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Wireless Healthcare IT, Risk Analysis, and Ever-changing Technology: Around Healthcare Scene

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EMR and EHR

Why 2013 Will Be A Good Year For EMRS

EMRs don’t always have the best reputation, particularly concerning their ease for implementation. However, there are some things that are looking up in 2013 for the industry. Ann Zieger discusses these, and includes ideas such as vendors being able to offer mobile options, as well as consolidation leading to a more stable vendor market.

Wireless Healthcare IT Could Hold the Key to Preventable Readmissions

CardioMEMS developed a heart-failure monitoring system, the first of its kind. The company understands the need from back-end data and has a lot of potential for the future. Technology like this may be the key to preventing hospital  readmissions.

Hospital EMR

Hospitals Stepping Up Security Risk Analysis, While Practices Lag

EMRs pose a large risk for criminal hackers to come in. However, according to a HIMSS survey, around 90 percent of hospitals are now conducting annual risk analysis. Unfortunately, practices only came in at about 65 percent. An even more surprising fact was that 22 percent of survey responders reported having a security breach next year. While there have been a lot of strides made toward stepping up security risk analysis, there is still a ways to go.

Meaningful Health IT News

Technology Changes Faster Than You Think

In 2005, smart phones weren’t mainstream in the health industry. This post also includes other interesting facts about mHealth only seven years ago, and it goes to show just how fast technology is changing. It raises the question, where will we be seven years from now? An interesting infographic from 2005 is also shown in this post as well.

Smart Phone Healthcare

The Patient’s Guide Reveals How iPhone Dominates Mobile Health Research

A recent study done by the Patient’s Guide researched the use of medical devices. During this study, they discovered how the iPhone is by far the most popular device being used. This post includes an infographic from The Patient’s Guide that displays other findings from the study.

December 16, 2012 I Written By

Katie Clark is originally from Colorado and currently lives in Utah with her husband and son. She writes primarily for Smart Phone Health Care, but contributes to several Health Care Scene blogs, including EMR Thoughts, EMR and EHR, and EMR and HIPAA. She enjoys learning about Health IT and mHealth, and finding ways to improve her own health along the way.

Doctors Increasingly Texting, But HIPAA Protection Lacking

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A new study of physicians working at pediatric hospitals has concluded what we might have assumed anyway — that they prefer the use of SMS texting via mobile phone to pagers. What’s worrisome, however, is that little if any of this communication seems to be going on in a HIPAA-secure manner.

The study, by the University of Kansas School of Medicine at Wichita, asked 106 doctors at pediatric hospitals what avenues they prefer for “brief communication” while at work. Of this group, 27 percent chose texting as their favorite method, 23 percent preferred hospital-issued pagers and 21 percent face to face conversation, according to a report in mHealthWatch.

What’s interesting is that text-friendly or not, 57 percent of doctors said they sent or got work-related text messages.  And 12 percent of pediatricians reported sending more than 10 messages per shift.

With all that texting going on,  you’d figure hospitals would have a policy in place to ensure HIPAA requirements were met. But in reality, few doctors said that their hospital had such a policy in place.

That’s particularly concerning considering that 41 percent of respondents said they received work-related text messages on a personal phone, and only 18 percent on a hospital-assigned phone. I think it’s fair to say that this arrangement is rife with opportunities for HIPAA no-nos.

It’s not that the health IT vendor world isn’t aware that this is a problem; I know my colleague John has covered technology for secure texting between medical professionals and he’s also an advisor to secure text messaging company docBeat. However, not much is going to happen until hospitals get worried enough to identify this as a serious issue and they realize that secure text message can be just as easy as regular text along with additional benefits.

In the mean time, doctors will continue texting away — some getting 50-100 messages a day, according to one researcher — in an uncertain environment.  Seems to me this is a recipe for HIPAA disaster.

November 2, 2012 I Written By

Katherine Rourke is a healthcare journalist who has written about the industry for 30 years. Her work has appeared in all of the leading healthcare industry publications, and she's served as editor in chief of several healthcare B2B sites.

Data Capture, Electronic Data, and Interoperability — #HITsm Chat Highlights

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Topic One: When can we seriously say the data being captured and stored in EHRs is leading to new opportunities for patient care?

Topic Two: Do hospitals prioritize complete data capture for max reimbursement or for an aid for clinicians in patient care?

#HITsm T3: Does electronic data entry really take more time than paper notes? What can improve speed?

 

#HITsm T4: Interoperability. What can be done to increase awareness of the CCD and CDA standards designated for data exchange?

October 20, 2012 I Written By

Katie Clark is originally from Colorado and currently lives in Utah with her husband and son. She writes primarily for Smart Phone Health Care, but contributes to several Health Care Scene blogs, including EMR Thoughts, EMR and EHR, and EMR and HIPAA. She enjoys learning about Health IT and mHealth, and finding ways to improve her own health along the way.

Wireless Health Data Collection Innovations Getting Hot

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This week, psfk.com and pharma partner Boehringer Mannheim published a list of the week’s top innovations in healthcare. All were interesting, but I was particularly intrigued by a couple which continue to stretch the boundaries of wireless medicine.

One innovation example comes from a German research team, which has developed a tiny chip (a two-millimeter device much shorter than an eyelash) which can sample blood sugar levels by testing tears or sweat. The chip is equipped to transmit the results wirelessly to providers, as well as sending patients alerts to their wireless phone.  Even cooler, the chip can be powered wirelessly through radio frequency, keeping it charged for weeks or even months.

Another entirely cool innovation comes from U.S. high school student Catherine Wong, who has invented an ECG made of off the shelf electronic components which can broadcast results wirelessly.  The device, which could make ECGs available to to the two billion-plus people without access to healthcare, picks up heart signals, then transmits them via cellphone to a healthcare provider.  The cellphone connects to the ECG using Bluetooth, and heart rhythms display on  a smartphone screen thanks to a Java app.

As readers know, the idea of broadcasting test results to remote providers via wireless devices is not a new one. The idea is so hot, in fact, that the FCC is holding a public meeting on September 24 to discuss how to accelerate the adoption of such approaches. (The event will be live streamed at http://www.itif.org/events/recommendations-mhealth-task-force at 2PM Eastern Standard Time.)

After watching projects like these germinate for a number of years, I’m thrilled to see more innovation arising in this sector of the mHealth space. Inventors, keep it coming!

September 25, 2012 I Written By

Katherine Rourke is a healthcare journalist who has written about the industry for 30 years. Her work has appeared in all of the leading healthcare industry publications, and she's served as editor in chief of several healthcare B2B sites.

EHR Reimbursement, Health Data Security, and Innovation – #HITsm Chat Highlights

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Every week, HL7 Standards, hosts a #HITsm Tweet Chat and poses four questions “on current topics that are influencing healthcare technology, health IT, and the use of social media in healthcare.” It’s always a great discussion and also a great chance to meet a wide variety of people that are passionate about healthcare IT.

In case you missed it, or are curious about what went on this week, we’ve put together the list of topics with some of the best responses for each topic. There were some interesting topics this week, as well as some great responses. If you have any opinions on any of these topics, feel free to continue the discussion in the comments. This chats take place every Friday at 11AM CST. You’ll find members of Healthcare Scene regularly participating in the chat under some of the following Twitter accounts: @techguy@ehrandhit@hospitalEHR, and @smyrnagirl.

Topic One: Politics #EHR reimbursement will likely reach $20 billion. Why is this big govt initiative exempt from critics?

Topic Two: Health data security: What does health data security look like and how is it different than financial data security?

Topic Three: Clash of the #Health IT Titans: What is most beneficial patients, #HIEs or #ACOs? 

Topic Four: Innovation in #healthIT: What are some examples of innovative groups/ideas that may disrupt the current system? 

September 22, 2012 I Written By

Katie Clark is originally from Colorado and currently lives in Utah with her husband and son. She writes primarily for Smart Phone Health Care, but contributes to several Health Care Scene blogs, including EMR Thoughts, EMR and EHR, and EMR and HIPAA. She enjoys learning about Health IT and mHealth, and finding ways to improve her own health along the way.

The Immortal Life of Healthcare IT, Secure Texting Scam, and iPhone Heart Rate — Around Health Care Scene

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EMR and EHR

The Immortal Life of Healthcare IT

Patient engagement has evolved in many ways in the past century. While patients used to rely on doctors for any information regarding health care, it’s now common for patients to “diagnose” themselves, before even stepping foot into a doctor’s office. “The Immortal Life” by Henrietta Lacks, and the authors thoughts, are compared and contrasted to life nowadays.

Interview with Verizon Wireless’ Arthur Lane

A leader for mobile health solution development for Verizon’s Connected Health, Arthur Lane, was interviewed over at EMR and EHR this past week. He focuses his work on developing solutions that help with Verizon’s wireless, cloud, and security. The interview focuses on Health IT and mHealth, and what is in the works at Verizon. He discussed the benefits of mHealth, and what is to come in the future.

Hospital EMR and EHR
What Won’t Happen in #HIT By September 2013

There’s a lot going on with Health Care IT, and it seems as if we’re always hearing about the latest and greatest innovation. However, despite the leaps and bounds that are being made, we can’t expect everything in the EMR industry to be perfect by next year. Anne Zeigler talks about things that won’t be happening in #HIT over the next year, including lack of major growth in remote monitoring and no high penetration HIE.

Meaningful Healthcare It News With Neil Versel

Sampling of opinions on meaningful use Stage 2

The meaningful use Stage 2 final rules have caused quite a bit of discussion across the web since they were announced. Some good, some bad. Neil Versel compiled some of the opinions and thoughts he has discovered over the past few weeks, and created this post with some of them.

Wired EMR and EHR Doctor

The Secure Texting Scam

Medical practices may be getting offers from companies that offer “secure texting,” that won’t violated HIPAA standards. However, how secure can texting be? Dr. Michael Koriwchak talks about the “secure texting scam,” and talks about the reasons why secure texting can fail. Don’t get caught in this trap, and end up paying a large amount for a product that might not deliver what you think.

Smart Phone Health Care

Detect Heart Rate With iPhone Camera – #HITsm Chat Discovery

Finding out your heart rate is now easier than ever — simply by using the camera on your iPhone. This new way to detect heart rate requires no special equipment, beyond an iPhone 4. The app tracks the information and allows the user to view changes over time, among other features.

September 9, 2012 I Written By

Katie Clark is originally from Colorado and currently lives in Utah with her husband and son. She writes primarily for Smart Phone Health Care, but contributes to several Health Care Scene blogs, including EMR Thoughts, EMR and EHR, and EMR and HIPAA. She enjoys learning about Health IT and mHealth, and finding ways to improve her own health along the way.

Vendor Collaboration, Communicating Interoperability, and Healthcare Politics – #HITsm Chat Highlights

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Every week, HL7 Standards, hosts a #HITsm Tweet Chat and poses four questions “on current topics that are influencing healthcare technology, health IT, and the use of social media in healthcare.” It’s always a great discussion and also a great chance to meet a wide variety of people that are passionate about healthcare IT.

In case you missed it, or are curious about what went on this week, we’ve put together the list of topics with some of the best responses for each topic. There were some interesting topics this week, as well as some great responses. If you have any opinions on any of these topics, feel free to continue the discussion in the comments. This chats take place every Friday at 11AM CST. You’ll find members of Healthcare Scene regularly participating in the chat under some of the following Twitter accounts: @techguy@ehrandhit@hospitalEHR, and @smyrnagirl.

Topic One: Will vendors begin to collaborate more now that HL7 is making their standards free to non-members? 

 

 

 

Topic Two: How can #healthIT professionals “simplify the message” to better communicate interoperability

 

 

 

 

Topic Three: Why are #healthIT initiatives missing from the current political discourse? 

 

 

 

Topic Four: Health IT Free for all: What news or info has most interested you the past week?

 

September 8, 2012 I Written By

Katie Clark is originally from Colorado and currently lives in Utah with her husband and son. She writes primarily for Smart Phone Health Care, but contributes to several Health Care Scene blogs, including EMR Thoughts, EMR and EHR, and EMR and HIPAA. She enjoys learning about Health IT and mHealth, and finding ways to improve her own health along the way.

MU Stage 2, ICD-10 Delay, Epic-Related Safety Errors, and Mobile EMRs – Around HealthCare Scene

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EMR Thoughts

Meaningful Use Stage 2 Final Rule Published

The long awaited MU Stage 2 final rule was published last week by CMS. No one will be required to follow the requirements until 2014, when the program is set to begin. The Stage 2 final rule is 672 pages long. The press release concerning MU Stage 2 mentions interesting facts, such as 3,300 hospitals have participated thus far.

ICD-10 Delay Finalized with New Unique Plan Identifier

In an announcement that was kind of lost in the midst of the meaningful use stage 2 final rule, the ICD-10 delay is official. As someone said on Twitter, you now have two years to get ready for ICD-10. You better get started now. The announcement of a Health Plan Identifier (HPID) is also very big news.

EMR and EHR

Nurses Raise Alarm Over Epic-Related Safety Errors

With any EMR, there is an adjustment period. However, there was an error recently at a prison clinic in California that could have been deadly that was related to the implementing of an Epic installation. Nurses have raised many concerns about the system, and have likely not been adequately trained. Is the issue with Epic because of the system, or because of inadequate training?

We Know What’s Right, but It’s Hard
Being healthy and overcoming illnesses takes works. And obviously, most of us know that if we don’t put in that effort, there will be negative consequences. Unfortunately, many people don’t put in that effort. Luckily, with the advent of being able to monitor health from home with smart phone apps and other gadgets, it is easier to do what we know is right. Is mHealth applications the answer to the question of how do we motivate ourselves to do what we know we should?

Happy EMR Doctor

Can We Talk? Challenges of SaaS Type EMR User Interfaces

SaaS EMR User Interfaces have a variety of challenges. The latest issue is ensuring that all the individual software work together in a way that doesn’t interrupt a practice’s workflow. This week, Dr. Michael West talks about how, when one component gets updated, it often causes others to work less efficiently. His office recently experienced this, and described the frustrating experience.

Smart Phone Health Care

Detecting Parkinson’s with a Phone Call

About 5 percent of adults over the age of 80 has Parkinson’s Disease. A new technology is being developed that supposedly can detect Parkinson’s Disease. And not only can it detect it, but with 98.6 percent overall accuracy. This raises the question, what can a smart phone not do? This is just the beginning of disease detection and treatment with smart phones. What’s next?

Five Health Communities Every Patient Should Use

It’s easier than ever to have a health problem. Okay, not really, but it’s easier to find support. There are many great communities online dedicated to helping patient’s find information about just about every health topic out there. Some offer free advice from medical professionals, and others implement social media. Here are five of the best communities everyone should join.

Hospital EMR and EHR

Survey: Virtually All Docs Want Mobile EMRs

9 out of 10 doctors want to be able to access their EMR on a mobile device, according to a recent study. It makes sense, since so many doctors are using iPads and smart phones nowadays. Luckily for these doctors, companies like Vitera and eClinicalWorks are working on mobile solutions for this. Hopefully these solutions will include things like reviewing and updating patient charts, and ordering prescriptions, which ranked among the top functions doctors are hoping a mobile EMR would include.

August 26, 2012 I Written By

Katie Clark is originally from Colorado and currently lives in Utah with her husband and son. She writes primarily for Smart Phone Health Care, but contributes to several Health Care Scene blogs, including EMR Thoughts, EMR and EHR, and EMR and HIPAA. She enjoys learning about Health IT and mHealth, and finding ways to improve her own health along the way.

HIEs And Health Data Ownership

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Without a doubt, patient consent for release of medical data is going to be an immense headache for HIEs. Though they’re poised to extend their tentacles into hospitals and practices across the U.S., we’re still far from sure how we’re going to keep the walls firm between what data patients have released and what they haven’t.

As Forbes contributor Doug Pollack notes, it’s still not clear whether you can limit access to say, just the psychiatric notes in your chart while releasing the rest of the content.  Even if you can, setting such minute permissions within each e-chart is an IT nightmare.

That being said, there’s a bigger problem afoot, one which Pollack dismisses but I do not. My question is this:  who owns the data that travels across an HIE?  While IANALADWTB (I am not a lawyer and don’t wish to be), my research suggests that an already fuzzy issue is just going to get fuzzier.

While it may be beyond dispute that a patient owns the right to access their health data and control who gets to see it, who owns the patient data if an HIE breaks up?  The hospitals involved?  The doctor?  The patient?  Do they engage in a country-fair rope pull to see who wrestles down ownership?

And that’s only the tip of the iceberg. Consider that networking giants like Verizon Enterprise Solutions are planting their humungous stake in the HIE arena, and things only get more complicated.

Verizon just signed a deal under which it will manage the HIE infrastructure for Pennsylvania-based managed care giant Highmark, one which embraces more than a dozen hospitals.  If the HIE contract were to go sour, would Verizon just turn over its data backups to the hospitals, Highmark and affiliated physicians without a fight?   Or would it be to its legal advantage to stall, stall, stall while patients waited and hospitals fumed?

Regardless of how the law evolves on the matter, there are going to reasons for spats when partners representing different interests come together on an HIE.  I’m betting data control will lead to some of the biggest ones.

Things may go smoothly in the new era of HIEs, but if they don’t, the whole darned “sharing” thing could come crashing to the ground.  And hospitals that try to stand up to deep-pockets giants like Verizon and Highmark may live to regret it.

August 16, 2012 I Written By

Katherine Rourke is a healthcare journalist who has written about the industry for 30 years. Her work has appeared in all of the leading healthcare industry publications, and she's served as editor in chief of several healthcare B2B sites.

Worried About HIPAA? Don’t Forget GINA

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As if we don’t have enough acronyms to worry about, there’s one we may not yet have discussed here which is also worth considering. In addition to HIPAA, the Genetic Information  Nondiscrimination Act (GINA) may become a factor in how we handle EMR data security.

In theory, GINA is primarily aimed at the workplace, as its purpose is to bar an employer from requesting or obtaining an individual’s genetic information at any stage of employment. But since GINA construes this to mean not only the results of genetic tests, but anything related to family medical history,even providers who don’t do occupational medicine may have some serious data security issues to consider.

GINA became law in 2008 and regulations have already been promulgated which restrict access to occupational health information. Agencies are beginning to develop their positions on GINA violations, too.

For example, the EEOC recently concluded that if personal health information and occupational health information are stored in the same electronic medical record, it’s probably a violation of both HIPAA and the Americans with Disabilities Act (which also restricts health data access).  The EEOC’s opinion came in the form of an informal discussion letter, and isn’t binding, but you can see where this is ehaded.

Perhaps more frighteningly, individuals can bring private lawsuits for violation of GINA, unlike with HIPAA. So as bad as being slapped with a citation for HIPAA violations can be, a GINA violation may have even wider implications.

Sorry to be a Dolly Downer, folks, but it’s better to know about this than find out about it later. While you may not need to make big changes in your security plans due to GINA, you should probably give it some thought.

August 15, 2012 I Written By

Katherine Rourke is a healthcare journalist who has written about the industry for 30 years. Her work has appeared in all of the leading healthcare industry publications, and she's served as editor in chief of several healthcare B2B sites.