Quote Of The Year

Timeless Quotes - Sadly The Late Paul Shetler - "Its not Your Health Record it's a Government Record Of Your Health Information"

or

H. L. Mencken - "For every complex problem there is an answer that is clear, simple, and wrong."

Monday, December 12, 2011

Weekly Australian Health IT Links – 12th December, 2011.

Here are a few I have come across this week.
Note: Each link is followed by a title and a few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.

General Comment

Interesting week with a lot of security related material seeming to turn up this week. I suspect that as we move forward there will be rising awareness of these problems and that it is going to be a real problem for the PCEHR program to provide enough re-assurance for the public to put their private information in the hands of Government (and its bureaucrats).
Time will tell how it plays out.
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Outback satellites at risk of overload with e-health data

OUTBACK networks face "saturation" when new e-health record systems are placed on top of existing systems while satellite technology is too slow to handle the data load, medical providers warn.
The Aboriginal Health Council of Western Australia says "crucial IT communication issues" need to be understood in the context of continuing reliance on satellite in remote areas excluded from the National Broadband Network.
The forthcoming rollout of the $500 million personally controlled e-health record system will put further strain on existing infrastructure, the council says in a submission on the PCEHR bill introduced into parliament last month.
"Decision-makers need to recognise a problem of saturation which comes about because we are putting the PCEHR on top of email, government Aboriginal and Torres Strait Islander health systems and the online community health reporting environment, OCHREStream," says the council, which represents 19 local health services in WA.
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NEHTA releases security framework

By Suzanne Tindal, ZDNet.com.au on December 6th, 2011
The National E-Health Transition Authority (NEHTA) has been released to the National E-Health Security and Access Framework (NESAF) this week, providing a toolkit for the industry on how to protect patient information.
"The framework released acknowledges that it is essential to preserve the integrity and protect the confidentiality of personal health information and personally identifiable information, while balancing the need to support improved and unhindered healthcare," NEHTA CEO Peter Fleming said.
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Nehta releases security framework

The National E-health Transition Authority (Nehta) has released the security and access framework that sets out how health information should be collected, stored and accessed – a critical step in its bid to win consumer support for the personally controlled electronic health records which Australians can sign up for starting mid-2012.
Details of the National eHealth Security and Access Framework (NESAF) which was unveiled today by Nehta are currently only available to vendors registered with the Nehta website.
The heart of the framework however is understood to be descriptions of the standards and protocols organisations should use when writing e-health systems, which have been compiled as a toolkit to help organisations design and develop health related computer systems.
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Health bodies fear medical data distortion from e-health records

PEAK Aboriginal health bodies have warned that data derived from personally controlled e-health records must not be used to discriminate against indigenous people and their medical providers.
The National Aboriginal Community Controlled Health Organisation and the Aboriginal Medical Services Alliance Northern Territory say that de-identified data will provide statistics around populations and diseases, but because the PCEHR is opt-in "it must be considered to be an incomplete picture" of the health of indigenous people.
"NACCHO believes that other bodies may use this incomplete data to claim statistics that are untrue and cause the Aboriginal community, the Australian government and the general public to be confused," it said.
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Australians turn to magazines and online for information on Health, Wellbeing & Fitness

Roy Morgan Research
According to the latest Roy Morgan Single Source data (October 2010 – September 2011), Australians aged 14+ years consider the internet and magazines to be the most useful media for information on products and purchasing in the health, wellbeing and fitness category.
The internet ranks the highest, with 31% of Australians 14+ nominating it the most useful media channel for product information and purchasing in the health, wellbeing and fitness category.
Magazines rank second, nominated by 22% of Australians 14+ as the most useful media channel for this category.  Magazines also show a definite skew to women: 25% of women (compared to 19% of men) consider magazines the most useful medium for health, wellbeing and fitness.
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Queensland's new email system a $46m white elephant

A MUCH-hyped email system which cost taxpayers $46 million has been rejected by most State Government departments.
Trumpeted as a revolutionary way to centralise systems allowing workers to more easily move between agencies, the email platform was rejected as too costly by some of the departments it was specifically designed for, reported The Courier-Mail.
So far only 2000 users have signed up, at an estimated cost of $23,000 each – the price of a small car.
A Public Works Department spokesman insisted the Identity, Directory and Email Services program was set for wider installation by 2013 but sources said the Education, Communities and Community Safety departments had already opted out.
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Data breaches common in US health system

NINETY-six per cent of US healthcare organisations have reported at least one data breach in the past two years, the Ponemon Institute reports in its second annual Patient Privacy and Data Security benchmark survey.
The independent privacy researcher found that organisations suffered an average of four data breaches during the period, at an average cost of $US2.2 million per incident.
Ponemon chairman Larry Ponemon described medical information handling practices as "sloppy", and "a disturbing reality check for patients".
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Stopping falls is name of the game at iStoppFalls

LOCAL researchers are part of a groundbreaking project to develop iStoppFalls, an ICT system to prevent falls in the elderly.
The European Union project brings together sensor technologies, telemedicine and videogames to keep older people fit and living at home for longer.
Neuroscience Research Australia's renowned falls and balance team was asked to join the project because of its innovative use of videogames to achieve healthcare outcomes.
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Metro Spinal Clinic uses IBM analytics to manage patients' pain

Software records and collates patient data to enable doctors to track a patient's progress over time
The Melbourne-based Metro Spinal Clinic has enlisted analytics software from IBM to track and record data to better manage patients' pain.
The spinal pain and intervention facility, which treats an average of 450 new patients per month, is primarily a day-care hospital although some patients require overnight stays.
The clinic implemented IBM SPSS Data Collection Web Interviews as part of a data collection system the facility has been developing for some years called Clinical Intelligence.
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Schools IT scheme a 'stuff up'

Anna Patty
December 8, 2011
$176 million already spent and now "disaster" implementation will be delayed.
A $386 million information technology system for the NSW Department of Education, which has so far cost it $176 million, has failed to deliver what it promised.
The state's Auditor-General, Peter Achterstraat, yesterday confirmed what school teachers and principals have long suspected - that the program has been a ''disaster''.
The so-called Learning Management and Business Reform software program was aimed at replacing finance, human resources, payroll and student administration systems.
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GE, Microsoft in e-health venture

  • by: Karen Dearne
  • From: Australian IT
  • December 09, 2011 6:08AM
GENERAL Electric and Microsoft are joining forces to create an open platform and provide real-time, system-wide intelligence across healthcare organisations for better population data analysis.
A new joint venture company will bring together Microsoft’s platform expertise and GE Healthcare’s experience in clinical and administrative workflow systems.
The move represents a major shift to the use of advanced analytics in healthcare for improved patient care and safety and administrative efficiencies.
GE Healthcare has been using SAS Business Analytic tools to mine patient data streamed from remote monitoring systems and new digital imaging and diagnostic tools as part of its work on clinical safety.
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Question: Australian Health Information Security Requirements

Posted on December 9, 2011 by Grahame Grieve
This report of a breach of personal health information has been doing the rounds lately – it’s a very well written, from a great blog, and it’s deservedly getting a lot of attention. I sent it to several contacts in Australian commercial vendors, and one of them came back to me with a question:
What best practice standards, and applicable regulations do I need to aware of here in Australia?
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Victorian government invests $100,000 in ICT Geelong

Regional cluster to continue e-health, research projects
  • Lisa Banks (Computerworld)
  • 09 December, 2011 11:41
The Victorian government has announced that $100,000 will be put towards supporting the activities of ICT Geelong.
State minister for technology, Gordon Rich-Phillips, said the regional information and communications cluster has a number of projects in the pipeline that will benefit the local ICT community.
“Major projects include the development of ICT research and investment opportunities, commercialisation of technologies...and delivery of the annual technology entrepreneurship forum and ICT investment pitching competition,” Rich-Phillips said.
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Telstra customer database exposed

Asher Moses and Ben Grubb
December 9, 2011 - 6:26PM
Bundle account holders' details unbundled in public.
Detailed information about Telstra's customer accounts - including usernames and passwords - has been found to be sitting on the open web for anyone to access via a Google search.
A user of the Whirlpool forum discovered the "Telstra Bundles request search" page after doing a web search for a Telstra customer support phone number they were told to contact.
Anyone who visits the page can search Telstra's customer database based on the customer's last name, account number, sales force ID or reference number.
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eBay wants the Gillard government to be cautious with data breach laws

  • by: Fran Foo
  • From: Australian IT
  • December 08, 2011 12:00AM
ONLINE shopping giant eBay has urged the Gillard government to adopt a three-tiered approach to proposed mandatory data breach notification laws or risk crushing small businesses.
Privacy and consumer advocates have called on the government to introduce legislation compelling companies to inform customers when data leakage occurs.
Entertainment giant Sony was criticised earlier this year when it waited one week before informing customers of a data breach on its PlayStation network.
In contrast, Dell Australia wasted no time when a malicious attack hit its e-marketing provider Epsilon.
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A spam filter for HIV is in the works

Deborah Netburn
December 5, 2011 - 10:20AM
HIV: a deadly virus that kills an estimated 5,000 people a day.
Spam: annoying emails that infiltrate your inbox and try to get you to shell out for erectile dysfunction drugs, credit cards and international scams purportedly involving Nigerian princes.
Could these two things possibly have anything in common? According to Microsoft researcher David Heckerman, the answer is yes.
Heckerman is the inventor of Microsoft's spam filter that protects Hotmail, Outlook and Exchange clients from deluges of unwanted email, but for the last seven years he's been working on designing a vaccine for HIV.
He said it's not so strange that he shifted his attention from protecting email systems to protecting body systems. He is a doctor, and besides, fighting spam and fighting HIV are not as different as you might think.
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Greg Johannes
Acting Secretary, Department of Health and Human Services
Tuesday, 29 November 2011

RESTRUCTURING TECHNOLOGY IN HEALTH

The Department of Health and Human Services is to restructure its use of information technology to improve services to patients and clients.
Acting Secretary Greg Johannes said the plan to restructure the DHHS Care and Business Solutions branch had been under discussion with staff and unions for several weeks.
The plan was further communicated to affected staff today and would be refined through consultation over coming weeks.
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Google's Chrome browser challenges Firefox

Chrome was the world's second favourite web browsing program in November, bumping Firefox from that position for the first month
  • AAP (AAP)
  • 05 December, 2011 10:01
Google's Chrome Web browser is gaining ground on Firefox, and one industry tracker says it may even have eclipsed its open-source rival in the global market.
Chrome was the world's second favourite web browsing program in November, bumping Firefox from that position for the first month ever, according to StatCounter Global Stats.
Google's Chrome had a 25.69 per cent share of online browsing last month compared to 25.23 per cent for Firefox, according to StatCounter. Firefox is managed by the nonprofit Mozilla Foundation.
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Enjoy!
David.

I Think There Is Now A Chance Common Sense Can Prevail in Australian E-Health! I Sure Hope So!

The following appeared in the Medical Observer today - and I suspect the sentiments will be echoed elsewhere in other articles quite soon.

Tanya Plibersek takes Health reins

12th Dec 2011
A CABINET reshuffle announced this morning is being seen as an opportunity for new Health Minister Tanya Plibersek and the government to back away from the 1 July deadline for the introduction of a personally controlled e-health record (PCEHR).
Former Health Minister Nicola Roxon was promoted to Attorney General in the reshuffle, which was triggered by the resignation of Small Business Minister Nick Sherry.
RACGP president Professor Claire Jackson said Ms Roxon’s contribution over nearly five years had been valuable, but the college would have liked more consultation on some recent decisions.
“Tanya Plibersek comes with a strong record in her previous portfolio and the college looks forward to an early meeting,” Professor Jackson said.
Lots more here:
To be frank I think Ms Roxon was a very poor Health Minister who for apparently ideological reasons drove initiatives which were confusing (Medicare Locals), unnecessary by and large ( GP Superclinics) and utterly lacking any evidence base (the PCEHR Program).
It is also clear from the way many of the so-called reform programs were executed that program implementation was really not a strong suit - not that she is to blame alone for that!
She also managed to really alienate much of the Medical profession by her cuts to the PBS and her failure to properly consult on many matters as reflected in the article above.
Ms Plibersek has a golden opportunity - as I said earlier today - to snatch victory from the jaws of defeat in e-Health. I hope she takes it!
David.

AusHealthIT Poll Number 100 – Results – 12th December, 2011.

The question was:
Will The Senate Enquiry Into The PCEHR Result In Substantial Improvements In The Program?
For Sure
  1 (4%)
Possibly
  2 (8%)
Probably Not
  4 (17%)
Of Course Not
  14 (60%)
I Have No Idea
  2 (8%)
Votes : 23
It appears that over 75% of readers don’t have much confidence in the Senate Enquiry to help fix things.
Again, many thanks to those that voted!
David.

Tanya Plibersek will Join Cabinet as the New Health Minister. Good Luck Tanya!

Gillard reshuffles cabinet

December 12, 2011 - 1:56PM
Prime Minister Julia Gillard says her new ministerial line-up will give Labor new energy and fire power heading into 2012.
Ms Gillard announced a widely-tipped reshuffle today, which includes extra portfolio responsibilities of industry and innovation for Climate Change Minister Greg Combet.
"With this new cabinet in place we will see an important mix of new energy, as well as wise heads and experienced heads," she told reporters in Canberra.
"This will give us the focus and fire power that we need in 2012."
.....
Tanya Plibersek will join cabinet as the new health minister.She was formerly human services and social inclusion minister.
Mental Health and Ageing Minister Mark Butler retains his position but will join cabinet. He will also take on social inclusion responsibilities.


David.

Big Changes For Health Ministry Coming Is The Rumour. Might Change The E-Health Game.

It seems Plibersek, The Hon Tanya, Member for Sydney is about to replace Ms Nicola Roxon as the Health Minister.

The implications of this may very well be to get DoHA / NEHTA out of a very big hole with an excuse to now change strategy, objectives and timelines in the e-Health space.

Surely Minister Plibersek will take a golden opportunity to sort out a potential festering mess. Time will tell.

David.
 

Sunday, December 11, 2011

Here Are Some Weasel Words To Make One Absolutely Cringe As Tassie Health Swings an Axe at E-Health! How Did I Almost Miss This!

The Google alert system spotted this for me early this week. It has been around for a few days.
As I read I just became more and more amazed at the brazen spin I found myself reading.
Greg Johannes
Acting Secretary, Department of Health and Human Services - Tasmania
Tuesday, 29 November 2011

RESTRUCTURING TECHNOLOGY IN HEALTH

The Department of Health and Human Services is to restructure its use of information technology to improve services to patients and clients.
Acting Secretary Greg Johannes said the plan to restructure the DHHS Care and Business Solutions branch had been under discussion with staff and unions for several weeks.
The plan was further communicated to affected staff today and would be refined through consultation over coming weeks.
“There are a number of important national reforms being rolled out, and how we use information technology to enable eHealth will be a key part of making sure the reforms are successful.
“In order to play our part in reform, we need to make sure our use of information technology and associated staff resources is innovative and responsive to the needs of patients and clients.
“By its nature, information technology has to be cutting edge and innovative – so the staff structures we use should mirror that.
“The structural changes communicated today will help make our organisation more efficient and more sustainable, while delivering required budget savings.
Mr Johannes said staff and unions have been consulted through the review process.
“We have taken a measured and planned approach and will have a leaner structure that will focus on essential services for Tasmanians.
Mr Johannes said that the restructure mainly affected the Care and Business Solutions branch, which on the first of October 2011 employed 67 staff.
The new structure will see a net reduction in full-time equivalent positions of up to 42 positions.
The Care and Business Solutions branch has traditionally been responsible for project delivery and consultancy services across the Agency.
“It’s also important to bear in mind that some staff will be able to be transferred and others may leave voluntarily – so the final number of impacted staff is still to be determined.”
Mr Johannes said that the restructure also opened up a number of opportunities for staff which would be explored further.
“We anticipate that some current staff will not have a position in the new structure, and we will work hard to redeploy staff across the State Service as quickly as possible.”
The full release is found here:
Now let us parse what is actually being said here. The key points are:
1. We have taken the axe to our Care and Business Solutions Branch.
2. The reduction in staff will be 63% i.e. only 37% of the staff will remain.
3. These changes will make the Branch sustainable
4. We have decided to focus on essential services.
5. Losing 63% of our staff will save money and at the same time make everything more efficient.
There are only two conclusions that can be drawn from this. One is that the Branch was grossly overstaffed and management simply did not notice or two is that we are going to stop providing at least half the services we used to (implying they were not needed).
In a time when we are apparently seeing a transition to the use of more e-Health to try and preserve front line services and improve safety and efficiency this is a just appalling and more shockingly transparent piece of political spin.
No wonder the Minister does not have their name attached to such a stinking piece of rotten fish.
This was not a restructure - it is an out and out massacre!
David.

Saturday, December 10, 2011

Weekly Overseas Health IT Links - 10th December, 2011.

Note: Each link is followed by a title and few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.
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ATandT, Accenture Collaborate on Cloud Medical Imaging

By: Brian T. Horowitz
2011-11-29

AT&T will host the Accenture Medical Imaging Solution to allow doctors and radiologists to share and store medical images.

AT&T and Accenture have launched Accenture Medical Imaging Solution, a cloud database that will allow hospitals to centrally manage access to medical images and enable doctors and radiologists to collaborate on care.
Accenture is an IT consulting and services firm as well as a systems integrator. The two companies announced the new platform at the annual Radiological Society of North America (RSNA) conference in Chicago on Nov. 28. The agreement with Accenture is part of AT&T's previously announced plans to commercialize Medical Imaging and Information Management (MIMM) in late 2011.
The Accenture Medical Imaging platform incorporates AT&T's MIMM cloud service, which the telecom launched on June 22. MIMM is a vendor-neutral pilot cloud project that allows doctors to store, view and share medical images such as CAT scans, MRIs and X-rays. Baptist Health System in Alabama and Henry Ford Health System in Detroit are also deploying MIMM.
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Study Compares Physical and Cloud Exchange of Images

HDM Breaking News, November 29, 2011
As providers move to tightly coordinate patient care, they have to find ways to efficiently share patient information. That includes scrapping use of physical media such as CDs for sharing medical images, and exchanging images and reports on cloud-based platforms, according to a new study from consulting firm Chilmark Research.
"As the health care system moves from a reimbursement model based on fee-for-service to one based on outcomes, health care organizations of all sizes will not only need to continue to optimize operations to remain competitive, but will also need to develop more collaborative care processes to manage transitions in care more effectively," according to the study. "To reach these goals, HCOs are beginning to take a close look at all departments, including radiology, for optimization in support of new collaboration processes across care settings."
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Government announces new Open Data plans

29 November 2011   Rebecca Todd
The government has pledged that everybody in England will have online access to their GP records by “the end of this parliament” in 2015.
The announcement was made as part of Chancellor George Osborne’s Autumn Statement, which painted a generally bleak picture of the UK economy, while including some measures to try and stimulate growth.
Among these are a Plan for Growth that includes a number of Open Data measures aimed at stimulating industry and jobs. These were developed in collaboration with a number of companies including GlaxoSmithKline.
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EHR adoption for office docs at 57%: survey

Posted: December 1, 2011 - 10:45 am ET
Rates of electronic health-record system adoption among office-based physicians grew significantly in 2011, according to a national report card on EHR adoption.
In a survey conducted by the National Center for Health Statistics between February and June, 56.9% of physician respondents said their practice uses electronic health records in some capacity other than for billing. That's up from the 50.7% of respondents who replied the same in 2010 (PDF). In addition, 52% of respondents this year said their practice was planning to apply for federal EHR incentive payments, up from 41% who said the same in 2010.
The NCHS, an arm of the Centers for Disease Control and Prevention, has been measuring EHR adoption since 2008 as part of its National Ambulatory Medical Care Survey program. The latest numbers are based on mail surveys conducted with a sample of 10,301 physicians.
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3 steps to minimize 'data breach epidemic'

December 01, 2011 | Chris Anderson, Senior Editor, Healthcare Payer News
The frequency of data breaches in healthcare have increased 32 percent in the past year and cost the industry an estimated $6.5 billion annually according to the second annual benchmarking study conducted by the Ponemon Institute.
Among the chief culprits responsible for data security breaches were sloppy employee handling of data and the ever-increasing use of mobile devices in the healthcare setting. Forty-one percent of healthcare executive surveyed attributed data breaches related to protected health information (PHI) to employee mistakes, while half of the respondents said their organization does nothing to protect the information contained on mobile devices. In all, 80 percent of healthcare organizations use mobile devices that collect, store and/or transmit some form of PHI.
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Wi-Fi Platform Sends Lifesaving Data Between Ambulances, Hospitals

November 29, 2011 By Sarah Rich
Seconds can save lives — especially when a patient is being rushed to a hospital. And Wi-Fi platforms that transmit a patient’s medical information from the ambulance to the hospital are helping to save time.
By installing this technology in its ambulances, Rowan County, N.C., is sending vital information to hospitals before a patient arrives, thus enabling better preparation and health-care response.
Rowan County installed wireless communication platforms in its 11 ambulances within the county’s Emergency Medical Services Division so responders taking an individual to a hospital can transmit a patient care report to the facility prior to the ambulance’s arrival at the hospital, said Frank Thomason, the county’s chief of emergency services. The communication platform provides a Wi-Fi access point in the ambulances, making them function as mobile hotspots. Using laptops inside the ambulances, emergency responders fill out a patient care report and with the assistance of the communication platform, the information is transmitted wirelessly to the hospital.
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Health Information Exchanges: Get Everyone Onboard

The ultimate goal is a universally accepted national health information exchange. What's the holdup?
By Paul Cerrato,  InformationWeek
November 29, 2011
Why have health information exchanges turned into such a debacle in the U.S.? At first blush, it's easy to jump to the conclusion that HIEs--organizations that let healthcare providers easily share information--are just a large sandbox with a lot of big egos not willing to play well together.
One player in the sandbox, of course, is the Centers for Medicare and Medicaid Services, which mandates that hospitals and medical practices participate in an HIE in order to obtain Meaningful Use incentive checks. Ignore the mandate and you'll eventually be penalized.
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10 Ways ICD-10 Will Improve Quality of Care

Cheryl Clark, for HealthLeaders Media , December 1, 2011

The popular approach to writing anything about ICD-10 conversion these days is to describe the disastrous impact providers say it will have­—or is already having—on healthcare, nearly two years ahead of its launch. 
From the sound of it, everyone from physicians to nurses to CFOs and CIOs must be preparing for hell itself, or at least stocking up on awesome quantities of Pepcid.
Peter Carmel, MD, president of the American Medical Association, and flocks of physician groups speak of its "onerous" burden, costing each physician $28,000, on top of the reimbursement cuts and other changes they already face.
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Physicians must learn how to put patients in the center

December 02, 2011 | Mary Mosquera, Government Health IT
WHITE OAK, MD – Physicians need to learn "patient-centeredness" as one of their core medical skills so they can incorporate it into their daily practice. But many clinicians are unfamiliar with what is involved in practicing with the patient at the center of his or her care, despite it being a foundation for improved quality and new delivery models.
Some physician professional organizations are stepping up to offer teaching aids about patient-centered care. 
Patient-centeredness should be a part of education in medical schools, training for residency and included within competencies for certification and re-certification, according to physician executives of professional organizations.
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Report: Telehealth Industry Will See Uptick in Competition

(11/30/2011) With a global revenue forecast of $990 million by 2015, the Telehealth market is already attracting a host of suppliers and innovators at various points in the value chain according to a new report from research firm InMedica. In a new whitepaper, “Competitive Dynamics in the World Telehealth Market – 2011 to 2020”, InMedica assesses the current telehealth ecosystem and forecasts how it will change over the next ten years.
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In 2012, a Mobile Security Minefield

– Taylor Armerding, CSO
November 28, 2011 
The mobile device, now the dominant technological tool in American enterprise, will become more dominant in 2012 and beyond. Industry analysts say mobile device shipments will top 1 billion in 2015, leaving PC shipments in the dust.
That will bring big benefits, but also big risks.
Its benefits for user convenience and productivity are obvious and irresistible -- a smart phone can handle everything from email to collaboration to video chat. It can serve as your GPS. It can scan product bar codes. It can find and store your favorite songs, help you take high-res photos and HD video and expand both your social and professional network.
But it is not very secure, which puts users and the enterprises that employ them at greater risk.
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African e-health 'moving in wrong direction'

Maina Waruru
2 December 2011 | EN
 [NAIROBI] Importing or copying the latest 'e-health' technology from developed countries may not be the best way forward for health services in Africa, a conference has heard.
A focus on high-tech healthcare solutions could come at the expense of basic prevention such as access to clean water and sanitation, good nutrition and hygiene, and health education, said experts at the AfriHealth conference in Kenya, this week (30 November–1 December).
In a continent where 80 per cent of illnesses stem from preventable infectious diseases, this is a move in the wrong direction, said Yunkap Kwankam, executive director of the International Society for Telemedicine and eHealth.
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Stage 2 of Meaningful Use Moved to 2014

HDM Breaking News, November 30, 2011
The Department of Health and Human Services has moved the start date for Stage 2 of the electronic health records meaningful use program from 2013 to 2014.
The initial HHS announcement did not make clear which providers were eligible to wait until 2014. The department clarified its position to Health Data Management.
Federal officials this summer had voiced support for a proposal to delay Stage 2 one year to 2014 for providers who attest to Stage 1 in 2011. The rationale was that Stage 1 pioneers who attest in 2011 should not be penalized by tight timeframes next summer for getting ready for Stage 2. Now, that proposal is adopted, and since providers who begin Stage 1 attestation in 2012 could wait until 2014 to start Stage 2, now everyone will start Stage 2 in 2014. Pioneer providers in 2011, however, can get three years of Stage 1 incentive payments.
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Cancer Researchers Call For EHR Standards

American Society of Clinical Oncology report says, with modifications, electronic health records could play a transformational role in targeting cancer treatments.
By Nicole Lewis,  InformationWeek
November 30, 2011
As cancer researchers better understand the "panomics" of cancer--the "combination of genes, proteins, molecular pathways and unique patient characteristics that together drive the disease," electronic health records (EHRs) can play a transformational role in cancer research. So concludes the American Society of Clinical Oncology (ASCO), which calls for EHR vendors to implement standards to facilitate capturing, storing, and sharing this panomics-related data, with the goal of increasing cancer survival.
ASCO's report--Accelerating Progress Against Cancer: ASCO's Blueprint for Transforming Clinical and Translational Cancer Research--summarizes recent breakthroughs in technology and cancer panomics. But the report also asserts that while an unprecedented opportunity exists to make more rapid advances in research for cancer treatments, the nation's research system is "unprepared to deliver on this promise."
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5 tips for speech recognition software from RSNA

December 01, 2011 | Mike Miliard, Managing Editor
CHICAGO – At RSNA 2011 earlier this week, David L. Weiss, MD, of Carilion Roanoke Memorial Hospital in Roanoke, Va., asked for a show of hands.
How many people in the audience were radiologists? Almost all of them were.
And how many of those people use speech recognition technology in the course of their work? More than half of them raised their hands.
Finally, how many of those people were completely happy with the technology? Just two or three of them were.
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Survey: Health Data Not Better Protected Than a Year Ago

HDM Breaking News, December 1, 2011
The second year of a benchmark survey to track progress in securing protected health information finds improved policies and staff training, but also increased frequency of breaches, rising incidents of identity theft, poor control over mobile devices, and two-thirds of organizations don't provide protection services for breach victims.
That mixed bag means protection isn't any better than a year ago, says Rick Kam, president of ID Experts, a Portland, Ore.-based data breach and remediation firm that sponsors the survey.
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CMS develops new EHR guide for docs

Posted: December 1, 2011 - 3:00 pm ET
The CMS has developed what it describes as a "comprehensive tool" to help guide physicians and other eligible professionals through all phases of the Medicare electronic health-record incentive payment program.
The Web-based interactive resource, called "An Introduction to the Medicare EHR Incentive Program for Eligible Professionals" (PDF) includes chapters on program basics, eligibility and registration. It also has a description of all of the Stage 1 meaningful-use criteria and advises practitioners on how to choose the optional measures they will use as part of the attestation phase of the program.
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Why Can't Patients See Their EHR Data?

Journal of the American Medical Informatics Association outlines arguments for and against expanding patient access to their health data.
By Ken Terry,  InformationWeek
November 29, 2011
Should healthcare providers give patients access to their electronic health records and if so, how do they make that happen? A new review in the Journal of the American Medical Informatics Association (JAMIA) examines the complexities of giving patient access to their records online.
Written by researchers at the University of Toronto but focused largely on the U.S. environment, the study notes that while EHR data is not typically being shared with patients, many consumers want access. And research suggests that data sharing with patients, coupled with communication and education, can help improve efficiency, quality of care, and patient satisfaction while also lowering costs.
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5 points of view from an EHR end user

November 29, 2011 | Michelle McNickle, Web Content Producer
Discussions surrounding EHRs and their adoption (or lack thereof) have grown into heated debates concerning their usability and effectiveness. And the most vocal folks, whose opinions could very well change the way EMRs work, are none other than the end users themselves: the clinicians.
That’s why we looked to David Hager, MD, to debunk some of the myths and explain some of the gripes he and his colleagues have with EHR systems. 
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November 28

Marino’s records bill contentious

Congressman’s electronic health care records proposal has supporters, detractors.

JONATHAN RISKIND Times Leader Washington Bureau
WASHINGTON – A report released this month helps make the case for a proposal by Rep. Tom Marino, R-Lycoming Township, to give health care providers who use money-saving electronic records more legal protections, proponents say.
But a critic of Marino’s bill says granting legal immunity for reporting medical errors caused by faulty electronic records deprives patients of the right to seek compensation and takes away incentives for records vendors and the health care community to make needed improvements.
When Marino introduced his Safeguarding Access for Every Medicare Patient Act in October, he said it would create a system for reporting potential errors in electronic records without the admission of the mistake being used as a legal admission of wrongdoing. The bill also applies to Medicaid patients, and since so many providers accept patients from the federal health care programs for seniors and the poor, Marino’s bill effectively would apply to most of the medical community.
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ICD-10: Mandate and Opportunity

Marianne Aiello, for HealthLeaders Media , November 28, 2011

This article appears in the November 2011 issue of HealthLeaders magazine.
As the clock continues to tick down toward October 2013, when ICD-10 takes effect, hospital leaders are hopeful that the coding changes will result in improved quality of care. Still, many remain wary of the inevitable learning curve that comes with the mandate.
In the long run, the increased specificity of the coding structure will enable physicians to better tailor patient care, says Greg Walton, CIO of El Camino Hospital in Mountain View, CA. But in the short term, it will cause problems and communication confusion, he says.
“The level of details required and the amount of change is laced with a massive learning curve,” he says. “Mistakes are always made during large change periods. Moreover, frustration rises with change and that, too, leads to confusion and errors.”
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Study Names 4 EHR Vendors That Are Good Bets

Robert Lowes
November 29, 2011 — Physicians shopping for an electronic health record (EHR) system increasingly discover that most products are look-alikes — at least when it comes to the functions they perform, such as e-prescribing.
Chalk up that uniformity to federal meaningful-use requirements as well as standards promulgated by the Certification Commission for Health Information Technology.
So on what basis, then, should a physician pick one EHR vendor from hundreds on the market? A new report from a research and consulting firm called IDC Health Insights lays out other selection criteria for EHR shoppers aside from software functionality and identifies 4 vendors that stand out from the pack. These companies — Cerner, eClinicalWorks, NextGen Healthcare, and the Sage Group — are well positioned to dominate the EHR scene in the years to come for practices with 20 physicians or more, according to report authors Judy Hanover and Sven Lohse.
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10 lessons learned from linking VLER to private health orgs

November 28, 2011 | Colin Barry, CEO, MEDfx
The research on coordinated care is clear: Patients experience better outcomes when medical teams operate within a connected healthcare ecosystem. Access to the patient’s complete medical history helps physicians make better decisions, reduces medical errors and eliminates duplicate diagnostic testing.
During the past several years, the US government has undertaken a number of initiatives to encourage healthcare practitioners to adopt and use electronic medical records (EMRs). One such project was the development of the Virtual Lifetime Electronic Record (VLER) program, a joint effort between the Departments of Defense (DoD) and Veterans Affairs (VA) to develop and implement an electronic health record system to allow secure sharing of data between civilian and military healthcare organizations.
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6 most in-demand skills for HIT professionals in 2012

November 28, 2011 | Michelle McNickle, Web Content Producer
The demand for capable IT specialists is growing, and according to Guillermo Moreno, vice president of recruiting firm Experis Healthcare, certain skills are bound to take the spotlight come 2012. 
“This is an area that’s of interest and concern, given what we’re seeing in the marketplace,” Moreno said. “With the continuation of the build of the information technology movement in healthcare, we are seeing some sizable fractures in the healthcare space around human capital and human talent.” 
With the New Year around the corner, we asked Moreno to look ahead and share with us the top six most in-demand skills for healthcare IT professionals in 2012. 
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At RSNA, 'a new age' of informatics

November 29, 2011 | Mike Miliard, Managing Editor
CHICAGO – At RSNA 2011 on Monday, radiologists and imaging professionals from across the country and around the world prepped themselves to make the most of a fast-changing healthcare landscape – one in which health IT will play an increasing and pivotal role.
In a session titled "Radiology Informatics: Fundamentals for the Future," Keith Dreyer, DO, vice chairman of radiology computing and information sciences at Massachusetts General Hospital, explained how quality mandates surrounding image interpretation, reporting and access mean that informatics and IT will be soon brought more to the fore than ever. In fact, they herald a "new age for radiology," he said.
Dreyer explained how radiology information systems (RIS) and picture archiving communication systems (PACS) as they exist today are adequate, but lacking.
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Image sharing could cut unnecessary tests: RSNA

Posted: November 29, 2011 - 12:15 pm ET
A new medical image-sharing network is being touted as tool that can help reduce unnecessary exams and cut patient radiation exposure.
The Radiological Society of North America is overseeing development of the network, which was founded in 2009 with a $4.7 million contract from the National Institute of Biomedical Imaging and Bioengineering, according to an RSNA news release. The RSNA is hosting its annual convention this week in Chicago. So far, Mt. Sinai Medical Center, a 1,039-bed hospital in New York; the UCSF Medical Center, a 660-bed hospital in San Francisco; and the University of Maryland Medical Center, a 702-bed hospital in Baltimore, have enrolled patients in the network. Mayo Clinic (Rochester, Minn.) and the University of Chicago Medical Center (Illinois) are expected to enroll patients.
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Patient records access standard urged

29 November 2011   Rebecca Todd
New research on patient records access recommends a set of national standards for implementation, training and promotion and a centralised IT support service.
Paul Fleming, the head of IM&T at NHS Stockport, researched four GP practices giving patients access to their records in Stockport, Tameside and Glossop for the final dissertation of his health informatics Masters degree.
Fleming delivered his findings for the first time at an IT conference held in Stockport earlier this month.
He found that each practice implemented patient records differently and recommended that there should be a set of national standards for the process.
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EHR Adoption To Reach 80% By 2016

Competitive marketplace means electronic health record vendors must work harder to meet clinicians' demands, says IDC.
By Nicole Lewis,  InformationWeek
November 28, 2011
By 2016, more than 80% of healthcare providers will put an electronic health record (EHR) in place, according to an IDC Health Insights report; right now the figure stands at less than 25%. That said, EHR vendors face a very competitive marketplace, and will have to do a better job of designing products that are more user-friendly, have broader functionality and features, and are compatible with mobile devices.
The report, "IDC MarketScape: U.S.A. Ambulatory EMR/EHR for Midsize and Large Practices 2011 Vendor Assessment," evaluates EHR systems that support practices comprised of 20 providers or more. The study also examines eight of the largest EHR vendors, each of which serve at least 15,000 providers, and relied on interviews with vendors as well as IT managers at healthcare delivery organizations.
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Berwick's resignation from CMS bad news for health IT

November 25, 2011 — 11:44am ET | By Ken Terry
The resignation of Don Berwick last week after 18 months as administrator of the Centers for Medicare & Medicaid Services (CMS) should be a cause of concern in the healthcare industry, as well as the health IT sector. Berwick was the Obama Administration's point man on healthcare reform, and his departure due to Republican opposition in the Senate likely will slow the industry's inevitable transition to accountable care.
When President Obama appointed Berwick during a Congressional recess in April 2010, industry groups widely supported the move--despite the fact that the pediatrician and Harvard professor was a leading proponent of change. In his role as founder and CEO of the Institute for Healthcare Improvement (IHI), Berwick had built a stellar reputation as an advocate of quality and safety improvement. IHI's safety campaigns, in particular, had enlisted thousands of hospitals; later, when Berwick became CMS administrator, many of those hospitals joined CMS' Partnership for Patients safety program partly out of respect for Berwick.
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Mersey Burns app for fluids developed

28 November 2011   Shanna Crispin
Mersey Regional Burns and Plastic Surgery Unit launches burns fluid calculator app
Doctors at the Mersey Regional Burns and Plastic Surgery Unit, part of St Helen's and Knowsley Teaching Teaching Hospitals NHS Trust, have developed a mobile application which could result in more patients surviving severe burns.
Doctors working in A&E currently have to go through laborious manual calculations to assess burns and work out how much fluid to give victims – taking into account the surface area of the burn and the patient’s physiological information.
In order to simplify and speed up the process, two doctors have developed an app for iPhones and iPads to automatically work through the calculations.
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healthsystemCIO.com Survey Shows CIOs Frustrated With State Of HIE

Posted by Anthony Guerra on November 23rd, 2011
Lack of ONC Leadership Contributing to HIE Morass
The vast majority (92 percent) of CIOs say local, state, regional and national HIE initiatives are duplicating efforts/work, according to the November healthsystemCIO.com SnapSurvey. As such, it’s not surprising more than 60 percent describe their state’s HIE situation as a “confused mess.”
A large portion of the blame for such a state of affairs falls on ONC, with none describing the organization’s leadership in this area as “very good” and only 3.8 percent finding it “good.” The largest response when answering this question (46 percent) termed ONC’s work “not so good.”
When asked about the technical side of HIE — referring specifically to standards — the CIO community is split, with 23 percent answering that the standards are ready, 38 percent prognosticating they will be ready within two years, and another 38 percent saying even two years isn’t enough time.
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Monday, November 28, 2011

New ONC Initiative Tackles Data Segmenting in HIE

by Helen Pfister and Susan Ingargiola, Manatt Health Solutions
One of the most challenging issues in electronic health information exchange (HIE) relates to tagging and separating certain pieces of health data from others in an electronic health record. There are myriad reasons why separating different types of health information is important to HIE, including enabling consumers to exert greater control over who sees their health information, but doing so can be difficult. 
To overcome existing obstacles, the Office of the National Coordinator for Health IT recently began a new Data Segmentation Initiative. The initiative will develop standards to electronically tag and separate sensitive health information.
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Enjoy!
David.