From MGMA 10/8/13

Fun, fun, fun in San Diego Monday night!

I recruited an enthusiastic friend and we hit seven parties and still managed to get back to our hotels at a decent hour. We started at Practice Insight’s event at the Marriott’s Marina Kitchen. Above is the amazing view we enjoyed while sipping on wine and eating maple-smoked bacon on a stick (kind of like a lollipop – totally decadent.) As we looked at the harbor we fantasized about moving to San Diego and its seemingly perfect climate.

We cut short our day-dreaming to head to CareCloud’s party, which was also at the Marriott. The outside venue was near the pool and spilled onto the lush green lawn. CareCloud offered chair massages, which seemed to be a big hit. I noticed that CareCloud also brought along a few demo stations to show off their product, which actually seemed like a pretty smart thing to do. The crowd was definitely larger than I anticipated and the location was perfect.

Of course I noticed that the CareCloud ladies working registration were wearing some hot shoes.

We jumped into a pedicab (which is much more fun than a regular cab) and headed to GE Healthcare’s party at the Hard Rock Hotel. Yet another beautiful venue and the fire pits offered the perfect amount of heat. We snacked on some tacos, had a glass of wine, and chatted with a few GE folks. Compared to CareCloud’s large event, GE’s seemed more exclusive, which of course made us feel quite special.

Next we headed to the Solamar Hotel, where both Ingenious Med and athenahealth were hosting parties. Ingenious had taken over the Jsix restaurant, which had a nice bar and lots of friendly Ingenious employees greeting everyone.

We then took an elevator up to the Solamar’s pool bar to athenahealth’s party. The athena folks know how to have fun and Jonathan Bush was his typical boisterous self and talking to everyone about everything. We snacked on some yummy appetizers, had another glass of wine, and chatted with several folks in the large and happy crowd. I really would have loved to stay longer and listened to Jonathan address the crowd, but we had other parties calling.

We strolled to the Greenway party, which had a roaring 20’s theme. The photo sessions in the back room were a big hit and we put on a couple hats and boas and got our picture snapped. It’s a great souvenir and a fun idea. We also got to keep our long pearl necklaces and mustaches on a stick. Mustaches on a stick make me happy.

Finally, we jumped in a cab and headed to Vitera’s event on the USS Midway. The ship was by far the coolest venue of the evening. Its size is amazing (apparently holds 4,000 people) and a few dozen planes are permanently parked inside the hangar. Vitera had a fireworks display and a great band with several female singers. Lots of people were dancing, including Vitera’s CEO Matt Hawkins. The party was really over the top on several levels. If/when HIMSS ever returns to San Diego, I am voting for the Midway as the site for HIStalkapalooza.

Finally, we jumped in another pedicab, rubbed our tired feet, and headed to our hotels. Thanks for all our hosts for the hospitality, the great drinks, and yummy food!

On Tuesday’s agenda: a couple of sessions and lots of time in the exhibit hall.

Email Inga.

From MGMA 10/7/13 Afternoon Update

I am about to head out to a few parties but first want to share some of the highlights of my day.

George Will was the morning keynote speaker. Since he is known primarily for being a conservative political commentator I was quite surprised and disappointed that he made no more than a passing mention about the current government shutdown. He focused more on the poor state of our economy, how we got here, and what might happen if things don’t change. He ended on a somewhat optimistic note, saying that Americans are “thrifty industrialists” and we will eventually figure things out. Will is quick-witted, tells some good stories, and offers some logical arguments to support his opinions. I am not sure I agree with all his opinions and wished he offered more concrete suggestions for fixing our current problems, but all in all I enjoyed his presentation.

Next I sat in a standing room only session on EHR and risk management led by the consultant Nancy Babbitt. She offered some solid suggestions for ways practices can tweak the use of their EHRs (and other technology) in order to mitigate risk and provide better customer service. I didn’t notice anyone leaving early so I’d say the crowd valued what she had to say.

Speaking of standing room only, I noticed this tweet from someone complaining about not being able to get into a couple of sessions. Don’t know if Melissa was just having bad luck or if overcrowding is a widespread issue.

After the EHR risk session, I stood with the crowds for 45 minutes until the exhibit hall opened. I am pretty frustrated with the limited exhibit hall hours and have heard other attendees expressing similar disappointment. I think hall is open for a total of about seven hours, including the reception last night and during an extended lunch hour today and tomorrow. I have to believe the vendors would also like more face time with attendees. I realize the goal is limit the competition between sessions and the exhibits but given that there are 360 vendors, seven hours is not enough time to explore things, much less schedule any one-on-one meetings. Today I had only about 30 minutes in the hall before having to head out for other meeting.

While waiting for the exhibits to open, I did have time to check out some of the fashion on display. Here are some sandals I thought looked reasonably comfortable and also cute. Bonus points for the purse.

Once I made it into the hall, I ran into Maria from athenahealth. That girl always brings her A game when it comes to shoes.

Thanks VersusTech folks for the picture of your HIStalk sign in your booth. I’ll be by tomorrow to check it out.

Best session of the day for me was a discussion on IT in Healthcare, which included panelists Stephen McCallister, Waco Hoover, Rosemarie Nelson, and a strangely dressed female; MGMA’s Derek Kosiorek moderated.  (Rosemarie – I’m still waiting for my free glass of wine.)

Official attendance, according to MGMA: 4,600. I also learned the official theme of the conference is “meeting practice success face-to-face.”

I’m off to check out the after-hours party scene. Look for details on the escapades tomorrow!

Email Inga.

From MGMA 10/7/13

i

The MGMA13 crowds arriving Sunday were greeted with chamber of commerce weather: clear skies and a high of 86 degrees. I’m not sure how many folks come early for the pre-conference sessions but I wouldn’t be surprised if a few attendees played hooky and basked in the sun yesterday afternoon. Today’s high is a more seasonal 75 degrees – still pretty darn nice.

I arrived early afternoon and I grabbed a bite to eat at an outdoor cafe before heading over to the convention center. I arrived too late for the opening speaker (former Blue Angels pilot John Foley), but by all counts he provided a motivating message on leadership.

The doors to the exhibit hall opened at 4:30 and the crowds immediately poured in. Instead of a traditional opening reception, MGMA hosted the two-hour reception inside the exhibit hall. Given that the exhibit hall is only opened a total for seven hours through Wednesday I guess it was an efficient way to allow people to socialize and see exhibits.

The food looked fine with a mix of Mexican, Italian, and assorted finger foods. Not surprisingly, the lines at the bars were longer than the food lines.

Thanks to all the HIStalk sponsors displaying their desktop signs. If you see one, please tell the vendor thanks for supporting HIStalk!  Vendors with HISalk signs included Aprima, Emdeon, Iatric, Culbert Healthcare, Quest, Versus, Ingenious, and AdvancedMD.

Overheard in the exhibit hall: “I am spending $3,000 to be here so I need to show my doctors that I found something that was worth my while for being here.” Wish I could have listened in more to learn what her game plan was.

MGMA rolled out a new brand which it says “signifies the Association’s strategic direction and capitalizes on MGMA’s current work to serve members.” I am sure there will be more said in the opening session but it appears the MGMA-ACMPE name has

been dropped in favor of “MGMA.”

Availity gets an early vote in the cool booth category. Very open and comfy couches to sit on while listening to presentations.

NextGen had a smaller booth this year. Last year they had a smaller booth than the previous year so I guess they are on a “less is more” kick. GE, which didn’t exhibit last year, is in a back corner, while Vitera, athena, Greenway, Pulse, and Allscripts all have big booths that drew decent crowds during the reception.

Several vendors appeared to be no-shows.

I won a $5 Starbucks gift card from the Emdeon folks when I played their stacking game. It wasn’t too hard so it’s worth a couple of minutes of your time if you enjoy a free cup of coffee.

My Monday agenda includes a keynote session with George Will (I am sure he will have a comment or two on the government shutdown), two or three educational sessions, and another stroll through the exhibit hall. I have lined up the evening party schedule to ensure the maximum number of events before my feet give out.

If you are at MGMA, drop me an email with your impressions.

News 10/3/13

From DogLover: “Re: Going digital. Your comment about your doctor discussing the need to go the practice’s portal to view lab results floors me!  You are HIT savvy.  Where does that leave so many people in the general public who go to that practice? How about opt in as a first choice and announce the option with more fanfare? I am thinking about elderly, etc. Hopefully, at a minimum, they will offer an alternative info method for those with out-of-range values. I like that mine arrive in the mail and my doc writes personal notes on it.” Agreed. The idea of “if we build it they will come” doesn’t seem like the best strategy for pushing patients to a practice’s patient portal. For what it’s worth, I went to the practice’s portal today and was amused to see that  the landing page re-iterates that all lab results will be posted to the portal as of October 1, and, that  the portal is “coming soon.” I guess that means the practice still has a few kinks to work out.

From Shoe Fan: “MGMA. I’m going to MGMA and was wondering if I’ll catch a glimpse of you on the exhibit floor or at any parties. Maybe you can tell me what shoes you’ll be wearing so I’ll know it’s you.” Gosh, haven’t thought through the shoe thing yet but I am thinking comfy may win over fashion this year. I have made a tentative schedule and so far the only session I know I won’t miss is, “IT in Healthcare: Where we are and where we’re going” (Monday at 2:00 pm). The panel includes RoseMarie Nelson of MGMA Healthcare Consulting Group, who I am a big fan of because she knows her stuff and is smart and funny. Other panelists include Waco Hoover of the Institute for Health Technology Transformation and long-time HIT CIO Steve McCallister. In terms of evening events, I’ve recruited a partner in crime for Monday night’s party-hopping and so far we’ve penciled in events hosted by CareCloud, Practice Insight, Vitera, Greenway, and GE. If you are heading to San Diego this weekend, safe travels and see you there!

Harland Technology partners with Greenway Medical Technologies to provide implementation support services and IT infrastructure support for small to medium-sized practices.

Athenahealth and Epocrates introduce Bugs + Drugs, a free app to identify the most common bacterial infections recorded in a geographic region using data collected  from athena customers. The app also generates a list of appropriate antibiotics for prescribing.

CareCloud and Box will integrate Box’s secure content-sharing and collaboration capabilities into the CareCloud platform, allowing providers to give patients access to their personal health information. Patients can also access their financial and clinical information through the CareCloud Community Portal.

Emdeon appoints Neil E. de Crescenzo president and CEO, replacing George I. Lazenby, IV, who will become a senior advisor for Emdeon’s majority investor, Blackstone Capital Partners.

The five-provider Kanawha Valley Gastroenterology Associates (WV) will implement Benchmark’s PM and EHR platform.

SRS names Peter Bennfors (Asset Control) CFO.

Email Inga.

News 10/1/13

Good news on e-prescribing: most physicians express satisfaction with the e-prescribing workflow for controlled substances, according to an AHRQ report. The majority of users claim the process was significantly less burdensome than expected and improved workflow, accuracy of prescriptions, medication monitoring, and coordination with pharmacists.

Orthopaedics & Sports Medicine Owensboro (KY/IN) selects SRS EHR for its 11 providers.

The AAFP offers online ACO resources to help physicians weigh the pros and cons of joining an ACO.

Athenahealth makes NextGxDx’s genetic testing network of labs visible within athenaClinicals to streamline genetic testing workflow.

I found the results of this Xerox survey quite relevant to a recent experience I had at my doctor’s office. Xerox reveals that more than two-thirds of American adults don’t believe their physicians have provided adequate explanations about the switch to EMRs; most are also concerned with the security of their records and less than a third want their records to be digital. While at my doctor’s last week, I noticed a small sign that said all lab results would only be available through the practice’s portal as of October 1 (although I have to believe that if something was amiss a doctor or nurse would still call me.) What was interesting is that no one – not the doctor, lab tech, nor staff – mentioned that results would only be available online nor explained how to access the results. I guess that puts me in the two-thirds of patients who believe my doctor has not provided an adequate explanation of online records. MU Stage 2 requires that a mere five percent of patients access their records online, leading me to wonder if the real reason for physicians’ poor communication might be that the MU bar has been set too low, at least on this metric.

Medicare awards Arch Systems a $9.9 million contract to validate the accuracy of data submitted to the eRx and PQRS programs, particularly quality data submitted through registries and the group practice reporting option. CMS says the intent is to uncover “data-integrity issues and misunderstandings regarding data submissions, and suspicious attempts of ‘gaming’ the system to earn the PQRS and/or eRx incentive payment.”

Apparently EMR use can be stressful. A study published in the Journal of the American Medical Informatics Association finds that primary care physicians working at clinics that use moderate-function EMRs had a higher rate of burnout and were more stressed that those at facilities with low-function EMRs.

Johanna Epstein (Mount Sinai Doctors Faculty Practice) joins Culbert Healthcare as VP of strategy and executive leadership services.

The New York Giants converts its players’ medical records to eClinicalWorks EMR.

We published our annual Must See Vendors for MGMA summary over the weekend, which includes summary information on 35 vendors (all HIStalk sponsors). For the trinket seekers, some of the best exhibitor give-aways, include:

• GoPro Hero 3 (Capario)
• iPad mini (Emdeon, Iatric, Passport Health, ZirMed)
• $5 donation to Susan G. Komen for the Cure (Gateway)
• Titleist golf bag autographed by PGA TOUR Pro Jason Dufner (Greenway)
• Apple TV (Ingenious Med)
• iPad (Optum, Sandlot)
• Kindle Fire HD tablet (Quest Diagnostics, SRSsoft)
• Microsoft Surface (Versus)
• Mini-tablet (Vitera).

You’ll be able to identify our exhibiting sponsors by their posted signs, so please take a moment and thank these vendors for supporting HIStalk.

Email Inga.