Randy McCleese, CIO, St. Claire Regional Medical Center, Chapter 2

Health System CIO

Claire’s journey from best-of-breed to an integrated system, the organization’s three-pronged approach to Meaningful Use, the ACO path it is pursuing with Bon Secours Health System, and its involvement in the Northern Kentucky RHIO and the Kentucky HIE. LISTEN NOW USING THE PLAYER BELOW OR CLICK HERE TO SUBSCRIBE TO OUR iTUNES PODCAST FEED. ACOs HIE Meaningful Use Telemedicine Meditech Podcast Randy McCleese St.

Stephen Clark, CIO, Albemarle Health, Chapter 2

Health System CIO

LISTEN NOW USING THE PLAYER BELOW OR CLICK HERE TO SUBSCRIBE TO OUR iTUNES PODCAST FEED. If you can adopt and change your practice and how you document and how you order, we’ll meet you halfway and try to make the process as easy as we possibly can. A lot of larger organizations have a team of people that are dedicated just to focus on Meaningful Use. CPOE roadblocks — “The technology gets in the way.” “At-the-elbow

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All my HIMSS coverage in one place

Meaningful HIT News

Tavenner: 2014 is your last chance for a hardship exemption for Meaningful Use 2 (Feb. DeSalvo meets and greets – briefly – while Tavenner keeps her distance at HIMSS (March 3). Interoperability Showcase uses car crash to show how connected data really can improve patient care (March 5). The last of my 10 MedCity News stories from HIMSS14 has been posted. It’s a nice mix of news, features, analysis and commentary.

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What’s Next? The Future of Healthcare IT Social Media – #HITsm Chat Topic

Healthcare IT Today

Looking back to 2010, the health IT initiatives of that time consisted of getting up-to-speed as quickly as possible about Meaningful Use and helping to move health systems and clinical practices away from paper and analog processes to electronic and Internet-enabled technologies.

Healthcare Providers’ Consumer Experience Gaps – Learnings from Kaufman Hall’s 2019 Index

Health Populi

The second chart illustrates that most providers offer a patient portal — that’s largely owing to the near-universal adoption of electronic health records and the Meaningful Use access point of a portal. A key on-ramp to providers building capabilities to meet consumers’ service demands is by working with third parties who have the competence, experience, and oftentimes brand recognition that can turbocharge tech or new service adoption. Most U.S.

A new focus: How to become empowered patients

Meaningful HIT News

The “Meaningful HIT News” name itself has become dated, given that the Meaningful Use program from which this blog takes its name has evolved and kind of fallen out of favor. Despite what you may have read elsewhere, Meaningful Use was not part of the Patient Protection and Affordable Care Act, the 2010 bill that’s come to be known as Obamacare. The Meaningful Use program remains unchanged for hospitals. Attention, kind readers.

Standardizing Healthcare Terms: Challenges, Benefits, and Future

Perficient

Meaningful use is one of the main drivers for interoperability with a foundation based upon priorities to improve quality, safety, efficiency, population and public health, and reducing health disparities.

The Time Has Come to Digitize Behavioral Healthcare

Digital Health Today

Having spent over a decade reinventing the EHR to meet the needs of underserved healthcare providers at my company Azalea Health , I believe the answer is yes. A Sponsored Post by Azalea Health.

Short Takes at #HIMSS18 – Harlow On Healthcare

Health Blawg

We spoke a bit about the TEFCA — the interoperability framework proposed by ONC under the 21st Century Cures Act — which is intended to create a framework of trust that will ensure that healthcare records can be transferred and used in creation of longitudinal records for everyone. He thought there would be a number of use cases for such technologies. Specifically, success needs to be about meeting the Quadruple Aim.

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Parsing eCW’s $155M payment to the government

Docnotes

” But that’s not the case here for several reasons: The buyer may not be the one using the software. Recently, there have been renewed calls for scaling back the certification program and its many criteria, citing the maturation of the EHR incentive programs (meaningful use) and the fact that some of the certification criteria define capabilities that are not invoked by the incentive programs. Their software is used by tens of thousands of clinicians every day.

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EHR Incentive Programs: Moving into the Next Stage

CMS.gov

This week, industry leaders from all over the country gather for the Healthcare Information and Management Systems Society conference and discuss the future of health information technology implementation, and we at CMS are pleased to report updates on our efforts to promote and support the meaningful use of electronic health record (EHR) technology in health care. Growing EHR Adoption and Meaningful Use. By Elizabeth Holland.

Connected 'smart' communities will be a key part of 21st century healthcare

Healthcare IT News - Telehealth

" The establishment of an online health community around a specific health issue (weight loss, for example), scaled up by deploying custom apps, incorporating gamification and "nudging" for motivation and combining "digital sidewalks" for virtual community meetings, are one way forward. It uses existing budget money to maintain sustainability.

MACRA: Medicare’s Opportunity to Finally Embrace Connected Health Technology

ConnectedHealth

Now that MACRA is law, CMS must make changes to their regulations in order to meet these obligations. Later this year, CMS will use this input to inform final rules on MACRA implementation. The nation’s healthcare system is in the middle of a major transition – one that, if done well, will have an incredible impact on the lives of millions Americans who rely on Medicare.

Gearing up for Immunizations

Redox

Unfortunately, despite this good news, there are still major technological and logistic hurdles between now and us all meeting up at HIMSS 2021 like “Wow, what a year that was, huh?”. A brief sampling with completely subjective ranking: Excellent use of Hoosier to make a memorable acronym.

How To Decide Which Mental Health Practice Software is Right for You

TheraNest

As of 2015, certain mental health practices (mostly psychiatrists’ offices) had to begin meaningfully using EHR to be eligible for incentive payments. Support isn’t only important when things go wrong, but it is also an important part of making sure things go right when you begin using your new EHR system. Having an EHR system that is not user-friendly and impossible to use is worse than not having one at all. Will the Mental Health Practice Software Meet the Need?

Rural Health IT Workforce Program

Medicine and Technology

These formal training programs will result in the development of a cadre of HIT workers who can help rural hospitals and clinics implement and maintain systems, such as electronic health records (EHR), telehealth, home monitoring and mobile health technology, and meet EHR meaningful use standards. Want to improve health care in rural communities? Be a part of the Rural Health IT Workforce Program.

Apple Health app will link to your medical records (thanks to FHIR)

Medicine and Technology

Tethered PHRs became available when patient portals were launched by hospitals, health systems, and clinics to meet the CMS Meaningful Use requirements. Apple recently announced that its mobile Health app will link to electronic health record (EHR) systems. This will allow patients/consumers access to their personal health record (PHR). While companies like Microsoft launched PHR platforms such as HealthVault a number of years ago, most of these PHRs were not linked to EHRs.

Short Takes at #HIMSS18 – Harlow On Healthcare

Health Blawg

We spoke a bit about the TEFCA — the interoperability framework proposed by ONC under the 21st Century Cures Act — which is intended to create a framework of trust that will ensure that healthcare records can be transferred and used in creation of longitudinal records for everyone. He thought there would be a number of use cases for such technologies. Specifically, success needs to be about meeting the Quadruple Aim.

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Short Takes at #HIMSS18 – Harlow On Healthcare

Health Blawg

We spoke a bit about the TEFCA — the interoperability framework proposed by ONC under the 21st Century Cures Act — which is intended to create a framework of trust that will ensure that healthcare records can be transferred and used in creation of longitudinal records for everyone. He thought there would be a number of use cases for such technologies. Specifically, success needs to be about meeting the Quadruple Aim.

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Short Takes at #HIMSS18 – Harlow On Healthcare

Health Blawg

We spoke a bit about the TEFCA — the interoperability framework proposed by ONC under the 21st Century Cures Act — which is intended to create a framework of trust that will ensure that healthcare records can be transferred and used in creation of longitudinal records for everyone. He thought there would be a number of use cases for such technologies. Specifically, success needs to be about meeting the Quadruple Aim.

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Short Takes at #HIMSS18 – Harlow On Healthcare

Health Blawg

We spoke a bit about the TEFCA — the interoperability framework proposed by ONC under the 21st Century Cures Act — which is intended to create a framework of trust that will ensure that healthcare records can be transferred and used in creation of longitudinal records for everyone. He thought there would be a number of use cases for such technologies. Specifically, success needs to be about meeting the Quadruple Aim.

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Short Takes at #HIMSS18 – Harlow On Healthcare

Health Blawg

We spoke a bit about the TEFCA — the interoperability framework proposed by ONC under the 21st Century Cures Act — which is intended to create a framework of trust that will ensure that healthcare records can be transferred and used in creation of longitudinal records for everyone. He thought there would be a number of use cases for such technologies. Specifically, success needs to be about meeting the Quadruple Aim.

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Short Takes at #HIMSS18 – Harlow On Healthcare

Health Blawg

We spoke a bit about the TEFCA — the interoperability framework proposed by ONC under the 21st Century Cures Act — which is intended to create a framework of trust that will ensure that healthcare records can be transferred and used in creation of longitudinal records for everyone. He thought there would be a number of use cases for such technologies. Specifically, success needs to be about meeting the Quadruple Aim.

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What the Marine Corps Taught Me about Working in the Healthcare Industry

care innovations

In a military offensive, you are thinking through the subsequent actions and what strategies and tactics you will use to meet those episodic events. Quite a bit of this is inspired by ONC’s Meaningful Use, telehealth reimbursement models, and new CMS programs mandating effective change. At the age of seven I saw my first USMC commercial and I was mesmerized by the scenes of action, attention to discipline and, of course, the Marine Corps blues uniform.

Judy Faulkner talks lessons learned from Epic's COVID-19 response

Healthcare IT News - Telehealth

It's not [going] back to where it used to be, and it never will. Now that there's a learning curve going on, yeah, really good to share the learning curve and to get the information to and then to get it out in ways that are useful to the caregivers.

When sponsored CDS is a crime …

Docnotes

Much of my work was focused on how our customers could use our products to improve the health of our patients. I wasn’t very involved with this team, but due to my ownership of many of the clinical decision support initiatives, I started getting invited to meetings we had with pharmaceutical companies. Such conversations were not uncommon – it is valuable for ONC leaders to meet with the companies we regulated.

Welcome Back Kotter: New York’s next 1115 Waiver

Docnotes

Here goes: the front-loading of the DSRIP program caused dollars to go to PPS sponsors for setting up the program and for checking boxes (literally – “we had a meeting with so-and-so”) to satisfy reporting requirements and subsequent payments.

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Fred Trotter on Data Journalism and Cybersecurity — Harlow on Healthcare

Health Blawg

Fred’s shorthand definition: “Using FOIA requests and other sorts of collaborations to get covered-over data out of the realm of the useless and into the realm of the useful.” He also partners with journalists (like the folks at ProPublica , for example) — to get data out to the public in a useful manner. EHRs used to be so far behind the firewall at healthcare organizations that they weren’t really vulnerable.

Fred Trotter on Data Journalism and Cybersecurity — Harlow on Healthcare

Health Blawg

Fred’s shorthand definition: “Using FOIA requests and other sorts of collaborations to get covered-over data out of the realm of the useless and into the realm of the useful.” He also partners with journalists (like the folks at ProPublica , for example) — to get data out to the public in a useful manner. EHRs used to be so far behind the firewall at healthcare organizations that they weren’t really vulnerable.

Advice to the new National Coordinator

Docnotes

ONC’s annual meeting – an event that costs several hundred thousand dollars and attracts the same participants every year – adds rather little to the nation’s progress toward improved health through the strategic use of health IT. As many know, I’ve long been concerned that the way that we use clinical quality measures in health care is fundamentally flawed.

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Looking for career opportunity

Healthcare Exchange Standards

It models the healthcare data-model using XML or JSON; and interaction-model using http REST. Interoperability standards allow for the best re-use of technical implementations. I have influenced USA regulations such as HIPAA, and Meaningful Use; as well as regional regulations globally. It appears I am going to miss the September HL7 meeting in Baltimore.

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The Year 2014 in Review

eHealth

There were several other chapter meetings, chapter leader institute, meaningful use meeting and the Nursing Informatics Institute, all well delivered HIMSS events. I also enjoyed the international flavor of the conference, especially the African representatives discussing ways to use mHealth to address the Ebola crisis. 2014 was my first full year with HIMSS in consumer health and full of opportunity.

Healthcare CIOs Face New Pressures and Novel Opportunities

David Chou

According to the survey, only 21 percent of CIOs said they believed they were meaningfully involved in market-facing innovations and strategic departmental IT selections. The new CIO must make sure he or she is recognized as the go-to person for help on integrating technologies, ensuring they meet corporate policies and getting the right price, rather than the leader of complex vendor selections for specific business units.”

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Branding, Cheerleading, and even some Progress

Chilmark Research

Several speakers commented cautiously on these developments, stressing that ease of use and automation is the key to sustained traction among patients. Yet the burning question we didn’t hear much about was if and how all this data is going to be consumed, managed, and used by health systems in the context of care delivery. Taking a pulse of the folks we met with here, virtually everyone is looking beyond Meaningful Use for future product development.

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API mania misses the point on healthcare interoperability

Import Immunity

My plan was to just go quietly into the night, but looking through the recently-released Meaningful Use 3 requirements convinced me that I really ought to put this out there. When I first testified at a FACA meeting in 2009 (six years ago!) — I talked about the “Connectathon” problem. So what about these technologies made them unsuitable for real use? We decided to address this by using the natural groupings offered by HIPAA.

Certificate validation - use of CN

Healthcare Exchange Standards

Adding any use of DNS to this will only result in false-negatives, meaning it will never add value but will occasionally cause you to reset a perfectly good connection. Note that for node certificates the CN often is a host name, attempting to use this host name provides no additional security and will introduce a new failure mode (e.g., If as a Secure Node, I want to only allow certificates know to me and reject the rest, is that counted as not meeting IHE spec?

Cash is Queen Says RCM Experts

Healthcare IT Today

We have developed automation and have worked with team members and other vendors to create automation and scripts with the use of robots and AI,” said Stover. Invicta is planning to use data to help identify potential opportunities for process improvement and revenue efficiency.

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eHealth: Aligning Quality Measurement at CMS

CMS.gov

The next step on the path of meaningful adoption of health information technology (HIT) for providers—will launch later this year for hospitals and next year for eligible professionals. With the increase in adoption of EHRs, we are moving away from technology as an end goal and towards the use of technology as a key tool in health care quality improvement. For providers, program alignment means: Using a single submission method to report on a unified set of quality measures.

HIMSS14: Patiently Waiting for Progress

Chilmark Research

If HIEs really want to get involved with patient engagement in a truly meaningful transformative way and generate value, they ought to tackle a problem that nobody was talking about at HIMSS: consolidating payer and provider patient portal data to create a unified, longitudinal patient record. There is no one-size fits all approach to patient engagement, which is the ultimate shortcoming of the portal approach espoused by the Meaningful Use program.

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HIStalk Interviews Luis Castillo, CEO, Ensocare

HIStalk Interviews

The big EMR push, Meaningful Use, and even ICD-10 took people’s attention away from the post-acute care side. You take a look on the tablet at their quality scores and decide which three to visit because they meet the criteria. They start by listing their favorite facilities in the area, the ones they use frequently and discharge to most often. You wrote after HIMSS19 about how smart speakers like those powered by Alexa might be used in healthcare.