Only about 0.7% of patients who logged on to their health care system's patient portal in March 2018 did so using a third-party app, but the percentage rose by 0.14% monthly through December 2018, according to a research letter published in JAMA Network Open. Although the study involved a single EHR vendor and only 12 large health systems, the results provide a baseline for tracking patient use of smartphones to manage EHR data, researchers wrote.
The American Hospital Association said the CMS should proactively identify billing codes for complex new technologies, rescind the JW modifier, align billing requirements with Current Procedural Terminology codes, minimize or rescind temporary Healthcare Procedure Coding System level II codes and revise recovery audit contractor incentives that cause improperly denied claims. The Healthcare Business Management Association, the American Academy of Ophthalmology and others said the CMS should reform the prior authorization process, particularly in Medicare Advantage, and America's Health Insurance Plans acknowledged that automating the process would make it less burdensome.
Participation in the national Patient Centered Data Home has risen 230% over the past year, with more than 200 million patients served by health information exchanges connected to the network, according to the Strategic Health Information Exchange Collaborative. Though HIEs bridge interoperability gaps, an HHS Office of Inspector General report found that many patient records are incomplete.
Hospice Services is among rural hospice and palliative care providers using telemedicine to expand access to care and enhance in-person visits with additional services, says Executive Director Sandy Kuhlman. Telehospice allows people in hard-to-reach areas to stay in their homes, says Michael Fratkin, president of Resolution Care, and staff training and patient education are keys to success, he adds.
The FDA's Center for Drug Evaluation and Research is seeking five participants for a pilot project to process and analyze nonclinical study data submitted electronically using the Clinical Data Interchange Standards Consortium's SEND 3.1 standards.
Ciitizen, which offers an app to help people take control of their medical data and participate in research, introduced the Patient Record Scorecard to rate health care providers and systems on their responses to patients' records requests. The strategy is meant to improve compliance with HIPAA access requirements, says Ciitizen Chief Regulatory Officer Deven McGraw.
Clinician workflows are bound to change as artificial intelligence is integrated into clinical care, and medical school curricula will need to include education on using AI to keep up with the latest research and guide diagnosis and treatment decisions, says C. Donald Combs, vice president of the School of Health Professions at Eastern Virginia Medical School. Combs says health care providers must learn to trust AI to gather and sort through data but remain skeptical enough to recognize bias and outliers.
Health care chief information security officers and CIOs who want to deploy systems and data on a public cloud should have in-depth knowledge of the business and technical complexities existing in the cloud as well as complete understanding of contractual obligations of the cloud-hosting provider to offer security controls, said John Fowler, deputy information security officer at Henry Ford Health System in Detroit. CIOs, CISOs and their staff must also have a clear understanding of how data is protected in a cloud environment, what it means to have data in the cloud, and how they should use the data, according to Leonard Rollins, CIO at Freeman Health System in Joplin, Mo.
Bosses tell people what they want them to do, whereas leaders are collaborative and empower people to do their jobs, writes John Stoker, who offers 12 characteristics that separate leaders from bosses. "Good leaders will understand what is required of each team member and will support and encourage them in ways that motivate them to do their best," he writes.
The health care sector is catching up with other industries in the use of big data and advanced analytics technology, "making it possible to overcome the decades of siloed, inaccessible, consumer data," writes Faraz Shafiq, chief artificial intelligence officer at Cambia Health Solutions. Artificial intelligence and machine learning promise to personalize care and help patients make decisions, but developers must prioritize patient privacy, confidentiality and security, Shafiq writes.
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