News 12/16/14

Top News

The American Telemedicine Association launches an accreditation program for online, direct-to-consumer healthcare consultations. According to ATA CEO Jonathan Linkous, the new program will provide benchmarks for organizations building an online practice; provide reassurance to payers that the virtual services they reimburse follow federal and state laws and regulations; assure patient privacy; are transparent in pricing and operations; use qualified, licensed providers; and follow appropriate clinical practices and guidelines. I can only assume the ATA’s program will live longer than the recently shuttered Happtique’s healthcare app certification program, especially given recent findings that “replacing in-person acute care services with telehealth visits reimbursed at the same rate as a doctor’s office visit could save the Medicare program an estimated $45/visit.”

I reached out to Teladoc, which already uses a provider credentialing process certified by the National Committee for Quality Assurance, to gauge its thoughts on the ATA’s news. A company representative shared this with me: “We applaud the ATA’s efforts to improve the quality of care people receive through telemedicine. We will certainly look carefully at the ATA’s announcement to see if there is anything we believe will improve our processes, quality standards, value, and marketability of our services.” Marketability will likely be the key word in the eyes of vendors when it comes to determining the success of the new program.

HIStalk Practice Announcements and Requests

The first book of HIStalk “CIO Unplugged” contributor Ed Marx has been released and we’re holding a virtual book launch for “Extraordinary Tales from a Rather Ordinary Guy” this Thursday, December 18, at 1:00 p.m. ET. Ed will go over the principles contained in the book, read a couple of tales that haven’t been shared until now, and accept live questions. Attendees who use the webinar’s interactive features will be eligible to win free copies of the book as well as a Kindle.

I had to chuckle, and ask myself why Mr. H (certifiably pro Oxford comma) hasn’t been asked to respond to @CelebrityOxford’s question above. Handle creator Rick Mueller sums up the movement’s origin and celeb responses here.

Webinars

December 17 (Wednesday) 1:00 ET. There Is A 90% Probability That Your Son Is Pregnant: Predicting the Future of Predictive Analytics in Healthcare. Sponsored by Health Catalyst. Presenter: Dale Sanders, SVP of strategy, Health Catalyst. Predictive analytics is more than simple risk stratification. Once you identify an individual’s risk, what are the odds that you can change their behavior and what will it cost to do so? This presentation, geared towards managers and executives, addresses scenarios in which predictive models may or not be effective given that 80 percent of outcomes are driven by socioeconomic factors rather than healthcare delivery.

Acquisitions, Funding, Business, and Stock

Google Ventures invests heavily in healthcare and life sciences, with plans to do it again in 2015. More than one-third of the $425 million Google Ventures invested in 2014 went to healthcare and life-sciences companies, up from 9 percent each of the prior two years. Flatiron Health, which Google invested $100 million in earlier this year, is Google’s second-biggest venture investment after Uber. (Read Mr. H’s interview with Flatiron Health CMO Amy Abernethy, MD, PhD here.)

Government and Politics

Vivek Murthy, MD is confirmed as U.S. Surgeon General (the youngest ever and the first of Indian-American heritage). His confirmation comes after his initial nomination earlier this year stalled when the NRA raised objection to Murthy’s characterization of guns as a health issue. A graduate of Harvard and Yale, Murthy is founder of Visions Worldwide, which works on AIDS education in India; advocacy group Doctors for America; technology company TrialNetworks; and was most recently a hospitalist at Brigham and Women’s Hospital (MA).

Announcements and Implementations

Aviation & Occupational Medicine (CO) selects PM software from Benchmark Systems. The new system will better enable the workers compensation clinic to transition to ICD-10, as well as automate front- and back-end billing operations.

The Medical Society of the State of New York selects DrFirst as its recommended provider of e-prescribing software. MSSNY’s endorsement comes just a few months before New York’s I-STOP mandatory e-prescribing legislation takes effect.

Northern Medical Specialists (NY) selects the eClinicalWorks EHR for its 70 physicians at four locations. NMS offers its patients the FollowMyHealth portal from Allscripts.

Compleat Rehab and Sports Therapy Center (NC) and Hot Springs Sports Medicine (AR) – both owned by Kare Partners – select Clinicient’s TotalInsight software and revenue cycle management services for seven clinic locations.

ChartSpan, a health record organization tool, becomes the most downloaded iPhone and iPad medical app in the U.S. The company hasn’t released exact figures, but has noted it beats industry conversion averages for downloads-to-active-users by nearly 500 percent. An Android version is expected early next year.

Comet-IS adopts HL7’s Fast Healthcare Interoperability Resources (FHIR) into its Carefluence application development platform.

IPatientCare launches the miWatch patient and physician engagement app for Android-based smartwatches. The app serves up appointment reminders, refill requests, and portal notifications, among other features.

Physician management services vendor Women’s Health USA chooses athenahealth’s EHR, revenue cycle, and patient engagement services for its 250 providers. The companies will also jointly offer their bundled services to other physicians.

Allscripts certifies the Healthwise Patient Engagement Solution for integration with its TouchWorks EHR. The solution includes patient care instructions, videos, and interactive tools developed by the Boise, Idaho-based non-profit.

Research and Innovation

Smart thermometer developer Kinsa conducts a pilot project with schools in Texas to aggregate de-identified temperature data to create a “map of human health,” which it hopes to sell to weather forecasters and pharmaceutical companies. The company closed a $9.6 million Series A financing round last week from Kleiner Perkins Caufield & Byers and FirstMark Capital, among others.

A study (and I use that term loosely) in New Zealand finds that more popular magazine titles are more likely to be stolen from patient waiting rooms. “Gossipy” and “most gossipy” titles (those with five or more celebrities on the cover) were pinched most frequently. National Geographic, BBC History, and the Australian Women’s Weekly also garnered a trip out of the office. Issues of Time and the Economist were not touched.

People

Jamie Coffin, PhD (Clarify Healthcare) is named CEO of ambulatory surgery software vendor SourceMedical.

Other

The local paper spotlights the roll out of MediSecure’s Dr Shop prescription abuse prevention software in Australia. The tool enables physicians to determine if a patient has been prescribed 138 dangerous drugs by other doctors on the same day or in the last 90 days. Dr Shop only works with MediSecure’s e-prescribing software, which is used by around half the nation’s medical practices.

CMS consultants travel to Micronesia to spend two days training Medicaid and public health personnel on the upcoming conversion to ICD-10. Similar training will take place on Guam, Puerto Rico, the U.S. Virgin Islands, and American Samoa.

The non-profit Physicians Foundation points out five critical areas that will greatly impact physicians over the next year in its Watch List for 2015 .

Sony Pictures Entertainment emails its employees confirming that HIPAA data might have been compromised during the breach that took place just before Thanksgiving. Stolen data may have included Social Security Numbers, claims, appeals information (including diagnosis and disability codes), dates of birth, home addresses, health plan member ID numbers, and medical information provided to Sony outside of SPE health plans.

This article highlights the unsuccessful efforts of the Health Data Exchange Group in Oregon to develop an interoperable, record-sharing system for local healthcare providers, largely due to financial concerns. Exchanging information with hospitals, most of of which are on Epic, remains “like exploring a house with hundreds of rooms,” according to Regina Dehen, ND CMO, National College of Natural Medicine. “We’re at that point with electronic medical records where I can get the information, but I may not be able to read it or parts of it may be uninterpretable by my system. Sometimes it works flawlessly, and it’s amazing, Unfortunately, right now, you go, ‘Whew, it works,’ as opposed to just taking it for granted.”

Sponsor Updates

• Medicomp is integrating Quippe and the MEDCIN Engine with the Soteria clinical management system of Infocare in South Africa. Above are Medicomp team members Jay Anders, MD (chief medical officer), Dan Gainer (CTO), Jason Valore (senior manager of solutions), and Dave Lareau (CEO) at the Cape of Good Hope.
• SyTrue and nVoq will jointly market their respective smart data platform and speech recognition systems.

Contacts

Jennifer,  Mr. H, Lorre, Dr. Jayne, Dr. Gregg, Lt. Dan, Dr. Travis

More news: HIStalk, HIStalk Connect.

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

DOCtalk with Dr. Gregg 12/15/14

Pain, EMRs, and Appreciation

Did it ever occur to you how rarely you notice the absence of pain? I mean, it’s easy to notice pain. Pain sends a “HEY!” message that interrupts your stream of consciousness to make sure you pay attention. But the lack of pain often goes unnoticed, and often much underappreciated.

Pain is always “appreciated” by your brain for its reminder that something isn’t right. Pain can be both … well … a pain, but also a friend; it lets you know when something needs attention. (But it’s also something that can be managed with more than an “ouch” or a whine.) And just as importantly, the lack of pain should be something that is more often acknowledged and valued.

Near the beginning of the classic and epic movie Lawrence of Arabia, a young T.E. Lawrence shows some of his mapmaking military buddies how he can a hold a lit match, unflinchingly, until it burns down to his fingers and goes out. When a cohort, William Potter, tries the same and recoils in burning pain, he asks, “What’s the trick, then?” Lawrence’s response? “The trick, William Potter, is not minding that it hurts.”

That scene and those lines have held a special meaning for me. Years ago, I began having daily “chronic cluster headaches,” a major pain to say the least. They have been dubbed “the worst head pain known to man” and are nicknamed “the Suicide Headaches.” (People have been known to commit suicide not only during one of the excruciating pain episodes, but also in between, in dreaded anticipation of the next.) Women who have them say they’d rather go through childbearing than another cluster headache.

Not surprisingly, having one to eight of these nasty, far-worse-than-a-migraine episodes every day of your life for years can be life-stealing. In fact, they very nearly did take over my whole life. But, when pain is that all enveloping, you sort of have two choices: Succumb to it, or figure out a way to turn it into a background noise – a part of your life, but not the central part of it. That decision was enabled by the remembrance of a movie line – a great movie line to be sure, but still a movie line – where young Lawrence of Arabia first shows his unique life views.

That line has continued to inspire me as I so often have been forced to reflect upon pain, its value, and its point.

Yes, you can learn to “manage” pain, but one of the key things I’ve also noted in dealing with a plethora of pain is that its absence is so poorly appreciated. Honestly, when was the last time you noted – and appreciated – the fact that you didn’t have a headache, or a sore throat, or a stomachache. When you have a pain, it’s so easy to focus upon it and wish for its disappearance. But when it’s gone – like when you wake up in the morning and that dull, achy headache you had the night before isn’t there – how easy is it to get up and go on about your day before you even remember that you had a headache the day before (if you ever do)?

But, let me tell you, because of the unique nature of cluster headaches, I’ve become a true connoisseur of the absence of pain. By that I mean, clusters hit fast, all of a sudden, and amazingly they also tend to go away almost as quickly. One moment you’re in pure and total agony; the next moment you have this overwhelming sense of joy that the anguish is over. When you’re faced with such pure pain, repetitively, day after day, and then when you also repeatedly experience the utter relief that comes at a moment’s notice when the pain subsides, you become exquisitely sensitive to the value of the absence of pain.

How does this relate to healthcare IT? Here’s an example. Today, my EMR vendor (Elation) added a few really cool, though small, updates that made several areas of my workflow even better. (Their workflow is already the best I’ve ever seen.) The updates eliminated a few “pain” points that we had dealt with using minor workarounds. Nothing major, but little “flinches” of workflow pain that occurred every time they disrupted the daily routine. So, today, when I didn’t have to deal with those little moments of aggravation – those little moments of pain – it occurred to me that the feeling was similar to the relief of pain I have so learned to value with clusters: Every day when I don’t feel pain, or when pain subsides, I’m exquisitely aware of the blessing.

Projecting this appreciation of the lack of pain onto my EMR may seem a bit of a reach, but it really isn’t. Appreciating good things and maintaining an awareness of them is a challenge because it’s the pain points that so typically draw our attention. When so many providers are now dealing daily with the frustrations of new digital workflows and all the changes those alteration have wrought, it’s the pain points we all tend to focus upon. “Why doesn’t my system do this thing that the system at the hospital does?” “Why can’t my vendor make this little change I want when it seems so simple?” “Why can’t this be as easy as writing with pen and paper used to be?”

It’s so easy to be lasered in on the problems and aggravations while forgetting the advantages. How easy is it to schedule on your EMR or EHR compared to paper schedules? (Remember those nightmares?) How wonderfully painless is e-prescribing? How much better are your notes, and how much more legible to others? How much more engaged are you with your patients when they start understanding and utilizing your patient portal? How about those clinical decision support reminders – the ones everybody struggles to balance? Have they ever helped you avoid missing an important care point or prevent a missed test or vaccine? How much – how very much – easier is it to find things in your patient charts? How much more insight can you have now into the intimate parameters of you practice, both clinical and managerial?

The trick, William Potter, is not minding that the pain points hurt, at least until they might one day be resolved … and to remember to count your blessings, your lack of pains.

From the trenches (with happy holiday wishes to all) …

"I can’t make out whether you’re bloody bad-mannered or just half-witted.” – Gen. Sir Archibald Murray (to Lawrence)

“I have the same problem, sir.” – Lawrence of Arabia

Dr. Gregg Alexander, a grunt in the trenches pediatrician at Madison Pediatrics, is Chief Medical Officer for Health Nuts Media, an HIT and marketing consultant, and sits on the board of directors of the Ohio Health Information Partnership (OHIP).

Contacts

Mr. H, Lorre, Jennifer, Dr. Jayne, Dr. Gregg, Lt. Dan, Dr. Travis

More news: HIStalk, HIStalk Connect.

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

News 12/11/14

Top News

Time magazine recognizes “The Ebola Fighters” as its Person of the Year. Kent Brantly, MD is one of three surviving fighters pictured on the issue’s five covers. "This is a huge honor,” he says. “It’s an incredible honor to be part of the group that’s being recognized … And I think that it’s fitting that we acknowledge that most Ebola fighters, certainly those that paid the highest price for their service, are themselves West Africans and it’s an honor for me to be considered as a part of that group." The issue hits newsstands Friday.

HIStalk Practice Announcements and Requests

I have been a fan of the Walking Gallery for some time now, and was pleasantly surprised to come across a blog about its latest member, HIStalk’s very own Lorre Wisham. In a nutshell, the Walking Gallery is a collection of mobile medical advocates for healthcare IT who wear their patient stories on their backs thanks to the artistic talents of founder Regina Holliday. She has decided to take the gallery to the next level and has created a MedStartr project to raise funds for a permanent gallery home. “The art of healing” has never rung more true. 

Webinars

December 17 (Wednesday) 1:00 ET. There Is A 90% Probability That Your Son Is Pregnant: Predicting the Future of Predictive Analytics in Healthcare. Sponsored by Health Catalyst. Presenter: Dale Sanders, SVP of strategy, Health Catalyst. Predictive analytics is more than simple risk stratification. Once you identify an individual’s risk, what are the odds that you can change their behavior and what will it cost to do so? This presentation, geared towards managers and executives, addresses scenarios in which predictive models may or not be effective given that 80 percent of outcomes are driven by socioeconomic factors rather than healthcare delivery.

Acquisitions, Funding, Business, and Stock

Techstars partners with Mayo Clinic (MN) to launch TechStars ++ , a new program that will connect Techstars graduates with businesses that can offer further help through business development and mentorship. Graduates of the accelerator program will spend two weeks meeting healthcare experts at Mayo’s main campus in Rochester. Techstars expects to announce additional corporate partners soon.

The Aetna Foundation announces the Healthier World Innovation Challenge, a $4.5 million competition designed to promote digital health innovation to improve chronic health outcomes in underserved communities. Six winners will receive up to $750,000 each over three years, and access to foundation and partner resources to implement their innovations. Entry information will be made available January 5.

Announcements and Implementations

Health First Medical Group (FL) selects PatientKeeper Charge Capture software for its 90 hospitalists who serve the group’s four hospitals. Implementation, expected to wrap up next month, will include integration with the group’s GE Centricity EHR.

Allergy & Asthma Affiliates (OH) selects PM and EHR solutions from Benchmark Systems.

Tandigm Health (PA) selects Lumeris as its population health technology vendor for its value-based care initiatives. Tandigm will initially roll out Lumeris solutions, including the Accountable Delivery System Platform, to 300 PCPs at 100 facilities.

Paladina Health (CO) selects the eClinicalWorks Care Coordination Medical Record for population health management. The primary care provider, a subsidiary of DaVita Healthcare Partners, already uses eCW’s EHR.

Allscripts launches Allscripts eAuth, a new tool that enables electronic prior authorization for Express Scripts patients. Allscripts eAuth will be integrated into all Allscripts EHR platforms in the coming months.

Social network Doximity announces that its user base has grown to include more than 50 percent of the US physician population. Lt. Dan breaks down the news here.

Research and Innovation

Utah-based Weber Human Services, Davis Behavioral Health, and Midtown Community Health Center participate in the Utah SmartCare project for low-income and vulnerable patients. Those enrolled in the project are given smartphones loaded with Ginger.io’s health-and-wellness monitoring app to maintain contact with physicians at the three facilities, prompting intervention if data presents the possibility of a behavioral health crisis.

A National Partnership for Women & Families study finds that patient online access to EHRs has nearly doubled from 2011 to 2014, and that consumers want even more robust functionality and features than are available today, including the:

• Ability to email providers (56 percent)
• Review treatment plans (56 percent)
• Review the notes of their doctors (58 percent)
• Review test results (75 percent)
• Schedule appointments (64 percent), and
• Submit medication refill requests (59 percent)

Government and Politics

HHS distributes $36.3 million in ACA funding to 1,113 health centers across the country in recognition of their significant quality improvements due to population health management programs and advanced EHR use.

CMS announces that, as of December 1, nearly 16,500 providers and 1,681 hospitals had attested for Stage 2 of Meaningful Use. Those figures nearly double the overall number of attestations for all of 2014. Physicians who began participation in the MU program before 2014 have until the end of February to attest.

HHS announce that 1.38 million health insurance plans have been sold through Healthcare.gov, a no doubt expected uptick as the clock winds down to the open enrollment deadline of December 15. It’s probably safe to say dental plans were not included this time around.

People

Arman Samani (Medhost) joins ADP AdvancedMD as CTO.

MedAssets promotes Mike Nolte to president and COO, and appoints him to its Board of Directors.

The Nashville Health Care Council and former U.S. Senate Majority Leader Bill Frist, MD announce the 2015 class of the Nashville Health Care Council Fellows.

Other

Former ONC Deputy National Coordinator Jacob Reider, MD returns to D.C. as keynote presenter at Hixny Connects 2014. He served on the RHIO’s board between 2006 and 2007. A quick peek at his LinkedIn profile shows that he is now in the process of opening up something called Kuvop. Further sleuthing finds he/Kuvop has  a MySpace profile, which makes me wonder if he’s getting into the music business.

This article highlights the progress Vecna is making in the fight against Ebola with its EHR system and robot in Liberia. (Mr. H reported on the original deployment late last month). Co-founder Deborah Theobald is busy training workers to use the records system and robot, which made its debut a few days ago at an Ebola treatment center in Sierra Leone.

Zotec hosts an “Evening with President George W. Bush” during RSNA, giving clients and prospects the opportunity to hear tales from the West Wing straight from the horse’s mouth. I have to wonder how much that photo op cost the medical billing and PM company, and how it compares to how much HIMSS is plunking down for the junior Bush’s appearance in Chicago next year.

Glassdoor honors Kareo with an Employees’ Choice Award as part of its recognition of the Best Places to Work in the U.S. for 2015.

Contacts

Jennifer,  Mr. H, Lorre, Dr. Jayne, Dr. Gregg, Lt. Dan, Dr. Travis

More news: HIStalk, HIStalk Connect.

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

Readers Write: We Have a HIPAA Education Problem

We Have a HIPAA Education Problem
by Caleb Clarke

NueMD conducted a survey in October with Porter Research and The Daniel Brown Law Group on HIPAA compliance. We just released the results, and we feel we’ve identified a problem … an education problem.

Knowledge of Key Events and Policy Updates (or Lack Thereof)
To gain an understanding of general knowledge surrounding HIPAA, we asked respondents about their awareness of some recent key events and changes to policy:

• Only 32 percent of respondents were aware of OCR’s upcoming HIPAA audits.
• 64 percent were aware of the Omnibus updates that went into effect in 2013.
• 60 percent were aware that the Omnibus updates require providers to establish Business Associate Agreements with third-party vendors that access PHI.

These numbers speak to the lack of education around policy and regulation within our industry. With the second round of HIPAA audits set to start at any time, we hoped they would be a little higher.

A Communication Disconnect
When we asked about specific compliance measures within practices, we found evidence of a communication disconnect between management/owners and staff/providers. This shifted our focus to education taking place within practices.

One question that brought this to light was, “Has your business adopted a HIPAA compliance plan within the last year?” While the actual amount of people who said they have a plan is an issue (only 58 percent), the difference in responses was even more concerning – 68 percent of office managers said they have a plan, versus 43 percent of office staff.

When we asked if their practice has performed a HIPAA-required risk analysis, only 33 percent said “yes,” but again, different roles responded differently. Fourteen percent of owners and managers said they weren’t sure if they’ve conducted a risk analysis, versus 43 percent of office staff and non-owner providers.

A staff training program should alleviate these types of discrepancies. As managers, administrators, and officers institute policies and procedures, they need to convey this information to their entire staff. Unfortunately, only 62 percent of owners, managers, and administrators said their practices provides annual HIPAA training (and only 56 percent of office staff and non-owner providers reported having been trained within the last year).

Providers Have More to Worry About Than HIPAA
Providers only have so much time and money, and HIPAA’s not the only thing competing for their resources. With the transition to ICD-10 (delayed again, and maybe again?!), tight deadlines, rigid criteria to meet for Meaningful Use, and confusion surrounding the Affordable Care Act, it’s easy for HIPAA to take a backseat. However, those three hot- button issues are riddled by controversy, which doesn’t seem to be the case for HIPAA.

We will, without a doubt, encounter some sticky situations with HIPAA over the next few years – especially as new types of cases make their way to court, and data breaches become more common. If anything, though, that type of controversy should only reinforce the need to be compliant. Not many people will say that safeguarding protected health information is a bad thing. The challenge is implementing regulation in a way that allows providers to do their jobs.

Which brings us back to the crux of the issue – education. Providers need an easy way to learn how to be compliant while keeping all their other plates spinning.

So What’s The Solution?
It’s difficult to find great information on HIPAA compliance, but not impossible. To help bring some clarity to the situation, we compiled several HIPAA compliance resources along with our survey results. We searched the web to find some of the best articles and tools available, and created some others to help fill in the gaps. It’s a small way for us to help providers get on the right path. Our hope is that it can serve as a launch pad for reasonable, but robust, compliance programs.

Caleb Clarke is director of strategic development, sales, and marketing at NueMD.

Contacts

Jennifer,  Mr. H, Lorre, Dr. Jayne, Dr. Gregg, Lt. Dan, Dr. Travis

More news: HIStalk, HIStalk Connect.

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

News 12/9/14

Top News

ONC issues its Federal Health IT Strategic Plan 2015-2020, which will serve to set the stage for the Nationwide Interoperability Roadmap that will be released early next year. The 28-page plan, open for comments through February 6, describes the government’s strategies to achieve five goals:

1. Expand adoption of health IT.
2. Advance secure and interoperable health information.
3. Strengthen healthcare delivery.
4. Advance the health and wellbeing of individuals and communities.
5. Advance research, scientific knowledge, and innovation.

It’s a fairly concise and well thought-out document, listing expected outcomes for each goal and the federal agencies that are expected to play a part in achieving them. My only concern at this point would be the stability of ONC leadership over the next five years, and the likelihood that the big healthcare IT vendors will step in to create meaningful assistance rather than additional layers of half-baked interoperability. I’ll be interested to see how this gets whittled down to a tighter framework once the comment period concludes.

HIStalk Practice Announcements and Requests

The spate of telehealth-related press releases and traffic around the #mhealth14 hashtag means the 2014 mHealth Summit is in full swing. Having never attended, I have to rely on show-floor correspondents and tweet streams to fill me in on the digital health action. Mrs. Blackwell tells me that, “Everyone is in black here including me. We are in D.C. after all, where everything and everyone is conservative!” She added that she loved Dr. Jayne’s latest Curbside Consult, which picks apart a rather ridiculous Forbes article that suggests how female presenters should attire themselves at the event. I agree with Dr. Jayne’s colleague who said, “The only trend in healthcare that we should care about is the one that comes from having a true longitudinal and holistic and normalized view of a patient from birth to present. All other trends should be left at the hatters and haberdashers.” That being said, fashion can be fun, and can certainly help you stand out in a sea of black-clad colleagues.

It’s official – HIStalk readers have voted Atlanta as the “Healthcare IT Capital of the U.S.” Atlanta’s health IT network and civic pride turned out the vote with 45 percent of the 1,600 votes cast (including mine and Mr. H’s.) I came across this video from the Metro Atlanta Chamber explaining why Atlanta is THE place to be for health IT. I’m hoping to arrange a special visit with Atlanta’s health IT leaders to present them with some sort of HIStalk-style award, which I know they’ll want to proudly display at the Georgia pavilion at HIMSS next year.

Webinars

December 17 (Wednesday) 1:00 ET. There Is A 90% Probability That Your Son Is Pregnant: Predicting the Future of Predictive Analytics in Healthcare. Sponsored by Health Catalyst. Presenter: Dale Sanders, SVP of strategy, Health Catalyst. Predictive analytics is more than simple risk stratification. Once you identify an individual’s risk, what are the odds that you can change their behavior and what will it cost to do so? This presentation, geared towards managers and executives, addresses scenarios in which predictive models may or not be effective given that 80 percent of outcomes are driven by socioeconomic factors rather than healthcare delivery.

HIStalk is offering 25-percent off webinars (promoted or produced) through the end of the year. Email Lorre for all the details. You can pretty much guarantee they’ll be a hit, as we put your webinar content before several executive-level members of our review committee to ensure your presentation is engaging and educational (rather than a blatant and typically boring sales pitch).

Announcements and Implementations

Johnson County Mental Health Center connects with Kansas Health Information Network’s HIE via Netsmart’s Care Connect solution.

HL7 launches the Argonaut Project to address the standards recommendations of the federal government’s JASON group, including HL7’s FHIR (fast healthcare interoperability resources). Working with HL7 will be athenahealth, Beth Israel Deaconess Medical Center, Cerner, Epic, Intermountain, Mayo, Meditech, McKesson, Partners HealthCare, SMART from Boston Children’s, and The Advisory Board Company. HL7 says the group will create FHIR-based EHR data sharing API specification by the spring of 2015.

I asked Jitin Asnaani, athenahealth’s director of technology standards, to weigh in on the announcement given that he has been knee-deep in the company’s interoperability initiatives:

“In the past, standards have been thrust upon the industry by the government – especially through incentive programs such as Meaningful Use – and this project represents a distinctive instance where competitors have reached across the aisle to build and adopt the standards to enable health information exchange, and thus determine our own fate. The fact that ONC has lauded this effort is further testament to its alignment with national priorities for health information exchange. 

“The great benefits of this standard will accrue across the healthcare industry.  It can allow patients, providers, and others directly involved in care delivery to exchange crucial health data that enables more efficient and effective care coordination.  Yet it also simplifies engagement and amplifies the value created by other participants in the healthcare ecosystem, such as laboratories, pharmacies, post-acute settings, and the like.  Ultimately, FHIR will be a critical building block of our learning health system. Athenahealth applauds the small group of providers and vendors who have invested in what will ultimately be a public good available to the healthcare community at large. We are excited to accelerate work that helps healthcare work as it should.”

The big news here, as reported late last week by Mr. H, is that: (a) the second JASON report called for a big vendor to propose an open API standard instead of waiting around for the government to do it; (b) FHIR and APIs are a lot better than today’s document-based interoperability standards and probably better than the customized jungle that the HL7 standard has become; and (c) getting Epic, Cerner, Meditech, and McKesson together at the same table covers nearly all of the hospital EHR market and Epic, particularly, is a key member given its non-participation in CommonWell (and Epic and Cerner already have customers using APIs).

While Asnaani seems confident the Argonaut project will provide a way forward for interoperability efforts (and it just might given that it’s goals coincide with those of the ONC as laid out in its new strategic plan) I can’t help but wonder if the industry isn’t just creating one more level of competitive and still somewhat siloed bureaucracy for providers to wade through. (As a Forbes editorial points out, “The technology has always been there. It’s the will that’s missing.”)

Micky Tripathi, president and CEO of the Massachusetts eHealth Collaborative, chair of the ONC HIT Policy Committee’s Interoperability Workgroup, and co-chair of its JASON Report Task Force, was kind enough to weigh in with this clarification: “The project is not creating an organization,” he explains. “It’s simply a mechanism to pool funding and project management and technical know-how to accelerate and focus some specific standards development work to make it available to the market (and ONC) faster than it otherwise would be available.  And then that’s it – once those specs and implementation guides are delivered, the project is complete.”

The Louisiana Health Information Technology Resource Center achieves its target for Meaningful Use attestation, helping over 1,000 providers participate in the program.

Sequenta launches the ClonoSIGHT Secure Portal to better integrate its ClonoSIGHT process (an ultra-sensitive, next-generation sequencing-based technology for minimal residual disease detection and quantification) into the care of patients with lymphoid cancers.

Walgreens offers consumers in California and Michigan access to MDLive physicians through its Walgreens mobile app. The new tool, which will be rolled out to additional states in the coming months, builds on the app’s Pharmacy Chat feature launched last year. (Check out Lt. Dan’s more thorough recap of the news here.)

Qualcomm Life integrates chronic disease management solutions from vitaphone e-health into its HealthyCircles Care Coordination and 2net Device Connectivity Platforms to capture biometric data from medical devices and coordinate team-based care.

Acquisitions, Funding, Business, and Stock

Welch Allyn acquires HealthInterlink, a developer of remote patient monitoring software. HealthInterlink will continue to develop, source, and sell the solution during the transition. Once the acquisition is complete, Welch Allyn plans to use its newly acquired technology to help primary care physicians and cardiologists manage hypertensive patients.

Government and Politics

ONC announces a 10-part webinar series on health IT and patient safety. The first presentation – “The Role for the EHR in Patient Safety: What does the Evidence Tell Us?” – will kick the series off on Thursday, December 18 at 1pm.

ONC also releases a data brief on the motivations behind physician adoption of EHRs between 2010 and 2013, using data from the 2013 National Ambulatory Medical Care Survey Physician Workflow Survey. Not surprisingly, solo practice physicians had the highest percentage of providers who were uncertain on adoption or who never planned to adopt, leading ONC to conclude that “narrowing the EHR adoption gap overall will involve continuing to focus efforts on these physicians.” None of the findings are particularly surprising, especially those regarding the importance of financial incentives pre- and post-HITECH Act. While the ONC says it will use the findings to better understand the influence of existing policies on adoption, you have to wonder if it will also use the data to determine if and how to alter the MU program  in light of low Stage 2 attestation numbers.

People

Steven Russell (Quantros) joins Leidos Health as senior vice president for sales and strategic accounts.

Other

BioSensive Technologies looks to raise $30,000 through Kickstarter to develop its Ear-O-Smart earring, which monitors heart rate, caloric intake, and activity level. It expects to start shipping product in June 2015, provided it raises enough cash. I can’t help but paraphrase some of its marketing shtick: Would you want to wear a bulky wrist monitor to a party or on a date (or to the mHealth Summit)? This Digital Diva thinks not.

Officials in Dallas reveal that the city spent $155,000 to respond to the health crises of Ebola patients Thomas Eric Duncan, Amber Vinson, and Nina Pham. Nearly $27,000 (the majority of which will be offset by donations and grants) went to care for Pham’s dog, which included bedding, toys, and boarding at a decommissioned naval air base while Pham was treated at the National Institutes of Health (MD).

Contacts

Mr. H, Lorre, Jennifer, Dr. Jayne, Dr. Gregg, Lt. Dan, Dr. Travis

More news: HIStalk, HIStalk Connect.

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