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UMD researchers explain the science behind why leaves change color
Scientists say tracking pigment levels can show how trees respond to weather patterns
Scientists in Switzerland made a sponge from cheesemaking waste that captures gold from discarded electronics — after dissolving metal parts from 20 old computer motherboards, they recovered enough to melt into a 22-carat gold nugget
A Swiss lab transformed dairy waste into a gold-recovery tool, extracting precious metal from e-waste that most recyclers leave behind.
Darnbrough to leave Port Vale recruitment role
League Two club Port Vale announce their senior head of recruitment Lee Darnbrough will leave at the end of this month.
Company that pledged 200 jobs in Charlotte leaves town for SC, loses NC incentives
The company, known for brands like Dirt Devil, announced a $5 million investment in 2015.
Toulouse confirm impending Mark McKenzie exit
Toulouse FC president Olivier Cloarec has confirmed that Mark McKenzie (27) is highly likely to leave the club in January and return to his native USA.It was reported by The Athletic during the transf...
Lindsay Clancy and postpartum psychosis
The trial around Lindsay Clancy may be over for now, but it still leaves us with questions. On today’s episode, we talk to psychiatrists and patients to answer them: What is postpartum psychosis, exactly? Why don’t we know more about it? And what can you do if you are worried about a postpartum loved one?Interested in more stories on mental health? Email us your question at shortwave@npr.org.Support public media with NPR+ and enjoy perks for over 25 podcasts like this one. This show’s perks include sponsor-free listening. Learn more at plus.npr.org.
A path toward justice and public safety
Strangulation can be one of the most dangerous forms of assault; despite the lack of visible ailments it is accompanied by. Though strangulation leaves no broken bones, bruises or visible wounds, it is one of the strongest predictors of future homicides for domestic violence victims. Until this year, second-degree assault by strangulation was not classified […]
Bigdeli leaves athletics department
Eintracht Frankfurt have parted ways with Schahriar Bigdeli, the head of the Eagles’ athletics department.Schahriar Bigdeli had been in charge of athletic conditioning and management of the Eintrach...
Washington Huskies Leave Impression on Recruiting Targets at Apple Cup
The Huskies successfully intrigued multiple players who were on Montlake on Sunday for official and unofficial visits.
Carlos Augusto: "Never easy playing here, we show character"
Inter leave the Bernabéu defeated in their opening match of the 2026/27 Champions League: despite putting in a great performance and creating a huge number of chances, the Nerazzurri were defeated 2-...
Dueling Court Rulings Leave Missouri’s Congressional Races in Chaos
After losing in two courts and winning in another, Missouri officials said they planned to forge ahead with using a congressional map that was redrawn to benefit Republicans.
Local businesses brace for gigantic cargo moves starting next week
Locals anxiously waiting for superloads of heavy equipment — weighing up to 380 tons — to travel through their towns will have to hold on until next week. The first trip, on a giant, specialized truck, is expected to leave a dock in Gilpin’s Schenley section on Monday morning. Officials
PowerWash Simulator Execs Absurdly Tried To Soften The Blow Of Layoffs By Referring To Let-Go Workers As 'The Leavers'
The layoffs were a result of a cancelled, power washer–free project
Cowboys Predicted to Add Champion George Pickens Replacement
The Dallas Cowboys could have a high-scoring offense with George Pickens back. But assuming he leaves after this year, could a college star replace him? The post Cowboys Predicted to Add Champion George Pickens Replacement appeared first on HEAVY.
COMMENTARY: Tennessee loses Dodson, shifts focus to Georgia Tech
What must Tennessee do to leave Atlanta with a win?
Scotland defender Souttar may leave Rangers soon
John Souttar may yet leave Rangers in the short term, even though the transfer window has closed in Scotland. The Scotland defender, 29, is under contract until next summer. "I think he still can [make a contribution]," said Rangers manager Derek McInnes.
The Legacy Business: Estate Management Ensures the Music Never Dies
Artists don’t live forever. We’ve been reminded of that too often lately. But when their time sadly does come to leave this plane, their memory can be more than a blessing. It can live on with the hel...
Gillian Smith brings country confidence to In The Streets
For Gillian Smith, a good country show is not just about sticking to tradition. She wants people to leave feeling like they got to know the person singing the songs.
MDI Health to Honor Mount Desert Nursing Association with 2026 Impact Award
BAR HARBOR—MDI Health will honor Mount Desert Nursing Association (MDNA) as its 2026 Community Partner of the Year during the organization’s Annual Meeting and Community Celebration on Tuesday, September 15. MDNA will receive the 2026 Impact Award in recognition of its longstanding commitment to providing in-home nursing, physical and occupational therapy, and medical equipment to the Island region. By caring for people where they live, MDNA helps patients remain safely and independently at home, providing reassurance and support to their families. “Mount Desert Nursing Association exemplifies the power of community partnership,” said Chrissi Maguire, President and CEO of MDI Health. “Its nurses bring skilled, compassionate care directly into people’s homes, helping patients navigate illness, recovery, and some of life’s most difficult moments. We are deeply grateful for MDNA’s service and the important role it plays in the health of our community.” MDNA works closely with MDI Health providers and care teams to support continuity of care following hospitalization, surgery, illness, or changes in health. Its personalized services extend care beyond the hospital and help ensure patients receive the support they need close to home. “For 77 years, MDNA has been here for our community, helping our neighbors recover and remain safely at home. Our long-standing partnership with MDI Health is an important part of making that possible. Together, we help ensure a seamless transition from hospital to home and provide patients with the continued care they need. We are incredibly grateful for this recognition and especially proud of our talented and hardworking team,” said Amy McVety, Executive Director of Mount Desert Nursing Association. The Impact Award will be presented during MDI Health’s Community Celebration from 5 to 7 p.m. at the Bar Harbor Club. The event will also recognize outstanding employees, volunteers, and trustees; celebrate MDI Health’s achievements over the past year; and mark a transition in Board leadership as Madeleine Braun, PhD, MBA, prepares to succeed Martha Wagner, PhD, as chair. The celebration will feature music, refreshments, the MDI Health Auxiliary Raffle, and a cash bar. MDI Health’s Annual Business Meeting will take place from 3:30 to 4 p.m. via Zoom. These events are free and open to the public, but space is limited. To reserve your spot, contact Patrianna Anderson at 207-288-5082, ext. 1432, or visit mdihospital.org/communitycelebration. Subscribe Share Leave a comment
FuturLab cuts staff after cancelling non-Powerwash Simulator title
Sources claim employees were instructed not to use the term "redundancy" and refer to those affected as "the leavers"
Dodgers Owner’s MAGA Stance Leaves Los Angeles Advocate ‘Very’ Disappointed
The Los Angeles Dodgers’ owner is under local scrutiny for “sending money to Trump’s administration” following ICE crackdowns.
Juventus is eyeing a move for a Bundesliga left back
Juventus have been linked with a move for Borussia Dortmund full-back Daniel Svensson, as the Swede continues to impress at the German club and could be allowed to leave if the right offer arrives.Juv...
‘South Park’ Turns Emmy Win Into Another Donald Trump Punchline
“South Park” is known for turning political figures into punchlines, but the show apparently had no plans to leave Donald The ‘South Park’ Turns Emmy Win Into Another Donald Trump Punchline first appe...
Why cleaning up after Burning Man is 'awesome business' for this Nevadan
Burning Man is all about "Leave No Trace." But what happens to the tons of trash once it leaves the playa?
Health Department urges safety and preparation during heat advisory
The Nebraska Department of Health and Human Services urges residents to stay hydrated, never leave children or pet in cars and limit outdoor activity.
Burning Man explores solutions to massive energy consumption, waste
Burning Man is all about 'Leave No Trace,' but what happens to the tons of trash once it leaves the playa?
Chiesa might leave Liverpool
Federico Chiesa's future at Liverpool is in doubt, Jadon Sancho might return to the Premier League, Real Madrid's Endrick is attracting interest from Italy, plus more.
💰 Big figures impress, and forward could leave Atlético-MG
Recently, Atlético-MG fans learned that Tomás Cuello had received an offer from CSKA, of Russia.On Monday (7), the GE outlet revealed the figures involved in the foreign offer and that the amount te...
Zhegrova set to stay at Juventus as Saudi dream fades
Edon Zhegrova is one of the players Juventus still hope will leave the club this summer, as he has been a disappointing signing for them and is not in the plans of Luciano Spalletti.The manager will u...
Edu leaves Nottingham Forest after turbulent spell
Global head of football Edu leaves Nottingham Forest after just over a year at the City Ground.
Wilder hopeful but admits doubt over new Sheffield United signing
Chris Wilder remains hopeful Sheffield United can add another new signing to his squad but says a player must first leave the club before they can complete a deal.The Blades have identified a potentia...
Official | Mahamadou Sangaré leaves Manchester City to join Al-Qadsiah
Mahamadou Sangaré (19) has left Manchester City, just over one year after joining the club from Paris Saint-Germain. The French forward has signed with Saudi Pro League side Al-Qadsiah, without havin...
Scientists reconstructed a Wyoming forest from 56-million-year-old fossil leaves; it lost about 60% of its canopy during ancient warming and took more than 100,000 years to recover
Deep in the rock record of Wyoming, a layer of fossil leaves tells a quiet but powerful story about what happens to forests when the planet warms rapidly. About 56 million years ago, during a spike in global temperatures known as the Paleocene Eocene Thermal Maximum (PETM), a lush subtropical forest that once covered the region lost roughly 60 percent of its canopy.
BucHouse: The student-run agency supporting businesses
Local businesses juggle countless responsibilities. Fortunately, marketing and brand strategy is one task business owners can leave to East Tennessee State University’s BucHouse with confidence.
No breakthrough as US envoys leave Kyiv
Washington's envoys have brought new, "more effective" proposals on ending the war with Russia, a senior Ukrainian presidential official said
Top scientists lead growing exodus of Chinese academics from US
Funding uncertainty and heightened scrutiny of China are some of the factors prompting Chinese researchers to leave the US in their thousands
Keep the run going against Villarreal
This start to the season leaves you wanting more! And now, next Tuesday, Europe’s premier competition is finally back on the schedule at the most beautiful stadium in the world. A mix of sun and clo...
Time capsule: Color guard
Note: Regardless of how far they had advanced into autumn colors, all the leaves in Goldstream Valley on the morning of Sept. 3, 2026, were crusted with frost. Neither green
Orioles news: Back-to-back shutouts leaves season slipping away
The Orioles are the only MLB team without a win in the month of September.
A Political Operative on the Verge of Self-Deportation
Daysi González, who works to elect Democrats, is gearing up to leave the U.S. as soon as this month. She wants her own party to pay attention.
Is Rayan's Form Becoming A Concern For AFC Bournemouth?
The Brazilian sensation’s early-season struggles leave Marco Rose weighing rotation options, as the Cherries may look to reignite the youngster's spark through a fresh role in the Europa League.
Caesars Entertainment (CZR) Stock Could Be Undervalued As Shares Fell 72%
Caesars Entertainment stock has delivered a steep 71.5% decline over the past five years, yet current checks point to a company that screens cheap on both intrinsic value estimates and market multiples. The share price has fallen 71.5% over the past five years, which leaves long term holders with heavy losses and raises the question of whether the current price reflects overly low expectations. The key upside driver is whether Caesars Entertainment can convert its gaming and digital...
Analysis: Emery's side lack cutting edge
Aston Villa arrived at MKM Stadium still searching for their first shot on target, goal and point of the season - against a defence who were yet to concede this season. Nicolas Jackson's movement caused problems for the Hull backline and Villa created enough openings while generating an expected goals (xG) of 1.74, compared to Hull's xG of 0.58. The striker's departure to Saudi Arabia's Al-Hilal in the final week of the transfer window was always going to leave a void and Villa continue to search for a new identity after the arrival of a host of new names.
Ndiaye makes ‘difficult’ Everton admission after joining Man City
Iliman Ndiaye admits that it was a “difficult” decision to leave Everton in the summer transfer window, but is “happy” to have joined Manchester City. The winger made his Premier League debut ...
WSL: Arsenal sign Élisa De Almeida from PSG
Arsenal have completed the permanent signing of France international Élisa De Almeida from Paris Saint-Germain.De Almeida leaves Paris after five seasons with PSG, where she made 154 appearances for ...
LSU leaves former pros Wright and Harris off opening day roster
LSU did not place onetime pros Dae’Quan Wright and Zxavian Harris on its roster in advance of its season opener.
Rams Are Testing the Limits of Sleep Science Before Australia Game
The 49ers are already there, while the Rams have yet to leave.
Nigel Farage tells BBC he 'wasn't listening' in foreign donor talks
The Reform leader also told the BBC's Laura Kuenssberg that his family are "begging" him to leave his job.
MLB saves leader suddenly leaves game
He was seen walking off the field mid inning with the training staff.
Richard Hughes Leaves His Role as Liverpool Sporting Director
Four days after the transfer window closed, the club has announced the departure of the man responsible for this summer's business. But who will come in and replace Richard Hughes at Liverpool?
Official | Mohamed Bayo leaves Lille to join Samsunspor
Mohamed Bayo (28) has left Lille OSC to join Turkish Super Lig side Samsunspor on a permanent deal, it was announced by the Ligue 1 club on Saturday. Bayo joined Lille from Clermont Foot back in 2022,...
Liverpool sporting director Richard Hughes leaves position, expected to join Al Hilal
Hughes, 47, worked for two-and-a-half years at Anfield and the club are expected to look at internal candidates to replace him.
Liverpool look for new sporting director after Richard Hughes formally leaves
Liverpool are searching for a fourth sporting director in four years after confirming the departure of Richard Hughes, who is set to join Al-Hilal
Richard Hughes leaves Liverpool after overseeing £670m transfer spend
Hughes was Liverpool’s sporting director as they spent £450m under Arne Slot last summer in an effort to rebuild Jurgen Klopp’s old side
Country music star’s fans praying after horrific wreck leaves him blinded in one eye
He was in the crash in early August.
Yankees news: Spencer Jones’ homecoming
A long-awaited San Diego return; Grisham leaves with injury; Yankees prospect’s slap-happy approach; 9/11 commemoration plans
At the center of Pa.’s measles outbreak, those closest to the most vulnerable feel ‘helpless’
LANCASTER, Pa. — Bree Robinson spent her last week of maternity leave trying not to think about the two people who died after contracting measles...
Mariners’ Lazaro Montes: leaves game with hip injury
A bad game on Friday got worse for the Mariners when exciting rookie Lazaro Montes left the game in the fifth inning after a collision with the right field wall. Montes, who was running at full speed to chase down a fly ball off the bat of Zack Gelof that seemed destined for the right […]
A ‘devil flower’ with no leaves, no branches, no green part has been discovered in a Thai forest, scientists say its bizarre appearance is hiding an even stranger secret
It has no leaves, no branches and no green parts, and spends much of its life concealed beneath fallen leaves on the forest floor. Scientists have now described a bizarre new flowering plant from Thailand, naming it Thismia daemona, the “devil flower”, for its dark, horn-like appearance.
Yankees' Trent Grisham leaves game with right hamstring discomfort
Center fielder Trent Grisham left the New York Yankees' game Friday night against San Diego because of discomfort in his right hamstring. Grisham drew a walk from Walker Buehler leading off the second inning and was thrown out trying to steal second base. Rookie Spencer Jones, who is from Encinitas in northern San Diego County, moved from right field to center field, and Heliot Ramos entered in Grisham's spot in the order playing right field.
Small businesses withdrawing from Duluth Chamber of Commerce
Small businesses are withdrawing their membership from Duluth Chamber of Commerce showed support for the proposed Data Center in Hermantown.
Liverpool deliver serious blow, midfielder will have to leave
Liverpool have dealt a serious blow to one of their own players. There's no real option here: he'll have to leave the club if he wants regular football.Liverpool confirmed their UEFA Champions League ...
Johnson scraps House votes before midterms
The move will leave just four days for legislation before the midterms
After 45 minutes hands-on time, Mass Effect spiritual successor Exodus took me by surprise - in the best possible way
My relationship with Mass Effect begins and ends with the first game (let's just blame the M35 Mako and leave it at tha…
Giants change Dennis Hickey's role, while Usama Young departs organization
New York Giants change Dennis Hickey’s title to senior personnel executive as VP of player engagement Usama Young leaves.
Decisions needed with five players currently set to leave
Liverpool are good at a lot of things.The Reds are good at playing their part in summer-long transfer sagas - see Alexander Isak and Bradley Barcola for more details. The 2024/25 Premier League champi...
‘Furious’ Pellegrini Refuses to Leave Lazio After Squad Omission
On Wednesday, Lazio raised eyebrows by dropping Luca Pellegrini from their Serie A squad list, even though two spots were left vacant.The BackgroundThe 27-year-old is a lifelong Lazio supporter who jo...
Before you sign: What imaging joint venture contracts leave out
In this Radiology Business opinion piece, radiologist Mayur Virarkar, MD, MBA, discusses some of the key lessons learned from reviewing 30 years of literature on JV deals.
Michael Lombardi resigns as North Carolina football GM amid school investigation
North Carolina football general manager Michael Lombardi has resigned, ending the tenure of an immediate hire in Bill Belichick’s NFL-to-college coaching transition who had been on on paid administrative leave as the subject of a school investigation.
Rome Odunze avoids serious injury
Rome Odunze leaves practice early Thursday
Missouri Supreme Court puts referendum to overturn new congressional map on ballot
The Missouri Supreme Court ruled that the state's voters will decide the fate of a plan aimed at ousting Democratic Congressman Emanuel Cleaver II.
Bill Belichick’s general manager resigns amidst investigation
Back in July, North Carolina Tar Heels football general manager Michael Lombardi was placed on paid leave in the wake of an internal investigation. Now, he has officially resigned from his post. Less than a week after North Carolina officially began its season with a win over TCU, they will now be without their general…
Missouri Supreme Court puts referendum to overturn new congressional map on ballot
The Missouri Supreme Court ruled that the state’s voters will decide the fate of a plan aimed at ousting Democratic Congressman Emanuel Cleaver.
Rome Odunze leaves practice early Thursday
Bears WR Rome Odunze leaves practice with trainer Thursday
Michael Lombardi out as UNC’s football general manager
Michael Lombardi, a longtime confidant of North Carolina football head coach Bill Belichick, was placed on paid administrative leave in late July. He is no longer with the football program.
Gloversville politician arrested, accused of assault
Hernigle remains on paid administrative leave with the Gloversville police, according to Cpt. Bradley Schaffer, an agency spokesperson.
Maria Bartiromo leaves Fox News after more than a decade; no reason specified
There was no immediate reaction from Bartiromo
Tom Purcell: Autumn, finally — a season to calm our politics
The leaves will be changing their colors soon — and we can do likewise.
EPA proposal could leave the public in the dark on data center plans
A plan by the Environmental Protection Agency could make it harder for the public to learn about and comment on proposed AI data centers that have sparked backlash in communities across the United States and transformed the midterm election landscape.
No. 18 Penn State vs. Marshall Preview & Prediction
It's been over eight months since Penn State football last played a game. In that time, the Nittany Lions have established almost an entirely new coaching staff, added 15 signees, seven walk-ons and a program-record 40 transfers, watched 74 players leave either via the transfer portal, the NFL or graduation, and even switched apparel partners …
California to phase out paraquat over health concerns. What does this mean for farmers?
Studies have linked the widely-used herbicide to serious health conditions like Parkinson’s disease, birth defects and thyroid problems. But the California Farm Bureau says the move leaves growers with fewer tools and more costs.
Outbreaks, Equity, and Public Health Policy
Outbreaks reveal who we protect and who we leave behind.
Why portion control matters
Experts say portion control doesn't mean tossing out the foods you love, but finding what the appropriate amount is that leaves you satisfied.
Senator Kim Visits Warren County to Talk Healthcare and Jobs
Yesterday, Senator Andy Kim (D-NJ) visited Warren County with focused visits on expanding affordable healthcare and improving New Jersey’s workforce development pipeline as part of his Einstein Corridor initiative. “I leave these visits inspired by the dedication I witnessed from those in Warren County who are training NJ’s next generation of workers and pushing to ensure access to quality healthcare in some of our most rural communities,” said Senator Kim. “There is so much unique potential in each corner of our state – I’m excited to bring the ideas discussed with[...]
Lucas Museum among L.A.’s boldest, most contradictory buildings
Synthetic yet organic, populist yet elitist, the $1 billion Lucas Museum of Narrative Art is full of contradictions. Highlights include an extraordinary park, cascading waterfall, structural feats and unique vantages. But the galleries leave much to be desired.
Alzheimer’s may leave a mark on the brain long before plaques appear
Brain changes associated with Alzheimer’s may begin at least seven years before amyloid plaques become detectable with current PET scans. Researchers uncovered the signal by tracking healthy older adults with repeated brain imaging over nearly 20 years. The discovery could help scientists identify Alzheimer’s earlier and suggests that important disease processes may start before visible plaque buildup.
My wife died in our home. It took me 4 years to move out.
After my wife of 26 years died at 51, I couldn't leave our Manhattan apartment. Four years later, I finally found a new home and a way forward.
August Monthly Review: ChatGPT In Epic
Death, taxes, another frontier lab healthcare launch inspiring truly insane LinkedIn takes. As much as I want to stay away, I repeatedly am the crewman unplugging his ears whenever we pass these sirens. So it’s not the first and probably not the last time we dial up the typewriter rather than tie ourselves to the mast. The full blow-by-blow timeline: Health API Guy is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Subscribe The End of the Standalone PHR (Jan 8): ChatGPT Health arrives for consumers, at the time powered by b.well. I was bullish on the approach in that the best way for the PHR to finally solve distribution was to meet consumers were they already are (i.e. When Horizontal Meets Healthcare (Jan 9): OpenAI for Healthcare puts out the shingle for enterprises, with SharePoint ingestion standing in for the EHR integration the product actually needed. Another One: Anthropic’s Healthcare Debut (Jan 16): Claude's version, on HealthEx rails instead of b.well, with Agent Skills for FHIR development as the one true vertical-specific investment. ChatGPT for Clinicians: The Trap Sprung (Apr 24): OpenAI filled in the missing GTM middle with a free product for verified clinicians, effectively peeling the enterprise wrapper off ChatGPT for Healthcare and taking the PLG fight directly to OpenEvidence. OpenAI’s Second Attempt at Health (Jul 31): a relaunch of their patient specific app, now branded Health in ChatGPT, where the privacy partition came out, the connectors thinned, and b.well disappeared in favor of first-party FHIR work against a smaller network Beyond a Shingle So what was announced now? Today, we’re introducing a new electronic health record integration that brings authorized patient context from Epic into ChatGPT for Healthcare, along with the Healthcare Public Data plugin for direct, structured access to official healthcare datasets like PubMed, DailyMed, and CMS Coverage. Together, these capabilities bring ChatGPT closer to the systems and sources healthcare teams trust, while supporting the controls and compliance healthcare work requires. The core portfolio is unchanged from prior announcements we delineated and discussed (aside from the relaunch of patient-facing). Since trade publications still seem to be confusing them by using the wrong names: Enterprise sales motion: ChatGPT for Healthcare Protecting their core product / PLG: ChatGPT for Clinicians Consumer/patient-facing product: Health in ChatGPT So really, this is a feature release (specifically for ChatGPT for Healthcare when it comes to EHR integration). What’s cool about it, though, is that we are moving beyond just putting out a shingle. Everything in the January enterprise launch was horizontalizable: Horizontal tech companies thus generally start verticalization with their “putting out a shingle phase”. Telling the world you’re open for business as a horizontal tech company reliably attracts early inbound interest from buyers who are already trying to force-fit horizontal tools into domain-specific workflows and are eager for any signal that the vendor intends to support their use case more directly. Nothing was really vertical specific, which is exactly what you'd expect from the ultimate hypergrowth horizontal company dipping their toes into specific industries. But eventually you have to stop changing the sign on the door and start changing the product. Can you guess where the horizontal product was going to run out of road? This is the core dilemma writ large: verticalization requires differentiation, while scale economics of consumer and horizontal push toward unification. I’ve buried the lede so deep here it will be painful to some readers, but what should be shocking to no one is that my perspective is that EHR integration is the only path that meaningfully resolves this tension for ChatGPT for Healthcare. Integration with Microsoft Sharepoint is fine, but it is categorically insufficient for any product that hopes to influence clinical decision-making. SMART Money Well here we are, eight months later! Real vertical investment has begun, which surprised a few people. One friend in the industry messaged me: “Absolutely no way Epic gave ChatGPT API access.” Looking forensically at the announcements, the integration is notably read-only across appointment notes, laboratory results, medications, and specialist documentation. So while I’m not a betting man, I'd wager the house this is a SMART on FHIR launch: That sounds a lot like USCDI! The recommended path for the workflow they outline would be SMART on FHIR Their Health AI lead’s post is evocative of both standalone and EHR launch SMART, which another termed “ChartGPT” and “EHR Plugin” The implementation burden for SMART on FHIR is the lowest of the available integrative paths This is the team who literally did patient-facing SMART on FHIR with Epic last month Most importantly, if you’re a horizontal company, you generally still haven’t taken the full plunge and thus (overly) value reusability. SMART on FHIR is the logical compromise: healthcare-specific enough to matter, but standardized enough to reuse. Nobody Asked Judy Another friend asked “I thought they had to go to each health system, or did they go direct to Epic and now health systems opt in?” Given the trust paradigms in healthcare, this functionally cannot be Epic hoovering up all the data for OpenAI and shoving ChatGPT in their customers’ faces (or they would revolt). However, I do believe the aforementioned terrible coverage by TechCrunch and other outlets is probably responsible for that question, given the 325 million reference. When using FHIR as a business associate to an Epic customer, there is no EHR gatekeeping to speak of, as that isn’t how fhir.epic.com works: You register an app You pick your APIs You test against the sandbox APIs You list as “Ready for Production” Hospitals pick your app You test and go live with them Bluntly, nobody had to say yes or no in Verona (nor were they given the chance). Vendor Services (their next developer tier up that I doubt OpenAI is using quite yet in this initial release) certainly has contractual paperwork that some resent, but even there, the twin pressures of mounting antitrust and information blocking make outright gatekeeping increasingly fraught. My friend’s sentiment is, to me, representative of a broader industry neurosis, perhaps a sort of scar tissue of prior eras: people assume the gate is still there and never actually try the door. There are certainly other ways Epic (and any EHR) can put its thumb on the scale, but they are not so dumb as to stand in front of a federally mandated API and play bouncer at this exact moment in time. So I think they can and probably should go deeper, as this release is at best parity and at worst behind vertical-specific competition. OpenEvidence did a basic SMART launch with Sutter Health in February, allowing for more convenient evidence search by providers. They then add patient-context (the equivalent SMART on FHIR flow to what we see here) when Cedars-Sinai went enterprise-wide in May. UpToDate has four distinct applications across deeper workflows like patient engagement listed in Epic Showroom and announced a partnership with Epic to power Art at UGM Abridge and other ambient scribes have invested deeply into the deepest bidirectional clinical copilot workflow with integrations well beyond SMART on FHIR. In that light, the “Who is OpenAI primarily targeting here?” is clear. This release brings them into striking distance of OpenEvidence, but not the others quite yet. They are the only one of the three you can reach without building something truly Epic-specific. When will they go further? Competition is a great motivator to overcome the horizontal demons and start building things that can’t be reused: not across industries, not across EHRs, maybe not past the customer you built them for. That’s the price of actually verticalizing. The question is if and when OpenAI will be willing to pay it. Month in Review Here is the monthly review. As a reminder, this is a regular round-up of the month’s posts and other content to surface things you may have missed across regulation, litigation, interoperability, and beyond. AI assistance is used in these bullet summaries so I can focus on articles. Articles Published: None this month Video Content: The Information Exchange: Standards-based Thruple Edition (Aug 14): Back to school for us too, with Brad reporting in from the CMS Health Tech Ecosystem’s one year anniversary in DC. We get into the January CMS-0057 deadline, the fall rulemaking reading list, and why enrollment still keeps most apps off FHIR. The Information Exchange: Epic Dúnadan Edition (Aug 25): A UGM roundup with Ryan Brickner joining for the first time to check our takes against what the building actually thinks. Rangers, Ergo sitting on top of EHI, and a down-market lineup that needs some cuts. Regulatory: Stacked Deck, Bad Hand (Aug 05): ONC’s website refresh took the entire HIT Policy Committee record with it, so I rebuilt the archive and went looking for the regulatory capture story everyone assumes is buried in there. Stacking the deck and winning the hand turn out to be very different things. The Sixth Generation of Patient Access (Aug 19): A quick catalog of the five generations of patient access we’ve layered on since HIPAA, and the two candidates now competing to be the sixth. One is planned. The other is the market routing around the plan entirely. Court cases: Three Cases Walk Into a Docket (Aug 06): Two surprise settlements cleared the board in a single week, and then Judge Maddox dropped ninety-four pages on Vyne v. Henry Schein. The sleeper is a DMCA holding that makes direct-to-database a considerably riskier business model. Epic v. Health Gorilla: Into the MDL (Aug 10): Nine class actions are headed to Miami, and the Panel signaled it wants to bring the case that spawned them along too. That would leave Epic arguing the requests were obviously fraudulent in one courtroom and unknowable in the other. Amazon v. Perplexity: Agents Are Legalized! (Aug 11): The Ninth Circuit vacated the injunction against Comet, holding that the user is the one accessing the servers rather than the company that built the agent. A real win for agentic access, and a much narrower one than the headline suggests. Veeva v. Epic: Come At Me, Bro (Aug 26): Epic’s response brief wants the dismissal affirmed and, unusually, wants the opinion published as precedent. Buried in it is Epic’s own description of what its non-competes actually prohibit, which current and former employees should read closely. EHRs: The Contract Epic Would Never Sign Today (Aug 04): A 1999 SEC exhibit catches Epic licensing nearly its entire product line, Tapestry included, to the company that became TriZetto. The marketing services menu attached to it is the part that will make you blink. Forecast from Verona (Aug 07): The Epic Almanac makes one argument six different ways: the AI is only as good as the networks behind it. Emmie headlines, Art’s context stack is the most ambitious part, and Penny finally gets an autonomous coding date on the calendar. Works With Epic MyChart (Aug 17): Epic’s first new Showroom category since the death of Workshop certifies hardware instead of software, badge on the box and all. Made for iPhone, but for blood pressure cuffs, and rough news for anyone selling the RPM stack sitting in between. UGM Hot Takes 2026 (Aug 20): Everyone else covered the AI announcements, so I went after Savvy deleting the payment gateway, Rangers as Boost with the timer removed, and a down-market lineup with too many entries. Plus the Health Grid tidbits I cannot help myself on. MyChart Central Grows Up (Aug 24): Device data and Emmie turn Epic’s identity hub into a full consumer platform, which is both a logical answer to ChatGPT and a bit of a mistake. It also happens to be the best scraping target Epic has ever shipped. Industry Analysis: The Wrong Yardstick (Aug 12): Vertical software keeps getting judged against Superhuman and Notion, which is the wrong bar entirely. Your user is comparing your product to a whiteboard and forty phone calls before lunch. Primitives vs. Abstractions (Aug 27): Developers want building blocks, systems of record prefer to hand out business logic, and both sides have a real case. There’s no test from the outside that separates the engineering reason from the competitive one, which is why this keeps ending up in court. Cross-industry Comparisons: The Two Kinds of Platform Power (Aug 18): Attention power and record power are different problems that keep getting handed the same regulatory toolkit. Congress’s latest swing at Big Tech shows both what’s possible and where it falls apart. The Dogs of (Platform) War (Aug 21): A CourtListener alert turned up a property management fight with healthcare’s exact shape and none of the Cures Act. Shell prospects, ghost accounts, a notetaker bot that came back to haunt someone, and a lawyer arguing both sides of the same theory in two states. Fractals All the Way Down (Aug 31): Yardi dominates property management right up until you zoom into one segment, where AppFolio owns it outright and Yardi doesn’t appear at all. Where you draw the line around a B2B software market is about to decide an awful lot of cases. Other News: If Judy Had the Courage (Aug 13): A short eulogy for the era when software was allowed to look insane: WinAMP, bold colors, and everything the grey chatbot era has taken from us. External Media: Portland Monthly Health Tech Meetup: Erin O’Brien channeled my own feelings - maybe it’s just because it’s August and beautiful, but the monthly edition of the PDX Health community meetup was a ripper. Make sure to reach out if interested to join for the next one. STAT’s Coverage of Epic This Month: Brittany Trang of STAT did a fantastic job of breaking the FTC investigation that’s been lurking, as well as UGM related coverage, so I had to give her her wish of a meme. Fall Conferences: I’m pumped to be kicking off my fall conference season in NYC at Nabla Accelerate next month, which Chrissy provided the link to apply for. Here’s the rest of my schedule in case you want to meet up: Commonwell (Redwood Shores, CA): Oct 13-14 Open@Epic (Madison, WI): Oct 21-22 eHealthExchange (Austin, TX): Oct 27 Sequoia Project (Austin, TX): Oct 28-29 HLTH (Vegas): Nov 15-18 RSNA (Chicago): Nov 29-Dec 3 Posts I Liked: HTI-6 Should Unbundle API Certification: Josh Mandel makes the case that HTI-6 should split (g)(10) into separate authorization and data certifications, so a PACS or a genomics platform can certify only the role it actually performs. Imaging is the urgent example, but the structure solves a much bigger problem. On implementing ePrior Auth with Epic: Scott Rossignol’s field notes from a live ePrior Auth build on Epic, including the two app registrations nobody warns you about and the CPT mapping problem waiting at the end. CMS-0057 implementations are going to be such a beast. Healthcare point solutions are starting to look a lot like streaming services: Spencer Dorn runs the cable-to-streaming arc against health IT and lands squarely on the bundling half of the cycle. Bundling can be good! It can also be bad! Life is nuanced. Health API Guy is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Subscribe
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