With the Department of Justice announcement of the $155 million dollar eClinicalWorks settlement (including personal liability for the CEO, CMO and COO), many stakeholders are wondering what’s next for EHRs. Clearly the industry is in a state of transition. eCW will be distracted by its 5 year corporate integrity agreement. AthenaHealth will have to focus on the activist investors at Elliott Management who now own 10% of the company and have a track record of changing management/preparing companies for sale. As mergers and acquisitions result in more enterprise solutions, Epic (and to some extent Cerner) will displace other vendors in large healthcare systems. However, the ongoing operational cost of these enterprise solutions will cause many to re-examine alternatives such as Meditech...
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Halamka on What's Next for Electronic Health Records
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Halamka Pays a Visit to Oscar Health
Today I’m in New York City visiting Oscar Health, on my continuing quest to determine how best to integrate digital platforms, patient-family engagement, and care coordination in preparation for MACRA/MIPS and the transformation from fee for service to alternative payment models. At the moment, there is no single magic bullet, but there are early innovations that hold promise. At BIDMC we’ve thought the best approach to care management is to identify a cohort with a disease, then enroll that cohort in a program which involves tracking progress against guidelines/protocols, deploying telemedicine/visiting nurses, and measuring data from home-based devices...
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Halamka's Cautionary Tale for Healthcare
During my CIO career, I’ve worked on a few Harvard Business School case studies and I’ve had the “joy” of presenting my failures to Harvard Business school students for over a decade. I enjoy telling stories and inevitably the cases I teach are about turning lemons into lemonade. In this post, I’d like to tell a story about a recent experience with Marvin Windows and lessons learned that apply to healthcare...
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Halamka's Dispatch from HIMSS 2017
As I wrote last week, I expected 2017 HIMSS to be filled with Wearables, Big Data, Social Networking concepts from other industries, Telemedicine, and Artificial Intelligence. I was not disappointed. 42,000 of my closest friends each walked an average of 5 miles per day through the Orlando Convention Center. One journalist told me “It’s overwhelming. You do your best to look professional and wear comfy shoes!” After 50 meetings, and 12 meals in 3 days, here’s my impression of the experience...
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Halamka's Health IT Observations from Japan and New Zealand
This week I’ve taken vacation time to help my colleagues in Japan and New Zealand with national IT planning. As I often say, the healthcare IT challenges are the same all over the world, but the cultural context is different. In Japan, I spent 2 days in Tokyo and 1 day in Kyoto, lecturing, meeting, and listening to stakeholders. There is a great desire to share data for care coordination and clinical trials/clinical research. Telemedicine/telehealth is increasingly important in an aging Japanese society that has increasing healthcare needs but a limited number of caregivers and few opportunities to increase healthcare budgets. Here are a few of the current issues we discussed...
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Hawaii and Health Care: A Small State Takes a Giant Step Forward
In an era characterized by political polarization and legislative stalemate, the tiny state of Hawaii has just demonstrated extraordinary leadership. The rest of the country should now recognize, applaud, and most of all, learn from Hawaii’s accomplishment. Read More »
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Hawaii Beacon Touts New Successes
When ONC reported to Congress last month on both the HITECH Act's achievements and the barriers left to overcome, officials cited notable progress seen across the $250 million Beacon Community projects. [...] Read More »
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Health Care's Crushing Lack Of Competition
No matter how it resolves, the fiercely partisan debate over repealing and replacing the Affordable Care Act will not solve America’s true health care crisis. Indeed, a key reason why expanding coverage is so hard is that health care services cost so much, making insurance premiums unaffordable to many. Driven by lack of competition, ever higher prices are being paid to hospitals, doctors and insurers without leading to better outcomes. It’s time to implement a competition policy for health care before Americans crumple under a system that is devouring family and government budgets...
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Health Datapalooza 2017 – The Data Revolution Rolls On
The 8th annual Health Datapalooza returns on April 26 – 28 and offers a re-imagined vision of health and health care through the lens of data. In years past, Health Datapalooza has set its sights on health-care startups, apps, big data, electronic health records – you name it – but the main thrust was always more about the business of health care and how tech and data are used to innovate. The annual conference for data geeks, developers, health tech venture capitalists, and start-up wannabes, among others, will this year triangulate around the idea that the patient should be at the center of health care.
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Health IT Attracts Venture Capital
Health IT companies raised $293 million in global venture capital from 61 investors in the second quarter of this year, according to a report released Monday by Mercom Capital Group. Read More »
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Health IT Helps Fight the War at Home
Taken together, all these IT initiatives – whether undertaken by VA or vendors or veterans themselves – point to big shift in ways care is delivered for wounded service members. With so many coming home, with so many different injuries, there's never been a better time for it to happen... Read More »
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HealthTap Announces a Comprehensive Health App Platform
For the past five years, HealthTap has been building a network of doctors and patients who exchange information and advice through information forums, messaging, video teleconferencing, and other integrated services. According to CEO Ron Gutman, all that platform building has taught them a lot about what health app developers need–knowledge that they’ve expanded by listening to hospitals and third-party app developers over the years. On Tuesday, November 1, HealthTap announced a comprehensive cloud platform pulling together all these ideas. The features in the press release read like a wish list from health app developers...
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Here's How Millennials Could Change Health Care
With a presidential election fast approaching, healthcare is an issue that’s getting plenty of traction on both sides of the political aisle. For Republicans, taking down President Obama’s signature Affordable Care Act remains a red meat issue. Republican presidential candidates are also trotting out an ACA repeal as a key incentive for voting a member of the party into the Oval Office. Healthcare has been a key issue in the Democratic debates as well, with Hillary Clinton pushing back on rival Bernie Sanders’ plan for universal health care. Amid all the debate, however, one group could prove to be the wild card...
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Hospitals Increasingly Turning to Telemedicine
Rick Wafler was skeptical before his first appointment with a nurse in Roseburg since he lives 150 miles away in Crescent City, Calif. Instead of driving to the Roseburg Veterans Affairs Medical Center, the 59-year-old Air Force veteran drives to the Crescent City VA clinic. Read More »
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House bill pushes Telehealth expansion for veterans
A new bill [The 21st Century Care for Military & Veterans Act] sponsored by Reps. Mike Thompson (D-Calif.) and Scott Peters (D-Calif.) hopes to encourage the use of telehealth for veterans by expanding current telehealth reimbursement policies. Read More »
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