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Big Health IT News Flowing – ICD-10 Delayed, Meaningful Use Stage 2 Imminent, and More

Posted on February 17, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

If you live and love the EMR, EHR and Healthcare IT world like I do, then you’re enjoying all the big news that’s coming out right now. A part of me thinks that the big news is coming out because HIMSS is so close, but some of the news seems like it might not necessarily be timed directly to HIMSS. (To see company news coming out at HIMSS, check out our EMR, EHR and Healthcare IT News site.)

For those not keeping track, here’s a quick run down of some of the major news pieces I’ve seen that really point to larger trends in healthcare IT:

Meaningful Use Stage 2
We know that meaningful use stage 2 is imminent. It’s just a question of when we’re going to hear it. In fact, it might be announced as I’m writing this post. Neil Versel first queued us into the Meaningful Use Stage 2 Announcement prior to HIMSS, but the Twittersphere is also full of rumors about the announcement. Brian Ahier commented on my Facebook message about it:

Nothing is official until it’s released, but since Monday is a holiday it is very unlikely they will wait until next week. My understanding is that the review at the OMB is complete and the proposed rule is ready to be published…

For those who want a sneak preview on what to expect in meaningful use stage 2, check out Jennifer Dennard’s meaningful use stage 2 post.

ICD-10 Delayed
Many have wondered if ICD-10 would be delayed with most arguing that 5010, meaningful use and ICD-10 was a lot to change all at once. Two days ago I got an email from someone saying they thought ICD-10 wouldn’t be delayed. I replied that I wasn’t sure either way, but it seemed like there was movement that could make a delay quite possible. Although, I must admit that I didn’t even think the ICD-10 delay announcement would happen so quickly.

Regardless of prognostication, ICD-10 is going to be delayed. You can read my thoughts on the ICD-10 Delay on EMR Thoughts.

HIMSS Acquires mHealth Summit
Maybe this feels like bigger news since it’s so close to HIMSS and I can see how powerful this conference has become. You can read the press release on the acquisition here. This isn’t that surprising since HIMSS had partnered with the mHealth Summit last year. I think this spells really good things for the growth of the mHealth Summit. I’m not sure I’d want to be another mHealth conference, but there’s a niche for the right event.

I still have a hard time distinguishing mHealth from healthcare IT in general. There could be some differentiation, but I still believe that over time the dividing line between the two is going to be hard to see. Richard Scarfo, HIMSS’ vice president of vendor events (previously mHealth Summit director) is right to be concerned that it will be HIMSS 2.0.

Navinet Acquired by Blues Plans and Lumeris
Read more about the acquisition here. I must admit that I’m still trying to process exactly what this means. Although, one thing I’m sure it means we’re moving the tectonic ACO plates that will be necessary to change how we pay for healthcare.

Vince Kuraitis and Leonard Kish provide some interesting insight in this Google+ thread asking whether this is a shift from institution (enterprise) centered IT to patient centric IT or if it’s becoming payer centric IT. They also mention United’s restructuring of payments and Aetna’s acquisition spree as indicators of the shifting plates of healthcare reimbursement.

Aneesh Chopra as Senior Advisor to the Advisory Board Company
This isn’t as big of news, but it just came out so I thought I’d throw it in. For those that don’t know Aneesh Chopra is now former CTO of the US. Everyone just wondered what he’d do next. Brian Ahier posted that Aneesh Chopra landed at The Advisory Board Company where he worked previously for about 10 years. Looks like Aneesh and his energy and enthusiasm will still be around healthcare. I think that’s a very good thing.

Examples of Health Startup Opportunity

Posted on December 21, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Anyone that is part of the healthcare IT and EMR world has to realize that we’re in a really incredible time for healthcare IT and EMR. There’s has never been more energy, excitement and actual investment in the Healthcare IT world than there is now. If you don’t believe me, buy your ticket to Las Vegas and attend HIMSS 2012 and I’m sure you’ll see what I mean. I have a feeling that HIMSS Las Vegas is going to be bigger than ever with more money flowing as well.

Just to provide a few examples of what’s happening, the prominent IT investor Esther Dyson has invested in 20 Health IT investments. That’s a whole lot of investment in healthcare IT. She obviously sees some real opportunities available at this time in health IT.

Another recent announcement was the recent batch of 15 Rock Health Startup companies. This is just one of at least 3 or 4 health focused incubators out there. Plus, the latest batch of health IT startup companies from Rock Health even has Neil Versel singing their praises after a previous not so glowing review of the health startup incubator (or health accelerator if you prefer).

One other thing that is easy to underestimate is the value that the US government is putting on supporting healthcare innovation through entrepreneurship. Normally I’m as skeptical as anyone in putting any sort of faith in government to produce results. I still think they have their hands tied in a lot of things, but I give a lot of credit to Aneesh Chopra, Todd Park and Farzad Mostashari for doing their very best to kick against the challenges of big government while enabling health entrepreneurs to be successful.

Priya Ramachandran wrote about an example of one initiative the government is putting forward to help entrepreneurs: Access to Public Health Data. Every time I hear someone talk about the data that’s available from these public repositories of health data, the entrepreneur inside of me kicks in with ideas on how to use that data for good.

It is a really tremendous time to be an entrepreneur in healthcare. I do think we still need a better platform for health IT startups to launch their products and get funding. I have a few ideas I’m working on in this regard. More on this in the future.

HIMSS11 Thoughts – Day 2

Posted on February 21, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Hopefully none of you were expecting Meaningful Use Mondays. We’re taking the week off thanks to HIMSS, but there will certainly be some meaningful use discussion in my day 2 experience at HIMSS11.

I must admit that my morning was a little disappointing. I’d wanted to see Reich speak, but it ended up being too early for me. So, I followed what he said on Twitter. I’m afraid to say that following it on Twitter might possibly have been better than being there. There’s something really cool about the Twitter back channel conversation at a conference.

I was excited to go to the session Dr. No: The Response to HITECH, but it was a dud for me. Maybe it means I’m just too involved with the HITECH act that she didn’t offer me much to chew on. Plus, the presentation was pretty dry and flat. Oh well, at least I could enjoy the interesting Twitter chatter about the social media session by Mayo Clinic. Makes sense that Twitter would go wild during a social media session.

Next I attended the HIT X.0 presentation with John Glaser and Aneesh Chopra. Aneesh brought the rock star energy like usual, but John Glaser was pretty terribly boring. It’s not a good sign when the most memorable part of their presentation was Aneesh calling him Johnny G. I also was glad that they had the Twitter comments on screen. Too bad they were too strict with the filter of it, but baby steps.

Lots of interesting content from my meeting with GE healthcare. I loved how organized and professional they were about it all. Plus, their government liaison made an interesting comment about how the time frame for delivering meaningful use stage 2 details (Summer 2012 I think) and when hospitals need to show meaningful use stage 2 (October 2012 I think) is too compressed.

I also got a chance to look at the GE Centricity Advance iPad app. They’re following the same iPad EMR strategy I suggested previously where you only implement a subset of the EMR functionality on the iPad and as native iPad app that maximizes the iPad interface. I see most EMR vendors doing the same.

I had a very interesting chat with Jonathan Bush from Athena Health. I was excited to meet with him since you never know what’s going to come out of his mouth. I took a video of him where I did a “Tell me something I don’t know” with the most common HIMSS buzzwords. Once I get home, I’ll upload the video and post it on the blog.

After that I met with Rohit Nayak, from MedPlus (Quest Diagnostic’s EMR company that offers the Care360 EMR). Another day I’ll do a post to talk more about the Care360 positioning and what makes them unique. It’s really fascinating to see how a lab company is attacking the EMR market. It’s pretty unique.

Care360 recently made an announcement about Care360’s participation with Microsoft HealthVault and the Direct Project. Aneesh actually made the prediction in the session mentioned earlier that by the end of 2012 80% of doctors will have a direct project address. Rohit agreed that it was possible and that Care360 would be playing a major part. He even said that Aneesh was considering a leaderboard for which company assigns the most direct project addresses. I’d be very interested to see that happen. It’s amazing how having your name on a leaderboard will motivate companies.

After this I met with a whole set of people from Henry Schein (which offers the MicroMD EMR). The dynamics of a large successful company with an EMR division (similar to Quest) I find really interesting. Plus, Henry Schein has had their Practice Management software for a long time (14,000 PMS users).

I was impressed by MicroMD’s approach to marketing their software. They acknowledged that it’s hard to be all things for every type of potential EMR user. So, they’re all about focusing on those specialties where their EHR fits well.

I was interested in how they were approaching meaningful use. Similar to how they’ve done ePrescribing tracking, they’re meaningful use certified EHR will be reporting back how many of their users are meeting the meaningful use requirements. I’m hopeful that once they start collecting this information in full, that they’ll share that information on here. They sounded open to the idea. It would be quite interesting to know which meaningful use measures doctors were generally finding hard to meet.

I already wrote about my time at the MTIA name change. Go and read it if you’re someone that transcription is dead.

Then, off to HIStalkapalooza. I was actually surprised that the event was pretty empty. Much nicer than last year where you basically couldn’t move. Plus, it was great to see the ESD people and see them get featured for their great set of shoes. They also loved the special ESD HIMSS top 10 shirt I was wearing. It was perfect for the event. Here’s what was on the shirt:

The Top 10 REAL Reasons I’m at HIMSS Orlando:
#10 Disney World totally beats Coke World.
#9 Orlando won’t have snow like Atlanta did last year.
#8 ESD’s plantable seed card which turned into a real dill plany for ccooking. The swag that keeps on giving!
#7 I’m secretly hoping Colbie Calliat will do an encore performance this year.
#6 I need to walk off those holiday cookies.
#5 I hope I get scanned by the RFID devices and magically transported to a tropical island.
#4 Booth Babes!
#3 Can you say parties?
#2 I’m just here for the food.
And the #1 reason….Anything for the EMRandHIPAA.com fan girls.
Enterprise Software Deployment – We Implement IT

I thought about going to a couple other events, but just opted to come back and write a few blog posts. Lots lots more planned tomorrow. Be sure to find me at HIMSS tomorrow so you can win a free HD TV.

EMRandHIPAA.com’s HIMSS11 coverage is sponsored by Practice Fusion, provider of the free, web-based Electronic Medical Records (EMR) system used by over 70,000 healthcare providers in the US.

Lots of Interesting Discussions at HIMSS Day 1

Posted on February 20, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Today’s been a really interesting first day of HIMSS. I’d heard good things about the Health IT Venture Forum in past years and so I was really glad to be able to attend this year. Of course, if you’re following @techguy and/or @ehrandhit, then you’ve already read a number of my updates.

I also posted what might be the biggest news coming out of HIMSS 11 today that meaningful use stage 2 will include EHR usability.

I was impressed by the Mitochon systems presentation at the New Venture Forum. I had a great talk with CEO, Chris Riley after their presentation. I really like his vision for what they’re working to create. The more I talk with Free EHR vendors like Mitochon, the more I can see the potential of their business model. Shahid, the Healthcare IT Guy, told me that he knew of a couple other free EHR at HIMSS. I didn’t get those requests, so I’m interested to know the other Free EHR competitors. (Full Disclosure: Mitochon is an advertiser on this site)


As you can see from that tweet. I was really intrigued by ZyDoc. I’ve been fascinated with NLP since last HIMSS. Combine that with the increasingly popular auto coding engines that are coming out and it’s a really interesting offering.

One of the presenters at the venture forum said the following about the hospital connectivity market. I wonder what people think about it:


I’ve always been fascinated with China. Add in my interest in EHR and of course I loved the presentation on EHR in China. This company is even more interesting since they have built the EHR with the Chinese character set and it seems like they understand the Chinese healthcare culture.


I loved how the Rothman score tried to quantify a patient’s condition for early warning. To see the score change on a graph really does change your view of a patient’s progress. I just wonder what a hospital’s liability is if the score changes and they don’t follow the alert. I also wonder how many false positives it would produce. Some sort of summary like this has to be the future. I really hope that they’re successful.

The following tweet was the best quote by Aneesh Chopa, CTO of the US. I also loved his energy. I bet he’d be a fascinating person to have dinner with.

I also had a chance to meet with Shareable Ink, but I think I’m going to save my discussion of their technology for an after HIMSS post. So, watch for that. It’s really neat technology.

The increasingly famous Brantley Whittington, CEO of spoof EMR company Extormity, stopped and chatted with me. I’m still holding out on saying who’s behind Extormity, but just look for the Brantley Whittington name badge and you’ll be able to figure it out early (or check back Tuesday when I’ll post it).

I also had a good chat with Dynamic Health IT during the HIMSS opening reception. Check them out for EHR certification and meaningful use consulting. Or as they describe it, the gap analysis for hospitals interested in becoming certified and showing meaningful use. Yes, they help with the hospital EHR self-certification.

In the evening, I got the chance to meet with Dana Sellers, CEO of Encore Health Resources. I told one PR person that emailed me that I have a policy of only meeting with smart people. Dana definitely fits this category.

As most of you know, a lot of my focus is on the ambulatory EMR world and so I appreciate Dana taking some time to talk with me (and really educate me) about healthcare IT in the hospital world. One of the most incredible things they told me was that Encore Healthcare has 143 employees and they’re only 2 years old. That’s some pretty good growth for an EHR consulting company.

One thing I was impressed with was Dana’s candor with her previous company (which was sold to IBM) and now what they’re able to do with Encore Health. Dana was partially embarrassed to admit that in the previous company they worried too much about processes and not enough on getting the data back out. She did say that she thinks that Encore Health is in a much better position based on changes to technology and the environment to really get the data out of these systems so they can focus even more on the quality of healthcare that’s provided.

So much more that I could share from my talk with Dana. It probably deserves it’s on post and most certainly the things she shared with me will come up in future posts. Needless to say I was extremely impressed with Dana and so it’s no wonder why Encore Health has been so successful. I might have to stop by Tommy Bahama’s again just to hang out with more smart people.

Finally, a couple interesting tweets I saw during the show:


and
http://twitter.com/#!/biomedsociety/status/39357644800000001

Isn’t it cool that I can cover sessions that I didn’t even attend thanks to Twitter?

Much much more tomorrow. Unless I’m too tired from all the parties;-)

EMRandHIPAA.com’s HIMSS11 coverage is sponsored by Practice Fusion, provider of the free, web-based Electronic Medical Records (EMR) system used by over 70,000 healthcare providers in the US.