HIEs Must Shift From Health Data Sharing To Curating And Analyzing Data

Healthcare IT Today

After years of evolving and struggling to find a solid business model, HIEs have finally found a reasonably secure place in the healthcare system. The thing is, the job they’ve learned to do – serving as an exchange point for any and all data coming their way – may already be outmoded, according to Claudia […].

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Michigan HIE Group Creates Shared Environment For Modeling Interoperability

Healthcare IT Today

If you’re running an HIE, you’re always hoping to see your participants step up their interoperability game. The thing is, few HIEs go the extra mile to make it happen, in many cases because they just don’t have the resources to tackle the problem. Given this fact, I was interested to see the recent announcement […].

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Trending Sources

A Wide Range Of Problems Still Holding Back Health Data Interoperability

Healthcare IT Today

A new health data interoperability survey by Healthcare IT Today with 82 responses suggests that when it comes to interoperability, healthcare organizations are struggling with many of the same challenges they faced five or even 10 years ago. Without a doubt, respondents are still interested in fostering health data sharing.

How HIEs are Improving Healthcare with Patient-Generated Data

Healthcare IT Today

The following is a guest article by Andrea Tait, VP of Client Value, Orion Health. Patient-Generated Data’s Place in Patient Care Today, health systems have increasingly recognized the need to be patient-centered, with a focus on empowering and engaging patients to assist them in maintaining their own health.

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New York State HIE Is Lowering Healthcare Costs By As Much As $200 Million

Healthcare IT Today

A New York HIE has concluded that it’s having the impact supporters of data sharing have always hoped for – generating a substantial level of healthcare savings. According to an announcement by the New York eHealth Collaborative (NYeC), organizations using the Statewide Health Information Network for New York (SHIN-NY) are reducing needless healthcare spending in […].

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Are We Entering An Era of Radical Interoperability? Deloitte Says Yes

Healthcare IT Today

If you’ve been watching stop-and-start efforts toward health data interoperability over the last several years, many of which have netted little progress, you might be surprised to hear a top-drawer consulting firm argue that we’re moving ahead into an era of radical interoperability in the healthcare and life science industries.

Adrian Gropper and the HIE of One – Harlow on Healthcare

Health Blawg

Adrian Gropper MD has been a medical device and medical software entrepreneur and advocates for patient control of health data. Adrian has also devised a mechanism to enable patient control of health data, which he calls The HIE of One Trustee. It uses public blockchain, standards and open source software to enable patient-controlled independent health records that can last a lifetime. David Harlow The Harlow Group LLC Health Care Law and Consulting.

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Adrian Gropper and the HIE of One – Harlow on Healthcare

Health Blawg

Adrian Gropper MD has been a medical device and medical software entrepreneur and advocates for patient control of health data. Adrian has also devised a mechanism to enable patient control of health data, which he calls The HIE of One Trustee. It uses public blockchain, standards and open source software to enable patient-controlled independent health records that can last a lifetime. David Harlow The Harlow Group LLC Health Care Law and Consulting.

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Adrian Gropper and the HIE of One – Harlow on Healthcare

Health Blawg

Adrian Gropper MD has been a medical device and medical software entrepreneur and advocates for patient control of health data. Adrian has also devised a mechanism to enable patient control of health data, which he calls The HIE of One Trustee. It uses public blockchain, standards and open source software to enable patient-controlled independent health records that can last a lifetime. Health Care Law and Consulting.

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Adrian Gropper and the HIE of One – Harlow on Healthcare

Health Blawg

Adrian Gropper MD has been a medical device and medical software entrepreneur and advocates for patient control of health data. Adrian has also devised a mechanism to enable patient control of health data, which he calls The HIE of One Trustee. It uses public blockchain, standards and open source software to enable patient-controlled independent health records that can last a lifetime. Health Care Law and Consulting.

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Adrian Gropper and the HIE of One – Harlow on Healthcare

Health Blawg

Adrian Gropper MD has been a medical device and medical software entrepreneur and advocates for patient control of health data. Adrian has also devised a mechanism to enable patient control of health data, which he calls The HIE of One Trustee. It uses public blockchain, standards and open source software to enable patient-controlled independent health records that can last a lifetime. Health Care Law and Consulting.

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Hospitals Still Struggling To Share Data Effectively

Healthcare IT Today

A new survey suggests that despite spending countless dollars and people-hours on the problem, hospitals and health systems are still struggling with data sharing. Analytics/Big Data Clinical EMR-EHR Healthcare IT Hospital - Health System IT Center for Connected Medicine GE Healthcare Health Data Interoperability Hospital Data Sharing Healthcare Interoperability Hospital HIE Nokia UPMC

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Northwell Health’s Patients engage with AI ChatBot for guidance & support through their care journey

Consumer eHealth Engagement

Throughout the recent Connected Health Conference, the key theme was the need to balance technology with the human element. Northwell Health, New York’s large integrated health system with 22 hospitals and 550+ outpatient facilities, recognizes the importance of leveraging technology to extend the care team and personalize the patient journey. Northwell is leveraging their Health Chats for population health. Positive Results with Northwell Health Chats.

Custodian access control decision differences between Clinical and Individual

Healthcare Exchange Standards

There is a fundamental difference between access requests for Personally Identifiable Health Data when a PHR requests access vs when a Clinical application or other EHR asks for access. That is that the HIE is designed for ONE purpose. For example a Health Information Exchange (HIE) that is designed for supporting Treatment. Thus one needs to carefully design the security tokens in ALL requests so that they declare what Purpose is driving the request for data.

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Cindy Friend, Caradigm and Population Health – Harlow on Healthcare

Health Blawg

I spoke recently with Cindy Friend , who is Vice President of Clinical Population Health Solutions & Transformation at Caradigm – a GE Healthcare company Twitter: @caradigm. Cindy is a registered nurse with more than 20 years combined experience in healthcare administration, clinical delivery, and health information technology both in the public and private sectors. Our conversation focused on the opportunities for improving population health through ACOs.

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Basic Consent - a necessary first step

Healthcare Exchange Standards

There are many standards efforts to develop support for Patient directed Authorization to their health data. Some examples where BPPC are used: Connecticut HIE: For release of Privileged Care information, a consent document SHALL be registered with HITE-CT in the form of a BPPC conformant document using the Opt-in for Legally Protected Data (ALL) policy. Opt-in for Legally Protected Data (ALL) HITE-CT Opt-In for Legally Protected Data 1.3.6.1.4.1.

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Patient Identity Management the IHE way

Healthcare Exchange Standards

Where health data are involved, mistakes in identity can be a permanent privacy violation. Interoperability solutions FHIR Profiles Mobile Health Document Sharing (MHDS) – Published 2020-05-29 Section 50.7 PAM ] Patient Administration Management establishes the continuity and integrity of patient data in and across acute care settings, as well as among ambulatory caregivers. [ Here are the IHE relevant works on the topic of Patient.

Give Me My DaM Data::The Revolution

Society for Participatory Medicine

SPM advocates vociferously for patient ownership of their own data. Physicians and other licensed clinicians express increased frustration – no, outrage – that the electronic health records support billing, not clinical care. Could we be approaching a harmonic convergence to take data control for patients and trusted clinicians? Could a Give Me My DaM Data revolution be upon us? For me, Give Me my DaM Data means. Data that matters to me.

What is DS4P?

Healthcare Exchange Standards

The goal is to have easy and implementable systems that enable a Patient to control where, when, and to whom their data is accessible. When the data are all considered equal in the eyes of Privacy, they can all be covered by simple rules of "Permit all access.", Sensitive health topics Healthcare is not simple. Healthcare data contain some topics that have various sensitivities. Some data are only sensitive in specific context.

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Short Takes at #HIMSS18 – Harlow On Healthcare

Health Blawg

Gerard Scheitlin, Chief Risk Officer – VP Security, Risk & Assurance, Orion Health. Of course, it seems crazy that the health IT incentives and Meaningful Use didn’t mandate interoperability; and the last few years of health IT development might have gone differently if interoperability were required before the 21st Century Cures Act mandated it and made data blocking illegal, but we are now looking forward, not backward. Health Care Law and Consulting.

Short Takes at #HIMSS18 – Harlow On Healthcare

Health Blawg

Gerard Scheitlin, Chief Risk Officer – VP Security, Risk & Assurance, Orion Health. Of course, it seems crazy that the health IT incentives and Meaningful Use didn’t mandate interoperability; and the last few years of health IT development might have gone differently if interoperability were required before the 21st Century Cures Act mandated it and made data blocking illegal, but we are now looking forward, not backward. Health Care Law and Consulting.

By 2020, 1-in-5 Healthcare organisations will adopt Blockchain says new IDC report

Lloyd Price

Blockchain lets the healthcare industry exchange data in a standard format, automate complex processes and apply AI against large silos of medical data. It might even allow patients to sell their data for rewards. In essence, blockchain could help reshape healthcare interoperability by serving as a next-generation middleware that couples health data with decentralized, distributed, and immutable qualities, according to a new report by IDC Health Insights.

Cindy Friend, Caradigm and Population Health – Harlow on Healthcare

Health Blawg

I spoke recently with Cindy Friend , who is Vice President of Clinical Population Health Solutions & Transformation at Caradigm – a GE Healthcare company Twitter: @caradigm. Cindy is a registered nurse with more than 20 years combined experience in healthcare administration, clinical delivery, and health information technology both in the public and private sectors. Our conversation focused on the opportunities for improving population health through ACOs.

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Cindy Friend, Caradigm and Population Health – Harlow on Healthcare

Health Blawg

I spoke recently with Cindy Friend , who is Vice President of Clinical Population Health Solutions & Transformation at Caradigm – a GE Healthcare company Twitter: @caradigm. Cindy is a registered nurse with more than 20 years combined experience in healthcare administration, clinical delivery, and health information technology both in the public and private sectors. Our conversation focused on the opportunities for improving population health through ACOs.

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Cindy Friend, Caradigm and Population Health – Harlow on Healthcare

Health Blawg

I spoke recently with Cindy Friend , who is Vice President of Clinical Population Health Solutions & Transformation at Caradigm – a GE Healthcare company Twitter: @caradigm. Cindy is a registered nurse with more than 20 years combined experience in healthcare administration, clinical delivery, and health information technology both in the public and private sectors. Our conversation focused on the opportunities for improving population health through ACOs.

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Cindy Friend, Caradigm and Population Health – Harlow on Healthcare

Health Blawg

I spoke recently with Cindy Friend , who is Vice President of Clinical Population Health Solutions & Transformation at Caradigm – a GE Healthcare company Twitter: @caradigm. Cindy is a registered nurse with more than 20 years combined experience in healthcare administration, clinical delivery, and health information technology both in the public and private sectors. Our conversation focused on the opportunities for improving population health through ACOs.

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Basic DS4P - How to set the confidentialityCode

Healthcare Exchange Standards

I have covered the vision of Data Segmentation for Privacy (DS4P) concept, and outline how a Security Labeling Service (SLS) would enable this grandiose vision of DS4P. Which does not help for Data Segmentation nor Privacy. Some background articles: Healthcare Privacy and Security Classification System (HCS) Data Classification - a key vector enabling rich Security and Privacy controls and other articles on my topics page Recommendation for setting confidentiatlityCode So.

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Micky Tripathi’s glass-half-full view of EHR interoperability – Harlow on Healthcare

Health Blawg

Micky is the president and CEO of the Massachusetts eHealth Collaborative , a non-profit health IT advisory and clinical data analytics company ( @MAeHC_org ), and is a nationally recognized leader in health information technology. He sees progress since then as being pretty good, particularly given the late start on technology in the health care delivery sector and given the sector’s high level of fragmentation. Health Care Law and Consulting.

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Micky Tripathi’s glass-half-full view of EHR interoperability – Harlow on Healthcare

Health Blawg

Micky is the president and CEO of the Massachusetts eHealth Collaborative , a non-profit health IT advisory and clinical data analytics company ( @MAeHC_org ), and is a nationally recognized leader in health information technology. He sees progress since then as being pretty good, particularly given the late start on technology in the health care delivery sector and given the sector’s high level of fragmentation.

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National Cybersecurity Awareness Month Takeaways

Health Blawg

Without further ado, here they are: Encryption: Encryption is the conversion of electronic data into an unreadable or coded form that is unreadable without a decryption key. The proper use of encryption can prevent unauthorized users from viewing encrypted data in a usable form and may substantially reduce the risk of compromising ePHI. If logs do not collect and retain the correct data, suspicious activity may go unnoticed. Health Care Law and Consulting.

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National Cybersecurity Awareness Month Takeaways

Health Blawg

Without further ado, here they are: Encryption: Encryption is the conversion of electronic data into an unreadable or coded form that is unreadable without a decryption key. The proper use of encryption can prevent unauthorized users from viewing encrypted data in a usable form and may substantially reduce the risk of compromising ePHI. If logs do not collect and retain the correct data, suspicious activity may go unnoticed.

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Apple should have a HEART

Healthcare Exchange Standards

Apple has re-entered the Healthcare space with their new announcement about support for a person to maintain their health data on their iPhone. What is important is that any visibility given to the Health Data portability problem is good for making changes. Lastly, because it is a relationship with the Patient themselves, when the Healthcare Provider release the data, they are logically releasing the data to the patient themselves.

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Nationwide Health Information Exchange on #FHIR

Healthcare Exchange Standards

Most use of FHIR today is as an API to an organizations health information (EHR). I have plenty of articles on how a Nationwide Health Information Exchange (HIE) could be built with the IHE XD* family of profiles. There are various challenges at the scale of a nationwide health information exchange: How do I find all the data holders for a given Patient? How do I get data and assure it is authentic? Those that are active should be given their damn data.

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