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News 12/18/17

December 18, 2017 News No Comments

Top News

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An Atlanta business paper updates a story it published on Greenway Health’s layoffs last week, clarifying that the EHR vendor is only closing its Atlanta offices but will keep its Carrollton, GA offices open. Five hundred Greenway Revenue Services employees and those with other customer-facing functions will continue their work in Carrollton. The company will also hire another 100 RCM employees for that location in the next few weeks, and is hiring for its Tampa office.

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Not to be deterred by conflicting layoff reports, the company announces top KLAS ratings for ambulatory RCM services among small clinics.


Webinars

None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre for information.


Acquisitions, Funding, Business, and Stock

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Denver-based house call company DispatchHealth brings its app-initiated services to Las Vegas. The company has raised nearly $35 million since launching as True North Health Navigation in 2013. Co-founders Mark Prather, MD and Kevin Riddleberger both seem to have spent overlapping time at ITriage, a consumer healthcare app acquired by Aetna in 2011.

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Not to be outdone by the mega mergers of their hospital peers, Florida-based Primary Partners and Central Florida Affordable Care merge to form an independent group of 90 PCPs.

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Net Health’s management team will acquire the specialty-focused EHR company alongside financial partners Level Equity and The Carlyle Group. Terms of the deal were not disclosed. Net Health CEO Anthony Sanzo spent 11 years prior heading up TeleTracking Technologies.


Government and Politics

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Texas practices in areas impacted by Hurricane Harvey will not be subject to MIPS penalties thanks to the successful lobbying efforts of the Texas Medical Association.

Per the 21st Century Cures Act, OCR launches several new resources to help providers and patients better understand HIPAA and its role in sharing and protecting a patient’s mental and behavioral health information.


Telemedicine

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An Australian nurse becomes his own patient when he begins experiencing chest pains while manning a telemedicine clinic in the remote area of Coral Bay. After calling an ambulance and prepping his own adrenalin and shock pads, he called in to a physician in Perth using the Emergency Telehealth Service. Bea Scichitano, MD was on her first ER shift when she took the video call. “I think it probably took me a few seconds to cotton on to the fact that he was the nurse and the patient at the same time,” she said, “so that was a bit of a shock.”


Other

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No spoilers please: While I haven’t yet seen The Last Jedi, I am relieved to know that astronauts aboard the International Space Station will receive a digital copy they can watch via laptop or their on-board projector. Fun fact: The ISS has a digital library of over 500 movies (yes, including 2001: A Space Odyssey).

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NHS researchers highlight the need for easy-to-understand patient educational materials when it asks nine year-olds to write up leaflets explaining the before, during, and after of hip surgery. Turns out statements like “Your hip is old and rotten” and “Coca Cola, fries, and chocolate are not allowed before surgery” are easier for patients to understand than the reading proficiency level used to write most patient-facing health pamphlets. Healthcare facilities in the US have also faced their fair share of health literacy miscommunications, with the HHS calling low health literacy levels an ongoing public health priority.

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Bellevue Family Practice (NE) staff members get in the holiday spirit with an office decorating contest. I’d love to highlight more festive office spaces. Email me holiday-themed photos from your or your customer’s practice for inclusion in a post later this week.


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Population Health Management Weekly Wrap Up 12/17/17

December 17, 2017 News No Comments

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The Chartis Group adds Carol Chouinard (Deloitte) as director of IT strategy and Tonya Edwards, MD (Impact Advisors) as a principal and member of the company’s Physician Leadership Institute.

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Pennsylvania-based Penn State Health and Highmark Health cite development of advanced population health management capabilities, analytics, and care models as among the reasons they will pursue development of a $1 billion healthcare network that will see Highmark move under the PSH umbrella.

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ApolloMed and Network Medical Management complete the merger they announced in December 2016. ApolloMed CEO Warren Hosseinion, MD and NMM CEO Thomas Lam, MD will become co-CEOs of the combined company, which will operate under the ApolloMed name.

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The Medical Society of Delaware chooses HealthEC’s population health management system and services for its 900-doctor clinically integrated network.

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Social determinants of health-focused care coordination technology vendor Healthify acquires community services software company Purple Binder. Healthify co-founders Eric Conner and Alex Villa graduated the startup from the Blueprint Health accelerator in 2013, and raised $6.5 million in a Series A funding round led by BlueCross Blue Shield Venture Partners last summer.

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Wellness for Life will leverage Vital Incite’s population health analytics to help its workplace health centers and direct primary care clinics better understand and act on patient healthcare utilization patterns.

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Population health management software vendor VirtualHealth raises $7 million in a Series B funding round.

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Philips acquires Netherlands-based, 200-employee population health management software vendor VitalHealth Software, co-founded by Mayo Clinic and Noaber Foundation in 2006. The company expands the informatics work Philips started with its acquisition of Wellcentive in 2016. Philips acquired Netherlands-based interoperability software vendor Forcare last week.

To better serve its Medicaid members, Care1st Health Plan Arizona will leverage Equality Health’s CareEmpower care coordination technology and SDOH-focused services.

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Citing an inability to come to agreement terms, Evolent Health decides not to purchase the insurance arm of Premier Health (OH) as announced last month.

Population health management systems vendor SymphonyCare acquires Influence Health’s Empower patient portal business.

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In Maryland, the Howard County Health Department leverages Healthify’s SDOH-focused care coordination software as part of its new CAREAPP (Community Access to Resources via Enhanced technology Applications for Providers and Public) project.

A six-month chronic disease management pilot study conducted within the Massachusetts General Hospital primary care network finds that care improved more when specially trained population health coordinators with access to clinical registries were a part of the primary care team.


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News 12/14/17

December 14, 2017 News No Comments

Top News

Arizona Attorney General Mark Brnovich’s office will oversee the settlement of a lawsuit against Theranos brought under the state’s Consumer Fraud Act. Over 75,000 Arizona residents who received lab-testing services from the now defunct company between 2013 and 2016 will receive checks for about $60. Theranos will also pay $200,000 in civil penalties, $25,000 in lawyer’s fees, and will be subject to civil penalties. As readers may remember, Theranos went down in flames after a series of Wall Street Journal investigative articles prompted CMS to revoke its operating rights. The company admitted earlier this year that it’s lab didn’t deliver all that was promisedx.


Announcements and Implementations

Coinciding with its first anniversary, mobile health app collaborative Xcertia releases draft guidelines for app quality, safety, and effectiveness. Comments are due by the end of January. I’m still a little fuzzy on the value of such guidelines, other than as a branding/marketing tactic app developers will use in a fashion similar to “Energy Star” (though that at least is backed by a governmental body.) Xcertia seems to be doing its best to avoid using the word “certification.”

Drchrono adds medical inventory management functionality from FlexScanMD to its EHR and PM system.

Mighty Oak Technology adds Solutionreach’s patient reputation management software to its could-based Chart Talk EHR, PM, and billing platform.

Mental health and substance abuse EHR vendor ClinicTracker opts for Kno2 interoperability services to better enable behavioral health customers exchange health data. ClinicTracker plans to take its its interoperability efforts even further with future implementation of the Carequality Interoperability Framework.


People

Cathy White (MultiPlan) joins InfoMC as VP of business development.


Telemedicine

EnSofTek adds telemedicine capabilities to its DrCloudEHR for integrated primary and behavioral healthcare.


Acquisitions, Funding, Business, and Stock

Fresh off the sale of its medical group to Optum for nearly $5 billion, DaVita assures stakeholders of its continued investment in its Physicians Solutions technology division (fka Falcon Physicians and Falcon EHR.) The company anticipates rolling out new nephrology-specific IT products to practices and dialysis clinics over the next 18 months.


Government and Politics

In an effort to combat antimicrobial resistance and overprescribing, the FDA develops a website funded by the 21st Century Cures Act that updates physicians on the effectiveness of antibiotics on certain strains of bacterial or fungal infections.

Illinois Governor Bruce Rauner signs into law a bill that will require prescribers to check the state’s PDMP when writing an opioid prescription for the first time. The law takes effect January 1, and also requires EHRs to connect to the PDMP by 2021.

Despite her lack of direct experience, Kellyanne Conway makes strides in her new role as overseer of President Trump’s opioid epidemic prevention efforts. STAT reports that she has been leading weekly meetings with an “opioids cabinet” made up of government officials from a dozen agencies, and has been in talks with budget director Mick Mulvaney about freeing up funds for future programs. With regard to Conway’s experience, former Congressman and opioid commission member Patrick Kennedy (D-RI) points out that, “Given that there is no DEA head, there is no ONDCP head, and there is no HHS head, bottom line is if she represents the administration on this crisis I’d just assume it’d be someone [Trump] really likes and admires. You can have the person with the best credentials in the world fill one of those spots. But at this stage it’s about hiring the people with the right political will.”


Other

Quartz looks at the sometimes questionable prescription verification practices of Hubble, a subscription contacts startup that has raised over $30 million since launching in August. The company’s online ordering process allows consumers to enter in the most basic of details, promising to follow up with eye doctors on their behalf but not always following through on legitimizing the details. The American Optometric Association has complained to the FTC about Hubble’s practices to little avail.


Contacts

Jenn, Mr. H, Lorre

From the PRM Pro: Top 5 Technological Advances Improving Primary Care Communication

December 14, 2017 News 1 Comment

Top 5 Technological Advances Improving Primary Care Communication
By Jim Higgins

The relationship between a patient and their providers is the foundation upon which great healthcare is built. Strong patient relationships not only lead to higher ratings for physicians, but better outcomes for patients. Such widespread integration of technology in the healthcare world inevitably has an impact on the patient management of every practice—no matter the size. Technology is often painted as a cold, unemotional process that distances us from those around us. Because of this, many practices are hesitant to take advantage of the benefits it provides. Fortunately, however, nothing could be further from the truth. As noted in this article, multiple studies have shown that patients not only tolerate, but actually prefer medical practices that take advantage of modern technology.

The successful implementation of any healthcare technology is dependent on choosing the right technology. Practices must find ways to keep the human touch when using technology to connect with patients. Communication is one of the most important aspects of the patient-provider relationship. Technology should enhance, not take away, from patient communication. The following are five technological advancements that improve communication and help you meet your patient relationship goals.

Automation of communication. It can be challenging to communicate with patients at the right pace. You don’t want to under-communicate, but patients may not want you to over-communicate either. Automating communication allows you to ensure you have critical touch points while being considerate of patient preferences. Touch points such as appointment reminders, recall messages, birthday messages, and post-visit feedback can all be automated. Automation may seem like it eliminates the personal feel that is so important in healthcare, but the opposite is actually true. Automation ensures that no one will be forgotten. Messages can be crafted in such a way that they still provide that warm, friendly feel. And, finally, the pace can be set to consider the patient’s preferences.

Customized, on-going education. A critical method of ensuring positive health outcomes is on-going education. Every practice should send out regular newsletters and emails sharing health tips with patients. Customization of this on-going education can lead to even better results. Modern technology allows practices to group patients based on varying criteria. For instance, if you have a group of patients who all have diabetes, you can send out specific educational pieces on diabetes to only these patients. By making your educational pieces more targeted, you significantly increase the odds that patients will comply.

Online self-scheduling. Implementing self-service options gives patients more control over their healthcare, and improves patient satisfaction and health outcomes. One of the most effective self-service options is online self-scheduling. An Accenture survey noted that 77 percent of patients say that being able to schedule appointments online is important to them. Not surprisingly, it is expected that by 2019, around 66 percent of practices will offer online self- scheduling. This capability gives patients control over when and where they schedule an appointment. If an issue arises at 7pm, patients no longer have to wait until the next day to see if they can be fit in for an appointment. Their likelihood to return to a practice improves.

Digital Check-In. The growth of check-in tablets and kiosks has exploded. Self-service kiosks have become a regular feature in a variety of industries including retail, travel, entertainment, finance, and others. Healthcare is no exception. Kiosks give patients a sense of control. Seventy-five percent of patients in a recent study found that using a kiosk for check-in was faster than going through the receptionist. The majority wanted to use one again. Kiosks enable patients to save time and update information easily in a way that is comfortable and familiar to them. 

Telehealth. Studies consistently show the benefits of telehealth. One of the greatest advantages is the increased access to care for those in areas with a shortage of healthcare professionals – a phenomenon that is becoming all too common in rural parts of the country that already face a physician shortage.

Providing excellent healthcare depends on many factors, one of which is the ability to maintain strong, healthy relationships with patients. Beyond insurance affiliation, office location, and academic credentials, patients are looking for ways to connect with their provider. Technology provides the tools necessary to do just that.

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Jim Higgins is the CEO and founder of Solutionreach in Lehi, UT.


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News 12/13/17

December 13, 2017 News No Comments

Top News

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Greenway Health will lay off 120 employees when it closes offices in Atlanta and Carrollton, GA in January. The closures are part of a corporate overhaul that includes moving operations to its Tampa facility and streamlining software. The news is somewhat contrary to its initial October announcement, which claimed that customer support and revenue services would be maintained at its Carrollton location.


Webinars

None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre for information.


Announcements and Implementations

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Community health provider Alivio Medical Center joins VillageMD’s network in Chicago.

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Mental health provider Bridgeway Rehabilitation Services (NJ) deploys GoMo Health’s Every Day Matters Personal Concierge patient engagement messaging, including appointment reminders and educational content. GoMo Health was launched as a division of commerce and engagement company Gold Mobile in 2014.

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Beneufit adds medication management and symptom tracking tools to its cycling exercise app for Parkinson’s patients. A 2015 pilot study conducted by the San Francisco startup with a local fitness club found participants experienced a 25-percent improvement in manual dexterity and a 38-percent improvement in fitness levels.

CareCloud adds a MIPS dashboard to its EHR to help physicians track and report MIPS Quality, Advanced Care Information, and Improvement Activities measures.


People

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Community Health Accreditation Partner promotes Barbara McCann to president and CEO. The nonprofit accrediting agency works with public health, home health, and hospice providers; as well as home medical equipment companies.

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DocuTap names Matt Blosl (Tongal) chief revenue officer, Monte Sandler (NextGen) EVP of RCM, and Adam Steinberg (NextGen) SVP of account management.


Acquisitions, Funding, Business, and Stock

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Provider reputation management company Doctor.com merges with marketing automation competitor Connect Healthcare. Connect Healthcare President Noel Coleman will assume the role of president of enterprise solutions at the newly combined, Atlanta-based company.

In an effort to expand its healthcare customer base, High Point Technology Group acquires TechForceIT, which provides managed health IT services to physician practices in the Houston area.


Government and Politics

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Sixteen HHS officials from across the department – including Acting HHS Secretary Eric Hargan, CMS Administrator Seems Verma, FDA Commissioner Scott Gottlieb, MD Surgeon General Jerome Adams, MD and National Coordinator Don Rucker, MD – convene to discuss their ongoing work to combat the opioid epidemic. Attendees shared updates and plans for coordinating programs across the department.

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Just in time for holiday shopping season, the FTC warns consumers to consider the privacy (or lack thereof) implications of at-home DNA testing kits. I admit privacy wasn’t top of mind when I purchased a kit from 23andMe last year as a Christmas gift for my genealogy-crazy mother. A quick peek at the company’s privacy guidelines doesn’t raise any red flags, though I suppose in these days and times every company runs the risk of being hacked.


Other

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The power of social media: Researchers determine that a skin cancer patient’s viral selfie prompted near record-breaking levels of online searches about skin cancer and prevention. Kentucky nurse Tawny Willoughby’s 2015 Facebook post generated 50 shares, 161 news reports, and several days’ worth of Google searches that were 162 percent higher than typical search volumes – all of which hopefully resulted in Googlers avoiding tanning beds and taking sun safety precautions.

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This article highlights the amusing ways in which physician fatigue (particularly physician mom fatigue) can manifest itself.


Sponsor Updates

  • EClinicalWorks will exhibit at the New York Society for Gastrointestinal Endoscopy 41st Annual New York Course December 14-15 in New York City.
  • Technology Headlines Magazine names Intelligent Medical Objects CEO Frank Naeymi-Rad one of the 50 Most Admired CEOs of 2017.

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Jenn, Mr. H, Lorre

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