Free Healthcare IT Newsletter Want to receive the latest news on EMR, Meaningful Use, ARRA and Healthcare IT sent straight to your email? Get all the latest Health IT updates from Neil Versel for FREE!

FierceHealthIT

Just a quick note: I’m the guest host, as it were, of FierceHealthIT this week. I wasn’t sure until it was too late if I was supposed to write a commentary, so I didn’t, but four of the top five story summaries this week carry my byline:

The one I didn’t write, “Top P4P hospitals to score $7m in bonuses from CMS,” ran in the daily FierceHealthcare last Thursday.

June 23, 2008 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality fast $5000 loans-cash.net with bad credit, hospital/physician practice management and healthcare finance.

Pre-HIMSS scuttlebutt

ORLANDO, Fla.—Congress, are you listening? Steroids have hit health IT.

National Coordinator for Health Information Technology Robert Kolodner, M.D., admitted to me this morning that he’s juicing. He even showed me the pills, surreptitiously hidden in the inside pocket of his suit jacket.

Yeah, so what if he had a prescription, and he was using the ’roids to cure his laryngitis before he has to deliver a keynote address Tuesday morning to thousands of HIMSS conference attendees? If other media can hype steroid use in baseball, why can’t I do it in health IT?

One person I mentioned this to today said he would support the use of performance-enhancing substances for anyone promoting greater adoption of health IT. So I guess the consensus is to take the Bud Selig approach and look the other way as long as it’s for the good of the game.

(Full disclosure: I took prednisone last year to treat a rash that resulted from an allergic reaction to the antibiotic Bactrim. I guess that makes me a juicer, too.)

Keep reading, I’ve got all the pre-HIMSS dirt right here.

Peter Basch, M.D., medical director for eHealth at MedStar Health in Washington, D.C., is the HIMSS physician of the year, and will be honored at the HIMSS Awards Dinner on Tuesday.. The Davies Award winners have been public for several months, and I don’t have word on other award winners.

The HIMSS partnership with the Association of Medical Directors of Information Systems has produced data showing that an increasing number of chief medical information officers are reporting to executives other than chief information officers, often the CMO, CFO or even CEO.

E-prescribing vendor DrFirst is remaining independent, but has agreed to add Meditech to its roster of EHR partners it promotes to e-prescribing customers.

News of Google’s long-awaited health product got out last week, so it’s widely known the Cleveland Clinic will test a personal health record with 1,500 to 10,000 patients. (The leak, of course, came from the Cleveland Clinic, and not from tight-lipped Google.) However, I have learned that the public launch of the product likely will come near the end of the first quarter. Google CEO Eric Schmidt likely will make it official when he delivers a keynote here on Thursday morning.

Note to skeptics: I have learned that Patient Privacy Rights Foundation founder Deborah Peel, M.D., has not been paid by Microsoft to tout the privacy benefits of HealthVault. I understand that the only financial gain she will receive is from the fee Microsoft will pay her organization to certify HealthVault against privacy standards Peel is developing.

The annual, midyear HIMSS Summit will run concurrently with National Health IT Week this year, in Washington, D.C. The summit is set for June 9-10. HIMSS Advocacy Day will take place June 11 on Capitol Hill. The week ends with the seventh-annual Center for Information Therapy conference on June 12-13. I believe this is the first time the Ix conference has been held anywhere besides Park City, Utah.

Also, if you aren’t registered for HIMSS, you still can participate in several public meetings here staged by the federal government:

American Health Information Community meeting, Tuesday, 10 am to 4 p.m.
Establishing the AHIC Successor, Tuesday, 3:30 to 5:30 p.m.
HIT Terms Project: Network Workgroup Public Forum, Tuesday, 4 to 6 p.m.
HIT Terms Project: Records Workgroup Public Forum, Wednesday, 11 a.m. to 1 p.m.

All times are Eastern, and all meetings take place in the Orange County Convention Center, Orlando, Fla.

February 24, 2008 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality fast $5000 loans-cash.net with bad credit, hospital/physician practice management and healthcare finance.

Podcast: HIMSS CEO Steve Lieber

ORLANDO, Fla.—Here’s a podcast that’s been a year in the making. Actually, it was a year plus an hour and a half. Last year in New Orleans, I had a lively, hour-long conversation with HIMSS President and CEO Steve Lieber that was supposed to be for a podcast, but the recording didn’t work.

On Saturday, I showed up at the appointed hour for another sit-down with Lieber, and realized I’d forgotten my recorder back at my hotel, so we rescheduled for about 90 minutes later. Well, the third time was a charm, and the result is this podcast, a lively, half-hour-long conversation with Steve Lieber, just ahead of the opening of the annual HIMSS conference.

Podcast details: Interview with Steve Lieber at HIMSS ’08. MP3, mono, 64kbps, 13.8 MB. Running time 30:10.

0:30 Expected attendance of 27,000+
1:15 Greater attention on technology in healthcare
1:45 Growth on clinical side
2:50 More interest from non-IT executives
4:00 E-prescribing as an example of IT crossing disciplines
5:45 Multiple opportunites for improvements in prescribing and medication administration
6:30 Continuing problems with access to capital
8:50 Prospects for Medicare payment reform
10:07 Health IT in the presidential campaign
11:15 Health IT debate remains largely nonpartisan.
12:40 Progress among private payers in reimbursement for quality
14:00 More focus on disease management than quality per se
14:40 Slow adoption of personal health records
15:42 Suitability of PHRs for chronically ill
17:30 Kids may be first major PHR constituency in general population.
18:05 Google, Microsoft and Revolution Health in healthcare and HIMSS keynotes from Eric Schmidt and Steve Case
20:00 Movement toward home health
20:40 HIMSS strategic interest in medical devices
21:40 HIMSS branching out as an association
22:30 Interoperability of financial and administrative information
23:10 Working for universal set of quality measures
23:35 Globalization of HIMSS
26:00 Standardization beyond the U.S., e.g., Snomed
27:00 Highlights of HIMSS conference: Interoperability Showcase
28:00 Public meetings at HIMSS, including AHIC
29:03 International registration

I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality fast $5000 loans-cash.net with bad credit, hospital/physician practice management and healthcare finance.

Update

In my Dec. 27 post, I referenced a letter from HHS Secretary Mike Leavitt to members of Congress regarding EHRs and the planned 10.1% Medicare physician fee cut for 2008 that eventually was postponed for six months.

I said that the letter was not available online. I was wrong. Here it is.

It seems I confused that letter, from Leavitt to Senate Finance Committee leadership, with another one from members of the Senate regarding e-prescribing. In the latter correspondence, 19 senators asked Attorney General Michael Mukasey to push the Drug Enforcement Agency to revisit its ban on electronic prescribing of controlled substances.

Sen. Sheldon Whitehouse (D-R.I.) issued a press release about that Dec. 17 letter. The letter followed a Dec. 4 hearing on the topic in front of the Senate Judiciary Committee. In the interim, on Dec. 10, the Justice Department included electronic prescriptions for controlled substances on its semi-annual regulatory agenda (see page 70083). That means expect a proposed rule change within the next six months.

As the Washington regulatory machine plods along and the presidential primary season kicks into high gear, please don’t ask me to make any predictions on the EHR/Medicare issue, or, for that matter, on the Medicare fee debate now on hold for a few months.

I will say again, however, that I believe Congress seems to have the will to make major changes to Medicare about once a decade, and that already happened this decade with the Medicare Prescription Drug Improvement and Modernization Act of 2003. Call me cynical (and many have), but I don’t see anything big happening in a presidential election year.

Meanwhile, I’m trying to arrange something super cool: a ride-along in an all-digital ambulance. Hopefully not as a patient. Stay tuned.

January 8, 2008 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality fast $5000 loans-cash.net with bad credit, hospital/physician practice management and healthcare finance.

Catching up

It’s been a while since I’ve blogged, but being busy means I’m working. Usually.

In this case, I certainly have been working hard for the last few weeks, but I’ve also been toying with the idea of going to Australia for the triennial MedInfo conference, which takes place next week in Brisbane. After much contemplation, story pitching and even a preliminary discussion with someone who may have been able to cover the considerable expenses until the boss said no, I will indeed be departing for Australia this weekend.

With 17.5 hours of flying time each way—not counting connection time—and the need to do a whole lot of work to pay for the trip, this could be the last blog post for a while. It probably won’t, however, since I have something else to write tonight or tomorrow that I believe warrants its own post.

As I finish up some lingering assignments and prepare for my latest junket, here are a couple of items of interest that I’ve been sitting on for a bit.

This week, Alaska became the final state to legalize e-prescribing, meaning that electronic prescribing is now legal nationwide, including in the District of Columbia and Puerto Rico. Pharmacy connectivity network SureScripts has a map of e-prescribing status by state at http://www.surescripts.com/participant.aspx?ptype=pharmacy. At the right of the screen is a link to a high-resolution map showing where e-Rx laws have changed since 2004.

Then there’s this: A planned high-rise in New York would have 1 million square feet of space to showcase medical devices and other technology, with the goal of “making New York City the prime center of commerce and innovation for the US$260 billion global market for medical devices and diagnostics,” according to the press release.

The proposed World Product Centre would be at 11th Avenue and 34th Street in Manhattan, on the former site of the Copacabana nightclub, across the street from the Jacob Javits Convention Center. Is someone perhaps trying to lure the Radiological Society of North America annual conference to New York?

August 15, 2007 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality fast $5000 loans-cash.net with bad credit, hospital/physician practice management and healthcare finance.

Podcast: SureScripts COO Rick Ratliff on proposed Medicare e-Rx rule changes

Right before America effectively shut down for an Independence Day that fell on a Wednesday and surely prompted some very long weekends, the Centers for Medicare and Medicaid Services proposed some modifications to various Medicare payment and provider eligibility rules. Among the proposals is a plan to remove computer-generated faxing from the CMS definition of electronic prescribing.
alter the Medicare Part D electronic prescribing regulations.

This move is bound to make some e-prescribing advocates very happy, particularly on the pharmacy side and among the patient-safety crowd. Case in point is Rick Ratliff, chief operating officer of e-prescribing connectivity network SureScripts, who joins me for this podcast to discuss the CMS proposal and the future of e-prescribing.

Podcast details: Interview with SureScripts COO Rick Ratliff on proposed Medicare Part D e-prescribing regulations. MP3, 64 kbps, 10.2 MB, running time 22:14.

1:00 What SureScripts does
2:08 Fax exemption in existing rule
3:07 What CMS is proposing
4:02 Impact of the proposed change
4:26 What vendors might have to do
5:37 Lack of financial incentives in Medicare e-prescribing rules
6:35 Why it’s a “potentially enormous” change
7:45 Two-way communication in e-prescribing
8:35 Savings from efficiency gains
9:33 Private payers following the lead of CMS
10:00 True electronic prescribing vs. electronic faxing
11:30 Public comment period for the proposal
12:43 What SureScripts might tell CMS
13:22 How to encourage physicians to adopt e-prescribing
15:02 Physician attitudes toward patient suggestions
16:45 The tipping point
17:50 Is this a competitive battleground for pharmacies?
18:37 How retail pharmacies view e-prescribing
19:30 Effect of e-prescribing on patient and physician expectations
20:07 New SureScripts technology to report back to physicians on fill rates
21:25 E-prescribing effect on healthcare quality

July 5, 2007 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality fast $5000 loans-cash.net with bad credit, hospital/physician practice management and healthcare finance.