Health Care Reform Must Include IT Issues, Group Says
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Congress urged to require standards in health care databases so private firms can exchange information as needed.
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(InfoWorld) - The U.S. needs new medical privacy rules as the country moves toward greater use of IT to store health records, a group of health-care experts said Wednesday. "Thousands" of databases that contain U.S. residents' health records exist, and patients don't have any way to keep their personal information from being shared with third parties, said Dr. Deborah Peel, a psychiatrist and founder of the Patient Privacy Rights Foundation. Private companies have been data-mining prescription records for years, she added. The Health Insurance Portability and Accountability Act (HIPAA), passed by the U.S. Congress in 1996, sets security standards that health-care providers must follow, but the law leaves major gaps in privacy, Peel said at an electronic health-records privacy forum sponsored by public relations firm Dittus Communications. HIPAA gave many organizations with ties to health-care vendors, including offshore transcription vendors, insurance brokers and credit bureaus, authorization to use health care-records, she said. "Because of this confusion that HIPAA engendered, data is being exchanged and used for reasons that have nothing to do with people getting well," she said. "People think this is the wild west because of HIPAA, and every piece of data that's not nailed down can be used for some other purpose." While panelists at the forum seemed to agree that some type of privacy policy for e-health records is needed, they did not agree on how to accomplish it. Peel called for the U.S. government to create a national standard, but David Merritt, project director at the Center for Health Transformation and the Gingrich Group, called for private groups to develop privacy standards. The U.S. Department of Health and Human Services has proposed moving a privacy commission to the private sector, but a bill sponsored by Senator Edward Kennedy, a Massachusetts Democrat, would keep that commission in the federal government. In addition, Kala Evelyn Ladenheim, program director for state health policy leadership at the National Conference of State Legislators, called on the federal government to allow states to develop their own privacy policies. Some states may create stronger protections than a national effort would, she said. But 50 state privacy policies would be difficult for health providers to comply with, countered Tom Wilder, senior regulatory counsel for America's Health Insurance Plans, a trade group representing health insurance providers. In most other industries, private organizations have developed privacy policies, Merritt said. He called on a public and private partnership to create privacy standards. "The government is really good at creating commissions and creating advisory boards ... and studying an issue," he said. "What the government is not good at, and what we shouldn't ask it to do, is to lead and to act." Peel disagreed, saying health-care providers would have conflicts when creating privacy standards, and HHS employees may not have the public's best interest in mind. "We would actually say the problem is that the government is not in the lead," she said. "Unelected officials, bureaucrats and conflicted industry representatives shouldn't be making decisions about privacy."
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The challenges facing New York state&#39;s hospitals, nursing homes and home care agencies in 2005 will be substantial. In Albany, the Health Care Reform Act comes up for renewal in June, presenting
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Some tech groups are beginning to worry that major IT industry priorities, including patent reform, may lose out to other priorities in the U.S. Congress this year.In the last couple of weeks, large tech companies have renewed their push for patent reform legislation in the U.S. Congress, despite opposition from U.S. President George Bush&#39;s administration and some labor unions.The Computing Technology Industry Association (CompTIA) is concerned that a congressional debate over an economic stimulus package, plus typical election-year gridlock, could hurt the prospects for patent reform and other tech priorities, said Michael Wendy, a spokesman for the trade group.The House of Representatives&#39; economic stimulus package includes tax write-offs for small business purchase of equipment, which could include computers, Wendy said. That&#39;s a good move, but patent reform, a research and development tax credit, H-1B visa reform, and other issues remain undone, he said.&quot;We hope that Congress -- assuming they pass an [economic stimulus] package -- doesn&#39;t just say, &#39;Well, we gave you some favorable tax provisions that will help boost industry activity and have a long-tail effect on the economy, so that should be enough for you guys this session,&#39;&quot; Wendy said last week. &quot;One thing we&#39;re concerned about is that the economic stimulus bill may be seen by Congress as a &#39;get out of jail free&#39; card when it comes to other of our tech policy agenda.&quot;The House in September passed a patent reform bill -- supported by many large tech vendors, but&#160;opposed by several small tech companies&#160;-- but similar legislation has been stalled in the Senate. Large tech vendors, including Microsoft, IBM, and Symantec, have&#160;called for patent reform, saying it&#39;s too easy for companies with no intention of creating products to buy up patents and file multimillion-dollar infringement lawsuits against other companies.On Jan. 22, Senate Majority Leader Harry Reid, a Nevada Democrat, said patent reform was a priority, but it was in a line behind several other bills, including an economic stimulus package and a government surveillance authorization bill. The Senate would turn to patent reform, &quot;time permitting,&quot; he said then.&quot;On patent reform, we must carefully strike the right balance with a bill that promotes rather than blocks innovation from enterprising entrepreneurs,&quot; Reid added.The Senate Judiciary Committee approved its version of the Patent Reform Act on Jan. 24, and the bill is awaiting action in the full Senate.But earlier this week, the U.S. Department of Commerce sent a letter to the Senate Judiciary Committee raising concerns about the bill. The letter, outlining the Bush administration&#39;s views, focused on a section of the bill that would apportion infringement damages in a new way. Currently, courts generally consider the value of the entire product when a small piece of the product infringes a patent; the bill would allow courts to base damages only on the value of the infringing piece.The wide-ranging bill would also allow a new way to challenge patents after they are issued.That provision would &quot;create more problems than it solves,&quot; said the Commerce Department letter, signed by Nathaniel Wienecke, the agency&#39;s assistant secretary for legislative and intergovernmental affairs. &quot;The administration believes that such a dramatic change from current jurisprudence may have the unintended consequence of reducing the rewards of innovation and encouraging patent infringement,&quot; Wienecke wrote.Both sides can still work out their differences, Wienecke added.In addition, 14 labor unions, including the United Steelworkers, the Patent Office Professional Association and the Communications Workers of America, sent a letter to Senators Wednesday, saying they were concerned about the patent bill. &quot;Key parts of the proposed legislation may have the effect of increasing the likelihood of American inventions being stolen by our international competitors and, consequently, inhibiting sorely needed new investment in domestic manufacturing,&quot; the letter said.Still, some representatives of the tech industry say they&#39;re hopeful that patent reform can move forward.Senators, representatives of the Bush administration and other interested parties have been meeting regularly &quot;to find balanced solutions on all the issues,&quot; said Mark Isakowitz, spokesman for the Coalition for Patent Fairness, a group representing several large tech companies. &quot;We respectfully disagree [with the Bush administration] on damages, but we are confident ... we can work through concerns and achieve broad consensus on the bill, which would be a victory for the administration, the Congress and our economy,&quot; he added.
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At Computerworld&#8217;s Premier 100 IT Leaders Conference, attendees said IT departments should look for ways to give their companies a business edge -- even at the risk of suffering some technology failures.
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KANSAS CITY, Missouri  - As health care generates debate in this year's presidential campaign, about 68 percent of Americans say individuals should be required to have medical insurance, with government help for those who cannot afford it, a survey released on Tuesday found.
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Care offered to people with long-term conditions such as asthma and diabetes to be overhauled.
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It&#39;s time Gray Matters put up or shut up, instead of merely complaining about what passes for the American health care system.
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Inspectors have told Maricopa Integrated Health System officials they need to fix an assortment of problems discovered in a recent survey.
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Health industry, tech firms, government agencies might collaborate to build a secure database of patient records.
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For some, they&#39;re an innovative and necessary reform for the ailing health care industry. For others, they&#39;re potentially ruinous for Americansâ health care coverage.
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Doctors need guidance on how to avoid problems using technology to reach patients, says a researcher.
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Healthcare experts call for more funding, better training, and changes in institutional culture.
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Cancer services are failing patients and drastic reform is needed, a report by MPs says.
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Top officials in the Bush administration and on Capitol Hill said yesterday that the federal government must move quickly to revamp the nation's system for identifying and caring for military personnel with the invisible wounds of mental illness.
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InfoWorld - Computerization of health care record keeping remains both a need and a challenge, said IT and health care dignitaries at an IBM-sponsored conference in San Jose, Calif. on Monday.
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Over three-quarters of doctors say they are unhappy about the planned new IT system for the NHS.