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Monday Morning Update 7/8/24

July 7, 2024 News 1 Comment

Top News

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

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


Reader Comments

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


HIStalk Announcements and Requests

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

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


Webinars

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

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


Acquisitions, Funding, Business, and Stock

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

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

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


Sales

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

People

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


Announcements and Implementations

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

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


Government and Politics

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


Privacy and Security

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

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

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


Other

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

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


Sponsor Updates

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

Blog Posts


Contacts

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

Morning Headlines 7/4/24

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

New Mountain Capital Proposes Buyout of R1 RCM

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

Top Biden administration officials withdraw from Coalition for Health AI

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

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

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

Comments Off on Morning Headlines 7/4/24

Healthcare AI News 7/3/24

News

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

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


Business

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


Research

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


Other

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

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

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


Contacts

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

Morning Headlines 7/3/24

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

R1 RCM Shares Slide on Reduced Hopes for Buyout Deal

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

Walmart has held talks to sell its shuttered medical clinics

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

Three Former Executives Sentenced for $1B Corporate Fraud Scheme

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

Comments Off on Morning Headlines 7/3/24

News 7/3/24

July 2, 2024 News 8 Comments

Top News

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

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


Reader Comments

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


HIStalk Announcements and Requests

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


Webinars

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


Acquisitions, Funding, Business, and Stock

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Chronic pain management technology vendor Upside Health shuts down.

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

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

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

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


Sales

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

People

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Cordea Consulting promotes Thomas Sjostedt to VP of sales.

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

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

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

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


Announcements and Implementations

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

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

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


Government and Politics

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

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

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

Other

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


Sponsor Updates

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

Blog Posts


Contacts

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

Morning Headlines 7/2/24

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

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

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

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

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

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

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

Comments Off on Morning Headlines 7/2/24

Curbside Consult with Dr. Jayne 7/1/24

July 1, 2024 Dr. Jayne 1 Comment

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Email Dr. Jayne.

Morning Headlines 7/1/24

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

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

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

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

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

Amwell Announces Reverse Stock Split

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

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

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

Comments Off on Morning Headlines 7/1/24

Monday Morning Update 7/1/24

June 30, 2024 News 12 Comments

Top News

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

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

The hospital finished restoring its systems on May 20.


HIStalk Announcements and Requests

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

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


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

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

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


Webinars

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


Acquisitions, Funding, Business, and Stock

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


People

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Optum promotes Cara Griffin to SVP of marketing.


Announcements and Implementations

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


Other

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


Sponsor Updates

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

Blog Posts


Contacts

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

Morning Headlines 6/28/24

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

Walgreens Boots Alliance Reports Fiscal 2024 Third Quarter Results

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

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

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

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

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

Novant Health lays off 81 IT workers in Winston-Salem

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

Comments Off on Morning Headlines 6/28/24

News 6/28/24

June 27, 2024 News Comments Off on News 6/28/24

Top News

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Walgreens Boots Alliance reports Q3 results: revenue up 2.6%, adjusted EPS $0.63 versus $1.00, beating revenue expectations but falling short on earnings. The company also lowered FY 2024 EPS guidance, citing inconsistent consumer spending. Shares shed 22% of their value following the Thursday morning announcement, dropping their price to 1997 levels.

Walgreens will reduce its stake in primary care provider VillageMD and will no longer hold a majority share. CEO Tim Wentworth, who took the job in October, says that Walgreens will no longer seek majority ownership of primary and specialty care provider businesses and will instead pursue “capital-light services” with a larger range of providers and payers

Walgreens will close a “meaningful percent” of its underperforming stores, which represent about one-fourth of its 8,600 locations. Its review of stores to close will include proximity to other Walgreens and the local crime level in some cities. It says it will work with state Medicaid programs and local law enforcement as the “last company standing” in areas that would be pharmacy deserts otherwise. The company had already closed 625 locations.


Reader Comments

From Steve Shihadeh: “Re: your ‘Death of a Salesman’ response. Pretty good considering your experience and contempt Smile.” Industry long-timer Steve of Get-to-Market Health adds these insights:

  • The best salespeople have a great balance of product and service knowledge, relationship skills, and a real appreciation for what drives the buyer.
  • AI gives good salespeople the chance to be better prepared and have more compelling presentations and facts.
  • While AI is all the rage today, in some ways it is like every big technical evolution. PC, Internet, Search, WiFi, etc. The best sales people will learn about it and find the way to relate it to what the customer needs and how it impacts them in a positive manner.

From Vince Remembered: “Re: ‘Death of a Salesman.’ Your response about salespeople was slightly cynical before turning positive, but not nearly as much so as the late, great Vince Ciotti in your 2019 interview.” I love that interview with industry long-timer Vince and re-read it often. Here are Vince’s thoughts about salespeople, which may or may not remain relevant several decades after his experience:

We hired salesman at SMS and they spent one day walking around all the offices, saying hello, shaking hands. Who are you? What do you do? Oh, OK. Then boom, after one day, they were out there selling. They had no idea what they were selling. It doesn’t matter. Sales is commissions. If you sell a lot of systems, you make a lot of money and you get promoted and you become a big cheese. If you don’t sell any systems, you get fired. You’re going to go to another company and try again. You don’t learn the product. You haven’t been an installer or a customer service rep. You haven’t worked with the system. You have no idea how the system works. What you know how to do is smile, be pleasant, buy lunch, buy dinner, shake hands, be charming, have people trust you, get them to sign the contract, and then run like hell because you’ve got to make some more sales.


HIStalk Announcements and Requests

HIStalk sponsors earn attention from digital health decision-makers, including provider folk, investors, and potential acquisition partners. You’re reading the site already, so imagine the pride of saying, “hey, that’s our name and ad up there.” Contact Lorre, who is motivated by the summer slowdown to offer perks and packages for new signups, and who is likely to offer attractive bundles to startups and former sponsors that rejoin the fold. Thirsty Insta influencers and podcast hosts will perform tricks like an organ grinder’s monkey in desperately seeking views and likes, but we’re talking professional B2B recognition and market influence here.


Webinars

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


Acquisitions, Funding, Business, and Stock

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

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Patient access managed services vendor Hummingbird Healthcare closes a $10 million Series A funding round that was led by UCHealth. CEO Jeremy Schwach was formerly CEO Of Bluetree Network, which was acquired by Tegria in 2019.

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The Private Equity Stakeholder Project publishes “The Pillaging of Steward Health Care,” which notes that former owner Cerberus Capital Management generated $1.2 billion by selling off the real estate its hospitals sat on, paid fund investors a $484 million dividend from the proceeds, expanded the chain to become the country’s largest private operator of for-profit hospitals, then dumped the investment with the help of its real estate landlord having made $800 million over its 10-year ownership. The report observes that Steward paid its ownership a $111 million dividend, after which Steward CEO Ralph de la Torre bought a $40 million yacht and the company splurged on two private jets. Meanwhile, Steward missed rent payments, racked up patient safety concerns, laid of employees, closed hospitals, and last month filed Chapter 11 bankruptcy with $9 billion in liabilities, most of it due to the real estate company to which Cerebrus sold the real estate. Terms that were part of new financing require the company to close hospitals that it can’t sell in a bidding process that started this week, as officials in the eight states in which Steward operates hospitals worry about loss of services.

New Jersey-based Atlantic Health System will acquire Saint Peter’s Healthcare System.

Amazon renames its 18-month-old Amazon Clinic to Amazon One Medical Pay-per-visit, which will offer pay-per-visit telehealth – $29 for message-based visits, $49 for video — and a membership program for on-demand virtual care and next-day appointments at One Medical offices.


Sales

  • Findhelp announces new SDoH network customers Stanford Children’s Health, Virginia Association of Free & Charitable Clinics, and Connxus.
  • Community Health Network will implement Microsoft Azure and Nuance Dragon Medical as it increases its use of DAX Copilot and Dragon Medical One.
  • Emergency Services Inc. will implement the recently launched Augmedix Go ED ambient AI for emergency medicine at an unnamed large hospital in central Ohio.

People

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Healthcare IT Leaders names Jody Buchman, MBA (Clarivate) as SVP of continuous services and David Unger (MedKick) as VP of EHR and RCM.


Government and Politics

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Federal authorities will seize the $8 million Chicago mansion of Outcome Health founder Rishi Shah, one of three former company executives who are facing prison time for fraud involving electronic advertising in waiting rooms.Outcome was valued at $5.5 billion before its collapse, with Shah’s net worth estimated at $3.6 billion. The Outcome name was retired in 2021 with the acquisition of its remains by healthcare digital marketing company PatientPoint. Update: 38-year-old Rishi Shah was sentenced to 7.5 years in prison on Wednesday. Co-founder Shradha Agarwal was sentenced to three years in a halfway house on Thursday.

The VA says that it is so far behind on paying contract provider claims due to Change Healthcare’s ransomware downtime that it won’t catch up until February, a year after the original incident. It also expects that its payments from insurers won’t catch up until October.


Privacy and Security

San Diego’s PBS TV station notes that Palomar Health Medical Group’s phones and computer systems remain down from a May 5 cyberattack. Patients report problems getting paper prescriptions filled and nurses relying on the patient to tell them the doctor’s diagnosis.


Sponsor Updates

  • Inovalon publishes a new study, “Race/Ethnicity and Socioeconomic Position in Emergency Department Utilization in Patients with Hepatocellular Carcinoma.”
  • FinThrive publishes a new case study, “Lawrence General Hospital Successfully Switches to FinThrive After a Cyberattack.”
  • Imperial Beach Community Clinic (CA) adds AI, patient engagement, and AI-powered medical scribe capabilities to its implementation of EClinicalWorks.
  • First Databank will share information from RxEOB’s prescription pricing transparency application through its FDB Vela prescribing network.
  • Healthcare IT Leaders CMO Alex Gramling joins the United Way of Southern Maine’s board.
  • Visage Imaging will showcase new enhancements to its Visage 7 Enterprise Imaging Platform at the SIIM annual meeting in National Harbor, MD this week.
  • Children’s National Hospital (Washington, DC) expands its use of Laudio’s AI-enhanced workflow platform to include nurse educators.
  • Linus Health leaders publish a new peer-reviewed paper, “Towards a lifelong personalized brain health program: empowering individuals to define, pursue, and monitor meaningful outcomes.”
  • Loyal achieves TX-RAMP Level 2 Certification for its Chatbot solution from the Texas Department of Information Resources.

Blog Posts


Contacts

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

Comments Off on News 6/28/24

EPtalk by Dr. Jayne 6/27/24

June 27, 2024 Dr. Jayne 5 Comments

From Jaded CMIO: “Re your recent comments about the Medication Access and Training Expansion Act (MATE) and its 8-hour DEA education requirement being a time waster. I’m in the same boat – I don’t even see patients, but my institution forces me to maintain a DEA regardless. Did you see this commentary on Medscape?” The op-ed from Melissa Walton-Shirley, MD is subtitled “8 Hours of My Life I’d Like Back.” The author calls for reform of DEA regulation, including waiving the requirement for physicians who don’t issue prescriptions for outpatient narcotics (such as intensivists who might be giving controlled substances in the ICU) and issuing a nationwide DEA number instead of forcing providers to have separate ones for individual states. The piece has over 140 comments already and some of them are pretty entertaining. My favorite: “We should get 0.5 hrs just for reading this informative dragging of MATE. And Pharma should be forced to fund the DEA, not provider licensing fees – since when does the taxi driver pay your fare?”

US Surgeon General Vivek Murthy penned a guest essay for the New York Times this week, calling for a “surgeon general’s warning label” on social media platforms and advising users that “social media is associated with significant mental health harms for adolescents.” This would require an act of Congress that I doubt we’ll see anything about soon, however. Murthy issued an advisory last year with specific recommendations to make social media safer, and although there have been some interesting congressional hearings, I haven’t seen a lot of change. I’ve seen in my own community the level of peer pressure for young children to be on social media. I wish we could lure kids and their parents to consciously choose the outdoors and other activities rather than focusing on screens.

From Informatics Doc: “Re: patient portals. I just went to my mom’s Epic portal to see what meds she was currently on since there was some question about whether any of them were making her more confused and sluggish. When she first got her portal, I was impressed that it did a better job than the Cerner portal in terms of usability. It also had an option to print out a wallet card with an easy to read medication list, allergies, and problem list. Fast forward to today. Every option that I tried for getting a medication list showed the same cluttered view in which the info on each drug and its dose and times was interspersed with the pharmacy name, the prescribing doctor, the start date, and a refill button. Hitting the print button gave you the same thing in a PDF with slightly better layout. To get a medication list to send to my siblings meant taking an added 15 minutes to cut and paste into Word and clean out all the extras. Do the EHR vendors have something against a nice clear condensed med list? (I know Joint Commission contributed to the poor med list formats within the EHR by their dislike of Latin abbreviations, but have they caused this problem in the portals as well?)” I test drove this with a couple of organizations and it appears that it might be a setup issue rather than a vendor issue, but I’m not entirely sure. At the first system I logged into, the “current medications” page was cluttered up by information telling me how to request an amendment to my medical records for two of the system’s physician groups. The print version was a little better, but the entire first page was taken up by an inch and a half worth of text about the amendments, pushing the medications to another page. Only the first page had a patient identifier on it, which makes it a little less useful as something that you might take with you to a visit with a physician who uses a different EHR. The second system wasn’t displaying any of my meds, which is definitely unusual.

I’m not ready to blame the EHR vendor because I’ve seen enough client-inflicted setup issues in my career. One of the institutions in question clearly has a setup issue in another part of the system. My recent pathology results had a blank diagnosis (which to me should be a required field before they’re finalized) and also had a tagline at the top of my results that stated “EPIC results best viewed via link to PDF,” which I thought was odd since I had to scroll three times to find the link to the scanned document and it didn’t say anything about it being a PDF. I’m sure there are patients who might not know what they’re looking for or who might not have scrolled. My report was also missing important clinical information that I provided at the time of care (documented as “not provided,” which is simply not true). Sloppiness all around, but not necessarily the vendor’s fault. I think that a concise med list is important for patients to be able to put in a wallet, so if that’s an option, I hope our expert readers will weigh in.

The clinical informatics job market has been a hot topic in recent conversations with colleagues. I have several friends who are highly capable and genuinely nice people, but who have been impacted by sweeping layoffs at their organizations. Most have school-aged children, elderly parents, or both, so they are reluctant to relocate for a new position, which might get cut in a year or two just as easily as their previous one was. In a recent chat, one mentioned that they had made it through multiple interviews, but the companies in question had gone radio silent for a matter of weeks. That’s not only disheartening, but unprofessional. It takes a few seconds of a recruiter’s time to type an email saying, “Thank you for your time, but we will be moving in a different direction” or something similar. Another countered that although that experiencing is depressing, it can be a blessing in disguise when you figure out that the organizational was dysfunctional before joining it.

My favorite quote of the conversation says it all as my colleague described some of the organizational personalities he’s encountered in his job hunt process: “I feel like some of us spend so much time and thought honing our skills and presenting ourselves professionally and some others just Mr. Magoo their way from one executive role to another.” I think most of us have encountered leaders like that in our travels, bouncing from one unsuspecting organization to another. I’m grateful to have had at least a few experiences where I’ve worked with exceptional leaders, but that’s not the case everywhere.

How do you think the hiring process has changed over the last five years? Have things improved or are they only getting worse? Leave a comment or email me.

Email Dr. Jayne.

Morning Headlines 6/27/24

June 26, 2024 Headlines Comments Off on Morning Headlines 6/27/24

CHAI Releases Draft Responsible Health AI Framework for Public Comment

The Coalition for Health AI publishes a draft framework for the responsible use of AI in healthcare and solicits public comment.

Form Health, The Leading Provider of Science-Based Obesity Care in the United States, Raises $38 Million Series B Led By Sound Ventures

Online medical weight loss clinic Form Health raises $38 million in a Series B funding round, bringing its total raised to $65 million.

VA still dealing with fallout from Change Healthcare ransomware attack

The VA expects to have backlogs created by the Change Healthcare ransomware attack cleared by next February – a year after the hack originally took place.

CipherHealth Announces Capital Investment by Atalaya Capital Management, Setting Stage for Future Growth in Patient-Centered Communications

Patient engagement software vendor CipherHealth announces an undisclosed amount of new funding from Atalaya Capital Management.

Comments Off on Morning Headlines 6/27/24

Healthcare AI News 6/26/24

June 26, 2024 Healthcare AI News Comments Off on Healthcare AI News 6/26/24

News

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The Coalition for Health AI publishes a draft framework for the responsible use of AI in healthcare and solicits public comment. CHAI also posted a draft document of Assurance Reporting Checklists for self-reporting and self-review for assuring that AI solutions meet criteria in five areas: (1) usefulness, usability, and efficacy; (2) fairness, equity, and bias management; (3) safety; (4) transparency and intelligibility; and (5) privacy and security.

In Japan, SoftBank Group founder Masayoshi Son will make a rare public appearance in a Thursday panel discussion on bringing AI to healthcare in his country. The investment group took a significant position in Tempus AI just before its recent IPO and has signed an agreement to set up similar services in Japan.


Business

Wolters Kluwer Health will add AI-powered adaptive learning to its nursing education products.

Oracle announces GA of Clinical Digital Assistant ambient documentation and voice command system for ambulatory clinics that use its EHR.

Solventum, formerly 3M Health Care, announces an AI-driven payment denials prediction solution.

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Real-world data vendor Atropos Health expands its Evidence Network to 300 million patients with the addition of two new partners. The company’s products can generate publication-grade, AI-powered observational studies from clinical questions with a two-day turnaround.

Shares in AI-enabled precision medicine vendor Tempus AI have lost one-third of their value since the company’s June 14 IPO. The company’s $8 billion pre-IPO valuation in 2022 is at $4.5 billion. Shares rose Wednesday on news that FDA has cleared sale of its atrial fibrillation detection algorithm for 12-lead ECGs.


Research

NIH awards Cleveland Clinic and other organizations a $2.8 million grant to study the use of AI to analyze MRIs to determine how rectal tumors are responding to therapy. Researchers hope to develop radiomic signatures using radiology and pathology images to identify dying tumors that have responded to therapy, which would allow those patients to avoid unnecessary further surgeries and complications.


Other

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Stanford Medicine develops Nuclei.io, which helps pathologists diagnose endometritis and metastatic colon cancer with higher speed and accuracy than pathologists alone. The AI system observes individual pathologist behavior – such as image clicking and enlarging —  to learn what they are looking for and which cells are important.


Contacts

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

Comments Off on Healthcare AI News 6/26/24

HIStalk Interviews Cyrus Bahrassa, CEO, Ashavan

June 26, 2024 Interviews 3 Comments

Cyrus Bahrassa is founder and CEO of Ashavan.

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Tell me about yourself and the company.

I’m somebody who would not have imagined being here talking to you. When I was a kid, healthcare IT was not on my radar. I’m not sure if anybody really does have it on the radar. I wanted to be a commercial airline pilot. In college, though, I found a passion for education. I thought I would be a teacher and eventually a principal or superintendent. But then a little company called Epic reached out to me in my senior year and said, you probably haven’t heard of us, but you should check us out. I did and I liked it enough to join the company, thinking I would be there just a couple of years. Instead, I stayed for seven, and somehow have been in the industry for my entire career.

Ashavan is a healthcare interoperability consulting company, or at least that’s what I tell people. But truthfully, that’s not the full story. Fundamentally, we are a company that is focused on choices. Our mission is to make the best choice the easiest one, and everything that we are trying to do is in service of that mission. Today, we’re focused on interoperability, and that’s going to be our focus for a while. But the pie-in-the-sky vision is that 50 years from now, we are helping people and businesses make optimal choices in other areas, things like sustainability and money. When we can make it easy to do the right thing, that’s where I would love or Ashavan to play a role.

Are the big non-healthcare companies surprised by the complexity of getting and using healthcare data?

Yes, especially the ones that are newer to healthcare. Maybe they have experience in technology in other ways, but they’re jumping into the healthcare side and saying, why is it so hard and complex and convoluted?  At the end of the day, it feels like a jungle. That’s what we see and hear from our customers. We are helping them carve a path through the jungle and helping them understand that this is the right way to go about this. You will be able to move as efficiently and practically as possible.

That doesn’t mean that it will be easy. It will still be hard. We can’t claim to have magic bullets that make everything push-of-a-button automatic, but at least we can help you move faster and more efficiently and have that certainty and that clarity that you might not have if you didn’t have that guide with you.

What is the incentive for a software vendor or provider to share information?

It’s a hard question to answer, because the incentives probably aren’t as strong as they could be. What I would preach in idealistic fashion is that we have to look at this from the perspective of customer service and doing the right thing for people and for their health. Sharing data and providing greater interoperability is an important piece of that. Do those entities have a vested interest in those things? Probably not, unfortunately. I hate to say that, but the reality is that they may not maximize their individual potential when we’re working in service of that common good. But that is a North Star that we have to have.

Unfortunately, that’s why government plays such a big role in healthcare IT and in interoperability. Sadly, the pace of innovation and interoperability is mostly dictated by the pace of change from the government side. You have USCDI, for example, and that’s a great thing. It allows for a certain floor in terms of API-based interoperability and retrieval of data. But that floor has remained stagnant for a while. It’s been at the Version 1 of USCDI for a few years now, and it won’t be until 2026 that that floor moves up to Version 3. Then it won’t move again until the ONC decides to make that change at some point in the future, which of course is dependent upon the circumstances in the industry, the political circumstances, and what kind of administration is in power. The challenge here is that we are working at the pace of government.

Where does the patient fit in?

The patient plays a huge role. First and foremost, they absolutely have a right to their records. They have a right to obtain records when they have the appropriate authorization for a family member. That is super important and something that has to be enforced strongly. 

I look at it like personal finance. We probably need to teach people to a level of literacy as they are growing up and as they are in young adulthood to help them be better healthcare consumers. More and more states are mandating education around personal finance in middle school and high school. Having individuals be knowledgeable of what their rights are, understanding the importance of having access to their data, and helping them understand the value of that access and that data exchange in practical terms.

When I explain interoperability to folks who don’t really know about it, I talk about smartphones. Imagine that you’re an Android owner, but you want to switch to an IPhone. You love everything about the IPhone, you can’t wait to switch, but then you find out that there’s no way to get all your photos, contacts, and messages pulled over automatically onto your iPhone. At best, you’ll have to manually key in everything, or at worst, you won’t be able to move some stuff at all.

That would be really, really bad interoperability. Thankfully, we don’t have that, but that’s a practical example of the power of data exchange and interoperability. Then, helping someone understand in the context of healthcare why that’s significant. You want to be able to switch your doctor, you’re moving to a new location, or you’re traveling and you need care in a new place. Having the ability to move that data and make things seamless, easy, and powerful is so important.

Apple Health was all the rage when it was announced, even though Google and Microsoft had failed in trying to do something similar. Has the uptake of Apple’s health-related capabilities proven that demand exists for patients to manage or transfer their own record?

There was a moment where personal health record apps had this big shining glow around them and everyone was pretty hyped about their potential. They are important, don’t get me wrong, but it’s this problem in healthcare and interoperability where you can get the data, but then how do you use it? It’s one thing to have it there, but it has to be usable and actionable. 

Allowing patients to pull their data through Apple and through other services is wonderful, but do they have that literacy and empowerment to use it? Do they have the ability to connect it somewhere else so that they can switch to a new provider or switch to a new location and have that data be equally understandable and actionable? 

The ability for these personal health record apps to pull in that data, showcase it, and surface it to the patient is good for them and for their ability to navigate the healthcare ecosystem.  But some folks are not going to pay attention to it as much, especially if they are relatively healthy or their health stays pretty constant and they don’t necessarily think about healthcare very often. Some folks, again, are just not going to have that literacy or that capability to be able to work through that. We have to do things as an industry, as a society, to help them navigate that better, to empower them, and to safeguard them.

My last thought here is that a lot of folks don’t understand what HIPAA truly covers and that some of these digital health applications — unless it’s as a business associate of a covered entity – aren’t subject to the HIPAA requirements. I’m not sure that most people will ever understand that. That means that it’s even more important for us to craft the laws and regulations that provide a suitable level of privacy protection so that the protection of their information is automated, no matter who the holder of it is. Again, this is all about choices and making the right thing the easy thing. If we can update those laws so that your information is protected in all these different situations and apps, that’s better for everyone.

Is the answer to update HIPAA or to implement general privacy protection?

It would be pretty comprehensive. I say that because of a couple of factors. What will prompt some sort of action from Congress, whether it’s in two years or 20 years, is these challenges around social media now also AI and the way that our data is used and monetized. I see that as being a big driver for some sort of action on privacy legislation. 

Unfortunately nowadays, there’s a tendency for Congress to take a long time and then do this big sweeping package when the time presents itself. I can see them getting to this point where privacy legislation is going to happen, and then healthcare and healthcare apps become a component of that larger bill. Like a lot of humans, I’m terrible at predicting the future, so I could very well be wrong and I’m going to be willing to admit that, but that’s what I see.

As someone who has worked both for and with Epic, do you see them as an interoperability friend or foe?

I see them as simply a self-interested player in the market, just like any other entity out there in our industry.

I believe a few things. Epic has a lot to offer when it comes to interoperability. They and Athena are at the forefront in terms of the different options you have and capabilities that you have for integrating with them, whether that’s HL7 interfaces, both FHIR APIs and proprietary APIs, Kit, etc. They have lots of available options that several other EHR vendors cannot claim to have.

At the same time, Epic is guilty of certain practices that are either common in the industry or that are unique to them. The common thing is high fees. I’m a big believer that we have to crack down on the fees and just charge for the cost of interoperability without making it a profit center, but simply a pass-through of the costs.

I also think that we need to address things like exclusive marketplaces and exclusive programs. You have the Epic Vendor Services program and Epic on FHIR, but you also have through Cerner what is now their Oracle Partner Network, which used to be their code program. You have the Athenahealth Marketplace. Similar to the Apple App Store and Play Store, those are the exclusive venues that you must go through to publish an app and use it with the particular EMR. I think that’s wrong. You should be able to have additional marketplaces. You should be able to pull down apps and list apps in multiple places. 

Those are the general things that I would say for Epic. A specific thing that I was concerned about was their Partners and Pals program. I spoke out about this several months ago when it was first announced. To me, that was the wrong move, because it at least implied — and no one ever denied this — that Epic was providing exclusive integration options to certain Partners and Pals that would not be generally available to everyone. I think that’s wrong and anti-competitive. For interoperability, the same capability should be available to all entities at the same time and at the same cost. That’s an important piece, because interoperability goes hand-in hand with competition, with a freer market, with allowing people to have better choices and to minimize the switching costs between those choices.

AI companies are desperate for data and will likely bring their own ideas about interoperability. How will that business need influence the technical side of interoperability?

It will increase the demand for sure. The key challenge is that when we’re talking about healthcare data, it doesn’t all live in just EHRs. We’ve got the ONC’s certified health IT program to ensure that these EHRs have this minimum level of data. Certainly they are a wealthy repository for that, but you’ve got data living in all kinds of other systems, whether it’s an uncertified EHR, a behavioral health system, a system used by a long-term care facility, PACS, and lab systems. It’s his big, hairy beast and the fragmentation problem in healthcare technology is a real challenge in interoperability, because you’ve got data that’s living in all these different places.

With regard to the business side, there will be demand, but the challenge is how you target that demand to the right entities. If you’re a pharma company, you will have to take it one by one in terms of where you want to get that data and get those capabilities to pull that data, because it’s not like there’s one source and one a one-stop shop.

When I explain interoperability to folks and some of the challenges, I talk about Uber. With Uber, you can see a map and a timing for your ride. Why is that possible? It’s because Uber has integrated with Google and their Google Maps functionality to be able to provide that information. Uber only had to integrate with Google and that’s it. They get everything that they might need.

But that’s not the same thing in healthcare. You can’t go to one single place and get everything you need, even as a patient. Our information is in the EMR, but also in the PCP’s EMR, the hospital’s EMR, in the Walgreens where we got our flu shot last year, and in the urgent care. Being able to source the data from all those different places is something that is going to be really challenging, whether you’re a business or a person.

How does Nashville’s innovation and digital health environment compare to that of Silicon Valley, Route 128, and Austin?

I’m biased. I love Nashville. I tell people that it’s the greatest city on earth. I’m sure lots of folks would disagree with me, but it is a wonderful place that I hope lots of people can at least come and visit, if not move to.

In terms of the entrepreneurial scene and the technology scene, it has really flourished. I’ve only been here five years, so I can’t say that I have a perfect window into everything that has gone on. But a lot of people are focused on making Nashville a wonderful place. There’s a lot of positive energy around technology, innovation, and entrepreneurship.  We have a really thriving entrepreneur center, a couple of them actually. We’ve got great programs and accelerators that support these different startups. There are certain people out there who are trying their best to attract investment, attract attention, and build that culture.

We’re a tightknit community in the way that we come together and support each other. I’ve always felt like people are out there willing to help, willing to lend a hand, and meet or introduce you to someone, which I think is really great. That supportive environment has made it a wonderful place to have a business and to live. We’re doing the right things.

It always helps when you have a big name who is drawn to the city, like Oracle. I know there was the announcement about moving the headquarters here. I’m interested to see how that plays out and what it looks like, but even just having that campus here and what they’re doing to build that up and build up the East Bank of Nashville is really special. That drives attention and creates that network effect, because more and more organizations will now take a look at us and say, this is a cool place, we should check it out, we want to be here.

What are the company’s plans for the next few years?

I have to get better as an entrepreneur. That’s the thing that’s top of mind for me. We are three and a half years in. It’s gone well, but I’m still learning. I’m still improving. I probably will be every day of my life. Even right now, I’m trying to figure out how to be a leader and not just a hero. That’s a really important thing on my mind.

In terms of the company, healthcare will always be a focus area, but we definitely want to expand beyond that. Interoperability is a big deal in a lot of industries. You’re talking financial technology, manufacturing, logistics, etc. I was at a conference recently on smart transportation and mobility. There’s a huge need for better interoperability so that the streetlights, stop signs, vehicles, and scooters can all talk to one another. That’s going to be important for a modern transportation infrastructure.

What we want to do at Ashavan is earn a seat at the table in those industries. We want to be a part of bringing about that change and bringing about better interoperability in those areas, because when we can make the best choice the easiest one for those consumers and those companies, we’re going to feel like we’re making a positive contribution to society, and that’s going to be really special.

Morning Headlines 6/26/24

June 25, 2024 Headlines Comments Off on Morning Headlines 6/26/24

EVisit Acquires UPMC’s Inpatient Teleconsult Technology and Secures Investments from UPMC Enterprises and MedStar Health to Expand Innovative Partnerships and Capabilities

EVisit acquires inpatient tele-consult technology that was developed by UPMC Enterprises and secures investments from UPMC and MedStar Health (MD).

Adonis Raises $31 Million, Led by Point72 Private Investments, to Improve Healthcare Financial Outcomes and Patient Experiences Through AI

AI-enabled RCM vendor Adonis raises $31 million in a Series B funding round, bringing its total raised to $54 million.

Geisinger provides notice of Nuance’s data security incident

Nuance notifies Geisinger patients that a former employee accessed patient information two days after being fired by the company in November 2023.

Comments Off on Morning Headlines 6/26/24

News 6/26/24

June 25, 2024 News 6 Comments

Top News

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HHS releases a final rule that establishes “disincentives” for healthcare providers who are found by HHS OIG to have committed information blocking. It will take effect 30 days after it is published in the Federal Register.

Hospitals will be penalized via the Medicare Promoting Interoperability Program, MIPS-eligible clinicians will sit out a calendar year, and ACOs who participate in the Medicare Shared Savings Program will be made ineligible for at least one year. Health IT developers, HIEs, and health information networks can be penalized up to $1 million per occurrence, as previously announced.

OIG will use four priorities for enforcement: the potential to cause patient harm, the potential to impact a provider’s ability to care for patients, issues of longstanding duration, and practices that have caused financial loss to federal healthcare programs.

HHS plans to eventually impose disincentives on all healthcare providers rather than just those who provide services under Medicare. It also says that other agencies could establish their own disincentives.


Reader Comments

From Troy: “Re: UAB Birmingham. Reportedly purchased all five Ascension hospitals in the Birmingham area.” Verified following board approval Tuesday. UAB Health System will pay $450 million for five-hospital Ascension St. Vincent’s, whose flagship is 400-bed St. Vincent’s Hospital. The health system has 5,000 employees.

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From Thusly Honored: “Re: CIO Times Magazine. I COULD be an important person if I just paid a nominal fee of $1,800.” The India-based magazine – one of several that focus on specific verticals — is selling a spot among “Top 5 HealthTech Leaders Moving Towards Bright Future,” whose odd wording confirms authorship by non-native speakers. The $1,800 deal offers a profile write-up, advertising, and “collaboration” in publishing press releases and guest articles (honestly, this isn’t all that different from my pay-for-play competitors who will run just about any interview, guest post, or company puff piece once the check clears). Respectable companies surely don’t want their names involved, so most “winners” are one-person companies like real estate agents, consulting firms, personal coaches, and self-proclaimed spiritual leaders. The healthcare list publishes in July, when I’ll be like a viewer of “To Catch a Predator” to see which industry blowhards get caught paying to have their vanity stroked.

From AT: “Re: ‘Death of a Salesman.’ Your thoughts on the future of sales as a profession, both for health IT and at large.” It’s natural that you would ask me given my experience in sales (zero) and my occasional contempt for the process (glad-handing hired guns with limited product knowledge who will push iron for whoever pays the highest commission). Still, I begrudgingly acknowledge that “nothing happens until someone sells something” and that prospects often need prodding and education to reach a purchase decision that might be in their organization’s best interest. My conclusions, which could use some help from people who actually know sales:

  • Every company will continue to need salespeople, probably even more of them, and people who excel at selling will never be unemployed. AI is not a threat.
  • Unlike many professions, everyone in a company knows who the best salespeople are. They often are the best at building relationships that span employers.
  • Automation, analytics, and AI won’t make mid-pack salespeople automatically better, but they will amplify the effectiveness of the best salespeople by letting them focus on relationships and help them identify the prospects that are most likely to buy.
  • Remote and virtual selling are newly valued competencies, especially for lower-margin products or those that can be explained in a straightforward way.
  • Getting people to sign on the line which is dotted remains the highest-valued skill in most companies.
  • Maybe the biggest question is how prospects will do research (AI, the recommendations of colleagues, etc.), whether products offer demonstrable ROI that support sales, and whether the role of sales-killers (often the prospect’s IT department or CFO) is changing.
  • If sales were easy, companies wouldn’t hire the best people to do it.

Webinars

June 26 (Wednesday) noon ET. “Population Risk Management in Action: Automating Clinical Workflows to Improve Medication Adherence.” Sponsor: DrFirst. Presenters: Colin Banas, MD, MHA, chief medical officer, DrFirst; Weston Blakeslee, PhD, VP of population health, DrFirst. What if you could measure and manage medication adherence in a way that would eliminate the burdens of medication history collection, patient identification, and prioritization? The presenters will describe how to use MedHx PRM’s new capabilities to harness the most complete medication history data on the market, benefit from near real-time medication data delivered within 24 hours, automatically build rosters of eligible patients, and identify gaps of care in seconds.

June 27 (Thursday) noon ET. “Snackable Summer Series, Session 1: The Intelligent Health Record.” Sponsor: Health Data Analytics Institute. This webinar will describe how HealthVision, HDAI’s Intelligent Health Management System, is transforming care across health systems and value-based care organizations. This 30-minute session will answer the question: what if you could see critical information from hundreds of EHR pages in a one-page patient chart and risk summary that serves the entire care team? We will tour the Spotlight, an easy-to-digest health profile and risk prediction tool. Session 2 will describe HDAI’s Intelligent Analytics solution, while Session 3 will tour HDAI’s Intelligent Workflow solution.

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


Acquisitions, Funding, Business, and Stock

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EVisit acquires inpatient tele-consult technology that was developed by UPMC Enterprises and secures investments from UPMC and MedStar Health (MD).

Health and social care navigation software vendor Pear Suite receives $1 million in funding.

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University Hospitals (OH) will eliminate 300 non-clinical positions and reorganize its leadership structure in an effort to overcome financial challenges. It attributes its nearly half billion dollars in operating losses over the last two years to inflation, rising employee costs, and expenses associated with its Epic implementation last fall.


Sales

  • Watertown Regional Medical Center (WI) will implement MSK-related care protocols, analytics, and patient engagement software from Healthcare Outcomes Performance Company.
  • Unity Health in Toronto will go live on Epic in November.
  • A health system in Ohio will roll out Augmedix’s Go ED generative AI clinical documentation technology with help from Emergency Services Inc.
  • Children’s National Hospital expands its use of Laudio for prioritizing and automating the key responsibilities of frontline leaders.
  • Preferred Management Corporation will deploy Meditech Expanse via the Meditech as a Service platform to its seven hospitals and nine clinics in Texas.

People

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Optimum Healthcare IT names Rick Shepardson (Clearsense) EVP of enterprise application services.

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Antonio Cueto, MBA, LLM, MS (Eden Health) joins Capital Rx as CFO.

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Valley Health System (NJ) hires K. Nadeem Ahmed, MD (The Aga Khan University) as CMIO.

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Firasat Hussain (Arrivia) joins SnapCare as CTO.

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John Evans (Evergreen Health Partners) joins Sutter Health as VP of digital care.

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Michael O’Toole, MS (Nordic Global) joins Coker as SVP.


Announcements and Implementations

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Researchers publish their lessons learned about using patient-generated data to fuel clinical decision support, which they conclude isn’t as easy as it sounds and requires new policies processes, technologies, and expertise.

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FinThrive announces GA of Standby Claims and Standby Eligibility, backup solutions that are designed to help providers maintain financial stability during revenue cycle interruptions.

Regional HIE and health IT consulting firm Centralis Health uses Zen Healthcare IT’s Gemini Integration capabilities to connect to the EHealth Exchange network and Carequality framework.

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FDA clears AliveCor’s AI-powered, single-cable ECG system that can detect 14 arrhythmias and 21 morphologies, including acute MI.

Orlando Health launches Arthur, a self-developed IPad app that allows non-verbal inpatients to communicate by typing or choosing graphics.

Oracle announces GA of the voice-first Oracle Clinical Digital Assistant for ambulatory clinics.


Government and Politics

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A KFF Health News investigation finds that error-prone Medicaid eligibility systems that were developed by Deloitte have caused eligible people to be turned down. The company has been award eligibility systems contracts by 25 states that are worth at least $5 billion.


Privacy and Security

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Greenwood Leflore Hospital and Sharkey Issaquena Community Hospital, both in Mississippi, will implement cybersecurity software from Microsoft through a recently announced White House initiative that offers rural hospitals cybersecurity resources at free and reduced rates.

Vikas Singla will serve two years of home detention after being found guilty of hacking into several Gwinnett Medical Center (GA) systems in 2018 in an effort to create business for Securolytics, where he was employed as COO. He has already paid $800,000 in restitution.


Sponsor Updates

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  • Consensus Cloud Solutions matches MUSE Inspire Conference attendee contributions to donate $3,700 to pediatric medical transport charity AeroAngel.
  • FinThrive VP of Health Insights Jonathan Wiik authors a new book, “The RCM Advantage: Transformative Revenue Management for Healthcare.”
  • Vyne Medical publishes a new customer success story, “Efficiency Elevated: A Hospital’s Success Story with Customized Healthcare Solutions.”
  • AdvancedMD announces a new integration partnership with Mental Health Technologies.
  • Artera adds patient self-scheduling appointment capabilities to its Harmony patient engagement platform.
  • Care.ai announces that it has been recognized as a 2024 Top Company in Smart Rooms by Avia Marketplace.
  • Visage Imaging publishes a new video titled “Visage 7 CloudPACS – Five Things You Need to Know.”

Blog Posts


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RECENT COMMENTS

  1. I believe it is this: https://www.investopedia.com/terms/w/warrant.asp So an option, but one provided by the original company.

  2. What does a 'warrant' mean in this context? Is it related to an option?

  3. The problem is the conflict of interest. When you own a warrant, you make more money if the company's value…

  4. Death Bots - on this topic, in addition to Star Trek, I highly recommend Black Mirror, Season 2 Episode 1:…

  5. Ask them the same about Epic Toolbox

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