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David Harlow
The Hub of the Universe, Boston, MA
Health care lawyer, consultant & blogger
Recent Activity
I recently had the pleasure of speaking with Janet Kennedy of Get Social Health about health care uses of social media, with a focus on HIPAA and other privacy concerns and other legal issues that may apply to uses of... Continue reading
Posted Apr 13, 2015 at HealthBlawg
The Meaningful Use - Stage 3 proposed rule has been released, with official publication due on March 30. Llikewise, the 2015 edition of EHR certification criteria and related rules. Check out the CMS presser and ONC fact sheet. Key to... Continue reading
Posted Mar 23, 2015 at HealthBlawg
OMB cleared the HIPAA pre-audit survey late last week. (H/T LifeHealthPro.) That is one crucial prerequisite to OCR's initiation of the new round of HIPAA audits that have been the subject of all the Delphic prophecies we keep hearing (the... Continue reading
Posted Mar 18, 2015 at HealthBlawg
Into the Breach Anthem experienced a major data breach last week, and reportedly some records (Social Security Numbers and other identifying information, but not health data) of up to 80 million members and employees were obtained by hackers. There is... Continue reading
Posted Feb 6, 2015 at HealthBlawg
I am pleased to be moderating the weekly #HITsm tweetchat this Friday, February 6, 2015 -- Beyond Meaningful Use: What’s next for ONC … and the rest of us. Join us at 12 noon Eastern Time. Top of mind for... Continue reading
Posted Feb 3, 2015 at HealthBlawg
"Only Connect" In the future, everything will be connected. That future is almost here. Over a year ago, the Federal Trade Commission held an Internet of Things workshop and it has finally issued a report summarizing comments and recommendations that... Continue reading
Posted Jan 30, 2015 at HealthBlawg
The big announcement this week from Medicare -- setting forth specific targets for a historic shift away from fee-for-service reimbursement in order to reduce costs and improve quality -- is less than it seems. Medicare has been talking about value... Continue reading
Posted Jan 29, 2015 at HealthBlawg
Kate Ackerman at iHealthBeat asked me to participate in her annual piece on Health IT past and future, 12 Experts Weigh In on Health IT Progress, Disappointment in 2014 & Hopes for 2015. Check out her roundup of 2014 highlights,... Continue reading
Posted Jan 6, 2015 at HealthBlawg
Comment from the mailbag: This is exactly why this trend is likely to go the way the MCOs did 20-30 years ago. It’s a problem of diminishing returns – eventually, as you point out, ya can’t get more without affecting quality of care. Do I think there will be no changes in the business of medicine? Of course not. There will be quality analytics – some of which will be relevant to actual patient care, much of which won’t. So the big question is, will these steps really bend the cost curve? Temporarily, maybe. But over the long haul, patients/employees/consumers of health insurance will make demands, and doctors, who are smarter than average but may not be aware of nuances in payment initially, will learn to exploit the system. It’s already obvious in the ACO environment – those ACOs that maximized their coding were successful, and those who did not, failed or were marginal and quit. We (all of us: medical, insurers, patients, policymakers) have to get our heads out of the clouds and remember the dirty, basic facts about human nature: we are self-centered, self-interested beings. If you want different behavior, get real and incentivize the behavior you want. It won’t be cheap, but it’s more likely to be effective. Sue Ann Sue Ann Jantz, administrator Attorney-at-law Cottonwood Pediatrics
1 reply
The Accountable Care Organization regulations were first promulgated under authority of the ACA's Medicare Shared Savings Program in 2011. Three years later, the regs are in the shop for a tune-up. Farzad Mostashari MD was one of the authors of... Continue reading
Posted Dec 15, 2014 at HealthBlawg
Is it the best thing since sliced bread? Is it really a better mousetrap? Does it really have that special sauce? The term "disruptive innovation" gets bandied about quite a bit, and in recent weeks and months, it has been... Continue reading
Posted Dec 11, 2014 at HealthBlawg
Today was a good news day. The headlines, at least, would have us believe that we are making great strides in achieving the Triple Aim, dealing with quality, access and cost issues. Exhibit A: Deaths due to Healthcare-Acquired Conditions are... Continue reading
Posted Dec 3, 2014 at HealthBlawg
Welcome to Health Wonk Review, the bi-weekly blog carnival featuring the latest and greatest blogging by a staggeringly wonkish agglomeration of health care policy nerds. The last edition of Health Wonk Review was hosted at Wing of Zock. The story... Continue reading
Posted Nov 20, 2014 at HealthBlawg
This week, Connecticut joined at least nine other states (DE, KY, ME, MN, MO, NC, TN, UT, WV -- see cases cited in the opinion, linked to below) in recognizing that, while HIPAA does not create a private right of... Continue reading
Posted Nov 14, 2014 at HealthBlawg
Many of us are waiting with bated breath for CMS to broaden its coverage of telemedicine services. Upon the release of the CY 2015 MPFS, the American Telemedicine Association got a little ahead of itself in the excitement over some... Continue reading
Posted Nov 13, 2014 at HealthBlawg
The first health system to announce that it had integrated HealthKit into its Epic EHR is Ochsner Health System in Louisiana. It is a 12-hospital, 40-clinic operation with over 900 physicians. I spoke recently with Dr. Richard Milani, Ochsner's Chief... Continue reading
Posted Oct 14, 2014 at HealthBlawg
On a recent evening at Harvard Medical School, the Primary Care Innovation Challenge and Pitch-Off brought together six finalists, primary care luminaries and trainees, and a host of hangers-on and camp followers for a couple of hours of demos and... Continue reading
Posted Oct 9, 2014 at HealthBlawg
A report on a survey regarding wearable fitness trackers arrived in the HealthBlawger's mailbox this week. An interesting dose of reality, after spending a few days in Silicon Valley recently with a cadre of early adopters. Here are the highlights:... Continue reading
Posted Oct 2, 2014 at HealthBlawg
HealthCamp is heading back to Boston. Once again we will be at the Microsoft NERD in Cambridge, MA. This was the venue for the inaugural HealthCamp Boston in 2009 and for the second edition in 2012. We are excited to... Continue reading
Posted Oct 1, 2014 at HealthBlawg
This post is part of the ‘Think Further’ series, sponsored by Fred Alger Management, Inc. Follow the link for more #ThinkFurther content. It is human nature to think about the future, and to predict great advances. Fifty years from now... Continue reading
Posted Sep 25, 2014 at HealthBlawg
I recently read that the App Association (aka ACT) is lobbying Congress to promote clarity in HIPAA regulations for app developers, based in part on the experience that health care systems "don’t understand the intersection of HIPAA and mobile, and... Continue reading
Posted Sep 17, 2014 at HealthBlawg
I spoke at this week's HIMSS Privacy and Security Forum in Boston on the privacy and security issues surrounding the use of social media by health care organization workforce members. My slides and a few tweets are here for your... Continue reading
Posted Sep 10, 2014 at HealthBlawg
Linda Sanches, Senior Advisor, Health Information Privacy, at OCR, DHHS, spoke with Tom Sullivan (@GovHITeditor) at the HIMSS Media #HITprivacy and security conference in Boston today (September 9, 2014) about OCR HIPAA compliance audits. See the Storify after the jump.... Continue reading
Posted Sep 9, 2014 at HealthBlawg
Your faithful HealthBlawger will be out and about at a number of conferences and events this fall, speaking, moderating . . . and immoderately disrupting. I hope to see you at one or more of these. See descriptions below for... Continue reading
Posted Aug 27, 2014 at HealthBlawg
In reading an account of the recent attack on Community Health Systems that netted the bad guys 4.5 million patient records and earned CHS a prominent spot on the Wall of Shame, I was struck by the notion put across... Continue reading
Posted Aug 22, 2014 at HealthBlawg