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, May 16, 2016

Weekly Australian Health IT Links – 16th May, 2016.

Here are a few I have come across the last week or so.
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

A very quiet week indeed with possibly the biggest news being the formal announcement of the ADHA start date and the WA budget finding a little funding for e-Health in a very tough Budget.
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Cash-strapped WA govt finds $60m for e-health

Revenue drop devastates in the west.

By Paris Cowan
May 13 2016 6:31AM
The WA government has managed to scrape together roughly $60 million for e-health projects and another $13.7 million to upgrade its licensing and registration database in a budget described as the toughest the state has ever seen.
The state government has seen its revenue fall 22 percent since 2014-15 due to the drop in commodity prices coupled with reductions in GST income.
It is facing a debt balance close to $40 billion and no prospect of a return to surplus until 2019-20.
But it has still managed to gather together some modest funding for its struggling IT functions.
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Australian health sector an easy target for cyber criminals, says IBM

A push to encourage greater adoption of electronic health records has raised the spectre of online record theft

According to IBM’s 2016 Cyber Security Intelligence Index, there has been a clear shift recently in online targets, essentially away from credit cards and toward health-related data.
IBM has worked with small suburban medical and dental centres in Australia, which have become a particular target for ransomware.
Glen Gooding, an executive from IBM’s Security Services (ANZ), said health records were “an important way to extract money by taking on the persona of someone else”.
He added health-focused organisations were often an easier target than financial sector businesses, many of which have implemented more robust information protection systems.
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Online pharmacy “safe list” needed

Charlotte Mitchell
Monday, 9 May, 2016
WITH only a minority of online pharmacies considered legitimate, experts are now debating how to address the growing problem of substandard and counterfeit medications.
Dr Conor Hensey from the Department of General Medicine at the Royal Children’s Hospital in Melbourne told MJA InSight that Australia must set up a safe list of online pharmacies to help protect consumers from the dangers of counterfeit drugs.
“This way, consumers would have easy, reliable access to a list of authorised websites and be able to refer to this resource prior to purchasing medications online.”
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Online pharmacies: Australia needs ‘safe list’

Substandard and counterfeit medicines, and online pharmacies which aren’t legitimate, are a serious and growing problem, say experts.

Australia needs to set up a “safe list” of online pharmacies in a bid to protect consumers from potentially dangerous medicines, says Dr Conor Hensey from the Department of General Medicines at the Royal Children’s Hospital in Melbourne, in MJA InSight.
Dr Hensey says that this would allow consumers easy, reliable access to a list of authorised online pharmacies, which they could refer to before buying medicines online.
Dr Hensey co-authored a report published this week in the MJA, examining the Australian perspective on counterfeit drugs.
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Public Governance, Performance and Accountability (Establishing the Australian Digital Health Agency) Transfer Day Notice 2016

I, Sussan Ley, Minister for Health, specify that, under subsection 73(1) of the Public Governance, Performance and Accountability (Establishing the Australian Digital Health Agency) Rule 2016 (the Rule), the day to be the transfer day for the purposes of Part 11 of the Rule is 1 July 2016.
Dated   5 May    2016
SUSSAN LEY
Health Minister
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Vic govt's new strategy hopes to end IT project woes

Will it be enough?

By Paris Cowan
May 12 2016 12:32PM
The Victorian government is hoping a transparent IT projects dashboard, a technology education program for executives, and an army of independent auditors will protect it from future embarrassing and expensive technology catastrophes.
Special Minister for State Gavin Jennings today unveiled the Victorian Labor government’s first whole-of-government IT strategy, focused on open data, shared solutions and rebuilding the state’s internal technology skills.
Implicit in the plan is an infamous track record of IT failures in a particularly disaster-prone public service.
Most recently, former officials of the Department of Education have been dragged to the state’s corruption watchdog over serious allegations of mismanagement and conflicts of interest behind the $180 million Ultranet schools intranet scheme.
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GuildCare announces new Telehealth Module

Pharmacy Telemedicine has arrived: in a joint initiative by the Pharmacy Guild of Australia and Telstra Health, pharmacy customers can now access a GP conveniently from their local community pharmacy.

ReadyCare is a purpose-built telemedicine service where pharmacy customers can talk to a doctor in Australia by phone or video 24/7.
ReadyCare is not about a pharmacy competing with local GP services – it is about community pharmacies facilitating access to a quality telemedicine service at times and in areas where a patient’s access to local GP services are limited or not available.
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Report suspected fraud, misconduct or non-compliance

Fraud against government programmes and business disadvantages Australians who rely on the effective and efficient delivery of services.
Page last updated: 28 January 2016
The Australian Government Department of Health is committed to preventing the occurrence of fraud in all areas of business administered by the Department. A robust fraud control environment supports the aim of the Department in creating better health and wellbeing for all Australians.
The following section provides information on raising concerns with the Department about our programmes, with links to the appropriate resources for submitting your tip-off information.
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News in brief

Monday, 9 May, 2016
The role of the doctor as an expensive problem-solver may become redundant in the future, according to health experts commenting in the New Zealand Medical Journal. The authors believe that over the coming years, artificial intelligence (AI) will diagnose most health problems and even decide what treatment the patient should have. The health experts say that humans would continue to be an important part of health care delivery, but in many situations they would only be trained to fill the gaps where artificial intelligence is less capable. “Human doctors make errors simply because they are human, with an estimated 400 000 deaths associated with preventable harm in the US per year,” the authors wrote. “Furthermore, the relentless growth of first world health care demands in an economically-constrained environment necessitates a new solution. Therefore, for a safe, sustainable health care system, we need to look beyond human potential towards innovative solutions such as AI. Initially, this will involve using task-specific AI as adjuncts to improve human performance, with the role of the doctor remaining largely unchanged. However, in the longer term, AI should consistently outperform doctors in most cognitive tasks. Humans will still be an important part of health care delivery, but in many situations less expensive, fit-for-purpose clinicians will assume this role, leaving the majority of doctors without employment in the role that they were trained to undertake.”
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Latest technology news across the sector

In this wrap:
  • NSW Government announces eHealth strategy
  • South Australia’s Clevertar begins diabetes trials in the US
  • Australian startup CliniCloud partners with American telehealth provider

NSW Government announces eHealth strategy

At last week’s CeBIT Australia conference NSW Minister for Health Jillian Skinner announced the state’s eHealth strategy for the next decade.
The strategy will see a digitally enabled and integrated health system, with a focus on delivering patient-centred health experiences with quality health outcomes, and builds on the government’s existing blueprint.
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A go-to app for kidney disease

9 May 2016
CKD-Go! was created by Dr Priyanka Sagar and Dr Angus Ritchie of Concord Repatri­ation General Hospital, Sydney, and draws information from the handbook Chronic Kidney Disease Management in General Practice, produced by Kidney Health Australia. 
Opening the app, the user sees a home menu offering a ‘CKD calculator’ or ‘more information’. The calculator allows development of a personalised action plan based on a patient’s eGFR and urine albumin:creatinine ratio. Entering these details stratifies risk and includes prompts for absolute cardiac risk calculation, lifestyle modification, blood pressure monitoring, etc. 
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MEDIA RELEASE
For immediate release

Red Cross releases new app to protect its life-saving emblems

A new phone app has been released to help protect the life-saving red cross emblem from illegal use.
“Red Cross is releasing The Emblem App on World Red Cross Red Crescent Day to remind people that a red cross on a white background means ‘don’t shoot’ in war and armed conflicts. It shows that impartial help is available for anyone who needs it,” said Judy Slatyer, CEO of Australian Red Cross.
“This app gives the Australian community the ability to safeguard the red cross emblem by reporting misuse. Every time the red cross is misused, even by mistake, its real meaning is diluted and this can cost lives.
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Making sense of consent and health records in the digital age

May 8, 2016
There are few more potent touchstones for the public than the protection of their privacy, and this is especially true with our health records. Within these documents lies information that may affect your loved ones, your social standing, employability, and the way insurance companies rate your risk.
We now live in a world where our medical records are digitised. In many nations that information is also moving away from the clinician who captured the record to regional repositories, or even government run national repositories.
The more widely accessible our records are the more likely it is that someone who needs to care for us can access them – which is good. It is also more likely that the information will might seen by individuals whom we do not know, and for purposes we would not agree with – which is the bad side of the story.
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Claims budget cuts undermine effectiveness of Privacy Commissioner

Savage funding cuts to the Office of the Australian Information Commissioner (OAIC) have undermined the ability for the Privacy Commissioner do his job effectively, according to the Australian Privacy Foundation (APF).
The APF warns that the “long delays” in the handling of privacy complaints, and the large backlog of unresolved matters, have earned the OAIC a poor reputation – “and now it will get worse”.
Under the Federal Government’s Budget announced on Tuesday, the APF says funding for the OAIC had been slashed and “resources that should be spent on privacy will now be burnt on FOI matters”.
As the APF points out, the cuts in the OAIC’s budget come despite the fact that when the OAIC was created in 2010, it was given less funding than had been originally indicated.
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Privacy concerns in the healthcare sector

Australia May 4 2016
The past few years have seen multiple “privacy insurance” policies come on to the Australian market, with policies tailored to the needs of both SMEs and large corporates. The healthcare sector is at particular risk of privacy breaches and resultant regulatory action and claims, but it is not clear that this has led to an increased uptake of privacy insurance policies in the sector.
Insureds operating in the health sector tend to hold highly-sensitive personal information. They are also subject to onerous regulation.
Their employees, however, fear that their privacy protections are not up to the task. A 2010 US benchmark study on patient privacy and data security by Ponemon Institute found the three key causes for privacy breaches were:
  • Unintentional employee action;
  • Lost or stolen computing devices; and
  • Third-party errors.
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GPs to take their privacy medicine

Australia’s family doctors are to improve their privacy practices following an assessment by the Office of the Australian Information Commissioner (OAIC) that found that many practices could be improved.
According to Acting Australian Information Commissioner, Timothy Pilgrim, the nation’s peak medical groups have lined up to support OAIC in improving the privacy practices in general practitioner (GP) clinics.
Mr Pilgrim said he appreciated that many GP practices were small to medium-sized businesses and so practical, industry-relevant support was an effective way to improve privacy outcomes for practices and patients.
“I welcome the fact that the Australian Medical Association (AMA), the Royal Australian College of General Practitioners (RACGP), the Australian College of Rural and Remote Medicine and the Australian Association of Practice Management have come together with the OAIC to provide practical support to their members to deliver open and transparent privacy policy.
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Here's how to stop Google seeing your private medical history

May 4, 2016, 7:22 PM
Last week, New Scientist reported that the NHS has given Google access to approximately 1.6 million patient records in order to help the internet giant develop an app to monitor possible kidney failure.
The data includes the names and medical histories of every patient who has stayed in Royal Free, Barnet and Chase Farm hospitals in London overnight or attended A&E in the last five years.
If you’re one of those people and you’re not comfortable with Google having access to your patient records then by law you have the option to opt out.
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Enjoy!
David.

This Might Be A Wild Guess But I Suspect ADHA Has An Interim CEO.

From this it rather looks like Mr Richard Royle is in place until 30/11/2016.

Australian Digital Health Agency 




The Australian Digital Health Agency is part of the Health portfolio, and functions in an executive management capacity. 
 
The Australian Digital Health Agency (the Agency) is governed by a skills-based Board which will be responsible for deciding the Agency’s objectives, policies and strategies, and for ensuring the proper and efficient performance of the Agency’s functions. The Agency is the single accountable organisation for national digital health systems in Australia.
Location: 
ACT
Email: 

Current board appointments


Position
Appointee
Gender
Start date
End date
Chairperson
Mr James Birch
Male
20/04/2016
20/04/2019
Member
Mr Robert Bransby
Male
20/04/2016
20/04/2019
Member
Prof Johanna Westbrook
Female
20/04/2016
20/04/2019
Member
Mr Michael Walsh
Male
20/04/2016
20/04/2017
Member
Dr Bennie Ng
Female
20/04/2016
20/04/2019
Member
Ms Stephanie Newell
Female
20/04/2016
20/04/2019
Member
Mr Stephen Moo
Male
20/04/2016
20/04/2017
Member
Ms Lyn McGrath
Female
20/04/2016
20/04/2019
Member
Mr Paul Madden
Male
20/04/2016
20/04/2019
Member
Dr Elizabeth Deveny
Female
20/04/2016
20/04/2019
Member
Dr Eleanor Chew
Female
20/04/2016
20/04/2019
CEO/Executive Director/Managing Director
Mr Richard Royle
Male
04/05/2016
30/11/2016
Here is the link:
The dates for the apparent CEO role seem to run from just before the Caretaker Convention took hold and runs for about six months. I wonder what Mr Moo and Mr Walsh did to only get one year appointments?
Looks like they (the Board) struggled to find a full-time CEO. Maybe no one really wanted to take it on with the smell of death around the myHR?
Any other clever explanatory  ideas welcome!
David.

Sunday, May 15, 2016

Enrico Coiera Discusses The Consent Models In The Era Of Digital Health Records.

This appeared as a blog last week:

Making sense of consent and health records in the digital age

May 8, 2016
There are few more potent touchstones for the public than the protection of their privacy, and this is especially true with our health records. Within these documents lies information that may affect your loved ones, your social standing, employability, and the way insurance companies rate your risk.
We now live in a world where our medical records are digitised. In many nations that information is also moving away from the clinician who captured the record to regional repositories, or even government run national repositories.
The more widely accessible our records are the more likely it is that someone who needs to care for us can access them – which is good. It is also more likely that the information will might seen by individuals whom we do not know, and for purposes we would not agree with – which is the bad side of the story.
It appears that there is no easy way to balance privacy with access – any record system represents a series of compromises in design and operation that leave the privacy wishes of some unmet, and the clinical needs of others ignored.
Core to this trade-off is the choice of consent model. Patients typically need to provide their consent for their health records to be seen by others, and this legal obligation continues in the digital world.
Patient consent for others to access their digital clinical records, or e-consent, can take a number of forms. Back 2004, working with colleagues who had expertise in privacy and security, we first described the continuum of choices between patients opting in or out of consent to view their health records, as well as the trade-offs that were associated with either choice [1].
Three broad approaches to e-consent are employed.
  1. “Opt Out” systems; in which a population is informed that unless individuals request otherwise, their records will be made available to be shared.
  2. “Opt in” systems; in which patients are asked to confirm that they are happy for their records to be made available when clinicians wish to view them.
  3. Hybrid consent models that combine an implied consent for records to be made available and an explicit consent to view.
Opt in models assume that only those who specifically give consent will allow their health records to be visible to others, and opt out models assume that record accessibility is the default, and will only be removed if a patient actively opts-out of the process. The opt-out models maximises ease of access to, and benefit from, electronic records for clinical decision making, at the possible expense of patient privacy protections. Opt-in models have the reverse benefit, maximising consumer choice and privacy, but at the possible expense of record availability and usefulness in support of making decisions (Figure 1).
There is much more to be read here:
The last two paragraphs seems to cover a lot of ground. To quote:
“So, whilst we need to be clear about the risks opt in versus opt out, we should also recognise that it is only half of the debate. It is the mechanism of governance around the consent model that counts at least as much.
For consumer advocates, “winning the war” to go opt-in is actually just the first part of the battle. Indeed, it might even be the wrong battle to be fighting. It might be even more important to ensure that there is stringent governance around record access, and that it is very clear who is reading a record, and why.”
In reading the article I think the thing that is missing is the recognition of the importance of individual attitudes and history in all this and in the debate about what consent model is appropriate.
Many individuals have widely divergent life stories and these stories and their life experience can have a major impact on their comfort with a consent model and their preferences.
Individuals also vary greatly in their attitudes to disclosure of, and trust with, their personal information with some adopting a highly disclosive approach and others the reverse - often related to their individual experiences and illnesses.
Taken overall, and recognising the critical importance of governance and technical security, I think it unlikely agreement is ever likely to be reached unless we can properly response in the individual’s level of trust, personality and the risk of discrimination, shaming and embarrassment should their information be disclosed.
Given the importance of the proper protection of information the individual wants to keep to themselves, we need to develop systems that meet these needs.
David.

AusHealthIT Poll Number 320 – Results – 15th May, 2016.

Here are the results of the poll.

How Satisfied Are You With The Recent Federal Budget As Far As Health Funding Is Concerned?

Very Satisfied 1% (1)

Neutral 25% (29)

Not Satisfied At All 63% (72)

I Have No Idea 11% (13)

Total votes: 115

Pretty clear outcome and a vote of no-confidence in the Budget as far as health is concerned.

Great turnout of votes as well!

Again, many, many thanks to all those that voted!

David.

Saturday, May 14, 2016

Weekly Overseas Health IT Links - 14th May, 2016.

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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HIT seen as way to reduce patient deaths caused by medical errors

Published May 06 2016, 7:34am EDT
The extent and cost in human lives of medical errors—and how health information technology can make a dent in the problem—remains difficult to determine. But most experts in the industry confirm that it remains a vexing problem that’s becoming more difficult to solve as treatment and delivery increase in complexity.
The newest study to assess the degree of medical errors, recently published in the British Medical Journal, comes from Johns Hopkins University School of Medicine, which estimated that more than 251,000 people die annually from medical errors in U.S. hospitals. That would make it the third leading cause of death in the U.S., exceeded only by heart disease and cancer.
Healthcare information technology is but one tool that can be used to address medical errors that have serious consequences for patients, experts note, through the use of technology such as clinical decision support and bar-coding. However, IT also can contribute to medical errors, often the result of human error, workflow issues, communication challenges and other issues. HIT further has been cited as causing patient safety concerns, most recently by the ECRI Institute.
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John Halamka on MACRA: Overly complex rule could drive docs out of practices

May 6, 2016 | By Dan Bowman
The recently proposed rule implementing the Medicare Access and CHIP Reauthorization Act (MACRA) and the new Merit Based Incentive Payment System (MIPS) is overly complex and could wind up driving many clinicians out of the industry, according to Beth Israel Deaconess Medical Center CIO John Halamka.
In a post to his Life as a Healthcare CIO blog, Halamka breaks down the IT-related parts of the rule, analyzing deadlines, objectives and the role of the Office of the National Coordinator for Health IT. Regarding the latter, he notes that providers "must attest they have cooperated with ONC surveillance and oversight activities," which he says many likely will view as "overly intrusive." Commenters to ONC's proposed rule from March--which gives ONC power to conduct direct reviews of certified health IT products--already are up in arms over those potential provisions.
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Hewlett Packard Aims to Revolutionize Personal Medicine

First Posted: Apr 30, 2016 04:10 AM EDT
Hewlett Packard Enterprise is aiming to one day help doctors ensure that tailor-made medical treatment can be available for patients. To do so, they are crunching data from patient information that is related to genes, diseases, personal behaviors and treatment history assembled from around the world.
Simply called "The Machine," this project represents about half of the research efforts of Hewlett Packard Labs. Jaap Suermondt, the Vice President of Software Analytics at HP Labs, said that this is by far their most ambitious research project.
He shared that the company is hoping to offer the Machine commercially to customers and health care providers in a few years, but they are hoping that the prototype will be available by the end of the year. The Machine, he said, is "first and foremost about flipping the computer inside out."
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Mini-Camera Mounted on Glasses Helps Blind 'Read'

Device scans text, relays audio version to wearer's ear
THURSDAY, May 5, 2016 (HealthDay News) -- A device mounted onto eyeglasses enables people considered legally blind to "read" and perform other day-to-day activities, according to researchers.
The device, called OrCam, features a miniature camera with optical character-recognition technology. The camera deciphers text and then "reads" it to the user through an earpiece. The device can even be programmed to recognize specific faces and commercial products, according to the report.
"It is easily used and could potentially bring greater independence, particularly for older patients who are struggling with vision loss," said study co-author Dr. Mark Mannis, chair of ophthalmology at the University of California, Davis.
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Cardiff University microwave device to help diabetics

  • 5 May 2016
Scientists have created a portable blood glucose measure for diabetics which uses microwaves instead of pricking the skin.
Currently, diabetics have to test their blood several times a day or use inserted devices known as continuous blood glucose monitors (CGMs).
But a new monitor created by Cardiff University's School of Engineering can be discreetly stuck on to the skin.
Prof Adrian Porch said: "It will help with the management of the condition."
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Expert questions privacy, safety protections of API plan

Published May 05 2016, 6:41am EDT
Application programming interfaces, a key technology component expected to give consumers access to healthcare information from electronic health records, also could carry some privacy and health or safety risks, especially in the early stages of use of the technology.
A recent series of draft recommendations by a task force of a federal advisory committee is receiving some criticism because it does not address liability protection for vendors and should provide more guidance to consumers about their rights and responsibilities in data access.
However, the recommendations, by a Health IT Policy Committee task force, has received generally positive reviews, after the group completed a review of the potential privacy and security vulnerabilities of the technology,
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88% of healthcare execs credit HIT with improving care

Published May 04 2016, 9:11am EDT
Healthcare executives overwhelmingly see health IT as having a positive impact on their organizations, with 88 percent indicating that the technology is helping them provide better quality of care.
That’s among the findings of a recent online poll of 164 healthcare executives at organizations with revenue between $25 million and $1 billion that was conducted by Harris on behalf of financial holding company CIT Group Inc.
As the industry transitions to pay-for-value payment models in which reimbursement is based on patient outcomes, 72 percent of executives also believe that they are “on track” when it comes to determining how to best measure outcomes, with near unanimity that technology, data and quality of care will all play a critical and increasing role in that measurement.
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Report: Canadian ambulatory care clinics reap $200M in benefits from EHRs

May 2, 2016 | By Marla Durben Hirsch
Canadian doctors in ambulatory care settings are reaping $200 million in annual value related to their electronic health record use, according to a new report released by Canada Health Infoway.
Researchers studied emerging benefits of EHR use in ambulatory care in Canada by reviewing multiple data sources throughout the country, including research articles, surveys, evaluation reports and key interviews. They found that EHR adoption was still low, with 33 percent of the clinics still using only paper and 51 percent of clinics using a mix of paper and EHRs; only 16 percent were nearly paperless. However, 15 percent had adopted EHRs in the past year and 31 percent expect to in the next two to three years.
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Davey Winder: hacking healthcare

Security journalist Davey Winder starts a new series of columns on Digital Health’s Cyber Security Hub by asking: what is the truth of hacking healthcare?
There has been an awful lot said about the state of cyber security as far as the healthcare sector is concerned. Unfortunately, an awful lot of it can be filed in the FUD drawer.
Fear, Uncertainty and Doubt - in case you were wondering how that acronym unfolded - is plentiful both in politics and the broader media. Which is why we get Chancellor George Osborne warning that if ISIS successfully attacked hospitals online "the impact could be measured not just in terms of economic damage but of lives lost"; even though there is no evidence to suggest the terrorist outfit is targeting them.
It's also why, as a journalist, I am bombarded with press releases from security vendors hyping the ransomware risk to healthcare in the wake of ongoing attacks. That the vast majority of those attacks were successfully mitigated, that only one healthcare provider paid a ransom, and that all of them were in the United States rather than the UK was almost incidental.
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NHS Highland develops smart glasses tech

Rebecca McBeth
3 May 2016
NHS Highland is working with an Inverness-based technology company to develop the use of smart glasses in health care.
The health board has teamed up with Summit Wearable Solutions to test its smart glasses technology for use in surgery and cardiology, as well as delivering remote care and education.
Surgeons in the Highlands started testing the devices in trial surgeries this month.
The glasses are a wearable computer that adds information to what the user can see by projecting an image onto the screen. They have a high-resolution camera as well as voice recognition software which turns speech into text.
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'Paucity' of good EHR usability studies contributes to knowledge gap

May 3, 2016 | By Marla Durben Hirsch
The available studies on electronic health record usability are not standardized, conducted too late in the design process to be of good use, and otherwise deficient, according to a recent report published in the Journal of the American Medical Informatics Association (JAMIA).
The researchers, from the Mayo Clinic and elsewhere, conducted a literature search of 120 articles to evaluate methodological and reporting trends regarding the usability studies of EHRs. While there is a great need to evaluate EHR usability to prevent implementation of "suboptimal" tools, there's little guidance on how to do so and report them to guide future usability studies.
For instance, many methods to measure usability were examined, the researchers noted, including surveys, interviews, focus groups and work flow analysis. However, while surveys of end users are helpful, they didn't identify problems that could be targeted for improvement
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Docs question quality of 'no-touch' telemedicine services

May 5, 2016 | By Katie Dvorak
Some physicians are questioning the role of telemedicine in care, wondering if "no-touch" services work in all cases.
"There are many subtle factors that contribute to a rapport between the physician and patient," Michael Brabeck, M.D., associate professor of medicine at New York University School of Medicine, tells James Lebret, an attending physician at NYC Health + Hospitals/Bellevue, in a recent post for Medscape. Those factors, such as physical touch or direct eye contact, can't be done when the visit is virtual, Brabeck says.
According to Ameet Bakhai, M.D., deputy director of research at Royal Free London NHS Trust hospitals, providers will have to learn how to best use telemedicine without losing the human element in patient care, as well as figure out the best ways to capture and analyze data without hampering clinical care.
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Surgical robots take on autonomous tasks

May 5, 2016 | By Susan D. Hall
Researchers are developing robots that can go beyond assisting in surgery and actually perform procedures autonomously, according to new research published at Science Translational Medicine.
Scientists from John's Hopkins University and Children's National Health System in the District of Columbia for the research recently demonstrated what they're calling the world's first autonomous robotic soft-tissue surgery. 
Their surgical bot, called STAR (Smart Tissue Autonomous Robot), performed several supervised but unguided procedures called intestinal anastomosis, in which part of the bowel is removed and the remaining segments are sutured together, according to the study. The operations were performed on live, anesthetized pigs.
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Brookings calls out OCR on HIPAA audits, offers security tips for healthcare organizations

Better information sharing is essential, and a robust cyber insurance market could change the landscape. Meanwhile, the government should 'prevent more than it punishes,' Brookings fellow Niam Yaraghi says.
May 05, 2016 11:35 AM 
Brookings fellow Niam Yaraghi said that healthcare is uniquely vulnerable to data breaches and the federal government isn't always helpful in addressing the problem. 
With the healthcare industry suddenly accounting for nearly 25 percent of all data breaches, a new study from The Brookings Institution suggests some new cybersecurity strategies are needed.
Niam Yaraghi, a Brookings fellow, conducted in-depth interviews with 22 healthcare organizations – providers, payers and business associates – that had each experienced at least one  data breach.
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Most organizations hit by data breaches in 2015

Published May 03 2016, 8:12am EDT
The threat level of cyber attacks on virtually every organization continues to increase, with more than half of companies reporting the loss of customer data as a result of distributed denial of service (DDoS) attacks, and three-quarters of organizations suffering a breach in 2015.
Those are among the findings of the latest research from Neustar Inc., from its third global DDoS Attacks and Protection Report entitled, “The Threatscape Widens: DDoS Aggression and the Evolution of IoT Risks.” The April report is based on a survey of more than 1,000 IT professionals across six continents, and reveals that few organizations globally are being spared DDoS attacks.
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HIT Think How personalized medicine will reshape healthcare delivery

Published May 03 2016, 6:01pm EDT
In the late 1800s, automobiles were the work of individual artisans who carefully crafted their creations from start to finish. The process was slow and painstaking, and each finished product was a little different than the others. They were also incredibly expensive, which is why only the wealthy owned them.
Then about a century ago, Henry Ford transformed the world with his Model T, the first automobile to apply the principles of mass production. Other manufacturing sectors quickly adopted Ford’s methods, and individualization took a back seat.
The pendulum began to swing back toward the individual in the 1990s, however, with a movement toward mass customization, a method that combines “custom-made” flexibility with the low unit costs and predictable quality of mass production. For example, Nike allows customers to choose colors for every element of a standard shoe. Japanese eyeglass retailer Paris Miki uses data, images and preferences to recommend best-fit glasses.
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IBM’s new cloud-based quantum computer targets healthcare, government, finance – and everyone

Goal is to put innovation on fast track, says Big Blue
May 04, 2016 10:45 AM 
IBM is making quantum computing available to the public, providing access to a platform from any desktop or mobile device via the IBM Cloud.
It has implications for healthcare, where another supercomputer, IBMWatson, is already at work helping researchers and clinicians eradicate cancer, making sure the world’s population gets better sleep and sorting big data to boost genomics work and precision medicine.
With IBM Quantum Experience, the new cloud-based platform unveiled today, users can create algorithms and run experiments, learn about quantum computing through tutorials and simulations and get inspired by the potential of a quantum computer.
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Special report: Digital Pathology

Digital pathology is being billed as the technology to do for pathology what digital imaging did for radiology. But does the business case stack up? And what are the technical benefits? Daloni Carlisle reports.
Routine pathology these days is highly automated, with giant robotic machines working 24/7 to process an endless line of samples.
But some areas of pathology remain largely untouched by technology and automation – including histopathology where most doctors still need a glass slide and a microscope. Could this be about to change?
Digital pathology – replacing the glass slide with a digital image that can be viewed on a screen anywhere, anytime – has been developing slowly but surely and is now being used in practice. It may be that digital pathology will soon do for histopathology what digital imaging did for radiology.
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Baking in the basics: Hospital IT leaders outline ingredients for robust cybersecurity programs

May 3, 2016 | By Katie Dvorak
By Katie Dvorak
The most important ingredients for any hospital's security program at first blush may seem quite simple: A mix of encryption here, a dash of employee education there, then sprinkle on security software, patching and incident response.
However, without these tools, no hospital's security will ever be fully baked. That's something the IT leaders at Oklahoma-based Integris, Minneapolis' Fairview Health Services and Susquehanna Health in Pennsylvania know full well.
"Don't get too blinded by the latest, most innovative security tools," Barry Caplin, chief information security officer at Fairview, tells FierceHealthIT in an exclusive interview. "Can you count your stuff? Can you do some basic education for employees? Do you have some basic email controls in place?"
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Despite hurdles, 'digital health advisor' a promising idea for patient care

May 4, 2016 | By Katie Dvorak
Patients could benefit from the creation of a "digital health advisor [DHA]," an app or computer program that can use pharmacy, electronic medical record and other medical data to help consumers with health problems, according to a new post at the Commonwealth Fund blog.
However, entrepreneurs do not seem to be making any leeway in creating services that would use people's medical histories, needs and preferences, say researchers Eric C. Schneider, M.D. and Onil Bhattacharyya, M.D., as well as Commonwealth Fund President and former National Coordinator for Health IT David Blumenthal.
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White House to hold workshops on AI's promises, pitfalls

May 4, 2016 | By Katie Dvorak
Artificial Intelligence (AI) holds both promises and pitfalls for many industries, including healthcare, which is leading the White House to host workshops on the technology's future.
In a blog post, Ed Felten, deputy U.S. Chief Technology Officer, notes the importance of AI in efforts such as President Obama's Precision Medicine Initiative and Vice President Biden's cancer moonshot, but also acknowledges the risks the technology carries.
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Teledermatology boosts access to care for Medicaid patients

May 4, 2016 | By Susan D. Hall
By offering virtual dermatology and Medicaid coverage, the number of patients who saw a dermatologist nearly doubled, according to a new RAND Corp. study, illustrating how virtual care can increase patient access to specialists.
For the study, published in JAMA Dermatology, researchers examined more than 380,000 members of Health Plan of San Joaquin, a MediCal- managed plan in California's Central Valley, including about 108,000 who were newly enrolled under provisions of the Affordable Care Act. The region has only about one-third the national average number of dermatologists, according to an announcement.
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Doctor: Despite promise, improper use of telemedicine could undermine patient care

May 3, 2016 | By Susan D. Hall
As use of telemedicine grows, it will "become like conjuring the genie from Aladdin's lamp," according to Ameet Bakhai, M.D., deputy director of research at Royal Free London NHS Trust hospitals.
The technology, he says in an interview at News-Medical.net., will create a seamless process to reach doctors, nurses, pharmacists and other health specialists quickly. However, there could be downsides if people start obsessing over every little change in their bodies.
In addition, Bakhai says the technology may also undermine patients' "own confidence to be able to heal naturally, to be independent and self sufficient."
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Electronic records help cancer care: study

Posted: Monday, May 2, 2016 6:00 am | Updated: 6:05 am, Mon May 2, 2016.
By Brent Linton, CJ staff |
Electronic medical records are proving to be a major benefit for cancer patients in the region.
A study released last week by the Canada Health Infoway states that 57 per cent of electronic medical record enabled clinics reported that using such records was beneficial for improving quality of care.
“We have seen based on the research that we have done and the literature reviews and the surveys, about $200 million in annual value in 2015,” said Shelagh Maloney, vice-president consumer health communications and evaluation services for Canada Health Infoway.
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Survey: Only 22% of Digital Health Users Use EHRs to Make Medical Decisions

60% of consumers who use digital health tools state they have an EHR; however, only 22% of digital health users are accessing EHRs to help make medical decisions, according to a March/April HealthMine survey. The survey of 500 insured consumers who use mobile/internet-connected health tools reveals that despite the wide-spread adoption of EHRs, 55% of users simply view them as tools to simply “stay informed.”
Additionally, 29% of those consumers who say they do have an EHR are not getting much benefit from it. On the opposite end, 40% of respondents stated they did not even have an EHR. 
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CHIME Urges FDA to Advance Medical Device Interoperability

By Jacqueline Belliveau on May 02, 2016

In a letter to the FDA, CHIME suggested that federal agencies collaborate to develop medical device interoperability standards and increase transparency with manufacturers.

Healthcare providers need more assurance that medical devices and EHR systems are truly interoperable, wrote the College of Healthcare Information Management Executives (CHIME) in a letter to Robert M. Califf, MD, Food and Drug Administration (FDA) Commissioner.
Through the letter, CHIME provided the FDA with recommendations on its draft guidance “Design Considerations and Premarket Submission Recommendations for Interoperable Medical Devices.”
The industry group urged the FDA to partner with other federal agencies to establish interoperability standards, further define interoperability, develop risk management strategies with medical device manufacturers, ensure healthcare cybersecurity in medical devices, and increase transparency of dvice capabilities.
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At Houston Methodist, Population Health is the Real Deal

Scott Mace, May 3, 2016

A patient-centered medical home for chronic care management implemented alongside just a hint of data analytics technology is making a difference.

Human relationships and just the right application of technology seem to be unlocking population health's benefits.
Now, one healthcare system has the hard data to back up such statements.
At Houston Methodist, a seven-hospital, 1,931-bed health system in Texas, a six-month pilot implementation of a direct-to-employer population health strategy reduced hospitalizations and visits to the emergency department, says Julia Andrieni, MD, vice president of population health and primary care, as well as president and CEO of Houston Methodist's Physicians' Alliance for Quality.
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Google's DeepMind gains access to health info for 1.6M NHS patients

May 2, 2016 | By Dan Bowman
As part of a recently announced partnership with the United Kingdom's National Health Service, Google-owned artificial intelligence company DeepMind has gained access to healthcare information for 1.6 million patients across three hospitals, New Scientist reports.
The agreement, according to New Scientist, gives DeepMind data that spans back five years, and notes that the company will create an analytics-based clinical decision prediction tool known as Patient Rescue.
"What Deepmind is trying to do is build a generic algorithm that can do this for anything--anything you can do a test for," Sam Smith of the privacy group MedConfidential tells New Scientist.
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Digital transactions can mean big savings for physicians

May 11, 2016
Electronic transactions can save the healthcare industry around $8 billion each year, according to the 2015 CAQH Index Report, as well as save physicians precious time and money.
Reynard Washington, senior manager for research and measurement at The Council for Affordable Quality Healthcare (CAQH) told Medical Economics that of all the different entities involved in the revenue cycle of a typical episode of care, physicians stand to gain the greatest benefit from transitioning to digital transactions, because doing so will shorten the time to payment, as well as provide savings in labor costs. 
This year’s report includes an informative graph, titled “How Much Does the Healthcare Industry Spend on Claims-Related Business Transactions?” that shows the financial breakdown between processing certain transactions electronically versus digitally. The graph reveals some striking points, which support Washington’s assertion that digital processing really will save practices money. For instance, the average cost of a claims verification performed manually is $10.83, whereas electronically it is $2.51.
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Ransomware attacks quadrupled in Q1 2016

The attack on a California hospital was a big catalyst for ransomware in the health care sector, according to Symantec.
By Greg Otto
April 29, 2016 4:00 PM
Ransomware has taken off in 2016, with attacks in the first quarter coming at quadruple the rate seen last year, according to figures from a leading security vendor.
Kevin Haley, the director of product management at Symantec Security Response, said his group has seen an average of over 4,000 ransomware attacks per day since Jan. 1, a 300-percent increase over the approximately 1,000 attacks per day in 2015 the company highlighted in its recent Internet Security Threat Report.
During a media roundtable Thursday, Haley said the spike is due to the success attackers are having in targeting a broad variety of business sectors and the ease with which attacks can be carried out.
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Tech can help the elderly...if they use it

A growing number of apps and devices are designed to help manage care of older patients, but the nagging reality is that they're going unused. At least for now.
May 1, 20165:00 AM PDT
Increasingly there are more devices and apps (like Carely, pictured) to help elderly people live safely and comfortably and to help their caregivers. But they're not being used as much as you'd think.
Bev Dutro's 82-year-old mother has trouble remembering things. Sometimes she can't recall what she wore or who visited her last.
Dutro and her two siblings found caring for their mother, who was diagnosed with Alzheimer's five years ago, increasingly difficult. They miscommunicated about visits and doctor appointments. When their mother imagined a fire in the house, they had a hard time figuring out if it was true.
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April 30th, 2016

A Ridiculously Long Post: How EHRs Expose Unspoken Hierarchies Within Medicine — Or Maybe Are Just Bad

I am consulted by a surgeon about a patient with something that might be infectious, might not. A very appropriate referral.
After seeing the patient and reviewing the history and scans, I decide a CT-guided biopsy is the next step.
The nice radiology fellow tells me “Just place the order in [enter name of EHR here]”. Since this is the first time I’m ordering this test using our new system, the prospect of doing so doesn’t exactly fill me with joy.
Nonetheless, I give it a go. I place the word “biopsy” in the dreaded order search box, hit enter, and cover my eyes, at least metaphorically.
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Enjoy!
David.