Category Archives: Medical

EHR, Electronic health record, iPhone, Medical, Mobile, Nuance, Nuance Communications, Speech recognition, Voice

Nuance Adds Voice to Epic Mobile Electronic Health Record Apps

Nuance Communications, Inc.  today announced that Epic electronic health record (EHR) customers can now use voice-enabled clinical information capture through Epic Haiku for the iPhone™ and Canto for the iPad™.

“Epic’s mobile applications provide valuable EHR access both inside and outside the hospital or clinic environment,” said Dr. Jeffrey Westcott, medical director, Cardiac Catherization Lab, Swedish Medical Center. “For me, it’s important to have the on-the-go accessibility provided by tablets and smartphones. Using voice recognition to document a note in Haiku or Canto allows me to seamlessly dictate the patient narrative into the electronic healthcare record using a workflow that suits my style and ensures my focus can remain on patients.”

Nuance’s cloud-based, medical voice recognition builds off of its proven success with the more than 450,000 clinicians worldwide who use Nuance’s Best-in-KLAS clinical documentation solutions on the desktop every day. By leveraging the existing desktop-focused interface, Nuance enables Haiku and Canto customers to connect to Nuance Healthcare’s voice recognition in the cloud. This connectivity will provide maintenance-free access and automatic updates of personal speech profiles, medical vocabularies and user-defined shortcuts. Customers can also enter progress notes, histories and physical exams via voice.

“Clinicians’ work lives are not conducive to a desk and chair; they need the flexibility of a mobile environment to support their workflow – between exam rooms, clinics and hospitals – and all at a moment’s notice,” said Janet Dillione, executive vice president and general manager, Nuance Healthcare. “Still, issues surrounding the adoption of mobile technologies remain, including limitations surrounding laborious touchscreen keyboards. With voice-enabled mobile EHR applications, clinicians can enjoy the benefits of the Nuance-powered functionality anytime, anywhere.”


Cancer, Medical, Oracle, University of Texas MD Anderson Cancer Center

Oracle Joins Personalized Cancer Care Consortium

Worldwide Innovative Network (WIN) in personalized cancer medicine consortium announces dthat Oracle Health Sciences has become a member of the consortium. Oracle will provide access to its data management, clinical trials, genomics and analytics expertise to help WIN advance its mission of increasing the efficacy of cancer care globally through personalized therapy and early diagnostics.

The development of personalized therapies requires new collaborations between industry, healthcare and academia. This includes the ability to access and build upon the collective knowledge and data of the entire cancer community, including clinical, genomic and patient data leveraging modern information technologies.

Oracle Health Sciences has developed a portfolio of integrated, cloud-based software applications that help advance personalized medicine by enabling new collaboration models between research institutions and healthcare organizations. Specific to the work of the consortium, the Oracle Health Sciences Network accelerates translational research, healthcare analytics, and health information exchange by allowing these organizations to more efficiently share and analyze de-identified data across organizational boundaries.

“To advance personalized cancer care, collaboration among the health sciences community is absolutely essential, but achieving it, from a technology perspective, has presented challenges. Oracle is helping organizations to break down these barriers and lay a foundation for expanded collaboration and new insight. We welcome Oracle’s knowledge and innovation as it joins our ranks,” said Dr. John Mendelsohn, Chairman of WIN Consortium and past President, University of Texas MD Anderson Cancer Center.

“Our overarching goals are to achieve groundbreaking personalized cancer medicine discoveries and to significantly improve the outcomes and quality of life for cancer patients,” said Professor Alexander Eggermont, General Director, Institut Gustave Roussy and Vice-Chairman of WIN Consortium. “With the dropping cost of whole genome sequencing, technology is essential to helping us analyze this rich data and achieve our goals. We welcome Oracle, one of the world’s leading innovators in this field, to our organization, and look forward to its many contributions.”

 


Cerner, Electronic health record, Health Care, Medical, Nuance, Nuance Communications, Partnerships, Voice

Cerner, Nuance Collaborate to Embed Cloud-Based Voice Techn in Mobile EHR Solutions

Cerner and Nuance Communications today announced that the companies have expanded their relationship to accelerate the adoption of simpler, faster and smarter healthcare solutions for clinicians worldwide. The expanded partnership reflects both companies’ commitment to providing innovative, proven solutions that keep patient care a top priority by leveraging voice and mobile technologies to optimize clinician workflow and maximize the benefits of electronic health records (EHRs).

Under a new worldwide agreement, Cerner will embed Nuance’s cloud-based medical voice recognition into its full portfolio of mobile EHR solutions – including PowerChart Touch™ that was announced at the Health Information Management Systems Society (HIMSS) conference in February. This integration will create a new class of mobile healthcare solutions on phones and tablets that enable clinicians to capture more complete patient notes, navigate applications and search for information while on-the-go – simply by using their voice.

In addition, Cerner and Nuance announced the availability and integration of Nuance’s radiology reporting suite, PowerScribe 360, with Cerner’s RadNet® Radiology Information System (RIS). This solution is an example of both companies’ ongoing innovation and will allow radiologists to dictate, in real-time, reports that are integrated directly and instantly with the patient record.

“The expansion of our partnership with Nuance, a company that offers voice and clinical understanding solutions used by 450,000 clinicians worldwide, exemplifies our commitment to provide state-of-the-art solutions to customers across the globe,” said Don Bisbee, senior vice president of DeviceWorks at Cerner. “By incorporating Nuance’s voice recognition capabilities into our core clinical applications including our latest mobile solution, PowerChart Touch, we are able to provide the healthcare industry with a simple, fast method of capturing complex medical information within the patient record at the point-of-care.”

PowerChart Touch is a mobile, cloud-based solution that is part of the Millennium+ portfolio. PowerChart Touch offers role and venue-based mobile workflows which allow physicians to perform their job duties straight from a mobile device. PowerChart Touch will provide a true native application experience across an array of platforms. Nuance’s 360 | SpeechAnywhere medical voice recognition solution, the technology that is embedded within PowerChart Touch, is also cloud-based. Together, Cerner and Nuance solutions will help simplify the large scale deployment of these integrated technologies, while also reducing the overall cost of ownership for customers.

“For more than 30 years, Cerner has proven its ability to create digital technologies that solve problems and positively impact patient care. Its most recent mobile innovations are a prime example of how these solutions are transforming the EHR experience today, and a key reason why now is the right time to expand our partnership. Cerner’s solutions are enabling clinicians to experience a fully functional EHR – anytime and anywhere – and voice is playing an important role in making this a reality,” said Janet Dillione, executive vice president and general manager of Nuance Healthcare. “We are excited to expand our partnership and confident that intuitive, voice-enabled technologies with deep Cerner integration will spur further industry innovation, improve the clinician experience and help focus efforts on the core mission – providing quality patient care.”


Athenahealth, EHR, Electronic health record, Health administration, Health Care, M&A Activity, Medical

athenahealth Acquires Healthcare Data Services

athenahealth, Inc., a  provider of cloud-based practice management, electronic health record (EHR), and care coordination services, today announced that it has signed a definitive agreement to acquire Healthcare Data Services LLC (HDS), a web-based solutions provider and expert in health care data analysis and population health management for payers and providers. It is anticipated that the transaction will close in October 2012.

This acquisition is expected to expand athenahealth’s cloud-based services portfolio to include high-value, population-based cost and quality data analysis and reporting capabilities. By expanding its services in this way, athenahealth will be strengthening its ability to support health care organizations to navigate the growing number of risk-based payment models, and align care coordination with patient population needs.

“Value-based payment models are fundamentally changing the way patient care is coordinated, delivered, and reimbursed,” said Jonathan Bush, CEO and chairman of athenahealth. “With HDS, we can help health care organizations to thrive in the face of change—to drive down costs through smart, high quality care coordination and to understand the totality of services being provided. This acquisition supports our existing efforts to create an information backbone that makes health care work as it should.”

New payment models offered by the U.S. government and commercial health plans aim to create a reimbursement system that links care reimbursement to the quality of care delivered and, ultimately, to reduce overall health care expenses for populations of patients. These risk-based contracts come in a variety of models, including pay-for-performance (P4P) incentives, bundled payments, shared savings, and global capitation; each requires improved insight into patient population data so that health care organizations can gauge and manage patient needs while simultaneously tracking and adjusting their own performance against risk-based reimbursement contracts.

The addition of HDS would bring many advantages and synergies that would expand athenahealth’s recognition as a single-source provider of best-in-class workflow and data insight solutions to support all payment models:

  • Proven Innovation Excellence – HDS has led the market for population
    health tools in Massachusetts, which in turn has led the country in
    transforming toward more of an accountable care health care
    marketplace. Together, the combined organization would be able to help
    a broader set of health care organizations to drive quality and
    improvement to the way care is coordinated and reimbursed.
  • Key and Differentiating Services – The proven services and value of
    HDS would be able to leverage athenahealth’s investment, sales force
    capacity, and complementary cloud-based services. HDS complements
    athenahealth’s commitment to support risk-based payment models, as
    well as athenahealth’s mission to be the best in the world at getting
    medical caregivers paid for doing the right thing.
  • Advancement to Health Information Open Exchange – With HDS,
    athenahealth could better support health care organizations in their
    access and use of data as a means to drive clinical and financial
    improvement. HDS complements athenahealth’s clinical-cycle,
    patient-cycle, and care coordination workflows, as well as
    athenahealth’s efforts to create a health care information backbone to
    make health care work as it should.
  • Accelerated Growth within the Large-to-Enterprise Market – HDS brings
    valuable relationships within the medium-to-large health systems
    market. Greater access to these organizations would accelerate
    athenahealth’s delivery of its cloud-based services and in turn
    contribute to growing revenue streams.

“By combining HDS with athenahealth, we expect to create a comprehensive, easy-to-access platform for health care organizations to take on and succeed in the face of payment reform and the shift to accountable care,” said Jonathan Porter, co-founder of HDS. “The massive changes going on in health care reimbursement create challenges, but more so create opportunities. Together with athenahealth, we would be able to bridge the gap between providers, payers, and patients by providing ready-to-use population health management capabilities as part of EHR workflows that support restructured payment models and ensure the delivery of appropriate and necessary care to patients.”


American College of Radiology, EHR, Electronic health record, Medical, Medical imaging, Radiology

DR Systems Launches Radiology EHR for Meaningful Use Compliance

DR Systems announced that its cloud-based ambulatory EHR for radiologists – the e|HR Meaningful Use for Medical Imaging solution — is now commercially available after successfully completing beta testing.

The radiology-based EHR launch was timed so that radiologists can meet the approaching deadline for complying with meaningful use requirements. Radiologists and their practices can receive federal bonus payments of up to $44,000 per radiologist by implementing a complete, certified ambulatory EHR such as DR System’s e|HR. To receive the full incentive payment, however, meaningful use compliance – not just acquisition – must be achieved by October 3, 2012.

“Many radiology practices are concerned about the staff workflow burden of an EHR,” said Chuck Scudelari, COO of Pueblo Radiology Medical Group (Santa Barbara, Calif.), a beta test facility for DR System’s e|HR. “But there is no substantive staff workflow burden with the EHR from DR Systems. It provides excellent value for the federal bonus payments and the workflow fits nicely within the existing registration process. Plus, we’re seeing that it provides other benefits for our radiology practice in addition to satisfying meaningful use.”

An estimated 90% of radiologists are eligible for radiology incentive payments from the CMS, according to the American College of Radiology. Radiologists will have to qualify before this October to earn the full $44,000, as the total incentive payment goes down each year. Failure to comply with meaningful use requirements will eventually subject radiologists and others to financial penalties.

“Radiologists come out way ahead by deploying a system such as ours,” said radiologist Murray Reicher, M.D., F.A.C.R., DR Systems co-founder and chairman. “First, they earn a substantial, five-figure incentive payment that far exceeds the cost of the system. Second, they actually improve patient care and the efficiency of their radiology workflow, including the collection of patient information and integration of that information with the EHR.”

Dr. Reicher is a recognized authority on meaningful use and was author of an article on the subject that was published in the September 2011 issue of the Journal of the American College of Radiology.


Business Processes, Customer Relationship Management, Enterprise resource planning, ERP, Hardware, Medical, Supply chain, SYSPRO, SYSPRO ERP

SYSPRO ERP Software Able to Facilitate Medical Device Unit Recalls

SYSPRO today announced that SYSPRO ERP software offers manufacturers extensive traceability capabilities to facilitate the ability of manufacturers to trace products from origin, through the manufacturing process, to their ultimate destination, fully maintaining assurance certification and tracking expiration dates. The reaffirmation of the extensive traceability functionalities inherent in SYSPRO ERP software was in reaction to the announcement that “over 123 million medical device units were recalled in the second quarter of 2012, reaching an eight-quarter high,” according to the quarterly ExpertRECALL Index released August 22, 2012.

SYSPRO lot traceability and serial tracking functionality afford extensive visibility up or down the supply chain, as well as providing specific component to parent tracking, thereby providing the means to expedite recalls, should the need arise. SYSPRO optionally allows specific traceable components to be reserved for specific work-orders, as well as providing the flexibility of specifying the parent traceable numbers at the beginning, during or the end of the manufacturing process.

The Associated Press article reporting the record number of recalls contains the following statement by Mike Rozembajgier, vice president of recalls at Stericycle ExpertRECALL, “The growing importance of this product category means that companies need to have a comprehensive recall plan in place that can be deployed within the blink of an eye and can effectively protect their customers…”

According to SYSPRO USA President Joey Benadretti, “The implementation of cost- effective SYSPRO software helps medical device manufacturers streamline their supply chains and also to employ extensive ‘backwards and forwards’ component and product traceability for speedy recalls.


Health care provider, Health insurance, Insurance, Jon Udell, Medical, Private Cloud

How a Personal Cloud Might Streamline Our Personal Business

Jon Udell in a post today in Wired Cloudline uses a story of his son’s car accident and hospitalization, and the related auto and health insurance issues, to paint a hopeful picture of how a “Personal Cloud” might, sometime in the future, simplify and streamline the flow of documents and bills.

What’s interesting is that instead of the usual ranting about the inefficiencies of various health care providers (doctors, hospitals, rehab clinics) and insurance payers (auto and health, he acknowledges that only he can be the “router” of documents for this single event.

His business relationship with particular providers and payers, combined with the event (an accident and subsequent treatment) makes him the only party uniquely able to be the traffic cop for data flow.

One View of the customer is a laudable business mantra. But a customer often engages with many businesses in the context of what is, from the customer’s point of view, one business process. It’s a decentralized game with many players, and the only referee is the customer. Only we can create the One View that we need. Today we do it the hard way, using phone calls and faxes and piles of papers on our desks, and we do it poorly. I’m hoping our personal clouds will enable us to do it easily and well.

He’s right. There’s no magic way to take these burdens off our shoulders. But the right technology could make it lighter and more efficient.

Read his post.


Biotechnology and Pharmaceuticals, High Performance Computing, Medical, Medical imaging, Partnerships, Penguin Computing

Numira Biosciences, Penguin Computing Partner for Cloud Pre-Clinical Imaging

Penguin Computing and Numira Biosciences announced a partnership to bring graphics-intense data on-demand to Life Sciences customers. The platform will leverage a convergence of enabling technologies from Penguin Computing’s HPC as a Service offering, POD; Numira Biosciences’ AltaPortal product; and Nvidia’s GPU technology to deliver advanced pre-clinical imaging services to researchers at pharmaceutical and biotechnology companies around the globe.

Researchers will benefit from the cutting edge graphics, GPU power, global accessibility and reliability of Penguin Computing’s HPC as a Service platform, POD. Numira’s AltaPortal product provides a secure web interface for managing projects and exploring datasets, media and documents. By leveraging POD, AltaPortal will enable researchers to interactively navigate rich 3D data from microCT scans with overlaid analytics customized to the task at hand. The data will be delivered as a media stream to the client’s web browser, eliminating the need to transfer large and potentially proprietary datasets over networks, and allowing them to be secured in a central location.

“Penguin has enjoyed steady growth in the genomics sector with its POD offering. Adding Numira’s medical imaging software and services to our POD partner portfolio will enhance our breadth in the bioinformatics market and further establish POD as a destination for that set of users” said Matt Jacobs, SVP of Corporate Development for Penguin Computing.

“At Numira we’ve built our reputation delivering rich quantitative analytics for preclinical medical imaging. With our AltaPortal web service, we’re taking it to the next level; our customers will be able to interactively explore and quantitatively assess their preclinical imaging data with our custom 3D visual analytic tools. Penguin’s POD service offers the ideal platform for our rendering-on-demand engine,” said David Weinstein, Numira’s Chief Technology Officer.


American Recovery and Reinvestment Act of 2009, EHR, Electronic health record, Health Care, Health care provider, Health information exchange, Health Insurance Portability and Accountability Act, Medical, Medical record

Zyantus OS Records System Helps Meet Federal Requirements

Zyantus has  launched Zyantus OS Records system, a cloud-based electronic health records (EHR) system. Zyantus OS Records provides electronic storage of patient records and their secure transmission among health care facilities, health information organizations and government agencies according to national standards.

Zyantus OS Records system has earned the federal government’s Complete EHR Certification, which officially deems the EHR software capable of enabling providers to qualify for funding under the American Recovery and Reinvestment Act (ARRA). The certification, provided by the Drummond Group ONC-ATCB program, ensures EHRs meet the meaningful use criteria for eligible provider technology.

When fully implemented, EHR’s, such as Zyantus OS Records, should result in lower record keeping costs and improved care by facilitating shared access to consistent patient records among health care providers and facilities across the nation.

“We have been in this industry for twelve years and understand the importance of EHR in maximizing the efficiencies of a medical practice,” said Zyantus President Adam Schwindt. “We take pride in always being a step ahead and evolving our services in this ever-changing industry. Health care providers can now leverage Zyantus OS Records to not only make significant care improvements but also achieve meaningful use and qualify for incentive funds under ARRA.”

Since 2000, Zyantus has served the health care industry by specializing in management solutions for medical offices of all kinds. In that time, the company has built a reputation for easy-to-use programs, comprehensive services and rapid response to customer needs.

The Zyantus OS Records system was developed from the ground up by medical personnel who understand office management and the importance of maintaining office productivity while transitioning to new management systems. Zyantus OS Records was designed with Health Information Exchange (HIE) parameters in mind from the beginning, and will securely store and readily share health care information with new HIE systems as they are built.

Health care providers must prove their medical records systems achieve meaningful use in order to qualify for government reimbursement for their investment. The software features a simplified meaningful use section to aid medical offices seeking attestation in order to qualify for incentive payments. In addition, Zyantus OS Records already meets a number of proposed stage 2 meaningful use requirements.

As a cloud-based system, Zyantus OS Records provides a high level of security and is easily implemented across multiple sites, including Mac and PC platforms, smart phones and tablets. No additional hardware is needed to implement the system as it is hosted by the Amazon EC2 HIPAA-compliant cloud with unlimited storage capacity. There are no hidden or additional fees for support. Zyantus OS Records also features friendly, customer-service oriented personnel training and implementation and free e-Prescribe for patient medications.


CareCloud, EHR, Electronic health record, Health Care, Medical, Partnerships, Texas

Lone Star MSO, CareCloud Partner to Offer Cloud-Based Software and Services to Texas Physicians

CareCloud, a provider of web-based practice management, electronic healthcare record (EHR), revenue cycle management and medical billing software and services, today announced that it has partnered with Lone Star MSO, a practice management services organization in Texas, to offer CareCloud’s cloud-based software and services to medical practice clients. Lone Star MSO currently services hundreds of medical group clients throughout Texas and multiple other states and will look to further assist them in optimizing financial and clinical outcomes through CareCloud’s platform and services.

“We are extremely excited to partner with CareCloud and offer their cloud-based software and services to our clients across Texas and the nation during a time when medical groups of all sizes are requiring more flexible and cost effective ways to streamline their administrative operations and the patient care they deliver,” said Trey W. Schroeder, Managing Director of Lone Star MSO. “We have always looked to bring the industry’s leading web-based practice management technologies to our clients. It has become clear that CareCloud’s practice management and EHR offerings stand out from others in the industry and will be a tremendous help to administrators and caregivers as they navigate an increasingly complex healthcare regulatory environment while delivering the best care possible.”

Under the terms of the agreement, Lone Star MSO will be a value-added reseller of CareCloud’s full suite of cloud-based physician practice management products at pre-negotiated pricing to Lone Star MSO clients. CareCloud currently offers medical groups its Meaningful Use certified electronic health record solution, CareCloud Charts, which is fully integrated with the Company’s practice management offering, CareCloud Central. Additionally, Lone Star MSO customers will be able to leverage CareCloud Concierge, a complete revenue cycle management solution that utilizes dynamic rules intelligence software, expert live support and real time business analytics and reporting tools to help medical practices increase collections and streamline operations.

“Lone Star MSO continues to stand apart in its ability to bring innovative services and technology to physicians across Texas and the nation. By partnering with CareCloud, Lone Star MSO will help its clients grow their practices and deliver the best patient care possible,” said Albert Santalo, Chairman and CEO of CareCloud. “We are thrilled to team with Lone Star MSO and its management team as we look to expand the nationwide presence of our cloud-based platform to help physicians take advantage of new government incentive programs and navigate emerging payer reimbursement methodologies.”