ONC Plans National Survey on Attitudes on HIE and Privacy and Security

ONC Plans National Survey on Attitudes about HIE and Privacy and Security
From the Federal Register on March 19, 2010
Proposed Project: Attitudes Toward Electronic Health Information
Exchange and Associated Privacy and Security Aspects

OMB No. 0990-NEW-Office of the National Coordinator for Health Information Technology.

Abstract: “Electronic health information exchange promises an array of potential benefits for individuals and the U.S. health care system through improved health care quality, safety, and efficiency. At the same time, this environment also poses new challenges and opportunities for protecting health information. Health information technology and electronic health information exchange may also provide individuals with new, more effective methods to engage with their health care providers and affect how their health information may be exchanged. Based on findings from a comprehensive literature review, little is known about individuals’ attitudes toward electronic health information exchange and the extent to which they are interested in determining by whom and how their health information is exchanged. The proposed information collection will permit us to better understand individuals’ attitudes toward electronic health information exchange and its associated privacy and security aspects as well as inform policy and programmatic objectives.

“The Office of the National Coordinator for Health Information Technology (ONC) is proposing to conduct a nationwide survey which will use computer-assisted telephone interviews (CATI) to interview a representative sample of the general U.S. population. Data collection will take place over the course of eight weeks. The data will be analyzed using statistical methods and a draft report will be prepared. ONC will hold a Web seminar prior to the publication of the final report to convey the findings to the general public. A final report will be posted on http://healthit.hhs.gov which will include the results and analysis.”

Mary Mosquera of Government HealthIT reported the story on March 19, 2010.

Patient-Centered e-Health Summit: Feb 3, 2010

Patient-Centered e-Health Conference: Feb 3, 2010
Join HIMSS New Jersey Chapter and Stevens Institute of Technology
for a half-day conference in which thought leaders and innovators will share their insights and debate how
–mobile clinics and telemedicine for rural and  underserved populations,
–remote health monitoring and IT-enabled chronic disease management, and
–personalized Internet communications & social networks
will (or will not) help achieve the dual healthcare reform goals of lower costs and higher quality outcomes.

Wednesday, February 3, 2010,
noon to 6pm, (includes buffet lunch)
plus 6pm Networking
Pre-registration required 
http://www.njhimss.org/calendar/calendar2.html#NJSTEV

Stevens Institute of Technology campus in Hoboken, NJ
(on the Hudson River directly opposite mid-town Manhattan,
accessible by PATH train or ferry, car, Newark Airport taxi/rail)

AGENDA   (pdf version)
12:00Noon: Check-in and buffet lunch

1:00 pm:  Welcome from Stevens and NJHIMSS 

1:05 pm: Theme: Access to Experts Anywhere
Real-Time Consults and On-Demand Education Across the Globe
     John Riel, President, Medical Missions for Children  
Connectivity Issues in Emerging Nations
     Steven Landman, Entrepreneur, Carego International and LiveWellWireless
Distance Health: From Critical Care to the Home
    
Joseph A. Tracy, VP, Telehealth Services, Lehigh Valley Health Network
Panel Discussion moderated by Stevens faculty plus
–Jeb Weisman, NYC Children’s Fund, IT Support Challenges for Mobile Clinics
–Ed Eichhorn, President, Medilink Consulting Group
–Ray Burke, AT&T Healthcare Solutions Practice

2:15 pm: Keynote on Patient-Centered E-Health and U.S. Health Reform
     Paul H. Keckley, PhD, Executive Director
     Deloitte Center for Health Solutions

3:30pm Theme: Disease Management with Patient Involvement
Ethnographic Design Approaches for People-Centered Devices

      Scott Laidlaw, Market Development Manager, Intel Digital Health Group: Kathleen Albright, Strategic Account Manager, GE Healthcare
Patient-Centric Approaches for Post-Acute Care
      John Derr, CIO, Golden Living
The Consumer Perspective: Who, What, When, Where, and Why
      Kim Slocum, President, KDS Consulting and Book Author:
     “Consumer Directed Health Care”
Panel Discussion moderated by Stevens faculty plus
–Jim Tosone, Director & Team Lead, Healthcare Informatics, Pfizer
     –A Pharmaceutical Company Initiative Highlights
–Douglas Ratner, MD, Chairman and Program Director, LibertyHealth System
     –Chair, NJ Disease Management Study Commission: Report Highlights
–Leonard Pogach, MD, Director, Center for Healthcare Knowledge Management, VA-NJ Healthcare System, and Professor of Medicine and Preventive Medicine, UMDNJ
     –VA Disease Registries and Knowledge Management Initiative Highlights
–Michael McGuire, CEO, UnitedHealthCare of New Jersey [or designee]

5:00 pm: Theme:  IT-Enabled Patient Engagement
Social Networking at Juvenation:  The First Year Lessons

      James Szmak, CIO, Juvenile Diabetes Research Foundation
User-Generated Health Data: Tackling the Integrity Issues
     Sally Okun, RN, PatientsLikeMe
Panel Discussion moderated by Stevens faculty plus
–Thomas Gregorio, VP and CIO, Newark Beth Israel Medical Center
     –Social Media Challenges from a Hospital CIO Perspective Highlights
–Helen Oscislawski, Attorney, Fox Rothschild LLP
     –Social Media Issues from a Legal Perspective Highlights

5:55 pm: Wrapup


6:00 to 7:00 pm: Networking Reception

      Babbio Center Atrium

Please sign up today
$135 for conference participation
Pre-registration required 
http://www.njhimss.org/calendar/calendar2.html#NJSTEV

This program is sponsored by NJHIMSS, Stevens Institute of Technology, and Howe School of Technology Management. 
The conference is produced by Carol Brown, PhD, Distinguished Professor and Program Director, Howe School of Technology Management, Stevens Institute of Technology, joined by NJHIMSS members Al Campanella, VP-CIO, Virtua Health; Tony Ferrante, Director, Bus Dev-Healthcare, Computer Design & Integration LLC; and Mike Squires, Director, Marketing & Communications, BluePrint Healthcare IT.

ONC and eHI Rev Up Consumer Focus on Health IT

ONC recruits Consumer Engagement Expert Joshua Seidman;
eHealth Initiative Takes Over IxAction Alliance

Diane Manos of HealthcareIT News reported on November 24, 2009, “The eHealth Initiative (eHI) is taking over the Information Therapy Action (IxAction) Alliance, a group that focuses on patient-centered care and health information technology.” The IxAction Alliance and its Web sites will maintain their identities while being managed by eHI.

eHealth Initiative stated in a November 24, 2009 press release “eHI’s adoption of the IxAction Alliance, which was previously operated by the Center for Information Therapy (IxCenter), comes on the heels of the announcement that the IxCenter will be ceasing operations as its founder and president, Joshua Seidman, PhD, moves to the federal Office of the National Coordinator of Health Information Technology to help lead government efforts around consumer engagement and the meaningful use of electronic health records. eHI will also absorb the intellectual property of the IxCenter.”

Jennifer Covich Bordenick, Chief Operating Officer of the eHealth Initiative said “eHI will be able leverage its broad-based membership spanning every sector of the healthcare community and its leadership in using health information technology to drive improvements in healthcare as a means to expand the reach and impact of the IxAction Alliance.”

Seidman’s Transition Post on Center for Information Therapy Blog:
“Meaningful Use, ONC, Ix, and Me”

Joushua Seidman presented an 8-year history of Center for Information Therapy, their accomplishments, the commitment of ONC and eHI to consumer focus, and the transitions of iXAlliance and iXCenter to eHI in his November 18, 2009 post.

The boiler-plate descriptions of eHI and iXAction Alliance taken from the eHI press release:
About eHealth Initiative and its Foundation
“The eHealth Initiative (eHI) is an independent, non-profit, multi-stakeholder organization whose mission is to drive improvements in the quality, safety, and efficiency of health care through information and information technology. eHI engages multiple stakeholders including clinicians, consumer and patient groups, employers and healthcare purchasers, health IT suppliers, health plans, hospitals and other providers, laboratories, pharmaceutical and medical device manufacturers, pharmacies, public health agencies, and state and community-based organizations, to reach agreement on and drive the adoption of common principles, policies, strategies and actions that improve the quality, safety and efficiency of health care through information technology that are responsible, practical, sustainable, responsible to stakeholder needs—particularly those of patients–and build and maintain the public’s trust. For more information, visit http://www.ehealthinitiative.org.”

About the IxAction Alliance
“The IxAction Alliance is an alliance of organizations committed to stimulating innovation and diffusing best practices and to evolving critical Ix strategies with the goal of advancing the practice and science of information therapy in order to improve the quality and efficiency of health care delivery. The IxAction Alliance envisions a future for our healthcare system in which every health decision made collaboratively by patients and providers is an informed one.  For more information, visit http://www.ixaction.org.”

eHI Web site
http://www.ehealthinitiative.org
iXCenter Web sites
http://www.ixcenter.org 
http://www.ixaction.org

eHI Members
eHI Board Members   
iX Board Members

HHS’s ONC to Put Regional Extension Center Rollout on Doubletime; First cycle awards upped to 40 from 20

HHS’s ONC to Put Regional Extension Center Rollout on Doubletime;
First cycle awards upped to 40 from 20; Rollout to be completed 6 months ahead of schedule
On November 23, 2009, HHS’s Office of the National of the Coordinator for Health IT quietly revealed its intention to award funds to about 40 Regional Extension Centers (RECs)  in the first cycle, up from about 20 regional centers originally planned for the first round. Funding announcements for all 70 or so RECs are now scheduled to be completed in two funding cycles,  instead of three, by March 31, 2010. This puts the REC funding announcements six months ahead of the original schedule. Total REC funding has also been expanded to $640 million from the $598 million originally planned.

The revised schedule on the newly posted FOA (Funding Opportunity Announcement and Grant Application Instructions) shows the first cycle of awards will be announced by January 21, 2010, a six-week delay from the original December 2009 decision date.  The second and final cycle awards will be announced by March 31, 2010, a month ahead of the original second round date and six months ahead of the now cancelled third-cycle announcements.

While preliminary applications for the second cycle are still due December 22, 2009, preliminary approval has been shortened to January 5, 2010. Full applications will be due January 29, 2010, about a month ahead of schedule.

Both the quality of the initial applications and the increasingly apparent need to put facts on the ground to build the momentum necessary to meet ARRA requirements may have contributed to this dramatic speedup of the process.

Health Information Technology Extension Program
Excerpted from ONC Web site on 11/24/09
Updated 11/23/09
Funding Opportunity Announcement:
Health Information Technology Extension Program: Regional Centers Cooperative Agreement Program [doc]

Attachment 1 [xls]

“To see the full announcement, go to http://www.grants.gov/search/basic.do and search for CFDA# 93.718 – please note that, when accessing the opportunity announcement from grants.gov, Attachment 1 is embedded in the same download file as the rest of the Funding Opportunity Announcement, following the appendices.”

“Due to the competitive nature of the Health Information Technology Regional Extension Centers funding opportunity, Office of the National Coordinator for Health Information Technology is unable to provide individual responses to specific questions regarding grant proposal requirements, review, selection, or award.  We will post answers to frequently asked and/or generally applicable questions on the Health Information Technology Extension Program section of the ONC programmatic Web site at: http://healthit.hhs.gov/extensionprogram. ” 

Key Dates and Submission Times,
excerpted from the FOA released on November 23, 2009:

Initial Cycle

Approx Funding

Preliminary Application

Preliminary Approval

Full Applications

Anticipated Awards Date

1 $350,000,000* September 8, 2009 September 29, 2009 November 3, 2009 January 21 2010
2 $290,000,000* December 22, 2009 January 5th  2010 January 29th , 2010 March 31st 2010
3 This cycle will be canceled and the funds will be reallocated to the first two cycles
* The approximate funding for this announcement is increased by $43 million.

See original funding schedule for Regional Extension Centers on this August 22, 2009 post on e-Healthcare Marketing.

EHR Adoption: US Hospitals, Caring for Poor; State, Federal Initiatives; Meaningful Use

EHR Adoption: US  Hospitals, Caring for Poor; Role of State, Federal Initiatives; and Meaningful Use

Robert Wood Johnson Foundation-funded Report
Health Information Technology in the United States:
On the Cusp of Change 2009
    
(See Web sites and downloads below.)

Health Information Technology in the US: On the Cusp of Change 2009, published Oct-Nov 2009, is the third report of a series produced since 2006.  The “State of the Field” report consists of five articles on EHR to “share the lessons of the ONCHIT more broadly and review what is known about the state of EHR adoptions and its implications for improving health care quality.” It was  jointly produced by Robert Wood Johnson Foundation, George Washington University Medical Center, and Institute for Health Policy at Massachusetts General Hospital and Partners Health System.

Chapter 1:  Beyond the Doctor’s Office: Adoption of Electronic Health Records in U.S. Hospitals.
Ashish K. Jha, M.D., M.P.H., Catherine M. DesRoches, Dr.P.H., Eric G. Campbell, Ph.D., Karen Donelan, Sc.D., Sowmya R. Rao, Ph.D., Timothy G. Ferris, M.D., M.P.H., Alexandra Shields, Ph.D., Sara Rosenbaum, J.D.

Chapters 1 and 2 are based on a 2008 survey conducted in conjunction with American Hospital Association to survey all acute care general medical/surgical member hospitals in US. While results show under 10% of hospitals have either comprehensive EHR (<2%) or basic (<8%), about 8 out of ten hospitals offered hospital-wide views of lab and radiology reports and radiology images. One out of five had hospital-wide computerzied order entry and clinical decision support. Earlier article based on this survey was published in New England Journal of Medicine in March 2009. Finances were cited as leading cause of non-implementation.

Chapter 2: Adoption of Electronic Health Records Among Hospitals that Care for the Poor: Early Evidence of a New Healthcare Digital Divide?
Ashish K. Jha, M.D., M.P.H., Catherine M. DesRoches, Dr.P.H., Eric G. Campbell, Ph.D.,  Alexandra Shields, Ph.D., Paola D. Miralles, B.S., Jie Zheng, Ph.D., Sowmya R. Rao, Ph.D., and Sara Rosenbaum, J.D.

This article was published online Oct 26, 2009 on HealthAffairs.org, and examines the relationship between poor hospital populations and rate and value of EHR implementation.

Chapter 3: State Roles in the Advancement of Health Information Technology.
Steffanie J. Bristol, B.S., Paola D. Miralles, B.S.

State governments adopted 168 legislative measures about HIT between 2005 and 2008 with topics including ”planning and oversight, HIE, advacning adoption and implementation, funding, and privacy protection and security.”  States have an important but fiscal-challenged role in current economic environment.

Chapter 4: Recent Federal Initiatives in Health Information Technology.

Melissa M. Goldstein, J.D., Lee Repasch, M.A., and Sara Rosenbaum, J.D.

Chapter 4 examines impact of “meaningful use,” “certified EHR,” and financial incentives on caring for vulnerable populations.

Chapter 5: Potential Implications of Widely Adopted Meaningfully Used HIT: Is Quality Measurement and Reporting About to Take Flight?
Michael W. Painter, J.D., M.D.

Chapter 5 focuses on impact of EHR adoption and public reporting of quality data. “This technology may make clinical data extraction both efficient and inexpensive, which would facilitate large-scale clinical performance measurement efforts.”

Health Information Technology in the United States:
On the Cusp of Change 2009 –
 Web Page

Executive Summary         Full Report
RWJF Release on Digital Divide

Robert Wood Johnson Foundation HIT Reports
Health IT in the US, 2008 Report Page
Health IT in the US, 2006 Report Page

This post contains summaries of and links to copyrighted content from the Robert Wood Johnson Foundation.

House Health Care Reform Bill includes Health IT Measures

“Affordable Health Care for America Act” (AHCAA) includes Health IT Measures
Bernie Monegain, of Healthcare IT News reported on November 9, 2009, on response of Medical Group Management Association (large and small practices), AMA, and insurance industry to the Health IT and other aspects of bill.
Joseph Goedert, HealthData Management, reports on November 9, 2009, the bill retains ”administrative simplification language to make more uniform the HIPAA transaction sets for claims and related transactions.”

Original summary from e-Healthcare Marketing, Nov 8, 2009: The 1990-page healthcare reform bill (US H.R. 3962), passed by the US House of Representatives late on November 7, 2009, includes several references to Health Information Technology, Electronic Health Records, Health Information Exchange, and the Office of the National Coordinator for Health IT.  Based on an initial scan, this post notes several of those health IT references and serves as a basis for a more thorough review. Comments, additions, and corrections are invited. Page numbers intended to indicate location in pdf file where the Health IT term is shown.

State Health Access Program Grants/Standardize Electronic Administrative Actions (p. 83)
Programs to “expand access to affordable health care coverage for the uninsured population in the State” in programs such as state insurance exchanges, community coverage program, reinsurance plan program, transparent marketplace program, automated enrollment program, innovative stratgies, and purchasing collaboratives.” Administrative Electronic Transactions need to be standardized by HIT Policy and Standards Committees in conjunction with ONC.

Study and Report on Methods to Increase EHR Use
by Small Healthcare Providers
  (p. 153)
Study and report on impact of options to increase use of EHRs such as higher reimbursement, promoting lower cost EHRs (including VA’s VisTa), EHR training, or implementation assistance.

Integration of Physician Quality Reporting and EHR Reporting (p. 407)
HHS Secretary to develop plan to integrate clinical reporting on quality measures relating to meaningful use of EHRs for a patient’s health and to identify gaps in quality and coordination of care.

Institute of Medicine Study of Geographic Variation in Health Care Spending and Promoting High-Value Health Care (p. 505)
IOM to recommend changes for Medicare per capita payments considering 9 elements, including “leveraging the use of health information technology.” 

Center for Comparative Effectiveness Research (p. 756)
Housed in Agency for Healthcare Research and Quality (AHRQ), Center for Comparative Effectiveness Research, will “conduct, support, and synthesize research…with respect to outcomes, effectiveness, and appropriateness of health services and procedures…” including pharmaceuticals, medical devices, medical and surgical procedures, and other medical interventions.” This will involve the use of registries, research data networks from electronic health records, and other electronic health data. The Center will diseminate the information to physicians and EHR vendors to “assist the users of health information technology focused on clinical decision support  to promote the timely incorporation of such findings into clinical practices and promote the ease of use of such incorporation.”

Public Reporting by Hospitals and Ambulatory Surgical Centers on Health Care-Associated Infections (p. 914)
Transmission of this information to be coordinated with ONC and Centers for Disease Control with systems established by HITECH act.

Improving Accountability for Approved Medical Residency Training (p. 943)
Training medical residents for meaningful use for improved patient care and increased quality of the health of the community.

Implementation of Best Practices in the Delivery of Healthcare: Center for Quality Improvement (p. 1324)
Center for Quality Improvement to be charged with identifying, developing, and implementing standards “for health information technology used in the collection and reporting if quality information (including for purposes of the demonstration of meaningful use of certified electronic health record (EHR) technologu by physicians and hospitals under the Medicare program…” 

Assistant Secretary for Health Information (p. 1335)
This new position will be responsible for collecting and reporting on key health indicators regarding the “Nation’s health and the performance of the Nation’s health care.” Will coordinate with “the head of the Office of National Coordinator for Health Information Technology to ensure optimal use of health information technology.”

Community-Based Collaborative Care Network Program (p. 1447)
One of the programs to expand access to healthcare, this one is focused on  reducing unnecessary use of emergency departments through a ”health information technology network to track patients across collaborative networks.”

National Medical Device Registry: Electronic Exchange and Use in Certified Electronic Health Records of Unique Device Indentifiers (UID) (p. 1509)
This amends the Food, Drug and Cosmetics Act to “establish a national medical device registry …to facilitate analysis of postmarket safety and outcomes data on each covered device.” While there may be exceptions, each covered device is to be identified by “type, model, and serial number or other unique identifier,” and indicated in EHRs and via information exchange.

Health Service for Urban Indians (p. 1877)
Grants to support health information technology to improve individual and community health of Urban Indians.

“Affordable Health Care for America Act” (1990 pages):
 (AHCAA) US H.R. 3962  (pdf)

Using Health IT to Improve Consumer Health: Focus of HHS/ONC Summit of 200 Health Leaders

Informatics for Consumer Health:  Nov 5-6, 2009
Summit on Communication, Collaboration, and Quality

Developing an agenda for integrating consumer products into health information networks will be the focus of a two-day summit November 5 and 6, 2009 organized by the Office of the National Coordinator of Health IT, in conjunction with the National Cancer Institute and their sister agencies in the Department of Health and Human Services.

The Summit to be held just outside Washington, DC is an invitation-only event for up to 200 healthcare leaders, with sessions viewable to the public through Webcasts and other sessions limited to the invited audience. Webcasts will require prior registration. While a range of issues will be covered, privacy, security, and confidentiality are considered critical to the success of the Health IT initiatives. Susannah  Fox, who leads Health Research and digital strategy for Pew Internet & American Life Project, has already published a post about the privacy, security and confidentiality panel discussion to be held on Day Two.

The proposed outcomes are a “Supplement to the American Journal of Preventive Medicine,  Policy oriented white paper, and Alert service that provides updates on research and practice advances, funding opportunities and relevant meetings and conferences.”

General Information excerpted from the Summit site:
http://www.consumerhealthinformatics.org
Videocast information 
              Pre-registration requires for each day–Nov 5, 6, 2009.

Summit Agenda
See end of post for additional conference materials.

Summit Focus
“Increase the quality and utilization of evidence-based consumer products that may be integrated into health information exchange networks.” 

Background/Rationale
“Consumer behavior is an essential contributor to quality improvement in health care. Changes in basic preventive behavior—smoking cessation, better diet and exercise, and routine screenings—have already contributed substantively to decreases in death from cancer, from heart disease, and from diabetes. Predictions are that better support systems will be needed in preventive care as the U.S. population struggles with an impending epidemic of obesity and chronic disease. Within the health care system, better support for patients has been shown to improve quality of care in a system that is becoming increasingly reliant on outpatient treatment. Improvements in quality and decreases in cost have been documented through applications such as patient reminder systems, secure messaging systems between patients and providers, in-home monitoring tools, pharmaceutical error checking routines, patient education systems, and enhanced decision support tools for self-care.

“At the same time, the Department of Health and Human Services maintains a national goal to improve health care through the strategic use of health information technology. In a report released in the first quarter of 2009, the National Research Council warned that efforts to invest in Health I.T. will be fruitless unless they are aimed at providing better cognitive support for physicians, patients, and their caregivers.

“The purpose of this summit is to bring together the stakeholders involved in creating a safer, higher quality health system and from a set of structured interactions within that group to create a blueprint for improving health care quality through enhanced behavioral support for health care consumers.”

Goal:
“Increase the quality and utilization of evidence-based consumer products that may be integrated into health information exchange networks.”

Summit Objectives
“1.Increase collaborations and partnerships,
2.Develop knowledge products including a journal supplement, alert service and policy oriented white paper, and
3.Stimulate development of commercially-viable products.”

Partners:
Department of Health and Human Services

■Agency for Healthcare Research and Quality (AHRQ)
■Centers for Disease Control and Prevention (CDC)
■National Cancer Institute (NCI)
■National Library of Medicine (NLM)
■Office of the National Coordinator for Health Information Technology (ONC)

Department of Commerce
■National Institute of Standards and Technology (NIST)

Proposed Outcomes of the Meeting/Collaboration
■”Supplement to the American Journal of Preventive Medicine
■Policy oriented white paper
■Alert service that provides updates on research and practice advances, funding opportunities and relevant meetings and conferences.”

Representatives from the following sectors will be attending:
■Commercial IT
■Government
■Healthcare
■Research
■Wellness/Advocacy

Invitation-only closed sessions excerpted from Summit site.
Topic 1.
Improve quality, safety, efficiency, and reduce health disparities.

“This goal embodies the primary objectives for quality improvement articulated by the Institute of Medicine’s Crossing the Quality Chasm report. The break out group will focus on the contribution of consumer informatics to the question of continuous quality improvement as described by the IOM report.”

Topic 2.
Improve care coordination.
“One of the great promises of an interoperable electronic health record system is the capability to bridge discontinuities of care in a fragmented health care system. The goal becomes especially important as health care reform begins to evolve a more pre-emptive, personalized stance. In this break-out session, participants will identify strategies for resolving the continuity of care problem with consumer-accessible informatics solutions. Topics to be covered will likely include a renewed discussion of the medical home, continuity of care records (as a technological solution), and the role of third party continuity solutions (e.g., MS Health Vault) in bridging the gaps of an otherwise fragmented system of care.”

Topic 3.
Engage patients and families.
“There has been considerable discussion in the public health and chronic care communities over the value of encouraging patients as active participants in their health care. Doing so means creating a health information environment that is supportive of patients’ self-management goals, and is encouraging of patients’ efforts to live healthier lives. In this session, participants will discuss the role of consumer facing informatics applications in encouraging proactive involvement from patients and their families in health care.”

Topic 4.
Improve population and public health.

“In the initial proposal to create a National Health Information Infrastructure, the National Committee on Vital and Health Statistics argued that a network of interoperable, interconnected electronic health records could help dissolve the barriers between patient monitoring and efforts to improve the health of populations. This panel will consider the ways in which a national health information infrastructure could be exploited to improve population health.”

Topic 5.
Ensure adequate privacy and security protections.
“Privacy and confidentiality issues will continue to collide with national goals for health information sharing as technology specialists and advocacy groups look for new and evolving solutions to that tension. In this working group, participants will continue discussions begun earlier in the day on privacy and security issues in a more detailed discussion of recommended solutions.”

Topic 6.
Diffusing technology-based health interventions.
“Following a meeting held in Rhode Island two years ago, the National Cancer Institute has been working with a panel of specialists to develop solutions to the diffusion of technology-based health research interventions. Session attendees will share their own experience disseminating technology and discuss a potential framework and process to help others succeed.”

Topic 7.
Delivering applications to people regardless of time or location.
“Channels and strategies for delivering health information and behavioral applications are changing rapidly, from PCs to mobile telephones and other devices. In addition behavioral applications are increasingly being delivered through newer technologies such as social networking and new media. This working group will consider the challenges and opportunities of delivering behavioral applications to people at critical moments regardless of time or location.”

Topic 8.
Health 2.0.
“Shortly after the “dot.com” implosion weeded out the least successful from the most successful Web applications, industry observer Tim O’Reilly convened a panel of experts to discuss what the attributes of a second generation Web (i.e., Web 2.0) might look like. Together, the group described a collection of new approaches that emphasized (a) creating architectures for participation, (b) enabling the formation of a “collective intelligence,” and (c) utilizing data as the new “Intel Inside” for applications. This working group will consider the viability of the Web 2.0 phenomenon as it is applied to health.”

Summit Conference Materials
Program (5MB PDF)
Marketplace of Opportunities (2MB PDF)

New Evidence Report Shows Consumer Health Informatics Applications Can Improve Health Care Processes: AHRQ

AHRQ: New Evidence Report Shows Consumer Health Informatics Applications Can Improve Health Care Processes
“AHRQ released (October 2009) a new evidence report, Impact of Consumer Health Informatics Applications, which found that consumer health informatics applications can help improve health care processes, such as medication adherence.  These applications are defined as patient-focused electronic tools to support health improvement, process outcomes, and patient-centered care.  The benefits of using such applications apply to a variety of clinical conditions, including cancer, smoking, diabetes mellitus, physical activity, and mental health disorders.  The report also identified important knowledge gaps in the new and emerging field of consumer health informatics.  Researchers, led by M. Christopher Gibbons, M.D., M.P.H., at AHRQ’s Johns Hopkins University Evidence-based Practice Center, concluded that while the applications offer significant promise and potential to positively impact select clinical outcomes, more research is needed to determine conclusions on impact in many areas.”

Abstract of report and download page
PDF version of report

New Study Reveals Push to Electronic Medical Records Puts Patient Privacy at Risk

New Study: Push to EMRs Puts Patient Privacy at Risk
70 percent of  hospital security pros say sr. mgmt. fails to prioritize privacy and data security
Mitch Wagner’s  Information Week Healthcare story on October 20, 2009
was sub-headlined “Healthcare IT managers say their organizations aren’t adequately protecting electronic health records, survey says.”

Per the orginal October 20, 2009 press release from LogLogic, sponsor of  “Electronic Health Information at Risk: A Study of IT Practitioners,” produced by Ponemon Institute, a privacy and information management research firm, survey results showed:
–”70 percent say senior management does not view privacy and data security as a priority;
–”53 percent say their organization fails to take appropriate steps to protect the privacy rights of patients while less than half judge their existing security measures as ‘effective or very effective’; and,
–”The average cost of a data breach, per patient record, exceeded $210 per compromised record, creating an opportunity for organized computer crime rings to traffic in stolen medical records.”

“Electronic Health Information at Risk: A Study of IT Practitioners”
Press release
Study Download (registration required)

HHS: Public Feedback Due 9pm EST Fri, Oct 16 for Consumer Preferences Draft Requirements Document

Public Feedback Due 9pm EST Tomorrow, Friday, October 16, 2009 for the Consumer Preferences Draft Requirements Document
This is the text from an email sent out by HHS afternoon of Oct 15, 2009:

“The Office of Interoperability and Standards (OIS) and ONC would like to remind you that feedback for the Consumer Preferences Draft Requirements Document is due 9pm EST tomorrow, Friday, October 16, 2009.  The Requirements Document and instructions for providing feedback can be found at http://healthit.hhs.gov/consumerpreferences.

“The Consumer Preferences Draft Requirements Document addresses the processes, information exchanges, stakeholders, functional requirements, and issues and obstacles surrounding consumer preferences in order to help in the development of standardized data exchanges.  This requirements document is intended to address the various types of consumer preferences and be supportive of current and potential future policies, although such policy decisions are beyond the scope of the requirements document.   

“The OIS Consumer Preference Team would greatly appreciate your feedback on the requirements document.  Please review the requirements document and provide any feedback you may have, if you have already not done so, by 9pm EST tomorrow, Friday, October 16, 2009.  Please note that submissions should not contain any proprietary or private information as they may be made available for public inspection.

“All comments will be analyzed, dispositioned and utilized where appropriate, in the development of the final Consumer Preferences Requirements Document. A disposition report outlining how comments were addressed will be made publicly available after the publication of the final document.

“Thank you for your time and attention to this important matter; your feedback is greatly appreciated by the OIS Consumer Preferences Team.”

e-Healthcare Marketing post on October 7, 2009 provides overview, preferences outline, and links to documents page and document.