About Mike Squires

Mike Squires is a marketing and sales executive with 12 years focused on e-Healthcare initiatives that helped physicians change the way they work for better patient care. Experienced in introducing new online products to physicians, healthcare professionals, and the pharmaceutical and medical device industries with innovative sales and marketing strategies at start-up and traditional healthcare publishers. Helped position Medscape as the market leader to the industry and accelerate e-product offerings of Elsevier’s International Medical News Group and F-D-C Reports. Directed marketing, sales, client relations, sales support, and implementation of medical education and promotion programs. Entrepreneurial and enthusiastic; excellent mentor and motivator.

Physicians: Watch Your HIPAA, AMA Publishes Online Guide to Privacy, Security Rules

HIPAA privacy rules detailed in AMA online guide
Explains new security regulations,  lays out deadlines for compliance

Pamela Lewis Dolan of  AMedNews reported on March 9, 2010 on the release of a new ”AMA tool (which) outlines the new requirements regarding the protection of patient information; how to comply with patients’ requests to access their information; and the administrative protections physicians must have in place. The site also details the compliance schedule with all relevant deadlines and links to additional information.”

New Tool: “What you need to know about the new health privacy and security requirements” (pdf) from AMA
Additional AMA Resources on HIPAA: www.ama-assn.org/go/hipaa

ONC publishes certification rule, triggers comment period

ONC publishes certification rule, triggers comment period
Certification Programs Proposed: ONC description/links
Diana Manos of Healthcare IT, reported on March 11, 2010 “ONC policy analyst Steven Posnack said the 184-page certification proposal (published in the Federal Register on March 10, 2010) will allow organizations to apply for temporary or permanent authorization to become certification bodies. The ONC is proposing the temporary certification to speed things up because of the looming deadline, he said.”

April 9 Deadline for comments on Temporary Certification
May 10 Deadline for comments on Permanent Certification

Certification Programs NPRM
Excerpts from ONC site on March 11, 2010:
“Certification of Health IT will provide assurance to purchasers and other users that an EHR system, or other relevant technology, offers the necessary technological capability, functionality, and security to help them meet the meaningful use criteria established for a given phase. Providers and patients must also be confident that the electronic health IT products and systems they use are secure, can maintain data confidentially, and can work with other systems to share information.  Confidence in health IT systems is an important part of advancing health IT system adoption and allowing for the realization of the benefits of improved patient care.

“Eligible professionals and eligible hospitals who seek to qualify for incentive payments under the Medicare and Medicaid EHR Incentive Programs are required by statute to use Certified EHR Technology.  Once certified, Complete EHRs and EHR Modules would be able to be used by eligible professionals and eligible hospitals, or be combined, to meet the statutory requirement for Certified EHR Technology.  

“To this end, an NPRM proposing the establishment of certification programs for purposes of testing and certifying health information technology was issued in March 2010 with a request for comments. The NPRM proposes:

  • A temporary certification program to assure the availability of Certified EHR Technology prior to the date on which health care providers seeking the incentive payments would begin to report demonstrable meaningful use of Certified EHR Technology. 
     
  • A permanent certification program to replace the temporary certification program. ”

Learn more about the NPRM

Certification NPRM | [PDF - 463 KB]  (Federal Register, March 10, 2010)
Submit a comment on the certification NPRM
Facts-at-a-Glance
Frequently Asked Questions
ONC HIMSS Town Hall (3/2/2010) Slides [PDF - 1.31 MB]

Additional Information
“In collaboration with ONC, the National Institute of Standards and Technology (NIST) is developing the functional and conformance testing requirements, test cases, and test tools to support the proposed Health IT Certification Programs. These conformance test methods (test procedures, test data, and test tools) will help ensure compliance with the meaningful use technical requirements and standards.”

http://xw2k.nist.gov/healthcare/use_testing/index.html
# # #
For e-Healthcare Marketing selections from NIST Health IT Standards and Testing site.

New Jersey HIT Commission Proposed Resolutions: Mar 11, 2010

New Jersey Health IT Commission Proposed Resolutions
March 11, 2010

Update March 12, 2010: Both of these resolutions were discussed and tabled at the March 11, 2010 commission meeting to be rewritten and presented at a later meeting.
Proposed Resolutions for March 11 NJHIT Commission meeting. 

From Implementation Committee:
“RESOLVED: The HIT Commission shall convene a special committee of Commission experts on EHR and HIE products, experts from the four HIEs that were forwarded to ONC for funding, and three hospital CIOs not on the Commission, to create a sophisticated methodology of evaluating software products to provide guidance for Regional Extension Centers and Curriculum Development Centers assisting health-care providers seeking to adopt and implement. This committee will develop lists of preferred vendors for various types of providers throughout the State of New Jersey.”

From ONC Requirements:
“RESOLVED: For the purposes of assisting the N.J. Health Care Facilities Financing Authority (HCFFA) in managing the HITECH ‘section 3013′ Health Information Exchange grant funds, the NJHIT Commission shall formulate and promulgate suggested standards, milestones, and implementation practices to the Community HIE recipient awardees within the State. Monies shall be dispersed by HCFFA to the Community HIE recipients (which were previously selected through a competitive Request-For-Applications process) with ongoing adherence to the recommendations by the NJHIT Commission, which will specify benchmarks delineated by the Office of the National Coordinator for Health Information Technology in consultation with the Community HIE recipients. In the event that the NJHIT Commission has not recommended the necessary guidance in certain areas, HCFFA will employ accountability and interoperability standards from the Office of the National Coordinator. In the event that Community HIE recipient awardees violate 1) the accountability standards enacted by the NJHIT Commission and HCFFA, in either substance or time limit and/or 2) Violates the terms and conditions of funding of HITECH section 3013 through the Office of National Coordinator, HCFFA reserves the right to: 1) stop further funding to HIE Community Recipients until the issues are resolved and/or 2) Request that funds dispersed be returned by the Community HIE recipient(s) back to HCFFA.”

See e-Healthcare Marketing post for meeting agenda.
See NJHITCommission page:
http://www.state.nj.us/health/bc/hitc.shtml

NIST Launches Health IT Standards and Testing site

NIST Launches Health IT Standards and Testing site
http://healthcare.nist.gov
On February 26, 2010, the National Institute of Standards and Technology (NIST) launched the NIST Health IT Standards and Testing web siteExcerpts from the new site: ”This site provides information about the key health IT testing initiatives underway. It provides an overview of the Health IT Standards Testing Infrastructure,

NIST HIT Standards and Testing

NIST HIT Standards and Testing

information and access to the test methods to meet meaningful use technical requirements and standards, access to the Health IT Implementation Testing and Support website, as well as educational material on conformance and interoperability testing.”

This program is overseen by the NIST Information Technology Laboratory (ITL).

The site is dividied into four major sections:
1. Health IT Testing Infrastructure
2. Meaningful Use Test Methods
3. What is Conformance Testing
4. Health IT Testing and Support  

1. Health IT Testing Infrastructure
“NIST is responsible for leading the development of the core health IT testing infrastructure that will provide a scalable, multi-partner, automated, remote capability for current and future testing needs.  

“The objective of the Health IT Standards Testing Infrastructure Project is to harmonize the efforts of healthcare standards test development and delivery to meet the demands for conformance and interoperability within the healthcare domain. This is accomplished by working in collaboration with health IT stakeholders such as vendors, implementers, standards organizations and certification bodies to establish a testing infrastructure…”  

Project Stakeholders
“NIST will work with stakeholders to establish and utilize a testing infrastructure that will help ensure that the health information of Americans is exchanged safely, securely, reliably, and only to appropriate sources, and that the standards used are appropriate, consistent, and effective. The stakeholder landscape is outlined as follows:” 

NIST Stakeholders

NIST Stakeholders

 HITSP, SDOs, NHIN contribute standards and specifications. HIT vendors, system implementers, NHIN participants, and 3rd party testing organizations conduct testing. Certification bodies perform certification.

“The testing infrastructure is intended to centralize health IT testing resources to provide the U.S. healthcare IT industry and the Federal Government with a robust conformance and interoperability testing capability.”

2. Meaningful Use Test Methods
“In support of the health IT certification program, NIST is developing the conformance test methods (test procedures, test data, and test tools) to ensure compliance with the meaningful use technical requirements and standards.

“In developing the test methods, NIST has conducted an analysis of the HHS/ONC Interim Final Rule (IFR) published in the Federal Register on January 13, 2010 including:
–the functional and interoperable requirements
–the referenced standards
–the derived test requirements based on the functional and interoperable requirements and referenced standards
–the test methods and test procedures which could be used to validate conformance with the derived test requirements
–the assumptions which may influence the selection of a specific test method or the scope of testing”

3. What is Conformance Testing
NIST provides the necessary conformance tests, test tools and techniques to advance healthcare information technology standards that are complete and testable. As an introduction and overview into testing, the following articles provide details around healthcare information technology conformance and interoperability testing.”

Articles on Conformance Testing

4. Health IT Testing and Support
The Health IT Implementation Testing and Support website provides health IT implementers with access to the tools and resources needed to support and test their implementation of standards-based health systems. The site provides information about the key initiatives that serve as the foundation for the nationwide health IT infrastructure. It provides an overview of the HITSP Interoperability Specifications and the standards that they reference; and provides access to the test resources that are available to support their implementations.

“Visit the Health IT Implementation Testing and Support website for more information.”  

ONC Posts Roles and Bios for Communications, Adoption, State HIE/Beacon Directors

ONC Posts Roles and Bios for Communications, Adoption, State HIE/Beacon Directors: Deering, Kendall, Cronin
Office of the National Coordinator (ONC) for Health Information Technology posted roles and bios on March 8, 2010,  for
–Acting Director, Office of Communications, Mary Jo Deering, PhD;
–Acting Director, Office of Provider Adoption Support (OPAS), Mat Kendall, MPH; and
–Director, Office of State and Community Programs, Kelly Cronin, MPH, who oversees the State HIE Cooperative Program and Beacon Community Program. Roles and bios are excerpted from ONC Web site:

Mary Jo Deering, Ph.D.
Acting Director, Office of Communications
“Mary Jo Deering, Ph.D, is currently the Acting Director for Communications in the Office of the National Coordinator for Health Information Technology (ONC), U.S. Department of Health and Human Services (HHS).  She leads comprehensive, HHS-wide communication activities related to the Health Information Technology for Economic and Clinical Health (HITECH) Act, which provided $2B to ONC to support the transformation of American health care through the adoption and meaningful use of HIT and the secure, interoperable exchange of health information.  She also oversees ONC’s cooperative agreement with the National eHealth Collaborative, a public-private partnership that promotes the development of a nationwide health information system.

“Previously, Dr. Deering was the Director for Informatics Dissemination and Outreach in the National Cancer Institute’s Center for Biomedical Informatics and Information Technology, which leads the cancer Biomedical Informatics Grid (caBIG).  She also served as Lead Staff for the NCVHS National Health Information Infrastructure Workgroup, and for the NCVHS Workgroups on the Nationwide Health Information Network and on Secondary Uses of Data, all of which provided recommendations for the HHS Secretary. While serving as Deputy Director for eHealth and Management in the HHS Office of Disease Prevention and Health Promotion, she led innovative programs in consumer health informatics, including convening the first scientific panel that laid the foundations for evaluating interactive online consumer health programs and promoting their effectiveness.   Dr. Deering served on the Federal Communication Commission’s Advisory Committee on Telecommunications and Health Care.”

Mat Kendall, MPH
Acting Director, Office of Provider Adoption Support (OPAS)
“Mat is currently the Acting Director of the Office of Provider Adoption Support (OPAS), in the Office of the National Coordinator for Health Information Technology (ONC).   OPAS is responsible for administering the Regional Extension Center (REC) cooperative grant program, which is working with organization across the Country to assist primary care providers in priority settings to achieve meaningful use of an electronic health records system.  OPAS is also responsible for running the Health Information Technology Research Center (HITRC), which will assist RECs across the country to communicate and share best practices, tools and other resources.  Finally, OPAS is responsible for administering the Workforce Community College cooperative agreement programs, which will partner with community colleges to train students for specific fields related to health information technology.  

“Prior to working at ONC, Mat was the Director of Operations for the New York City Department of Health and Mental Hygiene’s Primary Care Information Project (PCIP). The PCIP helped primary care providers in medically underserved communities adopt electronic health record systems.  In addition to being responsible for managing the program’s budgets, contracts and staffing, Mat managed teams responsible for outreach, EHR implementation, hardware support, and other aspects of the implementation process.  During Mat’s time at the PCIP, nearly 1,500 providers were recruited to the program and implemented electronic health record systems.  

“Prior to working for the PCIP, Mat served as Executive Director of the Indian Health Center of Santa Clara Valley, a federally-qualified health center in San Jose California.  He was responsible for writing a successful “330 New Start” grant for the Center and conducted a capital campaign that enabled the IHC to purchase a new building and to overhaul its information technology infrastructure.  Mat has a Masters in Public Health from Johns Hopkins University and a B.A. from Haverford College.”

Kelly Cronin, MPH
Director, Office of State and Community Programs
“Kelly Cronin directs the Office of State and Community Programs in the Office of the National Coordinator for Health Information Technology. She has been involved in establishing and evolving the national agenda for Health IT over the last 6 years in various roles in ONC, the Office of the Secretary, and the Centers for Medicare and Medicaid Services. She currently oversees the State Health Information Exchange Cooperative Agreement Program and Beacon Community Programs in ONC.  

“Prior to ONC, Ms. Cronin directed patient safety initiatives at the Food and Drug Administration and coordinated the drafting of the Patient Safety and Quality Improvement Act while working for the House Energy and Commerce Health Subcommittee. Her work experience also includes health policy analysis, health services research, and clinical trial coordination. She holds a masters degree in Public Health from George Washington University (GWU), and is a lecturer in the Department of Health Policy.”

New Jersey Health IT Commission Agenda–March 11, 2010

NJHIT Commission Meeting Agenda
Thursday, March 11, 2010

3 p.m.-5:00 p.m.
Dept. of Health and Senior Services,
Health and Agriculture Building, 1st Floor Auditorium,
369 South Warren Street, Trenton, NJ 08625.  
Page: http://www.state.nj.us/health/bc/hitc.shtml

AGENDA (pdf version)
Chair and moderator: Kennedy Ganti, MD
Topics
1. Overview of Meeting–Kennedy Ganti, MD  5 mins
2. Status Report on Response to ONC Grant  15 mins
–Jed Seltzer
–William O’Byrne
3. Status Report on four HIEs 15 mins
–Representatives from Health-e-Citi, Northern & Central HIE Collaborative, South Jersey HIE, and Camden Coalition
4.  Report-outs from Each Committee 15 mins
–Stevie Davidson
–Kennedy Ganti, MD
–Al Gutierrez
5. Medicaid IT Planning Update 15 mins
–Colleen Woods
–Michele Romeo
6. Introduce Framework and Timeline for Interim Report 15 mins
–Kennedy Ganti, MD
7. Lessons Learned from Government Health IT Conference & HIE Summit 10 mins
–Kennedy Ganti, MD
–Jed Seltzer
–Stevie Davidson
–Helen Oscislawski
8. Collaborations with Professional Societies, Outside Groups 10 mins
–Kennedy Ganti, MD
–Jed Seltzer
9. Public Comment Period/OPMA
General public present

National eHealth Collaborative Launches NHIN University

NHIN University Launched by National eHealth Collaborative
Next Class March 16, 2010; Archives of First Class Available
National eHealth Collaborative (NeHC) announced March 2, 2010 “the creation of ‘NHIN University,’ a program designed to educate and engage health IT stakeholders on efforts to develop the Nationwide Health Information Network (NHIN).” eHealth Collaborative is the successor to AHIC–American Health Information Community.

“The inaugural semester of NHIN University will feature a series of webinars intended to provide stakeholders with foundational knowledge about what the NHIN is, how it works, and the vital trust fabric that underpins the safe and secure exchange of health information.”

NHIN 101: An Introduction to the Nationwide Health Information Network
February 22, 2010
The first course took place as part of a stakeholder’s forum of the board of directors of eHealth Collaborative. The initial presentation was led by Douglas B. Fridsma, MD, PhD, Acting Director, Office of Standards and Interoperability, ONC; Mariann Yeager, Contractor to ONC; and David Lansky, PhD, President and CEO of Pacific Business Group on Health, and Chair, NHIN workgroup of HIT Policy Committee. It was followed by an expert panel discussion including some slide presentations.
 Versions of the program are available in different formats:
Stakeholder Forum/Board of Directors–Feb 22, 2010 Page
Meeting Agenda
Presentation Slides
Meeting Transcript
Recorded Webinar (audio and clear slides)
Recorded Video (audio/video of participants and fuzzy slides)

Register for Future Classes 
www.nationalehealth.org/NHIN-U
NHIN 102: Secure and Meaningful Exchange of Health Information over the Internet
March 16, 2010 2:00pm ET
Faculty: Professor Douglas Fridsma, MD, PhD, Acting Director, Office of Standards and Interoperability, Office of the National Coordinator for Health IT (ONC), and Associate Professor of Biomedical Informatics at Arizona State University will teach the course.

NHIN 103: Architectures for Health Information Exchange and their Use
Mid-April
 Date to be Announced
Faculty: Richard Kernan, NHIN Specification Lead (Contractor), ONC.

NHIN 104: The Trust Fabric of the NHIN: Making Exchange a Good Choice
Mid-May Date to be Announced

NHIN 200, will be announced later this year.

Chilmark Research: State HIEs Analysis

Chilmark Research: The Great Land Grab of 2010 or the Play for State HIEs
Matt Guldin of Chilmark Research, posted a great review of the status of HIE applicants to the ONC’s State HIE Cooperation Agreements on February 25, 2010.
Guldin is leading  HIE research for soon-to-be released Chilmark HIE report. Guldin reported that 16 states were not yet rewarded funds:  Alaska, Connecticut, Florida, Idaho, Indiana, Iowa, Louisiana, Maryland, Mississippi, Montana, Nebraska, New Jersey, North Dakota, South Carolina, South Dakota, and Texas. See earlier post on e-Healthcare Marketing for those states that did receive funds.

According to Chilmark, most states awarded funds fell into a category of states with existing strategic andor operational plans that are not consistent with ONC criteria, a smaller number of states had no existing strategic plan and four states had existing strategic and/or operational plans that are consistent with ONC criteria. Additional awards are expected by April according to several reports.

Chilmark post goes onto to discuss impact on HIE vendors, confusion regarding HIE solutions, and concludes that there is a lack of clear vendor leadership in HIE market.

Health Information Security and Cybersecurity: Federal Contract

Health Information Security and Cybersecurity
Solicitation Number: OS28871

Listed on ONC Contract Page with info on FedBizOpps.gov
Excerpted on March 6, 2010
Agency: Department of Health and Human Services
Office: Program Support Center
Location: Division of Acquisition Management

: OS28871
: Presolicitation
:
Added: Feb 16, 2010 3:38 pm

“RECOVERY: THIS NOTICE IS PROVIDED FOR INFORMATIONAL PURPOSES ONLY. THIS OPPORTUNITY IS AVAILABLE ONLY TO CONTRACTORS UNDER THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, PROGRAM SUPPORT CENTERS 2009 TASK ORDER CONTRACTORS.

“The purpose of this contract is to carry out a sequence of related activities with the goal of understanding security risks to Health Information Technology, planning and executing risk mitigation strategies, testing certain risk mitigation strategies, communicating to stakeholders the results, lessons learned, and actions that can be taken to reduce risk in HIT, which will create the foundation for policy development.

“On February 17, 2009, the President signed the American Recovery and Reinvestment Act of 2009 (ARRA). This statute includes The Health Information Technology for Economic and Clinical Health Act of 2009 (the HITECH Act) that sets forth a plan for advancing the appropriate use of health information technology to improve quality of care and establish a foundation for health care reform. Foundational to this advancement is the assurance of safety and security in Health Information Technology, as established in the legislation’s priority areas. These include promoting security and accuracy of health information and the protection of privacy through data segmentation and prevention of unauthorized access.

“Information protection and cybersecurity in the healthcare sector also cut across two of the 18 Critical Infrastructure sectors (information systems and health care) under the National Infrastructure Protection Plan. As noted in the President’s proclamation of December 2009 as Critical Infrastructure Protection Month, “critical infrastructure are the assets, systems, and networks, whether physical or virtual, so vital to the United States that their incapacitation or destruction would have a debilitating effect on security, national economic security, public health or safety.”

“Cybersecurity has been identified as a top strategic priority, as set out in the White House report: “Cyberspace Policy Review” (May, 2009). As health information exchange between enterprises increases, protecting it in its transit across cyberspace becomes increasingly important. Assuring the protection of health information stored electronically, wherever it may be located, also requires securing it against threats originating in cyberspace. The White House report identified 10 short-term top priorities for cybersecurity, including strategic planning, interagency cybersecurity policy cooperation, increasing public awareness, incident response, research and development, and identity management. The work plan associated with this contract will address these priorities in their relationship to HIT.

“Overview of Security/Cybersecurity Fully deploying Electronic Health Records (EHRs) nationwide and increasing health information exchange, as required under the ARRA/HITECH legislation, steps up the need to protect these strategic information resources against cybersecurity threats. ONC has developed a coordinated plan to identify and address these threats and lay the groundwork for a safe and secure HIT ecosystem for the United States. This plan includes several distinct and related phases, each of which is composed of one or more specific activities.”

:
Parklawn Building Room 5-101
5600 Fishers Lane
Rockville, Maryland 20857

:
Anne F Hunt
anne.hunt@psc.hhs.gov
Phone: (301) 443-5148

Implementation Workgroup, Starter Kits – Mar 8, 2010

Implementation Workgroup – Mar 8, 2010
Implementation Starter Kits
HIT Standards Committee
Monday, March 8, 2010
9:00 a.m. to 4:00 p.m. [Eastern]
Washington, DC

Note from Meeting site: “A blog on “Implementation Starter Kits” is available on the FACA blog for you to tell us about the opportunties and challenges you faced in adopting health IT. Any information you can give us will be helpful for this public meeting.”

A G E N D A (pdf version)
9:00 a.m. Call to Order/Roll Call – Judy Sparrow, ONC
9:05 a.m. Welcome and Introduction
Aneesh Chopra, Chair, Implementation Workgroup
“Implementation Starter Kit: Lessons & Resources to Accelerate Adoption”
9:15 a.m. Public Sector Panel
Moderator: Aneesh Chopra, HIT Standards Committee member
–Doug Fridsma, NHIN, Office of the National Coordinator, HHS
–Hunt Blair, Deputy Director, Health Care Reform, Office of Vermont Health Access
–Jessica Kahn, Centers for Medicare & Medicaid Services, HHS
–Kim Davis-Allen, Alabama Medicaid
–Ken Buetow, National Cancer Institute, HHS
–Kathleen M. Roberts, National Institute of Standards and Technology
10:30 a.m. Implementation Experiences Panel
Moderator: Liz Johnson, HIT Standards Committee member
–David Muntz, Baylor
–Jay Colfer, Eclipsys (Baylor vendor)
–Charles Christian, Good Samaritan
–Michelle Freed, McKesson (Good Samaritan)
–Mitzi Cardenas, Truman Medical
–Mike Valentine, Cerner (Truman Medical)
–Michael Sauk, University of Wisconsin
–Sumit Rana, Epic (University of Wisconsin)
12:00 p.m. LUNCH BREAK
1:00 p.m. Implementation Experiences Panel, con’t
Moderator: Judy Murphy, HIT Standards Committee member
–Amanda Parsons, New York City Primary Care Information Project (NYC PCIP)
–Sidd Shah, eClinical Works (NYC PCIP)
–Dick Thompson, Quality Health Network
–Ray Scott, Axolotl (Quality Health Network)
–John Blair, Taconic, IPA
–Jennifer Brull, Solo Family Physician, Plainville, KS
–Maria Rudolph, eMDs (Dr. Brull’s vendor)
2:15 p.m. Innovation Panel
Moderator: Cris Ross, HIT Standards Committee member
–David Stuart Buck, Healthcare for the Homeless – Houston & Baylor College of Medicine
–Harry Totonis or David Yakimischak, SureScripts
–Tom Morrison, NaviNet
–Sherry Reynolds, Group Health
–Will Ross, Redwood MedNet
3:30 p.m. Meeting Summary – Aneesh Chopra, Chair
3:45 p.m. Public Comment
4:00 p.m. Adjourn

How to Participate Remotely
Webconference: Go to link at least 10 minutes prior to meeting; test system prior to meeting.
Audio: You may listen in via computer or telephone.
US toll free:   1-877-705-2976
International Direct:  1-201-689-8798