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MGMA 10/11/15

October 12, 2015 News Comments Off on MGMA 10/11/15

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Aside from very finicky WiFi at the hotel, my first day at my second MGMA conference was smooth sailing. The trip to Nashville has been so much more pleasant than my trek to Las Vegas for last year’s event. The three-and-a-half hour car ride through Tennessee mountains and valleys under sunny skies put me in a great mood by the time I arrived at the Gaylord Opryland Hotel & Convention Center. The soothing sounds of waterfalls, beautiful blown-glass sculptures, shopping, and helpful MGMA volunteers also kept my spirits up. The MGMA15 app also seemed to keep attendee morale high, given the complimentary tweets it garnered.

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After grabbing my press badge, I headed to the opening keynote, where I ran into Jamie Simonds and Pamela Kershes, both office managers for independent Capital Area Pediatrics (VA). They are new MGMA members, eager to explore all that the conference has to offer. It didn’t take us long to get talking about ICD-10, which both women assured me went smoothly at the six-practice organization, a GE Centricity shop – a sentiment I heard throughout my first few hours at the conference.  I later spied the two checking out RCM solutions at the RemitData booth.

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A Dixieland jazz band greeted attendees as we filed into the keynote ballroom. The space has nothing on the likes of HIMSS. It felt downright small by comparison, which made the antics of the band members all the more enjoyable as we waited for the presentation to commence.

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After the typical organizational pleasantries – presentation of the Board of Directors, thank yous to all involved, etc., MGMA President and CEO Halee Fischer-Wright, MD took the stage and got straight to business: Physicians are really good at complaining, she noted, but not so great at channeling their frustrations into change. She even engaged in a little pillow talk, divulging the documentation complaints of her physician husband, who now believes MD stands for “Miserable Doctor.”

Her presentation can be boiled down to four words: “Stop Whining. Start Leading.” She called for a revolution in practice management, telling physicians the time has come to embrace their inner MBA rather than continue to stick their heads in the sands of financial ignorance and mismanagement. She had nothing kind to say about Meaningful Use or EHRs, a sentiment cheered by attendees, who also applauded her frankness on the subject of incentive programs that ultimately get in the way of patient care.

Fischer-Wright also made sure to emphasize the need to level the playing field between payers and practices, telling the crowd that, “It’s time we get as good at fighting for our dollars as insurance companies have gotten at fighting for theirs.” I could have sworn she mentioned United Healthcare in this context, which is fairly ironic given that they’re exhibiting this year.

After a fairly underwhelming keynote from Jeremy Gutsche, author and founder of TrendHunter.com, I headed to the opening reception in the exhibit hall, an area that wasn’t hard to cover given that it seemed significantly smaller than last year’s layout. There also seemed to be a general downsizing on the part of all exhibitors – no two-story booths, adjacent closet-like conference rooms or in-booth presentation areas. The largest real estate seemed to be taken up by Athenahealth, which was well warranted given the amount of foot traffic they had in just the first two hours.

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I couldn’t resist snapping this pic of the Healthicity booth, which also seemed to be consistently busy. The company is new to me: The T-shirt shaped flyer included with my press credentials tells me it focuses on auditing, compliance, and analytics solutions.

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I’m typically a sucker for a good caricature, but Experian’s chairs were all taken by attendees either sitting for portraits or demos.

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Optum’s pink punching bags pulled me in. They plan on donating up to $2,500 to the Breast Cancer Research Foundation provided they get enough signatures on the bags. Like many others, it didn’t take me long to come up with the names of people in my life that have been affected by breast cancer.

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A quick note-taking break gave me the opportunity to chat with Michelle DePew and Carol Hamerski from the Kemper CPA Group, who also didn’t have any practice-shattering news to share about ICD-10. DePew told me she got the most physician calls two days before October 1. Their clients work with a variety of EHRs and PM solutions including EClinicalWorks and Epic.

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AdvancedMD’s new booth and branding caught my eye. They have not hesitated to move forward with forging their own identity after splitting from ADP.

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Companies willing to do good and give back also tend to reel me in, and Dispensary of Hope was no exception. The charitable medication distributor connects surplus medications from providers, distributors, and manufacturers to a network of safety net clinics serving the poor and uninsured.

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Speaking of no exceptions, whack-a-mole always seems to draw a crowd. (There was a line four deep at the ScribeAmerica booth.) I still don’t understand the fascination. I may have to circle back tomorrow to see what they are giving away.

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The UnitedHealthcare booth was hopping, perhaps because of Fischer-Wright’s keynote mention. She also mentioned that collaboration will be key to physicians taking back their “power,” and United has definitely become adept at forging new partnerships.

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Miniature golf is also one of those show-floor activities that never seems to disappoint. The Avery Partners team seemed to be having a good time.

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My second-to-last last photo op came at the end of the opening reception, courtesy of the friendly ladies of Tennessee MGMA. Emily McClure, practice manager of two facilities within the Knoxville, TN-based University Pulmonary and Critical Care network, told me that MGMA offers her the perfect opportunity to shop around – not necessarily for a specific technology or solution, but for industry developments she needs to stay on top of.

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I couldn’t leave the exhibit hall without snapping some fashionable footwear, and what’s a trip to Nashville without cowboy boots? The folks at Pulse Systems didn’t hesitate to put their best feet forward, after which I headed to the hotel for dinner and the day’s recap. Until tomorrow …


Contacts

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

More news: HIStalk, HIStalk Connect.

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Patient Engagement Outside the Office – #HIStalking Tweet Chat Thursday, October 15 at 1pm ET

October 11, 2015 News Comments Off on Patient Engagement Outside the Office – #HIStalking Tweet Chat Thursday, October 15 at 1pm ET

Join @JennHIStalk and @loranstefani (Loran Cook, product evangelist and quality assurance, Billian’s HealthData) for a discussion on patient engagement feedback loops. Preview #HIStalking discussion questions below and brush up on how to participate in a tweet chat towards the end of this post.

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I’m Loran, and I want to talk about patient engagement. Not the token survey, or what a clinician or administrator thinks a patient might think or feel, but real, raw feedback loops that can be used to improve our healthcare system. My educational background is in data analysis and policy studies, but for this chat, I want to speak from personal experience. My father was diagnosed with non-Hodgkin’s lymphoma in 1995, when I was 10 years old. I cannot count how many times we thought we were about to lose him, but I’m happy to say he’s still here filling the role of my number-one fan (and I like to think I return the favor). He holds master’s degrees in educational technology and instructional design technology, which he earned in the last stages of his chemotherapy with a stellar note-taker, yours truly. We bounce ideas around a lot about health IT and where we think the process gets derailed. A key component that we’ve identified is how a patient or caregiver can communicate these cracks back to the system in a way that gets effectively addressed.

Ideally, it would be at a place where government, administrators, clinicians, and IT specialists convene. When HIStalk sponsored HIStalking patient scholarships to attend HIMSS earlier this year, I wanted to find a way to study their impact. Fortuitously, Symplur Signals announced a social media analytics competition with Stanford Medicine X, and I was able to use the organization’s database to analyze the tweets sent and received during a certain set of healthcare conferences. My research team and I found that patient/caregiver engagement looked very different at each conference in terms of participation, volume, and dialogue versus one-off comments. I invite you to join us for a tweet chat on Thursday, October 15 to explore why this is, and what we can do to better amplify the patient/caregiver voice to influence the massive changes taking place in our health system.

#HIStalking Discussion Questions

Q1: How can we use data to motivate providers to make records electronically available to patients and caregivers?

  • Meaningful Use Final Rule. Originally defined to have 5 percent of patients demonstrate that they could successfully view, download, and transmit data to their provider, but based on provider feedback that not enough patients were even asking for electronic access, the requirement was reduced to 1 patient viewing, downloading, OR transmitting data electronically.
  • Clearly, the government is not going to force this on anyone. The missing link is that it’s no one’s job to educate patients/caregivers about their rights, and the market simply hasn’t responded with a process simple and universal enough for mainstream use.

Q2: How can we increase universality of electronic record formats/apps?

  • Imagine if Uber only worked 10 percent of the time. I’ve deleted several medical records apps for that reason –  they didn’t meet the need consistently, weren’t universally accepted (what’s a Direct email address – none of my providers knew), or served a limited purpose (billing being separate from medical). As Vince Kuraitis put it, a 95-percent built bridge doesn’t work – we need 100 percent.

Q3: How can the health system work around a patient’s lack of medical knowledge to get at the crux of their feedback and then make it actionable?

  • Paul Krugman’s recent piece lays out why he thinks patients don’t want to be considered consumers. The best analogy I can think of is that as an educated but not omniscient Google user, I can start typing misspelled words using poor grammar, and nine times out of 10, Google will regurgitate whatever I was getting at, leading me to the correct information. Can the same thing be done to interface with patients and caregivers?

Q4: How might we make healthcare conferences more receptive to patients and caregivers?

  • It’s not about coddling and patronizing – if a patient or caregiver takes time out of their busy schedule to attend an event, they simply want to be heard and make an impact. How can we facilitate part of the healing process (using their pain to improve the system for everyone) and create a platform to truly listen to what they have to say?

Q5: What organizations or programs are successfully bridging the gap between patients and providers from an infrastructure perspective?

Thanks for reading – I hope you’ll make time to join the conversation and share your thoughts!


Tweet Chat Instructions

It’s easy to join the Twitter conversation by logging into TweetChat, which automatically keeps you in the conversation by tagging all tweets with the #HIStalking hash tag. If you are unable to access the TweetChat room, simply search in Twitter for #HIStalking and follow the conversation. To contribute, be sure and tag your tweets with #HIStalking so they can be seen by other chat participants.


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

5 Questions with Kate Fischer, Director, Free Health & Healing Clinic

October 11, 2015 News Comments Off on 5 Questions with Kate Fischer, Director, Free Health & Healing Clinic

Kate Fischer is director of the Free Health & Healing Clinic at the Open Door Mission in Omaha, NE. The clinic implemented telemedicine services from Omaha-based DocOn, and now sees 200 patients a week via the virtual service.

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What prompted the mission to look into adopting telemedicine technology?
DocOn came to us wanting to partner with us on a trial basis. The company has issued us vouchers so that our guests can use their services for free. When we do not have a medical provider on duty, the nurse can call DocOn to meet the needs of our guests.

What physicians is the mission partnering with for its telemedicine services?
DocOn provides physicians through its service. The type of physician that seems to be drawn to providing telemedicine service is entrepreneurial and constantly looking for innovative ways to reach and keep in touch with his patients.

Why did you choose to participate in a trial run with DocOn rather than working with another vendor? 
The idea was instantly accepted by our guests and is now used weekly in our clinic. DocOn founder Christy Armendariz comes twice a week and helps our volunteer nurses navigate through the system. It is quite simple to use and the nurses find it very efficient for our clientele. I have recommended it to others.

How receptive have mission residents/patients been to it?
They love it! Calling for a doctor’s appointment can be a two- to three-week wait. Calling DocOn in the clinic with the nurse present gets a quicker response to their need. Many guests come to us from being incarcerated, with health issues like high blood pressure but with no medications. Our nurse can call DocOn, the patient then registers, and the doctor comes on and visits with the guest and calls in the script to a nearby pharmacy. Medication is then picked up and started the same day. Providers can prescribe medications when medically necessary, but cannot prescribe any restricted medications via video.

Does the mission anticipate expanding its telemedicine services in the near future? How so?
Yes! DocOn has benefitted so many of our guests we are planning to obtain more vouchers to expand services.


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

Population Health Management Weekly Wrap Up 10/11/15

October 11, 2015 News Comments Off on Population Health Management Weekly Wrap Up 10/11/15

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Orlando Health implements VigiLanz’s new BI and predictive analytics SaaS product, designed to help hospitals prevent readmissions, reduce medical errors, identify disease trends, and optimize clinical interventions.

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San Francisco-based Healthline Networks launches data analytics business Talix in an effort to better differentiate its consumer health information and enterprise software businesses. HealthLine will transfer its health graph, NLP and search technologies, and its configurable clinical rules database over to the new subsidiary.

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New Hampshire-based hospitals Dartmouth-Hitchcock, Elliot Health System, and Frisbie Memorial Hospital partner with Harvard Pilgrim Health Care in a joint venture called Benevera Health that will provide care and share financial risk for 80,000 local residents. Harvard Pilgrim is talking with seven other hospitals about joining the venture. “Our new company is a game changer,” says Harvard Pilgrim CEO Eric Schultz. “The goal is to vastly improve patient care in New Hampshire by injecting personnel and new technology that will provide doctors and other clinicians with the information they need to help their patients make the best choices about their healthcare.”

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Nonprofit collaborative Wilderness Health implements the EClinicalWorks CCMR population health tool across its nine health systems in rural Minnesota and Wisconsin.

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McLaren Health Care (MI) chooses Cerner for EHR, revenue cycle, and population health management. McLaren selected McKesson Paragon and Allscripts EHR in 2010 and will replace both.

Albany, NY-based business leaders and government officials seek $500 million in state funding as part of an ambitious plan to turn the area into a cluster for population health technology innovation. The proposal calls for the development of collaborations and partnerships between area providers, payers, and vendors; a regional board to guide funding; and establishing partnerships with IBM Watson Health and GE Research to support data analytics. Other ideas include the creation of a neighborhood/testing ground for sensors and wearables. A funding decision is expected by the end of December.


Sponsor Updates

  •  Intelligent Medical Objects will exhibit at the CHIME Fall CIO Forum 2015 October 14-17 in Orlando.
  • The Wall Street Journal features PerfectServe’s latest round of funding in its Venture Capital Dispatch.

Blog Posts


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 10/8/15

October 8, 2015 News Comments Off on News 10/8/15

Top News

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The Social Security Administration becomes the first government agency to join CommonWell, making it the organization’s 34th member. The agency requests over 15 million medical records from “almost every healthcare provider” to assist it with making decisions about 3 million disability claims each year. The announcement comes on the same day that Cerner announced it has signed up 75 clients, representing 1,200 care sites, for CommonWell’s interoperability services.


HIStalk Practice News and Announcements

The HIStalk Must See Exhibitors Guide for MGMA 15 is now live. Check out what some of our sponsors will be doing at the show, plus preview some great giveaways.


#HIStalking Tweet Chat

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Loran Cook (@loranstefani) will host the next #HIStalking tweet chat on Thursday, October 15 at 1pm ET. Stay tuned for discussion topics. Check out past chat recaps here.


Acquisitions, Funding, Business, and Stock

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Government health IT contractor Apprio opens a new office in Baltimore to better support its work with CMS, which includes assisting with EDI standardization efforts and ICD-10 compliance reporting for provider claims.

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Following in the footsteps of Greenway Health and Athenahealth, CareCloud launches the CareCloud Connect partner marketplace.

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The ICD-10 transition may have gone smoothly, but that doesn’t mean providers and vendors aren’t still scrambling for qualified help, per the Craigslist ad above, which pegs the hourly  wage at $18-$25 based on experience. There’s no doubt many organizations will seek outsourcing help, too. It appears the Philippines – the world’s international call services hub – is ramping up to accommodate such US-based requests. IT & Business Process Association of the Philippines Chairman Dan Reyes anticipates that the new code set will open up more processing jobs, which the country will be well-equipped to fill given its large pool of qualified graduates.


Announcements and Implementations

Greenway Health names patient intake management solutions vendor Phreesia its Marketplace Partner of the Year for the second year in a row.

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Radiology Associates of DeKalb (GA) renews its RCM services agreement with Zotec Partners


People

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Randy Jones (UT Southwestern Medical Center) joins Culbert Healthcare Solutions as SVP of consulting services for the Western region.


Government and Politics

For those of you who haven’t quite got your fill of reading reactions to ONC’s Meaningful Use modifications, check out the well-organized and refreshingly brief takeaways from The Advisory Board. Health IT newcomers will especially appreciate the MU primer.

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National Coordinator and HHS Acting Assistant Secretary for Health Karen DeSalvo, MD receives a 2015 Innovators in Health Award from the Network for Excellence in Health Innovation for her leadership in using healthcare IT for better public health and patient care.


Telemedicine

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The MedWand team takes home the Health 2.0 Launch! Award for its telemedicine-friendly remote examination device. The win comes just a week after Eau Claire, WI-based Group Health Cooperative selected the MedWand device and accompanying Digital Onsite Clinic for its employer clients.

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Cisco Systems partners with UNC Healthcare to open its third on-site medical practice for 4,800 employees and their families. The Research Triangle Park-based LifeConnections Health Center will be staffed by 25 UNC clinicians and comes equipped with the usual primary care trappings plus telemedicine capabilities, a Zen Suite for massages, and optometry services. Cisco will initially pay UNC for services rendered, after which the health system will assume some of the financial risk of patient care.

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The ATA writes to the DEA in support of changing the rules related to prescription of controlled substances via telemedicine, which are currently hampered by The Ryan Haight Online Pharmacy Consumer Protection Act. “[T]he interpretation of the Act’s general prohibition of prescribing controlled substances by means of the internet has become overly restrictive,” the authors note. “Therefore, it is time to identify a structured yet flexible framework for appropriate online prescribing that recognizes long-standing practices by legitimate, licensed providers who offer needed medical services to a highly targeted group of patients.”


Research and Innovation

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Boston Scientific launches the Connected Patient Challenge, a contest designed to encourage innovations in the use of remote-patient monitoring via such technologies as wearable, implantable or ubiquitous sensors. Submissions will be accepted through January 5 and finalists will be showcased at a live event in Cambridge, MA. Challenge winners will divvy up $25,000 in services for further idea development and potential piloting.

A Practice Fusion survey of clients before and after the ICD-10 transition shows that though just 18 percent felt prepared, only 17 percent found the switch to be disruptive to their practice. Most commonly used codes thus far include essential (primary) hypertension (I10); type 2 diabetes mellitus without complications (E11.9)’ hyperlipidemia, unspecified (E78.5); low back pain (M54.5); and anxiety disorder, unspecified (F41.9). I wonder which physician practice will be the first to recognize some of the wacky codes we’ve heard so much about.


Other

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Former Senator Bill Frist, MD documents his most recent trip to Cuba – the third this year, this time paying a call to a family care physician in Havana. Though Mercedes Pina, MD has no EHR or PM tools, lacks many of the most basic medical supplies, and cares for nearly 400 patients with the assistance of a single nurse, she is a familiar and trusted figure that clearly connects with her patients. “I’m struck by how powerful a tool healthcare can be for diplomacy,” Frist explains. “The differences between our country and hers are vast and complicated, but sitting down together — physician with physician — Dr. Pina and I find much common ground. We can learn from one another. We love our communities and we want to build healthy habits and enable healthy choices for the people in them.”


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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