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Both studies found positives in the 35% to 40% range, higher in certain phenotypes (neuromuscular and skeletal dysplasia) universal viagra cost per pill additional information for counselling and results which often changed treatment. See pages 1, 31 and 38Global child healthSnakebite. ManagementJay Halbert and Jacqueline Le Geyt continue their brilliant series on snakebite, this instalment reviewing management. Never has primum viagra cost per pill non nocere been more germane, much harm being (unwittingly) caused by traditional ‘cures’. Primary treatment is generic to all species and includes.

Non-weight bearing and simple analgesia. Immobilisation of the bitten part of the body so viagra cost per pill it lies below the level of the heart. Referral to a medical facility with attention to the airway, oxygenation and prevention of aspiration and gaining intravenous access in an unaffected limb. Harmful practices such as incision, suction devices, snake stones, cryotherapy and tourniquets are now known to be high risk. Tourniquets can increase viagra cost per pill local tissue destruction and cause gangrene.

Pressure immobilisation bandages are useful in bites by elapids (neurotoxic snakes that do not cause local swelling) to reduce lymphatic flow but can cause harm in viperid bites and are therefore not recommended by WHO in most snake bites. If the snake type has been identified (not always possible—photos can help) then anti-venom specific to the family of the biting snake can be added. This treatment is specific viagra cost per pill to the type of bite, the coagulopathy of the Viperidae or the neurotoxicity of the Elapidae families. See page 14Epinephrine auto-injectors. Gentle or jabbing?.

There are viagra cost per pill two schools of thought as to the optimum way of administering emergency epinephrine with an auto-injector for anaphylaxis. The gentler place and press method and (possibly faster) method of swing and jab. Confusingly, different devices recommend one or the other, while some (eg, Epipen) recommend both depending on geographical region. Louise Pike and David viagra cost per pill Tuthill assess whether there are other gains from the use of one method over the other, using the length of (paintball drawn) laceration from needle-free practice pen tests as a marker for trauma and pain in a group of Welsh primary school children. The place and press technique ‘incurred’ far less of a mark, suggesting less real-life risk of a laceration and a more pleasant experience (if that’s an appropriate term given the use to treat anaphylaxis).

For sheer pragmatism and ingenuity, this is my editor’s choice for the month. See page 54Non alcoholic fatty liver diseaseIn a compelling review of non alcoholic fatty liver disease (NAFLD), precursor to NASH, steatosis, Meera Shaunak explores the viagra cost per pill pathophysiology and potential interventions. The folkloric perception of the obesity equation has now been debunked. It is one part of the equation, but dietary composition (UFAs, disaccharides) and chronic hypoxia and ethnicity all contribute. Intervention is extremely difficult, the usual arsenal of metabolic-modifying drugs (metformin, losartan, anti-oxidants), so far in the ‘tantalisingly promising’ viagra cost per pill rather than clearcut delivering phase.

See page 3Thyroid anatomical phenotypesThough thyroid imaging after a diagnosis of congenital hypothyroidism (CH) is deemed ‘desirable’, the use of scintigraphy (a much more sensitive tool for detection of variants in position) has yet to become embedded in the routine work up, partly as many are yet to be convinced that it changes management. Chris Worth’s analysis of a 10 year (2007–2017) study of neonatal CH/ TSH screen positive babies might change this view. In their series, scintigraphy was routine and more babies with gland in situ (GIS) and gland ectopia viagra cost per pill and fewer a/dysplastic glands than expected found. Those with GIS had lower median TSH and higher LT4 than their counterparts and a high chance of the hypothyroidism being transient (off treatment by 3 years of age) and it feels as if scintigraphy has untapped potential as a prognostic tool. See page 77Cycle of deprivation and abuseThough the use of electronic records is ubiquitous, there is still much untapped potential.

Identifying households at high risk of viagra cost per pill intimate partner violence and child maltreatment from ‘precursor’ warning presentations is one example of their promise. Shabeer Syed and colleagues’ systematic review of test validation studies eruditely pools the positive predictive values for a range of warning diagnoses (fractures, abstinence syndrome in children for example) and later ascertainment/corroboration. With the (unsurprising) rider of publication bias, markers had between 50% and 90% PPV, the only low outlier being fetal alcohol syndrome, a notoriously difficult diagnosis even when directly reported. Somehow (through data set linkage) these flags need to be translated to viagra cost per pill warning systems. If not, we will have missed a major opportunity.See page 44Two recent studies in Asia illustrate the potential of next generation sequencing (NGS) and the value of large-scale studies in Asian cohorts to represent variation in the reference genome.

The UK itself has a diverse population and acknowledging the genetic variation that exists within differing ethnic groups is important to deliver a high-quality genomic service for all. The paper from Wei et al1 demonstrates that an understanding of viagra cost per pill what each NGS test provides allowed for the use of a large exome gene panel rather than whole exome sequencing (WES). This still increased the diagnostic yield to almost 40% in Mendelian disorders. Bhatia et al2 further showed that using whole exome and whole genome sequencing (WGS) led to a diagnostic yield of 38% and 33%, respectively, in their Asian cohort. Particularly in children with neuromuscular and viagra cost per pill skeletal dysplasia phenotypes, performing a ‘trio exome’ also contributed to a higher diagnostic yield.

Bhatia et al additionally demonstrate that 61% of the variants found in their multiethnic Asian population were novel. This information is crucial to help collate accurate reference data sets, which tend to have a European bias, with Asian ancestry represented by 14% of samples.3The human genome was first sequenced in 2003 and helped to unravel the complexities behind disease-causing alterations in our DNA. Although genetic testing has evolved a great deal since then, the original and ‘first generation’ method used to sequence the genome was ‘Sanger sequencing’.Named after Fred Sanger who developed this in 1975, Sanger sequencing involves using DNA as a template to generate a set of fragments that differ in length.

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Tests are provided through a federal, provincial or territorial erectile dysfunction treatment testing initiative Information is provided to participants of these initiatives about the limitations and sensitivity of the erectile dysfunction treatment test when used off-label, as well as information on nucleic-acid based testing being the gold standard for diagnosing erectile dysfunction treatment Administration of the tests follows provincial or territorial guidance (may vary by province/territory) For the Federal Worksite Testing Program, testing is administered regularly to employees in accordance with the interim guidance on the use of rapid antigen detection tests for identifying erectile dysfunction Additionally, Health Canada will also not prioritize the enforcement of the requirement for participating establishments (such as pharmacies, Chambers of Commerce, and organizations) to hold a Medical Device Establishment Licence, where applicable, when they are distributing erectile dysfunction treatment tests under the terms and conditions of a federal, provincial or territorial erectile dysfunction treatment testing initiative. However, as a risk mitigating measure, Health Canada wishes to maintain oversight on the distribution chain of these products in Canada by. requesting that federal, provincial and territorial viagra cost per pill initiatives maintain lists of their respective participating establishments. And requesting that participating establishments maintain distribution records, develop processes to respond to complaints, and develop processes to conduct recalls where a health and safety risk is identified.

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Waring IV, an ophthalmologist and the medical director of the Waring Vision Institute in Mt. Pleasant, S.C., who led Vuity’s clinical trials for the pharmaceutical company Allergan. Typically, eye doctors recommend that people with presbyopia wear over-the-counter or prescription reading glasses when they need to see up close, but Vuity may also be an option for them, he said.Vuity improves near vision by constricting the size of the pupil.

€œIt makes the pupil small, creating what we call a pinhole effect,” that way reducing the amount of peripheral light that passes through the eye that can make it hard to focus, said Dr. Stephen Orlin, an ophthalmologist at the University of Pennsylvania Perelman School of Medicine.Vuity’s active ingredient is a drug called pilocarpine, and it is not a new medication. It’s actually “one of the oldest drops that we have in ophthalmology,” Dr.

Orlin said. It has been used for decades to treat glaucoma, a condition characterized by damage to the optic nerve. Although Vuity is the first product of its kind to treat presbyopia, at least nine similar eye drop products are in clinical development to treat presbyopia and may be available in the future, Dr.

Waring said.Dr. Waring and his colleagues presented the results of their Phase 3 clinical trials, which have not yet been published in a peer-reviewed journal, at the 2021 annual meeting of the American Society of Cataract and Refractive Surgery in July. A single Vuity drop in each eye improved trial subjects’ close-range vision for six hours and improved their intermediate vision — important for computer work — for 10 hours.Vuity’s benefit over reading glasses is that it does not impair distance vision like reading glasses do.

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MacRae also noted that Vuity will work best for people who have only mild to moderate presbyopia, which probably means people between the ages of 45 and 55. Older individuals with more serious presbyopia may find that the eye drops do not improve their near vision enough to make a difference.Vuity does not correct regular nearsightedness, farsightedness or astigmatism — it improves only the age-related deficits in close-range vision. So people with other eye errors will want to continue wearing glasses or contact lenses even if they also use Vuity, Dr.

MacRae noted.And the drops are not meant to replace reading glasses entirely, Dr. Waring said. People with presbyopia will probably want to own reading glasses, too, but Vuity may reduce the amount of time they need to wear them.“For some people, it’s going to work great,” Dr.

MacRae said.Vuity is not typically covered by health or vision insurance, and Dr. Waring said it might cost around $80 per 30-day supply.Although the clinical trials did not report any serious side effects, 14.9 percent of subjects who took Vuity reported mild headaches, compared with 7 percent of subjects who took placebo drops. Up to 5 percent of subjects taking Vuity reported other side effects such as eye redness, blurred vision, eye pain, visual impairment, eye irritation and an increased production of tears.Because the eye drops reduce pupil size, they also make it harder to see in the dark, so they are not recommended for people who drive at night or need to see well in low light for other reasons, Dr.

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The U.S paul thorn viagra. Food and Drug Administration released a new best practices document this week to help healthcare actors paul thorn viagra and government agencies design a communication approach regarding cybersecurity vulnerabilities. The agency's Center for Devices and Radiological Health notes that the document is not a guidance and doesn't create any regulatory expectations. Instead, authors "hope that this document may be a useful resource for industry stakeholders and federal partners."WHY IT MATTERS As the document notes, the increased use of connected medical devices in the country has, in turn, led to an increase in cybersecurity vulnerabilities.During past meetings, patient advisors raised paul thorn viagra the importance of clear, actionable communication about such vulnerabilities in order to promote public health and mitigate potential harms.With that in mind, when developing a cybersecurity communication strategy, the FDA advises stakeholders and federal partners to consider the following elements. Interpretability.

Make it easy for people to read paul thorn viagra and understand by keeping it relevant, simple, timely and readable.Risks and benefits. Create a balanced discussion – especially if the device is lifesaving – to facilitate decision-making.Acknowledgement and explanation of the unknown.Availability and findability of information, including in online searches and on mobile devices.Structure of the communication material. Put clear, succinct messages at paul thorn viagra the top and provide visual cues.Outreach and distribution vehicles. Have a plan for reaching target audience members.Just this week, Medtronic issued an "urgent" device recall for its MiniMed remote controller, for optional use with certain insulin pumps. The company said the controller could be paul thorn viagra susceptible to a cybersecurity risk and that such risks "outweigh the benefits of its continued use."THE LARGER TRENDDr.

Suzanne Schwartz, director of the Office of Strategic Partnerships and Technology paul thorn viagra Innovation at the FDA, told Healthcare IT News this summer that it will take collective action to address medical device vulnerabilities. Schwartz said this week's white paper was created with the patient community in mind. "That particular framework we scoped specifically to patients who live with medical devices, are dependent for their lives or for their health on medical devices … so that they know even what kinds of questions or things they paul thorn viagra should be bringing to their clinicians," she said. "And it also serves for the very same reason in helping clinicians providers understand exactly what kind of language might [they] think about as [they] communicate to a patient about their device." ON THE RECORD "Communicating about medical device safety is an important part of the FDA’s work to ensure patient safety and the overall safety and effectiveness of medical devices," said agency officials in the new document."As the use of connected medical devices increases and cybersecurity threats to the healthcare sector have become more frequent, it is increasingly important for the FDA, industry, and other messengers to consider ways to improve on cybersecurity safety communications." Kat Jercich is senior editor of Healthcare IT News.Twitter. @kjercichEmail.

Kjercich@himss.orgHealthcare IT News is a HIMSS Media publication.The Department of Veterans Affairs has partnered with the Institute for Defense Analyses to provide an analysis and full cost estimate of the agency's beleaguered electronic health record modernization program. During a House Committee on Veterans' Affairs hearing Thursday, VA Office of Information and Technology Acting Principal Deputy Assistant Secretary Paul Brubaker said he estimated the effort will take 12 months to complete once it's launched later this month. The contract, he said, is aimed at ensuring that "once and for all, we capture all of these end-to-end costs and can present them to the committee as requested." WHY IT MATTERS Brubaker said the agency supported HR 4591, or the VA Electronic Health Record Transparency Act, with some important caveats. That bipartisan bill would require the VA to submit a report on EHR modernization costs every 90 days. "Depending on when this legislation is passed, the initial 90-day reporting time line may not allow sufficient time to complete EHRM's independent cost estimate that we're kicking off later this month," he said.Following watchdog reports that the VA was not capturing all of the costs of the EHRM program, Brubaker said it became necessary to "understand the end-to-end costs.""When that first cost estimate was scoped, it wasn't scoped adequately," he said.

As with previous hearings, legislators raised concerns about the speed of the program and its total price tag. "I find it concerning that three years into a $16 billion program, VA is unable to account for actual expenses related to the project," said Rep. Frank Mrvan, D-Ind. Mrvan chairs the subcommittee on technology modernization. Brubaker also voiced his thoughts during the hearing on the Veterans' Cyber Risk Awareness Act, a Republican-led effort to educate veterans about the dangers of Internet-related disinformation, identity theft, scams and fraud.

"While we support the intent of the legislation, the VA is not currently positioned to deliver effective security awareness marketing to all veterans," said Brubaker."More importantly, other federal agencies have specific mission taskings related to cybersecurity information ... Awareness and prevention," he said, pointing to the work done by the Cybersecurity and Infrastructure Security Agency. Meanwhile, news reports emerged this week that the data analytics company Palantir has obtained its first major contract with the VA.FedScoop's Jackson Barnett reported that the $90 million deal will give the VA new tools to integrate information from across its systems into its Common Operating Platform. The tech may also process data on the EHR modernization program. THE LARGER TREND The VA's EHR modernization initiative has struggled since before its rollout at the Mann-Grandstaff VA Medical Center in Spokane, Washington, in October 2020.After numerous delays (some erectile dysfunction treatment related), the rollout was met with complaints from staff and concerns about patient safety.

The VA undertook a strategic review, then announced it would pause the project through the end of 2021 as it worked through the findings. Still, it has signaled its willingness to keep pushing things along. In September, it allocated $134 million to Cerner to continue deployment at future sites."We continue to take contract actions as needed to set the right conditions to move forward efficiently once we make specific and readiness-based decisions on future ‘go live’ dates," a spokesperson told Healthcare IT News at the time. ON THE RECORD"We have to make sure that we have a very defensible cost-attribution model, and IDA is charged with coming up with that," said Brubaker. Kat Jercich is senior editor of Healthcare IT News.Twitter.

@kjercichEmail. Kjercich@himss.orgHealthcare IT News is a HIMSS Media publication.Cerner this week announced the laundCerner RevElate, an accounting tool it says will boost the capabilities of its existing revenue cycle management offeringsWHY IT MATTERSThe new RevElate technology is designed to reduce complexity for provider customers, the company says, enabling easier management of data and workflows for health systems and streamlining clinical, billing and payer workflows.As hospital mergers and acquisitions continue apace, the aim is to offer customers more flexibility to integrate data from disparate sources, including newly acquired and integrated organizations that may use other IT, the company says."It is expected to preserve and advance the clinically driven capabilities of Cerner Millennium while adding scalable, enterprise capabilities of Soarian Patient Accounting software," according to Cerner, which says RevElate comes after heavy R&D investment and was developed after a "purposeful review of the company's technology architecture and product portfolio" by Jerome Labat, the company's chief technology officer."Cerner has been a pioneer in the initial wave of healthcare technology and has spent decades leading the way toward a more connected and efficient revenue cycle," said Labat in a statement."As the industry continues to undergo a digital and data transformation, Cerner has also been evolving to best support healthcare organizations' needs. We are proud we will be able to deliver an outcome of a very comprehensive and deliberate review of our technology architecture and product portfolio that is intended to deliver maximum value to health systems."THE LARGER TRENDCerner says the plan is to "uplift" its clients' existing patient accounting technology to the RevElate system in phases, and says it will work to prepare clients while creating a customized resource and implementation timeline.It quotes one of those clients, Tampa, Florida-based BayCare Health System, which currently uses its Soarian Financials technology but plans to transition to RevElate by next year."Efficiently managing our enterprise revenue cycle process is paramount to the vitality of our organization," said Lynda Gorken, vice president, patient financial services at BayCare Health System. "As a longtime client of Cerner's, we are excited to bring the expected benefits of Cerner RevElate Patient Accounting to our patients and staff."ON THE RECORD"Cerner has been working closely with clients to gather feedback and insights on how our software can drive better results and improve financial strength, especially as they are under tremendous pressure to be, and remain, profitable," said Brenna Quinn, Cerner's senior vice president, enterprise market solutions. "A focus of Cerner's development journey is to simplify and automate revenue cycle through interoperability and improved usability both inside and outside of the suite of Cerner products we offer." Twitter.

@MikeMiliardHITNEmail the writer. Mike.miliard@himssmedia.comHealthcare IT News is a HIMSS publication..

The U.S viagra cost per pill. Food and Drug Administration released a new best practices document this viagra cost per pill week to help healthcare actors and government agencies design a communication approach regarding cybersecurity vulnerabilities. The agency's Center for Devices and Radiological Health notes that the document is not a guidance and doesn't create any regulatory expectations. Instead, authors "hope that this document may viagra cost per pill be a useful resource for industry stakeholders and federal partners."WHY IT MATTERS As the document notes, the increased use of connected medical devices in the country has, in turn, led to an increase in cybersecurity vulnerabilities.During past meetings, patient advisors raised the importance of clear, actionable communication about such vulnerabilities in order to promote public health and mitigate potential harms.With that in mind, when developing a cybersecurity communication strategy, the FDA advises stakeholders and federal partners to consider the following elements.

Interpretability. Make it viagra cost per pill easy for people to read and understand by keeping it relevant, simple, timely and readable.Risks and benefits. Create a balanced discussion – especially if the device is lifesaving – to facilitate decision-making.Acknowledgement and explanation of the unknown.Availability and findability of information, including in online searches and on mobile devices.Structure of the communication material. Put clear, succinct messages at the top and provide visual cues.Outreach viagra cost per pill and distribution vehicles.

Have a plan for reaching target audience members.Just this week, Medtronic issued an "urgent" device recall for its MiniMed remote controller, for optional use with certain insulin pumps. The company said viagra cost per pill the controller could be susceptible to a cybersecurity risk and that such risks "outweigh the benefits of its continued use."THE LARGER TRENDDr. Suzanne Schwartz, director of viagra cost per pill the Office of Strategic Partnerships and Technology Innovation at the FDA, told Healthcare IT News this summer that it will take collective action to address medical device vulnerabilities. Schwartz said this week's white paper was created with the patient community in mind.

"That particular framework we scoped specifically to patients who live with medical devices, are dependent for their lives or for their viagra cost per pill health on medical devices … so that they know even what kinds of questions or things they should be bringing to their clinicians," she said. "And it also serves for the very same reason in helping clinicians providers understand exactly what kind of language might [they] think about as [they] communicate to a patient about their device." ON THE RECORD "Communicating about medical device safety is an important part of the FDA’s work to ensure patient safety and the overall safety and effectiveness of medical devices," said agency officials in the new document."As the use of connected medical devices increases and cybersecurity threats to the healthcare sector have become more frequent, it is increasingly important for the FDA, industry, and other messengers to consider ways to improve on cybersecurity safety communications." Kat Jercich is senior editor of Healthcare IT News.Twitter. @kjercichEmail. Kjercich@himss.orgHealthcare IT News is a HIMSS Media publication.The Department of Veterans Affairs has partnered with the Institute for Defense Analyses to provide an analysis and full cost estimate of the agency's beleaguered electronic health record modernization program.

During a House Committee on Veterans' Affairs hearing Thursday, VA Office of Information and Technology Acting Principal Deputy Assistant Secretary Paul Brubaker said he estimated the effort will take 12 months to complete once it's launched later this month. The contract, he said, is aimed at ensuring that "once and for all, we capture all of these end-to-end costs and can present them to the committee as requested." WHY IT MATTERS Brubaker said the agency supported HR 4591, or the VA Electronic Health Record Transparency Act, with some important caveats. That bipartisan bill would require the VA to submit a report on EHR modernization costs every 90 days. "Depending on when this legislation is passed, the initial 90-day reporting time line may not allow sufficient time to complete EHRM's independent cost estimate that we're kicking off later this month," he said.Following watchdog reports that the VA was not capturing all of the costs of the EHRM program, Brubaker said it became necessary to "understand the end-to-end costs.""When that first cost estimate was scoped, it wasn't scoped adequately," he said.

As with previous hearings, legislators raised concerns about the speed of the program and its total price tag. "I find it concerning that three years into a $16 billion program, VA is unable to account for actual expenses related to the project," said Rep. Frank Mrvan, D-Ind. Mrvan chairs the subcommittee on technology modernization.

Brubaker also voiced his thoughts during the hearing on the Veterans' Cyber Risk Awareness Act, a Republican-led effort to educate veterans about the dangers of Internet-related disinformation, identity theft, scams and fraud. "While we support the intent of the legislation, the VA is not currently positioned to deliver effective security awareness marketing to all veterans," said Brubaker."More importantly, other federal agencies have specific mission taskings related to cybersecurity information ... Awareness and prevention," he said, pointing to the work done by the Cybersecurity and Infrastructure Security Agency. Meanwhile, news reports emerged this week that the data analytics company Palantir has obtained its first major contract with the VA.FedScoop's Jackson Barnett reported that the $90 million deal will give the VA new tools to integrate information from across its systems into its Common Operating Platform.

The tech may also process data on the EHR modernization program. THE LARGER TREND The VA's EHR modernization initiative has struggled since before its rollout at the Mann-Grandstaff VA Medical Center in Spokane, Washington, in October 2020.After numerous delays (some erectile dysfunction treatment related), the rollout was met with complaints from staff and concerns about patient safety. The VA undertook a strategic review, then announced it would pause the project through the end of 2021 as it worked through the findings. Still, it has signaled its willingness to keep pushing things along.

In September, it allocated $134 million to Cerner to continue deployment at future sites."We continue to take contract actions as needed to set the right conditions to move forward efficiently once we make specific and readiness-based decisions on future ‘go live’ dates," a spokesperson told Healthcare IT News at the time. ON THE RECORD"We have to make sure that we have a very defensible cost-attribution model, and IDA is charged with coming up with that," said Brubaker. Kat Jercich is senior editor of Healthcare IT News.Twitter. @kjercichEmail.

Kjercich@himss.orgHealthcare IT News is a HIMSS Media publication.Cerner this week announced the laundCerner RevElate, an accounting tool it says will boost the capabilities of its existing revenue cycle management offeringsWHY IT MATTERSThe new RevElate technology is designed to reduce complexity for provider customers, the company says, enabling easier management of data and workflows for health systems and streamlining clinical, billing and payer workflows.As hospital mergers and acquisitions continue apace, the aim is to offer customers more flexibility to integrate data from disparate sources, including newly acquired and integrated organizations that may use other IT, the company says."It is expected to preserve and advance the clinically driven capabilities of Cerner Millennium while adding scalable, enterprise capabilities of Soarian Patient Accounting software," according to Cerner, which says RevElate comes after heavy R&D investment and was developed after a "purposeful review of the company's technology architecture and product portfolio" by Jerome Labat, the company's chief technology officer."Cerner has been a pioneer in the initial wave of healthcare technology and has spent decades leading the way toward a more connected and efficient revenue cycle," said Labat in a statement."As the industry continues to undergo a digital and data transformation, Cerner has also been evolving to best support healthcare organizations' needs. We are proud we will be able to deliver an outcome of a very comprehensive and deliberate review of our technology architecture and product portfolio that is intended to deliver maximum value to health systems."THE LARGER TRENDCerner says the plan is to "uplift" its clients' existing patient accounting technology to the RevElate system in phases, and says it will work to prepare clients while creating a customized resource and implementation timeline.It quotes one of those clients, Tampa, Florida-based BayCare Health System, which currently uses its Soarian Financials technology but plans to transition to RevElate by next year."Efficiently managing our enterprise revenue cycle process is paramount to the vitality of our organization," said Lynda Gorken, vice president, patient financial services at BayCare Health System. "As a longtime client of Cerner's, we are excited to bring the expected benefits of Cerner RevElate Patient Accounting to our patients and staff."ON THE RECORD"Cerner has been working closely with clients to gather feedback and insights on how our software can drive better results and improve financial strength, especially as they are under tremendous pressure to be, and remain, profitable," said Brenna Quinn, Cerner's senior vice president, enterprise market solutions. "A focus of Cerner's development journey is to simplify and automate revenue cycle through interoperability and improved usability both inside and outside of the suite of Cerner products we offer." Twitter.

@MikeMiliardHITNEmail the writer. Mike.miliard@himssmedia.comHealthcare IT News is a HIMSS publication..