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August 17, 2017
Volume VIII |  Issue 33 
The Evolving Cyber Threat & How Healthcare Can Mitigate It  
John Riggi & Patrick Pilch

WannaCry sent a message: Healthcare has a target on its back, and cyber-attackers have homed in on the mark. When the May 12 ransomware attack unleashed more than 75,000 ransomware attacks across the globe and harmed a notable portion of the U.K.'s healthcare sector, U.S. healthcare organizations were largely spared because of a virtual, but temporary, kill switch discovered before the malware made its way across the pond.

But it would be dangerous for the U.S. healthcare sector to consider itself immune or even less vulnerable, particularly as current cyber threats grow and new ones emerge, directly targeting the sector and its data.


Trump Threat on Obamacare Would Boost Deficit by $194 Billion
Health plan premiums for some in Obamacare will surge and the federal deficit will increase by almost $200 billion over a decade if President Donald Trump follows through on a threat to halt certain insurance subsidies under the law, the Congressional Budget Office said Tuesday.

The CBO, which provides nonpartisan analysis of federal policy issues for lawmakers, released the report Tuesday after the Trump administration made repeated threats to stop paying cost-sharing reduction subsidies under Obamacare. The payments go to insurers, and are used to help reduce out-of-pocket costs for poorer Americans in the program.

Read more in Bloomberg.

View the CBO report HERE.
A Population Health Initiative: What Should It Look Like At Its Core? 

Mario Espino
A Population Health Initiative is a fluid, dynamic process that is not yet, in its entirety, in place in many institutions. Yes, there are risks but the potential rewards won by capturing the marketplace early are clear. Time is of the essence and the collection of the right technology, people and processes is crucial. Implementing the initiative requires simultaneous pursuit of three aims: improving the experience of care, improving the health of populations and reducing the per capita costs (aka The Triple Aim). Analytics captured through a 360° view utilizing interoperability are the key to enabling and achieving The Triple Aim as defined by the Centers for Medicare and Medicaid Services (CMS).
Valued Based Care, at the core of population health, necessitates the collection of structured and unstructured data. Unstructured data is often overlooked as it presents challenges. That said, there are opportunities within the environment today that will allow for it to be collected and re-entered into a structured format. This would meet the goal that healthcare professionals seek: capturing the entire data throughout the continuum of care without limitations of interoperability. Care plans have to be comprehensive and rich in data and outcomes cannot be limited by lack of data.  
Alarm Fatigue  

A Country Doctor Writes 
I missed a drug interaction warning the other day when I prescribed a sulfa antibiotic to Barton, a COPD patient who is also taking dofetilide, an uncommon antiarrhythmic.
The pharmacy called me to question the prescription, and I quickly changed it to a cephalosporin.
The big red warning had popped up on my computer screen, but I x-ed it away with my right thumb on the trackball without reading the warning. Quite honestly, I am so used to getting irrelevant warnings that it has become a reflex to bring the cursor to the spot where I can make the warning go away after a quick glance at it. Even though I have chosen the setting "Pop up drug interaction window only when the interaction is severe", I get the pop up with almost every prescription.
Today I went back to Barton's chart and looked at his interaction screen.
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