Blog Archives

80 million patient records breached in Anthem hack

Health insurance giant Anthem reports that it has been the target of a cyberattack exposing tens of millions of customer records. Anthem, until very recently known as WellPoint, the largest of the Blue Cross Blue Shield for-profit managed health care

Posted in ARRA, Higher Ed, HITECH Act, News, Privacy & Security Tagged with: , , , , , , , , , , , , , , , , ,

Meaningful use program Stage 3 inches nearer to approval

The draft regulatory language of Stage 3 of the meaningful use program, scheduled to start in 2017, has been submitted for review to the Office of Information and Regulatory Affairs in the Office of Management and Budget. The rules, submitted

Posted in ARRA, Higher Ed, HITECH Act, News, Privacy & Security Tagged with: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,

A plus in the operating room, EHRs can cause trouble for providers in the courtroom

Electronic health records have been touted as having – and have proven to have – many benefits for healthcare organizations in terms of cost savings and efficacy of medical treatment. They are not, however, unalloyedly beneficial in the courtroom. As

Posted in ARRA, HITECH Act Tagged with: , , , , , , , , , , , ,

Human-computer interactions: what happened during September’s Texas Ebola misdiagnosis?

A new report on what went wrong in the processing of the late Thomas Eric Duncan upon his first visit to the emergency room proposes that a combination of human and computer errors was responsible. A team of medical informaticists

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Medical info now 10 times more valuable than financial data on the black market

Credit card numbers have dropped precipitously in value in recent years as PHI replaces it on the underground market. Why? Cyber criminals use the PHI to engage in medical fraud which, because of its complexity, may continue undetected for years.

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Billions at risk as providers face Stage 2 hurdle

An impressive number of healthcare providers met Stage 1 requirements and qualified for EHR payments in 2011 and 2012 – some 170,000. Of these providers, who are therefore eligible to continue in the EHR incentive program, only about 4% appear

Posted in ARRA, Higher Ed, HITECH Act, News, Privacy & Security Tagged with: , , , , , , , , , , , ,

ONC’s EHR security provisions inadequate says OIG

Healthcare providers cannot attest to meaningful use unless they use certified EHR software. Providers purchasing certified EHR software tend to assume that a certified EHR has been rigorously tested and can be counted on to ensure protection of patient data.

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New report: EHRs not immune to technical, human error; rigorous monitoring essential

A report just published in the Journal of the American Medical Informatics Association asserts that even if EHRs were not still relatively new, they are not exempt from the glitches all software can be prone to.  Researchers evaluated data from

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Stage 2-ready software delays prompt CMS to postpone Stage 2 deadline

While vendors were able to supply the software needed for healthcare providers to comply with Stage 1 of the EHR incentive program, they are experiencing delays in developing the software needed for Stage 2 meaningful use compliance.  In response to

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Rural providers cope with HIT staffing deficits

If compliance with ONC regulations is challenging for healthcare providers in urban areas, with high concentrations of IT professionals, it is especially challenging for rural providers where IT resources in the form of human capital are scarce.  The federal government’s

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Montana hospital one of first to sue vendor in court over non-compliant EHR system

Healthcare providers face many challenges in trying to keep up with ever more rigorous requirements for EHR software compliance.  EHR software vendors seem to be struggling, too, in many cases causing their clients to fail the federal EHR certification requirements, thereby

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Advocate Health Care already facing first lawsuit for July 15 breach involving 4 million EHR patient records

Chicago area Advocate Health Care suffered the country’s biggest health care record breach to date on July 15 – when four unencrypted laptops containing over four million patient records were stolen.  Seven weeks later the legal repercussions to July’s event

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Health care digitization enriches software industry

The health IT industry’s pitch to Congress, and to the public, was that health care would be transformed through digitization, and that the shift to electronic records would result in huge health care savings.  Four years after the passage of ARRA

Posted in ARRA, Higher Ed, HITECH Act, News, Privacy & Security Tagged with: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,

Family doctor EHR use up although use varies by location

The Annals of Family Medicine reports that although use of electronic health records has not increased significantly in all regions, it has risen dramatically nationwide in the last few years. Via Modern Healthcare: The number of family physicians who have

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Mostashari urges HIT vendors to conduct themselves ethically

Farzad Mostashari, National Coordinator for Health Information Technology, believes most HIT vendors operate in good faith.  At a recent meeting, however, Mostashari stated that he will be testing organized peer pressure as a means of bringing more ethically problematic vendors into line,

Posted in ARRA, Higher Ed, HITECH Act, News, Privacy & Security Tagged with: , , , , , , , , , , , , , , , , , , , , , ,

HHS Inspector General: Medicare EHR incentive program lacks adequate safeguards against error and fraud

The HHS Inspector General this week reported the results of its recent investigation to “verify the accuracy of professionals’ and hospitals’ self-reported meaningful-use information, as well as eligibility and payment amounts.”   The investigation reviewed payments issued from May through December

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EHR access lost during Hurricane Sandy

Hurricane Sandy this week tested East Coast health care systems’ electronic infrastructure.  Emergency preparedness plans were implemented fairly successfully for most health care facilities, allowing them to continue to operate adequately.  Others, however, were negatively impacted, including some which lost access

Posted in ARRA, Higher Ed, HIPAA, HITECH Act, News Tagged with: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,

Health education information incomprehensible to many; HHS program to rate EHR-linked education materials for “understandability”

Health education materials provided to health care consumers until now have commonly assumed a fairly high level of “health literacy” – a level which, research has shown, makes the materials inaccessible to about 77 million people.  HHS’ new program addressing

Posted in ARRA Tagged with: , , , , , , , , , , , , , , , , , , , , , , ,

Sharing EHR notes between providers and patients improves care, patient loyalty among other benefits

According to Annals of Internal Medicine, a new study found no disadvantages to health care providers sharing EHR notes with patients. Via Kaiser Health News: Doctors are required by federal law to provide patients with a copy of their medical

Posted in ARRA, HIPAA Tagged with: , , , , , , , , , , , , , , , , , , , , , , , , , ,

Laptop theft costs Massachusetts provider $1.5 million in HHS settlement

Massachusetts Eye and Ear Infirmary and Massachusetts Eye and Ear Associates (MEEI) will be paying HHS $1.5 million in installments over three years for a 2010 incident.  It is worth noting that OCR also reached a $1.5 million settlement with

Posted in ARRA, HIPAA Tagged with: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,

Tagging technique keeps more sensitive portions of an EHR more private

State and federal privacy laws rigorously restrict sharing of mental health and other highly sensitive patient records.  A technique called “data tagging” may be key in facilitating health care providers’ compliance with these requirements. Via Modern Healthcare: Using off-the-shelf content

Posted in ARRA, HIPAA Tagged with: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,

ONC: no caps on per-provider EHR incentive payments

National Coordinator for Health IT Farzad Mostashari has announced there is no cap on how much individual providers may receive in meaningful use incentive payouts, as long as they meet the requirements for the EHR incentive payments program.  According to

Posted in ARRA, HIPAA Tagged with: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,

EHR hackers turn to extortion

Hackers recently struck a small medical practice in suburban Chicago, encrypted the facility’s digital medical records, and then demanded a ransom payment in exchange for allowing the facility to regain access to its records. Medical industry observers note that this

Posted in ARRA, HIPAA Tagged with: , , , , , , , , , , , , , , , , , , , , , , , , ,

Majority of health care providers have entered electronic age

Over half of U.S. doctors now use electronic medical records, and half of the remainder plan to start in the coming year, a new poll has found. Via HealthDay: TUESDAY, July 17 (HealthDay News) — A majority of U.S. physicians

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HHS awards over $650 million in EHR incentive payments

HHS released the first numbers regarding its Meaningful Use incentives program, established by the HITECH Act of 2009. Unsurprisingly, most eligible professionals and hospitals receiving funds this year qualified for incentive payments under Medicaid, rather than Medicare, because Medicare has

Posted in ARRA Tagged with: , , , , , , , , , , , ,

iPad EHR app certified for meaningful use

In a sure sign of the times, Drchrono, which offers a free electronic health record platform on the iPad, became the first iPad app to receive official ONC-ACTB certification. According to Healthcare IT News, “the drchrono EHR platform has been awarded

Posted in ARRA Tagged with: , , , , , , , , , , , , , ,

Medicare EHR incentives attestation to begin on April 18, 2011

CMS announced that the online Attestation System for the Medicare EHR Incentive Program will launch on April 18, 2011. Eligible professionals and eligible hospitals will be able to use this online portal to self-attest to meeting the Meaningful Use criteria.

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Registration for CMS EHR Incentive program is now open

Center for Medicare and Medicaid Services (CMS) opened the registration process for eligible hospitals and professionals hoping to capitalize on the incentive payments provided under the HITECH Act.  Each such hospital or professional needs to register with CMS in order

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New York State plans country’s largest health information network

 Via Democrat and Chronicle (Rochester): The New York state Department of Health and a public-private partnership called New York eHealth Collaborative, or NYeC (pronounced “nice”), recently announced plans to spend $129 million in state and federal money to create a

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U.S. healthcare providers hesitant about “offshoring” EHRs to India

Will American healthcare providers, like major companies in other sectors of the economy, outsource their electronic medical records systems and maintenance offshore, especially to an established tech industry in India? According to the Wall Street Journal, Indian technology vendors face a

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Our column in Government Health IT on RECs and HIT contracts

Government Health IT published a column by Steve Fox and yours truly on the critical role Regional Extension Centers (RECs) can and should play in distributing best practices regarding contracting for health IT systems, including EHRs.  Via Government Health IT:

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CCHIT and Drummond picked as ONC-ATCBs

Via HHS Press Release: The Certification Commission for Health Information Technology (CCHIT), Chicago, Ill. and the Drummond Group Inc. (DGI), Austin, Texas, were named today by the Office of the National Coordinator for Health Information Technology (ONC) as the first technology

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CCHIT to launch certification process on September 20, 2010

According to Karen Bell, MD, chair of the Certification Commission on Health Information Technology (CCHIT), her organization will begin accepting applications for HHS certification as early as September 20, 2010.  Via Healthcare IT News: CCHIT is authorized to offer HHS certification for

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Steve Fox interviewed by InformationWeek about EHR contracts

Our own Steve Fox was interviewed by InformationWeek regarding the essential protections healthcare providers should include in their EHR contracts with health IT  vendors.  In particular, Steve warned providers against simply accepting vendor agreements without carefully reviewing and negotiating the key

Posted in ARRA, Higher Ed, HITECH Act, News, Privacy & Security, Uncategorized Tagged with: , , , , , , , , , , , , , , , ,

NIST Publishes Approved Testing Procedures for EHRs

    Via NIST: In efforts to help the nation’s health care industry make the transition to the digital age in an effective and meaningful fashion, the National Institute of Standards and Technology (NIST) has published a set of approved

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CMS launches web site for incentive payment programs

CMS launched a very useful Web site, http://www.cms.gov/EHRIncentiveprograms, providing an overview of the Medicaid and Medicare incentive payment programs established by the HITECH Act.  The site provides up-to-date, detailed information and many important links and “fact sheets” about the incentive programs, including

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CMS issues final rules on Meaningful Use

On July 13, 2010, CMS issued the final rule defining “meaningful use” and establishing the parameters and requirements for eligible professionals, hospitals and other providers to receive incentive payments provided under the HITECH Act for widespread adoption of electronic health records.  According

Posted in ARRA, Higher Ed, HITECH Act, News, Privacy & Security Tagged with: , , , , , , , , , , , , , , , , , , ,

Breaking: ONC releases final rule on temporary EHR certification

On June 18, 2010, the Office of National Coordinator for Health IT issued a final rule, 45 CFR Part 170, establishing a temporary EHR certification program for the purposes of testing and certifying health information technology.       The National Coordinator will

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Allscripts and Eclipsys announce $1.3B merger

Allscripts and Eclipsys announced a $1.3 billion merger, which someanalysts tout as a match “made in heaven” due to Allscripts’s strength in the ambulatory space and Eclipsys’s strength on the acute side.  The merger is expected to be completed in four

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CHIME comments on EHR certification NPRM

In a letter to Dr. David Blumenthal, the College of Healthcare Information Executives (CHIME), an organization which represents1,400 healthcare chief information officers, offered some criticism of ONC’s recent notice of proposed rulemaking (NPRM) regarding the EHR certification program.  While CHIME expressed general

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Steve Fox Interviewed on Negotiating EHR Agreements

As if foreshadowing our upcoming webinar on negotiating EHR license agreements in the post-HITECH world, For the Record interviewed our own Steve Fox on this very subject in its February 15, 2010 cover story:       Steve Fox, senior partner and chair

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Breaking: ONC releases NPRM on certification programs

ONC announced release of the much-anticipated Notice of Proposed Rulemaking (NPRM) on certification programs.  Via ONC Press Release:         Certification of Health IT will provide assurance to purchasers and other users that an EHR system, or other relevant technology,

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Free Webinar on Meaningful Use: Slides included below

Here are the slides from  our February 25, 2010 Webinar on Meaningful Use.  This webinar was first in a series, and focused on the critical definition of “meaningful use” of “certified EHR technology,” as described in proposed regulations released and

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Thursday: Free Webinar on “Meaningful Use”

On Thursday, February 25, 2010 from 1:00PM to 2:00PM (EST), Steve Fox and yours truly will host a free webinar, the first in a series, which will focus on the critical definition of “meaningful use” of “certified EHR technology,” as described

Posted in ARRA, Higher Ed, HITECH Act, News, Privacy & Security Tagged with: , , , , , , , , , , , , , , , , ,

Obama administration announces $975M in HIT grants

HHS Secretary Kathleen Sebelius, appearing with Labor Secretary Hilda Solis, announced the Obama administration will release almost $1 billion set aside in the stimulus bill in order to aid implementation of health information technology. Secretary Sebelius announced $386 million in grants

Posted in ARRA Tagged with: , , , , , , , , , , , , ,

Negotiating vendor-financed EMR transactions

Ingenix, the technology unit of United Health Group, and Allscripts-Misys Healthcare Solutions joined Siemens, GE Healthcare and IBM in offering financing for purchasers of electronic medical record technology.   This continues the trend of vendors offering interest-free financing until healthcare

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Updated: Meaningful Use Definition Released in the Federal Register

CMS released a proposed rule pursuant to the HITECH Act which includes the much-anticipated definition of Meaningful Use of Certified EHR technology. HHS has also released an interim final rule with a request for comments to adopt an initial set of standards, implementation specifications,

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GE and Siemens provide new financing options for Health IT purchases

On the eve of HHS releasing the much-anticipated definition of “meaningful use,” health IT divisions of GE and Siemens revealed new financing options for purchases of their EMR and other HIT products. On December 16, 2009, Siemens followed IBM and GE in offering

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New York Times: New study shows little improvement for EMR users

The New York Times reported on a new study led by Dr. Ashish Jha of the Harvard School of Public Health and Catherine M. DesRoches of Massachusetts General Hospital which found only marginal benefits to hospitals using electronic health records in

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Timely advice: Begin preparations for “meaningful use” now

Our collaborator and friend James Oakes, a Principal at Health Care Information Consultants, LLC in Baltimore, Md., authored a wise and timely call for action for healthcare providers hoping to capitalize on the incentive payments for meaningful use of certified EHR technology

Posted in ARRA Tagged with: , , , , , , , , , , , ,

New York Times interviews David Blumenthal

David Pogue, a reporter for the New York Times, posted the transcript of his interview with Dr. David Blumenthal, National Coordinator for Health IT. Mr. Pogue interviewed Dr. Blumenthal for a CBS news report on digitization of healthcare in America

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CBS News reports on EHR efforts

By popular demand, here is the video of David Pogue’s report on the Obama Administration’s efforts to digitize patient records in the U.S. Watch Video

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n the news: Blumenthal on “meaningful use,” new health information management jobs, etc.

Dr. David Blumenthal, the National Coordinator for Health IT, gave an update on the Obama Administration’s efforts to define “meaningful use” and to further adoption of EHRs nationwide.  Blumenthal did not reveal any new details regarding the upcoming regulations on

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A note of caution about vendor guarantees on “meaningful use”

According to Modern Healthcare, several HIT vendors, including GE Healthcare, NextGen Healthcare Information Systems, and Athenahealth, will guarantee that their EHR products will meet or “evolve to meet” the federal requirements for “meaningful use,” even though such requirements have not been promulgated yet by

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PWC Survey Findings May Support North Shore’s EMR Gamble

The New York Times reported last week that the North Shore-Long Island Jewish Health System (North Shore) will offer its 7,000 affiliated (though not employed by North Shore) physicians subsidies for implementing electronic health records.  Interestingly, this subsidy does not include

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In the news: Blumenthal on “meaningful use,” new health information management jobs, etc.

According to Modern Healthcare, several HIT vendors, including GE Healthcare, NextGen Healthcare Information Systems, and Athenahealth, will guarantee that their EHR products will meet or “evolve to meet” the federal requirements for “meaningful use,” even though such requirements have not been promulgated yet by

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Health IT Market Heats Up

The last few weeks saw a tremendous amount of activity in the health IT market.  Dell and Xerox were among the companies trying to capitalize on opportunities created by the ARRA incentives and certain market trends, including high demand for HIT

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Government Health IT: CCHIT to serve temporarily as sole EHR certifier

Via Government Health IT: The federal Health IT Policy Committee today endorsed recommendations that would leave the Certification Commission for Health IT in the short term as the sole organization authorized to certify health IT systems that qualified for funding

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New York Times reports on privacy concerns about use of de-identified health information

The New York Times reported on Americans’ growing concern regarding commercial use of their personal health information, especially the use of re-identified prescription drugs information for marketing purposes. The article points out correctly that the Recovery Act of 2009 (ARRA)

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Steve Fox featured in For the Record’s May 2009 Cover Story

Steve Fox was interviewed in this month’s Cover Story “The Big Push“, inFor the Record, a biweekly  magazine for health information management professionals, regarding the incentives and challenges of EHR adoption.  On incentives included in the HITECH Act, Steve argued that: “it’s almost crazy not

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Update: Healthcare Informatics Interviews Steve Fox and Ed Shay about the HITECH Act, Parts III and IV

Healthcare Informatics Editor-in-Chief Anthony Guerra recently talked with our own Steve Fox and fellow Post & Schell partner Edward Shay about the substance of the HITECH Act and what this new legislation means for healthcare providers. The interview appears under

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Debate on EHR Savings Rages at Harvard

A battle royal rages on among various Harvard physicians about the effects of a widespread adoption of EHR technology.  In a Wall Street Journal op-ed, two Harvard doctors questioned President Obama’s claim that nationwide adoption of EHR technology will save the taxpayers

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Washington Post examines HIMSS role in securing HIT stimulus funding

The Washington Post provides an interesting behind-the-scenes account of how the funds for electronic health records adoption were included into the American Recovery and Reinvestment Act of 2009, commonly known as the stimulus bill.  Health Information and Management System Society (HIMSS)

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In the news

Kaiser Permanente and IBM inked a $500 million, seven-year IT services deal.  IBM will manage Kaiser’s data center operations, storage and software, but IBM will not have access to patients’ medical records.  AP, San Francisco Chronicle (March 17, 2009). A new study expects that

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