The digital health space refers to the integration of technology and health care services to improve the overall quality of health care delivery. It encompasses a wide range of innovative and emerging technologies such as wearables, telehealth, artificial intelligence, mobile health, and electronic health records (EHRs). The digital health space offers numerous benefits such as improved patient outcomes, increased access to health care, reduced costs, and improved communication and collaboration between patients and health care providers. For example, patients can now monitor their vital signs such as blood pressure and glucose levels from home using wearable devices and share the data with their doctors in real-time. Telehealth technology allows patients to consult with their health care providers remotely without having to travel to the hospital, making health care more accessible, particularly in remote or rural areas. Artificial intelligence can be used to analyze vast amounts of patient data to identify patterns, predict outcomes, and provide personalized treatment recommendations. Overall, the digital health space is rapidly evolving, and the integration of technology in health

Monday, August 26, 2013

HIPAA Challenges

 

Oh for the day when medical records were on paper. In the blink of an eye, now millions of electronic medical records can be ‘carried off"’ to anywhere. This has become apparent in recent and repetitive reports of privacy and confidentiality breakdowns. Advocate Health reports the second biggest HIPAA breach ever.  Advocate Health System announced that the theft occurred at one of its Advocate Medical Group administrative building in Park Ridge, Ill. on July 15.

In the second biggest HIPAA breach ever reported, one of the nation's largest healthcare systems is notifying more than four million patients that their protected health information and Social Security numbers have been compromised after the theft of four unencrypted company computers.

Patient names, addresses, dates of birth, Social Security numbers and clinical information – including physician, medical diagnoses, medical record numbers and health insurance data — were all contained on the computers, officials say. 

This is the second big HIPAA breach for Advocate Health System. In 2009, company officials notified 812 patients that their protected health information had been compromised following the theft of an employee's unencrypted laptop.

This breach stands as the second biggest HIPAA breach ever reported, according to HHS data – just behind the TRICARE Management Activity breach which impacted more than 4.9 million patients back in 2011. 

Texas HIPAA blunder affects 277K

This time it was not an electronic medium that was breached. Texas Health Harris Methodist Fort Worth is notifying some 277,000 patients that their protected health information has been compromised after several hospital microfilms, which were supposed to be destroyed, were found in various public locations.

Texas Health Fort Worth had contracted with Toronto-based Shred-it to destroy the confidential patient information, but the microfilms were not actually destroyed, as had been agreed upon in the contract, officials say. Instead, a local resident found a portion of the microfiche in a nearby park in May. Additionally, three other sheets of microfiche were found in two other public areas.

The records on the microfiche contained patient names, addresses, dates of birth, medical record numbers, clinical information, health insurance information and in some cases Social Security numbers

These breaches are only two of many inadvertent breakdowns in health information security.

In 2011 a TRICARE Management Activity breach impacted more than 4.9 million patients back in 2011, in which a Lost Military Backup Tapes Results in HIPAA Violation Affecting 4.9 Million. TRICARE, the Defense Department’s healthcare program, reported what may be the largest health information breach documented in HIPAA history since the HITECH Act was established in 2009. Nearly 4.9 million patients of San Antonio area military hospitals and clinics have been affected by the loss of data backup tapes. These tapes contained an archive of sensitive information dating from Sept. 7, 2011, back to 1992.

Vernon Guidry, a spokesman for Science Applications International (SAIC), the organization that reported the breach, has confirmed that it was “not an electronic breach” but “a loss of magnetic storage media.”

The Federal Office of Civil Rights administers HIPAA, and reports its findings here:

The breaches result in fines and penalties as well as civil damages for civil rights violations.

Apparently the federal government has interdepartmental conflict over legalities of sharing protected information.

As yet no one has addressed this issue with the Affordable Care Act in which it is proposed that the IRS administer and enforce the Individual and Employer Mandates .

 

HIPAA/HITECH Act Enforcement: 2003-2013

Digg This

Friday, August 16, 2013

The Height of Idiocy and Incompetence

 

HIMSS Says Start Stage 2 On Time And Give It Time To Work

Adopting an approach that encourages continued progress while simultaneously acknowledging short-term obstacles, HIMSS recommends launching Stage 2 Meaningful Use on-schedule and extending Year 1 of the Meaningful Use Stage 2 attestation period through April 2015 and June 2015 for EHs and EPs, respectively.  This would encompass 18 months in which EHs and EPs can attest to Meaningful Use requirements for one quarter.

Data from the more than 5,400 hospitals in the HIMSS Analytics database indicate clear challenges for eligible hospitals and tethered ambulatory care facilities preparing for Meaningful Use Stage 2.  These data show:

  • Up to 68 percent of eligible hospitals, and
  • 41 percent of tethered ambulatory facilities

have purchased the necessary software to attest to the 2014 Certification requirements, but there are concerns that many may still be waiting for the necessary upgrade to the certified version.

HIMSS shared its position on extending the deadline for Meaningful Use Stage 2 attestation in an Aug. 15 letter to U.S. Department of Health and Human Services Secretary Kathleen Sebelius; Centers for Medicare and Medicaid Services Administrator Marilyn Tavenner; and, National Coordinator for Health IT Dr. Farzad Mostashari, MD, ScM.

Farzad Mostashari is now a lame duck, having resigned leaving the rest of us with “Hope and Change’.  While I can praise him for devotion to an IT cause he has bailed out for unknown reasons.

 

 

HHS mandated Meaningful use implementation in an unrealistic schedule. Unfortunately it is interwoven with other mandates such as physicians and hospitals qualifying for EMR and HIT incentives. HHS does not even guarantee it will work as predicted, but they still require implementation to receive incentives. 

Medical practices will be required to submit  MU stage II and not know if it even works or if they will receive incentives as promised.  Submissions will probably be lost and/or improperly processed. Again pass the buck to providers, who will be fined and not receive incentives after already investing hundreds of millions of dollars in Health IT.  The only ones who gained were HIT vendors, and insurance companies and Medicare who will maybe reap data, that probably will sit on a server in Utah to be analyzed by non-existing analytic software

If this is an indication of how the Affordable Care Act will work health care is in for a not so big surprise.  Physicians and Hospitals already realize this, and there is much being written about it for the past 12 months, building now to a sense of total frustration and almost an apathetic approach to letting the plan go on, break down, cause financial losses and worsen care for patients..

We are now told, don’t worry we don’t know how or if it works, but we should progress and find out , after the fact.  This  sound much like the proclamation of the highest democratic leaders  in congress. We heard this before……we won’t know what is in it until we pass it.

Basically the Affordable Care Act was passed on a hope and a dream as a  political expediency and with an unrealistic goal and approved by our President with that in  mind.  President Obama's campaign rhetoric of “Hope and Change” was largely an empty promise. Yes, it promised change for the less fortunate in America…..at the expense of the nations overall financial health. Regardless of how the Supreme court ruled on the constitutional validity of the employer and individual mandate, Justice Roberts and his band of cronies voted that it was constitutional throwing it back to Congress to correct their incompetence.  Basically he refused to have the judicial system correct congressional incompetence.

Almost all of us want to provide a social health system that cares for everyone. It affects everyone to see a parent or family member and themselves  neglected by a broken health system, and fantasize that the whole of the ACA will be better than the parts.

This parallels the false and delusional analysis and refusal to deal with the national debt other than print more money.  In fact the Global dependency on the US Dollar underwriting of the financial  system is about to cease, being inherited by other countries such as the Chinese Yuan, the Euro-dollar (which is even weaker.  Perhaps this fact will evolve into banks refusing us credit completely very soon. 

The Affordable Care Act must be put on indefinite hold until it is totally reviewed by competent professionals without financial interest and those not involved with it’s passage in the first place.

The Affordable Care Act will worsen our credit worthiness. President Obama’s plan appeals to those who need hope and change (which may or may not occur, depending upon who you talk to.  A vast majority of Americans are more than uneasy with the plan.

Why were the Democrats in such a hurry to pass a bill they did not read? Political gain !!

Health Train Express and Digital Health Space will continue the message.

Wake up, stop drinking the ‘Kool Aid’, stop believing the  utter and absolute truth that our government has completely broken down.

Start writing your democratic leaders and overwhelm them with public opinion.

Perhaps we need a ‘Million Man March’ in D.C. and fill the Capital Mall, shut down Washington D.C. and maybe, just maybe President Obama and our worthless congress will get the message.

 

Digg This

Saturday, August 10, 2013

#ABC News

 

Today thus far has been an extremely active day for health care social media #hcsm .

Tweet chat, #abcdrbchat from ABC news is  number six on the twitter trend list this AM at 10:30 AM Pacific time. It appears that there were  many tweeps  from non health related sites in this chat.

And here is how to join any tweetchat.

Anyone who thinks #social media is not relevant to #medicine is about to become a  #dinosaur.

Some of the most popular hash tags revolve around #emr #hitsm #hcsm #d4pc #mhealth  Check the web site  Symplur for all the tags relating to health care and medicine.

During the past year physicians have engaged in social media with increasing frequency.

Despite these positive upticks there are those who are reticent to engage in social media.

Here are some things you may have experienced:

In the past year have you experienced:

          Nausea, due to keeping up with the rapid changes in the social media space ?

Y or N

Anxiety, due to the looming threat of an online flare up surrounding your organization?  Y or N

Frustration, due hospital exec rejecting your social media ideas?

Familiarize yourself with three targeted tracks in healthcare communications

1. PR and Marketing

2. Employee Communications

3. Social Media for Medical Professionals

 

Paul Sonnier at Digital Health lists the growing number of Digital Health Events between June 20113-June 2016 which number more than sixty.

During August;

HIMSS ASIAPAC13 Greater China eHealth Forum

National Forum on Data & Analytics in Healthcare @ Gaylord National R

Mobile Healthcare: Innovations in Telemedicine @ The George Washin

Digital Health Days – Stockholm

Digital Health Days - Stockholm @ Stockholm | Sweden

Aug 21 – Aug 22 all-day Conference Digital Health Europe

August 26, 2013 (Monday)

NIH-UCLA Summer Institute on Mobile Health (mHealth) Technology Research

NIH-UCLA Summer Institute on Mobile Health (mHealth) Technology Research @ Los Angeles | California | United States

Aug 26 – Aug 30 all-day California Course Los Angeles United States

August 27, 2013 (Tuesday)

BIOCOM’s 7th annual DeviceFest Conference @ Sheraton Carlsbad

BIOCOM's 7th annual DeviceFest Conference @ Sheraton Carlsbad | Carlsbad | California | United States

Aug 27 @ 8:00 am – 6:30 pm California Conference Diagnostic Medical Device San Diego United States

August 28, 2013 (Wednesday)

The Quantified Patient @ athenahealth's Visitor Center (Building 400)

The Quantified Patient @ athenahealth's Visitor Center (Building 400) | Watertown | Massachusetts | United States

Aug 28 @ 6:00 pm – 9:00 pm Big Data Consumer Digital Health Health IT Healthcare Massachusetts Medical Device United States Wearable Tech Wellness big data HealthcareSocialMedia healthstartup mobile Wearables

This unique event will feature forward thinking entrepreneurs, researchers and companies who are redefining healthcare through the use of self-tracking systems, behavior change psychology, and [...]

August 29, 2013 (Thursday)

Seattle Health Innovators Meetup @ SURF Incubator

Seattle Health Innovators Meetup @ SURF Incubator | Seattle | Washington | United States

Aug 29 @ 5:30 pm – 8:15 pm Accelerator Digital Health Healthcare Life Sciences Meetup Precision Medicine United States Wasghington Wellness

The purpose of the Seattle Health Innovation Forum is to support the individuals actively making health innovation happen. This community draws on entrepreneurs in businesses, [...]

 

For the Schedule for the remaining portion of 2013 and beyond […….] events.

Digg This

Wednesday, August 7, 2013

When It Comes to Health Care IT, How Much Progress Is Being Made in Each of the Following Areas?

 

 

EHR and Data Exchange Study by Farzad Mostashari and ONC Researchers

Posted: 05 Aug 2013 04:26 PM PDT

It’s always good to know who’s behind a study that you’re reading. In this case, it is a study by ONC and they are putting National Coordinator for Health Information Technology Farzad Mostashari’s name on it along with ONC researchers. In one respect, we know that ONC has a bias towards use of health IT. On the other hand they are also the organization with the most information on what’s happening with EHR and exchange of healthcare data. So, take those biases and check out some of the highlights of the study:
· 58 percent of hospitals exchanged data with providers outside their organization in 2012 and hospitals’ exchanges with other hospitals outside their organization more than doubled during the study period.

· Hospitals with basic EHR systems and participating in HIOs (health information organizations) had the highest rates of hospital exchange activity in 2012, regardless of the organizational affiliation of the provider exchanging data or the type of clinical information exchanged.

· The proportion of hospitals that adopted at least a basic EHR and participated in an HIO grew more than five-fold from 2008 to 2012.

· Between 2008 and 2012, there were significant increases in the percent of hospitals exchanging radiology reports, laboratory results, clinical care summaries, and medication lists with hospitals and providers outside of their organization.

· 84 percent of hospitals that adopted an EHR and participated in a regional HIO exchanged information with providers outside their organization.

Mostashari: We need a better marketplace  (2011)

Why are EMRs failing ?  

Even doctors who have purchased and successfully implemented electronic health records (EHRs) do not always know what they’re buying until the system is up and running.  Sound familiar ? It is what Nancy Pelosi told us about the Affordable Care Act. “You won’t know what is in it until it passes”  It reminds me of the “Cracker Jack” box, with the   surprise inside. The problem:

 

ONC director Farzad Mostashari made that point to a room full of chuckles on Wednesday while giving the closing keynote address at the Government Health IT Conference.

The problem: While there are nearly 750 EHR products certified for meaningful use stage 1, adequate apples-to-apples comparisons of features and prices do not exist today.

The Growth of Hospital Electronic Health Information Exchange

In 2012 nearly six in ten hospitals actively exchanged electronic health information with providers and hospitals outside their organization, an increase of 41 percent since 2008. EHR adoption and HIO participation were associated with significantly greater hospital exchange activity, but exchanges with providers outside the organization and exchanges of clinical care summaries and medication lists remained limited.

 

 

Digg This

Monday, August 5, 2013

Health Care and Social Media Slide Share

 

 
The Mayo Clinic Center for Health Social Media announced a residency program in which physicians will earn accredited CME credits.
This brings #hcsm into the fold of #social media.
 
Congratulations to all my fellow bloggers, Gplussers, tweeps, and facebook friends. I am also enjoying my new found platform, Pinterest as well. Join me there.
 
Digg This