HealthContentAdvisors

McKesson & HP partner to provide EHR s/w and hardware for physician practices.

Interesting. Wolters Kluwer has set up a system whereby doctors will receive CME credit for clinical research done via their mobile phone.

Very thorough review of MSFT-Siemens deal to introduce MS HealthVault to German market and make it the system through which patients are provided medical info. HL7 is more widely used in Europe and Infobutton apps will likely catch on more quickly.

Julie Deardorff of Chicago Tribune writes about my recent blog on the AAFP’s FamilyDoctor.org site’s advertising high salt foods. Quotes me, AAFP VP Publishing, and Dr. John Spangler.

Good interview with David Blumenthal, Director, ONC, on meaningful use of EHRs and plans for national health data exchange.

Whole Foods to offer up to an additional 10% discount for employees who meet wellness measures that include nicotine use, cholesteral, and BMI targets.

Good short piece on why publishers are distributing content via Kindles even though there are business considerations.

Kent Bottles brings together topics from current books by Atul Gawande, Timothy Goetz, and an article by Jerome Groopman to consider the merits of checklists and use of decision trees in medicine. He also covers behavioral economics and choice and mentions the Thaler-Sunstein approach to offering nudges (libertarian paternalism) to guide healthful behavior. Conclusion: medicine and health are complicated. Seems to me that since computers are useful for dealing with complex calculations (even under stress) that it makes sense to use automated checklists and decision support systems to guide complex processes. Provided we can avoid GIGO (garbage in, garbage out) situations.

Interesting article on how Conde Nast is seeking to leverage brand value of Gourmet, Domino, and Cookie (defunct magazines) as well as current titles Wired and Lucky. Compares CN to Meredith, whose Better Homes & Gardens has used its brand to provide quality seals to products. CN-selected content (tested by Gourmet kitchens?) is one idea they should consider, IMO.

IUD manufacturer, Mirena (part of Bayer Pharmaceutical) has been using home parties, a la Tupperware, to spread word about benefits of Mirena IUD. FDC has sent warning letter to Bayer.

Everyday Health, the consumer health portal owned by Waterfront Media, files for $100M IPO. Positive sign for consumer health publishers. Everyday is one of the largest consumer health portals that relies on online advertising for most of its revenue.

Home page of Jan 2010 report from RWJF on PHRs.

ZocDoc, a online directory of doctors that has focused on NY and DC, is expanding to cover SF. Note, a key differentiator of ZocDoc (from the slew of other doctor ratings sites) is its integration with practice management systems for scheduling appointments so that users can find doctors with available appts. ZocDoc says they have integrated with close to 1400 PMS companies. Note, ZocDoc also encourages patient reviews of doctors, but only from ZocDoc users. Reviews of doctors remains a sticky wicket for all of the doc review sites.

Susannah Fox from Pew Internet started the conversation with her post about Google Health OneBox that lists results from Mayo Clinic, WebMD, ADAM, and MedlinePlus in a special position at top of search results. Great discussion in the comments ensued, including a couple from me.

Brief article describing MedeAnalytics revenue cycle management solution being adopted by St. Joseph’s Hospital in Maryland.

Info on work Tim Berners-Lee is doing for UK govenment to make sources of gov’t data more available and meaningful.

“Pfizer increased its spending on online professional promotion by more than 90% last year, according to a study, a sign the drugmaker is emphasizing alternatives to live sales reps for detailing certain products.” Study by SDI.

Does technology interrupt the communication between doctors & patients? That’s the question posed by this book. Sounds interesting.

New site that compiles info about neuroscience research.

Great example of the how new sources of data will transform medical research.

Jay Parkinson on specialized providers v. general hospitals.

Review of Adam Bosworth’s company, Keas, which uses custom “care plans” that collect personal data - directly or indirectly.

Consumer Watchdog wants change to HHS ruling that gives providers the authority to decide if/when a patient’s healthcare information security has been breached.

Karen Overstreet, named executive director of Lippincott CME unit. Interesting that she’ll report to the Medical Research division, not education. Has there been a re-org?

FDA will use data from Wolters Kluwer’s Pharma Solutions Source Lx Patient Studies Suite that captures patient-level Rx data and Pharmaceutical Audit Suite (PHAST) that captures Rx transactions to follow trends in flu medication prescribing activity by region and other patient demographics.

American Academy of Professional Coders offers free app to help convert ICD-9 to ICD-10 codes. See aapc.com.

New edition will include feeds from Factiva and use Factiva Smart Search. Need to check on pricing.

HealthPort Inc., an Alpharetta, Ga.-based provider of healthcare IT solutions to hospitals and health systems, has set its IPO terms to six million common shares being offered at between $14 and $16 per share. It would have an initial market cap of approximately $360 million, were it to price at the high end of its range. HealthPort is owned by ABRY Partners. www.healthport.com

New study in The Journal of the American Medical Association, estimates that there are 67,000 fewer active physicians than calculations have suggested. The physician work force is also younger than previously estimated, with a greater proportion of doctors in their 20s and 30s and fewer who are 65 and older. By 2020, there will be 957,000 physicians, according to the new estimates, rather than the 1.05 million previously projected. Only 9 percent will be 65 or older, or half as many as had been predicted.

Team that developed InnovationRx at the Innovation Company bought the rights to the company and relaunched it as Aprexis Health Solutions. Aprexis focuses on patient adherence, with adherence to prescription drugs the focus.

WK Health announces new customer who will use Provation, now branded as Provation Order Sets, powered by UpToDate Decision Support.

UnitedHealth exceed analyst estimates despite declines in #insured, due to increases at drug unit.

Argentina the latest country to launch medical tourism program to encourage visitors to plan vacations centered around medical procedures (cosmetic and fertility are top treatments for medical tourists in Arg).

MVP Health, a regional health insurer in upstate NY, VT, and NH, will reimburse physicians for using RelayHealth’s WebVisit (TM) for patient consultations. MVP is partnering with Mohawk Valley Medical Associate (MVMA) to offer physician’s immediate reimbursement for implementing Relay’s webVisit.

presentation materials from Sept 24, 2009 webcasts on CAHPS Clinician and Group Survey

Concerns about patient privacy loom over electronic health records segment. George Hill of Leerink Swann estimates that by 2020, data mining could represent a $5 Billion industry.

Preview of next week’s Connected Health 09 conference in Boston. Focus: new devices and communications tools will help patients take more control of their health and leave hospital visits for severe events.

New device from Fitbit that tracks exercise & sleep & can be used to monitor calorie intake, too. Fitbit is joining a fast-growing segment of devices that help monitor healthy behavior & can be used by payer segment to evaluate lifestyle of insured populations.

Dr. Rob on medical costs and medical codes–and plug for his interview with Ira Glass for This American Life’s series on medical costs to be aired weekend of 10/17-18, 2009.

Quest Diagnostics’ MedPlus group, launches its Care360 ambulatory EHR on Oct.24. MedPlus will market the EHR to teh 150,000 physicians that already use its other Care360 apps and will offer hosted solutions for smaller practices. Quest’s MedPlus has the advantage of having existing relationships with these practices who use their other Care360 apps.

Developed in collaboration with the Allen Institute for Brain Science, Elsevier’s Brain Navigator tool, a “GPS system” that provides 3-D software to navigate the brain, adds new features for visualizing injection pathways and printing and exporting images. Interesting to note that this collaboration is with Elsevier’s Science and Technology Books division. Great example of how STM publishers can leverage their content through IT/R&D partnerships.

According to 2006 Kaiser Foundation study, nearly 1/3 of US companies that offer health insurance also offer some sort of wellness program. And, the focus on wellness has increased since then. This article describes some of the programs and $$ incentives for reaching wellness goals.

Very interesting. Healthy Advice Networks, which markets health info to physician practices with content sponsored by pharma and health and wellness brands, partners with HealthScape Consumer, a joint WK Health and Nielsen longitudinal panel to provide data on the effectiveness of sponsoring/promoting in Healthy Advice Network.

RightHealth is dba name of Kosmix, a Mt. View California search technology company that initially focused on the health space.

Digitas Health lists 140 possible uses of Twitter in healthcare. Nice.

Florida-based video sharing site that posts videos for docs to use for patient education.

CEO of OptumHealth’s Care Solutions group describes their programs to encourage healthy behavior before and after health care is needed.

Webmedx, which transcribes doctors’ voice recordings, implements new system powered by MarkLogic to create indexed data that can be fed into other apps.

Phase Forward signs Hungarian pharma company, Gedeon Richter, to multi-year deal for PF’s clinical trial management s/w.

Incentives for employees to participate in wellness programs are growing. Safeway is an example of a company that offers financial rewards to employees who achieve certain wellness goals. To encourage similar programs, health reform legislation will increase existing limits for rewards. This amendment is becoming known as the “Safeway Amendment”.

John Sharp’s presentation at Cleveland Clinic seminar on how IT is transforming medical practice and research. Good preso with good examples.

Article on MD who won HHS contest to prepare a PSA on H1N1. Dr. Clarke wrote a rap music PSA. Links to Youtube video of him performing the short video included.

Among issues mentioned in article, complexity of medical knowledge and explosion of # of journal articles.

Another review of Health 2.0 conference with good overview of startups (and some older companies) that presented.

Excellent review of last week’s Health 2.0 conference. John Moore from Chilmark Research understands the Health IT issues as well as anyone and articulates problems of interoperability better than anyone. Only comment from Health CONTENT Advisors: content producers/owners are left out of the discussion. IT companies don’t own the data, in fact at the current time they don’t bundle in much data with their services. But, we see lots of activity in deals between healthcare publishers and health IT vendors occurring and think that health content will receive more attention from the folks who are focused on IT aspect in the near future. Note, John’s comment abt Quicken Health & fact that one can hover over a test and see info about it is a great example of how content adds “meaning” to the use of IT tools.

Kevin Kruse of Kru Research details his reasons for launching e-Patient Connections 2009. I am speaking at the conference on the market for health content for e-patients. Important point: e-Patients both produce and consume health info.

Balanced review of the recent Health 2.0 conference in SF.

Safeway, which has stood out for its programs to encourage healthy behavior (mainly weight loss) of its employees, supports amendment that will allow larger incentives to employees who achieve health goals –as discounts to their health insurance premiums.

Atlantic writer describes Adam Bosworth’s new company, Keas. Keas helps individuals make healthy choices and uses an individual’s personal health data to customize alerts and plans for health. Writer is dubious that consumers will flock to this type of “big brother” service that tells them how to eat, exercise, etc. But, I think she misses the point. Individuals will be pressured to use services like this by the companies that pay for their health insurance and healthcare. Rewards, incentives, nudges–however you want to characterize them–will be need in the form of cash or other incentives to encourage individuals to participate. Eventually, concern for one’s health may be sufficient to encourage usage, but not yet…

List by topic of recommended external resources by Robert Wood Johnson Foundation.

Review of the “tools” panel at Health 2.0, which highlighted integration of FirstDataBank’s drug codes for use by new consumer-focused health resources. Good move by Hearst’s FirstDataBank.

Verizon teams with Xora to provide app to track activity of home health workers and provide navigational tools.

Very good post on the benefits of having audience members using Twitter during a conference presentation. Worthwhile reading for conference producers and presenters.

Article reports on possibility that UK could overhaul CME and require docs to pay 1/2 of CME costs.

Ed Silverman, who used to write the Pharmalot blog, which was discontinued when the newspaper that hosted it gave him a buyout offer and he went to Elsevier to edit the Pink Sheet, will restart blogging.

Notes from Data Drives Decisions panel at Health2.0.

Everyday Health partners with DSHI Systems to offer video symptom checker tool for consumers.

Josh Seidman emphasizes the importance of sufficient customer research prior to developing health IT tools. Josh asked panelists from start-ups that have created health info tools for patients how they did their research and the lack of responses is telling. In-depth research of usage behavior and user-needs seems to be lacking in health IT for professionals as well as patients.

Story on Adam Bosworth’s new company, Keas. May have already bookmarked this story.

Royalty-based venture financing–where investors receive a % of monthly revenue– is gaining attention as new financing model.

IOM held 2-day workshop on Evidence-Driven Practice. More info here.

HealthCentral’s CEO, Chris Schroeder, will speak at Health 2.0 on 10/6 & will highlight growth in number of bloggers on their network, primarily from their acq. of Wellsphere.com.

Announcement of new partnerships with Harvard Pilgrim & the postal service union’s health plan. Also lists some recent features, including ability to graph test results over time.

OptumHealth and American Well are partnering to provide online medical services to Optum’s insured population.

CVS’s Medicare Drug plan(SilverScript and Accendo) will qualify to cover fewer subsidized members in 2010. They forecast losing about 1/3 of their subsidized customers in 2010.

XML version of Fed Reg now available. Big news for value-added publishers of gov’t data. I once produced a CD-ROM version of Fed Register: formatting to make a useful reference tool was not easy at that time.

Author published by S&S describes online storage companies RapidShare, Megaupload, and Hotfile and how they play a role in illegal sharing of ebook files.

Schmidt says Google not a content company, but is in business to help content companies thrive. Disingenuous statement. They are a content producer and will be a content seller if/when Google Books Settlement is concluded.

Description of retail clinics, like CVS MinuteClinic.

Jane Sarasohn-Kahn writes about the newly released study from PWC titled, “Transforming healthcare through secondary use of health data”. Jane focused on barriers to data liquidity (data flows between apps/stakeholders0. I’ll write up post that focuses on near-term opportunities for data publishers to offer data collections and analytic tools to mine newly available “secondary data” that is a byproduct of digitizing health records and health events.

Review of Health IT meeting 9/30/09 at Harvard Medical School to discuss “substitutability” aka interoperability/data exchange via APIs.

Good article about lack of transparency in pricing for medical services–and how health reform could help change the current system. Also mentions a company called NewChoiceHealth.com that estimates cost of procedures from Medicare data.

Sweden’s EQT now frontrunner; TPQ is out; Carlyle & Providence Equity still in but have taken a back seat.

Good notes on Medicine 2.0 meeting in Toronto on PHRs.

Alliance Health, which builds platforms for health-related social networks, raises and additional $3.3 M for a total of $6.6M in VC from EPIC Ventures,Highway 12 Ventures and angels. DiabeticConnect.com was its 1st site, which has >50,000 registered memebers.

Good commentary about disconnect between focusing on improving HCAHPS scores and patient safety. When too tightly focused on score improvement, real chances to improve quality often get overlooked.

Slides, recordings and transcripts from August 27, 2009 Web conference sponsored by AHRQ.

Check out this cool app for reading, searching & Tweeting the just-released Baucus hc bill — from Tizra a search tech company.

Good balanced piece on FDA’s cancer drug director, Dr. Richard Pazdur.

MedAssurant, based in Bowie, MD, acquired Atlanta-based Catalyst Info Technologies, which provides s/w to manage collecting & reporting quality data (HEDIS). MedAssurant focuses on analytics for disease management, clinical & quality outcomes, and financial performance and is gaining market share in healthcare data analytics through acquisitions as well as organic growth. Article also points out other recent acq: Verisk Health (based in Waltham, MA) acquired TierMed Systems LLC (Chanhassen, MN) earlier in the week.

Ted Eytan, MD’s (Kaiser Foundation) presentation on PHRs as used at Kaiser & plans for the future. Outstanding slides (see esp. slide 16).

Apple invites vendors to meeting to discuss healthcare apps. As author says, they’d be idiots to ignore the billions in ARRA funds!

Weems named SVP Health Strategy at Vangent. Govt & Health are key markets for Vangent.

OurParents, a central source of information on eldercare services and related information, introduces user forums.

Nice marketing move to encourage sales of its EHR systems for physician practices.

Recent national survey of almost 1,000 physicians by Mayo Clinic reveals that 78% agree that physicians have moral obligation to address societal health policy issues and 73% agreed that physicians are obligated to care or uninsured or underinsured. Other questions reveal attitudes toward using cost as a consideration in determining treatment. Data tables available.

Bedside patient portals help patients keep in touch with doctors. good idea.

Video Screencapture.

Profile of John Brownstein, an epidemiologist at Children’s Hosp in Boston. Browstein developed HealthMap.org, which culls online reports of infectious diseases and maps them in real time. A great example of infodemiology.

Excellent article that emphasizes that providing information to stakeholders (esp. patients and doctors) is the best approach to assuring optimal decisionmaking.

Market forecast for medical device segment in France.

More examples of how Pharma is using social media.

New book forthcoming from Sage Publications, Encylopedia of Medical Decision Making. Seems like an obvious good online reference work.

Profile of Gawande from Harvard Magazine.

James Murdoch lambasts publishing industry for resisting change.

A little counterpoint to all of the pharma industry bashing that’s been in the news recently. IMO, some incentives should be shifted to encourage development of needed drugs & not just me-too drugs.

Deloitte’s whitepaper on how pharma could make use of data from EHRs to improve their research, clinical trials, and post-market surveillance processes.

Heart monitor that detects, analyzes & stores info about patient’s heart. AngelMed Guardian. Smart devices are a growth segment.

WSJ points to Business Week article on biggest R&D spenders. Merck led the pharma cos, but much of their R&D expenses went to licensing, not internal drug discovery.

Minnesota provides website with price info on primary care services, labs, etc for over 100 providers.

Interesting case where patient’s wife suggested experimental treatment that eventually was accepted. She wants $300M plus % of profits.

United Health promotes compliance with Rx drugs with discount off next Rx. Negotiated lower prices with pharma companies, which will also benefit from long-term compliance.

Experiment to charge minimal fee vs. free shows that far more will accept free than fee. But, isn’t segmenting the audience the right path?

Hope Leman reviews the book Internet Cool Tools for Physicians, which I have been planning to read since it came out. Thanks Hope, I’ll do my best to remember to order it the next time I’m on Amazon.

Free whitepaper from Manhattan Research on Pharma use of digital marketing.

Article includes comments from Susannah Fox of Pew & ePatient Dave (deBronkart) about finding experimental medicine and specialist doctors to combat fatal diagnoses.

U. Washington dept that studies global healthcare, funded by Bill & Melinda Gates Foundation.

Dr. Vince Kuraitis describes the foundations of a “network economy” and asks if healthcare industry fits the bill.

Study attempts to measure level of empathy (or lack of empathy) in medical students. Thesis and conclusions are rather scary.

Interesting & worthwhile read about the future of scholarly publishing. Author posits that old model of journals publishing will be replaced by open model with actual usage metrics replacing journal impact factors.

Program for AHRQ’s upcoming conference (Sept. 13-16). Registration is closed; it’s a sellout.

US Bank offers HSA with access to WebMD Coverage Advisor, which helps consumers manage out of pocket costs.

Hospitals are finding that reporting medical errors and making the info easily available helps reduce the number of malpractice lawsuits. Transparency helps!

Important issues about how doctors communicate to patients risks & tradeoffs using statistics described in this paper.

Suggested reading from RWJF.

Interesting comparative study of using 3 different medical search platforms: Dialog (ProQuest), OVID (WK) and EBSCOhost. Same search gave different results, with Dialog returning more than twice as many results as others.

Wired UK highlights how doctors & hospitals are using Twitter in UK & US.

Article provides good context for current activity in managing hospital supply chains. Several stories in past week about purchasing cooperatives to reduce cost of supplies.

Survey of medical students by Epocrates shows high usage of health IT, low confidence in info provided by pharma detailers.

AMA uses Impelsys’ iPublishCentral s/w to publish frequently updated versions of its books in ebook format.

Army & Navy doctors collaborate real-time with medical researchers on wound care for injured soldiers–bridging the time gap in tradtional “translational medicine”.

NaviNet, a Cambridge, MA claims clearinghouse vendor (RCM) (formerly known as NaviMedix), is promoting its clearninghouse services as preliminary health info exchange (HIE). Currently, EDI is limited to certain payment-related data types, but NaviNet suggests that scope could be increased. Their argument: Why recreate the EDI wheel if the basic network is already in place?

Informatics Corp. of America (ICA) partners with Mark Logic to offer OEM version of Mark Logic server to allow users to search across structured and unstructured data in EHR systems.

iMedX, a US-based EHR/ medical transcription outsourcing company, acquires Worldtech, Inc., a competing health IT/med transcription company that serves over 800 small physician practices in US and has global medical language specialists. Worldtech will become a division of iMedX.

P&G to sell prescription drug businesses to Warner Chilcott for $3.1 B. Warner Chilcott, an Irish company that specializes in drugs for women’s health, has annual rev. of $938M. Deal will increase size of WC by huge percentage. P&G’s strategy is to sell off slower-growing units to focus on growth.

Healthland, a health IT solutions provider to small rural hospitals, acquires American Healthnet, an Omaha based health IT company to expand its customer base. Last year, Healthland acquired Advanced Professional Software.

Scary to read that many doctors don’t know when they are prescribing for off-label uses. David Williams suggests pharma detailing/marketing is cause.

Good piece about using patient-generated data in medical research. Although not as controlled as clinical trials, certainly better reporting mechanisms can be created to increase the usefulness of real-world health conditions and outcomes data.

Excellent article that describes how iPhone and other wireless apps are being used by nurses in clinical settings.