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The most news I’ve ever gotten out of Meditech

If you think Epic Systems, which doesn’t issue press releases and infrequently shares much with the press, is tough for the media, you should try Meditech. I’ve never gotten a response from anyone there and never written any actual news about the company. Until now.

Today, this tweet appeared:

 

So there you have it: Meditech is at a conference in Ireland today. That’s the most news I’ve ever had on that EHR vendor.

November 19, 2014 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality, hospital/physician practice management and healthcare finance.

Glaser to focus on interoperability as Cerner SVP

A big question surrounding Cerner’s $1.3 billion acquisition of Siemens Health Services has been answered: John Glaser, head of the health IT division of Siemens AG, will join Cerner as a senior vice president, concentrating on  “driving technology and product strategies, interoperability and government policy development,” according to a post on the Cerner blog.

Glaser wrote about his experience at the recent Cerner Health Conference in Kansas City, Mo. “For me, the conference, its energy and vision of patient-centered care and health, cemented my decision to become part of the Cerner organization once the transition is effective,” he said.

“At CHC, the message that resounded most clearly was, “It’s all about the patient.” When our industry talks about the HITECH Act, the drive toward electronic health records (EHR), and about greater efficiency and effectiveness, it’s usually from the perspective of helping the clinician and the organization. But, in the end, those clinicians, those organizations and those of us in the industry, know that it is about the patient,” Glaser continued [emphasis in original].

As Cerner President Zane Burke told me a few weeks ago, the acquisition is still on track to close in late winter or early spring. Still unknown is the fate of other Siemens Health Services executives and thousands of employees.

November 18, 2014 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality, hospital/physician practice management and healthcare finance.

Why should I go to the mHealth Summit?

You’d think the annual mHealth Summit, set for next month at National Harbor, Md., would be right up my alley, but unless something changes very soon, it looks like I’ll be missing it for the third year in a row.

In 2012, it was a last-minute decision to skip due to a death in the family. Last year, the publication I would have covered it for was bringing three people already, two of whom were new and needed to experience all this mobile health in one place a lot more than I did.

This year, it’s coming down to my decision. At the moment, I don’t have anyone who absolutely needs me to cover it for them. (If you need me to help, let me know ASAP.) It also would be highly inconvenient and expensive for me to go.

As a freelancer, I’m usually on my own for travel expenses. Normally, the Washington area is a cheap trip for me, since I have family to stay with in Montgomery County, Md., and fairly good access to the Metrorail system and Interstate 270. However, National Harbor — a developer’s euphemism for struggling Oxon Hill — is just past the southern tip of D.C., near the Woodrow Wilson Bridge across the Capital Beltway. That’s a good 5o miles from where I would ordinarily stay, and not on a Metro line. Yes, there’s a shuttle from a Metro station and a water taxi from Old Town Alexandria, Va., but it would still take more than an hour to get to either place via Metro.

The handful of hotels in this isolated development are all more than $100 a night, and the conference now stretches four full days. As a kicker, this would be the end of a multi-city trip that already is taking me to the West Coast and the South before heading back to the Midwest. So there’s that to consider. With airfare and meals, it will cost me a good $700 for the privilege of doing little more than blogging for not a lot of money unless I find a solid client, and find one fast, before I book the rest of my trip, which I’m doing this week.

Why does the mHealth Summit need to be four full days anyway, not counting the pre-conference seminars that could keep some people there for six days? That’s actually longer than the huge HIMSS conference, which usually starts on a Monday and ends in the early afternoon on a Thursday — and HIMSS owns the mHealth Summit now.

How much mobile health is there anyways? Mobile health already is melding into wireless health, digital health, connected health and probably a few more variations of health that escape my mind right now. In a few years, they’ll all be part of health IT, e-health or just plain “health” anyway. Do we really need four full days of it in an isolated “resort” in a cold climate? (Fine, it’s not too far from Reagan National Airport, but good luck to you if you fly into Dulles or Baltimore-Washington International.)

 

November 6, 2014 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality, hospital/physician practice management and healthcare finance.

Podcast: Scot Silverstein talks health IT safety risks

In a sidebar to the September cover story I did for Healthcare IT News, I reviewed some of the work of Scot Silverstein, M.D., who has long been chronicling problems with EHRs and other health IT systems. Unfortunately, he wasn’t available for an interview in time for that report, but he was last week, so I got him for a new podcast.

Silverstein, a professor of health informatics at Drexel University in Philadelphia, considers EHRs to be experimental and, sometimes, less safe than paper records and would like to see health IT subjected to the same kind of quality controls as aerospace software or medical devices. “Suboptimal system design could lead even careful users to make mistakes,” Silverstein said in this interview.

During this podcast, we refer to a couple of pages that I promise links to, so here they are. Silverstein writes regularly for the Health Care Renewal blog, a site founded by Roy Poses, M.D., a Brown University internist who runs the Foundation for Integrity and Responsibility in Medicine. His definitions of good health IT and bad health IT appear on his Drexel Web page.

Podcast details: Scot Silverstein, M.D., on health IT safety risks. MP3, mono, 128 kbps, 33.8 MB. running time 36:59.

1:10 How this interest came about
3:05 His blogging
3:45 His 11 points demonstrating why he believes the FDA should be concerned about health IT risks
5:00 IOM, FDA and ECRI Institute statements on health IT safety
5:50 Comparing EHRs to medical devices and pharmaceuticals
8:35 Lack of safety testing in health IT
9:25 Issues with EHR certification
10:00 Safety validation of software
10:35 EHR’s role in Texas Health Presbyterian Hospital’s initial discharge of Ebola patient
11:50 EHR failure causing medical harm to a close relative
13:10 Poor design vs. poor implementation
14:35 Who should regulate?
15:55 Billions already spent on EHRs
16:45 Threat of litigation
17:40 “Postmarket surveillance” of “medical meta-devices”
18:50 EHRs now more like “command and control” systems
19:30 Movement to slow down Meaningful Use
20:17 Safety issues with interoperability
21:40 Importance of usability
22:30 His role at Drexel
24:18 “Critical thinking always, or your patient’s dead”
25:05 Lack of health/medical experience among “disruptors”
29:30 Training informatics professionals and leaders
31:15 Concept vs. reality of “experimental” technology
32:50 Advice for evaluating health IT
33:55 Guardians of the status quo
35:10 Health IT “bubble”
36:10 Good health IT vs. bad health IT

 

October 20, 2014 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality, hospital/physician practice management and healthcare finance.

Breaking: ONC’s Judy Murphy leaving for IBM job

Judy Murphy, R.N., Director of the Office of Clinical Quality and Safety in the Office of the National Coordinator for Health Information Technology, and the ONC’s chief nursing officer, is stepping down Oct. 17 to become CNO of IBM Healthcare Global Business Services.

Murphy has been with the ONC since December 2011 after 25 years as a nursing and informatics expert at Aurora Health Care in Wisconsin; she had led Aurora’s EHR program since 1995. Most importantly to those of us in the media, she has never been afraid to speak her mind and provide good quotes. Now that she’s moving back to the private sector, she won’t be hamstrung by political and considerations when she gives public presentations.

According to National Coordinator Karen DeSalvo, M.D., health IT specialist Jon White, M.D., will be on part-time detail from the Agency for Healthcare Research and Quality to serve as interim head of the Office of Clinical Quality and Safety and acting ONC chief medical officer until those positions get permanent replacements. (Former ONC CMO Jacob Reider, MD, is now deputy national coordinator.) Andy Gettinger, M.D., of Dartmouth Hitchcock Medical Center, will head up patient safety efforts at the ONC on an interim basis.

Judy’s CNO responsibilities will be entrusted to the other nurses at ONC until a replacement CNO can be named,” DeSalvo said in a memo to ONC staff.

October 3, 2014 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality, hospital/physician practice management and healthcare finance.

Podcast: Care Innovations CEO Sean Slovenski on his company’s Validation Institute

PALO ALTO, Calif. — I’m out here in the Bay Area, in part because Intel-GE Care Innovations invited me to be one of six judges of its first-ever “hackathon” this past weekend. (Full disclosure: Care Innovations paid my travel expenses, but placed no editorial demands on me.)

On Saturday, I sat down with CI CEO Sean Slovenski to discuss a number of issues in digital health and health reform, but I found myself most curious about CI’s new Validation Institute, launched in late June, which looks to bring some truth to some outrageous claims made by entrepreneurs in the untamed world of digital health, telehealth and population health management. I turned on the voice recorder, and this short podcast is the result.

(Sorry for the bit of background noise. We both live in the Midwest, and just had to do this outside on a gorgeous California morning.)

Podcast details: Interview with Sean Slovenski, CEO of Intel-GE Care Innovations, on the company’s new Validation Institute. MP3, stereo, 192 kbps,  9.2 MB. Running time 6:38

September 22, 2014 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality, hospital/physician practice management and healthcare finance.

Infographics: Health IT leadership and salaries

It’s infographic time! In fact, it’s time for two infographics.

The first is from HIMSS, celebrating 25 years of the organization’s annual health IT leadership survey. Some interesting findings, as pointed out by a HIMSS publicist:

  • 1991- 75 percent say their institution’s financial health is helped by computers
  • 1994 – 14 percent predict that digital patient information will be shared nationwide in 1-3 years
  • 2000 – 70 percent of respondents say HIPAA is a top business issue.

 

The second infographic comes from HealthITJobs.com. Not surprisingly, the most lucrative jobs are in consulting, and those with experience get paid significantly more than newbies.

September 18, 2014 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality, hospital/physician practice management and healthcare finance.

More health IT comedy means the public is taking notice

I often share jokes and humorous videos here, sometimes because a product is worthy of ridicule, but also to illustrate how some health IT is going mainstream. I’m going to do it again today because two things happened in the last week that I had not seen before.

First, though Stephen Colbert has made fun of digital health and fitness products before, last week he took it upon himself to do so on consecutive nights.

On Sept. 8, he took down the forthcoming Pavlok fitness bracelet, a product that sends an electrical jolt to the wearer’s arm as a reminder to exercise. It also debits the user’s bank account and posts an embarrassing message on Facebook. No, really. “When you’re in a dark place, alone at home, out of shape and too tired, overweight or depressed to work out, it’s probably because you weren’t getting enough public humiliation,” Colbert said.

 

A night later, Colbert, like the rest of the world, was talking about the Apple Watch. After cheering wildly about the announcement, Colbert asked, “What does it do?” He then showed a picture of himself from high school and said it was finally cool to wear a calculator watch.

 

Then, on Friday, no less than America’s Finest News Source, The Onion, got into the act with its “American Voices” feature, in which common people (actually, the same five or six headshots recycled for years with different names and occupations) give their fake opinions on a newsworthy topic. That day, the subject was, “Patients Making Record Number Of Telehealth ‘E-Visits’ With Doctors,” with a reference to an actual Deloitte study on that very topic.

As one “commenter” said, “Until doctors can email me painkillers, I don’t see the point.”

 

September 16, 2014 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality, hospital/physician practice management and healthcare finance.

Podcast: Greenway Health CEO Tee Green on interoperability, consumerism and more

Health IT vendor Greenway Health recently finished its rollout of a cloud-based EHR to all 8,200 Walgreens stores in the U.S. When I was offered the chance to interview CEO Wyche T. “Tee” Green III about this, I decided to take it a step further.

In all my years of covering health IT, I’ve never met nor even spoken to Green, so I figured a podcast was in order. After all, I had written a piece for Health Data Management earlier this year about how pharmacies are reshaping themselves as true healthcare companies. (This interview also comes in the wake of CVS Caremark ending its sale of tobacco products and changing its name to CVS Health.)

I also had a lot of questions about interoperability issues in health IT and the many criticisms that lately have been heaped on both EHR vendors for perceived usability problems and the federal Meaningful Use EHR incentive program. The timing couldn’t have been better.

Podcast details: Interview with Greenway Health CEO Tee Green, recorded Sept. 8, 2014. MP3, mono, 128 kbps, 25.5 MB. Running time 27:51

1:00 Walgreens rollout and EHRs for “retail health”
3:20 Future expansion to Walgreens Healthcare Clinic locations
4:15 My own experience with lack of interoperability at a CVS MinuteClinic
5:30 Achieving EHR interoperability
7:30 Frustration with slow progress on Meaningful Use
10:30 Data liquidity
12:30 Update on CommonWell Health Alliance
14:25 Addressing criticisms that vendors are hindering interoperability
16:30 EHR usability
18:10 Greenway Marketplace app store
22:15 Patient engagement and slow start to Stage 2 Meaningful Use
24:10 Dealing with the rise of consumerism in healthcare

I’ve been kicking around in my mind the idea of hosting a regular podcast, perhaps as frequently as weekly. If so, what day of the week would you prefer to hear a new episode?

September 12, 2014 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality, hospital/physician practice management and healthcare finance.

EHRs and patient safety

If you wonder where I’ve been, I’ve, for one thing, been blogging a bit for (very little) pay over at Forbes.com and writing a lengthy cover story for the September issue of Healthcare IT News.

The Healthcare IT News piece actually breaks down into a fairly short lead story and several sidebars, which aren’t all that evident from the traditional Web version. (The digital edition has everything.) For the sake of convenience, here are links to all elements of the cover package:

Main story: “Patient safety in the balance: Questions mount about EHRs and a wide range of patient safety concerns”

Sidebars:

The issue also contains a reprint of my May 2012 blog post, written just a week after my father’s death: “Medical errors hit home.”

Happy reading, and happy Labor Day weekend.

August 29, 2014 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality, hospital/physician practice management and healthcare finance.