Tuesday, July 4, 2017
CHIME provides new certification program for industry executives
The Ann Arbor, Mich.-based professional organization has initiated the CHIME Foundation Certified Healthcare Executive program (CFCHE) for information technology experts who are not CIOs, but are at a senior level and have other achievements in the HIT industry.
Experts who may seek the new designation may be consultants, implementers, sales representatives or in other roles, claims Keith Fraidenburg, executive vice president and COO at CHIME.
CHIME considers the new designation will facilitate interactions within the healthcare IT industry, he states. For instance, when a CIO or other technology professional discusses technology with a person with a CFCHE designation, the CIO will know the other person has passed a tough exam and has studied the challenges confronting CIOs, other healthcare leaders and payers, along with other IT experts outside a healthcare organization, Fraidenburg says.
CHIME has experience developing professional designations for the healthcare IT industry. In the year of 2009 it started a new certification program for IT executives called the Certified Healthcare CIO (CHCIO) program. Currently, more than 350 CHIME members have studied for and acquired the CHCIO title. Becoming a CHCIO is a demonstration of knowledge, skill and competency earned over various years and is the CIO equivalent of being a “black belt,” Fraidenburg asserts.
For CHIME’s newest program, after an individual has registered to participate in the CFCHE certification program, a candidate will get an extensive list of reading materials, and will take a sample exam that is not like the real exam but written in the similar way as the CIO exam to ascertain where the candidate did well and where he or she requires improving.
Wednesday, May 3, 2017
ONC initiating Patient Matching Algorithm Challenge Next Month
“There is a lot of work going on with patient matching in the industry,” claims Steve Posnack, director of the ONC Office of Standards and Technology. “But with all the matching that is gone on, there are some benchmarks that are publicly available … about how well the algorithms that individuals are using to do sufferer matching should perform.”
Posnack explains patient matching as the procedure of comparing different demographic elements from different health information technology systems to evaluate if they refer to the same patient. He also appreciates the potentially negative effect that mismatching can have on patient safety.
The target of ONC’s Patient Matching Algorithm Challenge is to shine “a little bit of sunlight and transparency around what the benchmarks should be and how well the present tools are performing (and to) see if there are other tools and algorithms out there that could do a great job potentially than what is presently in use,” Posnack asserts.
The fial goal of the challenge is to “spur the establishment of innovative new algorithms, benchmark current performance and assist the industry coalesce around common metrics for success,” in accordance to Posnack.
Participants in the challenge, which officially initiates in early June, will be offered a dataset and will have their answers evaluated and scored against a master key. These participants will be offered as many as 100 run-throughs to see how well they can match the sufferers in the dataset.
ONC will award as many as 6 cash prizes totaling $75,000. The huge prize category will engage 3 prizes for the highest “F-Score”—a combination of best precision and recall. Additionally, best in category prizes will be awarded for “best precision” (least mismatched patients), “best recall” (least missed matches) and “best first F-Score run.”
Previously this year, the ECRI Institute ranked the top 10 patient safety concerns in the year of 2017 for healthcare agencies, with patient identification errors ranking 6th overall.
Posnack points out that the College of Health Information Management Executives has initiated and is currently conducting a $1 million National Patient ID Challenge designed to establish a solution that ensures 100% accuracy of every patient’s health data to decrease the preventable medical errors.
He explains ONC’s Patient Matching Algorithm Challenge as being complementary to the CHIME’s National Patient ID Challenge, with finalists in the innovation round to be declared on May 12 and an ultimate winner declared in the month of November.
“We’ve a great relationship with CHIME and have surely been in touch with them related to their challenge,” adds Posnack. “But, we are approaching patient matching from a different angle. We are actually trying to spotlight how the algorithms perform and the benchmarks that we can develop from an industry perspective.”
ONC will conduct 3 informational webinars—May 10, 17 and 24—to give additional details about the challenge and participant requirements.
“We expect our challenge will get the attention of experts from other industries that deal with individual matching, like the financial and airline industries,” Posnack summarizes.
Sunday, February 19, 2017
CHIME begins effort to empower diversity in HIT leadership
The College of Healthcare Information Management Executives (CHIME) is taking on that challenge as it starts plans to establish programs that expand leadership training for females and minorities.
The agency, which represents healthcare IT executives nationwide, claims it will empower HIT leadership among females and minorities through mentorship and focused professional development.
Increased executive diversity is critical because the sufferers that healthcare agencies serve are more diverse, as are the staffs they direct, CHIME board members claim.
“The sufferer is the ultimate customer,” states Liz Johnson, CHIME’s board chair and CIO for acute care hospitals at Tenet Healthcare. “IT strategy and decision-making must include having an understanding of the diverse population that is being served.
“There is no better way to do that than to increase diversity, not merely at the HIT leadership level but entire throughout IT and from within the staffing ranks.” Johnson adds. “This will develop an atmosphere that promotes distinctive perspectives, creative approaches and opportunities to better meet the requirements of our customers and organization.”
Healthcare, like other industries, has struggled to expand leadership to females and minorities. For instance, minorities represent only 14% of hospital board members, 11% of executive leadership positions and 19% of first- and mid-level managers, in accordance to respondents to a 2015 survey from the Institute for Diversity in Health Care and the Health Research and Educational Trust.
And, previous year, an analysis by the Healthcare Information and Management Systems Society discovered important disparities in compensation between male and female respondents to its recent yearly surveys.
Within CHIME and its related agencies, of about 700 members who recognized race or ethnicity on their membership profile, 136 said they belong to a minority group. And about 25% of its membership is female.
It is time for CHIME to take a leadership role in the initiative because the traditional CIO role is evolving.
“We require being responsive to that,” she claims. “We require being mentoring those who are following in our footsteps. We identify that the workforce that is coming behind us has many diversity. It is just significant that we recognize that there is tremendous change occurring.”
The progress in diversity underscores the requirement for healthcare IT leaders to have new skills and HIT leadership traits, claims Myra Davis, CIO and senior vice president at Texas Childrens Hospital, and a CHIME board member.
“As the healthcare IT atmosphere continues to evolve, it mentions a requirement for competencies in areas that we did not have in the past,” Davis says. “We need to promote opportunities to increase awareness that anyone, of any background, can be a leader. We’ve a chance, as CHIME board members and leaders in our field, to promote that change.”
Cletis Earle, vice president and CIO at Kaleida Health and a CHIME board member, agrees that the CHIME initiative is timely and sorely required.
“When you’ve a diverse culture, you require a more dynamic workforce to have different ideas and thought procedures,” Earle states. “As an African American, there’s not a lot of folks who look like me in the workforce. We require doing something about it and providing a conduit to permit the workforce to equalize, to open the doors up to a larger constituency.”
The CHIME initiative is in the early stages, discussing the issues and challenges that presently exist in increasing diversity in HIT leadership, and will utilize that dialogue to formulate education and services that the agency can deliver.
“It is important for CHIME to take a stand and appreciate that the workforce is changing,” Davis says. “If we do not do that, who are we fooling? We’re looking for a different kind of leader and a different type of workforce that can be the innovators of health IT.”
The emphasis to increase the number of females and minorities entering into STEM (science, technology, engineering and mathematics) education programs also is timely, Davis points out. “In healthcare, we’ve a chance to educate the population we serve and share what we do in the world—how do we convey that message that you can be one of us?”
The CHIME push comes at a time period when the HIT is struggling to fill positions, and it is significant for HIT leaders to indicate that top management ranks are open to women and members of minority groups, Johnson notes.
Next week at its spring forum and during the HIMSS conference, CHIME will seek opportunities to network with diverse populations to inquire what it can do and otherwise collect intelligence that will assist direct future efforts, Johnson claims.
“What’s significant is that, in coming from CHIME, it’s the senior-most IT executives in healthcare taking a stance to say we’re going to address (diversity) and improve it,” Earle says. “From that as a base, I look forward to what’s going to come.”
Monday, January 2, 2017
CHIME Calls for Modifications to the standards of Meaningful Use Requirements
In the reaction to allegedly overzealous requirements for Medicare meaningful use, Medicaid meaningful use, and meaningful use measures under MIPS, the College of Healthcare Information Management Executives (CHIME) has released comments advocating for increased flexibility in meaningful use requirements.
The current meaningful use requirements or standards reportedly hinder optimization of information technology systems to make better patient care.
In its suggestions, CHIME called for a 90-day reporting period in the years of 2016 and 2017 for meaningful use requirements providers rather than the previously mandated full-year period as well as fewer requirements and lower thresholds for Medicare hospitals.
A ninety-day reporting period will enable providers to familiarize themselves with latest electronic health record (EHR) installations and technology.
Less stringent regulatory requirements will also enable providers to develop new technologies more freely and efficiently.
In the comments, CHIME emphasized “the complexity of overall reporting requirements Medicare providers and clinicians must meet is degrading their capability to optimize use of technology and has put them in a continual state of churn directed at meeting government requirements.”
A policy claiming a complete year of electronic clinical quality reporting (eCQMs) beginning in 2017 was a requirement CHIME deemed unsupportable, along with misaligned reporting periods for several programs that change in different years.
CHIME also took issue with the 3 sets of requirements CMS recognized as mandatory and suggested a single set of requirements to expedite efficient data exchange and aide private sector initiatives targeted at improving patient identification at a national level.
In accordance to the letter, Medicaid providers are hoped to meet Modified Stage 2 Requirements/Meaningful Use Stage 3, the changes executed in the Hospital Outpatient Prospective Payment System (OPPS) final rule, and the ACI performance category of MIPS modeled after meaningful use.
CHIME claimed these 3 distinct sets of requirements could be consolidated into one streamlined set, stating “we suggest CMS (Centers for Medicare & Medicaid Services) decrease the variability among the reporting programs and better synchronize the reporting requirements” as the present regulations might overwhelm providers.
In terms of reporting periods, CHIME asserts “reporting periods will be out of sync for Meaningful Use providers and MIPS clinicians” provided that meaningful use providers have a 90-day reporting period for the years of 2016 and 2017 while MIPS has a 90-day reporting period for 2017 and 2018, confusing several providers.
In light of recent complaints, CHIME recommended that CMS synchronize the reporting periods and change the 90-day reporting period from a 2-year stipulation to a permanent one.
Vendor readiness has also been flagged as problematic after members demonstrated they don’t anticipate getting their Version 2015 Certified EHR technology (CEHRT) before the year of 2018.
This delay could impact other CMS programs and put certain smaller providers at threat of missing a whole reporting year. Since CMS has made CEHRT compulsory for several programs, involving the Comprehensive Primary Care Plus (CPC+), CHIME suggested assessing whether vendors will have the capability to deliver essential products to providers in time to meet Stage 3 requirements in 2017 or 2018.
“CHIME again emphasizes CMS postpone requiring the use of Stage 3 / Stage 3-like measures until no earlier than the year of 2019,” the letter read, noting the disparate timelines.
CHIME also sees problems regarding interoperability in the coming years, maintaining they have “continuously advocated for the requirement for making better the state of interoperability.”
Stage 3 requirements in 2017 operate under a higher grade of interoperability than presently available.
CHIME also recommended a way to meet regulatory requirements and also improve interoperability.
“We suggest CMS work with ONC to make sure that a single set of standards are adopted to facilitate more seamless data exchange and provide support to private sector initiatives concentrated on improving patient identification at a national level.”
Friday, November 4, 2016
CHIME Acknowledges Phoenix Children’s Higginson for innovation
A Lean measure or step powered by numerous IT-supported attempts achieved efficiencies at Phoenix Children’s Higginson, leading to savings, as well as betterment in operations and sufferer satisfaction.
The outcomes of these attempts at the pediatric facility were among the reasons that its CIO, David Higginson, achieved the 2016 Innovator of the Year award at the Fall CIO Forum of the College of Healthcare Information Management Executives.
Higginson achieved the award on the day of Wednesday at the CHIME occasion, in Scottsdale, Ariz. CHIME acknowledged the Phoenix Children’s Higginson for innovation.
For instance, rather than spending millions of dollars on a sufferer education and entertainment system, Phoenix Children’s Higginson put customizable iPads in sufferer rooms, enabling patients and their parents to access a host of facilities and services, involving clinical results, discharge instructions, educational resources over their treatment and more. One-time charges for the initiative were covered by support and grant from the James M. Cox Foundation, permitting the hospital to move resources to other areas.
“When you’re confronted with the choice of making a new emergency department to replace one that is seeing 3 times the number of sufferers it was constructed for, or spending $100 million on a piece of software, the answer appears to be obvious – search a way to do the system for a reasonable amount and leave the capital for the direct requirements of the patients and families we serve,” Higginson stated.
Various other annual awards were honored at the conference:
University of Colorado Hospital teamed up with analytics firm LeanTaaS to establish a solution that has provided patients larger access to life-saving dialysis treatments with far less wait times. This inventive partnership gained UCHealth and LeanTaaS CHIME’s 2016 Collaboration Award.
Pamela Arora, senior vice president and CIO at Children’s Health in Dallas; and Bryan Bliven, CIO at the University of Missouri Health Care were honored with the 2016 Transformational Leadership Awards for their remarkable work on cybersecurity. The award is sponsored by CHIME and the American Hospital Association.
Randy McCleese was awarded with CHIME’s 2016 Outstanding Service Award for his devotion to the profession and his endless affords to transform healthcare, in recognition of his work in policy and regulation attempts for healthcare IT.
Linda Hodges, ex-senior vice president and IT practice leader at Witt/Kieffer, was honored by the CHIME Foundation with the 2016 CHIME Foundation Industry Leader Award.
Philips was awarded with the inaugural CHIME Foundation Partner Award. Sara
Friday, October 28, 2016
Ransomware and malware: The top cyber criminals exploits
When it comes to the cybersecurity, healthcare agencies are most concerned over the social engineering, information theft and internal threats. And they perceive ransomware and malware as the top ways that cyber criminals are exploiting their weaknesses. Ransomware and malware are believed to be the top cyber criminals exploits.
Those are among the findings of a new survey of almost 200 members of the Association for Executives in Healthcare Information Security (AEHIS) and College of Healthcare Information Management Executives (CHIME).
The top-ranked potential security susceptibilities in the survey that worry AEHIS and CHIME members are data exposure, security misconfiguration and worst authentication/session management. Although, they showed that the most usual security risks to their agencies are social engineering, insider threats and the IoT (internet of things). Ransomware and malware are believed to be the top cyber criminals exploits.
Asked how their agencies would perform if systems or information were compromised by a targeted attack compared with a year ago, survey respondents claimed that they are now better ready for a security tragedy by having systems in place. Furthermore, they assert that their capabilities for discovering a security tragedy and recovering from it are presently better in contrast with a year ago.
Avi Rubin, director of the Health and Medical Security Lab at Johns Hopkins University, claims that there were no surprises in the outcomes of the survey and that they were exactly what he would have hoped.
CHIME Vice President for Federal Affairs Mari Savickis presented the findings of the survey this week to the Department of Health and Human Services’ Cybersecurity Task Force, mandated by Congress to establish suggestions to counter the healthcare industry’s growing cyber threats putting patient data at risk.
While healthcare agencies stated that they require greater assistance from federal agencies to make better information sharing and threat assessments, almost 65% of survey respondents showed that they were somewhat confident or not confident at all that federal legislators understand the significance of cybersecurity enough to support primary information security initiatives.
Nevertheless, they need lawmakers to adopt incentives that will motivate greater information sharing, involving shielding agencies that voluntarily work to make better security across the delivery system from government audits and reduce the top cyber criminals exploits i.e. Ransomware and Malware.
