At a high level, the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 accomplished something miraculous: the vast majority of U.S. hospitals and physicians are now active users of electronic health record (EHR) systems. No other sector of the U.S. economy of similar size (one sixth of the gross domestic product) and complexity (more than 5000 hospitals and more than 500,000 physicians) has undergone such rapid computerization...

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The world of paper medical records has almost disappeared, ushering in a new era of electronically stored, analyzed, and shared medical information that offers exciting opportunities for improved patient care. However, this major shift in information management has introduced unintended and unfavorable consequences, such as theft of patient-protected health information, wide-scale sequestering of medical records by ransomware (malicious software—malware—that permanently blocks the access to records unless a ransom is paid), and the ability for hackers to directly harm patients...

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During a two-hour panel discussion hosted by ONC this week, yours truly provided views on the current state of interoperability. In celebration of National Health IT Week, panelists were asked to provide their thoughts on the biggest advancements made in interoperability, ways that government and industry should work together, and concerns about future challenges...

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Large companies have divisions and subsidiaries that make efficient organizational management a challenge. Perhaps no one recognizes that more than Colin Wynd, vice president and head of the Common Service Organization at the Federal Reserve Bank of New York. Wynd is charged with ensuring that software development practices and strategy are forward-thinking and secure, and adhere to compliance regulations. Several years ago, Wynd and his team started to think more holistically about how their developer teams worked, he explained in a presentation at the recent Jenkins World conference in San Francisco...

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We appreciate the recent perspectives published in the New England Journal of Medicine on the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 and the positive impact that it and resulting health IT policies have had on U.S. health care.1,2 The perspectives highlighted the remarkable increase in adoption and use of electronic health records (EHRs) over the past eight years, thanks to the HITECH Act and to ONC’s and CMS’s implementation of it with major advice and help from the multi-stakeholder HIT Policy and Standards committees...

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Less than one in three U.S. hospitals can find, send, and receive electronic medical records for patients who receive care somewhere else, a new study suggests. Just 30 percent of hospitals had achieved so-called interoperability as of 2015, the study found. While that’s slight improvement over the previous year, when 25 percent met this goal, it shows hospitals still have a long way to go, researchers report in Health Affairs...

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Before daybreak on Monday, at 6 a.m., my phone was alight with texts and phone calls -- hours after some had been chased from their homes by flames. I woke up bleary-eyed and answered the latest call. "It's gone," my cousin said, her voice drained by shock, "It's all gone." As a reporter, I've chased more tragedies than I can count. Mass shootings, murders, suicides, fallen trees, car accidents — you name it. I drove into them, ran into them, knocked on their doors, called them on the phone. But this week, the tragedy came to me. By that morning, Santa Rosa was in flames, along with other parts of Sonoma, Mendocino, Napa and Solano counties. By late Monday morning, hordes of people in packed cars were headed north, many with no certainty where they were going...

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What stage of development is your project in right now? Have you finished the planning phase? Are you going to work with a team? Will the project be split up into different modules? And so on. The principle of DRY (Don’t Repeat Yourself) has become an unwritten rule for developers. Instead of always starting from scratch on each new project, find ways to build upon previous work. This will save you time and other resources. In other words, do not reinvent the wheel; put to use the great work that others have perfected and made “freely” available for you to build upon...

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Faith-based groups — Christian nonprofits, specifically — have been busy bees of late, providing more aid to hurricane victims than even FEMA, the federal agency that’s supposed to swoop to the scenes of natural disasters, assess the situation and speed the recovery and rebuilding process. Just goes to show: Where charity exists, government is not needed. Look at this, from the Daily Caller: “Faith-based relief groups are responsible for providing nearly 80 percent of the aid delivered thus far to communities with homes devastated by the recent hurricanes”...

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It looks like preppers aren’t that crazy after all. FEMA’s new director, Brock Long, has repeatedly said that Americans do not have a “culture of preparedness,” something that is much-needed with the startling uptick in natural disasters. Long has only been the director of FEMA since June 20 of this year and already has had to deal with a historic number of disasters in this short period of time. It appears that Mr. Long has a mindset of self-reliance based on a couple of recent statements he has made to the media, but the MSM doesn’t seem too interested in his ideas about fostering a culture of preparedness, despite the practicality and essential nature of his suggestions...

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