News 4/19/12

Orthopedic urgent care franchise OrthoNow selects CareCloud’s practice management solution for its network of facilities.

Practice Fusion introduces a messaging feature that allows providers to communicate securely with one another. The service is available at no charge to both Practice Fusion EMR users and non-users. It does not support sending chart notes or referrals, but that enhancement is in the works.

Louisiana becomes the first state to make Year Two Medicaid Meaningful Use payments, issuing its first check to SuccessEHS client Winn Community Health Center.

Emdeon CEO George Lazenby will head an IT Recruitment Task Force sponsored by the Nashville Area Chamber of Commerce. The initiative aims to attract workers to fill the 1,000 available IT jobs in the region.

Phoenix Cardiac Surgery (AZ) agrees to pay HHS a $100,000 settlement for failing to comply with HIPAA privacy and security rules. In addition to posting clinical and surgical appointments on an Internet-based calendar that was publically accessible, the practice failed to implement policies and procedures to safeguard PHI, did not document training of employees on HIPAA rules, and neglected to obtain business associate agreements with the Internet-based e-mail provider.

MGMA opens registration for its 2012 Annual Conference. See you in San Antonio October 21-24!

TransEngen announces new integrations of its Revenue Maximizer platform with practice management systems from GE, NextGen, Medisoft, and Cerner.

PM and EHR provider eCareSoft releases an Android application for its Nimbo product.

Tampa Eye Clinic (FL) partners with TSI Healthcare to deploy NextGen EPM and EHR for its 10-provider practice.

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News 4/17/12

Southern Orthopaedic Surgeons (AL) selects the SRS EHR for its 11 providers.

eClinicalWorks recognizes several customers for achieving NCQA Level 3 Physician Practice Connections PCMH status, including solo physician Salvatore Volpe MD (NY) and Ninth Street Internal Medicine Associates (PA.)

The e-MDs folks let me know they’ve got a brand new Web site which features improved navigation and easier access to information. While checking it out, I noticed that e-MDs is hosting is 8th Annual User Conference & Symposium June 21-23 in Austin, TX.

Former Medical Present Value CEO Tom Stampiglia joins RCM/BI provider Origin Healthcare Solutions as CEO. He was also previously president and COO of WebMD’s practice services division.

Physicians will ignore medication alerts if: (a) their EMR generates too many of them; (b) the alerts to not apply to a particular patient situation (e.g., the patient has already been taking the medication without problems); or (c) the alert provides too much information. That’s the conclusion of a VA/Regenstrief Institute study of 30 prescribers in 13 clinics. The authors recommend that systems provide only the details users need to make decisions.

American Medical News profiles a couple of physicians who have converted a portion of their homes into a medical office. There’s nothing IT related to this story, but since I work out of my house, I appreciate the benefits of having a 20-yard commute between my bedroom and work space. The downside, which the doctors didn’t mention, is that it’s sometimes hard to step away from the office.

Medicomp Systems promotes Dave Lareau  from COO to CEO. Company founder Peter Goltra will remain as chairman and president.

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Bowtie Confidential: 5 Steps to Managing Change in Healthcare 4/15/12

It’s interesting. When one mentions the word “change,” it puts the listener on the defensive. If you use the words “modify,” “improve” or “alter,” it does not create the same stress level. Perhaps we should call change management “improvement management.”

Nevertheless, change is paramount in healthcare right now, and managing it is not easy. I have found that there are five areas of focus for successful change management: communication, sponsorship, coaching, education, and understanding resistance.

1. Communication is important because it mitigates surprise, which is very stressful. To communicate well, healthcare leaders and project managers should create a communication plan with milestones and a timeline. Many of our clients have been successful using tools such as town hall sessions, newsletters, e-mails, social media, etc.

2. Sponsorship is a critical change management tool. If there is not strong leadership behind the change, resistance will keep it from happening. Sponsorship for change begins at the highest leadership level. It is imperative that as management, we become positive change agents so that our staff members receive the direction that they need.

3. Coaching provides hands-on help to move from A to B. As management/change agents, we are de facto coaches. It is effective to have senior leadership coach management, who can then coach their staff members. These activities build trust and acceptance of change, predominantly because they facilitate the behavior change.

4. Education is similar to coaching, but does not have to be 1:1. It builds knowledge and ability, which are antidotes to resistance. While it is important to provide functional knowledge transfer, it is also important to talk about change management coping techniques. For example, it is important to let staff know the reason that the change is happening and what is in it for them.

5. Understanding resistance helps deflect the defensiveness around change, which facilitates moving ahead. Understand why there will be resistance. People are used to doing their job one way and are concerned about how the change will impact their work and their experience of work. Planning is an important component to change management. When people know ahead of time (again, try to eliminate any surprises), there will be less resistance than if it is forced into place in a hurry. Bring on the naysayers and ask them to be part of the process. Their point of view will be helpful in planning and design. Also, develop appropriate committees and messengers that can communicate to the organization at different and varying levels.

The goal is to become an organization in which change is OK. These five components should be part of any change and should be an everyday theme for the organization. This will build trust and will take time. Yet as trust is established and change is experienced as making things better, more people will become change agents. A healthcare organization’s ability to flex and adapt to change will become a competitive advantage as well.

Rob Drewniak is vice president, strategic and advisory services, for Hayes Management Consulting.

News 4/12/12

Preliminary results from a New Jersey Patient-Centered Medical Home (PCMH) study indicate the model is resulting in improved quality measures and lower costs. Patients participating in the PCMH model had better HbA1c measures and higher rates of breast and cervical cancer screenings. Costs per member were 10% lower than non-participants and lower rates  for ER visits, hospital admissions, and hospital readmissions.

Entrada and NextGen partner to integrate Entrada’s clinical documentation technology with NextGen Ambulatory EHR and PM.

MZI Healthcare enters into a services agreement with Emdeon to offer Emdeon Payment Integrity Solutions and Emdeon Payment Management Solutions to users of MZI Healthcare’s EZ-CAP product.

Emdeon, by the way, reports Q4 revenue of $283.9 million, up 3% from a year ago. Net loss for the quarter was $70.8 million compared to the previous year’s net income of $15 million. Emdeon, which went private last year, says the loss was “primarily due to costs and expenses, including increased interest expense.”

Culicchia Neurological Clinic (LA) selects SRS EHR and Patient Portal for its 17 providers.

GE Healthcare IT announces the availability of Centricity EDI Services 5.4, GE’s eligibility, claim, and remittance clearinghouse. The new release includes support for HIPAA 5010 and stronger analytics.

Practice Fusion announces new functionality for its EHR, including enhanced navigation, clinical messaging, prescription eligibility and formulary information, and tools to delete signed documents. Hmm…I thought it wasn’t a good idea to delete signed documents in an EHR.

Kareo launches a Resource Center that includes webinars, white papers, and educational videos.

E-mail Inga.

News 4/10/12

HHS proposes a one year delay for ICD-10 compliance, pushing the deadline to October 1, 2014 and giving providers and other covered entities more time to prepare and test their systems with the new code sets. HHS also issues a rule requiring all health insurance plans be numerically tagged with a unique health plan identifier; HHS says the proposed identifier change would save providers and health plans up to $4.6 billion over the next ten years.

Allscripts releases Wand, a native iPad app that extends functionality of its Professional and Enterprise EHR solutions.

The 200-member IPA of Nassau/Suffolk Counties (NY) announces a purchase agreement to implement Greenway’s PrimeSUITE EHR/PM solution.

Greenway, by the way, is one of the official sponsors for golfer Jason Dufner, who finished 24th at last weekend’s Masters Golf Tournament.

The AMA names HP its preferred provider for technology products purchased through the organization’s Member Value Program.

Premier Healthcare Alliance adds MedPlus to its ambulatory EMR software agreement portfolio.

Asheville Radiology Associates (NC) contracts with Zotec Partners to handle the billing operations for its 42 physician practice.

Physician offices are expected to add 760,000 new jobs between 2010 and 2020, an increase of nearly 33%. The healthcare sector as a whole is predicted to employ 4.2 million by 2020.

CMS publishes a full set of proposed Clinical Quality Measures for 2014 as part of the proposed Stage 2 EHR rule. The measures for EPs are in their own table and include detailed information on each measure, plus  links to the National Quality Forum website.

CareCloud CEO Albert Santalo was one of a handful of business leaders invited to the White House to take part in last week’s signing of the Jumpstart Our Business Startup (JOBS) Act. Santalo later appeared on PBS Newshour and shared his impressions of the legislation and its potential impact on CareCloud and more established HIT vendors:

It makes healthcare technology companies which have been around for in some cases 40 years, have to become more competitive because now companies like us can access public capital much earlier.

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