The pMD Blog

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pMD Blog...

where we cover interesting and relevant news, insights, events, and more related to the health care industry and pMD. Most importantly, this blog is a fun, engaging way to learn about developments in an ever-changing field that is heavily influenced by technology.


Image: Thn Rocn Khosit Rath Phachr Sukh /EyeEm via Getty Images

Here's The Latest in Health Care:


•  After a video showing a sea turtle with a straw stuck up its nose went viral, the move to ban plastic straws has swept the nation. While trendy campaigns like #StopSucking have gained considerable traction in an effort to rid the ocean of straws, not everyone is on board. For many people with disabilities, being without plastic straws can be a matter of life or death. Alternatives such as paper or reusable metal straws often pose safety risks to those with disabilities.  Read More

•  According to a new report, health care startups benefited from $10.6 billion in venture capital investments in the first half of 2018. If this pace continues, health care investment will reach a record high this year. The health care sector has already made its way into second place among industries attracting VC investments.  Read More

•  The Justice Department's efforts to combat the epidemic of opioid abuse is expanding to drugmakers. A proposal from the Drug Enforcement Agency may require drugmakers to cut back on the amount of drugs produced in a given year if their opioids are being misused. The hope is to reduce the availability of potentially addictive drugs and for manufacturers to become more aware about how their drug is being used.  Read More

•  Some studies have suggested that spending time in lush forests might reduce stress and blood pressure, improve heart-rate variability, and lower cortisol levels. It has also been shown to improve one's mood. So, next time you're feeling stressed, indulge in a forest bath and take in the smells, sights, and sounds to boost your mood!  Read More

Each Friday, Signor Goat reports the latest from the week in health care. Check back next Friday for your dose of our little medical corner of health care news. Brought to you by pMD, innovators in charge capture, secure messaging, clinical communication, MIPS registry, clinically integrated network, and care navigation software.





Summer is here. While everyone is making vacation plans, I find myself reflecting on my time and history with pMD and how I’ve had such great opportunities to travel, find myself, and grow alongside this company.

When I first started working at pMD, I was an intern finishing up my studies. I’d chosen to intern at pMD because I could tell they were interested in helping me grow into an integral part of the company as opposed to just a summer pastime. My internship was engaging, challenging, and really pushed me to discover many of my strengths and what I had to offer. I was given the opportunity to work on some of the most important projects central to the success of pMD. This materialized into a full-time position and I made such close friendships and relationships with my colleagues which are now akin to family.

When it was time, I had moved on to work at other organizations in different industries and environments. I wore many hats and explored different roles. While these were very rewarding and amazing experiences, I missed the sense of family and personal investment I felt with the organization who first took a chance on me.

I was at a point where I wanted to try something different - living in another country. I was ready to pack my bags and head out with no employment or source of income. I’d stayed connected with my pMD colleagues throughout the years and was able to connect with them before leaving. They were interested in hearing about my story and where I’d planned to take my journey next. More than that, they thought of ways pMD could once again be a part of my journey. I was given another amazing opportunity with this organization, to work alongside pMD remotely from Israel.

Normally, this would be a radical and unrealistic proposition, but given our history and the levels of trust established from working so closely together over the years – we knew we could make it work. As expected, they found a role for me that fit perfectly given my strengths and circumstance. I can say I’ve once again grown a ton in a short period of time, both as a person and an integral part of this company.

This is a testament to working for a truly people-centric organization. I urge anyone starting their career to work with a company invested in you personally. I’ve been fortunate enough to learn and grow here at different points in my life, and I now have the opportunity to mentor the next generation at pMD and hopefully pay it forward.

As we plan our adventures for the season, it’s important to remember our careers can work synergistically with our journeys. Enjoy your summer!

Want to join our team? Learn more from our careers page or contact us at careers@pmd.com.

Find out more about pMD's suite of products, which includes our MIPS registry, charge capture, secure messaging, clinical communication, care navigation, and clinically integrated network software and services, please contact pMD.



Image: Antenna/fStop/Getty Images

Here's The Latest in Health Care:


•  In the summer "trauma season", emergency rooms are scrambling to find alternatives to much needed medications that are out of stock. Patients feel the effects of shortages the most as some must suffer through the pain or risk unusual reactions to the alternative drugs. The drug shortages have become severe enough that the Food and Drug Administration has allowed Pfizer, one of the main drug suppliers, to sell products that would normally have been recalled.  Read More

•  The Centers for Medicare and Medicaid Services recently proposed a rule that would allow home health providers to include the costs of remote patient monitoring in the home health agency's cost report.  In the proposed rule, home health providers will not be directly reimbursed for installation and use of equipment, however, these cost reports will help CMS determine if home health providers are appropriately being paid.  Read More

•  More and more nurse practitioners are turning to voluntary residency programs to help prepare them in dealing with the growing number of patients with complex health issues.  Mentored clinical training is a major part of many of these programs and can also include formal lectures and clinical rotations in other specialties.  Read More

•  The American Hospital Association (AHA), among other organizations, have asked the FDA for standards and support measures surrounding medical devices. The AHA outlined steps hospitals take to improve cybersecurity, however, can be vulnerable to medical devices running on legacy systems. Some additional recommendations from industry organizations: creating a central repository of all device patches and requiring manufacturers to implement secure device configurations with a recognized standard.  Read More

Each Friday, Signor Goat reports the latest from the week in health care. Check back next Friday for your dose of our little medical corner of health care news. Brought to you by pMD, innovators in charge capture, secure messaging, clinical communication, MIPS registry, clinically integrated network, and care navigation software.

Image: Chiara Zarmati

Here's The Latest in Health Care:


•  Water from a canal in the Yuma, Arizona region has been linked to the deadly outbreak of E.Coli that tainted romaine lettuce this spring and killed five. The romaine lettuce had been distributed across the U.S. and sickened over 200 people in 36 states, according the Food and Drug Administration. The outbreak is officially over now.  Read More

•  On Thursday, Amazon announced it is acquiring virtual pharmacy PillPack, a New England-based startup that delivers medications and coordinates refills and renewals. Amazon paid just under $1 billion for the startup, sources say, however the terms of the deal have not yet been released.  Read More

•  The Centers of Medicare and Medicaid Services (CMS) recently proposed a new hospital payment rule that makes information sharing a "Conditions of Participation" (CoP). Many organizations support the proposed plan for the federal government to require data sharing among providers in order to participate in Medicare and include ACOs, insurers, patient advocacy groups, and health IT companies.  Read More

•  While much of modern life seemingly promotes connectivity through technology, it can actually have the opposite effect. Often times, these technologies can foster social isolation and loneliness, leaving many feeling depressed and anxious. The rate of persistent loneliness is not only high in young people but also affects more than a third of adults. What are some ways to combat loneliness in this age of modern technology? Experts urge people to engage in meaningful social connections such as joining programs and groups that pertain to your interests, simply meet a friend for coffee, or do something creative and nurturing to feel more connected and outside oneself.  Read More

Each Friday, Signor Goat reports the latest from the week in health care. Check back next Friday for your dose of our little medical corner of health care news. Brought to you by pMD, innovators in charge capture, secure messaging, clinical communication, MIPS registry, clinically integrated network, and care navigation software.





According to the Harvard Business Review (HBR), the EHR honeymoon is over. The HITECH Act stimulus money is a distant memory, and now physicians and care teams are stuck with “user interfaces out of the mid-1990s” in which “clinical information vital for care decisions is sometimes entombed dozens of clicks beneath the user-facing pages of the patient’s chart.”

Fortunately, the HBR article proposes a solution. Among other changes, EHRs should add a new screen called the patient portrait. Here are a few characteristics of the portrait:

•  includes diagnosis, major clinical risks and trajectory, and specific problems the clinical team must resolve

•  written in plain English and has a discrete character limit

•  updated frequently, such as a change in clinical shifts

•  curated collaboratively

•  enables continuous communication among team members

•  functions as the “wall” on which team members add their own observations of changes in the patient’s condition, actions they have taken, and questions they are trying to address

I’ve seen firsthand how having such a “wall” greatly increases physician satisfaction and improves patient care because pMD has offered this feature since 2001, and physicians adore it. This vision is absolutely on-point in every respect… except for the conclusion that the patient portrait should be part of the EHR!

It’s very logical - after all, the EHR contains all the other information related to the patient’s care and only needing to use one system for everything is very attractive in theory. What could be simpler? But the same HBR article notes that “mashing up all these functions — charting, clinical ordering, billing/compliance, and quality improvement — inside the EHR has been a disaster for the clinical user.” So it’s bold for the same author to suggest that another function, patient hand-off, should be thrown into the mix.

Enough! These antiquated electronic filing cabinets with their mid-1990s user interfaces surely have enough Frankenstein bolt-ons already. How is it that we’ve reached the logical conclusion of trying to serve every user and every scenario with the same monolithic system: vital clinical information “entombed dozens of clicks beneath the user-facing pages of the patient’s chart” and “tens of thousands of scribes” hired to follow physicians around?

You would never expect a single app on your phone to meet every single need in your life. So don’t try to fix the EHR by adding yet another new function to what is already a catastrophic mess. Don’t try to make the electronic filing cabinet into something it was never designed to be. Instead, look to a company like pMD whose user-friendly, mobile rounding and patient hand-off app has served this function for almost two decades and works with every major EHR. But you don’t have to take our word for it. Our customers know exactly what problem we’re solving and have a lot to say about it on our reviews page. Here’s just a sampling of over 800 of our customer testimonials:

"Sign-out has been almost eliminated. Rather than calling my partners and having to deal with missed calls, and missed call backs, we can leave notes about patients - available immediately, right from the phone."
-Dr. Pierce Dotherow, Mississippi

"I think the census is visually appealing compared to others I have used and the clinical note works very well with Siri as a sign-out tool."
-Dr. Haneen Aibak, Washington

"We use pMD for our written sign-out and to share comments on patients. This is a very helpful feature."
-Dr. Shirley Jankelevich, Florida

"Having my list of patients in my hand helps me keep track of the 20 - 30 patients I see on a daily basis. [...] My colleagues sign out patients in pMD, so being on call is much smoother and it saves me a lot of time."
-Dr. Saud Butt, Ohio

"pMD saves us, on average, 2-3 hours a week just on sign-offs. We used to hand off by phone and it would take at least 1.5 hours with each physician."
-Dr. Nilesh Patel, Tennessee




 If you'd like to find out more about pMD's suite of products, which includes our MIPS registry, charge capture, secure messaging, clinical communication, care navigation, and clinically integrated network software and services, please contact pMD.



ImageCreditZephyr/Science Source

Here's The Latest in Health Care:


•  The Department of Veterans Affairs (VA) still continues to experience staffing shortages and faces challenges in recruiting and retaining clinicians. Some of the more common reasons include not having enough qualified applicants, high turnover, and non-competitive salaries relative to the private sector.  Read More

•  With the future of medical devices already trending toward the expansion of the internet of things, manufacturers and hospitals are ramping up in security, clinical integrations, and data management automation, all for the improvement of the patient experience.  Read More

•  Researchers have found that children who are held in migrant detention facilities may experience increased, long-term health care needs. The stress of being separated from a parent can play a big role in lasting physical harm to children, leading to reduced immune system functioning, increased heart disease, diabetes or other long-term, chronic health issues.  Read More

•  New research offers compelling evidence that two types of herpes virus might be involved in how Alzheimer's develops and progresses. These types of herpes usually infect most people as infants and lie dormant for years. Scientists believe they play a significant role in driving the immune system in Alzheimer's, which could pave the way to new treatments and ways of screening for the disease.  Read More

Each Friday, Signor Goat reports the latest from the week in health care. Check back next Friday for your dose of our little medical corner of health care news. Brought to you by pMD, innovators in charge capture, secure messaging, clinical communication, MIPS registry, clinically integrated network, and care navigation software.





pMD’s products put the patient at the center of everything we do. When we pair innovative products with the creative, consultative approach we take for every customer inquiry and then in turn see the value to our patients, it is truly a remarkable feeling. One example below may best illustrate the impact that a pMD solution can have when care teams have a common platform to collaborate around patient care.  

A group of surgical residents caring for patients across various clinical teams needed a way to capture shared rounding notes on patients. In addition, they wanted to be able to communicate between teams using a secure messaging solution to share patient details, update care plans, and send pre- and post-operative photos.

Few technology solutions are available today to support patient care for residents. Many organizations currently use paper rounding notes that can be lost in the rush of the day, shared spreadsheets where only one resident can access the data at a time, or non-secure file-sharing programs. None of these options truly meet the residents’ needs. Since clunky workflows that are currently in place still get the job done, these old methods have continued into 2018.  

Resident groups tell us that better communication can improve patient outcomes. Residents using pMD Clinical Communication™ can send messages about patients and update each other on care plans. They have the ability to securely send images to a chief or attending physician for a second opinion. Additionally, patient data can be recorded at bedside right from their mobile phone and can include updating medications, allergies, code status, and care plans. These are all kept up-to-date, in real-time, and stored on a shared patient list visible to the whole group.

HIPAA-compliant, health care messaging that’s easy to use paired with pMD’s customizable platform for mobile data capture is exactly what these residents and administrators were looking for to bring their workflow into the twenty-first century.  

We know that each practice or group faces a unique set of challenges. That’s why we approach every opportunity as unique, invest time upfront to understand workflows that support patient care, and build solutions that account for those challenges. This is also why we here at pMD work closely with existing customers to implement new products and product features as those challenges evolve.

At pMD, we are customizing solutions to help teams deliver better patient care. To explore these solutions for your group or for more information on how pMD can support your unique practice or patient population, don’t hesitate to contact us.




 If you'd like to find out more about pMD's suite of products, which includes our MIPS registry, charge capture, secure messaging, clinical communication, care navigation, and clinically integrated network software and services, please contact pMD.



Image: Dorling Kindersley/Getty Images/Dorling Kindersley

Here's The Latest in Health Care:


•  In a recent clinical trial by the Food and Drug Administration, it has been found that complications with Lasik are not uncommon. Nearly half of all people with healthy eyes prior to undergoing Lasik developed visual aberrations after the procedure. Yet many ophthalmologists insist that Lasik is the safest procedure done on the eye.  Read More

•  New payment models and health care reform call for better care coordination but true coordination has its challenges. Team-based care is most effective when the entire care team along with the patient are all on the same page. That's where mobile devices and remote monitoring play a key role in end-to-end care. By automating workflows, care teams can improve care coordination and in turn, patient care.  Read More

•  In a recent international study, there is strong evidence that vitamin D may protect against colorectal cancer and that risk of cancer increases if there is a deficiency.  Vitamin D can be obtained from foods such as egg yolks, salmon, trout, swordfish, tuna, sardines, and fortified foods such as cow's milk, soy and almond milks, some cereals, and some orange juices.  Read More

•  The Centers for Disease Control Prevention recently released a report that found that the U.S. suicide rate has risen in almost every state since 1999 and for about half the states by 30% or more.  This report comes in the wake of the shocking suicides of two high-profile celebrities, renowned Chef, Anthony Bourdain, and fashion designer, Kate Spade.  Read More

Each Friday, Signor Goat reports the latest from the week in health care. Check back next Friday for your dose of our little medical corner of health care news. Brought to you by pMD, innovators in charge capture, secure messaging, clinical communication, MIPS registry, clinically integrated network, and care navigation software.





New research has found that Electronic Health Records don’t reduce the administrative costs of medical billing. In a large academic health care system with a certified EHR, “costs for processing a single bill ranged from $20 for a primary care visit to $215 for an inpatient surgical procedure, or up to 25 percent of revenue.” That’s a staggering drain on the bottom line.

Worse yet, the researchers did not find any obvious process issues within the institution’s central billing office that could be streamlined. They said that “the high costs were not caused by wasteful, inefficient processes, duplicate or redundant tasks, or the inappropriate use of high-wage personnel to perform low-skilled tasks.” So what gives?

One factor to consider is the quality and the timeliness of the information that reaches the central billing office. If the institution is relying on EHR software to capture billing information as part of the patient’s progress note or op report, then it may take days or weeks for the physician to finalize and sign that note. Additionally, it may be missing information that is needed for billing. For example, it may have the patient’s complete problem list, but a coder may be required to determine which specific ICD-10 diagnoses this physician was addressing during their visit on this date of service. Charge entry lag and requiring coders to look at every charge would both contribute to billing overhead that can’t be streamlined away on the back end. In other words: garbage in, garbage out.

This is where mobile charge capture software is like delicious revenue peanut butter that complements the EHR’s clinical chocolate. It can get complete and accurate billing information to the central billing office in less than a day, regardless of how long the EHR progress note takes to complete. And that charge already has just the ICD-10 and charge codes that are specific to the physician’s specialty and to the date of service. The charge even acts as a “ticket” to find missing notes and thus lost revenue.

Desktop EHRs were never meant to be mobile charge capture systems, and they don’t reduce the cost of billing for medical services. And it’s expensive to try to patch up and work around issues with charge lag and coding, especially when those originate on the front end, with getting accurately and timely information to the central billing office. Fortunately, pMD Charge Capture and MIPS Registry solves this problem at its origin and results in a much faster and less expensive billing process.

 If you'd like to find out more about pMD's suite of products, which includes our MIPS registry, charge capture, secure messaging, clinical communication, care navigation, and clinically integrated network software and services, please contact pMD.



Image: Healthcare IT News

Here's The Latest in Health Care:


•  An inexpensive blood test developed by scientists will be able to predict a pregnant woman's due date and the possibility of a preterm death. Premature birth is the leading cause of newborn death in the U.S. The test detects changes in RNA circulating in a pregnant woman's blood. If the test works, it could prevent deaths of babies born prematurely.  Read More

•  On Tuesday, the U.S. Food and Drug Administration recalled over 5,000 HeartWare 3 Left Ventricular Assist Devices due to causing low blood flow or clotting, leading to the possibility of serious injury or death. The medical device is manufactured by pharmaceutical company, Abbott.  Read More

•  A recent study published on Sunday finds that many women diagnosed with early-stage invasive breast cancer could safely forgo chemotherapy, making the decision on whether or not to go through with chemo easier.  Read More

•  In a recent report from the Agency for Healthcare Research and Quality (AHRQ), hospital-acquired conditions have decreased between 2014 and 2016, saving over 8,000 lives and $2.9 billion. A safety-focused culture is important in continuing this trend for future years.  Read More

Each Friday, Signor Goat reports the latest from the week in health care. Check back next Friday for your dose of our little medical corner of health care news. Brought to you by pMD, innovators in charge capture, secure messaging, clinical communication, MIPS registry, clinically integrated network, and care navigation software.