Lack of guidance prompts JCAHO to delay removal of secure texting ban | Ed Marx comments on the secure texting ban | Experts: Health care IT leaders should help physicians prepare for MACRA now
July 21, 2016
CHiME Healthcare CIO SmartBrief
News for healthcare CIOs
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Lack of guidance prompts JCAHO to delay removal of secure texting ban
The Joint Commission on Accreditation of Healthcare Organizations has reinstated its secure texting ban for physician orders amid the need for more guidance "to ensure a safe implementation involving the secure texting of orders for those organizations desiring to employ technology supporting this practice," officials said in a newsletter. The additional guidance will be co-developed with the CMS to comply with the Medicare Conditions of Participation and may be released by September.
Health IT Security (7/18) 
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Ed Marx comments on the secure texting ban
Ed Marx
(Ed Marx, NYC HHC IT leadership team)
Reinstating the secure texting ban is bad news. Significant progress has been made in the past couple of years by entrepreneurial and innovative companies that have developed secure applications and have helped improve clinical workflow while taking advantage of modern technologies. This feels like a step backward.

That said, I am pleased to see that the Joint Commission on Accreditation of Healthcare Organizations is working directly with the CMS on a set of guidelines. In the past, various organizations all had input that would sometimes conflict with one another and cause additional roadblocks. This collaborative effort will be helpful for vendors and organizations once the ban is lifted -- hopefully soon.
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Six Texting Mistakes Hospitals Make With Consumer Texting Apps
Not all messages are created equal. Care providers need secure texting that integrates with clinical systems and directory/on-call info. Learn the reasons consumer texting apps aren't hospital grade. Get the eBrief now >>
Strategy & Leadership
Experts: Health care IT leaders should help physicians prepare for MACRA now
Health care CIOs and other IT leaders should begin preparing their physicians now for payment reforms under the Medicare Access and CHIP Reauthorization Act, despite CMS Acting Administrator Andy Slavitt's announcement that the CMS may delay its Jan. 1 start date, experts said. "[The CMS is] already acknowledging that very few alternative payment models will be ready to go right away -- there's a high bar to participate in those, and you have to use certified technology -- so [the] CMS is assuming that most eligible physicians will be under [the Merit-Based Incentive Payment System] for the first few years," said Leslie Kriegstein, CHIME's vice president of congressional affairs.
Healthcare Informatics online (7/20) 
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NASA exec tapped to be new VA CISO
NASA information security executive Roopangi Kadakia has been appointed as the Department of Veterans Affairs' new chief information security officer. She begins July 24.
FedScoop (7/19) 
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The Basics of Encryption and Compliance
Do you know why data encryption is important for your business? Read this ebook to see how using advance encryption lets you support your compliance with multiple regulations while meeting clients' expectations, protect your data and reputation, and eliminate paperwork and other overhead. Download the free ebook now.
Technology Spotlight
Big-data, analytics firms raise $300M in digital health funding so far in 2016
A Rock Health report showed that big-data and analytics firms raised a combined $300 million in digital health venture funding in the first half of this year. EHR and clinical workflow, wearables and biosensing, digital medical devices, population health management, and personal health tools and tracking were also among the top deals this year, the report said.
Healthcare IT News (7/20) 
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ONC announces Phase 1 winners of data access challenges
Green Circle Health, HealthCentrix, Medyear and MetroStar Systems, each of which developed tools to facilitate consumer access to health data, were the Phase 1 winners of the ONC's Consumer Health Data Aggregator challenge. Meanwhile, the Provider User Experience Challenge, which sought tools to improve clinicians' EHR experience, awarded $15,000 each to Herald Health, PHRASE Health, WellSheet and a partnership involving Duke Health System, Intermountain Healthcare and University of Utah Health Care.
Healthcare IT News (7/19) 
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Management & Operation
Survey examines EHR use among physicians
Around 74.3% of more than 1,500 physicians and practice managers throughout the US reported no return on their EHR investment, and 46.1% said using EHRs led to a drop in daily patient consultations, according to a Physicians Practice survey. In addition, 59% reported EHRs helped improve their documentation processes and 78% reported accessing their EHR through a mobile device. (7/19) 
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Regulatory & Legislative
ONC: HIPAA lacks guidance on health data from noncovered entities
ONC: HIPAA lacks guidance over health data from non-covered entities
(Eric Thayer/Getty Images)
An Office of the National Coordinator for Health Information Technology report discussed the lack of guidance over the security and privacy of, and consumer access to, health data collected and shared by entities not covered by HIPAA, which was written before health technologies such as wearable fitness trackers were developed. The ONC also cited the Federal Trade Commission's efforts to protect consumers by filing cases against businesses that violate the privacy and security of health data. (7/19), (7/19) 
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Market Focus
Ark. legislative panel postpones proposed telemedicine policies
Proposed telemedicine regulations in Arkansas have been stalled in the state's House and Senate committees on public health, welfare and labor after Teladoc lobbyist Bradley Phillips testified that the changes made by the state's medical board in the language about store-and-forward technology should have required a new public comment period.
Southwest Times Record (Fort Smith, Ark.) (7/19) 
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CHIME accepting nominations for board of trustees
CHIME's board is actively involved in shaping the mission and vision of the organization. Board members engage in public policy discussions, help direct such initiatives as the National Patient ID Challenge and interact with senior CHIME staff to ensure that the organization is positioned to meet member needs. Elections for three slots will take place this summer. The newly elected trustees will serve three-year terms beginning Jan. 1, 2017. The deadline to apply is July 25. The CHIME Foundation is also conducting its annual board of directors election. The Foundation board plays a critical role in guiding the overall direction of the organization and ensuring that the Foundation is well positioned to support CHIME education and professional development activities. The deadline to apply for the CHIME Foundation board is July 31.
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Honoring CHIME members for outstanding service
Annually, CHIME honors members and Foundation partners for their leadership, collaboration and other efforts to elevate the profession and impact the field. Special recognition is given to award winners during the Fall CIO Forum. There are six categories: Outstanding Service, Transformational Leadership, Innovator of the Year, Collaboration, Foundation Industry Leader and Foundation Partner. The deadline to submit nominations and applications is July 18. *CHIME members and Foundation partners eligible -- see individual award descriptions for more details.
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Don't be afraid of missing opportunities. Behind every failure is an opportunity somebody wishes they had missed.
Jane Wagner,
writer and director
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