Doctor on Demand Expands Reach with Walmart Collaboration and Coupon for Care
I continue to be interested in what is happening with first-tier (i.e., primary) healthcare. It's being shaken up by retail drug store, walk-in clinics likeMinuteClinic, urgent care centers, and virtual care. With for-profit companies now deeply embedded in the mix, aggressive marketing of services is being introduced and now a coupon is being used to attract customers to virtual care. Details were provided in as recent article (see:Doctor on Demand expands through Walmart collaboration) with an excerpt below:Walmart and the parent company ofMucinex are partnering withDoctor On Demand, a virtual care provider head...
Source: Lab Soft News - November 8, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Healthcare Business Healthcare Delivery Healthcare Innovations Medical Consumerism Source Type: blogs

Registration Almost Full for the Second Annual API Digital Pathology Workshop
The second annual API Digital Pathology and AI Workshop will be presented on December 7-8. 2018 (see:Digital Pathology and AI Workshop II). The location will be Ohio State University College of Medicine in Columbus, Ohio. You can register for the workshophere. The capacity for the workshop has been doubled over last year's event, now with a maximum of 80 people.Only nine spaces remain open at this time. A waiting list will be created when these places are filled.Available on the API web site are theschedule and thesponsoring vendors to date for the workshop. Here is a list of the workshop faculty an...
Source: Lab Soft News - November 6, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Digital Imaging in Pathology Medical Education Pathology Informatics Source Type: blogs

The Future of the LIS: Reflections about Consumers Ordering Their Own Lab Tests
Discussion about the LIS of the Future; Analytics as a Key Feature?). I have raised two major points thus far: (1) a major function of the LIS of the future will be to manage diagnostic and predictive analytics; and (2) it's not clear at this time which type of vendor (LIS, EHR, other) will dominate this new LIS landscape. I have also been referring to the LIS of the future as the LIS-A because of the emphasis on analytics.In this note, I want to emphasize that consumer preferences will be a factor in lab analytics testing. For about two decades, consumers have been allowed to order their own lab tests using the direct...
Source: Lab Soft News - November 5, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Clinical Lab Industry News Clinical Lab Testing Genomic Testing Healthcare Innovations Lab Industry Trends Lab Regulation LIS Definitions and Strategy LIS Vendor News Source Type: blogs

Continuing Discussion about the LIS of the Future; Analytics as a Key Feature?
In a recent note, I discussed how LIS's as components of EHR's were slowly gaining favor in the market over interfaced best-of-breed LIS's (see:Predicting the Future Functions of the LIS-Analytic (LIS-A)). Bill Grolly, a reader of the blog, submitted the following comment in response:I think that the best of breed LIS's trying to find a way to move into this space is probably going to be very difficult for them.Why would the EMR vendors (Cerner, Epic), who have a built in lab system want to interface that data to a standalone LIS when they can provide the soup to nuts solution, including that analytics comp...
Source: Lab Soft News - November 2, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Clinical Lab Industry News Clinical Lab Testing Electronic Health Record (EHR) Food and Drug Administration Genomic Testing Healthcare Information Technology Lab Industry Trends Lab Information Lab Regulation LIS Vendor News Medical Re Source Type: blogs

Health System Transfers Its Pharmacies to Walgreens; Manages Regional Retail Clinics
One interesting aspect of the emergence of retail clinics in drug stores is the business model being used by these companies for staffing these clinics with medical personnel. CVS staffs its MinuteClinics with nurse practitioners (NPs) who, incidentally, have anaverage hourly pay of $52. Staffing clinics with NPs rather than physicians obviously places limits on the type of patients who can be treated in the there. Another model, being pursued by Walgreens, is to select a regional healthcare provider to manage and staff the clinics. The details of such an arrangement were provided by a recent article (see:MC...
Source: Lab Soft News - November 1, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Healthcare Business Healthcare Delivery Healthcare Innovations Source Type: blogs

Predicting the Future Functions of the LIS-Analytic (LIS-A)
In a recent blog note, I stated that the LIS modules of EHRs such as Epic's Beaker are gaining traction in the market and thus performing the functions of the previously dominant best-of-breed LISs like Sunquest or SCC. I went on to suggest that the vendors of these latter systems should be aggressively working on a new type of LIS to protect their market share. Such a product would undoubtedly include support for lab-initiated diagnostic and predictive analytics (see:Diagnostic and Predictive Analytics and Their Possible Link to the Future of the LIS). In this and future blog notes about this topic, I will use my...
Source: Lab Soft News - October 30, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Clinical Lab Testing Electronic Health Record (EHR) Healthcare Information Technology Healthcare Innovations Lab Industry Trends Lab Information LIS Definitions and Strategy LIS Vendor News Pathology Informatics Source Type: blogs

Rosy Future Predicted for Cannabis Research; Lab Launched to Support Clinical Trials
Cannabis is the one growth industry in the U.S. that you can count on. Recreational use of marijuana is now legal in many states. Moreover, there's increasing attention being paid to the medical uses of cannabis-based products. An Israeli lab has been set up to provide clinical validation for cannabis medical research (see:Israeli lab set up to give clinical validation to cannabis research). Below is an excerpt from an article on this topic:Israeli firm Asana Bio Group Ltd. has invested $2.3 million in a lab that will provide clinical trial services to companies that are developing a wide range of medica...
Source: Lab Soft News - October 25, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Clinical Lab Industry News Clinical Lab Testing Healthcare Innovations Lab Industry Trends Medical Research Pharmaceutical Industry Source Type: blogs

Diagnostic and Predictive Analytics and Their Possible Link to the Future of the LIS
I have posted a number of previous notes about analytics (see, for example:Lab Analytics Emerges as Hot Area for Software Development;Relevance of Lifestyle Analytics for Healthcare Organizations;Much of the Future for Pathology and Lab Medicine Rests with Analytics;Successfully Screening for Lung Cancer Based on Predictive Analytics). I believe that the future of clinical pathology, which is to say the mission of hospital-based clinical labs, will be significantly intertwined with analytics. I had begun to categorize the various types of analytics in previous posts. However,Gartner has come up with a very good schema for ...
Source: Lab Soft News - October 23, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Clinical Lab Industry News Clinical Lab Testing Electronic Health Record (EHR) Healthcare Information Technology Healthcare Innovations Lab Industry Trends Lab Processes and Procedures LIS Definitions and Strategy Preventive Medicine Source Type: blogs

It's Not Too Late to Register for a Free Pathology Informatics Webinar Tomorrow
TheAssociation for Pathology Informatics (API) andSunquest Information Systems are co-sponsoring a webinar tomorrow, October 23, which is the second in a series of two focusing on pathology informatics challenges in large health systems. You can view the first webinar in this series from September 25, 2018, here. The time for tomorrow's presentation will be 1:00 p.m. ET. The speakers are Mark Tuthill, M.D., Division Head, Pathology Informatics Henry Ford Health System, and Brad Brimhall, M.D., Medical Director of Healthcare Analytics& Bioinformatics, University of Texas Health Science Center, San Ant...
Source: Lab Soft News - October 22, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Electronic Health Record (EHR) Healthcare Information Technology Lab Industry Trends Lab Information Lab Processes and Procedures LIS Definitions and Strategy Medical Research Pathology Informatics Quality of Care Source Type: blogs

Will Publishing Drug List Prices Help to Reduce Their Cost?
One of the current Trump agenda items has been to force drug companies to advertise their list drug prices. On the face of it, this would seem to be a good idea but I don't think it's going to turn out that way for various reasons (see:Despite growing pressure, major drug companies will stop short of disclosing prices in ads). Below is an excerpt from an article on the topic:Dozens of pharmaceutical companies have pledged that their upcoming television advertisements will direct viewers to more information about how much a drug might cost, such as a page on a company website....The [pharmaceutical] trade ...
Source: Lab Soft News - October 19, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Cost of Healthcare Healthcare Innovations Healthcare Insurance Medical Consumerism Pharmaceutical Industry Public Health Source Type: blogs

Who Will Resurrect the " Futurescape of Pathology " Conference?
Hospital-based clinical laboratories are facing threats in various forms including the changing face of ambulatory care. I described this threat in a recent blog note (see:Retail Drug Stores Emerging as Healthcare Hubs for First-Tier Primary Care). The basic problem for pathology is that inpatient admissions are decreasing and new ways to deliver ambulatory care will siphon patients away from hospital ambulatory care settings and hospital-based testing. This is only one challenge facing pathology and the clinical labs. We are in urgent need of a pathology conference with a strategic orientation that can provide answer...
Source: Lab Soft News - October 16, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Clinical Lab Industry News Clinical Lab Testing Healthcare Innovations Lab Industry Trends LIS Vendor News Medical Education Source Type: blogs

Points of Contention Between Hospitals and IT Companies Developing Algorithms
In a recent blog note about"big tech" knocking on hospital doors related to commercialization of diagnostic and predictive algorithms, I ended with the following statement (see:Big Tech Is Knocking on Hospital Doors; It's All About the Data). Regarding healthcare analytics in general and diagnostic analytics in particular, the development of these fields must take place in collaboration with the IT companies that have the special expertise to analyze the data using techniques such as deep learning, big data, and neural networks.Such a collaboration between these two parties will not be easy because ...
Source: Lab Soft News - October 15, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Clinical Lab Testing Electronic Health Record (EHR) Healthcare Information Technology Lab Industry Trends Lab Information Medical Consumerism Medical Research Pathology Informatics Surgical Pathology Source Type: blogs

Retail Drug Stores Emerging as Healthcare Hubs for First-Tier Primary Care
Two recent articles provide additional evidence that a new type of first-tier, healthcare hub is emerging. It consists of the following: (1) a retail drug store like CVS or Walgreens; (2) a walk-in healthcare clinic like MinuteClinic; (3) direct organizational and financial ties to a major health insurance company like Aetna; and (4) a reference laboratory patient service center (PSC) for blood draws provided by a company like LabCorp. Here's the first of the two articles (see:CVS Health and Aetna $69 Billion Merger Is Approved With Conditions) with an excerpt is below:The Justice Department ’s approval of t...
Source: Lab Soft News - October 12, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Clinical Lab Industry News Cost of Healthcare Electronic Health Record (EHR) Healthcare Delivery Healthcare Information Technology Healthcare Innovations Healthcare Insurance Lab Industry Trends Medical Consumerism Point-of-Care Testing Source Type: blogs

The Critical Role of Pathology Informatics in the Practice of Pathology
On October 3, 2018, I delivered a lecture at the ASCP Annual Meeting in Baltimore entitled:Using Informatics to Address Five Major Challenges in Pathology. You can view a PDF version of the lecture here. At the beginning of the lecture, I listed five major trends in healthcare. They are listed below:This is golden era of diagnostics, affecting primarily complex diseases like cancerDecentralization of healthcare away from hospitals& toward consumersRising tide of consumerism; patients will need to be treated more like customersComputer-driven analytics are changing the style and content of pathology reportsFor-prof...
Source: Lab Soft News - October 11, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Clinical Lab Testing Digital Imaging in Pathology Electronic Health Record (EHR) Healthcare Information Technology LIS Definitions and Strategy Pathology Informatics Telemedicine Source Type: blogs

Diagnostic Platform for Microbiology; Screens for All Pathogenic Bacteria
(see:Breakthrough test screens for all known bacterial infections)Scientists at the Center for Infection and Immunity (CII) in the Columbia University Mailman School of Public Health have developed the first diagnostic platform that can simultaneously screen for all known human pathogenic bacteria as well as markers for virulence and antibiotic resistance....."Once approved for clinical use, BacCapSeq will give physicians a powerful tool to quickly and precisely screen for all known pathogenic bacteria, including those that cause sepsis, the third leading cause of death in the United States," says first author .....
Source: Lab Soft News - October 11, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Source Type: blogs

Genomic Testing and Patients as " Perpetual " Lab and Hospital Clients
Dark Daily recently posted an article about how genetic testing results were being integrated into the EHRs of two major health systems and made more accessible for primary care (see: Genetic Testing as Part of Primary Care and Precision Medicine is Underway at NorthShore University HealthSystem and Geisinger Health). Below is an excerpt from the article:Clinical laboratories and pathology groups face a big challenge in how to get appropriate genetic and molecular data into electronic health record (EHR) systems in ways that are helpful for physicians.Precision medicine faces many barriers and this is one of the biggest. A...
Source: Lab Soft News - October 10, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Clinical Lab Testing Electronic Health Record (EHR) Healthcare Information Technology Healthcare Innovations Lab Industry Trends Lab Processes and Procedures Medical Consumerism Medical Research Pathology Informatics Preventive Medicine Source Type: blogs

Continuing Discussion about Lab Consultations with Test-Ordering Clinicians
I have posted two notes recently about how to improve communications between lab personnel and test-ordering health professionals (see:Need for Improved Communication Channels between Clinical Labs and Users; More on Lab Communication with Test-Ordering Physicians and Nurses). This last one prompted the following comment byJonathan Horan:This is really topical right now among the lab. At a lab executives' roundtable I arranged at the AACC this year, the issue of communication came up.We discussed the frustration of family doctors ordering tests that could be duplicate or inappropriate and how the lab might be more...
Source: Lab Soft News - October 5, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Clinical Lab Industry News Clinical Lab Testing Electronic Health Record (EHR) Healthcare Information Technology Healthcare Innovations Lab Industry Trends Lab Information Lab Processes and Procedures Medical Education Pathology Informat Source Type: blogs

More on Lab Communication with Test-Ordering Physicians and Nurses
In a recent note (see:Need for Improved Communication Channels between Clinical Labs and Users), I addressed the issue of optimizing lab communications with clinicians and the desirability of formally integrating such activities into the job descriptions of lab personnel. As a comment, Branko Perunovic, submitted the following:Thanks for the post, this is a relevant and often revisited topic.Our team at Laboratory Medicine atSheffield Teaching Hospitals, UK, is prototyping eConsult, in-house developed software bolt-on the electronic requesting and LIMS system that enables questions and successive answers in relation t...
Source: Lab Soft News - October 2, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Clinical Lab Industry News Clinical Lab Testing Electronic Health Record (EHR) Healthcare Information Technology Healthcare Innovations Lab Industry Trends Lab Information Lab Processes and Procedures Pathology Informatics Source Type: blogs

Need for Improved Communication Channels between Clinical Labs and Users
Three days ago, I participated in awebinar sponsored by theAssociation for Pathology Informatics andSunquest Information Systems. The overarching topic addressed for this (and later sessions) was the challenge for pathology informaticians of working in large multi-hospital health systems. The first of the two subtopics covered in this first session by Dr. Brian Jackson ofARUP Laboratories was the need for effective communication in hospitals beyond the EHR and LIS. He quoted a survey of primary care practitioners indicating that they rarely consulted with lab personnel about test ordering and test result interpre...
Source: Lab Soft News - September 28, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Clinical Lab Industry News Clinical Lab Testing Electronic Health Record (EHR) Healthcare Delivery Healthcare Information Technology Healthcare Innovations Lab Industry Trends Lab Information Lab Processes and Procedures Reference Labora Source Type: blogs

Inpatient Admissions Decreasing; Implications for Hospital-Based Labs
I have commented previously about the decrease in the yearly number of hospital inpatients (see:Need for More"Disruptive" CEOs of Health Systems; What Does This Mean?; The Case of the"Disappearing Hospital Beds"; Implications for Pathologists). Evidence of this decline was provided in the following article: Trends in Hospital Inpatient Stays in the United States, 2005-2014. For the period 2005-2014, graphs in this article show that all types of inpatient stays declined by 6.6%, medical declined by 5.3%, and surgical defined by 12.0%. This trend continues unabated to this day (see:HOSPITAL ADMI...
Source: Lab Soft News - September 26, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Clinical Lab Industry News Clinical Lab Testing Cost of Healthcare Healthcare Information Technology Healthcare Innovations Lab Industry Trends Medical Consumerism Point-of-Care Testing Reference Laboratories Telemedicine Source Type: blogs

Controversy at MSK Cancer Center Regarding the Pathology Archive and Database
A controversy has erupted at prestigious cancer centerMemorial Sloan Kettering (MSK) about the granting of exclusive access to its surgical pathology slide archive and database to a startup company, Paige.AI. It was been revealed in a recent NYT article that the hospital holds an equity stake in the company. There is also participation in the startup by some hospital insiders (see:Sloan Kettering ’s Cozy Deal With Start-Up Ignites a New Uproar). Below is an excerpt from the article: An artificial intelligence start-up founded by three insiders at Memorial Sloan Kettering Cancer Center debuted with grea...
Source: Lab Soft News - September 24, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Digital Imaging in Pathology Healthcare Information Technology Healthcare Innovations Medical Ethics Medical Research Pathology Informatics Surgical Pathology Source Type: blogs

Life Insurance Company, John Hancock, Embraces Wellness with Success
Both health and life insurance companies have discovered how wellness programs can be used to attract and reward policyholders who pursue a healthy lifestyle (see:Wearable Health Monitoring Devices: a Means to Lower Insurance Costs?;Apple Watch"Gifted" to Insurance Policy Holders; Any Gotcha's with the Deal?).John Hancock is moving in this same direction as described in a recent article (see:John Hancock wants to turn life insurance into a wellness game). Below is an excerpt from it:The financial services company [John Hancock] said Wednesday that it will attach a free version of its wellness program,Vit...
Source: Lab Soft News - September 22, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Cost of Healthcare Healthcare Business Healthcare Innovations Healthcare Insurance Medical Consumerism Preventive Medicine Source Type: blogs

Health Systems Should Retain Control of Their Clinical Labs Including Outreach
There has been a trend a recent years for hospitals and health systems to sell their lab outreach businesses, often to one of the two largest commercial reference labs,Quest Diagnostics andLabCorp, and then outsource their lab services to the same company. There is some early evidence that this trend may now be reversing (see: IS THE JOINT VENTURE HOSPITAL LAB AN EMERGING TREND?). Below is an excerpt from the article:News of a new laboratory joint venture involvingProMedica Health of Toledo, Ohio, and Sonic Healthcare USA, of Austin, Texas, should be of interest to lab administrators and pathologists managing hos...
Source: Lab Soft News - September 20, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Clinical Lab Industry News Clinical Lab Testing Genomic Testing Healthcare Innovations Lab Industry Trends Lab Processes and Procedures Reference Laboratories Source Type: blogs

Some Valuable Lessons from the Theranos Fiasco
Now that Theranos iskaput, a number of articles have been published that attempt to extract useful lessons from the whole experience. Here is a good one: Bad Blood: 4 lessons from Theranos for IT leaders. Below is an excerpt from it:In “Bad Blood: Secrets and Lies in a Silicon Valley Startup,” Wall Street Journal reporter John Carreyrou tells the tale of the fraud that ultimately brought down Silicon Valley sensation Theranos, its CEO Elizabeth Holmes, and president Ramesh “Sunny” Balwani.....Reading between the lines, it also provides valuable leadership advice for CIOs about the nature of inn...
Source: Lab Soft News - September 18, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Clinical Lab Industry News Clinical Lab Testing Healthcare Information Technology Healthcare Innovations Hospital Executive Management Lab Industry Trends Medical Ethics Source Type: blogs

Comcast Uses Web-Based Services to Support Employees and Restrain Healthcare Costs
A recent article about the cable giant Comcast made the surprising point that the often reviled company has been surprisingly innovative in terms of the health plan that it offers to its employees (see:You ’ll Never Guess Which Company Is Reinventing Health Benefits). Part of the strategy of the company is the use of various apps including Accolade to improve the healthcare delivery process and value for its employees. Accolade provides personalized healthcare advocacy which is explained in the following way on itsweb site:Imagine the power in having an independent team of nurses, doctors and clinical ...
Source: Lab Soft News - September 13, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Cost of Healthcare Healthcare Delivery Healthcare Information Technology Healthcare Innovations Medical Consumerism Quality of Care Telemedicine Source Type: blogs

Beaumont Health System Launches Multiple Urgent Care Centers in Metro Detroit
I have posted a number of previous notes about the growth of walk-in clinics located in retail drug stores (see:Details about CVS' MinuteClinic POCT Strategy;Details about CVS' MinuteClinic POCT Strategy) and also urgent care centers (see:Rapid Growth of Urgent Care Clinics; Cost Competition for Hospital ERs;Another Type of Urgent Care Facility Flourishing for Orthopedic Problems). I have also commented how hospital ER bills can mushroom by the addition of facility and out-of-network fees, often a surprise to patients (see:CMS Requires Hospitals to Post Prices for Medicare Patients; Useful Step?). As a result, walk...
Source: Lab Soft News - September 11, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Healthcare Business Healthcare Delivery Healthcare Innovations Hospital Executive Management Quality of Care Source Type: blogs

CVS Offers Telemedicine Visits for MinuteClinic Patients
I have posted a number of previous notes about the evolution of CVS's walk-inMinuteClinics that, along with urgent care centers, are having a significant impact on the first tier of healthcare (see, for example:Details about CVS' MinuteClinic POCT Strategy). The complexity of the services offered in these walk-in clinics continues to increase. For example, CVS has announced that their MinuteClinics will accommodate more patients with chronic diseases (see:Merged CVS and Aetna Will Move Toward a Community-Based Healthcare Model). Along these same lines, the company is now offering telemedicine (virtual care) visits ...
Source: Lab Soft News - September 8, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Cost of Healthcare Healthcare Delivery Healthcare Information Technology Healthcare Innovations Telemedicine Source Type: blogs

Pathology Departments Should Consider Launching a Digital Pathology Outreach Program
For about five years, some academic pathology programs have launched surgical pathology consulting programs, often serving countries like China with a shortage of highly trained pathologists (see: China:Pathology Consults and Health Care Collaboration;China Struggling to Keep Up with Demand for Anatomic Pathologists). These initiatives were based on less robust digital pathology technology than now exists. They were also acceptable in the eyes of the FDA because they were secondary consultations to pathologists working abroad who were responsible for the primary diagnosis. This is in contrast to the current situation with ...
Source: Lab Soft News - September 6, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Digital Imaging in Pathology Food and Drug Administration Healthcare Information Technology Lab Industry Trends Lab Processes and Procedures Pathology Informatics Surgical Pathology Source Type: blogs

Health Systems Tackle Social Determinants for Patients; Is This a Suitable Strategy?
The notion of hospitals addressing"social determinants" of patients during care episodes is much in the news. A recent article described this approach as a key element in"complete care" (see: Complete care: Hospitals tackling social determinants set the course). Below is an excerpt from the article:[Health] [s]ystems adopting...unconventional approaches to managing chronic disease are becoming less unusual as the concept of addressing social determinants of health sweeps the industry. Income, education, employment, food security, housing stability and violence are all targeted factors to help ...
Source: Lab Soft News - September 4, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Cost of Healthcare Healthcare Business Healthcare Delivery Healthcare Insurance Hospital Executive Management Hospital Financial Medical Consumerism Preventive Medicine Public Health Source Type: blogs

Faulkner Touts " Interoperability " at Annual Epic Users Conference
I have posted a number of previous notes about the need for interoperability among the various hospital and health system EHRs (see, for example: Do Hospitals Really Want Interoperable E-Health Records?; NYT Op-Ed on EHR Interoperability Blames Vendors and Greedy Hospitals). I believe that the lack of such a solution has partly been the fault of hospital executives who did not want to make their hospital records portable and partly the fault of EHR vendors who wanted to enhance their market position and please their client base. Well, a decade has passed and Judy Faulkner, the CEO of Epic, has suggested at her an...
Source: Lab Soft News - September 2, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Computer Security Electronic Health Record (EHR) Healthcare Information Technology Quality of Care Source Type: blogs

Upload Your DNA to a Web Site to Generate Risk Scores for Five Diseases
I have posted a few notes about predictive diagnostic algorithms (see:An Algorithm Using Medical Record Data Predicts Risk for Parkinson's Disease;Should the Work Product of"Non-Explainable" Medical Algorithms Be Ignored) and disease risk scores (see:Genetic Risk Scores: Ready for Inclusion in the Medical Record?). Using AI techniques, researchers at Massachusetts General are developing a web site that will display a risk score for five common diseases after consumers upload their DNA to the site (see:Clues to Your Health Are Hidden at 6.6 Million Spots in Your DNA). The algorithm takes into account mill...
Source: Lab Soft News - August 28, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Clinical Lab Industry News Clinical Lab Testing Genomic Testing Healthcare Information Technology Healthcare Innovations Lab Industry Trends Lab Processes and Procedures Medical Consumerism Medical Research Source Type: blogs

Ten Suggestions for Young People from Warren Buffett
In arecent tweet,Warren Buffett, the"sage of Omaha," posted the following ten points that he described as advice to young people:Read and write more.Stay healthy and fit.Networking is about giving.Practice public speaking.Stay teachable.Find a mentor.Keep in touch with friends.You are not your job.Know when to leave.Don ’t spend what you don’t have.A very useful list and one that I have personally tried to adhere to. For me, the hardest one to achieve has been to"know when to leave" because this has never exactly been obvious for me. Perhaps he is referring here mainly to investments rather ...
Source: Lab Soft News - August 27, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Medical Education Medical Ethics Medical Research Medicolegal Issues Source Type: blogs

Surprise Free Gift: Free Tuition at NYU Medical School
In a surprise movie, NYU School of medicine recently announced that it will cover the tuition of all its students going forward (see:Surprise Gift: Free Tuition for All N.Y.U. Medical Students).This sets a very high bar for the top-ranked medical schools in the country. Undoubtedly, this news will force many of them to follow suit although not all may be able to tap into a comparable philanthropic pool than what is available in New York City. Below is an excerpt from the article:The New York University School of Medicine announced...that it would cover the tuition of all its students, regardless of merit or need, citi...
Source: Lab Soft News - August 23, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Medical Education Source Type: blogs

The Quest for a Fail-Safe Patient Identification Solution in the U.S.
A recent article on the challenges posed by mistakes in patient identification was rather pessimistic about the amount of progress that has been made in the field (see:Fail-safe patient ID matching remains just out of reach patient-id). This boils down to the challenge of ensuring that the EHR record of"Mary Smith" who is admitted today is uncorrupted by data from a different"Mary Smith" who was admitted to the hospital yesterday. Below is an excerpt from the article. It's long so read the whole thing if you are interested.[D]igital technologies —electronic health records in particular&md...
Source: Lab Soft News - August 21, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Computer Security Electronic Health Record (EHR) Healthcare Information Technology Healthcare Innovations Medical Research Quality of Care Source Type: blogs

Ohio Medicaid Department Directed to Quit Its PBM Contracts
It seems like this has been a long time coming but at least one set of state officials is taking action regarding the excess profits and business model of their pharmacy benefit managers (PBMs) (see: Ohio Medicaid to try out transparent PBM pricing model). Below are some details from the article:Ohio's Medicaid department is directing its managed-care organizations to quit their contracts with pharmacy benefit managers because of opaque pricing practices officials said cost the state millions of dollars. The state's five managed-care plans must strike up new contracts with companies able to manage pharmacy ser...
Source: Lab Soft News - August 17, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Cost of Healthcare Healthcare Business Healthcare Insurance Medical Consumerism Medical Ethics Source Type: blogs

Need for More " Disruptive " CEOs of Health Systems; What Does This Mean?
Some critics of the current health system CEOs assert that some of them are unprepared for what lies ahead in the field. Their primary expertise is often in revenue management and M&A. For most hospitals, however, revenue is shrinking (see: Why Major Hospitals Are Losing Money By The Millions) and many potential mergers have already been achieved. Inpatient stays have also been shrinking (see:Trends in Hospital Inpatient Stays in the United States, 2005-2014) and threats to outpatient revenues are presented by walk-in retail clinics, urgent care clinics, and UnitedHealth as a major physician employer (see:30,...
Source: Lab Soft News - August 15, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Cost of Healthcare Healthcare Business Healthcare Delivery Healthcare Information Technology Healthcare Innovations Hospital Executive Management Hospital Financial Source Type: blogs

Successfully Screening for Lung Cancer Based on Predictive Analytics
I have blogged a number of times about predictive analytics (see, for example: Identifying Patients for Remote Monitoring with Predictive Analytics;Eric Schmidt Discusses the Potential Value of Predictive Analytics in the ER). Much of the hype about this technology and set of products is largely theoretical at this time but great potential looms in the future. I therefore was very interested in a recent article that provided a very pragmatic perspective on the topic (see:Big data and predictive analytics pull in smokers for lung screening). Below is an excerpt from it:Virginia-basedChesapeake Regional Healthcare sough...
Source: Lab Soft News - August 14, 2018 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Healthcare Innovations Hospital Executive Management Hospital Financial Medical Consumerism Medical Research Preventive Medicine Public Health Source Type: blogs