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By Bill Siwicki | 08:14 am | April 20, 2016
CISOs and security analysts from top-tier firms offer highly effective advice and tactics for rooting out and getting rid of malicious code.
By Tom Sullivan | 04:02 pm | April 19, 2016
National Coordinator Karen DeSalvo, MD, is stepping away from the co-chair role on the ONC Health IT Policy Committee. Kathleen Blake, MD, vice president of performance improvement at the American Medical Association, will replace DeSalvo, according to Politico, which reported the announcement was made Tuesday at the joint meeting of the Health IT Policy and Standards Committees. Blake will serve alongside DeSalvo's current co-chair, Paul Tang, MD, chief innovation and technology officer at the Palo Alto Medical Foundation. Tang is also the head of ONC's meaningful use workgroup.  [Also: How satisfied are you with your EHR? Satisfaction Survey results]  DeSalvo currently serves as both National Coordinator for Health IT and Acting Assistant Secretary of Health and Human Services. She's been with ONC since January 2014. Health and Human Services Secretary Sylvia Burwell brought DeSalvo to HHS in October 2014 to help coordinate the federal government respond to the Ebola outbreak – touting her public health qualifications after having served as New Orleans Health Commissioner in the wake of Hurricane Katrina. In May 2015, President Barack Obama appointed DeSalvo HHS Acting Assistant Secretary for Health. If she gets a Senate confirmation hearing and is approved, she would step down from the National Coordinator post at ONC.   Twitter: SullyHIT Email the writer: tom.sullivan@himssmedia.com Like Healthcare IT News on Facebook and LinkedIn
By Jeff Lagasse | 03:29 pm | April 19, 2016
Theranos, the embattled blood testing startup, is now under investigation by the U.S. Securities and Exchange Commission, as well as the U.S. Attorney's Office for the Northern District of California, according to Bloomberg. The investigation is the latest in a series of hardships for the once-vaunted company, coming on the heels of a recommendation by the Centers for Medicare and Medicaid Services that founder Elizabeth Holmes be banned from the blood testing business for a two-year period. In March, a study in the Journal of Clinical Investigation found that cholesterol test results obtained through Theranos – which are drawn from small finger pricks – were much different than those from large laboratory companies, implying that doctors' medical decisions could be thrown off by results acquired through Theranos technology. [Also: Theranos results differed from Quest, LabCorp enough to impact care decisions, study finds] In all, Theranos' results for total cholesterol were found to be an average 9.3 percent lower than those obtained through clinical laboratories Quest and LabCorp, according to the March study. This has lead researchers to surmise that in some instances, doctors may inappropriately begin, or fail to begin, statin therapy, a drug-based regimen that aims to prevent heart disease. The investigation by the SEC, which ensures companies give accurate information to investors, was one of several described in a memo from Theranos (once valued at $9 billion) obtained by Bloomberg. The memo was originally furnished to Theranos' partners including Walgreen's, which has reportedly been looking to cut ties with the startup. "The company continues to work closely with regulators and is cooperating fully with all investigations," Theranos officials said. Before the federal investigations were announced Monday, Holmes appeared on NBC's Today show to say she was "devastated" that her lab did not discover its deficiencies. Holmes also said Theranos would rebuild its lab from scratch to avoid future problems. In addition to suggesting that Holmes be temporarily banned from the industry, CMS has proposed a number of other sanctions, including revocation of Theranos' Clinical Laboratory Improvement Amendments of 1988 certificate – or, alternatively, a civil monetary penalty of $10,000 per day for each day of non-compliance. Theranos could delay the effective date of the sanctions by filing an appeal. Twitter: @JELagasse Like Healthcare IT News on Facebook and LinkedIn
By Healthcare IT News | 01:12 pm | April 19, 2016
Recent cyberattacks on healthcare have been highly disruptive and publicly embarrassing for the industry. Take part in the 2016 HIMSS Cybersecurity Survey to help identify how organizations are mitigating the risk of being the next victim.
By Bernie Monegain | 12:43 pm | April 19, 2016
Healthcare analytics company Decision Resources Group is growing its healthcare data trove in a big way, adding claims and electronic health record data for its new Real World Evidence repository, or RWE. DRG touts the fact that RWE, meant to offering its clients better patient insights and help them do longitudinal analytics, covers 90 percent of the U.S. healthcare system The company did not release the cost of the data acquired. Brigham Hyde, senior vice president of analytics and chief data officer at DRG, said the amount of data it now has available for licensing to its clients – all of it de-identified – far surpasses that offered by Truven and other data companies. "We have four times as many patients as Truven has and six times as many claims, and we have EHR detail," Hyde said. IBM announced February 18 it would purchase analytics company Truven, adding a massive repository of data to its Watson Health Cloud. [Also: IBM Watson buying Truven Health Analytics for $2.6 billion] DRG is expanding its expertise to offer its clients more complete and dynamic analyses in the following areas: health economics and outcomes research, epidemiology validation, patient-level forecasting and market sizing, patient-level compliance and real-time network influence. The RWE data asset comes from multiple data providers in the U.S. and includes patient, healthcare professional and payer-level analysis. "As healthcare continues its shift from volume to value, DRG's RWE repository enables academic grade analysis of the cost centers of healthcare in the U.S., as well as the behaviors and outcomes of treatment and coverage decisions," Hyde said. The repository covers 240 million unique U.S. patients with more than five years of historical data, and has 3.2 billion medical and pharmacy claims, enabling closer analysis of cost and outcomes data, according to DRG. Hyde said DRG would leverage its nearly 400 analysts worldwide to provide customers with disease specific insights. For example, the repository has strong coverage of Type 2 diabetes, along with payment details, lab values and clinical progress of patients. DRG also is using the RWE repository to make available custom and interactive analytic dashboards and analytics to enable clients to answer important business questions quickly. In a separate announcement today, DRG said the board of directors appointed Jonathan Sandler CEO. Sandler also serves as DRG chairman of the board.
By Jessica Davis | 12:33 pm | April 19, 2016
Sixty percent of healthcare IT security executives are increasing spending for better data protection, according to a recent study. Another 46 percent plan to implement data security tools catch up with industry best practices.
By Mike Miliard | 11:58 am | April 19, 2016
Care coordination, quality measurement, patient engagement and population health management strategies are routinely used by physicians with electronic health records who participate in accountable care organizations or patient-centered medical homes, according to a new study published in the American Journal of Managed Care. Aiming to find out whether doctors using health IT and working within new reimbursement models were actually employing improved care processes, researchers Jennifer King, Vaishali Patel, Eric Jamoom and Catherine DesRoches examined cross-sectional data on office-based physicians from the 2012 National Ambulatory Medical Care Survey Physician Workflow Survey. "Early indicators suggest strong physician participation in initiatives to support health IT adoption and to reform healthcare payment and delivery," they said. "However, evidence on whether provider participation in these initiatives has translated to better care delivery is just beginning to emerge. "Although studies prior to HITECH and the ACA found health IT and external reporting or payment incentives to be associated with a higher likelihood of performing these care processes," they added, "they are performed at low rates even when these factors are in place." [Also: 4 surprising benefits of PCMH] King et al. examined how ACO and PCMH docs used their EHRs for 14 specific processes in four categories: population management, quality measurement, patient communication and care coordination. They found that those factors were independently associated with better processes: "Physicians who were using EHRs in combination with participation in ACO or PCMH initiatives had the highest likelihood of routinely performing the care processes." Indeed, those docs "were between 6 and 22 percentage points more likely to routinely perform the care processes than physicians with EHRs alone." While fewer than half (44 percent) reported routinely doing quality measurement, substantial majorities of docs said they routinely engage in care coordination (89 percent), patient communication (69 percent), and population management (67 percent). "Given the cross-sectional nature of this study, these results do not establish a causal relationship between payment reform, EHR use, and these care processes," researchers said. "Nonetheless, this finding is consistent with other research that shows that healthcare providers are most likely to perform these care processes when practicing in a payment environment that incentivizes and supports such care." Moreover, many U.S. physicians are still "not performing these processes routinely," researchers said. "Our analysis highlights several specific areas – including population management processes that require the aggregation and analysis of individual patient data and communication with patients and other care team members – where additional technology and policy supports may be important to facilitate wider adoption of these activities." Twitter: @MikeMiliardHITN Email the writer: mike.miliard@himssmedia.com Like Healthcare IT News on Facebook and LinkedIn
By Bill Siwicki | 08:36 am | April 19, 2016
A top security expert says healthcare entities need to apply a more scientific and evidence-based approach to the practice of security. Here’s what Seattle Children’s is doing to harden its threat environment.
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By Validic | Validic | 01:00 am | April 19, 2016
(SPONSORED) The year ahead offers some promising trends—and optimizing the full potential of digital health will be the key to real progress.
By Bernie Monegain | 12:41 pm | April 18, 2016
Big screens in every hospital unit show quality and safety indicators for doctors, nurses, patients and family members. Children’s has reduced urinary tract infections while improving medication safety and time to treatment.