October 20, 2021: Today we are talking to Anand Srinivas, Office of the CTO, Service Provider Edge Business Unit at VMware and Paul Jones, Global Director of Product Management for Network and Security Solution at GE Healthcare. How can we secure clinical networks both in the hospital and as we expand beyond the four walls and into the cloud? How are clinical devices connected, tracked, managed, secured, and monitored today? What challenges does that create for health systems? The solutions VMWare and GE Healthcare provide are GE Healthcare – Mural Virtual Care, OnWatch Network Edge, GE Healthcare - OnWatch Network Performance and VMware SASE. When we look at these solutions, what elements have to be addressed? With a multitude of medical devices operating, it gets really challenging to have visibility and keep the healthcare environment holistic and focused.Key Points:00:00:00 - Intro00:08:43 - Traditional approaches are basically bent and duct taped00:13:07 - You need to switch from reactive to proactive continuous monitoring, where a system is actually doing all the analytics and correlation in the background 00:13:48 - GE Healthcare - OnWatch Network Performance - reduces disruptions and enhances care 00:23:00 - GE Healthcare – Mural Virtual Care - activates your virtual hospital00:32:55 - OnWatch Network Edge00:34:20 - VMware SASE - Secure Access Service Edge. The convergence of cloud networking and cloud security for simplicity, scalability, flexibility and pervasive security.

This Week in Health IT

Securing the Clinical Network from the Hospital to the Home and the Cloud with VMware and GE Healthcare

October 18, 2021: Chris Logan, Senior Vice President and Chief Security Officer at Censinet joins Bill for the news. Ransomware impacts patient care in more ways than one. A new report shows it also increases mortality rates. A healthcare leader urges systems to adopt NIST cybersecurity standards. Best Buy acquires Current Health. Apple employees lash out. And what will it take to maintain the accelerated pace of innovation post-pandemic?Key Points:00:00:00 - Intro00:03:45 - The perimeter in healthcare has been completely shattered00:30:00 - Bringing quality healthcare into the home has become an important part of the healthcare system often allowing patients better quality of life00:31:30 - Remote patient monitoring took off during the pandemic. Where does this go and what implications does it have on healthcare?CensinetStories:Ransomware attacks impact patient care, including increased mortality rates, report finds - Fierce HealthcareAdopt NIST cybersecurity standards, health care leader urges - SC MediaWhat it will take to maintain the accelerated pace of innovation in health care post-pandemic - Health Evolution Best Buy to acquire Current Health to help make home the center of health - Best BuyApple Employees Say Backlash and Confusion Hurt Health Projects - Business Insider

Newsday - Apple’s Mis-steps and CyberSecurity Mortality Risk with Chris Logan

October 15, 2021: Charles Boicey, CTO for Clearsense talks call centers, development, data science and information blocking with Bill. We need call centers to support so many parts of our conversation with the patient but they are not optimal. What is possible? What are the best practices? Where do development projects go off the rails? How do you manage outsource development partners? And where do we start with app development? How are we going to manage the information blocking rule? Is there any way to ensure our patients that the PHAs that connect to our EHR and request data on their behalf are safe?Key Points:NLP - Natural Language Processing and NLU - Natural Language Understanding [00:06:15] It&apos;s really important that you future-proof your assets [00:11:15] Development projects go off the rails initially when whatever we&apos;ve conceived isn&apos;t in alignment with the board [00:18:38] What does low-code no-code look like? [00:23:16] Too much black boxing is going to hurt healthcare [00:34:25] Clearsense

A CIO/CTO Conversation on Development, Information Blocking and Call Centers

October 11, 2021: It’s Newsday with Dr. Justin Collier, Chief Healthcare Advisor for World Wide Technology. A lawsuit is alleging that a cyber incident at Springhill Medical Center led to an infant’s death. A Mercer report confirms that the healthcare workforce is burned-out and traumatized following COVID. Graphite Health launched with its first three organizing members SSM Health, Presbyterian Healthcare and Intermountain. And the ONC reported an increase in patient portal usage. How do we bring clinicians up to speed quicker with technology? How can we make the onboarding process faster and more efficient for traveling nurses? And telehealth use is still surging but patient satisfaction has declined. Key Points:00:00:00 - Introduction00:06:30 - In the next 5 years 900,000 nurses are projected to permanently leave their profession00:10:36 - The clinicians focus on the patient and on patient interaction is what really fuels their engines00:19:00 - If I were a CIO today, I&apos;d be planning on a significant amount of turnover00:21:48 - One of the key drivers of joy is knowing that your work has meaning 00:26:04 - Patient portal usage is up. Why is that?00:34:30 - Once the world is healthier, I think it&apos;s going to be convenience and ease that will drive continued telehealth encountersStories:Hospital ransomware attack led to infant&apos;s death, lawsuit alleges - Healthcare IT NewsGreat Attrition’ or ‘Great Attraction’? The choice is yours - McKinseyMercer Report: Healthcare Labor Shortage Will Continue to Grow - Healthcare InnovationGraphite Health Launches with Three Founding Partners Intermountain, SSM Health and PresbyterianONC: More patients are downloading their medical records and using portals - Healthcare IT NewsHow CMS is boosting telehealth and RPM with new CPT codes - Healthcare IT NewsTelehealth use is surging but patient satisfaction with the service has declined, new study finds - FierceHealthcareMaryland Insurer CareFirst Launches Virtual-First Primary Care Business - Healthcare InnovationTelehealth Experi

Newsday - Health IT Staff Shortage, Telehealth Long-Term, and the Future Patient Portal

October 8, 2021: End users are getting better about not treating the EHR like a giant post-it note. And we’re seeing much better data quality. Consistently delivering trusted, comprehensive data can create competitive advantages for your organization. Learn how to strategically manage and mobilize data with Intermountain’s Castell Health and Arcadia, who have partnered to elevate value-based care performance. Joining us is David Dirks and Michael Meucci. What are common issues that arise from a poorly managed data supply chain? What is required for data to be trusted and fit for use in healthcare? And how can you master good data governance, strong data provenance management, and effective infrastructure?Key Points:The compounded annual growth rate of healthcare data is 36% [00:03:22] We cannot hire computer scientist folks with engineering backgrounds fast enough. It’s an extremely hot labor market. [00:41:07] HIMSS: Activating Your Healthcare Data Supply Chain Castell Arcadia David Dirks: david.dirks@imail.orgMichael Meucci: michael.meucci@arcadia.io

Activating Your Health Data Supply Chain with Intermountain’s Castell Health and Arcadia

October 4, 2021: Drex DeFord and Bill discuss wearables, the VA EHR rollout, the Epic dental module, cybersecurity, remote work, the CHIME, HLTH and HIMSS Vibe conferences and even golf. SpaceX owner Elon Musk is donating $50 million to St. Jude Children&apos;s Research Hospital. Walmart announced a new partnership with Epic to help customers simplify their health care. HP released a Security report titled "Rebellions & Rejection” showing that work from home is a cybersecurity "ticking time bomb. And Epic&apos;s vaccine credential tech is now available to 25 million patients.Key Points:The Epic dental module used to be the forgotten stepchild. Now it’s legit. [00:13:00] Epic’s vaccine credentialing technology is now available to 25 million individuals through their My Chart account [00:18:10] 83% believe remote work has become a ticking time bomb for network breaches [00:25:13] Our processes in security are cautious and err on the side of safety which means they are generally slow [00:28:11] CrowdStrikeStories:Elon Musk chips in $50 million for SpaceX Inspiration4’s children’s cancer fundraising effort - Market WatchWalmart Selects Epic To Help Customers Simplify Their Health Care - Walmart.comEpic&apos;s vaccine credential tech now available to 25M patients - Healthcare IT NewsWFH is a cybersecurity "ticking time bomb," according to a new report - Tech RepublicHow CMS is boosting telehealth and RPM with new CPT codes | Healthcare IT NewsA New Spin on an "Age-Old Problem": How Leaders Are Tacking Interoperability | healthsystemcio.com

Newsday - Epic’s Big Week, St Jude’s Awesome Fundraiser, and Binge Watching Ideas with Drex

October 1, 2021: Cyberattacks are getting more sophisticated. It’s no longer a matter of WILL they get in but WHEN? Ryan Witt, Industries Solutions and Strategy Leader at Proofpoint and Gary Gooden, Chief Technology and Security Officer at Seattle Children&apos;s run us through scenarios to watch out for. Did you know that 81% of emails are being identified as malicious and getting blocked at this point? And Proofpoint stops roughly 450 million threats of all types on a daily basis. When it comes to people, process and technology, where do you allocate your resources and time? Have you embarked on a zero trust journey? Is your endpoint detection service 24/7 365? And what is isolation technology?Key Points:Credentials are the nirvana state of any bad actor or cyber criminal organization. Once they get those they have an incredible ability to decide what sort of exploit they want to launch against your institution. [00:03:30] Credential skimming and credential gathering is a big deal [00:10:41] Security is what I refer to as the tip of the spirit, the innovation. And not security for the sake of creating friction. [00:15:30] Deep Packet Inspection technology is critical  [00:29:00] Proofpoint Seattle Children&apos;s 

Building a Security Framework for 2022 and Beyond with Seattle Children’s and Proofpoint

September 27, 2021: Anne Weiler, health tech entrepreneur joins Bill for the news. When growing a startup, what comes first? The clients or the right investors? Johns Hopkins Medicine has developed an Epic-embedded tool aimed at automatically identifying patients likely to need telehealth technical assistance. Xealth raised $24 million in new funding. Halo Health is being acquired by Symplr. Four out of six traveling intensive care unit nurses quit just one day after arriving at Providence St. Joseph Hospital in Eureka, California, due to a lack of familiarity with the EHR. And will Big Tech firms save the day in healthcare? Or is it just too complicated?Key Points:Revenue will get you investment. Investment will not necessarily get you revenue. [00:21:00] The issue isn&apos;t that healthcare technology is that hard, it&apos;s that the business models are screwed up [00:31:30] There&apos;s no incentive to share data. Data sharing is not hard if you actually want to do it. [00:31:30] Getting information out of the EHR is one level of complexity. Getting it back in is that complexity times five. [00:32:30] Should one of the big tech firms buy a hospital system? The answer is no. [00:35:06] Stories:Johns Hopkins Develops Epic-embedded Tool to better Support Telehealth patients - Healthcare IT NewsProvidence spinout Xealth raises $24M to expand digital health services - GeekWireFast-growing Cincinnati startup celebrates exit following acquisition by Texas-based firm - bizjournals.comIs Healthcare Too Hard for Big Tech Firms? - Healthcare IT NewsAfter Traveling Nurses Quit, Hospital Blames lack of EHR Familiarity - Healthcare IT News

Newsday - Growing Health Tech, Metrics on Patient Tech-ness, and Big Tech Plans

September 24, 2021: Examine. Diagnose. Prescribe. Is predictive analytics the magic pill for healthcare? Angelique Russell, Senior Clinical Data Scientist / Informaticist joins us today to share her advanced data science and deep healthcare expertise. How can we use visualization and modeling techniques to solve healthcare’s most challenging problems? What kind of insights are we looking to derive from the data? Have the tools changed much over the last five years? Are we still focused on provider data or are we starting to pull in some other data? And what is the future of machine learning, AI and NLP? Key Points:In 2011 the focus in healthcare was that we needed to modernize [00:04:20]Treatment guidelines and order sets, which are how hospitals standardize treatment, change all the time [00:12:40]Analytics answers questions and data science explores what questions we should be asking [00:18:15]Prediction is before the diagnostic criteria is met and detection is after that point [00:33:30]The Undoing Project book by Michael LewisCogitativo

Building Effective Clinical Data Models with Angelique Russell

September 20, 2021: Sue Schade from StarBridge Advisors joins Bill for the news. How can we be more productive in health IT? Where are the pain points? What tools can we bring to bear? How can we engage patients that have delayed care? McKinsey survey reveals U.S. hospital patient volumes have moved back towards 2019 levels. Wall Street Journal reports that remote work may now last for two years, worrying some bosses. Another big conversation is the rework of the labor pool. And is healthcare too hard for Big Tech firms? Some say, if companies misunderstand evidence-based medicine, they have no business bringing technology into medicine at all. And when it comes to the countless disruptive technological innovations that have been flooding the medical field the last couple of years, the essence of this change is not technological it seems, but rather cultural.Key Points:Burnout of staff is not overWhat can we do to make physician’s lives easier and more efficient?You do what you can in this Zoom world“Now What? Working in a Post Covid World” by Russ Rudish, Principal at Starbridge AdvisorsSue Schade blog: Patient Friendly Testing - Yes a Positive StoryStarBridge AdvisorsStories:Survey: Patient Volumes Reportedly Moving Back to 2019 Levels | Healthcare Innovation - hcinnovationgroup.comRemote Work May Now Last for Two Years, Worrying Some Bosses - WSJIs healthcare too hard for Big Tech firms? - Healthcare IT NewsDigital Health Is a Cultural Transformation - medicalfuturist.com

Newsday - Patient Volumes, Remote Work, and Big Tech in Healthcare

September 17, 2021: What are the characteristics of a high functioning healthcare system with regard to data and analytics? How do you provide data to third parties? How do you protect that data? How do you anonymize that data? How do you ensure that you&apos;re not allowing it to just run loose in the wild? Paula Edwards is Consultant, Analytics & Data Governance Practice Leader at Himformatics, an advisory company who works with health systems to make sure they&apos;re getting the most value out of their technology and data investments. How do you design systems that have people and technology working together? Who participates in data governance? What does an effective data literacy program look like? And what trends are we seeing with academic medical centers? Key Points:What is human centered design? [00:10:45]To a certain extent, the academic medical centers are driving the industry [00:18:06]There’s so many models for organizing analytics. It&apos;s mind boggling. [00:28:05]At its very nature, healthcare data and especially clinical data is just messy [00:33:10] There&apos;s a lot going on in the world of natural language processing [00:36:00]Most studies evaluating AI in radiology didn’t validate the results - Health Data ManagementDesign Characteristics of Studies Reporting the Performance of Artificial Intelligence Algorithms for Diagnostic Analysis of Medical ImagesHimformatics

Understanding Data Governance, Analytics, and Human-Centered Design with Himformatics' Paula Edwards

September 13, 2021: The regulatory environment drives healthcare. And as IT leaders, we HAVE to understand it. Mari Savickis, Vice President, Public Policy at CHIME joins us today to discuss HIPAA, information blocking, price transparency, AI, machine learning and interoperability. The Biden Administration announces ambitious initiatives to bolster the nation’s cybersecurity. Tech giants Amazon, Microsoft, Google, IBM, and Apple have pledged a combined $30-plus-billion cybersecurity investment. Plus all you need to know about the HIPAA proposed rule and telehealth&apos;s battle over state lines. Key Points:Make HIPAA and information blocking definitions the same [00:16:30] When it comes to price transparency, it&apos;s buyer beware [00:22:15] AI and machine learning gain steam [00:37:20] We need to have better interoperability and standardization for the public health infrastructure [00:39:12] Subscribe to CHIME’s weekly briefings - policy@chimecentral.orghttps://www.cisa.gov/jcdcStories:Tech Giants Commit $30B to Cybersecurity After White House Meeting - SDxCentralTelehealth&apos;s limits: Battle over state lines and licensing threatens patients&apos; options (medicalxpress.com) CHIME HIPAA Proposed Rule cheat sheetBiden Administration Unveils $65 Billion Plan to Combat Next Pandemics After Covid – NBC4 WashingtonThe White House FACT SHEET: Biden Administration and Private Sector Leaders Announce Ambitious Initiatives to Bolster the Nation’s CybersecurityThe White House: American Pandemic Preparedness: Transforming Our CapabilitiesPredicting the future of healthcare: 10 takeaways from HIMSS21 | MedTech Dive

Newsday - DC Update, Telehealth Boundaries and Future of Healthcare

September 10, 2021: Brian Sterud wears many hats at Faith Regional Health. He’s the VP of IT, the CIO and the CISO. In smaller health systems everyone has to muck in. How do they cover it all? How do they manage their time and stay current? Every health system is prepared for a 24 hours or less security risk. But after that, things get complicated. How would a smaller organization handle 30 days? 40 days? What&apos;s the biggest learning from having the ERP suite in the cloud? Can you get to the level of customization that you want? What kind of things can you do to improve clinician experience? What’s it like to do a comprehensive network upgrade with Aruba? How has that helped security and operations? And what kinds of technology priorities are on the agenda for the next 24 months?Key Points:We can be really nimble because of the multiple hats we wear [00:06:20] There&apos;s always something more that you can do in regards to security risks [00:11:30] Take a hard look at endpoint protection and DLP and where that sits within your organization [00:24:30] How do you stay up with Price Transparency and 21st Century Cures? [00:24:44] How do you maintain excellent office culture? [00:26:05]  Faith Regional Health

The Many Hats of the CIO with Brian Sterud of Faith Regional Health Services

September 9, 2021: Our news-cycle has been dominated for years by the concept that systems can be overtaken in minutes. We are experiencing a frenetic pace within the industry to protect against malicious attacks - including destruction-ware, phishing, ransomware, and virus-based activities. We must have a vision, not only from the vulnerable sets of systems, but from looking through the lens of an attacker. Using the defensive-stance will improve the present-state posture and allow for the evolution of consistent and distributed awareness and control-models. Why is healthcare being targeted in these vicious attacks, and how is this going to be resolved? Is there a clear-path forward?Join our webinar “Coming Through a Ransomware Event - Best Practices and Lessons Learned” on Thursday, October 7th at 11:00 AM eastern time. We are going to take a unique look at the Sky Lakes Medical Center ransomware event with guests:John Gaede, Director of Information Services at Sky Lakes Medical CenterLee Milligan, Vice President of Medical Informatics at AsanteMatt Sickles, Solutions Architect at Sirius Computer Solutions

Evolution of Ransomware Protections with Sirius and CrowdStrike

September 8, 2021: We all log in to our machines to get started with our day.  While this used to be just a terminal at your desk or workstation, the devices are with us all the time. Admission criteria for backup, compute, network, and storage relies on a consistent authentication model. Role-based access criteria is even more important as directory authentication is scaled and shared. Development of a consistent approach towards the development of controls will provide for an authoritative source of resources to access and control systems. As the access model for healthcare evolves, are we seeing steps taken that are going to change how we interact with technology? There have been a lot of breaches reported in the media - not just healthcare, but surrounding every organization in the world - is this the starting-point for our global remediation?Join our webinar “Coming Through a Ransomware Event - Best Practices and Lessons Learned” on Thursday, October 7th at 11:00 AM eastern time. We are going to take a unique look at the Sky Lakes Medical Center ransomware event with guests:John Gaede, Director of Information Services at Sky Lakes Medical CenterLee Milligan, Vice President of Medical Informatics at AsanteMatt Sickles, Solutions Architect at Sirius Computer Solutions

Modern Access Models for Access Management and Directory Services with Sirius and Duo

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This Week in Health IT

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