News 10/9/14

Top News

Healthcare.gov goes live to much media fanfare. (One headline half jokingly declares that “the Back Button Now Works.”) Changes include a 16-screen online application process, whittled down from last year’s 76; the need to enter basic personal information just once; and the now functioning back button. Nearly 20,000 consumers have made it through the system thus far, though I’m not certain how important that figure is given that 2015 policy and pricing information hasn’t yet been made available. HHS officials won’t comment on how many users the new site can accommodate at one time until the five-week testing period concludes.

HIStalk Webinars

October 21 (Tuesday) 1:00 p.m. ET. Electronic Prescribing Of Controlled Substance Is Here, What Should You Do? Sponsored by Imprivata. Presenters: William T. “Bill” Winsley, MS, RPh, former executive director, Ohio State Board of Pharmacy; Sean Kelly, MD, physician, Beth Israel Deaconess Medical Center;  David Ting, founder and CEO, Imprivata. Providers are challenged to use EPCS to raise e-prescribing rates for MU, improve physician productivity, reduce fraud and errors, and meet New York’s March 2015 e-prescribing mandate. Hydrocodone painkillers such as Vicodin have moved to Schedule II, with the higher CS prescribing volume adding another reason to implement e-prescribing. This webinar will describe why organizations should roll out EPCS, presented from the perspectives of pharmacy, compliance, physicians, and technology.

Acquisitions, Funding, Business, and Stock

Cloud-based solutions company Exostar receives $5 million in funding from the Merck Global Health Innovation Fund, which will enable it to expand from the aerospace and defense industries into healthcare and life sciences.

Apple investor Carl Icahn sends the above message, causing Apple shares to trade up above 1.7 percent following the tweet. Talk about the power of social media.

Announcements and Implementations

ACO Pathfinder Health works with Cerner to create a secure way to share health data. The ACO is made up of Northern Arizona Health and community physicians, and will initially manage the care of 5,700 NAH employees and family members.

Merge Healthcare adds electronic referral and order management to its iConnect image sharing network.

Telemedicine company My OnCall Doc rolls out on-demand telemedicine services to members, including access to its network of 500 physicians and healthcare professionals.

Virginia Women’s Center selects Keona Health’s Online Nurse Advice Solution to facilitate patient triage via phone, website, or patient portal.

United Physicians (MI) will roll out Wellcentive’s population health and risk management solutions to cover all its patients.

Georgia West Imaging (GA) and Outpatient Imaging (AL) select McKesson Business Performance Services for its RCM.

SeeChange Health integrates Doctor On Demand telemedicine services into its FlyWheel health improvement platform for employers.

Government and Politics

CMS will reopen the submission period for EHR hardship exceptions through November 30, 2014. Valid circumstances are vendor delays in providing 2014 Edition CEHRT and the inability to attest via the 2014 CEHRT Flexibility Rule.

The AMA is pleased that the hardship exemption has been reopened, noting in a statement to CMS that, “Giving physicians more time to file for a hardship exemption provides necessary relief as many physicians are struggling to meet a number of reporting mandates to avoid multiple penalties.”

Massachusetts becomes the first state to require that healthcare insurers offer real-time prices. I applaud the state’s effort at price transparency, but the caveats make me wonder if the information does more of a disservice to patients. They include:

• Non-standard prices.
• Posted prices may or may not include all charges.
• Prices seem to change frequently.
• No standard list of priced tests and procedures. 

Congressman Phil Roe, MD (R-TN) tours Holston Medical Group (TN) to learn more about its CarePayment patient payment plan, and participation in the Qualuable Medical Professionals ACO and OnePartner HIE. HMG is one of the largest multi-specialty practices in the Southeast, serving 200,000 patients in Tennessee and Virginia.

Research and Innovation

Scientists develop the 3-D LEVER software program to help them identify, tag, and track live cells. The program (“like Photoshop for cell biologists”) will help scientists study cancer-causing abnormal cell proliferation, and the use of stem cells in regenerative medicine.

Elliptic Labs further develops ultrasound technology to enable multilayered hand gestures to control a smartphone, meaning users can do different things with the phone based on how far away their hand is from the device.

People

Mark Marten (Maverick Medical Group) joins Apollo Medical Holdings as vice president of managed care.

Mike Putnam (Kayak) joins American Well as senior vice president of consumer markets.

Other

A computer glitch at the NHS City Walls Medical Centre presents patients with a test screen upon check-in rather than typical identity confirmation check boxes. J.K. Rowling owes a computer programmer somewhere a tiny slice of her Harry Potter pie.

Box CEO Aaron Levie calls out athenahealth, Practice Fusion, and drchrono in USA Today as cloud-based companies helping physicians do away with expensive, legacy based software. His op-ed (presumably paid for) is a tad too self-serving for my taste. Levie conveniently name drops several companies in which he invests, including Flatiron Health, Oscar Insurance, and HealthTap.

HIStalk Practice Pretzel Logic contributor Micky Tripathi, founding president and CEO of the Massachusetts eHealth Collaborative, points out at the U.S. News Hospital of Tomorrow conference that today’s HIEs often have multilayered sets of competing functions, and the associated value chain is “getting blown to bits.” He adds that central repositories are “the dinosaurs that are going to go away.”

Veterinarians at Animal Medical Center (NY) beta test the LifeLearn Sofie app, powered by IBM Watson, to uncover relevant, objective, and evidence-based treatment options tailored to a specific patient. (Weird News Andy would likely title this story “Watson Goes to the Dogs.”)

Contacts

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

More news: HIStalk, HIStalk Connect.

Get HIStalk Practice  updates.
Contact us online.

News 10/7/14

Top News

Walmart declares it wants to be the number-one provider in the retail space during the launch of its new Healthcare Begins Here insurance initiative. Walmart will partner with DirectHealth.com in about half of its 4,300 stores to make DirectHealth agents available to customers interested in purchasing health insurance and navigating Healthcare.gov. The program begins this Friday and runs for two months. Could Walmart health insurance be far behind?

HIStalk Practice Announcements and Requests

Thanks to these renewing sponsors for supporting HIStalk Practice. Click a logo for more information.

My countdown to MGMA 14 is on – just 19 days until I touch down in Las Vegas and head for the Las Vegas Convention Center. I am putting the finishing touches on the HIStalk MGMA “Must See” Exhibitors Guide, which will offer a nice synopsis of what HIStalk sponsors will tout at their booths. Be sure to check NextGen’s entry for a RSVP link to their networking event.

Announcements and Implementations

Spine Associates (TX) integrates athenaClinicals and athenaCommunicator with its existing athenahealth EHR. Spine Associates Founder Richard Francis, MD notes in the announcement that he has “made it his goal to stay at the forefront of technology, yet maintain a personal connection with patients and their families.” I have to wonder if he’d disagree with Jonathan Bush’s recent CNBC statements about IT’s role in the mishandling of the Ebola patient in Texas. Surely a medical group like Spine Associates is the very type of practice that thrives off “customized” healthcare IT, neatly filling the pockets of companies like athenahealth at the same time.

Brass Eye Center (NY) launches the ophthalmology specific Sophrona Patient Portal in conjunction with a new website.

Community Health Centers of Arkansas selects the eClinicalWorks Care Coordination Medical Record for its 10 practices. CCMR will be used to coordinate care across CHCA’s 58 locations, including several EHR systems.

Nano 2.0 Business Press releases AppForMyPatients to help dermatologists and plastic surgeons create custom retail and patient portal apps. The company was founded by “Medical Entrepreneur” Steven Hacker, MD, founder of PassportMD.

Walgreens announces a partnership with the VA in which it it will immunize veterans and share its Greenway EHR information with the VA.

Acquisitions, Funding, Business, and Stock

Nextech Systems announces it will acquire ophthalmology EHR vendor MDIntelleSys. The acquisition will double Nextech’s ophthalmology market share. MDIntelleSys Founder and CEO Dan Montzka, MD will assume the role of Nextech CMO.

Hewlett-Packard confirms it will split into two companies. Current CEO Meg Whitman will lead Hewlett-Packard Enterprise, which will sell computer servers, data-storage gear, software, and other services to corporations. Hardware “chieftain” Dion Weisler will lead HP Inc., consisting of the PC and printer businesses. HP’s break up follows in the steps of Philips and eBay, which announced last week that it would spin PayPal off into a separate company.

A Reuters report says Facebook is working on healthcare tools that include chronic disease support communities and health apps. It adds that the company has been meeting with healthcare experts and entrepreneurs and is setting up a health app R&D unit. Lieutenant Dan has written an interesting summary of the company’s build up to this move at HIStalk Connect.

Government and Politics

California becomes the first state to require businesses to provide a year’s worth of credit monitoring services to individuals affected by data breaches. You have to wonder how that will affect the bottom lines of practices throughout the state. They’ll likely have to begin weighing the cost of beefing up their IT privacy and security versus the expenditures they could potentially face in the event of a breach.

ONC posts a chief medical officer position, and lists the open position of director of the office of consumer ehealth. It will likely soon post one for chief nursing officer, thanks to Judy Murphy’s announcement that she will resign from that position to take up the same title with IBM Healthcare Global Business Services.

CMS awards Northrup Grumman a $53.7 million contract to modernize the agency’s Medicare Enrollment and Premium Billing Systems. Northrup Grumman has been the contractor for that system since 1998. The new contract runs through 2018.

The DoD pushes the DHMSM RFP due date back two weeks to October 23. The missed deadlines have already begun.

Research and Innovation

The local news station profiles GenomOncology and its GO Clinical Workbench software. The program, currently in use at Ohio State University, generates personalized prescriptions for treating cancer based on a patient’s genomic data.

People

Nick Bonvino (CTG) joins Greater Houston Healthconnect as CEO.

John Flannery is promoted to president and CEO of GE Healthcare. Flannery succeeds John Dineen, who is leaving the company.

Other

This article brings up some interesting points regarding the skepticism many physicians feel when it comes to the overhyped healthcare panacea known as Apple HealthKit. The author is smart to point out that HealthKit-happy physicians should be concerned about the accuracy of patient-generated data; and the potential for information overload into a patient’s PHR, potentially throwing overworked PCPs off an already precarious cliff.

RBC Capital Markets comes up with one unit of cloud pricing that can be compared across vendors. Amazon Web Services, popular among many small physician practices, comes in the cheapest at $27. 

Contacts

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

More news: HIStalk, HIStalk Connect.

Get HIStalk Practice  updates.
Contact us online.

DOCtalk with Dr. Gregg 10/7/2014

When Docs Cry

Dig if you will the picture
Of you and I engaged in MU
The wealth of your notes enlightens me
Can you my colleagues,
Can you picture this?

Dream if you can, our joint notes
An interactive patient share
HIEs strike curious poses
They spread the wealth
The care between me and you

How can you just leave me standing?
Alone in a practice so cold (So cold)
Maybe I’m just independent
Maybe I’m a solo doctor, too bold
Maybe you’re just institut’nal
You’re never satisfied (Just never satisfied)
Why do we scream at each other?
This is what it sounds like
When docs cry

Check if you will my bankroll
Feel how it dwindles inside
They’ve got reimbursements all tied up
Don’t make me sell out
Even docs have pride

How can you just leave me standing?
Alone in a practice so cold (Just so cold)
Maybe I’m just too alone here
Maybe I’m independent, too old
Maybe you’re a multi-practice
You’re wanting all control (Taking all the control)
Why do we scream at each other?
This is what it sounds like
When docs cry

How can you just leave me standing?
Alone in medicine so cold (Healthcare that’s so cold)
Maybe I’m just independent (Maybe, maybe I’m just too old school)
Maybe I’m just a doctor, but solo (Ya know he’s solo)
Maybe you’re just institut’nal (Maybe you’re just a big system)
You’re never satisfied (You want it all, you take it all)
Why do we scream at each other (Why do we scream, why?)
This is what it sounds like

When docs cry
When docs cry (Docs cry, docs cry)
When docs cry (Docs cry, docs cry)

Don’t Cry (Don’t Cry)

When docs cry
When docs cry
When docs cry

When docs cry (Docs cry, docs cry, docs cry)
Don’t cry
Doctor don’t cry
Don’t cry
Don’t cry
Don’t, don’t cry

From the trenches…

“All these computers and digital gadgets are no good. They just fill your head with numbers and that can’t be good for you.” – Prince

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 (OHIP).

Contacts

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

More news: HIStalk, HIStalk Connect.

Get HIStalk Practice  updates.
Contact us online.

News 10/2/14

Top News

UnitedHealth Group’s Optum division acquires MedSynergies, which offers physician practice billing and quality services. I had the opportunity to check in with MedSynergies CEO J.R. Thomas to get his take on the acquisition: “With this relationship, MedSynergies has the ability to take our existing MSIGHT solutions platform and expand it to focus on some of our goals to create solutions in the clinical and hospital space. Optum’s commitment to the global healthcare industry and improving operations at all levels of the health system is perfect alignment for MedSynergies and our mission to improve the way healthcare is delivered in the communities we serve.” Thomas has been with the company since it was founded in 1996 by a group of Texas ophthalmologists. I am fascinated by the fact that he holds a bachelor’s degree in zoology from the University of Arkansas.

CMS’s Open Payments website goes live, publishing transactional data on $3.5 billion worth of payments made by pharmaceutical and medical device companies to doctors and hospitals over the last five months of 2013. The launch comes with its detractors, such as the doctors groups and manufacturers that spent heavily to keep payment details from public view. The Physician Payments Sunshine Act is mentioned in almost 2,000 lobbying reports since Republican Senator Chuck Grassley of Iowa introduced the legislation in 2007. I attempted to play around with some of the data sets, but eventually backed out of the rabbit hole for fear of crashing my trusty Dell. I’m hoping Dr. Jayne or our good friend Data Nerd will chime in on their experiences with the new site.

HIStalk Practice Announcements and Requests

It seems MGMA has unleashed its media lists for the upcoming annual conference, since my inbox has been filling up over the last several days with interview requests and general exhibitor announcements. I’m looking forward to walking the show floor, and would especially like to do so in the company of a physician (anonymous or otherwise). Please drop me a note if you fit that category and could spare 30 minutes or so to escort me around the exhibit hall. I’d love to hear first-hand the likes, dislikes, and excitement that might arise as we peruse vendor offerings.

Acquisitions, Funding, Business, and Stock

Private equity firm Imperial Capital Group of Toronto completes a round of investment in disclosure management and HIE technology company MRO Corp.

Philips secures FDA clearance to market eCareCoordinator and eCareCompanion telehealth applications – the first clinical applications of its new digital health Hospital to Home platform. The company announced  the digital health platform collaboration with Salesforce earlier this year.

Rock Health announces that digital health funding has passed the $3 billion mark, while a separate announcement from StartUp Health pegs industry funding at $5 billion. StartUp stats show the 10 largest deals year-to-date include Privia Health, Preventice, Proteus Digital Health, NantHealth, and Flatiron Health. The 10 most active subsectors for that same period include big data/analytics, navigating the care system, practice management, sensors/diagnostics, and patient engagement.

Announcements and Implementations

YMCA selects CampDoc.com’s EHR for its specialty camps across the U.S. YMCA members will have access to the EHR at an introductory, discounted rate for the first season of service.

The Iowa Health Information Network connects to the Nebraska Health Information Initiative, enabling providers participating in the state HIEs to share health data across state lines via Direct Secure Messaging. The news just barely precedes notice that two North Carolina-based HIEs, Carolinas HealthCare System CareConnect and Mission Health Connect, will share their 3.5 million patient records.

WRS Health introduces cloud-based EHR, practice management, and patient communication services for pediatric practices.

Government and Politics

CMS announces it will not transfer Healthcare.gov to a new hosting service for the upcoming open-enrollment period. The website will remain on Verizon servers, rather than move to Hewlett-Packard servers, due to a lack of time for adequate testing with HP.  The agency plans to transfer 75 percent of new users to a portion of the site hosted by Amazon Web Services.

The VA announces it plans to field a new, commercial patient scheduling system by 2017, not 2020 as originally stated in contract documents released last month. VA CIO Stephen Warren reiterated in a blog post that, “We’re glad our draft release gave us a chance to catch this portrayal of our deployment plan so that we can correct it before the plan is released. VA’s goal remains to select a vendor who can meet our aggressive deployment timeline of 2 years after contract award, in six month increments or less.”

CMS reports that it received 44,000 hardship exception applications from providers prior to the July 1 deadline. It plans on notifying providers individually if they have been granted a hardship exemption, but did not say how many exemptions would be granted.

CMS also reports that the Physician Quality Reporting System enrollment window for the Group Practice Enrollment Option will remain open until October 3 due to a software glitch that prevented some provider groups from enrolling by the September 30 deadline.

Research and Innovation

A new study finds that nearly 75 percent of consumers do not use a fitness tracker or smartphone app to track their health, weight, and exercise. Forty-eight percent of those respondents said they would adopt one if provided by their physician. The findings tell me two things: First, the market is huge for wearables right now, and new, shiny gadgets like Apple Watch stand a good chance of making a big dent. Its price point won’t be as high as $349 forever, and will likely spawn more competitively priced products, not to mention a robust replacement market as second and third generations are unveiled. Second, vendors will be key to easing physicians down a path of easy, patient-reported data acceptance. Reimbursement will be another story.

A study finds that pregnant women shown an interactive computer program educating them about prenatal testing were more likely to skip noninvasive screening blood tests and ultrasounds. They were also more likely to skip invasive testing such as amniocentesis.

People

Travis Hiscutt (CRI) joins PerfectServe as sales director of the southeast.

Keith Chew joins Integrated Medical Partners as managing director, strategic positioning and consulting services.

Other

Apple releases an update for recent versions of its OS X operating system to patch the Shellshock bug. If you’re interested in a concise explanation of Shellshock’s impact on healthcare organizations, do yourself a favor and read “Will You be Shocked by Shellshock?” the latest HIStalk Readers Write contribution from John Gomez.

InVision CEO Clark Valberg highlights the tipping point Healthcare.gov’s dismal roll out ushered in for user experience, and issues a call to arms to product designers everywhere: “The HealthCare.gov debacle was, effectively, the consumer nation’s declaration of independence from instruction manuals, call-center help lines, and design frustration. To hell with them. This is where we step in as designers – whether we are designing networks, products, or landing pages. The people are demanding better. We have the chance, now more than ever, to start making deep and disruptive change in places where no one knew change could take place.”

Oracle’s new co-CEO Safra Catz makes no bones about the company’s plans to start acquiring applications companies in an effort to compete in an increasingly cloud-driven world. “We’re No. 1 in database, we’re No. 1 in middleware, but we’re No. 2 in applications,” Catz explained. “At Oracle, silver medal is first loser.” Catz was recently named to Fortune’s 2014 list of the Most Powerful Women in Business.

Amazing Charts apologizes for long customer support wait times, blaming a Meaningful Use services rush. Users unhappy after the company’s 2012 acquisition by Pri-Med are venting their frustration on the company’s discussion boards, with one summarizing, “AC has created these logjams by being unable to prioritize what is important, continuing to partner with NewCrop, releasing buggy new versions, and offering unlimited support for a flat price which may create abuse.” Users are also upset that the company is charging them to watch Meaningful Use webinars.

Contacts

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

More news: HIStalk, HIStalk Connect.

Get HIStalk Practice  updates.
Contact us online.

News 9/30/14

Top News

Apple’s HealthKit health data aggregation system and the apps that use it go live after being pulled previously from the initial iOS 8 rollout due to unspecified bugs. Some HealthKit-powered apps that are back in the App Store after the iOS 8.0.2 update are FitPort, MyFitnessPal, WebMD for iPhone, HealthyNow from Cerner Wellness, and Carrot Fit. Drchrono has also joined the HealthKit club with the launch of its OnPatient PHR with a HealthKit integration on iOS 8. The integration enables patients to import data from the health app into their PHR, and to then send it to their physician.

HIStalk Practice Announcements and Requests

Today is the last day to submit your company’s information for inclusion in our annual MGMA “Must-See" Exhibitors Guide. (Don’t worry, it won’t take more than five minutes.) Current HIStalk sponsors are invited to fill out this brief form to ensure a spot in the digital guide. We’ll also include contact information for companies not exhibiting but looking to schedule one-on-one meetings.

Mr. H created a new poll at HIStalk.com that I consider very appropriate to share with the HIStalk Practice community: Is it OK for an EHR vendor to block system access to a late-paying practice or hospital? Leave a comment after voting with your thoughts.

Don’t miss the latest DoD EHR update from Dim-Sum. I chuckled while reading his words on Intermountain joining Team Leidos. They thought-provokingly tumble after one another in the same manner as his webinar presentation a few weeks ago.

Watching: Life hacks from the Crazy Russian Hacker. Taras Kulakov seems to have found a way to do everything in life better, and presumably make a living documenting it all on YouTube. If only the healthcare industry could incorporate change just as easily. Check it out.

Webinars

October 7 (Tuesday) 1:00 pm ET. Breakthrough Research and the Digital Consumer: Achieving Results Using Online Content. Presented by DocuSign. Presenters: BJ Rimel, MD, associate director of gynecologic oncology clinical trials in the Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center; Jennifer Royer, head of life sciences product marketing, DocuSugn. Learn how Dr. Rimel has achieved breakthrough results using a digital consent process for women’s research trials. The impact that Cedars-Sinai has achieved in digitizing and simplifying a previously cumbersome, paper-based process paves the way for doctors and researchers around the world to improve treatments.

Acquisitions, Funding, Business, and Stock

Conifer Health Solutions agrees to acquire physician practice business solutions vendor SPi Healthcare for $235 million. SPi CEO John O’Donnell will join Conifer’s senior management team, reporting to President and CEO Stephen Mooney. The transaction is expected to close in Q4 2014.

Announcements and Implementations

Quillen ETSU Physicians (TN) goes live on the Allscripts FollowMyHealth patient portal. Other area medical groups, including State of Franklin Healthcare Associates (TN) and Mountain States Health Alliance (TN) clinics will follow later this week.

Mobile health technology company Generation One and employer healthcare payment technology firm Difference Card join the Population Health Alliance.

The Hutchinson Clinic (KS) implements a telemedicine program to offer diagnosis and consulting services to patients in rural areas and the state prison system. Clinic IT department spokesman Bob Davidson notes cost for the setup is about $700 per doctor, while cost to the agency coordinating the services can range from $10,000 to $50,000, depending on the equipment required.

Practice Fusion announces that its customers will soon be able to order, manage, and receive lab test results within its EHR through Quest Diagnostics. Physicians will also have the option to share test results with patients through the Patient Fusion portal.

Christopher Rural Health Planning Corp. (IL) implements the eClinicalWorks EHR at its 13 locations. The federally qualified health center will also implement eCW’s patient portal, check-in kiosk, and scribe aid.

Office Ally integrates the new OA-Rx e-prescribing module into its Practice Mate PM software and EHR 24/7 application. The news follows last month’s announcement that over 100 healthcare labs nationwide have connected to EHR 24/7. The company is partnering with Surescripts to link with 93 percent of US pharmacies.

Government and Politics

Code for America narrows its mission to focus on supplying free and open-sourced tech development for government services to three areas – health, economic development, and safety and justice. CfA will focus on tasks that will coordinate healthcare IT development and match-make apps to community pain points. Rebecca Coelius, CfA’s new health portfolio lead, noted that, “It’s not just about the people who receive services … it’s also about the people who are public servants within our systems who often have inadequate tools to get the job done."

An investigation finds that HHS paid WebMD $14 million to promote the Affordable Care Act.

The Telecommunications Industry Association and a dozen other industry groups send a letter to the House Energy & Commerce Committee urging Congress to address gaps in Medicare that limit patient access to new technology. Specific requests mentioned in the missive include:

• Authorize use of telehealth for all ACOs and bundled payments programs.
• Authorize remote patient monitoring for congestive heart failure and chronic obstructive pulmonary disease, and diabetes in the case of federally qualified health centers FQHCs.
• Authorize the use of telehealth payments for population health management to include all critical access hospitals and FQHCs.
• Facilitate care for Medicare patients by allowing video visits and remote monitoring.

Research and Innovation

Dartmouth-Hitchcock’s Center for Telehealth partners with Dartmouth Athletics and Recreation to put a telemedicine robot on the sidelines at home football games. The robot is part of a Dartmouth initiative to provide real-time, emergency clinical support via telemedicine to the school’s 34 Division 1 varsity athletic teams.

This article highlights the impact Apple Watch will have on burgeoning technologies like Curious. The platform synthesizes genetic information, microbiomic profiles, personal traumas and life events, and biometrics collected by wearables, and then analyzes it to help users understand what’s causing, helping, or exacerbating various health conditions. The startup goes into beta testing in November. Curious co-founder Linda Avey also co-founded 23andMe.

An AHIMA study presented at the association’s annual conference finds that top priorities for physicians making the transition to ICD-10 include EHR software readiness, increasing documentation specificity and time, and overcoming inadequate training methods and content. This year marks the first in four that I have missed the conference. I’m a bit bummed I didn’t have an excuse to travel to San Diego for keynotes from celebrity digital health practitioner Eric Topol, MD and ONC National Coordinator Karen DeSalvo, MD. I’ll happily experience the conference vicariously through reader reviews. Feel free to send me your impressions and images of the event.

Research finds that 42 of 50 medical devices cleared by the FDA over five years lack data verifying their safety and effectiveness, despite a law that calls for sufficient detail to justify their FDA clearance. With reports of caregivers hacking into medical devices for easier use, it seems the FDA has its work cut out for it when it comes to truly verifying the aforementioned attributes, not to mention security.

Other

The Medical Association of the State of Alabama attempts to make its case for further delay of ICD-10 with a list of “Top 10 Craziest ICD-10 Codes.”

Local media highlights the growing frustration many small-practice physicians have with EHRs. Comments from Jacqueline Fincher, MD stand out:

“The recording of so much extraneous information as part of the clinical record is putting so much garbage in the charts that is not medically relevant and makes the important medical information like a needle in a haystack at times.”

“When I review an ER report or other report from another physician or hospital, I just want to quickly and concisely know — why was the patient there and what did you do for the patient. You’d be shocked how difficult and how long it takes to wade through pages and pages of irrelevant information just to get to the important stuff that helps me and others take care of the patient.”

The HITRUST cybersecurity alliance issues a warning to the healthcare industry regarding the Shellshock software vulnerability: “We base the assessment that Shellshock is a more serious vulnerability than Heartbleed on the ability of potential perpetrators to use the exploit to craft malicious code that enables them to gain complete control of a compromised server. HITRUST recommends organizations review their information security controls, or if unable, then focus on those specifically related to cyber security.”

People

Bennett Lauber (The Usability People) joins the ONC Health IT Policy Committee: Implementation, Usability, and Safety Workgroup.

Morris Collen, MD (Kaiser Permanente) passes away at the age of 100. Cullen was a founding partner of The Permanente Medical Group, and is considered to be “a pioneer in the use of computers in medicine.”

Mark Savage (National Partnership for Women & Families) and Beth Ginzinger (Anthem Blue Cross), RN join the Cal INDEX board of directors.

Sponsor Updates

• Billian’s HealthDATA shares 10 recent healthcare CIO placements.
• Greenway becomes the first ambulatory information provider to have a solution recognized as a Validated System by Healtheway’s eHealth Exchange Product Testing Program.
• Aprima offers electronic prior authorization through Surescripts connection.

Contacts

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

More news: HIStalk, HIStalk Connect.

Get HIStalk Practice  updates.
Contact us online.