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HIStalk Practice Interviews Geeta Nayyar, MD Chief Healthcare & Innovation Officer, Femwell Group Health

July 10, 2017 Interviews Comments Off on HIStalk Practice Interviews Geeta Nayyar, MD Chief Healthcare & Innovation Officer, Femwell Group Health

Geeta Nayyar, MD is chief healthcare and innovation officer at Femwell Group Health in Miami.

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Tell me about yourself and the organization.

I am the chief healthcare and innovation officer for TopLine MD and Femwell Group Health, one of the largest management services organizations in the state of Florida. We manage about 500 practices in the state, primarily focused on women’s health and primary care. As a board-certified practicing physician who specializes in rheumatology, I maintain an active practice, serve on the medical school faculty at Florida International University and George Washington University and host "Topline MD TV," Florida’s premiere medical digital news channel.

I’ve always loved science and people, and I wanted to make a difference in people’s lives. The best part about my current position is that I am able to make an impact beyond just one-one-one patient care. I can help influence changes in the industry that could potentially impact thousands of people in a positive way for better care and better outcomes, and that is supremely gratifying.

Femwell decided to roll out patient engagement technology from HealthGrid several months ago. What prompted that decision?

Given the paradigm shift in healthcare and a more consumer-driven and value-based care model, we were looking for a strategic partner and, after a thorough and competitive vetting process, determined that HealthGrid was the right partner for us to help us achieve a higher level of patient engagement and better outcomes. We need 50 percent of patients to have a mobile connection with their providers to get meaningful outcomes via patient engagement technologies. HealthGrid is the only company we found that had 50-70 percent of their customers’ patients engaging on their mobile devices to review their care summaries and adhere to their care plans. In addition, the company also guaranteed attestation for all patient engagement MU/MIPS measures.

When patients are engaged in their care – which means meeting them where they are on their mobile devices – they have better outcomes. HealthGrid has a health management engine with patient engagement built into it, which ensures quality continuum of care in their healthcare journey. Physicians also see and appreciate the measurable ROI afforded by such a comprehensive system that harnesses the power of the value-based care model.

Femwell rolled out telemedicine services last year. How has adoption been? How has that service impacted access and outcomes?

Our adoption of telemedicine services continues to grow. We have seen a significant growth across specialties and across groups. This in part is due to the ease of access for both physicians and patients. Telemedicine has allowed our physicians and patients to connect after-hours and on weekends, when needed. Patients are comforted knowing their own doctor has adopted new technologies to enhance their care. It’s an extension of the brick-and-mortar physician offices, in the palm of their hands.

With the adoption of telemedicine services, TopLine MD has seen better outcomes for patients simply by enhancing their continuum of care and lessening the need for patients to visit other physicians in emergency rooms or urgent care centers.

What unique challenges do OB/GYN practices face when it comes to selecting and implementing health IT?

OB/GYN practices have specific challenges just by the nature of care they need to deliver. Many appointments need to be done face-to-face because physical exams are required for proper care. As far as the patient engagement component of maternity care is concerned, telemedicine and interactive patient engagement tools allow physicians and patients to stay connected, and can help alleviate stress and anxiety of an expectant mom. Tools tailored specifically for young families on the go, such as accessing a physician’s note for school officials, without having to visit the school or the physician’s office, is just one of the ways real patient engagement tools make a difference in the everyday lives of families.

Aside from technology, what are the top two or three challenges your physicians are facing today? How is Femwell helping them work through these?

Physicians at TopLine MD face the same challenges as most. Physicians want to be physicians and the challenges surrounding the business of healthcare, including processes, marketing, and policies, should not affect the precious eight-10 minute patient visits with a physician. We offer innovative foundational support for physician practices, including robust patient engagement technology that enables physicians to focus on the patient.

Getting back to technology, what’s next for Femwell physicians?

The technology platforms at Femwell have evolved and telehealth capabilities are increasing. Femwell is planning to further expand by increasing utilization up to 10 times through connecting patient engagement technologies to telehealth. We’re also looking forward to strengthening the partnership with HealthGrid through data analytics and leveraging strategies for reporting to various regulatory agencies, enabling it to excel in the value-based care world..

Do you have any final thoughts?

This is just the beginning for Femwell. It has proven to be a leader in helping physician practices succeed by working with strategic partners such as HealthGrid to facilitate meaningful communication with patients in this new paradigm in healthcare. We believe having the right tech partners at the table will ensure the best delivery model of healthcare possible.


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5 Questions With Pediatrician Ashley Moss, MD

July 9, 2017 5 Questions With Comments Off on 5 Questions With Pediatrician Ashley Moss, MD

Ashley Moss, MD is founder of Ashley Moss Pediatrics (MD), and vice president of the Montgomery Pediatric Medical Society. She opened her house call-based practice in January 2017, and now sees three to five patients a day.

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What prompted you to launch a house call-focused practice?

I wanted to create a practice that was highly personalized and offered the best quality medical care for my patients. After working in a large traditional practice for nine years, I felt that the trend toward larger practices had hindered my ability to connect with my patients, and provide the continuity and individualized care that I felt was imperative to providing high-quality medical care. I had heard about similar house call-based practices in New York, California, and Texas and so I investigated and decided that not only was this type of practice feasible, it seemed like a really powerful model that could leverage new technology to improve healthcare quality, convenience, and outcomes.

What types of healthcare technology do you use on a daily basis?

I use an EHR that enables me to write notes while seeing patients in their home, email prescriptions to pharmacies, send lab orders and receive results.  I also use an electronic fax that interfaces with my Practice Fusion EHR.  I rely heavily on creative mobile devices that I can easily bring to the homes of patients. For well child check ups where vision and hearing screens are required, I use a handheld mobile device to perform visual acuity, photoscreening, and hearing screens.  The visual screening device then faxes the screening results to my EHR so that the vision screens are easily integrated into the chart. Finally, I use an online direct care practice administration platform from Hint Health that streamlines the signup process and billing for my patients.

What health IT is on your wish list?

I am considering purchasing a temperature monitor for my vaccine refrigerator that remotely monitors and records the temperatures inside my vaccine refrigerator and freezer. It also immediately alerts me by cell phone when either the refrigerator or freezer temperature is out of range. Currently, I keep handwritten temperature logs for the refrigerator and freezer.

I am also considering different telemedicine companies that would enable me to examine patients remotely via a virtual exam room. I’d like these telemedicine programs to interface more efficiently with my EHR; when I find one that does, I will probably decide to make that investment.

Are you participating in any type of value-based payment program?

I don’t participate in value-based payment programs as defined by insurance companies. I do provide my patients with high-quality medical care that is research- and experience-based, and delivered with genuine concern for each child’s wellbeing.

What are your thoughts on the role new business models like yours play in reducing physician burnout?

These models play a tremendous role in reducing physician burnout! Direct patient care practices enable physicians to do what they love and enjoy, which is establishing meaningful relationships with patients so that they can effectively care for them in a financially transparent manner. Physicians can keep patients healthier, provide better medical care, and avoid costly ER or hospital admissions when they know each patient individually. Both physicians and patients are happier with the delivery and quality of the medical care.


Contacts

Jenn, Mr. H, Lorre

More news: HIStalk, HIStalk Connect.

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Population Health Management Weekly Wrap Up 7/9/17

July 9, 2017 News Comments Off on Population Health Management Weekly Wrap Up 7/9/17

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Neal Patterson, co-founder, CEO, and chairman of Cerner, died Sunday of complications following a reoccurrence of cancer. He was 67. The company announced that co-founder and vice board chair Cliff Illig will serve as chairman and interim CEO.

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Anna Clark (Truven Health Analytics/IBM Watson Health) joins Medecision as SVP/chief revenue officer.

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The ACOs and IPA of Orange Care Group will implement Epic’s Healthy Planet population health management system and will also offer its EHR via Memorial Healthcare System (FL) and Epic Connect.

Wisconsin’s Department of Health chooses Cerner for its seven care and treatment centers in a 10-year, $33 million contract. In-state competitor Epic did not submit a proposal for the project, which drew five bidders.

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Behavioral health and addiction treatment provider LifeWorks Northwest (OR) implements population health management technology from Enli Health Intelligence to better enable its participation in the federal Certified Community Behavioral Health Clinics demonstration project.

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A respiratory disease study undertaken by the City of Louisville, KY finds an 82-percent reduction in rescue inhaler use among the nearly 1,500 asthmatics equipped with Propeller Health’s inhaler monitoring attachment. COPD patients saw a 62-percent reduction in use. The study also enabled city planners to identify asthma hot spots related to poor air quality around high-traffic truck routes, plus high-risk neighborhoods that might benefit from more tree planting and eco-friendly infrastructure.

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Dialysis clinic operator Fresenius Medical Care North America licenses Forward Health Group’s population health management system.

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Harris’s healthcare group acquires Warwick, RI-based population health management technology vendor Medfx, which it will operate as an independent business unit.


Sponsor Updates

  • Aprima customer Mt. Olive Family Medicine Center wins the 2017 NCMGMA Practice of the Year Award.
  • EClinicalWorks will exhibit at the 2017 FSASC Annual Conference & Trade Show July 12-13 in Orlando.
  • NVoq will exhibit at AHRA 2017 July 9-12 in Anaheim, CA.

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Jenn, Mr. H, Lorre

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News 7/6/17

July 6, 2017 News Comments Off on News 7/6/17

Top News

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The latest investment figures from StartUp Health highlight the confidence investors continue to have in digital health. Nearly $4 billion has been invested in Q2 of this year (including 10 deals over $100 million each), putting 2017 on track to break several funding records. A total of $6 billion has been raised so far. Modernizinig Medicine’s $231 million funding round back in May is perhaps the most relevant to physician practices. While investments in EHR companies managed to stay in the top 10, the vertical saw the least market maturity in the first six months of this year compared to the flashier categories of patient/consumer experience, workflow, and analytics.


Webinars

July 11 (Tuesday) 1:00 ET.  “Your Data Migration Questions Answered: Ask the Expert Q&A Panel.” Sponsored by Galen Healthcare Solutions. Presenters: Julia Snapp, manager of professional services, Galen Healthcare Solutions; Tyler Suacci, principal technical consultant, Galen Healthcare Solutions. This webcast will give attendees who are considering or in the process of replacing and/or transitioning EHRs the ability to ask questions of our experts. Our moderators have extensive experience in data migration efforts, having supported over 250+ projects, and migration of 40MM+ patient records and 7K+ providers. They will be available to answer questions surrounding changes in workflows, items to consider when migrating data, knowing what to migrate vs. archive, etc.

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


Announcements and Implementations

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MacPractice announces GA of its MacOS Sierra- and El Capitan-compatible Gen 7 PM system for physicians, chiropractors, and eye care practitioners.

MTBC partners with Winpoint Health with an eye to offering Winpoint’s tech-enabled chronic care case management services to its EHR and PM customers.

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Fresenius Medical Care North America – a Waltham, MA-based operator of over 2,000 dialysis clinics – will roll out population health management technology from Forward Health Group later this year.


People

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Tisson Mathew (Cambia Health Solutions) joins managed care organization Alignment Healthcare as its first CTO.


Research and Innovation

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The results of a somewhat dated survey of 744 office- and hospital-based physicians in Rhode Island shows – surprise, surprise – no love for EHRs. Both types of providers had the same top issues with the technology – either they denigrated the quality of their interactions with patients, or negatively impacted the amount of time they were able to spend in the exam room. Though the survey was conducted in 2014, I can’t imagine the evolution of EHRs has lessened their concerns (technology-induced physician burnout seems to be on the rise, after all) – though some may have caved and hired scribes to aid with documentation workflow.


Other

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Healthcare employee recognition management software vendor Wambi launches Carepostcard, a digital communications platform that lets patients send notes of thanks to their caregivers. Prospective patients looking for especially compassionate care can also use the tool to review providers.

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Remember when?: Pokemon Go celebrates its first anniversary. And while it hasn’t quite sustained the absurd amount of downloads it saw last summer, it’s still played on a monthly basis by 65 million people. For perspective, Uber has 40 million users a month, Pandora 77 million, and  Spotify 140 million. Though it didn’t have a huge impact in the world of healthcare, it’s less of a flash in the pan than I thought it would be.


Contacts

Jenn, Mr. H, Lorre

More news: HIStalk, HIStalk Connect.

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JennHIStalk

News 7/5/17

July 5, 2017 News Comments Off on News 7/5/17

Top News

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A 20-month audit of Montana’s clinics for government employees finds that the facilities have failed to document improvements in outcomes, and have offered no evidence of ROI. The first of the state’s health centers opened in 2012, with five more opening and accruing costs in the $26 million-dollar range over the ensuing years. Auditors cited faulty record keeping and a “cumbersome” EHR system that did not allow for sharing of data between providers.


HIStalk Practice Announcements and Requests

Thanks to the following HIStalk Practice sponsors for their continued support. Click a logo for more information.

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Contact Lorre if you’d like to take advantage of Mr. H’s “Summer Doldrums” sponsorship discount.

I’ll be off the grid next week and so will not publish daily news updates. Instead, look for several provider interviews and guest posts sprinkled throughout the week. Regular programming will resume July 17.


Webinars

July 11 (Tuesday) 1:00 ET.  “Your Data Migration Questions Answered: Ask the Expert Q&A Panel.” Sponsored by Galen Healthcare Solutions. Presenters: Julia Snapp, manager of professional services, Galen Healthcare Solutions; Tyler Suacci, principal technical consultant, Galen Healthcare Solutions. This webcast will give attendees who are considering or in the process of replacing and/or transitioning EHRs the ability to ask questions of our experts. Our moderators have extensive experience in data migration efforts, having supported over 250+ projects, and migration of 40MM+ patient records and 7K+ providers. They will be available to answer questions surrounding changes in workflows, items to consider when migrating data, knowing what to migrate vs. archive, etc.

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


Announcements and Implementations

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Pediatric Cardiology Associates (NY) adopts HL7 interfaces in an effort to streamline workflows between its Digisonics Cardiovascular IS and Allscripts EHR. PCA also added DICOM Modality Worklist to automate patient data entry.

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Hamakua-Kohala Health (HI) goes live on Medfusion’s patient portal. CIO and COO Milton Cortez hopes to soon roll out mobile portal capabilities and virtual consults to the free clinic’s patients.

Pharmacy software vendor QS/1 offers Updox’s Pharmacy Connect technology to its customers, enabling them to securely send and receive data from physician EHRs and communicate with patients for medication therapy management.


People

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David Nace, MD (MarkLogic) joins Innovaccer as an executive advisor.

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Portland-based Cambia Health Solutions – a collective of 20 healthcare companies that dabble in health plans, fostering startups, and investing in the next big thing – elects Michael Koppel (Nordstrom) chairman. It has also named Susannah Fox (HHS), Tim Morgan (AAA), and Jim Reynolds (Nike) to its Board of Directors.


Government and Politics

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CMS launches a website for physicians working in rural and/or underserved areas interested in participating in Quality Payment Programs like MIPS.


Research and Innovation

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An Institute for Health Information Technology survey of providers in Georgia reveals top organizational challenges to be lack of interoperability, IT infrastructure costs, cybersecurity threats, lack of a trained workforce, and patient utilization of engagement technologies. (Surveyed vendors also cited connectivity and cybersecurity as top challenges.) Not to be deterred, respondents plan to adopt telemedicine, predictive analytics, and smart phone apps within the next two years. Georgia-based physicians are in a sweet spot when it comes to access to virtual consult expertise. The state has benefitted from telemedicine-friendly legislation over the last several years, and is home to the Georgia Partnership for Telehealth, which has helped to advanced telemedicine capabilities for providers in rural and underserved areas.


Other

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This article highlights the unethical lengths – including paying commissions to other physicians for referrals and redirecting patients to less-equipped facilities because of kickbacks -  many physicians in India go to in order to attract patients. The “cut practice” has become so widespread, especially among physicians who are just starting out, that it has spawned a public anti-corruption campaign and legislation.


Sponsor Updates

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Jenn, Mr. H, Lorre

More news: HIStalk, HIStalk Connect.

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

JennHIStalk

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