While some mental health clinicians and nurses at the VA's Veterans Health Administration said using OpenNotes may boost patient collaboration and engagement, others said the program may change documentation and therapeutic relationships, according to a study in the Journal of Medical Internet Research. The findings should prompt further studies aimed at boosting the program's benefits while minimizing its adverse effects in the mental health setting, researchers said.
Ed Marx, NYC HHC IT leadership team (Submitted photo)
For all the talk we have about patient engagement and empowerment, I remain disappointed by the resistance some have with the use of OpenNotes. It is pretty clear that a key to engagement is to encourage active patient involvement and accountability with their treatment. One way you ensure this is through transparency of diagnosis and treatment. I suspect that, except for extreme cases, part of the healing comes from knowing you have some control over outcomes. Clearly the current state of things is not working well enough, so it is time for a change in practice.
As I work on my own wellness, I hit roadblocks from time to time. I appreciate the interactions I have with my primary care doc and my coach as we all work off the same data set. If I have a good result, I see it. If there's a bad result, I see that, too. I now feel as if I am the owner of my health, and my propensity to take action on the data -- or their interpretation of it -- compels me to adapt and change. I can no longer claim ignorance nor ignore the truth on the screen in front of me. The more we democratize the data, especially direct to the patents, the more healing we will see. Then and only then will we start to make material progress in our quest for value-based medicine.
Thirty percent of respondents from the health care sector cited the need to increase their cybersecurity workforce by more than 20%, which is higher than other industries surveyed globally in an (ISC)2 report. Dan Waddell, (ISC)2's director of the North America region, stressed the importance of training users how to identify a spear phishing attempt and implementing a robust cybersecurity strategy.
US companies spend an average of $7.35 million to recover from a data breach, up by 4.7% from last year, and lose an average of $4.03 million from data breaches, compared with $3.32 million in 2016, according to a report by the Ponemon Institute. Researchers found that the health care sector had the highest data breach costs at $380 per capita, followed by the financial sector at $336 per capita.
CHIME and other health care organizations expressed satisfaction with the proposed rule for 2018 requirements for the Medicare Access and CHIP Reauthorization Act, which extends the transition to the 2015 Certified Electronic Health Record Technology program for another year. However, the CMS should address the concerns of hospitals participating in meaningful use, said Leslie Krigstein, CHIME's vice president of congressional affairs.
The House Subcommittee on Oversight and Investigations told HHS to focus its cybersecurity efforts on patient safety and protected health information security. "Overall, the health care and public health sector has improved its ability to manage cybersecurity events, including HHS' management of the WannaCry malware that resulted in minimal effect on US health organizations," said Health Subcommittee Chairman Michael Burgess, R-Texas, who added that protecting patient privacy and securing important data need "continuous evaluation and adjustment."
An athenahealth analysis found that 18% of rural patients used patient portals between January and August 2016, compared with 33% of urban patients and 21% of suburban ones. Researchers suggested that the geographical disparities in patient portal adoption may be because of lower internet access rates in rural homes.
As CHIME continues to expand internationally, so do the benefits offered as part of membership. The CHCIO international exam allows members to continue their professional development and distinguish themselves among peers as a leader within the health care IT industry. Enrolling in the CHCIO International program includes an application, study materials, practice exam and final exam. Learn more.
The 2017 CHIME Fall CIO Forum will bring together senior health IT professionals from across the industry. This four-day conference is an opportunity to discuss everything about health care IT with fellow thought leaders and industry luminaries. This year's program will feature a variety of topics such as patient identification, cybersecurity, data analytics, clinical workflow, public policy and cutting-edge innovation transforming health care. Register now.
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