MedClimate Health News Daily http://medclimate.com/feed en-us Copyright MedClimate, Inc2018 Compliance as Code: Automate Compliance Using Open Source Technology http://medclimate.com/external/index.php?https://www.healthcareitnews.com/resource/compliance-code-automate-compliance-using-open-source-technology http://medclimate.com/external/index.php?https://www.healthcareitnews.com/resource/compliance-code-automate-compliance-using-open-source-technology Tue, 30 Oct 2018 13:00:00 CDT ebailey at Healthcare IT News - Government & Policy Sponsor: Red HatPrimary topic: Privacy & SecurityTopic: Electronic Health Records (EHR, EMR)Government & PolicyPrivacy & SecurityResource Central: Upcoming WebinarsExternal url: https://www.himsslearn.org/compliance-code-automate-compliance-using-open-source-technology?source=HITNwebsiteThumbnail: Body: This session will review the OpenSCAP compliance as code offering and how to automate your compliance posture using best practices from Red Hat's healthcare customers. Primary Topic: Privacy & SecurityAdditional Topics: TechnologySecurityTechnologyEHRPolicyTechnologySecuritySpecific Terms: Privacy & SecurityElectronic Health RecordsPrivacy & SecurityCustom Tags: Privacy & SecurityElectronic Health RecordsPrivacy & SecurityDisable Auto Tagging: Short Headline: Compliance as Code: Automate Compliance Using Open Source TechnologyNewsletter hed: Compliance as Code: Automate Compliance Using Open Source TechnologyNewsletter teaser: This session will review the OpenSCAP compliance as code offering and how to automate your compliance posture using best practices from Red Hat's healthcare customers.
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This session will review the OpenSCAP compliance as code offering and how to automate your compliance posture using best practices from Red Hat's healthcare customers.

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Compliance as Code: Automate Compliance Using Open Source Technology
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Compliance as Code: Automate Compliance Using Open Source Technology
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This session will review the OpenSCAP compliance as code offering and how to automate your compliance posture using best practices from Red Hat's healthcare customers.
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Healthcare.gov hit with data breach impacting 75,000 people http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/tech/federal-aca-exchange-hit-data-breach-impacting-75-000?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/tech/federal-aca-exchange-hit-data-breach-impacting-75-000?utm_source=internal&utm_medium=rss Fri, 19 Oct 2018 16:54:35 CDT Evan Sweeney at FierceHealthcare: Payer The federally run health insurance marketplace has been hit with a data breach impacting 75,000 individuals, the Centers for Medicare & Medicaid Services (CMS) disclosed on Friday.  To garner support for Medicaid, adopt 'the Virginia way,' says Gov. Ralph Northam http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/payer/to-garner-support-for-medicaid-do-things-virginia-way-say-northam-and-experts?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/payer/to-garner-support-for-medicaid-do-things-virginia-way-say-northam-and-experts?utm_source=internal&utm_medium=rss Thu, 18 Oct 2018 15:10:15 CDT Rose Meltzer at FierceHealthcare: Payer To expand Medicaid, the Virginia governor made an effort to ensure state legislators knew how their constituents would benefit. Evidence shows this is crucial. FCC chairman sees big potential with intersection of broadband and telemedicine http://medclimate.com/external/index.php?https://www.healthcareitnews.com/video/fcc-chairman-sees-big-potential-intersection-broadband-and-telemedicine http://medclimate.com/external/index.php?https://www.healthcareitnews.com/video/fcc-chairman-sees-big-potential-intersection-broadband-and-telemedicine Thu, 18 Oct 2018 14:42:39 CDT walmeida at Healthcare IT News - Government & Policy Primary topic: TelehealthPrimary Topic: Connected HealthAdditional Topics: TechnologyTelehealthPolicyTelehealthTechnologyTelehealthTechnologySpecific Terms: Connected HealthCustom Tags: Connected HealthTelehealthTelehealthDisable Auto Tagging: Short Headline: FCC chairman sees big potential with intersection of broadband and telemedicineNewsletter hed: FCC chairman sees big potential with intersection of broadband and telemedicineNewsletter teaser: Ajit Pai, chairman of the Federal Communications Commission, talks about how he’s working to modernize FCC regulations to close the digital divide and help rural communities get the high quality healthcare through telemedicine innovations.Featured Decision Content: 
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Ajit Pai, chairman of the Federal Communications Commission, talks about how he’s working to modernize FCC regulations to close the digital divide and help rural communities get the high quality healthcare through telemedicine innovations.
Featured Decision Content: 
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Genomic analysis offers insight into 2018 Nigeria Lassa fever outbreak http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/genomic-analysis-offers-insight-into-2018-nigeria-lassa-fever-outbreak http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/genomic-analysis-offers-insight-into-2018-nigeria-lassa-fever-outbreak Thu, 18 Oct 2018 13:00:00 CDT NIH News Release Findings helped inform Nigeria’s public health response. ]]> Researchers identify immune culprits linked to inflammation and bone loss in gum disease http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/researchers-identify-immune-culprits-linked-inflammation-bone-loss-gum-disease http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/researchers-identify-immune-culprits-linked-inflammation-bone-loss-gum-disease Wed, 17 Oct 2018 18:00:00 CDT NIH News Release Microbiome-triggered Th17 cells switch from protective to destructive; may be potential treatment targets. ]]> FDA, DHS to increase collaboration on medical device security and framework http://medclimate.com/external/index.php?https://www.healthcareitnews.com/news/fda-dhs-increase-collaboration-medical-device-security-and-framework http://medclimate.com/external/index.php?https://www.healthcareitnews.com/news/fda-dhs-increase-collaboration-medical-device-security-and-framework Wed, 17 Oct 2018 17:16:58 CDT jfinison at Healthcare IT News - Government & Policy The Food and Drug Administration and Department of Homeland Security signed a memorandum of agreement to improve coordination around medical device security, including a framework. IMPACT While the two federal agencies have worked together in the past to improve medical cybersecurity and vulnerability disclosures, the new agreement formalizes the process and the FDA and DHS relationship. The goal is to bolster coordination around potential or confirmed threats and/or flaws. “As innovation in medical devices advances and more devices are connected to hospital networks or to other devices, ensuring that devices are adequately protected against cyber intrusions is paramount to protecting patients,” wrote FDA Commissioner Scott Gottlieb. “The FDA has been proactive in developing a robust program to address medical device cybersecurity concerns. But we also know that securing medical devices from cybersecurity threats cannot be achieved by one government agency alone,” he added. The strengthened partnership will make it easier for the groups to share data and better collaborate, while reaffirming their commitment to combating cyber threats, Gottlieb explained. The hope is that it will lead to more timely, better responses to potential threats. For one, DHS and FDA will perform collaborative assessments to determine the extent a potential flaw could pose to patient safety, while coordinating device testing when needed. DHS will remain the central medical device vulnerability coordination center and consult with the FDA for device expertise. TREND For years, researchers have warned that hackers could easily gain access to a network through these flaws. But worst case scenario, these vulnerabilities could put patient lives at risk and providers aren’t being trained to detect or react to a hacked device. Both the FDA and DHS have ramped up device vulnerability disclosures in recent years. In fact, since the FDA released its cybersecurity guidelines for devices in 2016, manufacturers reported 400 percent more flaws per quarter. It’s a sign vendors are beginning to take action to improve device security. ON THE RECORD “Ensuring our ability to identify, address and mitigate vulnerabilities in medical devices is a top priority,” Christopher Krebs, undersecretary for the DHS National Protection and Programs Directorate, said in a statement. “DHS has some of the top experts on control systems technology, and we look forward to continuing to leverage this expertise for the sake of improving the lives and safety of people across the country.” Focus on Cybersecurity In October, we take a deep dive into security strategy and pressing threats. Twitter: @JF_Davis_ Email the writer: jessica.davis@himssmedia.com Primary Topic: CybersecurityAdditional Topics: CybersecuritySecurityTechnologySpecific Terms: CybersecurityCustom Tags: Cybersecurity (7086)Disable Auto Tagging: Disable Auto TaggingShort Headline: FDA, DHS to increase device security collaborationNewsletter hed: FDA, DHS to increase collaboration on medical device security and frameworkNewsletter teaser: While the two federal agencies have worked together on vulnerability disclosures in the past, a new memorandum of agreement will improve coordination.HOT @HIMSS: Featured Decision Content: 

The Food and Drug Administration and Department of Homeland Security signed a memorandum of agreement to improve coordination around medical device security, including a framework.

IMPACT

While the two federal agencies have worked together in the past to improve medical cybersecurity and vulnerability disclosures, the new agreement formalizes the process and the FDA and DHS relationship. The goal is to bolster coordination around potential or confirmed threats and/or flaws.

“As innovation in medical devices advances and more devices are connected to hospital networks or to other devices, ensuring that devices are adequately protected against cyber intrusions is paramount to protecting patients,” wrote FDA Commissioner Scott Gottlieb.

“The FDA has been proactive in developing a robust program to address medical device cybersecurity concerns. But we also know that securing medical devices from cybersecurity threats cannot be achieved by one government agency alone,” he added.

The strengthened partnership will make it easier for the groups to share data and better collaborate, while reaffirming their commitment to combating cyber threats, Gottlieb explained. The hope is that it will lead to more timely, better responses to potential threats.

For one, DHS and FDA will perform collaborative assessments to determine the extent a potential flaw could pose to patient safety, while coordinating device testing when needed. DHS will remain the central medical device vulnerability coordination center and consult with the FDA for device expertise.

TREND

For years, researchers have warned that hackers could easily gain access to a network through these flaws. But worst case scenario, these vulnerabilities could put patient lives at risk and providers aren’t being trained to detect or react to a hacked device.

Both the FDA and DHS have ramped up device vulnerability disclosures in recent years. In fact, since the FDA released its cybersecurity guidelines for devices in 2016, manufacturers reported 400 percent more flaws per quarter. It’s a sign vendors are beginning to take action to improve device security.

ON THE RECORD

“Ensuring our ability to identify, address and mitigate vulnerabilities in medical devices is a top priority,” Christopher Krebs, undersecretary for the DHS National Protection and Programs Directorate, said in a statement. “DHS has some of the top experts on control systems technology, and we look forward to continuing to leverage this expertise for the sake of improving the lives and safety of people across the country.”

Focus on Cybersecurity

In October, we take a deep dive into security strategy and pressing threats.

Twitter: @JF_Davis_
Email the writer: jessica.davis@himssmedia.com

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FDA, DHS to increase device security collaboration
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While the two federal agencies have worked together on vulnerability disclosures in the past, a new memorandum of agreement will improve coordination.
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Consumer-facing Medicare plan tools are inaccessible and inaccurate, experts say http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/payer/consumer-facing-medicare-plan-tools-are-inaccessible-and-inaccurate-experts-say?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/payer/consumer-facing-medicare-plan-tools-are-inaccessible-and-inaccurate-experts-say?utm_source=internal&utm_medium=rss Wed, 17 Oct 2018 14:52:46 CDT Rose Meltzer at FierceHealthcare: Payer Medicare Plan Finder frustrates many seniors, and there's a lot of confusion over what star ratings mean, said multiple speakers at AHIP's National Conference on Medicare. Moody's: Children's hospitals outperform adult hospitals even as expenses rise http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/hospitals-health-systems/moody-s-children-s-hospitals-outperforming-adult-hospitals?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/hospitals-health-systems/moody-s-children-s-hospitals-outperforming-adult-hospitals?utm_source=internal&utm_medium=rss Wed, 17 Oct 2018 13:50:35 CDT Tina Reed at FierceHealthcare: Payer A new report from Moody's Investors Services said children's hospitals in the U.S. will continue to hold their financial advantage about 3-4 percentage points over adult hospitals over the next year due, in part, to strong patient demand and limited competition. Sequoia Project launches new public-private interoperability initiative http://medclimate.com/external/index.php?https://www.healthcareitnews.com/news/sequoia-project-launches-new-public-private-interoperability-initiative http://medclimate.com/external/index.php?https://www.healthcareitnews.com/news/sequoia-project-launches-new-public-private-interoperability-initiative Wed, 17 Oct 2018 10:34:27 CDT mmiliard at Healthcare IT News - Government & Policy The Sequoia Project is opening up a new front on its push to solve interoperability. As a public-private collaboration comprising experts from disparate spheres of healthcare and technology, the new group, Interoperability Matters, aims to draw on their expertise to find new approaches to data sharing. WHY IT MATTERS Interoperability is a large and complex challenge, with many different stakeholders with often competing imperatives and priorities. There are lots of reasons why it continues to be an elusive goal for healthcare. The goal of Interoperability Matters is to bring together experts to identify discrete and specific hurdles to easier and more widespread data exchange nationwide, then prioritize them and working together to solve them. According to The Sequoia Project, which invites interested parties from across healthcare to participate: Workgroups are formed of subject matter experts and critical stakeholders from across industry and government for each prioritized issue. Each workgroup informs the Advisory Group with regular, virtual updates to solicit broad consensus on developing recommendations. Recommendations of the workgroup are then shared with the public to seek input from those impacted by the work. The final work product is a consensus-built resource and plan of action for the healthcare sector to leverage and implement to minimize or eliminate that particular barrier to exchange. By gathering experts in technology, policy, business and beyond, the group aims to untangle those specific challenges one by one – starting with information blocking. WHAT IS THE TREND Information blocking, defined by the Office of the National Coordinator for Health IT as an instance when a provider or EHR vendor "knowingly and unreasonably interferes with the exchange and use of electronic health information," is a fundamental challenge to start with. While some have expressed skepticism about just how widespread the practice really is, where it does occur there are potentially big patient safety risks. ONC has promised audits and potential fines for those caught doing it, and even some vendors have called on HHS to do more to fight it. Interoperability Matters will first home in on information blocking, in advance of ONC's expected proposed rule on the matter, said Sequoia officials. It is then expected to tackle other specific angles related to data exchange challenges ON THE RECORD "The pipes to enable health information exchange have been laid by organizations like Carequality, CommonWell, DirectTrust, eHealth Exchange and health information exchange organizations," explained Mariann Yeager, CEO of The Sequoia Project. "However, there are remaining real and perceived barriers to making exchange more effective and seamless – but not for long. "Distinguishing legitimate policy differences from information blocking requires deep understanding of complex policy, technical and business issues," she added. "Our Interoperability Matters cooperative will focus on the practical implications of information sharing practices, and it will inform information blocking public policy." Primary Topic: Electronic Health RecordsAdditional Topics: TechnologyEHRPolicyInteroperabilityTechnologyInteroperabilityTechnologySpecific Terms: Electronic Health RecordsCustom Tags: Electronic Health RecordsInteroperabilityInteroperabilityDisable Auto Tagging: Short Headline: Sequoia Project launches new interoperability collaborativeNewsletter hed: Sequoia Project launches new public-private interoperability initiativeNewsletter teaser: The cooperative aims to bring stakeholders together to find new and pragmatic approaches to data sharing, and come up with ways to combat information blocking.HOT @HIMSS: Featured Decision Content: 

The Sequoia Project is opening up a new front on its push to solve interoperability. As a public-private collaboration comprising experts from disparate spheres of healthcare and technology, the new group, Interoperability Matters, aims to draw on their expertise to find new approaches to data sharing.

WHY IT MATTERS
Interoperability is a large and complex challenge, with many different stakeholders with often competing imperatives and priorities. There are lots of reasons why it continues to be an elusive goal for healthcare.

The goal of Interoperability Matters is to bring together experts to identify discrete and specific hurdles to easier and more widespread data exchange nationwide, then prioritize them and working together to solve them.

According to The Sequoia Project, which invites interested parties from across healthcare to participate:

  • Workgroups are formed of subject matter experts and critical stakeholders from across industry and government for each prioritized issue.
  • Each workgroup informs the Advisory Group with regular, virtual updates to solicit broad consensus on developing recommendations.
  • Recommendations of the workgroup are then shared with the public to seek input from those impacted by the work.
  • The final work product is a consensus-built resource and plan of action for the healthcare sector to leverage and implement to minimize or eliminate that particular barrier to exchange.

By gathering experts in technology, policy, business and beyond, the group aims to untangle those specific challenges one by one – starting with information blocking.

WHAT IS THE TREND
Information blocking, defined by the Office of the National Coordinator for Health IT as an instance when a provider or EHR vendor "knowingly and unreasonably interferes with the exchange and use of electronic health information," is a fundamental challenge to start with.

While some have expressed skepticism about just how widespread the practice really is, where it does occur there are potentially big patient safety risks. ONC has promised audits and potential fines for those caught doing it, and even some vendors have called on HHS to do more to fight it.

Interoperability Matters will first home in on information blocking, in advance of ONC's expected proposed rule on the matter, said Sequoia officials. It is then expected to tackle other specific angles related to data exchange challenges

ON THE RECORD
"The pipes to enable health information exchange have been laid by organizations like Carequality, CommonWell, DirectTrust, eHealth Exchange and health information exchange organizations," explained Mariann Yeager, CEO of The Sequoia Project. "However, there are remaining real and perceived barriers to making exchange more effective and seamless – but not for long.

"Distinguishing legitimate policy differences from information blocking requires deep understanding of complex policy, technical and business issues," she added. "Our Interoperability Matters cooperative will focus on the practical implications of information sharing practices, and it will inform information blocking public policy."

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Sequoia Project launches new interoperability collaborative
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The cooperative aims to bring stakeholders together to find new and pragmatic approaches to data sharing, and come up with ways to combat information blocking.
HOT @HIMSS: 
Featured Decision Content: 
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‘Medicare-for-all’ compounds Medicare’s current problems, Verma says http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/payer/medicare-for-all-compounds-medicare-s-current-problems-verma-says?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/payer/medicare-for-all-compounds-medicare-s-current-problems-verma-says?utm_source=internal&utm_medium=rss Tue, 16 Oct 2018 17:06:57 CDT Rose Meltzer at FierceHealthcare: Payer Echoing her boss’s op-ed last week, Centers for Medicare & Medicaid Services Administrator Seema Verma devoted an unusually long time in one speech to why a popular progressive proposal would not work. Trump administration’s push for prices in drug ads facing a likely legal fight  http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/finance/trump-administration-s-push-for-prices-drug-ads-facing-a-likely-legal-fight?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/finance/trump-administration-s-push-for-prices-drug-ads-facing-a-likely-legal-fight?utm_source=internal&utm_medium=rss Tue, 16 Oct 2018 16:00:17 CDT Paige Minemyer at FierceHealthcare: Payer The Trump administration wants drug companies to put their list prices in television ads, but whether that policy is something it can actually enforce remains a major question.  UnitedHealth plans to roll out a new EHR offering for consumers and providers by the end of 2019 http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/tech/unitedhealth-plans-to-roll-out-a-new-ehr-offering-for-consumers-and-providers?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/tech/unitedhealth-plans-to-roll-out-a-new-ehr-offering-for-consumers-and-providers?utm_source=internal&utm_medium=rss Tue, 16 Oct 2018 10:13:57 CDT Evan Sweeney at FierceHealthcare: Payer UnitedHealth CEO David Wichmann told investors during an earnings call on Tuesday that the company is preparing to launch a "fully individualized and fully portable” EHR to 50 million members by the end of next year. But it's not clear how that product would align with existing EHRs. Michigan CEO pleads guilty in $300M opioid fraud scheme http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/hospitals-health-systems/michigan-health-ceo-pleads-guilty-to-150m-opioid-fraud-scheme?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/hospitals-health-systems/michigan-health-ceo-pleads-guilty-to-150m-opioid-fraud-scheme?utm_source=internal&utm_medium=rss Tue, 16 Oct 2018 05:19:39 CDT Tina Reed at FierceHealthcare: Payer Authorities said the CEO of a pain clinic was allegedly involved in a scheme to illegally distribute opioids and used the proceeds for luxury clothes from retailers like Hermes, exotic vehicles such as the Lamborghini, a mansion and other real estate in the Detroit area and courtside seats to NBA games. Send us your nominations for Fierce 15 awards http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/hospitals-health-systems/fiercehealthcare-calls-for-2018-nominations-for-fierce15?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/hospitals-health-systems/fiercehealthcare-calls-for-2018-nominations-for-fierce15?utm_source=internal&utm_medium=rss Mon, 15 Oct 2018 20:00:09 CDT Evan Sweeney at FierceHealthcare: Payer Do you know an influential startup that's flying under the radar? Tell us how they are changing the healthcare industry as we know it by Nov. 15 for consideration in our Fierce 15 awards. Trump administration to require drug companies to include prices in television ads  http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/finance/trump-administration-to-require-drug-companies-to-include-prices-television-ads?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/finance/trump-administration-to-require-drug-companies-to-include-prices-television-ads?utm_source=internal&utm_medium=rss Mon, 15 Oct 2018 16:40:36 CDT Paige Minemyer at FierceHealthcare: Payer The Trump administration is planning to force drug companies to include the list price of their products in direct-to-consumer advertising as part of its ongoing efforts to bring down the cost of drugs. Telehealth company HealthRight charged in $1B fraud scheme http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/tech/telehealth-company-healthright-charged-1-billion-fraud-scheme?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/tech/telehealth-company-healthright-charged-1-billion-fraud-scheme?utm_source=internal&utm_medium=rss Mon, 15 Oct 2018 14:59:48 CDT Evan Sweeney at FierceHealthcare: Payer The CEO of the telemedicine company HealthRight was charged alongside several compounding pharmacies for a $1 billion fraud scheme that billed insurers for marked-up pain creams and marketed millions in bogus supplements to patients. Trump administration revisits moral and religious exemptions for birth control coverage http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/trump-administration-revisits-moral-and-religious-exemptions-for-birth-control-coverage?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/trump-administration-revisits-moral-and-religious-exemptions-for-birth-control-coverage?utm_source=internal&utm_medium=rss Sun, 14 Oct 2018 16:00:01 CDT Evan Sweeney at FierceHealthcare: Payer A final rule sent to OMB on Thursday resurfaces a contentious regulation that loosened "moral exemptions" for birth control coverage under the ACA. The rule could lead to a new round of legal challenges after several courts halted last year's rule. Medical device vendor disables internet updates over hacking risk, FDA alerts http://medclimate.com/external/index.php?https://www.healthcareitnews.com/news/medical-device-vendor-disables-internet-updates-over-hacking-risk-fda-alerts http://medclimate.com/external/index.php?https://www.healthcareitnews.com/news/medical-device-vendor-disables-internet-updates-over-hacking-risk-fda-alerts Fri, 12 Oct 2018 15:56:36 CDT jfinison at Healthcare IT News - Government & Policy The Food and Drug Administration issued a cybersecurity alert on two Medtronic devices that could allow a hacker to hijack the software update process to change the device’s function. Medtronic disabled the online software update to eliminate the flaw. IMPACT Following a review of potential security vulnerabilities around the internet connection, the FDA found 34,000 CareLink cardiac implantable electronic devices are at risk. If exploited, a hacker could change the programmer’s functionality or the device itself during the implantation or follow-up visits. The flaw is found in the internet connection between the CareLink 2090 and Encore 29901 Programmers, used for downloading software from Medtronic’s Software Distribution Network. The programmers are used by providers to adjust the cardiac device settings and collect locally stored data. While software updates typically include new software for the programmer functionality and updates to the implanted device firmware through a virtual private network, the programmers don’t verify they’re still connect to the VPN before downloading the updates. As a result, attempting to update the program through the internet connection will result in an error message. Medtronic updated its network, which was approved by the FDA on Oct. 5. The fix will intentionally block the currently existing programmer from accessing the Medtronic SDN. The vendor is continuing to implement security updates to further address the flaw. The FDA recommends providers continue to use the programmers, as network connectivity isn’t required for normal CIEF programming. Further, providers should not attempt to update the programmer through the SDN, which is no longer available. Future updates are currently only available through Medtronic with a USB update. THE TREND Medical device vulnerabilities are well-known, and vulnerability reporting by vendors have increased 400 percent per quarter since the FDA released its cybersecurity guidance in 2016. However, the increase in FDA alerts is meant to further improve cybersecurity, rather than to shame the vendor. Medtronic has reported several vulnerabilities in recent years, as has Philips, Abbott and a host of others. Focus on Cybersecurity In October, we take a deep dive into security strategy and pressing threats. Twitter: @JF_Davis_ Email the writer: jessica.davis@himssmedia.com Primary Topic: PolicyAdditional Topics: CybersecurityPolicySecurityTechnologySpecific Terms: CybersecurityPrivacy & SecurityCustom Tags: Privacy & SecurityCybersecurity (7086)Disable Auto Tagging: Disable Auto TaggingShort Headline: Medical device vendor disables internet updates over hacking risk, FDA alertsNewsletter hed: Medical device vendor disables internet updates over hacking risk, FDA alertsNewsletter teaser: A flaw in 34,000 Medtronic CareLink devices could allow an unauthorized user to change the programmer’s functionality.HOT @HIMSS: Featured Decision Content: 

The Food and Drug Administration issued a cybersecurity alert on two Medtronic devices that could allow a hacker to hijack the software update process to change the device’s function. Medtronic disabled the online software update to eliminate the flaw.

IMPACT

Following a review of potential security vulnerabilities around the internet connection, the FDA found 34,000 CareLink cardiac implantable electronic devices are at risk. If exploited, a hacker could change the programmer’s functionality or the device itself during the implantation or follow-up visits.

The flaw is found in the internet connection between the CareLink 2090 and Encore 29901 Programmers, used for downloading software from Medtronic’s Software Distribution Network. The programmers are used by providers to adjust the cardiac device settings and collect locally stored data.

While software updates typically include new software for the programmer functionality and updates to the implanted device firmware through a virtual private network, the programmers don’t verify they’re still connect to the VPN before downloading the updates.

As a result, attempting to update the program through the internet connection will result in an error message.

Medtronic updated its network, which was approved by the FDA on Oct. 5. The fix will intentionally block the currently existing programmer from accessing the Medtronic SDN. The vendor is continuing to implement security updates to further address the flaw.

The FDA recommends providers continue to use the programmers, as network connectivity isn’t required for normal CIEF programming. Further, providers should not attempt to update the programmer through the SDN, which is no longer available. Future updates are currently only available through Medtronic with a USB update.

THE TREND

Medical device vulnerabilities are well-known, and vulnerability reporting by vendors have increased 400 percent per quarter since the FDA released its cybersecurity guidance in 2016. However, the increase in FDA alerts is meant to further improve cybersecurity, rather than to shame the vendor.

Medtronic has reported several vulnerabilities in recent years, as has Philips, Abbott and a host of others.

Focus on Cybersecurity

In October, we take a deep dive into security strategy and pressing threats.

Twitter: @JF_Davis_
Email the writer: jessica.davis@himssmedia.com

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Medical device vendor disables internet updates over hacking risk, FDA alerts
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A flaw in 34,000 Medtronic CareLink devices could allow an unauthorized user to change the programmer’s functionality.
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Medicaid, CHIP enrollment could plummet if Trump administration finalizes 'public charge' rule http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/payer/enrollment-medicaid-and-chip-could-plummet-if-trump-administration-finalizes-public-charge?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/payer/enrollment-medicaid-and-chip-could-plummet-if-trump-administration-finalizes-public-charge?utm_source=internal&utm_medium=rss Fri, 12 Oct 2018 14:13:13 CDT Rose Meltzer at FierceHealthcare: Payer Anywhere from 2.1 million to 4.9 million children and adults could discontinue their enrollment, a trend that would have countless public health and economic implications, says a new analysis from the Kaiser Family Foundation. NIH programs shed light on gene variants and their connections to health and disease http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/nih-programs-shed-light-gene-variants-their-connections-health-disease http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/nih-programs-shed-light-gene-variants-their-connections-health-disease Fri, 12 Oct 2018 14:00:00 CDT NIH News Release ClinGen and ClinVar address major obstacles to genomic medicine. ]]> National Health IT Week 2018: Here’s what was said on social media http://medclimate.com/external/index.php?https://www.healthcareitnews.com/news/national-health-it-week-2018-here’s-what-was-said-social-media http://medclimate.com/external/index.php?https://www.healthcareitnews.com/news/national-health-it-week-2018-here’s-what-was-said-social-media Fri, 12 Oct 2018 09:49:50 CDT jfinison at Healthcare IT News - Government & Policy National Health IT Week 2018 happened around the country and, as usual, plenty of conversation took place in face-to-face events, inside the Beltway, at state capitals and, of course, on social media. HIMSS Senior Director of Congressional Affairs Samantha Burch explained that 2018 is a transformative year for NHITWeek because the purpose has shifted from proving the value of health technologies to demonstrating the achievements and successes.   While that may be somewhat different from last year, one aspect did not change: Healthcare is a human story. That plays out each NHITWeek and 2018 was no exception. It's the real stories behind #HealthIT that make our collective efforts come to life. Read these here, and stay inspired: https://t.co/Xp5joyqolo#IHeartHIT #NHITweek #Aim2Innovate #HCLDR #HDPalooza This year's themes hit the mark! pic.twitter.com/rpDJmETen4 — Rasu Shrestha MD MBA (@RasuShrestha) October 8, 2018 Why do #IHeartHIT? There's so much potential to change the lives of clinical staff and patients - and so many ppl working to solve the challenges that stand in the way. Also (in a nod to the Southern accents I've been hearing this week) y'all are awesome.#NHITWeek — Brian Eastwood (@Brian_Eastwood) October 10, 2018 Powerful stories humanize health information and technology, inspiring us to innovate. What keeps you motivated to help move health IT forward? #IHeartHIT #NHITweek pic.twitter.com/vWhKu25fI9 — HIMSS (@HIMSS) October 11, 2018 Up to 1 in 5 patient records may not be accurately matched within the same health care system – and that’s a problem for patient care. Learn more: https://t.co/MeQkliouHf #NHITWeek pic.twitter.com/mMiRT9GE6c — Pew Health (@pewhealth) October 8, 2018 Echoing the sentiments of Susan B. Anthony, Martin Luther King, and Smash Mouth, we could all use a little change. That’s the theme of #NHITWeek. Learn how Lauren is working to change EHR education and support for the better. #IHeartHIT pic.twitter.com/qgAuUTafbH — Nordic (@nordicwi) October 9, 2018 When it's your mom, getting the right care at the right time becomes very personal: https://t.co/O6CNUjei6q #NHITWeek #IHeartHIT — Carla Smith (@CarlaMSmith) October 8, 2018 Empathy is the heartbeat of healthcare. When you combine that with curiosity, you get to innovation.@TToddDunn of @Intermountain at @HealthLeaders Innovation Summit. #pinksocks #hcldr #innovation #NHITWeek pic.twitter.com/OuvZteKHre — Rasu Shrestha MD MBA (@RasuShrestha) October 8, 2018 Location, language & luck....no longer factors to seeking quality care when traveling abroad. We make purchases, bank & connect to each other w/confidence from around the globe. Now we can access quality healthcare from anywhere. As it should be. #virtualcare #IheartHIT #NHITWeek pic.twitter.com/tEHwRYeBqB — Lewis Levy, MD, FACP (@lewismlevy) October 9, 2018 That’s really just a taste of all the #IHeartHIT stories told during this National Health Week and year’s past. Read them all here. The power of technology to improve people’s lives was front-and-center this week and it shared some of the spotlight with social determinants of health. Everyone can make a difference. More than 1,000 @KPShare IT employees across the country volunteered 4,100 hours planting gardens, cooking/serving meals, sorting food bank produce and more to bring healthy food and nutrition to our communities.#NHITweek pic.twitter.com/VZ5QaBWFAI — Bernard J.Tyson, CEO (@BernardJTyson) October 8, 2018 I’ve worked in #healthcare for over 25 years, but it was when I entered #HealthIT that I found my passion. The ability to improve outcomes by combining IT systems & services w/ communication processes, still amazes & motivates me EVERY day. #NHITWeek pic.twitter.com/jdC4rAjFi5 — Linda Stotsky (@EMRAnswers) October 8, 2018 “Why do I love Health IT? We can use analytics to help doctors make data-driven decisions that improve patient care. With natural language processing, we can pull usable data from doctors’ notes, which make up some 80% of info in patient records.” –Kerry Bommarito, MTS #NHITweek pic.twitter.com/nZIvVSqDmY — Mercy Technology Services (@MercyTechnology) October 10, 2018 As noted above, NHITWeek is also a time to demonstrate already-won success stories of using information and technology. Wanted to recognize my favorite IT Team. Marcus Gomez and his team ⁦@LeonMedical⁩. Proudly standing by the ⁦@HIMSS⁩ stage 7 recognition. More photos to follow because it’s a large group of really smart and dedicated people.#healthIT #NHITWeek #OneTeam pic.twitter.com/O7I1VX0TZF — Julio Rebull (@JGRebull) October 10, 2018 The week might be over but health IT is an important issue year-round, so keep your stories coming. Your stories are the beating heart for inspiration in health information and technology. This #NHITweek, tell us why you health IT! #IHeartHIT pic.twitter.com/LDdL5JjYkp — HIMSS (@HIMSS) October 9, 2018 Twitter: SullyHIT Email the writer: tom.sullivan@himssmedia.com Primary Topic: PolicyAdditional Topics: PolicyTechnologyEngagementPolicySpecific Terms: Patient EngagementCustom Tags: Patient EngagementDisable Auto Tagging: Short Headline: National Health IT Week 2018: Here’s what was said on social mediaNewsletter hed: National Health IT Week 2018: Here’s what was said on social mediaNewsletter teaser: Technology was critical but so, too, were the personal and patient-centric stories shared on Twitter this week.HOT @HIMSS: Featured Decision Content: 

National Health IT Week 2018 happened around the country and, as usual, plenty of conversation took place in face-to-face events, inside the Beltway, at state capitals and, of course, on social media.

HIMSS Senior Director of Congressional Affairs Samantha Burch explained that 2018 is a transformative year for NHITWeek because the purpose has shifted from proving the value of health technologies to demonstrating the achievements and successes.  

While that may be somewhat different from last year, one aspect did not change: Healthcare is a human story. That plays out each NHITWeek and 2018 was no exception.

It's the real stories behind #HealthIT that make our collective efforts come to life.

Read these here, and stay inspired:

https://t.co/Xp5joyqolo#IHeartHIT #NHITweek #Aim2Innovate #HCLDR #HDPalooza

This year's themes hit the mark! pic.twitter.com/rpDJmETen4

— Rasu Shrestha MD MBA (@RasuShrestha) October 8, 2018

Why do #IHeartHIT? There's so much potential to change the lives of clinical staff and patients - and so many ppl working to solve the challenges that stand in the way.

Also (in a nod to the Southern accents I've been hearing this week) y'all are awesome.#NHITWeek

— Brian Eastwood (@Brian_Eastwood) October 10, 2018

Powerful stories humanize health information and technology, inspiring us to innovate. What keeps you motivated to help move health IT forward? #IHeartHIT #NHITweek pic.twitter.com/vWhKu25fI9

— HIMSS (@HIMSS) October 11, 2018

Up to 1 in 5 patient records may not be accurately matched within the same health care system – and that’s a problem for patient care. Learn more: https://t.co/MeQkliouHf #NHITWeek pic.twitter.com/mMiRT9GE6c

— Pew Health (@pewhealth) October 8, 2018

Echoing the sentiments of Susan B. Anthony, Martin Luther King, and Smash Mouth, we could all use a little change. That’s the theme of #NHITWeek. Learn how Lauren is working to change EHR education and support for the better. #IHeartHIT pic.twitter.com/qgAuUTafbH

— Nordic (@nordicwi) October 9, 2018

When it's your mom, getting the right care at the right time becomes very personal: https://t.co/O6CNUjei6q #NHITWeek #IHeartHIT

— Carla Smith (@CarlaMSmith) October 8, 2018

Empathy is the heartbeat of healthcare. When you combine that with curiosity, you get to innovation.@TToddDunn of @Intermountain at @HealthLeaders Innovation Summit. #pinksocks #hcldr #innovation #NHITWeek pic.twitter.com/OuvZteKHre

— Rasu Shrestha MD MBA (@RasuShrestha) October 8, 2018

Location, language & luck....no longer factors to seeking quality care when traveling abroad.
We make purchases, bank & connect to each other w/confidence from around the globe.
Now we can access quality healthcare from anywhere.
As it should be. #virtualcare #IheartHIT #NHITWeek pic.twitter.com/tEHwRYeBqB

— Lewis Levy, MD, FACP (@lewismlevy) October 9, 2018

That’s really just a taste of all the #IHeartHIT stories told during this National Health Week and year’s past. Read them all here.

The power of technology to improve people’s lives was front-and-center this week and it shared some of the spotlight with social determinants of health.

Everyone can make a difference. More than 1,000 @KPShare IT employees across the country volunteered 4,100 hours planting gardens, cooking/serving meals, sorting food bank produce and more to bring healthy food and nutrition to our communities.#NHITweek pic.twitter.com/VZ5QaBWFAI

— Bernard J.Tyson, CEO (@BernardJTyson) October 8, 2018

I’ve worked in #healthcare for over 25 years, but it was when I entered #HealthIT that I found my passion. The ability to improve outcomes by combining IT systems & services w/ communication processes, still amazes & motivates me EVERY day. #NHITWeek pic.twitter.com/jdC4rAjFi5

— Linda Stotsky (@EMRAnswers) October 8, 2018

“Why do I love Health IT? We can use analytics to help doctors make data-driven decisions that improve patient care. With natural language processing, we can pull usable data from doctors’ notes, which make up some 80% of info in patient records.” –Kerry Bommarito, MTS #NHITweek pic.twitter.com/nZIvVSqDmY

— Mercy Technology Services (@MercyTechnology) October 10, 2018

As noted above, NHITWeek is also a time to demonstrate already-won success stories of using information and technology.

Wanted to recognize my favorite IT Team. Marcus Gomez and his team ⁦@LeonMedical⁩. Proudly standing by the ⁦@HIMSS⁩ stage 7 recognition. More photos to follow because it’s a large group of really smart and dedicated people.#healthIT #NHITWeek #OneTeam pic.twitter.com/O7I1VX0TZF

— Julio Rebull (@JGRebull) October 10, 2018

The week might be over but health IT is an important issue year-round, so keep your stories coming.

Your stories are the beating heart for inspiration in health information and technology. This #NHITweek, tell us why you health IT! #IHeartHIT pic.twitter.com/LDdL5JjYkp

— HIMSS (@HIMSS) October 9, 2018

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

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National Health IT Week 2018: Here’s what was said on social media
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AcademyHealth, HIMSS partner on Health Datapalooza http://medclimate.com/external/index.php?https://www.healthcareitnews.com/news/academyhealth-himss-partner-health-datapalooza http://medclimate.com/external/index.php?https://www.healthcareitnews.com/news/academyhealth-himss-partner-health-datapalooza Fri, 12 Oct 2018 09:33:54 CDT jfinison at Healthcare IT News - Government & Policy HIMSS and AcademyHealth announced they will collaborate to strengthen public-private partnerships and advance policy through year-round activities and outreach. The goal is to support an interactive data ecosystem to accelerate healthcare improvements. WHY IT MATTERS To start, HIMSS will collaborate with AcademyHealth on the Health Datapalooza 2019, the 10th annual health technology meeting, which will extend the conversation to new audiences. The deadline for presentation pitches has been extended until Oct. 22 at 5 p.m. Officials said they’ll work together to expand the programming that reaches healthcare stakeholders, including Washington, D.C. policymakers. AcademyHealth President, CEO Lisa Simpson, MD said the arrangement will help drive better data and spur innovation. The groups will host a live Tweet Chat next week -- using #Datax10 -- to mark the 10-year anniversary of both Health Datapalooza and the HITECH Act. Experts from HIMSS and AcademyHealth will discuss lessons learned, how the data liberation movement has changed how data is used and what to expect over the next 1- years. The Twitter chat will begin Tuesday, Oct. 16 at 1PM. HIMSS Analytics this week delivered a state of the health IT industry report, which outlined where EHRs, cloud, blockchain, security and other technologies are today and where they’re headed. ON THE RECORD HIMSS CEO Hal Wolf said the partners will work together to “ensure the secure and meaningful transformation of data into new capabilities that deliver innovation in health transformation.” “The critical relationship between the private and public providers, government policy, innovators and citizens/patients/consumers has always been the driver behind HIMSS’ devotion of health thought leadership and data standardization, so that critical information can be seamlessly available at the point of care and knowledge management,” Wolf added. Twitter: @JF_Davis_ Email the writer: jessica.davis@himssmedia.com Primary Topic: PolicyAdditional Topics: PolicyDisable Auto Tagging: Short Headline: AcademyHealth, HIMSS partner on Health DatapaloozaNewsletter hed: AcademyHealth, HIMSS partner on Health DatapaloozaNewsletter teaser: The two nonprofit health IT groups hope to strengthen public-private partnerships and advance policy, starting by collaborating on the next Health Datapalooza.HOT @HIMSS: Featured Decision Content: 

HIMSS and AcademyHealth announced they will collaborate to strengthen public-private partnerships and advance policy through year-round activities and outreach. The goal is to support an interactive data ecosystem to accelerate healthcare improvements.

WHY IT MATTERS

To start, HIMSS will collaborate with AcademyHealth on the Health Datapalooza 2019, the 10th annual health technology meeting, which will extend the conversation to new audiences. The deadline for presentation pitches has been extended until Oct. 22 at 5 p.m.

Officials said they’ll work together to expand the programming that reaches healthcare stakeholders, including Washington, D.C. policymakers. AcademyHealth President, CEO Lisa Simpson, MD said the arrangement will help drive better data and spur innovation.

The groups will host a live Tweet Chat next week -- using #Datax10 -- to mark the 10-year anniversary of both Health Datapalooza and the HITECH Act. Experts from HIMSS and AcademyHealth will discuss lessons learned, how the data liberation movement has changed how data is used and what to expect over the next 1- years. The Twitter chat will begin Tuesday, Oct. 16 at 1PM.

HIMSS Analytics this week delivered a state of the health IT industry report, which outlined where EHRs, cloud, blockchain, security and other technologies are today and where they’re headed.

ON THE RECORD

HIMSS CEO Hal Wolf said the partners will work together to “ensure the secure and meaningful transformation of data into new capabilities that deliver innovation in health transformation.”

“The critical relationship between the private and public providers, government policy, innovators and citizens/patients/consumers has always been the driver behind HIMSS’ devotion of health thought leadership and data standardization, so that critical information can be seamlessly available at the point of care and knowledge management,” Wolf added.

Twitter: @JF_Davis_
Email the writer: jessica.davis@himssmedia.com

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HHS enlists HIMSS Healthbox to reduce innovation barriers by engaging investment community http://medclimate.com/external/index.php?https://www.healthcareitnews.com/news/hhs-enlists-himss-healthbox-reduce-innovation-barriers-engaging-investment-community http://medclimate.com/external/index.php?https://www.healthcareitnews.com/news/hhs-enlists-himss-healthbox-reduce-innovation-barriers-engaging-investment-community Fri, 12 Oct 2018 08:20:42 CDT jfinison at Healthcare IT News - Government & Policy The U.S. Department of Health and Human Services is working with Healthbox, a HIMSS innovation company, to reach out to investors and better understand the barriers to innovation. WHY IT MATTERS "This is going to be the first time we formally engage the investment community," HHS Deputy Secretary Eric Hargan told Healthcare IT News. "We work with providers, payers, pharma, medical device companies all the time – but we never talk to the people who are funding those to understand their challenges." HHS aims to change that with a series of events, dubbed Deputy Secretary's Innovation and Investment Summit, which was first announced in mid-September to bring together federal officials with investors and innovators. "What we're trying to do is open the doors at HHS regarding investment in innovation," Hargan said. "We see the investment community as important to innovation within the sector and that is going to be a major way we solve the bedrock mission of the department to promote the health and wellbeing of American people." Healthbox President Neil Patel said the summits will convene the perspectives across all of healthcare and Healthbox's role will be to bring its innovation expertise. "One of the challenges will be figuring out what we can feasibly tackle," Patel said. THE BIGGER TREND Considerable innovation is happening in healthcare, with an explosion of apps and data on the horizon. But even more is needed in areas such as HIE, interoperability, patient experience and telehealth, for instance – and by many accounts the industry must move faster, because things are something of a mess today. WHAT TO EXPECT FROM HHS DSIIS will consist of quarterly meetings designed to foster innovation in digital health, life sciences, medical devices, IT and payment systems. At those events, federal officials intend to listen to investors and innovators to ideally gain an understanding of which policies and regulations are getting in the way of funding for emerging technologies. The idea is to find places where HHS has put up barriers that are troublesome and unnecessary, as well as "to make our policies more rational, get rid of duplicative and contradictory policies and to help HHS develop policies and regulations that facilitate investment in the healthcare sector." HHS anticipates a yearlong process to get this from beginning to end, starting in December 2018, Hargan said. The department might be able to move on some ideas quickly, while for others, particularly those requiring legislative changes, it's harder to determine how long that could take. "Right now we're approaching this in an open way because the interaction has not happened so we have to look at it from a 30,000-foot level," Hargan said. "We've never engaged in a process like this, but I think there's probably fertile ground." HOW TO APPLY Investors interested in participating can apply until midnight Friday, October 12, 2018. They should send an email to DeputySecretary@HHS.gov with the subject line "DSIIS Recommendation." The department is also looking for subject matter experts, so send suggestions to the same email address with the subject line "Topic and Subject Matter Expert Recommendation." Twitter: SullyHIT Email the writer: tom.sullivan@himssmedia.com Primary Topic: PolicyAdditional Topics: PolicyPolicyDisable Auto Tagging: Short Headline: HHS enlists HIMSS Healthbox to reduce innovation barriersNewsletter hed: HHS enlists HIMSS Healthbox to reduce innovation barriers by engaging investment communityNewsletter teaser: Deputy Secretary Eric Hargan says the initiative is the first time in history HHS has reached to investors to understand what is holding innovation back.HOT @HIMSS: Featured Decision Content: 

The U.S. Department of Health and Human Services is working with Healthbox, a HIMSS innovation company, to reach out to investors and better understand the barriers to innovation.

WHY IT MATTERS

"This is going to be the first time we formally engage the investment community," HHS Deputy Secretary Eric Hargan told Healthcare IT News. "We work with providers, payers, pharma, medical device companies all the time – but we never talk to the people who are funding those to understand their challenges."

HHS aims to change that with a series of events, dubbed Deputy Secretary's Innovation and Investment Summit, which was first announced in mid-September to bring together federal officials with investors and innovators.

"What we're trying to do is open the doors at HHS regarding investment in innovation," Hargan said. "We see the investment community as important to innovation within the sector and that is going to be a major way we solve the bedrock mission of the department to promote the health and wellbeing of American people."

Healthbox President Neil Patel said the summits will convene the perspectives across all of healthcare and Healthbox's role will be to bring its innovation expertise.

"One of the challenges will be figuring out what we can feasibly tackle," Patel said.

THE BIGGER TREND

Considerable innovation is happening in healthcare, with an explosion of apps and data on the horizon. But even more is needed in areas such as HIE, interoperability, patient experience and telehealth, for instance – and by many accounts the industry must move faster, because things are something of a mess today.

WHAT TO EXPECT FROM HHS

DSIIS will consist of quarterly meetings designed to foster innovation in digital health, life sciences, medical devices, IT and payment systems.

At those events, federal officials intend to listen to investors and innovators to ideally gain an understanding of which policies and regulations are getting in the way of funding for emerging technologies.

The idea is to find places where HHS has put up barriers that are troublesome and unnecessary, as well as "to make our policies more rational, get rid of duplicative and contradictory policies and to help HHS develop policies and regulations that facilitate investment in the healthcare sector."

HHS anticipates a yearlong process to get this from beginning to end, starting in December 2018, Hargan said.

The department might be able to move on some ideas quickly, while for others, particularly those requiring legislative changes, it's harder to determine how long that could take.

"Right now we're approaching this in an open way because the interaction has not happened so we have to look at it from a 30,000-foot level," Hargan said. "We've never engaged in a process like this, but I think there's probably fertile ground."

HOW TO APPLY

Investors interested in participating can apply until midnight Friday, October 12, 2018. They should send an email to DeputySecretary@HHS.gov with the subject line "DSIIS Recommendation."

The department is also looking for subject matter experts, so send suggestions to the same email address with the subject line "Topic and Subject Matter Expert Recommendation."

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

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HHS enlists HIMSS Healthbox to reduce innovation barriers
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Leveraging IT for better health outcomes – recent developments in Singapore http://medclimate.com/external/index.php?https://www.healthcareitnews.com/news/leveraging-it-better-health-outcomes-–-recent-developments-singapore http://medclimate.com/external/index.php?https://www.healthcareitnews.com/news/leveraging-it-better-health-outcomes-–-recent-developments-singapore Fri, 12 Oct 2018 03:38:21 CDT deankoh at Healthcare IT News - Government & Policy The IT journey in clinical systems in Singapore dates back to the 1980s and by the early 2000s, two distinct electronic medical record (EMR) systems emerged from the two integrated clusters. However, this meant that sharing of patient information, especially those moving from different clusters, was a big challenge. In 2008, the National Electronic Healthcare Record (NEHR) was conceived out of a “one patient, one record” vision based on a concept paper. Critically, NEHR differs from previous EMR systems as it is a repository of visit summaries specific to an individual. While EMR systems contain detailed information of a patient in their respective institutions, NEHR collects key subsets of health information from these multiple healthcare encounters. NEHR went live in 2011, with the successful uploading of healthcare information from public hospitals in the same year. By the first year, all restructured hospitals, specialist centres and polyclinics, six community hospitals, eight nursing homes, and an increase from an initial 50 to 250 GP clinics had access to NEHR. HealthHub, a one-stop portal and mobile application for Singaporeans to access a wide range of health content, rewards and e-services was launched in 2015. Users can also log-in to HealthHub through their SingPass to view their health records and medical appointments across different polyclinics, public hospitals and other public health institutions. The information from HealthHub is drawn from a few IT systems, which include the NEHR, the School Health System, School Dental System and National Immunisation Registry. As of November 2017, only three percent of the more than 4,000 private healthcare providers – including specialist clinics, nursing homes and hospices – contribute to the NEHR scheme. Additionally, a study of private healthcare institutions done by the Integrated Health Information Systems (IHiS), the national technology agency for healthcare, found that two in 10 private GPs and specialist clinics still use written medical record systems, rather than an electronic one. At the time of writing, the Ministry of Health (MOH) website has a list of 1230 healthcare institutions/organisations (public and private) who are participating in NEHR. Due to the slow uptake by private healthcare sector in the NEHR, MOH wants to make it compulsory for all healthcare providers to upload data to the NEHR. Early adopters who start contributing data by June 2019 will be able to claim a one-off from MOH to offset their costs of upgrading their systems and a S$20 million fund has been set aside by the ministry for this purpose. One of the unique developments is that the latest generation of the Singapore Armed Forces (SAF)’s EMR system, Patient Care Enhancement System (PACES) 3, which was launched in April 2016, connects to healthcare infrastructure outside of Ministry of Defence (MINDEF)/SAF via the internet, such as the NEHR. This helps to provide more holistic care for SAF servicemen. Traditionally, the first two generations of PACES operated independently on their own with no ability to connect to external healthcare infrastructures. While there has been a progressive development in health IT in Singapore in terms of the NEHR and HealthHub, the nation-state suffered a setback in its goal to becoming a Smart Nation when a cyberattack occurred to SingHealth, Singapore’s largest group of healthcare institutions, which consists of 4 public hospitals island wide, 5 national specialty centres and a network of 9 polyclinics in July 2018. Described as one of the worst cyberattacks in the country, the incident saw the personal information of 1.5 million SingHealth patients being copied and stolen. Plans for compulsory contribution to NEHR has been suspended temporarily after the SingHealth incident and a four-member Committee of Inquiry (COI) was set up promptly to look into the events and factors that led to the attack. In response to the incident, Prime Minister Lee Hsien Loong shared, “If we discover a breach, we must promptly put it right, improve our systems, and inform the people affected. This is what we are doing in this case. We cannot go back to paper records and files. We have to go forward, to build a secure and smart nation.” PM Lee’s response reflects Singapore’s ongoing journey in continually advancing healthcare IT infrastructure – in fact, there are already plans to develop and implement the Next Generation Electronic Medical Record (NGEMR) by 2020. Primary Topic: Electronic Health RecordsAdditional Topics: TechnologyEHRPolicyTechnologyInteroperabilitySpecific Terms: Electronic Health RecordsHIECustom Tags: Electronic Health RecordsHIEDisable Auto Tagging: Short Headline: Singapore’s Health IT journeyNewsletter hed: Leveraging IT for better health outcomes – recent developments in SingaporeNewsletter teaser: The IT journey in clinical systems in Singapore dates back to the 1980s and ...HOT @HIMSS: Featured Decision Content: 

The IT journey in clinical systems in Singapore dates back to the 1980s and by the early 2000s, two distinct electronic medical record (EMR) systems emerged from the two integrated clusters. However, this meant that sharing of patient information, especially those moving from different clusters, was a big challenge.

In 2008, the National Electronic Healthcare Record (NEHR) was conceived out of a “one patient, one record” vision based on a concept paper. Critically, NEHR differs from previous EMR systems as it is a repository of visit summaries specific to an individual. While EMR systems contain detailed information of a patient in their respective institutions, NEHR collects key subsets of health information from these multiple healthcare encounters.

NEHR went live in 2011, with the successful uploading of healthcare information from public hospitals in the same year. By the first year, all restructured hospitals, specialist centres and polyclinics, six community hospitals, eight nursing homes, and an increase from an initial 50 to 250 GP clinics had access to NEHR.

HealthHub, a one-stop portal and mobile application for Singaporeans to access a wide range of health content, rewards and e-services was launched in 2015. Users can also log-in to HealthHub through their SingPass to view their health records and medical appointments across different polyclinics, public hospitals and other public health institutions. The information from HealthHub is drawn from a few IT systems, which include the NEHR, the School Health System, School Dental System and National Immunisation Registry.

As of November 2017, only three percent of the more than 4,000 private healthcare providers – including specialist clinics, nursing homes and hospices – contribute to the NEHR scheme. Additionally, a study of private healthcare institutions done by the Integrated Health Information Systems (IHiS), the national technology agency for healthcare, found that two in 10 private GPs and specialist clinics still use written medical record systems, rather than an electronic one. At the time of writing, the Ministry of Health (MOH) website has a list of 1230 healthcare institutions/organisations (public and private) who are participating in NEHR.

Due to the slow uptake by private healthcare sector in the NEHR, MOH wants to make it compulsory for all healthcare providers to upload data to the NEHR. Early adopters who start contributing data by June 2019 will be able to claim a one-off from MOH to offset their costs of upgrading their systems and a S$20 million fund has been set aside by the ministry for this purpose.

One of the unique developments is that the latest generation of the Singapore Armed Forces (SAF)’s EMR system, Patient Care Enhancement System (PACES) 3, which was launched in April 2016, connects to healthcare infrastructure outside of Ministry of Defence (MINDEF)/SAF via the internet, such as the NEHR. This helps to provide more holistic care for SAF servicemen. Traditionally, the first two generations of PACES operated independently on their own with no ability to connect to external healthcare infrastructures.

While there has been a progressive development in health IT in Singapore in terms of the NEHR and HealthHub, the nation-state suffered a setback in its goal to becoming a Smart Nation when a cyberattack occurred to SingHealth, Singapore’s largest group of healthcare institutions, which consists of 4 public hospitals island wide, 5 national specialty centres and a network of 9 polyclinics in July 2018. Described as one of the worst cyberattacks in the country, the incident saw the personal information of 1.5 million SingHealth patients being copied and stolen.

Plans for compulsory contribution to NEHR has been suspended temporarily after the SingHealth incident and a four-member Committee of Inquiry (COI) was set up promptly to look into the events and factors that led to the attack. In response to the incident, Prime Minister Lee Hsien Loong shared, “If we discover a breach, we must promptly put it right, improve our systems, and inform the people affected. This is what we are doing in this case. We cannot go back to paper records and files. We have to go forward, to build a secure and smart nation.”

PM Lee’s response reflects Singapore’s ongoing journey in continually advancing healthcare IT infrastructure – in fact, there are already plans to develop and implement the Next Generation Electronic Medical Record (NGEMR) by 2020.

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How Penn Medicine is redesigning its EHR for a new era of care http://medclimate.com/external/index.php?https://www.healthcareitnews.com/news/how-penn-medicine-redesigning-its-ehr-new-era-care http://medclimate.com/external/index.php?https://www.healthcareitnews.com/news/how-penn-medicine-redesigning-its-ehr-new-era-care Thu, 11 Oct 2018 15:53:39 CDT at Most Popular News from healthcareitnews.com Penn Medicine is pursuing a new initiative it says will innovate electronic health records for 21st Century medicine. The goal, officials say, is to make the technology more interactive and responsive to clinicians – nudging the EHR into a new era where it's not just a documentation system but a crucial tool for care delivery. WHY IT MATTERS Scientists develop novel vaccine for Lassa fever and rabies http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/scientists-develop-novel-vaccine-lassa-fever-rabies http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/scientists-develop-novel-vaccine-lassa-fever-rabies Thu, 11 Oct 2018 15:45:00 CDT NIH News Release The inactivated recombinant vaccine candidate uses a weakened rabies virus vector. ]]> Grassley calls for Federal Trade Commission to examine hospital, insurer contracting http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/hospitals-health-systems/grassley-calls-for-federal-trade-commission-to-examine-hospital-insurer?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/hospitals-health-systems/grassley-calls-for-federal-trade-commission-to-examine-hospital-insurer?utm_source=internal&utm_medium=rss Thu, 11 Oct 2018 08:20:51 CDT Tina Reed at FierceHealthcare: Payer Senate Judiciary Committee Chairman Chuck Grassley is calling for the Federal Trade Commission to examine "potentially anticompetitive contracting practices between insurers and hospital systems" that could be driving up costs for consumers.  Walgreens and LabCorp to open 600 in-store testing sites http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/hospitals-health-systems/walgreens-and-labcorp-to-open-600-store-diagnostic-sites?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/hospitals-health-systems/walgreens-and-labcorp-to-open-600-store-diagnostic-sites?utm_source=internal&utm_medium=rss Thu, 11 Oct 2018 04:39:20 CDT Tina Reed at FierceHealthcare: Payer Walgreens plans to partner with diagnostics giant LabCorp to open at least 600 testing centers inside Walgreens retail locations over the next four years.  Study identifies gene that makes gentle touch feel painful after injury http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/study-identifies-gene-makes-gentle-touch-feel-painful-after-injury http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/study-identifies-gene-makes-gentle-touch-feel-painful-after-injury Wed, 10 Oct 2018 18:00:00 CDT NIH News Release NIH-funded research raises possibility of designer treatments for common form of pain. ]]> NIH study finds probiotic Bacillus eliminates Staphylococcus bacteria http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/nih-study-finds-probiotic-bacillus-eliminates-staphylococcus-bacteria http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/nih-study-finds-probiotic-bacillus-eliminates-staphylococcus-bacteria Wed, 10 Oct 2018 17:00:00 CDT NIH News Release Additional studies of common supplement planned. ]]> Payer Roundup—Trump rails against Medicare-for-all; Medicare paying nursing facilities more for rehabilitation http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/payer/payer-roundup-trump-rails-against-medicare-for-all-editorial-medicare-paying-nursing?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/payer/payer-roundup-trump-rails-against-medicare-for-all-editorial-medicare-paying-nursing?utm_source=internal&utm_medium=rss Wed, 10 Oct 2018 16:02:32 CDT Rose Meltzer at FierceHealthcare: Payer The president attacked a Medicare-for-all proposal in an opinion column on Wednesday, and the senator who introduced that bill hit back. Plus, a study suggests for-profit nursing homes are sending patients to therapy at the end of their lives to make more money. Trump signs bills ending pharmacy gag clauses http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/trump-signs-bills-ending-pharmacy-gag-clauses?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/trump-signs-bills-ending-pharmacy-gag-clauses?utm_source=internal&utm_medium=rss Wed, 10 Oct 2018 15:34:41 CDT Paige Minemyer at FierceHealthcare: Payer President Donald Trump signed two bipartisan bills into law on Wednesday that would ban so-called gag clauses at the pharmacy counter. Fee-for-service Medicare holding back innovative care models for seniors, experts say  http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/alliance-for-health-policy-medicare-fee-for-service-geriatrics-long-term-care?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/alliance-for-health-policy-medicare-fee-for-service-geriatrics-long-term-care?utm_source=internal&utm_medium=rss Wed, 10 Oct 2018 14:08:23 CDT Paige Minemyer at FierceHealthcare: Payer Providers, both long-standing ones and new entrants, are devising ways to better care for seniors, but fee-for-service Medicare stands in the way, experts say.  Consumers – not providers – will have the power to ensure interoperability http://medclimate.com/external/index.php?https://www.healthcareitnews.com/video/consumers-–-not-providers-–-will-have-power-ensure-interoperability http://medclimate.com/external/index.php?https://www.healthcareitnews.com/video/consumers-–-not-providers-–-will-have-power-ensure-interoperability Wed, 10 Oct 2018 13:49:17 CDT walmeida at Healthcare IT News - Government & Policy Primary topic: InteroperabilityPrimary Topic: PolicyAdditional Topics: InnovationInteroperabilityPolicyTechnologyTelehealthSpecific Terms: Mobile Health ITCustom Tags: InteroperabilityMobile Health ITInnovation (6491)Disable Auto Tagging: Disable Auto TaggingShort Headline: Consumers – not providers – will have the power to ensure interoperabilityNewsletter hed: Consumers – not providers – will have the power to ensure interoperabilityNewsletter teaser: Bettina Experton, MD, and CEO of Humetrix, talks about the history of CMS’s Blue Button project (they’re on their 8th edition) and how 53 million Americans covered by Medicare will now have access to their data through an API to ensure interoperability and patient safety.Featured Decision Content: 
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Centene expands ACA marketplace footprint, adds 4 new states http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/payer/centene-enters-and-expands-marketplaces-ten-states?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/payer/centene-enters-and-expands-marketplaces-ten-states?utm_source=internal&utm_medium=rss Wed, 10 Oct 2018 10:15:25 CDT Rose Meltzer at FierceHealthcare: Payer Despite some legal hurdles, Centene—like many insurers—has done very well financially on the individual market over the last year, paving the way for a 2019 expansion into four new states. Gene mutation points to new way to fight diabetes, obesity, heart disease http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/gene-mutation-points-new-way-fight-diabetes-obesity-heart-disease http://medclimate.com/external/index.php?https://www.nih.gov/news-events/news-releases/gene-mutation-points-new-way-fight-diabetes-obesity-heart-disease Tue, 09 Oct 2018 17:00:00 CDT NIH News Release Finding could provide the basis for drug therapies. ]]> Geisinger, Dignity Health among 1,300 providers to sign up for CMS' bundled payment model http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/cms-nearly-1-300-providers-have-signed-up-for-new-bundled-payment-model?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/regulatory/cms-nearly-1-300-providers-have-signed-up-for-new-bundled-payment-model?utm_source=internal&utm_medium=rss Tue, 09 Oct 2018 15:57:17 CDT Paige Minemyer at FierceHealthcare: Payer Nearly 1,300 providers have signed up to participate in the first wave of CMS’ new voluntary bundled payment program, the agency said. Altarum: Healthcare job growth plateaus following likely ACA-induced spike http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/finance/altarum-healthcare-job-growth-plateaus-following-likely-aca-induced-spike?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/finance/altarum-healthcare-job-growth-plateaus-following-likely-aca-induced-spike?utm_source=internal&utm_medium=rss Tue, 09 Oct 2018 15:38:46 CDT Paige Minemyer at FierceHealthcare: Payer Job growth in healthcare has plateaued over the past several quarters after rising steadily since 2014, according to a new report. How streamlined data exchange in Michigan provided a boost to population health http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/tech/how-electronic-reporting-translates-into-higher-quality-scores-and-systematic-savings-michigan?utm_source=internal&utm_medium=rss http://medclimate.com/external/index.php?http://www.fiercehealthcare.com/tech/how-electronic-reporting-translates-into-higher-quality-scores-and-systematic-savings-michigan?utm_source=internal&utm_medium=rss Tue, 09 Oct 2018 15:19:56 CDT Rose Meltzer at FierceHealthcare: Payer As the federal government considers solutions to the national interoperability problem, perhaps it could get some pointers from a successful effort in Michigan.