4 health organizations to pilot OurNotes initiative | Brian Patty comments on patient participation in clinical note creation | CMIO: Lack of health data standardization is main obstacle to interoperability
December 7, 2017
CHiME Healthcare CIO SmartBrief
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4 health organizations to pilot OurNotes initiative
A pilot program for OurNotes, an initiative targeting patient-provider collaboration in writing clinical notes and care plans within a shared EHR, will begin in the spring at Beth Israel Deaconess Medical Center, the University of Colorado, the University of Washington and Dartmouth-Hitchcock Medical Center. Beth Israel, which uses its own EHR system, will aid in organizing and standardizing efforts with the other sites, which use Epic systems, said Dr. Matthew Germak of Beth Israel.
Health Data Management (free registration) (12/5) 
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Brian Patty comments on patient participation in clinical note creation
Brian Patty comments on patient participation in clinical note creation
(Brian Patty, VP and CMIO, Rush University Medical Center)
Patient engagement and physician burnout are two hot topics right now, and the OurNotes project aims to address them both. Building on the success of the OpenNotes project, where providers share their notes with patients through their patient portals, OurNotes intends to move from the passive review of a document produced by providers to the active participation of the patient in constructing that note. The patient, by becoming an active participant in the creation of their medical record, is enticed to become a more active and engaged participant in their care. The provider, by reviewing and accepting patient documentation into their note, has a better understanding of their patient and has a decreased documentation burden.

The overall hypothesis of OurNotes is that "co-produced, fully transparent medical records can improve the quality of care and maintain, or even decrease, the cost of care," with the belief that "co-production of records could improve patients' and clinicians' experiences with care and perhaps improve health care value." Building on the concept and practice of care team documentation, where multiple members of the care team contribute to the final documentation of the visit, OurNotes adds the patient to the care team with the hopes of increasing patient engagement, improving transparency, further decreasing the documentation burden on providers and ultimately improving patient outcomes.

Having used previsit questionnaires that feed visit documentation and notes at our institution for over a year now, we have seen high adoption from our providers and patients. I fully expect as we expand the use of this functionality, we will begin to see an impact on engagement and outcomes.
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Strategy & Leadership
CMIO: Lack of health data standardization is main obstacle to interoperability
Inadequate standardization of health data is the primary barrier to achieving interoperability as federal policies have made information blocking less prevalent, said Bryan Batson, chief medical information officer at Mississippi-based Hattiesburg Clinic. More health care leaders should call for stricter standardization to better manage increasing volumes of data, Batson said.
EHR Intelligence (12/5) 
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Technology Spotlight
Cybercrime sure to increase, expert says
Cybersecurity expert Eric Cole says cybercrime, which has risen significantly in 2017, is likely to proliferate. Hacks often originate from countries with no cybercrime laws or extradition treaties, making tracking difficult and prosecution virtually impossible, says Cole, noting "we've seen nothing yet."
Fox Business (12/5) 
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Management & Operation
Regulatory & Legislative
CMS submits list of CQMs under consideration to National Quality Forum
The National Quality Forum received a list of 32 clinical quality measures under consideration as part of the CMS' Meaningful Measures initiative, and CMS Chief Medical Officer and Center for Clinical Standards and Quality Director Kate Goodrich said the measures are expected to "help quantify health care outcomes and track the effectiveness, safety, and patient-centeredness of the care provided." Stakeholders have until today to submit comments on the 2017 MUC list.
EHR Intelligence (12/6) 
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CMS moves toward voluntary approach to value-based care
Despite canceling two mandatory bundled payment programs and scaling back another, the CMS is likely to continue the push toward value-based care, industry groups say. Health care providers favor the voluntary approach that the CMS appears to be taking, and experts expect the department to release a new voluntary bundled payment program to replace the Bundled Payments for Care Improvement initiative before the end of the year.
Morning Consult (12/5),  Healthcare Informatics online (12/5) 
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Market Focus
Bill seeks to modernize VA through telemedicine, medical record sharing
Sens. John McCain, R-Ariz., and Jerry Moran, R-Kan., introduced legislation aimed at modernizing the Department of Veterans Affairs' health care system. The bill includes a provision that would enable VA-affiliated providers with an active, unrestricted state license to practice telemedicine across state lines and calls for the creation of a Veterans Community Care Program and medical records sharing between VA facilities and non-VA providers.
mHealth Intelligence (12/5) 
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CHIME News
Speakers Bureau showcases CHIME members
Event planners seeking knowledgeable health IT speakers need look no further than the CHIME Speakers Bureau. This service offers expert HIT industry leaders who fit your needs, whether for conferences, seminars, user group meetings, webinars, customer meetings, staff events or board retreats. The process is seamless and easy to use. Learn more.
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Donations to Education Foundation benefit members
You can play a key role in fostering the next generation of health care IT leaders by making a donation to the CHIME Education Foundation. Over the past few years, the number of applications has quadrupled as more and more members seek to sharpen their leadership skills. Your support can make a difference in the lives of health care professionals, as well as in the lives of countless health care patients for many years to come. Learn more.
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