The American Medical Informatics Association, the College of Healthcare Information Management Executives, the American Health Information Management Association, Pew Charitable Trusts, KLAS Research and the Medical Group Management Association were among the stakeholders that submitted comments in response to an ONC request for information on the EHR Reporting Program. Suggestions included using the program to monitor progress toward interoperability and cybersecurity, disclosing costs and fees, improving patient safety and improving clinicians' access to data.
An artificial intelligence platform based on modern cryptographic tools allows secure, open sharing of pharmacological data among drug developers, according to an article published in Science. Researchers say they developed a computational protocol for training a predictive model of drug-target interactions that ensures the confidentiality of underlying drugs, targets and observed interactions and lays a foundation for more collaboration in biomedical research.
Poor data quality and variability in data elements impede the use of EHRs to train deep learning models, according to research published in the Journal of the American Medical Informatics Association. Among the impediments the researchers identified were temporal irregularities and a lack of labels on records indicating the target, and a lack of transparency and interpretability in deep learning models.
An ad campaign for Nevada's Silver State Health Insurance Exchange focuses on the consequences of forgoing health insurance, and officials are encouraging residents to find free enrollment assistance. The average premium on plans sold through the exchange for 2019 will be slightly lower than for this plan year, Executive Director Heather Korbulic said.
The legislative committee that oversees Arkansas' health insurance exchange delayed approving an increase in fees charged to insurers for 2020 and asked for more information on why the fee is scheduled to increase, what other state exchanges charge and how the fee affects the agency's finances. The committee is also reviewing Insurance Commissioner Allen Kerr's assertion that a state-run exchange would be less expensive than relying on HealthCare.gov for enrollment.
The ONC and the HHS Office for Civil Rights have updated the Security Risk Assessment Tool, which is designed to help small to medium-sized health care practices, business associates and covered entities identify and assess security risks related to electronic patient health information. The revamped tool, available for Windows users, includes a progress tracker, asset and business associate tracking, an enhanced user interface and a modular workflow.
An unauthorized individual was able to access three employee email accounts at Catawba Valley Medical Center in Hickory, N.C., which learned about the incident Aug. 13 and notified patients last week. The phishing attack may have compromised patients' names; treatment, procedure and health insurance information; dates of birth; and Social Security numbers for some, although officials found no evidence that the information has been misused.
The ONC's EHR Reporting Program should include criteria focused on testing EHR usability for patient safety, according to the Pew Charitable Trusts, which suggested reducing the administrative burden on end users and taking a life-cycle approach when creating usability-related criteria. The Arch Collaborative said EHR training could help improve EHR usability and provider satisfaction in terms of using health IT, adding that "the structure of training matters less than the availability and quality of the education."
A panel of health IT leaders at the HIMSS Media Security Forum agreed that progress has been made in the health care sector in terms of cybersecurity and maturity, but there are still issues that require attention. Christiana Care Health System CISO Anahi Santiago said many small to midsize hospitals are still having difficulties, while Sirius' director of cybersecurity, Matt Sickles, warned of the new threat of hackers manipulating data apart from taking it.
Michael Garcia, CIO of Jackson Health System, notes that an important focus for the health care industry in 2019 will be leaders' ability to implement new technology and to manage the steady pace of change. Garcia also says his organization is supporting the sector's efforts to develop interoperability between health IT systems.
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