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Oracle’s New EHR | Innovaccer State of AI
October 31, 2024
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Together with
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“What matters most is that we don’t work in this sector like 7-year-olds playing soccer… where everybody’s on the ball, and they’re missing the bigger picture.”
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Google AI Senior Research Director Greg Corrado
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This week’s Oracle Health Summit in Nashville was a rodeo of announcements, and by this time next year it sounds like we could see both an entirely new AI-powered EHR and a freshly minted QHIN.
The biggest headline from the event was the unveiling of a next-generation EHR powered by AI, which will allow clinicians to use voice for conversational search and interactions.
- The EHR is being developed from scratch rather than built on the Cerner Millennium architecture, which Oracle itself reported had a “crumbling infrastructure” that wasn’t a proper foundation for its roadmap.
- The new platform will also embed Oracle’s AI agent and data analysis suite across all clinical workflows, while integrating with Oracle Health Command Center to provide better visibility into patient flow and staffing insights.
Not content with just a fancy new EHR, Oracle also announced that it’s pursuing a Qualified Health Information Network designation, making it the latest EHR to jump from CommonWell to the TEFCA bandwagon.
- TEFCA sets technical requirements and exchange policies for clinical information sharing, and Oracle will now undergo robust technology and security testing before receiving its designation.
- Oracle said that its guiding goal is to help streamline information exchange between payors and providers, simplify regulatory compliance, and help accelerate the adoption of VBC.
The news arrives as Oracle recorded its largest net hospital loss on record 2023. The only competitor to gain ground was long-time rival and current QHIN Epic, which welcomed Oracle’s QHIN application with a hilariously backhanded press release.
- “Interoperability is a team sport, and Epic looks forward to Oracle Health getting off the sidelines and joining the game.” Fighting words for a company with information blocking lawsuits piling up.
The Takeaway
Regardless of how these moves play out, Oracle is undoubtedly taking some big shots that are refreshing to see. Only time will tell whether doctors who have spent years clicking through their EHR will be able to make the shift to voice, or if Oracle’s QHIN tech audit will go better than it’s VA roll out.
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- AI During the Great Burnout: Innovaccer’s State of AI Report shed light on the rising number of provider orgs approaching AI “strategically rather than tactically.” The survey of 568 healthcare professionals showed that reducing burnout is the top priority (67%), and that the deciding factor between vendors is cost effectiveness (52%) – beating out both ease of integration (47%) and accuracy (47%). Over 85% of CIOs agreed that point solutions are a short term strategy, and 71% are planning to start with assisted documentation before scaling up with AI that integrates with their existing applications.
- HCA Selects Commure for AI: HCA Healthcare is rolling with Commure as its exclusive ambient AI partner, inking an agreement to jointly develop new solutions to support workflows across the ED, hospitalist operations, and ambulatory care. The partnership arrives a few months after Commure completed its $139M acquisition of ambient documentation company Augmedix, and HCA just so happens to be one of their largest shared customers.
- WellSky Acquires Bonafide: WellSky is expanding its footprint in the home medical equipment space through the acquisition of Bonafide, a workflow management platform that combines order processing, supply chain management, and delivery. Bonafide will complement WellSky’s existing offerings in home infusion / home health, and WellSky’s network of 2,000+ hospitals and 130k providers gives Bonafide’s clients access to one of the largest referral networks in the country.
- Rising MA Charges: The OIG released a scalding investigation into the use of Health Risk Assessments to drive up Medicare Advantage health plan reimbursements. The report found that in-home HRAs and related chart reviews drove $7.5B in risk adjustment compensation during 2023, with UnitedHealth and Humana receiving about $5.5B of that. The OIG raised concerns about the considerable lack of follow-up visits, testing, and supply orders following HRA adjustments, which obviously isn’t a great look for the MA plans it named.
- Providence + Compassus: Providence is pushing deeper into the home care market by launching a joint venture with Compassus – aptly named Providence at Home with Compassus – to offer in-home health, hospice, palliative care, and caregiving services. Compassus will oversee operations for 24 home health locations and 17 palliative care sites across five states, adding Providence to a growing partnership roster that includes similar arrangements with Ascension, Bon Secours Mercy Health, and OhioHealth.
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- Boarding Doubles Cost of Care: Delays from boarding in the ED are reaching crisis proportions, with a new study showing that they’re just as harmful for hospital bottom lines as they are for patients. After comparing the total cost of care for boarding vs. inpatient treatment at a large hospital, researchers found that boarding a patient cost $1,856 per day, nearly double the $993 for those receiving inpatient care. The daily cost of boarding intensive care patients in the ED was $2,267, even higher than $2,165 for those being treated in the ICU.
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- Leidos Locks $1B Extension: The Department of Defense granted Leidos a three-year, $1.13B contract extension for MHS Genesis/Oracle Health integration services with the potential for an additional $263M if a new integrator is selected. The extension follows the previous 10-year MHS Genesis contract Leidos secured in 2015, and includes new provisions for migrating DoD health systems to the cloud.
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