iPad Offers Pros and Cons for EHR Adoption

Wed, Feb 3, 2010

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Image copyright Apple

Image copyright Apple

We noted last week that there’s a lot of hype swirling around Apple’s release of the iPad — an electronic tablet device that many in the health care technology field see as a revolutionary new tool that will speed the adoption of electronic health records.

But other writers and experts are not so sure, and there will certainly be a period of testing and caution before the health care industry embraces new EHR tools of which the iPad is just one example.

Read on to find out whether the iPad will actually live up to the hype or just be another fancy toy that will give health care workers and patients a bigger screen to play Tetris on.

Here are some key specs of the iPad:

  • Price: For WiFi only (no cellular connectivity), expect to pay $499 for a 16GB hard drive; $599 for 32GB; and $699 for 64GB. Add access to AT&T’s 3G network, and you’re looking at adding another $130 to each of those amounts. (more…)

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Shore Up Your HIPAA Compliance Before Enforcement Storm Hits This Year

Wed, Feb 3, 2010

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Tip: You’re not off the hook if the breach is your vendor’s fault.

Using electronic health records may cut costs and reduce errors, but they also can increase your compliance risks — and scrutiny from the feds.

Wake-up call: You are accountable for compliance even if a third party installs and maintains your records system. Providers will still be responsible for ensuring the same privacy protections as if they did have their own IT department, points out Jim Sheldon-Dean with Lewis Creek Systems in Charlotte, Vt. (more…)

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80 Percent of Americans Believe EHRs Are Unsecure

Wed, Feb 3, 2010

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The feds are pouring billions into the EHR implementation, but the majority of Americans — 80 percent — feel their electronic medical records are at risk when they’re in the hands of private industry or the government, Forbes reports. (Thanks to Fierce Healthcare’s Neil Versel for the heads up.)

The Ponemon Institute survey found that for 71 percent of respondents, it is okay for hospitals, clinics or physicians to store their health records. Likewise 99 percent believe a patient’s doctor should have access to his or her digital health records stored in a national system.

However only 38 percent said that a federal government agency should be able to access those records, and only 11 percent thought that private businesses should have access.

It may be a good thing that the U.S. Department of Health is not keen on centralizing health records in a single database but will farm them out to a network of databases at hospitals, insurance companies and web portals such as Google, General Electric or Microsoft.

AUDIO: New HIPAA enforcement penalties & audit rules.

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Should You Handle Medical Privacy for Psychiatric Care Differently?

Tue, Feb 2, 2010

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Question: Our facility is going to offer psychiatric services to certain residents with mental health issues or psychiatric diagnoses.These services will be provided by outside psychiatrists and psychiatric nurse practitioners, and will include individual counseling and group therapy. Do we need to have more HIPAA privacy safeguards related specifically to the psychiatric services? If so, what might they be?

Answer: As a first step, decide in consultation with the psychiatric professionals involved what records the facility will maintain, and what records only the psychiatric professional will maintain, advises Heather O. Berchem, an attorney with Murtha Cullina LLP, in New Haven, Conn. The distinction is important because the facility is responsible under HIPAA only for those records maintained by the facility. And the psychiatric professionals will be responsible for complying with HIPAA regarding records they maintain, she says.

Important … (more…)

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iPad Poised To Revolutionize HIT

Wed, Jan 27, 2010

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How could it possibly be better than this?

How could it possibly be better than this?

We all got a sneak peek at Steve Jobs’ new toy today. What it means for health care.

Today, we finally got to see it — the new ‘iPad’ that Apple will release in April.

We just learned the official name today — and why, oh why, couldn’t we guess? But just because it’s actual name was a mystery doesn’t mean HIT gurus haven’t been awaiting the Apple tablet computer for months, eagerly anticipating its capacity to revolutionize health information technology.

If the iPad is as easy to use as the iPod or iPhone, experts predict, it could jump-start EMR adoption among health care providers. That’s because it potentially addresses a big obstacle for clinicians: ease of use.

Hey, HIT News gurus! What do think about the iPad’s potential for health care. Write us with your comments.

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HIPAA Compliance: Practical Breach Notification Tips

Wed, Jan 27, 2010

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If a breach involves 500+ people, here’s what your health care organization will suffer.

Picture this: A nurse hands a patient someone else’s discharge papers but promptly discovers the error and retrieves the protected health information. Would your health care organization have to report that as a breach of unsecured PHI under HIPAA notification rules?

The answer: It depends. The scenario wouldn’t constitute a breach — “if the nurse can reasonably conclude that the patient couldn’t have read or otherwise retained the information,” according to the Health & Human Services’ (HHS) interim final rule implementing the new requirements. But suppose the patient turned the corner and was out of sight momentarily and the discharge orders included “a sensitive diagnosis such as HIV, and the facility was in a small community”— or the nurse had reviewed the discharge  orders with the patient, says Chicago attorney Michael Roach. Those scenarios could trigger the notification requirements, he points out.

Nail Down the Basics … (more…)

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If a PHI Breach Fits One of These Exceptions, You May Be Home Free

Wed, Jan 27, 2010

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Include this information as part of your risk analysis.

Knowing what doesn’t count as a breach under new HIPAA notification rules can help you weigh whether to report a disclosure of unsecured protected health information. The rules include four exceptions, as follows:

Exception No. 1. An unintended acquisition, access or use of PHI by a person with authority to handle PHI who is acting in good faith. Also, “there’s no further acquisition, access or use of the PHI,” says attorney Kathryn Solley, with Atlanta law firm Seyfarth Shaw LLP. (more…)

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Occupational Therapy Gets Its Own EMR Tool

Wed, Jan 27, 2010

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Occupational therapists are getting some special electronic medical record attention. For a while now, speech pathologists and physical therapists have had the option to use tailored electronic medical record and documentation programs from their national associations — and now it’s occupational therapy’s turn.

The American Occupational Therapy Association (AOTA) announced in early November a licensing agreement with Cedaron Medical, Inc. to develop an electronic patient record and documentation system for the occupational therapy profession. (more…)

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HIT Pits Techies & Docs

Tue, Jan 19, 2010

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If HIT vendors want to sell their wares to physicians, they must acknowledge and fix this key problem.

A recently-held President’s Council of Advisors on Science and Technology (PCAST) meeting drove home a key point—medicine and IT are strange bedfellows.

Things got interesting Google CEO Eric Schmidt engaged physician and health policy expert Atul Gawande in a witty exchange. Dr. Gawende’s recently published book, The Checklist Manifesto, promotes checklists as a way to improve health care quality and at the same time lower delivery costs.

Google’s Schmidt responded by asking Gawande to imagine what it will be like to visit a doctor be like five years from now. “In my ideal world what would happen is that the doctor would type in the symptoms he or she also observes, and it would be matched against the data in this repository,” Schmidt said. “Then this knowledge engine would use best practices, and all the knowledge in the world to give physicians some sort of standardized guidance.” (more…)

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Follow These 3 Tips to Protect PHI

Tue, Jan 19, 2010

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Hint: Paper files can be breached just as easily as electronic files.

You may be sure that you’ve dotted all of your i’s and crossed all of your t’s, but if you miss even a small piece of the privacy puzzle, you can compromise your entire system. Take a look at these three reminders to ensure that you’re starting 2010 with your privacy program on the right foot:

1. Don’t Let Paper Get Lost in the Shuffle. You may think of patient privacy exclusively in terms of protecting electronic patient data, but paper files are just as likely to be compromised. “With the advent of the HITECH changes, breaches occurring with paper records will be treated the same way as electronic data,” says Gregory Michaels, manager of security and compliance solutions at BluePrint Healthcare IT in Cranbury, N.J. (more…)

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