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Curbside Consult with Dr. Jayne 7/22/24

July 22, 2024 Dr. Jayne 4 Comments

The big news of the weekend was hearing about the response of organizations to the CrowdStrike debacle on Friday. Despite official statements that everything was fine and patient care was proceeding as usual, comments from worker bees at several local hospitals revealed significant issues that did impact patient care.

At one facility, patients who had mammograms performed on Wednesday and Thursday and were told to expect results by end of day Friday were left in the lurch, since the hospital’s cloud-based dictation service was down. Apparently there was confusion about whether there was a backup plan and what it might be, so radiologists stopped reading studies, bringing everything to a halt. There was no proactive communication to impacted patients letting them know that results would be delayed, causing a great deal of anxiety.

One physician friend who was impacted as a patient reached out on a local physician forum to find out whether her study was being delayed because it was abnormal, which is a common thought among patients. She had no idea about the CrowdStrike situation, but a number of hospital-based physicians chimed in about the patient care nightmare that was unfolding across the region. Several affiliated hospitals canceled elective imaging, including screening mammograms, on Friday. Other physicians reported delays in getting operating room systems started and an inability to get through to internal help desks due to a high volume of calls.

Since I work with various organizations and have company-issued laptops for each of them, I was able to experience firsthand how different places handled the problem. One organization was extremely hands on, sending messages via text starting in the wee hours of the morning. They’re not on my overnight priority list, so the text thread was muted, but I was impressed because they sent hourly updates. Fortunately, my laptop wasn’t impacted and I wasn’t scheduled to do work for them that day, but I followed along because that’s what a good healthcare IT reporter does. By around 7 p.m. in the company’s primary time zone, they sent another text indicating that mitigation efforts had concluded. I checked that company’s email over the weekend to see what other communications they might have sent and was pleased to see an overall summary and debrief communication.

Another company was radio silent, acting like nothing was happening. I guess it’s good that none of their systems or hardware were impacted, but it would have been nice to receive some kind of communication letting employees and contractors know that there was a worldwide issue and that vendors, external systems, or patient pharmacies might be impacted. Since they’re a virtual care company, I would be interested to see whether there was any increase in the number of failed prescription transmissions or patient callbacks asking for medications to be prescribed to a different pharmacy because of the outage.

My laptop for another health system was impacted by the outage and they didn’t send out any communications until two hours after I discovered the issue. I had reported it to the help desk via email by using my phone, so I knew I was in the hopper. Since everyone’s accounts are on Office 365, I was able to do the small amount of work I had for them by using my personal computer, which I’m not sure is entirely permitted based on the vague wording of their privacy and security policies. No one blinked when I said I was using my own device, though, so I’m assuming that I’ll ask for forgiveness if it becomes an issue later since I didn’t ask for permission. I was ultimately able to perform the fix on my laptop myself, which was good because the help desk didn’t get back to me until Saturday afternoon when I was nowhere near my laptop.

Mr. H reported a list of impacts in this week’s Monday Morning Update and they included surgery and procedure cancellations, appointment cancellations, closure of diagnostic facilities, and holds on shipping laboratory specimens due to delays with FedEx. Mr. H noted that Michigan Medicine reported a “major incident.” I’m not sure what that means at the institution, and whether something truly serious happened or whether it was classified as major due to the number of impacted systems, or something else. I’d be interested to hear from anyone at that organization as to what exactly that report means.

Since one of the more serious impacts occurred with 911 emergency call centers, it will be difficult to quantify the full effect on patients. Several state systems were down and analog backups were pulled into service in multiple places. It’s difficult to perform reporting and analysis on events that didn’t happen, but one could extrapolate from the historical call history as to how many calls weren’t received compared to a typical summer Friday. Given the typical percentages of different types of critical calls – cardiac arrests, penetrating trauma, motor vehicle accidents – one can start to do the math to understand how many lives might have been either seriously impacted or lost due to what others minimize as a “computer glitch.” I’m sure the loved ones of those individuals who were frantically trying to call 911 for help might have other words for it.

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I spent a fair amount of time this weekend following the Relive Apollo 11 thread (@ReliveApollo11) on the service formerly known as Twitter. I’ve always been a space junkie and being able to share the experience in a reenacted real time way was kind of thrilling. Through one of the links, I found the Apollo 11 Flight Journal, which is a fascinating read of the transcripts from mission communications. Other cool resources I found during my trip down the rabbit hole included a guide for using Google Earth to explore the moon, and in particular, the landing sites.

It’s hard to believe the level of accomplishment that took us to the moon, with human computers and slide rule-wielding engineers leading the way. The technologies are considered much less powerful than what most of us hold in our hands on a daily basis, but people achieved great things. It should be inspirational, especially on those days when we feel that we are making little progress.

I also learned a piece of information I didn’t previously know. The Apollo 11 mission patch doesn’t include the names of the crew members because those three astronauts wanted the patch to represent all of those who were involved in the mission. It’s a refreshing departure from the “me” culture with which we’re all too familiar.

For those of you who experienced Apollo 11 or other moon landings at the time they occurred, what are your significant memories? Leave a comment or email me.

Email Dr. Jayne.

Readers Write: The Advantages and Misconceptions of Being a 1099 Contractor in Health IT

July 22, 2024 Readers Write Comments Off on Readers Write: The Advantages and Misconceptions of Being a 1099 Contractor in Health IT

The Advantages and Misconceptions of Being a 1099 Contractor in Health IT
By Eric Utzinger

Eric Utzinger is co-founder and chief commercial officer of Revuud.

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Are you a health IT professional who is debating between the freedom of being a 1099 contractor and the stability of a W2 employee? Understanding the nuances can make all the difference in your career path.

Each option offers distinct advantages and misconceptions, particularly within the healthcare industry. I will delve into the specific benefits and clarify common misunderstandings about being a 1099 contractor compared to a W2 employee in health IT.

Advantages of Being a 1099 Contractor in Health IT

  • Flexibility and control. Health IT contractors enjoy unparalleled flexibility. They can set their own schedules, choose projects that are aligned with their expertise, and often work remotely. This autonomy is invaluable for navigating the demanding schedules that are often required in healthcare settings.
  • Potential for higher earnings. 1099 contractors in health IT frequently have the potential to earn more than their W2 counterparts. They can negotiate competitive rates that are based on their specialized skills and experience without the constraints of a fixed salary. Additionally, deductible business expenses can significantly lower their taxable income.
  • Diverse opportunities. Working as a 1099 contractor in health IT allows professionals to diversify their experience across various healthcare organizations. This exposure to different systems, workflows, and clinical environments enhances their skill set and professional growth.
  • Tax benefits, Health IT contractors can leverage substantial tax deductions, including expenses that are related to home offices, travel, professional development, and health insurance premiums. These deductions provide financial advantages that are not typically available to W2 employees.

Misconceptions About Being a 1099 Contractor in Health IT

  • Lack of Stability. It’s often assumed that 1099 contractors lack job stability in health IT. However, skilled contractors can maintain a steady stream of projects by establishing relationships with multiple healthcare facilities or organizations. The demand for specialized health IT expertise ensures ongoing opportunities.
  • No benefits. Contrary to common belief, 1099 contractors in health IT can access benefits like health insurance and retirement plans, albeit through individual arrangements. They can purchase health insurance through marketplaces and establish retirement accounts such as IRAs or Solo 401(k)s, ensuring financial security.
  • More taxes. There’s a misconception that 1099 contractors in health IT face higher tax burdens. While they do pay self-employment taxes, the ability to deduct business expenses often offsets these taxes. With strategic tax planning, contractors can effectively manage their tax liabilities.
  • Isolation. Some perceive health IT contractors as isolated due to their independent work status. However, technological advancements and collaborative platforms enable contractors to engage in virtual healthcare teams, participate in professional networks, and attend industry conferences, fostering connections and support.

Advantages for Health Systems

  • Flexibility in scaling workforce. Health systems benefit from the flexibility of engaging 1099 contractors, allowing them to scale their workforce based on current needs without being bound to a set number of hours. This adaptability helps save time and money, ensuring that resources are used efficiently.
  • Improved workforce management platforms. The rise of 1099 arrangements has driven the development of marketplace platforms that offer better workforce management solutions for clients. These platforms often take on and manage risks similarly to staffing companies, providing a reliable and streamlined process for hiring and managing contractors.
  • Fair and efficient time tracking. Unlike traditional staffing models, 1099 contractors are not always pushed to work a standard 40-hour week. This ensures that contractors only track and bill for actual hours worked, leading to fairer time management and cost savings for healthcare organizations.

Evolving Trends and Future Outlook for Health IT Contractors

  • Increasing demand for specialized expertise. As healthcare systems continue to adopt advanced technologies and digital solutions, the demand for skilled health IT contractors is expected to rise. Contractors with expertise in areas such as electronic health records (EHR), telemedicine, cybersecurity, and data analytics will find ample opportunities in the evolving healthcare landscape.
  • Embracing remote work and virtual collaboration. The COVID-19 pandemic accelerated the adoption of remote work and virtual collaboration across industries, including healthcare. Health IT contractors can capitalize on this trend by offering remote services and supporting healthcare providers with virtual solutions that enhance patient care and operational efficiency.
  • Shifting regulatory landscape. Healthcare regulations and compliance requirements are constantly evolving. Health IT contractors must stay abreast of these changes and offer solutions that ensure data security, patient privacy, and regulatory compliance. Contractors who can navigate and adapt to regulatory shifts will remain in high demand.

Conclusion

Choosing between being a 1099 contractor and a W2 employee in health IT hinges on personal career goals and preferences. Both options offer unique advantages and challenges within the healthcare industry. By understanding these nuances and dispelling misconceptions, health IT professionals can make informed decisions that align with their professional aspirations.

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Readers Write: Why RCM is the Most Interesting Opportunity in Healthcare

July 22, 2024 Readers Write 1 Comment

Why RCM is the Most Interesting Opportunity in Healthcare
By Kim Waters

Kim Waters, MBA is principal advisory at CereCore.

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Revenue cycle management (RCM) isn’t for everybody, but it certainly is for me. I actually enjoy talking to someone about their revenue cycle plans and opportunities. In fact, I maintain that RCM is the most interesting opportunity in healthcare. If you can’t relate, perhaps the reasons I’ve listed below will convince you. If you agree, I hope that you will share new reasons to add to my list.

Research supports RCM opportunities. In a 2023 study, HFMA reported on the rising cost of claims, with as much as 60% of claims not resubmitted and the average denial rate’s total percentage of gross revenue at 11%. What’s more is that they found that the cost per claim appealed is $118 and the denial rate is increasing 20% year over year. In an era when budgets are tight and margins are lower, organizations need to improve on these numbers to survive and eventually thrive.

Opportunities for improvement can be easy to see. Reconsider any processes or solutions that:

  • Are still accomplished on paper.
  • Involve a fax machine.
  • Have not changed in the last five years.
  • Are repetitive.
  • Don’t involve peer or higher-level review.
  • Consistently receive low engagement scores.
  • Are not documented.

Every organization has opportunities for quick wins, while other areas for improvement may not seem so obvious but are just as promising.

Reporting is key. The best RCM decisions are made based on actionable data. On average, healthcare organizations use around 30 vendors across the revenue cycle. Disparate data sets complicate clear, actionable reporting and limit the ability to see patterns and identify areas of opportunity. RCM leaders need effective reporting and road mapping tools to tell their story, presenting a fresh vision around the use of technology and resources and the impact they can make.

Important processes are up and downstream from revenue cycle. From patient access, financial clearance, provider documentation to discharge and final payment for services, RCM processes run through the entirety of a patient’s experience and involve touchpoints with all the departments that a patient’s care requires. This presents complexity and opportunity for RCM, starting with adoption of a unified vision and strategy, change management practices, governance policies, and system interoperability development.

Each organization holds different improvement opportunities. The areas to focus on are a matter of an organization’s current state, their strategic goals, the needs of their community, and their competitive position. That’s what makes it fun. No two systems are alike, but sound revenue cycle management processes can support any endeavor and improve financial performance. In turn, improved financial performance is fundamental to realizing improved quality, outcomes, and all the meaningful reasons we chose healthcare in the first place.

The Healthcare Financial Management Association (HFMA) recently released the Revenue Cycle Technology Adoption Model (RCMTAM), a benchmarking framework to help healthcare’s financial leaders design a personalized RCM modernization roadmap, with the goal of correlating technology improvements to financial performance. RCMTAM is specifically for healthcare and is providing much-needed insight and direction for uncovering and addressing opportunities.

RCM calls for compassion. Working on improvements to revenue cycle management processes looks and feels like improving cash flow, increasing reimbursement rates, reducing denials, and enhancing overall performance. All of the above play a part in the delivery of care to the people who entrust their care to your organization. What’s a more interesting opportunity than that?

Morning Headlines 7/22/24

July 21, 2024 Headlines Comments Off on Morning Headlines 7/22/24

Augmedix to Join Forces with Commure

Commure will acquire ambient medical documentation system vendor Augmedix in an all-cash, take-private transaction that values the company at $139 million.

Faulty CrowdStrike update took down 8.5 million Windows computers around the globe

Hospitals around the globe work to recover from IT outages that started Friday when a CrowdStrike cybersecurity update flaw triggered the Windows “blue screen of death.”

Oracle settles privacy lawsuit for $115M

Oracle will pay $115 million to settle a lawsuit that charged the company with violating website user privacy by tracking user browsing activity and compiling it into a profile that it sold via its Oracle Data Marketplace.

Comments Off on Morning Headlines 7/22/24

Monday Morning Update 7/22/24

July 21, 2024 News Comments Off on Monday Morning Update 7/22/24

Top News

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Commure will acquire ambient medical documentation system vendor Augmedix in an all-cash, take-private transaction that values the company at $139 million.

AUGX shares had lost 80% of their value in the past 12 months prior to the announcement. The company’s market capitalization peaked at $290 million in early December 2023 and is down 62% since. The deal represents a significant share price premium and a four-quarter revenue multiple of 2.8.

Athelas acquired Commure in October 2023, claiming a total company valuation of $6 billion. It offers tools for revenue cycle management, workflow, and patient monitoring. Commure launched its free, AI-powered Ambient Scribe just a few weeks ago.


Reader Comments

From Observer: “Re: Intermountain. Craig Richardville out as CIO. Confirmed by internal memo.” His LinkedIn profile is unchanged, but his bio has been removed from the health system’s leadership webpage. He joined Intermountain Health as chief digital and information officer in April 22 after spending three years in a similar position with SCL Health, which was acquired by Intermountain in April 2022. Intermountain announced in September 2023 that it would replace Oracle Cerner with Epic.


HIStalk Announcements and Requests

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More than half of poll respondents reported that they experienced no major issues in their most recent PCP visit, although those who did most often named lack of appointment availability and PCP distractions.

New poll to your right or here: Were you significantly affected by CrowdStrike-caused downtime? You probably were on Friday if you interacted with airlines, public transit, banks, mail carriers, and government offices. Bonus question to which you may comment below – as in the Change Healthcare ransomware attack, how do you keep a single vendor’s technical issues from crippling a specific industry or the country in general?

Dear researchers and/or Epic: please do a Cosmos analysis of the patient effects of the CrowdStrike downtime to prove or disprove the hospital executive insistence that patient care doesn’t suffer when the EHR goes down for days.

  • How long were systems unavailable as determined by deviation from normal usage?
  • Were more patients discharged or transferred than usual?
  • Was visit and admission volume higher afterward as patients sought care that was deferred during the event?
  • Were ED visits reduced or of shorter duration?
  • How many surgeries were cancelled and of what kinds?
  • After the event is resolved, how were patient complications and mortality impacted during and immediately after?
  • How were the schedules of clinical staff affected?
  • How were patient satisfaction scores affected?

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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For-profit hospital operator Ardent Health – which owns 30 hospitals, 200 care sites, and 1,700 providers across six states – goes public at a valuation of over $2 billion. Notes:

  • Shares closed on their first day of trading 6% off the IPO price, which had already been lowered.
  • They have since rebounded and are up  8% from the  IPO price of $16.
  • Previous owner Equity Group Investments offered 12 million shares and retained 55% voting power.
  • PureHealth, which operates hospitals and other healthcare businesses in the United Arab Emirates, is the second-largest shareholder.
  • Ardent EVP/General Counsel Stephen Petrovich is the largest individual shareholder with $18 million worth.
  • According to the prospectus, Ardent’s implementation of Epic in 2021 “makes us a more attractive partner for emerging technology providers and facilitates physician use of novel technology.”

People

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The American Academy of Nursing names Suzanne Bakken, PhD, RN as one of five “Living Legends” of nurse leadership. She is professor of nursing and biomedical informatics at Columbia University.


Announcements and Implementations

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Hospitals everywhere experienced computer downtime starting Friday as a result of the CrowdStrike cybersecurity update flaw that triggered the Windows “blue screen of death.” The company has issued a fix for users of the endpoint protection system, but experts say it may take days to fix all affected systems. A Microsoft executive called the incident “the largest IT outage in history,” although Microsoft said the incident affected 8.5 million devices, less than 1% of all Windows machines. Some of the hospitals that reported outage-related patient care issues:

  • Mass General Brigham cancelled non-urgent surgeries, procedures, and visits.
  • Penn Medicine warned that it might need to reschedule appointments.
  • Cincinnati Children’s Hospital cancelled appointments and warned of delays.
  • Michigan Medicine reported a major incident.
  • Mount Sinai Hospital and Hospital for Special Surgery lost access to affected systems.
  • Baylor Scott & White reported outages.
  • RWJBarnabas Health delayed procedures, as did Emory Healthcare and Norton Healthcare.
  • UVA Health closed its ambulatory clinics and outpatient radiology services.
  • Computers and phones at Greater Baltimore Medical Center went down.
  • University of Miami’s UHealth lost access to its systems and went back to paper.
  • Quest Diagnostics cancelled appointments and advised providers who send specimens via Fedex to hold them until that company returns to normal operations.
  • A hospital employee claimed in a now-deleted Reddit post that the bug had taken down tens of thousands of hospital endpoints, adding with regard to affected machines in surgery, “We cannot reboot them without killing patients.”
  • 911 services in several states were taken offline.
  • EMIS, the system used by 60% of England’s GPs, went down.

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Industry long-timer Drex DeFord, who worked several years as a healthcare executive for CrowdStrike until January 2024,  posted this admirably succinct description of the CrowdStrike issue, including a new warning:

Here’s what I think I know so far: Everybody runs CrowdStrike (if you don’t, lots of your partners do). Most customers have endpoint sensors set to auto-update. Bad-sensor update jammed up Windows machines. New/improved update now deployed. But customers often have to reboot machine to fix problem. Some have to boot to “safe-mode” and remove offending file. Reports now that some adversaries posing as “CrowdStrike Support” are reaching out to customers offering help — stay a little paranoid about who you are communicating with.


Government and Politics

HHS creates new positions for CTO, chief artificial intelligence officer, and chief data officer.


Privacy and Security

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Oracle will pay $115 million to a lawsuit that charged the company with violating website user privacy by tracking their browsing activity and compiling it into a profile that it sold via its Oracle Data Marketplace, which the company says is the world’s largest third-party data marketplace, with “actionable audience data” covering 80% of the US internet population. 


Other

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Academic publisher Taylor & Francis – a leading scholarly publisher that is owned by HIMSS conference owner Informa and whose brands include several healthcare journals — surprises its journal authors by selling access to their articles to Microsoft to use for AI training. Experts urge authors to ask publishers about their AI policies before signing contracts.


Sponsor Updates

  • Nordic releases a new “Designing for Health” podcast, “Interview with Mitesh Patel, MD.”
  • Rhapsody Health publishes a new white paper, “9 questions to ask to create a winning interoperability strategy.”

Blog Posts


Contacts

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

Comments Off on Monday Morning Update 7/22/24

Morning Headlines 7/19/24

July 18, 2024 Headlines Comments Off on Morning Headlines 7/19/24

UnitedHealth was too ‘optimistic, in hindsight’ about the impact of Change Healthcare cyberattack: CEO

UnitedHeatlh reports a quarterly increase in Q2 earnings, but falls short in its estimation of the Change Healthcare cyberattack’s impact on its full-year financials.

GE HealthCare announces agreement to acquire clinical artificial intelligence business from Intelligent Ultrasound

GE HealthCare acquires Intelligent Ultrasound, whose AI-driven ultrasound analysis tools are used by GE HealthCare and other device manufacturers, for $51 million.

Thoughtful AI Launches Human-Capable AI Agents, Raises $20m in New Funding

Revenue cycle automation company Thoughtful AI raises $20 million in Series A funding.

Comments Off on Morning Headlines 7/19/24

News 7/19/24

July 18, 2024 News Comments Off on News 7/19/24

Top News

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UnitedHealth Group raises its estimate of the full-year company financial impact of the Change Healthcare cyberattack from $1.6 billion to $2.3 billion.

UnitedHealth Group closed its $8 billion purchase of Change Healthcare in October 2022, weeks after overcoming a challenge that had been raised by the Department of Justice. The cyberattack occurred in February 2024.  

The company reported Q2 results on Tuesday: revenue up 6.4%, adjusted EPS $6.80 versus $6.14, beating Wall Street expectations for both and valuing the company at $520 billion.

The company’s $99 billion in quarterly revenue was up $6 billion quarter over quarter, with its Optum business leading the increase. Unadjusted earnings from operations reached $7.9 billion.


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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Freshpaint, which offers a platform for healthcare marketers to check their websites, advertising, and videos for privacy compliance, raises $30 million in a Series B funding round. The company emphasizes the warnings by HHS and FTC that website visitor tracking tools violate HIPAA. Those warnings are in question since a federal court ruled last month that HHS does not have the authority to ban use of those tools. The court also ruled that the information that is collected by most website trackers is not tied to an individual and therefore is not covered by HIPAA. 

Social care software vendor Findhelp acquires Kiip, which offers software to reduce the administrative burden of at-risk populations who are seeking community services.

GE HealthCare acquires Intelligent Ultrasound, whose AI-driven ultrasound analysis tools are used by GE HealthCare and other device manufacturers, for $51 million.


Sales

  • Intermountain Health will use NeuroFlow’s behavioral health technology to identify and triage behavioral health risk within its primary care population.

People

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AI-powered retinopathy screening technology company Eyenuk hires Bryan Haardt (Boehringer Ingelheim) as CEO.

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Grady Health System hires Joey Meneses, MS (Akron Children’s Hospital) as executive director of technology.


Announcements and Implementations

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Executives of Adventist Health confirm via LinkedIn job postings the long-reported rumor that the health system will implement Epic, which will replace Oracle Cerner. Roseville, CA-based Adventist Health has 28 hospitals and 38,000 employees.

Huma Therapeutics announces Huma Cloud Platform, a no-code system for configuring regulated disease management tools that includes pre-built modules, device connectivity, cloud hosting, APIs, and a marketplace.

UPMC researchers find that adding EHR nudges reduced the unnecessary use of lymph node biopsies in older female patients by nearly 50%. They modified the outpatient clinic EHR that is used by seven breast surgical oncologists, adding a column to the surgeon’s schedule to flag patients who meet Choosing Wisely guidelines to skip the procedure. The authors conclude that the most important takeaway is that surgeons appreciated getting the reminder on the day of the patient’s visit without having to click anything.


Government and Politics

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A NEJM perspective piece says that the Supreme Court’s overturning of the so-called Chevron doctrine will impact every aspect of society, but especially HHS’s scientific and technical agencies such as CMS, CDC, FDA, NIH, and AHRQ. The authors predict that the ruling – which increases the power of courts and makes it easy for businesses to challenge the actions of federal agencies – will encourage big companies to challenge any rule or guidance that threatens their bottom lines, such as Medicare’s payment policies. They also expect companies to challenge FDA’s regulatory authority over laboratory-developed tests, which is the subject of a lawsuit that was brought by the clinical laboratory trade group. From the article, which refers to the decision under its legal name of Loper Bright:

Whereas Chevron favored the government experts charged with administering public programs, Loper Bright favors well-funded industry insiders with the resources to litigate rules that threaten to curb waste, fraud, or abuse. For example, industry-driven litigation has hampered government implementation of the No Surprises Act, which has resulted in far less savings and weaker protections for patients from surprise out-of-network bills than anticipated … Loper Bright will also most likely make it more difficult for agencies to adapt their regulatory approaches in response to changing scientific or economic circumstances. Under Chevron and related opinions, agencies retained some latitude to change their interpretations of ambiguous statutes over time.


Other

Scammers are creating deepfake videos that depict famous UK TV doctors pitching scam health products such as hemp gummies and herbal blood pressure remedies on social media platforms. Recent surveys have shown that most Americans under 26 get their health and wellness advice from TikTok because it’s fast and free, although 10% of them have experienced health issues after following influencer advice. One survey found that one in three TikTok users did not double-check the advice they got from platform users, while 10% said they would trust an influencer who has a high number of followers or likes. The platforms urge users to report misinformation, but posting a factual disclaimer triggers the influencer’s massive follower count to defend them and their medical advice.


Sponsor Updates

  • Inovalon’s Converged Quality software earns HEDIS certification for the 24th consecutive year.
  • EClinicalWorks releases a new podcast, “Say Hello to Easy Joint Documentation with EClinicalWorks.”
  • TruBridge announces that it has received the Peer Reviewed by HFMA designation for its Complete Business Office solution for the fourth consecutive year, and for its RCM solution for the seventh consecutive year.
  • Vyne Medical becomes a commercial member of MUSE.
  • FinThrive releases a new episode of its HealthLeaders Cyber Resilience Podcast.
  • Five9 announces that it has been named a Leader in the IDC MarketScape: Worldwide Contact Center-as-a-Service Applications Software 2024 Vendor Assessment.
  • Wolters Kluwer Health adds its Rx Transitions for Mental Health medication management tool to its UpToDate Pro clinical decision support software.
  • Linus Health will exhibit at Pri-Med West through July 20 in Anaheim, CA.
  • Meditech will host Meditech Live September 25-27 at its facility in Foxborough, MA.

Blog Posts


Contacts

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

Comments Off on News 7/19/24

EPtalk by Dr. Jayne 7/18/24

July 18, 2024 Dr. Jayne 2 Comments

Former US Food and Drug Administration Commissioner Scott Gottlieb, MD published a call to action this week in JAMA Health Forum that asks Congress to update FDA regulations for medical AI. He begins the piece by summarizing the events leading up to the FDA’s approval of the Apple Watch in 2018 for identifying irregular heart rhythms, noting that the FDA cleared the device largely based on its developer’s validation and quality approaches rather than on a review of the hardware itself. He states that “this same concept is uniquely suited to the regulation of artificial intelligence (AI) medical devices that can augment patient care.” Bills are pending in both the US Senate and the House with the so-called Verifying Accurate Leading-edge IVCT Development Act (VALID Act) creating laws around this regulatory approach.

Gottlieb says that change will allow the FDA “to oversee the methods used to develop a technology and validate its reliability, rather than trying to decouple the product’s construction” and draws parallels between device regulation and the need to regulate medical AI, especially with regard to rapid innovation and development cycles during product development. He goes on to discuss developers’ approaches to mitigating any FDA uncertainty, including avoiding having their solutions be classified as devices. Clinical decision support software isn’t subject to the same level of scrutiny as medical devices, which allows a faster go-to-market approach for developers. It will be interesting to see if Congress passes the VALID Act and if they then in turn move forward with policies to address AI technologies.

Bad news for night shift workers. A recent study that was published in The Lancet suggests a higher risk of diabetes for individuals who were exposed to the most light between 12:30 a.m. and 6:00 a.m. Study participants wore light sensors to capture personal light exposure, which strengthened the reliability of this study compared to its predecessors. The sensors captured light in all forms, such as the sun, lamps, or screens. After eight years of tracking, researchers found that those with lower overnight light exposure had a lower risk of type 2 diabetes. Those with the highest exposures had a risk increase that was similar to that for patients with a family history of the condition. It’s suspected that atypical light exposure alters the body’s circadian rhythm, which can have an impact on how it handles sugar. I guess I need to get more sunlight during the day to counterbalance the late night monitor light that I’m exposed to while writing for HIStalk.

I’m playing catch up with my journal reading, so I’m just now seeing this piece from the March Journal of the American Board of Family Medicine that looked at the differences in hospital readmission rates for patients who received their follow-up care in person compared to telemedicine. The authors found comparable readmission rates regardless of the follow-up modality, concluding that “telemedicine poses little threat of negatively impacting HEDIS performance” and may be as effective as traditional in-office transition of care visits. The authors note some limitations in the study, including reliance on provider accuracy to capture discharge follow-up codes and the inability to capture the information patients who had follow-up visits outside the EHR whose data was used for the study. They also noted that the telemedicine sample size was small and had a younger population. Larger multi-site studies that incorporate intentional use of telehealth would be of benefit to create stronger evidence.

I consume a lot of study write-ups as part of my regular reading, so I’m familiar with how to critically appraise data and determine if the authors of a particular piece are trying to lead readers to a conclusion that might not fully correlate with the data. I was skeptical when I saw headlines this week about the physician burnout rate falling below 50% for the first time in four years. The AMA is claiming this result from their “exclusive survey data” that compares record-high data from 2021, where 63% of physicians reported burnout, to more recent data collected in 2023. Data was collected as part of what the AMA calls its “Organizational Biopsy” and represented 12,000 physician responses across 31 states.

Since this is proprietary AMA data and not a peer-reviewed publication, it is unclear whether or how it was controlled against previous data. Were the respective physician panels representative as far as specialty, age, and gender? What about practice setting or full-time status? How about employment status and the stratification of academic physicians against private practice or those in an organization that is owned by private equity?

I’m not a burnout expert, but I’ve talked to hundreds of physicians in the last several years, and here is my private hypothesis. The most burned out physicians have retired early, cut back, or otherwise left direct patient care. I receive at least a dozen requests each month from physician contacts who want to learn more about “how to get off the hamster wheel” and whether they can just make the jump to clinical informatics or a technical role. (Spoiler alert: it’s not as easy as you think.) Many of them get pulled into unsavory arrangements that essentially amounts to their renting their medical licenses to companies that are looking to make a buck. I wonder how or if those physicians have been represented in the AMA’s data gathering efforts.

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Based on an email I received today, HIMSS must be desperate for revenue, because they’re promoting sales of the recordings from the HIMSS24 conference earlier this year. On top of the 150 recordings from this year, they’re throwing in bonus recordings from HIMSS22 and HIMSS23. I can’t imagine that many attendees who are thinking back to those conferences and wishing they had a recording of a particular session. If I’m seeking deeper information about a conference presentation or topic, I’m likely to just reach out to the presenters, who are generally excited to correspond about their pet projects. If you’ve got cash to burn and time on your hands it might be for you, but to me it feels like a sad attempt to squeeze revenue out of former attendees.

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CMS has issued an invitation to its Leadership National Call Update on August 1 at 3:30 p.m. ET. Administrator Chiquita Brooks-LaSure and her team will be updating attendees on advancements related to the CMS Strategic Plan. I’ve never attended one of these calls and was surprised to learn that the registration link leads to a special Zoom for Government site. I wonder what features are different from a corporate Zoom account or even a paid individual account? Inquiring minds want to know, so if you have the details, leave a comment or email me.

Email Dr. Jayne.

Morning Headlines 7/18/24

July 17, 2024 Headlines Comments Off on Morning Headlines 7/18/24

What Our $30M Series B Means For Healthcare: A Message from Our CEO

Patient privacy and digital healthcare marketing startup Freshpaint raises $30 million in a Series B investment round, bringing its total raised to $42 million.

Findhelp Announces Acquisition of Kiip, Adding New Technology that will Accelerate Its Mission to Simplify Access to Social Services and Benefits

Findhelp acquires Kiip, a New York City-based company that specializes in helping community-based organizations deliver services.

Hospitals will use AI to speed up patient care

BBC reports that hospitals in England will use AI to improve patient flow, prepare radiology reports, and support rapid ED assessment.

Huma completes Series D with total financing of over $80m as it launches Huma Cloud Platform with GenAI integrations to bring digital first care and research to everyone

Huma Therapeutics announces Huma Cloud Platform, a no-code system for configuring regulated disease management tools that includes pre-built modules, device connectivity, cloud hosting, APIs, and a marketplace.

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Healthcare AI News 7/17/24

News

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Huma Therapeutics Limited announces Huma Cloud Platform, a no-code system for configuring regulated disease management tools that includes pre-built modules, device connectivity, cloud hosting, APIs, and a marketplace. The company built the system for its own products and will offer it as a software development kit. The London-based company, which has raised $250 million in funding, was founded by Dan Vahdat, who left his Johns Hopkins bioengineering PhD program in 2011 to start the company.

The VA will issue sole source bids to Abridge and Nuance to conduct ambient scribe pilot projects to transcribe clinical encounters and generate chart notes. The companies recently won a VA tech sprint for those functions. The VA will solicit feedback from other companies that believe they can meet its requirements.

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The University of Alabama at Birmingham will launch a master’s in AI degree program next year that will teach students how to ethically integrate AI into healthcare software. It seeks applicants with a background in medicine, statistics, computer science, math, or biomedical engineering, also expressing a preference for healthcare professionals who have a programming background. Proficiency in the Python programming language is also required.

BBC reports that hospitals in England will use AI to improve patient flow, prepare radiology reports, and support rapid ED assessment. Patient records will be reviewed each morning to make sure that treatment is on track and that planned discharge dates are appropriate.

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Family medicine physicians at University of Kansas Medical Center find that ChatGPT version 3.5 can produce summaries of peer-reviewed journal articles that are 70% shorter than the abstracts as posted, but with high quality, accuracy, and lack of bias. They documented ChatGPT hallucinations in four of 140 summaries. The tool fell short in being able to determine if a given article is relevant to primary care.


Business

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Israel-based AI-powered disease modeling company CytoReason raises $80 million in a private funding round, with investors that include Nvidia and drug maker Pfizer. The company will open an office in Cambridge, MA later this year.

A law journal article says that the US patient system is not prepared to protect the AI-based technology innovation of companies. Companies struggle to disclose enough information about how their AI system works to earn an enforceable patent, especially if they cannot disclose the training data that was used. The authors also note that medical imaging analysis models are often built via trial and error, making those methods just as important as the training data.  


Research

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Healthcare experts who were convened by Stanford University’s Institute for Human-Centered AI say that HIPAA as well as the FDA’s regulatory authority are too outdated to apply to rapid AI development. Specific recommendations:

  • Streamline FDA market approval for AI-enhanced diagnostic capability, moving the emphasis to post-market surveillance; sharing test and performance data with providers to help them assess product safety; and creating finer-grained risk categories for medical devices.
  • Participants were divided on the issue of requiring clinical AI tools to place a human in the loop, with some warning that such a requirement would create more busywork for doctors and make them feel less clinically empowered. Some said the model should be similar to that of laboratory testing, where devices are overseen by physicians, undergo regular quality checks, and send out-of-range values to humans for review. Participants were also mixed on requiring that patients be informed when AI is used in any stage of their treatment, although many felt that AI-created emails that are sent under a provider’s name should indicate that AI played a role.
  • About half of participants said that chatbot-type AI tools should be regulated using medical professional licensure as a model, while a nearly equal number favored a medical device-like approach.

Pharmacy residents in the Netherlands test ChatGPT’s ability to respond to the clinical pharmacy questions of practitioners and patients. They conclude that it should not be used by hospital pharmacists due to poor reproducibility and a significant portion of answers that were incomplete or partly or completely wrong.


Other

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A Phillips survey of 3,000 healthcare leaders in 14 countries includes questions about automation and AI. Snips:

  • Nine out of 10 leaders see the potential of automation to support staff, reduce administrative tasks, and allow staff to work at their highest skill level, but two-thirds of them believe that healthcare professionals are skeptical and worry about inadequate AI and losing their skills due to overreliance on technology.
  • Nearly all participants say that their organizations experience data integration challenges that hamper their ability to provide timely, high-quality care. They most often cited the time required to look up results, inefficiency, limited coordination among providers and departments, repeat tests, and risk of errors.
  • More than half say that their organizations will invest in AI in the next three years, while 29% say they have already done so.
  • Nine out of 10 leaders expressed concern about AI data bias.

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People management software vendor Lattice cancels its week-old plans to create employee records for AI bots. The CEO had said that digital workers would, like their human counterparts, be assigned onboarding tasks, goals, performance metrics, IT system access, and a manager.


Contacts

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

Morning Headlines 7/17/24

July 16, 2024 Headlines Comments Off on Morning Headlines 7/17/24

RLDatix Acquires Carebeans Limited

Healthcare governance, risk, and compliance solutions company RLDatix acquires London-based digital social care planning and management software vendor Carebeans.

Lumerity Capital backs healthcare IT consulting firm Ellit Groups

Health IT consulting firm Ellit Groups receives an undisclosed amount of funding from Lumerity Capital.

Virtual healthcare provider Seven Starling raises $10.9M round for maternal health services

Virtual maternal mental healthcare company Seven Starling announces $10.9 million in Series A funding.

Thyme Care Closes $95M Series C To Fuel Cancer Care Affordability

Thyme Care, a value-based oncology care company based in Nashville, brings its total funding to $178 million with a new Series C investment.

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News 7/17/24

July 16, 2024 News 4 Comments

Top News

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Healthcare governance, risk, and compliance solutions company RLDatix acquires London-based digital social care planning and management software vendor Carebeans.


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.


Sales

  • Beebe Healthcare (DE) will implement Epic across its system next year.
  • In New Mexico, the City of Albuquerque and Bernalillo County will roll out social care screening and referral technology from Unite Us later this summer.
  • CentraCare (MN) will offer virtual urgent care visits using technology from KeyCare.

People

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Alok Chaudhary, MBA (Ballad Health) joins VCU Health (VA) as VP and chief data and AI officer.

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Acentra Health names Ryan Bosch, MD, MBA (Inova Health) EVP and chief health and informatics officer.

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Medicomp Systems founder, chairman, and president Peter Goltra died last month at 84.


Announcements and Implementations

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The VA will pilot ambient clinical documentation software from Nuance and Abridge, which won the first phase of the VA’s AI Tech Sprint. It will integrate the AI-powered technologies with its EHR and workflows. The locations and duration of the pilots have yet to be announced.

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After a four-month pilot, UVM Health Network (VT) will implement Abridge’s generative AI software for clinical documentation across its enterprise.

In New Jersey, Premier Health Associates will go live on parent organization Atlantic Health’s Epic system early next year.


Government and Politics

Former FDA Commissioner Scott Gottlieb, MD says that FDA should regulate medical AI using the same firm-based approach as it does for medical devices, in which it reviews the developer’s design approach and the product’s results rather than dissecting its underlying hardware and software. He says the VALID Act, which codifies the firm-based regulatory approach, is more appropriate for products such as AI that go through rapid cycles of innovation. He also notes that AI processing is not easily defined by tracing every possible input to its output. He urges Congress to facilitate the creation of large, reliable databases that can be used used for consistent AI development, training, validation, and post-market monitoring.

The Kansas Court of Appeals rules that healthcare providers are not required to keep patient medical records confidential, dismissing a University of Kansas Medical Center lawsuit in which a doctor took pictures during the plaintiff’s pelvic exam and sent them to two medical students whom the patient had approved to be present. The court concurred with a lower court’s decision that the state does not recognize a provider’s duty to protect patient confidentiality.


Other

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St. Joseph’s Hospital (FL) implements Amazon’s Just Walk Out checkout-free payment technology at its Seasons Cafe. The new shopping workflows have enabled the cafe to stay open longer, and have not caused any employee layoffs.

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A Dallas magazine profiles the leadership and funding crises that have sent White Rock Medical Center spiraling into financial and clinical chaos. The hospital has:

  • Reverted to paper charting due to an inability to finance a new contract with its EHR vendor.
  • Laid off employees with the only warning being a midnight email, which prompted former employees to file a class-action lawsuit against owner Heights Healthcare.
  • Left vendors unpaid, causing it to scramble to borrow supplies from neighboring facilities and buy patient food from the local grocery store.

Sponsor Updates

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  • Clinical Architecture sponsors the The ALS Association Indiana Chapter and the Bob Kravitz ALS Golf Classic.
  • SingHealth in Singapore implements Agfa HealthCare’s enterprise imaging 8.3 platform.
  • Arcadia announces that it has been named as a Leader in the IDC Marketscape:US Value-based Health Analytics 2023 Vendor Assessment.
  • Impact Advisors is named to Consulting Magazine’s “Best Large Firms to Work For” list.
  • Artera publishes a new case study, “Wheeler Health Lowers Call Volume and Enhances Staff Efficiency with Artera.”
  • Capital Rx releases a new episode of The Astonishing Healthcare Podcast, “The Power of APIs in Healthcare, with Alfonso Martinez.”
  • CloudWave will exhibit at the 2024 NCHA Summer Meeting July 17-19 in Asheville, NC.

Blog Posts


Contacts

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

Morning Headlines 7/16/24

July 15, 2024 Headlines Comments Off on Morning Headlines 7/16/24

Healthcare firm Concentra eyes $3.3 bln valuation in US IPO

Occupational healthcare provider Concentra hopes to raise up to $585 million through an IPO, potentially achieving a valuation of $3.3 billion.

Med-Metrix Announces the Acquisition of HRSI, Augmenting the Company’s Eligibility Management Capabilities

RCM company Med-Metrix acquires Philadelphia-based Healthcare Receivable Specialists Inc., which offers eligibility and reimbursement services.

VA awards AI tech sprint winners pilot contracts for ambient medical transcription services

The VA will pilot AI-based medical scribe technologies from Nuance and Abridge AI, winners of the first phase of the VA’s AI Tech Sprint.

Comments Off on Morning Headlines 7/16/24

Readers Write: Healthcare’s Biggest Hidden Asset

July 15, 2024 Readers Write Comments Off on Readers Write: Healthcare’s Biggest Hidden Asset

Healthcare’s Biggest Hidden Asset
By Aasim Saeed, MD, MPA

Aasim Saeed, MD, MPA is founder and CEO of Amenities Health.

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Health systems across the US continue to grapple with a host of financial challenges, from staffing shortages to lower reimbursement rates to increasing competition from new players in the market. However, most organizations have an unused resource at their disposal that is worth significant value and that is not leveraged to its full potential: MACC credits.

Microsoft Azure Consumption Commitment (MACC) credits are pre-purchased credits that health organizations commit to spending on Microsoft’s Azure cloud services over a specific time. If you remember the old cell phone plans before rollover minutes were introduced, you understand how these “use or lose” benefits work. It’s like buying a golf club membership that requires a minimum purchase of food or drink at the clubhouse.

MACC agreements allow customers to commit to a minimum level of Azure consumption in exchange for discounted pricing and additional benefits. But they are lost if you don’t consume the benefits within a year. You can’t carry them over.

In my opinion, these agreements are probably one of the most underutilized IT resources in healthcare. Many IT and innovation teams have forgotten about them, or don’t even know that they exist. As a result, few are using all the capacity that they paid for. We’re now six months into 2024, and chances are most MACC credits are still sitting, gathering dust. Given the financial strains facing the healthcare industry, technology teams need to use these funds before they expire at the end of the year.

Accessing a third-party app is one of the easiest, but often overlooked, ways to accomplish this. Many valuable third-party applications are available via the Microsoft Azure Marketplace. If healthcare organizations have MACC allocations that are at risk of going to waste, they can adopt these applications at no net new cost. For instance, a hospital might fold a new chatbot application, advanced online scheduling, or billing software into its MACC agreement.

The marketplace is also designed to streamline the contracting process. It allows healthcare systems and other organizations to transact automatically without having to complete a bunch of paperwork on the back end. Rather than getting bogged down in the contracting process, healthcare systems can purchase the applications directly through Azure, install them immediately, and use them to improve their operations.

Another option is to use the credits to build cloud environments. All MACC agreements come with cloud support built into the offering, which presents an opportunity for health systems to migrate some of their on-premises resources to the cloud, helping them eliminate some of the capital costs that are associated with data center refreshes. Also, the cloud presents an opportunity for hospitals to pilot new tools, paying only on a per-user basis rather than making the serious capital investments that are frequently associated with on-premises solutions.

Healthcare organizations should carefully prioritize their technology needs when using resources under their MACC agreements. This involves weighing the potential impact of new applications against factors like ease of implementation, necessary training, and ongoing management. It’s crucial to begin with a comprehensive evaluation of the organization’s overarching digital transformation goals and how cloud services can effectively align with these objectives.

By increasing awareness of their Azure commitments and actively taking advantage of these hidden assets, healthcare systems can enhance and streamline their technology environments without any additional costs to their technology budgets.

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Curbside Consult with Dr. Jayne 7/15/24

July 15, 2024 Dr. Jayne 2 Comments

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I was talking with some clinical informatics folks this week about how we try to keep up on industry happenings. Most of us read a combination of different newsletters and of course HIStalk. Newsletters can be challenging, though, since many of them are either pay-to-play or heavily influenced by submissions from public relations folks. It takes time to learn to read between the lines as far as what the purpose of a given “news item,” might be and it takes experience to try to understand how helpful the given solution or technology might be to a given organization.

A recent write-up in Becker’s Health IT mentioned an Epic app called AutoDx that was created by UChicago Medicine. AutoDx stands for “automated diagnosis,” and according to the write-up, the app identifies patient-specific diagnoses and risk factors and automatically adds them to the visit note template.

The system’s CMIO was interviewed for the article and said that “providers have the option to delete them if they disagree,” but my initial reaction to the tool is that it’s a lot like copy and paste, where there is a fair likelihood that users will just leave these items in the note whether or not they addressed them. The CMIO goes on to say that the risk factors brought forward by the tool “are crucial for coding and billing, external rankings, quality reporting, and other statistics that many institutions, including ours, care about.”

That statement certainly gives some insight as to why the tool was created. Patient care wasn’t even on that list, nor was any mention made of helping physicians better document the care they’re already giving. In my book, those two reasons should be at the top of the list, not compliance with regulatory requirements or trying to play the billing and coding game.

In the past, physicians — especially those in primary care specialties — were known to document fewer problems than they actually managed on a given visit. I think the number was something along the lines of managing five or six issues per visit, but only documenting 3.5. The arrival of the EHR was touted as a way to fix that problem and allow physicians to actually code and bill for the work they were already doing, which makes sense.

Unfortunately, everyone started playing the same game, and the perceived “upcoding” didn’t have as much value as initially thought because payer pressures led to downward rate adjustments, putting people back at square one (or square negative if we’re talking about Medicare reimbursement rates). We’ve seen plenty of examples where organizations are working hard to elevate the documented complexity of the patients for which they are caring so that they can get more money. I recently saw an organization recruiting for unsuspecting physician “chart reviewers” who were expected to review charts and document conditions that the patient may or may not actually have, but which might have been mentioned at some point in time in a patient’s chart.

I dug a little deeper on this particular solution, noting that the creators of the tool had published a paper recently in Applied Clinical Informatics. The paper positions the tool as an alternative to the coding queries that providers often receive, where certified professional coders and others review patient charts and ask if providers can document additional factors in the patients’ charts. These queries happen after the fact and create a disjointed workflow where physicians and providers are asked to update notes sometimes weeks after the visit.

The tool was initially developed to address three diagnoses, including electrolyte deficiencies, obesity, and malnutrition in hospitalized patients. It was piloted by hospitalists and then expanded to the neuro intensive care unit after more diagnoses were added, at least according to the Becker’s article. When I pulled the actual paper, a section header mentions the neonatal intensive care unit, which is a drastically different environment than a neuro ICU. I guess good editors are hard to find.

The pilot showed a 57% decrease in coding queries around the targeted diagnoses compared to a 6% decrease across other high-volume conditions. The authors also noted an increase in the case mix index, which is a marker of complexity and severity of cases within a hospital.

Theoretically, not only should the tool fix the disjointed workflow, it should prompt providers to address conditions at the point of care that they might not otherwise have addressed. Hospitalized patients are often complicated, and hospitalists are expected to manage ever-growing patient rosters. The initial release of the tool created message alerts in the patient note that prompted the provider to select a diagnosis and required that all alerts be addressed before the note could be completed. That certainly sounds a lot more patient-focused than talking about how much it impacts billing and metrics.

Interestingly, the pilot began in mid-February 2020, right before COVID-19 was about to rock all of our worlds. Post-implementation data was gathered for the full month of March of that year and compared to the full month of January as the pre-implementation baseline. The expansion to the NICU didn’t occur until May 2022. The paper has multiple mentions for neuro and neonatal, although I suspect it is supposed to be the former based on certain context elements such as the list of included diagnoses and mentions of things like “patients transferred from other services” that doesn’t necessarily apply to the neonatal ICU, which is usually where critically ill neonates start their hospital stays and remain until they can move to a lower level of care.

Overall, it sounds like the tool can positively impact patient care and reduce burdensome post-encounter queries that are sent to clinicians. Alternatively, it could be a way to enable “autopilot” behaviors where clinicians are acknowledging and adding things to visit notes without thoughtful consideration. I would have liked to see post-intervention surveys to the users about how the intervention impacted care. For example, did it truly identify things that they were addressing but not documenting, or did it provide a safety check to make sure that they were addressing conditions that they may have overlooked? Those are the kinds of benefits that can really drive patient outcomes. I would encourage those who are creating tools like this to include that kind of data gathering and analysis in their research.

I’d love to hear from Chicago readers who may have personal knowledge of the tool or its implementation, or from readers in other places who have used similar tools. What other feedback did you get from clinicians and from coding staff? Leave a comment or email me.

Email Dr. Jayne.

HIStalk Interviews David Lareau, CEO, Medicomp Systems

July 15, 2024 Interviews Comments Off on HIStalk Interviews David Lareau, CEO, Medicomp Systems

David Lareau is CEO of Medicomp Systems.

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Tell me about yourself and the company.

I’ve been the CEO of Medicomp for about 15 years. I originally came from a large network background and then started and owned a billing company. I met Peter Goltra, who founded Medicomp in 1978, in the 1990s.

We’re actually a year older than Epic. Epic does many things and Medicomp does one thing, and that is to build a clinical data engine. The Quippe Clinical Knowledge Graph works and thinks the way that clinicians do, so that they can use it at the point of care. It has almost half a million clinical data concepts across all domains. We have worked with clinicians for more than 40 years so that when you are thinking about a specific problem, what are the things that you want to see in all the clinical domains — symptoms, history, exam, tests, diagnosis, therapies, comorbidities, sequelae – so that the clinician can consider any condition or diagnosis and immediately see all of the information that their peers and colleagues over the years have told us they would want to see.

Those half a million clinical data points are both computable — because it has a common data model underneath it — and human readable at the point of care. It has over 10 million mappings to the standard terminologies and accommodates all the downstream processes like CQMs, adequate documentation for HCCs, E&Ms, diagnostic view of the record, and things like care management protocols for nurses, physicians, and affiliated health professionals. We’re starting to get into home care.

You’ll start to see over the next six to nine months some of the significant vendors coming out with a hybrid model that uses large language models and ambient listening to capture information, but then uses our Clinical Knowledge Graph to process it, present it to the clinician, and allow them to navigate it and trust it. It’s evidence-based. It’s linked to sources. 

Once you’ve removed the burden of documentation, how do you accommodate the way a clinician thinks and works in supporting all of the requirements that are now being piled on in terms of HTI-1 and now HTI-2, CQMs, et cetera?  We are pretty pumped about the next two or three years and the way the industry will develop from transaction based to clinical care from a data-driven perspective.

Strong point-of-care technology use cases involve surfacing relevant EHR information and connecting the clinician to medical evidence. How will physicians benefit?

It will help with the acquisition of information with the patient’s involvement, what the patient says and then getting that into the record in some form. Ambient listening stuff is doing it in text. Large language models are good at synonymy and summarizing information. But the clinicians at the point of care are some of the most highly educated and trained knowledge workers on the planet. Most of the time, they know what they want to see. They just don’t like looking for it in the record.

The hybrid model that I was talking about a few minutes ago is to remove some of the burden of entry and documentation, perhaps using AI ambient listening, but then giving the physician transparent, citable, and authoritative comfort with what the EHR is giving back to them among all that information that is in this patient’s record – here are the things that I found related to that problem. That’s that Clinical Knowledge Graph that we’ve been building for years. 

Even though the burden of documentation is lightening, the need to find what you need, work on it, and support all those downstream processes quickly, trustworthy, reliable, predictable — that’s where we fit into this whole puzzle that the industry is trying to put together.

Technologists sometimes miss the significant point that physicians don’t need or want automated help for 95% of their patients, who have a relatively small variety of conditions that they treat all day long. Can personalization or customization give physicians what they need rather than what someone else thinks would be helpful?

You have hit on something that we used to say all the time. Tell me what I need to know, when I need to know it, don’t slow me down, and don’t get in my way. If I need help, I’ll ask for it, and it had better come back quickly.

I’ll give you an example. We’re working with a company that is using ambient listening, AI, and large language models to capture documentation. Certified EHRs are required to have a problem list, which is usually in SNOMED or perhaps ICD-10 in older systems. If the clinician is treating a patient who has a known problem, we can use our Clinical Knowledge Graph to tell them what’s in the record that pertains to that problem, symptoms, and history. Give them their standard presentation so they know where to look – they don’t want each encounter to be a new and exciting experience. It’s formatted the way they want. They can find the information that they need that is related to this patient’s problem. 

If there’s a new problem, like the patient has been  having difficulty swallowing, go to the Clinical Knowledge Graph, type in “difficulty swallowing,” and get a list of things and filter the record for that so they can see it. Do it in a format that the clinician has personalized to the way that they practice. Cardiology is looked at something different than an audiologist, for example, or a nurse. There’s customization of presentation, but there’s diagnostically connecting the information, filtering it, and putting it back to them the way they need it when they want it. I’ll call on that knowledge resource when I need to, which as you just said is maybe three to 5% of the time.

You have said that you stopped using the term AI even though Quippe gives the appearance of applying it under the hood.

I was doing a major presentation for a large medical group in Southern California years ago. I showed a differential diagnostic presentation of a complex patient. One of the 200 docs in the auditorium got up, and before he walked out, said, “Why did I go to medical school if you’re going to tell me what you think this patient has? I already knew it before you even started that. We want real intelligence, not artificial intelligence.”

After hearing that a number of times, we said that we aren’t going to talk about that any more. We’re just going to talk about presenting information that works and thinks the way clinicians do, because we have been working with clinicians for over 40 years to build this thing. We took artificial intelligence out of anything that we said, because people found it hard to believe, and physicians particularly found it offensive.

What are the challenges in using technology to reduce physician burnout?

I think having reasonable expectations. If you set the expectation that large language models and artificial intelligence will remove any need to interact with the EHR because EHRs are just a chore and not a tool, you are bound to be disappointed. Approach it as, “What can this technology be used for that lightens my burden and helps to make the EHR a tool, not a task?” One aspect is summarizing the information that is already in the record. It’s starting to do a decent job doing that as opposed to actually entering data in the record. 

If you use the current versions of this technology to enter data in the record, you have to review it, because there’s still a pretty high hallucination rate. It wouldn’t kill you if it was used in an Amazon warehouse and they ship you the wrong product, but if you put a wrong piece of critical information in a medical record, it can have serious consequences. 

Summarizing it for review, great. Specific things that ease the burden not only on providers, but on people who are building solutions for providers. We are using it to reduce the work we have to do. We have 10 million mappings of our half million concepts to the standard vocabularies. That’s a lot of work, a lot of what terminologists would call in-the-trenches grunt work. AI can help reduce the amount of time it takes to find possible matches and then have somebody look at it.

We approach the point of care the same way. Let’s use our engine to filter the stuff coming out of these models, sort of a hybrid model, and make the best use of our evidence-based Clinical Knowledge Graph, along with the output from the large language model. In that hybrid approach, AI is not going to do everything. It will do some things, such as specific point solutions related to a task or process, but it’s not going to completely take care of the patient. Our role in that is giving the clinician a tool that allows them to find what they want, review it, take action on it, and then use AI for the things that it works well for – summarizing a record and looking in it for occurrences of something.

It’s still early in this. You’re going to see a lot of these companies hit the wall when their initial funding runs out. Then you will see some big players succeed and maybe dominate the industry. There will be a couple of new ones, too.

How about technology that addresses burnout in nurses?

We have always thought that in terms of care delivery, a hospital is a high-tech facility that is run by administrators, but operated by nurses. For the actual, on-the-ground patient care, the nurses are the ones who first notice what’s going on with the patient. The nurses are the ones who call in the physician expert when they need to. They are the ones on the front lines.

Holy Name Medical Center in Teaneck, New Jersey — which was on the cover of Newsweek as an epicenter of the initial COVID outbreaks back in April and May of 2020 — put Quippe in during COVID in the emergency department and the critical care units of the hospital, the intensive care units and the cardiac care intensive care units. They noticed that within two weeks, the nurses had more than two hours a day of time freed from documentation, because we had the data points that are needed to support their processes. We had tools that they could use to design what they were doing in accordance with the processes that were already in place. It was just astonishing to us that they were able to do that.

We learned a lot from that, too. We learned the difference between diagnostic care of a patient and coordinated care team care of a patient, because that’s really where nurses operate. They operate as the eyes and ears of the enterprise on the patient, helping to coordinate the care of the whole team. That made us start improving our design processes that people could use with our Clinical Knowledge Graph to accommodate coordination of care among members of a care team, which is now a big topic for HTI-2 coming down the pike in a couple of years. Every time we go into a new environment, we learn what we didn’t know and adapt accordingly.

What are the next steps in interoperability, especially in data quality and interpretation?

Years and years ago, a senator named Ted Stevens from Alaska said, “The internet is nothing but a series of pipes,” and everybody made fun of him. When I read that old quote from him, I thought about interoperability. We now have a governance structure through the QHINs and through TEFCA. We have built the pipes, and the pipes are available. You will be required to send stuff down the pipe. You will be required to receive stuff from the pipe. The challenge will be how you keep from getting overwhelmed by what’s coming down through the pipe. How do you filter it? How do you present it?

You said before that clinicians will tell you that 95% of the time that they know what they need to treat a patient. That same statistic could be applied to that tsunami of information that is coming down as text, codes, pictures, and all kinds of stuff. Filter it so that I can find what I need. We’ve been working with FHIR and other things for about eight or nine years – and now NLP and large language models – to quickly find the information that is needed in that for the particular patient that is being treated. We are excited that the pipes are in place and that the information will start flowing. That gives us a unique opportunity to show what you can do when you have a Clinical Knowledge Graph with 10 million mappings to the standard vocabularies and hundreds of millions of diagnostically connected data points inside an engine. 

It will be interesting to see how the industry responds to this deluge that they are going to get. It’s an exciting time. I think the HIMSS Interoperability Showcase is what, 15 or 20 years old? Finally, it’s real. But it will take some time to iron out the wrinkles to get the exact information that a clinician needs to the point of care so that they can benefit from the content of those pipes.

How will AI affect your products and competitive position?

Our approach is that we are a good solution for the hybrid model that I talked about earlier, for using AI to acquire the information, bring it over, and then allow it to be formatted, filtered and presented. I get a lot of inquiries about using content as training data, partnering with us, acquiring us, or licensing our intellectual property. We are  too busy right now to respond to that, but we see our role — and HTI-1 kind of covers this — as the evidence-based, trusted resource for source information that has been reviewed by clinicians to handle output from large language models and AI.

It’s not clear to me how quickly people are going to believe that AI can do what we do. The people who have looked at our stuff and tried it have said, you guys have something special here. We have a solid, consistent clinical data model underneath it. It’s not just words linked together. We like the opportunity that we have over the next five years.

The big picture is the industry has not yet come to grips with the tools that are needed for an enterprise, or even an individual clinician, to effectively manage chronic conditions like the Hierarchical Condition Categories that Medicare is using for compensation. There’s lots of money and attention flowing into that. If you look at ICD-10-CM diagnoses, about 9,000 to 10 ,000 are relevant and apply to these Hierarchical Condition Categories for value-based payment.  A huge opportunity for us over the next two to three years is that we can review and filter a record to make sure that the documentation is appropriate, is complete, and that product conditions are being identified and effectively managed and adequately documented to pass a Medicare audit.  

Requirements are piling on the industry. HTI-1, HTI-2, TEFCA, CQMs, and quality payment programs. They are all tied to very specific clinical data points, and that’s really our strength. We’re pretty excited about the next three to five years.

Comments Off on HIStalk Interviews David Lareau, CEO, Medicomp Systems

Morning Headlines 7/15/24

July 14, 2024 Headlines Comments Off on Morning Headlines 7/15/24

Florida Health Department Hit by Ransomware Attack, Sensitive Data Released on Dark Web

Ransomware hackers who breached the Vital Statistics system of Florida’s health department publish 100 gigabytes of HIV results, immunization records, and clinical notes to the dark web after the state declines to pay a ransom.

Mental Health Startup Headway Nabs $2.3 Billion Valuation

Headway, which helps patients find, book, and pay for mental healthcare appointments online, reportedly raises $100 million in a funding round led by Spark Capital.

Children’s National, armed with $1M AWS donation, adding dozens of AI positions

Children’s National Hospital in Washington, DC is looking to fill 30 AI positions after receiving a $1 million donation from Amazon Web Services.

Comments Off on Morning Headlines 7/15/24

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