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2 episodes with hitech act
2 episodes with hitech act
2 episodes with hitech act
2 episodes with hitech act
4 episodes with hitech act
2 episodes with hitech act
Diana Van Blaricom, SVP, ERP Strategy at ROI Healthcare Solutions, says that the surge of EHR adoption in the wake of the 2009 HITECH Act has played itself out, and many organizations are turning to ERP systems to improve operations. But as explained in this video by Van Blaricom and Jeff Tennant, Executive Vice President of AI/HIS Strategy and Services, many organizations miss out on millions of dollars of savings because they don't understand the legacy systems in place, or how to maximize their use of the new systems.Learn more about ROI Healthcare Solutions: https://roihs.com/Health IT Community: https://www.healthcareittoday.com/
MedPeds is strongly oriented toward innovation. Twenty years ago, before the HITECH Act subsidized electronic medical records, MedPeds adopted eClinicalWorks in a purposeful way: They scanned active medical records into eClinicalWorks and took away the clinicians' pens and paper. According to Dr. Seth Eaton, Medical Director at MedPeds, this system saves their organization time and cost. The practice outsources a portion of their administration and the AI component reduces the amount of work required from this 3rd party company. The service has been live since December 2023. A few faxes still need to be matched and attached to a medical record by a person. Learn more about MedPeds: https://www.medpeds.net/ Learn more about eClinicalWorks: https://www.eclinicalworks.com/ Health IT Community: https://www.healthcareittoday.com/
Click here to view the article Skin failure: A historical perspective published in the American Nurse Journal.Click here to view the article Skin Failure: An Emerging Concept published in the Journal of the American Medical Directors Association (JAMDA)Click here to view the article Skin Fails Too: Acute, Chronic, and End-Stage Skin Failure published in Advances in Skin & Wound CareAbout the Speakers:Mario C. Giannettino is a partner in the law office of Kaufman Borgeest & Ryan, LLP in the firm's Medical Malpractice, Nursing Home and Long Care and General Litigation practice groups. Throughout his career, Mario has represented a wide range of healthcare professionals and providers, including residential healthcare and assisted living facilities, physicians, physician's assistants, hospitals, and home healthcare agencies. In addition to defending suit from inception and through discovery, Mario also serves as a trial attorney. In addition to his litigation experience, Mario provides a broad spectrum of services to healthcare clients, including staff training, in-servicing, counseling on risk assessment issues, and assisting them in navigating privacy and security issues under both HIPAA and the HITECH Act.Mario regularly publishes and speaks nationally on matters relating to all aspects of healthcare defense. During his career, he has been a featured author in The Risk Management Quarterly, McKnight's and various other publications. Mario frequently speaks nationally at healthcare events and workshops and has presented on issues such as the impact of artificial intelligence on healthcare, the CMS Five-Star Rating System, the proliferation of arbitration agreements in healthcare and many other topical concerns. In addition to being licensed to practice law in both New York State and Connecticut, Mario serves as supervisory/monitoring counsel for residential health care facilities nationwide.Heidi Cross is a certified Wound and Ostomy Nurse, as well as a nurse practitioner from the Syracuse NY area. She has worked in acute care and is a wound consultant for long term care facilities, currently working for the University of Rochester Strong Memorial Hospital and CNY Physicians of Central New York. She has been published in multiple wound and ostomy journals and is a member of the WOCN® Society and the American Association of Wound Care, among other organizations. She has extensively reviewed legal cases related to wound care for both defense as well as plaintiff attorneys and comes with a wealth of experience and information related to litigation and wound care.
In 2009, the Health Information Technology for Economic and Clinical Health Act, wow, that's a mouthful, more commonly known as the HITECH Act, spent billions to promote the uptake of electronic health records by US hospitals. Fast forward more than a decade later, and now approximately four out of five healthcare institutions have electronic health record systems in place that integrate clinical notes, test results, medications, diagnostic images, et cetera. The adoption of EHR systems into healthcare introduces new and exciting opportunities to extract information that can be used to augment other types of data for research. As you might imagine though, it can be tricky to pull out meaningful information from the text of clinical notes. In this episode, we'll speak with a University of Michigan researcher, Dr. Vinod Vydiswaran, who's been developing methods to identify dementia from EHR data. Faculty Profile: https://medicine.umich.edu/dept/lhs/vg-vinod-vydiswaran-phd The transcript for this episode can be found here.CAPRA Website: http://capra.med.umich.edu/ You can subscribe to Minding Memory on Apple Podcasts, Spotify, Google Podcasts or wherever you listen to podcasts. Hosted on Acast. See acast.com/privacy for more information.
Show Summary In this podcast episode, Linda Abraham interviews Dr. Kevin Schulman, the director of Stanford's Master of Science and Clinical Informatics Management Program. They discuss the opportunities available at the intersection of medicine, business, and technology, and the problems that you can solve by combining these interests in your career. The program at Stanford combines business courses, technology courses, and ethics to train leaders who can transform healthcare delivery. The program is designed for working professionals and is a one-year, part-time cohort program. Graduates of the program can pursue careers as Chief Medical Information Officers, start their own companies, work in tech or industry, or advance in clinical leadership roles. Finally, the interview concludes with a discussion on the potential risks and benefits of technology in healthcare, and the importance of personalizing healthcare through technology. Show Notes What are the opportunities for you, if you're interested in the intersection of medicine, business, and technology? What problems can you solve if you combine those interests in your career? What education would you require? We're going to find out in this interview with the director of Stanford's Master's program and Clinical Informatics Management. Welcome to the 540th episode of Admissions Straight Talk. Thanks for joining me. Whether you are applying to a niche, innovative graduate program or more traditional one, the challenge at the heart of admissions is showing that you both fit in at your target schools and are a standout in the applicant pool. Accepted's free download, Fitting In and Standing Out: The Paradox at the Heart of Admissions will show you how to do both. Master this paradox and you are well on your way to acceptance. Dr. Kevin Schulman, director of Stanford's Master of Science and Clinical Informatics Management Program is also Professor of Medicine at Stanford University School of Medicine and Professor of Operations Information and Technology at Stanford GSB. He is our guest today, and those are just three of his titles. He has several more, along with over 500 publications. His research focuses on organizational innovation and healthcare, healthcare policy and health economics, which leads us directly to Stanford's Master's in Clinical Informatics management or the MCIM. Dr. Schulman, welcome to Admissions Straight Talk. [2:00] Oh, thanks so much for having me, Linda. My pleasure. I'm really delighted to be speaking with you. I saw an ad for the program online and it just felt like such a fascinating program that I looked into it and I thought, gee, it'd be great to have you on. So let's start with a couple of really basic questions. I am not a techie and I'm not a healthcare professional. I do have an MBA. What is clinical informatics management? [2:05] That's a great question. As you think about healthcare compared to other services that you receive on a daily basis, we're just lagging so far behind in terms of how we provide digital services to our patients, to consumers, how we do follow-up, how we provide education. So we wanted to build a program to help create leaders that will transform the delivery of healthcare in this country and around the world. To do that, we combine business courses and technology courses and ethics in a year long program for working professionals where we meet every other weekend. So my next question was going to be, can you give us an overview of the MCIM program, and you kind of just did that, but can you go into a little bit more detail about how it is structured and what is actually taught in the program? I mean, again, it just sounds absolutely fascinating to me. [3:06] So at a high level, when I first started a program like this after the HITECH Act in 2009. Oh wow, it was back that far? [3:27] I was at Duke at the time, it wasn't here, but our CIO said, look,
When you have a patient who would benefit from a coronectomy, how do you frame the conversation? How do you help them understand the pros and cons of leaving the roots behind and make the decision that's right for them? On this episode of Dentist Brian Candy, I share my thoughts on a 10-year study exploring the low incidence of late complications associated with third-molar coronectomy. I also discuss an article in the Journal of Oral and Maxillofacial Surgery around the reliability and quality of YouTube content on facial trauma and why we should be cautious about to referring patients to social media for information. Listen in for insight into what you'll learn at our upcoming Cutting Edge Dental Implant Symposium and learn how you could benefit from becoming one of my Core 50 advocate-doctors for Jet Virtual Consults! Key Takeaways What you'll learn at Liberty Surgery Center's upcoming Cutting Edge Dental Implant Symposium How we might use the HITECH Act to reduce dependence on insurance but increase reimbursements A recent study on the reliability and quality of social media information on facial trauma Why most YouTube videos on facial trauma is low in content, reliability and quality When it might be appropriate to refer patients to social media for information on facial trauma The results of a 10-year study on minimizing nerve injury via coronectomy How I frame the conversation with patients around the pros and cons of a coronectomy How the JVC app gives me an extra hour a day of doctor time and saves 8 hours of staff time per day The benefit of becoming one of my Core 50 advocate-doctors for Jet Virtual Consults Connect with Dr. Bryan McLelland Dentist Brain Candy Dentist Brain Candy on Facebook Dentist Brain Candy on YouTube Dentist Brain Candy Podcast Dentist Brain Candy App Dentist Brain Candy Continuing Education About Dr. Bryan McLelland Dr. Jawbreaker on YouTube Email bryanmclelland@hotmail.com Call (509) 922-2273 Resources HITECH Act ‘Are Social Media Platforms Appropriate Sources of Information for Patients Regarding the Topic of Facial Trauma?' in the Journal of Oral and Maxillofacial Surgery ‘What Is the Incidence of Late Complications Associated with Lower Third Molar Coronectomy? 10-Year Follow-Up Results' in the Journal of Oral and Maxillofacial Surgery Cutting Edge Dental Implant Symposium Jet Virtual Consults
What is the best way to reduce pain, swelling and tenderness in wisdom teeth extractions? A recent study compared the use of EXPAREL versus standard bupivacaine and found ‘no significant difference.' But what if there's a way to combine the two for optimal pain control? On this episode of Dentist Brian Candy, I explain why and how I use standard bupivacaine along with EXPAREL for pain control with my patients. I discuss the topics covered at our upcoming Cutting Edge Dental Implant Symposium, including a lecture around using the HITECH Act to improve care and increase profitability. Listen in to understand how I leverage Jet Virtual Consults to get home on time (even on days with trauma emergencies) and learn how to become one of the 50 advocate-doctors for my JVC app! Key Takeaways The findings of a recent study comparing EXPAREL vs. standard bupivacaine Why I use standard bupivacaine with EXPAREL for pain control with my patients The topics covered at our upcoming Cutting Edge Dental Implant Symposium How we might leverage the HITECH Act to improve care and increase profitability The tool that helps me get home on time despite an unexpected workload How I use Jet Virtual Consults to decrease medical legal risk and educate patients How the JVC app decreased my post-op infection rate for third molars to < 1% What it takes to become one of the 50 advocate-doctors for my JVC app Connect with Dr. Bryan McLelland Dentist Brain Candy Dentist Brain Candy on Facebook Dentist Brain Candy on YouTube Dentist Brain Candy Podcast Dentist Brain Candy App Dentist Brain Candy Continuing Education About Dr. Bryan McLelland Dr. Jawbreaker on YouTube Email bryanmclelland@hotmail.com Call (509) 922-2273 Resources ‘Effectiveness of Standard Local Anesthetic Bupivacaine and Liposomal Bupivacaine for Postoperative Pain Control in Patients Undergoing Truncal Incisions' in JAMA HITECH Act Jet Virtual Consults
Earning a Presidential Management Fellowship after law school gave Kristen McGovern firsthand experience working inside many of the agencies and offices that drive U.S. healthcare policy. Over a two year period with the Department of Health and Human Services (HHS) she worked at organizations including the National Cancer Institute and the Biomedical Advanced Research and Development Authority (BARDA). She eventually landed at the Office of Management and Budget (OMB) just as the HITECH Act was signed into law in 2009, dedicating nearly $30 billion to modernizing healthcare IT.As the executive office that oversees the federal budget and federal agencies, Kristen worked closely with leadership at OMB and HHS as they deployed funding for Meaningful Use and other programs catalyzed by the landmark legislation.In 2010, around the same time the Affordable Care Act was passed into law, Kristen was recruited by Farzad Mostashari (a previous guest on the Healthcare is Hard podcast) and became chief of staff at the Office of the National Coordinator for Health IT (ONC).These experiences launched a career that has put Kristen at the forefront of federal healthcare policy and politics. She is currently partner at Sirona Strategies, a healthcare consulting firm she co-founded to advise organizations – from startups to the Fortune 500 – on healthcare policy.Some of the topics Kristen talked to Keith Figlioli about on this episode of the Healthcare is Hard podcast include:A pulse check on DC. Kristen shared insight into the offices and agencies shaping the healthcare industry from inside the beltway. For example, she talked about the current state of the Center for Medicare & Medicaid Innovation (CMMI), the activity she says is happening “below the surface” and how the organization is at an inflection point after more than a decade testing payment and delivery system models.The evolution of Meaningful Use. Looking back at her time at ONC, Kristen talks about the initial goals of encouraging EHR adoption to unlock insight from paper records that were sitting in filing cabinets. She talks about progress the industry has made and the current goals of making sure organizations can access and use data in new and innovative ways. In other words, ensuring we haven't just created electronic filing cabinets.The size and scope of AI Policy. With all the enthusiasm about artificial intelligence (AI) in healthcare, Kristen talks about the process of putting guardrails around this powerful technology. She says it will require a large-scale collaborative effort across HHS and other government agencies, and believes it will ultimately be an even bigger undertaking than Meaningful Use.Policy advice for startups. As a highly regulated industry, every organization that touches healthcare needs to be aware of the impact current and future policy decisions could have on their business. Kristen shared advice about how she helps startups think through the impact of policy decisions, and when and how to embed policy experts in a business.To hear Keith and Kristen talk about these topics and more, listen to this episode of Healthcare is Hard: A Podcast for Insiders.
In the uncertainty of today's healthcare industry, we must continue to persevere towards our true north. The moral imperative to improve the quality of care for patients through better care coordination, including those are underserved, can only be achieved by the realities of the digital age. This transformation will require the medical profession to create a modernized Hippocratic Oath that extends to the broader health ecosystem. The proliferation of interoperable technology and digital health tools has the potential to catalyze value-based care delivery innovation and transparency. However, it must come along with an ethical commitment to guide data sharing, integration, and technical processes. True North will ultimately prevail in connecting value-based networks to those most in need; however, it will take continued progress in amplifying the demand signal for value-based care. On the Race to Value this week, you will hear from one of the top healthcare revolutionaries in our country. We are honored to bring you, the one and only,Aneesh Chopra - the first chief technology officer of the United States who was appointed by President Obama and the Co-Founder and President of CareJourney. In this episode, you will be party to a powerful conversation on the promise of the digital age in healthcare. You will learn about how health policy and innovation is ushering in a new era of data flow and interoperability, consumer-driven innovation, price transparency, and clinically-relevant analytics for the future of value-based care delivery transformation. Aneesh Chopra also explains why he feels so strongly why ACO REACH will help us reach True North. Episode Bookmarks: 01:30 Introduction to Aneesh Chopra - - the first Chief Technology Officer of the United States and Co-Founder and President of CareJourney 04:00 The need for the medical profession to galvanize around the immense opportunity to transform care delivery by embracing the realities of digital age. 06:30 Why do we need a digital Hippocratic Oath to transform medicine? 08:00 The gap between patients being seen on a given day and the 98% of the patient panel that are not. 08:30 Designing database queries and algorithms to Identify patients in need of care. 09:30 Creating a compact between analytics communities and physicians to ensure patients are getting appropriate care. 10:45 The self-imposed barriers to technical and semantic interoperability that come from our current FFS model. 12:00 How the HITECH Act manifested in technology gaps, despite widespread EHR penetration. 14:00 “The delay in the demand signal for value-based care resulted in the de-prioritization in the market for interoperability.” 15:30 The regulatory goals of the 21st Century Cures Act to scale interoperability and eliminate information blocking. 16:45 Cures Act regulatory emphasis on population health is now reaching the market. 17:00 FHIR Interoperability Standards will ultimately deliver on the promise of population health through widespread data exchange and API-led connectivity. 18:00 Ensuring value-based care organizations a “plug and play” approach to unify electronic health records. 19:00 The promise of widespread data exchange in value-based care delivery and how it parallels with the consumer banking industry. 20:30 Similarities between Dodd-Frank Act (banking sector) and the Cures Act (healthcare sector) in regard to consumer data protections. 22:30 JPMorgan cutting off access to Mint because screen-scraping was far less secure than API connectivity. 25:00 If value-based care became the dominant delivery model, the industry wouldn't need so much regulatory oversight. 26:00 The Cures Act is beginning to reverse FFS-driven market failures in order to create a much more rational economic model. 27:00 Referencing the opinion piece in STAT by Aneesh Chopra and Seema Verma about the new price transparency regulations in healthcare.
Post by Adam Turteltaub Privacy is always a hot topic in healthcare, but even so, some areas are hotter than others. In this podcast Kara L. Hillburger, Privacy Compliance & Digital Accessibility Team Leader and Managing Director of the Octillo law firm, shares insights into the areas the enforcement community is currently focused on. It's not just the federal government that's of concern these days, she points out. State attorneys general are becoming more active in this arena. Under the HITECH Act they can bring actions of their own for HIPAA Violations, which has resulted in substantial financial penalties. The pandemic has also led to changes in the enforcement landscape. With the rules for telemedicine changed and more data collected on patients, several states have increased their enforcement activity. For compliance and legal teams that means taking the time to understand both the federal and state perspective. Data governance is, at the same, growing more difficult. On the one hand, ever-increasing cyber risks argue for locking down as much information as possible. At the same time, though, OCR is calling for greater data portability and transparency. So what should organizations do? In this podcast she suggests: Making the effort to stay on top of the legal and regulatory changes. Ensuring that there is a strong data governance structure in place Having a clear delineation of roles and responsibilities: Figure out who is doing what and hire the right people. Keeping your policies and procedures up to date. Planning on annual policy reviews that reflect the realities of both in-office and at-home workers. Identifying proper resource. Providing regular data privacy and security training and document it. Having consequences in place for violations. Knowing your vendors and what they are doing to safeguard your data. Listen in to learn more about what's especially hot in healthcare privacy compliance.
The U.S. Department of Health and Human Services' (HHS) Office for Civil Rights (OCR) released a Request for Information (RFI) seeking input from the public on two requirements of the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH Act), as amended in 2021. How does it impact cybersecurity and risk management programs? Why do (should) CISOs care about this? Are we about to throw more money at this problem?Maybe a smart question: Is there an opportunity to be smarter?While all are important, that final question is certainly the most valid question. But, the details of the provisions will come when the community feedback comes in. The thing to make note of as you listen to this episode is that there's an opportunity to shape these provisions for the better of the overall healthcare ecosystem, moving beyond lowest common denominator frameworks, standards, and controls.John Houston and Michael Parisi share their thoughts in the current state of cyber risk management affairs, the opportunity to do more in the RFI and potential responses coming in from the community, and how John's experience with an advanced, mature risk management program at UPMC can help set the bar for what's possible — not just from a guidance or framework perspective, but from a fiscally responsible, scalable, operational perspective.Listen in to learn more about the RFI and the role you can have in shaping its outcome.Not in the healthcare space? You should still pay attention. There's a lot going on in the healthcare sector that other industries can leverage.Note: This story contains promotional content. Learn more.____________________________GuestsJohn HoustonVice President, Information Security and Privacy; Associate Counsel at UPMC [@UPMC]On Linkedin | https://www.linkedin.com/in/john-houston-5b9915b/Michael Parisi, VP of Adoption, @HITRUST____________________________Catch the webcast and the podcast here: https://itspm.ag/hitrust-hhs-ocr-hitech-rfiBe sure to visit HITRUST at https://itspm.ag/itsphitweb to learn more about their offering.____________________________ResourcesNews Release: https://www.hhs.gov/about/news/2022/04/06/hhs-ocr-seeks-public-comment-on-recognized-security-practices-sharing-civil-money-penalties-monetary-settlements-under-hitech-act.htmlIndividuals seeking more information about the RFI or how to provide written or electronic comments to OCR should visit the Federal Register to learn more: https://www.federalregister.gov/documents/2022/04/06/2022-07210/considerations-for-implementing-the-health-information-technology-for-economic-and-clinical-health____________________________To see and hear more Redefining Security content on ITSPmagazine, visit:https://www.itspmagazine.com/redefining-cybersecurity____________________________Are you interested in telling your story?https://www.itspmagazine.com/telling-your-story
The U.S. Department of Health and Human Services' (HHS) Office for Civil Rights (OCR) released a Request for Information (RFI) seeking input from the public on two requirements of the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH Act), as amended in 2021. How does it impact cybersecurity and risk management programs? Why do (should) CISOs care about this? Are we about to throw more money at this problem?Maybe a smart question: Is there an opportunity to be smarter?While all are important, that final question is certainly the most valid question. But, the details of the provisions will come when the community feedback comes in. The thing to make note of as you listen to this episode is that there's an opportunity to shape these provisions for the better of the overall healthcare ecosystem, moving beyond lowest common denominator frameworks, standards, and controls.John Houston and Michael Parisi share their thoughts in the current state of cyber risk management affairs, the opportunity to do more in the RFI and potential responses coming in from the community, and how John's experience with an advanced, mature risk management program at UPMC can help set the bar for what's possible — not just from a guidance or framework perspective, but from a fiscally responsible, scalable, operational perspective.Listen in to learn more about the RFI and the role you can have in shaping its outcome.Not in the healthcare space? You should still pay attention. There's a lot going on in the healthcare sector that other industries can leverage.Note: This story contains promotional content. Learn more.____________________________GuestsJohn HoustonVice President, Information Security and Privacy; Associate Counsel at UPMC [@UPMC]On Linkedin | https://www.linkedin.com/in/john-houston-5b9915b/Michael Parisi, VP of Adoption, @HITRUST____________________________Catch the webcast and the podcast here: https://itspm.ag/hitrust-hhs-ocr-hitech-rfiBe sure to visit HITRUST at https://itspm.ag/itsphitweb to learn more about their offering.____________________________ResourcesNews Release: https://www.hhs.gov/about/news/2022/04/06/hhs-ocr-seeks-public-comment-on-recognized-security-practices-sharing-civil-money-penalties-monetary-settlements-under-hitech-act.htmlIndividuals seeking more information about the RFI or how to provide written or electronic comments to OCR should visit the Federal Register to learn more: https://www.federalregister.gov/documents/2022/04/06/2022-07210/considerations-for-implementing-the-health-information-technology-for-economic-and-clinical-health____________________________To see and hear more Redefining Security content on ITSPmagazine, visit:https://www.itspmagazine.com/redefining-cybersecurity____________________________Are you interested in telling your story?https://www.itspmagazine.com/telling-your-story
Patients in rural parts of the United States often face specific and numerous barriers to care, including financial hurdles, logistical concerns and trust in the healthcare system.As the founder of Caravan Health and Chief Innovation Officer at Signify Health, Lynn Barr is deeply involved in rural health policy. She joins Healthcare IT News Senior Editor Kat Jercich to discuss her journey of working with health systems, what role population health programs and value-based payment can play in inequities, and what policy changes are necessary for safety-net providers.Talking points:-60 million people live in rural America-What data measurement can reveal about quality -The divide in life expectancy between rural and urban Americans-Population health programs and value-based payment addressing inequities-The HITECH Act's effect on independent physicians-Small numbers don't work for judging cost-Leading indicators of success for population health-Why regional benchmarks may not be useful for safety-net providersMore about this episode:Rural hospitals face growing sustainability threats on multiple fronts, AHA saysRural hospitals need more than telehealth to survive the pandemicCMS announces a new value-based payment model for rural healthcare providersHHS puts $48M toward rural public health IT, workforce expansion
Recorded on 02/15/22 In this episode, we discuss interoperability in healthcare, or how data can be more easily shared among stakeholders in healthcare. This has been a unique problem in healthcare, but over the last decade efforts have been underway to resolve that problem first through the HITECH Act and then through the 21st Century Cures Act. Most recently, as part of the Cures Act, we've seen the introduction of TEFCA, the Trusted Exchange Framework and Common Agreement, which sets out a number of guiding principles for the establishment of a nationwide health information network. To discuss this topic and more, we are joined by Micky Tripathi, the National Coordinator for Health Information Technology at the U.S. Department of Health and Human Services, where he leads the formulation of the federal health IT strategy and coordinates federal health IT policies, standards, programs, and investments. In addition, Eric Assaraf from Cowen's Washington Research Group joins us as well to help host this episode. For Disclosures, click here bit.ly/3cPHkNW
The HITECH Act added that state attorney generals can take on cases on behalf of their constituents under HIPAA. We haven't seen that many cases from the states thus far, but that may be changing. Today we discuss a recent New Jersey case regarding fraud, deceit, misrepresentation and professional misconduct. This is an eye opening state level case that everyone should pay attention to. More info at HelpMeWithHIPAA.com/330
Health information exchange (HIE) is the mobilization of health care information electronically across organizations within a region or community. In 2009, Congress attempted to modernize HIE processes by passing the HITECH Act, offering grants and incentives to states and municipalities for developing regional HIE initiatives. Although there has been some progress toward effective mechanisms for data exchange, in many regions of the country it is no easier to share medical information than it was over a decade ago. That is not the case in the State of Nebraska and neighboring states where CyncHealth has achieved health care transformation through data democratization and community betterment collaboration. They have done this by becoming more than a HIE; instead they have become a true “population health utility” by building the roads and the infrastructure for better workflows and better patient care (not just improved data exchange). This week, we are pleased to welcome three important guests from CyncHealth, Dr. Jaime Bland, President and CEO , Dr. Larra Petersen-Lukenda, Vice President of Population Health, and Dr. Joy Doll, Vice President of Community and Academic Programs. Their vision for a ‘population health utility' builds upon the ONC's vision for interoperability through data democratization and cross-sector collaboration. In this episode, we interview these leaders to better understand how to leverage data to create the greater good in societal health outcomes. You will hear from them how health care transformation can be realized through community partnerships and data sharing across the continuum of care, collaborative research in population health, and an empowered “health data competent workforce” to meet clinical and social needs in a more holistic way. Episode Bookmarks: 03:45The purpose of a ‘population health utility' is to create better workflows and improved patient care, not just improved data exchange 04:45 Fewer than half of office-based physicians can exchange patient health information outside their organization electronically 05:30 The HIE market is projected to double from $1 billion in 2020 to $2 billion in only 5 years 06:00 Jaime discusses how CyncHealth's 15-year journey to build a HIE infrastructure to support population health in Nebraska 07:20 Jaime and Larra's vision for leveraging a HIE as the basis for a clinically integrated network/ACO 08:00 Improving upon the cumbersome query-based exchange model to deliver better patient outcomes in complex care scenarios 09:00 Jaime explains how they have reframed the HIE into a “population health utility” 09:40 Joy describes the application of the population health utility to address the Quadruple Aim and improve patient outcomes 10:25 Larra on reaching the ONC's 10-year vision for interoperability can improve clinical decision support and patient engagement 11:55 Larra on how “The ability to influence the future of healthcare through data is an amazing responsibility to benefit the greater good of the community.” 12:30 Jaime on the Nebraska Prescription Drug Monitoring Program (PDMP) -- a stand-alone medication query platform integrated into the CyncHealth HIE 16:15 Larra on the benefits of the PDMP in improving completeness of the overall medical record, with impact on patient safety and care interventions 18:30 The Opioid Crisis and SUD (23.4 million have SUD causing 81,000 drug overdose deathsannually -- two-thirds of which are related to opioids) 20:00 Jaime on how CyncHealth has responded to the Support for Patients and Communities Actin order to address the Opioid Crisis 21:15 Larra emphasizes the importance of the Support Act as a way to leverage technology in response to the national opioid epidemic 24:30 Joy on the opportunities for health policy and public sector funding to address disparities in care 27:30 Jaime on how transforming an HIE into a “Population Health Utility...
The HITECH Act, part of the broad American Recovery and Reinvestment Act of 2009, ushered in major changes for health care's information and informatics landscape. The legislation may best be known for "meaningful use" requirements attached to hospital and/or physician funding to support the adoption of electronic health records (EHRs).The law also greatly boosted health information exchanges, or networks that share clinical information across different health care settings.On today's episode of A Health Podyssey, Dr. Julia Adler-Milstein, director of the Center for Clinical Informatics and Improvement Research at the University of California San Francisco, joins Health Affairs Editor-in-Chief Alan Weil to discuss a survey of health information exchange organizations she and colleagues published in the May 2021 issue of Health Affairs. The survey reveals a level of maturity in the field of health information exchange, but a few critical issues continue to threaten the ability to achieve the potential and promise of EHRs. Listen to Alan Weil interview Julia Adler-Milstein on the evolution of health information exchange organizations, TEFCA, and health data governance.Subscribe: RSS | Apple Podcasts | Spotify | Stitcher | Google Podcasts
In this podcast, Dr. Chris Mast, Vice President of Clinical Informatics with EPIC, discusses how electronic health medical records (EHRs) are essential to today's modern day medical world, about implementing and using an EHR for improving patient care, and what the EHR future holds for healthcare. Enjoy the podcast! Objectives: Upon completion of this podcast, participants should be able to: Recognize the benefits that an integrated electronic health record system will bring to patients and healthcare providers. Identify steps that healthcare providers can take to maximize their efficiency and smoothly transition to new electronic systems from existing systems. List common roadblocks that prevent healthcare providers from taking full advantage of their electronic tools/resources. CME credit is only offered to Ridgeview Providers & Allied Health Staff for this podcast activity. Complete and submit the online evaluation form, after viewing the activity. Upon successful completion of the evaluation, you will be e-mailed a certificate of completion within approximately 2 weeks. You may contact the accredited provider with questions regarding this program at rmccredentialing@ridgeviewmedical.org. Click on the following link for your CME credit: CME Evaluation: "An EPIC Perspective on EHRs with Dr. Chris Mast" (**If you are listening to the podcasts through iTunes on your laptop or desktop, it is not possible to link directly with the CME Evaluation for unclear reasons. We are trying to remedy this. You can, however, link to the survey through the Podcasts app on your Apple and other smart devices, as well as through Spotify, Stitcher and other podcast directory apps and on your computer browser at these websites. We apologize for the inconvenience.) DISCLOSURE ANNOUNCEMENT The information provided through this and all Ridgeview podcasts as well as any and all accompanying files, images, videos and documents is/are for CME/CE and other institutional learning and communication purposes only and is/are not meant to substitute for the independent medical judgment of a physician, healthcare provider or other healthcare personnel relative to diagnostic and treatment options of a specific patient's medical condition; and are property/rights of Ridgeview Medical Center & Clinics. Any re-reproduction of any of the materials presented would be infringement of copyright laws. It is Ridgeview's intent that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It is not assumed any potential conflicts will have an adverse impact on these presentations. It remains for the audience to determine whether the speaker’s outside interest may reflect a possible bias, either the exposition or the conclusions presented. Ridgeview's CME planning committee members and presenter(s) have disclosed they have no significant financial relationship with a pharmaceutical company and have disclosed that no conflict of interest exists with the presentation/educational event. SHOW NOTES: CHAPTER 1: The importance of medical records has grown in the last 100 years, starting with the first paper medical records developed in the 1920s. Even back then, standardization was important, the American College of Surgeons established an association to achieve just that. In 1965, Medicaid and Medicare were developed and pushed the development of health information systems. The 1970s brought computerized physician ordering systems. The first information system was also rolled out in the University of Vermont Medical Center's gynecology unit. In the 1980s, growth in the computer world led to new possibilities in healthcare. Personal computers became more affordable. Dragons systems developed voice recognition software and by the late 1980s, Windows software was developed. From 1990 to the late 2000s there was the boom of the World Wide Web, ICD-30 coding, and legislation for the increase of electronic health records (the HiTech Act). Between 2008 and 2015 electronic health record adoption doubled. EPIC is a privately owned company, which Dr. Mast states has allowed the company to focus on the long term, making sure that the software is a joy to use, and provide value to healthcare providers. CHAPTER 2: EPIC is an integrated comprehensive electronic health record system that offers many different functions to promote better patient and health care interactions. The features of EPIC provide a one-platform system, thereby eliminating the multiple database platforms used in the past or are still being used today. One of the big benefits of EPIC is the ability to share pertinent patient information across organizations that both work with EPIC. However, with increasing interoperability (much like cell phones bounce off other network cell towers), communication between different EHR systems increase. This interoperability will only increase as standardization of data, like how a specific diagnosis - like heart failure is coded, improves. Dr. Mast states, "playing the percentages, you will be able to connect, if not now, in the near future". The interoperability of EPIC assists in promoting care everywhere as well as the newer share everywhere features which is a limited one-time access to care everywhere for the non-EPIC health system evaluating a patient. CHAPTER 3: Connect customers, organizations that use EPIC software in partnership with another organization, benefit from a move-in ready EHR where they can start using the system immediately. The example used, is like moving into a furnished apartment, without having to find, build or organize everything. It's already there, ready to use. EPIC is not a tiered system. There is not a platinum or gold level status. However, not every organization needs every module available on the EPIC platform. What kind of support will an EPIC customer receive? In the Connect scenario, there are essentially two groups of assistance. The connect partner, with their knowledge and support as well as the support team from EPIC. There is also personalization of EPIC systems to create the features and information important to the workflow of an individual clinician. CHAPTER 4: EPIC is more than just a documentation software. Within the system, there are algorithms and models that allow the computer to analyze data and predict, say, patients that are trending towards sepsis. This information can be used to direct resources earlier, intervene earlier, and improve outcomes. Another example of AI modeling would be a patient discharged with congestive heart failure, and submitting daily weights. Modeling can trend that data and predict those that might fail outpatient treatment, provide opportunities for early interventions, and again, improve outcomes. That is the present. The future of AI in electronic health records is endless. Ambient speech recognition is currently being trialed, providing documentation, transcription and even the possibility of cueing up orders. It is the fundamental theorem of informatics at work: clinician plus computer is greater than clinician alone. Thank-you for listening.
In Episode 7 we talk extensively with Dr. Don Rucker who recently finished serving as director of the Office of National Coordinator (ONC). We discuss his unique background which prepared him for this position, the role of the ONC in healthcare, his accomplishments while serving the ONC, the impacts of the HITECH Act and Cures Act, Big Data, and much more. Join us as we delve into this fascinating blend of technology and healthcare.
Guest is Donna Grindle CEO at Kardon and cohost of the Help Me with HIPAA podcast joins us with an update to the HITECH Act, Ben takes a closer look at video surveillance and privacy issues being argued in front of the First Circuit Court, and Dave looks at Facebook’s spotty record when it comes to reigning in their algorithms. While this show covers legal topics, and Ben is a lawyer, the views expressed do not constitute legal advice. For official legal advice on any of the topics we cover, please contact your attorney. Links to stories: A Police Camera That Never Tires Stirs Unease at 1st Circuit How Facebook got addicted to spreading misinformation Got a question you'd like us to answer on our show? You can send your audio file to caveat@thecyberwire.com or simply leave us a message at (410) 618-3720. Hope to hear from you.
Charming Kitten is back, and interested in medical researchers’ credentials. Russian services appear to have been reading some US State Department emails (it’s thought their access was confined to unclassified systems). Risk management practices and questions about the risks of growing too blasé about “management.” Recognizing the approach of an intelligence officer. Volumetric attacks are up. Joe Carrigan examines a sophisticated Microsoft spoof. Our guest is Donna Grindle from Kardon on updates to the HITECH ACT. More concerns, in India and the US, about Chinese telecom hardware. For links to all of today's stories check out our CyberWire daily news brief: https://www.thecyberwire.com/newsletters/daily-briefing/10/61
Do you manage health care data? Gerry Miller, CEO of Cloudticity, shares the story behind starting this cloud-based business and how it can help you. In this episode, Brian Anderson interviews Gerry Miller, CEO of Cloudticity—a company dedicated to improving public health by helping medical providers and companies wrangle the cloud. They provide managed services focused on developing HIPAA compliant applications on Amazon Web Services (AWS) and Microsoft Azure. A serial entrepreneur, Gerry was approached by Microsoft Consulting Services and asked to serve as practice manager for the Great Lakes district and, later, the chief technology officer for the Central U.S. region. When Gerry left Microsoft, he spent several years helping companies scale and doing some angel investing before stumbling into Cloudticity. At that time, there was a tremendous sea tide change happening in the healthcare industry. The HITECH Act had just been passed. The Affordable Care Act, known as Obamacare, had just been passed, which forced a tremendous amount of investment in digitizing health data. And healthcare and technology had always been passions of his. He and a friend decided to start a cloud-based company to help ingest large quantities of data at scale. In the early days of Cloudticity, they built the first patient portal ever on the cloud and the first health information exchange (HIE) on the cloud. They started getting noticed by AWS who sent business their way. Gerry adds that the most important aspect of the cloud that his clients enjoy is agility. He says while it generally starts as a financial decision, it very quickly becomes a competitive differentiator for many of their clients, as they can move faster in the cloud. In March of 2020, the state of New York was the hardest hit by COVID-19 in the country. Cloudticity helped them get an operational data lake with data flowing in six days, and that fed their contact tracing program, which is the largest civil project ever in the history of the state of New York. And six weeks later, they were the first state that entered green. We thank Gerry Miller for his time on the Augusto Digital Insights podcast and wish him and Cloudticity the very best!
Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., Houston, TX presents. “As part of the Department's effort to fully protect patients' health information and their rights under HIPAA, OCR has issued this important new fact sheet clearly explaining a business associate's liability,” said OCR Director Roger Severino. In 2013, under the authority granted by the HITECH Act, OCR issued the Final Omnibus Rule that, among other things, identified provisions of the HIPAA Rules that apply directly to business associates and for which business associates are directly liable. One of the most notable items is the Business Associate Agreement. The presentation highlights enforcement actions, as well as key compliance items business associates and subcontractors need to focus on.
Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., Houston, TX presents. “As part of the Department’s effort to fully protect patients’ health information and their rights under HIPAA, OCR has issued this important new fact sheet clearly explaining a business associate’s liability,” said OCR Director Roger Severino. In 2013, under the authority granted by the HITECH Act, OCR issued the Final Omnibus Rule that, among other things, identified provisions of the HIPAA Rules that apply directly to business associates and for which business associates are directly liable. One of the most notable items is the Business Associate Agreement. The presentation highlights enforcement actions, as well as key compliance items business associates and subcontractors need to focus on. The post HIPAA Business Associate Agreements Under HITECH appeared first on First Healthcare Compliance.
Description: On January 5th, 2021, an amendment to H.R 7898, the HITECH Act was signed into law. The law incentivizes the adoption of cybersecurity framework NIST as part of defense or mitigation to HIPAA enforcement. To discuss this long awaited accomplishment and overall win for cybersecurity practice as a whole, we are honored to have Mac McMillan and David Finn as this week’s guest speakers. Mac McMillan, Founder of CynergisTek has won 2019’s CHIME Foundation Industry Leadership Award, 2020’s Leadership Excellence Award in the cybersecurity sector from Baldrige Foundation, and is recognized as an industry icon. Listen in as Mac and David discuss this monumental law, and reflect on their work as longtime NIST advocates and cybersecurity catalysts.Subscribe to CTEK Voices: The Risk PerspectiveApple iTunes, Spotify, Stitcher, or your preferred podcast platform. New episodes are released weekly and a transcript of each episode can be found at cynergistek.com.
Our first podcast episode of 2021 features distinguished guest Steve Posnack, Deputy National Coordinator for Health Information Technology for The Office of the National Coordinator (ONC). Our new host Ken Kleinberg along with co-hosts Jocelyn Keegan and Pooja Babbrah talk with Steve about the administration transition, FHIR, moving to APIs in healthcare and the mission to achieve interoperability. Ken first asks Steve what he expects to see from the Biden administration, more specifically, how that transition will impact ONC and Centers for Medicare & Medicaid Services (CMS) moving forward. Steve says we were set forward on a course related to the 21st Century Cures Act and there is still more to be done in implementing the statutes. Health IT has largely received bipartisan support. The technology work and how technology can be used to support healthcare to make it better is something he believes everyone is passionate about. Steve's points echoed an expected continuity of cross-party support toward areas like health IT, health data and improving the overall functioning, effectiveness, and outcomes of our nation's healthcare system through the use of technology. He did, however, expect to see a greater focus on pandemic response with the Biden administration. Ken transitions to the next topic and asks Steve and our co-hosts to give their thoughts on how we will see APIs and the work of FHIR accelerators used to support the COVID response and management of the pandemic moving forward. Steve notes the event Accelerating APIs in Healthcare: A Year in Review and Momentum for 2021 that took place on December 1, 2020, which highlights the accomplishments of four years of initiatives, investments and industry participation. He sees opportunity to continue to reduce burden and automate processes as well as work to enrich the point of care through the use of technologies and tools. Jocelyn points out that the impact of COVID, and the pandemic in general, falls into two classes when it comes to advancing APIs. We've seen some folks pull away from their progress toward value-based care due to delays in compliance dates. However, then we see some people who are no longer waiting on vendors and are understanding the role of APIs. There's nothing else that could have happened to further splay open the current state we tolerate as members of the United States' health system in terms of lack of interoperability. She says it's not about ripping out or replacing old standards, but rather, identifying where we can leverage APIs and tools we get out of FHIR to be able to sew together all these disparate parts.Pooja notes an important topic gaining attention during the pandemic: advanced care planning. People are ending up in the ER or getting intubated. It's not easy for providers to get that information for people who are ending up in the hospital. These patients may have a do not resuscitate or do not intubate order in place. It's not just the HL7 FHIR accelerators that are taking what everyone is doing around these FHIR APIs, but we're taking that and applying it in other areas. Ken asks Steve what other stakeholders who have not traditionally been involved in ONC's rulemaking will be included in future efforts. Steve says ONC's footprint is widely expansive as his office is the cross section of healthcare as a whole. The Cures Act touched on pediatrics a little bit more heavily and we've been putting out some resources in that regard. Long term post-acute care was another place that was ineligible for incentives under the original HITECH Act money. Then we have everything in between such as behavioral health, mental health, other types of specialty care that are trying to connect to your home base (primary care physician, hospital or ADT notifications). We want to make sure the care community serving patients is aware of what's going on. All of this relies on data and interoperability. Steve also mentions that pharmacy efforts around electronic prior authorization and support for opioid care and management of medication are exciting areas of work as well.An interesting topic, Ken asks Steve how industry participation helps drive ONC's rulemaking. Steve explains that most all his office's efforts are focused on longer-term visions to make lasting change, which means building relationships and establishing trust with stakeholders is essential. He says we can't regulate our way out of everything, but rather, we must get everyone on board for the same mission. Steve notes the importance of seeking knowledge from industry colleagues. Pilot testing and standards performance testing are a vital part of the process, yet he finds that it is sometimes difficult to find stakeholders to back investments.Jocelyn brings up the issue of incentivizing people so they want to become early adopters. How do we lift the ceiling for those who really want to innovate? She poses a question to Steve asking how they go about making sure that standard ceiling is lifted while at the same time making sure people are meeting the requirements of the floor. He responds by saying this is an issue they have been chipping away at for some time. It's difficult form an interoperability perspective because if two people are at very different levels, sometimes is okay, but other times there is a hard break resulting in friction. As long as it doesn't create a discrepancy in interoperability, we will allow communities to move forward with standards on a voluntary basis once their other requirements are met. To finish the podcase, Steve leaves us with an honorable mention to Project USA, something to look out for in the coming year, as well as a nod to the continuation of TEFCA and the 21st Century Cures Act in 2021.Pooja's final comments commend Steve for bringing up pharmacy. She notes there actually is a lot of work coming out of ONC that supports the pharmacy-side of healthcare. She advises her fellow colleagues in pharmacy to pay attention to the happenings of ONC and utilize them as a stakeholder in the coming year.Jocelyn ends the podcast by saying she would like to see what momentum will look like on the existing proposed rules once the dusts settle, especially with the delay around the information blocking rules themselves and what will the industry need to do to keep things moving forward.
The CyberPHIx Roundup is your quick source for keeping up with the latest cybersecurity news, trends and industry leading practices, specifically for the healthcare industry. In this episode, our host Brian Selfridge highlights the following topics trending in healthcare cybersecurity this week: The House passed an amendment to the HITECH Act that provides OCR enforcement safe harbors for adoption of security best practices including NIST and HITRUST OCR guidance issued for HIEs and disclosures of PHI to public health authorities during the pandemic NSA cybersecurity advisory about cloud attack techniques that are successfully bypassing standard access controls A new FBI ransomware advisory for the DopplePaymer ransomware strain NSA's guidance for addressing attacks targeting outdated encryption protocols including SSL and TLS NIST released cybersecurity standard for PACS and radiology systems The latest updates on the groundbreaking SolarWinds attack and related recommendations for healthcare entities
November 13, 2020: It’s been about a decade since the passing of the HITECH Act when we as a country decided to invest many billions of dollars into our health IT infrastructure. So it’s the perfect time to look back and see how things are going. Bob Rudin of the Rand Corporation, a nonprofit think tank, shares their research. The working paper is called “Optimizing Health IT to Improve Health System Performance.” They interviewed executives from 24 health systems around the country. We see all kinds of efficiencies in every industry, why isn’t it happening in healthcare? What’s going on? What’s the problem? Are we getting value from all the new technology? If not, why not? How can we do better? What about distribution? How do we get apps out to the masses? How do we get the clinicians to adopt them? And with so many mergers happening, is there a secret sauce?Key Points:Looking at health IT in the context of health systems and how we're trying to use it to improve performance [00:05:25] There's now industry consensus that it’s better for a health system to be on one electronic health record rather than on more. There’s so many efficiencies you gain from doing that. [00:11:25] The 10 year foundation has been laid but it was 5 years ago when the 21st Century Cures was signed into law that we really saw the first seeds [00:34:05] Can we all agree that evidence-based medicine makes the most sense? The answer to that is not always. [00:43:45] "Optimizing health IT to improve health system performance"
Chances are your EMS agency’s HIPAA NPP is one of those necessary evils that no one thinks about. Sometime two decades ago we all were keyed in to this requirement. But, since then, maybe not so much. How long has it been since you read over your NPP? Does it contain all the latest language to incorporate the HITECH Act provisions? Is it posted to your website and displayed somewhere in your station? In this edition of the QMC EMS Board and Collar we offer some practical tips to help you re-energize your HIPAA NPP strategy!Written by: C. HumphreyPresented by: C. Humphrey
The adoption of healthcare technology since the HITECH Act of 2009 is unprecedented across industries. People in healthcare today still deal with the implications, especially in EHR implementation and use. In the second episode of our three-part series, Dr. Raj Ratwani (Director of the MedStar Health National Center for Human Factors in Healthcare) talks about making EHR issues transparent to everyone who has a role in solving them. In Episode: EHRSeeWhatWeMean.org: Part of MedStar’s campaign to highlight real clinician issues with EHRs
Every week, The American Journal of Managed Care® (AJMC®) recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast. This week, the top managed care news included President Trump's State of the Union address highlighting healthcare; HHS Secretary Alex Azar taking on drug rebates; physicians asking Congress to fully implement the HITECH Act. Read more about the stories in this podcast: Trump Highlights New Initiatives for Childhood Cancer, HIV in State of the Union: https://www.ajmc.com/newsroom/trump-highlights-new-initiatives-for-childhood-cancer-hiv-in-state-of-the-union Azar Promotes Efforts to Tackle Rebate System: https://www.ajmc.com/conferences/academyhealth-2019/azar-promotes-efforts-to-tackle-rebate-system AcademyHealth 2019 National Health Policy Conference: https://www.ajmc.com/conferences/academyhealth-2019 Campaign Seeks Push to Improve Usability of EHRs: https://www.ajmc.com/focus-of-the-week/campaign-seeks-push-to-improve-usability-of-ehrs Getting Ready for the Use of Real-World Evidence: https://www.ajmc.com/focus-of-the-week/getting-ready-for-the-use-of-realworld-evidence Does Comparing Cesarean Delivery Rates Influence Women’s Choice of Obstetric Hospital? https://www.ajmc.com/journals/issue/2019/2019-vol25-n2/does-comparing-cesarean-delivery-rates-influence-womens-choice-of-obstetric-hospital
Brandyn is a CADCAM CEREC Digital Impression Specialist at Patterson Dental Supply. We've known him for years and have been to many dental meetings and conferences with Brandyn in recent years. He's a true expert when it comes to CADCAM and CEREC. During this episode Brandyn talks about the advances in technology within the dental industry. Jordon and Ben explain how insurance should not and cannot prevent you from obtaining fees for using technology that allows you to provide treatment that is above and beyond standard insurance coverage. They discuss the HITECH act and how this law is designed to employer patients with the legal authority to receive treatment that they want and need and having that treatment protected from insurance scrutiny and abuse. Ben explains the do's and don'ts in using insurance waivers and how to best implement an insurance waiver if you are using advanced technology such as CADCAM or CEREC. The objective behind using an insurance waiver is to allow the patient to receive these advanced forms of treatment that may not fully be covered by their dental insurance plan, while allowing doctors to collect an appropriate fee that is commensurate with the quality of dentistry being delivered. To contact our hosts, please email help@veritasdentalresources.com.
Becky Havlisch (Banner Health) and Bob Chaput (Clearwater) lead their respective organization’s search for better cyber risk management. Havlisch has an unusual title: vice president of business health. That title reflects her organization’s innovative approach to cyber risk. Chaput describes why the 2009 HITECH Act led to the explosion of healthcare-related cyberattacks. He describes a vision of ongoing risk and compliance gap assessment as a method to optimize OpEx and CapEx spent on cyber risk. Along the way, we learn the difference between cyber risk and cyber security, lessons from Banner’s 2016 breach, and the role of the Audit Committee of the Board. Guests: Rebecca Havlisch, RN, JD, Vice President, Business Health, Banner Health Bob Chaput, MA, CISSP, HCISSP, CRISC, CIPP Chief Executive Officer Clearwater Compliance
Listen NowElectronic Health Records (EHRs) were largely adopted after 2009, or after the Congress passed the HITECH Act that appropriated $30 billion in financial incentives for hospital and physicians to migrate from paper to digital records. In theory the policy made/makes perfect sense. Adopting information technology/IT would over time create efficiencies, drive better care coordination and overall improve care quality and reduce unnecessary spending or reduce spending growth. However, for numerous reasons moving to widespread use of EHRs has presented/continues to present numerous challenges and problems, some anticipated and some not, that meant putting patients at risk of medical harm, or essentially swapped out one set of problems (associated with paper records) for another set of problems (associated with EHRs). During this 29-minute conversation Dr. Troxel offers his view why the medical industry comparatively lagged in adopting digital records, what are the more common EHR design flaws and what kinds of medical errors they cause, how prevalent are EHR-related errors or what did his report, cited below, conclude, why EHR-related errors or harm occur, what is the current status of a proposed federal Health IT Safety Center and what can patients do to improve the safety of their EHRs. Dr. Troxel is Secretary of the Board of Governors and Medical Director of The Doctors Company, a physician-owned medical malpractice insurer. Dr. Troxel is also Clinical Professor Emeritus at the School of Public Health at the University of California at Berkeley. He is past president of the American Board of Pathology and the California Society of Pathologists. He serves as Chairman of The Doctors Company Foundation and as a member of the Patient Safety and Technology Committees at The Doctors Company.Referenced during the discussion the report, "Electronic Health Record Closed Claims Study," is at: http://www.thedoctors.com/ecm/groups/public/documents/print_pdf/con_id_013553.pdf.The 2011 IOM report, "Health IT and Patient Safety: Building Safer Systems for Better Care," also referenced during the discussion is at: http://www.nationalacademies.org/hmd/Reports/2011/Health-IT-and-Patient-Safety-Building-Safer-Systems-for-Better-Care.aspx.Information on the Doctors Company is at: http://www.thedoctors.com/. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.thehealthcarepolicypodcast.com
This week’s episode is the last episode in our series on new models of Primary Care! Our guest today, Michael Greeley, is a General Partner at Flare Capital Partners. Prior to co-founding Flare Capital Partners, Michael was the founding General Partner of Flybridge Capital Partners where he led the firm’s healthcare investments. Michael’s current and prior board seats include HealthVerity, Iora Health, Predilytics, TARIS Biomedical, and Welltok. Michael also serves on the Industry Advisory Board of the Cleveland Clinic and Boston Children’s Hospital, as well as serving on several other boards including the New England Investors’ Committee of Capital Innovation. Michael is most excited about the convergence of healthcare and information technologies and the profound opportunities to transform healthcare and writes about this and other topics on his blog www.ontheflyingbridge.com In this episode we cover: Michael’s background, work at Flare Capital, and his specific areas of investment interest How Flare Capital’s investment in Iora Health came together and what led him to say yes Michael’s general thoughts on entrepreneurs trying to build standalone primary care models and if he thinks this helps or could create more fragmentation in the system Where Michael sees the future of these New Models of Primary Care heading Michael’s thoughts around a blog post he wrote in that “if V1 of the Healthcare technology sector was triggered but the HITECH Act of 2009, the sector is now entering V2.0 where the commentary is focused on Artificial Intelligence and Virtual Reality solutions to make the healthcare system “capital light” to drive meaningful operating efficiencies from the significant investment of the past three years." What opportunities Michael believes will develop over the next few years If Michael sees a growth in early stage investment over the next few years or if he thinks we’ll see the percentage grow in Series B and later investments Why Michael thinks "Brands will become even more important” Links mentioned in the show: Steve Kraus at Bessemer Ventures https://www.bvp.com/team/stephen-kraus https://ontheflyingbridge.wordpress.com/2017/02/21/potential-next-steps-where-to-invest/ Connect with Michael: Twitter LinkedIn Blog Connect with Flare Capital Partners: Website Connect with Healthbox Follow us on Twitter and @ChuckFeerick Subscribe and leave a review in iTunes Have guest suggestions or topic ideas for the podcast? Send them to us at ideas@healthbox.com Listen to this episode on iTunes, SoundCloud, or Libsyn
Business Associate Agreements Hot off the press, our latest Podcast is now available! Please join us as we discuss the importance of Business Associate Agreements. BA Agreements are required for all associates of an entity who access some form of Protected Health Information (PHI). HIPAA and the HITECH Act require BAAs. Listen as we discuss some of the problems facing Business Associate Agreements, and how to ensure your organization is following compliance standards. The episode features Ahmed Salim, a Compliance Professional, and Brad Phillips, Director of Sales for Compliatric. For our new listeners, Comply Guys & Compliatric have created this podcast series in order to help compliance professionals build their program. Every podcast we will discuss a new compliance issue and provide insight on how to ensure your organization is following best practices. In this episode, we will cover: • The definitions of a Business Associate Agreement • How to determine when you need a BAA • Government regulations that apply to BAAs • Problems organizations have identifying contracts that need a BAA For questions or information about please contact: ahmed.salim@complyguys.com. For questions or information about Compliatric please contact: bphillips@compliatric.com or go to www.compliatric.com.
Click here to download this episode If you are interested in creating cash-based revenue for your physical therapy practice, but confused about the laws on taking self-payment from Medicare beneficiaries, then this episode is for you. Whether you are a: veteran practice owner who participates with Medicare, hybrid practice owner with Non-Participating status, cash-based practice owner not enrolled in Medicare, physical therapist hoping to become any of the above, … very few seem to know when and if they can take private-payment from Medicare beneficiaries. The answer to this question actually changes depending a large number of factors, and they are all explained in this episode. In this episode I read the first 22 pages of the Medicare and Cash-Pay Physical Therapy ebook and you will learn: The 3 possible relationships a physical therapist can have with Medicare and how this affects every decision you make surrounding this topic. How being a "Non-Participating Provider" is Not the same thing as "Opting Out" of Medicare. Why being a "Non-Participating Provider" is Not the same thing as having no relationship with Medicare. Why being non-enrolled or un-enrolling in Medicare is also Not the same thing as "opting out" of Medicare. The "Mandatory Claims Submission" law and how it affects your ability to provide cash-pay services to Medicare beneficiaries. The ONE exception the Mandatory Claims Submission law and how this exception can significantly change your ability to take self-payment from a beneficiary. How your specific relationship with Medicare dictates when/if you are able to provide covered services on a self-pay basis. The 3 reasons that services are not covered by Medicare. The scenarios in which covered services may become non-covered. How meeting the Therapy Cap may or may not change our ability to collect self-payment from that beneficiary, and the process that should be followed in doing so. The key factors you must know to determine when you can take cash-payment for "Maintenance Care"… sometimes you can and sometimes you cannot. How the 2009 HITECH Act and the 2013 HIPAA Omnibus Final Rule may or may not have created opportunities to treat beneficiaries on a cash-pay basis. When you should use an Advanced Beneficiary Notice (ABN) versus a Private Contract if you'll be collecting private-payment from beneficiaries. The correct process for using an ABN when normally-covered services may no longer be covered due to lack of medical necessity. Resources and Links mentioned in this episode: MEDICARE AND CASH-PAY PHYSICAL THERAPY – a Guide to the Rules and Regulations on Taking Private Payment from Medicare Beneficiaries If you are interested in the full-length book, access to all the links and sources, and over 30 more pages of information to clear up the confusion and fear most practice owners have surrounding this topic, click here to get it all.
Bill Maruca provides insight into the Health Information Technology for Economic and Clinical Health (HITECH) Act, passed as part of the American Recovery and Reinvestment Act of 2009.
The Department of Health and Human Services (HHS) recently released an update to its meaningful use policies about encrypting patient information. They made one thing perfectly clear – the only way to avoid the data breach notification requirement, and potential fines, is to encrypt the data. With small and mid-sized businesses increasingly the target of cyber attacks, the time to address encrypting personal health information (PHI) is now.
Save Time, Save Money, Make Money with Electronic Health Records
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This show (and the next few) will explore what documents you should be tracking within your organization to be HIPAA/HITECH compliant. The number of documents will likely surprise even experienced practitioners. We will take a methodical approach and walkthrough the documents required for the following: 1) the HIPAA Privacy Rule; 2) the HIPAA Security Rule; and 3) the HITECH Breach Notification Rule.
This show (and the next few) will explore what documents you should be tracking within your organization to be HIPAA/HITECH compliant. The number of documents will likely surprise even experienced practitioners. We will take a methodical approach and walkthrough the documents required for the following: 1) the HIPAA Privacy Rule; 2) the HIPAA Security Rule; and 3) the HITECH Breach Notification Rule.
This show will conclude our exploration of what you should expect from an OCR audit. We will conclude our review of the HIPAA Security Rule and start reviewing what to expect from a HITECH Breach Notification inquiry.
This show will conclude our exploration of what you should expect from an OCR audit. We will conclude our review of the HIPAA Security Rule and start reviewing what to expect from a HITECH Breach Notification inquiry.
This show will continue to explore what you should expect from an OCR audit. We will conclude our review of the HIPAA Privacy Rule and start reviewing what to expect from a HIPAA Security Rule audit. Contrary to popular belief, audits are not these mystical "gotcha" exercises, but rather a methodical walkthrough of the following: 1) the HIPAA Privacy Rule; 2) the HIPAA Security Rule; and 3) the HITECH Breach Notification Rule.
This show will continue to explore what you should expect from an OCR audit. We will conclude our review of the HIPAA Privacy Rule and start reviewing what to expect from a HIPAA Security Rule audit. Contrary to popular belief, audits are not these mystical "gotcha" exercises, but rather a methodical walkthrough of the following: 1) the HIPAA Privacy Rule; 2) the HIPAA Security Rule; and 3) the HITECH Breach Notification Rule.
This show will continue to explore what you should expect from an OCR audit. Contrary to popular belief, audits are not these mystical "gotcha" exercises, but rather a methodical walkthrough of the following: 1) the HIPAA Privacy Rule; 2) the HIPAA Security Rule; and 3) the HITECH Breach Notification Rule. Auditors, by definition, have to deal with the "reality on the ground" which are the pertinent statutes and regulations. There are systematic ways to attack each of the Rules identified above and we will review those with our audience. We will also review strategies that can help you avoid a finding of "willful neglect."
This show will continue to explore what you should expect from an OCR audit. Contrary to popular belief, audits are not these mystical "gotcha" exercises, but rather a methodical walkthrough of the following: 1) the HIPAA Privacy Rule; 2) the HIPAA Security Rule; and 3) the HITECH Breach Notification Rule. Auditors, by definition, have to deal with the "reality on the ground" which are the pertinent statutes and regulations. There are systematic ways to attack each of the Rules identified above and we will review those with our audience. We will also review strategies that can help you avoid a finding of "willful neglect."
Today's topic is HPAA and the HITECH Act, and what they say about encryption and key management. Additionally, learn how to avoid breach notifications and what Townsend Security can do to help your organization meet these compliance requirements.
MPT Podcast 8 - Recent Changes in the Enforcement of the HITECH Act and the Impact on Your Practice, With Guest Mike Meikle, Hawkthorne Group. This Issue: Possible civil and criminal penalties a medical practice can face What do the new HITECH Act provisions mean to your medical practice? What are potential penalties for violating the HIPAA regulations? What proactive measures can you take to protect yourself and your practice? [smart_track_player url="http://mptaudio.s3.amazonaws.com/$emed$podcast/MPT_podcast_8.mp3" title="MPT Podcast 8- Recent Changes in the Enforcement of the HITECH Act" ]
EMR Update 7 - HIPAA, HITECH, and Protecting Your Patients' Information This Issue: What is data-at-rest vs data-in-motion? What do the new HITECH Act provisions mean to your medical practice? What are potential penalties for violating the HIPAA regulations? What proactive measures can you take to protect yourself and your practice? [smart_track_player url="http://mptaudio.s3.amazonaws.com/$emed$podcast/MPT_podcast_7.mp3" title="MPT Podcast 7- HIPAA, HITECH, and Protecting Your Patients' Information" ]
Pharmacy HIPAA Compliancy & the increased concern for patient privacy in 2010: An interview with HIPAA Compliancy Expert & Consultant – Jeff Hedges The importance of an independent pharmacy being HIPAA compliant is more relevant and important than ever before. With the signing of the HITECH Act as part of the federal stimulus plan pharmacy owners may be inspected for HIPAA violations at anytime. The Health Information Technology for Economic and Clinical Health (HITECH) Act provides a tiered system for assessing the level of each HIPAA privacy violation and, therefore, its penalty: Tier A is for violations in which the offender didn't realize he or she violated the Act and would have handled the matter differently if he or she had. This results in a $100 fine for each violation, and the total imposed for such violations cannot exceed $25,000 for the calendar year. Tier B is for violations due to reasonable cause, but not “willful neglect.” The result is a $1,000 fine for each violation, and the fines cannot exceed $100,000 for the calendar year. Tier C is for violations due to willful neglect that the organization ultimately corrected. The result is a $10,000 fine for each violation, and the fines cannot exceed $250,000 for the calendar year. Tier D is for violations of willful neglect that the organization did not correct. The result is a $50,000 fine for each violation, and the fines cannot exceed $1,500,000 for the calendar year. The HITECH Act also allows states' attorneys general to levy fines and seek attorneys fees from covered entities on behalf of victims. Courts now have the ability to award costs, which they were previously unable to do. RJ Hedges & Associates will develop policies and procedures that incorporate your work practices; address Medicare Quality Standards; and meet the accreditation board's requirements. R. J. Hedges & Associates 978 Pumphouse Road New Florence, PA 15944 814-446-4176 Office 814-659-9989 Mobile Email: Jeff@RJHedges.com www.RJHedges.com · will include policies and procedures that are required from other regulatory agencies (e.g. Fire and Safety; Fraud, Waste and Abuse, MSDS requirements) · will provide computer based video training, addressing specific areas of the Medicare DMEPOS Quality Standard · will prepare and assist you in the submission of your accreditation and Medicare applications · There are no surprises, no writing of procedures, no upfront fees. Just a questionnaire to complete. · 100% accreditation success rate. · Accreditation program is prepared in its entirety for your individual organization and is backed with train · This accreditation program is prepared in its entirety for your individual organization and is backed with training, updates and expert support. See omnystudio.com/listener for privacy information.
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