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Commentary

Google Glass Isn’t Just for Remote Scribes

August 22, 2017     David Raths
Creating a remote presence for specialists is critical for a Canadian province with a population of about a million people scattered over a territory roughly the size of France.

What New Research Says about Which Federal Financial Incentives Produce Health System Change

August 18, 2017     Mark Hagland
A new study in Health Affairs looks at the extent to which meaningful use incentives actually spurred EHR adoption—and what the implications are for federally driven incentives for change going forward

VA-DoD: Winning the Battle for Interoperability

August 16, 2017     Dave Levin, M.D.
While the VA’s decision to migrate to the same EMR platform as the DoD is a sound one, it will not, in and of itself, solve the interoperability problem

Joe Biden, Judy Faulkner, and the One Thousand-Page Medical Record

August 7, 2017     Dave Levin, M.D.
I’ve been reflecting on a recent article in Politico in which Greg Simon, president of the Biden Cancer Initiative, recalled an exchange between former Vice President Joseph Biden and Epic CEO Judy Faulkner. The topic was access to patient records.

Two British Doctors’ Searing Testimony on WannaCry’s Devastating Impact on the U.K.'s NHS

August 7, 2017     Mark Hagland
It was fascinating to read a Perspectives article in The New England Journal of Medicine, written by two physicians who practice inside the National Health Service (NHS) in the United Kingdom, and to hear directly about how devastating the WannaCry attack was, on NHS daily operations

The Allscripts-McKesson EHR Deal: Time to Consider the Broader Industry—and Policy—Context

August 6, 2017     Mark Hagland
Looking at the deal announced last week in which Allscripts is acquiring McKesson’s hospital IT business, in light of broader industry and policy trends, and to ask: how might this deal figure into broader interoperability and federal healthcare IT policy trends?

Without Transformational Investments in Data Security, Healthcare Will Continue to be Vulnerable

August 3, 2017     Heather Landi
Ongoing data breaches should be a call-to-action for healthcare organizations to increase data security, but many cybersecurity experts contend that call-to-action may be falling on deaf ears at the senior leadership and board level at patient care organizations.

Could Cybercriminals Be on the Verge of Executing a New, Terrible Type of Attack on Healthcare?

July 31, 2017     Mark Hagland
A team of writers, in a New England Journal of Medicine “Perspective” op-ed, articulates the dangerous potential ahead for a truly unprecedented type of attack on patient care organizations—the possibility of direct manipulations of patient data

Where Are Health Systems Falling Short in Addressing Social Determinants of Health?

July 28, 2017     David Raths
Eighty percent of executives surveyed by the Deloitte Center for Health Solutions said social needs are a core part of their mission, but 72 percent said they don’t have sustainable funding to do it.

Creating a Cybersecurity Culture: What Healthcare IT Security Leaders Already Know

July 26, 2017     Mark Hagland
It was fascinating to hear healthcare IT leaders discuss the topic of developing a culture of cybersecurity, during the Health IT Summit in Denver, and to find out what they’re already learning through their efforts in their organizations

New Perspectives on the Meaning of Success—As MD Group Leaders Forge Ahead Into Risk

July 21, 2017     Mark Hagland
Sometimes, even a book’s title and book-jacket copy can be riveting. In one case, it reminded me of how pioneering medical groups are transforming their organizations in order to take on financial risk.

Beware of the Thirsty Candidates

July 20, 2017     Tim Tolan
It’s a bad sign if a prospective employee appears too aggressive during the hiring process.

Hospitals Ranked on Responsiveness to Patient Record Requests; How Is Yours Doing?

July 20, 2017     David Raths
PatientBank, a company that helps patients request their records from hospitals, created a rubric to rate hospital health information management departments on their flexibility and responsiveness.

A New C-Level Position Proposed for the Hospital

July 18, 2017     David Raths
Two leaders in primary care are proposing a new hospital role: the chief primary care medical officer.

With MDs at the Helm, Might Some of Health IT’s Burdens Be Behind Us?

July 13, 2017     Rajiv Leventhal
During a call with health IT press this week, ONC leadership again affirmed their aim to make EHRs easier to use for doctors. Is this a good sign of things to come?

Are Safety-Net Hospitals Being Unfairly Penalized by Medicare’s Value-Based Purchasing Program?

July 12, 2017     Mark Hagland
An analysis by the Government Accountability Office finds concerning discrepancies between the stated goals of the Hospital Value-Based Purchasing Program and its execution in practice, around the penalization of safety-net hospitals

What Ethical Issues Does the Precision Medicine Initiative Face?

July 10, 2017     David Raths
Nancy Kass, Sc.D., a professor of bioethics and public health at the Johns Hopkins Bloomberg School of Public Health in Baltimore, described her role as chair of the institutional review board of the the Precision Medicine Initiative, now called the All of Us Research Program.

When It Comes to Assessing the Value of the PCMH Model of Care, the Devil Really Is In the Details

July 8, 2017     Mark Hagland
A recent study published in the New England Journal of Medicine has found some seemingly counter-intuitive results, in the analysis of the adoption of the patient-centered medical home model FQHCs—but counter-intuitive only on the surface

Could European Data Protection Regulation Give FHIR a Boost?

July 5, 2017     David Raths
The European Union’s General Data Protection Regulation will introduce sweeping changes in May 2018. It could also impact the international adoption of interoperability standards such as HL7’s FHIR.

Could Apple’s Latest Venture into Health IT Disrupt the Entire Industry?

June 27, 2017     Rajiv Leventhal
Apple is in talks with a multitude of healthcare stakeholders with eyes on turning your iPhone into a centralized bank for medical information.

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