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197 posts categorized "HIT"

March 23, 2015

Meaningful Use Stage 3: The Buzz About APIs

8682047014_0fc52e163c_kThe Meaningful Use - Stage 3 proposed rule has been released, with official publication due on March 30. Llikewise, the 2015 edition of EHR certification criteria and related rules. Check out the CMS presser and ONC fact sheet.

Key to these rules, which lay the foundation for a post-Meaningful Use incentive-driven Health IT ecosystem, is the use of APIs - for the uninitiated,  "application programming interfaces" - or simplified connectors that allow for easier transfer of data.

The Meaningful Use requirements have themselves been simplified -- whittled down to eight high-level requirements, expressed as program goals or objectives:

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February 06, 2015

Lessons from the Anthem breach

Into the Breach

Anthem experienced a major data breach last week, and reportedly some records (Social Security Numbers and other identifying information, but not health data) of up to 80 million members and employees were obtained by hackers.

There is much to be said (and much has already been said) about the need for privacy and security and protections in the case of Anthem, just as "helpful hints" have been provided after the fact to victims of all significant data breaches. My reaction, when reading about the unencrypted SSNs that were accessed in this attack, was: Why in the world are we using social security numbers as ID numbers? It doesn't have to be this way.

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February 03, 2015

ONC, Interoperability, and the 2/6/2015 #HITsm Tweetchat

HITsmI am pleased to be moderating the weekly #HITsm tweetchat this Friday, February 6, 2015 -- Beyond Meaningful Use: What’s next for ONC … and the rest of us. Join us at 12 noon Eastern Time.

Top of mind for the #HITsm twitterati this week are the ONC interoperability roadmap released at the end of last week, and the ONC conference taking place this week in DC. Check out the ONC liveblogging from Mark Scrimshire (aka @ekivemark), and the #ONC2015 tweetstream at large.

Here are the topics for this week's chat. I look forward to discussing them with you.

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January 30, 2015

Privacy and Security and the Internet of Things

"Only Connect"

In the future, everything will be connected.

That future is almost here.

Over a year ago, the Federal Trade Commission held an Internet of Things workshop and it has finally issued a report summarizing comments and recommendations that came out of that conclave.

As in the case of the HITECH Act's attempt to increase public confidence in electronic health records by ramping up privacy and security protections for health data, the IoT report -- and an accompanying publication with recommendations to industry regarding taking a risk-based approach to development, adhering to industry best practices (encryption, authentication, etc.) -- seeks to increase the public's confidence, but is doing it the FTC way: no actual rules, just guidance that can be used later by the FTC in enforcement cases. The FTC can take action against an entity that engages in unfair or deceptive business practices, but such practices are defined by case law (administrative and judicial), not regulations, thus creating the U.S. Supreme Court and pornography conundrum -- I can't define it, but I know it when I see it (see Justice Stewart's timeless concurring opinion in Jacobellis v. Ohio).

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January 06, 2015

2015 Health IT Predictions and Reflections

Janus-Vatican-2Kate Ackerman at iHealthBeat asked me to participate in her annual piece on Health IT past and future, 12 Experts Weigh In on Health IT Progress, Disappointment in 2014 & Hopes for 2015. Check out her roundup of 2014 highlights, and the collected opinions of a dozen prognosticators, including the HealthBlawger.

Read them all. Agree or disagree. Most important of all: Work to make your own predictions come true.

For those of you dying to know what I had to say, have at it:

What was the most significant health IT development over the past year?

The continued slow but steady development of asynchronous telehealth services, leveraging resources such as wireless monitoring devices, which was potentially supercharged by the development of consumer-centric health data platforms by big consumer electronics firms.

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October 14, 2014

Apple HealthKit - Epic Integration at Ochsner Health System - David Harlow Interviews Dr. Richard Milani

Apple-healthkitThe first health system to announce that it had integrated HealthKit into its Epic EHR is Ochsner Health System in Louisiana. It is a 12-hospital, 40-clinic operation with over 900 physicians. I spoke recently with Dr. Richard Milani, Ochsner's Chief Clinical Transformation Officer. He was enthusiastic about the improvements in clinical outcomes realized to date through homegrown integrations of things like Withings scales, and sees significant expanded potential using the Epic-HealthKit integration including dissemination of data to clinicians for more efficient and effective management of care and presentation of data to patients in a way that may motivate behavior change to improve health status.

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October 02, 2014

mHealth Fitness Trackers Have a Long Way to Go

10123541544_80f31e218d_oA report on a survey regarding wearable fitness trackers arrived in the HealthBlawger's mailbox this week. An interesting dose of reality, after spending a few days in Silicon Valley recently with a cadre of early adopters.

Here are the highlights:

>> 74.9 percent of adults do not track their weight, diet, or exercise using a fitness tracking device or app
>> The most commonly cited reason for not tracking fitness or health is a general lack of interest (27.2 percent), followed by concerns over device cost (17.7 percent)
>> 43.7 percent respondents did not have a specific reason for not tracking their fitness
>> 57.1 percent of non-tracking adults said that the possibility of lower health insurance premiums would make them more likely to use a fitness tracking device
>> Less than half of respondents (44.3 percent) said that better healthcare advice from their physician would be an incentive to use a fitness tracker

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October 01, 2014

HealthCamp Boston, November 3, 2014 - Register Now For The Health Innovation Unconference

HCBOS-logo-sqHealthCamp is heading back to Boston. Once again we will be at the Microsoft NERD in Cambridge, MA. This was the venue for the inaugural HealthCamp Boston in 2009 and for the second edition in 2012. We are excited to be returning to this fabulous facility.

Register now!

Our date is set. HealthCamp Boston will take place on Monday November 3, 2014.

This is the day before the Digital Healthcare Innovation Summit. So come a day early and really turbocharge your conference experience by joining other passionate healthcare innovation people at Health Care’s leading unconference – HealthCamp.

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September 09, 2014

OCR Audits: The Skinny

Linda Sanches, Senior Advisor, Health Information Privacy, at OCR, DHHS, spoke with Tom Sullivan (@GovHITeditor) at the HIMSS Media #HITprivacy and security conference in Boston today (September 9, 2014) about OCR HIPAA compliance audits. See the Storify after the jump.

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August 27, 2014

Health Care Conferences This Fall

Friendship Pins No 89 David HarlowYour faithful HealthBlawger will be out and about at a number of conferences and events this fall, speaking, moderating . . . and immoderately disrupting.

I hope to see you at one or more of these. See descriptions below for links to registration.

Keep an eye out for "Friendship Pins" -- my jacket from The Walking Gallery, pictured here -- and I will be in or near it.

If you are organizing a conference a little further down the road, please consider including me as a keynote speaker or otherwise. We should talk.

Here's the rundown:

HIMSS Privacy & Security Forum

September 8-9, 2014, Boston, MA

I'll be one of the general session speakers: Keeping Your Edge: Managing Social Media While Protecting Privacy & Security.

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