News 1/7/16

Top News

Massachusetts Governor Charlie Baker announces big plans to create a “digital health care hub” in hopes of attracting more business to the state. The initiative, led by the Massachusetts eHealth Institute at MassTech, will provide office space, programming and networking support to digital health startups in Boston. The Massachusetts Competitive Partnership will offer early-stage companies funding, and assistance with developing licensing agreements that will make it easier for them to work with area universities.

Webinars

January 13 (Wednesday) 1:00 ET. “Top 5 Benefits of Data as a Service: How Peace Health Is Breathing New Life Into Their Analytics Strategy.” Sponsored by Premier. Presenter: Erez Gordin, director of information management systems, Peace Health. Finding, acquiring, and linking data consumes 50 to 80 percent of an analyst’s time. Peace Health reduced the time analysts were spending on data wrangling, freeing them up to create new actionable insights.

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

Acquisitions, Funding, People, Business, and Stock

Johnson & Johnson Health and Wellness Solutions partners with Plug and Play Tech Center to launch a three-month technology accelerator in Sunnyvale, CA for startups looking to develop direct-to-consumer wellness solutions, especially those targeting nutrition, physical activity, stress, sleep, and alcohol and smoking cessation. The 12-week program will provide coaching and mentorship support for two groups of companies each year. Awards, possibly including seed funding, will be given to the three most promising companies in each group. Applications for the first group will be received through February 15.

People

Cognosante promotes Davis Foster to president of health data and communications.

Rita Bowen (Healthport) joins MRO as vice president, privacy, HIM policy and education.

HIMSS awards Brian Yeaman, MD its 2015 HIMSS Physician IT Leadership Award. Yeaman is founder and president of Yeaman and Associates consulting firm, and a practicing family physician at Yeaman Signature Health Clinic (OK).

Announcements and Implementations

CareCentrix, a home care company based in Hartford, CN, enters into an agreement with Athenahealth enabling Athena clients to send durable medical equipment orders to CareCentrix via the AthenaCoordinator platform.

Government and Politics

The National Association of Medicaid Directors calls on CMS to reassess the ways in which it measures access to Medicaid, placing special focus on keeping up with technology: “Measures should also allow states to incorporate telehealth initiatives, particularly for highly specialized provider types, behavioral health providers, and other state-identified provider types. Further, measures should be nimble enough so as to keep pace with evolving technology and innovations that states and providers may leverage to facilitate access, particularly for specialty services.”

FTC Chairwoman Edith Ramirez tells likely shocked CES attendees that she prefers a non-connected pedometer to flashier devices like the Fitbit because she doesn’t want “sensitive health information being shared.” Ramirez and several FTC colleagues attended the show to get a better handle on how companies are tackling consumer privacy, protecting information, and data security. She obviously doesn’t yet have much faith in their collective ability to protect consumer data.

Coinciding nicely with the start of many New Year’s resolutions, National Coordinator and Acting Assistant Secretary for Health Karen DeSalvo, MD co-authors a brief on the new dietary guidelines put out by HHS earlier today. The biggest sticking points for most Americans will likely be with the directives to consume less sugar, saturated fats, and sodium.

Telemedicine

Oakland, CA-based Dictum Health forms an executive team as it prepares to launch its telemedicine platform. The cloud-based tablet technology will be geared towards acute-care diagnosis for remote and home-based patients. The new, six-person team includes CEO Mory Ejabat (Ascend), CMO Chris Simmons, MD (John Muir Health) Vice President of Engineering Kim Hobbs (Zhone Technologies), Vice President of Product Management Elizabeth Keate (Allergan), Vice President of Quality and Regulatory Affairs Paul Landesman (Consult Wing), and Vice President of Marketing Deb Anderson (Abbott Laboratories).

Research and Innovation

The Wall Street Journal looks at some of the more novel “connected” concepts coming out of CES (and related patient privacy challenges), including the First Response Pregnancy Pro, L’Oréal My UVPatch, and Aterica’s smart EpiPen case. Of the three, I’m most interested in the patch and its accompanying app, which can tell me how much sun I’ve been exposed to throughout the day. I haven’t yet gotten into the habit of applying sunscreen daily, so a product like this might be just the wake-up call I need.

Other

Yet another reason I’m glad I don’t subscribe to cable: Time Warner Cable announces that the emails and passwords of up to 320,000 customers may have been hacked as a result of malware downloaded during phishing attacks. The company, alerted to the breach by the FBI, is still working to determine how the breach occurred. I suppose TWC wins the dubious honor of the first data breach of 2016.

Contacts

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

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News 1/6/16

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Reports swirl that virtual health kiosk vendor HealthSpot has closed its doors. Rite Aid, which installed 25 of the company’s kiosks in July, issued a statement notifying consumers of the change:

“On Monday, Dec. 28, Rite Aid was notified by HealthSpot of its intention to cease operations effective Thursday, Dec. 31. As a result, the 25 HealthSpot stations located inside select Rite Aid pharmacies in Cleveland, Akron/Canton and Dayton/Springfield will no longer be available to Rite Aid patients and customers after 5pm Thursday, Dec. 31. Rite Aid appreciated the opportunity to offer HealthSpot services to our patients and customers over the past year. We believe very much in the value of telehealth and will continue to explore options to offer such services in the future.”

The Dublin, Ohio-based company also seems to have pulled its kiosks from Cleveland Clinic facilities, notifying them that it will no longer focus on clinical operations. Its website functionality seems to be nil, though founder and CEO Steve Cashman’s LinkedIn profile still lists him as an employee. “We are disappointed to hear HealthSpot’s news,” says Tamara StClaire, chief innovation officer of Commercial Healthcare at Xerox, which provided health IT solutions and services for HealthSpot. “We remain committed to supplying a suite of telehealth services powered by Xerox infrastructure to the industry and will continue to work with startups and small companies to openly innovate and collaborate on new ideas for products and services that benefit consumers and deliver on our vision of anywhere care.”

My best guess as to why the company is sputtering is that it can’t keep up with the glut of more convenient  telemedicine apps nor the surge in retail and urgent care clinics, despite the better affordability of HealthSpot stations, as Cashman outlined in a HIStalk Connect 2013 interview.

HIStalk Practice Announcements and Requests

I finally got around to booking my flight and hotel for HIMSS. I hope my travel experience is smoother than last year, which saw United cancel my flight home and stick me at a HoJo’s out in the Chicago suburbs for the night. Despite the customer service rep’s assurance that the airline would reimburse me for the stay, I ended up with only a $100 credit for a flight I’ll never take.

Speaking of HIMSS, the flood of interview requests hasn’t started yet, though I have noticed several PR firms take a proactive approach in asking me what my show-coverage interests are. Extra points go to the team at Revive Health, who reached out with a series of fun questions. “What’s the worst experience you ever had with PR folks around HIMSS?” was my favorite.

Webinars

January 13 (Wednesday) 1:00 ET. “Top 5 Benefits of Data as a Service: How Peace Health Is Breathing New Life Into Their Analytics Strategy.” Sponsored by Premier. Presenter: Erez Gordin, director of information management systems, Peace Health. Finding, acquiring, and linking data consumes 50 to 80 percent of an analyst’s time. Peace Health reduced the time analysts were spending on data wrangling, freeing them up to create new actionable insights.

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

Acquisitions, Funding, People, and Stock

Oncology software vendor Flatiron Health secures a $175 million Series C round led by Roche. The company will use the investment to continue development of its EMR, PM, analytics, and billing tools. It has also entered into a multiyear, non-exclusive agreement by which the biotech company will purchase some of Flatiron’s life-science offerings.

Chicago-based DuPage Medical Group receives a $250 million investment from growth equity firm Summit Partners. The sizeable infusion of funds will be used to help grow DMG’s PM company, DMG Practice Management Solutions/Midwest Physician Administrative Services,and its focus on population health and adding new lines of clinical services. Summit Partners Managing Director Darren Black will join the independent multispecialty physician group’s Board of Directors. I interviewed DMG CEO Mike Kasper just before its acquisition of Meridian Medical Associates last fall.

Announcements and Implementations

Covenant Surgical Partners (TN) selects PM technology and specialty-specific RCM services from gMed, which was acquired by Modernizing Medicine last fall. The network of ambulatory surgery centers and physician practices has been a gMed gGastro EHR customer for several years.

The Washington, DC Dept. of Parks and Recreation, as well as several local schools, roll out the InjureFree app to enable coaches, parents, and trainers to report and share suspected concussions and injuries. The app is the brainchild of the San Diego-based Agency for Student Health Research, which is in talks with Virginia and Maryland officials about similar implementations.

Research and Innovation

Seoul National University researchers create an extremely thin, stretchable electronic device using gold nanoparticles that shows potential as a continuous heart-rate monitoring device. The monitor, which attaches to the skin like a sticker, is made up of ECG sensors and amplifiers that monitor heart rate while adhering to the skin, and features heart rate and time data in binary and decimal numbers. Researchers have high hopes that the stretchable monitor will make a big impact in wearable health monitoring.

Government and Politics

An OIG audit finds that CMS does not have a process in place to ensure that tax credit payments are made only to health insurance exchange enrollees who have paid their monthly premiums. Apparently, CMS has been relying on insurance companies to make sure that eligible enrollees have been making timely payments. The audit also points out that, because the agency had not developed a computer system to enable marketplaces to share confirmed enrollment data, they could not verify that improper premium tax credits were returned to the Treasury. OIG’s findings follow up its report last year that found CMS couldn’t verify $2.8 billion in subsidies paid out in the first four months of 2014.

Other

Healthcare technology-related items feature in four of AMA’s top nine issues for 2016. Resetting the Meaningful Use program came in just behind Medicare reform, while telemedicine, health data security, and prescription drug abuse and associated drug monitoring programs round out the list. AMA President Steven Stack, MD shared his disdain for EHRs with the Chicago Tribune late last month: “[W]e have graduate-educated physicians who are being forced to use software that looks like it’s on an old-fashioned, DOS-based system, a Tandy, an Atari, the kind of software you can only see in a museum. And that’s the software we’ve been given to manage patients’ health and well-being. So you have physicians whose efficiency is decimated. Their ability to communicate with each other is completely crippled. And then they’re told you’re not doing a good job.”

I have zero experience with server logs, but I’d like to think I’d smile if I found the above poem mysteriously nestled in mine. Anonymous hackers Masspoem4u sent the creative missive to the public Internet in an attempt to hit all the IP addresses it could – potentially hitting tens of millions of machines. Its goal seems to have been to highlight the “importance of keeping the Internet free and decentralized,” adding that, “The Internet is ours and it is adorable.”

Sponsor Updates

• AdvancedMD staff donates 4,402 pairs of socks to The Road Home, a social services agency that helps the homeless in Salt Lake City.
• Aprima Medical Software donates a record eight tons of food to needy families in the Dallas area as part of its annual food drive.
• E-MDs selects Dell Children’s Medical Center for its 2015 holiday giving program.
• The local business paper profiles new GE Healthcare CEO Lee Cooper.

Blog Posts

• ICD-10 Impact on Covered Preventive Services (Culbert Healthcare Solutions)
• Looking Back at a Solid 2015 (EClinicalWorks)
• Forty Years of Building Trust (Healthwise)

Contacts

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

More news: HIStalk, HIStalk Connect.

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News 1/5/16

Top News

Doctors Administrative Solutions acquires ConXit Technology Group for an undisclosed sum and rebrands as DAS Health. The newly combined company, now the largest reseller of Aprima Medical Software, will maintain its headquarters in Tampa, FL. ConXit founder and CEO Shawn Miller will join DAS Health as senior vice president of sales. The company has had a bit of a growth spurt over the last six months, acquiring Spectra Healthcare’s RCM product portfolio and doubling its office space with a move to new digs in Tampa.

Webinars

January 13 (Wednesday) 1:00 ET. “Top 5 Benefits of Data as a Service: How Peace Health Is Breathing New Life Into Their Analytics Strategy.” Sponsored by Premier. Presenter: Erez Gordin, director of information management systems, Peace Health. Finding, acquiring, and linking data consumes 50 to 80 percent of an analyst’s time. Peace Health reduced the time analysts were spending on data wrangling, freeing them up to create new actionable insights.

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

Announcements and Implementations

Thousand Oaks, CA-based Compulink Business Systems develops EHR systems for ENT physicians and urologists.

The 14-physician Orthopedic Institute of Wisconsin selects a suite of RCM tools, including business intelligence reporting, from McKesson Business Performance Services.

Acquisitions, Funding, Business, and Stock

Looks like Lyft is finally getting some love (and potentially giving Uber a run for its money): GM invests $500 million in the ride-sharing company, and will work with it to develop a network of self-driving cars. Uber, by contrast, already operates a research center for self-driving cars in Pittsburgh. No word on whether Lyft will also delve into the world of mobile house calls as Uber has attempted to do over the last several years. Both companies will vie for the business of 150,000-plus CES attendees this week, as they legally compete with the Las Vegas taxi industry for the first time. Hopefully they’ll iron out all the wrinkles before HIMSS opens in just under two months.

Government and Politics

HHS issues a final rule modifying HIPAA that allows psychiatrists to report potentially violent patients that should be prevented from purchasing a gun to the National Instant Criminal Background Check system. The rule, part of President Obama’s recent spate of gun legislation, does not allow providers to share diagnostic or clinical information with the NICBC system.

Presidential candidate/Governor Jeb Bush promotes the use of prescription drug-monitoring programs in his just-released drug-control plan, specifically focusing on the not-so-new need for PDMPs to share data between state lines.

Research and Innovation

Yale School of Public Health student Alex Rich develops the PillTracker to help improve medication adherence. The prototype, in use by several of Rich’s family members, lights up, buzzes, and sends users a text message when it’s time to take their meds. If a pill isn’t taken, the device will text message a care team member with a prompt to call and remind the patient. Rich, a former Air Force Major, hopes to market the finished product to ACOs.

A Journal of the American Osteopathic Association study finds that just over 8 percent of 60,722 eligible patients at 14 community health centers were screened for hepatitis C virus according to 2013 guidelines, which call for testing all patients born between 1945 and 1965. Researchers sifted through de-identified EHR data from a national chain of community health centers to identify the screening gaps, and now recommend an assessment of screening guidelines.

Other

Retired chronobiologist Robert Sothern looks back at the last 48 years he has spent quantifying himself on a daily basis. The 69 year-old, who started wearing a step tracker 14 years ago, takes almost obsessive daily measurements of blood pressure, respiration, and air flow, among other things, in hopes of finding patterns that reveal themselves over decades. “We are rhythmic creatures,"he says. "You look at this … data [and] you can see 10-year cycles in it. You can see daily cycles. You can see even men have something approaching a 28-day cycle in their beard growth, which I did measure for three years, too. By having a rhythm, it proves that you are alive.”

Contacts

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

More news: HIStalk, HIStalk Connect.

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News 1/4/16

Top News

Healthfinch rings in the new year with a $7.5 million Series A round led by Adams Street Partners. The investment brings the company’s total raised to over $10 million since its founding in 2011. The Madison, WI-based business will use the funds to accelerate development of its practice automation platform beyond prescription refill requests. CEO Jonathan Baran hints that future features may include visit planning and patient communication.

HIStalk Practice Announcements and Requests

Happy New Year! It’s nice to be back in the saddle after the holiday break. I have a feeling that, like me, many of you indulged in a bit of media consumption. My latest streaming obsession includes Fixer Upper – apropos given that I’m looking to change abodes within the next year. I didn’t realize “open-concept floor plan” was such a thing. Other media indulgences included watching the latest Mission Impossible (love Simon Pegg!), Pan (why a Nirvana song was included I’ll never understand), and Jurassic World (how did she run in those heels?); and discovering the comedy of Anjelah Johnson. I don’t watch the scale during the holidays, which is a good thing given that I whipped up several batches of sausage balls and discovered the greatest appetizer ever. Email me for the deliciously simple recipe.

Dr. Gregg was a tad more productive, submitting the timely and humorous “Keeping up with the Tech Joneses” for your reading pleasure over the break. Check it out here.

Thanks to the following sponsors, new and renewing, that have recently supported HIStalk Practice. Click a link for more information.

Webinars

January 13 (Wednesday) 1:00 ET. “Top 5 Benefits of Data as a Service: How Peace Health Is Breathing New Life Into Their Analytics Strategy.” Sponsored by Premier. Presenter: Erez Gordin, director of information management systems, Peace Health. Finding, acquiring, and linking data consumes 50 to 80 percent of an analyst’s time. Peace Health reduced the time analysts were spending on data wrangling, freeing them up to create new actionable insights.

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

Announcements and Implementations

Momentum Physical Therapy (VA) upgrades from Clinicient’s PracticeInsight tool to its TotalInsight clinical, financial, and RCM software.

Acquisitions, Funding, Business, and Stock

Health analytics startup Picwell raises $3 million over the holidays, nearly six months after raising an initial $4 million in equity financing. The Philadelphia-based company, which has developed technology that helps consumers select health plans, was founded four years ago by by a group of University of Pennsylvania professors specializing in healthcare and behavioral economics.

People

Steven Green, MD (Sharp Rees-Stealy Medical Group) J. Stephen Jones, MD (Cleveland Clinic) and Thomas Nantais (Henry Ford Medical Group) join the AMGA Board of Directors. Consultant and podcaster David Introcaso (not pictured) has joined the association as senior director for regulatory and public policy.

Telemedicine

Chicago-based behavioral and mental health telemedicine startup Regroup Therapy raises $500,000 in seed funding led by HBS Angels of Chicago. The five-person company, which calls incubator space Matter home for now, was started last year by Peace Corps alum and former CEB executive David Cohn.

I assume it’s not too late to order DocChat’s virtual visit gift certificates. Publicized as the “first” of their kind, the gift certificates may be just what the post-Christmas, cash-strapped consumer needs to battle back-to-work and –school bugs.

Government and Politics

The Massachusetts Dept. of Public Health awards Appriss a five-year, $6.2 million contract to develop new prescription-monitoring software as part of the state’s (not to mention the nation’s) efforts to crackdown on opioid abuse. The vendor maintains and shares data with similar online tools for 22 other states. Scheduled to go live this summer, the tool will integrate with physician EHRs.

CMS calls for feedback on how to better assess and incorporate quality reporting requirements into EHR certification. Comments are due February 1.

Calling all caped privacy crusaders: The FTC will host its first PrivacyCon January 14 in Washington, DC. The free event seems light on healthcare-related presentations, barring several related to personalized medicine and genetic testing. I’m willing to bet, however, that our industry’s rash of breaches will be a hot topic amongst attendees.

Research and Innovation

Cambridge, MA-based Vecna Technologies looks to streamline the patient intake process with a Vitals Chair that can record blood pressure, body temperature, and weight, ask a series of questions, and transmit the data to the patient’s EHR. The VA is trying out the chair at two locations in hopes of a nationwide rollout. Data/furniture thieves will be disappointed to learn that the chair itself does not harbor any patient information. I had the opportunity to meet Vecna co-founder Deborah Theobald at the company’s headquarters last fall, and was fascinated to learn about the work its nonprofit, Vecna Cares, is doing to help provide better healthcare with “lite” EHRs in impoverished countries.

Rio, eat your heart out: University of Tokyo scientists create a touchable hologram via the Haptoclone machine. The tactile sensation is akin to lightly stroking an object. The scientists are confident the sensation of a handshake or bear hug is not too far off.

ACT, aka The App Association, releases its State of the App Economy Report. Healthcare highlights include top growth areas of chronic conditions, personal fitness, and remote monitoring, plus the overwhelming enthusiasm physicians have for the central role apps will play in patient health by 2020.

Other

President Obama takes a ride with Jerry Seinfeld to promote Healthcare.gov.

CES kicks off in Las Vegas this week, giving HIMSS a run for its money in terms of anticipated attendance and heightened security precautions due to “recent global tragedies.” Dell CMO and CES panelist Nick van Terheyden, MD pens his annual healthcare predictions for the show here.

Contacts

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

More news: HIStalk, HIStalk Connect.

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DOCtalk with Dr. Gregg 12/29/15

Keeping up with the Tech Joneses

The Joneses have been around a long time. Heck, I’d wager that Mr. and Mrs. Caveman even had their issues with keeping their boulders as polished and their campfire as bright as the those of the next door rock-dwelling clan. Given that, it probably shouldn’t be any real shocker to notice a sense of envy when a high tech-oriented doc (i.e., me) finds himself feeling the pull to get the latest and greatest gadgetry for his office when confronted with the wow and wonder of another office that has just installed the newest techno-marvel system or device.

It isn’t that we don’t have a pretty gadget-heavy office; we do. But in today’s rapid fire technology advancement world, what once was the best thing since sliced bread pretty quickly becomes crusty and stale, perhaps even a little moldy, when compared with HITland’s most recent baked goods.

Having a cutting-edge office, techno-wise, isn’t easy, especially if you don’t have a multimillion-dollar endowment fund, a clutch of support geeks upon whom to rely, and a research department to keep you up to date on HIT’s breaking trends. Plus, it gets even harder when best laid digital plans don’t deploy as predicted. A few cases in point:

• Hardware: Faster processors, mucho more memory, higher rez monitors, touchscreens, tablets, better scanners, newer printers, higher bandwidth modems and routers, and on and on. (It wasn’t that long ago when “hardware upgrades” mainly involved newer pens, and those were typically free in bulk from drug reps!)
• Operating Systems: Windows Server 2003 and 2005, XP, Vista (yes, we used Vista), Windows 7, Windows 8 – lots of updates in a relatively short time. (Thank goodness that Windows 10 is free.) I remember when, less than two decades ago, “operating system upgrades” were newer charts, nicer paper. and maybe sturdier clipboards. The upgrade costs were oh-so-nominal.
• Associated Software (Server, Security, Productivity, etc.) Versions 1.0 to X.X: Upgrades, upgrades, upgrades. The software does get better, but the verdict is out on whether the seemingly endless cash drain is matched by the “improvements.”
• Patient Portal, Part 1: Back near the beginning of this century, we bought a not-inexpensive EHR that included a patient portal. (This was at a time when very few folks were even talking about such things, when “patient-centered” medical care was mainly the mantra a few “radicals” trying to change the doctor-as-God healthcare model.) That portal wasn’t very pretty – it was actually butt-ugly – but we were promised that it was “on the dev timeline” for improvement. Considering how lovely the rest of the EHR was, we thought it would advance and so also purchased two touchscreen monitors. (This was back in Windows XP days, when touchscreens were relatively uncommon.) These touchscreens were for patients to use at our reception area to log in and access/update their patient data. Fast-forward some years, and that EHR system was acquired-acquired-acquired-sunsetted without one further tweak to the portal. Purchased, but never used.
• Patient Portal, Part 2: After moving onto a new EHR, we found ourselves again with an included patient portal that, despite the beauty and remarkable workflow of the main system, was not very attractive and wasn’t very functional for our use. (I think it was lower priority, mostly built to address MU.) Thus, we set about finding an absolutely beautiful standalone patient portal that was perfect for our families. Only a year or two later and this system was also acquired and sunsetted. More time, money, and energy invested on a very brief, short-term return.

Recently having visited a nice, new large-group practice with all the techno bells and whistles, I’ve felt a real pang to purchase and deploy sleek, new gadgets and find a new system with a really good patient portal. But, beside the immediate financial impact, workflow disruption, and time costs involved with such changes, several nagging thoughts continue to halt my “keeping up with the Joneses” ambitions:

• Does the “latest and greatest” really have a measureable enhancement on patient care? That is, are we not doing something now for those we serve that better tech would then allow?
• Does there ever come a point where the investment in HIT slows, or at least decreases?
• How much of my kids’ college funds (or of my retirement!) am I willing to keep giving away to keep up with the techno-Joneses?
• Having the “most high-tech rural pediatric practice” was great when we started, but just how important is it to maintain the cutting edge …  and is “the cutting edge” cutting anything except my bottom line?

From the trenches…

“Me? Jealous of you? Bless your little delusional heart.” – Rotten eCards

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.

Contacts

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

More news: HIStalk, HIStalk Connect.

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