Neil Versel's Healthcare IT Podcasts

From the Department of Better Late than Never comes this podcast, recorded two weeks ago, in advance of the first-ever Healthcare Blogging Summit, which was held Dec. 11 in Washington, D.C. But thanks to my crazy schedule, this interview was not posted until Dec. 15 in a Florida hotel room. Most of the information is still relevant. Promise.

In this interview, Dmitriy Kruglyak, creator of the Medical Blog Network, a healthcare-focused publication in a blog format, talks with me about the growth of blogging in healthcare and explains his current project, the HealthTrain Manifesto. Essentially, it’s a statement of integrity guidelines for the highly unstructured world of grass-roots healthcare media.

Podcast details: Dmitriy Kruglyak, creator of the Medical Blog Network and HealthTrain Manifesto. MP3, mono, 64 kbps, 15.6 MB, running time 34:11.0:50 Explanation of the Medical Blog Network
2:35 Healthcare Blogging Summit
3:40 Blogging’s effect on consumers and on healthcare organizations
5:20 The changing dynamics of information dissemination
5:51 Grass-roots transparency and how to respond to it
6:36 Speakers at the summit
8:47 Harnessing the power of the Web and new concepts on the Internet
11:25 Growth of individuals publishing information online
12:52 Power of blogging in other industries
13:45 Transformation of the role of traditional media
14:28 Blogging’s growth in healthcare
16:50 Evolution of the Internet in healthcare
18:37 HealthTrain Manifesto
19:21 Roots of it in ClueTrain Manifesto (late 1990s) for conversational media
20:51 How healthcare is different from other subject matter
22:13 HON Code and other earlier e-health standards more for top-down media
23:05 Holes that HealthTrain attempts to fill
24:21 Credibility of health information
25:10 The 18 concepts of the HealthTrain Manifesto
27:19 Survey of healthcare bloggers re: anonymity
29:48 More on how healthcare organizations should operate in new era of transparency
30:47 Support for HealthTrain Manifesto
33:00 Where to read manifesto and list of supporters

Direct download: HealthTrain.MP3
Category:podcasts -- posted at: 8:37am CST

A new name on the healthcare scene is Sage Software, which entered the market in September with its $565 million purchase of Emdeon Practice Services from Emdeon Corp. Who is Sage Software and what are the company's plans for the Intergy brand name? At last week's Radiological Society of North America meeting in Chicago, I sat down with Paul Stinson, Sage's senior vice president of healthcare, to find out.

Audio quality isn't the best because a lot of ambient noise made its way into the interview booths in the press room, but I don't think it's worse than listening to AM radio.

Podcast details: Interview with Paul Stinson, senior vice president of healthcare for Sage Software, Nov. 27, 2006. MP3, 64kbps, 11.6 MB, running time 25:23.

0:40 Background on acquisition and on Sage
1:30 Sage’s history in accounting software
2:40 Intergy’s history in radiology and imaging
3:35 Sage’s market share
4:00 View of radiology market as part of bigger healthcare picture
5:30 Growth potential in EHR and size of customer base
6:37 Target market
8:00 Division of product line between Intergy and Medware
9:24 Assessment of market for smallest practices
11:45 Effect of Stark exemption on the market
13:37 Effect of CCHIT certification on the market
15:24 Evolution of market in next two years
17:25 Continuing relationship with WebMD
18:16 Growing interest in PHRs and providing information to patients
19:08 Physicians warming to sharing scheduling information online
20:55 Online communication with patients and e-prescribing
22:53 Patient safety improvements and malpractice insurance rates
23:40 Privacy and security issues

Direct download: Sage_Software_-_RSNA.mp3
Category:podcasts -- posted at: 6:41pm CST

At the recent Medical Group Management Association annual conference in Las Vegas, I sat down with Malcolm Costello, vice president of marketing for Kryptiq Corp., a healthcare communication and integration company in Portland, Ore. We talked about secure messaging and other means of electronic communication that are helping to improve healthcare workflows and link providers to patients.

I was surprisingly alert for 9:30 in the morning, when we recorded this, and the sound quality is better than normal because I used an actual hand-held microphone rather than the built-in mic on my digital recorder. What a concept!

Podcast details: Interview with Malcolm Costello, VP marketing, Kryptiq Corp., recorded Oct. 24, 2006 at MGMA annual conference in Las Vegas. MP3, 64 kbps, 9.0 MB, running time 19:41.

00:22 What Kryptiq does
01:20 Online communications as a way to interest physicians in IT
02:25 Michigan State case study on messaging
03:15 Memorial-Hermann case study on prescription refills
04:15 Nursing burnout from administrative inefficiency
05:05 Coordination of care from electronic messaging
06:27 Standards in messaging vs. standards in EHR
07:30 Different formats of physician portals
08:40 Where messaging fits in the RHIO discussion
09:24 No good, sustainable financial model for RHIOs
10:00 Peer-to-peer messaging is a better idea
10:58 E-mail works other industries as a standardized platform
11:53 Potential of smart medical devices and other future communication technologies
14:02 E-mail for disease management
14:55 Integration of inputs from patients
16:15 Outlook for interoperability in the future
18:25 Adoption without standardization

Direct download: Malcolm_Costello_-_Kryptiq.MP3
Category:podcasts -- posted at: 11:31pm CST

What was supposed to be a journalists' roundtable with Intel Chairman Craig Barrett and Wal-Mart Stores Executive Vice President Linda Dillman turned into an exclusive interview for me when other invited reporters failed to show. Their loss is my gain—and yours.

I now have a podcast with two of the most powerful business people in America, on the subject of large healthcare purchasers demanding technology-driven quality from the people who provide health services to their employees. It continues on the theme that Barrett spoke on during his keynote address to the Third Health Information Technology Summit in Washington last month, which I reported on here. This interview took place shortly after the speech.

Podcast details: Exclusive interview with Intel Chairman Craig Barrett and Wal-Mart SVP Linda Dillman, Washington, D.C., Sept. 26, 2006. MP3, mono, 64 kbps, 13.9 MB, running time 30:23.

00:40 Barrett's interest in healthcare
01:05 Pilot programs to promote IT and quality
01:30 Purchasing power of large employers
01:58 Wal-Mart's $4 co-pay for generic drugs
03:20 Completeness of personal health records
04:33 Lack of price information for consumers
05:30 Cost shifting in healthcare
06:00 Wal-Mart's IT investment
06:40 Looking at the big picture
07:30 Getting a broad coalition involved
08:10 Debate vs. actions, cost shifting
09:10 Consumers ultimately pay the bills
09:40 Opportunity in the health system and incentives for healthcare to modernize
10:35 Current insurance at companies
10:55 Wal-Mart will be requiring quality
11:40 How to show transparency
12:25 Feedback from employees
13:40 Employees are savvy business`people
14:15 Duplication in the system
14:50 Medical liability and access to information
16:40 Systemwide quality should be overriding issue
18:00 What creates quality problems?
18:35 IT's role in alleviating the nursing shortage
19:45 Opinion of Kolodner
20:20 Barrett on AHIC and the slow pace of reform
22:15 Every other industry has adopted technology
22:50 Framing the debate over who pays
23:35 Quality tolerance in other industries
23:50 Roles of various stakeholders
24:35 "Forcing function" of change
26:18 Private payers are middlemen responding to the rules.
27:00 How to put pressure on suppliers
27:35 Purchasers have been passive for too long
28:36 How long until purchasing changes start showing results?
28:53 American competitiveness
Direct download: Barrett-Dillman_podcast.mp3
Category:podcasts -- posted at: 3:17pm CST

As promised, here's the podcast of the delivered by outgoing CMS administrator Mark McClellan, M.D., at last week's Third Health Information Technology Summit in Washington.

McClellan, who is stepping down in mid-October after heading Medicare for two years, spoke immediately after Robert Kolodner, M.D., gave his first public comments since being named interim national health IT coordinator the previous week. Again, the moderator who hosts the Q&A portion is John Glaser, vice president and chief information officer of Partners HealthCare, Boston.

Podcast details: Mark McClellan, M.D., Third HIT Summit, Sept. 25, 2006, Washington, D.C. MP3, mono, 64 kbps, 17.0 MB, running time 37:19.

Direct download: McClellan_HIT_Summit_9-25-06.mp3
Category:podcasts -- posted at: 10:42pm CST

WASHINGTON--I've got nearly pristine audio of the first public comments of Robert Kolodner, M.D., after he was named interim national coordinator for health information technology. The speech was recorded live Monday in Washington, at the Third National Health IT Summit.

I also have audio from outgoing CMS administrator Mark McClellan, M.D., who spoke immediately after Kolodner. I will post that recording later in the week.

The moderator for the Q&A whom you hear at the end of Kolodner's address is John Glaser, vice president and chief information officer of Partners HealthCare, Boston.

Podcast details: Robert Kolodner, M.D., Third National HIT Summit, Sept. 25, 2006, Washington, D.C. MP3, mono, 64 kbps, 14.4 MB. Running time 31:25.

Direct download: Kolodner_HIT_Summit_9-23-06.mp3
Category:podcasts -- posted at: 12:16am CST

HOUSTON--As an esteemed member of the Fourth Estate, it pains me to say this, but many of my colleagues just don't get it.

Although I have been covering healthcare issues for 5½ years now and health IT for 4½ years, I feel like I don't belong at the annual Association of Health Care Journalists conference, which is going on here this weekend. Saturday in particular was a complete waste of my time, as there was not one session on the agenda that I found relevant to the work I do. There is too much of a focus on clinical and consumer issues and little that someone in the non-scientific trade press would care about.

The lunchtime keynote speaker on Saturday, acting Food and Drug Administration Commissioner Andrew von Eschenbach, M.D., just got nominated to the job on a permanent basis, and thus chose not to speak about any policy or his regulatory philosophy until the Senate has a chance to hold hearings. I walked out before his speech ended, and I was not the only one who was disappointed.

What was more disheartening, though, was the session that I personally moderated Friday morning on issues related to health IT. You can hear the audio here.

The panel, consisting of Sam Karp of the California HealthCare Foundation; Certification Commission for Health Information Technology Chairman Mark Leavitt, M.D.; and Linda Dimitropoulos of RTI International; went well. But attendance was sparse. I counted 19 people in the room, but that included publicists for two of the panelists, plus an editor from a techie magazine.

Given the fact that conference registration was close to 350 and that there were only four other sessions going on at the time, I was disappointed. Health correspondent from metropolitan daily papers mostly stayed away. This tells me that the average health correspondent does not understand the significance of IT, even though the session was entitled, "IT: Its promise for changing health care." Reporters continue to write about how the American health system is broken, but they ignore one of the most obvious cures.

On Friday, we were lucky enough to have Agency for Healthcare Research and Quality Director Carolyn Clancy, M.D., for a press conference and a keynote address. Privately, Clancy told me that she shares my concern that the mainstream press does not understand the role of IT in healthcare reform. Publicly during her speech, she implored the journalists present to help inform the public about how electronic health records can improve outcomes and save money.

Later, more than one fellow AHCJ member told me they found Clancy's speech uninspiring. The technology message apparently went over everyone's head. No wonder there is little consumer pressure on healthcare providers to change their ways.

Despite being a shy person, I've always been a bit of an anti-establishment rabble-rouser when I feel like something is wrong, so during Saturday's AHCJ membership meeting, I voiced my disappointment about the fact I found most of the program irrelevant to what I do. I also mentioned that I doubted value of my membership.

At the risk of sounding pompous, I get the sense that they need me more than I need them.

Listen to the podcast and tell me I'm not crazy. It's a long session and a big file, but I think it's worth it. Too bad my colleagues in the health media don't seem to agree with me.

Podcast details: "IT: Its promise for changing health care." Association of Health Care Journalists annual meeting, March 17, 2006, Houston. MP3, mono, 64 kbps, 35.2 MB, running time 1:16:58.

Direct download: AHCJ_Health_IT_panel_64kbps.mp3
Category:podcasts -- posted at: 10:07pm CST

The folks at Trinity Health in Novi, Mich., are in the midst of a massive rollout of health information technology that eventually will cover 24 hospitals in seven states--and have the third-largest clinical data repository in the nation, behind only the Department of Veterans Affairs and Kaiser Permanente. Called Project Genesis, the effort has not been widely publicized (not for lack of trying--I pitched the story to a couple of editors last year and was turned down).

While meeting last week with Narendra Kini, M.D., Trinity Health's executive vice president for clinical and physician services, I decided to turn the recorder on and let him explain Project Genesis for the masses (or at least the few hundred people who will find this page). This podcast is the result.

Podcast details: MP3, mono, 64 kbps, 5.7 MB, running time 12:30.

Direct download: Kini-Trinity_Health.mp3
Category:podcasts -- posted at: 12:01pm CST

Meet the Bloggers event at HIMSS 2006, Feb. 12, 2006. MP3, mono, 64 kbps, 6.5 MB, running time 14:16.
Direct download: Meet_the_Bloggers.MP3
Category:podcasts -- posted at: 8:31am CST

This is my interview with Misys Healthcare Systems CEO Tom Skelton about consolidation among health IT vendors. We recorded it on Feb. 1, the day Misys announced its acquisition of Payerpath and the day after the president’s State of the Union address, and we refer to the events of "today" and "last night" in the podcast. I waited a week to post it because I used the interview for a story that ran in this week’s Health-IT World. Never bite the hand that feeds you!

The quality of recordings made from the telephone line varies quite a bit, and the sound has not been the best on my two most recent podcasts, including this one. I went shopping on eBay recently and I’m expecting to get better recordings in person at HIMSS next week with the audio equipment I picked up.

Podcast details:

Interview with Misys Healthcare Systems CEO Tom Skelton on HIT industry consolidation. MP3, mono, 64kbps, 5.9 MB, running time 12:53

  • 0:00 Introduction
  • 0:40 Misys acquisition of Payerpath
  • 1:10 Payerpath’s fit within current Misys operations
  • 3:20 Data capture and data mining for clinical improvement
  • 4:55 Standards and certification for ambulatory EHRs
  • 7:02 Consolidation in health IT industry
  • 9:40 Impact of consolidation on customers
  • 11:08 What potential customers should consider
  • 12:08 Skelton’s "elevator speech" about Misys
  • Direct download: Skelton-Misys.MP3
    Category:podcasts -- posted at: 10:08am CST

    William Yasnoff, M.D., former National Health Information Infrastructure director in the Department of Health and Human Services, has created a new business model for community-wide health information exchange, which he calls the eHealthTrust. Now a private healthcare consultant in Arlington, Va., Yasnoff recently landed its first eHealthTrust customer, the Louisville Health Information Exchange. In this podcast, he explains the concept and discusses a current request for proposals for the Louisville project.

    Podcast details:

    Interview with William Yasnoff, M.D., on the "eHealthTrust" concept. MP3, mono, 64kbps, 21 MB, running time 45:59.

  • 0:00 Introduction
  • 0:50 Issues with building National Health Information Network
  • 4:45 Winning stakeholder cooperation
  • 6:20 HIPAA and patient ownership of medical records
  • 7:20 Financial sustainability of regional health networks
  • 9:48 Business case for the eHealthTrust
  • 10:40 An untapped source of revenue
  • 11:45 Consumer awareness of EHRs
  • 13:10 Public trust and consumer access to their own health information
  • 15:10 Why there should be centralized health databases
  • 17:55 Usability of search functions in an eHealthTrust
  • 19:30 Financial consequences of decentralization
  • 22:25 Components of an eHealthTrust
  • 23:30 Security and operational considerations
  • 26:35 Explanation of eHealthTrust business model
  • 31:25 Participation of Medicare/Medicaid/uninsured patients
  • 34:50 Louisville Health Information Exchange
  • 37:15 Services offered to patients
  • 41:13 Louisville contract bidding process
  • 45:18 For more information
  • Direct download: Yasnoff.MP3
    Category:podcasts -- posted at: 3:27pm CST