From Chris.Hankin at Sun.COM  Tue Jun  3 13:21:36 2008
From: Chris.Hankin at Sun.COM (Chris.Hankin at Sun.COM)
Date: Tue, 03 Jun 2008 16:21:36 -0400
Subject: [SIG-HIM] [Fwd: ONC-COORDINATED FEDERAL HEALTH IT STRATEGIC PLAN
	RELEASED]
Message-ID: <4845A7D0.3010606@Sun.COM>

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From brett at projectliberty.org  Wed Jun  4 13:57:03 2008
From: brett at projectliberty.org (Brett McDowell)
Date: Wed, 4 Jun 2008 16:57:03 -0400
Subject: [SIG-HIM] Fwd: ICM-WG Call on Friday 6/6/08
References: <005101c8c671$333a4500$0401a8c0@SRSLT>
Message-ID: <05658FF5-512B-4A16-A021-814BFAB5E221@projectliberty.org>

I think this might be an important call.  I hope some of you can join,  
especially those of you who have done work with NIST on their levels  
of assurance.

Begin forwarded message:

> From: "Johnathan Coleman [SRS]" <jc at SECURITYRS.COM>
> Date: June 4, 2008 2:31:26 PM EDT
> To: HITSP-ICM-WG at MAILLIST.ANSI.ORG
> Subject: ICM-WG Call on Friday 6/6/08
> Reply-To: "Johnathan Coleman [SRS]" <jc at SECURITYRS.COM>
>
> Greetings,
>
> This is to confirm that there will be a meeting of the HITSP ICM WG on
> Friday; 1:30 pm to 3:00 pm ET.
>
> Tim Polk and Kevin Stine from NIST will speak to NIST SP 800-63,  
> Personal
> Identity Verification, and the Federal PKI efforts.
>
> We will use the following recurring GoToMeeting link:
>
> https://www1.gotomeeting.com/join/139113720
>
> Meeting ID: 139-113-720
>
> Conference Call:
>
> 1-866-469-3239 Passcode 67278751
>
>
>
> Thanks
>
> Johnathan Coleman, CISSP, CISM, CBRP
> Principal, Security Risk Solutions, Inc.
> 698 Fishermans Bnd., Mt. Pleasant, SC 29464
> Tel: (843) 442 9104 Fax: (419) 791 8477
> www.SecurityRiskSolutions.com

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From kurt at projectliberty.org  Thu Jun  5 10:36:24 2008
From: kurt at projectliberty.org (Kurt Kolok)
Date: Thu, 5 Jun 2008 13:36:24 -0400
Subject: [SIG-HIM] Minutes from 2008-05-30
Message-ID: <018501c8c732$ad35b710$07a12530$@org>

All,

 

The draft minutes from our last call have been posted to the wiki at the
link below.  Please review and let me know of any corrections/changes.

 

http://wiki.projectliberty.org/index.php/HIMSIG20080530

 

Regards,

 

Kurt

 

Kurt Kolok

Liberty Alliance Project

Program Coordinator

 

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From lara.zimberoff at mednetworld.com  Thu Jun 12 13:37:17 2008
From: lara.zimberoff at mednetworld.com (Lara Zimberoff)
Date: Thu, 12 Jun 2008 15:37:17 -0500
Subject: [SIG-HIM] HIM SIG 2008-06-13 Call Reminder / Agenda on behalf of
	John Fraser
Message-ID: <BC9201AD4A9CF3498C1D317A0E1D2EE7018E9671@exbe01.exchange.usinternet.com>

Health Identity Management, Special Interest Group of the Liberty
Alliance

 

Reminder of our next call, Friday, June 13th, 2008, 10:00 am to 11:00 am
US Central (4:00 pm to 5:00 pm GMT). Please check our wiki for call-in
times and numbers at the link below.

http://wiki.projectliberty.org/index.php/Health_Identity_Management_SIG

 

On the agenda for the call is discussion of the services offered by
OpenLiberty and its benefits to the healthcare industry. Asa Hardcastle
of OpenLiberty will be our guest speaker, and will continue his
discussion points from the last HIM SIG call on 5/30, specifically
OpenLiberty's solutions to the following use cases:

1.       ER Doctor log-in credentials

2.       ER Doctor location of patient information

3.       ER Doctor standardized role/authentication/authorization
service 

4.       Doctor or ER staff access to patient information

Please visit the link below for detailed notes from the 5/30 HIM SIG
call.

 http://wiki.projectliberty.org/index.php/HIMSIG20080530

 

Feel free to forward this message to any parties who may be interested
in joining in the call. We look forward to your participation on Friday!

 

 

 

Lara Zimberoff

MEDNETWorld.com

-------------------------------

Phone: 612-435-7600

Fax: 612-435-7601

www.MEDNETWorld.com

333 Washington Ave N, Suite 208

Minneapolis, MN  55401

 

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From Matthew.Madison at UCHSC.edu  Fri Jun 13 09:04:16 2008
From: Matthew.Madison at UCHSC.edu (Matthew.Madison at UCHSC.edu)
Date: Fri, 13 Jun 2008 10:04:16 -0600
Subject: [SIG-HIM] Colorado contract info RE:  HIM SIG 2008-06-13 Call
References: <BC9201AD4A9CF3498C1D317A0E1D2EE7018E9671@exbe01.exchange.usinternet.com>
Message-ID: <8552B9B4D115F346939EB0F29028F6A5020D07BB@latte.uchsc.edu>

My thanks to all for a good discussion today.  I am interested to talk further with Eric & Asa about Open Liberty, the Id-WSF framework and how it might be used for federated user authentication for CORHIO (state-wide data exchange in Colorado), www.corhio.org.
 
Matt Madison
303-724-0334
matthew.madison at uchsc.edu
 

________________________________

From: sig-him-bounces at lists.projectliberty.org on behalf of Lara Zimberoff
Sent: Thu 6/12/2008 2:37 PM
To: sig-him at lists.projectliberty.org
Subject: [SIG-HIM] HIM SIG 2008-06-13 Call Reminder / Agenda on behalf ofJohn Fraser



Health Identity Management, Special Interest Group of the Liberty Alliance

 

Reminder of our next call, Friday, June 13th, 2008, 10:00 am to 11:00 am US Central (4:00 pm to 5:00 pm GMT). Please check our wiki for call-in times and numbers at the link below.

http://wiki.projectliberty.org/index.php/Health_Identity_Management_SIG

 

On the agenda for the call is discussion of the services offered by OpenLiberty and its benefits to the healthcare industry. Asa Hardcastle of OpenLiberty will be our guest speaker, and will continue his discussion points from the last HIM SIG call on 5/30, specifically OpenLiberty's solutions to the following use cases:

1.       ER Doctor log-in credentials

2.       ER Doctor location of patient information

3.       ER Doctor standardized role/authentication/authorization service 

4.       Doctor or ER staff access to patient information

Please visit the link below for detailed notes from the 5/30 HIM SIG call.

 http://wiki.projectliberty.org/index.php/HIMSIG20080530

 

Feel free to forward this message to any parties who may be interested in joining in the call. We look forward to your participation on Friday!

 

 

 

Lara Zimberoff

MEDNETWorld.com

-------------------------------

Phone: 612-435-7600

Fax: 612-435-7601

www.MEDNETWorld.com

333 Washington Ave N, Suite 208

Minneapolis, MN  55401

 

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From joni at ieee-isto.org  Fri Jun 13 14:02:48 2008
From: joni at ieee-isto.org (Joni Brennan)
Date: Fri, 13 Jun 2008 14:02:48 -0700
Subject: [SIG-HIM] OpenLiberty Health Services Ideas Wiki - Re: HIM SIG
	2008-06-13 Call Reminder / Agenda on behalf of John Fraser
Message-ID: <947ea3330806131402s1cfca4fen3577cae8b16f9f41@mail.gmail.com>

This looks like an excellent agenda for discussion.  I've created a wiki
page to track the ideas from this discussion here:

http://wiki.projectliberty.org/index.php/OpenLiberty_Health_Services_Ideas

All SIG participants may edit the SIG wiki.  However, participants will need
a wiki user id to do so.  Participants who don't have a user id and would
would like to add to the wiki may request an account here:

http://wiki.projectliberty.org/index.php?title=Special:Userlogin&returnto=Main_Page

Cheers,

Joni


On Thu, Jun 12, 2008 at 1:37 PM, Lara Zimberoff <
lara.zimberoff at mednetworld.com> wrote:

>  Health Identity Management, Special Interest Group of the Liberty
> Alliance
>
>
>
> Reminder of our next call, Friday, June 13th, 2008, 10:00 am to 11:00 am US
> Central (4:00 pm to 5:00 pm GMT). Please check our wiki for call-in times
> and numbers at the link below.
>
> http://wiki.projectliberty.org/index.php/Health_Identity_Management_SIG
>
>
>
> On the agenda for the call is discussion of the services offered by
> OpenLiberty and its benefits to the healthcare industry. Asa Hardcastle of
> OpenLiberty will be our guest speaker, and will continue his discussion
> points from the last HIM SIG call on 5/30, specifically OpenLiberty's
> solutions to the following use cases:
>
> *1.       *ER Doctor log-in credentials
>
> *2.       *ER Doctor location of patient information
>
> *3.       *ER Doctor standardized role/authentication/authorization
> service
>
> *4.       *Doctor or ER staff access to patient information
>
> Please visit the link below for detailed notes from the 5/30 HIM SIG call.
>
>  http://wiki.projectliberty.org/index.php/HIMSIG20080530
>
>
>
> Feel free to forward this message to any parties who may be interested in
> joining in the call. We look forward to your participation on Friday!
>
>
>
>
>
>
>
> *Lara Zimberoff*
>
> *MEDNETWorld.com*
>
> -------------------------------
>
> Phone: 612-435-7600
>
> Fax: 612-435-7601
>
> *www.MEDNETWorld.com*
>
> 333 Washington Ave N, Suite 208
>
> Minneapolis, MN  55401
>
>
>
> _______________________________________________
> SIG-HIM mailing list
> SIG-HIM at lists.projectliberty.org
>
> http://lists.projectliberty.org/mailman/listinfo/sig-him_lists.projectliberty.org
>
>


-- 
Joni Brennan
IEEE-ISTO
Liberty Alliance Project
Operations Manager
voice:+1 732-226-4223
email: joni @ projectliberty.org
email: joni @ ieee-isto.org
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From dweitzel at mitre.org  Thu Jun 19 13:57:15 2008
From: dweitzel at mitre.org (Weitzel, David S)
Date: Thu, 19 Jun 2008 16:57:15 -0400
Subject: [SIG-HIM] FYI: Halamka: Life as a Healthcare CIO 'The Contents of
	the Medical Record'
	http://geekdoctor.blogspot.com/2008/06/contents-of-medical-record.html
Message-ID: <48B2E21901088749A183DC0FB5238F3E0230F78D@IMCSRV2.MITRE.ORG>

skip to main | skip to sidebar 

Life as a Healthcare CIO <http://geekdoctor.blogspot.com/>  

Every day I experience life in the world of healthcare IT, supporting
3000 doctors, 18000 faculty, and 3 million patients. In this blog I
record my experiences with infrastructure, applications, policies,
management, and governance as well as muse on such topics such as
reducing our carbon footprint, standardizing data in healthcare, and
living life to its fullest.


Wednesday, June 11, 2008


The Contents of the Medical Record
<http://geekdoctor.blogspot.com/2008/06/contents-of-medical-record.html
>  


On June 17, 2008, I'm facilitating the annual BIDMC IS retreat about
the topic of "the transition to the fully electronic inpatient record".
To help us prepare for this retreat, I asked several colleagues if they
had a scorecard describing the components of the acute care medical
record. The hospitals I asked did not have one handy.

Here's the results of my research:

Per the American Health Information Management Association (AHIMA), the
legal record is comprised of the component parts detailed in this
document
<http://mycourses.med.harvard.edu/ec_res/nt/F7B52995-FA3A-4572-98AA-D3C
910E80DEC/legalrecord.htm> . 

For BIDMC's 2007 Joint Commission visit, we assembled a roadmap
<http://mycourses.med.harvard.edu/ec_res/nt/7E0F493A-CB88-4D73-A890-2D8
36FE40BE9/EMR_Inventory_For_JCAHO-Version_4.xls>  of all our medical
records and indicated if they were paper, electronic or a hybrid of the
two. That roadmap shows all our medical record systems.

Of note, we scan all our inpatient paper records
<http://geekdoctor.blogspot.com/2008/02/scanning-technologies.html> ,
so they are available online to our medical record coders and our
clinicians. Although scanned paper is not really an electronic record,
it does mean that we no longer need to request the paper record for
many patients. To organize the record prior to scanning, we divide all
aspects of record in the way we believe a clinician will want to 
intuitively access the record.
<http://mycourses.med.harvard.edu/ec_res/nt/684A61CE-8BF5-45DA-A524-2F9
CD04810CE/Chart_Dividers_6_5_08.doc> 

To help inform our retreat, I asked our Health Information Management
staff to create a Pareto diagram
<http://mycourses.med.harvard.edu/ec_res/nt/AAFFAA02-593F-47F5-906F-F1C
9AD3354DB/Scanning_Graphs.xls> that will guide our priorities toward
implementing a fully electronic acute care record. The results are

Graphics/Flowsheets 30%
History/Progress notes 29%
Discharge summaries 15%
Operative Notes 6%
Pre-procedure documentation 5%
Outside records 4%
Orders 4%
Lab Reports 3%
Radiology reports 2%
Diagnostics 3%

This illustrates that the low hanging fruit to creating an electronic
inpatient record are graphs/flowsheets, history and physicals, progress
notes, discharge summaries, operative notes, and peri-anesthesia
testing. Together, these items account for 85% of the paper record.
Here's our strawman plan, based on work in progress

Graphics/flowsheets - capture as PDF, HTML forms and scanning
History/Progress notes - capture as structured and unstructured notes
using templates, macros, and voice recognition
Discharge summaries - capture as structured documents by assembling all
the components from other care processes - medication reconciliation,
lab results, team census, progress notes. Note that we already have
electronic discharge summaries and we plan on enhancing our
applications in 2009 to improve their quality and multidisciplinary
content.
Operating Notes - capture via voice recognition. Note that we already
have electronic operating notes.
Pre-procedure documentation - capture via scanning (consents) and
templates

A few considerations about eliminating paper. We must consider:

1. The ability to render non-repudiable documents over the legal
retention period. Except for those documents we send to fixed content
storage (Centerra) and stamp, our electronic medical record content is
theoretically alterable by a senior system programmer.

2. People must be at least as compliant with electronic signatures as
they are with paper document signatures. At present, inpatient document
signing (discharge summaries and opnotes) are under good control. 

3. The infrastructure underlying a system of record should be disaster
proof, or at least as safe as what we do today for paper. Our worst
case with paper is a fire in the paper record storage facility. The
risk is small as sprinkler protection is in place. We have published
service levels for electronic recovery point and time objectives.

4. If we declare an electronic source as the "official" version for
that component of the legal record, we should have some policy on when
we would produce paper, e.g. only for release to outside entities. 

I'll summarize the outcome of our retreat next week which will provide
many more details of our plans for FY09 and beyond. Our goal is an 85%
electronic inpatient record and transition from a hybrid medical record
to an electronic legal record by 2011. 

Posted by John Halamka at 3:00 AM
<http://geekdoctor.blogspot.com/2008/06/contents-of-medical-record.html
>   
<http://www.blogger.com/email-post.g?blogID=4384692836709903146&postID=
8228594792888337985>  
<http://www.blogger.com/post-edit.g?blogID=4384692836709903146&postID=8
228594792888337985> 

3 comments: 

Frank <http://www.blogger.com/profile/09712449825256802315>  said... 

What is interesting to me is the absence of charges from the electronic
medical / health record. For what appear to me to be historical reasons
- once something is ordered, two data streams are formed - a cost data
stream and a content data stream. 

Typically the two data streams are reunited and reconciled
(specifically, are requisite data supporting the order clearly linked)
at the time insurance claims are filed. It would seem prudent to
revisit the concept of dissociating cost data from physiologic /
procedure / order results. It would seem that the costs associated with
redundant management of different elements of the same data stream
flowing from each individual patient are real. Are the parallel costs
worth it?

June 11, 2008 8:18 AM
<http://geekdoctor.blogspot.com/2008/06/contents-of-medical-record.html
?showComment=1213197480000#c3233146585000068366>  
<http://www.blogger.com/delete-comment.g?blogID=4384692836709903146&pos
tID=3233146585000068366> 

John Halamka <http://www.blogger.com/profile/04550236129132159307>
said... 

Our revenue cycle is completely integrated into the electronic health
record, but we typically call these "practice management" features
rather than clinical features. I'll detail the revenue cycle side of
our software in an upcoming blog.

June 15, 2008 5:59 PM
<http://geekdoctor.blogspot.com/2008/06/contents-of-medical-record.html
?showComment=1213577940000#c6807288146358260838>  
<http://www.blogger.com/delete-comment.g?blogID=4384692836709903146&pos
tID=6807288146358260838> 

Frank <http://www.blogger.com/profile/09712449825256802315>  said... 

Insights into the practice management element would be very useful -
particularly as it relates to patient care. Within the teaching
hospital setting, having the house staff overtly aware of the charges
associated with each ordered test has been a challenge. If your
practice management facilitates clinician awareness of both charge and
lab / test results then this is a win win for everyone.

June 15, 2008 7:35 PM
<http://geekdoctor.blogspot.com/2008/06/contents-of-medical-record.html
?showComment=1213583700000#c8364922061332446481>  
<http://www.blogger.com/delete-comment.g?blogID=4384692836709903146&pos
tID=8364922061332446481> 

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?widgetType=BlogArchive&widgetId=BlogArchive1&action=toggle&dir=close&t
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oggle=MONTHLY-1212303600000&toggleopen=MONTHLY-1212303600000> June
<http://geekdoctor.blogspot.com/2008_06_01_archive.html>  (14) 

		*	Mushroom Season
<http://geekdoctor.blogspot.com/2008/06/mushroom-season.html> 
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		*	The Contents of the Medical Record
<http://geekdoctor.blogspot.com/2008/06/contents-of-medical-record.html
> 
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<http://geekdoctor.blogspot.com/2008/06/ehr-for-non-owned-clinicians-co
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<http://geekdoctor.blogspot.com/2008/06/aligning-clinicians-and-it.html
> 
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l> 
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Responsibil...
<http://geekdoctor.blogspot.com/2008/06/ehrs-for-non-owned-doctors-role
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<http://geekdoctor.blogspot.com/2008/06/next-round-of-standards-for-cou
ntry.html> 

	*	?
<http://geekdoctor.blogspot.com/2008/06/contents-of-medical-record.html
?widgetType=BlogArchive&widgetId=BlogArchive1&action=toggle&dir=open&to
ggle=MONTHLY-1209625200000&toggleopen=MONTHLY-1212303600000> May
<http://geekdoctor.blogspot.com/2008_05_01_archive.html>  (21) 

		*	Dispatch from Istanbul
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> 
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<http://geekdoctor.blogspot.com/2008/05/fullerenes.html> 
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<http://geekdoctor.blogspot.com/2008/05/remote-access-for-vendors.html>
*	The Launch of Google Health
<http://geekdoctor.blogspot.com/2008/05/launch-of-google-health.html> 
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<http://geekdoctor.blogspot.com/2008/05/conservation-of-aggravation.htm
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> 
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<http://geekdoctor.blogspot.com/2008/05/role-based-access-control.html>
*	Semantic Interoperability for Electronic Health Re...
<http://geekdoctor.blogspot.com/2008/05/semantic-interoperability-for.h
tml> 
		*	Cool Technology of the Week
<http://geekdoctor.blogspot.com/2008/05/cool-technology-of-week.html> 
		*	The Way of Koh
<http://geekdoctor.blogspot.com/2008/05/way-of-koh.html> 

	*	?
<http://geekdoctor.blogspot.com/2008/06/contents-of-medical-record.html
?widgetType=BlogArchive&widgetId=BlogArchive1&action=toggle&dir=open&to
ggle=MONTHLY-1207033200000&toggleopen=MONTHLY-1212303600000> April
<http://geekdoctor.blogspot.com/2008_04_01_archive.html>  (22) 

		*	Decision Support Service Providers
<http://geekdoctor.blogspot.com/2008/04/decision-support-service-provid
ers.html> 
		*	Integrating the Electronic Record
<http://geekdoctor.blogspot.com/2008/04/integrating-electronic-record.h
tml> 
		*	A Field Trip to Dell
<http://geekdoctor.blogspot.com/2008/04/field-trip-to-dell.html> 
		*	Cool Technology of the Week
<http://geekdoctor.blogspot.com/2008/04/cool-technology-of-week_25.html
> 
		*	Go Climb a Rock
<http://geekdoctor.blogspot.com/2008/04/go-climb-rock.html> 
		*	Designing the Ideal Electronic Health Record
<http://geekdoctor.blogspot.com/2008/04/designing-ideal-electronic-heal
th.html> 
		*	Decision Support for Inpatient Systems
<http://geekdoctor.blogspot.com/2008/04/decision-support-for-inpatient-
systems.html> 
		*	Accelerating Electronic Health Record Adoption
<http://geekdoctor.blogspot.com/2008/04/accelerating-electronic-health-
record.html> 
		*	Cool Technology of the Week
<http://geekdoctor.blogspot.com/2008/04/cool-technology-of-week_17.html
> 
		*	The Tradition of Coining
<http://geekdoctor.blogspot.com/2008/04/tradition-of-coining.html> 
		*	Management Lessons Learned As a Parent
<http://geekdoctor.blogspot.com/2008/04/management-lessons-learned-as-p
arent.html> 
		*	The Journey Towards Electronic Clinical
Documentat...
<http://geekdoctor.blogspot.com/2008/04/journey-towards-electronic-clin
ical.html> 
		*	Most Popular Educational Technologies
<http://geekdoctor.blogspot.com/2008/04/most-popular-educational-techno
logies.html> 
		*	Cool Technology of the Week
<http://geekdoctor.blogspot.com/2008/04/cool-technology-of-week_10.html
> 
		*	The Cosmopolitan Dating Test
<http://geekdoctor.blogspot.com/2008/04/cosmopolitan-dating-test.html> 

	*	?
<http://geekdoctor.blogspot.com/2008/06/contents-of-medical-record.html
?widgetType=BlogArchive&widgetId=BlogArchive1&action=toggle&dir=open&to
ggle=MONTHLY-1204358400000&toggleopen=MONTHLY-1212303600000> March
<http://geekdoctor.blogspot.com/2008_03_01_archive.html>  (21) 
	*	?
<http://geekdoctor.blogspot.com/2008/06/contents-of-medical-record.html
?widgetType=BlogArchive&widgetId=BlogArchive1&action=toggle&dir=open&to
ggle=MONTHLY-1201852800000&toggleopen=MONTHLY-1212303600000> February
<http://geekdoctor.blogspot.com/2008_02_01_archive.html>  (20) 
	*	?
<http://geekdoctor.blogspot.com/2008/06/contents-of-medical-record.html
?widgetType=BlogArchive&widgetId=BlogArchive1&action=toggle&dir=open&to
ggle=MONTHLY-1199174400000&toggleopen=MONTHLY-1212303600000> January
<http://geekdoctor.blogspot.com/2008_01_01_archive.html>  (24) 

*	?
<http://geekdoctor.blogspot.com/2008/06/contents-of-medical-record.html
?widgetType=BlogArchive&widgetId=BlogArchive1&action=toggle&dir=open&to
ggle=YEARLY-1167638400000&toggleopen=MONTHLY-1212303600000> 2007
<http://geekdoctor.blogspot.com/search?updated-min=2007-01-01T00%3A00%3
A00-08%3A00&updated-max=2008-01-01T00%3A00%3A00-08%3A00&max-results=50>
(55) 

	*	?
<http://geekdoctor.blogspot.com/2008/06/contents-of-medical-record.html
?widgetType=BlogArchive&widgetId=BlogArchive1&action=toggle&dir=open&to
ggle=MONTHLY-1196496000000&toggleopen=MONTHLY-1212303600000> December
<http://geekdoctor.blogspot.com/2007_12_01_archive.html>  (22) 
	*	?
<http://geekdoctor.blogspot.com/2008/06/contents-of-medical-record.html
?widgetType=BlogArchive&widgetId=BlogArchive1&action=toggle&dir=open&to
ggle=MONTHLY-1193900400000&toggleopen=MONTHLY-1212303600000> November
<http://geekdoctor.blogspot.com/2007_11_01_archive.html>  (23) 
	*	?
<http://geekdoctor.blogspot.com/2008/06/contents-of-medical-record.html
?widgetType=BlogArchive&widgetId=BlogArchive1&action=toggle&dir=open&to
ggle=MONTHLY-1191222000000&toggleopen=MONTHLY-1212303600000> October
<http://geekdoctor.blogspot.com/2007_10_01_archive.html>  (10) 

 
<http://www.blogger.com/rearrange?blogID=4384692836709903146&widgetType
=BlogArchive&widgetId=BlogArchive1&action=editWidget> 


About Me


  <http://www.blogger.com/profile/04550236129132159307> 

John Halamka

John D. Halamka, MD, MS, is Chief Information Officer of the CareGroup
Health System, Chief Information Officer and Dean for Technology at
Harvard Medical School, Chairman of the New England Health Electronic
Data Interchange Network (NEHEN), CEO of MA-SHARE (the Regional Health
Information Organization), Chair of the US Healthcare Information
Technology Standards Panel (HITSP), and a practicing Emergency
Physician.

View my complete profile
<http://www.blogger.com/profile/04550236129132159307>  

 
<http://www.blogger.com/rearrange?blogID=4384692836709903146&widgetType
=Profile&widgetId=Profile1&action=editWidget> 


Crosslinked Blogs


*	Avance Healthcare Technology News
<http://news.avancehealth.com/> 
*	EHR Central <http://www.ehrcentral.com/> 
*	Life and Times of an IS Engineer <http://robert.hurst-ri.us/> 
*	Open Source for Professionals
<http://www.ondd.org/the-top-100-open-source-software-tools-for-medical
-professionals/> 
*	Patient Safety Focus <http://www.patientsafetyfocus.com/> 
*	The Issue <http://www.theissue.com/> 

 
<http://www.blogger.com/rearrange?blogID=4384692836709903146&widgetType
=LinkList&widgetId=LinkList1&action=editWidget> 


StatCounter


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From kurt at projectliberty.org  Thu Jun 19 15:29:33 2008
From: kurt at projectliberty.org (Kurt Kolok)
Date: Thu, 19 Jun 2008 18:29:33 -0400
Subject: [SIG-HIM] 2008-06-13 Meeting Minutes
Message-ID: <00bd01c8d25b$f3169720$d943c560$@org>

All,

 

The draft minutes from our last call have been posted to the wiki and are
accessible through the following link:

 

http://wiki.projectliberty.org/index.php/HIMSIG20080613

 

Regards,

 

Kurt

 

Kurt Kolok

Liberty Alliance Project

Program Coordinator

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From brett at projectliberty.org  Mon Jun 23 12:39:30 2008
From: brett at projectliberty.org (Brett McDowell)
Date: Mon, 23 Jun 2008 15:39:30 -0400
Subject: [SIG-HIM] Fwd: Top Line: Federal Policy Activities Highlight
	National Health IT Week
References: <66042C2648DD5741B7829C13F57A059906E68333@himssex01.himss.org>
Message-ID: <5D86ABCA-0D62-4C2B-A571-E546CB39860E@projectliberty.org>

In case you didn't receive this through other channels...

Begin forwarded message:

> From: "Sensmeier, Joyce" <JSensmeier at HIMSS.ORG>
> Date: June 19, 2008 12:44:59 PM EDT
> To: ALLTC at MAILLIST.ANSI.ORG
> Subject: FW: Top Line: Federal Policy Activities Highlight National  
> Health IT Week
> Reply-To: "Sensmeier, Joyce" <JSensmeier at HIMSS.ORG>
>
> Greetings HITSP TC members,
>
> Since our Face to Face meeting occurred during National Health IT  
> Week in Washington, DC, last week, I thought you might appreciate  
> this summary of the week?s events.
>
> Regards,
>
> Joyce
>
> View the handheld or web version.
>
>
>
>
>
>
> Thursday, June 19, 2008
>
> Federal Policy Activities Highlight National Health IT Week
>
> As is often the case, developments in the long-term effort to  
> transform healthcare through the appropriate use of IT and  
> management systems come in waves. Today, HIMSS Top Line offers up-to- 
> the-minute status on several noteworthy public policy initiatives.
>
>
> CBO Director Highlights Healthcare Budget Challenges and Role for IT
>
> Dr. Peter Orszag, Congressional Budget Office (CBO) Director,  
> provides practical budget advice to members of the U.S. House of  
> Representatives and Senate. During a speech at the HIMSS Summit08  
> last week, Dr. Orszag presented a candid look into the budget debate  
> over healthcare reform that is likely to occur with the new Congress  
> and Administration, and insight into the recently published CBO  
> report on potential savings and improved efficiencies associated  
> with the adoption of healthcare IT.
>
> The report, Evidence on the Costs and Benefits of Health Information  
> Technology, points to the necessary link between cost savings from  
> healthcare IT adoption and broader healthcare system reforms to  
> alter incentives to promote savings. HIMSS members and staff  
> provided nine briefings to CBO analysts on the various aspects of  
> healthcare IT policy and technical requirements that are necessary  
> to achieve an interoperable healthcare system. We agree with CBO?s  
> assessment that healthcare IT is an enabler to improving healthcare  
> delivery ? not an all-encompassing solution. HIMSS looks forward to  
> continued dialogue with CBO and Congress on employing practical  
> solutions to reduce healthcare costs and improve quality.
>
>
> CMS Announces EHR Adoption Demonstration Project Participants
>
> Last week, Michael O. Leavitt, Secretary of Health and Human  
> Services, and Kerry Weems, Acting Administrator of the Centers for  
> Medicare and Medicaid Services, announced the selection of 12  
> communities to participate in the first CMS demonstration project to  
> incentivize the adoption of electronic health records by small- 
> practice physicians. Practices will be required to implement EHRs  
> that are certified by the Certification Commission for Health IT.  
> The CMS EHR Adoption Demonstration Project will provide a real-world  
> test of whether increased reimbursement for using an EHR will  
> improve EHR adoption.
>
>
> Office of the National Coordinator Releases Strategic Plan
>
> From a public policy perspective, HIMSS agrees that the Office of  
> the National Coordinator (ONC) Strategic Plan for 2008-2012,  
> released on June 3, meets the calls from the Government  
> Accountability Office (GAO), Institute of Medicine (IOM), and  
> industry for a strategic roadmap that outlines the necessary steps  
> to achieve the President?s call for an EHR for most Americans by 2014.
>
> HIMSS? initial assessment is that the goals and objectives are the  
> types of initiatives needed to achieve a Nationwide Health  
> Information Network (NHIN). We have concerns that the timelines for  
> completion of the phases of the nationwide adoption of healthcare IT  
> solutions will require an extremely coordinated effort across  
> federal- and state-level standards and interoperability initiatives.  
> HIMSS looks forward to continuing to work with the Dr. Rob Kolodner,  
> National Coordinator, and the ONC team to assess the healthcare IT  
> landscape and set realistic milestones for achieving the strategic  
> initiatives. Members interested in commenting on the ONC Strategic  
> Plan should send comments to the HIMSS Government Relations team.
>
>
> Senate Finance Committee Convenes Health Summit
>
> On June 16, the Senate Finance Committee hosted a full-day program  
> on healthcare reform. A bi-partisan Summit, the program included  
> sessions on topics such as transparency, quality, IT, and insurance  
> reform. Federal Reserve Chairman Ben Bernanke spoke to the need for  
> ?good information? and how the private sector has taken steps to  
> further implement information technologies to improve the quality  
> and safety of care. Carla Smith, HIMSS Executive Vice President,  
> presented testimony during a panel on improving quality through the  
> use of IT co-chaired by Senators Stabenow (D-MI) and Bennett (R-UT).
>
>
> AHIC Successor Activities
>
> The third and final meeting of the AHIC Successor Convener Phase was  
> held on June 4. Designed to provide a public forum to review the  
> recommendations from the four AHIC Successor Planning Groups,  
> attendees discussed next steps for Phase II as the organization?s  
> Board of Directors and executive leadership are identified, and the  
> bylaws established. The two presentations from the AHIC Successor  
> Convener team highlighted the timelines necessary for launching the  
> AHIC Successor organization, including theReview of the AHIC  
> Successor Convener Process and the AHIC Successor Convener  
> Recommendation Report.
>
> HIMSS agrees with the AHIC Successor Convener assessment that a  
> broad spectrum of constituencies within the healthcare community are  
> necessary and that the successor organization?s Board of Directors  
> must establish value cases that encompass these broad views. The  
> next steps must be viewed as compelling and achievable in order to  
> ensure stakeholder participation.
>
> We encourage HIMSS members to participate in the AHIC Successor  
> development process. The AHIC Successor Board nominations this  
> summer can ensure members? views are included in the execution of  
> the organization?s evolving mandate. A Board of Directors meeting,  
> slated for mid-September, 2008, will be critical to achieving the  
> transition to the public-private entity, as will establishing and  
> maintaining the value cases for public participation.
>
>
> Latest Congressional Attempt to Move Healthcare IT Legislation
>
> From a legislative perspective, HIMSS highlights the newly released  
> legislation from U.S. House Energy & Commerce Chairman John Dingell  
> (D-MI) and Ranking Member Joe Barton (R-TX). The package was  
> prepared taking the ?best of the best? from multiple pieces of  
> legislation introduced into the 109th and 110th Congress and  
> combining them into one document.
>
> The Chairman?s Package is consistent with many of the HIMSS  
> Legislative Principles in calling for codification of ONC;  
> development of policies and standards for electronic exchange and  
> use of information; adoption of standards; certification of EHR  
> products; financial incentives and accountability; and enforcement  
> for privacy and security. The Health Subcommittee had planned to  
> mark up the bill on June 18, but that has been delayed for at least  
> one week because of concerns over privacy provisions. This  
> legislation has a chance of being the primary House bill in a  
> conference with expected legislation (H.R. 1693) that comes from the  
> U.S. Senate this summer.
>
>
> National Health IT Collaborative for the Underserved
>
> The National Health IT Collaborative for the Underserved launched on  
> June 12 with the Webcast, ?A Public/Private Partnership for a  
> Healthier America.? The Collaborative?s purpose is to reduce and  
> ultimately eliminate health disparities experienced by medically- 
> underserved areas and populations through the use of health IT. The  
> convening organizations, including the Department of Health and  
> Human Services Office of Minority Health, HIMSS, Summit Health  
> Institute for Research and Education (SHIRE), and Apptis, will be  
> working with federal agencies and key private sector and community- 
> based stakeholders to mount an 18-month-long healthcare IT initiative.
>
>
> National Health IT Week Highlights
>
> Finally, an unprecedented 76 organizations supported the third  
> annual National Health IT Week. Prominent activities included  
> Advocacy Day on Capitol Hill; the National Health IT Week Press  
> Conference at which 11 Members of Congress made remarks; a  
> Technology Showcase on Capitol Hill at which over 400 people  
> observed healthcare IT solutions; and the launch of the HIMSS  
> Foundation?s Institute for e-Health Policy.
>
>
> Conclusion
>
> Through active engagement, HIMSS members? voices are heard on the  
> nation?s strategic direction for the best use of IT and management  
> systems in healthcare. Members interested in learning more about  
> these and other significant activities are encouraged to subscribe  
> to the monthly e-newsletter, HIMSS Pulse on Public Policy.
>
> Sincerely,
>
> H. Stephen Lieber, CAE
> HIMSS President & CEO
> John Wade, FCHIME, FHIMSS
> Vice President, Executive Director KC REE and Former CIO, Saint  
> Luke's Health System
> HIMSS Chairman of the Board
>
>
>
>
>
>
>

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From takahashi.kenji at lab.ntt.co.jp  Mon Jun 23 23:57:39 2008
From: takahashi.kenji at lab.ntt.co.jp (Kenji Takahashi)
Date: Tue, 24 Jun 2008 15:57:39 +0900
Subject: [SIG-HIM] MSFT Healthvault will accept OpenID
Message-ID: <48609AE3.9090505@lab.ntt.co.jp>

Just an FYI. Kenji
http://blogs.msdn.com/familyhealthguy/archive/2008/06/22/openid-comes-to-healthvault.aspx




From paulmadsen at rogers.com  Tue Jun 24 15:33:19 2008
From: paulmadsen at rogers.com (Paul Madsen)
Date: Tue, 24 Jun 2008 15:33:19 -0700 (PDT)
Subject: [SIG-HIM] [sig-standards] MSFT Healthvault will accept OpenID
Message-ID: <197291.49820.qm@web88005.mail.re2.yahoo.com>

Kenji-san,  I've been looking at HealthVault

http://connectid.blogspot.com/2008/06/outsourcing-assurance.html
http://connectid.blogspot.com/2008/06/pressure.html
http://connectid.blogspot.com/2008/06/physician-heal-thyself.html

Regards

Paul

 -- 
Paul Madsen                                              e:paulmadsen @ ntt-at.com
NTT                                                                   p:613-482-0432
                                                       m:613-302-1428
                                                       aim:PaulMdsn5
                                                       web:connectid.blogspot.com



----- Original Message ----
From: Kenji Takahashi <takahashi.kenji at lab.ntt.co.jp>
To: sig-him at lists.projectliberty.org; sig-standards at projectliberty.org
Sent: Tuesday, June 24, 2008 2:57:39 AM
Subject: [sig-standards] MSFT Healthvault will accept OpenID

Just an FYI. Kenji
http://blogs.msdn.com/familyhealthguy/archive/2008/06/22/openid-comes-to-healthvault.aspx
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From lara.zimberoff at mednetworld.com  Thu Jun 26 13:41:53 2008
From: lara.zimberoff at mednetworld.com (Lara Zimberoff)
Date: Thu, 26 Jun 2008 15:41:53 -0500
Subject: [SIG-HIM] HIM SIG 2008-06-27 Call Reminder / Agenda on behalf of
	John Fraser
Message-ID: <BC9201AD4A9CF3498C1D317A0E1D2EE7019C60EE@exbe01.exchange.usinternet.com>

Health Identity Management, Special Interest Group of the Liberty
Alliance

 

Reminder of our next call, Friday, June 27th, 2008, 10:00 am to 11:00 am
US Central (4:00 pm to 5:00 pm GMT). Please check our wiki for call-in
times and numbers at the link below.

http://wiki.projectliberty.org/index.php/Health_Identity_Management_SIG

 

This week, we have invited Sun Microsystems to discuss their open source
offerings for healthcare.  Rick Moore of eHealth Ohio will also be on
the call to discuss the status of identity management and HITSP.

 

Feel free to forward this message to any parties who may be interested
in joining in the call. We look forward to your participation on Friday!

 

 

Lara Zimberoff

MEDNETWorld.com

-------------------------------

Phone: 612-435-7600

Fax: 612-435-7601

www.MEDNETWorld.com

333 Washington Ave N, Suite 208

Minneapolis, MN  55401

 

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From lara.zimberoff at mednetworld.com  Fri Jun 27 07:58:54 2008
From: lara.zimberoff at mednetworld.com (Lara Zimberoff)
Date: Fri, 27 Jun 2008 09:58:54 -0500
Subject: [SIG-HIM] (no subject)
Message-ID: <BC9201AD4A9CF3498C1D317A0E1D2EE701A06EF0@exbe01.exchange.usinternet.com>

HIM SIG Participants,

 

The attached documents will be used by Rick Moore of eHealth Ohio and
Tim Campbell of Sun Microsystems during today's HIM SIG call. Thank you!

 

Lara Zimberoff

MEDNETWorld.com

-------------------------------

Phone: 612-435-7600

Fax: 612-435-7601

www.MEDNETWorld.com

333 Washington Ave N, Suite 208

Minneapolis, MN  55401

 

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From john.fraser at mednetworld.com  Fri Jun 27 08:05:42 2008
From: john.fraser at mednetworld.com (John Fraser)
Date: Fri, 27 Jun 2008 10:05:42 -0500
Subject: [SIG-HIM] FW: Invitation to Liberty Alliance Health Identity
	Management SIG call on behalf of John Fraser
Message-ID: <BC9201AD4A9CF3498C1D317A0E1D2EE701A06EF8@exbe01.exchange.usinternet.com>

 

 

From: Timothy.Campbell at Sun.COM [mailto:Timothy.Campbell at Sun.COM] 
Sent: Friday, June 27, 2008 9:53 AM
To: Lara Zimberoff
Cc: Kumar.Swaminathan at Sun.COM; Brad Wheat; John Fraser; Heinz Joerg
Schwarz
Subject: Re: Invitation to Liberty Alliance Health Identity Management
SIG call on behalf of John Fraser

 

Lara,

 

Here's the presentation deck that I put together.  After speaking to you
on the phone, I'm sure the presentation is a bit long *and* that
probably most attendees will already be familiar with most of the basics
(e.g. how basic SSO & Federated SSO works) so I can probably just skip
that part and jump to the back portion of the deck which focuses more on
what's in the new FAM 8.0 / OpenSSO product.

 

If you'd like to set up a more in-depth presentation where a WebEx can
be used, we could always arrange for that at a future meeting.  I'll be
traveling for the next month, but might be able to arrange for Pat
Patterson to present to you.  Pat is a federation architect with Sun's
FAM product engineering and he is also one of the principal driving
forces behind OpenSSO.

 

Best Regards,

Tim

 

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From john.fraser at mednetworld.com  Fri Jun 27 08:11:52 2008
From: john.fraser at mednetworld.com (John Fraser)
Date: Fri, 27 Jun 2008 10:11:52 -0500
Subject: [SIG-HIM] FW: Invitation to Liberty Alliance Health Identity
	Management SIG call on behalf of John Fraser
Message-ID: <BC9201AD4A9CF3498C1D317A0E1D2EE701A06F03@exbe01.exchange.usinternet.com>

 

 

From: Timothy.Campbell at Sun.COM [mailto:Timothy.Campbell at Sun.COM] 
Sent: Friday, June 27, 2008 9:53 AM
To: Lara Zimberoff
Cc: Kumar.Swaminathan at Sun.COM; Brad Wheat; John Fraser; Heinz Joerg
Schwarz
Subject: Re: Invitation to Liberty Alliance Health Identity Management
SIG call on behalf of John Fraser

 

Lara,

 

Here's the presentation deck that I put together.  After speaking to you
on the phone, I'm sure the presentation is a bit long *and* that
probably most attendees will already be familiar with most of the basics
(e.g. how basic SSO & Federated SSO works) so I can probably just skip
that part and jump to the back portion of the deck which focuses more on
what's in the new FAM 8.0 / OpenSSO product.

 

If you'd like to set up a more in-depth presentation where a WebEx can
be used, we could always arrange for that at a future meeting.  I'll be
traveling for the next month, but might be able to arrange for Pat
Patterson to present to you.  Pat is a federation architect with Sun's
FAM product engineering and he is also one of the principal driving
forces behind OpenSSO.

 

Best Regards,

Tim

 

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From Pete.Palmer at wellsfargo.com  Fri Jun 27 09:04:40 2008
From: Pete.Palmer at wellsfargo.com (Pete.Palmer at wellsfargo.com)
Date: Fri, 27 Jun 2008 11:04:40 -0500
Subject: [SIG-HIM] Medical Identity Theft ONC Contract
References: <BC9201AD4A9CF3498C1D317A0E1D2EE701A06EF8@exbe01.exchange.usinternet.com>
Message-ID: <F5BD637BEFBB974CA26AB37DDE6ED0603A4C49@msgswbiadsm10.wellsfargo.com>

 
http://www.healthcareitnews.com/story.cms?id=9410

---
Pete Palmer - Wells Fargo - Information Security Technology
255 2nd Avenue South, Minneapolis, MN 55479
Mail Stop - MAC N9301-01J
612-667-9655, Cell: 612-598-4444 

This message may contain confidential and/or privileged information. If
you are not the addressee or authorized to receive this for the
addressee, you must not use, copy, disclose, or take any action based on
this message or any information herein. If you have received this
message in error, please advise the sender immediately by reply e-mail
and delete this message. Thank you for your cooperation.

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From dweitzel at mitre.org  Fri Jun 27 09:11:42 2008
From: dweitzel at mitre.org (Weitzel, David S)
Date: Fri, 27 Jun 2008 12:11:42 -0400
Subject: [SIG-HIM] Emailing: 'Preying on Patients' - WSJ.com
	http://online.wsj.com/article_email/SB121433232110700537-lMyQjAxMDI4MTI0NTMyMzUyWj.html
Message-ID: <48B2E21901088749A183DC0FB5238F3E02379F54@IMCSRV2.MITRE.ORG>

	
 

  <http://online.wsj.com/home> 

	 

June 24, 2008 2:53 p.m. EDT 

	
	

 



HEALTH WATCH 

			

DOW JONES REPRINTS 

 

 





Medical identity theft can imperil health care, insurance, job
prospects

By KRISTEN GERENCHER
June 24, 2008 2:53 p.m.

SAN FRANCISCO -- An imposter who takes over your financial life leaves
a trail of harm -- and that harm can include changes to your
health-care records in some cases.

Identity theft in the health-care arena adds a layer of complexity
because a thief can tap your medical information to get care or make
false claims, potentially altering the course of your future treatments
if you don't catch and reverse the damage, experts say.

For example, a thief could have a different blood type or drug
allergies than you do, and a doctor, nurse or hospital may not detect
the mixed patient files before administering treatment based on the
imposter's medical history instead of your own. Or victims may find
they hit their insurance caps or become uninsurable or unemployable
based on medical problems they never had.

That's the scenario privacy experts are concerned about as hospitals
and health-care providers increasingly exchange digital information or
seek ways to do so. But it's not just high-tech developments that are
sparking worries.

A lost or stolen wallet with a health insurance card or other personal
information can set the stage for fraud. The threat also comes from
within as the health-care industry tries to prevent workers with access
to patient files from selling them to identity-theft rings, said Pam
Dixon, executive director of the World Privacy Forum
<http://www.worldprivacyforum.org> 1, a nonprofit, public-interest
research group in San Diego.

"In the U.S. we have a serious and significant problem with medical
identity theft," Dixon said. "With persistence and sometimes with legal
help you can clear up the financial piece of this, but the changes to
your health-care file, if you don't know those have been put in place
you can get health care that's inappropriate or life-threatening in
some cases."

Lawmakers take notice

To be sure, the most recent data available suggests medical ID theft
affects a relatively small number of people. In 2005, more than 8
million Americans were victims of identity theft, and 3% of them, or
about 249,000, had their personal information misused for the purpose
of obtaining medical treatment, supplies or services, according to a
2006 study from the Federal Trade Commission <http://www.ftc.gov> 2.

But state and national lawmakers are beginning to take notice. Starting
this year, California extended its security breach law to require
companies that handle medical and health-insurance information to
notify people when the security of their medical data has been
compromised.

In May, the U.S. Health and Human Services Department's Office of the
National Coordinator for Health Information Technology awarded a
$450,000 contract to Booz Allen Hamilton to study the extent of the
nation's medical identity theft problem.

The last to know?

Victims often realize they have a problem when they receive their
insurer's explanation of benefits for services they never received,
collections companies come calling for charges they didn't incur or
their credit report shows changes, Dixon said.

"Right now where we are with medical identity theft is where we were at
the beginning of financial identity theft," she said. "We're starting
at square one with this crime. The good news here is financial identity
theft laws are going to help these victims for debt collection and
credit report issues."

Still, some victims have trouble getting collections agencies to
believe their predicament, even with a police report in hand, she said.
Getting access to and correcting health-care files falls under a
federal law called the Health Insurance Portability and Accountability
Act, or HIPAA, which is designed to protect privacy but often creates
headaches for people who've had their medical IDs stolen. "Because of
the fractured nature of the health-care sector, it's not so easy to get
positive change moving for victims," she said.

Lawrence Hughes, assistant general counsel for the American Hospital
Association, which represents nearly 5,000 hospitals in Washington,
said he isn't aware of hospitals that aren't giving patient-victims the
records they need.

"Under the HIPAA privacy rule, patients have a right to access their
health information and they also have a right to request corrections to
their information," he said. "Those rights are explained in the notice
of privacy practices, which every patient receives."

At Blue Shield of California, which has 3.3 million insured members,
fraud investigators have seen about 10 medical identity theft cases
over the last 18 months, said Michael Brandt, senior manager of the
company's special investigations in El Dorado Hills, Calif.

The incidents so far have been low-tech as opposed to organized
criminal activity, he said.

"In some of the cases we've had, it's people that were known to the
member who took the card and got a service or got prescription drugs
they were not entitled to."

Blue Shield of California flags victims' insurance files to help them
avoid further problems and restore their records, Brandt said. The
company also encourages them to file a police report, check their
credit rating and contact the Federal Trade Commission's investigative
arm if necessary.

"It really is traumatic to the person that is a victim to this, so
we're sensitive to that," Brandt said. "We try to react and give them
as much support as we can."

On Thursday, the Blue Cross Blue Shield Association announced its
anti-fraud investigators last year prevented $134 million from being
spent on false or erroneous medical claims and recouped nearly $115
million that had been paid on fraudulent claims, including a small
portion from medical identity theft. Blues members who believe they're
victims are encouraged to call the national hotline at 1-877-327-2583.

People commit medical identity theft for a variety of reasons, said
Linda Foley, founder of the Identity Theft Resource Center
<http://www.idtheftcenter.org> 3 in San Diego, a nonprofit that assists
victims and promotes best practices in preventing identity theft. Some
perpetrators need health care and can't or won't pay for it. Others use
a stranger's information so they can procure controlled substances such
as prescription painkillers more easily. Some may want to conceal a
chronic condition.

Some health-care providers are starting to ask patients to authenticate
their identities by showing their driver's license or other photo ID at
the time of service, Foley said. Kaiser Permanente has made this a
standard practice.

Last year, 82% of identity theft victims discovered the problem after
they were contacted by a collection agency or noticed money missing
from their bank, she said. Making things right again can take a
substantial amount of time and patience. In 2007, victims reported
spending an average of 116 hours repairing damage done to existing
accounts that were taken over by a thief. In cases where new accounts
were created, the average correction time was 158 hours.

Companies and consumers on the alert

The federal privacy law requires health-care organizations to do
ongoing security risk analysis to assess threats and fix
vulnerabilities in information systems, said Lisa A. Gallagher, senior
director of privacy and security for the Healthcare Information and
Management Systems Society in Washington.

Spotting medical identity theft from outside hackers is increasingly
part of that evaluation. "We do see larger institutions and more mature
organizations are planning for it ... in the overall risk management
process," she said.

On an individual level, being alert to unauthorized address changes or
strange entries on your insurer's explanation of benefits is essential
to catching medical ID theft early, Dixon said. Consumers who receive a
security-breach notice are wise to get credit monitoring and copies of
their medical records.

"You're not obligated to tell a health-care provider why you want your
files," Dixon said. She advises people who know they're victims of
medical ID theft to avoid disclosing the situation so they have a
better chance of getting their records. "Gather all the information and
then start taking action." 

Write to Kristen Gerencher at kgerencher at dowjones.com4 

 

URL for this article:
http://online.wsj.com/article/SB121433232110700537.html
<http://online.wsj.com/article/SB121433232110700537.html> 

 

Hyperlinks in this Article:
(1) http://www.worldprivacyforum.org <http://www.worldprivacyforum.org>

(2) http://www.ftc.gov <http://www.ftc.gov>  
(3) http://www.idtheftcenter.org <http://www.idtheftcenter.org>  
(4) mailto:kgerencher at dowjones.com <mailto:kgerencher at dowjones.com>  

Copyright 2008 Dow Jones & Company, Inc. All Rights Reserved 

This copy is for your personal, non-commercial use only. Distribution
and use of this material are governed by our Subscriber Agreement
<http://online.wsj.com/public/subscriber_agreement>  and by copyright
law. For non-personal use or to order multiple copies, please contact
Dow Jones Reprints at 1-800-843-0008 or visit www.djreprints.com
<http://www.djreprints.com> . 

 Close

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