News 05/31/07
posted 05/30/2007
HIStalk
From
Bud Bundy:
"Re: Bond
Technologies. Rumor is that Dave Fotiadis, VP of sales for Bond
Technologies, is leaving Bond to work in a sales role at
Misys. Any tie-in to those rumors that Bond is going to be
purchased by someone? Or to the rumors that Misys is going to
purchase someone?"
From Mayor Larry Vaughn: "Re: McKesson. Nepotism is
alive and well at McKesson. Following in the footsteps of David Pure,
John King (son of former ??? McKesson President) was just handed the
cushy role of staff assistant to Sunny Sanyal. John's brother Greg is
also at McKesson in some anonymous VP role. McKesson management is once
again proving that it is more important to be related to someone than
have actual talent. Rumors of a major reorg throughout the sales side
of McKesson from the top on down. Not sure why as they continue to post
huge numbers in software revenue and market share, primaily in
clinicals."
From Senor Ortega: "Re: InteGreat. A while ago I
confirmed a rumor that MED3000 was acquiring InteGreat, although at the
time the language was one of a 'strategic investment.' An InteGreat
document is making the rounds officially calling it a merger as of
April 27, 2007, saying 'InteGreat executed a Merger Agreement with
MED3000 ... will merge with and into MED3000 ..." Inga got
an on-the-record confirmation of the investment last month, but
couldn't pin them down on the merger rumor.
From Miss Bankhead:
"Re: HIMSS. In the
old AHA conference days, colleagues talked about how they were using
technology. And then came HIMSS. They had the same first-hand flavor
initially. Now we're going out with this tarted-out
streetwalker called HIMSS. Their value to the
vendors paying them big bucks comes from the little guys who
don't pay big bucks. Our information gets bought and sold and our work
on committees is sold by HIMSS for a tidy profit. HIMSS
executives are paid astronomical salaries. Volunteer to be on
a high profile committee and see how far you get unless you have some
big dollars to drop their way." If anyone in the Chicago
area wants to drop by and peruse their 990 form to see how much they're
paying executives, you know you'll find an audience here. I'm
not that down on HIMSS, just in case I gave that
impression. I've been on some committees and felt welcome, so
my experience there is not at all bad. In fact, I don't have much to
complain about except HIMSS Analytics and the reliance on heavy vendor
revenue and membership. I understand the advocacy thing even though it
doesn't interest (or benefit) me. The conference is great, other than
the obvious excesses and the ever-diminishing emphasis on quality
education. Otherwise, HIMSS does a super job in my book.
From Jerry Aldini:
"Re: vendor
incentives. I'm sure you realize, but I thought I'd point out, most
vendors offer incentives/rewards for their participation with
references calls and meetings. When I was at McKesson, it was
something like $750 per product per call, or $1500 per product per site
visit. And as you know, McK has lots of products, so a single
visit could easily pull in over five or more applications. These
incentives can be applied to existing A/R or future purchases."
I always felt OK at MCK site visits since it was usually pretty obvious
that the Horizon products had integration and maturity holes through
which even large trucks were being routinely driven, so half-hearted
customer expressions of love and admiration, compensated or not, were
easy to ignore. ECLP visits were OK, although customers didn't seem all
that thrilled with their skimpy product line (which made them all the
more honest in my book.) Cerner's site hosts were obviously well
coached on what to say, although that has an obvious solution: veer off
from the pack and chat up a working nurse or doctor, not a Cerner
associate working out of the customer's IT department. No vendor can
control the minds or mouths of every user. The emptors better be
caveating.
Picis announces
European wins for the first half of 2007: two hospitals in Spain go
with CareSuite Critical Care Manager; one in Portugal buys anesthesia,
critical care, and PACU; one in Bavaria signs up for PACU; and one in
Finland will implement anesthesia, PACU, and critical care. Picis will
exhbit at SEMICYUC (Madrid) June 3-6 and ESA (Munich) June 9-12.
The federal government rejects
all four NHIN proposals and sends Accenture, CSC, IBM, and Northrop
Grumman away empty-handed. New RFPs will be issued combining the good
parts.
Eclipsys gives
a customer a made-up award, and in a frenzied fit of mutual
back-scratching, winner Children's Hospital of Omaha chooses a worthy
recipient of the accompanying cash: its own foundation. Sounds more
like a rebate.
Idiotic lawsuit: St. Louis Cardinals pitcher Josh Hancock was killed in
an early morning auto accident last month when his SUV ran into a tow
truck whose driver was helping a motorist with a stalled car. Hancock
was speeding, had a blood alcohol twice the legal limit, was talking on
a cell phone, had no seat belt on, and had marijuana in his vehicle.
His father is
suing the restaurant where he drank, the restaurant
manager, the towing company, the tow truck driver, and the driver of
the stalled car. He said all contributed to his son's 'untimely and
unnecessary death,' claiming his drunkenness was 'involuntary.' The
restaurant had offered Hancock a ride home, which he declined.
Cerner's Neal
Patterson, on rumored suitor GE: "I don't know if they have
the guts to do it, the vision to do it ... vision just doesn't last
very long in those companies." He's right, of course.
When's the last time GE innovated anything? Interesting, though, was
Neal's admission that Cerner's poison pill provision was allowed to
lapse, opening the door to a hostile takeover. Guts or vision aside, GE
could buy Cerner with their spare change, although I can't imagine
anything good coming of that for anyone.
The all-but-done sale of iSoft to Australia's IBA is
nixed at the last minute by NHS contractor CSC, which had to
give its OK as iSoft's biggest customer. Despite its preliminary
approval, CSC wanted to sell to McKesson instead, even though McKesson
had demanded NHS contract changes that the British government refused.
Since CSC gets paid by NHS only when iSoft delivers, they must have
feared changes under IBA.
Cleveland Clinic CIO Martin Harris on
the organization's Internet services: "We were serving patients
from all over the country who were flying to Cleveland, and we realized
we weren't providing the service they really needed. They needed our
medical expertise, not a physician standing in front of them."
Not surprising to us informatics types: medication errors involving
pediatric chemotherapy aren't
often caught, with devastating consequences. Order entry
isn't the problem (so CPOE doesn't help) since it's dispensing and
administration that's most often at fault. My thoughts on this: (a)
chemo is often given as an outpatient, meaning fewer checks and
balances are in place, more responsibility is in the nurse's hands, and
pharmacists are less involved; (b) pediatric doses are often prepared
in the same facility as adult doses, meaning errors are less likely to
be caught by non-peds pharmacists accustomed to large doses; (c) peds
mistakes are often major, with decimal point and volume calculation
errors more common; and (d) information systems generally are
substandard for handling peds calculations, but even worse for chemo in
general. My advice: Mom, don't let anything be given without your own
double check.
An AHA-First Consulting Group report
(warning: PDF) dips ham-handedly into pop culture for its snappy title:
"When I'm 64: How
Boomers Will Change Health Care." Think they got
permission to use the Beatles song title? The report itself isn't bad,
just the attempt to be cool (like your grandma using rap slang.)
A heart hospital in Bangalore, India is
using RFID to track patients and equipment. Their Clinical
Information Processing Platform is from San Diego-based Aventyn.
Speaking of rap slang and walking the walk: oft-shot rapper Curtis "50
Cent" Jackson, of "Get Rich or Die Tryin'" fame, gets
rich(er): Coca-Cola is
buying Glaceau, the company that sells his energy drink, for
$4.1 billion. Fitty will pocket $400 million for his piece of the pie.
He was already rich (net worth over $100 million) from several dozen
million albums sold, of course, so he's at least halfway to being a
billionaire. Darn all that time I spent becoming educated and staying
out of trouble.
An Alegent Health (IA) clinic pilots
NextGen.
TEPR got a couple of thousand attendees, I'm told. Sounds pretty
intimate. Was it good or not? My only experience with it wasn't, but
I'm interested in thoughts (and no vendor whining about how few
prospects dropped by, since this isn't HIMSS after all.)
Congratulations to HIStalk friend Orlando Portale, who is the new Chief
Technology and Innovation Officer at Palomar
Pomerado Health District (CA).
Agfa demos
its Orbis system at a conference in Canada.
Consultants brought
in to save Atlanta's Grady Hospital don't have much good to
say about it, starting with what it says is a board made up of members
without the skills to oversee it. Other problems: inefficiency, poor
customer service, deteriorating buildings, computer systems that are 10
years behind, and employee dissatisfaction. If I'm not mistaken, that
outdated computer system is Siemens Invision, among others.
Does Medsphere have any feet left to shoot after firing (and suing) its
co-founders and now losing
its only obvious asset, Ken Kizer? They were fun as a scrappy,
passionate underdog with big names, but I have to admit that,
without Kizer, I really have no interest in them. Plus, the lawsuit
makes me wonder if open source interests might be better served by
other VistA stewards. Just my opinion, of course.
News, rumors, whatever: e-mail
me, or use the confidential Rumor Report form to your right.
Inga's Update
Walgreens purchases Conshocken, PA-based Take Home Health
Systems. Take Home operates 51 retail health clinics in Chicago, Kansas
City, Milwaukee, Pittsburgh, and St. Louis and anticipates having 400
clinics by the end of 2008. The terms of the deal were not
disclosed. This is definitely a major trend to watch ... the clinics
are staffed by nurse practioners who maintain relationships with the
local medical communities. A typical office visit when paid in cash is
$59-$74 and the clinics are open 7 days a week.
Duane Lawrence, former General Manager of Misys Healthcare
International, takes over as CEO of Infermed (www.infermed.com.)
Lawrence was "re-structured" from Misys earlier in the year and
previously worked with B. Braun Medical and Coca Cola.
UK-based InferMed provides software and services for clinical research.
E-mail Inga.