VA EHR – Cerner Problems Reported — Now Paused

VA EHR Update – Cerner EHR

VA EHR Kiosks
7/12 — An article from Fierce laying out several aspects of VA. The bottom line is it is going to cost twice as much as originally estimated.  Not unlike the VA complex here in Denver.

Update from HISTalk
See report

VA OIG looks at training deficiencies in the VA’s first Cerner rollout at Mann-Grandstaff VA Medical Center, in Spokane, WA, noting:

  • The VA Office of Electronic Health Record Modernization is charged with the implementation, but the involvement of VHA, which houses all of the system’s users, is not clear.
  • Training design was internally called “button-ology” because it focused on telling users which buttons to push to get a desired outcome, with little context provided to users who then failed to understand how to use the system.
  • Users struggled because the classroom training didn’t focus on workflow.
  • The system that was made available for user practice did not match the VA’s actual system.
  • Cerner’s classroom trainers were not capable of answering questions and raised facility concerns because they lacked a clinical background and EHR knowledge. Users complained that Cerner’s trainers would defer many basic questions to the “parking lot,” which became a running joke among employees being trained.
  • All of the 30 super users said their training was a waste of time that left them demoralized, distrustful of Cerner and the VA project team, and less prepared to help users than before the training.
  • Leaders did not fully understand Cerner’s role-based permissions and how to manage staff who required multiple role assignments, causing users to be assigned to the wrong training classes.
  • VA contracting officials scored Cerner’s training work as “satisfactory,” the minimum level that meets contractual requirements.
  • The post-live decrease in user productivity and morale was attributed to EHR training factors.
  • The project’s change management group withheld some OIG-requested training evaluation data and altered other data before sending it.

7/15 Update

The VA pauses its Cerner project after a review finds significant issues.  Report by HIStalk

VA EHR Testimony

VA EHR Testimony

VA Secretary Denis McDonough tells the Senate Veterans’ Affairs Committee that he is putting the VA’s Cerner implementation on hold. This follows the completion of a three-month project review that found serious “governance and management challenges.”

McDonough says that the VA’s first implementation at Mann-Grandstaff VA Medical Center (WA) in October 2020 did not live up to its promise of “seamless excellence in VA care,” adding that the report found “numerous patient safety concerns and system errors” as well as significant negative impact on productivity.

The cost of the project, which was originally estimated at $10 billion when Cerner was awarded a no-bid contract in 2017, has risen to over $20 billion. McDonough has ordered a new budget estimate for the entire project, which will include the several billion dollars of infrastructure upgrades that the original estimate missed.

Committee chair Senator Jon Tester (D-MT) told the group, “I’ve had the impression for some time there are folks out there milking the cow. Every day they go out and they see this cash cow, and they’re getting every dime they can get out of it. There’s been damn little accountability. I hope Cerner’s watching this. Cerner’s not up to making a user-friendly electronic medical record, and in fact what’s transpired here is we’re going in the opposite direction, then they ought to admit it and give us the money back so we can start over.”

See list of specific issues (there are many) in article by HIStalk

Catalog

Hardware and Software Products

Besides working with the major kiosk and tablet providers for healthcare and arranging contact and resources, we also work with DigitalBusiness on providing hardware and software products to the public.

Example listing for software is KioWare:

Application software for customer interaction is easy with KioWare. And it is multi-function supporting digital signage content management as well as remote monitoring and reporting. Windows or Android (there is an iOS version available as well). Especially useful for inhouse programming teams are the standard built-in device drivers and wraps for a wide assortment of common devices such as credit cards, EMV, QR scanners and many more. You can use simply as a secure browser lockdown in tandem with your existing application and/or website. 10th Generation software tried and tested with 1000s of customers. ADA tested and approved and has passed VPAT certification and embedded JAWS functions so accessibility liabilities are addressed. DigitalBusiness can offer discounted pricing along with custom consulting and configuration assistance.

Here is our current catalog

HIMSS will require fully vaccinated for COVID-19

HIMSS Healthcare Exhibition Patient Kiosks

From Fierce Healthcare

Excerpt:

HIMSS Conference Patient Kiosk

HIMSS Conference Patient Kiosk

If you want to set foot inside the Venetian-Sands Expo Center in August for HIMSS21, or even the HLTH conference in Boston later this year, you will have to be fully vaccinated for COVID-19.

The Healthcare Information and Management Systems Society (HIMSS) announced Monday morning that it has adopted a “vaccination required” approach for all attendees, exhibitors, and HIMSS staff for HIMSS21, slated to take place August 9-13 in Las Vegas.

HIMSS21 will be the largest on-site healthcare conference since the start of the COVID-19 pandemic.

The HIMSS21 “campus” includes events at the newly expanded Wynn meeting space, the Venetian-Sands Expo Center and the newly built Caesars Forum Conference Center.

In practice, this means anyone who wants to be involved with the on-site HIMSS21 event will have to provide proof of their full vaccination.

Read complete article From Fierce Healthcare

 

At Home Healthcare – Kaiser Permanente, Mayo team up

Telehealth Telecare News Kaiser and Mayo

From HealthcareDive

home healthcare

home healthcare

Dive Brief:

  • Kaiser Permanente and Mayo Clinic are investing $100 million in a hospital-at-home company as the COVID-19 pandemic accelerates the push toward care settings outside a hospital’s four walls.
  • The investment is in Boston-based Medically Home, which has a virtual and physical delivery model allowing providers to shift acute care typically administered in a hospital to a patient’s home. Its software platform, called Cesia Continuum, integrates communications and monitoring for care teams.
  • The partnership will allow patients to be treated at home for infusions and conditions like cancer, infections and COVID-19, according to the companies’ announcement Thursday.

Read full article

From HealthcareDive

Patient Check-In Kiosk – Olea Expands Healthcare, Telehealth

Patient Check-In Kiosk, Telehealth and Telecare Kiosk News

From Olea Kiosks May 2021

Kaiser Patient Check-in Epic

Kaiser Patient Check-in Epic

Click for full size — Kaiser Patient Check-in Epic original model.

Editors Note: Olea Kiosks takes major step towards expanding the healthcare patient check-in kiosk and Patient Registration kiosk market along with Telehealth and Telecare by adding James Walker to their sales team.  Walker is an expert in patient check-in and accessibility which dovetails perfectly with Olea Kiosks’ unparalleled engineering. Olea Kiosks is the major provider for Kaiser Permanente which is a primary baseline for Epic Welcome Kiosks and accessibility. Johns Hopkins, Cedars Sinai and Novant to list some others.


Olea Kiosks®, Inc. Adds Industry Veteran James Walker to Sales Team

LOS ANGELES, Calif., May 12, 2021 (SEND2PRESS NEWSWIRE) — Olea Kiosks®, Inc., a visionary provider of innovative self-service kiosk solutions, today announced the growth of its sales team by adding veteran healthcare sales executive James Walker.

James joins Olea following ten years of self-service kiosk experience in the healthcare check-in space, most recently as channel director. With a comprehensive background combining sales and marketing, operations, and process improvement, he brings a broader perspective to the needs of his clients. Walker joins Olea as the company continues to grow its presence in healthcare as the industry expands its digital transformation.

Olea Kiosks James Walker

Click for full size — Olea Kiosks James Walker

“Having spent a good deal of time working through patient check-in, I’m excited about the opportunity to improve the entire patient experience and looking for opportunities to remove points of friction across the patient journey,” said Walker. “I see the difference self-service technology has made, and with the addition of telehealth and telemedicine applications, access to healthcare will become so much easier for people experiencing healthcare challenges,” he added.

“2021 is a year bringing much change to Olea Kiosks, and that continues with our growth and expansion in select verticals. James will be a real asset to our team with his extensive experience as we grow our presence across healthcare self-service solutions,” CEO Frank Olea explained.

In addition to almost doubling its manufacturing space earlier this year, Olea Kiosks®, Inc. has also strengthened its leadership team, added other additional sales resources, and expanded its customer experience team.

About Olea Kiosks®, Inc.

Olea Kiosks, Inc. is a self-service kiosk solution provider for the attractions and entertainment, healthcare and hospitality industries. Its technologically advanced, in-house manufacturing, design, and innovation have made it an industry leader. Headquartered in Los Angeles, California, customers include Cedars-Sinai, Kaiser Permanente, Tenet, The Habit Burger Grill, The Empire State Building, Universal Studios, Scientific Games, and Subway.

More News From Olea Kiosks

Walmart Telehealth – Purchases MeMD

From I-Telehealth

BENTONVILLE, Ark., and PHOENIX, Ariz., May 6, 2021 – Walmart Health and MeMD, a multi-specialty telehealth provider, today announced they have entered into an agreement for Walmart Health to acquire MeMD. This reinforces Walmart’s commitment to integrated, omnichannel health delivery that leverages data and technology to improve engagement, health equity and outcomes.

This acquisition will, over the coming months, allow Walmart Health to provide access to virtual care across the nation including urgent, behavioral and primary care, complementing our in-person Walmart Health centers. Our focus on consumer engagement, improved health outcomes and early, equitable access remains the cornerstone of quality health care that can help lower overall health care costs across all populations.

“Telehealth offers a great opportunity to expand access and reach consumers where they are and complements our brick-and-mortar Walmart Health locations. Today people expect omnichannel access to care, and adding telehealth to our Walmart Health care strategies allows us to provide in-person and digital care across our multiple assets and solutions,” said Dr. Cheryl Pegus, executive vice president, Health & Wellness. “Our Health & Wellness mission is to focus on the consumer’s seamless experience and improved health. We are excited to welcome MeMD employees to the Walmart family, and we are looking forward to together, accelerating health care access across the country.”

Blue Cross Blue Shield Loses Case – Sets up $2.67 Billion Settlement Fund

Period Affected is 2020 thru 2008

blue cross blue shield settlement

blue cross blue shield settlement

SEATTLEApril 6, 2021 /PRNewswire/ — On November 30, 2020, the Honorable R. David Proctor of the U.S. District Court for the Northern District of Alabama granted preliminary approval of the class action Settlement in the In re: Blue Cross Blue Shield Antitrust Litigation MDL 2406, N.D. Ala. Master File No. 2:13-cv-20000-RDP.

What is the lawsuit about?

Plaintiffs claim that the Blue Cross Blue Shield Association and Settling Individual Blue Plans (collectively, “Settling Defendants”) violated antitrust laws by illegally entering into an agreement not to compete with each other and to restrict competition among themselves in selling health insurance and administrative services for health insurance. Settling Defendants deny all claims and have asserted that their conduct results in lower health care costs and greater access to care for its customers. The Court has not decided who is right.

Who is affected?

You may be eligible to receive payment if you are an IndividualInsured Group (and their employees) or Self-Funded Account (and their employees) that purchased or were enrolled in a Blue Cross or Blue Shield health insurance or administrative services plan during one of the two Settlement Class Periods. Government accounts are excluded from the Class.

The Settlement Class Period for Individuals and Insured Groups is from February 7, 2008 through October 16, 2020. The Settlement Class Period for Self-Funded Accounts is from September 1, 2015 through October 16, 2020.  Dependents, beneficiaries (including minors), and non-employees are NOT eligible to receive payment.

All IndividualsInsured Groups, and Self-Funded Accounts that purchased or were enrolled in a Blue Cross or Blue Shield health insurance or administrative services plan from February 7, 2008 through October 16, 2020 will also benefit from the provisions of the Settlement requiring Settling Defendants to change certain of their practices that were alleged to be anticompetitive. Dependents, beneficiaries (including minors), and non-employees will benefit from this part of the Settlement.

Here is the site — https://www.bcbssettlement.com/

This class action is called In re: Blue Cross Blue Shield Antitrust Litigation MDL 2406, N.D. Ala., Master File No. 2:13-cv-20000-RDP and is pending in the United States District Court for the Northern District of Alabama Southern Division. U.S. District Court Judge R. David Proctor is overseeing this class action.

Plaintiffs allege that Settling Defendants violated antitrust laws by entering into an agreement where the Settling Defendants agreed not to compete with each other in selling health insurance and administration of Commercial Health Benefit Products in the United States and Puerto Rico, as well as agreeing to other means of limiting competition in the market for health insurance and administration of Commercial Health Benefit Products. Settling Defendants deny all allegations of wrongdoing. They assert that their conduct results in lower healthcare costs and greater access to care for their customers. The Court has not decided who is right or wrong. Instead, Plaintiffs and Settling Defendants have agreed to a Settlement to avoid the risk and cost of further litigation.

Why A Settlement?

The Court did not decide in favor of the Plaintiffs or Settling Defendants. Instead, both sides have agreed to the Settlement. Both sides want to avoid the risk and cost of further litigation. The Plaintiffs and their attorneys think the Settlement is best for the Settlement Classes.

Facial Recognition Cedars-Sinai To Detect Fraudsters

facial recognition

From Reuters Apr2021

Why a U.S. hospital and oil company turned to facial recognition

Excerpt:

Organizations in other industries are chasing similar goals. The Los Angeles hospital Cedars-Sinai and oil giant BP Plc (BP.L) are among several previously unreported users of AnyVision.

Cedars-Sinai’s main hospital uses AnyVision facial recognition to give staff a heads-up about individuals known for violence, drug fraud or using different names at the emergency room, three sources said.

Cedars said it “does not publicly discuss our security programs” and could not confirm the information.

Meanwhile, BP has used facial recognition for at least two years at its Houston campus to help security staff detect people on a watchlist because they trespassed before or issued threats, two sources said.

BP declined to comment.

Other noted users:

Some notable decliners

  • Amazon
  • Comcast
  • LV Sands
  • MGM Sands

Worth noting Microsoft divested from AnyVision due to ethical concerns

More coverage and background of AnyVision on IPVM

Senior Living Technology – Assisted Living Technology for facilities

senior-living-technology-frank-mayer-marquee

Kiosks Benefit Assisted Living Facilities and Nursing Homes

In a recent survey of senior housing professionals, 80% of the respondents indicated their facilities increased their tech budget to help address issues caused by the pandemic.  This number is expected to increase in 2021.  Investing in telehealth kiosks, check-in technology, remote patient monitoring and more can go well beyond the pandemic, though, offering staff, residents, and guests conveniences and efficiency.

With numerous features and style options, we have kiosks that fit your unique needs and aesthetics.  See below for our full line, and read further for ways to best use senior living kiosks in your center.

Increase efficiency and improve satisfaction with senior living kiosks.

Staff

Self-service kiosks can provide staff with on-site training solutions and time card keeping as well as offer quick points of care for patients.

Residents

Allow residents to check their schedules, sign up for new activities, and communicate with other residents, staff, or family members.

Guests

Kiosks can help guests check in as well as navigate the facility and join their loved ones in specific locations.

Using Digital Signage for Wayfinding in Hospitals

Digital Signage Hospitals

From AcquireDigital

Let’s face it, hospitals are nothing short of mazes—especially for first-time visitors to a particular one. Without clearly presented directions on how to arrive at the ward or room a visitor is looking for, wandering is inevitable. This means crowded hallways filled with lost and frustrated visitors.

In some situations, patients can even miss appointments due to an inability to find their destination. A whopping $150bn is wasted per year on missed appointments, and although wayfinding (or lack thereof) isn’t responsible for all of these, it’s certainly a major contributing factor.

This is why digital signage specifically designed for patient wayfinding can not only help patients and visitors in a hospital, but it can even help healthcare professionals navigate quickly, increasing hospital efficiency.

How to Improve Wayfinding in Hospitals

With a network of digital screens and kiosks installed across hospitals, navigation can be a much simpler, less stressful experience for all.

By introducing digital directories, users can be given the ability to search for everything from doctors’ names, locations of departments or offices, and even where to get a bite to eat. Plus, in the near future, we could also see users (with additional security protocols in place, of course) pull up exactly where a friend or relative may be staying. Because they’re digital, they’re also easier to update than traditional directories and can be rolled out instantaneously.

Overhead signage can provide patient wayfinding by helping people identify their current location in the hospital. If circumstances change, updates can be made by members of staff in just a few minutes.

For rooms, digital screens presenting room numbers and doctor/patient names can also help people navigate where they need to be without having to ask staff members where to go.

GPS google maps style tracking/mapping can also be used to successfully improve wayfinding in hospital environments.

Digital Mapping/Tracking

Medical Center.jpg

Nowadays, many places we visit have some form of digital or 3D map showing us a blueprint of the place; airports, shopping malls, and even city centers. Yet in hospital settings, it’s still pretty uncommon. Through the introduction of accessible mapping and tracking which can be accessed via kiosks or mobile phones, patients and practitioners will have a clearer view of where they need to be.

Although digital check-in in hospitals has increased over the last few years, this, unfortunately, is usually the limit of its use. Now, however, forward-thinking hospitals have the chance to create a much more user-friendly, fluid interface where check-in kiosks are integrated with digital mapping technology and signage making hospital wayfinding in the biggest facilities much easier.

How exactly does this work?

Upon check-in, interactive maps on the screen will allow the user to see exactly where they need to be in the hospital. Then, for those who have smartphones, the hospital map can be downloaded in seconds so they can be guided the entire way.

Maps can be downloaded in multiple ways, but the most practical is either by scanning a QR code or with a text link sent to the user’s mobile. This can then open up a webpage with the map and ‘blue dot’ tracking, or prompt the user to download an app for a more optimized experience.

Of course, there are some accessibility concerns with hospital mobile wayfinding, especially when considering the older population. They may not have access to a smartphone or know how to use digital signage tech effectively enough for it to work. However, in these scenarios, digital kiosks placed at intersections of the hospital could act as a guide, as well as overhead signage, which is a dramatic improvement on traditional methods of wayfinding.

The Bottom Line

Digital signage presents a unique opportunity to overcome one of the biggest issues people face when visiting large hospitals. It allows for a smoother visit and fewer missed appointments, saving time and money for both patient and medical professionals.

The introduction of intuitive and accessible digital signage will not just give visitors and patience a better experience, but staff will be able to navigate easier, even when they’re new to the hospital, and wait times could even be decreased due to more streamlined operations.

In short, hospital mapping and wayfinding with digital signage and touch screen kiosks is an ideal solution for improving patient experience and increasing the efficiency of your hospital. It provides a technological boost that can help set a hospital apart from others.