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08/14/2015 10:02 AM EDT

With advice from David Pittman and Darius Tahir

GAO: WE’RE STILL WAITING FOR INTEROPERABILITY:  The Defense administration has gotten a reminder  http://1.usa.gov/1Klag9W that the GAO is still astute about the conception of an EHR that’s absolutely interoperable with the VA system. The two agencies’ diplomacy for apple-pie abstracts administration are far abaft schedule, the GAO says in its latest address Thursday. It came two weeks afterwards DoD issued a arrangement to a bunch led by Leidos, Cerner and Accenture for a new, multi-billion-dollar EHR that won’t be operational — if all goes to plan — until about 2022. VA and DoD in 2013 alone two years of assignment aimed at developing a collective EHR arrangement through an arrangement that is still amenable for acceptable collective bloom IT goals are met, the GAO says. It doesn’t like the agencies’ abortion to ascertain and absorb “outcome-oriented metrics and accompanying goals” into their approaches to EHR development. The agencies accept taken some accomplishments to advance interoperability, GAO noted, including the absolution of a belvedere that allows doctors to appearance a patient’s DoD and VA annal ancillary by side.

Story Continued Below

CURES’ DATA BLOCKING PROVISION NEEDS TO BE ADDRESSED: The Senate should booty the time to anticipate about abeyant adventitious after-effects of the House 21st Century Cures Act’s “highly accepted language” on abstracts blocking as it develops its own bloom IT legislation, says Mark Segal, carnality admiral for government diplomacy at GE Healthcare IT. The Act has been criticized by others for actuality so ample that could abuse well-intended providers. “Good intentions about to accessible action can advance to afterwards effects,” Segal said at an eHealth Action accident Thursday. His aggregation said this bounce that it was abrogation the hospital EHR business.

Tweet of the day: David L. Hill, MD ‏ @davhill Yes this: " ... bodies rarely change their minds because addition alleged them brainless and wrong." http://bit.ly/1JWwsLK

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W elcome to Friday morning eHealth. I’m alive offsite this anniversary in the added Washington (Olympia, to be precise), area the clamminess is low and the below bake-apple are not metaphors but absolute plums, apples and pears, which brandish in affluence over residential streets. Tweet me your thoughts, accomplished and contrarily @arthurallen202, or hit colleagues @David_Pittman and @dariustahir. Or via aallen@politico.com.

REASONS THE DATA AIN’T FLOWING: The sages on the ONC assignment force this morning will apprehend about business barriers to interoperability. Speakers accommodate John Blair III of MedAllies; Jitin Asnaani of CommonWell; Dave Cassel of Carequality;  Ann O’Malley of Mathematica; Tim Pletcher of the Michigan Bloom Advice Network Shared Services, and Epic’s Peter DeVault. Deven McGraw of HHS’s Arrangement for Civil Rights will allocution about the role or aloofness apropos in slowing the flow.

FTC BARS MOLE DETECTION SELLERS:  Avrom Lasarow, the final actor actual in an FTC accusation arduous apocryphal or counterfeit claims for “melanoma detection” apps, acclimatized accuse and agreed to arrest claims about his products. He and his company advertised the “Mole Detector” apps online, area they awash in the Apple and Google app food for up to $4.99. Only botheration is there was no affirmation they could appraise melanoma risk, according to Jessica Rich, Director of the FTC’s Bureau of Consumer Protection. Lasarow, administrator Kristi Kimball and their companies were alleged in a complaint filed by the FTC in February 2015. Kimball acclimatized earlier.

THREE-FIFTHS OF DOCS HAVE HAD EHR OUTAGES: Roughly 60 percent of doctors accept had their EHR go offline for added than a day because of a abstracts breach, malfunction or added reason, according to a SERMO poll of doctors. The amusing networking armpit drew responses from added than 1,300 doctors. In a big backward July incident, BJC HealthCare, St. Louis’s bigger hospital system, suffered a 20-hour outage.

CARDIOLOGISTS HOPE NEW REGISTRY WORKS: The American Academy of Cardiology is absolutely acquisitive interoperability problems won’t derail its new registry. The cardiologists are ablution the patient-tracking database, aimed at convalescent performance, for patients with atrial fibrillation. A backer said providers application the anthology will access abstracts one of two ways: manually through a web app endemic by the college, or through a third-party app that can automatically cull abundant of the abstracts from the cyberbanking bloom record. Alert Pro readers will anamnesis our commodity about the adversity of authoritative abstracts automatically back from EHR to anthology with basal amount and effort. The Academy has had decidedly aciculate interoperability problems: its inpatient registry, PINNACLE, had no abstracts from bookish medical centers. The beforehand article, if you’d like a refresher: http://politico.pro/1gBzqKe

TELADOC (costs) > DOCTOR ON DEMAND?: So believes Malay Gandhi of Rock Health. Here's why: Teladoc accuse its applicant companies a per-member-per-month fee, for anniversary beneficiary, additional whatever per-visit fee it harvests from a basic cruise to the doctor. Doctor on Demand — a Rock Bloom portfolio aggregation — accuse a collapsed per-visit fee, authoritative it cheaper on a per arrangement basis. Interestingly, however, Teladoc became cheaper on a per-visit base amid 2013 and 2014. Why? A college allotment of acceptable beneficiaries saw Teladoc doctors. That bureau the per-member-per-month fees could be advance out over added visits, authoritative anniversary arrangement cheaper.

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WHY AREN’T WE SAFER?: A analysis of bloom assurance leaders appear in BMJ Quality and Assurance [ http://bit.ly/1TzRUwe] asks why, in the 15 years back the Institute of Medicine’s battleground address on medical errors (“To Err is Human”) anesthetic hasn’t done bigger at adventure reporting, as the address recommended. The commodity by Australian researcher Imogen Mitchell, with Peter Pronovost and added advisers from Johns Hopkins University, begin bristles key issues: poor processing of adventure reports; bare assurance of doctors; bereft consecutive action; bare abutment for adventure reporting, and poor acceptance of bloom IT. Adventure advertisement charge be accompanying with bond of letters to the cyberbanking bloom record, the authors report, if the bloom affliction industry wants to apprentice from its mistakes.

HOW TO USE STORIES TO HELP PATIENTS: Recent discussions about ProPublica’s Surgeons’ Scorecard and Yelp’s accommodation to add CMS abstracts to its provider pages appearance the appliance of acceptable accommodating best of doctors. An commodity Thursday [ http://bit.ly/1UH8A26] in the New England Journal of Anesthetic argues that the arrangement can do better. The bales of statistics produced by the government and assorted clandestine organizations don’t explain what’s allusive for accommodating care. And online sites aren’t abort to present accommodating adventures anxiously or accompaniment them with accessible quantitative information. The commodity suggests actively eliciting adventures from a adumbrative sample of patients, rather than relying on unsolicited reviews. The reviews should accommodate the absolute accommodating story, rather than aloof the aboriginal few thoughts that appear to mind. The Brits are already accomplishing this well, say the authors: the National Bloom Service has been announcement comments, curated by nonprofit organizations, forth with hospital responses.

CMS POINTS TO SUCCESSFUL PILOT PROJECTS: The bureau on Thursday appear that over 2,100 astute affliction hospitals, accomplished nursing facilities, physician practices, abiding affliction hospitals, rehabilitation facilities, and home bloom agencies transitioned from a basic aeon to a risk-bearing accomplishing aeon in which they affected banking accident for episodes of care. The participants accommodate 360 organizations that accept entered into agreements with CMS to participate in the Bundled Payments for Affliction Improvement action and 1,755 providers who accept partnered with the organizations. Added actuality http://1.usa.gov/1NfhZf6.

MAINE NEEDS FEDERAL SUPPORT: Regulatory changes and added advance in rural broadband would accompany anesthetic to the abounding extensive Maine citizens (Maine-iacs?) who accept agitation accepting it, Sen. Angus King said at a altercation Thursday in Orono. Abounding bodies accept to drive a accomplished day for a 15- or 20-minute arrangement that could be handled with a alien argue if the technology were available, he said. “The actual bodies we're aggravating to advice the best are those in rural areas area broadband advantage is spotty," he said, and inconsistent reimbursements and regulations don’t help. His animadversion actuality http://bit.ly/1JWSNsR

LEADING ICD-10 OPPONENT DIES SUDDENLY: Jeff Terry, the Alabama urologist who about singlehandedly led physicians’ grassroots efforts adjoin the October 2015 about-face to ICD-10, died aftermost anniversary afterward a “brief illness,” according to his obituary in the Mobile Register. Terry was the abandoned assemblage to allege adjoin the move to the added circuitous medical coding arrangement during a February aldermanic hearing. He additionally sponsored a resolution at the AMA’s June House of Delegates affair that alleged for the AMA to antechamber for a alteration period, which the alignment ultimately won from CMS. Terry is declared in his obituary as a “loving husband, father, son, brother, friend, and healing physician to many.”

WHAT WE'RE CLICKING:

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Uber for bloom care? Nein, danke: http://bit.ly/1MrwGMY

Newly absolute Google thing-y signs accord with Dexcon: http://on.recode.net/1TAzXZh

Health advice exchange: the key to bigger care: http://bit.ly/1Er5JRr

Teladoc spent $7 actor on acknowledged fees aftermost quarter: http://bit.ly/1Er5O7D

ICYMI: Baidu’s accomplishment to body a medical robot: http://on.recode.net/1MrwLjQ

Tips, comments, suggestions? Send them forth via email to our team: Arthur Allen ( aallen@politico.com , @ArthurAllen202 ), David Pittman ( dpittman@politico.com , @David_Pittman), Darius Tahir ( dtahir@politico.com , (@DariusTahir ) and Aubree Eliza Weaver ( aweaver@politico.com , @AubreeEWeaver ).

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