Stump Named One Of HIMSS’ Most Influential Women Room at the Top

In the IT world there seems to be less 'glass ceiling'. Many women are CIO's and/or recognized as top influencers.  Lisa Stump, CIO at Yale New Haven Health and Yale School of Medicine, was among the seven recipients of HIMSS’ Most Influential Women in Health IT Award.

Lisa Stump, CIO at Yale New Haven Health and Yale School of Medicine, was among the seven recipients of HIMSS’ Most Influential Women in Health IT Award.

The designation is part of a new initiative designed to address the gender gap in health IT and the need for more recognition of women sector-wide, according to HIMSS. The winners, who were decided by a panel of female industry leaders, include:

• Karen DeSalvo, MD, MPH, MSc, Acting Assistant Secretary of Health, HHS
• Marion J. Ball, EdD, Senior Advisor, IBM-Center for Computational Health, and Professor Emerita, Johns Hopkins University
• Christina Caraballo, Senior Healthcare Strategist, Get Real Health
• Karen Guice, MD, Acting Assistant Secretary of Defense for Health Affairs, US Department of Defense
• Rachelle Blake, CEO and Managing Director, Omni Med Solutions, Germany
• Shareefa Al Abulmonem, MSc, Head of eServices, King Faisal Specialist Hospital and Research Center, Saudi Arabia

Stump and her fellow recipients will be honored at a dinner during the upcoming HIMSS conference in Orlando, Fla.







Stump Named One Of HIMSS’ Most Influential Women | healthsystemcio.com

Office of the National Coordinator for Health Information Technology Weekly Digest Bulletin - digitalhealthspace@gmail.com - Gmail

Office of the National Coordinator for Health Information Technology  



      A summary of the most recent pronouncements from CMS.gov

eCQM Electronic Specifications

These electronic specifications are fully developed and represent the electronic Clinical Quality Measures (eCQMs) that will be proposed in 2016 for the ambulatory quality reporting programs. This page will be updated if changes are made to the final measure requirements.

Each year, CMS makes updates to the electronic specifications of the Clinical Quality Measures approved for submission in CMS programs. CMS encourages the implementation and use of the updates because they include new codes, logic corrections and clarifications.

For those attesting to eCQMs to demonstrate meaningful use for the EHR Incentive Programs: CMS will accept all versions of the eCQMs through attestation, beginning with those finalized in the December 4, 2012 CMS-ONC Interim Final Rule. For eReporting of eCQMs to demonstrate meaningful use or for Quality Reporting Programs: An eligible professional must use the most current version of the eCQMs identified below.  Information on Reporting Options is available on here.

The vocabulary value sets used by eCQMs consist of codes and terms drawn from standard vocabularies such as SNOMED CT®, RxNorm, and ICD-10-CM to represent the clinical concepts found in EHR patient data as defined by the eCQMs (e.g., patients with diabetes, clinical visit). Providers must ensure their health IT systems either capture or can map to these codes in order to report eCQMs. 2017 Performance Period code versions include CPT 2016, LOINC 2.54, RXNORM 2016-01, SNOMEDCT 2015-09 and more. To obtain the value sets for the eCQMs and a complete list of code versions used in any particular update, visit the Value Set Authority Center (VSAC).

The United States Health Information Knowledgebase (USHIK) provides the ability to compare past eCQMs as well as the downloading the eCQMs in various file formats such as SVS, CSV, XML, etc.

eCQM Electronic Specifications

These electronic specifications are fully developed and represent the electronic Clinical Quality Measures (eCQMs) that will be proposed in 2016 for the ambulatory quality reporting programs. This page will be updated if changes are made to the final measure requirements.

Each year, CMS makes updates to the electronic specifications of the Clinical Quality Measures approved for submission in CMS programs. CMS encourages the implementation and use of the updates because they include new codes, logic corrections and clarifications.

For those attesting to eCQMs to demonstrate meaningful use for the EHR Incentive Programs: CMS will accept all versions of the eCQMs through attestation, beginning with those finalized in the December 4, 2012 CMS-ONC Interim Final Rule. For eReporting of eCQMs to demonstrate meaningful use or for Quality Reporting Programs: An eligible professional must use the most current version of the eCQMs identified below.  Information on Reporting Options is available on here.

The vocabulary value sets used by eCQMs consist of codes and terms drawn from standard vocabularies such as SNOMED CT®, RxNorm, and ICD-10-CM to represent the clinical concepts found in EHR patient data as defined by the eCQMs (e.g., patients with diabetes, clinical visit). Providers must ensure their health IT systems either capture or can map to these codes in order to report eCQMs. 2017 Performance Period code versions include CPT 2016, LOINC 2.54, RXNORM 2016-01, SNOMEDCT 2015-09 and more. To obtain the value sets for the eCQMs and a complete list of code versions used in any particular update, visit the Value Set Authority Center (VSAC).

The United States Health Information Knowledgebase (USHIK) provides the ability to compare past eCQMs as well as the downloading the eCQMs in various file formats such as SVS, CSV, XML, etc.

The full detail of the measures are found at:   https://ecqi.healthit.gov/ep

This and further information is offered by Digital Health Space, a consulting organization for Health Care Professionals.  No warranties or guarantee is offered.  The material is time dependent as of the date of this publication. Readers are advised to refer to https://ecqi.healthit.gov/ep

Signal vs. Noise Digital Health Webinar Series – AMA Edition – The Digital Health Maven Project

AMA = Ask me anything

In a recent blog post I wrote about wearables. There is much controversy about the usefulness of these devices.  More time may be necessary for these mobile health aids to fit into the scheme of things.  In a very timely  manner, this webinar is being offered by Fard Johnmar, founder of the leading innovation consultancy Enspektos, a bestselling author, digital health futurist, researcher and strategist. He works with government, startups, leading organizations and others around the world to help shape and accelerate digital innovation in health.

These are being marketed directly to consumers without much coordination with providers.  They may be wearables, but where does the data go? Does the patient know what the data means ?

The wearable market has grown substantially. Most purchasers use them for only a short period.. They have social value and attract other like minded individuals, and may just offer 'snob appeal' for yuppies. Their use however is unsupervised by anyone, so the utility of the wearable is diminished by not having professional feedback. Nor is there supporting documentation online.

Several things must happen before the wearable market enjoys sustainability.

1. Wearables must be FDA  certified as a medical device to ensure accuracy, safety, and reliability.

2. They must connect via an SD card or other connectivity such as wifi or bluetooth to a data storage system or direclty to an EHR.

3. They should be formally prescribed by an physician for use and identified by an appropriate ICD diagnosis code. The engagement with a provider will motivate a patient, especially if prescribed, just lke a medication, or glucometer...

Our second Signal vs. Noise Digital Health Webinar is a special end of 2016 edition featuring your questions, prizes and more! Here's what's in store for the session:

This will be a structured AMA focusing on the following topics:

-Are wearables dead?
-Trump & Digital Health Innovation: Navigating Choppy Waters
-Digital Health Investment: Bull or Bear Market?
-Digital Health in 2017: What to Expect?

-Any Other Topic YOU Can Think Of









Signal vs. Noise Digital Health Webinar Series – AMA Edition – The Digital Health Maven Project

Doctors Work on 'Webside Manner' As Telemedicine Becomes More Popular

"Seeing your doctor" via  telemedicine is not quite the same as an office visit.  For the phyician it is quite different. The conversion and/or addition to this format requires some short formal training.

Most televideo services provide this when a provider subscribes to a service such as Health Tap.  Using telehealth requires 'stage presence' and a formal structure to maximize it's reliability.

Get ready to text your doctor.

Why go to the doctor, when you can just Skype or text her? Skype is available on mobile, Mac, and Android. That may sound glib, but these days, it’s a serious question. And in a field where many trends—skyrocketing drug prices and healthcare costs—tend to defy logic, the rise of telemedicine is one that makes a lot of sense, said Vivian Lee, CEO of University of Utah Health Care, speaking on a panel about virtual health at Fortune’s Brainstorm Health conference in San Diego  Regulations such as HIPAA have interfered with the dissemination of telehealth, however software is rapidly catching up with the need for cybersecurity.  Normal text, sms and chat features are not yet compliant with the needs.

Suneel Gupta, head of mobile, for One Medical, said patients engage with his company’s virtual health platform 25 to 30 times a week. While there’s a convenience factor, there are also safety implications. Telemedicine keeps the sickest patients at home, and out of the hospital, where there is greater risk of infection.

Especially, as the Center for Medicare & Medicaid Services makes its push to value-based, rather than fee-based care, it’s likely that telemedicine, which saves costs and improves outcomes, has a role to play, said Lee.

That’s not to say there aren’t a few wrinkles to work out. Not all doctors are naturals at virtual care. They often have to work on their “webside manner,” said Hill Ferguson, CEO of Doctor on Demand, a telemedicine company that serves corporations and large employers. (Ron Gutman, CEO and Founder of HealthTap, another virtual health start-up, says his company’s users actually prefer texting to video care.)

And regulation hasn’t yet caught up with the telemedicine trend. Doctors must be licensed in both the state in which they’re giving care, as well as the state in which that care is being received. For health systems that have hospitals in many states, that’s an especially tedious challenge.

Oh, and one other thing: in many cases, telemedicine sessions are not reimbursed. That makes it an even more difficult for health providers to decide whether to build out virtual health infrastructure.

Doctors Work on 'Webside Manner' As Telemedicine Becomes More Popular