MNsure, Minnesota's health insurance exchange, enrolled over 116,000 people in private plans this year, a record attained with a two-week shorter sign-up period. MNsure CEO Allison O'Toole credited the achievement to the flexibility Minnesota and other states have in operating exchanges.
Cyberattacks are one of the world's biggest risks, falling only behind extreme weather and natural disasters, says a report by the World Economic Forum. The report says more needs to be done to protect organizations and society from attacks on critical infrastructure.
Burnout among physicians may have been augmented by increased EHR use amid the shift to value-based care and their overwillingness to take on administrative burdens related to operating a practice, Dr. Donald Mack, family physician at the Ohio State University Wexner Medical Center, wrote in a commentary published in the Journal of the American Board of Family Medicine. Implementing direct primary care, which physicians said resulted in increased autonomy, control and time with patients, may be one solution for overcoming physician burnout, Mack wrote.
New York eHealth Collaborative Executive Director Valerie Grey and Imprivata CIO Aaron Miri filled the final two slots in the ONC's 30-member Health IT Advisory Committee, which is scheduled to meet for the first time today. "The advisory committee will help shape the next phase of health information exchange in our country, while ensuring the interests of patients and the public remain at the center," said Grey.
An emergency department nurse improperly accessed the health records of 1,309 patients at Palomar Health in Escondido, Calif., between Feb. 10, 2016, and May 7, 2017, a hospital spokesman said. The information accessed included patients' names, medical record numbers, medications and dates of birth, but financial and/or insurance information was accessed in only four cases.
Dogs and people are prone to many of the same cancers, and clinical trials conducted in canine patients may ultimately benefit both, researchers say. Pet dogs are excellent cancer avatars not only because of their genetic similarity to people, but also because they live in the same environments we do, notes veterinarian and oncologist Douglas Thamm.
A study of opossums, rabbits, armadillos and hyraxes showed that placental mammals evolved to mute an inflammatory response to an egg implanting in the placenta, thus enabling extended gestation. Decidual cells, which form in the uterine lining early in pregnancy, persist through delivery in mice and humans but disappear quickly in many other placental mammals, suggesting that cells might moderate the inflammatory response and result in miscarriage if the process goes awry.
The CMS' decision to cancel two compulsory bundled payment programs and shrink a third in favor of voluntary bundles was a "step in the wrong direction," three physicians wrote in an editorial in the Journal of the American Medical Association. Voluntary participation in bundled payment programs does not motivate health care systems to improve health care coordination and efficiency, nor will optional programs generate useful information about which innovations work, the physicians wrote.
A series of meetings focused on adapting clinical guidelines for the "digital age" will be held by the CDC from Feb. 5 to Feb. 9. Officials will discuss how potential changes could affect clinicians, EHR vendors and other stakeholders, how clinical guidelines will be adopted and distributed, and the development of an informatics framework for translating guidelines into different formats.
Workflow problems surrounding MHS Genesis, the Defense Department's new EHR, prompted the DOD and Cerner to delay the system's implementation for eight weeks. The delay will allow Cerner and DOD officials to evaluate pilot implementations at four sites in Washington state, including Fairchild Air Force Base and Madigan Army Medical Center.