Podcasts about patient records

Dr. Bryan Laskin joins hosts Dr. Maggie Augustyn, Dr. Chad Johnson, and Regan Robertson to expose the truth about dental data. From HIPAA misunderstandings to unethical software vendors, Bryan breaks down what every dentist must know about protecting their practice, empowering patients, and staying compliant in a post-CURES Act world.

In this episode of Curiosity Killed the Plaque, Spring Hatfield, RDH, BSPH, takes a look at HIPAA compliance with patient records requests.Like this show? Leave us a review on your favorite podcasting app! Need CE? Start earning CE credits today at https://rdh.tv/ce Get daily dental hygiene articles at https://www.todaysrdh.com Follow Today's RDH on Facebook: https://www.facebook.com/TodaysRDH/Follow Kara RDH on Facebook: https://www.facebook.com/DentalHygieneKaraRDH/Follow Kara RDH on Instagram: https://www.instagram.com/kara_rdh/

Send us a textThe untapped potential of electronic health records has long been recognized in clinical research, but extracting meaningful insights from this treasure trove of data has remained an elusive challenge—until now.Vish Srivastava, founder of Century Health, reveals how artificial intelligence is revolutionizing real-world evidence by unlocking critical patient data trapped in EHRs. Traditional patient registries that once took a decade to amass just 1,000 patients can now be created with unprecedented efficiency through AI-powered data extraction. The breakthrough lies in advanced language models that can interpret unstructured clinical notes, transforming them into structured, analyzable data points while maintaining patient privacy.This technological revolution has profound implications across the drug development lifecycle. In multiple sclerosis research, analyzing 10+ years of longitudinal patient data has illuminated disease progression patterns beyond relapses, informing the next generation of treatments. For approved medications like GLP-1s, real-world evidence is uncovering potential applications in conditions ranging from metabolic disorders to neurodegenerative diseases, potentially fast-tracking label expansions that would traditionally require years of additional clinical trials.The vision is transformative: reducing the $2.6 billion, 12-year journey of drug development to a fraction of that time while ensuring treatments reach the right patients faster. While Century Health initially focuses on gastroenterology, neurology, and rheumatology in the US market, the underlying technology promises to revolutionize clinical research globally. As Vish notes, "It feels like we can create dramatically better outcomes for patients if we can just make the data that's already collected from their care accessible and actionable."________Reach out to Ivanna RosendalJoin the conversation on our LinkedIn page

In this week's HLbytes Roundup, host Stephanie Dorvil discusses the byte on “HHS Office for Civil Rights Imposes $70,000 CMP for Failure to Provide Timely Access to Patient Records” submitted by Seamus Taylor. For more on these story and others like it, go to ambar.org/hlsnews and check your inbox every Friday for the next edition of HLbytes..

This episode's guest is Nik Hulewsky, the co-founder of multiple 7 figure businesses that he has successfully built and flipped. Nik started on the corporate career path and ultimately got fired from his job. Rather than going back to the corporate world he used an SMB loan to buy his first business, a medical payments company. After a few years he grew the revenue of that business and exited. Since then he has gone on to co-found multiple companies and is currently partnered with Chris Koerner (a previous guest on the pod). This episode we discuss the different business pursuits Nik has chased and talk about his successes and failures. We get into some of the specific business challenges that the medical industry faces and how technology is changing that space. Lastly, we talk about what Nik is planning for the future and how his past ventures have shaped the way he views new opportunities. Hope you enjoy the show! Timestamps:00:00:00 - Precap00:01:17 - Introduction and Background00:01:37 - Nick's Early Career and First Firing00:02:51 - Learning from Failure and Job Loss00:07:58 - Transitioning into Entrepreneurship00:10:40 - First Business Acquisition and Growth00:11:09 - Insights on Control in Business00:12:14 - First Venture and Learning Experience00:14:08 - Expansion and Sale of Businesses00:16:14 - Overview of Healthcare Provider Payment Methods00:16:42 - Understanding Commercial and Private Insurance00:17:11 - The Problem with the Healthcare System00:17:40 - Discrepancies in Medical Billing and Pricing00:18:22 - The Issue with Patchwork Pricing Models00:19:09 - Advice on Handling Medical Bills00:19:57 - Complexity of Medical Billing and Coding00:20:38 - Data Challenges in Energy and Healthcare00:21:58 - The Concept of Arbitrage in Healthcare00:22:22 - Issues with Patient Records and Interoperability00:23:28 - Opportunities in Solving Interoperability00:24:47 - The Role of Machine Learning and AI00:25:16 - Challenges with Data Formats00:27:45 - Future of AI and Machine Learning in Healthcare00:28:04 - The Importance of Company Culture in Startups00:28:43 - Understanding Distribution in Business00:30:30 - The Power of Content and Audience Building00:32:02 - Different Strategies for Different Industries00:35:48 - Maximizing Business Value through Channels00:36:06 - Exploration of New Business Opportunities00:36:46 - Theoretical and Practical Approach to Business00:37:22 - Criteria for Business Interest and Investment00:39:37 - Impact of Artificial Intelligence on Business00:41:13 - Reflections on the Framework00:42:52 - Future Plans and Opportunities00:43:13 - Perfume Vending Business Case Study00:46:24 - Conclusion and Contact Information

JT Perry is back to talk about enterprise AI in healthcare. They also talk about the status of new business models like "doc in a box" and Amazon Health. See the full show notes in the video version of this episode.

JT Perry is back to talk about enterprise AI in healthcare. They also talk about the status of new business models like "doc in a box" and Amazon Health. See the full show notes in the video version of this episode.

In this show Steve Roest, CEO of PocDoc and his guest Rachael Fox, EVP of Altera Digital Health have a major discussion about the true value of a digital Electronic Patient Record and WHY it matters, or should matter to all of us. The right Electronic Patient Record can make the difference between life and death in hospitals and it is an area with real controversies between new entrants and old, incumbent legacy enterprise providers. There are also billions of pounds at stake - of UK taxpayer money!Rachael Fox is the Executive Vice President at Altera Digital Health, a leading electronic patient record (EPR) provider who work with NHS trusts.

Monday, January 30th, 2024Today,  The Texas attorney general is requesting transgender youths' patient records from a Georgia clinic; Senator Fetterman plans to force a vote barring Senator Menendez from classified briefings; the former IRS contractor that leaked Trump's tax returns has been sentenced to five years in prison; Senator James Lankford is pushing back on Trump's blockade of a border deal; NRA CEO Wayne LaPierre continues his testimony in the corruption trial. Plus Allison and Dana deliver your good news.Texas attorney general requests transgender youths' patient records from Georgia clinichttps://www.texastribune.org/2024/01/26/texas-attorney-general-trans-documents-georgia-ken-paxtonWayne LaPierre says he approved helicopter rides so NRA execs could avoid traffic while going to NASCAR raceshttps://www.nbcnews.com/news/us-news/wayne-lapierre-says-approved-helicopter-rides-nra-execs-avoid-traffic-rcna136132Ex-IRS contractor sentenced to 5 years in prison for leaking Trump tax recordshttps://www.nbcnews.com/politics/justice-department/former-irs-contractor-sentenced-5-years-prison-leaking-trump-tax-recor-rcna135908Republican Senator Says Border Deal is Exactly What Trump Wanted as Presidenthttps://www.meidastouch.com/news/republican-senator-says-border-deal-is-exactly-what-trump-wanted-as-presidentWant some sweet Daily Beans Merchhttps://shop.dailybeanspod.com/products/fani-t-willis-teeSubscribe to Lawyers, Guns, And MoneyAd-free premium feed: https://lawyersgunsandmoney.supercast.comSubscribe for free everywhere else:https://lawyersgunsandmoney.simplecast.com/episodes/1-miami-1985Check out other MSW Media podcastshttps://mswmedia.com/shows/Follow AG and Dana on Social MediaDr. Allison Gill Follow Mueller, She Wrote on Posthttps://post.news/@/MuellerSheWrote?utm_source=TwitterAG&utm_medium=creator_organic&utm_campaign=muellershewrote&utm_content=FollowMehttps://twitter.com/MuellerSheWrotehttps://www.threads.net/@muellershewrotehttps://www.tiktok.com/@muellershewrotehttps://instagram.com/muellershewroteDana Goldberghttps://twitter.com/DGComedyhttps://www.instagram.com/dgcomedyhttps://www.facebook.com/dgcomedyhttps://danagoldberg.comHave some good news; a confession; or a correction?Good News & Confessions - The Daily BeansFrom the Good NewsThe VAhttps://www.va.govBee Gees - How Deep Is Your Lovehttps://www.youtube.com/watch?v=XpqqjU7u5Yc&t=141Rat Rescuehttps://www.rattieratz.orgRabbit Rescuehttps://www.therabbithaven.orgPublic Service Loan Forgivenesshttps://studentaid.gov/manage-loans/forgiveness-cancellation/public-service Listener Survey:http://survey.podtrac.com/start-survey.aspx?pubid=BffJOlI7qQcF&ver=shortFollow the Podcast on Apple:The Daily Beans on Apple PodcastsWant to support the show and get it ad-free and early?Supercast https://dailybeans.supercast.com/OrPatreon https://patreon.com/thedailybeansOr subscribe on Apple Podcasts with our affiliate linkThe Daily Beans on Apple Podcasts

Don't forget to check out the video episode on YouTube!  In this episode, I sat down with Dr. Bryan Laskin – a dental tech entrepreneur, an author and a good friend. He's been on before (Ep 76) and just like last time, the conversation flowed. Dentistry is changing behind the scenes. We think of progress as materials updates and faster scans. But what happens when the changes occur behind the scenes yet have such a huge impact on your job? Some highlights from our talk: Digital Transformation and Interoperability: We started by exploring the progression of dentistry from analog to digital and now, Bryan's concept of interconnected dental practices. He emphasized the urgency of interconnected electronic dental records and the barriers hindering quality care and innovation. Patient Records and Compliance: The lack of standard procedures for patient data sharing and record access was a chief concern. We dissected the potential fines for non-compliance with federal regulations, and the absence of insurance coverage for such penalties. Bryan provided insights into efforts being made for the development of standards in dental data accessibility. Clinical and Business Integration: The focus then pivoted to the integration of clinical and business insights in dentistry for collective success. We delved into the necessity of this harmonious relationship and the impact it has on the industry as a whole. Challenges and Solutions: The discussion flowed into the challenges faced in dental practices, including misdiagnoses stemming from disparate referral forms and varied laboratory versions. The need for accurate information for precise diagnostics was heightened. Government Intervention and Future Outlook: We rounded off with thoughts on potential government intervention to reform the dental industry, with an emphasis on integrating medical and dental operations and addressing workforce challenges. Bryan shared his perspective on the future of dental technology and the promising advancements up ahead. Connect with Dr. Bryan Laskin at bryanlaskin.com where you can also find the link to get his new book, Dental Disorder. ------------- Synergy Dental Partners believes in the podcast! They are offering to double their free trial offer for NTMT listeners. Synergy is a group purchasing organization (GPO) that lowers your expenses by leveraging their purchasing power.  https://thesynergydentalpartners.com/free-cost-analysis/ NTMT listeners receive a 2 Month Free Trial + a 3rd Month if you buy anything from any vendor during the trial period. Also, new Darby customers receive a $200 Darby statement credit with a purchase.  ------------- My new insurance course is out! Dental Insurance Design and Management is geared toward those who want to understand the how and why of insurance. As a loyal podcast listener, please use "NTMT" for a $75 courtesy toward your investment.  If you like the show then I'd appreciate a good rating. Tell your friends. Even podcasters ask for referrals! ------------- Visit odysseymgmt.com to check out my book, webinars and courses. ------------- YouTube: https://youtube.com/@odysseymgmt

On this episode of Healthcare Market Matrix, host John Farkas sits down with Mitch Holdwick, Director of Consumer Transformation at Innovaccer, the number one platform for value-based care that unifies patient data across systems and care settings, and empowers healthcare organizations with scalable, modern applications that improve clinical, financial, operational, and experimental outcomes. With over fourteen years of experience with a healthcare marketing focus, Mitch has an honest approach to consumer engagement strategies and has successfully led teams working to drive volume with business and service line priorities. Throughout the episode, John and Mitch discuss how Innovaccer is unifying patient records and patient data and how Innovaccer is marketing in the health systems.   Show Notes (1:12) Introducing Mitch Holdwick and Innovaccer (8:30) The Unification of Patient Records and Patient Data (16:21) Rediscovering the Joy of Medicine (18:18) How Innovaccer is Marketing in the Health Systems (23:02) Delineating between Target Markets (31:33) Measuring Success with Proactive Engagement Strategies (37:21) Customer Relationships and Engagement Initiatives (50:15) Innovaccer's Newer Products and Offerings (54:06) Closing Thoughts  

The Cybercrime Wire, hosted by Scott Schober, provides boardroom and C-suite executives, CIOs, CSOs, CISOs, IT executives and cybersecurity professionals with a breaking news story we're following. If there's a cyberattack, hack, or data breach you should know about, then we're on it. Listen to the podcast daily and hear it every hour on WCYB. The Cybercrime Wire is sponsored by KnowBe4. To learn more about our sponsor, visit https://knowbe4.com • For more breaking news, visit https://cybercrimewire.com

The Cybercrime Wire, hosted by Scott Schober, provides boardroom and C-suite executives, CIOs, CSOs, CISOs, IT executives and cybersecurity professionals with a breaking news story we're following. If there's a cyberattack, hack, or data breach you should know about, then we're on it. Listen to the podcast daily and hear it every hour on WCYB. The Cybercrime Wire is sponsored by KnowBe4. To learn more about our sponsor, visit https://knowbe4.com • For more breaking news, visit

In this episode, we talk to Dr Gail Davidge and Dr Brian McMillan, who are both based at the Centre for Primary Care and Health Services Research at the University of Manchester.Title of paper: Putting principles into practice: A qualitative exploration of the views and experiences of primary care staff regarding patients having online access to their electronic health recordAvailable at: https://doi.org/10.3399/BJGP.2022.0436Previous research has noted primary care staff concerns about patients having online access to their health record, relating to issues such as: workload, safeguarding, patient confusion or distress, and health inequities. This study provides additional insights in the aftermath of the Covid-19 pandemic and in the light of NHS England's plans to enable full prospective records access for patients by default. Findings highlight that most primary care staff agree with patient records access in principle, and can see its potential benefits, but remain concerned about the impact on patient centred care, safeguarding, and how to navigate this change. This study underlines the need for additional training and support for primary care staff to adapt their practice so they can address the needs of patients and protect patient safety and well-being whilst maintaining the clinical integrity of health records.

UVP - 220 - I'm Drowning In Lengthy Patient Records by Uncharted Veterinary Community

Nursing Australia: Summer Series is 2022 in nursing & healthcare wrapped! Delve inside the trending topics of the year and meet subject matter experts in: Sexual health; Healthcare Law and Aged Care. Nursing Australia Summer Series Part 2 of 3: Cyber Security & Medico-Legal!Nurse & health professionals and their legal obligations including confidentiality, privacy, keeping patient's records safe; plus cyber hacking and digital safety! Sam Moses, APNA Founder (01:56)Medico Legal Issues & Cyber Hacking (06:04) Ken Griffin, APNA CEO (22:23)Next time on Nursing Australia (24:58)Discover the Festival of Nursing 2023 Subscribe to The Connect (our weekly newsletter)Credits: APNA Conference Roadshow FremantleHosted by: Matthew St Ledger & Mitch Wall Produced by: Leith Alexander & Matthew St Ledger

We welcome Christopher Jones back to That Entrepreneur Show- The podcast where founders of companies and brands share their entrepreneurial journeys, lessons learned, tips for success, and more each Friday since 2019. It is time for another Rewind the Clock bonus episode.  New areas of discussion:How to counter an objection2 New CompaniesHelping Veterans confirm their Veteran statusTransition from only a software app to fulfilling more healthcare needsLaunching a tech school to help those struggling to find opportunitiesChris Jones has worked in Information Technology for over 20 years and served 9 years as a Healthcare IT Director.  He has helped healthcare companies become more cost efficient through technology innovation and automation. He is the Founder of MatchRite Care LLC, an integrated EHR software built using FHIR standards to allow and promote patient record accessibility.Chris is also the President of 531 Digital LLC, a technology company he started that helps companies tackle IT strategies and develop software. Link to first episode: https://thatentrepreneurshow.buzzsprout.com/737252/8567033-move-all-medical-records-to-one-place-with-christopher-jones OTHER AREAS OF DISCUSSION:Great lesson learned during Covid in entrepreneurshipBiggest piece of advice you can offer our community of entrepreneursWhile app, tool, workshop, etc. he recommends Email: PodcastsByLanci@Gmail.comListen to A Mental Health Break here: https://AMentalHealthBreak.Buzzsprout.comWebsite:  https://www.VincentALanci.com/YouTubeShow InstagramHost InstagramFacebookTwitterLinkedInFor Digital Editing / Potential Podcast Guests Inquiries, email PodcastsByLanci@Gmail.comAdventure by MusicbyAden | https://soundcloud.com/musicbyadenHappy | https://soundcloud.com/morning-kuliIf you enjoyed this week's show, click the subscribe button to stay current.Listen to A Mental Health Break Episodes hereTune into Writing with Authors here

On episode 66 of PSQH: The Podcast, Gregory Church, president of 4medica, talks about how to prevent duplicate patient records.

Lisa Harding, Director of Primary Care at Wessex LMCs, talks with Caroline Sims, Information Governance Consultant and Data Protection Officer in the Hampshire & IOW area. Caroline explains: What accelerated access to GP-held patient records is What is meant by prospective access What patients will be able to see  Which patients will have online access How proxy access will work How patients can access their record If patients can see redacted information If patients will be able to see who has accessed and made an entry on thier record Further Reading NHS Digital: https://digital.nhs.uk/services/nhs-app https://www.wessexlmcs.com/medicalrecordsonlineaccessandnhsapp

On our regular news round-up Emma and Nick look at the review into how the GMC handled the case of Dr Manjula Arora – the GP who served a month's suspension over a claim she had been promised a laptop – and the GMC's response to the findings.They talk about what's going on with patient access to their prospective records online after a week of confusion that's seen the 1 November deadline when IT suppliers were due to turn on this functionality for all of their practices missed.And they look at reimbursement for locum GPs to cover sick leave, and why a huge gap between the level of reimbursement practices receive and the actual cost of locum cover means GP partners with burnout are being forced to consider returning to their job before they feel ready.This episode was presented by GPonline editor Emma Bower and news editor Nick Bostock. It was produced by Czarina Deen.Get involvedWe are always keen to highlight positive news and the good work that is going on in general practice on both the podcast and GPonline.com. If you are up to anything in your practice or working life that you think deserves attention - or you would like to give a shout out to an individual, practice or other organisation or group that you think is making a real difference to patient care or your local community, then please do get in touch. Email us at gppodcast@haymarket.com.Useful links● GMC missed 'multiple opportunities' to stop GP's needless suspension● Arora laptop case must become GMC 'never event', warns doctor leading official review● Practices handed temporary opt-out deadline for patient access to records● Financial trap could force GP partners to work through burnout Hosted on Acast. See acast.com/privacy for more information.

Particle Health's CEO Troy Bannister stops by to not only talk about the API platform company's $25M Series B, but to also explain exactly what's going on in that patient data ‘exchange-standardize-and-aggregate' space that, these days, looks poised to pop as the 21st Century Cures Act Information Blocking Rule stands ready to make hospitals share data like never before. Troy calls Particle a “network of networks” and what that means is that their API pulls patient records from organizations and businesses that are already aggregating them (so aggregating the aggregators) to get all the lab data and medical data a clinician would want to in order to have a more complete picture of their patient. For clients like One Medical or Omada Health, who deliver value-based care and take on risk, having such a robust historic data set on patients – along with a more complete picture of their comorbidities – helps improve decision making and outcomes. So, how is Particle Health working now – and what will change – as the Information Blocking Rule gets implemented? Troy's written about this for Forbes, and explains what has him fired up here too. Turns out their model has room to accommodate a big pivot: giving patients access to their own ‘network of networks' record. Find out what sets Particle off in this new B2B2C direction and how they will be using that Series B funding to build out deeper analytical tools to help everyone make better sense of what the data in all those records can show us. * Jessica DaMassa, the emerging ‘It girl' of health tech interviewing, chats it up with the ‘who's who' of the health tech and healthcare innovation set on 'WTF Health - What's the Future, Health?' Catch 100's of interviews with leading health tech startups and the VC investors, health insurance companies, big pharma co's, and hospital systems helping bring their new ideas into the healthcare establishment. From AI and Big Data to digital health, virtual care, telehealth, digital therapeutics, payment model innovation, and investing, Jessica helps you spot the trends and figure out what's next.

On May 3rd,  The Appalachian Regional Healthcare System (ARHS) Board of Trustees and the UNC Health Board of Directors announced the approval of a comprehensive, long-term Management Services Agreement (MSA) between the two organizations to expand local health care services and improve access to resources for patients in the High Country region of North Carolina.What does this agreement include? How will it impact access to quality health care in the High Country? To get the answers to these questions, and to put a few rumors to rest, this week's installment of Mind Your Business features Chuck Mantooth, President/CEO of Appalachian Regional Healthcare System. Here his comments about why this arrangement was sought and how it will change the way patients communicate with their heath providers.Mind Your Business is produced weekly  by the Boone Area Chamber of Commerce, thanks to a partnership between Appalachian Commercial Real Estate and High Country Radio.Support the show

Jess hears how Kainos works with Tallaght University Hospital to deliver E-Patient Records The Head of Policy in Ireland at Bolt explains how we get around our cities will continue to change Emmet Ryan takes a closer look at Nick Clegg's role in Meta

How can you access a patient record safely and appropriately? Join us and the team from AccuRx as they show you how to share patient records easily with Record View - their new product for all the NHS.00:00 Intro to Record View01:30 AccuRx Record View Vision08:45 Record View Demo16:50 DrGandalf's impression17:25 Q&A on Record View17:50 Data regulations https://www.nhsx.nhs.uk/information-g...20:25 How is awareness being improved?23:35 What features will be added?25:20 Can you edit what others see?27:26 Doe GPDPR affect Record View?29:10 How long does onboarding take?32:10 How much does AccuRx Record View cost?34:05 What clinical systems does Record View work with?35:35 USe cases for AccuRx Record ViewOpt-in for Record View: https://chain.accurx.com/RecordView/L...Join fellow GP trainers for the second GP5T conference about Training Trainers to Train Trainees: https://hopin.com/events/gp5t2Comments from our previous conference include:Was feeling bit downhearted with training but this has reinvigorated me and given lots of great ideas. Loved it being online and easy to attend.This time we have even more sessions to help you support your trainees including:

Good Morning and Welcome to the ProactiveIT Cyber Security Daily number 388 It is Wednesday June 30th 2021. I am your host Scott Gombar and Western Digital My Book Lives are being wiped clean Data for 700M LinkedIn Users Posted for Sale in Cyber-Underground Cobalt Strike Usage Explodes Among Cybercrooks Hackers Trick Microsoft Into Signing Netfilter Driver Loaded With Rootkit Malware Unpatched Virtual Machine Takeover Bug Affects Google Compute Engine The known Windows 11 issues and how you can fix them Microsoft's Halo dev site breached using dependency hijacking Hackers use zero-day to mass-wipe My Book Live devices Email Data Breaches Reported by UofL Health and Jawonio Ohio Hospital Worker Snooped on 7,300 Patient Records over 12 Years

Did climate activists take down the world's largest meat supplier? And does England's NHS really need patient data for 'research' purposes? We answer all that and more in this week's Watchtower Weekly.We also invite very special guest, and Executive Director at Let's Encrypt, Josh Aas, to the show. Join us as we discuss our new partnership and how you can help them secure the last 10% of the internet with HTTPS.Also, it's girl power this week as Cat & Anna try to takedown Matt in Three Word Password.

Pat Langley, CEO of Apolline, shares her top tips when it comes to keeping excellent patient records and information. What you'll hear: What information you need to have on record The importance of keeping data What do excellent patient records look like Changes to patient records during covid-19 GDPR and data protection Who should listen: All dental professionals

Looking to digitize your client records? Start using Power Diary's clinic management software to boost the efficiency of your medical practice with the help of online forms. Learn more at https://www.powerdiary.com/what-is-practice-management-software (https://www.powerdiary.com/what-is-practice-management-software)

Join us as Alex Hanlon, Ph.D. (Director of the Center for Biostatistics and Health Data Science at Virginia Tech,  Professor of Statistics and works closely with researchers on the Health Science and Technology Campus in Roanoke, adjacent to Carilion Clinic and the VTC School of Medicine) and Richard Bendis (Founder, President and CEO of BioHealth Innovation, Inc. and a successful entrepreneur, angel investor, innovation and technology-based economic development leader, international speaker and consultant in the technology and healthcare industries and host of BioTalk) discuss how ‘Big data requires team science.’ Additional show notes:Who funds the N3C initiative and what goes into it?The N3C is funded by the National Center for Advancing Translational Sciences (NCATS), which is part of the NIH or the National Institutes of Health. A key component of the initiative is data harmonization, which translates the differing ways that contributing hospitals store patient data into a single, common format to facilitate analyses. Participating sites add (or they will add) data on demographics, symptoms, medications, lab test results, and outcomes over a five-year period. This will enable both short- and long-term study of the impact of COVID-19 on health outcomes.Who has access to the N3C enclave data?Data access is open to all approved users, regardless of whether they contribute data. Details for gaining access can be found on the NCATS website (see link below). Researchers can request access only after their home institution has secured a data use agreement with NCATS. For those who are not associated with an institution, they will need to complete their own DUA with NCATS.https://ncats.nih.gov/n3c/about/applying-for-accessWhat kind of tools are available in the N3C enclave to support data analyses? The platform is built to support machine learning and rigorous statistical analyses using Python and R. The idea is to provide the necessary tools to address research questions using contemporary data driven techniques along with classical methods. To tackle such projects with large scale observational data requires collaboration within a team science environment, including expertise in statistics, informatics, medicine, engineering, and so on.

In the last two years, the hype around blockchain settled down, and now projects can focus more on development rather than managing attention. Many projects have gone from an idea to a pilot program or an actual implementation. However, we probably won't see patient medical records on the blockchain soon, says Robert Miller -  Director of Product Management and Strategy at Consensys Health. ConsenSys Health builds Ethereum-based solutions for cybersecurity, compliance, privacy, bioethics and identity, applying the deep technical capabilities of ConsenSys to advance the healthcare industry. The blockchain community knows Robert because of his regular newsletters about blockchain in healthcare. He is diligently following and reflecting on the development of the industry. We discussed why are patient health records on blockchain currently still a dream and which projects are slowly moving beyond the project phase. An interesting research initiative is MELLODY - (acronym for Machine learning ledger orchestration for drug discovery). MELLODY is a collaboration among 10 major pharma companies that are using a blockchain-based infrastructure and federated learning to speed up drug development. Robert also shared his view on MELLODY - and I also added the link to his analysis in the show notes. We also talked about the potential use of blockchain for vaccination certification and more. Further reading: Robert’s analysis of the data and privacy-related challenges in the MELLODY project. Recap of the show: www.facesofdigitalhealth.com/blog/f110-patient-records-on-the-blockchain-are-still-a-dream-robert-miller  

Eric Wood from Omnicare reviews the next iteration of the Vivage Therapeutic Substitution form that will again require wet signature approval by everyone. He also discusses any notable changes since the last time we did this. The majority of the meeting is spent discussing what was a poorly advertised portion of the CURES Act. On November 2, a new federal rule that is part of the CURES Act requires the immediate release of many patient records including provider and non-provider daily progress notes (both inpatient and outpatient), plus all laboratory, radiology and pathology reports. This may have enormous implications for all of us, so this will be more of an open discussion than a presentation. References: "Centura Open Records Notification P1", Centura, Oct. 23, 2020. "Centura Open Records Notification P2", Centura, Oct. 23, 2020. "New Open Records Regulation". "Open Records Suggestions", UCHealth, Oct. 2020. Recorded on: 11/5/2020 Available Credit: 0.25 CMD-Clinical

Closing or moving a healthcare provider practice takes co-ordination, patience, communication, and documentation. Once you have made the big decision about closing, moving, or merging your practice and have a general idea about the next step for you, your practice, your employees, and your patient and business records you need to plan the continued administrative, technical, and physical safeguards of the patient health records. Patients and clients have a unique trust with their healthcare provider. They trust that you will provide them continuing healthcare and continued access to their own health information that you have recorded. You are also expected to securely keep their personal health information and follow your professional college standards and health information privacy laws.   In this episode Jean L. Eaton will help you with Provide clarity about records management in your group or shared practice. Guide you to develop health records management plan when you close, move, or expand your chiropractic practice. Contribute to the health information privacy compliance. Get the show notes and links to the templates at https://PracticeManagementNuggets.Live  Show Notes 01:49  Introduction to Jean L. Eaton Are you on Instagram? Me too! Tag me @Infomanltd 03:05  Close, Move, Merge Your Practice 04:32  Continuing Care and Treatment 05:44  Custodian Defined Under HIA 08:34  Patient Records 09:22  Steps When You Close Your Practice 10:05  Notice To Patients Template Forms – see the Practice Management Success Tip! https://InformationManagers.ca/closing-your-healthcare-practice   Template Procedures -  see the Practice Management Success Tip! https://InformationManagers.ca/closing-your-healthcare-practice   12:16  Records Requests, Fee Schedule 14:49  Patient Access To Their Own Health Record 16:33  Moving vs Closing Timelines 18:37  Notify Others 19:19  How To Manage Conflicts 22:08  Information Management Agreement / Information Sharing Agreement Download the Practice Management Success Tip – Top 3 Agreements Your Healthcare Practice MUST Have (and Why). 22:45  Inventory Patient Records 25:14  Retention, Archive, Destruction 27:45  Electronic Transfer, Data Migration, Quality Assurance, Privacy Impact Assessment (PIA) 31:19  Practice Management Success Tip Download https://InformationManagers.ca/closing-your-healthcare-practice 32:39  Discussion 33:12  Searchie 33:38  Follow Me on Social Media Do you have a question about practice management or privacy compliance? Would you like to be a guest on Practice Management Nuggets? Send me an email at https://practicemanagementnuggets.live/contact-us/ 

Good Morning and Welcome to the ProactiveIT Cyber Security Daily number 141.  It is Monday June 8th 2020. I am your host Scott Gombar and Both Campaigns Are Actively Being Targeted by Foreign Hackers This podcast is brought to you by Nwaj Tech, a Client Focused and Security Minded IT Consultant based in Central Connecticut.  You can visit us at nwajtech.com  Unpatched Microsoft Systems Vulnerable to CVE-2020-0796 Google Releases Security Updates for Chrome Fake ransomware decryptor double-encrypts desperate victims' files US aerospace services provider breached by Maze Ransomware FTC Slams Children’s App Developer for COPPA Violations Trump and Biden campaigns were targeted by foreign hackers, Google says St Joseph Health System Discovers Medical Record Storage Facility Improperly Disposed of Patient Records

Joining me were our regulars: patient advocate Grace Cordovano, data privacy lawyer Deven McGraw, policy expert Vince Kuraitis , radiologist Saurabh Jha (who snuck in late), and writer Kim Bellard. We had a great conversation including a lot of detail around access to patient records, and some fun about infectious disease epidemiologists behaving badly!

You already own but have the opportunity to purchase the records of a nearby competitor...is it worth it? How much should you pay? How do you ensure the patients show up? In this episode of Transition Talk we cover the pros and cons of purchasing the patient records and how Covid-19 will likely make this a more common question (and opportunity). Listen in!

In this podcast Louise Greenwood, Director of Wessex LEaD talks with Michelle Lombardi, Director of Primary Care about the 'Managing Patient Records' lunch and learn.You can access the Managing Patient Records lunch and learn here: https://www.wessexlmcs.com/lunchandlearn/view/21

This episode of 16 Minutes on the News covers the U.S. Department of Health and Human Services' "historic rules" to provide patients more control of their data. They've been a long time coming, and despite recent fights over them, the final rules are now finally here as of this week.So in this short but deep dive, a16z bio experts -- general partner Julie Yoo and Venkat Mocherla in market development (in conversation with Sonal Chokshi) -- go into:0:47 how the rules fit into our healthcare system, especially with everything else going on right now in hospitals and beyond;3:11-8:37 what the rules specifically are and why they matter;6:21 concrete examples including why things like notifications are important;8:42 implications for providers and payers, including examples such as prior authorization;11:10 where privacy concerns do and don't come in, given how much information is contained in records;13:40 implications for startups, tech incumbents, and traditional players in healthcare, and new types of data down the road; and18:27 the bottomline.

This episode of 16 Minutes on the news covers:FICO credit score changes, what are they, do they matter? -- with a16z fintech general partners Angela Strange and Anish Acharya;electronic health record provider Epic's letter urging hospitals to oppose government regulations that would make it easier for patients and companies to access medical information, and where is the Plaid of healthcare? -- at 10:19 with a16z bio general partner Julie Yoo;...in conversation with Sonal Chokshi.Background links / pieces mentioned in this episode:Changes are coming to your credit score, Anna Bahney, CNN BusinessFICO changes could lower your credit score, AnnaMaria Andriotis, Wall Street JournalEpic’s CEO is urging hospital customers to oppose rules that would make it easier to share medical info & Epic and about 60 hospital chains come out against rules that would make it easier to share medical info, Chrissy Farr, CNBCHealth care data-sharing rules touch off intense lobbying fight, Darius Tahir, Politico ---The views expressed here are those of the individual AH Capital Management, L.L.C. (“a16z”) personnel quoted and are not the views of a16z or its affiliates. Certain information contained in here has been obtained from third-party sources, including from portfolio companies of funds managed by a16z. While taken from sources believed to be reliable, a16z has not independently verified such information and makes no representations about the enduring accuracy of the information or its appropriateness for a given situation.This content is provided for informational purposes only, and should not be relied upon as legal, business, investment, or tax advice. You should consult your own advisers as to those matters. References to any securities or digital assets are for illustrative purposes only, and do not constitute an investment recommendation or offer to provide investment advisory services. Furthermore, this content is not directed at nor intended for use by any investors or prospective investors, and may not under any circumstances be relied upon when making a decision to invest in any fund managed by a16z. (An offering to invest in an a16z fund will be made only by the private placement memorandum, subscription agreement, and other relevant documentation of any such fund and should be read in their entirety.) Any investments or portfolio companies mentioned, referred to, or described are not representative of all investments in vehicles managed by a16z, and there can be no assurance that the investments will be profitable or that other investments made in the future will have similar characteristics or results. A list of investments made by funds managed by Andreessen Horowitz (excluding investments for which the issuer has not provided permission for a16z to disclose publicly as well as unannounced investments in publicly traded digital assets) is available at https://a16z.com/investments/.Charts and graphs provided within are for informational purposes solely and should not be relied upon when making any investment decision. Past performance is not indicative of future results. The content speaks only as of the date indicated. Any projections, estimates, forecasts, targets, prospects, and/or opinions expressed in these materials are subject to change without notice and may differ or be contrary to opinions expressed by others. Please see https://a16z.com/disclosures for additional important information.

This podcast discusses how careMESH is providing easy and secure communication and collaboration between clinicians locally to share digital patient records.

This podcast discusses how careMESH is providing easy and secure communication and collaboration between clinicians locally to share digital patient records.

Find out what causes 15 million patient records to be exposed to a data breach. Listen to Paul Redding of Compliance Group talk with Barb Paluszkiewicz talk about privacy, security, device management and technical, physical and administrative controls. Learn what  HIPAA privacy is, what security and breach notification standards are and had how to identify gaps in your organization.

In this episode, our host Dr Hasan Chowhan meets Alex Eavis from Dovetail Lab to help understand blockchain technology and importantly, what it will mean for patient record keeping and data sharing.

CancerLinQ Medical Director Dr. Robert Miller discusses how ASCO’s new initative, mCODE (Minimal Common Oncology Data Elements), will help take the oncology community one step further to achieving interoperability in electronic health record systems. In the latest AiA podcast with host ASCO CEO Dr. Clifford Hudis, Dr. Miller says that doctors are expected by their patients to have all their relevant medical information to ensure they receive the highest quality cancer care. mCODE is working to encourage vendors to adopt a consistent set of data elements in their EHR platforms to achieve that goal. If you like what you hear from the ASCO podcast, please let us know. Take our listener survey and help shape the future of the ASCO Podcast Network. Visit podcast.asco.org and click on the survey link. Once again, that's podcast.asco.org. The survey will just take a few minutes to complete and will help us get to know you better. Thank you so much for listening. The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. Welcome to this ASCO in Action Podcast, brought to you by the ASCO Podcast Network. This is a collection of nine programs covering a wide range of educational and scientific content and offering enriching insights into the world of cancer care. You can find all of ASCO podcasts, including this one, at podcast.asco.org. The ASCO in Action Podcast is ASCO's podcast series that explores policy and practice issues that impact oncologists, the entire cancer care delivery team, and the individuals we care for-- people with cancer. My name is Clifford Hudis, and I am the CEO of ASCO, as well as the host of the ASCO in Action Podcast series. For today's podcast, I am delighted to have as my guest Dr. Robert Miller. Dr. Miller is the medical director of ASCO's CancerLinQ initiative. And as many of our listeners know, CancerLinQ is a big data technology initiative that collects and analyzes real world cancer care data from multiple health care IT systems seeking to deliver insights to physicians, improve quality of patient care, and support new research. What our listeners may be less familiar with is that, earlier this year, ASCO and CancerLinQ announced a very exciting collaboration that has the potential of bringing the oncology community one step closer to our goal of achieving interoperability amongst electronic health record systems. The project is called mCODE. That's a lowercase m and then capital C-O-D-E. It stands for Minimal Common Oncology Data Elements, or mCODE.   Dr. Miller is going to tell us a whole lot more about this important initiative. And I welcome you. Thanks for joining us, Dr. Miller. Thanks for having me. So, we've all heard about the inability of electronic health record systems to share information with each other. And I always, at the beginning of this, used to talk about my favorite proverbial story. A patient is discharged from a big-city emergency room after a month in the hospital. That hospital uses a single electronic record system, all the details are there. The person is on their way home and developed chest pain, ends up in a neighboring emergency room a mile away. And in most cases, how much of their record from the hospital where they spent a month, to the hospital where they're finding themselves in the emergency room, is transmittable at that moment? Yeah, I think that's an important question. And that's an example that I think we all have had experience with ourselves personally in health care, or their families. And it's easy to say, well, that's because the systems don't talk to each other. To answer your question specifically, it's probably a small percentage, a minority. There are certain laboratory values and other things that may make it across, but a lot of the important information is missing. And it's just not easy to get. Well, if they're in different health care systems, and even sometimes if they have the same health record system installed, sometimes there's essentially no real transmission possible. And I mention that only because I think outside of medicine, people who are less familiar with this expect this to work like banking or airline reservations. They expect transmittal of the entire package of relevant information at that moment's notice. And unfortunately, sadly, in modern medicine, and indeed in oncology, we don't yet have this. And I'll just close this little editorial soliloquy by pointing out that Congress thought they were supporting the development of this when they passed HARP legislation more than a decade ago. But in fact, the reality isn't that. And that is the setup for what we're really going to talk about now, isn't it? Which is how mCODE can help fix this problem. Exactly. So, tell us a little more now that we've set up the problem. How is mCODE able to begin to address this issue? So, I think it's important to realize that while all medical care is complex, there's a certain level of complexity in oncology given the explosive growth in knowledge and a lot of the new therapies even in the last five to 10 years. But I think what is really underlying the source of the problem is the fact that so many of the important parts of the cancer patient journey are just not entered into electronic records in a way that they can be easily retrieved. So what I mean by that is things like measuring the cancer stage, or the basic biomarkers, or in the pathology report, or in the blood, and certainly more abstract concepts like, is the cancer growing or not, is the patient getting worse, or are they getting better, and so forth. The outcomes, the adverse events, are put in the electronic record in a variety of incompatible ways. And that's not really through, necessarily, anyone's fault or the way things were designed. It's because the electronic record today looks very much like the paper record of yore. And largely, this type of information is captured in what we call an unstructured note, or a document, so that the clinician either dictates, or types, or just puts in text that tells a story. And that's important to tell the story, but it's not easy for a computer to retrieve that information. And the real point is, at scale, you can't take 1,000 patients and consolidate some of the basics into a single file that you could then interpret, right? That's right. The problem is that you can try. You can take human beings--we call this abstraction, or curation--and you can pull out the data elements from the notes and from the stories, but that doesn't scale. It's incredibly expensive, and it's also very inaccurate. Obviously, there's a very big problem here. Tell us a little bit about how this actually came to be. The mCODE project started last year in 2018, and there was the alignment of a number of individual work streams. So, let me just say that, as background, ASCO had already been active in the area of data standards going back a number of years. They worked with the standards organization called HL7. If you look at the QOPI program, that's a quality registry that has to capture data, at least in certain fields. And one of the volunteer work groups at ASCO, the Informatics Task Force, was looking at the idea of a minimal data element. And of course, CancerLinQ--which you mentioned earlier--is a big data initiative that has to bring in cancer data in a certain way. I think this really didn't align until the middle of 2018, and that was--I will give credit to the leadership of Dr. Monica Bertagnolli, who was ASCO President at the time. She also continues to hold the position of Chair of the Alliance for Clinical Trials. And her theme at the ASCO annual meeting, as we all remember, was caring for every patient, learning from every patient. So that really, in a way, is a data problem. It basically says that if you really want to learn from every patient, from their information, from the data that's in the electronic record, you have to be able to retrieve it. ASCO, under Dr. Bertagnolli's leadership, together with the organization MITRE-- MITRE is a not-for-profit. It's what's called an FFRDC, or a Federally Funded Research and Development Center. They were already working on something they called the Standard Health Record, or SHR, and they were trying to use modern data standards to improve the quality and the capture of electronic data. They weren't necessarily focusing on cancer, but there was this alignment in 2018. This was all built on a standard called FHIR, which is an acronym for F-H-I-R, which stands for Fast Health Interoperability Resources, or FHIR. ASCO convened a group of experts in the summer of 2018 to try to create a minimal data standard to provide structured oncology data for electronic health records. So, this was ASCO volunteers and all the clinical oncology specialties, it was other scientists. It involved experts in standards, and quality, and policy, and so forth. The group met over a series of face-to-face meetings, and phone calls, and WebExes. We brought in experts from industry, as well, from electronic health records for their advice. And the group created a data standard, or a data specification, saying these were the important data elements. They were open to public comments in January of 2019, and ultimately were approved by the mCODE executive committee, and announced publicly on June 1, 2019. So, when you describe mCODE right now, it's clearly centering on some core set of data, not all data elements. Can you talk a little bit about which elements are actually being captured with mCODE? And maybe for listeners, describe in a very practical way how a clinician experiences mCODE. How does it get into their workflow, for example? Sure. So, the mCODE data specification is designed around six different domains that describe the cancer patient journey. The first is the patient, which is the demographic and other clinical characteristics--the disease, which are our specific details around the cancer. The third is genomics, because we knew that molecular characteristics of the cancer are so important for determining certain types of therapy. And largely, this is an area of real need. The fourth was the labs and the vital signs, the fifth was the treatment. And that could be surgery, radiation, and other drug treatments--chemotherapy, immunotherapy, and so forth. And finally, the outcomes. Again, this would be the cancer status of the patient--is the cancer better, worse, in remission or not--and ultimately, what the patient's survival is. The way the user experiences mCODE, if you will, is it's really within their normal workflow of capturing the patient record in the EHR. So, we're not totally there yet, but the anticipation is that the electronic systems of today, the EHRs that are being used, will embed these data elements within their core systems that are exposed to oncologists. And basically, the oncologists will--they may have to enter some information manually at the time of the visit, but our hope is, really, that that's minimal, because I think that there are plenty of things that are already in other electronic systems like pathology and laboratory that simply don't need to be repeated by a human being. How specifically will mCODE get that patient's age, or that patient's stage, or the biomarkers, or the disease status, into the more structured format that you describe? So, I think there's going to be a few ways that we're going to see this. And I'll be honest and say some of this is still being worked out. Some of these details, we're working with the HR vendors to understand exactly where the needs are. I will say that, of the various companies that we've talked to, most of them already have somewhere in their systems all of the data that we need--those six data elements and those domains that I described. That already exists, it's just not organized very well. So, I think it's going to be a combination of these elements that are going to be carried forth from somewhere else in the system that may be entered, like an age, that you don't need to enter a birth date more than once. In fact, a human being probably doesn't need to enter a birth date. That's already captured some way. And then that populates the clinician note, but then the clinician is probably going to have to enter certain key things. For example, the current disease status--is the patient alive with disease, do they have no evidence of disease, and so forth. There's going to be some, if you will, burden of entry on the doctor, but that's the part we're trying to minimize so that it, at the end of the day, doesn't add to the workload at the time of the visit. I remember Dr. Bertagnolli demonstrating at some point what looked to me, as an outsider, like macros. They were essentially dropdowns, where if you put a certain phrase in, you would get the right terminology inserted, maybe with hashtags so that then it could be picked out and structured. Is that a key part of this or is that unrelated? No, that actually-- that's correct. That is part of what we anticipate some of the implementations will be for mCODE, depending on the EHR type. One of the things that our colleagues at MITRE-- one of things they're testing is that type of capability. And it is actually a hashtag symbol that you just have to, if you will, know the code. And you enter that into your note, and then the computer finds that. And at the back end, there is going to be a dictionary, or what we might call a lookup table, that pulls that into the mCODE data structure. The other thing that I want to emphasize is that while it's certainly not revolutionary to think that you need to capture a patient age or a basic biomarker status of their cancer, one thing that mCODE is bringing to the table is the fact that we are strictly defining and requiring specific vocabularies and terminologies. So the computer can only understand things if it's coded in a certain way. So, within mCODE, and really within the entire electronic record, if we constrain the use of certain lists of variables in defined terminologies, that's going to make the computers able to talk to each other. And that really goes back to your initial scenario of the one-month hospitalization and only being able to find a certain amount. If you used a terminology that one computer could understand from another, then you're not going to have that problem. I got it. So we've come, in a way, full circle from talking about the big problem qualitatively--talking about what we need, which is structured data--and then describing a specific pathway to make it easy for clinicians to record data in a way that a computer can then read, in a sense, and restructure. Yes. And then that delivers both interoperability on the one hand, but that has critical downstream consequences for our community. It means, ultimately, that quality measures might be more easily fired, and tested, and reported. And it might, of course, mean that that research of various types is much more easy to assemble. Is that right? That's exactly right, and I think that that was one of the main motivations of trying to do this in the first place, was to be able to reuse the data in other ways. So, if you think about it, the electronic record is primarily a transactional tool. It's what treating clinicians used to document their care. Of course, it's used for billing purposes, and for compliance documentation, and so forth, but it could be used for so much more, right. It could be used to aggregate. The data could be aggregated, and then those data could be used to run queries on large populations. You can't do this unless you know you're looking at--you're comparing apples to apples, basically. And that's why this basic data standard--again, as simplistic as the opening gambit is--I think, will make a big difference for secondary research, for quality improvement, public health reporting, all those things. Yes. Yeah, I have to say when electronic record systems first rolled out in my career, one of the promises was it would automate the billing, because after all, over or under coding are issues that concern clinicians. And one would think that an accurate medical record system would essentially be able to automate the generation of a bill that was accurate because it reflected what was in the chart. So that seems, to me, to be at least eventually one of the deliverables in all of this. And I don't think it's that hard to do. It really isn't rocket science, that part of it. But I think we're focusing now on the clinical and quality improvement aspects. I think that's going to come with it, and that'll be a big advance. So, lots of people have lots of great ideas for things we should do in medicine, but I think the critical step for all of us is converting these ideas and even these theoretical advances into practical ones. And to do that, we have to begin to pilot and to test them. I understand--I know Monica Bertagnolli has spoken a good bit about this--that there are clinical trials within, I think, the Alliance and beyond, and practices that are piloting mCODE. Can you tell us a little bit about the status of those pilots, where we are? Yes. There are two main programs that are piloting mCODE right now. The first one that Dr. Bertagnolli is, in part, running and participating in is something called the ICAREdata study. This is through the Alliance for Clinical Trials, and the first part of this is actually already complete. This was some work done at the Dana-Farber Cancer Institute, a few other centers. I believe it was St. Joseph's in Michigan, ThedaCare in Wisconsin, a few others. And they looked at, specifically, two breast cancer trials. They basically looked to see if you could capture critical data elements from the EHR that you needed as part of that trial. That was basically the proof of principle. The more interesting part with ICAREdata is opening soon. Again, it's some of those same institutions, and they're looking to see if mCODE could look for two very specific questions. The first is, what is the patient's current cancer disease status? Now again, that sounds very obvious, but it's not an element that is typically captured in discrete fashion in the EHR. It's sort of put into clinical notes with a lot of flowery prose and so forth. So, the question is, if you define it in mCODE using a specific terminology, can you pull it out of the EHR and make it work in a clinical trial setting? The second is another very important thing. Again, I'm sure you'll recognize that it doesn't always get written down right--is what is the reason for a change in the cancer treatment? The idea of testing in the ICAREdata study is to look to see if you can answer that question using mCODE. That's the first program. The second is something that ASCO has been quite involved with--Intermountain Healthcare. This is an institution that participates in the CancerLinQ initiative. They have been great collaborators, and they're actually piloting mCODE, looking at building something called a SMART on FHIR application. So that is something that our colleagues at MITRE have built. And basically, all that really is a small piece of software that gets plugged into the electronic health record at Intermountain. And really, this could be done anywhere once the prototype's fully done. And it basically queries the Intermountain electronic health record for a specific set of patient characteristics. And then we've actually built an application programming interface with CancerLinQ, so you can go back to the CancerLinQ database and pull out a cohort of de-identified patients to find something that's called Patient Like This, or Cohort Builder. But this is the Compass app, and this is undergoing beta testing at Intermountain right now. The beta part is actually done, and we're looking for the next steps. So that's a start. And that means that--I wouldn't say if mCODE's quite in the wild yet, but maybe it's near release, right? Yes. And so, what do you think happens next? Can anybody decide they want to participate in mCODE, support its development, and contribute to it? Is it ultimately envisioned as a free add-on for any electronic record system, or would you have to pay to use it? What's going to happen here? So right now, the mCODE data specification is freely available on the mCODE website--which I'll say this a few times, but it's www.mcodeinitiative--one word--.org. This can be downloaded. There is no cost for mCODE. All of the terminologies and all the components of mCODE are non-proprietary. It's released in what's called a Creative Commons Zero license, and it really is open to all. ASCO, MITRE, and others are looking to build a coalition of cancer centers, of interested electronic health record vendor companies, and other technology companies, frankly, to support this. We're kind of in the coalition building phase right now, in the sense that we recognize we also have to bring the oncology clinical community, and ultimately the research community, around to say that this is important, to say that we can't continue our current use of the electronic records and documentation tools. We have to standardize it more. There will be a part for treating clinicians to play. There will be a bigger part, I believe, for vendors to play. And speaking of vendors, I have to say there are a lot of vendors in the US. In fact, some people think that's part of the problem that we're facing. They have different platforms. They capture, I guess, largely overlapping data, but not always identically coded. And you and I will remember--I can't remember precisely the number--but two plus years ago, we found that there were more than 60 different ways that the term white blood cell was recorded, right? Right, right. Or smoking status, white blood cell--many ways to say it. It seems very obvious, I think, to the outside world, that recording data in a single standard way would lower the cost of interoperability and potentially improve quality of care. So that leads to the question, what do you think is the prospect of the vendors adopting these standards, and what can we do in ASCO to encourage that adoption? So, the electronic health record vendor community has been very supportive of this initiative. They have been part of some of our early conversations. As I mentioned, they were part of some of our early discussions when we built the specification. Most of them provided very robust comments. The MITRE organization had a cancer data summit which was held in the DC area last month. So bottom line is they are interested in this. They have told us in our one-on-one conversations they want to contribute, they want to see this specification used. They seem willing to set aside competitive interests to do this because they recognize that this is the right thing to do. Fingers crossed; I think we may be at a moment in time where there will be some alignment around this standard. But again, I'm actually pretty optimistic that the EHR vendors are going to come along with this. Well, I think that's really great. It's nice to hear. To the outsider, it reminds me a little bit of what I understand to be the way that other standards in IT have evolved, like USB sticks. You can stick a USB thumb drive into any computer. It doesn't matter in the operating system at this point, or hardware. It will be read. And the reason, of course, is that the manufacturers came together and agreed upon universal standards. Is this analogous, do you think? I think to some extent. I guess one of the things that was most eye-opening for me when I first started in informatics about 10, 12 years ago, was that a lot of these standards are voluntary. It's not like the government says, for things like health IT, that you have to use certain things. Now let me just clarify, that is perhaps changing with some recent regulations from CMS. But I think when it comes to electronic health records, these standards are voluntary. That's why voluntary organizations like HL7 exist. So yes, they're voluntary, but that also gives you flexibility for a group of vendors under, hopefully, the pressure in the leadership of ASCO and the rest of the mCODE group to agree to adopt these standards. So, I have a couple questions that I think will build very nicely on the last point that you made. First is about the data set. How do you envision it evolving over time? Obviously, we're not suggesting that we'll just launch this and that's it--it's one-and-done. Quite the opposite, right? So, is there a system to expand it, a formal way to decide where to put our priorities going forward? Yes, so that is built into the mCODE governance structure. First of all, the priorities can come from anywhere. There is an advisory council that we are forming of interested parties across the ecosystem. There is a technical group that's part of the mCODE governance that's called the TRG--or Technical Review Group--that will receive these proposed use cases from the community. And we fully expect that we will be building out extensions or supplements to the primary mCODE specification as it exists today. Right now, mCODE is the six domains that I mentioned earlier. It's a total of 73 data elements, but that's going to grow. Now whether we add data elements to the core or whether there are always supplements remains to be seen, but we recognize that the minimal core set is not going to support the complete nuance and complexities of multidisciplinary cancer care. S,o it has to grow, but the governance has built that in. And we are actively looking for input from the community for that. So, thinking about where we are today, we're about two years really into this project. And admitting that others and ASCO have tried to establish informatics standards in the past, what do you think at this juncture not just makes mCODE different, but makes it more likely than prior efforts at standardization to succeed? So, I think there's several things. Let me just go through those quickly. I think in the past, exchange standards were purposefully left very flexible so that each vendor could--they would have to follow a very high-level broad standard, but they could customize any way that they wanted. And that led to some of the Tower of Babel that we have today, OK. So, mCODE really is--we're specifically trying to standardize the health data itself. It's not just about how the two systems talk to each other--to the earlier example--it's that these are the ways to describe the patient journey, the genomics, the labs, and so forth. So that's different. I think the other thing that's different, I mentioned earlier, is the use of the standard called FHIR, that this is probably the most important data standard in the world today in health care. It's very flexible. It's built on the modern structure of the world wide web, and it can be complemented with what are called APIs--Application Programming Interfaces. So, in a way, exchanging data may be as simple as the way it works when you go to a website now, and that's different than the way it was done maybe 10 years ago. The two other things quickly: one is that--we've already kind of alluded to this--there's a lot of stakeholders involved. We have the vendor community involved early. This isn't just an ASCO initiative, it's not just a project of a professional medical society. We have MITRE as an FFRDC and others on board. And I think that's different. And finally--and this may be the most important, I'll just say--is that we're actually bringing this mCODE standard through the HL7 formal recognition process--something called balloting. So the mCODE standard has now been tentatively approved by HL7 as what's called an STU--Standard for Trial Use--which means that it just gives it a little more gravity in terms of the EHR vendors, that it's not something that's not going to be supported going forward. We've built this out, and then others can use it. So, I think that's an enormous difference from what we did previously. I have to say, it's been really interesting to me to watch this bubble up from the volunteer leadership of ASCO, because Dr. Bertagnolli had a clear vision for this. She brought it to ASCO, she leveraged in a very productive way, I think, the inherent skills and talents of the group that you're leading, and the rest of CancerLinQ for that matter. And I think it's a fascinating--and, I would say, beyond clearly needed--it's desperately needed. And I think it's critically important for all of us that this succeed. I'm very, very proud that ASCO has been able to play such a critical role in developing this, in supporting Dr. Bertagnolli's vision, which I think was absolutely critical to this being launched. I want to thank you for all--not just for this great interview and clarifying all this for our listeners, but also for the long hours you've put into this project already, leading this from internally. And I think it's going to be exciting to see where it goes. I think you said this before, there's a special website. But if listeners want to learn more, what is that address again? It's www.mcodeinitiative.org. You can download the data specification there. There's some background material and links to other things. And just at the risk of opening up another thread in this conversation, is there anything that we should have mentioned that I've neglected to ask about here? I think the only thing I'd say is that this isn't just a dry topic of data standards, and computers, and EHRs, etc. This is really about what our patients expect from us. They--when we go in to see the physician, certainly when someone is in the stress of an oncology visit--they expect their doctor to have all the information. They expect their physician to be able to query what was in the EHR from across the street, or even what the last 10 cases like them would be. And it's not something that is over and above. This is fundamental to what medicine is. And the other thing we've seen, certainly, is that our patients are--and many of them are altruistically motivated to share their own data. And this gives them another way to do this. If we can define their cancer journey in a standard way so that we can group like with like, then there are new insights that can be gained that we just can't do right now. And I think the mCODE initiative will help enable this. And Bob, I really want to thank you, again, both for all the work on this, and for joining me for today for this ASCO in Action Podcast. We look forward to continuing to hear more and more about the progress of mCODE as it’s refined and deployed more broadly. For everybody listening, I want to remind you that if you enjoyed what you've heard here today, don't forget to give us a rating or a review on Apple Podcasts or wherever you listen. And while you're there, be sure to subscribe so you never miss an episode. The ASCO in Action Podcast is just one of ASCO's many podcasts, and you can find all of the shows at podcast.asco.org. Until next time, thank you very much for listening to this ASCO in Action Podcast.

Interview with Robert M. Wachter, MD, author of Restricting the Number of Open Patient Records in the Electronic Health Record: Is the Record Half Open or Half Closed?

This episode features Dr Bella Vivat (Marie Curie Palliative Care Research Department, UCL, London, UK) and Professor Paddy Stone (Marie Curie Palliative Care Research Department, UCL, London, UK).   Sedative medication may be used to manage intractable symptoms at the end of patients’ lives. No UK guidelines specifically address the detail of how sedatives should be used, but international guidelines endorse monitoring the depth of sedation, and the European Association for Palliative Care (EAPC) framework recommends that monitoring should relate to the aim of using sedatives. Despite internationally agreed guidelines and recommendations, use varies widely between countries and settings, including the depth of sedation sought, and the dosages administered.  This study shows that usual practice when using sedative medication in two palliative care settings in London, UK, is predominantly to use low dosages of midazolam to achieve patient comfort, rather than to sedate patients. Practice in these London settings broadly aligns with EAPC recommendations for proportionate use of sedatives at the end of life. Nevertheless, although the EAPC framework also recommends systematic objective monitoring to monitor the effects of sedatives, clinicians in these settings use only clinical observation, never structured objective tools, even when using high doses of sedatives. The term ‘palliative sedation’ does not usefully describe all uses of sedative medication in palliative care, since this implies sedation is the aim, which is not always the case. Proportionate sedation might be a preferable term for the type of practice we found in our study. Palliative care guidelines and definitions should clearly distinguish between deep sedation and other uses of sedatives in palliative care. When higher doses of sedative medication are used and/or when the specific intention is to sedate a patient, clinicians may need to employ more structured monitoring of sedative effects.   Full paper available from: https://journals.sagepub.com/doi/full/10.1177/0269216319826007   If you would like to record a podcast about your published (or accepted) Palliative Medicine paper, please contact Dr Amara Nwosu: anwosu@liverpool.ac.uk

Subscribe: itunes | Email | | Stitcher | RadioPlayer You are working at the reception desk of a healthcare practice. Suddenly, there is a police officer or court officer giving you a court order to produce patient records! Don’t Panic! Learn NOW how to respond a #CourtOrder. In this episode we discussed how to prepare patient records for a court order with confidence! Now, just a reminder, I’m not a lawyer and I don’t play one on TV. These are my recommendations based on my experience as a director of health records in hospitals in Canada, as a court reporter, and as a mentor to clinic managers in independent healthcare practices and not legal advice. How to Prepare Patient Records for a Court Order E-Book Don't be scared and confused when confronted by a police officer giving you a court order to produce patient records! With this report we show you how to: Calmly receive a court order Prepare the patient's health record for disclosure Anticipate your testimony in court Download this free report to protect your healthcare practice! Show Notes Recorded September 2018 01:36 How to Prepare Patient Records for a Court Order 02:40 Don’t Panic 03:16 Review the Order Carefully 04:46 What This ISN’T 07:30 Validate the Court Order 08:14 Secure the Patient Records 11:08 Inform Your Custodian, Privacy Officer 12:38 The Fine Art of Severing 14:32 Table of Contents 15:24 Prepare the Paper Record 18:36 Testimony 22:39 When You Return to the Clinic 24:24 What You Should Do Now Do This Now Members of Practice Management Success can access the video of this episode and the resources here. If you are not a member of Practice Management Success, yet—what are you waiting for? Click here and register now! With your membership to Practice Management Success, you will get great tips, tools, templates, and training that you can use right away to help you start, grow, maintain, or improve your healthcare practice. Rate and Review the Podcast Reviews for the podcast on whatever platform that you use is greatly appreciated! When you provide your honest feedback it helps other people just like you find content that may help them, too.  If you received value from this episode, please take a moment and leave your honest rating and review.

Snooping is a privacy breach! When an authorized person accesses patient records for an unauthorized purpose, this is often considered snooping. If you work in healthcare, it is your job to manage each privacy breach with confidence, compassion, and transparency to the individuals affected by a privacy breach. In this podcast episode, Jean L. Eaton answers frequently asked questions (FAQ) about custodians looking up their family members on Alberta Netcare Portal. Learn NOW how to respond a #PrivacyBreach – Don’t get caught scrambling when a privacy breach happens. Podcast Sponsor – Practice Management Success Are you feeling frustrated with the same problem over and over again in your clinic? Or solving one problem just to find another problem popping up? Don’t know where to go for help? Many new and seasoned clinic managers find that they need help from time to time from other clinic managers who understand their problems. Join us at Practice Management Success! Show Notes Recorded Oct 16, 2018 00:19  Custodian Snooping 02:37  Don’t Forget to Train About Appropriate Access 03:21  Just Because They Say They Know Isn’t Enough For the Business of a Clinic 04:32  Discipline and Notification Do This Now Members of Practice Management Success can access the video of this episode and the resources here. If you are not a member of Practice Management Success, yet—what are you waiting for? Click here and register now! With your membership to Practice Management Success, you will get great tips, tools, templates, and training that you can use right away to help you start, grow, maintain, or fix your healthcare practice. Rate and Review the Podcast Reviews for the podcast on whatever platform that you use is greatly appreciated! When you provide your honest feedback it helps other people just like you find content that may help them, too.  If you received value from this episode, please take a moment and leave your honest rating and review.

Brought to you by your Practical Privacy Coach and Practice Management Mentor http://www.InformationManagers.ca Subscribe to PM Success: GO TO BLOG POST https://informationmanagers.ca/court-order You are working at the reception desk of a healthcare practice. Suddenly, there is a police officer or court officer giving you a court order to produce patient records! Don’t Panic! In this month’s Q&A with Jean, we discussed how to prepare patient records for a court order with confidence! Now, just a reminder, I’m not a lawyer and I don’t play one on TV. These are my recommendations based on my experience as a director of health records in hospitals in Canada, as a court reporter, and as a mentor to clinic managers in independent healthcare practices and not legal advice. Show Notes 01:36 How to Prepare Patient Records for a Court Order 02:40 Don’t Panic 03:16 Review the Order Carefully 04:46 What This ISN’T 07:30 Validate the Court Order 08:14 Secure the Patient Records 11:08 Inform Your Custodian, Privacy Officer 12:38 The Fine Art of Severing 14:32 Table of Contents 15:24 Prepare the Paper Record 18:36 Testimony 22:39 When You Return to the Clinic 24:24 What You Should Do Now For complete details and to read more, subscribe to PM Success: GO TO BLOG POST https://informationmanagers.ca/court-order

Key Points From This Episode:How Stephanie ended up in the cyber security profession.An introduction to the challenges that face cyber security in the healthcare sector.The intersection of the individual, the governmental and the business sectors.Major differences between GDPR and HIPAA.The competitive element to the monetization of data across industries.Interstate influence with regards to healthcare regulation.Building uniform national and international standards for healthcare data.Implementation of the NIST Cybersecurity Framework.And much more!

We did it!  We hit 500 Facebook likes before the end of the weekend.  Thanks again for sharing and telling your friends about the podcast.  Today I respond and give my opinion on whether you should give a consulted practitioner’s records when a patient requests their records from you.  Like most of my answers, it […] The post Episode 034 – Providing Patient Records and My Take on the Know-It-All Patient! first appeared on The NP Dude.

TRANSFORMING MEDICAL CARE DELIVERY CONTINENTS AWAY Brian McKenzie SVP of Patient Integration at MEDx eHealthCenter joins the show from Kyrgyzstan to discuss healthcare innovation. Brian is working to achieve improved medical care delivery by providing access to a healthcare provider, telemedicine services, and payment services all via a mobile delivery service without CPT codes, ICD codes, or meaningful use tripwires. MEDx E-Health is a personal medical Patient Records portal that provides document portability, provider network access, easy electronic payment channels and medical Second Opinion / Referral protocols across the countries of Africa. There is always talk of developing an ‘Uber' for healthcare, and maybe this is it. In addition to being a consultant with a MPA in healthcare, Mr. McKenzie is a senior military intelligence specialist, motorcycle enthusiast, and writer. Follow him on BeBee.com https://medx.care/en/ https://www.bebee.com/@brian-mckenzie

A feature this week asks "Should patients be able to control their own records?". The website renalpatientview.org allows patients to do exactly that. Neil Turner, a professor of nephrology at Edinburgh Royal Infirmary, explains how he and colleagues developed the resource. Also Steven Woloshin and Lisa Schwartz, authors of the "Not So Stories" column have turned their statistical scrutiny onto a recent advert by Susan G. Komen for the Cure®, the breast cancer charity. They explain how the case for mammography has been massively oversold.

--{ In Politics All Incidents Help the Synthesis: "It May Seem with the Obama Administration Too Many Events Happen Causing Consternation, When Support for Anti-Terrorism Wanes or Sags, There's Shootings, Bombings, Perhaps False Flags, Which Justifies Less Freedoms, Loss of Rights, In the Emotional Aftermath of "Fight or Flight", Too Many Big Powers Behind New World Order, Which Views Nations, Public as Cannon Fodder, This Sophisticated Slavery's Riding On a Bet, With Elite Riding High Off Nations in Debt" © Alan Watt }-- World Run by Private Organizations - Security Training Exercises - 7/7 Ripple Effect - Boston Marathon - Anti-Terrorism Laws and Treaties Drafted up before 9/11 - Changing Targets and Patsies - US Senate Gun Bill - Socialistic-Communistic System - FBI Celebrates Duping Another Mentally Ill Man into Fake Terror Plot - US Military in Africa, Private Contractors - Warfare Video Games - Surveys and Testing on the Public - CISPA Bill - Cancer Research and Positive Drug Studies - EU-US Transatlantic Partnership - Texas--Ex-Judge Held on Triple Murder Charge - Soviet System and Russian Mafia - Ireland, New Bankruptcy Rules and Micromanagement of Finances - Gov. Subpoenas for Patient Records. (See http://www.cuttingthroughthematrix.com for article links.) *Title/Poem and Dialogue Copyrighted Alan Watt - April 18, 2013 (Exempting Music, Literary Quotes, and Callers' Comments)

As the Prime Minister announces his efforts to reduce compensation claims for whiplash, Dr Mark Porter asks are doctors having the wool pulled over their eyes? Or are drivers and passengers making mountains out of molehills? Our resident sceptic Kamran Abbasi looks behind recent headlines that suggested weaning your baby on finger foods may be a healthier option than spoon feeding. And in response to our listeners, cholesterol tests - what do they mean, and what should we do about them? Statins are the main mode of prevention for those at greatest risk of heart attack and stroke. But how do you balance the risk of side effects with the protection they provide? We explore the latest research. And how many times have you been to a hospital appointment only to find that the doctor seeing you doesn't have your notes or test results? By 2015, the Department of Health hopes to give us all access to our notes via a centralised electronic record. We examine an alternative approach being tried at various hospitals including Great Ormond Street Hospital. Called Patients Know Best, it works a bit like Facebook and puts the patient in charge. Producer: Beth Eastwood.

Background: This study aimed to inform the design of a pragmatic trial of stroke prevention in primary care by evaluating data recorded in electronic patient records (EPRs) as potential outcome measures. The study also evaluated achievement of recommended standards of care; variation between family practices; and changes in risk factor values from before to after stroke. Methods: Data from the UK General Practice Research Database (GPRD) were analysed for 22,730 participants with an index first stroke between 2003 and 2006 from 414 family practices. For each subject, the EPR was evaluated for the 12 months before and after stroke. Measures relevant to stroke secondary prevention were analysed including blood pressure (BP), cholesterol, smoking, alcohol use, body mass index (BMI), atrial fibrillation, utilisation of antihypertensive, antiplatelet and cholesterol lowering drugs. Intraclass correlation coefficients (ICC) were estimated by family practice. Random effects models were fitted to evaluate changes in risk factor values over time. Results: In the 12 months following stroke, BP was recorded for 90%, cholesterol for 70% and body mass index (BMI) for 47%. ICCs by family practice ranged from 0.02 for BP and BMI to 0.05 for LDL and HDL cholesterol. For subjects with records available both before and after stroke, the mean reductions from before to after stroke were: mean systolic BP, 6.02 mm Hg; diastolic BP, 2.78 mm Hg; total cholesterol, 0.60 mmol/l; BMI, 0.34 Kg/m(2). There was an absolute reduction in smokers of 5% and heavy drinkers of 4%. The proportion of stroke patients within the recommended guidelines varied from less than a third (29%) for systolic BP, just over half for BMI (54%), and over 90% (92%) on alcohol consumption. Conclusions: Electronic patient records have potential for evaluation of outcomes in pragmatic trials of stroke secondary prevention. Stroke prevention interventions in primary care remain suboptimal but important reductions in vascular risk factor values were observed following stroke. Better recording of lifestyle factors in the GPRD has the potential to expand the scope of the GPRD for health care research and practice.

Fri, 1 Jan 2010 12:00:00 +0100 https://epub.ub.uni-muenchen.de/18000/1/oa_18000.pdf Gulliford, M. C.; Ashworth, M.; Rudd, A.; Wolfe, C. D.; Toschke, André Michael; Dregan, A.