Hayes' Healthcare Blog

Healthcare Leaders Blog: Data, Analytics, and the Emerging Role of the CMIO, Gregory Ator, MD., CMIO

Posted by Gregory Ator, M.D., CMIO on September 16, 2015 at 9:00 AM

Data, Analytics, and the Emerging Role of the CMIO

By Gregory Ator, MD., CMIO, of the University of Kansas Hospital (Kansas City), University of Kansas Physicians Inc.

The role of data and analytics in healthcare especially as it relates to transparency has been discussed widely. What is your view of how data and analytics has changed and will continue to change the way healthcare is delivered?

It is well known that healthcare is moving from volume to value - value defined as optimal outcomes for the least cost. And with some urgency, many organizations are trying to figure out how to successfully navigate this transition. At the crux of this shift, is the availability of data. Data is crucial because you can’t achieve optimal quality and outcomes without it. Accurate clinician documentation in the EMR is more important than ever because this is what generates process improvement data points, hopefully, as a by-product of the care process. In order for all this to work, improved clinician-friendly EMR functionality is desperately needed.

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Topics: data, healthcare EMR, Data analytics, thought leadership, healthcare leaders, advice, electronic healthcare information, patient experience, CMIO, Healthcare Analytics, Hayes Thought Leadership Blog Series

What Closing the HIPAA Gaps Means for the Future of Healthcare Privacy, Kirk J. Nahra

Posted by Kirk J. Nahra on July 29, 2015 at 9:00 AM

 

What Closing the HIPAA Gaps Means for the Future of Healthcare Privacy

By Kirk J Nahra, Partner and Chair of Privacy and Data Security Practice at Wiley Rein, LLP.

By now, most people have felt the effects of the HIPAA Privacy Rule (from the Health Insurance Portability and Accountability Act). HIPAA has set the primary standard for the privacy of healthcare information in the United States since the rule went into effect in 2003. It’s an important rule that creates significant baseline privacy protections for healthcare information across the country.

Yet, from the beginning, important gaps have existed in HIPAA – the most significant involving its “scope.” The rule was driven by congressional decisions having little to do with privacy, but focused more on the portability of health insurance coverage and the transmission of standardized electronic transactions.

Because of the way the HIPAA law was crafted, the U.S. Department of Health and Human Services (HHS) could only write a privacy rule focused on HIPAA “covered entities” like healthcare providers and health insurers. This left certain segments of related industries that regularly use or create healthcare information—such as life insurers or workers compensation carriers— beyond the reach of the HIPAA rules. Therefore, the HIPAA has always had a limited scope that did not provide full protection for all medical privacy.

So why do we care about this now?

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Topics: HIPAA, healthcare privacy and security, healthcare leaders, electronic healthcare information, insurance, Hayes Thought Leadership Blog Series

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