instead of the physical one so I can type search terms more easily, and turn on good audio like a sound bar. I will acknowledge that 98% of what’s on YouTube is purely intended as time-wasting junk, but the rest is well-made gold and YouTube is better than I expected at suggesting something I’ll like. Mostly I watch videos related to travel destinations, old TV clips, concerts, and how-to fixit help. We still subscribe to Netflix, Hulu, and one of the P-ones (I can never remember if its Paramount+ or Peacock), but I would give up YouTube Premium last.


Webinars

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


Acquisitions, Funding, Business, and Stock

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Chronic pain management technology vendor Upside Health shuts down.

Care enablement technology company Fabric acquires virtual care service provider MeMD from the now-shuttered Walmart Health. Walmart bought the business, which was started in 2010, in 2021 for a reported $6 million. Fabric acquired virtual healthcare assistant startup Gyant and announced a $60 million Series A funding round earlier this year.

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Telehealth vendor Amwell announces a reverse stock split in order to avoid delisting on the New York Stock Exchange. AMWL shares have lost 87% of their value in the past 12 months to $0.29, valuing the company at $86 million.

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Google and TikTok ban ADHD telehealth provider Done Global from advertising on their platforms amidst a federal investigation that has expanded to include five additional people of interest. Done’s CEO and clinical president were arrested last month on charges of distributing Adderall, healthcare fraud, and obstruction of justice.

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Virtual primary care company K Health raises a $50 million funding round.


Sales

  • Babson Diagnostics will implement Ellkay’s lab-ordering software and LKCareEvolve clinician portal as a part of its BetterWay blood-testing service.
  • Adventist Health (CA) selects The Garage’s population health management software.
  • Cleveland Clinic will integrate Masimo’s Hospital Automation Platform with its patient monitoring technologies as part of its TeleCritical Care program.

People

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Cordea Consulting promotes Thomas Sjostedt to VP of sales.

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Greater Houston Healthconnect promotes Junaid Husain, ALM, MBA to CEO.

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Ron Wozny, MBA (HealthSmart) joins MyDirectives as SVP of marketing and business development.

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CSI Companies hires Douglas Herr (Healthcare IT Leaders) as SVP of client services and strategy.

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Carrie Damon, MHA (CommonSpirit Health) joins KPMG as global chief digital officer of KPMG Delivery Network.


Announcements and Implementations

UT Health East Texas implements virtual nursing from Care.ai across its network.

UCHealth (CO) rolls out prior authorization software co-developed with Arrive Health at three of its clinics. It will implement the software across its network next year. UCHealth invested in Arrive’s (fka RxRevu) Series A funding round in 2019 after working with the company for several years through its Care Innovation Center.

The Headwaters High-Value Network clinically integrated network launches with 19 independent rural Minnesota hospitals as members. HVN will consider shared technology solutions in population health management, analytics, and are management.


Government and Politics

NHS London’s medical director says pathology services across its six boroughs are operating at 46% capacity since its pathology services vendor Synnovis was hit with a ransomware attack on June 3.

The Department of Justice recaps the recent sentences of these former Outcome Health executives who were involved in a $1 billion corporate fraud scheme. Three other executives have pleaded guilty and are awaiting sentencing. DOJ summarizes, “faking it until you make it is not an acceptable practice for any business.”

  • Co-founder and CEO Rishi Shah: seven years and six months in prison.
  • Co-founder and President Shradha Agarwal: three years in a halfway house.
  • CEO/CFO Brad Purdy: two years and three months in prison.

Other

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UTHealth San Antonio previews the technologies its new Multispecialty and Research Hospital will feature when it opens in December, including virtual nursing, smart beds, and three “Rosey” robots that will deliver items to the 144-bed facility’s nursing units.


Sponsor Updates

  • Inovalon joins the Meditech Alliance ecosystem of partner organizations.
  • AdvancedMD launches new automation and payment capabilities to help private practices increase productivity and drive more revenue.  
  • Augmedix AI Advisory Council member Lisa Rotenstein publishes new research in JAMA Network Open, “Virtual Scribes and Physician Time Spent on Electronic Health Records.”
  • AvaSure publishes a new case study, “How UCHealth used Telehealth Technologies to Slash Code Blues up to 70%.”
  • Cordea Consulting promotes Michael Tierney to recruiting supervisor.

Blog Posts


Contacts

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

Morning Headlines 7/2/24

July 1, 2024 Headlines Comments Off on Morning Headlines 7/2/24

K Health, The Leading AI Primary Care Platform, Raises $50 Million Equity Funding Round

Virtual primary care company K Health raises $50 million, bringing its total raised to well over $400 million.

HHS Office for Civil Rights Settles HIPAA Security Rule Failures for $950,000

Heritage Valley Health System (PA) will pay $950,000 to settle potential HIPAA Security Rule violations related to a 2017 ransomware attack caused by malware that spread from Nuance to multiple healthcare organizations.

Prescribe Fit Secures $4.8MM in Series A Funding to Revolutionize Musculoskeletal Healthcare with Innovative Remote Patient Monitoring and AI Solutions

Prescribe Fit, which offers remote monitoring, health coaching, and virtual care programs for orthopedic patients, raises $4.8 million in Series A funding.

Comments Off on Morning Headlines 7/2/24

Curbside Consult with Dr. Jayne 7/1/24

July 1, 2024 Dr. Jayne 1 Comment

This weekend was all about me fighting technology in its various incarnations and being philosophical about whether we are actually better off with all the bells and whistles that we have come to use in our daily lives.

My first struggle was prompted by the fact that I’m over a certain age and my vision prefers a large monitor compared to my laptop. I have a monitor connected via a docking station, so I really only use the laptop for its camera capabilities, along with being a separate screen for third-party messaging apps and other windows that I don’t want to inadvertently share while on a web meeting. Most of my clients prefer online meetings without video, so that wasn’t really an issue. However, I recently started collaborating with someone on a book (which is an interesting experience in itself) and she prefers on-camera interactions, so I decided to get a separate webcam to put on my primary monitor so I wasn’t always looking sideways on our calls.

After doing my usual comparison shopping and polling friends about their experiences, I narrowed it down to a couple of options that were available locally. One of the three was on sale at a shop a mile from my house, so I jogged over and had it in hand in short order. Everything I read indicated that I should be able to just plug it in to the docking station, tweak a setting or two on the laptop, and be on my way.

This was easier said than done. I struggled to get the camera to mount securely because my monitor has a curved housing on the back. It was downhill from there as I couldn’t get it to work using the docking station regardless of how many settings I tweaked. I resorted to connecting it directly to the laptop, which although functional, created a wiring mess that I was trying to avoid.

From there, I had a battle with some permissions on a client-provided laptop. The agent at the other end of the call was clearly following a script and didn’t fully understand what she was advising. She recommended that I “press and hold the power button for 60 seconds.” I attempted to clarify that she was asking me to restart the computer, therefore I would need to finish some work and get back to her. She advised that no, the computer was not going to restart, we were just “rebooting the power.”

I let her know that I would need to call back at another time and went about my business. I restarted after finishing my work and the problem was resolved so I didn’t need to call back, but it just emphasizes the importance of having people in your call center who actually understand the advice that they are giving and who aren’t just reading from a script.

The issues really hit the proverbial fan when my power had a momentary blip, knocking the internet offline close to midnight. I was half asleep reading a book anyway (“Project Hail Mary” in case you’re interested), so I manually turned off the lamp rather than having Alexa do it, and figured I would address it in the morning. My internet gateway rebooted without a hitch and my hardwired devices were back up, but the wi-fi had renamed itself and reset the password. That required tracking down the magical website where I should have been able to rename the network and change the password back, but I couldn’t figure out how to make my changes save. I’m stuck, in the short term at least, with a goofy 30-character password and a different network name.

Now I need to visit all my internet-enabled devices and get them reconnected, including my thermostat, a couple of Alexa devices, phones, a thermostat, and my smart TV so I can figure out how “Bridgerton” is going to continue to unfold without having to sit at my desk. I didn’t have time for that budgeted on my schedule today, so getting the phone connected was the best I could do for now.

With all that, I was more frustrated by my labor-saving devices than anything, and it was in that mood that I read Mr. H’s mention of the Sunrise EHR error in Australia that incorrectly calculated more than 1,000 pregnancy due dates. Regulators are investigating whether patients were harmed by the incorrect dates, which could have led to premature inductions of labor or mismanagement of patients who spontaneously entered labor well before their due date.

For example, when you’re concerned that a pre-term birth is imminent, there are treatments you administer to try to improve fetal lung function. Those are only indicated between very specific dates as far as fetal age. The issue affected public birthing hospitals in South Australia during the six months prior to June 5. SA Health is performing its own medical records review in parallel to the independent investigation. Approximately 100 patients have yet to deliver, so hopefully their dates are being appropriately updated. Patients have not yet been informed of the issue. 

Details on the incident are slim, with the article noting that due date fields in maternity notes were overridden by a calculation that was based on the last menstrual period. I haven’t used Sunrise since the late 1990s, but I’m guessing the system has a hierarchy for how it populates due dates, which might be determined from a last period, ultrasounds, other medical records such as assisted reproductive technology notes, patient-reported date of conception, or a combination of data available. However it manages those different data points, something went awry.

Back when I was delivering babies as part of full-scope family medicine, we would note all of those data points on this magical fold-out paper form and then document our final estimated date of delivery in a specific place on the form. It wasn’t sexy, but it was accurate, and the only way for it to be overridden involved a strike through and someone’s initials.

My question as a clinical informaticist is this: what happened six months prior to June 5 that caused it to be inaccurate? Was there an upgrade, an update, or some change to a template? What processes were in place (such as two sets of eyes checking on changes to critical patient care content) to prevent such an issue, and what went wrong?

If it is determined that patients were harmed by the issue, I certainly feel for them and for their families, because issues during pregnancy care can lead to a lifetime of “what if” questions that haunt parents. My experience transitioning obstetricians from the paper folding forms to EHR was that they planned to hold onto the paper until the last possible minute because it was a system that just worked. It would be interesting to see whether the benefits of electronic maternity documentation have been shown to provide improved clinical outcomes compared to paper documentation, but I doubt that study has been performed.

I could search for it, but instead I’ll be using my spare time to try to fix my household so that Alexa can once again turn on my bedside lamp.

What’s the technology you miss the most when it stops working? Leave a comment or email me.

Email Dr. Jayne.

Morning Headlines 7/1/24

June 30, 2024 Headlines Comments Off on Morning Headlines 7/1/24

Lurie Children’s Hospital cybersecurity breach affected more than 790K people, including patients

Lurie Children’s Hospital of Chicago reports in a data breach filing notice that the information of 791,000 people was exposed to ransomware hackers in its January 31 cyberattack.

Fabric Acquires MeMD, Expanding Virtual Care Services to 30,000 Employers and 5 Million Members

Care enablement technology company Fabric acquires virtual care service provider MeMD from the now shuttered Walmart Health.

Amwell Announces Reverse Stock Split

Telehealth vendor Amwell announces a reverse stock split in order to avoid delisting on the New York Stock Exchange.

Google, TikTok Ban Ads From ADHD Telehealth Company Amid Federal Probe

Google and TikTok bar Done Global from advertising on their platforms amidst a federal investigation that has expanded to include five additional people of interest.

Comments Off on Morning Headlines 7/1/24

Monday Morning Update 7/1/24

June 30, 2024 News 12 Comments

Top News

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Lurie Children’s Hospital of Chicago reports in a data breach filing notice that the information of 791,000 people was exposed to ransomware hackers in its January 31 cyberattack.

The Rhysida ransomware group claimed in March that it had stolen the hospital’s data and sold it for $3.4 million.

The hospital finished restoring its systems on May 20.


HIStalk Announcements and Requests

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Most poll respondents would like to see government review or approval when private equity firms propose to conduct a provider-related transaction. I’m siding with commenter and industry long-timer Bill Spooner, who suggests that equal attention be paid to not-for-profit transactions since the goal is the same, to eliminate competition and to buy practices as bed-fillers under the guise of integration.

New poll to your right or here, following up on Dr. Jayne’s comments last week and some excellent observations from reader DrM: Does healthcare have an oversupply of physician informaticists? I’m focusing just on the physician part of clinical informatics since that was the subject of Dr. Jayne’s original pondering.


Today I learned – at least I think I did — that my long-time dentist’s practice was acquired years ago by Heartland Dental, which is owned by private equity firm KKR. I’m speculating on the “acquired” part since Heartland labels itself as a DSO (dental services organization) that serves “affiliates,” but it sounds like they either buy practices outright or perhaps take a majority position. Whatever they do, it involves 1,700 practices, 20,000 employees, and the opening of several dozen new practices from scratch each year. I should be relieved that unlike PE-acquired medical practices or hospitals, it doesn’t seem that quality or customer service have slipped.

I don’t watch TV and therefore had never seen Conan O’Brien on anything until YouTube pushed a video at me this weekend from something called “First We Feast Hot Ones” (never heard of it), in which Conan takes over the show as only someone who is smart, funny, and schooled in improv could do (not to mention sticking to the bit while chugging down high-Scoville hot sauce). That led me down the rabbit hole of a Dr. Arroyo follow-up and then a deep dive into old appearances by Jordan Schlansky and savagely funny, Robert Smigel-operated Triumph the Insult Comic Dog, all of which were new to me. I don’t listen to podcasts, but “Conan O’Brien Needs a Friend” might lure me in. Conan sold his Team Coco podcast network for $150 million two years ago to Sirius XM, or as Triumph recently called it, “the abandoned mall of the entertainment industry” and then added, “Why get your milk for free when you could rent the cow for $21.99 a month?”

I nominate “please know” as the most irritating wording in corporate blathering history, given that it’s meaningless, superfluous (just tell us what you want us to know), and also gratingly fawning since companies use it to feign sincerity and humility, usually because of their own misstep or misbehavior. I rank it above even “please don’t hesitate to call” to attempt to sound more professional (sort of like the pompous “utilize” or “leverage” instead of “use.”) I’m more amused than annoyed at out-of-office email replies that claim “I will have limited access to email” as though the person doesn’t own a smartphone instead of just admitting that they at least temporarily have more important things to do.


Webinars

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


Acquisitions, Funding, Business, and Stock

Optum notifies Massachusetts regulators that it won’t follow through on a previously announced agreement to buy Steward Health Care’s physician network.


People

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Optum promotes Cara Griffin to SVP of marketing.


Announcements and Implementations

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A new KLAS report on digital rounding solutions for nurses finds that Huron, the 2024 Best in KLAS winner, tops the list in customer satisfaction and the ability to drive outcomes and reduce nurse workload.


Other

Australia’s SA health orders an investigation into an error in its Sunrise EHR that miscalculated the estimated due dates of 1,700 pregnant women, raising concerns that the incorrect dates may have caused clinicians to induce labor too early.


Sponsor Updates

  • Consensus Cloud Solutions receives the 2024 CSO Award from Foundry’s CSO for demonstrating outstanding business value and thought leadership.
  • Black Book Research declares Inovalon the top-ranked vendor in robust data integration and predictive analytics, according to feedback from managed care, health plans, and payer technology users.
  • Five9 publishes a new e-book, “AI in Healthcare: How AI Drives Value for Five9 Healthcare Customers.”
  • Waystar takes Black Book’s top spot for end-to-end revenue RCM solutions for health systems.
  • Surescripts Chief Product Officer Tara Dragert joins the NCPDP Foundation’s Board of Trustees.
  • Inovalon announces a partnership with the Meditech Alliance, which will offer the company’s end-to-end RCM to Meditech customers.
  • TruBridge publishes a new case study, “How Texas Institute for Surgery Increased Cash Flow and Decreased AR Days.”

Blog Posts


Contacts

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

Morning Headlines 6/28/24

June 27, 2024 Headlines Comments Off on Morning Headlines 6/28/24

Walgreens Boots Alliance Reports Fiscal 2024 Third Quarter Results

Walgreens reports mixed Q3 results and announces that it will reduce its stake in primary care provider VillageMD so that it no longer holds a majority share.

Arcadia acquires CareJourney to enable high-performing networks and value-based care success

Data platform and analytics vendor Arcadia acquires CareJourney, which offers claims-sourced provider cost and quality data.

Hummingbird Healthcare Raises $10M to Address Persistent Barriers to Patient Access

Patient access technology vendor Hummingbird Healthcare closes a $10 million Series A funding round led by UCHealth.

Novant Health lays off 81 IT workers in Winston-Salem

Novant Health (NC) will lay off 81 IT workers in late August and shift some of their tasks to Deloitte Digital as part of a previously announced outsourcing plan.

Comments Off on Morning Headlines 6/28/24

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