News 8/30/17

Top News

Rescue and relief efforts continue in and around Houston, with parts of Louisiana already feeling the brunt of Harvey’s somewhat dwindling levels of rainfall.  Out-of-state organizations are encouraging citizens gung-ho to help to make financial contributions rather than attempt to help out on site. The New Mexico branch of the federal government’s Disaster Medical Assistance teams, for example, has sent six of its 70 members – including one physician, three EMTs, one safety officer, and one emergency logistics coordinator – to Houston to assist local physicians and set up field hospitals.

Overwhelmed facilities like the George R. Brown Convention Center (above, top) have prompted local business owners like Jim McIngvale to turn their stores into much-needed shelters. He opened his two furniture stores – both equipped with restaurants – to 400 evacuees.

Meanwhile, MDLive, Teladoc, and Doctor on Demand have announced free medical consultations to residents of Texas and Louisiana who have been evacuated or otherwise affected by the storm.

Webinars

September 13 (Wednesday) 1:30 ET. “How Data Democratization Drives Enterprise-wide Clinical Process Improvement.” Sponsored by: LogicStream Health. Presenter: Katy Jones, program director of clinical support, Providence Health & Services. Providence is demonstrating positive measurable results in quality, outcomes, and efficiency by implementing clinical process improvement solutions in arming operational and clinical stakeholders with unlocked EHR data. Providence’s army of process engineers use their self-service access to answer questions immediately instead of waiting for reports to be written and double checked for possibly inaccurate information. The presenter will describe practical applications that include antibiotic stewardship, hospital-acquired infections, and comprehensive knowledge management.

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

Acquisitions, Funding, Business, and Stock

PeakMed Direct Primary Care raises $5.5 million in a funding round led by ASI Capital. The Englewood, CO-based company will use the investment to open new LifeCenter facilities in Denver and Colorado Springs, invest in telemedicine services, hire staff, and purchase vehicles for house calls. CMO Mark Tomasulo, DO founded the company three years ago after working for PeakMed Primary Care and serving as an MD with the US Army.

Announcements and Implementations

Drchrono will offer Inferscience’s clinical decision support tool as part of its EHR, PM, and RCM software platform.

My Health My Resources (TX) will implement Netsmart’s EHR across its network of facilities in 24 counties that provide mental health, child and family, intellectual and developmental disabilities, and substance abuse services.

FQHC Penobscot Community Health Care (ME) receives grant funding from Cardinal Health Foundation’s Generation Rx Best Practices in Pain Management program, which it will use to develop plans that will reduce opioid prescriptions, increase patient engagement, and improve outcomes. PCHC PCPs will attend a virtual collaborative session led by Geisinger pharmacists focused on safe prescribing practices and alternative treatment options.

Government and Politics

The Oklahoma Commission on Opioid Abuse meets for the first time to gain a better understanding of the state’s efforts to reduce deaths from opioid overdoses and other forms of misuse. Don Vogt, manager of Oklahoma’s PDMP, pointed out that more funding is needed if the real-time database is to be kept running smoothly. Additional funding could enable staff to enhance data verification efforts and track the ways in which drugs get into the hands of abusers. He also highlighted the need for more physicians to check it – less than 100 of the state’s 17,000 MDs use it.

ONC revamps its Health IT Complaints Form, rebranding it and offering users expanded feedback categories.

Other

Local public radio shines a spotlight on the million-plus health records of Georgia patients accessed by hackers in 2016. While Peachtree Neurological Clinic is held up as one of the state’s most recent breaches, I find the accompanying graphic above more compelling. HHS data shows that 40.5 million health records have been breached over the last 12 years.

Developers create an app that uses AI to translate facial expressions into emojis, which users can then share in reaction to posts within the app. The team behind the Polygram app thinks the technology may also be useful in telemedicine, allowing physicians to gauge patient reactions. I think it would make more sense in mental health tracking apps targeted towards younger users.

Sponsor Updates

• Intelligent Medical Objects will exhibit at Greenway Engage17 September 7-10 in Orlando.
• Healthwise will exhibit at the 2017 HCEA Conference September 6-8 in Salt Lake City.

Contacts

Jenn, Mr. H, Lorre

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News 8/29/17

Top News

President Trump, First Lady Melania Trump, and HHS Secretary Tom Price, MD touch down in Houston to tour disaster-relief areas and meet with local officials to plan for further federal assistance for victims of Hurricane Harvey and its resultant record-breaking rainfall of 48 inches so far.

Those same local officials are already utilizing data collected on Medicare beneficiaries that rely on electricity- or battery-powered medical devices to identify patients in need of assistance or evacuation in the wake of the storm. The CMS EmPOWER program breaks the data down by zip code, and is capable of offering up specific details to aid in more specialized assistance. Officials are particularly worried about dialysis patients, as well as those using wheelchairs, ventilators, and cardiac devices.

HIStalk Practice Musings

After receiving multiple flyers and “I’m sorry I missed you” cards stuck in my front door, I finally set aside time this morning to participate in the US Census Bureau’s American Housing Survey. The survey took nearly an hour to complete over the phone, making me wonder why they haven’t found a way to put it online. It seems fairly labor intensive for the bureau employee who has to walk the neighborhoods and conduct the interviews, not to mention the supervisors who call residents back if they believe quality control is lacking. The last section of the survey – on household emergency preparedness – hit home given the events going on right now in Texas and Louisiana (not to mention Dr. Jayne’s latest Curbside Consult).

In addition to the supplies suggested by the CDC and Red Cross, households should put together an evacuation plan and a communications plan that outlines how folks can stay in touch with one another if cell service goes down. You can find more tips on preparing for an emergency at Ready.gov.

Webinars

September 13 (Wednesday) 1:30 ET. “How Data Democratization Drives Enterprise-wide Clinical Process Improvement.” Sponsored by: LogicStream Health. Presenter: Katy Jones, program director of clinical support, Providence Health & Services. Providence is demonstrating positive measurable results in quality, outcomes, and efficiency by implementing clinical process improvement solutions in arming operational and clinical stakeholders with unlocked EHR data. Providence’s army of process engineers use their self-service access to answer questions immediately instead of waiting for reports to be written and double checked for possibly inaccurate information. The presenter will describe practical applications that include antibiotic stewardship, hospital-acquired infections, and comprehensive knowledge management.

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

Announcements and Implementations

Heywood Healthcare’s medical group selects opioid addiction recovery support software from Q2i in hopes of reducing overdoses, relapses, ER visits, and admissions.

Community Oncology Alliance will offer patient survey tools from Bivarus to help its member practices meet MIPS and Oncology Medical Home reporting requirements.

Marathon Health adds behavioral health services to its traditionally primary care-focused onsite employee health centers.

Acquisitions, Funding, Business, and Stock

Online physician search and appointment scheduling software company ZocDoc is the only healthcare IT company to make Glassdoor’s list of companies that offer 100-percent coverage of healthcare premiums for their employees. Other recognizable names include Twitter, GoDaddy, the Bill & Melinda Gates Foundation, and Glassdoor. “We believe that access to healthcare is the one big problem we are trying to solve in America,” says CEO Oliver Kharraz, “and we really should do our part.”

Corporate ride-sharing company FlitWays Technology branches into healthcare with the launch of a non-emergency medical transportation service in 50 US cities. Providers can use the FlitWays app to book rides and track patient pick up, route, and drop off.

People

Digital patient education company Outcome Health hires Nandini Ramani (Twitter) as chief engineering officer. The Chicago-based business made headlines earlier this summer when it raised $500 million in a Series A round that put its valuation at $5 billion.

Telemedicine

Allscripts adds Vidyo telemedicine capabilities to its FollowMyHealth patient portal.

Governor Andrew Cuomo signs telemedicine-friendly reimbursement legislation for adult care facilities in New York. Bill sponsor and State Assemblywoman Addie Jenne is confident accessible virtual consults will help prevent arduous trips to doctor’s offices, as well as visits to the ER. The law is well timed, given new RAND Center research that predicts over half of all US adults will spend time in nursing homes at some point in their lives – potentially for long stays with costs upwards of $50,000. Public and private payers will surely be looking for ways in which telemedicine can help curb costs as the predicted silver tsunami comes to fruition.

Government and Politics 

The local news looks at the flip side of the war on opioids, highlighting one woman’s struggle to get her prescription filled in South Carolina, which has mandated physician use of the state’s SCRIPT PDMP. While the law has cut down on doctor shopping, many feel it is an invasion of patient privacy. Wendy Montgomery, who takes opioids for her rheumatoid arthritis, certainly seems to feel over scrutinized at her local pharmacy. “It’s been embarrassing to even go get it filled now,” she says. “They look at you like you’re a drug addict.”

Research and Innovation

University of Washington researchers develop an app that can potentially detect the onset of pancreatic cancer. The BiliScreen app analyzes a person’s selfie to look for jaundice before its visible by the naked eye. The app builds off the university’s work on a similar tool for newborns. An initial study with 70 patients found that BiliScreen correctly identified cases of concern nearly 90 percent of the time when compared to traditional blood tests.

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Jenn, Mr. H, Lorre

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News 8/28/17

Top News

Category 4 Hurricane Harvey is downgraded to a tropical storm, causing record-breaking flooding in Houston and surrounding areas. Torrential rainfall, which has also begun to impact Louisiana, is expected to last for several more days. Weather experts predict Harvey will be one of the worst flood disasters in US history. HHS Secretary Tom Price, MD has declared a public health emergency, freeing up resources to deploy over 400 doctors, nurses, and medical staff to set up six medical assistance teams in Dallas and two 250-bed medical stations in Baton Rouge.

Five deaths and at least two dozen injuries have been reported so far. As news reports attest, recovering from the storm will likely take months, particularly for those living in poorer and/or rural areas. Nonprofit Direct Relief has put together a collection of maps that show the impact Harvey will have on areas with high concentrations of immigrants, the elderly or disabled, and those living in poverty.

While citizen volunteers have helped to provide enough rescue boats in Harris County, relief-related needs remain great. Check out CharityNavigator’s list of vetted organizations providing assistance to contribute.

Webinars

September 13 (Wednesday) 1:30 ET. “How Data Democratization Drives Enterprise-wide Clinical Process Improvement.” Sponsored by: LogicStream Health. Presenter: Katy Jones, program director of clinical support, Providence Health & Services. Providence is demonstrating positive measurable results in quality, outcomes, and efficiency by implementing clinical process improvement solutions in arming operational and clinical stakeholders with unlocked EHR data. Providence’s army of process engineers use their self-service access to answer questions immediately instead of waiting for reports to be written and double checked for possibly inaccurate information. The presenter will describe practical applications that include antibiotic stewardship, hospital-acquired infections, and comprehensive knowledge management.

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

Acquisitions, Funding, Business, and Stock

Amazon sets its EHR dreams aside for a moment to celebrate its $13.7 billion acquisition of Whole Foods, instituting lower prices across brick-and-mortar stores with a promise to eventually offer Prime members discounts at check out. Fun fact: Researchers at Zillow have found that homes near specialty food stores like Whole Foods and Trader Joes cost more and appreciate faster than those (like mine) that suffer from a lack of proximity.

College dropouts Tanay Tandon and Deepika Bodapati raise $3.7 million to fund development of a portable blood analyzer named for a healing plant in one of my all-time favorite books, The Lord of the Rings. The co-founders attest that the Athelas device can perform a blood-cell count test from the comfort of a patient’s home. They also stress that they’re taking advantage of all the lessons learned from Theranos, submitting data to the FDA in hopes of receiving clearance this year to begin marketing the device to oncologists.

People

Robert Harrington, MD (Reliant Post-Acute Care Solutions) joins SurveyVitals as president and CMO.

Galen Danielson (RehabAuthority) and Craig Rettke (not pictured) join Physical Rehabilitation Network, a Carlsbad, CA-based operator of over 100 physical therapy facilities, as regional VPs of operations.

Telemedicine

Pasadena, CA-based Indica MD launches medical marijuana telemedicine services in California and New York via website and eVisit app. Indica, for those like me who didn’t know, is one of three types of marijuana.

Edwards Air Force Base in California begins offering virtual consults via Doctor on Call Telehealth on designated family days.

The Blue Cross and Blue Shield Service Benefit Plan will offer its federal employee beneficiaries access to Teladoc’s services in 2018.

Government and Politics

In its push to combat the opioid epidemic, HHS announces plans to create a Pain Management Best Practices Inter-Agency Task Force to assess, establish, and seek feedback on pain management best practices. Committee nominations are due September 27.

Indiana Governor Eric Holcomb announces that the state will make controlled substance prescription information available through EHRs and pharmacy management systems via Appriss Health’s PMP Gateway tool. Jerome Adams, MD confirmed earlier this month as US Surgeon General, was honored at the same meeting for his three years as state health commissioner. Adams made it clear in confirmation proceedings that combatting the opioid epidemic will be one of his top priorities.

The Collier County Sheriff’s Office in Florida becomes the first such organization in Florida to use heroin overdose-tracking software. Developed by the Office of National Drug Control Policy High Intensity Drug Trafficking Area program, the software also creates a real-time map of overdoses, giving the sheriff’s office insight into trends and planning needs.

Other

McLaren Medical Group (MI), part of the McLaren Healthcare system, notifies patients of a March data breach at its Mid-Michigan Physicians practice. The information of seven patients was accessed without proper authorization.

Sponsor Updates

• Medicity publishes a new white paper, “Interoperability 2.0: Solving Health Care’s Data Aggregation Problem.”

Blog Posts

• Five Reasons Behavioral Health Clinicians Need to Use Voice Recognition Software (NVoq)

Contacts

Jenn, Mr. H, Lorre

More news: HIStalk, HIStalk Connect.

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Population Health Management Weekly Wrap Up 8/27/17

Adirondack Health Institute (NY) names John Morley, MD (Jacobi Medical Center) chief physician executive of population health.

The local news covers UnitedHealthcare’s MyConnections program in Phoenix, AZ, which – in true population health management fashion – looks to connect people in need with resources like housing, food, and transportation. Amanda Desmet, for example, was homeless for over 10 years until a MyConnections case manager enrolled her in the program through a local homeless shelter. She is now living in an apartment and pursuing a college degree. The payer, which has launched the pilot in several other cities, hopes to expand the program in Arizona in the near future.

In order to bolster its analytics capabilities and data security, Map Health Management incorporates Wolters Kluwer Health’s terminology and data mapping solution into its behavioral health population management software.

Cambridge, MA-based MIT’s student and faculty ambulatory care center chooses Cerner’s Millennium EHR and HealtheIntent population health management software.

VitreosHealth develops a predictive analytics-fueled digital communications tool for case managers, giving them the ability to reach large swaths of their patient populations with targeted messaging.

The DoD prepares for the next phase of its Building Military Communities pilot program, which aims to connect service members – particularly those living on remote installations – with local resources to ensure their health and wellness. Launched last year in seven states, the pilot is moving from a staffing and resource research and discovery phase to actively communicating about resources to service members and their families. US Public Health Service Capt. Kimberly Elenberg, who is involved with the pilot, will next look at using mobile health technology to aid in that communication.

ZeOmega’s Jiva population health management platform earns NCQA certification.

Sponsor Updates

• EClinicalWorks will exhibit at the NACHC Community Health Institute & Expo August 27-29 in San Diego.

Blog Posts

• Brown Clinic: Superusers Building Value (EClinicalWorks)
• Will I be able to advance in my career as a consultant? (Nordic)
• One Moment That Mattered – A Physician’s Perspective on Patient Education (Healthwise)

Contacts

Jenn, Mr. H, Lorre

More news: HIStalk, HIStalk Connect.

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News 8/24/17

Top News

Findings from a NueMD survey of just under 1,000 physicians support similar studies on physician awareness of and preparedness for MACRA: A surprising 50 percent aren’t at all familiar with the legislation. Of those who are aware of it, 56 percent aren’t sure if they’ll need to participate in 2017. (They had yet to receive notification from CMS as to their participation status.) Just under 50 percent haven’t “encountered” MACRA resources, which makes me wonder if they simply haven’t had the time to hunt for them. A paltry nine percent feel MACRA will have a positive impact on their small practice, while 63 percent consider the jury to still be out. Granted, those percentages came from respondents who admitted to not knowing much about MACRA and its Quality Payment Programs. A higher percentage of those more in the know expect it to impact their practice in a positive way.

Webinars

September 13 (Wednesday) 1:30 ET. “How Data Democratization Drives Enterprise-wide Clinical Process Improvement.” Sponsored by: LogicStream Health. Presenter: Katy Jones, program director of clinical support, Providence Health & Services. Providence is demonstrating positive measurable results in quality, outcomes, and efficiency by implementing clinical process improvement solutions in arming operational and clinical stakeholders with unlocked EHR data. Providence’s army of process engineers use their self-service access to answer questions immediately instead of waiting for reports to be written and double checked for possibly inaccurate information. The presenter will describe practical applications that include antibiotic stewardship, hospital-acquired infections, and comprehensive knowledge management.

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

Acquisitions, Funding, Business, and Stock

Dispatch Health brings its mobile urgent care services to Arizona. Launched in Denver in 2013 in partnership with local emergency services, the company bills itself as a solution for illnesses and injuries that may not warrant a costly and time-consuming trip to the ER. Patients can request a visit via the company’s app, and can expect to pay a flat fee of $275 if not insured. Dispatch Health providers check in with patients three days after a visit, and then monitor patient information via available HIEs 14 and 30 days afterwards. “We’re not another fragmented access point to health care,” says Chief Strategy Officer Kevin Riddleberger. “This is not redundant care; (it) fills in the gaps.”

People

Jennifer Stoll joins OCHIN as VP of government and public affairs.

Announcements and Implementations

Comprehensive Healthcare (WA) selects SmartCare EHR software and data warehousing services from Streamline Healthcare Solutions to better integrate primary care, behavioral health, and substance abuse services among its 20 facilities and with third-party service providers.

Government and Politics

The DoD’s Department of Employer Support of the Guard and Reserve honors ChartLogic with its Service Member Patriot Award in recognition of the company’s efforts to support employees who are members of the Guard and Reserve. The department also recognized ChartLogic EVP and US Army veteran Chris Langehaug with its Citizen Patriot award. ChartLogic is a division of Medsphere, which leverages VistA technology as part of its OpenVistA technology for acute care.

Kinda kicking myself: CMS Administrator Seema Verma speaks at the newly combined Health:Further/HIMSS Summit of the Southeast conference. I attended last year as it was an easy drive from my home and I’m always looking for an excuse to visit Nashville. From what the tweets tell me, Verma focused her remarks on the role CMS plays in healthcare delivery innovation by way of giving states more flexibility with those delivery methods.

Telemedicine

Indianapolis-based TelaCare Health Solutions adds behavioral healthcare to its virtual consult services.

Other

Tanzanian officials announce that the East African country will begin using Zipline drones early next year for real-time delivery of medical supplies including blood, vaccines, medicines, sutures, and IV tubes. The initiative calls for 120 drones at four bases across the country that will serve over 10 million people at 1,000 clinics. The drones will speed up deliveries that typically take up to eight hours by road to under 30 minutes. Zipline has partnered with neighboring Rwanda on a similar, thus far successful effort. It’s looking at bringing the drone delivery service to rural and tribal communities in the US.

Contacts

Jenn, Mr. H, Lorre

More news: HIStalk, HIStalk Connect.

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