March 14, 2018
California Senate Bill No. 1238 Raises Concerns
A bill introduced in the California State Legislature last month on February 15 by State Senator Richard Roth from Riverside regarding the maintenance, storage and destruction of patient records has raised a number of concerns in the California health care community regarding the ability of providers to realistically comply with the bill’s provisions should it become law.

A primary concern regarding the bill is the administrative burden placed on providers prior to the destruction of patient records. The bill requires certain health care providers to provide a statement to be signed by all new patients informing them, among other things, of the intended retention period of their records. If a provider plans to destroy any patient records the provider must subsequently notify patients at least 60 days in advance by first-class mail, electronic mail, or both of the proposed destruction. The bill requires that patients be given their “original medical record” if they request it prior to the proposed destruction date and also allows patients to designate the method of delivery of the records, “either by personal pickup, mail, overnight delivery, or other delivery means.” 

The CHIA Board of Directors is preparing a response to the bill and would welcome input from CHIA members. Please take a few minutes to review SB 1238 and let us know your thoughts.  Email CHIA President Brian Faust with any feedback you may have.
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The Current State of Cybersecurity in Health Care
Provided are excerpts from the Mar/Apr CHIA Journal. CHIA members receive a mailed hard copy, and all CHIA and AHIMA members can access the digital version online to view, read, and enjoy now! 

The Current State of Cybersecurity in Health Care
by Dan L. Dodson

2017 showed us that health care organizations can no longer treat security as an IT problem. Instead, they must recognize it as a business issue and deal with it accordingly. Unfortunately, health care leaders are stuck in the crosshairs of patients and hackers. While patents require transparency, access to information, and assurance that their personal health information will remain safe, hackers are busy compromising patient health information at a faster speed than ever before.

According to the Office for Civil Rights (OCR), the number of entities impacted by a major cybersecurity breach increased 25 percent over the last 12 months. This validates the fear of many health care organizations; hackers have momentum and breaches are happening more than ever before. As of mid-November 2017, a total of 303 health care entities had experienced a large breach. This is on pace to surpass the 327 breaches experienced in 2016.
GetMyHealthData Releases Individual Right of Access Guide
News update provided by the
CHIA Consumer Engagement Committee

Implementing HIPAA can be challenging, especially in a digital ecosystem. The U.S. Department of Health and Human Services’ Office for Civil Rights (OCR) publishes and continually updates guidance to help people understand individuals’ rights under HIPAA to access their health information, including electronically. This guidance is important for health care providers and administrators, privacy officials, health information management professionals and consumers themselves, but can be hard to use.

To help make your job easier, GetMyHealthData has reorganized the guidance so you can find, understand and use what you need more efficiently and effectively. GetMyHealthData preserved OCR’s exact language, kept relevant topics connected and linked to the original guidance and regulations. And the best part? GetMyHealthData created short quizzes for each section to help you test your knowledge along the way.

HIM professionals play a critical role in helping people get the most out of their health data, and GetMyHealthData hopes these resources support you in encouraging patients and their families to use and share their electronic health information as you work together to reach their health and health care goals.

Health Information Professionals (HIP) Week Begins Monday!
AHIMA invites all health information professionals to join the celebration and be recognized during the 29th annual HIP Week!

HIP Week coincides with AHIMA’s Hill Day, where AHIMA members come together on Capitol Hill to advance HIM. This is a great opportunity for health information professionals to showcase the benefits of their profession, and collectively work to lead the way to quality data.

Help spread our message of awareness and pride by utilizing the following resources online:

  • Download the Planning Catalog to get ideas to celebrate, share articles about the health information profession, and browse the official merchandise!
  • PowerPoint Template to educate consumers and HIM and other healthcare professionals about the health information profession and its career opportunities
  • Official 2018 HIP Week Logo to place on your webpage, use on promotional materials, or in your signature line
  • Press Release Template to announce HIP Week to your organization or community
  • Official HIP Week Merchandise for yourself, your department, or your entire organization

Follow AHIMA on social media to celebrate! Don’t forget to use #HIPWEEK18!
Latest HIM News Updates
CMS Announces Initiative to Expand Patient Access to Health Data
Megan Howard for California Hospital Association; March 6, 2018

The Centers for Medicare & Medicaid Services (CMS) has announced a new initiative, MyHealthEData, intended to ensure patients have access to and control of their full health care records. The initiative will provide Medicare beneficiaries with access to their claims data in a universal and secure digital format through Blue Button 2.0, which will make the data available in the application of a patient’s choice. CMS encourages private plans to provide patients with the same data, and will re-examine its expectations for Medicare Advantage plans and qualified health plans offered under federally facilitated exchanges.

In addition, CMS announced it intends to streamline electronic health record (EHR) reporting requirements for hospitals under the Medicare and Medicaid EHR Incentive programs and the physician Quality Payment Program. The agency also plans to streamline documentation and billing requirements, and will prioritize quality measures that lead to interoperability. Finally, CMS will take additional steps to prevent information blocking and will specify information that must be shared — ideally electronically — by hospitals upon discharge with a patient’s post-acute care facility.

Additional information is available in a CMS fact sheet
Report Calls for More Modern Health IT Approach from ONC
Sarah Sheber for Journal of AHIMA; March 9, 2018

A work group of more than 40 health IT experts representing clinicians, patients, hospitals, and technology companies brought together by the Bipartisan Policy Center and Health IT Now released a report that calls for revamping industry policy—including an overhaul of the Office of the National Coordinator for Health IT’s (ONC’s) health IT certification program to focus on consumer protections, according to Becker’s Health IT and CIO Review.

The report, titled “The Future Role of Government in Health Information Technology and Digital Health,” recommends that the federal government either reduce or completely eliminate certain technology requirements currently under the Centers for Medicare and Medicaid Services’ (CMS’) quality improvement, payment, and delivery system reform programs. The report’s authors argue that the current policies in place do not reflect recent advancements in the industry.

Verma: Meaningful-use Overhaul is Coming
Virgil Dickson for Modern Healthcare; March 6, 2018

CMS Administrator Seema Verma said her agency is planning on overhauling its meaningful-use requirements, after years of provider complaints that the program was too burdensome and hard to implement. Specifically, the CMS is looking to reduce time and compliance costs associated with the program. Verma didn't provide any additional details during her speech at HIMSS' annual conference on Tuesday. A CMS spokesman did not return a request for comment on additional details on when or how meaningful use requirements would be overhauled.

Verma on Tuesday also unveiled two new initiatives, including the MyHealthEData program to make it easier for patients to obtain and share their medical records.

CHIA Events Calendar
EHR Governance Symposium
Wednesday, March 14 - Thursday, March 15 - Long Beach

IG Web Series Part 1: Introduction to Information Governance
Friday, March 23 - Live Webinar

Medicare Advantage HCCs: A Walk Through a Year of Patient Data
Tuesday, March 27 - Live Webinar

Tuesday, April 10 - Sacramento
Wednesday, April 11 - Ontario

Leveraging Data Analytics for Risk Adjustment Success
Wednesday, April 25 - Live Webinar

NCHIA Student Night
Thursday, April 26 - Live Webinar

IG Web Series Part 2: Making the Case for Information Governance
Friday, April 27 - Live Webinar

What is the OIG Saying About Kwashiorkor and Malnutrition Coding
Wednesday, May 16 - Live Webinar

CHIA Pre-convention Tutorials
Saturday, June 2 - Sunday June 3 - San Diego

CHIA Convention & Exhibit
Sunday, June 2 - Wednesday, June 6, San Diego