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Healthcare Security is Scaring Hospital CIOs

Posted on November 16, 2016 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

This post is sponsored by Samsung Business. All thoughts and opinions are my own.

Coming out of the CHIME CIO Forum, I had a chance to mix and mingle with hundreds of hospital CIOs. There was one major theme at the conference: security. If you asked these hospital CIOs what was keeping them up at night, I’m sure that almost every one of them would say security. They see it as a major challenge and the job is never done.

I had more than one CIO tell me that breaches of their healthcare system are going to happen. That’s why it’s extremely important to have a 2 prong security strategy in healthcare that includes both creating security barriers and also a mitigation and response strategy.

One of the most challenging pieces of security identified by these healthcare CIOs was the proliferation of endpoints. That includes the proliferation of devices including mobile devices and the increase in the number of users using these technologies. There was far less concern about the mobile devices since there are some really deeply embedded software and hardware security built into mobile devices like Samsung’s Knox which has made mobile device security a lot easier to implement. The same can’t be said for the number of people using these devices. One hospital CIO described it as 21,000 points of vulnerability when he talked about the 21,000 people who worked at his organization. Sadly, there’s no one software solution to prevent human error.

This is why we see so much investment in security awareness programs and breach detection. Your own staff are often your biggest vulnerability. Training them is a good start and can prevent some disasters, but the malware has gotten so sophisticated that it’s really impossible to completely stop. That’s why you need great software that can detect when a breach has occurred so you can deal with it quickly.

On the one hand, it’s one of the most exciting times to be in healthcare IT. We have so much more data available to us that we can use to improve care. However, with all that data and technology comes an increased need to make sure that data and technology is kept secure. The good news is that many hospital boards have woken up to this fact and are finally funding security efforts as a priority for their organization. Is your organization prepared?

For more content like this, follow Samsung on Insights, Twitter, LinkedIn , YouTube and SlideShare.

Hospital CIOs Say Better Data Security Is Key Goal

Posted on November 9, 2016 I Written By

Anne Zieger is veteran healthcare editor and analyst with 25 years of industry experience. Zieger formerly served as editor-in-chief of FierceHealthcare.com and her commentaries have appeared in dozens of international business publications, including Forbes, Business Week and Information Week. She has also contributed content to hundreds of healthcare and health IT organizations, including several Fortune 500 companies. She can be reached at @ziegerhealth or www.ziegerhealthcare.com.

A new study has concluded that while they obviously have other goals, an overwhelming majority of healthcare CIOs see data protection as their key objective for the near future. The study, which was sponsored by Spok and administered by CHIME, more than 100 IT leaders were polled on their perspective on communications and healthcare.

In addition to underscoring the importance of data security efforts, the study also highlighted the extent to which CIOs are being asked to add new functions and wear new hats (notably patient satisfaction management).

Goals and investments
When asked what business goals they expected to be focused on for the next 18 months, the top goal of 12 possible options was “strengthening data security,” which was chosen by 81%. “Increasing patient satisfaction” followed relatively closely at 70%, and “improving physician satisfaction” was selected by 65% of respondents.

When asked which factors were most important in making investments in communications-related technologies for their hospital, the top factor of 11 possible options was “best meets clinician/organizational needs” with 82% selecting that choice, followed by “ease of use for end users (e.g. physician/nurse) at 80% and “ability to integrate with current systems (e.g. EHR) at 75%.

When it came to worfklows they hoped to support with better tools, “care coordination for treatment planning” was the clear leader, chosen by 67% of respondents, followed by patient discharge (48%), “patient handoffs within hospital” (46%) and “patient handoffs between health services and facilities” chosen by 40% of respondents selected.

Mobile developments
Turning to mobile, Spok asked healthcare CIOs which of nine technology use cases were driving the selection and deployment of mobile apps. The top choices, by far, were “secure messaging in communications among care team” at 84% and “EHR access/integrations” with 83%.

A significant number of respondents (68%) said they were currently in the process of rolling out a secure texting solution. Respondents said their biggest challenges in doing so were “physician adoption/stakeholder buy-in” at 60% and “technical setup and provisioning” at 40%. A substantial majority (78%) said they’d judge the success of their rollout by the rate the solution was adopted by by physicians.

Finally, when Spok asked the CIOs to take a look at the future and predict which issues will be most important to them three years from now, the top-rated choice was “patient centered care,” which was chosen by 29% of respondents,” “EHR integrations” and “business intelligence.”

A couple of surprises
While much of this is predictable, I was surprised by a couple things.

First, the study doesn’t seem to have been designed for statistical significance, it’s still worth noting that so many CIOs said improving patient satisfaction was one of their top three goals for the next 18 months. I’m not sure what they can do to achieve this end, but clearly they’re trying. (Exactly what steps they should take is a subject for another article.)

Also, I didn’t expect to see so many CIOs engaged in rolling out secure texting, partly because I would’ve expected such rollouts to already have been in place at this point, and partly because I assume that more CIOs would be more focused on higher-level mobile apps (such as EHR interfaces). I guess that while mobile clinical integration efforts are maturing, many healthcare facilities aren’t ready to take them on yet.

HIMSS Puts Optimistic Spin On EMR Value Data

Posted on February 5, 2016 I Written By

Anne Zieger is veteran healthcare editor and analyst with 25 years of industry experience. Zieger formerly served as editor-in-chief of FierceHealthcare.com and her commentaries have appeared in dozens of international business publications, including Forbes, Business Week and Information Week. She has also contributed content to hundreds of healthcare and health IT organizations, including several Fortune 500 companies. She can be reached at @ziegerhealth or www.ziegerhealthcare.com.

After several years of EMR deployment, one would think that the EMR value proposition had been pretty well established. But the truth is, the financial and clinical return on EMRs still seems to be in question, at least where some aspects of their functioning are concerned.

That, at least, is what I took from the recent HIMSS “Value of Health IT Survey”  released earlier this month. After all, you don’t see Ford releasing a “Value of Cars Survey,” because the value of a car has been pretty much understood since the first ones rolled off of the assembly line more than a century ago.

Industry-wide, the evidence for the value of EMRs is still mixed. At minimum, the value proposition for EMRs is a remarkably tough case to make considering how many billions have been spent on buying, implementing and maintaining them. It’s little surprise that in a recent survey of CHIME members, 71% of respondents said that their top priority for the next 12 months was to realize more value from their EMR investment. That certainly implies that they’re not happy with their EMR’s value prop as it exists.

So, on to the HIMSS survey. To do the research, HIMSS reached out to 52 executives, drawn exclusively from either HIMSS Analytics EMRAM Stage 6 or 7, or Davies Award winning hospitals. In other words, these respondents represent the creme de la creme of EMR implementors, at least as HIMSS measures such things.

HIMSS researchers measured HIT value perceptions among this elite group by sorting responses into one of five areas: Satisfaction, Treatment/Clinical, Electronic Information/Data, Patient Engagement and Population Management and Savings.

HIMSS’ topline conclusion — its success metric, if you will — is that 88 percent of execs reported at least one positive outcome from their EMR. The biggest area of success was in the Treatment/Clinical area, with quality performance of the clinical staff being cited by 83% of respondents. Another area that scored high was savings, with 81% reporting that they’d seen some benefits, primarily in coding accuracy, days in accounts receivable and transcription costs.

On the other end of the scale, execs had to admit that few of their clinical staffers are satisfied with their EMRs. Only 29% of execs said that their EMR had increased physician satisfaction, and less than half (44%) said their nurses were more satisfied. If that isn’t a red flag I don’t know what is.

Admittedly, there are positive results here, but you have to consider the broader context for this study. We’re talking about a piece of software that cost organizations tens or even hundreds of millions of dollars, upon which many of their current and future plans rest. If I told you that my new car’s engine worked and the wheels turned, but that the brakes were dodgy, fuel economy abysmal and the suspension bumpy, wouldn’t you wonder whether I should have bought it in the first place?

Patient Identification and Patient Matching – A Million Dollar Challenge

Posted on January 22, 2016 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

UPDATE: For those who missed the live discussion, you can watch the recording of our patient identification and patient matching interview in the YouTube video below:

Patient Identification and Patient Matching - A Million Dollar Challenge-blog

Given the recent announcement by CHIME about the $1 Million Patient Matching and Identification competition, I thought it would be the perfect time to explore the challenges of patient identification and matching in healthcare. On Monday January 25, 2016 at 10:30 AM ET (7:30 AM PT), I’ll be sitting down with 2 great experts on patient identification and matching:

The great part is that you can join our conversation live and even add your own comments to the discussion. All you need to do to watch live is visit this blog post on Monday January 25, 2016 at 10:30 AM ET (7:30 AM PT) and watch the video embed at the bottom of the post. You can also subscribe to the blab directly. We’ll be doing a more formal interview for the first 30 minutes and then open up the Blab to others who want to add to the conversation or ask us questions. The conversation will be recorded as well and available on this post after the interview.

I’m excited to talk with Beth and Michael about the impact of poor patient matching on healthcare, the current solutions to the problem, and their thoughts and views on CHIME’s $1 million National Patient ID Challenge. We hope you’ll join us on Monday and share your expertise and questions!

If you’d like to see the archives of Healthcare Scene’s past interviews, you can find and subscribe to all of Healthcare Scene’s interviews on YouTube.

Two Hidden Gems at the HIMSS15 Annual Conference

Posted on March 20, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I’m deep in my preparations for the HIMSS Annual Conference in Chicago. It’s amazing how quickly the schedule fills up. It has me really excited to meet with so many amazing people. To all the PR people who have sent me pitches, I’ll be getting back to you shortly. Yes, I do respond to each and every one of you. No, sending another request won’t get a response faster. In fact, it will make the response slower.

My own schedule aside, I was thinking today that there are two gems at HIMSS that many people don’t know about. So, I thought I’d share them with you.

The CIO Forum
This event is put together by CHIME and is a shorter version of the CHIME Fall CIO Forum. You can check out the schedule of events here. CHIME always does a great job bringing together some great speakers from the industry and also some to address topics like leadership.

While the content is great, the best part of the event is being surrounded by CIOs. Everywhere you turn is another hospital CIO. It makes for a tremendous opportunity to connect and learn from hospital CIOs. The event does cost extra, so make sure you get the right pass if you want to attend. If you’re there, come say hi.

New Media Meetup
I’m a little bias on this event since it’s the one I host, but it’s always my favorite part of HIMSS. There’s a special energy at the event that comes from all of the amazing people in New Media that are at HIMSS. Everywhere you turn at the event you run into someone else that you’ve likely interacted with on Twitter or some other social media.

The event has evolved over time. Originally it brought together bloggers, but quickly expanded to anyone involved in social media. You can find all the details for the event here. I hope that some readers can make it. If you do, be sure to come take a selfie with me or something.

Those are a few of my favorite events at HIMSS that many people don’t know about. What are your favorite parts of HIMSS?

Marc Probst Takes Aim at Meaningful Use in Interview at CHIME

Posted on November 6, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

One of the must read interviews coming out of the CHIME Fall Forum is Mark Hagland’s interview with Marc Probst. We know that Marc Probst had a growing dissatisfaction with meaningful use after he said he would love to kill meaningful use during National Health IT Week. He keeps on that same trajectory during this great interview by Mark. Although, I think Marc is just representing the feelings of many hospital CIOs.

Here are a few excerpts of the interview for those who don’t want to read the whole thing:

So what is meaningful use for you, as an IT pioneer?

Well, it’s a pain in the neck! We believe we were already some of the most meaningful users, in the broader sense of the term, in healthcare IT, prior to the meaningful use program. But meaningful use has imposed rigid functions that you have to do, and I don’t think it’s added any additional value to what our clinicians do, but only to add tasks. So it hasn’t been all that helpful. I sit on the [federal] IT Policy Committee, so I have a little to do with meaningful use, but nonetheless, it hasn’t been [satisfying].

Nice to see that Marc Probst is taking a little bit of accountability for meaningful use. Although, if you’ve ever sat on a committee you know that you can only do so much if the committee is against you. I think the thoughts above are the opinions of many in healthcare. Although, this simple quote from Marc Probst sums up what many would like to see done:

“I honestly think we should now declare victory and move on.”

Although, Marc Probst also offers this sobering reality that many healthcare CIOs will face:

But I think that a fair number are going to say, look, if I haven’t done it this year, I’ll get the penalties anyway if I haven’t yet attested to Stage 2. I think many will focus instead on ICD-10 and data security, because meaningful use is so frustrating and they don’t control the variables; and security, they can control some of the variables. And the penalties are much harsher for breaches than for meaningful use failure.

I’ve never seen someone compare the meaningful use penalties with the penalties for breaches. It’s a very interesting comparison. However, they are hard to compare since the meaningful use penalties are guaranteed to happen if you don’t attest to MU. The breach penalties only happen if you have a breach occur…or I should say if you have a breach occur and you realize it happened (or get caught). That’s likely why more people are concerned with the meaningful use penalties than security and privacy in their organization.

I think this type of sentiment about meaningful use will grow stronger and be heard from more areas of the country. Marc Probst and Intermountain are really powerful figures in the healthcare community. No doubt, Marc’s decision to speak out on this subject will embolden many others to do the same.

Go and read the rest of Mark Hagland’s interview with Marc Probst. Many more good perspectives in the full interview. I’m glad that people like Marc agree with me that we should Blow Up Meaningful Use and focus on interoperability.

When Did You Last Job Shadow a Doctor?

Posted on November 4, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

My brother is a really good programmer and I always gain a lot of insight into the software and tech world from him when we sit down and talk (which isn’t often since our wives don’t appreciate us enjoying ourselves like that, but I digress). One of the things he told me about developing an application or website is that it’s really hard to know the user’s response to the website. What might seem completely obvious to the maker (designer, programmer, etc), might be completely different from how a new user to the website or application sees it.

This makes common sense once you think about it. When you’re creating the application, you spend so many hours working on it that the layout and location of things are embedded into your brain in a way that it just feels natural to know where to go to find something. New users don’t have this same training embedded into their brain and so they look for very different things.

My brother suggested to me that one of the best ways to solve this challenge is to sit back and watch a user use your program or website. The insights you can glean from the experience are amazing. The great part is that it’s not a hard thing to do either. It takes a little self control to sit back and let them “solve” their problem on their own, but it’s well worth it.

I heard something similar from a CIO at the CHIME Fall Forum last week. They said that they regularly had their tech people shadow a doctor. They then recounted how shadowing a doctor was so valuable since their analysts could see first hand how the workflows they’ve embedded into the system aren’t working effectively for the doctor. You can see first hand how the doctor flips and flops between 3 screens over and over again and how the workflow would be so much more effective on one screen.

You can’t expect your users to report the issues above. First, they are able to accomplish the task, so it doesn’t feel like a system deficiency. Second, they’d have to know that a change like that was possible. Third, most of them are too busy to actually report this type of issue to IT so it can be resolved.

This is why shadowing a doctor (and let me add nurse) is so valuable. You get to see first hand what’s happening and find specific ways you can make your users’ lives better. Plus, it has the added value of showing those doctors and nurses that you care. Sitting in the trenches with these doctors and nurses is a powerful indicator that you want to know what’s going on and care enough to be there with them to see it first hand. Although, don’t ruin that benefit by shadowing the doctor and then doing nothing. Make sure you learn from the experience, make the change, and then communicate the change back to the users.

Looking forward to the CHIME Fall Forum

Posted on October 27, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Tomorrow I’ll be heading to the CHIME Fall Forum. It’s the premiere meeting of healthcare CIOs. I love the opportunity to sit down with CIO’s and talk about what’s happening with them. The event is in San Antonio, so let me know if you’ll be there so we can meet and say hi.

I think the topics are going to be pretty predictable at the event. I’m sure there will be plenty of meaningful use and ICD-10 discussions, but I think that analytics and what they’re doing with it will also be extremely popular. I’m also interested to hear what people are doing as far as security and privacy. Things like the Bash vulnerability were a major deal and I’ll be interested to see if people really dealt with it appropriately. I’m afraid I’ll meet some who ask me what vulnerability I’m talking about. That will be sad, very sad.

What do you think are the hot topics in healthcare IT? I’m interested to know if these hospital CIOs can focus on anything but the regulatory related projects. If they are, I’ll be interested to hear what projects they are taking on next. Are they doing secure text messaging? Are they focused on revenue cycle? What about patient engagement?

The battle to stay on top of everything that’s happening in healthcare IT never ends. I’ll be interested to hear where the battle is heading next. If you have thoughts, I’d love to hear them in the comments.

Fall 2014 Health IT Conference Schedule

Posted on September 29, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Going to my third conference in a week must mean that we’re in the heart of Fall health IT conference season. This week I’m at AHIMA. I love attending AHIMA. I think that the AHIMA conference is a bit like HIM staff in general. There this hidden gem that many people don’t recognize even though they have tremendous value. I feel the same at this conference. The HIM staff at AHIMA have some really great perspectives on what’s happening with healthcare IT in their organization. I don’t think it’s a must attend event for everyone, but it’s great for a blogger like me to get a variety of perspectives on the healthcare IT industry.

This is really just the start of the conference season for me. I always get asked by people which conferences they should attend. In fact, my breakfast meeting this morning with a new to healthcare vendor this morning had a lot of discussion about which health IT conferences they should attend. For those interested in this same question, I’ve created a page which lists the Health IT Conferences I’m attending and also a look at some of the major health IT conferences that happen every year.

As I’ve talked to people, I’ve realized there are a few other events that I need to add to the list. I like to joke with people that if I wanted to I could attend a different health IT event every day of the week. Although, that’s not really much of a joke since it’s basically true.

What events do you attend? Which ones do you find most valuable?

From a hospital IT perspective, the CHIME Fall Forum is the tops for me. The Digital Health Conference is good and hospital CFO’s should hit the Craneware Summit. Then, of course, HIMSS is a great place for hospital IT people, but that’s not until April 2015.

I’m looking forward to all these conferences. They provide me a lot of perspective which I use in all of my blog posts. If you’re going to be at any of the events, let me know. I always love to meet readers in person.

Not available on the App Store

Posted on April 29, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Had anyone else seen these stickers? I thought they were awesome and a great reminder that not everything can be solved with technology. As literally @techguy on Twitter, this might sound a bit odd coming from me. However, I’ve often said that I think technology can make almost everything better, but that doesn’t mean it should.

In the healthcare IT world, you could solve a problem with technology, but that doesn’t mean it’s always the best solution. In many cases the solution is something much simpler. For example, sometimes you have to trust people. It’s a scary idea for many leaders, but it’s something I’ve seen in the very best organizations. They build a culture of trust that’s incredibly powerful. It’s amazing how many things become simpler when you have trust.

Back to the original picture at the top. I’m reminded of this beautiful story Allison Massari recounted at the CHIME CIO Forum at HIMSS this year. At one point in her story Allison recounted how she was laying in the hospital bed in incredible pain (for those not familiar she had a huge portion of her body burned in a car accident). A nurse came into her room and after seeing Allison realized the extreme pain she was going through. Allison recounted that the nurse stopped what she was doing, gently took her hand and spent a moment with her consoling her.

I love technology as much as the next, but there’s no app that looks into someone’s eyes and sees their pain. There’s no app that will stop and hold your hand and console you.