This Week in Health IT Tuesday News Day Bill Russell
July 21, 2020

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July 21, 2020:  Today on Tuesday News Day, the White House directs hospitals to bypass the CDC for COVID-19 data reporting. Why is that a big deal? Bill uncovers working from home statistics using a fascinating daily infographic source. How do you coalesce the advances that we’ve seen during COVID? How do you find your champions and really keep them moving internally? What do you have to do for your platform? What do you have to do for your training? We also talk about the ONC final rule. The compliance clock is ticking. All this and more.

Key Points:

  • White House directs hospitals to bypass CDC for COVID-19 data reporting [00:02:56]  
  • Exclusive info direct from the AHA bulletin sent to hospitals [00:03:28]
  • Now there’s two options for reporting data to state health departments [00:04:32] 
  • Access to CDC and HHS data, what’s the difference? [00:08:12]
  • Health Affairs article “Early Impact of CMS Expansion of Medicine Telehealth during COVID-19”. [00:11:32] 
  • Is it maximizing revenue or fraud? [00:22:00] 
  • Health Catalyst announce agreement to acquire Health Finch [00:23:35] 
  • What is the future of remote work? [00:25:04]
  • Deep dive into infographics [00:29:00] 

News Day – HHS Redirect Sends Twitter into a Tizzy

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News Day – HHS Redirect Sends Twitter into a Tizzy

Episode 281: Transcript – July 21, 2020

This transcription is provided by artificial intelligence. We believe in technology but understand that even the smartest robots can sometimes get speech recognition wrong.

[00:00:00] Bill Russell: Welcome to This Week In Health IT. It’s Tuesday News Day where we look at the news, which will impact health IT today. The white house asks hospitals to bypass the CDC information. Blocking clock is ticking and SEMA. Vermont outlines early impact of telehealth on CMS. Or for mess. My name is Bill Russell, healthcare, CIO, coach creator of This Week In health IT. A set of podcast videos and collaboration events dedicated to developing the next generation of health [00:00:30] leaders. This episode, every episode, since we started the COVID-19 series has been sponsored by Sirius healthcare. Now we are exiting the series and Sirius has stepped up to be a weekly sponsor of the show through the end of the year.

Special thanks to Sirius for supporting the show’s efforts during the crisis. Don’t forget we’ve gone to three shows a week. Now, Tuesday, we cover the news Tuesday news day that’s today. And we have interviews with industry influencers on Wednesday and Friday. Also of note, I am going to be taking a week off.

I’m taking my own advice [00:01:00] and finally taking a week off. We’ve produced a ton of shows since the 1st of January. We’re just going to take one week off, catch our breath the last week of July, and then we will, or I’m sorry the next week, whatever next week is, that’s the week we’re taking off.

So you’re going to have a week to catch up on some shows and those kinds of things. And then we’ll come back the following week and, and get going into our fall schedule in fall interviews, which we are, getting lined up. Even now, as we speak, I’m going to keep saying thank you. We’ve eclipsed a hundred thousand [00:01:30] downloads of the podcast through the first six months of the year.

Thanks for sharing it with your peers. And thanks for listening, to make it easier to share with your peers. We launched clip notes. Clip notes is a subscription. And that gets you an email. For every episode we record that has a summary. It has bullet points with timestamps of where the key points happened in the show.

And one to four short clips from the show you gave him the idea, actually, you asked me to make it easier for you to share the best thinking with your staff from the show and [00:02:00] and that’s what we’ve done. That’s what Clip notes is for. To subscribe you can hit the website and choose any show and we’ll have a link to subscribe, to clip notes, but we also have a really easy way to subscribe, send an email to [email protected]

And you’re going to receive a link to subscribe right now. So go ahead, subscribe right now. Start getting insights that you can share with your team. Last thing, if you haven’t signed up for three extracts yet you’re missing out text Drex D R E X to four eight four eight four eight and receive three texts every [00:02:30] week with the stories that will help you to stay current.

It helps me prepare for the show and this is a service of Drex DeFord, a frequent contributor of the show. All right, let’s get to the news. So Twitter went crazy last week over the first story that we’re going to cover. And let’s see what, you know, essentially, I have four different stories that I’m looking at here, but they’re all the same thing.

White house to hospitals, bypass CDC report COVID-19 data directly to HHS. Okay. [00:03:00] So I’m looking at healthcare IT news. I’m also looking at a handful of other sites, cause obviously something that’s this politically charged, I wanted to see the different sources. We’ve also gone to, you know, we’ve gone to the, the source.

We have information from the HHS website. also looking at the American hospital associations, whatever their announcement that they send out to their hospitals as well. So that’s going to be the primary source that we’re pulling from the bulletin that they [00:03:30] sent out to hospitals. So let’s take a closer look and see if all this craziness on Twitter is warranted.

So, what did they do? The department of health and human services today announced significant changes to the process for hospitals to fulfill the agency’s request for daily reporting on bed capacity utilization, personal protective, our personal protective equipment, PPE an in-house laboratory testing data.

The most significant changes are detailed below reporting options. the centers for disease control and [00:04:00] prevention. CDC national health safety network and HSN COVID-19 module will no longer be an option for daily reporting. As of July 15th, hospitals are asked to use one of the other reporting options to fulfill the data reporting requests, including number one, reporting data to their state.

Health departments provided that the States have assumed responsibility for reporting hospital data to HHS or number to report to the HHS TeleTracking portal and existing option for daily reporting. [00:04:30] Okay. so those are the two options for reporting. If you have States like Oregon has put something together, Arizona’s put something together where they are collecting this kind of information at the state level.

I would assume, I don’t know this for a fact, but I would assume that those States that are collecting that for state response are able to report that in then, to the, to HHS. So the data fields, HHS has made significant updates to the data fields it is asking for in daily reporting. All right. So let’s just, let’s go to the [00:05:00] HHS documents.

See what kind of fields, what kind of data they’re looking for. So I’m looking at a document straight from the HHS website, which outlines this in detail. here’s some of the fields that are looking for hospital information, the usual right. Hospital names, CCN, state. County zip you got it. the second thing they’re looking for is all hospital beds.

Third, all hospital inpatient beds, all hospital inpatient beds that are occupied. ICU beds, ICU, bed occupancy, [00:05:30] total mechanical ventilators, mechanical ventilators in use, total hospitalized adults suspected of confirmed positive COVID patients. they also have subsets of some of these things I’m going to.

Bypass those total hospitalized, pediatric suspected confirmed positive COVID patients, hospitalized and ventilated COVID patients. Total ICU, adult suspected of confirmed positive COVID patients, hospital onset. Ed work, ed overflow. Sorry, not workflow. Ed overflow in ventilated. previous days [00:06:00] deaths, previous days, adult admissions, that’s number 17, 18 previous days, pediatric COVID-19 admissions.

previous days, total ed visits, previous days, total COVID-19 related ed visits previous days, REM REM does for REM to severe. I don’t know why I have trouble saying that word, but I do so a current inventory of remnant sphere. critical staffing shortages today. Critical staffing shortages anticipated within a week.

Staffing shortage details. Are your [00:06:30] PPE supplier suppliers managed on hand supply on hand, supply of, individual units duration in days. Are you able to attain these items? Yes or no. And they have a listing of items. if you ask the above, are you able to maintain at least three days supply and a number 31?

Does your facility use reusable laundry, double isolation gowns. 30 to indicate any specific or critical medical supplies or medication shortages, for which you are currently experiencing or anticipating [00:07:00] experiencing in the next three days. Okay. So those are the 32 items they’re trying to collect nothing crazy here, nothing.

You know, this is what they need in order to, put together a, a response to what’s going on in each state, as they surge, determining where they, they allocate resources. Right. It makes sense. the aha strongly urges on the aha. I’m going back to the aha Bolton that they sent out the HIA strongly urges, all hospitals to review the announcement [00:07:30] and report the data to H HHS as requested HHS stressed in the announcement.

The importance of reporting the requested data on a daily basis to inform the administration’s ongoing response to the pandemic, including the allocation of supplies, treatments, and other resources. In addition, the agency notes, it will no longer ask for one time requests for data to aid in the distribution of REM disappear and any other treatments or supplies.

Okay. So that’s the end of [00:08:00] the, that’s the end of that bulletin that’s essentially what’s happened. Right? So we were directing all that information to the CDC. Now we’re directing it to the HHS. Why is that a big deal? Because the CDC data essentially is an open database that it’s available to researchers and everybody else HHS is not as open.

So that’s the big, that’s the big catch here. So what’s the, so what. On this, first of all, I think we have to talk about the CDC for a moment before we go into this. The [00:08:30] first is, you know, the CDC really had egg on their face from the get go in this, in the pandemic. Right? So the COVID testing fiasco early on in the, in the process came out of the CDC.

And so they started, behind the eight ball. The other thing is the CDC pandemic preparation from a technology perspective has been a topic on the show. they’re asking for in the beginning, they were asking for too much irrelevant information. and then their practices are still kind of [00:09:00] antiquated, right?

So there’s still information going into the CDC fax via mail, not email, via mail, like stamp and you know, that whole thing. So they’re still using that kind of thing as a way to collect, You know, and it’s not outside the realm of possibility that the CDC is technology challenged and not able to produce the reports and information that are needed to effectively coordinate a response, you know?

Right. So that’s not, not outside the realm of possibility. It’s also not outside the realm of possibility that this administration would like to control the narrative [00:09:30] and the, and the CDC and the data sources do not allow for that. So here’s the thing, is it a political move probably, but it is most likely not only a political, it is probably also rooted.

In less than timely reporting, missing bad data, poor compliance on gathering the information, you know, it’s, again, it’s likely connected to the CDCs capabilities, the CDCs, modernization of their platforms, their technology, their methods, their practices. [00:10:00] It’s probably rooted in both, you know, am I trying to straddle the line?

probably. But if I’ve learned anything from being in the room where decisions get made, they’re rarely as simple and linear as they get interpreted by the public. So, yes. Is it political? Yes. Is it technology-based probably so the two are probably. Correct. It’s not one or the other. That’s how I’m viewing this.

And at the end of the day, Hey, we’re trying to, I always ask myself on these political topics, if an administration that I was for [00:10:30] made this request, would I be for this? And if the answer is, yes, I don’t care which administration’s in from a technology from a pragmatic standpoint, from a coordinating the response in the local markets and, and even potentially controlling the narrative.

I’m okay with that. You know, if it, if it allows for a more coordinated effort, a better controlled effort, in order to bring about the best outcomes, I can be convinced to go in that direction. So if my [00:11:00] administration, whichever one that is, is in power and they would make this request, how would I respond?

And if I say, yeah, I’d be okay with this. Then if the other administration’s in power, that I may not agree with how they’re going to use the data or whatever. then I just, You know, I have to coach myself to say, you know, this is just a, this is just the way it is. All right. Let’s, let’s move off from this story.

Again. Lot of craziness on Twitter about that one of course there’s always craziness out on Twitter. So, we’ll we’ll just move on from there. [00:11:30] The, next story, early impact of CMS expansion of Medicare. Telehealth during COVID-19. this is a health affairs blog article seam of Verma waves that weighs in, I always really enjoy reading Seema Verma’s, stuff.

And, she had a lot of good things to say about telehealth. As you know, she has been a strong proponent of the expansion of telemedicine, even before. COVID-19 and now, since COVID-19 she has, really [00:12:00] championed the allowances that have made the exception telemedicine possible.

So, let’s go into this article a little bit. Again, it’s And I think if you just search that site under Seema Verma you’ll find this article. It is entitled “Early Impact of CMS Expansion of Medicine Telehealth during COVID-19”. All right. So during the coronavirus pandemic centers, CMS has taken unprecedented action to expand telehealth to Medicare beneficiaries.

Since people were advised to stay at home and reduce the risk of [00:12:30] exposure to COVID-19, there was an urgency to increase access to telehealth. We’ve covered that a lot on the show today, we’re going to share the highlights. and they’re just going to go through it. So telemedicine, which includes telehealth and other virtual services allows patients to visit with clinicians remotely using virtual tech, innovative uses of this kind of technology in the provision of healthcare are increasing with advances in telehealth platforms and remote patient monitoring technology.

Right? So anytime we talk about telehealth, I want people to. continue to expand [00:13:00] your thinking of what telehealth is. It’s not just that initial visit, it’s follow up visits. It’s remote patient monitoring, it’s IOT devices. This thing has a lot of legs and a lot of future. Right. So she goes on to talk about March 13th, 2020, president Trump made an emergency declaration under the Stafford act. With that CMS began issuing waivers to Medicare programs, requirements to support healthcare providers and patients during the pandemic. One of the first actions CMS took under that authority was to expand [00:13:30] Medicare telehealth on March 17th, 2020. All right. So CMS actions to expand telemedicine before COVID-19 law.

Medicare can only pay for most telehealth services in limited circumstances. When the person receiving the services is in a designated rural area. And when they leave their home and go to a clinic hospital, or certain other types of medical facilities for telehealth services. A telehealth service must use an interactive audio and video telecommunication system that permits real [00:14:00] time communication between the distant site practitioner.

Who’s remotely furnishing the service such as a physician, nurse practitioner, or physician assistant, and the patient at a local medical facility. Okay. So the Trump administration recognized the value of telemedicine for patients and healthcare providers long before the pandemic, as part of that CMS, fostering innovative strategies, so forth and so on.

You get the, you know, they are heading in the direction have been in 2019, Medicare started paying for [00:14:30] brief communications or virtual check-ins, which are different from traditional medical, Medicare telehealth visits, as they are brief patient initiated communications with a health care practitioner.

Okay. So they did that and starting in 2020, Medicare separately has paid clinicians for ER visits, which are non-face-to-face patient initiated communications through online patient portal. So they have been pushing this slowly, slowly. They have been pushing this. Okay. So COVID-19 hits CMS efforts to expand [00:15:00] telehealth prior to COVID-19 public health emergency serves as a strong foundation, which is true.

CMS temporarily expanded the types of healthcare providers that can offer telehealth to broaden patient access across the board. Right? So they increased the number of codes that can be used. They increase the number of people that could actually deliver this care.

They have allowances for the locations that can originate these services. Obviously, some of these physicians were not in hospitals, they were in [00:15:30] their homes. So they did an awful lot of things. So, what did we see? We saw an unprecedented increase in telemedicine. Let me give you some numbers before the public health emergency, approximately 13,000 beneficiaries in fee for service Medicare received telemedicine in a week.

And then in the last week of April, nearly 1.7 million beneficiaries receive telehealth services. Let me give you those numbers again. 13,000. 1.7 million. Alright. In total, over 9 million beneficiaries have received [00:16:00] a telehealth service during the public health emergency mid-March through mid June.

Specifically data points presented in this section of the post are from internal CMS analysis of Medicare fee for service claims data through March 17th through June 13th. Okay. according to Medicare fee for service claims data beneficiaries, regardless of whether they live in rural or urban areas are seeking care during the pandemic through telemedicine services in rural areas, 22% of beneficiaries use telehealth services and 30% of [00:16:30] beneficiaries in urban areas did.

So also. All right. So, and that’s the biggest change, right? Urban areas is the biggest change. We already had a fair amount of telehealth, capabilities in ability to pay for it in a remote, rural areas. But now we opened it up in the cities in order to, protect, you know, safety, right. For safety reasons is why we did this.

let’s see, she goes into a little bit more of a break, Dan. I’m not sure I need to go into it. You know 30% are [00:17:00] female beneficiaries. 25% are male beneficiaries. it’s across all age groups, 25 to 34% of beneficiaries have received a telemedicine service. 34% among beneficiaries be below the age of 65, 25 among beneficiaries between the age of 65 to 74, 29% 75 to 84 and 28% older than 85. So that’s an interesting split. She goes into more of the split in terms of demographics, Asians, blacks, Hispanics, whites, 30% [00:17:30] Asians, 34% of blacks, 33% of Hispanics, 35% of whites, a 31% among others. and these are. among duel, doula eligible beneficiaries, there are no significant differences across race or ethnicity of those seeking telemedicine.

Which is really interesting, evaluation and management visits. Anyway, she goes into a lot of detail in this story. It’s probably worth it. If you are in the middle of trying to make the case for telemedicine in your [00:18:00] health system, there’s a lot of data in here. We should be collecting claims data.

We should be collecting internal data. We should be collecting satisfaction data. With our providers. Any kind of data that you can get your hands on, we should be collecting so that we can make the case for this to become permanent. Okay. So looking ahead, telehealth will never replace the gold standard of in-person care. All right. So that needs to be just driven home. I’m sort of doing the, so what as I go through this story that needs to be driven home. [00:18:30] Right. We are not trying to replace in person care. We’re trying to, we’re trying to put in place telemedicine in place, remote patient monitoring and those kinds of things in key places along that care journey, along that care continuum, so that we can provide more efficient, better care, more, more personalized care all throughout the process.

Right? So for only talking to them, One two, three times a [00:19:00] month. now we have more data points. If we have remote patient monitoring, we’re collecting more information. If they’re able to just routinely have a weekly yeah. Video visit of 10 minutes to touch base with a physician to say, or a nurse practitioner, or even the physician, or even a care team as we are going to talk about in some shows coming up, you know, this is an opportunity to really.

Change the model of care to have more of a care team, same approach to caring for the individual, because we can bring more providers, in [00:19:30] contact with each individual patient. Alright. So, however, telehealth serves as an additional access point for patients, she goes on to talk about that the data has shown that telehealth can be an important source of care across the country, not just for those living in the rural areas.

I think we’ve seen that, that it can and will be adopted in urban areas. In fact, I would say if probably going to see a bigger uptake in urban areas, especially now after the pandemic or as the pandemic continues, I should say, not after [00:20:00] the pandemic. so she goes on to say Medicare spending and impact on the healthcare delivery system itself.

First it’s important to assess whether the mode of telehealth service delivery is clinically appropriate. So this, these are some of the things that, that CMS is reviewing right now to see if the temporary changes should be made, the flexibilities should be made permanent. Right? So first they’re going to assess whether the motive telehealth service delivery is clinically appropriate.

Right. So we’re searching out. [00:20:30] Is it appropriate? Is it the best use of funds and resources? Are we actually driving better care through the use of telehealth? They’re also looking for fraud. Obviously the second is we need to assess Medicare payment rates for telehealth services. During the public health emergency Medicare paid the same rate for tele visits, as it would have paid for an in person visit.

Given the unique circumstances outside of the pain dynamic by law, Medicare usually pays. For telehealth services at rates, similar to what professionals are paid in the hospitals  [00:21:00] for similar services, further analysis could be done to determine the levels of resources involved in telehealth visits outside of the public health emergency.

Right. So what they’re looking at doesn’t require they do research to determine how much resources I actually needed to do a telehealth visit. And finally, it is vital that beneficiaries and taxpayer dollars are protected from unscrupulous actors. As more healthcare providers use telehealth to treat beneficiary CMS is examining our data for [00:21:30] many, for many of these angles, right? So they’re looking for fraud as we talked about earlier, you know, there’s that CMS database that’s out on the wall street journal, website. And if you actually go into that, it is just amazing. You look at, you know, you could to the, to the untrained eye, I will, I will, I will caveat this by saying by the untrained eye, it would appear to me that there are some doctors that have figured out how to really work Medicare.

And, where they can really maximize the revenue. I’m [00:22:00] not calling it a fraud, but they’re maximizing their revenue by recommending certain procedures that can be done over and over again and still get paid. And you’re seeing some Medicare only doctors making five, six, seven, eight million a year doing these procedures again, I don’t know if it’s fraud, but to the untrained eye, you look at that and you’re going, that seems, very interesting, to me.

And I think that same data does exist. I think CMS has the ability to really look [00:22:30] closely at that, to determine the best. Place for it to go. So what’s my, so what on a telehealth at this point, I believe this stuff is going to be made permanent. I don’t think there’s anything to worry about. I would be making plans on where you are going to insert telehealth across the board.

How do you, coalesce that, the, the advances that we’ve seen during COVID. How do you find your champions and really keep it moving internally? I would not. I would not worry about the funding for [00:23:00] telehealth. I think it’s going to be there. I think if you wait. To really, bring it all to you. First of all, you’re going to lose the momentum.

The second thing is, you will be behind the eight ball because this is going through, you should assume it’s going through, you should plan for it going through. You should plan for it being funded, maybe not at a hundred percent, but you should plan on it being funded and you should figure out where it’s going to go.

What do you have to do for your platform? What do you have to do for your training? What do you have to do for compensation and other things? All those things should be on the table and the conversation should be [00:23:30] underway. So, those are just, wow. Those are just the first two stories. That’s an awful lot going on.

I’m already at 24 minutes. I’m going to keep going though. Oh, well, let’s do this one. Health Catalyst announced agreement to acquire Health Finch, health catalyst, who, is a sponsor of the show is a, just getting that out there. Let’s pull up that story. So this is, you know, health Finch as a clinical workflow optimization health catalyst, is doing a lot of population health stuff.

[00:24:00] And, so health catalyst has a, I don’t know if it’s called a division or what it’s called, but they have a focus on clinical insights delivered directly within the EHR. And that’s where health ventures is going to come in. come into play. So you take a very powerful, data analytics operating system, and you take the ability to, put those things and actually inform clinical workflow.

I think this is a, the, so what on this is, I think it’s a. Phenomenal acquisition for health catalyst. they need those [00:24:30] capabilities. Anyway, I think it’s strengthened their, their, their approach to the market and only moves them, you know, further down the road in terms of making those insights in analytics actionable.

in the care continuum. So if you’re a health care client, I would hit them up, figure out, you know, what, what health is doing, and where are they that can be integrated into your model? I think it’s a pretty good thing. the final, ONC final rule compliance clock is ticking. I might come back to that [00:25:00] story.

Let’s hit the future of remote work. According to startups. Again, one of my favorite things is you have heard, is these visual capitalist, graphics, infographics that I’ve been getting. I now get the daily infographic and you know, these guys are great. They’re just artists. They take a question and this one happens to be back around the future of remote work, coordinating startups and they talk about, they’re specifically looking at startups. I think some of this is applicable to healthcare providers and those [00:25:30] kinds of things. I’ve seen a couple of these now, which just talks about, you know, essentially how long it takes for people to feel comfortable working from home one to three months, three to six months, 12 months, or never went to one of those options. Right. How many weekdays would you choose to work with remotely? It’s interesting because, well actually, let me give you the previous one. You know, 31% says they can get comfortable working remotely in the first three months the 34%, it gets added in three to six months time frame. So if you work from [00:26:00] home for three to six months, better than 66 weeks, some of those people will start to feel comfortable. Only 1% gets added to that after six to 12 months. All right. So by that point you have 80, some odd percent of your people feeling comfortable working from home, just something to consider. How many weekdays would you choose to work remotely? These are the kinds of questions you should be asking your staff, by the way, as we try to determine what the new normal is, you know, one day is it two days is three days. I don’t think it’s zero days.

I don’t think zero days is going to work, but we’ve got to [00:26:30] explore how much of this work can be done remotely, at least for the foreseeable future. How, and where would you like to work? And, what’s the balance. Let’s see. 81% would like a balance of office and remote. Only 10% want remote full time. Only 10%, want office full time.

Interesting. Right. If you, if you want the perfect bell curve, there it is 10% full time under the office, 10% remote, full time, [00:27:00] 81%, office and remote balance. So I think that’s what we’re going to be looking at post COVID. And we’re going to have some conversations about that in the fall. It’s one of the topics I’ve given to potential guests to have a conversation around, how productive are you with remote work, I think is also pretty interesting.

You know, how productive during COVID-19. 23% say they’re considerably more, 32% say slightly more. 54% of people say they’re more productive. 17% say no change. Only [00:27:30] 22% say slightly less than 5% say considerably less productive. Okay. Which would correspond to the number of people that really want to.

You know, be at home or be out of the office full time. Alright. Work hours during COVID-19. I think this is interesting, 55% say they are working more hours than normal. And that’s the thing that’s hard for us to get our arms around is that, it’s hard. I’ve worked out of my home, actually, most of my career, if I thought about it [00:28:00] and, either on the road or out of my home.

And, it takes a certain amount of discipline to not work. Right because the computers there, your office is there, the mobile phone is there, the, you know, the alerts, you don’t turn them off at five o’clock. They just continue to pop up. it’s really easy to start scheduling meetings earlier in the morning so 55% are struggling with that. Quite frankly, they’re working more hours than normal. again, pretty good graphic, remote work, the good and the bad, You know, they talk about, you know, the worst [00:28:30] part about remote work is less spontaneous connection with your peers. And that’s the thing we have to think through.

As we have people work from home, how do we facilitate those chance meetings, those chance, conversations that lead to new ideas and new thinking, right? The best part, no commute flexibility, more family, a lifetime. What do you miss? Social interactions face to face collaboration. Work-life separation.

Alright, so, hey, this is worth pulling out visual The future of [00:29:00] remote work, according to startups, and all those words have hyphens in between them, but you can hit that. That is worth taking a look at and information blocking to block or not to block as good article. I’m going to come back back to that in the next show.

I hope too. That is a story Dr. Craig Joseph the Chief Medical officer for Nordic and he gives a rundown. It’s a good story. I don’t want to shortchange that. And we’re going to come back to that. [00:29:30] remind me if I don’t send me an email and say, you want me to cover that story. and then, we are going to talk next time we get together.

We’ll talk about the ONC final rule. The compliance clock is ticking. And it is ticking. And I’m going to start covering that in much more detail as we head into the, ahead into the fall. because I think a lot of us have been focused in, on some other things rightfully so. And now we are really starting to get our backs up against the wall in terms of the compliance around information blocking and other things.

And [00:30:00] we have to get our, You know, get our work lined up and get those things ready as that becomes the law of the land. That’s all for this week. Don’t forget to sign up for clips. Send an email, hit the website. We want to make you and your system more productive. Best way we can do that is making the insights easier for you to consume and easier for you to share.

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And you’re getting a lot out of it. Please check [00:31:00] back every Tuesday, Tuesday news day, Wednesday and Friday, as we will continue to, produce shows for you. But remember I’m off next week. I am taking a break. I’ll see if I can find a guest host for the week, but if I don’t, you’re going to have a week to catch up on some of the older shows that we have out there. Thanks for listening. That’s all.

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