Is eClinicalWorks the Next Volkswagen?
By JACOB REIDER, MD Since the Department of Justice announced the ground-breaking $155 MM settlement with eClinicalWorks (ECW) on Wednesday, industry response has been dizzying.  Let’s collect the facts and review what it means.  I reviewed it all in greater detail yesterday here. A short summary:  EHR developer eClinicalWorks settled a legal dispute with the Department of Justice that commits them to pay $155 Million, provide free services to customers, and undergo oversight for five years.  The government found that ECW faked certification testing: the EHR software was certified as having capabilities that it didn...
Source: The Health Care Blog - June 2, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Parsing eCW ’ s $155 Payment to the Government
By JACOB REIDER, MD The purpose of any certification program is to create a method for the purchasers of a product to have confidence that the product safely and reliably does what it is supposed to do.  One example from USDA: Turning Point for Meat Inspection  In 1905, author Upton Sinclair published the novel titled The Jungle, taking aim at the poor working conditions in a Chicago meatpacking house. However, it was the filthy conditions, described in nauseating detail—and the threat they posed to meat consumers—that caused a public furor. Sinclair urged President Theodore Roosevelt to require federal inspectors i...
Source: The Health Care Blog - June 2, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Parsing eCW ’ s $155 Million Payment to the Government
By JACOB REIDER, MD UPDATE:  Here are the public records for the case.  More details there about the original complaint.  Excerpt: What we’re talking about The purpose of any certification program is to create a method for the purchasers of a product to have confidence that the product safely and reliably does what it is supposed to do.  One example from USDA: Turning Point for Meat Inspection  In 1905, author Upton Sinclair published the novel titled The Jungle, taking aim at the poor working conditions in a Chicago meatpacking house. However, it was the filthy conditions, described in nauseating detail—and ...
Source: The Health Care Blog - June 2, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Parsing eCW ’ s $155M payment to the government
UPDATE:  Here are the public records for the case.  More details there about the original complaint.  Excerpt: @eClinicalWorks to pay $155M fine: https://t.co/RngioK62SX But what’s it mean? Certification The purpose of any certification program is to create a method for the purchasers of a product to have confidence that the product safely and reliably does what it is supposed to do.  One example from USDA: Turning Point for Meat Inspection   In 1905, author Upton Sinclair published the novel titled The Jungle, taking aim at the poor working conditions in a Chicago meatpacking house. However, it was ...
Source: Docnotes - May 31, 2017 Category: Primary Care Authors: Jacobr Tags: Uncategorized Source Type: blogs

Parsing eCW ’ s $155M payment to the government
UPDATE: ?Here are the public records for the case. ?More details there about the original complaint. ?Excerpt: @eClinicalWorks to pay $155M fine: https://t.co/RngioK62SX But what’s it mean? Certification The purpose of any certification program is to create a method for the purchasers of a product to have confidence that the product safely and reliably does what it is supposed to do. ?One example from USDA: Turning Point for Meat Inspection ??In 1905, author Upton Sinclair published the novel titled The Jungle, taking aim at the poor working conditions in a Chicago meatpacking house. However, it was the fi...
Source: Docnotes - May 31, 2017 Category: Primary Care Authors: Jacobr Tags: Uncategorized Source Type: blogs

eCW (eClinicalWorks) Settles Whistleblower Lawsuit for $155 Million
In many of my press panels and other discussions at the Healthcare IT Marketing and PR Conference, I’ve argued that there’s very little “Breaking News” when it comes to healthcare IT. Today is an example where this is not true. The news just broke that EHR vendor, eCW (eClinicalWorks), has settled a whistleblower lawsuit against them for $155 million. The suit was filed by Brendan Delaney, a software technician formerly employed by the New York City Division of Health Care Access and Improvement, by his law firm Phillips & Cohen LLP against eClinicalWorks. eClinicalWworks and three of its foun...
Source: EMR and HIPAA - May 31, 2017 Category: Information Technology Authors: John Lynn Tags: EHR EHR Lawsuits EHR Stimulus Electronic Health Record Electronic Medical Record EMR HealthCare IT Meaningful Use eClinicalWorks eCW eCW Lawsuit eCW Switching EHR Switching Farzad Mostashari Girish Navani HHS-OIG Phillips & Source Type: blogs

What ’s Next for Electronic Health Records?
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 theactivist 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...
Source: Life as a Healthcare CIO - May 31, 2017 Category: Information Technology Source Type: blogs

Seven Factors That Will Make 2018 A Challenging Year For EMR Vendors
Unless they’re monumentally important, I generally don’t regurgitate the theories researchers develop about health IT. But this time I’m changing strategies. While their analysis may not fit in the “earth shattering” category, I thought their list of factors that will shape 2018’s EMR market was dead on, so here it is. According to a report created by analyst firm Kalorama Research, a number of trends are brewing which could make next year a particularly, well, interesting one for EMR vendors. (By the by, the allegedly Chinese curse, “May you live in interesting times” probably wasn’t Chinese in origin &#...
Source: EMR and HIPAA - May 24, 2017 Category: Information Technology Authors: Anne Zieger Tags: Digital Health EHR Electronic Health Record Electronic Medical Record EMR EMR Security EMR Technology Healthcare HealthCare IT Hospital EHR mHealth Bruce Carlton EHR Market Disruption EHR Market Share EMR Market Consolidation Source Type: blogs

How Will APIs Change Health IT? – #HITsm Chat Topic
We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 5/26 at Noon ET (9 AM PT). This week’s chat will be hosted by Chad Johnson (@OchoTex) on the topic of “How Will APIs Change Health IT?.” First, let’s define API: An application programming interface (API) is a set of standards that enable communication between multiple sources, most typically software applications. More specifically, an API is a set of routines, protocols, and data standards defined by a software vendor (an EHR for example) that specify how other vendor applications can contribute to or remove data f...
Source: EMR and HIPAA - May 23, 2017 Category: Information Technology Authors: John Lynn Tags: #HITsm EHR Electronic Health Record Electronic Medical Record EMR Healthcare HealthCare IT #hcldr #HITsm Topics EHR Market Hospital EHR Source Type: blogs

Failure to Translate: Why Have Evidence-Based EHR Interventions Not Generalized?
By WILLIAM HERSH, MD The adoption of electronic health records (EHRs) has increased substantially in hospitals and clinician offices in large part due to the “meaningful use” program of the Health Information Technology for Clinical and Economic Health (HITECH) Act. The motivation for increasing EHR use in the HITECH Act was supported by evidence-based interventions for known significant problems in healthcare. In spite of widespread adoption, EHRs have become a significant burden to physicians in terms of time and dissatisfaction with practice. This raises a question as to why EHR interventions have been difficult to ...
Source: The Health Care Blog - May 18, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Health Datapalooza 2017 Day 2: Consumer Tech Ecosystems, Healthcare Policy and Two Big RWJF Announcements
Ensuring that a conference discussing health did indeed practice what it preached, day two of this year’s Health Datapalooza got off to an early start with a Stride Health-sponsored 3 and 5 mile fun run. Back at the conference venue, the day’s content began on the main stage with Dr. Mark McClellan, Director of the Duke Margolis Center for Health Policy and Former Administrator at the Centers for Medicare and Medicaid Services (CMS). Mark’s opening comments characterized the politics of healthcare as one of consistent bipartisan stories, since healthcare spending has historically been prioritized over ...
Source: Medgadget - May 16, 2017 Category: Medical Devices Authors: Michael Batista Tags: Exclusive Informatics Source Type: blogs

Direct, Sequoia Interoperability Projects Continue To Grow
While its fate may still be uncertain – as with any interoperability approach in this day and age – the Direct exchange network seems to be growing at least. At the same time, it looks like the Sequoia Project’s interoperability efforts, including the Carequality Interoperability Framework and its eHealthExchange Network, are also expanding rapidly. According to a new announcement from DirectTrust, the number of health information service providers who engaged in Direct exchanges increased 63 percent during the first quarter of 2017, to almost 95,000, over the same period in 2016.  And, to put this growth in per...
Source: EMR and HIPAA - May 15, 2017 Category: Information Technology Authors: Anne Zieger Tags: Direct Project EHR Electronic Health Record Electronic Medical Record EMR Health Insurance Exchanges Healthcare HealthCare IT HIE Carequality CommonWell Health Alliance DirectTrust Health Data Interoperability Health Data Sharing Source Type: blogs

Electronic Medical Records 2017: Science Ignored, Opportunity Lost
By KENNETH BARTHOLOMEW, MD My big brother Bill, may he rest in peace, taught me a valuable lesson four decades ago. We were gearing up for an extended Alaskan wilderness trip and were having trouble with a piece of equipment. When we finally rigged up a solution, I said “that was harder than it should have been” and he quipped in his wry monotone delivery, “There are no hard jobs, only the wrong tools.” That lesson has stuck in my mind all these years because, as simple as it seems, it carries a large truth. It rings of Archimedes when he was speaking about the simple tool known as the lever: “Give me but one fir...
Source: The Health Care Blog - May 8, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized EHR EMR Knowledge Coupler Number Needed to Kill POMR value-based care Source Type: blogs

Advance Directive Comic – Fun Friday
A reader recently emailed us that they were missing our Fun Friday comics. We try to do them as much as we can, but sometimes don’t have a great one to share. However, we aim to please, so we made an extra effort to make sure we had a Fun Friday post for you this week. Thanks for the inspiration and we hope others enjoy this humorous start to the weekend. Dilbert is always a great place for us to go for great comics. Scott Adams is incredible at what he does. So, here’s one of his comics about advanced directives. I thought this comic was poignant because I recently had a call with my mom where we started tal...
Source: EMR and HIPAA - April 28, 2017 Category: Information Technology Authors: John Lynn Tags: Healthcare HealthCare IT Advanced Directives Dilbert Fun Friday Source Type: blogs

As MACRA Implementation Proceeds, Changes Are Needed
The Medicare Access and Chip Reauthorization Act (MACRA) is the product of four years of work that included input from multiple stakeholders and was signed into law on April 16, 2015, following broad bipartisan support in Congress. Implementation of MACRA began on January 1, 2017. The legislation, as originally conceived, had three fundamental goals. The first goal was to repeal the Sustainable Growth Rate (SGR) physician payment formula, a major cause of uncertainty and instability for more than a decade. The legislation did that. The second goal was to stabilize physician payments to give providers relief from the annual...
Source: Health Affairs Blog - April 21, 2017 Category: Health Management Authors: John O'Shea Tags: Costs and Spending Featured Medicaid and CHIP Medicare Payment Policy Quality Accountable Care Organizations Alternative Payment Models Center for Medicare and Medicaid Innovation MACRA Merit-Based Incentive Payment System Physician- Source Type: blogs