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Hosted by Douglas K. Smith MD, CPHIMS           IT Voice of Clinicians

Meaningful Collaboration - Improving Healthcare Quality: One Collaboration at a Time?!
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Accountable Care Organization ACO), Meaningful Collaboration

7 Challenges that Widen Security Holes at Healthcare Organizations

November 10, 2015by Douglas K Smith MD, CPHIMSNo Comments

shutterstock_145738520Healthcare technology professionals understand the threats facing their organizations information systems, while non-technical professionals have less awareness, according to results of a recent survey of 400 professionals by security firm Trustwave. The views of the techies are compelling; a combination of understanding some threats but not others, and many of their organizations are not stepping up. Here are the takeaways.

The  results of a recent survey of 400 professionals by security firm Trustwave show that IT professionals are concerned by increased specifically targeted threats by criminals with intent to capture healthcare information that can be mined for identity theft reasons.

Respondents to the survey report anxiety levels of HIT professionals and threats increasing whereas budgetary constraints of most organizations limiting number of personnel and dollars allocated to HIT security. This dangerous combination of increasing threat and decreasing capital allocation makes healthcare a soft security target and may attract further increases in interest by cybercriminals

Source: 7 Challenges that Widen Security Holes at Healthcare Organizations

RadCloud®: unique secure HIPAA compliant radiology and healthcare plaform.

RadCloud®: unique secure HIPAA compliant radiology and healthcare platform.

Information Blocking, Interoperability, Uncategorized

Health IT – 25 things to know about health IT interoperability

September 14, 2015by Douglas K Smith MD, CPHIMSNo Comments
SSource: Health IT – 25 things to know about health IT interoperability

Health IT interoperability refers to the unimpeded exchange of healthcare information between data repositories. As a telradiologist licensed in 35 states, ABPM certified clinical informatist, CHIME member, CPHIMS, and Founder of two national teleradiology companies, I have learned some important lessons about healthcare IT interoperability during the past 25 years.

Health IT interoperability is focused on technical conveyance of healthcare information between medical entities but this is a bare minimum technical requirement. In most cases, I have found that the transfer of large data data sets without clinically useful context  is Meaningless Use of electronic health records rather than Meaningful Collaboration(TM)  between medical providers caring for the same patient.

During my 25 years of radiology, I have experienced multiple types of obstacles and challenges to health IT interoperability. Most medical providers report challenges accessing health information that reside within different EMR systems. Several years ago, I was excited to learn about Regional Health Information Organizations (RHIO) as method for information sharing between healthcare stakeholders. Unfortunately most RHIOs failed miserably for a veariety of reasons and were replaced by Health Information Exchanges (HIE). Some HIEs are thriving although most HIEs are struggling for a variety of reasons: political, financial, or low medical provider enrollment.

My experience with a HIE is that data contribution is almost exclusively from large hospital entities with very little contribution form radiology centers or outpatient medical entities. These significant content gaps makes it difficult for our practice to rely on the HIE for a full picture of a patient;s health information. In addition, medical entities contributing data to the HIE organize their contributed data differently and it can challenging to find the expect desired data and clinical context within the big data environment commonly associated with health information exchanges.

I believe there is critical need for Federated Medical Record Collaboration Platforms within which medical providers and healthcare stakeholders could access clinically pertinent ePHI and participate in Meaningful Collaboration(TM) between medical providers, patients, payors and regulators. Virtual Viewbox Inc. has advocated for creation of a HIPAA compliant Healthcare Collaboration platform and supports the Meaningful Collaboration in Healthcare initiative. Virtual Viewbox Inc. operates on the RadCloud® private cloud platform, the first private cloud platform designed from the ground up to support meaningful collaboration between healthcare stakeholders.

In future posts I will discuss more specifics about healthcare IT interoperability.

 

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