Scenarios for Health Care Reform (Part 1 of 2)
All reformers in health care know what the field needs to do; I laid out four years ago the consensus about patient-supplied data, widespread analytics, mHealth, and transparency. Our frustration comes in when trying to crack the current hide-bound system open and create change. Recent interventions by US Republicans to repeal the Affordable Care Act, whatever their effects on costs and insurance coverage, offer no promise to affect workflows or treatment. So this article suggests three potential scenarios where reform could succeed, along with a vision of what will happen if none of them take hold. Patients Forge Their Ow...
Source: EMR and HIPAA - May 16, 2017 Category: Information Technology Authors: Andy Oram Tags: Clinical Decision Support Healthcare Analytics Healthcare Business Hospitals mHealth Patients Personal Musings PHR Precision Medicine Data Analytics Health Care Costs Health Care Reform Patient-Generated Data Source Type: blogs

Direct, Sequoia Interoperability Projects Continue To Grow
While its fate may still be uncertain – as with any interoperability approach in this day and age – the Direct exchange network seems to be growing at least. At the same time, it looks like the Sequoia Project’s interoperability efforts, including the Carequality Interoperability Framework and its eHealthExchange Network, are also expanding rapidly. According to a new announcement from DirectTrust, the number of health information service providers who engaged in Direct exchanges increased 63 percent during the first quarter of 2017, to almost 95,000, over the same period in 2016.  And, to put this g...
Source: EMR and HIPAA - May 15, 2017 Category: Information Technology Authors: Anne Zieger Tags: Direct Project EHR Electronic Health Record Electronic Medical Record EMR Health Insurance Exchanges Healthcare HealthCare IT HIE Carequality CommonWell Health Alliance DirectTrust Health Data Interoperability Health Data Sharing Source Type: blogs

ZDoggMD Talks Suicide
I was looking to do a Fun Friday post this week and so I went over to see if ZDoggMD had a new parody video I could share with the community. Instead of finding a Fun Friday video, I came across this episode of ZDogg’s Incident Report show and podcast that talks about suicide, mental health, and the new Netflix show called 13 Reasons Why. No doubt this is just the start of the conversation, but I was really glad to see someone with a platform like ZDoggMD talking about mental health and suicide. Check out the conversation below: I hope that ZDogg covers this topic more in the future and brings on some experts in the...
Source: EMR and HIPAA - May 12, 2017 Category: Information Technology Authors: John Lynn Tags: Healthcare Healthcare Suicide ZDoggMD Source Type: blogs

MUMPS and Healthcare
What is the most popular programming language? I don't see MUMPS on here for the folks in #healthcare. 🤔 #cio pic.twitter.com/8XhBmc53Ga — David Chou (@dchou1107) April 26, 2017 Leave it to David Chou to point out how odd it is to work in healthcare IT. What’s shocking about the image David Chou shared above is that there are so many languages listed. However, despite the vast number of languages listed, MUMPS is so far off the radar of most tech people that they literally didn’t care about it enough to add it to the chart. That’s pretty sad for those of us who care about healthcare. If you ...
Source: EMR and HIPAA - May 11, 2017 Category: Information Technology Authors: John Lynn Tags: EHR Electronic Health Record Electronic Medical Record EMR Healthcare HealthCare IT Epic Hacker News Intersystems MEDITECH MUMPS Vista VA Source Type: blogs

What ’s a Patient?
For quite a while I’ve been pushing the idea that healthcare needs to move beyond treating patients. Said another way, we need to move beyond just helping people who have health problems which are causing them to complain and move into treating patients that otherwise feel healthy. Said another way, Wanda Health once told me “The definition of a healthy patient is someone who’s not been studied long enough.” If you look long enough and hard enough, we all have health issues or we’re at risk for health issues. There’s always something that could be done to help all of us be healthier. Tha...
Source: EMR and HIPAA - May 10, 2017 Category: Information Technology Authors: John Lynn Tags: Clinical Decision Support EHR Electronic Health Record Electronic Medical Record EMR Healthcare Healthcare AI Healthcare Analytics HealthCare IT Precision Medicine AI Healthcare Health Patients NantHealth Wanda Health Source Type: blogs

Accelerating Decision-Making in Healthcare: How Health Systems Choose Innovative Solutions – #HITsm Chat Topic
We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 5/12 at Noon ET (9 AM PT). This week’s chat will be hosted by Bruce Brandes from Lucro Solutions on the topic of “Accelerating Decision-Making in Healthcare: How Health Systems Choose Innovative Solutions”. To be competitive in today’s digital healthcare economy, providers, hospitals and health plans need to leverage existing and emerging products offered by a growing base of vendors. But the healthcare market is saturated with products and services with new vendors entering the market...
Source: EMR and HIPAA - May 9, 2017 Category: Information Technology Authors: John Lynn Tags: #HITsm Healthcare HealthCare IT Precision Medicine #hcldr #HITsm Topics Bruce Brandes Healthcare Leadership Lucro Solutions Source Type: blogs

Healthcare Ransomware
Health Data Management has a nice article up with insights on healthcare ransomware from GreyCastle Security’s CEO, Reg Harnish. Reg made a great case for why healthcare is seeing so much ransomware: He contends that healthcare isn’t any more vulnerable to ransomware than other industries. But Harnish observes that—given the value of patient data and medical records—providers are the focus of cyber criminals who are targeting them with file-encrypting malware. “You take their data away, and it literally threatens lives, patient safety and patient care, so they are much more likely to pay a ran...
Source: EMR and HIPAA - May 8, 2017 Category: Information Technology Authors: John Lynn Tags: Healthcare AI HealthCare IT HIPAA General Security Rule #Ransomware Greycastle Security Healthcare Ransomware Reg Harnish Source Type: blogs

Employer Health Biosensor Cartoon – Fun Friday
We’re back again with our Fun Friday series of posts A little humor to start off your weekend. Although, we always try to include a simple lesson, insight or perspective with the cartoon as well. This week we tapped into another Dilbert cartoon which highlights the health sensor craze. The irony of this cartoon is that the reality is the opposite. Most employees think that their employer wants all this data to screw them over (or some other negative thing) and most employers do very little with the data. The most advanced companies are trying to leverage it for lower insurance rates. Not much more from my experience...
Source: EMR and HIPAA - May 5, 2017 Category: Information Technology Authors: John Lynn Tags: Digital Health Healthcare HealthCare IT mHealth Biosensor Employer Health Health Data Tracking Source Type: blogs

Software Choice Is Not the Key Success Factor
As I look across the EHR market and think about the hundreds of healthcare organizations I’ve talked to, it’s become abundantly clear to me that the software you choose has very little to do with whether you’ll have a successful EHR implementation. One way to illustrate this is to look at the EHR marketplace. Every single EHR out there has healthcare organizations successfully using their product. Sure, we could get into the nitty gritty of how hard it was to implement. We could dive into how one EHR may have an advantage in one area over another, but then the opposite is likely to occur in another area. ...
Source: EMR and HIPAA - May 4, 2017 Category: Information Technology Authors: John Lynn Tags: EHR EHR Optimization Electronic Health Record Electronic Medical Record EMR HealthCare IT EHR Implementation EHR Leadership Healthcare Leadership Source Type: blogs

Cybersecurity, MACRA, MIPS, HIPAA, and PCMH Training Workshops
I’ve been partnered with 4MedApproved for a long time offering healthcare IT training courses to my users. If you subscribe to a Healthcare Scene email list, then you’ve probably seen some emails offering a great discount on their training courses. 4Med really tries hard to listen to the community and create courses that are valuable to the healthcare IT professional. They just sent me their list of upcoming courses and I was really impressed with the wide variety of courses that they’re offering between now and the end of July. Here’s a look a the courses they’re offering: Encryption Strateg...
Source: EMR and HIPAA - May 3, 2017 Category: Information Technology Authors: John Lynn Tags: Healthcare HIPAA General HIPAA Training MACRA 4Med 4MedApproved HIPAA Compliance Officer Medical CEUs Source Type: blogs

Precision Health 101: Understanding the Keys to Value – #HITsm Chat Topic
We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 5/5 at Noon ET (9 AM PT). This week’s chat will be hosted by Bob Rogers (@ScientistBob) from @IntelHealth on the topic of “Precision Health 101: Understanding the Keys to Value”. Precision health starts with personalized diagnosis and precision treatment planning. That’s why leading edge health systems are making health more precise at the individual patient level. This approach is a dramatic shift from the “one-size-fits-all” model of treatment and has shifted the conversa...
Source: EMR and HIPAA - May 2, 2017 Category: Information Technology Authors: John Lynn Tags: #HITsm Healthcare Healthcare Business Intelligence Healthcare Interoperability HealthCare IT Precision Medicine #hcldr #HITsm Topics Bob Rogers Healthcare Data Analytics Intel Health Precision Health Source Type: blogs

The Government EHR Mess – Coast Guard Publishes EHR RFI – VA Looking to Replace Vista
If you’re like me and enjoy a little inside baseball in the EHR world, then you have to watch what’s going on with EHR use in the government. In many ways, it’s like passing that car wreck on the freeway. There’s no way you can pass by without taking a look and seeing what’s gone on and what’s still going on. You want to know what’s happening. A car wreck might be an apt comparison since we’re talking about the various government EHR situations. For those who haven’t followed this as closely, here’s a quick recap. The DoD had the awful AHLTA EHR system. The VA had...
Source: EMR and HIPAA - May 1, 2017 Category: Information Technology Authors: John Lynn Tags: EHR Electronic Health Record Electronic Medical Record EMR Healthcare Interoperability HealthCare IT Cerner Coast Guard EHR DoD EHR Epic VA VA EHR Vista Source Type: blogs

Advance Directive Comic – Fun Friday
A reader recently emailed us that they were missing our Fun Friday comics. We try to do them as much as we can, but sometimes don’t have a great one to share. However, we aim to please, so we made an extra effort to make sure we had a Fun Friday post for you this week. Thanks for the inspiration and we hope others enjoy this humorous start to the weekend. Dilbert is always a great place for us to go for great comics. Scott Adams is incredible at what he does. So, here’s one of his comics about advanced directives. I thought this comic was poignant because I recently had a call with my mom where we started tal...
Source: EMR and HIPAA - April 28, 2017 Category: Information Technology Authors: John Lynn Tags: Healthcare HealthCare IT Advanced Directives Dilbert Fun Friday Source Type: blogs

More Vendors, Providers Integrating Telemedicine Data With EHRs
One of the biggest problems providers face in rolling out telemedicine is how to integrate the data it generates. Must doctors make some kind of alternate set of notes appropriate to the medium, or do they belong in the EHR? Should healthcare organizations import the video and notate the general contents? And how should they connect the data with their EHR? While we may not have definitive answers to such questions yet, it appears that the telehealth industry is moving in the right direction. According to a new survey by the American Telemedicine Association, respondents said that they’re seeing growth in interoperab...
Source: EMR and HIPAA - April 27, 2017 Category: Information Technology Authors: Anne Zieger Tags: Digital Health EHR Electronic Health Record Electronic Medical Record EMR Healthcare HealthCare IT Telemedicine American Well Avizia DoctoronDemand Modern Healthcare Telehealth Telehealth Data Integration Telehealth EHR Integra Source Type: blogs

Patients Message Providers More When Providers Reach Out
A new study has concluded that patients use secure electronic messaging more when their primary care providers initiate and respond to secure messages. To conduct the study, the research team worked a large database stocked with information on health care transactions and secure messaging records on 81,645 US Army soldiers. The data also included information from almost 3,000 clinicians with access to a patient portal system. The dataset encompassed the 4-year period between January 2011 and November 2014. The data, which appears in a paper published in the Journal of Medical Internet Research, suggests that current p...
Source: EMR and HIPAA - April 26, 2017 Category: Information Technology Authors: Anne Zieger Tags: Digital Health EHR Electronic Health Record Electronic Medical Record EMR Healthcare Patient Portal Practice Management Doctor Messaging Journal of Medical Internet Research Patient Engagement Patient Messaging Physician Messaging Source Type: blogs

Where Did You Start and How Did You Get Here? The Story of Your Healthcare Career Path – #HITsm Chat Topic
We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 4/28 at Noon ET (9 AM PT). This week’s chat will be hosted by Lizzie Barrett (@eliztbarrett) on the topic of “Where Did You Start and How Did You Get Here? The Story of Your Healthcare Career Path”. I’ve found that there is no ‘one answer’ when the question ‘What led you to a career in health IT?’ is asked. The paths that got each of us here are singular, and I think that point is best proven in hearing your stories. Passions and pursuits are often times changed...
Source: EMR and HIPAA - April 25, 2017 Category: Information Technology Authors: John Lynn Tags: #HITsm Healthcare HealthCare IT #HITsm Topics Healthcare Stories Source Type: blogs

Where HIMSS Can Take Health 2.0
I was quite privileged to talk to the leaders of Health 2.0, Dr. Indu Subaiya and Matthew Holt, in the busy days after their announced merger with HIMSS. I was revving to talk to them because the Health 2.0 events I have attended have always been stimulating and challenging. I wanted to make sure that after their incorporation into the HIMSS empire they would continue to push clinicians as well as technologists to re-evaluate their workflows, goals, and philosophies. I’m not sure there is such a thing as a typical Health 2.0 event, but I generally see in such events a twofold mission. Sometimes they orient technologi...
Source: EMR and HIPAA - April 24, 2017 Category: Information Technology Authors: Andy Oram Tags: Digital Health Health IT Startups mHealth Disparities health 2.0 HIMSS Indu Subaiya Innovation Matthew Holt Source Type: blogs

Legacy Health IT Systems – So Old They’re Secure
I’ve been thinking quite a bit about the ticking time bomb that is legacy healthcare IT systems. The topic has been top of mind for me ever since Galen Healthcare Solutions wrote their Tackling EHR & EMR Transition series of blog posts. This is an important topic even if it’s not a sexy one. I don’t think we need to dive into the details of why legacy healthcare IT systems are a security risk for most healthcare organizations. Hospitals and health systems have hundreds of production systems that they’re trying to keep secure. It’s not hard to see why legacy systems get forgotten. Forgotten...
Source: EMR and HIPAA - April 21, 2017 Category: Information Technology Authors: John Lynn Tags: Healthcare HealthCare IT HIPAA General EHR Archive Galen Healthcare Solutions Legacy EHR Legacy Health Data Legacy Health IT Legacy Healthcare IT Source Type: blogs

Staying Connected Beyond the Patient Visit
The following is a guest blog post by Brittany Quemby, Marketing Strategist for Stericycle Communication Solutions, as part of the Communication Solutions Series of blog posts. Follow and engage with them on Twitter: @StericycleComms I see it everywhere I go – heads down, thumbs flexing. We live in an era where our devices occupy our lives. When I’m sitting at the airport waiting for my flight, standing in line at the grocery store, waiting to be called at my doctor’s office, I see it – heads down, thumbs flexing. Although I wish we weren’t always heads down in our phones, it is inevitable, w...
Source: EMR and HIPAA - April 20, 2017 Category: Information Technology Authors: Guest Blogger Tags: Care Management System Digital Health Healthcare Healthcare Communication HealthCare IT mHealth Patients Brittany Quemby Communication Solutions Series Health Care Communications Patient Communication Patient Experience Stericycle Source Type: blogs

tranSMART and i2b2 Show that Open Source Software Can Fuel Precision Medicine
Medical reformers have said for years that the clinic and the research center have to start working closely together. The reformists’ ideal–rarely approached by any current institution–is for doctors to stream data about treatments and outcomes to the researchers, who in turn inject the insights that their analytics find back into the clinic to make a learning institution. But the clinicians and researchers have trouble getting on the same page culturally, and difficulties in data exchange exacerbate the problem. On the data exchange front, software developers have long seen open source software as the so...
Source: EMR and HIPAA - April 19, 2017 Category: Information Technology Authors: Andy Oram Tags: Healthcare Analytics Healthcare Interoperability i2b2 Medical Research Open Source Software Translational Medicine tranSMART Source Type: blogs

Disruptive Innovation vs Incremental Improvement – #HITsm Chat Topic
We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 4/21 at Noon ET (9 AM PT). This week’s chat will be hosted by Colin Hung (@Colin_Hung) on the topic of “Disruptive Innovation vs Incremental Improvement”. The term “disruptive innovation” has been driven into our minds by technology and business media. It is the goal of many #HealthIT startups as well as innovation teams at healthcare organizations. Everyone is hoping that their technology or service will be labeled as the next disruptive innovation. I dare say that we are in dan...
Source: EMR and HIPAA - April 18, 2017 Category: Information Technology Authors: John Lynn Tags: #HITsm Healthcare HealthCare IT #hcldr #HITsm Topics Colin Hung Healthcare Disruption Healthcare Innovation Healthcare IT Marketing and PR Conference HITMC Source Type: blogs

AMIA Shares Recommendations On Health IT-Friendly Policymaking
The American Medical Informatics Association has released the findings from a new paper addressing health IT policy, including recommendation on how policymakers can support patient access to health data, interoperability for clinicians and patient care-related research and innovation. As the group accurately notes, the US healthcare system has transformed itself into a digital industry at astonishing speed, largely during the past five years. Nonetheless, many healthcare organizations haven’t unlocked the value of these new tools, in part because their technical infrastructure is largely a collection of dispara...
Source: EMR and HIPAA - April 17, 2017 Category: Information Technology Authors: Anne Zieger Tags: CCHIT Certification Certified EHR Clinical Decision Support Digital Health Electronic Health Record Electronic Medical Record EMR EMR Technology Health Information Governance Healthcare Healthcare Interoperability HealthCare IT Hos Source Type: blogs

DNA Tests and Meaningful Use Humor – Fun Friday
It’s Friday, so time for a little humor to start your weekend. First up is one that regular readers of this site will appreciate when it comes to the now tainted phrase: meaningful use: This Dilbert comic seemed particularly relevant given that 23andMe just got FDA authorization for their consumer genetic health risk reports. Have a great weekend! Related Posts National Patient Identifier, Allscripts Discontinues MyWay, EHR Incentive Payments Stopped, and Remotoscope — Around Healthcare Scene Hospitals, Representative Ask For Extension of EMR “Safe Harbor” Eyes Wide Shut: Meaningful U...
Source: EMR and HIPAA - April 14, 2017 Category: Information Technology Authors: John Lynn Tags: Healthcare HealthCare IT Meaningful Use 23andMe Dilbert DNA Testing Fun Friday Healthcare Humor Healthcare IT Humor Source Type: blogs

No Duh, FTP Servers Pose PHI Security Risk
The File Transfer Protocol is so old – it was published in April 1971 – that it once ran on NCP, the predecessor of TCP/IP. And surprise, surprise, it’s not terribly secure, and was never designed to be so either. Security researchers have pointed out that FTP servers are susceptible to a range of problems, including brute force attacks, FTP bounce attacks, packet capture, port stealing, spoofing attacks and username enumeration. Also, like many IP specifications designed prior before standard encryption approaches like SSL were available, FTP servers don’t encrypt traffic, with all transmissions in...
Source: EMR and HIPAA - April 12, 2017 Category: Information Technology Authors: Anne Zieger Tags: EHR Electronic Health Record Electronic Medical Record EMR EMR Security Healthcare Healthcare Devices HealthCare IT HIPAA Breaches Security Rule Anonymous FTP Server Cybercrime FBI FDA File Transfer Protocol Healthcare Cyber Source Type: blogs

Healthcare Content Creation for the Audience Economy – #HITsm Chat Topic
We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 4/14 at Noon ET (9 AM PT). This week’s chat will be hosted by Jess Clifton (@jslentzclifton), Sarah Bennight (@sarahbennight), and Steve Sisko (@shimcode) on the topic of “Healthcare Content Creation for the Audience Economy”. The Healthcare IT Marketing and PR Conference (HITMC) took place last week and, as would be expected from an event largely attended by “marketing people,” social media lit up with content, insight, opinions and a bit of wackiness. Almost 2200 tweets were sh...
Source: EMR and HIPAA - April 11, 2017 Category: Information Technology Authors: John Lynn Tags: #HITsm Healthcare HealthCare IT #HITsm Topics Healthcare Content Healthcare Content Creation Healthcare IT Marketing and PR Conference HITMC Jessica Clifton Sarah Bennight Steve Sisko Source Type: blogs

Will Data Aggregation For Precision Medicine Compromise Patient Privacy?
Like anyone else who follows medical research, I’m fascinated by the progress of precision medicine initiatives. I often find myself explaining to relatives that in the (perhaps far distant) future, their doctor may be able to offer treatments customized specifically for them. The prospect is awe-inspiring even for me, someone who’s been researching and writing about health data for decades. That being the case, there are problems in bringing so much personal information together into a giant database, suggests Jennifer Kulynych in an article for OUPblog, which is published by Oxford University Press....
Source: EMR and HIPAA - April 10, 2017 Category: Information Technology Authors: Anne Zieger Tags: EHR Electronic Health Record Electronic Medical Record EMR EMR Security Genomic Health Record Healthcare HealthCare IT HIPAA General Hospital EHR Medical Privacy Personalized Medicine Precision Medicine Big Data De-Identified P Source Type: blogs

Healthcare IT Marketing Is Needed – #HITMC
The past 3 days, I’ve been deep in the thralls of the Healthcare IT Marketing and PR Conference (HITMC). It brings together a few hundred of the leading healthcare IT marketing and PR professionals. This year we have quite a few healthcare (not IT) marketing and PR professionals as well. I think at HITMC 2018 we’re going to have to expand the conference to include all healthcare marketers as well. Regardless, I’m extremely proud of being part of such a great community. Yes, I said community, because that’s what HITMC really is…it’s a community of healthcare IT marketing and PR professio...
Source: EMR and HIPAA - April 7, 2017 Category: Information Technology Authors: John Lynn Tags: Healthcare Healthcare Communication HealthCare IT Healthcare IT Marketing Healthcare IT Marketing Conference Healthcare IT Marketing and PR Community Healthcare Marketing Healthcare PR HITMC Source Type: blogs

Study: “Information Blocking” By Vendors And Providers Persists
A newly-released study suggests that both EHR vendors and providers may still be interfering with the free exchange of patient healthcare data. The researchers concluded that despite the hearty disapproval of both Congress and healthcare providers, the two still consider “information blocking” to be in their financial interest. To conduct the study, which appears in this month’s issue of The Milbank Quarterly, researchers conducted a national survey between October 2015 and January 2015. Researchers reached out to leaders driving HIE efforts among provider organizations. The study focused on how ofte...
Source: EMR and HIPAA - April 6, 2017 Category: Information Technology Authors: Anne Zieger Tags: EHR Electronic Health Record Electronic Medical Record EMR Healthcare Healthcare Interoperability HealthCare IT HIE Hospital EHR Data Interoperability EHR Interoperability EMR Interoperability Information Blocking Patient Data Ex Source Type: blogs

#TransformHIT Think Tank Hosted by DellEMC
DellEMC has once again invited me back to participate at the 6th annual #TransformHIT Healthcare Think Tank event happening Tuesday, April 18, 2017 from Noon ET (9 AM PT) – 3 PM ET (Noon PT). I think I’ve been lucky enough to participate 5 of the 6 years and I’ve really enjoyed every one of them. DellEMC does a great job bringing together really smart, interesting people and encourages a sincere, open discussion of major healthcare IT topics. Plus, they do a great job making it so everyone can participate, watch, and share virtually as well. This year they asked me to moderate the Think Tank which will be...
Source: EMR and HIPAA - April 5, 2017 Category: Information Technology Authors: John Lynn Tags: Electronic Health Record Electronic Medical Record EMR Healthcare AI Healthcare Analytics Healthcare Business Intelligence HealthCare IT Precision Medicine Dell Healthcare DellEMC Healthcare Big Data Healthcare Consumerism Source Type: blogs

How to Enhance the Patient Journey and Patient Experience Using Digital Health Solutions – #HITsm Chat Topic
We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 4/7 at Noon ET (9 AM PT). This week’s chat will be hosted by Michael Joseph (@HealthData4All) from @PrimeDimensions on the topic of “How to Enhance the Patient Journey and Patient Experience Using Digital Health Solutions”. The healthcare industry is now immersed in digital transformation — connected devices and solutions which allow for the rapid exchange of information among patients, providers, payers and caregivers. As value-based care models become more pervasive, care delivery wi...
Source: EMR and HIPAA - April 4, 2017 Category: Information Technology Authors: John Lynn Tags: #HITsm Healthcare HealthCare IT #HITsm Topics Michael Joseph Patient Experience Patient Journey Prime Dimensions Source Type: blogs

HL7 Releases New FHIR  Update
HL7 has announced the release of a new version of FHIR designed to link it with real-world concepts and players in healthcare, marking the third of five planned updates. It’s also issuing the first release of the US Core Implementation Guide. FHIR release 3 was produced with the cooperation of hundreds of contributors, and the final product incorporates the input of more than 2,400 suggested changes, according to project director Grahame Grieve. The release is known as STU3 (Standard for Trial Use, release 3). Key changes to the standard include additional support for clinical quality measures and clinical decision s...
Source: EMR and HIPAA - April 3, 2017 Category: Information Technology Authors: Anne Zieger Tags: Clinical Decision Support EHR Electronic Health Record Electronic Medical Record EMR Healthcare Healthcare Interoperability HealthCare IT HL7 Medication Adherence AthenaHealth Beth Israel Deaconess Medical Center Boston Children's Source Type: blogs

E-Patient Update: Reducing Your Patients ’ Security Anxiety
Even if you’re not a computer-savvy person, these days you can hardly miss the fact that healthcare data is a desirable target for cyber-criminals. After all, over the past few years, healthcare data breaches have been in the news almost every day, with some affecting millions of consumers. As a result, many patients have become at least a bit afraid of interacting with health data online. Some are afraid that data stored on their doctor or hospital’s server will be compromised, some are afraid to manage their data on their own, and others don’t even know what they’re worried about – but ...
Source: EMR and HIPAA - March 31, 2017 Category: Information Technology Authors: Anne Zieger Tags: EHR Electronic Health Record Electronic Medical Record EMR EMR Technology Healthcare Healthcare Business HealthCare IT HIPAA General Patient Portal Practice Management Cybersecurity Health Data Privacy Health Data Security Polici Source Type: blogs

Healthcare CIOs Focus On Optimizing EMRs
Few technical managers struggle with more competing priorities than healthcare CIOs. But according to a recent survey, they’re pretty clear what they have to accomplish over the next few years, and optimizing EMRs has leapt to the top of the to-do list. The survey, which was conducted by consulting firm KPMG in collaboration with CHIME, found that 38 percent of CHIME members surveyed saw EMR optimization as their #1 priority for capital investment over the next three years.  To gather results, KPMG surveyed 122 CHIME members about their IT investment plans. In addition to EMR optimization, top investment priorit...
Source: EMR and HIPAA - March 30, 2017 Category: Information Technology Authors: Anne Zieger Tags: Clinical Decision Support EHR Electronic Health Record Electronic Medical Record EMR EMR Implementation EMR Technology Healthcare Healthcare Analytics Healthcare Business Healthcare Business Intelligence Healthcare CIO HealthCare I Source Type: blogs

Healthcare Scene Supporters
I have to feel pretty lucky to be a healthcare IT blogger. Certainly it’s a lot of work, but it’s also a lot of fun. What’s amazing to me is that just on this EMR and HIPAA blog, I’ve published over 2750 posts and generated over 12 million views. If you look at the broader Healthcare Scene network we’ve published over 11,000 blog posts, generated 18 million pageviews, 55,000 email subscribers, and have over 72k Twitter followers. That’s insane for me to think about when I look back on what started as a fun side project one weekend over 11 years ago. Today I’m feeling a lot of grati...
Source: EMR and HIPAA - March 30, 2017 Category: Information Technology Authors: John Lynn Tags: Healthcare Scene AndPlus Breakaway Learning Solutions Conduent HIPAA One HIPAA Risk Assessment Stericycle Stericycle Communication Solutions Windows 10 HIPAA Source Type: blogs

Use of AI and Machine Learning in Healthcare – #HITsm Chat Topic
We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 3/31 at Noon ET (9 AM PT). This week’s chat will be hosted by Amy Landry (@amyinmaine) from HBI Solutions (@HBI_Solutions) on the topic of “Artificial Intelligence and Machine Learning in Healthcare”. Will doctors and nurses be replaced by robots? While this is unlikely, the use of artificial intelligence is increasingly changing the way in which they deliver care. Up until just a few years ago the use of artificial intelligence (AI) in healthcare was rare, confined mostly to research and ex...
Source: EMR and HIPAA - March 28, 2017 Category: Information Technology Authors: John Lynn Tags: #HITsm Healthcare HealthCare IT #HITsm Topics Behavioral Science Healthy Behavior Change Melissa McCool Stellicare Source Type: blogs

“What’s the Fix?” Healthcare Conference
I recently learned about an exciting new conference called What’s the Fix? that’s been created by the good people at HEALTHSPARQ. I’ve never seen a conference that’s so focused on the patient voice. Plus, if you know Burt Rosen and his team, you know that they really care about helping to fix many of the issues that make healthcare suck. This is a first year event, but I think the concept is really great and they have some great speakers lined up for it. Worth noting is that all of them but one are women (as of the writing of this post). More important is that each one has their own patient experien...
Source: EMR and HIPAA - March 27, 2017 Category: Information Technology Authors: John Lynn Tags: Healthcare HealthCare IT Healthcare Social Media Beth Lambert Dana Lewis Fixing Healthcare HealthSparq Madiha Saeed What's the Fix? WTFix Source Type: blogs

Nursing Informatics Pros Seeing Growing Salaries, Opportunities
Here’s something I missed in the explosion of news around HIMSS17. According to a recent study released late last month by the organization, nurse informaticists are largely well-paid and satisfied with their jobs. According to the American Nurses Association, nurse informaticists have broad responsibilities, including integrating data and supporting provider and patient decision-making. The job description continues evolve with health IT trends, and may vary from one institution to the other,but their work usually involves a mix of nursing science, health records management and information technology solutions. As t...
Source: EMR and HIPAA - March 24, 2017 Category: Information Technology Authors: Anne Zieger Tags: EHR Electronic Health Record Electronic Medical Record EMR EMR Analyst EMR jobs Healthcare Healthcare Human Resources HealthCare IT Hospital EHR Hospitals Chief Nursing Information Officer CNIO HIMSS17 Nursing Informatics Nur Source Type: blogs

EMR Information Management Tops List Of Patient Threats
A patient safety organization has reached a conclusion which should be sobering for healthcare IT shops across the US. The ECRI Institute , a respected healthcare research organization, cited three critical health IT concerns in its list of the top 10 patient safety concerns for 2017. ECRI has been gathering data on healthcare events and concerns since 2009, when it launched a patient safety organization. Since that time, ECRI and its partner PSOs have collected more than 1.5 million event reports, which form the basis for the list. (In other words, the list isn’t based on speculation or broad value judgmen...
Source: EMR and HIPAA - March 23, 2017 Category: Information Technology Authors: Anne Zieger Tags: Clinical Decision Support EHR Electronic Health Record Electronic Medical Record EMR Technology Healthcare Analytics HealthCare IT Healthcare Leadership Hospitals CDS CDS Errors Diagnostic Testing EHR Information Management EMR I Source Type: blogs

The Misguided EHR Replacement Decision
This post is part of the Breakaway Thinking blog post series which is sponsored by Breakaway Learning Solutions, a Conduent Company. Almost every healthcare organization I meet is talking about how to get better adoption of their EHR software. They’ve implemented their EHR as part of a massive go live. Many are even doing fine with programs like meaningful use and are working on MACRA. However, they all realize that adoption of their EHR software be end users could be better than it is today. During these conversations, it’s easy to see how some organizations slip into the thinking that if they replaced their E...
Source: EMR and HIPAA - March 22, 2017 Category: Information Technology Authors: John Lynn Tags: EHR EHR Optimization Electronic Health Record Electronic Medical Record EMR HealthCare IT EHR Replacement EHR Training EHR Use EMR Replacement Source Type: blogs

How Technology Helps and Hurts Healthy Behavior Change – #HITsm Chat Topic
We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 3/24 at Noon ET (9 AM PT). This week’s chat will be hosted by Melissa McCool from Stellicare (@MelissaxxMcCool and @Stellicare). We’ll be discussing the topic “How Technology Helps and Hurts Healthy Behavior Change.” Changing patient behavior is the key to achieving better clinical outcome and lowering healthcare costs. Of the $3 trillion spent on healthcare in the US, an analysis by McKinsey Consulting found that “31% of those costs could be directly attributed to behaviorally induced chr...
Source: EMR and HIPAA - March 21, 2017 Category: Information Technology Authors: John Lynn Tags: #HITsm Healthcare HealthCare IT #HITsm Topics Behavioral Science Healthy Behavior Change Melissa McCool Stellicare Source Type: blogs

Epic and other EHR vendors caught in dilemmas by APIs (Part 2 of 2)
The first section of this article reported some news about Epic’s Orchard, a new attempt to provide an “app store” for health care. In this section we look over the role of APIs as seen by EHR vendors such as Epic. The Roles of EHRs Dr. Travis Good, with whom I spoke for this article, pointed out that EHRs glom together two distinct functions: a canonical, trusted store for patient data and an interface that becomes a key part of the clinician workflow. They are being challenged in both these areas, for different reasons. As a data store, EHRs satisfied user needs for many years. The records organized the...
Source: EMR and HIPAA - March 16, 2017 Category: Information Technology Authors: Andy Oram Tags: EHR Electronic Health Record Electronic Medical Record EMR EMR Analyst Healthcare Healthcare Interoperability HealthCare IT API Datica EHR API Epic Epic API Epic EHR FHIR SMART Travis Good Source Type: blogs

Epic and Other EHR Vendors Caught in Dilemmas by APIs (Part 1 of 2)
The HITECH act of 2009 (part of the American Recovery and Reinvestment Act) gave an unprecedented boost to an obscure corner of the IT industry that produced electronic health records. For the next eight years they were given the opportunity to bring health care into the 21st century and implement common-sense reforms in data sharing and analytics. They largely squandered this opportunity, amassing hundreds of millions of dollars while watching health care costs ascend into the stratosphere, and preening themselves over modest improvements in their poorly functioning systems. This was not solely a failure of EHR vendors, o...
Source: EMR and HIPAA - March 15, 2017 Category: Information Technology Authors: Andy Oram Tags: EHR Electronic Health Record Electronic Medical Record EMR Healthcare Healthcare Interoperability HealthCare IT API Datica Epic Epic API Epic EHR Epic Orchard FHIR SMART Travis Good Source Type: blogs

How Do We Include Every Generation in our HIT? – #HITsm Chat Topic
We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 3/17 at Noon ET (9 AM PT). This week’s chat will be hosted by Erica Johansen with Splash Media (@thegr8chalupa and @SplashMedia). We’ll be discussing the topic “How Do We Include Every Generation in our HIT?” Commentary on generational nuances have made their way into previous #HITsm chats and those comments usually sparked quite a discussion. So, we couldn’t think of a better way to give the people what they want! This week, our chat will spark conversations on how generational perspecti...
Source: EMR and HIPAA - March 15, 2017 Category: Information Technology Authors: John Lynn Tags: #HITsm Healthcare HealthCare IT Precision Medicine #HITsm Topics Erica Johansen Healthcare IT Generations Splash Media Source Type: blogs

Are Healthcare Integration Engines Needed?
In a perfect world, we might ask why health systems need to purchase an integration engine. The standards used by integration engines are pretty widespread and every EHR and Healthcare IT vendor uses that standard. Why then do we need an integration engine in the middle? I’m sure there are a lot of reasons, but two reasons stand out the most to me are: integration costs and flavors of standards. Integration Costs It’s amazing how expensive it is to build integrations with EHR and other healthcare IT software. I still look back on the first lab interface integration I did. I couldn’t believe how expensive ...
Source: EMR and HIPAA - March 13, 2017 Category: Information Technology Authors: John Lynn Tags: EHR Electronic Health Record Electronic Medical Record EMR Healthcare Healthcare Interoperability HealthCare IT EHR Integration Engines HIMSS HIMSS 2017 HIMSS17 Summit Healthcare Source Type: blogs

Wide Ranging Impact of A Healthcare Cybersecurity Attack
David Chou recently shared this amazing graphic of the “above the surface” and “beneath the surface” impacts from cyber attacks. The above the surface attacks are those that are better know costs related to an incident. The beneath the surface attacks are the less visible or hidden costs of a cyber attack. Which of these impacts concerns you most? The impact of a cyberattack. #cio #healthcare pic.twitter.com/WHqJ5i6U7m — David Chou (@dchou1107) February 11, 2017 If this list of 14 impacts on your organization isn’t enough to wake you up to the importance of cybersecurity, then there i...
Source: EMR and HIPAA - March 9, 2017 Category: Information Technology Authors: John Lynn Tags: Healthcare HealthCare IT HIPAA Breaches HIPAA General Security Rule Cybersecurity Cybersecurity Risks David Chou Healthcare Cyber Attack Source Type: blogs

Digital Transformation in Healthcare – #HITsm Chat Topic
We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 3/10 at Noon ET (9 AM PT). This week’s chat will be hosted by Hosted by Murray Izenwasser (@MurrayIz and @AAJTech). We’ll be discussing the topic “Digital Transformation in Healthcare“. It’s been said that no industry is immune from disruption due to digital technologies. Some ‘experts’ claim that If existing firms don’t undergo an immediate, all-encompassing and rapid digital transformation (Dx), then they’ll be disrupted out of business by those that do transform ...
Source: EMR and HIPAA - March 7, 2017 Category: Information Technology Authors: John Lynn Tags: #HITsm Healthcare HealthCare IT Population Health Management #HITsm Topics AAJ Technologies Murray Izenwasser Source Type: blogs

Could Patents Freeze Blockchain ’s Progress?
Everywhere you look, somebody’s talking about blockchain technology and its amazing future. In fact, the healthcare industry is engaging in perhaps the most aggressive blockchain deployments of any industry, according to Deloitte. Originally, blockchain was an open-source platform, freely available to anyone who wanted to use it. But that could soon change, if a new item from Reuters is any indication. According to the news service, Aussie computer scientist Craig Wright – who claims to be the pseudonymous “Satoshi Nakamoto” responsible for the technology – is working with Canadian online gamb...
Source: EMR and HIPAA - March 7, 2017 Category: Information Technology Authors: Anne Zieger Tags: EHR Electronic Health Record Electronic Medical Record EMR EMR Security Healthcare Healthcare Business HealthCare IT Bitcoin Blockchain Bodog Calvin Ayre Craig Wright Reuters Satoshi Nakamoto Source Type: blogs

Costs Of Compromised Credentials Rising
Healthcare organizations face unique network access challenges. While some industries only need to control access by professional employees and partners, healthcare organizations are increasingly opening up data to consumers, and the number of consumer access points are multiplying. While other industries face similar problems – banking seems particularly relevant – I don’t know of any other industry that depends on such a sophisticated data exchange with consumers to achieve critical results. Given the industry’s security issues, I found the following article to be quite interesting. While it ...
Source: EMR and HIPAA - March 3, 2017 Category: Information Technology Authors: Anne Zieger Tags: Biometrics Electronic Health Record Electronic Medical Record EMR EMR Security Healthcare HealthCare IT HIPAA General Christian Lees Credentials Management Health Data Security InfoArmor Security Management Source Type: blogs

Healthcare Scene Interview with Steve Lieber at the Close of #HIMSS17
As the HIMSS 2017 Annual conference came to a close, Healthcare Scene had the opportunity to sit down with Steve Lieber, President and CEO of HIMSS, who will be retiring at the end of the year. Being the last HIMSS conference with Steve Lieber at the helm, we wanted to get a feel for how Steve was feeling and take a look back at his 17 years at the helm of this organization. In this interview, we talk with Steve about how HIMSS has changed over his 17 years running the organization and about some of the pivotal moments in that time. We also ask Steve about his replacement. While he didn’t give us any names he did giv...
Source: EMR and HIPAA - March 2, 2017 Category: Information Technology Authors: John Lynn Tags: Healthcare HealthCare IT HIMSS HIMSS 2017 HIMSS Orlando HIMSS17 Steve Lieber Source Type: blogs

Is It Groundhog Day with Population Health? – #HITsm Chat Topic
We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 3/3 at Noon ET (9 AM PT). This week’s chat will be hosted by Hosted by David Chou (@dchou1107) and CSC Health (@cschealth). We’ll be discussing the topic “Is It Groundhog Day with Population Health?“. Population health seems to be a hot topic in every healthcare IT circle. One of the challenges with population health is that everyone is applying the term to everything. It’s hard to know exactly what is happening with population health and what’s all talk. Plus, in many cases it feels...
Source: EMR and HIPAA - February 28, 2017 Category: Information Technology Authors: John Lynn Tags: #HITsm Healthcare HealthCare IT Population Health Management #HITsm Topics CSC Health David Chou Source Type: blogs