Population Health Management Weekly Wrap Up 9/10/17

Alliance Behavioral Healthcare selects ZeOmega’s Jiva population health management software for its 2,200 providers.

Population health management-focused Health Initiatives Consulting hires Ilse Bell, MD (Amerigroup) (not pictured) as senior director of quality and practice transformation, Lisa Israel (The Genesis Group) as director of data modeling and innovation, and Nancy Thompson (I2I Population Health) as VP of training and education.

Enterprise customer communications management solutions vendor Smart Communications will integrate its technology with Casenet’s TruCare population health and care management platform to allow health plans to deliver personalized communications to members and providers via their preferred channels.

Summit Reinsurance Services enlists the population health assessment expertise of XG Health Solutions to help its customers transition to higher-performing, evidence-based care management models.

Honolulu’s local government and healthcare organizations, including the Hawaii Medical Service Association and The Queen’s Medical Center, band together to develop the H4 (hygiene, health, housing and humanitarian) program to help the city’s homeless and alleviate the burden they have placed on nearby ERs and PCPs. The program, which has yet to find its project $5 million funding, will transform a four-story building into a center for homeless services including a primary and mental health urgent care center, detox and wound care center, and inpatient facility. “The surge in chronic homelessness and its crushing impact on our best hospitals on Oahu … make it a statewide public health and economic emergency that has to be addressed,” says Senator Josh Green, an ER physician who is heading up the project. “These hospitals’ survival depends on action.”

The local paper looks at population health management projects in Iowa that are making a difference in the lives of some of the state’s most underserved patients. A pilot program between Jennie Edmundson Hospital, Iowa Legal Aid, home health agencies, behavioral health agencies, and the Connections Area Agency on Aging, for example, has helped to reduce readmissions by better coordinating patient care. Technology like the TAV record (separate from the EHR) has helped program participants access and share patient information including social determinants of health. The participants would like to secure additional funding to include the school district, paramedics, and fire and police departments.

Sponsor Updates

• EClinicalWorks will exhibit at the AAFP Family Medicine Experience September 12-16 in San Antonio.
• Intelligent Medical Objects will exhibit at HIMSS AsiaPac17 September 11-14 in Singapore.
• More than 900 healthcare professionals advance their education and network at the 2017 Aprima User Conference.

Blog Posts

• Functional and Handsome – Patient Instructions for Better Patient Recall (Healthwise)

Contacts

Jenn, Mr. H, Lorre

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News 9/7/17

Top News

HHS Secretary Tom Price, MD declares a public health emergency in Puerto Rico and the US Virgin Islands as Hurricane Irma stays its course in the area. Seventy people have already been deployed to help local communities respond to storm-induced medical needs. “Assets are being mobilized to address both immediate healthcare needs and prepare for long-term challenges,” Price said in a recent update. “We are doing everything in our power to maintain access to care for those with Medicare and Medicaid by supporting the ability of hospitals and other healthcare facilities that participate in those programs to provide timely care to as many people impacted by the storm as possible.”

HIStalk Practice Announcements and Requests

HIStalk sponsors, submit your MGMA details for inclusion in our annual must-see vendor’s guide. Companies that are walking the show floor instead of ponying up for a booth are also welcome to submit their information. The online guide will publish a few days before the conference kicks off in Anaheim, CA on October 8.

HIStalk Practice Musings

It’s a 10 on the Mellish Meter: Today’s weather couldn’t be better in my neck of the woods. It’s a declaration I feel slightly guilty making given the tremendous amount of weather-induced damage and loss of life in Texas, Louisiana, and the Caribbean. Cooler temps, low humidity, and mostly sunny skies all belie the intense rain and wind my neighborhood will likely receive when Irma hits the east coast early next week. For now, however, I’ll enjoy the hint of fall by spending some time away from screens and tidying up my yard, all while keeping tabs on family members likely to feel Irma’s direct hit. Stay safe out there, dear readers.

Webinars

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

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

Acquisitions, Funding, Business, and Stock

Weave Communications raises $17 million in a Series B round led by Catalyst Investors. Based in Lehi, Utah, the company develops and markets patient communication software to dentists and optometrists. Catalyst partner Tyler Newton has joined Weave’s board.

People

Rick Pence (Solis Mammography) joins Unifeye Vision Partners as COO.

Northeast Georgia Physicians Group hires Daniel Tuffy (CaroMont Health) as president and chief administrative officer.

PatientPay names Shahzad Qadri (Allscripts) VP of operations.

Telemedicine

Rural health professionals in Indiana point to telemedicine as a stop-gap measure that may help care for expectant mothers in parts of the state with little to no obstetrics services. Their concern stems from a recent study in Health Affairs highlighting the plight of rural counties without hospitals that deliver babies. As of 2014, 54 percent of rural communities lacked such facilities, leaving over 2 million women of childbearing age without access.

Announcements and Implementations

East River Medical Imaging deploys Royal Solutions Group’s RoyalMD physician image viewing and communications software, including custom mobile app, across its four locations in New York City.

The Rothman Institute (PA), which boasts official team physicians for the Philadelphia Eagles and 76ers, replaces its legacy system with Allscripts PM technology.

Government and Politics

Secretary Price gives a rundown of Harvey recovery operations in between visits to Houston and presumably looming tours of Irma-affected areas in the Caribbean and Southern Florida. Speaking with Time from the Secretary’s Operations Center, Price and his team are preparing to help local officials deal with public health issues caused by mold, water contaminants, viruses, and bacteria. “We’ve got more [hurricanes] coming,” he warns. “Actually, I’ve been incredibly heartened by the response on the ground to Harvey. When I was down there last week I was really inspired by the neighbor helping neighbor and Texan helping Texan sense that you got. It really was all hands on deck.”

Other

It’s not what you think: Steve Del Guice indirectly attributes his burnout-induced retirement from dermatology to “pajama time” – those golden hours at home between dinner time and bed time that many physicians now use to catch up on documentation in the EHR. “This is a common problem,” he says. “And the point is that the [EHR] was really not designed so much by physicians or by working physicians. They’re designed more as a billing instrument, as a data collection instrument. So I think that’s important to understand – that the electronic medical record as it exists now is not really friendly towards practicing healthcare providers. It’s very demanding.”

Healthcare pricing transparency and appointment booking company Amino looks at claims and ICD-10 codes from 2016 to determine the strangest ways in which people were injured. It doesn’t seem to have been a great year for livestock. I wonder how they’ll fare in 2017.

• 17,200 patients walked into a wall.
• 25,000 walked into furniture.
• 400 walked into a lamppost.
• 3,400 came in “contact with a powered lawn mower.”
• 300 were bitten by a pig.
• 10,000 were “accidentally” bitten by another person.
• 1,700 were struck by a cow.
• 8,700 were kicked by another person.

Contacts

Jenn, Mr. H, Lorre

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Readers Write: “Are You Even Listening?” How Your EHR Could Be Killing Your Patient Relationships

“Are You Even Listening?” How Your EHR Could Be Killing Your Patient Relationships
By Jordan Miller, MD

You’re at lunch with a close friend whom you haven’t seen in some time. It’s an opportunity to catch up, share what’s been going on, and participate in some meaningful dialogue. And yet your friend is constantly looking at his or her phone – occasionally glancing up at you as you’re talking as if they are listening. As the person speaking, you can only assume that they’re only half-listening to what you’re saying as they type away. Sound familiar?

A similar scenario is extremely common these days in physician offices. The use of EHRs has been both a blessing and a curse as it relates to patient engagement. In a recent study by Brown University and Healthcentric Advisors aptly titled, “It’s like texting at the dinner table:” A qualitative analysis of the impact of electronic health records on patient-physician interaction in hospitals,” researchers found the use of EHR systems negatively impacts the quality of physician-to-patient interactions.

The study is based on a 2014 Rhode Island Department of Health survey that asked 744 physicians open-ended questions including, “[h]ow does using an EHR affect your interaction with patients?” The increase in reporting standards and the amount of data that physicians need to report today have resulted in valuable time being diverted from the patient. Instead of the physician and patient maintaining eye contact during the examination, the computer tends to be the focal point. This tends to create an uncomfortable and often cold experience for the patient, and leaves the physician feeling unfulfilled.

This increase in demand for data also attributes to physician burnout* – where the physician works tirelessly to treat patients while keeping up with the day-to-day documentation in the EHR and subsequent reporting. Even the AMA has raised concerns about EHR usability.

While this ripple effect impacts all levels of the healthcare system, it is the patient who suffers the most. With reportedly high levels of physician burnout across the US – between 50 and 75 percent of physicians, by some reports – coupled with poor engagement due to using technology in the exam room, patients get the short end of the stick when it comes to achieving their health and wellness goals.

Shouldn’t medical professionals work as efficiently as possible while improving patient outcomes? With the shift to value-based healthcare and the focus leaning now more on patient outcomes, the answer should easily be yes. But, as we’ve seen from many studies, it’s not that simple. But it should be.

Technological advancements today have positively impacted so many industries, including healthcare (e.g. connected devices, robotic surgery), so why is some EHR technology still lagging?

As a practicing dermatologist, I can attest to the ever-increasing need to document patient information in a way that is usable. If physicians don’t have the right systems and technology in place, it could potentially take a lot time and effort to not only keep a practice up and running, but also make it successful. For years, documenting in a paper chart was the standard, and some physicians still prefer this method. Then it transitioned to what was essentially documenting in a word processing system on a desktop computer. In neither situation is the data collected in a structured way or able to be used for medical wisdom, or collecting and extracting this data to show the physician statistically what might lead to better patient outcomes. Plus, with these methods I had to frequently stay late in the office and bring work home – taking time away from the patient, and from my family.

Throughout my conversations with other healthcare providers, I’ve learned some physicians argue that improving patient relationships starts with the creation and adoption of intuitive technologies that can automate key administrative tasks and simplify documentation during patient visits. Healthcare providers should have an EHR system that improves their daily professional lives and, when it comes to usability, is intuitive and knowledgeable about my specialty, plus saves me time.

In fact, in the aforementioned survey, doctors did recognize that EHR systems can provide benefits to patient interaction related to the easy access to a patient’s history. Other physicians commented that Web-based patient portals improve communication with patients, and some shared that they will often utilize their computers to bring up and display educational illustrations of medical conditions. From the study, it can be assumed that the physicians who bring their EHR system and laptops – or iPads – into the exam room have identified ways to turn a potentially detrimental patient engagement situation into a positive one.

I like to think that I’m a perfect example of a physician who utilizes EHR technology that not only saves physicians time, but also helps improve patient outcomes. Today I use a native iPad platform that’s intuitive, automatically adapts to my preferences, collects structured data, codes patient encounters using the touch-based system and automates outputs. I can reference a longitudinal visual timeline of a patient’s diseases and treatments, allowing me to easily determine if a patient’s conditions are improving or declining over charted time periods. The mobility of the iPad allows me to show my patients exactly what I’m reviewing and use it as an educational tool. It’s technology designed to improve patient engagement and clinical outcomes. Everyone wins.

From a business standpoint, data-driven platforms help make practices more profitable and save time. Health IT systems should allow physicians to document exams while the patient is in the exam room, use that data to automate reporting, automatically generate billing codes with modifiers based on your notes, show your current billing level in real time, and assist with daily operational tasks including referring physician letters and faxes. As precision increases, so could profits. Technology should improve operational and financial outcomes, while at the same time improving patient access and outcomes – and yes, even eye contact.

*If you’re a physician or medical practitioner experiencing signs of physician burnout, there are many helpful resources on the American College of Physicians website.

Jordan Miller, MD is a dermatologist at Northern Arizona Dermatology and senior medical director of dermatology at Modernizing Medicine in Boca Raton, FL.

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Jenn, Mr. H, Lorre

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News 9/6/17

Top News

HHS preps for Irma, deploying Disaster Medical Assistance Teams to Puerto Rico and Georgia who will oversee storm response as needed in Puerto Rico, the US Virgin Islands, and Florida. Four additional DMATs and three US Public Health Service Commissioned Corps teams are also on standby. The Category 5 storm has killed at least three people in the Caribbean, and has hit Puerto Rico with winds of between 55 and 70 mph. It is predicted to make landfall near Miami on Sunday.

HIStalk Practice Announcements and Requests

HIStalk sponsors, submit your MGMA details for inclusion in our annual must-see vendor’s guide. Companies that are walking the show floor instead of ponying up for a booth are also welcome to submit their information. The online guide will publish a few days before the conference kicks off in Anaheim, CA on October 8. 

HIStalk Practice Musings

And speaking of MGMA, I think it’s pertinent to mention President and CEO Halee Fischer-Wright, MD’s forthcoming book, “Back to Balance: The Art, Science, and Business of Medicine,” as we close out this national #ReadABookDay. The book promises to offer up her “unique prescription for fixing America’s health care woes, based on her thirty years of experience as a physician and industry leader.” It also promises to answer the age-old question of, ‘What do dinosaurs, George Clooney, and the art of medicine have in common?’ I’ll let you know once I get my hands on it later this month.

Webinars

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

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

Announcements and Implementations

AAFP officials assure attendees and exhibitors that its Family Medicine Experience conference will go on as scheduled in San Antonio next week, despite the havoc wreaked by Harvey in other parts of the state. Deepak Chopra, MD will headline on Wednesday afternoon. Exhibiting HIStalk sponsors include Aprima, CoverMyMeds, EClinicalWorks, Elsevier, Healthfinch, Solutionreach, and Surescripts.

WellCare of Connecticut taps Iora Health to provide primary care services to its 7,000 Medicare Advantage plan members, including its homegrown Chirp patient portal.

Acquisitions, Funding, Business, and Stock

Physical therapy software company WebPT hits the 10,000 active clinic milestone, effectively capturing 30 percent of the outpatient rehab therapy market. The company has grown from three to 300 employees since opening for business in 2008. I interviewed CEO Nancy Ham shortly after she joined the company from Medicity late last year.

Constellation Software’s Harris Computer division completes its acquisition of Amazing Charts. Harris Healthcare Group President Jerry Canada is enthusiastic about expanding the company’s outpatient-focused software business unit via Amazing Chart’s 4,000 customers. Harris Healthcare’s businesses also include QuadraMed, Picis, MediSolution, CareTracker, Gemms, and iMDsoft.

The US Patent and Trademark Office awards InfraWare a patent for speech-recognition technology as part of its First Draft Dictation Recognition Service for healthcare.

People

AdvantEdge Healthcare Solutions hires Joe Laden (One Anesthesia) as VP of client management.

Paulette Jaeger (Experian Health) joins Loyale Healthcare as enterprise sales executive.

Chris Hammack (Aegis Health Group) joins software development and consulting company PointClear Solutions as VP of business development.

Telemedicine

PatientClick offers telemedicine services for concierge practices.

Emergency medicine physician Graves Fromang, DO partners with white-label telemedicine vendor eVisit to launch Treasure Coast Telecare in Florida. No doubt Fromang and his patients are prepping for a possible hit from Irma along the Treasure Coast’s Atlantic-facing shoreline.

Government and Politics

The CDC gives out nearly $29 million to help 44 states combat the opioid epidemic. A large portion of the funds will be earmarked, via separate initiatives, to bolster state-based PDMPs and data-tracking.

Other

Ruth Berggren, MD tucks another hurricane under her belt. She cared for patients during and after Hurricane Katrina, and is now volunteering at a pop-up clinic for Harvey victims in a San Antonio middle school. As with Katrina, she is bracing for issues related to a lack of regular services and mental health professionals, and infectious disease outbreaks. She isn’t all doom and gloom, however: “Disasters bring out the best and the worst in people. We always want to look to criticize and identify the mistakes, but these are also opportunities to see how good we really can be. The capacity of our people to take care of one another and to rise to the occasion and to go beyond themselves is just so inspiring.”

Contacts

Jenn, Mr. H, Lorre

More news: HIStalk, HIStalk Connect.

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News 9/5/17

Top News

Recode reports that tech companies have spent more money on research and development than any other vertical in the US. It’s interesting to note that top spot-takers Amazon and Apple have made the news recently for their rumored interests in healthcare IT. At just over $16 billion, Amazon and its “secret” 1492 lab may very well have the resources to successfully infiltrate the world of healthcare IT. It beat out Volkswagen late last year to become the biggest corporate R&D spender in the world.

HIStalk Practice Announcements and Requests

It’s that time again: If you’re a HIStalk Sponsor exhibiting at or attending MGMA next month, submit your pertinent details for inclusion in HIStalk Practice’s list of must-see vendors. The guide will publish the week before the conference, which will take place October 8-11 in Anaheim, CA.

Conference organizers have arranged for award-winning actress Viola Davis to keynote Sunday afternoon. I’ll be keeping an eye on the tweet stream to see if she makes any sort of healthcare connection to her “journey to self-love and success.” Zubin Damania, MD will headline on that Wednesday. He’ll no doubt dive into his experiences at the now defunct Turntable Health. No word yet on whether or not his alter ego, ZDoggMD, will make a cameo appearance.

Stay tuned for a HIStalk Practice interview with MGMA President and CEO Halee Fischer-Wright, MD later this month.

Webinars

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

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

Announcements and Implementations

Translational Software adds a drug-to-drug and drug-to-gene interaction clinical decision support app to its provider portal and pharmacogenomics API.

Acquisitions, Funding, Business, and Stock

A jury orders Nintendo to pay $10 million to iLife Technologies to settle a patent infringement lawsuit that contended the video game company used iLife’s technology in the development of its Wii motion-sensing remote. iLife originally sought $144 million when it filed the lawsuit in 2013. Its technology was originally developed to detect falls and to monitor babies for SIDS. The company filed similar lawsuits against FitBit and Under Armour, all of which seem to have been settled out of court.

People

LaTrice Snodgrass (Summa Health Medical Group) joins five-facility AxessPointe Community Health Centers (OH) as COO.

Brian McKeon (IDEXX Laboratories) joins Athenahealth’s Board of Directors.

Telemedicine

The Indiana Rural Health Association receives a $1 million grant that it will use to fund development of the Upper Midwest Telehealth Resource Center, which provides telemedicine training and services in Indiana, Illinois, Michigan, and Ohio.

Michigan-based telemedicine startup Care Convene joins a growing list of companies in offering free virtual consults to people impacted by Hurricane Harvey. The company, which has already signed on 15 Houston-area physicians to provide their services free of charge, will offer complimentary access through September and possibly into October, depending on demand.

Government and Politics

Vice President Mike Pence swears in Jerome Adams, MD as the 20th US Surgeon General.

Other

The local news looks at the struggles and triumphs of Houston’s dialysis clinics before, during, and after Harvey. The Monday after the hurricane struck, Fresenius Kidney Care not only prepared to care for patients in need of their usual dialysis treatment, but employees displaced by flooding; neighboring clinics in need of help; a lack of basic supplies like electricity, running water, and food; and issues with transportation for all concerned. Sarah Shearer, MD and her FKC colleagues partnered with other local businesses, neighbors, and handy patients to see that no one suffered from a lack of care. “To hear patients laughing and encouraging each other, it is something you would have to be here to believe,” Shearer said.

Sponsor Updates

• Healthwise adds enhanced visual design to its Patient Instructions.
• McLaren Flint (MI) avoids a $1 million capital expense for new IV pumps by tracking its pump inventory using Versus Advantages Asset Management.

Blog Posts

• Why you should prioritize a service area merge for your healthcare organization (Nordic)
• Improving Clinical Communication Across the Care Continuum (PerfectServe)

Contacts

Jenn, Mr. H, Lorre

More news: HIStalk, HIStalk Connect.

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