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News 9/28/15

September 28, 2015 News Comments Off on News 9/28/15

Top News

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The clamor for HHS to postpone Stage 3 of Meaningful Use continues, with over 100 members of Congress writing to HHS Secretary Sylvia Burwell and OMB Directive Shaun Donovan with just such a directive. Congressional leaders including Reps. Renee Ellmers (R-NC), Tom Price (R-GA), and David Scott (D-GA) want to tweak the program to “incentivize technology that enables interoperability and improved health outcomes rather than incentivizing technology that counts how many times a provider performs an activity.” Their letter comes less than a week after AMA and dozens of other trade groups penned a similar plea.


Webinars

October 7 (Wednesday) 1:00 ET. “Develop Your Analysts and They’ll Pay for Themselves.” Sponsored by Health Catalyst. Presenters: Peter Monaco, senior business intelligence developer, Health Catalyst; Russ Stahli, VP, Health Catalyst. It takes years for analysts to develop the skills they need to build reports and dashboards that turn data into valuable insights. This webinar will describe how to cultivate those analytical skills, including technical prowess and adaptive leadership. Leaders will learn how to develop a culture that fosters improvement, how to encourage analysts to develop the right skills, and ways to remove the barriers that stand in their way.

Contact Lorre for webinar services.


People

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Kaiser Permanente promotes Rahul Rastogi, MD to COO of Northwestern Permanente.


Government and Politics

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The World Health Organization, Bill & Melinda Gates Foundation, and World Bank establish the Primary Health Care Performance Initiative to better enable countries to monitor, track, and share key performance data for primary care. The initiative will track 25 performance indicators across 135 countries to help global health policy makers and workers better understand primary care outcomes. “We know that better measurement can guide smarter, more effective planning and action,” says Bill Gates. “It’s time to get serious about tracking and measuring primary health care performance, so that countries have the data they need to efficiently direct resources to improve the health of their citizens, especially women and children.”

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NIST and the National Cybersecurity Center of Excellence extend the deadline to submit public comments on their guide to securing EHRs on mobile devices to October 23.

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The ACP calls out four shortcomings in ONC’s Federal Health IT Strategic Plan:

  • Lack of prioritization around health IT’s role in reducing unnecessary administrative burdens;
  • Disregard for the documentation burden caused by legacy billing systems;
  • Lack of reconciliation between the plan’s goal of establishing a responsive health IT infrastructure with what Stage 3 of Meaningful Use will likely bring – “a fixed infrastructure that is impervious to the future findings of the learning health and healthcare system.”
  • A need for health IT to sometimes be obtrusive, especially in cases related to medication safety.

Announcements and Implementations

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Nuance launches the Dragon Medical Advisor computer-assisted physician documentation tool, which automatically provides physicians real-time quality feedback during patient-encounter documentation.

Affinity Billing releases the ClinicMind GEMs Plus ICD-10 code-selection tool for mental health practices.

Houston-based Pediatric Consultants, PA implements DocsInk’s mobile charge-capture and secure messaging platform to better enable its on-call physicians to avoid lost charges.

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The MitoCanada Foundation partners with RelayHealth to launch a personalized portal for patients suffering from mitochondrial disease. The Web-based portal will offer patients access to their EHRs and secure storage of personal health data, including appointment history and test results.


Telemedicine

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Fort Lauderale, FL-based ScribeAmerica acquires eScribe for an undisclosed amount. Both companies specialize in providing medical scribes to hospitals, specialty physician practices, and urgent care facilities. ScribeAmerica will fold eScribe’s virtual scribe program into its TeleScribe service for physicians in rural areas and/or smaller practices. The acquisition marks the second for ScribeAmerica this year: It acquired Medical Scribe Systems in April.

Anthem Blue Cross and Blue Shield partners with Greenwood Village, CO-based Script Adviser to offer members in Colorado access to infectious disease specialists via telemedicine.


Research and Innovation

MGMA’s latest cost and revenue survey finds that physician-owned multispecialty practices spent close to an average of $21,000 more than the previous year for healthcare IT – an increase of nearly 12 percent. Practice spending on technology has increased 34 percent since 2010. I wonder how spending figures correlate with exhibitor sign-ups and hall foot traffic at MGMA’s annual conference. This year’s event kicks off October 11 in Nashville.

Selecting and implementing new technology are at the bottom of physician to-do lists, according to a Kareo and AAPP survey of 862 providers representing insurance-based practices and concierge/direct-pay practices. Physicians who have jumped into new business models rank patient recruitment and financial viability as top priorities, while more traditional physicians focus on financial viability and hiring and keeping qualified staff.

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A Surescripts patient experience survey reveals a majority of patients have more love for DMV license renewal than they do for the process of becoming a new patient, largely due to missing or incomplete medical records (not to mention the inability to transfer records from one provider to another without hassle). This lack of interoperability has led to some surprising patient revelations: 61 percent said their physician isn’t aware of their allergies; 49 percent indicated their physician has no idea what prescriptions they’re taking; and 40 percent say their physicians aren’t aware of their existing medical conditions. While Surescripts has a vested interest in promoting the need for interoperability (the company launched a record locator and exchange service in May), these results highlight a pretty basic lack of patient/provider communication, and a continued need for patient education and health literacy resources. 


Other

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Polish medical students learn to empathize with their elderly patients after donning suits that simulate the effects of geriatric ailments related to joints, mobility, and vision.

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Good news for occasional or constant fidgeters, particularly those that sit at desks for the majority of their work day: Research shows that fidgeting may prevent ailments associated with sitting too much, including diabetes, heart disease, and premature death. Non-fidgeters have a 30-percent higher risk of death when sitting for seven more hours per day, regardless of exercise.


Sponsor Updates

  • Nordic posts video highlights from its open house during Epic’s user group meeting. It was brilliant – they worked with a local brewery to create a custom beer, distributed it to 14 bars and restaurants, and donated $1 for every pint poured to The Road Home Program for veterans. I was trying to figure out ways to shamelessly steal their idea for the HIMSS conference.

Blog Posts


Contacts

JenniferMr. H, Lorre, Dr. Jayne, Dr. Gregg, Lt. Dan

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Population Health Management Weekly Wrap Up 9/27/15

September 27, 2015 News Comments Off on Population Health Management Weekly Wrap Up 9/27/15

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Symphony Technology Group subsidiary Evidera launches a real-time analytics platform for a variety of data sources including claims, EHRs, and registries. Analysis Apps are included for such areas as drug safety, epidemiology, health economics, and comparative effectiveness.

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Seattle-based data analytics firm Atigeo raises $18.4 million in a funding round led by a super-angel investor, with contributions from Ascension Ventures and other private investors. The company, which markets its XPatterns software to providers looking to jump to value-based business models, plans to double its staff over the next year.

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Summit Medical Group (TN) selects Athenahealth’s AthenaCommunicator Enterprise solution to advance population health management initiatives across its 54 locations in 12 East Tennessee counties. Management services organization Summit Strategic Solutions will handle the implementation.

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John Muir Health (CA) chooses Health Catalyst’s enterprise data warehouse and analytics platform.

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The National Governors Association offers states advice on how to use data to better serve healthcare super users and big spenders, highlighting the success several have seen with sharing data via HIE. (I was amused to see that even the NGA lets “HER” slip into official reports.)

Genesis Accountable Physician Network and University of Texas Southwestern Clinically Affiliated Physicians partner to form the UT Southwestern Accountable Care Network in an effort to better align primary and specialty care across providers and payers. The network, made up of UT faculty physicians and independent physicians, will offer its members access to technologies for population risk stratification, predictive modeling, sophisticated disease registries, point-of-care management, and automated appointment reminders.


Contacts

JenniferMr. H, Lorre, Dr. Jayne, Dr. Gregg, Lt. Dan

More news: HIStalk, HIStalk Connect.

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

JennHIStalk

News 9/24/15

September 24, 2015 News 1 Comment

Top News

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Healthcare can’t seem to catch a break when it comes to cyber security concerns: A Raytheon|Websense study finds that healthcare sees 340 percent more security incidents than the average industry and is that much more likely to be impacted by data theft. (Health data is now 10 times more valuable on the black market.) Researchers have also found that one in every 600 attacks in healthcare involve advanced malware, and that the industry is 74 percent more likely than others to be impacted by phishing schemes. There doesn’t seem to be much of a silver lining here, other than to point out that any organization that hasn’t yet been breached has ample opportunity to learn from the mistakes of others. (I can’t decide if if the image of clipboard and paper above is intentionally ironic or actually quite fitting given the report’s dismal statistics around digital health data.)


Webinars

October 7 (Wednesday) 1:00 ET. “Develop Your Analysts and They’ll Pay for Themselves.” Sponsored by Health Catalyst. Presenters: Peter Monaco, senior business intelligence developer, Health Catalyst; Russ Stahli, VP, Health Catalyst. It takes years for analysts to develop the skills they need to build reports and dashboards that turn data into valuable insights. This webinar will describe how to cultivate those analytical skills, including technical prowess and adaptive leadership. Leaders will learn how to develop a culture that fosters improvement, how to encourage analysts to develop the right skills, and ways to remove the barriers that stand in their way.


#HIStalking Tweet Chat

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Check out the recap of today’s #HIStalking tweet chat, hosted by @iatricFJF.


Announcements and Implementations

AristaMD will integrate the University of California, San Francisco’s Electronic Physician Referral and Consultation Platform into its software and service referral support program as part of a five-year licensing agreement.

RxNT partners with FlavorX to enable pediatricians to choose a patient’s medication flavor via its e-prescribing or EHR tools.

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Entrada updates its mobile documentation and communication platform to include a real-time view of clinical schedules, care coordination and secure messaging tools, and quick reference to clinical data synced from the EHR.

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Mountain Medical Physician Specialists, a radiology practice with 70 physicians serving patients in Utah and Idaho, moves from an in-house billing system to RCM services from Medical Billing Experts.


Government and Politics

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FDA’s Associate Director for Digital Health Bakul Patel tweets out the agency’s need for three digital health scientists. Job duties include: review digital health policies and programs to determine their impact on current operations or regulations; researching emerging digital health technologies; identifying opportunities for innovation and collaboration; and improving processes and policies to remove barriers to the development and incorporation of digital health technologies.

Massachusetts Governor Charlie Baker names Fay Donohue (DSM/Dentaquest), Bill Geary (Flare Capital Partners), and Colin Hill (GNS Healthcare) to the Health Information and Analysis Oversight Council, which is developing the research agenda and analytic priorities of the state’s Center for Health Information and Analysis. The council, which met for the first time yesterday, also includes Marylou Sudders, state secretary of HHS, and Kristen Lepore, state secretary of administration and finance.


Telemedicine

Hello Health announces the successful physician practice implementation of and reimbursement for its Wellbox telemedicine chronic care management system.

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TelehealthOne opens a walk-in clinic at Fred’s Pharmacy in Flora, Mississippi. It’s the first walk-in clinic in the town of just under 2,000 people.

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Northern Oswego County Health Services Inc. (NY) receives $1 million in funding from HHS as part of the ACA Health Infrastructure Investment Program. NOCHSI, which serves 30,000 patients across, will use part of the financing to provide telemedicine services to its primary care practice locations.


Research and Innovation

A survey of 400 physicians reveals that quality patient interaction is key to experiencing joy while practicing medicine, and yet 80 percent of physicians feel those experiences are highly difficult to attain. Between 80 and 90 percent feel it’s becoming harder to authentically engage patients; focus on their needs, treatments, and methods; and develop intimate professional relationships with them. The results aren’t surprising, given the proliferation of screens between physician and patient, and the decreasing amount of time available to physicians – particularly PCPs – to spend with them during office visits.


Other

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A ComScore report shows that Americans spent up to 70 hours using smartphone apps in June; those in the 18-24 bracket spent almost 90 – compelling statistics for companies looking to get into the mobile healthcare app business. Seventy hours would seem like plenty of time to explore dozens of apps, and yet just three took up the biggest chunk of time for users – Facebook, YouTube, and Facebook Messenger. Fitbit, as well as Under Armor’s Myfitnesspal and Mapmyfitness, were singled out as the fastest-growing health and wellness apps.


Contacts

JenniferMr. H, Lorre, Dr. Jayne, Dr. Gregg, Lt. Dan

More news: HIStalk, HIStalk Connect.

Get HIStalk Practice  updates.
Contact us online.
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JennHIStalk

#HIStalking Tweet Chat Recap

September 24, 2015 News Comments Off on #HIStalking Tweet Chat Recap

Readers Write: Everybody’s Talkin’ Telemedicine

September 24, 2015 News Comments Off on Readers Write: Everybody’s Talkin’ Telemedicine

Everybody’s Talkin’ Telemedicine
By Janet Munro, CEO, Mehealth

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From the corridors of power, where talk is of the Telehealth Parity Act, to the drugstore on the corner, with CVS Health reporting patient satisfaction rates topping 90 percent in its huge telemedicine pilot, everybody’s talking about telemedicine.

But does it work? Yes. Over 40 years of publications demonstrate that telemedicine saves money for patients, providers and payers; improves care; and yields high levels of patient satisfaction.

Here’s an example. There is a problem in pediatric ADHD care. The percentage of US children diagnosed with ADHD is climbing alarmingly; 11 percent of US children have diagnosed with ADHD. Specialists are warning that although environmental factors and social pressures may partly account for the rise in cases, poor diagnostic practices are also (probably substantially) to blame. The recommendations for the evaluation and diagnosis of ADHD are clear, but they are not systematically being followed. Misdiagnosis is a big problem. Of the 6.4 million kids diagnosed with ADHD, 4.2 million have been prescribed psychostimulants.

The American Academy of Pediatrics recommends the use of the Diagnostic and Statistical Manual of Mental Disorders. The relevant symptom groups should begin before 12 years of age, be present in at least two settings (for example home and school), and cause meaningful impairment. The symptoms and impairment should not be better explained by some other diagnosis, psychiatric or otherwise.

Digital health technologies are great for automatically coordinating this type of complex clinical task:

  • Communication.
  • Remote monitoring.
  • Data analysis and application of algorithms.
  • Mapping individual results against guidelines.
  • Providing alerts.

Does this example resonate with you? Are you ready to begin utilizing telemedicine? Let’s take a look at best telemedicine practices that will start physicians off on the right foot:

  • Use telemedicine to solve a problem. it’s best to start by using technology to tackle a clinical or admin problem that really bugs you. So, list your everyday challenges, determine what telemedicine tools could help you solve them (talk to colleagues, associations, professional organizations, etc.), then pick just one problem and implement a solution to help you tackle it. Don’t try to boil the ocean!
  • Check out the laws in your state. We’re moving towards central regulation of telemedicine, but we’re not there yet.
  • Check your equipment. For a remote consultation, you need a reliable Internet connection. For IT solutions such as on-line clinical decision support tools, make sure your Internet browser is compatible with the software.
  • Don’t share your passwords and user credentials. It’s bad practice and will likely violate the terms and conditions of your service providers. If someone else in your practice needs access, then they need their own log-in.
  • Privacy and confidentiality are critical. For a remote consultation, make sure you have a private and professional location, just as you would do in your clinic.
  • Select the right patients for telemedicine interventions. It’s great for some patients, but not right for others.
  • Obtain the patient’s consent. Whether it’s for use of a remote monitoring tool, a clinical decision support tool in the clinic, or a remote consultation. Explain what the technology is, why you are using it, and if there are any risks. Make sure patients understand what’s required of them, too.
  • Think “patient-centered care” – not technology centered care!

Ready to begin? Check out the American Telemedicine Association or your own specialty organization and get connected.

Janet Munro is CEO of Mehealth in Marlborough, MA.


Contacts

JenniferMr. H, Lorre, Dr. Jayne, Dr. Gregg, Lt. Dan

More news: HIStalk, HIStalk Connect.

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

JennHIStalk

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