Madris Kinard, MBA

Within the new #hti2 rule are some critical signals: 1. It is a joint effort between Office of the National Coordinator for Health Information Technology (ONC) and Centers for Disease Control and Prevention —and also heavily influenced by recent rules from Centers for Medicare & Medicaid Services 2. #mfa (multi-factor authentication) is called out as required in some use cases 3. #ai algorithms for #caremanagement will need to be more transparent. 4. It attempts to harmonize #tefca from the The Sequoia Project 4. It sets specific versions of USCDI, and #fhir. https://lnkd.in/edb7NpaZ

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Interesting perspective on #TechnologicalDebt in health care by Dave Lamar focused on the provider market, but we seem the same issues within state depts and payers. While good data governance practices are key, there must be a better way to solve this common - if not universal - challenge in health care, if only by offloading some of the administrative responsibilities that require the individual management and administration of no-value-add administrative functions. #healthdata

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FORUM and General Dynamics Information Technology continued to go in-depth at DHITS this week, as Scott D. Robinson, heard from Kevin Seeley and Anna L. Ehrhardt about key points on the opening day of the conference, and how GDIT strives to apply its innovations across the Defense Health Technology ecosystem with each engagement. Check out the full conversation here, and please stay tuned for additional content from this important conference! Sarah Swedberg #dhits2024, #defense #health #Technology #cyber #ai #ecosystem

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HTI-2 establishes two new sets of certification criteria for public health IT and payer IT, and both sets focus heavily on standards-based application programming interfaces to improve end-to-end interoperability.   "HTI-2 is a clarification and an expansion of HTI-1," said Jay Anders, MD, chief medical officer at Medicomp Systems. "They’re also starting to address some of the things that have been really the bane of the existence of physicians for quite some time, like electronic prior authorization for procedures. So, they have basically streamlined, electronically, that whole process, linking the physician to the payer."   Read the full article from Heather Landi via Fierce Healthcare: https://bit.ly/3Saobgc | #HealthcareRegs #HTI2 #Interoperability

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In lieu of Congressional Support, States are Leading the Way on Healthcare Cyber Policy: https://lnkd.in/gu8gr-36 In SC Media, First Health's CSO of Government & Clinical Innovation, Toby Gouker, PhD, CHISL, GSLC, CISM, CPEM addresses the ongoing challenges facing the healthcare sector and the support needed for under-resourced hospitals. Stakeholders have long urged Congress to provide needed support, but the anticipated baseline measures have stalled. In the absence of federal leadership, the states are taking the initiative to improve cyber resilience in healthcare. New York, for example has proposed new cybersecurity requirements for hospitals to mirror many of the recommendations from HSCC and HHS. As Toby writes, “Most likely, Congress won’t help anytime soon. However, there are resources out there that can begin chipping away at this mountainous task. Healthcare defenders need only reach out to area partners and industry leaders for help in this national fight.” For Cyber Resilient Digital Health news from First Health Advisory sign up for First Health Fridays at https://lnkd.in/gW7T94Nu or contact us at info@firsthealthadvisory.com if you have any questions. #CyberRisk #RiskManagement #DigitalHealth #HealthcareIT #IoMT #HTM #HealthcareSecurity #HealthcareOrganization #CyberRiskManagement #PatientSafety #RiskAssessment #Compliance #HIPAA #CPG #HSCC #HHS #InfoSec #BioMed #Clinical #Medical #Hospital #Healthcare

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Healthcare organizations face fewer interoperability requirements under the pared-down HTI-2 rule approved this month by the U.S. Department of Health and Human Services (HHS). The draft HTI-2 rule was originally more than 1,000 pages; the final version was only 156. The rule advances interoperability and supports the exchange and use of electronic health records under the Trusted Exchange Framework and Common Agreement (TEFCA). Pivot Point Consulting helps healthcare organizations achieve interoperability and comply with all relevant data management standards. Find out more in the comments below: Read more about the HTI-2 rule in Fierce Healthcare: https://lnkd.in/gdUi8Tm5 I #TEFCA #HTI2 #HealthcareData #Interoperability #HealthTech

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💡Part 3 of Steve Gravely and Gravely Group's ongoing #HTI2ProposedRule series delving into the Proposed Rule for Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing, and Public Health Interoperability. Follow along for the full breakdown! 📢 _______________________________________________________________ Office of the National Coordinator for Health Information Technology (ONC) said on July 10 that HTI-2 builds on the work of HTI-1 and #TEFCA to continue the march towards full interoperability. 🎙️Micky Tripathi, National Coordinator at ONC, said that HTI-2 will “expand the horizons and the capability of interoperability”. Here are some highlights of key parts of HTI-2 that do NOT deal with #InformationBlocking. 1.      Certification of Public Health IT systems- ONC will begin to certify public health-specific IT systems and products to improve the interoperability between healthcare providers that are using certified EHR products and “native” systems developed by, and for, public health agencies. ONC says a primary goal of this certification is to establish a baseline for functionality of public health IT systems.    2.      FHIR APIs- ONC states that 97% of hospitals and 80% of ambulatory providers have access to FHIR APIs but usage is frustrated by the inability to discover the APIs and to automatically connect to them. ONC intends to require certified EHRs to support dynamic client registration as used in TEFCA. 🎙️Steve Gravely says, "eHealth Exchange expressed significant concerns with the TEFCA requirement of the UDAP dynamic registration standard, so we should take a close look at the proposals in HTI-2 and consider submitting comments on them." 3.      USCDI v.4 will be required for certification effective 1-1-2028 and v.3 will be retired.

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Stephanie Jamison, MPA, Greenway's Senior Director of Regulatory and Government Affairs, co-authored an article for the EHR Association exploring the far-reaching implications of the Health Data Interoperability Rule (HTI-2). The article highlights key concerns, including the tight implementation timelines, significant compliance costs for healthcare providers, and challenges in adapting to substantial changes. While the rule aims to improve data sharing and transparency, it has sparked apprehension about its feasibility and potential impact on healthcare systems. For more details, read the full article here: https://bit.ly/3Z2gafF

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What Could the Election Mean for Data Interoperability? – MedCity News - MedCity News As the election approaches, the implications for healthcare data interoperability are profound yet often overlooked. Arcadia CEO Michael Meucci emphasizes that the administration's stance on data sharing can significantly influence care continuity, outcomes, and costs. While both presidential candidates agree on the need to combat data blocking, their approaches differ. Meucci warns that rolling back recent data sharing regulations could hinder progress and innovation. Regardless of the outcome, he remains optimistic about continued advancements in healthcare technology. Understanding these dynamics is crucial for healthcare IT professionals. #HealthcareIT #DataInteroperability #HealthTech #Innovation #Elections2024 #DataSharing #PatientCare ai.mediformatica.com #data #healthcare #datasharing #administration #this #interoperability #better #datainteroperability #election #healthcaredata #abortion #arcadia #digitalhealth #healthit #healthtech #healthcaretechnology @MediFormatica (https://buff.ly/48r7zHK)

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#HealthSec Summit Boston | Enhancing Cybersecurity to Protect Patient Safety! Insightful discussions to strengthen data privacy and security. Thank you to exceptional co-panelists for engaging conversations on the Health Industry Cybersecurity Strategic Plan 2024-2029. Applause to moderator, Greg Garcia, for leading discussions on key HICSP objectives. Explore the Strategic Plan here: [https://lnkd.in/eYy2BwdA] #DataSecurity #Privacy #RegulatoryCompliance #RiskManagement #Cybersecurity

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In January, CMS published a new, finalized rule aimed at improving the prior authorization process. This new white paper breaks down what states need to know about CMS-0057-F — and where to go from here . Explore: 🔍  Why it’s time to reduce the administrative burden of prior authorizations 🔍  How stakeholders will benefit following full implementation of CMS-0057-F 🔍  Four steps states can take to start preparing today Access these insights and more: 🔗 https://bit.ly/3TQufvz

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Originally created as a safety-net program, #340B was designed to help patients. Unfortunately, large 340B hospitals and vertically integrated entities are using the program to increase profits, driving costs up for patients and employers in the process. There is a large volume of evidence that the program is not meeting its intended purpose. For example, the average cost per prescription for commercially insured patients receiving a physician administered medicine is 150% higher at 340B hospitals than at non-340B hospitals. I recently met with Rebecca Willumson of Fierce Pharma to outline reforms needed to ensure that discounts manufacturers provide through the 340B program reach patients. Congress must act to get the 340B program back on track. https://lnkd.in/eRym8wDA

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Information Systems Research (ISR) has recently published a new article to the Articles in Advance page:   Article Title "How Hospitals Differentiate Health Information Technology Portfolios for Clinical Care Efficiency: Insights from the HITECH Act"   Authors Jessica Pye (deceased), Arizona State University Arun Rai, Georgia State University John Qi Dong, National Technological University, Singapore   Problem definition We examine how hospitals differentiate their HIT portfolios in response to cost inefficiencies in clinical care processes and HIT policy uncertainty.   Relevance Adapting HIT portfolios to address cost-based shortfalls and policy uncertainty is crucial in shaping service delivery and impacting care costs, making it a key concern for policymakers and hospital decision-makers. Theoretical foundations We combine behavioral theory and institutional theory to explain how hospitals differentiate their HIT portfolios through idiosyncratic learning in response to cost-based performance shortfalls and shifting isomorphic pressures from changes in HIT policy uncertainty.   Methodology We constructed a panel dataset of 11,316 hospital-year observations from 3,319 U.S. hospitals over 2007–2014 to investigate how hospitals’ HIT search differentiation is influenced by cost-based performance shortfalls and policy uncertainty during the phases of the HITECH Act, from conceptualization to enactment to enforcement.   Results Our research provides a key insight: Moderate policy uncertainty, particularly during the HITECH Act's phases, significantly shapes hospitals' search for novel HIT solutions to address performance shortfalls. Hospitals enhance their search differentiation when uncertainty decreases from conceptualization to enactment but reduce it as uncertainty diminishes from enactment to enforcement.   Contributions Our findings surface the utility of combining the behavioral theory of the firm with institutional theory to explain the interdependence among a hospital’s cost-based performance shortfalls, HIT policy uncertainty, and HIT search differentiation. They show how hospital managers and policymakers can reorient their strategies to leverage the interdependencies among these elements, thereby encouraging the pursuit of innovative HIT systems over widespread imitation, to effectively address cost-based performance shortfalls in hospitals.   Short quote Unlocking Healthcare Innovation: hospitals excel in deploying new technologies through peer benchmarking and navigating moderate regulatory uncertainty. Dive into our research to see the transformative impact of this benchmarking strategy combined with moderate policy uncertainty!"   #HealthcareInnovation #HITECHAct #PolicyImpact   Keywords search differentiation, health information technology, performance shortfalls, policy uncertainty, behavioral theory of the firm, institutional theory   Link to article: https://lnkd.in/djh84uad

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Register for MCG Health's Sept. 5 webinar, "Identifying Key Requirements for Payers and Providers in the Centers for Medicare & Medicaid Services' Interoperability and Prior Authorization Final Rule (CMS-0057-F) and the U.S. Department of Health and Human Services (HHS) HTI-2 Proposed Rule." MCG technology experts, Rajesh Godavarthi and Daniel Cawood will explore the new certification criteria, #interoperability standards, and the overall impact on #priorauthorization processes. This insightful session will provide #healthcare professionals with a concise understanding of the regulatory changes designed to reduce administrative burdens. Learn more: https://lnkd.in/g365f-6x

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Writing for Health Data Management, Cotiviti's Katie Devlin, DHSc, MS, CPHIMS, recommends prioritizing interoperability with five proactive strategies for health plans to improve clinical data exchange with their partners. https://bit.ly/3YGiLxm #interoperability #HealthPlans

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