Cerner’s CEO Pledges to Eliminate EHR, Population Health and Revenue Cycle ‘Noise’
Five years ago, in his capacity as then President and CEO of Geisinger, Dr. David Feinberg delivered the 4th day of the 2016 Cerner’s Annual Health Conference. On Tuesday, after just a few days as Cerner’s new CEO, Feinberg launched CHC21, which runs until Wednesday.
“In the five years since my last conference at CHC, there have been some incredible medical breakthroughs,” Feinberg said in his virtual opening speech.
“In 2017, gene therapy was used to cure a teenager from sickle cell disease,” he said. “That same year, the FDA approved the smart pills. They alert users if they have already taken their medication. In 2019, Google showed that artificial intelligence can detect lung cancer more accurately than radiologists with eight years of experience. And last year, a COVID -19 vaccine was researched, developed, and deployed almost four years ahead of the normal schedule for a new vaccine. “
But still, Feinberg said, “the noise remains. That’s what we need to bring down to zero.”
To explain what he meant by “noise,” he winked at the late founder of Cerner and his late wife.
“Neal Patterson’s wife Jeannie said something profound when she and Neal were battling cancer together,” Feinberg said.
He explained, “It’s the noise in the health care system that will drag you down,” she said. This noise she calls having to know when your last colonoscopy took place instead of having your doctor handy. reception area, awaiting lab results.
Feinberg added another example: “It’s me – a doctor of medicine, an MBA with decades of experience as a doctor and hospital manager – but I’m not able to understand an explanation of the benefits of my. health care, from my own health care system. That’s all. noise.”
Health IT has enabled many major advancements in recent years, he said, but there is still a lot of work to be done.
“The data to do more great things even faster is the brass ring,” Feinberg said. “But to achieve that vision, repairing the EHR is task number one. The pipes are being laid, which is wonderful, but we have to make it easier to get the right information to the right people at the right time to eliminate that noise.”
For too many patients, “healthcare is still broken: unaffordable, biased – and still largely based on acute care rather than prevention,” he said.
“COVID-19 has shown the world what is wrong: not enough emphasis on public health, prevention and fairness. Social determinants play too big a role in our health care and our mortality. But we in America stay focused on fee-for-service instead of pay-for-value, or incentives that would push us all upstream. “
Feinberg recognized the challenges of responsible care.
“Being aware of complex and changing payment models, staying on the safe side of a very thin margin is a difficult task, even for the best-managed health systems and provider organizations,” he said. “And one thing I’ve heard a lot about is how important it is to Cerner to improve our revenue cycle solution.”
He said the company’s new RevElate technology, unveiled last week, could help simplify billing for patients and providers, making RCM “more integrated and transparent” for Cerner customers.
Feinberg also highlighted the need to focus more on EHR optimization and AI-based automation.
“We have not fully reached our potential,” he said. “Digitized files, for example, must be usable. They need to be measured by how they allow caregivers to spend even more time at the bedside and less time at the terminal. Improving the usability of Cerner solutions is at the top of my list. things to do.”
He highlighted Banner Health’s work with Cerner to improve intake forms and other administrative burdens, “so their nurses can spend more time helping patients and less time documenting. The job is going well. , and we’re on our way to saving 9,000 hours and eliminating 10 million clicks every year. “
And he described what he was looking for as an ideal state for digital recordings.
“The records should help patients avoid unnecessary tests and medications because they are so easy to find and understand. Records should help nurses and doctors avoid mistakes and suggest the best treatments. The records should enable all of you to understand the health of your community. , who is at risk and what interventions work. Records must predict. The records must help the world avoid, or at least minimize, the effects of the next pandemic.
“And all of this only works if we share your files with everyone you tell us to,” he added. “If we use your records to improve your health, it can also improve the health of your communities – and, ultimately, our world. “