It's Tuesday news day and here's what we talk about.
Bill Russell: 00:11 welcome to this week in health it news where we look at as many stories as we can in 20 minutes or less that will impact health it. I am broadcasting on a weekend, I am outdoors on a deck and you're going to hear lots of animals in the background, so hopefully you'll enjoy the outdoors as much as I do doing this show. It's Tuesday news day and here's what we have on tap. We have a lot of stories. Kaiser has named their first chief digital officer, Cerner is collaborating with Amazon. CMS has made some, uh, moves, uh, Microsoft and others have come together, uh, to talk about their desire to share data. We have about 10, 11 stories here. Let's see how many we get. Two, my name is Bill Russell, recovering healthcare CIO and creator of this week and health it a set of podcasts and videos dedicated to developing the next generation of health it leaders.
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Bill Russell: 01:41 Kaiser Permanente names. First chief digital officer is from healthcare, healthcare it news, Prat Vemana comes from the consumer world currently serving as chief product and experience officer at the Home Depot and has worked at staples, I assume a executive role. Kaiser Permanente has created a new organizational role aimed at driving innovation in the enterprise digital strategy. And it's enterprise digital strategy. There'll be filled by Pratt and they will be attached to work across all of Kaiser. Uh, let's see, as chief digital officer at Kaiser Foundation Health Plan and hospitals. But men are reports to Dick Daniel's a CIO and has accountability to Bernard Tyson, the CEO. His job will be to lead cross functional teams across Kaiser working to develop new technologies and processes for Kaiser's workforce and transform the way it's 12 million members, patients and customers experience it's online mobile and digital tools. Vemana who will begin on August 12th currently serves as a chief product officer, a chief product and experience officer for the Home Depot where he charged strategy for improved customer experience across the corporation.
Bill Russell: 02:46 He previously held leadership roles at staples and informed clinical sciences corporation. Huh. So what, you know what the trend continues. Healthcare is going outside to, to capture this experience and experiences the right word to capture people who understand creating experiences, uh, around a product or around a service and healthcare needs. This healthcare is, uh, uh, doing this over and over again, going outside, bringing these people in. Uh, we have, uh, many examples, uh, from Disney, from Amazon and now from the home depot. Uh, and others. This is a good trend. This is a exciting, I hope we continue to get really good around that consumer experience and get better at it. Uh, so congratulations to Prat and best of luck, uh, in this exciting new role. Roll a next story. CMS takes bold action to implement key elements of president Trump's executive order to empower patients with price transparency and increased competition to lower costs for Medicare beneficiaries.
Bill Russell: 03:48 Let's just jump to what they've done here. So CMS by the year 2020 has requested these changes make public their standard charges defined as two types of charges, gross charges and payer specific negotiated charges for all items and services provided by the hospital. Second item, make public standard charges on the Internet in a machine readable file that includes additional information such as common billing and accounting codes used by the hospital, such as a, your CPS codes and a description of the item and service. This provides common framework for comparing standard charges from hospital hospital. Number three, make payers make public payer specific negotiated charges for common shoppable services in manner that is consumer friendly. It's shoppable, is defined as shoppable services are services that can be scheduled by a health care consumer in advance. Examples of shoppable services include x-rays, outpatient visits, imaging lab visits.
Bill Russell: 04:48 A and bundle services likes a Syrian delivery including pre and post delivery care. A consumer friendly is designed as a, let's see a means. The hospital charge information must be made public in a prominent location online or in written form upon request. That's ugly. Let me read that again. That can't be right. Consumer friendly means the hospital charge information must be made public in a prominent location online or in a written form upon request. I hope that it's not either or on that uh, that is easily accessible without barriers and searchable. It also means the service descriptions are in plain language and a shoppable service charges are displayed and grouped with charges for any ancillary service the hospital customarily provides with primarily shoppable services. And let's see what a Seema Verma say. Well, she said a lot of things. Let's just take this one thing.
Bill Russell: 05:45 So all Americans have the right to know the price of their healthcare upfront. Hard to argue with that. It really is hard to argue with that. Uh, all Americans have the right to know the price of their healthcare upfront. Uh, let's jump over to a Kaiser health. So Kaiser health news did a follow up. They did a story on what they did here and they asked three questions, will consumer use it? Uh, will it save money and will it become law? Uh, will it, will consumers use it? Experts point to a consumer behavior in New Hampshire, which post price information by insure online only a small percentage took advantage of the online lookup tool. But those who did save the money according to a recent study by Zach Brown and assistant professor of economics at the University of Michigan, still the new data set proposed by the Trump administration might simply overwhelm many consumers.
Bill Russell: 06:36 Uh, so will consumers use it? They're not using it a lot in New Hampshire. Well, let's talk about that for a second. New Hampshire is a pretty small state. Doesn't represent a huge, uh, financial uptake for a startup. And so you don't have a lot of tech players going after this to make this information available in a nice readable format. So it's not being used by a ton of people, but those people who are using it are saving money, which would tell me that the process works, but the access needs to be improved. And whenever you hear that, you should hear great opportunity for startup organization. Um, so for our tech startup people in the audience, regulatory changes, uh, and, uh, people try to figure out what to do with it. So there's an opportunity with hospitals to try to figure out how to be compliant so you can help them.
Bill Russell: 07:29 The second thing is there's a, if they make this data set available, there's a huge opportunity to, uh, for someone to grab all that data and make meaning of it for consumers and help them to navigate in a way that they save money, which clearly it does based on this study. So will it save money while saved money in New Hampshire? It will probably save money across the country. And, uh, if you improve access or they'll save a lot of money, uh, well it become law. The, uh, Kaiser Health, by the way, answers this question with, will it save money? Maybe not from experts, will it, uh, will the consumers use it? Maybe not. And will it become law? Maybe not. So it's a very definitive article from Kaiser Health News on a, and, and they're trying to straddle it here. I'm not trying to straddle it. This is, you know, getting data out into the hands of the users is, uh, uh, you know, is, is a good thing.
Bill Russell: 08:21 And, uh, the question is how do you get into their hands in a way that they can use it to reduce the cost of healthcare? If that's your goal, this can be done if that data's made available. You know, we did a project in 2011, the side note, we did a project in 2011 for a health system and it had a three mantras, free the data, share the data, apply the data. Uh, but before we go hog wild on those three things, because that, those three things have value in healthcare. Uh, we should really need to talk about one more thing, which is protect the data. And when I think about this, I love what Seema Verma doing. I love the push of CMS and a secretary is our and where they're gone. But protect the data has to be at the center of this thing and it's going to be the area that people keep pointing to, to try to derail it.
Bill Russell: 09:04 Um, you know, but here's, here's my twist for you. When I talk about protecting the data, a lot of health systems hear that and they go, yeah, that's right. You need to protect the data? We need to protect the data. Um, I'm saying protect the data from the health systems and the payers and everybody else. As a, as a, as a patient, my data is spewn all spew as feud spewed. What is that word? Spewed all over the world and, and, and literally all over the world. I mean, it's been hacked. It's been taken. It's been taken from Equifax, been taken from health systems. I mean, I've gotten the things, I said, Hey, we've been hacked. Would you like your identity protected? Yeah, I'd love my identity protected. Even though now my health record is all over the world. Okay. With that being said, I want to, I want to know, here are the things I want to know.
Bill Russell: 09:47 I want to know, uh, you know, where my health record resides, what parts of my health records I where, uh, I want the ability to aggregate it. I want to find a player who says, Hey, I'll aggregate it for you, and I go, here's the 10 places it is, and they're able to aggregate it. I want the ability to sell that data. I think that makes sense. I should be able to sell that data. And we talked about that with a guest a couple of weeks ago, just, uh, that, uh, there are places where they recognize the value of health data and you can, you can swap your health data for value. Uh, which was a great thing. So anyway, um, so protect the data. I think Seema Verma and uh, that team at CMS needs to spend a little bit more time there. I think directionally this is, this is interesting and I think for our health startup and even our innovation groups within how hospitals right now, this is, this is just rich.
Bill Russell: 10:36 This is rich for opportunity, uh, and should be looking at it. So, uh, let's see. Next story. Cerner collaborates with Amazon web services on cloud innovation machine learning. Ah, let's see, not gonna share much with this. Let's see, with uh, with the new agreement which needs AWS has preferred cloud provider is Cerner CEO Brent Shaffer says the company will be able to develop more agile and scalable tools for its clients. Cerner has announced a collaboration with giant Amazon web services with the aim of accelerating healthcare innovation as part of the agreement Cerner's naming AWS as its preferred cloud provider. A, that's probably really enough on this story. So what, you know from a Cerner perspective, this is a pre announcement. We have no idea what they're going to do with AWS. It's just directionally they are there. They've named AWS as their preferred cloud provider. This is interesting in that Cerner has been a hosting provider for a long time for its clients and, uh, you know, have they been good at it?
Bill Russell: 11:35 Have they not been good at it? It's really up for debate. Uh, but the, the reality is AWS is better at it, uh, better at it they have more services and more, uh, things that they can provide within their cloud environment. Uh, so the question becomes what parts of AWS is a Cerner gonna tap into and what will it mean for their clients? It's really too early to say at this point, if this is again, great directionally, but from Amazon's perspective, major win, huge win, uh, depending on what Cerner decides to do in the platform, uh, this really could be a really huge win. Uh, you're just gonna have to stay tuned to see, uh, which direction this goes. Uh, you know, let's stay with these guys. So Microsoft, Amazon, and other tech giants forge ahead on healthcare data sharing pledge. This is a GeekWire article.
Bill Russell: 12:25 Uh, Amazon, Google, IBM, Microsoft, Oracle, and salesforce. If you're wondering, they signed a joint letter, think about that. They signed a joint letter. Uh, and then here's essentially what the tech giants have much to gain from opening up healthcare data. As proof of this, the joint statement was proceeded by news that, uh, it's the Cerner news about AWS. Uh, Microsoft has been competing, fiercely convinced developers in the healthcare industry to build on its platform. The company built on Azure API for fire, which is a set of standards that kind of by how healthcare data should be structured. Last month, Microsoft hosted a developer's conference focus specifically on fire and others have progress. Google's launched its Beta version of cloud healthcare API. Salesforce continues to grow its health cloud offering in oracle is leveraging fire to bring in clinical trials and other stuff. Uh, so they, you know, this is the second year in a row they're saying, hey, we are committed to, uh, to making value of this data.
Bill Russell: 13:29 So the question is, the so what on this is Amazon, Google, IBM, Microsoft, Oracle, salesforce. How often do these companies agree and collaborate? The answer to that is almost zero. Um, so why are they doing it? They need access to the data and they haven't been able to get it. That's the reason this data is a gold mine. Um, and so they are sort of coming together saying let's get this, let's move this industry along. Let's move this data and make it available. Um, the announcement really means a almost next to nothing other than, uh, they are saying they are committed to the things that the government is committed to, which is getting that data out there and making it a available and then making meaning of that data, uh, for the user community. But the only reason Amazon, Google, IBM, Microsoft, Oracle and salesforce do anything is to make money.
Bill Russell: 14:25 So we'll have to see how they plan to, uh, monetize the value of that. But tucked into this story is a, this little snippet. And I love this little snippet cause it goes to what we were talking about in addition to the pledge, a coalition of big tech companies and healthcare industry names including apple, Humana, and the state of Washington today announced that they would be testing new standards that give patients access to their claims data. The idea is to let people access their past healthcare information on an app of their choice, which they can use to inform the new providers or make decisions related to insurance coverage. And this gets back to what we were talking about earlier. This is a good example of, you know, addressing the problem and the challenge that, uh, that exists and creating value for the, uh, for the consumers.
Bill Russell: 15:13 Let's see. I, you know, I don't know how many more of these stories I'm going to get to. Let's see, uh, ascension, how ascension got 100,000 additional visits this year with the help of online scheduling. And, uh, you know, I just highlight that to say, uh, online scheduling platforms are very valuable. You know, this week in health it. Let's talk health it. These are very, very valuable. They fill a, an open role, uh, an open positions. Uh, they make it easier for people to, uh, schedule and reschedule visits. And, uh, obviously the larger your health system, the more, uh, value you're going to get out of a system like that. Uh, the next story I was going to take a look at Kaiser health news has a story. Jenny, uh, uh, Jenny gold, uh, NBC news covered at first kidney failure, then $540,000, uh, Bill for dialysis.
Bill Russell: 16:04 I point out that story and I brought that story in because, uh, you know, I, again, this is an election cycle. We're going to see a lot of these stories depending on which side you're for, you're gonna, you know, drum up these kinds of stories. This story lends itself to a Medicare for all. It's, you know, and let's get the costs, uh, covered and look how horrible our health system is that we would generate this kind of bill. And this is horrible, by the way. Um, to have a $540,000 a dialysis bill at story's worth taking a look at. Uh, definitely something this health system needs to, uh, address and get, uh, get in line, uh, on. So NBC News, Jenny Gold, uh, Kaiser Health News, also cvs health launches, social determinants, a provider network. I think a, again, also, this is interesting, uh, and the reason I brought this in is I think it's, uh, interesting to have a platform where you can pull all this data into.
Bill Russell: 17:00 I also think it's interesting that cvs is the one that, uh, providing this, uh, this platform, I think it's called, what's it called? Unite us. I think it's called unite us. And it's about a new platforms, part of the company's hundred million dollar effort for building healthier communities, uh, which was funded by cvs as well as cvs health and Aetna foundations out of about 6,000 walking, uh, waking hours in a year. Most people only spend a handful in a doctor's office or hospital. Ssys Karen Lynch, executive vice president, cvs health president of Aetna, yet spend a vast majority of their time in their community. So it's collecting, uh, the social determinants data, data, uh, putting it all in a place which hopefully then, uh, care providers can access it and uh, and uh, use it to inform their patients on their different options. So cvs health launcher, social determinants provider network, uh, Bruce Jackson, a Forbes article worth taking a look at diagnostic pill samples, bacteria while traveling inside the gut.
Bill Russell: 18:06 Uh, this is tough. Tufts University, Med gadget, a story, uh, or study, I don't remember which it is a, the reason I pulled this up is, uh, I think we're going to have more and more ways that we're going to be collecting data as a health it organization and we're going to need to find ways to collect that data, uh, to move that data into the workflow and make it available to the clinicians. That's just another example of a, I guess technically this is Iot, a pill as an iot device, uh, going in and taking samples and reporting back. Very interesting. Uh, let's take a look at this. I mean we've talked about Amazon a bunch, but this one's interesting. Surescripts ups its battle with Amazon. PillPack we are turning the matter over to the FBI. Amazons own. PillPack found a way to access its patients prescription information via a third party called re my health surescripts, which contracts with re my said this representative unauthorized access to its network.
Bill Russell: 19:05 Uh, surescripts is the largest easy prescribing company in United States. Amazon threatened to sue surescripts in turn surescripts claimed fraud and sued it in return. Uh, this is a Christine Afar, a CNBC, a new story and a, you know, surescripts has all that data and they're saying that's, uh, our data and our proprietary data and a re my, which has actually has paid for access is somehow sharing it to Amazon, which I'm sure violates their contract in some way, shape or form. And now, uh, Amazon is a, uh, you know, they're, they're going to be fighting over that data, uh, who loses in this patients, patients losing this. That's always, always the case. Um, because I, I, you know, I, again, I think we should be able to secure it. I don't think surescripts should have a control of my script data. I don't think a Amazon should have control of my script data.
Bill Russell: 20:04 I think I should have control my script data and both of them should tell me what value they add to me. Surescripts could say, Hey, I make your data available to all the, uh, physicians across the country. And I go, hey, that has value. I'll give my data to surescripts. And a Amazon might say, Hey, I, you know, I add value by fill in the blank. And I say that adds value. But I really believe that the consumer should a control that I'm looking to, uh, secretaries are and, um, a s administrative Verma to, uh, move that forward. And, uh, I don't know. I hit about seven or eight of the stories I wanted to hit more. Uh, I hope that, uh, brings you up to uptodate on some of the things that are happening in the industry and it gives you an idea of, uh, where might go. So, uh, that's all for this week. Every Friday, check out our interviews with industry influencers. Uh, keep the comments coming, email@example.com a good, bad, or indifferent. It's all very helpful. They, uh, this shows production of this week in health it for more great content. You can check out our website at this week health.com or the youtube channel at this week health.com and click on the video link. Thanks for listening. That's all for now.