MedClimate Health News Daily http://medclimate.com/feed en-us Copyright MedClimate, Inc2018 Atrium Health agrees to settle antitrust lawsuit over contract language http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/hospitals-health-systems/atrium-health-agrees-to-settle-antitrust-lawsuit?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/hospitals-health-systems/atrium-health-agrees-to-settle-antitrust-lawsuit?utm_source=internal&utm_medium=rss Thu, 15 Nov 2018 09:42:27 CST Tina Reed at FierceHealthcare: Payer Formerly known as Carolinas HealthCare System, Atrium will resolve more than two years of civil antitrust litigation over contract provisions that blocked health insurers from promoting innovative health benefit plans and cost-effective services to consumers if a court approves the deal.  Want to speed adoption of new evidence-based care guidelines? Try getting insurers and providers to work together http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/hospitals-health-systems/achp-how-payer-provider-collaboration-can-drive-adoption-evidence-based?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/hospitals-health-systems/achp-how-payer-provider-collaboration-can-drive-adoption-evidence-based?utm_source=internal&utm_medium=rss Wed, 14 Nov 2018 14:30:33 CST Paige Minemyer at FierceHealthcare: Payer Better collaboration between insurers and healthcare providers could help accelerate the use of evidence-based care, according to a new report from the Alliance of Community Health Plans. NIH scientists combine technologies to view the retina in unprecedented detail http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/nih-scientists-combine-technologies-view-retina-unprecedented-detail http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/nih-scientists-combine-technologies-view-retina-unprecedented-detail Wed, 14 Nov 2018 13:00:00 CST NIH News Release Technique enables direct imaging of neural tissue; could lead to earlier detection of diseases affecting eye tissue. ]]> CMS approves value-based drug payments in Michigan's Medicaid program http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/cms-approves-value-based-drug-payments-michigan-s-medicaid-program?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/cms-approves-value-based-drug-payments-michigan-s-medicaid-program?utm_source=internal&utm_medium=rss Wed, 14 Nov 2018 12:50:58 CST Evan Sweeney at FierceHealthcare: Payer The Centers for Medicare & Medicaid Services (CMS) will allow Michigan's Medicaid program to enter into outcomes-based drug payments with manufacturers. It's the second state to receive approval from the agency to move forward with such arrangements. Why HHS wants Medicare Advantage plans to pay for home modifications, transportation for seniors http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/hospitals-health-systems/azar-and-social-determinants-health?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/hospitals-health-systems/azar-and-social-determinants-health?utm_source=internal&utm_medium=rss Wed, 14 Nov 2018 11:15:54 CST Tina Reed at FierceHealthcare: Payer Health and Human Services Secretary Alex Azar also teased work by CMMI to pay for benefits like food and housing through Medicaid as he addressed a crowd in D.C. on Wednesday. FTC hearing: Not all AI is created equal, so safety and validation are critical http://medclimate.com/external/index.php?https://www.healthcareitnews.com/news/ftc-hearing-not-all-ai-created-equal-so-safety-and-validation-are-critical http://medclimate.com/external/index.php?https://www.healthcareitnews.com/news/ftc-hearing-not-all-ai-created-equal-so-safety-and-validation-are-critical Wed, 14 Nov 2018 11:08:36 CST mmiliard at Healthcare IT News - Government & Policy In hearings yesterday and today at the Howard University Law School in Washington, D.C., the Federal Trade Commission is gathering expert perspective on the current state of artificial intelligence technologies and techniques: how they're being put to work in real-world practice; what ethical and consumer protection issues might be at play; how industries are being reshaped by them, and how federal policy should evolve accordingly. WHY IT MATTERS Speaking at the event on Nov. 13 were Teresa Zayas Cabán, chief scientist at the Office of the National Coordinator for Health IT, and Dr. Michael Abramoff, founder and CEO of IDx Technologies. His is the first company to get clearance from the FDA for an autonomous AI diagnostic device: its IDx-DR, which uses an algorithm to assist in detection of diabetic retinopathy and has already been rolled out at some health systems. Their panel discussion, Understanding Algorithms, Artificial Intelligence, and Predictive Analytics Through Real World Applications, included leaders from companies such as Adobe and Visa, which showed how they're using AI (improving consumers' creative experience and protecting against fraud, respectively, among others), but later turned to healthcare applications. As an ophthalmologist and longtime proponent of AI, Abramoff said his nickname among his clinical peers used to be "The Retinator." "In 2010, my colleagues were thinking, 'He's like a Terminator, he will destroy jobs and he's also not being safe for patients,'" he said. "Now, they think very differently, but that shows you how this fear of AI is not new. It's there and it's real and we need to manage it," said Abramoff. But his presentation – which traced AI's evolution year by year over the past decade-plus, gaining technological maturity and a social and regulatory acceptance along the way – made the case that, properly managed and deployed, with rigorous assurances that it meets "standards of safety and efficacy," the benefits of autonomous AI can outweigh the risks. Abramoff pointed to a quote from a recent New Yorker article about a former Google engineer, who's at the center of a big controversy around the AI behind self-driving vehicles: "If it is your job to advance technology, safety cannot be your No. 1 concern," said the engineer. "If it is, you’ll never do anything." That's simply not true, said Abramoff. In fact, the opposite is. "Technology used in a lab does not directly transfer to what we do in healthcare," he said. "Patient safety is paramount. And if we don't do it right, (the technology) will be pushed back and we will lose all of the advantages that AI can have in healthcare, for better quality, lower costs and better accessibility." THE LARGER TREND Healthcare AI investment is occurring at a rapid pace, fast exceeding $1 billion industry-wide, with more than half of hospitals either deploying or planning deployments of various shapes and sizes in the near future. But major ethical questions and patient safety concerns remain. With those in mind, there are several healthcare-specific challenges that need to be addressed in the years ahead, said Zayas Cabán, who cited the findings of a 2018 JASON report that listed them: Acceptance of AI applications in clinical practice will require immense validation Ability to leverage the confluence of personal networked devices and AI tools Availability of and access to high-quality training data from which to build and maintain AI applications in health Executing large-scale data collection to include missing data streams Building on the success in other domains, creating relevant AI competitions Understanding the limitations of AI methods in health and healthcare applications ON THE RECORD Despite those hurdles, there's clearly just as many possibilities for AI, "emerging applications in health and healthcare, from public health to clinical health, as well as prevention and treatment," said Zayas Cabán. ONC's role, she said, is to "work with other agencies to identify what those possibilities are. Our focus is on making data interoperable to be able support the development of AI, understanding the data infrastructure issues and what kinds of standards are needed to support this vision." "Not all AI is created equal, and we need to educate the public on how to assess different types of healthcare applications," added Abramoff in a separate statement. "It is critical that autonomous AI applications are thoroughly validated and developed in a clinically safe and explainable way that builds trust with patients and clinicians. Safety needs to be the number one concern for responsible AI companies." Focus on Artificial Intelligence In November, we take a deep dive into AI and machine learning. Twitter: @MikeMiliardHITN Email the writer: mike.miliard@himssmedia.com Region Tag: Global EditionPrimary Topic: Artificial IntelligentAdditional Topics: Artificial IntelligentTechnologyCustom Tags: Artificial Intelligent (7554)Disable Auto Tagging: Disable Auto TaggingShort Headline: FTC hearing: Not all AI is created equalHOT @HIMSS: Featured Decision Content: 

In hearings yesterday and today at the Howard University Law School in Washington, D.C., the Federal Trade Commission is gathering expert perspective on the current state of artificial intelligence technologies and techniques: how they're being put to work in real-world practice; what ethical and consumer protection issues might be at play; how industries are being reshaped by them, and how federal policy should evolve accordingly.

WHY IT MATTERS
Speaking at the event on Nov. 13 were Teresa Zayas Cabán, chief scientist at the Office of the National Coordinator for Health IT, and Dr. Michael Abramoff, founder and CEO of IDx Technologies. His is the first company to get clearance from the FDA for an autonomous AI diagnostic device: its IDx-DR, which uses an algorithm to assist in detection of diabetic retinopathy and has already been rolled out at some health systems.

Their panel discussion, Understanding Algorithms, Artificial Intelligence, and Predictive Analytics Through Real World Applications, included leaders from companies such as Adobe and Visa, which showed how they're using AI (improving consumers' creative experience and protecting against fraud, respectively, among others), but later turned to healthcare applications.

As an ophthalmologist and longtime proponent of AI, Abramoff said his nickname among his clinical peers used to be "The Retinator."

"In 2010, my colleagues were thinking, 'He's like a Terminator, he will destroy jobs and he's also not being safe for patients,'" he said.

"Now, they think very differently, but that shows you how this fear of AI is not new. It's there and it's real and we need to manage it," said Abramoff.

But his presentation – which traced AI's evolution year by year over the past decade-plus, gaining technological maturity and a social and regulatory acceptance along the way – made the case that, properly managed and deployed, with rigorous assurances that it meets "standards of safety and efficacy," the benefits of autonomous AI can outweigh the risks.

Abramoff pointed to a quote from a recent New Yorker article about a former Google engineer, who's at the center of a big controversy around the AI behind self-driving vehicles: "If it is your job to advance technology, safety cannot be your No. 1 concern," said the engineer. "If it is, you’ll never do anything."

That's simply not true, said Abramoff. In fact, the opposite is.

"Technology used in a lab does not directly transfer to what we do in healthcare," he said. "Patient safety is paramount. And if we don't do it right, (the technology) will be pushed back and we will lose all of the advantages that AI can have in healthcare, for better quality, lower costs and better accessibility."

THE LARGER TREND
Healthcare AI investment is occurring at a rapid pace, fast exceeding $1 billion industry-wide, with more than half of hospitals either deploying or planning deployments of various shapes and sizes in the near future. But major ethical questions and patient safety concerns remain.

With those in mind, there are several healthcare-specific challenges that need to be addressed in the years ahead, said Zayas Cabán, who cited the findings of a 2018 JASON report that listed them:

  • Acceptance of AI applications in clinical practice will require immense validation
  • Ability to leverage the confluence of personal networked devices and AI tools
  • Availability of and access to high-quality training data from which to build and maintain AI applications in health
  • Executing large-scale data collection to include missing data streams
  • Building on the success in other domains, creating relevant AI competitions
  • Understanding the limitations of AI methods in health and healthcare applications

ON THE RECORD
Despite those hurdles, there's clearly just as many possibilities for AI, "emerging applications in health and healthcare, from public health to clinical health, as well as prevention and treatment," said Zayas Cabán.

ONC's role, she said, is to "work with other agencies to identify what those possibilities are. Our focus is on making data interoperable to be able support the development of AI, understanding the data infrastructure issues and what kinds of standards are needed to support this vision."

"Not all AI is created equal, and we need to educate the public on how to assess different types of healthcare applications," added Abramoff in a separate statement. "It is critical that autonomous AI applications are thoroughly validated and developed in a clinically safe and explainable way that builds trust with patients and clinicians. Safety needs to be the number one concern for responsible AI companies."

Focus on Artificial Intelligence

In November, we take a deep dive into AI and machine learning.

Twitter: @MikeMiliardHITN
Email the writer: mike.miliard@himssmedia.com

Region Tag: 
Global Edition
Primary Topic: 
Disable Auto Tagging: 
Disable Auto Tagging
Short Headline: 
FTC hearing: Not all AI is created equal
HOT @HIMSS: 
Featured Decision Content: 
]]>
NIH scientists illuminate causes of hepatitis b virus-associated acute liver failure http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/nih-scientists-illuminate-causes-hepatitis-b-virus-associated-acute-liver-failure http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/nih-scientists-illuminate-causes-hepatitis-b-virus-associated-acute-liver-failure Tue, 13 Nov 2018 17:15:00 CST NIH News Release Rare condition can turn fatal within days. ]]> Experts: Trump administration’s moves will put drug prices center stage in 2020 election http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/finance/experts-trump-administration-s-moves-likely-to-put-drug-prices-center-stage-for-2020?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/finance/experts-trump-administration-s-moves-likely-to-put-drug-prices-center-stage-for-2020?utm_source=internal&utm_medium=rss Tue, 13 Nov 2018 14:39:55 CST Paige Minemyer at FierceHealthcare: Payer The Trump administration’s plan to peg Part B drug prices to those paid in other countries may not come to fruition in its current form, but it’s meant more to signal to the healthcare industry—and voters—that it's serious on this issue, experts say.  CMS increases Healthcare.gov breach total to 93,600 http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/tech/cms-increases-healthare-gov-breach-totals-to-93-000?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/tech/cms-increases-healthare-gov-breach-totals-to-93-000?utm_source=internal&utm_medium=rss Tue, 13 Nov 2018 13:52:20 CST Evan Sweeney at FierceHealthcare: Payer More than 18,000 people were added to the final number of consumers impacted by the Healthcare.gov breach last month. A CMS spokesperson said the agency has reached out to all affected consumers. CMS gives states permission to waive Medicaid's IMD exclusion, expanding mental health treatment http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/payer/cms-gives-states-permission-to-waive-imd-exclusion-via-ss1115-waiver?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/payer/cms-gives-states-permission-to-waive-imd-exclusion-via-ss1115-waiver?utm_source=internal&utm_medium=rss Tue, 13 Nov 2018 10:43:00 CST Rose Meltzer at FierceHealthcare: Payer In an announcement on Tuesday, Health and Human Services Secretary Alex Azar said the so-called institutions for mental diseases (IMD) exclusion has "unnecessarily restricted" access to critical mental healthcare for beneficiaries. AMA outlines initiatives aimed at fixing ‘dysfunctional’ healthcare system at interim meeting http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/practices/ama-outlines-initiatives-aimed-at-fixing-dysfunctional-healthcare-system-at-interim?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/practices/ama-outlines-initiatives-aimed-at-fixing-dysfunctional-healthcare-system-at-interim?utm_source=internal&utm_medium=rss Mon, 12 Nov 2018 16:21:07 CST Paige Minemyer at FierceHealthcare: Payer The “dysfunctional” U.S. health system may be working to improve hospital and payer bottom lines, but it’s not working as intended for patients or the doctors that care for them, the head of the American Medical Association said. Athenahealth to be acquired for $5.7B by Veritas Capital and Elliott subsidiary http://medclimate.com/external/index.php?https://www.healthcareitnews.com/news/athenahealth-be-acquired-57b-veritas-capital-and-elliott-subsidiary http://medclimate.com/external/index.php?https://www.healthcareitnews.com/news/athenahealth-be-acquired-57b-veritas-capital-and-elliott-subsidiary Mon, 12 Nov 2018 08:44:35 CST at Most Popular News from healthcareitnews.com The company will be combined with Veritas-owned Virence Health, but will continue operating under the athenahealth name and keep its Watertown, Massachusetts, headquarters. Virence CEO Bob Segert will lead it. WellCare, Spectrum Health join new blockchain effort focused on provider credentialing, directories http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/tech/wellcare-spectrum-health-join-new-blockchain-effort-focused-provider-credentialing-directories?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/tech/wellcare-spectrum-health-join-new-blockchain-effort-focused-provider-credentialing-directories?utm_source=internal&utm_medium=rss Fri, 09 Nov 2018 16:32:08 CST Evan Sweeney at FierceHealthcare: Payer Several large payers and providers are joining a new pilot project that plans to find out just how much time blockchain can shave off the monthslong credentialing process and improve the accuracy of provider directories. Soy formula feeding during infancy associated with severe menstrual pain in adulthood http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/soy-formula-feeding-during-infancy-associated-severe-menstrual-pain-adulthood http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/soy-formula-feeding-during-infancy-associated-severe-menstrual-pain-adulthood Fri, 09 Nov 2018 15:00:00 CST NIH News Release Scientists examined data from over 1,500 women. ]]> Jury pins Aetna with $25.5M verdict for denying cancer treatment http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/payer/jury-pins-aetna-25-5-million-punitive-damages-for-denying-cancer-treatment-bad-faith?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/payer/jury-pins-aetna-25-5-million-punitive-damages-for-denying-cancer-treatment-bad-faith?utm_source=internal&utm_medium=rss Fri, 09 Nov 2018 13:42:46 CST Rose Meltzer at FierceHealthcare: Payer The insurer refused to cover "the best and only treatment" for an Oklahoma woman's stage 4 cancer. With their verdict, jurors said it's up to Aetna to fix the broken healthcare system. Google hires Geisinger CEO to chart healthcare strategy http://medclimate.com/external/index.php?https://www.healthcareitnews.com/news/google-hires-geisinger-ceo-chart-healthcare-strategy http://medclimate.com/external/index.php?https://www.healthcareitnews.com/news/google-hires-geisinger-ceo-chart-healthcare-strategy Fri, 09 Nov 2018 12:29:31 CST at Most Popular News from healthcareitnews.com David Feinberg will work with Google and other Alphabet companies to unify and innovate their various health projects. At Geisinger, Jaewon Ryu has been named interim president and CEO. MACPAC urges Azar to pause, re-evaluate Arkansas' Medicaid work requirements http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/macpac-urges-pause-re-evaluation-medicaid-work-requirements-arkansas?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/macpac-urges-pause-re-evaluation-medicaid-work-requirements-arkansas?utm_source=internal&utm_medium=rss Fri, 09 Nov 2018 12:23:18 CST Eli Richman at FierceHealthcare: Payer Amid CMS' encouragement of work requirements in state Medicaid programs, MACPAC told HHS Secretary Alex Azar that Arkansas' implementation of the policy was too crude and hasty. It urged the state to pause disenrollments and reconsider certain parameters of the policy. Industry Voices—Overcoming 3 challenges to medication management for seniors http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/practices/industry-voices-overcoming-3-challenges-to-medication-management-for-seniors?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/practices/industry-voices-overcoming-3-challenges-to-medication-management-for-seniors?utm_source=internal&utm_medium=rss Thu, 08 Nov 2018 18:08:29 CST Romilla Batra at FierceHealthcare: Payer Medication safety—or lack thereof—among seniors is placing an unnecessary strain on our healthcare system, especially when you consider the correlation between aging and the increasing number of medications taken annually. Week 1 ACA exchange enrollment sluggish, but analysts aren’t worried http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/payer/week-1-aca-exchange-enrollment-sluggish-but-analysts-aren-t-worried?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/payer/week-1-aca-exchange-enrollment-sluggish-but-analysts-aren-t-worried?utm_source=internal&utm_medium=rss Thu, 08 Nov 2018 15:52:36 CST Evan Sweeney at FierceHealthcare: Payer Just over 370,000 people signed up for plans on Healthcare.gov during the first week of open enrollment, which began on Nov. 1. Those numbers are lower than last year, but after accounting for timing, analysts are bullish that some insurers could see double-digit growth. Payer Roundup—Medicaid expansion a priority in Maine, likely in Kansas http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/payer/payer-roundup-mainers-elect-pro-medicaid-expansion-governor-and-expansion-now-possible-kansas?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/payer/payer-roundup-mainers-elect-pro-medicaid-expansion-governor-and-expansion-now-possible-kansas?utm_source=internal&utm_medium=rss Thu, 08 Nov 2018 15:37:03 CST Rose Meltzer at FierceHealthcare: Payer Voters decided to expand Medicaid in Idaho, Nebraska and Utah via ballot initiatives last week. Gubernatorial elections in two other states have major implications for expansion as well. More adults and children are using yoga and meditation http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/more-adults-children-are-using-yoga-meditation http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/more-adults-children-are-using-yoga-meditation Thu, 08 Nov 2018 13:00:00 CST NIH News Release Nationwide survey reveals significant increases in use of mind and body approaches. ]]> ACA had 'no adverse impact' on workers' hours and wages: report http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/aca-had-no-adverse-impact-workers-hours-and-wages-report?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/aca-had-no-adverse-impact-workers-hours-and-wages-report?utm_source=internal&utm_medium=rss Thu, 08 Nov 2018 12:09:34 CST Eli Richman at FierceHealthcare: Payer Back when the Affordable Care Act first introduced new mandates for individuals and employers, critics predicted businesses would respond by cutting workers' pay and giving them fewer hours. According to a recent report by the Urban Institute, those fears have not materialized. HHS planning new bundled payment models with mandatory participation on the table http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/payer/hhs-planning-new-bundled-payment-models-various-specialties-many-could-be-mandatory?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/payer/hhs-planning-new-bundled-payment-models-various-specialties-many-could-be-mandatory?utm_source=internal&utm_medium=rss Thu, 08 Nov 2018 12:08:30 CST Rose Meltzer at FierceHealthcare: Payer While both voluntary and mandatory bundled payment models have the potential to advance value-based care, mandating participation provides HHS the most information about what works, said Secretary Alex Azar. CMS floats new network adequacy requirements for Medicaid managed care programs http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/cms-floats-new-network-adequacy-requirements-for-medicaid-managed-care-programs?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/cms-floats-new-network-adequacy-requirements-for-medicaid-managed-care-programs?utm_source=internal&utm_medium=rss Thu, 08 Nov 2018 11:26:21 CST Evan Sweeney at FierceHealthcare: Payer The Trump administration wants to give more freedom to states overseeing Medicaid managed care and ease certain standards. Part of a proposed rule released by the Centers for Medicare & Medicaid Services (CMS) on Thursday would allow states to include telehealth providers as part of network adequacy standards and strengthen federal oversight payments. Report on informatics systems in NHS Wales raises "alarming findings" http://medclimate.com/external/index.php?https://www.healthcareitnews.com/news/report-informatics-systems-nhs-wales-raises-alarming-findings http://medclimate.com/external/index.php?https://www.healthcareitnews.com/news/report-informatics-systems-nhs-wales-raises-alarming-findings Thu, 08 Nov 2018 10:01:46 CST lpostelnicu at Healthcare IT News - Government & Policy The Welsh Assembly Public Accounts Committee (PAC) has questioned the “competence, capability and capacity" across the system to digitise healthcare services in Wales after an inquiry uncovered a “raft of problems”, from delays in the delivery of digital projects to “unclear” lines of accountability. The committee found that there had been 21 outages of national systems from January to July this year. A letter from the Cardiff and Vale University Health Board indicated that a national data centre failure that occurred between 3 to 5 August affected “all of Wales”. The PAC said it was “deeply concerned about the slow pace of delivery of modern informatics systems”, asking the Welsh Government to set out a “clear timetable” to put the infrastructure on a “stable footing”. Webinar: The INFRAM: Your Pathway to Healthcare Infrastructure Development “We trust our inquiry and this report will be a wake-up call to all those involved in harnessing the power of digital innovation to improve healthcare in Wales. We believe it’s time for a reboot," said Nick Ramsay, PAC chairman. Dr Peter Saul, Royal College of GPs Wales Joint Chair, said the report, released today, raised "alarming findings about the weaknesses of IT in the Welsh NHS". "Data outages can be extraordinarily disruptive for practices and for patients. They affect appointments, prescriptions and the nuts and bolts of a functioning practice and can take hours to recover from. Unfortunately these data outages are becoming all too common, leaving GPs scrambling to find solutions or workarounds while waiting rooms fill up. "Embracing safe, reliable and innovative technology will be vital for the future of healthcare, but that will be undermined if the Welsh NHS cannot get its IT right. Whether it's the basics like appointment booking, or larger projects such as electronic prescribing or electronic patient records, we need IT that works," Dr Saul added. Government to review committee's findings The inquiry follows a report from the Wales Audit Office, published at the beginning of the year, which indicated that the NHS as a whole spends less than two per cent of its budget on ICT. It estimated that around £484m would be needed, on top of existing budgets, to digitise services. “There is a need for clarity from Welsh Government as to whether the tentative estimate is in the right ballpark, and the witnesses we asked thought it was, and whether significant resources will be set aside and over what time frame,” the committee said.  Their findings also indicated that the NHS Wales Informatics Service (NWIS), the organisation responsible for IT, was “being asked to do too much within its current resources and needed clearer priorities”, and concerns were raised about the cybersecurity risk posed by the CaNISC cancer IT system, which has not been supported by Microsoft since 2014.  "The Committee would like to see CANISC replaced urgently and as soon as is practicably possible," PAC members wrote in the report. "Given the red risk rating and the cybersecurity issues, there is a compelling argument for accelerating the work if possible. However, the Committee recognises that this would require careful consideration of the knock-on consequences." The Welsh Government and the NWIS said they would review the committee's findings in detail. “We welcome the report published today by the Public Accounts Committee into the use of information technology and the vital role it plays in our Welsh health and care system," said a spokesperson for NWIS. “We participated in the Public Accounts Committee review in April and July this year and were pleased to share insight into the specification, planning, delivery and management of national digital health and care services for Wales. “As an NHS organisation we are working with our partners across the health and care system to make the most of the benefits that digital services can offer to health and care professionals, patients and citizens." Twitter: @1Leontina Contact the author: lpostelnicu@himss.org Region Tag: Europe/UKPrimary Topic: PolicyAdditional Topics: PolicyPolicyDisable Auto Tagging: Short Headline: Report on informatics systems in NHS Wales raises "alarming findings"HOT @HIMSS: Featured Decision Content: 

The Welsh Assembly Public Accounts Committee (PAC) has questioned the “competence, capability and capacity" across the system to digitise healthcare services in Wales after an inquiry uncovered a “raft of problems”, from delays in the delivery of digital projects to “unclear” lines of accountability.

The committee found that there had been 21 outages of national systems from January to July this year. A letter from the Cardiff and Vale University Health Board indicated that a national data centre failure that occurred between 3 to 5 August affected “all of Wales”.

The PAC said it was “deeply concerned about the slow pace of delivery of modern informatics systems”, asking the Welsh Government to set out a “clear timetable” to put the infrastructure on a “stable footing”.

“We trust our inquiry and this report will be a wake-up call to all those involved in harnessing the power of digital innovation to improve healthcare in Wales. We believe it’s time for a reboot," said Nick Ramsay, PAC chairman.

Dr Peter Saul, Royal College of GPs Wales Joint Chair, said the report, released today, raised "alarming findings about the weaknesses of IT in the Welsh NHS".

"Data outages can be extraordinarily disruptive for practices and for patients. They affect appointments, prescriptions and the nuts and bolts of a functioning practice and can take hours to recover from. Unfortunately these data outages are becoming all too common, leaving GPs scrambling to find solutions or workarounds while waiting rooms fill up.

"Embracing safe, reliable and innovative technology will be vital for the future of healthcare, but that will be undermined if the Welsh NHS cannot get its IT right. Whether it's the basics like appointment booking, or larger projects such as electronic prescribing or electronic patient records, we need IT that works," Dr Saul added.

Government to review committee's findings

The inquiry follows a report from the Wales Audit Office, published at the beginning of the year, which indicated that the NHS as a whole spends less than two per cent of its budget on ICT. It estimated that around £484m would be needed, on top of existing budgets, to digitise services.

“There is a need for clarity from Welsh Government as to whether the tentative estimate is in the right ballpark, and the witnesses we asked thought it was, and whether significant resources will be set aside and over what time frame,” the committee said. 

Their findings also indicated that the NHS Wales Informatics Service (NWIS), the organisation responsible for IT, was “being asked to do too much within its current resources and needed clearer priorities”, and concerns were raised about the cybersecurity risk posed by the CaNISC cancer IT system, which has not been supported by Microsoft since 2014. 

"The Committee would like to see CANISC replaced urgently and as soon as is practicably possible," PAC members wrote in the report. "Given the red risk rating and the cybersecurity issues, there is a compelling argument for accelerating the work if possible. However, the Committee recognises that this would require careful consideration of the knock-on consequences."

The Welsh Government and the NWIS said they would review the committee's findings in detail.

“We welcome the report published today by the Public Accounts Committee into the use of information technology and the vital role it plays in our Welsh health and care system," said a spokesperson for NWIS.

“We participated in the Public Accounts Committee review in April and July this year and were pleased to share insight into the specification, planning, delivery and management of national digital health and care services for Wales.

“As an NHS organisation we are working with our partners across the health and care system to make the most of the benefits that digital services can offer to health and care professionals, patients and citizens."

Twitter: @1Leontina
Contact the author: lpostelnicu@himss.org

Region Tag: 
Europe/UK
Primary Topic: 
Additional Topics: 
Disable Auto Tagging: 
Short Headline: 
Report on informatics systems in NHS Wales raises "alarming findings"
HOT @HIMSS: 
Featured Decision Content: 
]]>
Novel antibiotic shows promise in treatment of uncomplicated gonorrhea http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/novel-antibiotic-shows-promise-treatment-uncomplicated-gonorrhea http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/novel-antibiotic-shows-promise-treatment-uncomplicated-gonorrhea Wed, 07 Nov 2018 22:00:00 CST NIH News Release Gonorrhea is the second most commonly reported notifiable disease in the United States. ]]> CMS proposes additional oversight of ACA exchanges, including abortion coverage http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/payer/cms-proposes-additional-oversight-dual-enrollment-exchanges-abortion-coverage?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/payer/cms-proposes-additional-oversight-dual-enrollment-exchanges-abortion-coverage?utm_source=internal&utm_medium=rss Wed, 07 Nov 2018 16:40:01 CST Rose Meltzer at FierceHealthcare: Payer The agency wants to prevent people who are enrolled in Medicare from also enrolling in exchange plans, and it wants to bill consumers separately for the portion of premiums that would go toward abortion services. Trump administration finalizes rules allowing religious and 'moral' objections to birth control coverage http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/trump-administration-finalizes-rules-allowing-moral-exemptions-for-birth-control?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/trump-administration-finalizes-rules-allowing-moral-exemptions-for-birth-control?utm_source=internal&utm_medium=rss Wed, 07 Nov 2018 16:08:46 CST Evan Sweeney at FierceHealthcare: Payer A year after a court blocked a federal rule that created "moral" exemptions for birth control coverage, the Trump administration published new rules with similar "conscience protections" for employers. What the 2018 midterm elections mean for healthcare: predictability http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/what-2018-midterm-elections-mean-for-healthcare-predictability?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/what-2018-midterm-elections-mean-for-healthcare-predictability?utm_source=internal&utm_medium=rss Wed, 07 Nov 2018 15:34:19 CST Paige Minemyer at FierceHealthcare: Payer The midterm elections' major implication for the healthcare industry? Some much-needed predictability.  Humana reports $901M in Q3 earnings, attributing growth to prevention http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/payer/humana-reports-901-million-earnings-q3-attributing-growth-to-prevention?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/payer/humana-reports-901-million-earnings-q3-attributing-growth-to-prevention?utm_source=internal&utm_medium=rss Wed, 07 Nov 2018 14:00:47 CST Rose Meltzer at FierceHealthcare: Payer Making the most of technology and addressing social determinants of health improved the customer experience for members and cut costs, said CEO Bruce Broussard. Health IT takeaways from the midterm elections http://medclimate.com/external/index.php?https://www.healthcareitnews.com/news/health-it-takeaways-midterm-elections http://medclimate.com/external/index.php?https://www.healthcareitnews.com/news/health-it-takeaways-midterm-elections Wed, 07 Nov 2018 12:23:28 CST tsullivan at Healthcare IT News - Government & Policy Democrats regained the U.S. House of Representatives in Tuesday's midterm elections, while Republicans maintained control of the Senate – a rebalancing of power likely to bring both certainty and opportunities for healthcare. "Healthcare was a voting issue for this election," said Samantha Burch, senior director of congressional affairs at HIMSS. PwC surveyed 1,500 people, for instance, and found that 59 percent cited healthcare as a very important issue. Let's take a look at what Tuesday night's results mean for healthcare policy and technology. WHY IT MATTERS "The ACA — that was settled last night," Burch said. "Now there's an opportunity to work on issues that haven't been worked on. But 'repeal and replace' is a relic of the previous Congress." PwC, in its report, took it a step further by saying Democratic lawmakers will work to strengthen the ACA. "Healthcare providers stand to benefit from successful efforts to bolster individual and group markets, even as device and pharmaceutical manufacturers could find themselves more at risk for scrutiny as attempts to control rising healthcare costs focus increasingly on drug prices," analysts wrote in a post-election wrap-up.   PwC also predicted that President Trump will continue pursuing changes that can be made without Congress, notably transforming Medicaid regulations and streamlining medical product reviews.   "Without control of the Senate, Democrats will be unable to send any sweeping legislation such as Medicare-for-All, or even a restoration of the individual mandate, to President Trump's desk for veto," said Yulan Egan, Practice Manager at Advisory Board. WHAT COMES NEXT Health IT will continue to enjoy broad bipartisan support, Burch said.   "That presents some opportunity because to an extent the House and Senate will have to work together," Burch added. "The first thing that always comes to mind is infrastructure." While talk of infrastructure often conjures images of crumbling bridges or pothole-laden roads, technologies such as broadband connectivity, public health surveillance and reporting systems should be thought of as infrastructure too. "An infrastructure package has been talked about by the White House," Burch said. "There could be a place for health IT priorities in some sort of legislative package for infrastructure improvement." Egan pointed out that both parties have collaborated on health issues such as MACRA and battling the opioid epidemic by using information and technology, such as prescription drug monitoring programs. "The two parties share several areas of focus for the next two years: advancing transparency, scrutinizing consolidation, and bolstering rural healthcare facilities," Egan said. "Providers should expect such consequential, if unheralded, cooperation to continue." Tuesday's election was also historic with at least 100 women earning a seat in the House and an increase in diversity, including the first female Native American and Muslim representatives. "What we're going to see is a more diverse Congress and with diversity comes opportunity," Burch said. "The 116th congress is going to be a diverse group of lawmakers." Granted, it's too early to tell how the new mix will or will not directly have an impact on women in health IT, as we still need to understand who the new players are what perspectives they bring to the government. "There were so many dynamics to what happened last night, it's going to take a while to peel back the onion and see how it translates into action on the part of members in the next congress," Burch said. Egan added that despite the changes, some of the overarching trends in healthcare are here to stay. "Efforts to increase transparency, shift care to lower-cost settings, and reward providers for value are here to stay, both leading up to 2020 and beyond," Egan said. "Meanwhile, players in the private sector – including assertive health plans, activated employers, and outside disruptors – are coming to the forefront in attempts to apply pricing pressure above and beyond efforts from the federal and state governments." Focus on Artificial Intelligence In November, we take a deep dive into AI and machine learning. Twitter: SullyHIT Email the writer: tom.sullivan@himssmedia.com Region Tag: Global EditionPrimary Topic: PolicyAdditional Topics: PolicyPolicyDisable Auto Tagging: Short Headline: Health IT takeaways from the midterm electionsHOT @HIMSS: Featured Decision Content: 

Democrats regained the U.S. House of Representatives in Tuesday's midterm elections, while Republicans maintained control of the Senate – a rebalancing of power likely to bring both certainty and opportunities for healthcare.

"Healthcare was a voting issue for this election," said Samantha Burch, senior director of congressional affairs at HIMSS.

PwC surveyed 1,500 people, for instance, and found that 59 percent cited healthcare as a very important issue.

Let's take a look at what Tuesday night's results mean for healthcare policy and technology.

WHY IT MATTERS

"The ACA — that was settled last night," Burch said. "Now there's an opportunity to work on issues that haven't been worked on. But 'repeal and replace' is a relic of the previous Congress."

PwC, in its report, took it a step further by saying Democratic lawmakers will work to strengthen the ACA.

"Healthcare providers stand to benefit from successful efforts to bolster individual and group markets, even as device and pharmaceutical manufacturers could find themselves more at risk for scrutiny as attempts to control rising healthcare costs focus increasingly on drug prices," analysts wrote in a post-election wrap-up.  

PwC also predicted that President Trump will continue pursuing changes that can be made without Congress, notably transforming Medicaid regulations and streamlining medical product reviews.  

"Without control of the Senate, Democrats will be unable to send any sweeping legislation such as Medicare-for-All, or even a restoration of the individual mandate, to President Trump's desk for veto," said Yulan Egan, Practice Manager at Advisory Board.

WHAT COMES NEXT

Health IT will continue to enjoy broad bipartisan support, Burch said.  

"That presents some opportunity because to an extent the House and Senate will have to work together," Burch added. "The first thing that always comes to mind is infrastructure."

While talk of infrastructure often conjures images of crumbling bridges or pothole-laden roads, technologies such as broadband connectivity, public health surveillance and reporting systems should be thought of as infrastructure too.

"An infrastructure package has been talked about by the White House," Burch said. "There could be a place for health IT priorities in some sort of legislative package for infrastructure improvement."

Egan pointed out that both parties have collaborated on health issues such as MACRA and battling the opioid epidemic by using information and technology, such as prescription drug monitoring programs.

"The two parties share several areas of focus for the next two years: advancing transparency, scrutinizing consolidation, and bolstering rural healthcare facilities," Egan said. "Providers should expect such consequential, if unheralded, cooperation to continue."

Tuesday's election was also historic with at least 100 women earning a seat in the House and an increase in diversity, including the first female Native American and Muslim representatives.

"What we're going to see is a more diverse Congress and with diversity comes opportunity," Burch said. "The 116th congress is going to be a diverse group of lawmakers."

Granted, it's too early to tell how the new mix will or will not directly have an impact on women in health IT, as we still need to understand who the new players are what perspectives they bring to the government.

"There were so many dynamics to what happened last night, it's going to take a while to peel back the onion and see how it translates into action on the part of members in the next congress," Burch said.

Egan added that despite the changes, some of the overarching trends in healthcare are here to stay.

"Efforts to increase transparency, shift care to lower-cost settings, and reward providers for value are here to stay, both leading up to 2020 and beyond," Egan said.

"Meanwhile, players in the private sector – including assertive health plans, activated employers, and outside disruptors – are coming to the forefront in attempts to apply pricing pressure above and beyond efforts from the federal and state governments."

Focus on Artificial Intelligence

In November, we take a deep dive into AI and machine learning.

Twitter: SullyHIT
Email the writer: tom.sullivan@himssmedia.com

Region Tag: 
Global Edition
Primary Topic: 
Additional Topics: 
Disable Auto Tagging: 
Short Headline: 
Health IT takeaways from the midterm elections
HOT @HIMSS: 
Featured Decision Content: 
]]>
Premier acquires Cedars-Sinai Medical Center spinout Stanson Health in $51.5M deal http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/hospitals-health-systems/premier-acquires-cedars-sinai-medical-center-spinout-stanson-health-51-5?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/hospitals-health-systems/premier-acquires-cedars-sinai-medical-center-spinout-stanson-health-51-5?utm_source=internal&utm_medium=rss Wed, 07 Nov 2018 05:37:55 CST Tina Reed at FierceHealthcare: Payer Charlotte, North Carolina-based Premier Inc. will acquire health tech company Stanson Health in a $51.5 million deal expected to close by the end of the year. Democrats take the House, giving the ACA a safety net for now http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/democrats-take-house-giving-aca-has-a-safety-net-for-now?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/democrats-take-house-giving-aca-has-a-safety-net-for-now?utm_source=internal&utm_medium=rss Tue, 06 Nov 2018 21:42:59 CST Evan Sweeney at FierceHealthcare: Payer Democrats took control of the House of Representatives on Tuesday night, capturing 26 seats, while Republicans maintained a firm grip on the Senate, adding two seats. NIH, Amgen Foundation, and FNIH renew support for undergraduate research opportunities http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/nih-amgen-foundation-fnih-renew-support-undergraduate-research-opportunities http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/nih-amgen-foundation-fnih-renew-support-undergraduate-research-opportunities Tue, 06 Nov 2018 20:00:00 CST NIH News Release Program supports up to 15 scholars annually. ]]> NIMHD selects recipients for the William G. Coleman Jr., Ph.D., Minority Health and Health Disparities Research Innovation Award http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/nimhd-selects-recipients-william-g-coleman-jr-phd-minority-health-health-disparities-research-innovation-award http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/nimhd-selects-recipients-william-g-coleman-jr-phd-minority-health-health-disparities-research-innovation-award Tue, 06 Nov 2018 18:30:00 CST NIH News Release Third-annual awardees named. ]]> Epic, Cerner and others moving into expanding global EHR market, says KLAS http://medclimate.com/external/index.php?https://www.healthcareitnews.com/news/epic-cerner-and-others-moving-expanding-global-ehr-market-says-klas http://medclimate.com/external/index.php?https://www.healthcareitnews.com/news/epic-cerner-and-others-moving-expanding-global-ehr-market-says-klas Tue, 06 Nov 2018 14:54:33 CST at Most Popular News from healthcareitnews.com With IT deployments broadening and deepening worldwide, a new report assesses unique preferences in Canada, Europe, Latin America, Middle East and AsiaPac countries. CVS expects to close Aetna deal by Thanksgiving, floats ‘simpler’ PBM models http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/payer/cvs-expects-to-close-aetna-deal-by-thanksgiving-floats-simpler-pbm-models?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/payer/cvs-expects-to-close-aetna-deal-by-thanksgiving-floats-simpler-pbm-models?utm_source=internal&utm_medium=rss Tue, 06 Nov 2018 09:51:35 CST Evan Sweeney at FierceHealthcare: Payer CVS Health said it expects to finalize its $69 billion acquisition of Aetna by Thanksgiving, noting that five states are close to approving the deal. Executives also hinted that the company is rethinking its PBM model to place a greater emphasis on drug mix. California's racial disparities in coverage declined post-ACA, study finds http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/payer/california-s-racial-disparities-coverage-dropped-post-aca-study-finds?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/payer/california-s-racial-disparities-coverage-dropped-post-aca-study-finds?utm_source=internal&utm_medium=rss Mon, 05 Nov 2018 16:22:02 CST Rose Meltzer at FierceHealthcare: Payer By 2016, the uninsured rates among the Golden State's white, black and Asian populations were nearly equal. But other disparities persist, and all of these rates are highly policy-dependent. NIH greatly expands investment in BRAIN Initiative http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/nih-greatly-expands-investment-brain-initiative http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/nih-greatly-expands-investment-brain-initiative Fri, 02 Nov 2018 14:00:00 CDT NIH News Release NIH announces new round of awards for cutting-edge brain research. ]]> NIH BRAIN Initiative debuts cell census of mouse motor cortex – for starters http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/nih-brain-initiative-debuts-cell-census-mouse-motor-cortex-starters http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/nih-brain-initiative-debuts-cell-census-mouse-motor-cortex-starters Thu, 01 Nov 2018 18:00:00 CDT NIH News Release Researchers also identify mouse brain cells for mating, parenting, aggression. ]]>