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December 20, 2012
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News for healthcare CIOs

  Top Story 
  • Programs to certify ACOs make headway
    Some accreditation groups are making moves to certify accountable care organizations and other integrated care networks. URAC has started beta testing of its proposed integrated care standards and hopes to finalize the criteria next spring. Meanwhile, the Certification Commission for Health IT is planning to create an IT framework for certifying ACOs. Health Data Management (12/13) LinkedInFacebookTwitterEmail this Story
  • Bill Spooner comments on CCHIT certification for ACOs
    When I check my Christmas stocking, I hope I don’t find a CCHIT certification requirement for ACO infrastructures. If I do, I might stash it on the shelf next to a bottle of aftershave or anything else that might be toxic. Okay, perhaps "toxic" is a bit extreme, yet "unhelpful" or "counterproductive" would be no exaggeration.

    Since the introduction of the accountable care organization model, a number of "authoritative" models of the required IT systems have been produced – by consultancies, vendors and other thought leaders. While the various lists represent robust information architectures, those I have reviewed leave it to the reader to decide which applications are essential and which may be viewed as optional, and the reader is left to determine a reasonable prioritization scheme.

    With ACOs in their infancy, the models often differ based on provider preferences, payor negotiations and local market forces, and the IT needs will similarly differ. Certification criteria are unlikely to adequately reflect the needs of a particular ACO and may either hinder or overburden its growth. HITECH changed CCHIT certification from the expression of an ideal EHR model to be strived for, to the force of law. A similarly prescriptive ACO certification would only coincidentally be supportive of a particular ACO in its evolution. It will be more effective to outline actual requirements based on your own business and care model.

    My organization has thrived on global capitation, quite similar in design to the typical ACO, for several years. The most important supporting systems include our master patient index, insurance functions and analytics, followed by the EHR in recent years as outcomes indicators and chronic care management needs have increased. Today, the analytics needs are exploding, and our portal is furthering patient engagement. We are exploring customer relationship management applications to ensure the customer experience. CCHIT certification would do little to inform us further. LinkedInFacebookTwitterEmail this Story

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  Strategy & Leadership 
  • OCR director expects more data breaches to be reported next year
    A rise in information analytics and risk evaluation protocols will lead to more data breach incidents being reported next year, HHS Office for Civil Rights Director Leon Rodriguez said. Health groups as well as their business associates will need to devise data breach responses responsibly and decisively to avoid being subjected to more fines, he said. Government Health IT online (12/19) LinkedInFacebookTwitterEmail this Story
  • NeHC offers HIE implementation road map
    The Health Information Exchange Learning Network of the National eHealth Collaborative has released a series of white papers describing a road map for successful HIE implementation. The road map presents two broad approaches to tackle community-level HIE needs, as well as a formula for attaining long-term HIE financial sustainability and other information. Healthcare IT News (12/18) LinkedInFacebookTwitterEmail this Story
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  Technology Spotlight  
  • State, local HIT expenditures projected to reach $19.3B in 2017
    A Deltek report predicts that spending on health IT among local and state health agencies in the U.S. will grow from $16.6 billion this year to $19.3 billion in five years. This growth will be driven by the provisions of the Affordable Care Act and increased federal requirements on reducing abuse, waste and fraud, among other factors. Healthcare IT News (12/19) LinkedInFacebookTwitterEmail this Story
Healthcare revolves around data and reporting, so building a connected community is a no-brainer.
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  Management & Operation 
  • Study: HIT helps health groups better prepare for ACO transition
    Data from a Commonwealth Fund report showed that the hospital-based organizations researchers examined were "modestly" prepared to move to accountable care, with patient-centered organizations and those well versed in health IT deployment showing the greatest success in the ACO transition. Researchers also stressed the importance of health IT tools that allow "integration of disparate data, analysis of data across a patient population, stratification of financial and clinical risk in the population, and measurement of the impact of targeted interventions." Healthcare Informatics online (12/18) LinkedInFacebookTwitterEmail this Story
  • 2 HIEs in Kansas receive $7.1 million in federal grants
    The Lewis and Clark Information Exchange and the Kansas Health Information Network are receiving $7.1 million in federal grants via the Kansas Department of Health and Environment for their efforts to support data sharing and EHR use. The grant "will not only enhance the current health IT network but will expand the capabilities of our population health management system," said KDHE Secretary Dr. Robert Moser. Government Health IT online (12/17) LinkedInFacebookTwitterEmail this Story
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Interested in learning more about advertising in CHIME SmartBrief? Contact Aaron Kern at (202) 407-7813 or 

  Regulatory & Legislative 
  • Premier asks Congress not to further penalize providers financially
    The Premier health care alliance sent a letter urging Congress not to subject health care providers to further financial burden in the ongoing fiscal cliff talks, since providers are continuing their efforts to boost patient care and cut costs. "The changes required by the federal government’s health information technology goals, coupled with the regulatory and legislative financial adjustments, make the investments necessary to achieve an outcomes platform highly problematic. This should not be the case, and should not be an either/or situation," the group said. Health Data Management (12/18) LinkedInFacebookTwitterEmail this Story
  CHIME News 
  • CHIME introduces membership pricing for Critical Access Hospital CIOs
    There is nothing small about the IT needs of a small hospital. To better support CIOs and other senior healthcare IT leaders at small and rural hospitals, CHIME is now offering full membership to the highest-ranking IT executive employed at Critical Access Hospitals (or facilities with less than $34.5 million in annual revenue) at the reduced rate of $99 per year. Join CHIME online. LinkedInFacebookTwitterEmail this Story
  • 2013 CHIME/HIMSS CIO Forum speakers announced
    Join your CIO colleagues on Sunday, March 3, at the New Orleans Riverside Hilton for an intensive day of education, collaboration and networking. This year’s speakers include: author Stephen M.R. Covey, MBA; patient relations expert Fred Lee; Olympic Coach Dan Gable; and Deputy National Coordinator for Programs & Policy at the ONC Judy Murphy, RN. Get more information on the CHIME/HIMSS CIO Forum, including registration and hotel information. Only CHIME members are eligible to attend. LinkedInFacebookTwitterEmail this Story
  Editor's Note 
  • SmartBrief will not publish Tuesday, Dec. 25
    In observance of Christmas, the CHIME SmartBrief will not publish Tuesday, Dec. 25. Publication will resume on Thursday, Dec. 27. Enjoy the holiday! LinkedInFacebookTwitterEmail this Story
No man for any considerable period can wear one face to himself and another to the multitude, without finally getting bewildered as to which may be the true."
--Nathaniel Hawthorne,
American author

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