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A Picture is Worth a Thousand Words – #HITsm Chat Topic

Posted on July 31, 2018 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 8/3 at Noon ET (9 AM PT). This week’s chat will be hosted by John Lynn (@techguy) from @HealthcareScene on the topic of “A Picture is Worth a Thousand Words“.
We’ve all heard the common idiom that a picture is worth a thousand words. No doubt we’ve all had experiences like this. I first realized the power of this when I heard tech startup founder, Kevin Rose, talk about how a picture in just a few seconds can convey a world of meaning and even emotion. There’s no doubt that the right picture can send a powerful message.

This was also illustrated to me recently when as a random introduction for an #HITsm chat a few weeks ago, I suggested people share some images with the community. It was fascinating to see the images people shared and how we got to see a new side of someone in the community that we wouldn’t have known otherwise.

With that in mind, I decided that it would be fun to have a full #HITsm chat devoted to sharing images. As you’ll see, some of the questions focus on images that describe the impact of healthcare and health IT and other images are about those of us in the #HITsm community getting to know each other better.

This illustrates the real goal I have for the #HITsm community. Inspiring each other and creating deeper connections with those in the community.

So, without further ado, here are the various types of images we’ll be asking you to share on this week’s #HITsm chat.

Topics for this week’s #HITsm Chat:
Introduction: Take a selfie of you right now and share it. Don’t be shy or afraid. Just share! #nojudgment #HITsm

T1: Share the most powerful healthcare images, charts, etc that you’ve seen. Why and how did it impact you? #HITsm

T2: Share images that illustrates the impact of the work you’re doing or a favorite work moment. #HITsm

T3: Share pics of your family (yes, that can include animals, parents, or even close friends you consider family) #HITsm

T4: Share the 3rd from the last pic you’ve taken on your phone. #HITsm

T5: Share your favorite healthcare cartoons. Why is it your favorite and what’s the message we should learn? #HITsm

Bonus: What’s your favorite animated gif or meme (healthcare or not)? Why? Share them. #HITsm

Upcoming #HITsm Chat Schedule
8/10 – What Does It Take to Be a Successful Healthcare Entrepreneur?
Hosted by Michael Dermer (@michaelgdermer) and Victoria Sherman (@VictoriaShrman)

8/17 – The Cost Savings Opportunities on the Business Side of Healthcare
Hosted by Don Lee (@dflee30) and @CAQH

8/24 – The Role of Technology in Chronic Disease Management
Hosted by Colton Ortolf (@ColtonOrtolf)

We look forward to learning from the #HITsm community! As always, let us know if you’d like to host a future #HITsm chat or if you know someone you think we should invite to host.

If you’re searching for the latest #HITsm chat, you can always find the latest #HITsm chat and schedule of chats here.

Healthcare Leaders See AI Tech In Their Future

Posted on July 30, 2018 I Written By

Anne Zieger 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.

You’ve probably noticed that the movement of healthcare AI from visionary to commonplace has already begun. There are endless examples I could cite to demonstrate this, but here’s a taste:

  • A UK hospital is delegating some tasks usually performed by doctors and nurses to AI technology
  • The AMA is working to set standards for physician use of AI
  • Competition between AI-based disease management players is increasing
  • New AI software can detect signs of diabetic retinopathy without involving a physician

Of course, anytime a technology seems poised to take over the world, there’s a voice in our head saying “Are you sure?” And we all know there are many flashes in the technology pan.

When it comes to AI, however, we may be on the brink of such widespread adoption that no one could argue that it hasn’t arrived. According to a recent Intel survey of U.S. healthcare leaders, AI will be in use across the healthcare spectrum by 2023.

The research, which was conducted in partnership with Convergys Analytics, surveyed 200 US healthcare decision-makers in April 2018 on their attitudes about AI. The survey also asked subjects what barriers still existed to industry-wide AI adoption.

First, a significant number of respondents (54%) said that they expected AI to be in wide use in the industry within the next five years. Also, a substantial minority (37%) said they already used AI, though most reported that such use was limited.

Among those organizations that use AI, clinical use accounted for 77%, followed by operational use (41%) and financial use (26%). Meanwhile, respondents whose organizations hadn’t adopted AI still seem very enthusiastic about its possibilities, with 91% expecting that it will offer predictive analytics tools for early intervention, 88% saying it will improve care and 83% saying it will improve the accuracy of medical diagnoses.

Despite their enthusiasm, however, many of those surveyed were sure they could trust AI just yet. More than one-third of respondents said that patients wouldn’t trust AI enough to play an active role in their care (and they are probably right, at least for now). Meanwhile, 30% assume that clinicians wouldn’t trust AI either, predicting that concerns over fatal errors would kill their interest. Again, that’s probably a good guess.

In addition, there’s the issue of the AI “black box” to bear in mind. Though Intel didn’t go into detail on this, both clinicians and healthcare executives are concerned about the way AI gets its job done. My informal research suggests that until doctors and nurses understand how AI tools have made their decisions — and what data influenced these decisions — it will be hard to get them comfortable with it.

Embarrassment, Career Suicide, or Jail

Posted on July 26, 2018 I Written By

Mike Semel is a noted thought leader, speaker, blogger, and best-selling author of HOW TO AVOID HIPAA HEADACHES . He is the President and Chief Security Officer of Semel Consulting, focused on HIPAA and other compliance requirements; cyber security; and Business Continuity planning. Mike is a Certified Business Continuity Professional through the Disaster Recovery Institute, a Certified HIPAA Professional, Certified Security Compliance Specialist, and Certified Health IT Specialist. He has owned or managed technology companies for over 30 years; served as Chief Information Officer (CIO) for a hospital and a K-12 school district; and managed operations at an online backup company.

What You Can Learn from the Russian Army, the US Navy, and a Suspended Nurse

The General Counsel at one of our clients is a former district attorney who prosecuted identity theft cases. When I told him we work with people who think Identity Theft is a victimless crime, he got very angry, and rattled off a list of cases he had tried that had lasting damage to the victims. Cybercrimes and compliance violations are not victimless.

Identity theft victims have suffered threats of violence, financial ruin, threats of arrest, effects of business interruptions, damaged careers, and emotional and physical stress.  Some considered suicide.

Most data breaches are malicious, but some who committed bad acts did not know they were breaking laws. They thought their actions were just ‘mischief’, or mistakenly thought what they were doing was OK, but found out the hard way that they had committed crimes. Their careers were killed and some faced criminal charges. Some blamed their training, which may have been incomplete, but ignorance of the law is no excuse.

SPEAR-PHISHING by the RUSSIAN ARMY

Twelve members of the GRU, the Russian military intelligence service, were indicted by the United States for meddling with our elections, by using spear-phishing techniques that were remarkably effective. Those who were targeted suffered public shame and career damage.

Phishing is when hackers send out broadly-targeted e-mails, seemingly from banks, fax services, and businesses, trying to sucker many people into clicking on the link and sharing their personal data, or having malicious software silently install on their computer.

Spear-phishing is when a personally-targeted message is sent just to you, seemingly from a colleague or vendor – using names you recognize – asking you to send sensitive information or to click on a link that will install malicious software. These messages can be very tough to spot, because the hackers make you think that this is a personal message from someone you know. One popular method is to send the message from an e-mail address that is one or two letters different from a real address. Your eyes play tricks and you miss the slight difference in the address.

Spear-phishing resulted in the Russians allegedly getting the logins and passwords of Democratic and Republican party officials, which they used to get access to e-mails and other sensitive data.

Another personally targeted attack resulted in a company’s HR staff sending its W-2 tax details, including all employee Social Security Numbers, at the request of their CEO, who actually was a hacker using a very similar e-mail address to the CEO at the targeted company. Employees filed their tax returns, only to find out the hackers had already filed phony tax returns and gotten refunds, using their names and Social Security Numbers. Now these employees are on special lists of victims, delaying their future tax refunds; making it more difficult to get loans and maintain their credit ratings; and creating real stress and anxiety.

Spear-phishing has been used successfully by hackers to get CFO’s to transfer money to a hacker’s bank account, at the supposed request of their company’s CEO. These scams are often discovered way too late, only after a CFO casually says to a CEO that they transferred the $ 500,000 the CEO requested, only to see the look of panic on the CEO’s face.

What You Should Do

  • Individuals: Beware of every e-mail asking you to provide personal information, click on a link, transfer money, or send sensitive information. Call or meet face-to-face with the person requesting the information, to ensure it is legitimate.
  • Employers: Use a phishing training vendor to train your employees to recognize and report phishing and spear-phishing attempts. Use spam filters to block messages from known hackers. Implement policies to slow down the transfer of sensitive data, by requiring a phone or in-person verification any time someone in your organization receives a request for sensitive data, or a money transfer. While inconvenient, a delay is much better than discovering the request was fraudulent.

STEALING DATA – US NAVY SECRETS, and a SUSPENDED NURSING LICENSE

A former employee of a US Navy contractor was found guilty in federal court of stealing secret information simply by using a company computer to create a personal DropBox account, and transferring thousands of company documents. Jared Dylan Sparks is awaiting sentencing on six convictions that can each bring 10 years in federal prison, after he stole trade secrets from his current employer while seeking employment at another company.

In another case, the New York State Department of Health suspended a FORMER nurse after she took 3,000 patient records from a previous employer to her new job.

According to healthitsecurity.com, “the list included the patients’ names, addresses, dates of birth, and diagnoses. Martha Smith-Lightfoot asked for the list to ensure continuity of care for the patients. However, she did not receive the permission of URMC or the patients to give the information to her new employer.”

Smith-Lightfoot agreed to a one-year suspension, one year stayed suspension, and three years’ probation. She can’t work as a nurse for a year. What do you think her career chances will be, after her suspension, any time someone verifies her license status and sees why she was suspended?

What You Should Do

  • Individuals: Understand the requirements of your license or certification, and the laws that protect data. Licensing requirements for privacy and confidentiality pre-date HIPAA. While your organization may face a HIPAA penalty, you may face a damaged or destroyed career, as well as jail time.
  • Employers: Educate your workforce (EVERYONE, including employees, volunteers, contractors, vendors, etc.) about keeping patient, employment, and sensitive business information secure and confidential. Have everyone sign confidentiality agreements. You must be willing to evenly enforce your policies. Terminating a long-term employee when they break your rules may seem harsh, but necessary if you want to avoid corporate theft, compliance violations, and wrongful termination lawsuits if you fire someone after letting another person get away with a policy violation.

We have worked with clients whose current and workforce members used cloud-sharing services, like DropBox, Google Drive, and Microsoft OneDrive. By the time we discovered that these tools were installed on their network, many times it was too late. Data was already out the door, and no one knew what was taken. Implement Data Loss Prevention (DLP) security software that will automatically block critical data from being transferred to e-mail, cloud services, or portable thumb drives. Those that need to move data can be exempt from blocking, but you should protect your organization against everyone else.

People get hurt by data theft and violating regulations. Protect yourself, your patients, and your organization.

2018 Practical Innovation Award Winner: ENGINUITY

Posted on July 25, 2018 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

As the vision for the Health IT Expo came into view, we realized how valuable it was for the Health IT Expo community to learn about and share practical innovations that were happening in healthcare IT. As part of that effort, we announced the 2018 Practical Innovation Awards. Being the first year, we only had a short time to promote it and get the word out about it. With that said, we’re extremely pleased with the practical innovations that the 2018 Practical Innovation Award Winner has brought to the healthcare IT community and we’re excited to share those with you.

So, without further ado, we’re excited to announce the 2018 Practical Innovation Award Winner is ENGINUITY run by Kelly Del Gaudio, Principal Consultant, Galen Healthcare Solutions and was implemented at Freeman Health System, Valley Health System, and Canton – Potsdam Hospital System. This is a well-deserved honor for Kelly Del Gaudio and the team that worked on this project. Congratulations!

While awards and recognition are great, they don’t mean much if we don’t share the details of the practical innovations that won the award. In order to share more details about ENGINUITY (originally named Project Claire[IT]), we thought an interview with Kelly Del Gaudio would be a great way to share what they accomplished and hopefully help to spread their experiences, insights, and innovations.

Tell us about Project Claire[IT].  How was it started and who was involved?

Project Claire[IT] was what we originally called ENGINUITY. It was a project in honor and memory of my friend and Rule writing mentor at MEDITECH, Claire Riemer. Claire was the original pioneer of the MEDITECH rules engine and led the Clinical Content group there for many years.

The idea for this project started about a few months after I came on as the Principal Consultant for MEDITECH at Galen Healthcare Solutions. Since I had a lot of experience with the MEDITECH Rules engine from people like Claire, and working on a Clinical Optimization Performance Team during my 10 years at the “Tech”, I decided to host a free “Rule Writing 101” webinar that would give users a basic understanding of the MEDITECH Rules engine and offer tips and tricks on how to write some basic rules. We were surprised when we saw the signup list the day of the webinar (which ended up being our highest attended to date), and soon after, the flood gates opened with questions from MEDITECH users asking for help with Rules they’ve been stuck on for weeks, months and sometimes years!

Many of the questions we received were similar (people needing help with calculations, VTE compliance, Problem List Management etc) so we thought maybe we could streamline the process and write the complex rules that everyone seems to need for them; or as we call it: Doing their NerdyWork. Galen was no stranger to this as we have been successful in creating and delivering a similar solution to our Allscripts clients called eCalcs.

I knew I had the unique skill set to write the Rules that these customers needed, but not being a nurse or clinician by trade (although I can occasionally fake it til’ I make it) I knew I needed their help to understand exactly what their frustrations were from both a clinical and IT perspective. The only logical conclusion was to host a focus group, and so our first Galen Focus Group: Operation NerdyWork was born.

Operation NerdyWork was a group of nine MEDITECH hospitals all running MEDITECH’s 6.x/6.1 or higher platform. They represented various areas of the country, from cities to rural/remote, from large Health Systems to small Critical Access satellites. It seems that no matter how big (or small) your IT staff was, the Rules Engine was a bit of a black box for everyone.

Here is our elite nine:

  • Catholic Health Initiatives
  • Salinas Valley Medical Center
  • Randolph Hospital
  • Uvalde Memorial Medical Center
  • Freeman Health System
  • Canton-Potsdam Hospital
  • Peterson Reginal Medical Center
  • Calvert Memorial Hospital
  • Parkview Medical Center

These groups offered their time on Thursdays during the winter of 2016 and provided us with valuable insights into the world of a MEDITECH doctor, nurse, care provider, or pharmacist. From their list of frustrations, we got to work building better, rule driven workflows that will save time, reduce clicks, increase compliance and patient safely and present users with much needed clinical decision support.

We decided to call our platform ENGINUITY because we use the MEDITECH Rules Engine to code a lot of our custom content. It’s also a derivative of the word ingenuity which is the quality of being inventive, clever, resourceful; thinking outside of the box. We pride ourselves on coming up with really clever ways to achieve something that may otherwise be “Working as Designed”. ENGINUITY continues to be crowdsourced and we receive suggestions every day from users of our content. MEDITECH customers drive the future direction of this product because hey, they’re the one that have to use it right?

What have been the practical benefits of this project?

Practical Innovation is all about solutions that can be implemented now that bring value to an organization. We think we are doing just that.

By streamlining the lengthy design process that many of these rules take to write and creating a plug and play solution that has been tested, validated, and thoroughly researched, we can confidently help hospitals achieve optimal compliance, increased patient and provider satisfaction, EMR confidence, realize revenue gains and so much more. If you wanted to implement some of these complex tools outside of ENGINUITY, not only would you need at least one full time dedicated FTE on these projects, but that person would need to have an advanced Rule writing skill set which is not easy to find. You would also need to keep those people on staff to troubleshoot Rules that are subject to change during much needed updates or future workflow changes.

I actually spoke with a client at last year’s MUSE conference who told me that their resident “Rules” person was about to retire so they stopped optimizing their system because she was the only one who could support it. I used this anecdote the next day at our official launch presentation and realized that this was more common than I thought. Rules are complex and there are a lot of unknowns but they are far and away the most efficient way to optimize the your MEDITECH system which is why everyone should have them!

ENGINUITY makes these options an affordable reality for many organizations that simply don’t have the time, capital or resources. The Galen team supports all of our content post-implementation, so our clients can worry about daily system support and education.  ENGINUITY customers also determine “what’s next” in our dev cycle and are always receiving the fruit of our development efforts keeping their system optimized, refreshed and functional for years to come.

What were the keys to success with this project? 

I attribute the success of this project to 5 main things.

  1. First, having a deep understanding of the technical underpinnings of the MEDITECH Rules Engine is crucial to the success of ENGINUITY. I have always been fascinated with trying to figure out this puzzle and I continue to learn more about it daily. For me, it’s fun; for most, its frustrating. Thank you Claire Riemer, Ginny Jacques and Nancy McGowan for teaching me this craft.
  2. Second, having the support of the Galen Healthcare Solutions team. They let me run with this idea to design, develop and mass deliver content to clients who need it and they’ve fully supported it through its infancy to now. We are KLAS ranked and on Modern HealthCare’s Best Places to Work for a reason and I know working at Galen was one of the best decisions I have ever made. I firmly believe that autonomy, support and confidence is really what helps innovation to thrive.
  3. Third, our focus group. They are the ones who brought the ideas to the table and got the ball rolling. Thank you Operation NerdyWork!
  4. Fourth, our ENGINUITY clients who push us and challenge us with new puzzles every day. Their challenges (though sometimes daunting) make us better in the long run.
  5. Finally, getting the word out in major healthcare IT publications! Having published articles that recognize our unique approach to customer collaboration and feature our MU3: Measure 3 content really help to spread the word about what we’re doing.

How does this project impact patients?

We put a lot of effort in the design process of a workflow to make it easy for the doctor/user to use. Many of our tools are “single-click” meaning that as soon as I “click” on something (a query or order) then the algorithm will “fetch” necessary data and bring that to the providers attention immediately. We can suggest, require, suppress or automate responses based on preexisting information which makes ENGINUITY very patient centric. This added clinical decision support is embedded directly into the MEDITECH system (not 3rd party) which significantly increases the confidence that users have in the messages they are receiving. We can then use a combination of hard stops, soft stops, alerts and audit trails to increase patient safety across the board.

We’re currently working on a case study of before and after Implementation of our VTE Compliance protocol, which was designed using the AHRQ’s Best Practice recommendations for VTE Prophylaxis compliance. It is estimated at increasing organizational compliance to over 90% which will significantly impact the lives of many surgical inpatients.

I also worked with some of our product development folks from our VitalCenter Online Archival team to create a way to have Rules evaluate patient Problems and drive care off the Problem List. From my research, this is not just a MEDITECH problem, (pun intended) but it spans across all EMRs leaving most Problem Lists “static”. We are changing that for our MEDITECH clients by driving and automating care off the Problem List making it a truly “dynamic” list.

You call the effort “Operation NerdyWork”.  What’s been your experience getting “nerds” together to collaborate on a solution like this?

Operation NerdyWork was all about bringing a diverse group of people together with some commonalities (trades, users of MEDITECH) and working together toward a common goal. Listening to each other’s pain points and sometimes even solving each other’s problems without my help at all (which was really fun to see). Everyone brought a unique voice to the table. As innovators, the best we can do is shut up and listen, hear what people want and develop what they need.

What practical advice would you give health IT professionals that will help them be more successful in their work?

Find something you’re good at, something you’re passionate about, something that keeps you up at night but also helps you rest easy knowing you could be a part of the solution. When you’ve found it then surround yourself with supportive people and get busy on the Nerdywork.

A big Congratulations to the 2018 Practical Innovation Award Winner: ENGINUITY

Creating Loyalty in Healthcare – #HITsm Chat Topic

Posted on July 24, 2018 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 7/27 at Noon ET (9 AM PT). This week’s chat will be hosted by Sunny Tara (@SunnyTaraVegas) and Janae Sharp (@coherencemed) from @CareCognitics on the topic of “Creating Loyalty in Healthcare“.

In the current healthcare landscape, one element that’s really missing is loyalty. We’ve all heard the stories of how the next generation of patients is much more likely to switch doctors. It seems that loyalty is hard to find in healthcare today.

The reality for most healthcare organizations and payers is that they didn’t have to worry too much about loyalty in the past. However, as the internet has empowered patients, creating patient loyalty is going to become extremely important.

Creating loyalty in healthcare is really challenging. In many cases, patients are going to their doctors who then tell them bad news. The same is true with insurance companies who are often the bearer of bad news to patients. How then can you transform these bad experiences and still build loyalty?

We (Sunny Tara and the team at CareCognitics) saw a similar challenge in the casino industry. Many of the casino patrons would come and lose a lot of money. Despite common thought, Casinos don’t want you to lose a lot of money because then you’ll have a bad experience and stop coming to that hotel which must be “unlucky.” To transform the patron’s experience, we used a combination of rewards and unique VIP experiences that turn the bad experience into a good one. Doesn’t this sound like some of what we need to do for patients in healthcare?

Join us for this week’s #HITsm chat where we’ll discuss loyalty in healthcare and what experiences we can offer patients to change these bad experiences into good ones and generate more loyalty. We hope you’ll come and share your good and bad experiences so we can all learn how to improve the patient experience.

Topics for this week’s #HITsm Chat:

T1: Describe the best experience you had (or that you heard about) in healthcare that created loyalty. #HITsm

T2: Describe the best consumer experience you had in your life outside healthcare that created loyalty. #HITsm

T3: What types of experiences, services, technology, etc would create loyalty for you in healthcare? #HITsm

T4: What types of experiences, services, technology, etc damage your loyalty in healthcare? #HITsm

T5: Should we be creating loyalty to doctors, hospitals, health systems, payers, HIT services? Why or why not? #HITsm

Bonus: What can employers do or are they doing to create employee loyalty? #HITsm

Upcoming #HITsm Chat Schedule
8/3 – A Picture is Worth a Thousand Words (Get your pictures ready to share!)
Hosted by John Lynn (@techguy) from @HealthcareScene

8/10 – What Does It Take to Be a Successful Healthcare Entrepreneur?
Hosted by Michael Dermer (@michaelgdermer) and Victoria Sherman (@VictoriaShrman)

8/17 – The Cost Savings Opportunities on the Business Side of Healthcare
Hosted by Don Lee (@dflee30) and @CAQH

8/24 – TBD
Hosted by Colton Ortolf (@ColtonOrtolf)

We look forward to learning from the #HITsm community! As always, let us know if you’d like to host a future #HITsm chat or if you know someone you think we should invite to host.

If you’re searching for the latest #HITsm chat, you can always find the latest #HITsm chat and schedule of chats here.

Company Supports Patient Data Sharing Via Blockchain

Posted on July 23, 2018 I Written By

Anne Zieger 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.

After a year in development, a tech startup has released a platform using blockchain to help patients share personal health records. The company, which was founded by former IMS Health exec Robert Chu, plans to sell their information to pharmaceutical companies without involving a third-party data broker.

Embleema, which built its software on the Ethereum smart-contract platform, is focused on delivering what it calls “real world evidence” to drug researchers.

Its blockchain-based app, which is known as PatientTruth, allows patients to pull provider CCDs and Fitbit data together in a single location. The idea here is that blockchain will permit patients to manage data sharing permissions far more securely and effectively than with other approaches.

When patients agree to share their data, they get crypto-tokens. Embleema, for its part, generates income by selling an anonymized version of that data to clinical researchers.

The company contends that its data offers significant advantages over traditional data sources include that it offers in individual rather than aggregate data. Having access to individual data allows drugmakers to monitor a given patient over time, which helps to improve research and drug development, it says.

On the whole, Embleema seems to have a smart business model and seems to address some well-defined needs. Bringing together health data users and sellers directly probably offers some advantages. And it will probably be very profitable to give drugmakers access to real-time patient data structured as individual records.

That being said, I’m not sure how the company will get, much less maintain, patients’ interest. Other than people in this industry, few of my acquaintances or family members have the slightest idea of how to upload their health records. In fact, some of them would be quite intimidated by the prospect.

Also, it’s is a little weird that patients who share their data with Embleema are paid in tokens rather than actual publicly-negotiable money. I know I’d find cash incentives to be a lot more motivating than tokens. My guess is that either way, patients aren’t going to get much of the income generated by their data, and I have little doubt that competitors will point this out.

Of course, clinical researchers always face some form of obstacle in getting the data they need. No matter what approach they take, the data they choose seems to have some significant limitations.

I can’t tell whether Embleema has solved this problem completely, and if so, whether its solution is scalable and if it’s really any better than companies like IMS Health, but it does seem to be focused on a sector with deep pockets and a bottomless need for patient data. In fact, I’m sure its competitors will show up soon.

Are You Investing Enough in IT Security?

Posted on July 20, 2018 I Written By

Mike Semel is a noted thought leader, speaker, blogger, and best-selling author of HOW TO AVOID HIPAA HEADACHES . He is the President and Chief Security Officer of Semel Consulting, focused on HIPAA and other compliance requirements; cyber security; and Business Continuity planning. Mike is a Certified Business Continuity Professional through the Disaster Recovery Institute, a Certified HIPAA Professional, Certified Security Compliance Specialist, and Certified Health IT Specialist. He has owned or managed technology companies for over 30 years; served as Chief Information Officer (CIO) for a hospital and a K-12 school district; and managed operations at an online backup company.

Would you put a $ 10 fence around a $ 100 horse?

Does it make sense to put a $ 100 fence around a $ 10 horse?

For the right security, you need to know what your horse is worth.

The same concepts apply to protecting your data. What is your data worth?

Ask Cottage Health , which had two data breaches, totaling 55,000 records., and settled a $ 4.1 million lawsuit with patients, then paid a $ 2 million California penalty. They were sued by their insurer, which wanted the $ 4.1 million settlement money back, after it discovered Cottage Health had not consistently implemented the security controls it claimed on its insurance application. The $ 6.1 million in the settlement and penalty does not include its costs for legal fees, credit monitoring, notifying patients, public relations, or recovering the business lost from patients who moved to another provider.

One of our clients was audited for HIPAA compliance by the venture capital firm that wanted to invest in their company. Another client had us do a compliance assessment on a healthcare company they wanted to purchase. In both cases, HIPAA compliance was worth millions of dollars.

We asked a client how much the financial impact would be on their business if they lost the sensitive personal data they collected about business partners, and had to notify everyone. The owner said they would be out of business, costing millions of dollars.

Breaches result in lawsuits, with settlements in the millions. If you are a licensed or certified professional, you can lose your license or certification if you are breached.

Federal HIPAA penalties in 2014 – 2015 were $ 14 million. In 2016 – 2017 they tripled to $ 42 million. In 2018, they have already reached $ 7.9 million.

Data is worth more than gold.

Instead of words and images in a computer, think of your data as a pile of gold bars that is worth protecting.

When we work with our clients, we help you identify the types of data you have, where it is located, and how it is protected. We recently worked with a client that came to us for help protecting their patient information. They were shocked when we showed them that they had bigger risks related to the data they stored about workforce members, and job applicants they did not hire, than the people they served.

  • What data do you have that is regulated, that you must protect to comply with laws and other regulations?
  • What fines and lawsuit judgments might you face if your data is breached?
  • Beyond HIPAA that protects patient information, do you know your state data breach laws that apply to employee data?
  • Do you know the regulations that protect credit card data?
  • Do you have enough of the right type of insurance to protect your finances if you are breached?

Everyone has unregulated data that is sensitive or proprietary, that could hurt your business if it is lost, stolen, or accessed by a competitor or someone who wants to hurt you? Salaries, trade secrets, employment records, pricing models, merger and acquisition plans, lawsuit files, have all been stolen.

As part of our assessments, we search the Dark Web (the criminal side of the Internet) to see if our clients have employee passwords for sale by hackers. Over 90% have had at least one employee’s credentials stolen and offered for sale.

Most of our clients start out not knowing the value of their risks. They hadn’t approved IT security purchases, because the costs were high, and they didn’t know if security was worth the investment.

So, how much should you invest in protecting your data?

The recently-released 2018 Cost of a Data Breach report shows, through research of actual breaches, that in 2017 the average cost to a breached organization for a single lost healthcare record was $408. Across all industries the cost was $ 233 per record. Only a third of the cost was for the direct response to the breach – notifying patients, hiring lawyers and IT security experts, and paying for credit monitoring. Two-thirds of the $ 408/record was the financial effect on the healthcare organizations, by losing patients after violating their trust.

Here is a calculation you can use to estimate the value of protecting your patient data.

Number of Patient Records x $ 408 (cost per record of a breach) = $ ________________ in risk.

Example: 25,000 records x $ 408 = $ 10.2 million. (If this number startles you, imagine if your costs were only 25% of the total, which is still $ 2.5 million.)

Other ways to put a dollar value on your risk

  • How much would a breach affect the market value of your business?
  • How much investment capital do you need for expansion?
  • Personally, what will your retirement look like if you had to pay $ 1 million, $ 2 million, or more, to cover the costs of a breach?
  • What would your life be like if you went out of business?

Know the value of your cyber security risk. Do the math.

Ask your IT department, or an outsourced independent IT security consultant, to assess your risks, and recommend what you need to be fully protected. Our assessments calculate your risks based on dollars, and provide ‘under the skin’ data about the current status of your security. Don’t settle for guesses.

Base your security investment on the value of your risks, not just the general idea that your data needs to be protected.

And, if you own a $ 100 horse, upgrade your $ 10 fence.

Somatix: Bringing Gesture Recognition to Healthcare

Posted on July 19, 2018 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

The number and variety of sensors and tracking devices coming to healthcare is astounding. All of these devices are going to provide a platform for hundreds of innovative companies to build amazing software on top of all of this hardware that will really impact healthcare. It’s exciting to see.

I saw this in action first hand when I talked with Eran Ofir, CEO and Co-Founder of Somatix. What makes Somatix interesting is that they do their hand gesture tracking on any hardware. There are dozens of off the shelf wearable technologies from tech giants, high-end brands, sports leaders, and fashion brands which can be used together with Somatix.

Using these off the shelf technologies, Somatix does a pretty wide range of gesture detection including: smoking, eating, drinking (cold and hot), teeth brushing, walking, sleeping, shaving, medication intaking, and more. When you think about the sensors that are available in these commercial wearables, it’s not hard to see how this type of gesture detection is possible. Plus, these charts illustrate how different gestures register on wearables:

It’s not hard to imagine how this gesture recognition technology can be used in healthcare. It can detect sudden falls, medication adherence, immobility, sleeping habits, missed meals, low liquid consumption, smoking, and even neurological malfunctioning.

The question is what do you do once a certain action is detected? Somatix is doing some work in this area as well. Detecting the gesture is just the first step, but can work as a trigger to enable care providers to intervene with personalized messages and incentives to the patient. One of the areas where Somatix has seen success is in their SmokeBeat product which helps with smoking cessation.

As I look at the bigger picture, I could see hundreds of applications of this gesture technology in healthcare. So, I asked Eran if Somatix offered an API that would allow startup companies, health systems, payers, and other healthcare organizations to be able to incorporate this gesture recognition technology into their own applications. Unfortunately, they haven’t gone this route yet since they’re a relatively young company, but he saw that as a potential future opportunity. I hope they take that route since gesture recognition across all of these devices is a hard thing to build, but is a powerful thing that could benefit a wide variety of healthcare applications.

All in all, I was impressed by what Somatix has built. Plus, it was easy to see as they get more hand gesture data how they’ll be able to improve the accuracy of the gesture detection even more. Eran described how they’d seen this first hand with detecting smoking which they can now detect almost perfectly. While all of the gesture detection doesn’t have perfect accuracy it will get pretty close over time.

Healthcare still has a ways to go in figuring out how to turn gesture recognition into improved care, but it’s great to see companies like Somatix perfecting the recognition which will enable care providers to use that data to improve a patient’s health. Gesture recognition technology from Somatix is a great example of a building block of change that will transform healthcare as we know it.

Identifying, Selecting, and Managing Healthcare Technology Products and Services – #HITsm Chat Topic

Posted on July 18, 2018 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 7/20 at Noon ET (9 AM PT). This week’s chat will be hosted by Healthcare Scene (@HealthcareScene) on the topic of “Identifying, Selecting, and Managing Healthcare Technology Products and Services” and is an extension of last week’s #HITsm chat.

It should be no surprise to anyone who’s worked in the healthcare industry for any length of time that effective and cost-efficient information technology products and services are essential to improve healthcare outcomes and reduce runaway healthcare costs. And making a bad decision can be extremely cost-inefficient! But healthcare technology products and services are evolving faster than ever and even the most intelligent and focused individuals are challenged to stay abreast of and on top of all the new products and services. Properly selecting, implementing and using products and services to actually improve healthcare outcomes and reduce costs is not trivial task.

We’ve Got the Insights, Ideas and Opinions

Last week, #HITsm tweetchat participants shared their insights, ideas and opinions on what they believed could be the top technologies and services for healthcare stakeholders: Physicians & Medical Practices, Hospitals & Health Systems, Patients, Health Plan Members, Healthcare Consumers & Caregivers and Health Plans & Payers. Over 500 comments were collected from 45+ active participants.

Since last Friday, those 500+ insights, ideas and opinions have been culled, sorted, and curated into the topics for this week’s #HITsm tweetchat. An overview of this curated information can be found in this post titled ‘Recapping the #HITsm Crowdsourced List of Top Technology Services & Products for Healthcare Stakeholders.’  And the actual curated data from last week’s #HITsm tweetchat can be accessed here.

A Small Pivot from the Original Part 2 #HITsm Tweetchat Theme

To be sure, the original idea for this week’s #HITsm tweetchat was that participants would rank the technology services & products most important to healthcare stakeholders. While this week’s chat still includes a ranking of information crowdsourced in last week’s chat, topics for this week’s chat will shift to how healthcare stakeholders may best identify, select and manage the healthcare technology products and services that may best improve healthcare outcomes and reduce costs for ALL of healthcare’s stakeholders.

As you consider the topics of this week’s chat that are listed below, keep in mind the quote by Dr. Alkasab of @MassGeneralNews that @Jk_Jeffery shared last week: “We’re not buying from a vendor; we’re marrying them!”

We hope you can participate in this week’s #HITsm chat and share your insights, ideas and opinions.

Resources for This Week’s #HITsm Tweetchat

Topics for the 7/20/18 #HITsm Tweetchat

T1: What tangible and intangible ‘things’ must healthcare organizations selecting a specific healthcare vendor demand from a healthcare vendor prior to executing a purchase agreement? #HITsm

T2: What are the most important installation, configuration, operational and support requirements that must be considered when evaluating a decision to purchase a vendor’s service or product? #HITsm

T3: How can healthcare organizations and prospective vendor partners leverage 3rd parties – like healthcare patients, consultant, 3rd party research firms and other advisory sources – during the process of evaluating and selecting a specific healthcare product or service? #HITsm

T4: Let’s flip the inquiry: What must vendors of healthcare products and services demand from prospective purchasers of their products and services prior to executing a purchase agreement? #HITsm

T5: What are the surprises that Physicians, Medical Practices, Hospitals, Health Systems, Patients, Health Plan Members, Healthcare Consumers, Health Plans and payer often experience 6 to 12 months after purchasing a product or service? How could this have been solved in the purchase agreement? #HITsm

Bonus: In regards to the aforementioned quote that ‘We’re not buying from a vendor; we’re marrying them,’ what are key reasons why a healthcare organization may divorce their vendor partner? #HITsm

Upcoming #HITsm Chat Schedule
7/27 – Creating Loyalty in Healthcare
Hosted by Sunny Tara (@SunnyTaraVegas) and Janae Sharp (@coherencemed) from @CareCognitics

8/3 – TBD
Hosted by TBD

8/10 – TBD
Hosted by TBD

8/17 – The Cost Savings Opportunities on the Business Side of Healthcare
Hosted by Don Lee (@dflee30) and @CAQH

We look forward to learning from the #HITsm community! As always, let us know if you’d like to host a future #HITsm chat or if you know someone you think we should invite to host.

If you’re searching for the latest #HITsm chat, you can always find the latest #HITsm chat and schedule of chats here.

Recapping the #HITsm Crowdsourced List of Top Technology Services & Products for Healthcare Stakeholders

Posted on I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

The following is a guest blog post by Steve Sisko (@ShimCode). Thanks to Steve for putting in all the time and effort to collect and analyze last week’s chat in preparation for this week’s chat.

Last week, the Health Information Technology Social Media (HITsm) tweet chat hosted by Jared Jeffery @Jk_Jeffery challenged participants to share their ideas on the Top 10 Technology Services & Products for Healthcare Stakeholders. Forty-six participants shared over 500 tweets on six topics supporting the theme of the tweetchat.

In an effort to explore new ways of leveraging the wisdom of the crowd, the information, insight and ideas shared by the 46 tweetchat participants has been culled, sorted and summarized. This summary and supporting detail is intended to provide the basis for the next #HITsm chat on Friday, July 20th.

The HITsm Crowd Shares Their Insight

This blog post presents this information shared during the 7/13/18 HITsm tweetchat. While appreciation goes out to chat host Jared Jeffery and all chat participants, special acknowledgement goes out to the following individuals who shared an above average amount of information, ideas and insight gleaned from the 521 tweets shared in the hour-long chat:

Name Handle
Aaron Jun @aaronjun_
Anthony Leon @anthonynotleon
Colton Ortolf @ColtonOrtolf
Heather S Lavoie @HSLavoie
Jeremy Coleman @jeremycoleman
Joe Babaian @JoeBabaian
John Lynn @techguy
Julie Maas @JulieWMaas
Lea Chatham @LeaChatham
Michelle Currie @mshlcurrie
ShereeseM, MS/MBA @ShereesePubHlth
Steve Sisko @ShimCode

 

Statistics from the 7/13/18 #HITsm Tweetchat

The following are some general stats regarding the content shared by chat participants. These stats are based on removing all retweets, introductions, logistical and greetings – a total of 189 tweets remained.

Top General Categories

Category Count Category Count
Analytics 6 Payer-Prior Auth 3
Care Gap Identification & Management 3 Precision Medicine 2
Collaboration 3 SDOH 8
Communication Tools 12 Tech-API 3
Consumerism-Related 13 Tech-Blockchain 2
Cost Reduction 5 Tech-Cloud 3
Cost Transparency 8 Tech-Data 4
Disruption/Innovation 9 Tech-Ecosystem 2
General 7 Tech-Interoperability 8
Hospital & Health Systems 4 Tech-Security 3
Insurance 3 Usability-Patient/Member 7
Multiple 5 Usability-Physician 6
Patient Advocacy 2 Value-based Care 2
Patient Engagement 9 Vendor Selection 33
Patient Experience 8

 

Services & Functions within General Category

Category Services
Analytics Artificial Intelligence
Analytics Automatically ID candidates that match clinical trials
Analytics Population Health
Analytics Predictive Analytics
Analytics Surveillance Systems
Analytics Turnaround time on analytics decrease considerably.
Care Gap Identification & Management Aggregating data across providers to truly determine care gaps
Care Gap Identification & Management Care Gap Identification
Care Gap Identification & Management Management platforms that leverage dedicated case workers to close care gaps
Care Gap Identification & Management Schedule optimization through automated outreach
Care Gap Identification & Management SDoH platforms
Communication Tools Communication Tools
Communication Tools Cross-discipline communication tools
Communication Tools Patient provider communication tools
Communication Tools Solutions to communicate, collaborate and connect with patients.
Communication Tools Text reminders
Communication Tools Unified Conversational #AI command & control systems
Consumerism-Related Consumer Loyalty Tools
Consumerism-Related Consumer Tools
Consumerism-Related Cost Transparency Tools
Consumerism-Related Healthcare literacy and advocacy assistance
Consumerism-Related Remote patient monitoring
Cost Reduction Medical devices to augment humans
Cost Reduction Patient flow improvement
Cost Reduction Revenue cycle management
Cost Transparency Cost Transparency Tools
Cost Transparency Medication Cost
Cost Transparency Patient schedule/wait time expectations
Disruption/Innovation Solutions that put the patient voice back into design & security
General Medical Record Documentation
Hospital Analytics for reducing hospital readmission
Hospital Digital outreach for clinical trials
Hospital Services and products that support growth of outpatient services
Multiple Analytics
Multiple CRM platforms
Multiple Physician communication tools
Multiple Populaton health case manager for at risk contract patients
Multiple Telehealth
Multiple Telemedecine video solution
Multiple Text-to-voice
Patient Advocacy On-demand diagnoses and advocacy services
Patient Engagement Cost Transparency Tools
Patient Engagement ‘Healthcare CRM’ tools.
Patient Engagement Patient itineraries/real time patient portal
Patient Engagement Products & services that improve patient communications & engagement
Patient Engagement Tools to enhance brand loyalty
Patient Engagement Tools to weave social media into customer engagement
Patient Experience Having all reports in one place so I can share between docs.
Patient Experience Health technology that creates a VIP like experience for patient
Patient Experience Patient itineraries.
Patient Experience Patient self-scheduling
Patient Experience Portal aggregator
Patient Experience Products to facilitate, track and report for patient interactions with physicians and medical practice
Payer-Prior Auth Prior Authorization
Payer-Prior Auth Voice assistants helping with scheduling
Precision Medicine Precision Medicine
SDOH Call a ride service
SDOH Help support health and improve outcomes by addressing Social Determinants of Health
Tech-API API
Tech-API Solutions that have an #API integration
Tech-Cloud Cloud-based applications
Tech-Data 3rd party data archiving
Tech-Data Patient access to medical records
Tech-Ecosystem Desktop virtualization
Tech-Interoperability Easier transfer of patient information
Tech-Interoperability Systems talk to one another.
Tech-Security Security enhancements for devices and data can reasonably be deployed
Usability-Patient Provider Directory Utility
Usability-Physician Products to help ensure physician, clinical and other user access to software applications
Vendor Selection Professional Services, with staff who REALLY understand what their product can do
Vendors Mentioned Diabetes behavior modification
Vendors Mentioned Helping the Hispanic/Latino community navigate the US healthcare system,
Vendors Mentioned Workflow automation

 

Company Reference by Topic

Topic Vendor Ref Category
T1 @AminoHealth Cost Transparency
T1 @CardiacInsight Cost Reduction
T1 @ClinicSpectrum Cost Reduction
T1 @HealthifyUS Care Gap Identification & Management
T1 @myopennotes General
T1 @practicemax Cost Reduction
T1 @SCIOanalytics Analytics
T1 @solutionreach Communication Tools
T1 @StericycleComms Communication Tools
T2 @CareCognitics Vendors Mentioned
T2 @cerner @lumeris Vendors Mentioned
T2 @CitrixHealth Tech-Ecosystem
T2 @Clara_Health Analytics
T2 @deep6ai Analytics
T2 @DellEMCHealth Tech-Ecosystem
T2 @DXCHealth Tech-Ecosystem
T2 @HolonSolutions Vendors Mentioned
T2 @infloio Vendors Mentioned
T2 @KLASresearch Precision Medicine
T2 @LBSolutions Vendors Mentioned
T2 @spectralink Communication Tools
T2 @spoktweets Communication Tools
T2 @telemediq Communication Tools
T2 @TigerConnect Communication Tools
T2 @voalte Communication Tools
T2 @voceracomm Communication Tools
T2 @wkhealth Analytics
T3 @AminoHealth Vendors Mentioned
T3 @ConsejoSano_US Vendors Mentioned
T3 @LivongoHealth Vendors Mentioned
T3 @Lumeon_ Vendors Mentioned
T3 @PicnicHealth Vendors Mentioned
T3 @solutionreach Analytics
T3 @StericycleComms Communication Tools
T4 @CapGemini General
T4 @OscarHealth Insurance
T4 @salesforce Patient Engagement
T4 @ziparico Patient Engagement
T6 @MEDITECH Vendor Selection

 

The Curated Tweets from the 7/13/18 #HITsm Tweetchat

You can access the curated list of tweets from the 7/13/18 #HITsm Tweetchat here.

Consider joining the #HITsm tweetchat later this week on Friday, 7/20/18 at 9:00am PT where additional topics based on the content shared during last week’s #HITsm chat will be discussed. You can see the topics and details for chat once their posted on the #HITsm chat page later today.