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Editor's e-Note
Sharing data and protecting patient privacy are sometimes at odds. It’s one of health care’s most pressing conundrums, one in search of a winning formula that balances the needs of all parties. It may be argued that nowhere is the situation more urgent than when it comes to sharing clinical trial data. This month’s E-News Exclusive analyzes the current environment in which the quest for personalized treatment shares the stage with an emphasis on preserving personal identities.

Lee DeOrio, editor
e-News Exclusive
Exciting Times for Clinical Trial Data and Privacy
By Dana Everett Edwards

Clinical trial data sharing, or the lack of it, is one area where the pharmaceutical industry faces big challenges. But the reasons for withholding data are more complex than critics may be willing to acknowledge. By government decree and a gradual acceptance by individual companies that clinical trial and other health data sharing are in everyone’s interest, the issue now is not that there isn’t enough data sharing but that soon there will be so much data sharing that it will be difficult to make maximum use of it.

For the most part this is a good problem to have, as there is now general agreement within the industry, in pharmaceutical companies of all sizes, that sharing data is a core business value. They believe that sharing is good, that it’s important for more patients to participate in clinical trials, and that we need to accelerate bringing cures to patients.

Full Story »
HIMSS Preview
HIT Augments Humans’ Intelligence and Abilities
By Heather Hogstrom

Thousands of health care professionals flocked to sunny Orlando, Florida, for the annual HIMSS conference held February 19­–23. Attendees were able to get hands-on with the latest technology and receive education on updates in the HIT field.

Opening keynote speaker Ginni Rometty, CEO of IBM, discussed cognitive health care (ie, artificial intelligence) and emphasized that IBM is building tech to augment, not replace, humans’ intelligence—to allow people to do what they do better. To get physician buy-in, she said you have to be in the workflow at the opportune moments. She believes the next generation of patients will demand this technology.

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Industry Insight
Florida Medical Center to Use Watson for Oncology Care

IBM and Jupiter Medical Center recently announced that Jupiter Medical Center will adopt Watson for Oncology trained by Memorial Sloan Kettering, a cognitive computing platform to provide insights to physicians to help them deliver personalized, evidence-based cancer treatment. Jupiter is the first US community hospital to adopt Watson for Oncology.

In the United States, there will be an estimated 1.7 million new cancer cases this year, with 125,000 in Florida alone, according to the American Cancer Society. As health care providers and systems seek to enable data-driven, evidence-based cancer care, an explosion of medical information has created both challenges and opportunities to improve quality care. Currently, approximately 50,000 oncology research papers are published annually, and by 2020 medical information is projected to double every 73 days, outpacing the ability of humans to keep up with the proliferation of medical knowledge.

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In this e-Newsletter
Recently in For The Record
Know Thy Docs
The consequences of provider duplicates can have far-reaching effects throughout a health care organization. Read more »

ROI Demands on the Rise
As patients gain greater access to their health records, the burden on HIM departments to maintain productivity levels intensifies. Read more »

Make Patient Privacy a Priority
Educating staff on the importance of safeguarding protected health information will create a culture of accountability and correctness. Read more »

Coding Contest Hints at ICD-10 Struggles
The contest results shed light on where coders are falling short in their quest to master ICD-10. Read more »
Other News
Presence to Pay $475K for HIPAA Breach
Chicago-based Presence Health is the first to be fined for not reporting a HIPAA privacy breach within 60 days, suggesting greater scrutiny may be on the way for other health care organizations, according to the Cook County Record.

HIT Should Be Priority for New Administration
Opportunity for reform comes with any new administration, and there are several HIT issues that should be prioritized in the next four years, according to Medium.
Tech & Tools
PatientKeeper Introduces Innovation Platform
At HIMSS 2017, PatientKeeper previewed its new HIT innovation platform, which integrates third-party apps and data from multiple EHRs, embeds advanced clinical decision support capabilities in a truly useful way, and provides an individualized experience for each user. It will offer an adaptive user experience (a user interface that adapts to the provider’s specialty and the current patient situation highlighting the most actionable information for each provider), predictive analytics (use of big data analytics to provide predictive indicators to caregivers, allowing more timely and effective intervention), and open integration (the ability to integrate with any EHR, incorporate clinically relevant third-party apps, and allow for enhanced care coordination and collaboration among members of a patient’s care team, including referring physicians, primary care physicians, and consultants outside of the hospital). Learn more »

3M and Verily Life Sciences Develop
Population Health Measurement Technology

3M Health Information Systems and Verily Life Sciences have entered into a strategic agreement to develop new population health measurement technology for managing clinical and financial performance. The joint technology platform will be designed to analyze quality performance data across health care delivery systems and patient populations, and deliver meaningful information that can be used to promote real and sustainable improvements in health care quality and cost. Together, 3M and Verily will work to transform population-level health data-sets into manageable and prioritized information so that participating hospitals, health systems, payers, regulators, and strategic partners can evaluate performance, reduce waste, and identify areas that impact efficiency, quality, and cost. Learn more »

Nuance Announces New Version of Dragon Medical Advisor
Nuance Communications has announced general availability of Dragon Medical Advisor, its latest computer-assisted physician documentation solution that fits naturally into existing Dragon Medical and physician workflows, to help health care organizations improve the completeness and accuracy of medical records. Dragon Medical Advisor provides real-time, automated advice to physicians at the time of care using expanded content with essential ICD-10 diagnosis codes and Centers for Medicare & Medicaid Services Hierarchical Condition Categories that better define patients’ true medical conditions. This helps providers capture appropriate reimbursement for the disease burden of patients and avoid penalties for ICD-10 noncompliance. Learn more »

Mobile Coding App Released
Eurofield Information Solutions’ ICD-10-CM TurboCoder 2017 app is the first complete ICD-10-CM mobile coding tool designed to not only replace medical coding books but also offer substantial and demonstrable performance benefits. Benefits include faster, more accurate code look up; an easy-to-use, intuitive interface; TurboSearch—Pre-emptive Search Spelling Help; intuitive search by word, number, main term, or code; auto-complete with guaranteed results; voice activated search; and no ongoing subscription fees. It also downloads quickly, uses minimal device storage, works offline (no internet access required), includes the latest official government updates and errata for 2017, and includes official guidelines and indexes to diseases, injuries, and external causes. The ICD-10-CM TurboCoder with TurboSearch 14-day free trial for iOS is available at the Apple App Store; the Android version is available at the Google Play Store.
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Ask the Expert
Have a coding or transcription question? Get an expert answer by sending an e-mail to

This month’s selection:
I have three coding questions. All three are emergency department (ED) patients, outpatient.
  1. Code history of drug abuse, cannabis, cocaine, etc.
  2. Patient comes in chief complaint cough, has HIV and is on medication for HIV. No other symptoms mentioned in documentation. Final diagnosis is bronchitis. Doctor does state work up for sepsis and lactate level.
  3. Coding epilepsy only mentioned in history. Not final diagnosis.
— A coder in an Ohio acute-care facility

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