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HIStalk Practice Interviews Jon Freshman, CTO, American Well

July 28, 2016 News Comments Off on HIStalk Practice Interviews Jon Freshman, CTO, American Well

Jon Freshman is CTO of American Well.

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Tell me about yourself and the organization.
I’ve been in the technology sector now for a little over 25 years. I started out on a bit of an unusual path to get into IT. I actually have a master’s degree in environmental science. I was an environmental consultant for a number of years at EPA Superfund sites, but my passion was always for IT. While I was doing environmental consulting, I decided to start up my own company pulling in EPA dockets, data, and providing that as as resource for really large companies that were under the regulations of Superfunds. Over the years, I decided to go back to school, got my master’s degree in computer science, and started out over the first course of my tenure doing development on different enterprise platforms.

I was involved with CAD and manufacturing software. I was in development for the financial sector, and even did a brief stint with a company doing direct campaign marketing. Finally, I began to transition over to a role more on the platform architecture side, and that’s when I joined American Well back in 2007. Today, I’m basically responsible for overseeing all of our technologies related to our platform, and our product development. I also have a focus on our strategic technology partnerships.

We have a pretty diverse set of teams here. We’ve got engineering teams that focus across lots of different functionality, including our Web portals, IOS and Android apps, kiosks, and even telemedicine tablets. While each of these teams focuses on a different vertical, they all tie into our core platform and functionality. In addition to our core development teams, we also have teams that focus on integration, such as tying into EHR systems, and HIE patient portals. We know that, as the demand for telehealth continues to grow, we also need to really focus on how integrative that experience is going to be. For us, the technology needs to be much more than a simple direct-to-consumer offering. It really needs to be something that ties into a much bigger experience, so some of those integrations that I mentioned are part of the much bigger ecosystem that we want to be integrated into.

We tend to focus a lot less on just adding a feature here, a little bit of functionality there, and more on how can we really move the needle for telehealth in supporting patients and physicians across a diverse set of use cases because we need to service employers, health plans, health systems, and retail. In many cases, there’s some overlap, but in other cases, there’s actually quite a bit of diversity in how people want to roll out telehealth.

Given your tenure in telemedicine, how have you seen interest in and acceptance of it change over the last several years?
There was a heavy emphasis on education during the first several years at American Well. What is telehealth? What are the benefits that it provides? What’s the ROI for different use cases? Even the video conferencing phone platform itself wasn’t necessarily as widespread as it is today. We’ve got technologies today like Apple FaceTime. That hadn’t been introduced into the consumer market yet, so there was a lot of curiosity about what telehealth was and how it worked. It was more of a focus on educating people than why we’re better than a competitor.

Over the last three or four years, we’ve seen a real shift in awareness, and more sophisticated understanding by employers, health plans, and health systems as to what telehealth is and what the ROI is. We don’t have to give that explanation any longer. A lot of these organizations now have very established programs in place for telehealth and distance care. We now typically start a conversation with one of our customers around how we’re going to weave that experience into their workflows and use cases. We invest a lot in partnering with our customers, on integrating it into their big picture; being able to exchange patient data, physician data, and clinical data in real time are key factors for us.

Another interesting area that we’ve gone into in terms of integration is the introduction of our mobile SDKs. We have IOS and Android SDKs that allow our customers to project telehealth services directly within their own mobile apps. We don’t even require our customer to white label a version of our app anymore. They can literally have, with the touch of a button, a fully embedded telehealth experience within their own patient portal or other proprietary app.

We’ve also really focused a lot of the efforts around technology to make it much easier for telehealth visits to have an expanded universe of people that we can draw into that experience. For instance, we’ve introduced multiway video into our platform, allowing people to pull in or invite remote caregivers or translators into a telehealth visit. We find these really have a big impact on both patient and physician acceptance, because now we’re not just extending the reach of an in-person visit – we’re actually unlocking things that weren’t necessarily even possible before with telehealth.

What barriers, if any, do you feel still need to be overcome in terms of achieving ubiquitous adoption of telemedicine services?
I think that payment is probably a key a factor – when, where, and how physicians are getting reimbursed. Also, ensuring that the reimbursement is on par with in-person care. We’ve certainly seen an improvement with this over time because, at the end of the day, everybody’s got a vested interest in reducing healthcare costs. Whether it’s legislation, or the payers, I think they all have some level of commitment to ensure that telehealth is a success, because the demand is there for it.

Typically, it’s not that providers aren’t convinced that they shouldn’t do some sort of telehealth or telemedicine offering. I think most organizations today really do recognize the need. I think what we hear more often is just how they actually want to operationalize that offering. They need to consider things like, do they want to offer up telehealth for just a segment, a specific population, or just for follow-up care? Are they going to offer it for acute care as well? Are they interested in an offering that includes things like wellness, and behavioral health programs? I think these are probably the things that organizations are really trying to figure out, and less so whether or not they want to move forward. I think at this point, telehealth has wide enough recognition and adoption that we don’t really see a lot of people out there questioning the value of it.

From a consumer perspective, I think we’ve certainly overcome a lot of the barriers that we’ve seen, let’s say earlier in the decade, because a lot of the things that were prohibitive for patients have really been addressed, such as improved bandwidth on cellular devices, cheaper mobile phones, and cheaper laptops. Again, consumers are really a lot more familiar now with the notion of doing video in general, so it’s becoming much more intuitive for them. The other thing is, as more and more health plans and employers are adding telehealth as a benefit, the ability for consumers to readily have access to it is becoming more and more attractive to them.

Have you been encouraged by the attention CMS has given telemedicine over the last several years? It seems like its making more of an effort to incorporate telemedicine more into value-based payment models.
We’re definitely encouraged by the move of CMS to move forward in the recognition of the value of telehealth. I know there are a few things that have been recently introduced in particular; there’s a new Next Generation ACO, and depending on whether or not the ACO can get a telehealth waiver to operate in a remote area, it can definitely allow for expanded payment options in telehealth.

With the introduction of MACRA, there’s also the opportunity for us to place more of an emphasis on outcomes in telehealth, because we think that telehealth is a great way to offer continued patient engagement and more patient-centered care.

Speaking of patient-centered care, mental health seems to be an increasingly important part of holistic or primary care. How is American Well addressing mental health needs?
Today, we have two psychology practices on AmWell. One is for adults, and the other is for adolescents. At the end of the month, we’re also going to launch a psychiatry practice as well. We feel like it’s a huge need, because in many cases, there’s just lack of access for mental health providers.

Our offering started up a couple of years ago. Our view is that telehealth certainly can deliver just as high-quality care as traditional, in-person care. Certainly from an access perspective, it’s just so much easier to fit into a patient’s busy lifestyle, and so much easier for patients to do things like self-scheduling. On our platform, patients can go in, select a time that might be convenient for them, and then go ahead and schedule a visit. They can also call in to an 800 number as well, or they can actually have someone schedule it on their behalf.

Having a lot of different options to make it easier for patients to get ready access to mental health is incredibly important. We’re in the process of expanding our provider network even further, because of highly anticipated demand going forward.

Given the proliferation of telemedicine companies over the last several years, do you think we’ll see a bubble that might eventually burst? How will vendors have to differentiate themselves?
I think the key for success is about having a diverse offering. That can be defined in many ways. I mentioned a number of them before; the ability to use IOS or Android devices, the ability to use a kiosk, or a Web portal.

It’s much more than that, too. It’s the ability for us to really offer a rich and diverse set of services that will be key for us. We recently announced our services exchange, for example, where the idea is that consumers can get access to basically the best brands of medicine in the US by allowing health systems to extend their network of positions; they can actually project them onto other enterprise platforms. Cleveland Clinic for example, and has a service exchange that it’s setting up with Anthem’s LiveHealth Online app. We’re going to expand this over the coming months. There’s a much more diverse ecosystem among all our enterprise customers for offering different types of telehealth services. That’s something that I think, for us, to answer your question around differentiation, is certainly going to be a key factor.

Do you have any final thoughts?
It’s been really rewarding to see telehealth evolve over the past decade. It’s great to see that we can offer up simple and affordable healthcare options through our technology. Some of the really interesting things on the technology side that I think will help further evolve and define telehealth are going to be found in the next wave of wearables, and some of the new connected medical devices that are coming out on the market. I think these are going to really allow us to unlock additional use cases, even more than where we are today.


Contacts

JenniferMr. H, Lorre, Dr. Jayne, Dr. Gregg

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News 7/27/16

July 27, 2016 News Comments Off on News 7/27/16

Top News

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A report on state healthcare price transparency laws highlights the lack of progress most of the country has made thus far. Just three states – Colorado, Maine, and New Hampshire – received an A for providing detailed pricing on a range of procedures through easy-to-use public websites. Forty-three states received failing grades, including Delaware. Perhaps its new claims database will help it move up in the rankings next year.


Webinars

August 10 (Wednesday) 1:30 ET. “Taming the Beast: CDS Knowledge Management.” Sponsored by LogicStream Health. Presenters: Luis Saldana, MD, MBA, CMIO, Texas Health Resources (THR); Maxine Ketchum, clinical decision support analyst, THR; Kanan Garg, senior applications analyst, THR; Patrick Yoder, CEO, LogicStream health. This presentation will review THR’s systematic process for managing clinical decision support assets, including identifying broken alerts, addressing technical and clinical issues, modifying order sets, and retiring tools that have outlived their usefulness. Attendees will learn how THR uses a robust knowledge management platform to better understand how clinicians are interacting with their clinical content to maintain their order sets and reduce the number of alerts fired.

Contact Lorre for webinar services. Past webinars are on our HIStalk webinars YouTube channel.


Acquisitions, Funding, Business, and Stock

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Jeffery Katz, MD takes to the local business paper to counter rumors that the Zoom+ chain of clinics in Portland and Seattle is imploding thanks to the departure of numerous executives – including himself – over the last year. Katz was hired in 2006 as the company’s first physician, but left last year to pursue a career as CMIO of Seward Health Care System in Boston. He returned to Zoom several months ago once he realized that the company was focused on building a “clinical provider platform to train providers around the world.”

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Chronic care management services startup Signallamp Health celebrates its move into 14,000 square-feet of office space in downtown Scranton, PA with an official ribbon-cutting. Founded last year, the company employs 15 and plans to create 69 full-time jobs within the next three years.

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Salt Lake City-based CHG Healthcare Services expands its Weatherby Healthcare physician staffing subsidiary with the addition of 33,664 square feet of office space at its current location in Fort Lauderdale, FL. The expansion is part of a $450,000 public incentives deal that will see CHG create at least 50 jobs with an average salary of just over $50,000. The company ultimately hopes to add up to 150 positions.

AristaMD closes an $11 million Series A round of financing led by Avalon Ventures, which it will use to further develop its e-consult and intelligent referral software for PCPs and specialists.


People

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The American Osteopathic Association elects Boyd Buser, DO (Kentucky College of Osteopathic Medicine) president.


Announcements and Implementations

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Modernizing Medicine adds PM, telemedicine, lab integrations, and pathology features to its specialty-specific EHR software.

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Fichte, Endl & Elmer Eyecare (NY) implements CompuLink’s Ophthalmology Advantage EHR, PM, and ambulatory surgery center technology to manage its two clinics and surgery center.


Telemedicine

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Orlando, FL-based startup Mend VIP secures an undisclosed amount of funding from The Florida Institute for the Commercialization of Public Research. The two year-old company, which developed its digital scheduling, telemedicine, and secure messaging technology at the University of Central Florida, will work with the institute to further commercialize its services as it transitions out of UCF.


Government and Politics

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Delaware Governor Jack Markell signs off on a statewide healthcare claims database five years in the making. The Delaware Health Information Network will manage the new database, which Markell hopes will help public servants and citizens more accurately track healthcare costs.


Other

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Athens Orthopedic Clinic (GA) alerts patients of a data breach that occurred at the end of June thanks to its refusal to meet The Dark Overlord’s ransomware demands. The clinic believes the hacker gained access to its EHR using the log-in credentials of a third-party vendor. TDO (whose tweet stream is now defunct) made news earlier this month for targeting PilotFish Technology and SRS EHR clients.


Contacts

JenniferMr. H, Lorre, Dr. Jayne, Dr. Gregg

More news: HIStalk, HIStalk Connect.

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JennHIStalk

HIStalk Practice Interviews Richard Loomis, MD CMO & VP of Informatics, Practice Fusion

July 26, 2016 News 1 Comment

Richard Loomis, MD is CMO and vice president of informatics at Practice Fusion.

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Tell me about yourself and the organization.
I am a physician by training, trained in anesthesiology with further training in biomedical informatics. Before joining Practice Fusion, I led informatics for the Southern California region of Kaiser Permanente. I joined Practice Fusion three years ago, ultimately becoming chief medical officer. In that role, I oversee both healthcare informatics as well as medical affairs. I also have had the pleasure of being a participant in the HIMSS EHR Association, more recently as a member of the executive committee. My vice-chair position started July 1st. I’m really looking forward to working with the association’s chair, Sasha TerMaat of Epic, the other members of the EC, as well as our work groups to advance the collective goals and objectives of the association and our member companies.

How do you and your colleagues plan on steering EHRA decision-making in the coming year, especially with regard to interoperability?
We have been very active on the interoperability front. We view interoperability and advancing interoperability as key goals over the next year and beyond. We released a fact sheet last month as part of a congressional staff briefing – that’s one example of how we are working to educate the broader community around interoperability. A couple of areas of specific focus for the coming year include interoperability standards. While they are evolving and maturing, they’ve certainly been a challenge historically. We’re enthusiastic about some of the progress that we have been making on the standards front, but there is still work to be done. The other area of focus is governance; specifically, helping provider organizations work with regulatory bodies and EHR vendors on the governance and policies around health information exchange and clinical data exchange. Those are two key areas of focus.

Generally speaking, we see the shift to various forms of value-based payment models as the most significant driver to advancing interoperability. It aligns the interests of Practice Fusion customers and their patients, and emphasizes their need to exchange data to help deliver higher quality care at lower costs.

Putting your Practice Fusion hat back on, what are your customers’ biggest interoperability challenges at the moment? Do they revolve more around technology or workplace culture?
I feel that we’ve been very successful in facilitating interoperability for our customers. We have over 600 connected partners, including labs, imaging centers, and roughly 70,000 pharmacies via Surescripts, along with billing partners and other partners in the industry. We have been very successful in enabling small practices to exchange data with other healthcare services in their community to help them deliver high-quality care for their patients.  As I mentioned earlier, we are seeing a shift in payment models that really presents the need for providers in all clinical settings to exchange clinical data, and we are responding to that as part of the 2015 certification that EHRs must achieve to participate in the third stage of Meaningful Use as well as in various programs associated with MACRA.

At the same time, it’s worth noting that, while interoperability is important to our customers, it’s just one of many regulations they’re trying to keep track of at the moment. Our customers are overwhelmed with the changes they’re seeing. It’s certainly a challenge for them to keep up with the steady stream of regulations that impact how they run their practices and how they treat their patients.

Recent Deloitte survey findings show that physicians aren’t as aware of MACRA as they probably should be – only 50 percent of those surveyed had heard of it and only 32 percent say they’ve heard of it but don’t actually know what it is. Where do you think this lack of awareness stems from?
The survey results are certainly consistent with what I’m seeing in our customer base. Providers are simply trying to keep up with all of this change, and, as such, many are not aware of the significant impact that recent legislation, specifically MACRA, will have on them. EHR vendors are often a primary line of communication for delivering information about regulatory change. We feel that in order to enable our practices to effectively use our software, we need to play a role in education and it just so happens that we are in a unique position to do so. On a side note, I think the recent announcement from CMS of additional funding to help small practices meet the changes required as part of MACRA is evidence that they recognize that it is going to be difficult and challenging for these smaller practices to make the transition.

Do you have any final thoughts?
I’d like to emphasize that we would like to partner with others in the industry, including CMS and other agencies, to help educate providers, particularly on the small practice end of the spectrum. We’re committed to helping physicians meet the challenges of MACRA as they unfold.


Contacts

JenniferMr. H, Lorre, Dr. Jayne, Dr. Gregg

More news: HIStalk, HIStalk Connect.

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JennHIStalk

5 Questions with Mike Heckman, Vice President, Population Health Services, Cerner

July 25, 2016 News Comments Off on 5 Questions with Mike Heckman, Vice President, Population Health Services, Cerner

Mike Heckman is vice president of population health services at Cerner. The company operates 40 employer health centers across the country, including three for its associates in the Kansas City area. Cerner employs over 400 clinical and support staff to care for 200,000 patients annually at these facilities, which use a variety of homegrown technologies including Cerner Ambulatory, Etreby, HealtheRegistries, HealtheEDW, HealtheLife, and Cerner Wellness. While its employer-based health centers don’t participate in Meaningful Use, they do base their standards of care and reporting on MU requirements. The company opened a clinic in Kansas City last month for International Union of Engineers members and retirees.

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What was the impetus for becoming a management organization for employer on-site clinics?
Cerner is a company that sits at the intersection of healthcare and information technology. We want to provide solutions for our clients today, while anticipating their needs for tomorrow. We foresaw the increasing wave of demand for population health management services and, years ago, began investing in platforms, models, and architecture. Our strategy to health and care is a three-pronged approach – on-site services, wellness initiatives, and health benefits and plan administration.

We started with our own health center and have been improving our model for a number of years. We wanted to leverage technology plus add a high degree of focus on the individual’s experience to improve the primary care experience. Encouraging individuals to get involved in their own health and care can have a dramatic long-term impact on the overall health of a population.

These health centers are a testament to our commitment to deliver patient-centric health care. The industry is starting to catch up with the transition to risk-based, population-based models of care provision, but employers have been managing their own risk for decades. Entities that are responsible for a large population are interested in this concept of on-site care.

How do on-site clinics help employers better manage healthcare costs for their employees?
According to the CDC, 86 percent of the nation’s healthcare costs are spent on treating people with chronic diseases that are preventable. Through Cerner services and on-site health centers, individuals learn about their health risks and get access to tools to manage those risks to prevent and control chronic conditions.

A well-designed set of programs addressing both sick care and preventive health not only focuses on maintaining a healthier workforce, it lowers direct costs such as insurance premiums and worker’s compensation claims. It also has a positive impact on indirect costs such as absenteeism and worker productivity. We base this belief on our experiences. Cerner is the sandbox to test and try new things. We’ve been using this three-pronged holistic approach to create our own health economy. Here are some results we’ve seen at Cerner:

  • In 2006, Cerner cut out the middle man and stood up our own Third Party Administrator. We also opened our first on-site health center and pharmacy.
  • In 2010, as an organization, Cerner shifted its focus to population health. We changed our mission statement, launched a company-wide weight loss challenge, and offered fitness centers to associates and their family members at no cost. From 2009 – 2013, we tracked five clinical risk factors across a consistent population of 1,900 people. Of this population, 72 percent have either reduced or maintained their overall number of risk factors over the course of five years. In addition, the number of participants with three or more risk factors decreased by 9 percent.
  • One client has saved an estimated $1.6 million after three years, leading to an estimated return of $2.01 for every $1 spent, not including the extra benefit to be calculated in the attraction and retention of employees, satisfaction at work, and long-term intangible health benefits.

What sort of healthcare technology adoption/implementation challenges are unique to on-site clinics?
When we opened our first on-site health center at Cerner, we weren’t sure if associates would participate. What we found was that the highest quality and experience outweighed any concerns associates had. Therefore, we focus on experience. If a piece of technology is running in our health centers, it is there because it helps our care teams provide a better experience, or it helps our patients directly have a superior experience.

At the Operating Engineers’ Union Health and Wellness Center, we included our own ambulatory EHR as a differentiator, but also as a tool to assist the Operating Engineers’ staff. The care team can access searchable data to stratify union members by conditions and risks. It can systematically identify high-risk and complex patients through the information gathered during screenings. This system, coupled with the clinician’s evidence–based guidelines, coordinates member care over time and throughout the care continuum. Lastly, Cerner’s HER – with embedded knowledge-based care – will prompt the providers with key clinical information at the point of care. With an automated workflow and e-prescribing, the EHR streamlines and ‘double checks’ the historic member data with known interactions and allergies from the data gathered during past member visits.

Our clinicians believe in technology as an enabler, but also know that without the human connection between care teams and patients, we can never provide the ideal experience. That is why we believe so strongly that the need for a great care team and technology are needed within our health centers.

How are Cerner clinics using digital health tools to engage with patients, or to enable physicians to securely communicate with each other?
The on-site health centers use Cerner’s leading healthcare technology to manage everything from patient records to appointment scheduling. Services usually include routine screenings, physical exams, lab services, medication dispensing, and the diagnosis and treatment of acute and chronic illnesses. Patients are able to interact with their providers, review their medical records, and schedule appointments using our secure, online portal. The health centers offer an array of wellness services designed to assist members in managing and preventing illness.

Cerner Wellness is a Web-based solution that provides employers the ability to automate and manage an effective wellness program that helps individuals understand and engage in their health in a meaningful way so that they are healthier, happier, and more productive. Cerner Wellness gives members access to:

  • NCQA – certified PHA.
  • Over 30 standard workshops.
  • Team challenges.
  • Nutrition and exercise tools.
  • Health coach communication tools.
  • HealthyNow mobile application and third -party device integration.
  • Incentive and rewards tracking.

Cerner is also using our HealtheIntent suite of solutions to support our care teams in truly managing population health. These tools are critical in identifying and addressing gaps in care, robustly analyzing data to determine where an employer might best invest resources, and pulling together a longitudinal record of activity to best prepare the care team to serve the patient.

What tips/best practices do you have for employers looking to implement on-site clinics? How much of a differentiator should healthcare technology be?
We believe that the key to an on-site health center is providing the best possible experience for the patient, both while they are physically in the facility and between visits. For this reason, technology is a key differentiator.

It can be stressful for an employee to participate in their employer’s on-site health center. They need to know that their data and information is secure, used only as appropriate and used to help them receive the best possible care.

We over-weight on the amount of time a patient or member spends with their provider. If they come in for a 25-minute visit, they will spend 20 of those minutes with their provider. In this way, they provide a much deeper and richer relationship with the care team, and are more likely to get, and stay, engaged. The transparency that technology provides (we show the EHR directly to the patient) is critical in driving trust. The interaction that a patient has between visits can be boosted by high-quality technology, along with a care team that is structured around putting the patient first.

So focus on experience, ensure that the health center is not siloed from the rest of healthcare, and create an environment where a combination of great clinicians supported by great technology can support the population. This is real population health. Employee populations have their own sets of cultural norms that need to be understood and positively influenced. An on-site health center can be a beacon of health for any employer campus … and act as an anchor for transitioning from sick care to healthcare.


Contacts

JenniferMr. H, Lorre, Dr. Jayne, Dr. Gregg

More news: HIStalk, HIStalk Connect.

Get HIStalk Practice updates.
Contact us online.
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JennHIStalk

Population Health Management Weekly Wrap Up 7/24/16

July 24, 2016 News Comments Off on Population Health Management Weekly Wrap Up 7/24/16

CMS selects 516 participants to join the Million Hearts Cardiovascular Disease Risk Reduction Model, a five-year population health management program designed to prevent heart attacks and strokes among 3.3 million Medicare patients. Providers will use a data-driven predictive modeling approach to create personalized risk scores and develop custom care plans with patients to reduce the risk of heart attack or stroke.

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Senior care services provider US CareNet establishes NavCare, a new care management division focusing on chronic care and transitional care management, population health management, and care coordination services for PCPs. The new business line serves 50,000 Medicare patients in Alabama, Florida, Georgia, Illinois, Louisiana, South Carolina, and Texas, with plans to expand its services nationwide.

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Hearst Health and the Jefferson College of Population Health at Thomas Jefferson University accept nominations for the second annual Hearst Health Prize, which recognizes individuals or organizations that have demonstrated improved outcomes through population health management programs. Community Care of North Carolina won the inaugural prize last year for its statewide transitional care program for Medicaid patients. Nominations are due August 26.

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Royal Philips acquires Atlanta-based population health management software vendor Wellcentive. While terms were not disclosed, Mr. H provided some interesting context when the news broke earlier this week.

ZeOmega integrates Forecast Health’s patient risk analytics into its Jiva population health management product, adding the capability to perform predictive modeling based on social determinants of health.

MCM Solutions for Better Health promotes Mike O’Connor to CEO, Amy Gasbarro to president, Tom O’Connor to COO, and Connie Wolf to senior vice president of sales & marketing. Matt Rose (Interlink) has joined the company as vice president of sales and business development.


Contacts

JenniferMr. H, Lorre, Dr. Jayne, Dr. Gregg

More news: HIStalk, HIStalk Connect.

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

JennHIStalk

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