Monday, November 29, 2010

This Week in Document Imaging 11/28/2010

- Microsoft’s Peter Neupert stated that the company is abandoning efforts to make HealthVault (cloud based storage of PHI info) profitable because of the complexity of the U.S. health system. Now the benefit of continuing to offer the product was “simply to increase brand relationship” by raising Microsoft’s image with customers as “important, critical and trusted”.

- McKesson announced it won an EHR contract from North Sunflower Medical Center of Mississippi.

- The Ohio Regional Health Information Partnership (OHIP), a state regional extension center (REC) has selected eClinicalWorks as the ambulatory EHR vendor of choice.

- Details from survey from the Agency for Health Research and Quality:
o based on data from 10,567 staff from 470 medical offices in 33 states
o More than 50% have encountered problems when exchanging information
o 69% reported that patient was unable to get appointment within 48 hours for serious problem
o 85% reported that a wrong chart/medical record was used for a patient
o 63% reported that a chart/medical record was not available when needed
o 70% reported scanning a patient record into the wrong patient folder
o 22% reported that pharmacy contacted office to clarify prescription
o 44% reported that patient’s medication list was not updated during their visit
o 39% reported that lab results were not available when needed
o 79% reported that an abnormal result from a test was not followed up within one business day
o 55% reported problems communicating with labs/imaging centers
o 50% reported problems communicating with other physicians
o 52% reported problems communicating with pharmacies
o 58% reported problem communicating with hospitals
o 82% had electronic appointment scheduling
o 59% have electronic access to test/lab/imaging results
o 51% have EHR systems
o 41% have electronic medication ordering
o 37% have electronic ordering of tests

- The California Department of Public Health fined 7 hospitals for HIPAA breaches:
o Kern Medical Center fined $250,000 for theft of 596 patient records from unlocked locker
 Also fined $60,000 regarding unauthorized access to emergency room patient by two employees
o Pacific Hospital of Long Beach fined $225,000 for employee gaining unauthorized access to 9 patient records
o Kawaeah Manor Convalescent Hospital in Visalia fined $125,000 for employee gaining unauthorized access to 5 patient records
o Delano Regional Medical Center fined $60,000 for employee gaining unauthorized access to medical record of relative
o Childrens Hospital of Orange fined $25,000 for employee gaining unauthorized access to patient record of coworker’s child
o Oroville Hospital fine $42,500 for employee discussing patient record on cell phone with others and posting on MySpace
o Biggs Gridley Memorial Hospital of Gridley fined $5000 for two employees gaining unauthorized access to medical record of coworker

-=Greetings from Sandy Hook=-
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Monday, November 22, 2010

This Week in Document Imaging 11/21/10


- Survey shows hospitals with EHR systems are ready to meet some components of the “Meaningful Use” rules set forth by federal government to access HITECH stimulus dollars:


o Conducted by HIMSS (health information management systems society)

o 22% have capability to achieve 10 or more of the required core measures in Stage 1 of meaningful use

o 34% can achieve between 5 and 9 of the core measures

o 40.47% can achieve 5 or more of the menu items

o 9.61% can achieve 12 core measures

- Most common benefits of installing an EHR(electronic health records system) according to New England Journal of Medicine:

o No more filing, pulling, re-filing or creating paper charts

o No lost charts

o Less time filing

o Universal chart access

o Easier compliance with chart requests

o Improve external communication

o Fewer call backs from pharmacies

o Higher quality documentation

o Spend less time charting

o More efficient chart signing

o Built-in health maintenance protocols and reminders

o Improved medication management

o Improved customer service

o Free up valuable office space

o Eliminate transcription costs (average physician spends $12K to $25K/year)

o Eliminate chart creation costs (average of $5 per chart for supplies and labor)

o No more paying staff to pull and refile charts (average of $0.40 per transaction)

o No more cost to find lost charts (average of $2500 per year)

o Eliminate paper faxes for prescription renewals (average of $36K/year for supplies and labor)

o Reduce undercoding, where physicians are not getting paid for everything they do (average of $25K/year)

- Study by Medical Economics magazine shows that annual cost for an average physician practice to manage paper charts is: (instead of using EHR)

o $12K/year for transcriptions

o $2400/year for paper chart supplies

o $41.6K/year in labor to pull and refile charts

o $2.5K/year in labor to find misplaced charts

o $36K/year for inbound faxes

o $21.875K/year for outbound faxes

o $25K/year for money lost in downcoding (not claiming enough)

o TOTAL = $141,375/year

- According to the Kansas City Business Journal, due to wildlife environmental concerns, EHR vendor Cerner is reconsidering the location of its future 600,000 square foot office in Wyandotte County.

- Cerner wins contract from DeLand Hospital of Florida and North York General Hospital of Toronto.

- Cerner announced it will sponsor the USA Bid Committee to help bring the FIFA World Cup soccer championship to the U.S. in 2022.

- McAfee and Cisco have released their detailed cybersecurity reports for the third quarter:

o 60,000 new pieces of malware were identified per day, quadruple the 2007 rate

o In third quarter, McAfree identified 14 million unique pieces of malware, up 1 million

o The Zeus botnet malware let business to lose $70 million to Ukranian organized crime

o The Cutwail botnet malware used denial of service attacks against 300 websites

o 60% of Google search terms delivered customers to malicious sites in first 100 results

o 10% of malware was encountered via search engines

o 7% of malware was referred by Google

o 7% of all encounters targeted Java

o 1% targeted Adobe Acrobat Reader

o Pharmaceutical vertical was the most targeted

- Survey of large healthcare organizations conducted by Ponemon Institute reveals the following about data security:

o 85% feel they comply with HIPAA

o 72% enforce policies with includes termination of employees who pose threat

o 71% provide training to users

o 66% have business associate agreements

o 65% ensure minimal system downtime

o 53% perform timely system updates with patches

o 47% secure patient data in motion

o 47% know where patient info if physically located

o 45% conduct independent audits

o 39% prevent cyber attacks

o 32% identify major data breaches

o 31% prevent major data breaches

o 30% determine root cause of data breach

o 29% protect patient info used by business associates

o 23% limit access to data storage devices

o 10% protect patient info used by outsourcers, including cloud computing vendors

- According to the Department of Health and Human Services (DHHS), the most common cause of data breaches impacting more than 500 people is the theft of laptop computers.

o Of the 189 data breaches recorded this year that involved more than 500 people, 52% were result of theft

o 20% were from unauthorized access

o 18% were from loss

o 24% involved laptop computer

o 22% involved paper records

o 16% involved desktop computers

o 14% involved portable devices like smartphones

- Holy Cross Hospital if Florida had to notify 40,000 of its patients that a former employee may have stolen their personal information and sold info to a third party. 4 of the 5 people involved have been arrested, including the former hospital emergency room worker. The info was used to illegally obtain credit cards, effectively stealing their identities.

- McKesson Corp, an EHR vendor, announced it is cutting its lobbying spending by 61%, from $110,000 in third quarter, versus $281,000 a year ago. It lobbied Congress, DHHS, CNS and FDA.

- McKesson announced it won an EHR contract from HealthPoint of Tampa, FL with its Practice Partner product that will cover 110 physicians.

- Greenway Corp. & Sage Corp. announced that their EHR products were endorsed by PA REACH East and PA REACH West, the Pennsylvania regional extension centers (RECs)

- Most companies do not erase sensitive data from hard drives according to study conducted by Kroll Ontrack:

o Only 49% stated that their businesses deployed a data eraser method

o Among that group, 75% do not delete data securely

o Average business suffers at least one data breach per year

o Data breaches cost U.S. companies an average of $6.75 million

o Only 19% deploy data eraser software

o 6Z% use a degausser to erase media

o 33% do not know how to ensure data has been erased

o 22% say they reboot the drive to see if data is still there

o 60% of all old business computers are fully intact with proprietary business data in the second hand computer marketplace

o 40% say their companies gave away their used hard drive to another individual

o 22% don’t know what happened to their old computers

o 16% rely on a product or service report to confirm all of their data had been wiped

- The Department of Veterans Affairs (VA) reported its data breaches in October of 2010:

o Notified 2,574 veterans that there personal info may be compromised

o Two stolen desktop computers

o Lost 22 Blackberry devices

o 79 internal unencrypted email incidents

o 79 mishandling incidents (i.e. mixing up prescriptions)

o 10 mis-mailed medications

- AvMed Health Plans had a class action lawsuit filed against the company by the law firm of Edelson McGuire:

o Two unencrypted laptop computers were stolen on 12/11/2009 in Gainesville, FL, with possibly 1.22 million customers having their personal information compromised.

o Info stolen included Social Security numbers

- According to Dan Vesset, analyst at IDC, the Healthcare business intelligence market was $600 million in 2009, and will grow faster than any other vertical market in the next 5 years. Growth driven by:

o Increased focus on financial performance management

o Labor productivity

o Cost control

o Analysis of billing

o Analysis of payments

o Bed occupancy rates

o Patient treatment

- St. Joseph Health System, with locations in western U.S., announced it chose Microsoft’s Amalga Unified Intelligence System for data storage. It will load data from its Allscripts, GE and Meditech EHR systems.

- Allscripts, maker of EHR systems, announced that it will allow outside developers to write programs. So far, 200 software developers have expressed an interest with 45 already signing on.

- Allscripts has partnered with the Illinois Technology Association to support and promote the ITA Fall Challenge, to identify students who are future technology leaders. Partnership led by Celia Harper-Guerra, Senior VP of Talent Acquisition and Development for Allscripts.

- Allscripts announced it won an EHR contract from SA Health, the public health system of Australia that covers 80 hospitals. Also have install at West Penn Allegheny Health System.

- The Ohio Health Information Partnership, a regional extension center serving parts of the state, announced it selected 5 preferred HER vendor:

o Allscripts

o eClinicalWorks

o eMDs

o NextGen

o Sage
- Geisinger Health System of Pennsylvania was featured recently in Bloombery Businessweek as having spent $35 million to install Epic EHR, and then spent another 4@ million to get the system to work with its pharmacy database.
- Epic won EHR contract from Wake Forest University Baptist Medical Center.
- Dell reported that its sales to healthcare vertical are responsible for its recent financial performance. The company reported that its profits more than doubled, and its revenue was up 19%. Examples of contracts won:

o Methodist Hospital in Houston, TX

o Western Maryland Health Systems in Cumberland, ND

o Songjiang Hospital in Shanghai, China
- Dr. Robert Wheatley of Florissant, MO reported that his laptop computer was stolen from a locked vehicle which contained information on 1,400 patients.


- Vangent of Arlington, VA won a $3.3 million EHR contract from Indian Health Services for locations in:

o Aberdeen

o Albuquerque

o Bemidji

o Billings

o California

o Nashville

o Navajo

o Oklahoma City

o Phoenix

o Portland

o Tucson
- Athenahealth announced its EHR product was selected as preferred choice by Tri-State Regional Extension Center (REC) which covers Ohio, Kentucky & Indiana.
- Meditech wins EHR contract from Memorial Hospital of Illinois. The company also has system in place at Chandler Regional Medical Center of Arizona.
- NextGen won contract to provide its EHR to physicians of Baptist Health Care of Florida and Alabama.
- C3 Partners LLC announced it is offering a on-line software package to assist physicians make sure they are meeting Meaningful Use requirements for fed stimulus funding. www.hitechanswers.net

- According to Office for Civil Rights, over 5 million people have been affected by healthcare data breaches since September, 2009.

Tuesday, November 9, 2010

This Week in Document Imaging 117/10

- According to the Department of Health & Human Services, more than 5 million Americans have been affected by HIPAA data breaches since, 9/2009.
- According to The Ponemon Institute, hospitals spent $6 billion annually because of patient data breaches, and Federal regulations (i.e. HIPAA) have not improved the safety of patient records. Research showed:
o hospitals are not protecting patient data
o hospitals admit to being vulnerable to data breaches
o breaches are occurring frequently and often go unreported
o only a small percentage of healthcare organizations rely on security technology

- ScImage Inc. of Los Altos, CA announced that it has developed software to integrate EMR software systems with Konica Minolta ImagePilot digital radiography systems, using HL7 communications and web-viewing technologies.

- Former employee, Cam Giang, pled guilty to stealing personal information (name, date of birth and Social Security numbers) from 218 coworkers while at University of California San Francisco Medical Center. Mr. Giang was sentenced to 12 months and one day in prison.

- A skin printer? The Wake Forest Institute for Regenerative Medicine and the Armed Forces Institute for Regenerative Medicine announced they have developed an inkjet printer that deposits skin cells directly onto a wound to help it heal faster.

- Results of survey conducted by CompTIA:
o 34% of healthcare providers report using EHR system
o 16% report using a partial EHR system
o 29% are evaluating their options
o 20% have not yet started research

- More reason why healthcare firms should use biometric finger vein reader options:
o 100 times more accurate than finger print scans
o Nearly impossible to hack
o Scanner converts subcutaneous vein pattern into thousands of zeroes and ones
o All data encrypted and hidden behind firewall
o Encrypted to AES 128 bit
o You can not leave your vein pattern at a crime scene
o Prevents medical records overlays and merging
o Prevents identity theft
o Prevents lack of ID for unconscious patients

- Allscripts announced it won an EHR system contracts from:
o United Hospital Systems of Kenosha, Wisconsin.
o Our Lady of Lourdes Hospital of New York
o Martin Memorial Health Systems of Florida

- Allscripts CEO, Glenn Tullman stated that the federal government will spend as much as $27.4 billion between 2011 and 2021 to encourage health professionals to install EHR systems.

- Epic wins more EHR contracts:
o $56 million from New Hanover Regional Medical Center (which is receiving $13.7 million in federal incentive money)
o $450 million system at the 28 hospital Sisters of Mercy Health System in Arkansas
o Fairview Northland Medical Center in Minnesota
o Fairview Lakes Medical Center in Minnesota
o Pen Bay Healthcare of Maine

- According to survey conducted by KLAS, the most popular EHR providers for community hospitals:
o For small hospitals of 1 to 150 beds = Meditech
o 151 to 300 beds is Cerner
o 300+ beds is Epic

- Meditech reported that its last quarter’s revenues were up 23%.

- Meditech announced it has certified Canon & Kyocera MFPs as printers for its system.

- Sage Intergy wins contract for 90 radiation therapy centers in 16 states for 21st Century Oncology, headquartered in Florida.

- NextGen announced:
o wins EHR system contract from ACT Health Management Services of North Carolina with 400 locations and 70 clinicians
o wins HER system contract from Methodist Hospital of Texas (5 hospitals and 289 physicians)
o reported that its revenue was up 14% to $81.5 million during last quarter.

- Athenahealth wins a EHR system contract from Holy Cross Hospital of New Mexico.

- EHR federal government timeline:
o Fall of 2010 = certified EHR technology available and listed on ONC website
o January, 2011 = Registration for EHR incentives begin
o January, 2011 = State Medicaid providers may launch the programs
o April, 2011 = Attestation for EHR incentive programs begins
o May, 2011 = incentive payments begin
o November 30th, 2011 = last day for hospitals to register and attest to receive incentive payment for FY2011
o February 29, 2012 = last day for physicians to register and attest to receive incentive payments for CY2011
o 2014 = Last year to initiate participation in program
o 2015 = Medicare payments are reduced for those that have not installed EHR system and shown meaningful use
o 2016 = last year to receive incentive payments and last year to initiate participation
o 2021 = last year to receive incentive payment

- Microsoft reported that only 150 hospitals worldwide are connected to its HealthVault personal health platform.

- McKesson, provider of EHR systems, announced it is buying US Oncology for $2.16 billion. US Oncology of The Woodlands, Texas, makes EHR systems for 1,300 community-based oncologists.

- Cerner wins contract for EHR system at Regional Medical Center in South Carolina. Also has install at Eastern Maine Medical Center.

- After originally not being selected, Missouri healthcare officials are giving Cerner a second change after the Kansas City based company failed to make a two-state list of preferred EHR vendors.

- eClinicalWorks announced it won an EHR systems contract from the San Francisco Department of Public Health, for its 800 doctors.

- A survey of hospital medical records departments conducted by CapSite found:
o 3M Health Information Systems has 30% marketshare
o Meditech has 22% marketshare
o 41% plan to invest in new applications during next 24 months

- The 2010 HIMSS (health information management systems society) Security Solutions Survey found:
o 50% spent 3% or less of their IT budgets on security
o 14% of hospitals have yet to conduct a risk analysis
o 33% of clinics have yet to conduct a risk analysis
o 31% have encrypted data on laptop computers
o 16% have not encrypted any laptop computers
o 69% have plan in place to respond to a data breach
o 33% of hospitals have fulltime chief security officer
o 8% of clinics have fulltime chief security officer
o 38% have designated a staffer to handle security responsibiities

- Surescripts Inc., which operates a nationwide e-prescribing network, announced that it will now support and enable the electronic exchange of all types of clinical information.

- Indiana Attorney General Greg Zoeller has sued health insurer WellPoint Inc. for $300,000, alleging the firm took too long to notify Indiana residents affected by a HIPAA data breach, affecting 32,000 people. The breach was related to a website that inadvertently exposed personal financial info and SS#’s.

- FormFast Software announced it won contract for electronic forms software from Capital Region Medical Center of Jefferson City, MO.

- Scientists from the University of Oxford have shown that they can improve a person’ math abilities for up to 6 months by applying an electrical current to the human brain.

- A document management survey conducted by Version One revealed:
o 86% of senior IT professionals are still reliant on paper records
o 51% stated that they are “very reliant” on paper based records
o 1% stated that they “hardly ever” rely on paper
o 13% stated that they are “occasionally reliant” on paper
o 32% would switch to document management system (DMS) to improve customer service
o 20% said that assurance that electronic documents are legally admissible would be key driver for eliminating paper
o 48% want to be assured that DMS would provide enough security

- WorkflowOne announced it won a document management solutions contract from the Albert Einstein Healthcare Network in Dayton, Ohio.

- Survey results from Medical Group Management Association (MGMA):
o Hospitals with EHR systems reported $49,916 greater total medical revenue after operating cost per physician than practices using paper
o After 5 years of use, practices reported an operating margin 10.1% greater than practices in their first year of EHR


-=Greetings from Sandy Hook=-

Tuesday, November 2, 2010

This Week in Document Imaging "Industry Notes" 10/31/10


OpenText of Canada, maker of fax servers (FaxPress & Rightfax) and DMS (Hummingbird) announced it has purchased StreamServe Inc., for $71 million, which makes electronic forms software.
- Keane Inc., a company which specializes in offering managed IT services to healthcare industry, announced it was acquired by Nippon Telegraph and Telephone Corporation (NTT) of Japan for $1.2 billion.

- Allscripts, a vendor of EHR, announced that last quarter’s revenue was $192.5 million compared to previous quarter’s revenue of $190.3 million

- McKesson, EHR vendor, announced it won contract from Cowherd Family Medical Center of Heber, Arkansas.

- Federal authorities arrested 4 people in connection with $200 million fraudulent Medicare claims in Miami. The companies involved were American Therapeutic Corp. and Medilink Professional Management Group, and had to do with bogus mental health therapy sessions.

- Auxilio, a company that specializes in offering managed print services to the healthcare industry, announced it won another bid in New York, with a $3.5 million, 3 year contract from New York Hospital Queens.

- Surescripts Inc. announced it is expanding its nationwide e-prescribing network with a new service that will allow for exchange of clinical health information. It includes:
o Up to date summaries of patient’s recent visits
o Secure messaging tools
o Net2Net Connect for sending and receiving clinical info outside their network
o Message Stream for electronic exchange of clinical info
o Clinical Message Portal for those without EHR that wish to send and receive info


- Results from healthcare survey conducted by SK&A:
o Survey of 213,500 medical offices
o EHR adoption at hospital-owned offices grew from 44.1% to 54.9% (10.8% increase)
o EHR Adoption at health-system owned offices grew from 50.2% to 61.2% (11% increase)
o Overall, medical office EHR adoption has grown from 36.1% to 38.7% (3% increase)
o Most commonly used EHR functions are:
 28.4% use electronic patient notes
 27.3% use electronic labs/x-rays
 25.9% use electronic prescribing
o Physician offices with more exam rooms, more physicians on staff, and higher daily patient volumes have highest EHR adoption rates
o Physician specialties with highest adoption rates
 Radiology = 59.9%
 Pathology = 59.8%
 Aerospace medicine = 59.5%
 Dialysis = 59.3%
 Emergency medicine = 57.6%
o Which states use EHR more?
 Northern states = 40.9%
 Southern states = 40.1%
 Minnesota = 62.6%
 Utah = 55.4%
 Wisconsin = 52.3%

- Survey data released by during the recent Medical Group Management Association (MGMA):
o Practices with EHR systems that were not owned by hospitals or integrated delivery systems (IDNs) reported $49,916 greater total medical revenue as compared with those with paper medical records
 These practices also reported greater expenses per physician ($105,591), but had greater median revenue per physician ($178,907) than those with paper medical records systems
 After 5 years of EHR use, had operating margin that was 10.1% greater than practices using EHR for 1 year
o Practices with HER system that were owned by hospitals or IDNs had operating margin that was $42,042 higher than those with paper records
o Medical records staff per physician decreased by 44.12% after install of EHR
o 62% of medical practices will limit the number of new Medicare patients they accept if scheduled reimbursement cuts, totaling more than 30%, go into effect
o Almost 50% stated that they will stop seeing new Medicare patients altogether
o 75% said they planned on delaying purchase of new equipment or facilities
o 50% are planning on reducing staff
o 45% may put off purchasing EHR

- Cerner, maker of EHRs, which recently announced it will build a new office in Kansas, is now asking Kansas City for $50 million in industrial revenue bonds to pay for new computers and other equipment in the new facility. If approved, the city would own the equipment and lease it back to Cerner.

- Siemens, maker of EHR, won contract from Charleston Area Medical Center of West Virginia.

- iSalus Healthcare, maker of EHR systems, announced that the CEO it recently fired, Mark Day, is now suing the company. Mr. Day claims he was fired after reporting that he was suspicious that employees were stealing software.
- Epic, maker of EHR systems, won a contracts from:
o Rush University Medical Center of Illinois.
o New Hanover Regional Medical Center of North Carolina for $56 million to replace McKesson Horizon system

- The Kansas Foundation for Medical Care Inc. and University of Missouri Board of Curators published a list of preferred medical software providers, including GE Healthcare and McKesson. Noticeably absent is Kansas City-based Cerner Corp.

- CapSite announced that its survey reveals that 41% of hospitals will invest in new health information management (HIM) solutions in 2011.

- The Centers for Medicare and Medicaid Services (CMS) announced it will implement auditing procedures to check healthcare providers that are claiming funds for install of EHR systems.

-=Greetings from Sandy Hook=-