News 10/31/16

Top News

Now I suppose we know why Athenahealth hasn’t yet named its new chief people officer: The company lays off nearly 150 employees in consolidating its R&D function, with 102 staff members dismissed in San Francisco and 40 in Atlanta as the company focuses R&D in Watertown, MA; Austin, TX; and India. The company plans to continue hiring in Massachusetts, where it currently employs 2,150. Spokeswoman Holly Spring attempted to soothe ruffled feathers in an email to The Boston Globe: “We believe by focusing on Austin, Watertown, and India to fuel our R&D work, we will be better positioned to advance and accelerate our innovation contributions and can achieve new efficiencies.”

HIStalk Practice Announcements and Requests

MGMA gets into full swing in San Francisco. A quick scan of the tweet stream finds several exhibitors getting into the seasonal spirit. (I wonder if Athenahealth’s freshly laid-off employees were represented in the graveyard above.) I’m keeping today’s post short and sweet given that a good majority of folks, aside from those at MGMA, have already headed home to prep for tonight’s activities.

Webinars

November 8 (Tuesday) 1:00 ET. “A CMIO’s Perspective on the Successful 25 Hospital Rollout of Electronic Physician Documentation.” Sponsored by Crossings Healthcare. Presenter: Ori Lotan, MD, CMIO, Universal Health Services. UHS rolled out Cerner Millennium’s electronic physician documentation to its 6,000 active medical staff members — 95 percent of them independent practitioners who also work in competitor facilities — across 25 acute care hospitals. UHS’s clinical informatics team used Cerner’s MPage development toolkit to improve the usability, efficiency, communications capability, and quality metric performance of Dynamic Documentation, embedding clinical decision support and also using Nuance’s cloud-based speech recognition product for the narrative bookends of physician notes. This CMIO-led webinar will describe how UHS achieved 70 percent voluntary physician adoption within one month of go-live, saved $3 million in annual transcription expense, and raised EHR satisfaction to 75 percent. It will include a short demonstration of the software that UHS developed to optimize the physician experience.

November 9 (Wednesday) 1:00 ET. “How to Create Healthcare Apps That Get Used and Maybe Even Loved.” Sponsored by MedData. Presenter: Jeff Harper, founder and CEO, Duet Health. Patients, clinicians, and hospital employees are also consumers who manage many aspects of their non-medical lives on their mobile devices. Don’t crush their high technology expectations with poorly designed, seldom used apps that tarnish your carefully protected image. Your app represents your brand and carries high expectations on both sides. This webinar will describe how to build a mobile healthcare app that puts the user first, meets their needs (which are often different from their wants), creates “stickiness,” and delivers the expected benefits to everyone involved.

Here’s the recording of “Data Privacy/Insider Threat Mitigation: What Hospitals Can Learn From Other Industries” from earlier this week. You can access my tweet recap here.

Contact Lorre for webinar services. View previous webinars on our HIStalk webinars YouTube channel.

Announcements and Implementations

AdvancedMD will introduce an all-in-one cloud suite (scheduling, billing, EHR) at MGMA, also adding fully integrated telehealth capabilities and an expanded AdvancedPatient.

Humana adds three EliteHealth primary care practices to its Medicare Advantage Plan networks in South Florida. I hadn’t heard of the Miami-based provider before; in addition to primary care, it offers concierge medicine, and corporate wellness and elite fitness programs.

Drchrono updates its EHR platform with features specific to larger medical practices including advanced security, full-service RCM, patient intake capabilities, and a white-label patient portal.

People

Keith Hagen (IHM Services) joins Aviacode as CEO.

Cecilia Montalvo (Kaiser Permanente) joins Summit Health Management as chief strategy and business development officer and president of Summit Select, a newly licensed organized services system that will include Summit Medical Group (which SHM was created to serve) and other New Jersey-based physician groups.

Government and Politics

HHS Secretary Sylvia Burwell and Acting Administrator Andy Slavitt get in the spirit.

Other

It’s not April Fools Day, so I’ll ask, ‘Is this a trick or treat?’ Self-driving cars don’t seem to be enough for Uber. The ride-sharing company has set its sights set on developing on-demand air transportation to help commuters cut down on travel time. “A network of small, electric aircraft that take off and land vertically,” the company explains in a 98-page white paper, “will enable rapid, reliable transportation between suburbs and cities and, ultimately, within cities.” The company contends that over a dozen companies are already working to make the concept a reality.

Fans of meal delivery kits take note: Campbell’s Soup Co. enters the market with a $32 million investment in Habit, a service that, starting next year, will collect genetic data on subscribers through home blood-testing kits that measure nutrition-related biomarkers and basic data like weight, height, and waist size. The Habit team will then design and deliver meals based on individual dietary needs and preferences.

Several Aledade team members are no doubt busy today helping physicians scared silly by the transition to value-based payment models.

The Michigan-based Great Lakes Health Connect HIE staff also get festive. Why have I yet to see someone dressed up as a Blue Button? Or “On FHIR?”

Sponsor Updates

• The American College of Pathology names Aprima a certified ACP PRO Venous Registry EHR vendor.

Blog Posts

• What Nurses Really Think: Insights from ANCC MagCon 2016 (Versus Technology)

Contacts

Jenn,  Mr. H, Lorre, Dr. Jayne, Dr. Gregg

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Population Health Management Weekly Wrap Up 10/30/16

Decision analytics vendor TrendShift acquires population health management vendor Health Data Intelligence, which the Columbus, OH business paper described in a July 2016 profile as a four-employee company that had raised just $125,000.

Allscripts extends its population health management capabilities with the acquisition of CarePort, which connects acute care providers to post-acute care providers. Allscripts President Rick Poulton believes the addition of CarePort, which will operate as a subsidiary out of its current location in Boston, will enable the company to expand the value of its PHM CareInMotion platform. “Our goal is to enable our clients to successfully manage post-acute outcomes end-to-end,” he says, “from the point of hospital discharge and through post-acute care.”

State and city officials will work with representatives from Temple University Health System, Einstein Healthcare Network, and Tenet Healthcare to develop a Health Enterprise Zone in North Philadelphia where new community-based approaches to care will be tested out and rewarded. The initial phase will involve a gap analysis by stakeholders to determine the area’s current healthcare strengths and weaknesses, and an investment of up to $1.5 million to improve access to care through the Mayor’s Community Schools Initiative. Nearly 300,000 of the area’s residents are Medicaid recipients who experience lower life expectancies and higher rates of obesity, diabetes, and heart disease than those found in other parts of the city.

The Bill & Melinda Gates Foundation gives $210 million to the University of Washington’s Population Health Initiative. Launched in May, the initiative aims to improve population health locally and globally over the next 25 years by focusing on human health, environmental resiliency, and social and economic equity. The university will use the gift to fund construction of a new building that will serve as headquarters for the initiative.

Analytics firm Health and Performance Resources develops a population health assessment that uses demographic, psychosocial, socioeconomic, and psychographic data to group individuals and households into “clusters” of comprehensive and revealing health profiles. The tool is geared towards helping providers, payers, and employers more accurately target users with appropriate interventions and communications.

A study of 19 ACOs finds improving population health management initiatives to be a top priority; yet one that is hampered by a lack of resources when it comes to standing up community health programs. Reported limitations include lack of funding for staffing and services, data interoperability challenges, physicians operating under the fee-for-service model, and payer pressures.

Sponsor Updates

• EClinicalWorks kicks off 2016 national conference with over 4,000 attendees.

Blog Posts

• Ask a Nurse: All Patients Deserve Clear Communication (Healthwise)
• Nordic recapitalization: 5 questions with Chief Consulting Officer Vivek Swaminathan (Nordic Consulting)
• The Near Death of the US Healthcare Software Channel (NVoq)
• KLAS Recognizes Aprima as a High-Performing Provider of RCM Services (Aprima)

Contacts

Jenn,  Mr. H, Lorre, Dr. Jayne, Dr. Gregg

More news: HIStalk, HIStalk Connect.

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News 10/27/16

Top News

Musculoskeletal healthcare company Zimmer Biomet acquires telerehabilitation startup RespondWell for an undisclosed amount. Zimmer will incorporate RespondWell’s technology into its Signature Solutions platform, which includes the Therapy@Home remote rehabilitation program.

HIStalk Practice Announcements and Requests

HIStalk’s Must-See Exhibitors Guide for MGMA 2016 is live. Click here to look over the products and innovations our sponsors plan to showcase, and map out your trip to the exhibit hall accordingly.

Webinars

November 8 (Tuesday) 1:00 ET. “A CMIO’s Perspective on the Successful 25 Hospital Rollout of Electronic Physician Documentation.” Sponsored by Crossings Healthcare. Presenter: Ori Lotan, MD, CMIO, Universal Health Services. UHS rolled out Cerner Millennium’s electronic physician documentation to its 6,000 active medical staff members — 95 percent of them independent practitioners who also work in competitor facilities — across 25 acute care hospitals. UHS’s clinical informatics team used Cerner’s MPage development toolkit to improve the usability, efficiency, communications capability, and quality metric performance of Dynamic Documentation, embedding clinical decision support and also using Nuance’s cloud-based speech recognition product for the narrative bookends of physician notes. This CMIO-led webinar will describe how UHS achieved 70 percent voluntary physician adoption within one month of go-live, saved $3 million in annual transcription expense, and raised EHR satisfaction to 75 percent. It will include a short demonstration of the software that UHS developed to optimize the physician experience.

November 9 (Wednesday) 1:00 ET. “How to Create Healthcare Apps That Get Used and Maybe Even Loved.” Sponsored by MedData. Presenter: Jeff Harper, founder and CEO, Duet Health. Patients, clinicians, and hospital employees are also consumers who manage many aspects of their non-medical lives on their mobile devices. Don’t crush their high technology expectations with poorly designed, seldom used apps that tarnish your carefully protected image. Your app represents your brand and carries high expectations on both sides. This webinar will describe how to build a mobile healthcare app that puts the user first, meets their needs (which are often different from their wants), creates “stickiness,” and delivers the expected benefits to everyone involved.

Contact Lorre for webinar services. View previous webinars on our HIStalk webinars YouTube channel.

Announcements and Implementations

TeleTracking develops a Community Access Portal to referring care teams admit patients to local hospitals more easily. The new tool helps physicians begin the admission process online with minimal patient information, reduce the number of phone calls during the process, and track milestones after admission.

San Francisco-based Lightning Bolt Solutions adds Access Optimization to its line of workforce management technologies. The new solution helps large medical groups and hospitals better alight physician shift schedules with appointment demand.

People

Mark Costanza (Lumeris) joins Nordic Consulting as chief client officer.

Shane Jordan (EPatientFinder) joins Fogo Data Centers as EVP of sales, marketing, and business development. In addition to hiring Jordan, the company has named James Ingram, MD (Ingram Healthcare) and Linda Stotsky to its new Healthcare IT Advisory Board.

Telemedicine

Pennsylvania becomes the 18th member of the Interstate Medical Licensure Compact, which aims to make cross-state physician licensing for telemedicine easier to come by. AARP’s Pennsylvania chapter was particularly encouraged by the decision: “Approval of HB 1619 will help older adults remain at home longer by providing access to home and community-based services in new ways, making it easier for family caregivers to provide care for their loved ones,” remarked AARP Pennsylvania State Director Bill Johnston-Walsh.  “Broader adoption of telehealth technologies holds tremendous promise for older Pennsylvanians and their family caregivers.”

Humana will offer MDLive telemedicine visits to its Medicare Advantage members in several New Mexico counties. The payer, which also partners with Doctor on Demand, offered telemedicine benefits to over 1.5 million members last year.

Acquisitions, Funding, Business, and Stock

E-MDs will offer its end users financial products from Provider Web Capital via integration with its PM software for small and mid-sized practices.

BrainCheck raises $3 million in seed funding that the Houston-based startup will use for further development of its game-based concussion-detection app. Baylor College of Medicine neuroscientist David Egelman founded the company in 2014, and has so far marketed the app to schools, trainers, and parents. Development of a BrainCheck for dementia is already in the works.

Research and Innovation

A survey of 600 primary care and specialty physicians reveals that, while many are interested in moving to value-based care models, few already have the tools in place to do so. For example, only 20 percent currently receive data on care costs, and just over a third have access to comprehensive care protocols. A whopping 86 percent report still being compensated under fee-for-service arrangements.

Contacts

Jenn,  Mr. H, Lorre, Dr. Jayne, Dr. Gregg

More news: HIStalk, HIStalk Connect.

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HIStalk Practice Interviews John Meigs, MD President, AAFP

John Meigs, MD is president of AAFP and a practicing family medicine physician at Bibb Medical Associates (AL).

Tell me about yourself and the organization.
As you probably know, the American Academy of Family Physicians is the only medical association completely dedicated to primary care. We’ve been around since 1947, so we’ll have a 70th birthday next year. Now, I have not been a family physician for quite 70 years, but I have been a family physician since 1979. I actually practice where I grew up, in Centreville, AL –  about half a mile from where I graduated high school. The greater metropolitan area is about 5,000 people. I was in private practice for 31 years, and then in January of 2013 merged with another physician to move across the street. I’m still seeing my same patients and pretty much in the same location, but the address changed from 223 to 208 Pearson Avenue.

Now that you’re president of the AAFP, do you still see patients on a daily basis?
Though I travel a good bit for my academy job, I’m still what I call a real doctor. I still see patients every day – about two dozen in fact.

The release of the final MACRA rule is still making headlines. How do you and the academy plan to help family physicians transition to its value-based programs?
We have been working actively to educate our members about MACRA, letting them know that they need to participate as soon as they can, as fully as they can. This was a long, complicated rule. We’re still studying it, and as we delve into the rule, we will continue to educate them. We’ve got a designated website for our members. We’ve already put out a readiness assessment checklist. We’ve got an FAQ … there’ll be more information to come. [The AAFP released an executive summary of the rule earlier this week.] We’re trying to make our members aware, and then let them know the details as we are able to parcel those out and advise them on what they need to do.

We have long asked and thought that primary care needed to be paid differently; the old volume-based system for our specialty was just not in our best interest, and we’re hoping with a transition to value-based payment that it will be once our members get through the transition and get their ducks in a row. I’m hoping it’s going to be a positive experience for our members.

Do you think family physicians will welcome this transition, or is it seen as another regulatory hurdle they have to get through? What are your thoughts based on what you’re hearing from colleagues?
Well, change is frightening. Initially there’s going to be … I don’t know if fear is the right word, but there will be the trepidation of change and doing something different. Fear and anger trump truth and fact all the time, so until they get to know its ins and outs, there’s always going to be that fear and apprehension. As I said, as they become more familiar with it and are able to participate in the value-based system and the quality payment program, we should be all right.

That being said, this has not been front and center for the majority of physicians, family medicine included – the folks that are just going to work everyday seeing patients. It’s similar to when ICD-10 came out a year ago. For awhile, folks just sort of ignored it until it was upon them. Well, MACRA is now upon us, so I think that will begin to get their attention. We’re doing everything we can to increase its visibility and emphasize its importance.

How do you think healthcare technology is going to help – or hinder – physicians as they move to value-based programs?
Let me be circumspect about what I say on this one … Health IT is foundational to the transition to this new payment system, but right now, it’s more of a hindrance than a help. We’ve got to get to the point where the IT aids us in the care of our patients and the care of patient populations instead of being a roadblock to care. It’s got to get to the point where it’s a natural part of the physician’s workflow, where the computer does not come between the physician and his patient. It’s got to be interoperable. You’ve got to be able to have access to information without the problems we have now. We’ve got to get away from checkbox medicine. We’ve got to get to the point where we’re using this IT for the benefit of our patients, not just for the benefit of the bean counters. Right now, there’s too much administrative complexity. The complexity of modern medical practice is now the number-one cause of physician burnout.

Why did you decide to leave independent practice to become affiliated with the hospital that you’re now practicing at? Did health IT and/or administrative expenses play a part in that decision?
Now, I want to be clear – I am an advocate of health IT. I have had a computerized system in my office for 20 years. I’m on my fifth system now. I don’t want to repeat everything I said awhile ago, but the current IT systems are literally designed to maximize billing. They’re designed for bean counters. They are not designed for patient care. That’s the problem. As I said, I’m on my fifth system. I  hate them all. There’s not one out there that does what it ought to do despite what they claim.

The other problem I have is they set up this certified health information technology program. When you get a certified system, you assume when you’ve spent that money that it’s going to do what it needs to do without you having to buy additional modules. We’re making these IT companies rich, and the government’s not holding them accountable. Their interoperability standards that are in the law … we’ve got to comply with the law starting in 2017  and they don’t have to comply with some of these until 2025. That’s not right. The vendors need more skin in the game. They need to be held accountable.

Let me get off my soap box. Sorry about that. I don’t think I even answered your question. When I was in private solo practice, I had a real desire to be more involved with the AAFP. I knew I wanted to run for president, and I had been on the board for a few years. I was working 40 weeks a year with 52 weeks of overhead. One reason was financial, like I just mentioned, and the other was my AAFP travel schedule. I wanted to have a way for my patients to be taken care of while I was on the road. I had the opportunity to merge with another physician, and the hospital was interested in building a clinic. We merged our two practices into the new clinic there. It’s actually located inside the hospital, but it is a physician’s office. We’re just two halls over from the emergency room. It’s convenient, and we’ve got easy access to the hospital.

Aside from MACRA, what are your priorities for the academy and its members during your term as president?
Other than MACRA, the big national issue that’s getting a lot of press and publicity is the opioid epidemic, so helping to address that is something that we will focus on. The other issue has to do with workforce. We need funding reform that’s based on the actual physician workforce needs of this country. Another issue that I think is very important is diversity and working on the social determinants of health. We know as family physicians that it is critical to meeting the healthcare needs of our patients and our populations. When folks don’t have a safe place to sleep or access to good nutrition, sometimes writing a prescription is not the most important need that we should work on. And of course we need to reduce the administrative complexity of modern medical practice.

Does anything about healthcare IT excite you?
The potential. Health IT has tremendous potential. Current systems have not reached their potential. When we have access to data in a meaningful, real-time way where we can make decisions that not only affect the health of our patients but of the populations that we treat, it’s exciting to think about not operating in a silo, but operating where you can make decisions based on large aggregate data and do what’s best for a patient.

The other thing with IT is that you can do more things remotely. We can take care of folks and it doesn’t have to be just in a face-to-face office visit. That’s why I think over 10 years from now, healthcare will be radically different from what it is now. I may be taking care of you through a portal and through smartphones and other things, and you may actually only come see me every year or two if something pops up that we can’t handle, or just to make sure things haven’t changed. The problem with our current system is that we’ve got to be able to survive in our practice through this transitional period until we get to the point that we reach this potential. There’s tremendous potential, but not with our current system.

Do you have any final thoughts?
We must reduce administrative complexity! But seriously … I can’t think of anything else I need to add.

Contacts

Jenn,  Mr. H, Lorre, Dr. Jayne, Dr. Gregg

More news: HIStalk, HIStalk Connect.

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Contact us online.
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News 10/26/16

Top News

The local business paper highlights some of the steps Athenahealth is taking to ameliorate its inability to to hit 30 percent year-over-year growth in new clients – a fact divulged in a Q3 earnings call late last week. They include: hiring an as yet unnamed chief people officer, the creation of which was announced by CEO Jonathan Bush in May; a shift in sales tactics now that Meaningful Use has died down; and getting the most out of its More Disruption Please program participants, most of which are early stage companies in need of an eager scaling partner. Mr. H provided his own summary of the earnings call in this week’s Monday Morning Update.

HIStalk Practice Announcements and Requests

HIStalk’s Must-See Exhibitors Guide for MGMA 2016 is live. Click here to look over the products and innovations our sponsors plan to showcase, and map out your trip to the exhibit hall accordingly.

Webinars

November 8 (Tuesday) 1:00 ET. “A CMIO’s Perspective on the Successful 25 Hospital Rollout of Electronic Physician Documentation.” Sponsored by Crossings Healthcare. Presenter: Ori Lotan, MD, CMIO, Universal Health Services. UHS rolled out Cerner Millennium’s electronic physician documentation to its 6,000 active medical staff members — 95 percent of them independent practitioners who also work in competitor facilities — across 25 acute care hospitals. UHS’s clinical informatics team used Cerner’s MPage development toolkit to improve the usability, efficiency, communications capability, and quality metric performance of Dynamic Documentation, embedding clinical decision support and also using Nuance’s cloud-based speech recognition product for the narrative bookends of physician notes. This CMIO-led webinar will describe how UHS achieved 70 percent voluntary physician adoption within one month of go-live, saved $3 million in annual transcription expense, and raised EHR satisfaction to 75 percent. It will include a short demonstration of the software that UHS developed to optimize the physician experience.

November 9 (Wednesday) 1:00 ET. “How to Create Healthcare Apps That Get Used and Maybe Even Loved.” Sponsored by MedData. Presenter: Jeff Harper, founder and CEO, Duet Health. Patients, clinicians, and hospital employees are also consumers who manage many aspects of their non-medical lives on their mobile devices. Don’t crush their high technology expectations with poorly designed, seldom used apps that tarnish your carefully protected image. Your app represents your brand and carries high expectations on both sides. This webinar will describe how to build a mobile healthcare app that puts the user first, meets their needs (which are often different from their wants), creates “stickiness,” and delivers the expected benefits to everyone involved.

Contact Lorre for webinar services. View previous webinars on our HIStalk webinars YouTube channel.

Announcements and Implementations

Drchrono updates its mobile EHR app with new design features and user interface functionality.

DirectTrust announces steady growth in the number of Direct exchange users, addresses, and exchanges. The number of healthcare organizations served by DirectTrust Health Information Service Providers increased by 62 percent to nearly 70,000 year over year. New participants include HealthLinkNY, LifeWire, and SSL.com.

PatientPoint develops a new app for physicians that delivers medical news and point-of-care patient education materials.

Bellmore, NY-based Sybrid MD launches a $1 billing solution for physician practices. (One dollar will ensure service for the first 30 days.) The company boasts in a grammatically incorrect way that, “Non-techie and new physician practices can quickly adapt this robust billing service and get paid in time without having to worry about impending regulations and newest technologies.” Grammar usage like this makes me wonder if copywriters have gone out of business.

Acquisitions, Funding, Business, and Stock

Primary care management services company VillageMD expands into Chicago through partnerships with multiple primary care groups.

Blue Cross Blue Shield of Arizona subsidiary Trinnovate Ventures invests an undisclosed amount in ACO Partner, its joint venture with McKesson. Created in April, the JV seeks to help payers and independent practices transition to value-based care models using McKesson’s physician engagement, care management, population health services, and technology.

Telemedicine

The American Red Cross and Teladoc launch a pilot collaboration that will bring telemedicine services to people served by the Red Cross in areas of natural disaster. As part of the pilot, Teladoc employees will be encouraged to donate time and resources to the Red Cross via the company’s Teladoc Cares volunteer initiative.

Government and Politics

US Surgeon General Vivek Murthy, MD gets into some Step It Up smack talk with US Olympian Dominique Dawes. The Fitbit-sponsored challenge ends today. Americans have racked up a collective 57.2 billion steps so far.

Nonprofit Fight for the Future creates a tech support hotline – 1 (844) 294-A-CLUE – to “help” members of Congress, especially those befuddled by last week’s Internet outage. The corresponding website puts the organization’s mission into perspective: “Are you a member of Congress who has been asked to give a TV interview about the massive DDoS attacks that took down ‘the internet’ last week, but have absolutely no clue what you’re talking about? We can help!” The pros at Politico shared their hotline experience:

“The phone line greets you with a ‘press one if you’re a member of Congress’ prompt, and instructs that if you have a rotary phone, you should get a new one. ‘Have some self-respect,’ the automated voice says. Your … host lied and pressed 1, where a staffer identified himself as a "cyber bot" to skewer a specific member of Congress. He then offered meaningful cybersecurity advice, served with a side of chiding Capitol Hill for passing last year’s cybersecurity information sharing law and others that the group argued presents a threat to digital privacy.”

Other

MultiCare Puyallup Urgent Care (WA) staff accidentally lock Savannah Lewitt and her four month-old son in the building at closing time after taking the baby’s vitals and then telling Lewitt the physician would be in to see them “in about 10 minutes.” Thirty minutes later, she walked out of the exam room to find the clinic empty and locked up tight. She and her son managed to leave with assistance from the cleaning crew. As a result, the clinic now requires that staff check every room and door just before closing.

Contacts

Jenn,  Mr. H, Lorre, Dr. Jayne, Dr. Gregg

More news: HIStalk, HIStalk Connect.

Get HIStalk Practice updates.
Contact us online.
Become a sponsor.