Beth Israel Deaconess Medical Center
Modifications to the HIPAA privacy, security, enforcement, and breach notification rules
On January 17, HHS released the Final Rule entitled: Modifications to the HIPAA Privacy, Security, Enforcement, and Breach Notification Rules under the Health Information Technology for Economic and Clinical Health Act and the Genetic Information Nondiscrimination Act; Other Modifications to the HIPAA Rules.
It’s 563 pages long and contains 7 themes:
Brainstorming about the future of clinical documentation
In 2013, I’m focusing on 5 major work streams:
*Meaningful Use Stage 2, including Electronic Medication Administration Records
*ICD10, including clinical documentation improvement and computer assisted coding
*Replacement of all Laboratory Information Systems
*Compliance/Regulatory priorities, including security program maturity
*Supporting the IT needs of our evolving Accountable Care Organization including analytics for care management
Crafting the security roadmap
Per the theme of security assessment I’ve been posting about, part of crafting a multi-year security roadmap is examining technologies and practices that have limited use in healthcare but are widely deployed in other industries.
The December HIT standards committee meeting
The December HIT Standards Committee focused on the reality of implementing the Meaningful Use Stage 2 Standards and Certification rule in the real world of hospitals, clinician offices, and healthcare information exchanges.
A novel idea for managing consent
In 2008, I wrote about representing privacy preferences in an XML form that I called the Consent Assertion Markup language (CAML).
The next generation of entrepreneurs
When I was 13 years old, the Altair 8800 appeared on the cover of Popular Electronics. By 16, I was building enough hardware and software that I achieved the Malcolm Gladwell 10,000 hours of competency by age 18. By 19, I founded a company that produced tax calculation software for the Kaypro, Osborne, and new IBM PC. Every week in the Silicon Valley of the early 1980’s brought a new startup into the nascent desktop computer industry.
Cool technology of the week – November 29
While in China last week, I participated in a ribbon cutting ceremony for a new private (rather than public) funded hospital. Each patient room included several high tech amenities including showers that transition from clear glass to frosted glass at the touch of the button.
Reflecting on our IT progress
The November HIT Standards Committee meeting
The 42nd meeting of the HIT Standards Committee began with an inspirational introduction from Farzad Mostashari. He told us that the HIT Standards Committee members should keep their "eyes on the prize and feet on the ground".
We should be aspirational in reviewing the Meaningful Use Stage 3 criteria, identifying standards recommendations for 2016 which are likely, which are possible with focus, and which are unrealistic.
Cool technology of the week
As readers of my blog know, my wife was diagnosed with Breast Cancer in December 2011 and is now in full remission.
She picked up the presence of the tumor (a very fast growing aggressive type) by self examination.