DOCtalk with Dr. Gregg 8/6/15

Requiem for a Portal

Your beautiful face will be missed, more than words can say.

Thank you all for coming. We gather today to mourn the loss of our dear friend, Kid Koncierge, our wonderful “Online Care Center.” She was far too young to have her brilliant light turned out. She was far too wonderful, too useful, too enjoyable, to have gone so early. She will be, oh, so sorely missed.

Most of the world won’t even notice her passing. Most were never lucky enough to have seen her, to have been bedazzled by her. Most of the world never even knew she existed.

But here in our little corner of the world, we knew what she was. We knew just how blessed we were to have her. We knew the value and the truth and the grace she bestowed upon us.

My dear friends, isn’t it amazing just how quickly we became dependent upon her? Isn’t it remarkable just how easily she inserted herself into our daily lives and became a part of our complete care system? Our workflow wasn’t disrupted when she was born into our midst; rather, our workflow was smoothed, our communications enhanced, our daily lives enlightened by her wonderful, unique ways.

She gave us beauty, yes. Her initial appeal was the gorgeous face she shown upon us all. But her depth was the clincher. The values she brought, the ease of use she displayed, the simplified grace with which she executed all her daily duties – those were the things that truly endeared her to us more than words can describe.

Those of us who worked with her knew how much she helped us. She helped us to be better care providers. She helped us to be better communicators. She helped us do our jobs better – from work, from home, when away – from wherever and whenever we needed.

Those of you who used her for your children’s care knew how much she gave, too. She provided insights and health details. She provided education about your children’s’ growth and development. She provided wisdom and consolation about healthcare issues and concerns. She allowed easy communication with her healthcare providers and enabled online scheduling without so much as a dial tone. You could ask for school or sports forms when your child needed them, uploading the blank form and receiving back the completed version ready to turn in. You could request prescription refills or specialist referrals, night or day. You could see growth parameters and curves. You could see all your children’s immunizations and know what they needed next. You could print the immunizations out to give to their school. You could even get automated reminders when vaccines were due (or when appointments were pending.)

All of this she gave to all of us – from our Web browser of choice, from our tablets, or from our phones. She helped us whenever she could, whenever we wanted, however we needed. She was always there for us.

When corporate needs dictate the closing of such a tool, the phrase “It’s only business” is often used. That may be ultimately true, but for those of us who knew her and used her in our day-to-day lives, it nevertheless feels somehow the rationalization. She wasn’t business; she was personal. She was deeply part of the care we gave, of the care we received. She was our friend.

There will be others who will eventually take her place, others who will fill the roles she left empty when she departed. Hopefully, those who come after will learn from her, will build upon her strengths, and will shine with a light of their own. But, they will all be challenged to ever reach the glorious glow she so easily shone.

We mourn today the passing of Kid Koncierge – our patient portal; our colleague; our beautiful, beautiful friend.

From the trenches …

“And then she left, and it broke my heart so completely I could hardly breathe.” – Lauren Oliver, Requiem

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

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News 8/5/15

Top News

EVisit closes on $1 million in its first round of seed funding. The telemedicine software company, which has 1,000 physician users, will use the injection of cash to grow its sales, marketing, and customer acquisitions. CEO Bret Larsen has boldly proclaimed the company will go international by the end of next year. (I love that the demo screen above features a smiling “Dr. Bill Murray.”)

HIStalk Practice Announcements and Requests

It’s hard to believe that HIMSS16 is just six months away, meaning now is about the time marketing folks start dreaming up creative ways to get their message heard above the hue and cry of a thousand other vendors in the exhibit hall. That being said, there are still a few HIStalkapalooza sponsorship packages available including the all-access CEO Rock Star package and access to the HIStalkacabana, plus custom packages for a variety of budgets. Contact Lorre if you’re interested in impressing clients and prospects with a great venue, band, and schmoozing opportunities.

Listening: I had the opportunity while on vacation to catch a beachside set from Grammy nominee Bryan Lee. Known for his New Orleans-style blues, the blind musician got everyone’s mostly bare feet moving.

Webinars

None scheduled in the next two weeks. Previous webinars are on the YouTube channel. Contact Lorre for webinar services including discounts for signing up by Labor Day.

Acquisitions, Funding, Business, and Stock

In its first earnings call since the DoD EHR bid announcement, Cerner says (without naming names) that it’s gaining ambulatory business at the expense of Athenahealth because it offers better service and value. Mr. H shares other juicy tidbits from the call here.

Five independent physician groups in Ohio band together to form the statewide Ohio Independent Collaborative in an effort to compete with healthcare behemoths like Cleveland Clinic and Mercy Health. OIC’s 400-plus member physicians hope to leverage their unity in dealing with GPOs and payers, all while staying independent. “Can we hold off as independent forever? I don’t know,” says OIC President Gary Pinta, MD. “I hope so, but we’ll fight and do our best to stay out there and do things the way our patients like us to do them and in a way we like to do them,” said Dr. Gary Pinta, president of the collaborative and a physician with Pioneer Physicians Network who practices in Cuyahoga Falls. We’ve been successful, and patients have chosen us for a reason. They feel a difference.”

Announcements and Implementations

Healthpac integrates its medical billing software with ClaimRemedi’s insurance claims clearinghouse technology.

OpenEMR developer ZH Healthcare launches Health IT as a Service (HITaaS), a cloud-based service that works with SaaS and IaaS platforms to manage IT infrastructure, security, servers, storage, contracts, and interfaces.

Medical Direct Care, a single-physician family practice in Clarksville, TN, implements iPatientCare’s EHR.

Multi-specialty Premier Physician Network (NJ) goes live on GE Healthcare’s Centricity Practice Solution PM module and EDI hosted solution.

Government and Politics

CAPG expresses (in a somewhat out-of-the-blue and belated manner) its support for Andy Slavitt’s nomination as CMS administrator. “We are hopeful that under his leadership, CMS would continue its strong commitment to new alternative payment models,” writes CAPG President and CEO Donald Crane. “CAPG also would welcome the opportunity to continue to work with Mr. Slavitt to secure a strong future for Medicare Advantage.” Slavitt has held the position on an interim basis since Marilynn Tavenner stepped down in February.

In other Andy Slavitt news, he will provide stakeholders with an update on the national implementation of ICD-10 during a national provider call on August 27.

Research and Innovation

University of Cambridge researchers find that the digital Wizard brain-training game helps to improve the cognitive functions of 22 schizophrenia patients over a four-week period. Part of of the Peak app, the game also helps to facilitate everyday tasks. Researchers believe the results to be important given that they demonstrate that the memory game can help where drugs have so far failed.

Other

Ireland’s Health Information and Quality Authority announces it will pilot a national Individual Health Identifier program in clinical information systems at three locations, including a multi-physician general practice, over the next five months in preparation for assigning an IHI to every citizen using health and social care services. “The Individual Health Identifier will be a major step forward in modernizing our health service,” explains Minister for Health Leo Varadkar. “It will allow us to follow patients and staff as they move through the health service in a way we currently can’t. This will improve patient safety, reduce duplication and errors, and give us a huge amount of new data that we can use to make services more efficient and improve planning.”

Unbelievable: A three-month-old chicken from Black Thistle Farm in Massachusetts undergoes surgery to replace a torn tendon with a $2,500 prosthetic limb created on a 3-D printer. Farm owner Andrea Martin believes the procedure will give “Cicely” a new lease on life: “Anytime you do surgery on a bird, it’s a risk, but I am optimistic. I think this will make her very happy. It’s worth it.”

Sponsor Updates

• ADP AdvancedMD offers “5 ways to enhance your current ICD-10 transition plan.”
• Aprima will hold its user conference August 7-9 in Dallas.
• Culbert Healthcare Solutions will exhibit at the Allscripts Client Experience August 5-7 in Boston.
• Billian’s HealthData offers “Traversing the Path to Patient Data Access.”
• Jaffer Traish, director of Epic consulting with Culbert Healthcare Solutions, publishes a letter to the editor of the Boston Globe titled “Celebrating strides being made in electronic health records.”
• The Detroit News features Clockwise.md in a profile of the Henry Ford QuickCare Clinic.

Contacts

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

More news: HIStalk, HIStalk Connect.

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5 Questions with Cathy Petti, Chief Health Officer, AncestryHealth

Cathy Petti is chief health officer of AncestryHealth. Launched by Ancestry.com last month, the new service gives users the ability to create a digital record of diseases and causes of death that have affected their families over the decades. The company plans to partner with EHR vendors so that users can share family health histories electronically with physicians. It also plans to add genetic information to the mix soon via its AncestryDNA testing service.

What was the impetus for launching AncestryHealth?
Currently, when a patient provides family health histories to his or her doctor, it is in the doctor’s office, where doctors generally feel rushed. It is unfortunate, because family health history is one of the richest data sets available to help identify risks for various medical conditions. Knowing that history may help patients choose different lifestyles, behavior modifications, or to undergo screening at an earlier age.

Even the Surgeon General says family health history is one of the most effective screening tools that we have at our disposal, and it is free and non-invasive. Yet far too few use it. At AncestryHealth, we look forward to tapping into consumer curiosity about their health and motivators to be mindful of health and wellbeing.

AncestryHealth is committed to providing individuals with meaningful information and relevant research to help them make choices that could lead to longer, healthier lives. Our integration of health information and unparalleled genealogical expertise will help consumers trace their own health conditions along family lines and understand what it means, while allowing individuals to record this valuable information to share with their physicians and family.

How does the company plan to integrate its Health and DNA offerings in the near future?
AncestryHealth is considering incorporating ethnicity as part of the health profile so that customers can see how research shows that risk may be affected by ethnic background; for example, that certain conditions are more common among certain ethnic groups.

What EHR vendors will AncestryHealth work with? Why were these particular companies chosen?
We’re currently considering a number of different EHR vendors based on the ease of their ability to work seamlessly with diverse physicians and healthcare institutions nationwide. We plan to work closely with these institutions to integrate family health history data into EHRs to better help physicians use family health history as a screening tool.

Given healthcare’s notorious interoperability problem, how does AncestryHealth plan to ease the burden of sharing medical records for its users?
Ancestry has robust experience organizing and streamlining massive amounts of family history information (10 petabytes of data), including 16 billion records from 67 countries made up of birth, death, census, military and immigration records; 70 million user-contributed family trees and associated photos and stories; and, through AncestryDNA, more than 1 million genotyped DNA samples. Scaling and making searchable a rapidly growing database of billions of records from various sources requires significant technological capability to provide useful results for Ancestry members, whether they access the company’s service through traditional Web and software access or by other mobile applications. We understand the unique challenges and opportunities of managing enormous data sets. We place critical importance on the ability for the end-user (whether consumer or physician) to easily digest actionable health information.

Does Ancestry have any plans to use de-identified user health data to engage in research projects with academia, government or businesses?
We carefully consider all research collaboration options. Consistent with the informed consent on the AncestryHealth site, AncestryHealth will only share information with third parties for research or publication if the user has accepted the informed consent. In all instances where we share user information, we will remove information that traditionally permits identification of specific individuals, such as names and birth dates.

Contacts

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

More news: HIStalk, HIStalk Connect.

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News 8/4/15

Top News

MapLight reports that the top three lobbyists – AMA, the US Chamber of Commerce, and Boeing – spent $14.4 million to lobby Capitol Hill lawmakers between April and June of this year. AMA spent $12,400,000 in Q2 of 2015, more than in any quarter since 2008 and nearly twice as much as in Q1. The timeframe neatly coincides with the lead up to the AMA/CMS announcement regarding easing into ICD-10. It would be interesting to crunch numbers and see if the amount of AMA lobbying money outweighs any savings physicians will realize as a result of the 12-month transition period.

Webinars

None scheduled in the next two weeks. Previous webinars are on the YouTube channel. Contact Lorre for webinar services including discounts for signing up by Labor Day.

Acquisitions, Funding, Business, and Stock

Atlanta-based Azalea Health secures a $1.5 million credit facility from Square 1 Bank, which the company will use to drive continued growth. The new funding comes almost exactly a year after its acquisition of SimplifyMD.

Announcements and Implementations

The National Committee for Quality Assurance launches an eMeasure Certification program to certify software that is capable of producing electronic clinical quality measures using EHR data.

The Kansas Health Information Network, an HIE founded in 2010 by the Kansas Medical Society and the Kansas Hospital Association, adds Isabel Healthcare’s Symptom Checker to its MyKSHealtheRecords PHR. KHIN’s patient portal and PHR are powered by NoMoreClipboard, which is still making headlines due to a security breach earlier this summer.

Telemedicine

The Center for Connected Health Policy publishes a whopping 229-page report on telemedicine payment laws and regulations. It found that all but three state Medicaid agencies – Iowa, Massachusetts, and Rhode Island – pay for live online consults, 16 pay for remote monitoring, and nine pay for store-and-forward services.

People

The Florida Medical Association elects private-practice obstetrician/gynecologist Ralph Nobo Jr., MD president.

Greenway Health appoints David Wirta (Vista Consulting Group) to the new role of chief revenue officer.

Government and Politics

The White House’s inaugural Demo Day features a number of healthcare IT-related companies. St. Louis-based Sparo Labs has developed AsthmaWing, a sensor and app that enables asthma patients to measure lung capacity. California-based Open Health Network offers a mobile platform to help healthcare stakeholders create device-agnostic apps in a single day without any coding. Thirty-two startups across a range of industries participated in the event.

As part of his recently announced AHCCCS CARE program, Arizona Governor Doug Ducey plans to submit a CMS waiver request in the coming months to overhaul the state’s Medicaid program. Part of the request requires the use of “modernized communications” to help patients take more accountability for their care. “With the use of innovative technology, patients would receive reminders about upcoming appointments, access chronic disease management tools, find primary care doctors or urgent care locations at the touch of a button and manage all aspects of their account online,” the Governor’s office explains. “These features will ensure patients get the timely care they need and better manage their illnesses – while protecting taxpayers from paying for missed appointments, unnecessary emergency room visits, and avoidable hospitalizations.”

Research and Innovation

A study from AAFP’s Robert Graham Center finds that primary care physicians were more likely than specialist physicians to participate in the Meaningful Use program. The researchers advise policymakers to extend EHR incentives to smaller practices with tighter margins that haven’t yet joined the world of EHRs due to prohibitive upfront costs.

Other

South Korean startup Dot creates the world’s first smartwatch for the visually impaired. The watch uses a new technology that enables the dots on its face to pop in and out to form braille characters, and enables the user to control how quickly the dots are read.

Contacts

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

More news: HIStalk, HIStalk Connect.

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News 8/3/15

Top News

HHS awards $38 million to 20 organizations involved in three health IT grant programs. The Advance Interoperable HIT Services to Support HIE program will receive the bulk of the funding – $29.6 million – which it will dole out to 12 states to help them expand HIE technology and adoption, and overall interoperability. The Community Health Peer Learning Program will give health services and policy research organization AcademyHealth $2.2 million to work with over a dozen communities on population health strategies, and the Workforce Training Program will spread $6.7 million in between seven organizations to update training materials from the original Workforce Curriculum Development program funded under HITECH.

HIStalk Practice Announcements and Requests

Dedicated readers may have noticed HIStalk Practice has been a bit light on news over the last several weeks, due to my decision to take a working vacation in more tropical climes. As Dr. Jayne attested to earlier this summer, it is hard to completely unplug even when cool ocean breezes and calm waters beckon just outside the door. WiFi at my beach bungalow was contentiously predictable in going down for at least 12 hours every time a significant afternoon storm rolled in. Luckily, I had the foresight to drop by my favorite used bookstore on the way into town. Rainy day beach reads included The Queen’s Fool by Philippa Gregory, and the Memoirs of Cleopatra by Margaret George. I am a sucker for weighty (literally) works of historical fiction.

For those of you who may also have been out of the office last week, don’t miss the great interviews and guest contributions that kept HIStalk Practice going:

• 5 Questions with Shashi Kusuma, MD CEO, Symplast
• 5 Questions with Murray Fox, MD CEO, Premier Patient Network
• Readers Write: Physicians Have an Influential Role in Driving Wearables Adoption
• 5 Questions with Brian Loftus, MD CMO, iHeadache MD
• 5 Questions with John Sawyer, MD Hudson Headwaters Health Network

Today finds me back at the home office with reliable connectivity, thankful that the healthcare IT news cycle is slowly picking up as everyone trickles back into the office from their summer holidays. I’m also thankful for the following sponsors, new and renewing, that recently supported HIStalk Practice. Click a logo for more information. Email me if you’re interested in joining their ranks.

Webinars

None scheduled in the next two weeks. Previous webinars are on the YouTube channel. Contact Lorre for webinar services including discounts for signing up by Labor Day.

Acquisitions, Funding, Business, and Stock

HealthlinkNY – a RHIO serving an 11-county area of southern New York – expands operations with the opening of a new 9,500 square-foot office space in Binghamton. The nonprofit has grown to 21 employees since it was founded in 2005 as Southern Tier HealthLink.

Announcements and Implementations

Allscripts adds OptimizeRx’s SampleMD technology to its Touchworks EHR, enabling physicians to automatically view, print, and electronically transfer prescription vouchers and copay savings to a patient’s pharmacy.

Microwize Technology launches a cloud version of its Lytec medical billing software.

The Michigan-based Consortium of Independent Physician Associations helps 212 physician practices earn patient-centered medical home designations from Blue Cross Blue Shield of Michigan. Managed by The Medical Advantage Group consulting firm, CIPA represents 1,400 physicians from independent physician associations, FQHCs, rural health centers, and group practices.

Government and Politics

New Jersey State Assemblyman Bob Andrzejczak (D) introduces a measure that would cap the fees charged to patients for copies of their own medical records. Providers could charge no more than $100 for paper records with a copying fee of 50 cents per page and a $15 administrative fee. The maximum fee for electronic records would be a far more “affordable” $50. The records would also have to be provided within 30 days, which still seems like too long a timeframe for patients who may be in the midst of life-saving care transitions.

A group of 18 healthcare stakeholders including MGMA, ACP, Cerner, and Greenway Health write to HHS Secretary Sylvia Burwell imploring her to finalize a proposed rule issued in April that would modify Stages 1 and 2 of Meaningful Use. As the authors explain, “The Oct. 3rd deadline to begin the final possible 90-day reporting period in calendar year 2015 is fast-approaching. If providers do not receive the final rule shortly, it will be very difficult to make workflow adjustments in a timely manner to meet programmatic deadlines and facilitate meaningful use tracking and reporting.”

People

CMS names Richard Ottomeyer, DC a Medicare Physician Champion Community of Practice Provider for his efforts to educate physicians in Minnesota about the transition to ICD-10. He is the first chiropractic physician to be awarded the honor.

Corey Stevenson (CMS) joins Cognosante as vice president and deputy general manager of its health data and communications business.

Practice Fusion names Matt Ackley (Marin Software) chief marketing officer; Dorothy Gemmell (Havas Life) senior vice president, life science practice and strategic partnerships; Tim Rauschenbach (Level Five Solutions) vice president, customer service and support; and Dave Caldwell (Transcend Insights) senior vice president, enterprise solutions. The company, which is gearing up for an IPO, also welcomes Alan Black (Zendesk) to its Board of Directors.

Telemedicine

ATA is accepting presentation submissions for its 21st annual meeting and tradeshow, which will be held May 14-17, 2016 in Minneapolis. Presentations on nine main areas of interest including direct-to-consumer services, chronic disease management, and population health will be accepted in a variety of formats.

Research and Innovation

A WEDI ICD-10 industry preparedness survey conducted in June finds that just 20 percent of physician practices have commenced or completed external testing, while less than half are ready or will be ready for the switch on October 1 (just 58 days away). Vendor readiness fared slightly better, with 75 percent of respondents noting they have completed product development, and 100 percent committing to readiness by the compliance date. Based on its findings, WEDI has recommended that HHS appoint its new ICD-10 Ombudsman position as soon as possible, among other WEDI-friendly suggestions. (Is it just me, or is the switch to ICD-10 beginning to feel like the doomsday predictions associated with Y2K?)

The Vitality Institute, a New York City-based research organization, drafts a set of proposed guidelines to address legal, social, and ethical concerns associated with consumer-generated health data. Guidelines for providers include: protect user privacy; clearly define who owns the data; make it easy to interpret, enable access to underserved populations, and incorporate evidence-based approaches to behavior improvement. Comments are due October 15.

Other

HHS announces that the data of 3.9 million people was exposed in the Medical Informatics Engineering / NoMoreClipboard hack that took place in late May. Affected facilities included Concentra (TX), Rochester Medical Group (MI), and Franciscan St. Francis Health Indianapolis.

Rutgers profiles Ron Weiss, MD and Ethos Health, the farm-based primary care practice he launched in 2014 on 342 acres in Long Valley, NJ. Ethos trains patients in selecting from over 40 different vegetable and fruit crops from the fields just outside the waiting room, plus offers cooking classes.

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.