Neil Versel's Healthcare IT Blog

November-19-2014

11:48

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-18-2014

15:12

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-6-2014

13:05

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.)

 

October-21-2014

2:46

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-3-2014

14:54

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.

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