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Morning Headlines 10/30/17

October 29, 2017 Headlines Comments Off on Morning Headlines 10/30/17

Merck Announces Third-Quarter 2017 Financial Results

Merck reports a $135 million in lost Q3 sales and $175 million in additional costs associated to its recovery from the Petya ransomware attack.

Quality Systems, Inc. Reports Fiscal 2018 Second Quarter Results

QSII, parent company of NextGen, reports 2018 results: revenue grew four percent to $132.6 million, adjusted EPS $0.22 vs. $0.23, beating expectations for both.

Tenet Healthcare to lay off about 1,300 employees

Tenet Healthcare will lay off 1,300 employees, one percent of its total workforce, as business leaders look to cut costs by $150 million over the next year.

Health IT Investment on Record Pace through Q3

A Healthcare Growth Partners report on heath IT investments says that $8 billion has been invested globally in health IT startups through Q3 of 2017. The report says that investment activity is continuing to grow, despite a slowdown of M&A activity, noting “total capital invested globally in HIT has increased at an annual rate of 46% since 2011.”

Comments Off on Morning Headlines 10/30/17

Monday Morning Update 10/30/17

October 28, 2017 News 4 Comments

Top News

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From the Cerner earnings call following announcement of Q3 results that fell short of expectations for both revenue and earnings:

  • The company blames its bookings shortfall on “several large deals that were forecast for the quarter that did not come through,” with ITWorks complete outsourcing providing deals being a big contributor to the shortfall.
  • Cerner notes that the lack of Meaningful Use-driven customer urgency is making it harder to create reliable sales forecasts.
  • The company says it is seeing success against Epic as customers focus on return on investment and notes that new hospital EHR entrants “have over-promised and under-delivered.”
  • The company expects to sign its contract with the VA by the end of the year, in which Cerner will function as the prime contractor with subcontractor partners to be announced later.
  • President Zane Burke expects that the VA contract terms will involve a series of task orders that will provide percentage-of-completion payments over several years.

Cerner shares dropped 8.43 percent Friday after the earnings report.

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Above is the five-year share price of CERN (dark blue, up 68 percent) vs. the Nasdaq (light blue, up 125 percent).


Reader Comments

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From Snowman: “Re: Citrix. Hearing 40 percent increases in maintenance fees when renewing. That’s another $300,000 per year for our medium-sized facility. Does that make them a monopoly?” Unverified. Anyone else seeing big maintenance jumps? Citrix isn’t exactly a monopoly since alternative virtual desktops exist, but its product is deeply embedded into the infrastructure and software vendor contracts of most hospital IT shops. I would be interested to hear from hospital CIOs who switched successfully from Citrix to something else for their core healthcare-specific apps and whether they experienced support issues.

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From IT Maven: “Re: University of Washington. UW Medicine has had three chief health system officers in less than a year. Does this have anything to do with their decision no to go with Epic?” I doubt Epic was a key consideration for an executive of that level. The new CHSO’s predecessor lasted less than a year before stepping down in a mutual decision, replaced by an interim that I assume the reader is counting as the third person to hold the job since November 2016.

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From Master of Startup Puppets: “Re: Crunchbase series. I think HIStalk readers would enjoy it.” The series called “A Startup Takes Flight” is an interesting fictional case study that covers early-stage funding, venture capital deal terms, and what happens when a startup sells.

From Not A Client: “Re: Medi-Span data. Has been removed from RxNorm at the request of Wolters Kluwer. Not sure if this is newsworthy since I’ve seen nothing outside the NLM site.” The October 2 RxNorm release notes verify that Medi-Span data was removed from RxNorm at the company’s request. NLM has just announced that the September 2017 RxNorm release expanded the Medi-Span data set.

From The PACS Designer: “Re: LiFi Mobile. LEDs can act as transmitters of signal in wireless systems. LiFi is high speed, bi-directional networked and mobile communication of data using light. LiFi comprises of multiple light bulbs that form a wireless network, offering a substantially similar user experience to Wi-Fi except using the light spectrum.” It sounds interesting, but line-of-sight requirements, as well as possible interference from ambient light, would seem to limit usefulness.


HIStalk Announcements and Requests

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Poll respondents are mostly skeptical that IBM Watson will make a healthcare splash.

New poll to your right or here: which ambulatory EHR vendor has fallen hardest from HIT front-runner status? I recognize that Allscripts and GE Healthcare aren’t just ambulatory EHR vendors, but their presence there earns them a poll spot.

For those with short memories or short healthcare IT careers, it’s time to relearn the oft-repeated lesson that big companies dip their toes into and out of the healthcare IT waters all the time with little loyalty to anyone except shareholders. McKesson bailed out this year and now GE  is apparently mulling its exit after wrecking a slew of acquisitions over many years. Siemens is long gone. Nothing good ever comes from conglomerates licking their chops at what they naively think is easy money and higher growth than their other verticals (see also: Misys and Sage). How hard could this healthcare thing be?


This Week in Health IT History

One year ago:

  • A poor McKesson earnings report sends shares down 23 percent, while competitors Allscripts and Cerner also post lackluster earnings.
  • A Politico article says that Epic and EClinicalWorks are impeding data-sharing with public and specialty registries.
  • CMS approves continuous 90-day reporting period for its EHR Incentive Program and eliminates specific objectives and measures.

Five years ago:

  • McKesson talks up its MedVentive and MED3OOO acquisitions in its earnings call, hints that the company might work with Athenahealth following its acquisition of PSS World Medical, and admits that some Horizon customers are passing on the chance to migrate to Paragon.
  • A Wells Fargo Securities analysis finds that the lowest-percentage hospital EHR attestation vendors are GE Healthcare, QuadraMed, NextGen, and McKesson.
  • CHIME President and CEO Rich Correll announces plans to move to a COO role.
  • SCI Solutions founder John Holton retires from the company.
  • Humana acquires Certify Data Systems.

Ten years ago:

  • CSC acquires First Consulting Group.
  • Perot Systems conducts massive layoffs.
  • ZDNet declares MIsys to be an open source health IT competitor to Medsphere.
  • ONC funds a significant grant to have definitions developed for the terms EHR, EMR, PHR, HIE, and RHIO.
  • Virtua Healthcare (NJ) says its $500 million, 368-bed new medical campus will use technology to transform healthcare.
  • Philips announces plans to sell its 70 percent stake in MedQuist. 

Last Week’s Most Interesting News

  • Cerner falls short of Wall Street expectations for both revenue and earnings in its quarterly report, sending shares down hard.
  • CVS is rumored to be in talks to acquire Aetna.
  • GE explores selling its healthcare IT business.
  • A second former executive of Cleveland Clinic Innovations is arrested for fraud involving spinoff Interactive Visual Health Records.

Webinars

November 8 (Wednesday) 1:00 ET. “How Clinically Integrated Networks Can Overcome the Technical Challenges to Data-Sharing.” Sponsored by: Liaison Technologies. Presenters: Dominick Mack, MD, executive medical director, Georgia Health Information Technology Extension Center and Georgia Health Connect, director, National Center for Primary Care, and associate professor, Morehouse School of Medicine;  Gary Palgon, VP of  healthcare and life sciences solutions, Liaison Technologies. This webinar will describe how Georgia Heath Connect connects clinically integrated networks to hospitals and small and rural practices, helping providers in medically underserved communities meet MACRA requirements by providing technology, technology support, and education that accelerates regulatory compliance and improves outcomes.

Previous webinars are on our YouTube channel. Contact Lorre for information.


Acquisitions, Funding, Business, and Stock

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Quality Systems (NextGen) announces Q2 results: revenue up 4 percent, adjusted EPS $0.22 vs. $0.23, beating analyst expectations for both. From the earnings call:

  • The company says it was hit by turnover in its sales team as “a number of legacy sales resources and managers elected to move on,” with the resulting loss of client relationships hurting the close rate for larger deals. The company confirmed that 13 of 70 salespeople have left and have been replaced.
  • The company is still trying to salvage one unnamed large client that has threatened to defect.
  • NextGen is emulating Athenahealth in offering pricing based on a percentage of net collections.

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Above is the five-year share price of QSII (dark blue, down 19 percent) vs. the Nasdaq (light blue, up 125 percent).

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Tenet Health will lay off 1,300 employees.

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A Healthcare Growth Partners report finds that health IT investment is continuing at a record pace even as M&A activity has stagnated. The quarter’s big M&A deals were the merger of Navicure and ZirMed, the sale of The Advisory Board Company’s healthcare business to Optum Health, and the sale of WebMD. The big investment theme was genomic medicine. The article notes that the industry must be assuming that total addressable market and M&A activity will increase to absorb the 46 percent annual growth rate in investment that has occurred since 2011.


Sales

Everest Rehabilitation Hospitals (TX) chooses Medhost for two hospitals to be constructed.


People

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Aviacode CEO Keith Hagen takes on the additional role of board chair.


Announcements and Implementations

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Medecision launches 10 care management apps for care, utilization, and disease management; network management; and care coordination.

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T-System says 70 percent of its new contracts involve its hosted solutions for episode-based care, which includes hospital EDs, freestanding EDs, and urgent care centers.

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Definitive Healthcare adds retail health clinics and assisted living facilities to its healthcare provider database.

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Akili Interactive, Propeller Health, Voluntis, and WellDoc launch the Digital Therapeutics Alliance to support clinically validated solutions.  


Privacy and Security

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Drug maker Merck says it lost $135 million in Q3 sales and spent $175 million in direct cost due to its Petya ransomware attack in June. The company said in the earnings call that its Q4 results will be similarly impacted, raising the cost of its ransomware attack to at least $620 million.


Other

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A vascular surgeon testing the FDA-cleared Butterfly IQ ultrasound device for smartphones decides to scan his sore throat, the result of which reveals that he has a since-treated cancerous mass.

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Microsoft ends production of its Kinect 3-D mapping and body movement sensor that in addition to is main purpose as an Xbox game controller was used in some healthcare applications, such as those for physical therapy, rehab, and health screening. Part of Kinect’s technology has been rolled into Microsoft’s Hololens.

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Medical device executive David Mortara, PhD donates $25 million to the UCSF School of Nursing to fund a center that will study alarm fatigue and overly sensitive ECG machines that contribute to it. Mortara sold his diagnostic cardiology and patient monitoring device company to Hill-Rom for $330 million in cash in January 2017.

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Actress and investor Eva Longoria helps introduce a virtual visit kiosk that will be offered to residents of an affordable workforce housing community in Texas.

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An interesting article looks at the big business of scrubs, worn every day by the nearly one in five Americans employed in healthcare who generate $10 billion in annual sales, mostly to wearers who buy their own. The latest innovation beyond adding licensed cartoon characters and form-flattering designs: scrubs impregnated with antimicrobials to help reduce the spread of infection.

In Scotland, the Royal Pharmaceutical Society says community pharmacists don’t have access to the electronic medical records of patients as they were promised, requiring them to call an NHS hotline to obtain the information they need.

Thomas Health (WV) lays off 10 IT employees following consolidation of systems it didn’t name. The hospital announced plans last year to move from Cerner/Siemens Soarian and Meditech Magic to Meditech 6.1.

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Weird News Andy is weirded out by this story covering the largely unregulated “tissue banks” that offer free cremation – sometimes in cahoots with funeral homes who invest in the companies — in return for donating organs to “advance medical studies.” It calls out Southern Nevada Donor Services, whose employee was caught using a garden hose in the parking lot of its warehouse to thaw a human torso, sending tissue and blood into a gutter. Most of the known “body brokers” are for-profit companies, one of which earned $12.5 million in three years. The companies were launched for as little as the $100,000 needed to buy a van and freezers, with some of the more frugal ones using a chainsaw instead of the much more expensive surgical saw to disassemble their donors into marketable components.

Vince takes us back to November 1987, when pre-adult Tiffany (who is now 46 years old) ruled the pop charts with “I Think We’re Alone Now” and a surprising health IT vendor’s ad bragged on being backed by a $5 billion company (which, like most big companies dabbling in healthcare, didn’t stick around long).


Sponsor Updates

  • Forward Health Group founder and CEO Michael Barbouche is named to Madison Magazine’s M List of health innovation leaders and will speak at a reception and dinner on November 9.
  • ZappRx will attend the CHEST conference October 28 – November 1 in Toronto and the North American Cystic Fibrosis Conference November 2-4 in Indianapolis. The company will also exhibit at the PFF Summit November 9-11 in Nashville.
  • Aprima will exhibit at the American College of Phlebology’s 2017 Annual Congress November 2-5 in Austin, TX.
  • Surescripts will exhibit at the Digital Quality Summit November 1-3 in Washington, DC.
  • T-System sees swelling demand for its hosted healthcare solutions.
  • TriNetX will exhibit at the AMIA Annual Symposium November 4-8 in Washington, DC.
  • Mazars USA elects Cody Cass, Julie Petit, and Kristen Walters partners.
  • The Boston Globe features ZappRx CEO Zoe Barry in a profile on women in technology.

Blog Posts


Contacts

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

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Morning Headlines 10/27/17

October 26, 2017 Headlines Comments Off on Morning Headlines 10/27/17

President Donald J. Trump is Taking Action on Drug Addiction and the Opioid Crisis

President Trump declares the opioid epidemic a “public health emergency”, but falls short of declaring a national emergency which would have unlocked immediate funding to help address the situation. Officials assured critics that the administration would be requesting additional funding to support expanded treatment efforts shortly.

How Health Care Providers Can Help End the Overprescription of Opioids

Harvard Business Review covers the opioid epidemic, calling for mandated use of PDMPs and improvements in their integration with EHRs.

Cerner’s busy earnings call: more government deals, stock falls hard, no CEO yet

Cerner reports Q3 results: revenue climbed eight percent to $1.28 billion, adjusted EPS $.52 vs. $0.49, missing on both. Shares fell eight percent in after-hours trading. On its earnings call, COO Michael Nill noted that a new CEO had not yet been identified, but offered some assurances, explaining that “The company is being run by a very solid team. The board is going to take their time and go through that process in a very careful manner.”

CVS Makes Blockbuster Aetna Bid

CVS is reportedly in talks to buy Aetna at a $66 billion valuation, sending share prices up 11 percent in after-hours trading.

Comments Off on Morning Headlines 10/27/17

News 10/27/17

October 26, 2017 News Comments Off on News 10/27/17

Top News

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President Trump declares a public health emergency to address the country’s opioid crisis, drawing fire from critics for not allocating new funding to address the epidemic. Key takeaways:

  • Expanded access to telemedicine services.
  • Easier appointments of temporary HHS officials who will help redirect programs and resources.
  • Refocusing resources within HIV/AIDs programs to help give patients access to substance abuse treatment.
  • Issuing grants to help workers displaced from the workforce by the opioid crisis – a somewhat nebulous benefit subject to available funding.

HIStalk Announcements and Requests

This week on HIStalk Practice: Greenway announces corporate, software overhaul. Oklahoma physicians prepare for major business changes ahead of looming Medicaid cuts. AMA President-Elect argues for less spending on hospitals, and more on primary care. AMA continues to eschew digital health snake oil comments with launch of new forum. CoinMD looks to create a cryptocurrency-based healthcare membership network. Pennsylvania helps prescribers connect EHRs to PDMP. Delaware taps HMS to help it better integrate behavioral health and primary care. Drchrono develops urgent care-friendly health IT.


Webinars

November 8 (Wednesday) 1:00 ET. “How Clinically Integrated Networks Can Overcome the Technical Challenges to Data-Sharing.” Sponsored by: Liaison Technologies. Presenters: Dominick Mack, MD, executive medical director, Georgia Health Information Technology Extension Center and Georgia Health Connect, director, National Center for Primary Care, and associate professor, Morehouse School of Medicine;  Gary Palgon, VP of  healthcare and life sciences solutions, Liaison Technologies. This webinar will describe how Georgia Heath Connect connects clinically integrated networks to hospitals and small and rural practices, helping providers in medically underserved communities meet MACRA requirements by providing technology, technology support, and education that accelerates regulatory compliance and improves outcomes.

Previous webinars are on our YouTube channel. Contact Lorre for information.


Acquisitions, Funding, Business, and Stock

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Cerner reports Q3 results: Revenue up 8 percent, adjusted EPS $0.61 vs. $0.59, with bookings down due to projects delayed to the fourth quarter. President Zane Burke is optimistic the company will achieve its projected 2017 earnings and revenue growth, adding that, “we continue to gain share in the Electronic Health Record replacement market and still have meaningful growth opportunities in revenue cycle and population health.”

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Another one bites the dust: HIMSS acquires the rights to the Disruptive Women in Healthcare media company. I’m not sure how much disruption will occur now that it’s been gobbled up by HIMSS, which plans on incorporating its content into its own female-focused media efforts.

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Tenet Healthcare (TX) decides not to put itself up for sale, though it will move forward with a strategic review of operations as it struggles to deal with $15 billion in debt. Sources believe the company has instead decided to focus on selecting a new, permanent CEO.

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GE considers selling its healthcare IT and transportation businesses in an effort to meet a self-inflicted goal of divesting $20 billion in assets under the watchful eye of fairly new CEO (and former head of GE Healthcare) John Flannery.


People

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John McLean (Best Doctors) joins Kyruus as CFO.

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American Well hires Harry Kim (Samsung Health) as SVP of strategic partnerships.


Sales

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Hackensack Meridian Health (NJ) and Riverside Medical Center (IL) will implement Omnicell medication management and safety solutions including the Epic-friendly XT Automated Dispensing Cabinet.

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HCA’s HealthOne (CO) health system selects Philips Wellcentive’s cloud-based informatics platform.

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To help improve sepsis outcomes, Mosaic Life Care selects Wolters Kluwer Health’s POC Advisor clinical surveillance and analytics software.

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MultiCare Health System (WA) will spend $25 million on a staggered Epic implementation across its three Spokane facilities next year.

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Navicent Health (GA) will implement Outcome Health’s patient education technology at its physician group locations.


Technology

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NantHealth develops a companion medication adherence app for its Vitality GlowCap smart pill bottle.

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ZeOmega announces Medicare Advantage-specific enhancements to its Jiva population health management platform.


Announcements and Implementations

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Ozarks Medical Center (MO) implements emergency management communications technology from LiveProcess across its hospital, clinics, and home health providers.

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With help from IDSolutions, Henry Ford Health System (MI) adds Vidyo’s virtual visit technology to its Epic workflow.

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Pella Regional Health Center will go live on Meditech 6.15 November 1.

Partners HealthCare works with Validic to test out adding blood pressure monitoring data from patient home health devices to its EHR and provider workflows. The organizations plan to move forward with broader device integration and data gathering early next year.


Government and Politics

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HHS opens up applications for its Opioid Code-a-Thon, which will be held December 6-7 in Washington, DC. Prizes of $10,000 each will be awarded for solutions that focus on opioid treatment, usage, and misuse prevention.


Innovation and Research

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The UCSF Health Informatics team analyzes the movements of 85,000 hospitalized patients seen over three years by mapping EHR patient location and timestamp data. The information was then compared with hospital-acquired infection data in hopes of uncovering unknown transmission hotspots within the hospital. The team realized that patients who entered a particular CT scanner used in the ED were more than twice as likely to become infected with C. Diff than the baseline patient population. As a result, ED staff have been re-trained on how to properly sanitize the scanner.

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A majority of hospital CMOs report that post-implementation tech support will be a driving factor in their health IT purchasing decisions next year, according to new research from Black Book. Fifty-three percent of survey-takers believe their current EHR vendor is providing sub-par support. Cerner, Allscripts, Meditech, and McKesson received top support marks, while Stoltenburg Consulting was cited as a top third-party support firm.


Other

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Tesla team members install a solar array that has helped restore power to San Juan’s Hospital del Niño. Tesla founder Elon Musk has said the power project is the first of many that will help Puerto Rico recover from two September hurricanes that have left the island without vital resources.

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San Diego city officials come under fire for the enlisting the pro bono services of PR firms as they sought to stop the hepatitis A outbreak among the city’s homeless. Critics were especially surprised when the PR reps began attending government planning meetings. “You bring in stakeholders who have an interest in the subject at hand,” said one, “but you don’t usually bring in PR people who can spin it afterwards.”


Sponsor Updates

  • MedData and Meditech will exhibit at the ACEP Scientific Assembly October 30-November 2 in Washington, DC.
  • Netsmart will exhibit at LeadingAge October 29 in New Orleans.
  • Nordic will lead focus groups at the CHIME Fall CIO Forum October 31-November 3 in San Antonio.
  • NTT Data Services achieves premier-level service provider status in VMware’s Cloud Provider Program.
  • Parallon Technology Solutions and PatientSafe Solutions will exhibit at the CHIME Fall CIO Forum October 31-November 3 in San Antonio.
  • Clinical Computer Systems, developer of the Obix Perinatal Data System, will exhibit at the Perinatal-Neonatal Symposium October 30 in Williamsburg, VA.
  • Experian Health will exhibit at the Delaware Healthcare Forum October 31 in Dover.
  • PatientPing hires Brad Shaw (Wayfair) as director of engineering.
  • PokitDok achieves HITRUST CSF Certified status.

Blog Posts


Contacts

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

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Comments Off on News 10/27/17

EPtalk with Dr. Jayne 10/26/17

October 26, 2017 Dr. Jayne 2 Comments

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I had some additional adventures in patient-land this week when I went for a trip through the MRI scanner. Although it wasn’t a portal to adventure like some of the pediatric imaging suites I’ve seen, it did have its moments. The radiology department was running behind schedule due to short-staffing, which they promptly attributed to the hospital’s upcoming Epic go-live. Apparently, they need to get all the technicians through the training by the end of the month in order to meet the required training timelines. I was having a fairly specialized study that must not be done very often, and the only technician trained for the positioning needed was working in the emergency department, so I had to wait for her to arrive despite having been on the schedule for weeks. The study went off without a hitch, although you know you’re sleep-deprived when you sleep through your MRI despite all the banging noises. When it was time to assist me off the table, the tech let slip that she was glad the images turned out well because it’s the first time she’s performed this particular study. Not a confidence builder but I’m glad my results were unremarkable. I get to do it again in a year, so hopefully they’ll be through their Epic issues and have a little more experience with specialized MRIs under their belts.

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The ONC Annual Meeting is coming up, from November 30 to December 1 in Washington, DC. This year’s theme is “Tackling Barriers to Interoperability and Usability.” After a keynote from the National Coordinator, attendees can choose from a variety of breakouts on topics such as the Trusted Exchange Framework, standards, data infrastructure for patient-centered outcomes research, and reducing provider burden. There will also be a panel discussion on improving health IT usability. The hotel block expires Sunday, so make your reservations now.

I had to take some annual training this week for one of my clients, including HIPAA, fraud and abuse, harassment, and a charming refresher on how to use fire extinguishers. There were a few other courses required of all hospital employees and contractors. Fortunately, I could do them online while watching my favorite new show on Netflix, The Doctor Blake Mysteries. The HIPAA course reminded me of a recent article about a Capitol Hill pharmacist who commented publicly about some of his prominent patients, although he later retracted this to say he was talking speculatively. In addition to serving Congressional staffers and lobbyists in the community, his pharmacy delivers medications to the Capitol’s Office of the Attending Physician. Even if he was joking as he says he was, it’s a bad idea for a healthcare professional to put himself in this type of position.

I had never heard of the Office of the Attending Physician before the article, which apparently serves as a mini-concierge practice staffed by Navy physicians, nurses, and ancillary personnel. Lawmakers pay around $600 annually for the physician services, although the prescriptions are billed to insurance like they would be for any other patient. The Office has an annual budget of $3.7 million, which is certainly more than many of the primary care physicians I know who are carrying thousands of patients in their panels. The article mentions that the Office doesn’t yet use e-prescribing, which most of the rest of us have been forced to adopt, but rather that the physicians call prescriptions to the pharmacy by phone, which slows his business.

The justification for the Office is to allow lawmakers to receive care without interrupting their busy schedules, but I think that maybe if our legislators had to juggle physician visits like the rest of us do, they might be more sympathetic to the plight of the average patient. If they had to wait for physicians who were running late due to multiple competing priorities, overloaded panels, and clunky EHRs, they might have a different feeling about mandating how physicians practice. And if they had to sit on hold while making an appointment, then wait a few weeks for the visit, put in a time-off request, take off work, hand-off their responsibilities to a co-worker, clock out, sit in traffic, and barely make it to the office on time for their appointments, they might have a better understanding of the healthcare system they’re trying to fix legislatively.

Speaking of who should tell physicians and other healthcare professionals how to practice, I enjoyed this piece by New York Times op-ed writer Sandeep Jauhar. I had previously enjoyed his book “Doctored” about physician disillusionment, and so was interested to hear his thoughts on whether physicians or business leaders should make decisions about care in our hospitals. He notes that 90 percent of the nation’s hospitals are run by leaders without medical training, along with the increasing focus on profitable service lines regardless of the general medical needs of a community’s patient population. I’ve seen that in my own city where hospitals compete brazenly for orthopedic and cardiac procedures while running other service lines with a skeleton crew.

Jauhar notes that physicians are partly to blame for their loss of authority at hospitals: “If we had taken better care of our institutions, perhaps there would not have been a need for others to manage them for us.” It’s something to think about as we consider the many forces impacting patient care, not only for physicians but for other clinicians – we have lawmakers, payers, regulators, attorneys, accountants, and technology vendors driving our interactions with patients and with our peers. It’s certainly not going to get any better unless we do a better job advocating for our patients, our colleagues, and ourselves.

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Weird news of the week, just in time for Halloween: A patient is diagnosed with hematohidrosis, a condition in which she literally sweats blood. The write-up appeared in this week’s Canadian Medical Association Journal. With only 18 documented cases in the last five years, it’s not surprising that we haven’t heard more about it, but it’s a condition you certainly wouldn’t miss if you ever came across it.

Email Dr. Jayne.

Morning Headlines 10/26/17

October 25, 2017 Headlines 1 Comment

Cerner EHR implementation at VA to take ‘7 to 8 years’

VA Secretary David Shulkin, MD told the House Committee on Veterans’ Affairs that the transition from VistA to Cerner will take seven to eight years, with the first go-live anticipated 18 months after contracts are signed.

CRISPR 2.0 Is Here, and It’s Way More Precise

Published in both Nature and Science, researchers from the Broad Institute of MIT and Harvard describe a new gene-editing technique that improves on CRISPR-Cas9. The new approach rearranges atoms within a DNA strand to repair mutated chemical bases, rather than cutting and replacing the problematic area of the DNA, resulting in a more precise editing tool that could one day treat a range of inherited diseases, some of which currently have no treatment options.

Judge rejects bid by 18 states to revive Obamacare subsidies

In San Francisco, US District Judge Vince Chhabria upholds President Trump’s executive order stopping cost-sharing subsidy payments to insurers.

Bipartisan health-care bill would reduce deficit by $4B over 10 years

The CBO says the bipartisan Alexander-Murray bill, designed to stabilize the ACA individual marketplaces, would reduce the deficit by nearly $4 billion over the next 10 years.

Morning Headlines 10/25/17

October 24, 2017 Headlines Comments Off on Morning Headlines 10/25/17

Imprivata Acquires Identity and Access Management Business of Caradigm to Expand its Solutions

Imprivata expands its secure user access product line in acquiring Caradigm’s identify and access management business. Financial terms were not disclosed.

Nuance Files Patent Infringement Lawsuit Against MModal

Nuance sues rival speech recognition vendor MModal, alleging that MModal products violate six Nuance patents related to speech recognition, computer-assisted physician documentation, and transcription technology.

UCSF Innovators Use EHRs to Track Hospital-Acquired Infection

A study published in JAMA Internal Medicine conducted by the UCSF Health Informatics team analyzes the movements of 85,000 hospitalized patients seen over three years by mapping EHR patient location and timestamp data. This information was then compared with hospital acquired infection data in hopes of uncovering unknown transmission hotspots within the hospital. The team did identify that patients who entered a particular CT scanner used in the Emergency Department were more than twice as likely to become infected with C. Diff than the baseline patient population. As a result, ED staff were re-trained on how to properly sanitize the scanner.

Cleveland Clinic CEO sees ‘total restructuring’ ahead for health care business

At the Cleveland Clinic’s 15th annual Medical Innovation Summit, CEO Toby Cosgrove, MD predicts that the shift to value-based care will require a “total restructuring” of the healthcare industry, saying, “I think as we do that we’re going to see the quality improve, we’re going to see the cost come down, and hopefully that will allow us to look after more and more people across the United States. But this is an enormous transition we’ve been at it now nine years, and we’re just beginning to see the effects of this.”

Comments Off on Morning Headlines 10/25/17

News 10/25/17

October 24, 2017 News Comments Off on News 10/25/17

Top News

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Imprivata acquires Caradigm’s identity and access management business for an unspecified amount. Caradigm, a GE Healthcare company, has been in the process of streamlining operations for several years now. It announced workforce reductions in April, and August 2016.


HIStalk Announcements and Requests

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Welcome to new HIStalk Platinum Sponsor WiserTogether. The Washington, DC-based company’s treatment guidance platform improves outcomes and satisfaction while lowering cost. People and populations use its Return to Health solution to select the most appropriate and effective personalized treatment option in sharing decision-making with their provider. Condition, symptom, and demographic information is assessed against clinical efficacy and guideline content, treatment costs, provider ratings data, and time-to-recovery guidelines to present treatment options labeled as Poor, Good, and Best. Nearly 90 percent of users choose effective treatments, reducing the use of ineffective tests and treatments by 25 percent in creating a 400-900 percent ROI. The company just announced enhancements that include analytics and reporting that allows healthcare organizations to understand how patients make treatment decisions and which options they are likely to choose. Thanks to WiserTogether for supporting HIStalk.

I came across this video describing how patients can use WiserTogether’s Return to Health tool to find evidence-based treatments that are cost effective.


Webinars

Here is the recording from today’s webinar with ZappRx on improving care and saving time with streamlined specialty drug prescribing.

October 25 (Wednesday) 1:00 ET. “Delivering the Healthcare Pricing Transparency that Consumers are Demanding.” Sponsored by: Health Catalyst. Presenter: Gene Thompson, director, Health City Cayman Islands. Health systems are unlike every other major consumer category in not providing upfront pricing information. Learn how one health system has developed predictable, transparent bundled pricing for most major specialties. Attendees will gain insight into the importance of their quality measures and their use of actual daily procedure costing rather than allocated costs. They will also learn about the strategic risk of other market participants competing with single bundled pricing. The organization’s director will expand how its years-long process is enabling healthcare delivery reform.

October 26 (Thursday) 2:00 ET. “Is your EHR limiting your success in value-based care?” Sponsored by: Philips Wellcentive. Presenters: Lindsey Bates, market director of compliance, Philips Wellcentive; Greg Fulton, industry and public policy lead, Philips Wellcentive. No single technology solution will solve every problem, so ensuring you select the ones most aligned to meet your strategic goals can be the difference between thriving or merely surviving. From quality reporting to analytics to measures building, developing a comprehensive healthcare strategy that will support your journey in population health and value-base care programs is the foundation of success. Join Philips Wellcentive for our upcoming interactive webinar, where we’ll help you evolve ahead of the industry, setting the right strategic goals and getting the most out of your technology solutions.

November 8 (Wednesday) 1:00 ET. “How Clinically Integrated Networks Can Overcome the Technical Challenges to Data-Sharing.” Sponsored by: Liaison Technologies. Presenters: Dominick Mack, MD, executive medical director, Georgia Health Information Technology Extension Center and Georgia Health Connect, director, National Center for Primary Care, and associate professor, Morehouse School of Medicine;  Gary Palgon, VP of  healthcare and life sciences solutions, Liaison Technologies. This webinar will describe how Georgia Heath Connect connects clinically integrated networks to hospitals and small and rural practices, helping providers in medically underserved communities meet MACRA requirements by providing technology, technology support, and education that accelerates regulatory compliance and improves outcomes.

Previous webinars are on our YouTube channel. Contact Lorre for information.


Acquisitions, Funding, Business, and Stock

Select Medical Holdings will combine its Concentra occupational and urgent care company with California-based Dignity Health’s US HealthWorks subsidiary as part of an expanding partnership that includes the joint development of a 60-bed hospital and operation of 12 outpatient clinics in Las Vegas.

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Life insurance company John Hancock dangles $25 Apple Watches to lure customers into its Vitality health and wellness program. Members who exercise regularly for two years will avoid having to pay off the typically $300 device in installments.

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Nuance points the legal finger at MModal, alleging in a lawsuit that MModal products violate patents pertaining to transcription, speech recognition, and computer-assisted physician documentation technology. The lawsuit comes four months after Nuance suffered a malware attack on its cloud-based services that led to a $15 million loss in Q3.

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Newton, MA-based Devoted Health raises $62 million, bringing its total to $69 since launching earlier this year. Company founders Ed and Todd Park (brothers of Athenahealth fame, among other illustrious health IT roles) plan to offer concierge-style Medicare Advantage plans beginning in 2019 that will incorporate house calls and virtual visits.

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Amazon receives 238 bids from 54 states, provinces, and territories all vying to attract the company’s second headquarters. Amazon plans to invest $5 billion in the new facility, which will employ 50,000. Given its recent interest in health IT, it will be interesting to see if “Amazon HQ2” lands in a health IT-heavy town. As one would expect, city officials have dangled tax breaks and other incentives in front of the world’s largest online retailer. Outside of Atlanta, City of Stonecrest Mayor Jason Lary has promised to develop the city of Amazon and appoint Jeff Bezos as its lifelong mayor. 

Reuters reports that Siemens has enlisted three banks to lead the organization of an early-summer IPO for its Healthineers unit.


Announcements and Implementations

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Regional Health (SD) goes live on Epic over the weekend.

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Swedish Bellevue Primary Care (WA) becomes the fourth Swedish location to roll out Versus Technology’s real-time locating system.

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Definitive Healthcare adds retail clinics and assisted living facilities to its market research database of providers.

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Thibodaux Regional Medical Center (LA) implements electronic signatures and forms technology from Access.


People

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Tom Visotsky (HCS) joins Kno2 as VP of vertical market sales.

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Cancer informatics company Inspirata names Josh Mann (Mann Consulting & Ventures) VP of its Cancer Information Data Trust Program.

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Vikram Natarajan (Medfusion) joins SPH Analytics as SVP of development and IT.

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Tenet Healthcare names Executive Chairman Ronald Rittenmeyer interim CEO. He takes over from Trevor Fetter, who announced his resignation in August after a two decade career at the Dallas-based health system. Tenet has been exploring strategic options recently, including the potential sale of parts of the company, and has been in the public eye over disagreements with investors over strategy, takeover rumors, and board-level resignations.


Technology

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Medecision debuts new care management apps related to population analytics, EHRs, financial performance, risk scoring, and care coordination. The company will launch apps for care engagement and operational efficiencies later this year.


Government and Politics

Ft. Lewis, WA-based Madigan Army Medical Center goes live on Cerner, the fourth major installation of the DoD’s MHS Genesis program. The center is the largest of the program’s inpatient facility implementations, and the final one in the Pacific Northwest. I like that they’ve gotten a patient to host their tutorial videos, the first of which is accompanied by an 80’s-era soundtrack that will have you reminiscing about Jazzercise and GI Joe quicker than you can say “New Coke.”

A federal court dismisses CliniComp’s August lawsuit against the VA, which alleged that the administration had improperly issued Cerner a no-bid contract for a VistA replacement. CliniComp CEO Chris Haudenschild has vowed to appeal, adding that the company “simply wants the chance to prove that it can do the job cheaper, faster, and better.” The company’s systems are used in several VA hospitals.


Innovation and Research

The COPD Foundation, Geisinger (PA), GSK, and Jvion embark on a project that will identify COPD patients at risk of hospitalization and/or readmissions. Funded by GSK, the two-phased project will pair the foundation and Geisinger’s clinical expertise with Jvion’s AI-based patient risk stratification technology.

Black Book survey-takers rank Navicure as the top RCM technology vendor, with Experian, Patientco, Change Healthcare, InstaMed, and NThrive also scoring high for end-user satisfaction.


Other 

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The New Yorker digs into the pharma moguls of the Sackler family (apparently known more for their philanthropy than to the development of OxyContin) and their ties to the rise of pharmaceutical advertising, which some physicians feel account for the lion’s share of today’s opioid epidemic.

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This is a breach of a different kind: Saline Memorial Hospital staff receive an unexpected (and no doubt unruly) visitor when a deer crashes into its courtyard, prompting Arkansas Game and Fish to come and remove the animal.


Sponsor Updates

  • Besler Consulting releases a new podcast, “Reducing Medicare spending through electronic health information exchange.”
  • Carevive wins the 2017 Cerner Emerging Partner of the Year Award.
  • Centrak will exhibit at LeadingAge October 29-November 1 in New Orleans.
  • CoverMyMeds will exhibit at the CBI Electronic Benefit Verification and Prior Authorization Summit October 24-25 in San Francisco.
  • Dimensional Insight will exhibit at the Hospital Quality Institute November 1-3 in Monterey, CA.
  • EClinicalWorks will exhibit at the Connected Health Conference October 26-27 in Boston.
  • FormFast, HealthCast, Impact Advisors, InterSystems, and Intelligent Medical Objects will exhibit at the CHIME CIO Fall Forum October 31-November 3 in San Antonio.
  • Healthwise will exhibit at the HealthTrio 2017 Users Group Conference October 25-27 in Tucson.
  • Optimum Healthcare IT publishes a new case study, “Epic Help Desk and Call Center Support at The Guthrie Clinic.”
  • Iatric Systems will exhibit at the HCCA Regional Conference October 27 in Chicago.
  • AdvancedMD, Clinical Architecture, and CompuGroup Medical join CommonWell.
  • Nordic releases a new podcast, “How to communicate effectively during your EHR transition.”

Blog Posts


Contacts

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

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Comments Off on News 10/25/17

Morning Headlines 10/24/17

October 23, 2017 Headlines Comments Off on Morning Headlines 10/24/17

Fetter Leaves Tenet Healthcare As CEO

Tenet CEO Trevor Fetter resigns after a two decade career at the health system. His last day will be March 15, 2018, or when a successor is named, whichever comes sooner. Tenet has been exploring strategic options recently, including the potential sale of parts of the company, and has been in the public eye over disagreements with investors over strategy, takeover rumors, and board-level resignations.

Olathe lawmaker’s job as a government strategist raises ethics questions

The Kansas City Star questions the whether a senior government strategist for Cerner should be simultaneously serving as the 15th district Kansas state representative.

Leidos Partnership for Defense Health Supports Advancement of Military Health System through Deployment of MHS GENESIS at Madigan Army Medical Center

Ft. Lewis, WA-based Madigan Army Medical Center goes live on Cerner, the fourth major installation of the DoD’s MHS GENESIS program.

Iowa withdrawing Obamacare alternative plan

Iowa Insurance Commissioner Doug Ommen announces that the state will withdraw its proposal to revamp policies governing its ACA marketplace for the 2017-2018 enrollment year, despite warnings that without the plan, up to 22,000 Iowans will drop out of the individual insurance market.

 

Comments Off on Morning Headlines 10/24/17

Curbside Consult with Dr. Jayne 10/23/17

October 23, 2017 Dr. Jayne 2 Comments

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I’m a big fan of former Surgeon General Vivek Murthy, MD and of his willingness to explore popular culture and current trends to further public health. (If you haven’t seen him talk with Elmo about vaccinations, it’s worth a watch.) His recent contribution to the Harvard Business Review addresses the “loneliness epidemic” that is a growing health issue for many people. He notes that although we are technically more connected than ever before, greater numbers of Americans report feeling lonely.

This isn’t the first time someone has written about the concept of loneliness. The Atlantic broached the idea that social media was making us lonely back in 2012. Even five years ago, it described us as “living in an isolation that would have been unimaginable to our ancestors, and yet we have never been more accessible.” I got a kick out of rereading the article, which described a world prior to the Facebook IPO. It addressed ideas that behaviors such as passive consumption of social updates and individuals broadcasting updates to the world links directly to feelings of disconnectedness. Reading the carefully curated updates of others has also been linked to depressed mood.

Of course, Facebook and other social media platforms aren’t always passive. I ran into a situation today with one of my hobbies, where I ran into an issue that could only be described as a calamity. A quick post to a hobby group had an answer for me in exactly 53 minutes, from someone I have met a couple of times and trust but don’t feel I know well enough to pick up the phone and call. We had some back-and-forth about the issue and my project, and I felt like I now know her well enough that next time I might just pick up the phone. After a couple of other people weighed in on my issue, I walked away with a greater feeling of connectedness rather than loneliness. This underscores the need to not paint technology as the culprit with too broad a brush.

Murthy takes these concepts and builds on them in a public health context. He notes the impact of loneliness on members of all age groups and socioeconomic backgrounds, citing it as one reason people become involved with violence, drugs, and gangs. He highlights a direct connection of loneliness with mortality, citing a study comparing it to cigarettes and obesity as a cause of shortened lifespan. It has also apparently been linked to higher risk for heart disease, dementia, depression, and anxiety. I have to admit, I haven’t seen any public health programs in my community that are specifically deigned to combat social isolation. Loneliness is also linked to burnout, which is something we’re seeing increasingly in healthcare. From a workplace perspective, Murthy notes that it “reduces task performance, limits creativity, and impairs other aspects of executive function such as reasoning and decision making.” He goes on to note that employers play a role in driving change by “strengthening connections among employees, partners, and clients but also by serving as an innovation hub that can inspire other organizations to address loneliness.”

I haven’t run across any employers yet who are specifically addressing the idea of loneliness, but I’m seeing organizations try to develop greater relationships between employees. They may be going beyond traditional team-building activities to spinning up employee support groups, such as those for new hires, working parents, telecommuters, veterans, and more. Given the number of hours that we see people spending in the workplace, it makes sense that it might be supplanting community organizations as a hub of social engagement. He notes that particular types of employment including telecommuting and contracting engagements lower the opportunities for direct interactions, but that “even working at an office doesn’t guarantee meaningful connections.”

Murthy steers the essay back to his public health roots, noting that loneliness causes stress, which can elevate the hormone cortisol, along with inflammation that can damage blood vessels. Stress can also impair brain function including emotional regulation and decision making. Social connections can lead to workers who are less likely to be sick and who can produce more quality work. He goes on to detail specific actions that can aid social connections in the workplace:

  • Evaluate the current state of connections in the workplace.
  • Build understanding of high-quality relationships.
  • Make strengthening social connections a strategic priority.
  • Encourage coworkers to reach out and help others.
  • Create opportunities to learn about the personal lives of your colleagues.

He expands on those actions by talking about concepts that we don’t consistently see in many workplaces, such as a culture of kindness and identifying the building of high-quality relationships as a priority. I’ve been privileged to work for people who embrace these ideas, encouraging colleagues to get to know each other beyond our roles as workers and more as people. At one office we were encouraged to personalize our workspaces, where another restricted display of non-approved decorations. It isn’t hard to guess which one led to greater personal conversations and understanding, and helped build some of the relationships that keep me sane on a regular basis. In other workplaces I’ve seen employees intentionally pitted against each other, or treated so unequally that most people would have significant challenges trying to build relationships in those environments. I try to include a review of workplace culture as an element in many of my engagements, and it’s good to see a respected source like Vivek Murthy give credence to the need to address what people often consider the “soft” disciplines.

Murthy closes citing a concern that “if we cannot rebuild strong, authentic social connections, we will continue to splinter apart.” We’re certainly seeing plenty of splinting in our world today, and in many workplaces. I hope his efforts to bring a discussion of loneliness to the fore garner some real attention. I’d be interested to hear whether any of the clinical informaticists out there are pursuing work in this area, or whether loneliness and social connections are being addressed in your workplace.

Have strategies to bring people together? Email me.

Email Dr. Jayne.

Morning Headlines 10/23/17

October 22, 2017 Headlines Comments Off on Morning Headlines 10/23/17

athenahealth’s CEO Jonathan Bush on Q3 2017 Results

Athenahealth shares jump 8 percent on news of the company’s layoffs and cost reduction plan. In its earnings call, CEO Jonathan Bush attributes slow sales to “lackluster market conditions in the post-Meaningful Use era.”

FirstHealth Computer Network Threatened by Malware Virus

On Tuesday, a ransomware attack at FirstHealth of the Carolinas forces end users onto downtime procedures. Security analysts have identified the malware as a new form of the “WannaCry” virus.

Cleveland Clinic spinoff company executive arrested, charged with defrauding hospital out of $2.8 million

The former CTO of a Cleveland Clinic Innovations spinoff is arrested on fraud charges just nine days after the former director of Cleveland Clinic innovations Gary Fingerhut was arrested in connection with the same scheme.

Comments Off on Morning Headlines 10/23/17

Monday Morning Update 10/23/17

October 21, 2017 News 9 Comments

Top News

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Athenahealth shares jumped over 8 percent Friday following Thursday’s announcement of mixed financial results, layoffs, office closures, and a cost reduction plan.

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From Friday’s Athenahealth earnings call:

  • Jonathan Bush says that the company’s slowing growth rate is due to “lackluster market conditions in the post-Meaningful Use era” as overall buying activity has dropped off. It hopes to generate 15 percent revenue growth for 2018.
  • The company blames its revenue expectations miss on having one fewer working day in Q3 as well as hurricane-related usage decreases. It also notes that visits per provider are dropping.
  • Workforce reductions of 9 percent of the company’s total headcount will be completed by the end of 2017, with the goal of removing management layers and increasing employee engagement. The company “right-sized” sales and marketing and “rationalized” general and administrative support.
  • Bush says “We’re sharpening our focus, taking action to operate in a significantly more efficient way, and move faster on our highest-value strategic objectives.”
  • The company will close its San Francisco and Princeton, NJ offices, rent out office space freed up by the layoffs, and sell its Challenger 300 jet.
  • The company is still recruiting an independent board chair, CFO, and president.
  • Athenahealth has 56 small hospitals live and has retained 95 percent of the hospitals brought live on AthenaNet since entering the market three years ago.
  • Bush credits the pressure brought by an activist investor for causing the management team to “look at the company through different eyes” and for “helping us find our way.”
  • Population health and Epocrates are not keeping up with the core business growth.
  • The company expects to connect with 100 percent of Epic’s installed based and 45 percent of Cerner’s this year.
  • Bush said hospitals say, “I hope somebody buys Epic or whatever it is after me so I don’t have to be the last guy who went and put half a billion dollars into enterprise software in 2017.”

HIStalk Announcements and Requests

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Two-thirds of poll respondents say not having a national patient identifier is a pretty big problem.

New poll to your right or here: How much impact will IBM Watson have on healthcare?

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Ms. B reports that her North Carolina middle schoolers “couldn’t keep their hands off” the science activity tubs we provided in funding her DonorsChoose teacher grant request.


This Week in Health IT History

One year ago:

  • McKesson says it will take a $290 million write-down of its Enterprise Information Systems business as it continues to seek a buyer for the division that includes Paragon.
  • Vocera acquires Extension Healthcare.
  • Jonathan Bush admits in the Athenahealth earnings call that followed a revenue miss that shifts in the market mean the company cannot maintain 30 percent bookings growth.

Five years ago:

  • An OIG report finds that the VA paid $6 million for 400,000 PC encryption licenses but has installed them on only 65,000 devices.
  • Apple announces the iPad Mini.
  • Allscripts sues Aprima for using the MyWay name in advertising aimed at getting those customers to switch to Aprima.
  • Athenahealth confirms that is negotiating with Harvard University to purchase the 11-building Arsenal on the Charles complex in Watertown, MA.

Ten years ago:

  • Misys creates an open source division to which it contributes its Connect software.
  • Misys announces MyWay, a hosted EHR it licensed from iMedica.
  • Medsphere CEO Mike Doyle predicts that the company will be the largest healthcare IT vendor.
  • Microsoft and HIMSS announce an overseas expansion of the MS-HUG conference.

Last Week’s Most Interesting News

  • Athenahealth announces big layoffs and planned expense reductions in response to pressure from an activist investor.
  • CVS and Epic will implement Epic’s Healthy Planet software to give prescribers point-of-care formulary and pricing information.
  • President Trump signs two executive orders to further destabilize the ACA, declaring that Obamacare no longer exists.
  • A state audit finds that University of Utah violated state procurement laws in its dealings with Patrick Soon-Shiong’s Nant companies.

Webinars

October 24 (Tuesday) 1:00 ET. “Improve Care and Save Clinician Time by Streamlining Specialty Drug Prescribing.” Sponsored by: ZappRx. Presenter: Jeremy Feldman, MD, director, pulmonary hypertension and advanced lung disease program and medical director of research, Arizona Pulmonary Specialists. Clinicians spend an average of 20 minutes to prescribe a single specialty drug and untold extra hours each month completing prior authorization (PA) paperwork to get patients the medications they need. This webinar will describe how Arizona Pulmonary Specialists automated the inefficient specialty drug ordering process to improve patient care while saving its clinicians time.

October 25 (Wednesday) 1:00 ET. “Delivering the Healthcare Pricing Transparency that Consumers are Demanding.” Sponsored by: Health Catalyst. Presenter: Gene Thompson, director, Health City Cayman Islands. Health systems are unlike every other major consumer category in not providing upfront pricing information. Learn how one health system has developed predictable, transparent bundled pricing for most major specialties. Attendees will gain insight into the importance of their quality measures and their use of actual daily procedure costing rather than allocated costs. They will also learn about the strategic risk of other market participants competing with single bundled pricing. The organization’s director will expand how its years-long process is enabling healthcare delivery reform.

October 26 (Thursday) 2:00 ET. “Is your EHR limiting your success in value-based care?” Sponsored by: Philips Wellcentive. Presenters: Lindsey Bates, market director of compliance, Philips Wellcentive; Greg Fulton, industry and public policy lead, Philips Wellcentive. No single technology solution will solve every problem, so ensuring you select the ones most aligned to meet your strategic goals can be the difference between thriving or merely surviving. From quality reporting to analytics to measures building, developing a comprehensive healthcare strategy that will support your journey in population health and value-base care programs is the foundation of success. Join Philips Wellcentive for our upcoming interactive webinar, where we’ll help you evolve ahead of the industry, setting the right strategic goals and getting the most out of your technology solutions.

November 8 (Wednesday) 1:00 ET. “How Clinically Integrated Networks Can Overcome the Technical Challenges to Data-Sharing.” Sponsored by: Liaison Technologies. Presenters: Dominick Mack, MD, executive medical director, Georgia Health Information Technology Extension Center and Georgia Health Connect, director, National Center for Primary Care, and associate professor, Morehouse School of Medicine;  Gary Palgon, VP of  healthcare and life sciences solutions, Liaison Technologies. This webinar will describe how Georgia Heath Connect connects clinically integrated networks to hospitals and small and rural practices, helping providers in medically underserved communities meet MACRA requirements by providing technology, technology support, and education that accelerates regulatory compliance and improves outcomes.

Previous webinars are on our YouTube channel. Contact Lorre for information.


Acquisitions, Funding, Business, and Stock

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Global health research network operator TriNetX will expand its Cambridge, MA office space as its headcount has expanded from 20 to 75. The new 20,000 square foot space will also include a network operations center.

Harris Healthcare acquires practice management software vendor Clinix Medical Information Systems.


Sales

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Population health management services provider HMC HealthWorks will implement Medecision Aerial applications that include analytics, financial performance dashboards, care management, evidence-based clinical programs, and personal health record.

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In Dubai, UAE, Latifa Hospital for Women and Children chooses Vocera’s intelligent communication technology.


Decisions

  • Fort Madison Community Hospital (IA) will replace Greenway’s ambulatory EHR with Meditech in 2018.
  • Women’s Healthcare Associates (OR) will switch from GE Healthcare to Epic’s ambulatory EHR in May 2018.
  • Palmetto Health (SC) will replace McKesson Star with Cerner revenue cycle management in October 2018.

These provider-reported updates are supplied by Definitive Healthcare, which offers a free trial of its powerful intelligence on hospitals, physicians, and healthcare providers.


Announcements and Implementations

ZeOmega launches a Jiva certification program for third-party consultants


Government and Politics

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Wisam Rizk, former CTO of Cleveland Clinic Innovations spinoff Interactive Visual Health Records, is arrested for defrauding the clinic of $2.8 million. The charges came nine days after former Cleveland Clinic Innovations Executive Director Gary Fingerhut pleaded guilty and agreed to serve federal prison time for accepting $469,000 from Rizk in return for lying to the FBI during their fraud investigation. Prosecutors say Rizk created a shell company that he hired to develop IVHR’s medical charting product at an inflated price, then contracted with an offshore company to do the actual work and pocketed the difference.


Privacy and Security

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Computer systems of FirstHealth of the Carolinas (NC) have been offline for several days following a ransomware attack that it attributes to “a new form of the WannaCry virus.”

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An interesting research project finds that anyone willing to pay $1,000 for online ads can track a mobile phone user’s movements, their precise location in near real time, and the apps they use, as long as they can obtain that person’s mobile advertising ID by examining their phone or eavesdropping on their wireless connection. The target doesn’t even need to click the ads – just having the ads displayed on their device records the information. Advertisers are already receiving this information, of course.


Other

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Anesthesiologist and Georgia state representative Betty Price, MD – who is married to fired HHS Secretary Tom Price – asks a state public health official in a public meeting if it would be legal to prevent the spread of HIV by quarantining people who have it. She flaunts clinical expertise in noting that dead HIV sufferers can’t spread it: “It’s almost frightening the number of people who are living that are … carriers with the potential to spread. Whereas in the past, they died more readily, and then at that point, they’re not posing a risk. So we’ve got a huge population posing a risk if they’re not in treatment.”


Sponsor Updates

  • Liaison Technologies makes its Alloy platform available in Europe.
  • MedData will exhibit at the Ohio AAP 2017 Annual Meeting October 27 in Columbus.
  • Colquitt Regional recognizes the benefits of Meditech’s EHR in a new video.
  • Navicure and Surescripts will exhibit at the Centricity Healthcare User Group Fall 2017 October 26-28 in New Orleans.
  • Madison Magazine recognizes Nordic President of Managed Services Vivek Swaminathan as an innovative leader.
  • Experian Health will exhibit at the HFMA First Illinois Fall Summit October 24-25 in Oakbrook Terrace.
  • Patientco CEO Bird Blitch aims to make the company a “Best Place to Work in Atlanta.”
  • T-System will exhibit at the 2017 Urgent Care Fall Conference October 26-28 in Anaheim, CA.
  • ZirMed will exhibit at the 2017 MedTrade Fall Conference October 23-26 in Atlanta.

Blog Posts


Contacts

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

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Morning Headlines 10/20/17

October 19, 2017 Headlines Comments Off on Morning Headlines 10/20/17

athenahealth Reports Third Quarter Fiscal Year 2017 Results

Athenahealth announces Q3 results: revenue climbed 10 percent to $304.6 million, adjusted EPS $0.56 vs. $0.60, beating earnings expectations but falling short on revenue. In response to activist investor pressure, the company announced a cost-savings program on Thursday that included layoffs for more than 500 of its staff members, amounting to nine percent of its workforce.

Utah audit finds legal violations in university’s deal with Patrick Soon-Shiong

A Utah legislative watchdog committee publishes an investigative report on the University of Utah concluding that it violated state procurement laws when it accepted Patrick Soon-Shiong’s $12 million donation, explaining that it had “allowed the donor’s specifications to steer the contract to his company, which we believe is a violation of Utah Administrative Code.”

JDRF Announces New Initiative to Pave Way for Open Protocol Automated Insulin Delivery Systems

JDFR, a charitable foundation focused on funding type 1 diabetes research, announces a new initiative that will work to establish open protocols for artificial pancreas technology.

IFHS Investigates Cybersecurity Breach Of Clinic’s Computer System

Unalaska’s Iliuliuk Family and Health Services clinic (AK) announces that a ransomware attack breached it servers in August. It does not specify whether it paid a ransom to restore access, but promises a detailed report on the breach will be made public in the coming weeks.

Comments Off on Morning Headlines 10/20/17

News 10/20/17

October 19, 2017 News 2 Comments

Top News

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Athenahealth announces Q3 results: revenue up 10 percent, adjusted EPS $0.56 vs. $0.60, beating earnings expectations but falling short on revenue.

The company announced that it will lay off 9 percent of its workforce in cutting a reported 450 jobs. Boston newspapers cited sources who said they saw security officers escorting people out of the company’s Watertown, MA offices Thursday morning.

Athenahealth is undertaking a strategic review, pressured by an activist investor, expecting to generate up to $115 million of annual pre-tax savings by the end of 2018.

As part of the cost-cutting program, Athenahealth will close its offices in San Francisco, CA and Princeton, NJ, both of which house employees of Epocrates, the drug information app company that Athenahealth acquired for $293 million in January 2013.

Anonymous people posted on an Internet layoff discussion board that the company is selling its jet as well as the 387-acre Point Lookout resort in Maine that it bought for $7.7 million in 2011 as a training and entertainment venue.

ATHN shares dropped 4 percent during Thursday’s trading and were down another 4 percent in early after-hours trading.


HIStalk Announcements and Requests

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NYC Health + Hospitals took exception to my mentioning a recent article in the New York Post headline above, with its complaints below. I’m sympathetic since I don’t usually run one-sided lawsuit recaps, especially of the “he said, said” variety, but several readers had sent this link over with obvious interest and I saw it popping up in a lot of places, so I simply recapped the Post story.

  • “The lawsuit had nothing to do with sexual harassment.” That’s true and I’ve corrected my wording. I said in considerable detail that the lawsuit was related to wrongful termination, but I worded the part poorly where I referred to sexual harassment – the Post article focused on that, but the lawsuit itself didn’t.
  • “The former IT director was never deposed.” The Post story said he was and quoted what it said was his sworn testimony directly, so I had no reason to doubt that.
  • “The actual lawsuit alleging wrongful contract termination was dismissed.” That wasn’t mentioned in the Post article, which references an “ongoing gender discrimination case” that doesn’t make it clear whether she filed one lawsuit or two. I don’t have access to court records unless I can turn something up by Google searching for something that isn’t behind a paywall, which I didn’t in this case. I did turn up the OIG report item not mentioned in the Post article that was mostly favorable to the health system and summarized that, which the Post article did not.
  • “You make it appear as though it is your original reporting, which would be WRONG, WRONG, WRONG.” I linked to the Post article like I do all news item I cite, so I can’t imagine anyone thinking I was writing from a New York courtroom instead of my stereotypical blogger’s spare bedroom.

Listening: The Tragically Hip, thoughtfully rocking with an intact lineup as the pride of Canada since 1994 until this week, when front man Gord Downie died of brain cancer at 53. Reaction to his death has overtaken the Toronto newspaper, but an article written last year about what turned out to be the band’s final tour is the most poignant. Prime Minister Justin Trudeau delivered a tear-filled tribute to Downie, declaring, “We are less as a country without Gord Downie.”

Amazon’s continuous rollout of features amazes me. Last night I received a text message indicating that my package had been delivered, complete with a driver-taken photo of the item sitting on my doorstep. I’m not sure why I need it other than that it answers the question of whether the delivery went to the mailbox or to the doormat, but it’s cool.

This week on HIStalk Practice: EHR-related medical malpractice claims continue to increase. PatientPop ramps up Google-related physician marketing capabilities. Health Affairs offers context around OIG’s ACO analysis. Pine Rest Christian Mental Health Services goes with Epic. Walgreens brings 300 jobs to staff its new technology center of excellence. Medsphere acquires Stockell Healthcare Systems. Texas Medical Association begins doling out disaster relief funds to wiped-out practices. PRM Pro Jim Higgins offers practical solutions for physician tech-integration challenges.


Webinars

October 24 (Tuesday) 1:00 ET. “Improve Care and Save Clinician Time by Streamlining Specialty Drug Prescribing.” Sponsored by: ZappRx. Presenter: Jeremy Feldman, MD, director, pulmonary hypertension and advanced lung disease program and medical director of research, Arizona Pulmonary Specialists. Clinicians spend an average of 20 minutes to prescribe a single specialty drug and untold extra hours each month completing prior authorization (PA) paperwork to get patients the medications they need. This webinar will describe how Arizona Pulmonary Specialists automated the inefficient specialty drug ordering process to improve patient care while saving its clinicians time.

October 25 (Wednesday) 1:00 ET. “Delivering the Healthcare Pricing Transparency that Consumers are Demanding.” Sponsored by: Health Catalyst. Presenter: Gene Thompson, director, Health City Cayman Islands. Health systems are unlike every other major consumer category in not providing upfront pricing information. Learn how one health system has developed predictable, transparent bundled pricing for most major specialties. Attendees will gain insight into the importance of their quality measures and their use of actual daily procedure costing rather than allocated costs. They will also learn about the strategic risk of other market participants competing with single bundled pricing. The organization’s director will expand how its years-long process is enabling healthcare delivery reform.

October 26 (Thursday) 2:00 ET. “Is your EHR limiting your success in value-based care?” Sponsored by: Philips Wellcentive. Presenters: Lindsey Bates, market director of compliance, Philips Wellcentive; Greg Fulton, industry and public policy lead, Philips Wellcentive. No single technology solution will solve every problem, so ensuring you select the ones most aligned to meet your strategic goals can be the difference between thriving or merely surviving. From quality reporting to analytics to measures building, developing a comprehensive healthcare strategy that will support your journey in population health and value-base care programs is the foundation of success. Join Philips Wellcentive for our upcoming interactive webinar, where we’ll help you evolve ahead of the industry, setting the right strategic goals and getting the most out of your technology solutions.

November 8 (Wednesday) 1:00 ET. “How Clinically Integrated Networks Can Overcome the Technical Challenges to Data-Sharing.” Sponsored by: Liaison Technologies. Presenters: Dominick Mack, MD, executive medical director, Georgia Health Information Technology Extension Center and Georgia Health Connect, director, National Center for Primary Care, and associate professor, Morehouse School of Medicine;  Gary Palgon, VP of  healthcare and life sciences solutions, Liaison Technologies. This webinar will describe how Georgia Heath Connect connects clinically integrated networks to hospitals and small and rural practices, helping providers in medically underserved communities meet MACRA requirements by providing technology, technology support, and education that accelerates regulatory compliance and improves outcomes.

Previous webinars are on our YouTube channel. Contact Lorre for information.


Acquisitions, Funding, Business, and Stock

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Medsphere acquires its long-time revenue cycle implementation partner Stockell Health Systems, which will retain its name as a division of Medsphere.

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Population health management system vendor BaseHealth receives an $8.5 million investment in a Series C funding round, increasing its total to $18 million. 

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Medical image virtual reality software vendor EchoPixel raises $8.5 million in a Series A funding round, increasing its total to $14.5 million. I declared it the coolest product I saw (and played around with) at HIMSS16.


Sales

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Community Health Network (IN) will implement Stanson Health’s clinical decision support and analytics.

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Liberty Regional Medical Center (GA) and Veterans Memorial Hospital (IA) will replace an unnamed vendor (a reader with HIMSS Analytics access says it is Athenahealth) to return to the Evident Thrive EHR of CPSI. CPSI will also gain two McKesson/Allscripts Paragon customers as Thrive EHR users – Jenkins County Medical Center (GA) and Monroe Regional Hospital (MS).

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Holy Name Medical Center (NJ) will use CareCloud’s EHR/PM in its 35 ambulatory medical practices. The hospital’s inpatient systems were mostly developed in-house, which is an outlier in this day and age.


People

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Infor promotes Dann Lemerand to VP of strategy and product management of its CX Suite customer.

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Kansas state representative Erin Davis joins Cerner as senior government strategist, raising questions about possible conflicts of interest that the company dismisses with the explanation that she will be involved with government sales only in the Northwest.

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Secure health information exchange and claims attachment system vendor Vyne hires Robert Patrick (Carestream Dental) to the newly created position of president of its dental division. He will report to Lindy Benton, who remains president and CEO of Vyne.

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John Mangano (Digitas Health) joins Healthgrades as SVP of business intelligence.


Announcements and Implementations

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Lexmark announces GA of Downtime Assistant for Healthcare, which refreshes the hard drives of the company’s multi-function printers with EHR-generated reports, forms, and checklists that are needed for patient care when the EHR is down.

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Treatment guidance solution vendor WiserTogether adds reporting and analytics to its Return to Health product, giving healthcare organizations insight into patient behavior that can be used to create pathways.

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Intel launches its Health Application Platform platform that is integrated with a stable, secure Android edge device from Flex to connect consumer health monitoring devices to support remote care delivery.

Apple and GE release a software development kit for GE’s Predix Internet of Things platform that will allow developers to create industrial IoT apps for the iPhone and iPad. GE will also promote Macs for its 330,000-employee workforce, which would surely be the largest corporate deployment of Macs ever if they actually swap them all out.


Government and Politics

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A state audit finds that University of Utah violated procurement laws in accepting a $12 million donation from Patrick Soon-Shiong that required the university to spend most of that money buying genetic sequencing tests from Soon-Shiong’s Nant companies. Auditors said the university let Soon-Shiong create specifications that assured a no-bid contract, also noting that competing companies could have provided the same genetic sequencing services for one-third the price.

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The FBI arrests “Dr. Dave,” a Fort Worth personal trainer who registered as a CMS provider under 19 phony names in fraudulently billing $25 million to insurance companies. 


Privacy and Security

Iliuliuk Family and Health Services (AK) acknowledges that it was hit by ransomware that “temporarily blocked” access to its systems in August, but doesn’t say if it paid the demanded ransom.


Innovation and Research

JDRF announces an initiative to encourage innovation and family involvement in open-protocol artificial pancreas systems, where it will provide funding and regulatory advice to bring do-it-yourself and reverse engineered diabetes management technology projects to market.

Other

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A JAMA editorial questions whether an oversupply of ICU beds has caused overutilization, noting that 1 percent of the entire United States gross domestic product is spent on ICU care, representing half of all US hospital expenses.

In England, a BBC review finds that the registered organ donor wishes of one-third of newly deceased people are not respected because of family objections. The law recognizes only the legal consent of the donor, but NHS says family objections – usually involving the time the process requires — are always upheld, denying hundreds of people the organ transplants they need. A 17-year-old registered donor says, “What’s the point of signing up if I could be overruled anyway?”

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A Kaiser Health News report finds that 90 percent of Indiana’s nursing homes have been leased or sold to hospitals that are using a Medicaid loophole to earn a 30 percent higher payment, which in the case of leased facilities is shared with the city or county government owner. Advocates say that rural hospitals use the profit to remain solvent, while critics argue that hospital operators keep residents longer and the federal government is paying more for quality that hasn’t improved. Indiana Medicaid spends two-thirds of its long-term care budget on nursing homes vs. the US average of less than half, but as a state, Indiana is ranked among the worst for nursing home quality. A hospital CEO acknowledges that it makes money from putting more patients into its nursing homes, explaining, “Welcome to healthcare. It’s a complex and confusing environment where we have all different competing incentives.”

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A local paper’s review of Vermont’s history as a health IT hub gives a nod to Rich Tarrant and Robert Hoehl’s Burlington Data Processing — later renamed to IDX Systems and then sold to GE Healthcare in 2006 for $1.2 billion – whose profits allowed some employees to fund new startups. Companies mentioned include Ona, ThinkMD, OhMD, Galen Healthcare Solutions, and Physician’s Computer Company.

This is hard to believe: an inmate with the porn-like name Dustin Lance sues the county jail for $5 million, claiming staff ignored his pleas for medical help after he swallowed a pill given to him by another inmate that caused him to have a painful erection that lasted 91 hours.


Sponsor Updates

  • Optimum Healthcare IT publishes an infographic titled “Rules of Thumb, Benefits, and Dangers of EHR Alerts.”
  • EClinicalWorks will exhibit at the 2017 TAHP Managed Care Conference & Trade Show October 23-24 in Houston.
  • FormFast will exhibit at the 2017 Fall HCP Hospital & Healthcare IT Conference October 18-19 in Chicago.
  • MModal is named 2017’s s health IT innovation leader by the Pittsburgh Technology Council.
  • Healthwise will exhibit at the HealthTrio 2017 Users Group Conference October 25-27 in Tucson.
  • Greg Walton of Next Wave Health Advisors, a Huntzinger Management Company, becomes a Life Fellow Member of HIMSS.
  • Iatric Systems will exhibit at the Midwest Fall Technology Conference October 22-24 in Indianapolis.
  • Surgical Products nominates Image Stream Medical’s MedPresence solution for the 2017 Excellence in Surgical Products Awards.
  • Impact Advisors VP Lydon Neumann becomes a CHIME Foundation Certified Healthcare Executive.
  • Imprivata collaborates with Welch Allyn to enhance security for medical devices
  • InterSystems will exhibit at RSNA 2017 October 26-November 1 in Chicago.
  • Kyruus will present at the Healthcare Internet Conference October 23-25 in Austin.

Blog Posts


Contacts

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

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EPtalk by Dr. Jayne 10/19/17

October 19, 2017 Dr. Jayne 1 Comment

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With the growth of my business, I’ve been trying to recruit some additional consultants to the fold. We’re busy enough now to support employees along with our contractor consultants, which is a good problem to have although I don’t like the additional administrative work that comes with it. Fortunately, my partner takes care of a lot of it, but I still get pulled into a fair amount.

We are using a variety of sources to find people and have found a couple of additional contractors that I would love to hire full time. Unfortunately, they have other ongoing work that they don’t want to give up, so I’m happy for them to work with us in a relative state of 1099 bliss.

Finding contract consultants seems to be fairly easy. We see quite a few who have strong backgrounds with major firms who either want to slow down the pace or who are semi-retired. We have one consultant who was a hard-charging leader at one of the big firms who took time off for family and wants to put a toe back in the water. There’s a lot of variety. The only downside we’ve seen to working with these folks is coordinating availability around other projects. Some of them are great to work with on physician engagements because they are willing to do calls and web conferences in the evenings after physicians are done seeing patients (and after the consultants are done working with other clients during the day). Although we have to pay contractors more than we might pay an employee, even with benefits at play, we’ve been fortunate to have some high-quality players working with us.

Finding consultants as employees is a little different. Although we’ve gotten lucky with a couple of hires, there are a lot of people out there who fancy themselves as consultants but who really don’t have any experience as actual consultants. I blame this on the proliferation of the word “consultant” into job titles far and wide. At a local department store, the sales team members are “retail consultants.” At some EHR vendors, trainers are now referred to as “implementation consultants” even though they are simply delivering prescribed checklist-based training with no consultative aspect to it at all. There’s a thought that because people are great trainers, or great support analysts, or call center reps, that they’ll naturally be good consultants. I’ve found that I can train people on different EHR platforms or different revenue cycle systems far easier than I can train them to be consultants.

Being a consultant is more than being a deep subject matter expert or having process improvement skills. You have to have a large toolbox and know when to use which techniques to help move your client forward. You have to be part expert, part salesperson, part therapist, and part janitor at times. Often, we’re thrown into messy situations with lots of dysfunction, and have to push past the obvious list of projects we’re supposed to tackle to address the root issues that will prevent any of them from being successful. We have to help clients understand who on their teams is working for them and who is actually working against them and what changes they need to be successful. We have to convince people to do things they adamantly do not want to do, or to get their buy-in that at least if they won’t do what we ask them to do, that they won’t sabotage us as we try to move others through a process.

I’ve been weeding through countless resumes of people with “consultant” in their employment history who don’t seem to have practical skills for actual consulting. I’m also finding that people have trouble reading and processing a job description and mapping their qualifications to the potential role. For example, our posted job description is fairly specific about wanting to see actual consulting experience, along with at least two years working for a mid-size to large healthcare organization. I’m looking at a resume right now for someone who has only worked in ambulatory physician offices and never at a group larger than five providers. He’s also looking like a bit of a job-hopper, having moved about every 18 months over the last six years. Once can attribute a short tenure somewhere to “bad fit” or “took something because I had to,” but not when you see it repeated over and over. There’s usually something else going on there.

One of the positions we’re recruiting for is strictly clinical and we need applications to have an actual clinical credential of some kind. They can be a medical assistant, nurse, pharmacist, paramedic, etc. and we’re flexible about it, but they do have to have a credential or equivalent work experience if they worked in a situation where a credential was not involved (sometimes we see this with our military applicants). We continue to have applications by people who have been EHR analysts or EHR trainers whose only clinical experience is working with clinicians. Needless to say, I’m not impressed by their ability to read and comprehend if they apply without a credential and without some kind of other documentation of experience that would explain why they are applying without a credential. It seems like they aren’t reading for detail and that’s definitely not someone I’d want to try to build into a consultant.

I continue to be surprised by the number of just mechanically bad resumes I see. Mismatched fonts that make them look like a ransom note, failed formatting, typos, absent or overdone spacing, and more. (pro tip: emojis do not belong in a professional resume). I also see some pretty over-the-top cover letters. One applicant talked about his “excitement to take the reins of your organization and steer its future in the right direction.” He seemed to have missed the part where I was recruiting for a field consultant, not a CEO. Another resume listed a degree that I didn’t recognize and couldn’t find on Google, which is a direct trip to the recycle bin. If you have an unusual or international credential, a brief explanation would be appreciated (although I’m still suspicious that I couldn’t find it on Google).

Another applicant is a desktop support rep and has been deploying laptops to end-users for a large corporation. No mention of EHR or clinical skills and can only travel half-time despite the position being posted for at least 75 percent travel. One applicant said she could travel 10 percent. Another has been in sales for the last five years, mostly with behind-the-scenes hospital systems like autoclaves and laundry machinery. Before that, she was a real estate broker. I understand that people may be in difficult circumstances and are applying for anything that might remotely fit, but a lot of time is wasted by applications that appear to be spammed out without respect to the actual job description.

My favorite application is one from a gentleman who boasted of “creative use of accounting systems to identify opportunities to address reporting issues.” As a business owner, I usually don’t want to see the words “creative” and “accounting” in the same sentence. I’m sure he was trying to convey that they used the accounting systems in a novel way or used accounting to address a clinical problem, but we’ll have to wait and see. I scheduled a phone interview with him just out of curiosity. Other than the potential verbiage concern, he meets all the other posted criteria and has been consulting for a couple of years. Sometimes you just have a to take a chance on someone.

Have any good tales from the hiring manager trenches? Email me.

Email Dr. Jayne.

Morning Headlines 10/19/17

October 18, 2017 Headlines Comments Off on Morning Headlines 10/19/17

Tom Marino, Drug Czar Nominee, Withdraws in Latest Setback for Trump’s Opioid Fight

A 60 Minutes and Washington Post investigative report exposes a multi-year effort by drug distributor lobbyists to push an industry-friendly bill through Congress that ultimately undercut the DEA’s drug distribution enforcement options at the height of the opioid epidemic. Rep. Tom Marino (R-PA), President Trump’s Drug Czar nominee, withdrew his name from consideration after the report called him the “chief advocate of the law that hobbled the DEA.”

IBM shares up after earnings beat

IBM reports Q3 results: $19.15 billion in revenue and $3.3o adjusted EPS, beating analyst expectations on both, but marking its 22nd straight quarter without revenue growth. The company’s AI business unit brought in $4.4 billion in revenue, up 4 percent.

Virtual Therapists Help Veterans Open Up About PTSD

Wired covers the use of teletherapy in the treatment of PTSD among veterans.

White House says Trump opposes Senate’s bipartisan Obamacare deal

In a reversal, the White House now says it opposes the bipartisan deal drafted by Senators Lamar Alexander (R-TN) and Patrick Murray (D-WA) that would stabilize ACA marketplaces and restore the payment of cost-sharing subsidies.

Comments Off on Morning Headlines 10/19/17

Morning Headlines 10/18/17

October 17, 2017 Headlines Comments Off on Morning Headlines 10/18/17

Trump gives go ahead for Congress to work on bipartisan Obamacare deal

HELP Committee Chairman Sen. Lamar Alexander (R-TN) and Sen. Patty Murphy (D-WA) have negotiated a bi-partisan healthcare deal that will grant authorization to continue paying insurers the cost-sharing subsidies that underpin ACA individual markets for the next two years. President Trump has come out in support of the negotiations.

Trump says Obamacare is ‘dead’

Despite failing to either repeal or replace the ACA, President Trump declares a legislative victory just the same, exclaiming “Obamacare is finished, it’s dead, it’s gone. It’s no longer. You shouldn’t even mention it. It’s gone. There is no such thing as Obamacare anymore.”

Vinod Khosla on A.I., Health, and the Future of Working (or Not)

Venture Capitalist Vinod Khosla follows up on his now six-year-old blog arguing that doctors would one day be replaced by algorithms with an interview explaining, in more detail, how he sees AI supporting and, in some cases, replacing doctors.

CVS Health and Epic Announce Initiative to Help Lower Drug Costs for Patients by Providing Prescribers with Expanded Visibility to Lower Cost Alternatives

CVS, which runs Epic across its retail pharmacies, will implement Epic’s Healthy Planet population health and analytics platform to study dispensing patterns and medication adherence.

Comments Off on Morning Headlines 10/18/17

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