News 7/22/22 – HIStalk

High Information

The VA postpones this week’s deliberate Oracle Cerner go-live in Boise, ID on account of system stability points that the VA says make it unsuitable for larger-facility use. The VA has no different go-lives scheduled for 2022.

The Spokane paper obtained a doc from Mann-Grandstaff VA Medical Middle that lists 180 incidents of system degradation and downtime since September 2021, a far bigger quantity than the VA has acknowledged.

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In the meantime, VA officers inform Congress that its implementation will price $51 billion over the following 30 years, together with upkeep and staffing, but it surely doesn’t count on the $16 billion Cerner contract to run over price range until the 10-year implementation timeline is prolonged.

HIStalk Bulletins and Requests

A number of COVID-careful family and associates have come down with the virus up to now week, a few of whom have had it a number of occasions and all of whom had been vaccinated. I believe the time period “pandemic” now not applies (COVID-19 is now arguably endemic) and the coronavirus is now not “novel” (most of us have been vaccinated, had COVID-19, or each, which has dramatically dropped hospitalization and dying charges). A New York Occasions viewpoint predicts that by the tip of 2022, 80% of the overall an infection rely since 2020 could have occurred in 2022 as new variants are popping up each few weeks. Specialists predict 100,000 to 300,000 COVID-19 deaths within the US every year indefinitely as greater case counts overcome decrease dying charges. COVID has killed simply over 1 million People.


None scheduled quickly. Earlier webinars are on our YouTube channel. Contact Lorre to current your individual.

Acquisitions, Funding, Enterprise, and Inventory


Amazon will purchase publicly traded main care clinic chain One Medical for practically $4 billion in money, a 77% premium to ONEM’s closing share value Wednesday. The corporate has member-only clinics in 16 cities all through the US. One Medical acquired Medicare-focused supplier Iora Well being in June 2021 for $2.1 billion. Earlier than the acquisition announcement, One Medical shares had been down 63% within the earlier 12 months versus the Nasdaq’s 18% loss. Bloomberg reported on July 5 that One Medical was contemplating its choices after CVS Well being reportedly expressed curiosity however finally handed.

A CB Insights Q2 report on digital well being says that the COVID-era funding growth is receding to 2019 ranges, dropping 32% quarter over quarter following a 36% drop in Q1. IPO exercise is almost non-existent and SPAC exits are uncommon. Funding within the well being IT class remained at 2021 ranges, nonetheless. Telehealth cooled dramatically and digital startups that target reproductive well being face privateness and safety challenges following the Roe v. Wade resolution.

Distant affected person monitoring system vendor Verustat acquires One Healthcare Answer, which sells software program for continual care administration, annual wellness visits, and medicine reconciliation.

A recapitalization of Web Manufacturers values the corporate at $12 billion. Its well being manufacturers embrace WebMD, Medscape, EDoctors, and Henry Schein One.

Tech-powered on-line pharmacy Capsule reportedly lays off 13% of its workers.


The twice-yearly well being IT funding market evaluation of Healthcare Progress Companions – the one firm whose stories I research rigorously — notes that a complete era that was raised on low cost capital and climbing valuations is watching the market come to a screeching halt. It observes that whereas valuations are falling, they’ve climbed steadily since early 2018. Factors:

  • Valuations stay sturdy for high-quality firms, though investor standards for “high quality” have stiffened and emphasis has shifted from development to revenue.
  • Fewer traders are shopping for, however out there capital from premium patrons has saved valuations excessive.
  • The price of personal debt is growing, as lenders develop into cautious and lift their high quality requirements.
  • The trade will consolidate as smaller firms that lose entry to capital are acquired by incumbent rivals.
  • HCP believes that multiples are nearing a backside, however a return to post-COVID ranges is unrealistic and sellers have to take care of a market that appears extra like 2018-19.
  • Successful sectors are more likely to be provide chain administration, spend analytics, contract and vendor administration, lead era, and income enhancement.

Gross sales

  • MemorialCare Miller Youngsters’s & Girls’s Hospital Lengthy Seaside will implement Well being Catalyst’s Twistle affected person, household, and caregiver communication system in pediatric cardiology.
  • Denver neighborhood psychological well being supplier WellPower selects Augintel’s NLP answer to extract data from supplier case notes.
  • Prime Healthcare provides three hospitals to the surgical care staff collaboration and coordination answer of RelayOne.



Matthew Lungren, MD, MPH (Amazon Internet Providers) joins Nuance/Microsoft as CMIO.

Bulletins and Implementations


Apple publishes a report on its healthcare accomplishments and ambitions. Notes:

  • The corporate’s well being efforts are centered on the non-public well being journey of customers (information storage, health and well being options, help for third-party apps) and medical collaboration (analysis enrollment, making affected person information out there to suppliers, selling well being life through Apple Watch, and supporting public well being and authorities).
  • The discharge this fall of IOS 16 and WatchOS 9 will provide options masking 17 areas of well being and health . These are exercise, coronary heart well being, sleep, respiratory, mobility, listening to, mindfulness, schooling, COVID-19, handwashing, security, ladies’s well being, drugs, analysis, well being sharing, information visualization and insights, well being information, and third-party apps.
  • The Well being IPhone app can retailer 150 sorts of well being information and tens of 1000’s of App Retailer apps use the HealthKit API.
  • The corporate’s work with Stanford to develop the Apple Coronary heart Research helped it develop capabilities to permit researchers to develop medical research at unprecedented scale.
  • Healthcare programs are utilizing Apple know-how to strengthen the physician-patient relationship and to allow care from in all places.
  • Suppliers and insurers are integrating Apple Watch into their wellness packages.

Google Well being develops a software that may scale back the hassle and price of coaching machine studying programs on chest X-rays. The system, CXR Basis, converts X-ray photographs to a numeric illustration that permits fashions to be developed utilizing smaller datasets and fewer computing energy however with no lack of predictive high quality. One other profit is that it really works with smaller datasets and permits constructing a stable mannequin that accommodates underrepresented populations and uncommon medical circumstances.

Oracle and Microsoft announce Oracle Database Service for Microsoft Azure, which permits prospects to run purposes throughout the cloud choices of each firms.

Frederick Well being (MD) goes dwell on Meditech Expanse Genomics in that features First Databank’s embedded pharmacogenomic resolution help, sending orders, and receiving inbound patient-matched ends in full PDF kind.

Authorities and Politics

The Justice Division seizes $500,000 from the cryptocurrency accounts of North Korean hackers, which incorporates ransom paid by hospitals that DOJ returned. A Kansas hospital paid $100,000 to regain entry to its programs following a ransomware assault, whereas a Colorado supplier paid $120,000. The incidents drove the federal authorities’s July 6 cybersecurity menace warning about North Korea-based ransomware hackers who’re focusing on healthcare and public well being organizations.

Privateness and Safety

An Atlas VPN evaluation finds that three-fourths of Q1 malware assaults exploited Microsoft Workplace vulnerabilities, actually because customers had not utilized safety updates. Browser exploits have gotten uncommon as a result of they maintain themselves up to date robotically.


I’ve learn some insightful feedback about Amazon’s acquisition of One Medical, which I’ll summarize:

  • Well being programs have purchased up main care practices as a loss chief, with their actual curiosity being forcing their owned PCPs to refer their high-profit inpatient process work to the well being system’s acute care hospitals.
  • Telehealth firms can disrupt that course of solely a lot within the absence of providing the in-office providers that sufferers usually want.
  • Amazon is gaining a nationwide bodily presence with the acquisition. It additionally beneficial properties a revered healthcare title.
  • Amazon’s PCPs can deal with assembly client wants somewhat than making in-organization referrals.
  • The corporate might additionally cost for its process gatekeeper providers or bid the process work selectively.
  • Amazon CEO Andy Jassy stated in November 2021 that the corporate can be a “vital disruptor” with its Amazon Care digital main care enterprise. Its aim was to be a one-stop store for health-related transactions through three well being arms – Amazon Care (digital medical recommendation), Amazon Diagnostics (at-home testing), and Amazon Pharmacy (the previous PillPack). Amazon additionally affords the Alexa Collectively caregiver help / distant affected person monitoring service that runs on Echo units.


Mr. H, Lorre, Jenn, Dr. Jayne.
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