regulation
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HIE 'Rules Of Road': What's Next?
Supporters of a recent decision by federal regulators to back away from issuing voluntary "rules of the road" for secure health information exchange say the move makes sense [...]. But some others argue that establishing HIE benchmarks, especially for privacy and security, is advisable now to help build public trust. Read More »
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HIMSS14: Regulatory Showdown Looms Over Mobile Health
A legislative showdown is brewing between Congress and the U.S. Food and Drug Administration over the right balance between promoting innovation in a fledgling mobile health industry and protecting patient safety. 2014 could be the year that several laws are passed with significant implications for health I.T., according to a HIMSS14 panel discussion on congressional affairs. Read More »
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Hospital Chain Inquiry Cited Unnecessary Cardiac Work
In the summer of 2010, a troubling letter reached the chief ethics officer of the hospital giant HCA, written by a former nurse at one of the company’s hospitals in Florida. In a follow-up interview, the nurse said a doctor at the Lawnwood Regional Medical Center, in the small coastal city of Fort Pierce, had been performing heart procedures on patients who did not need them, putting their lives at risk. Read More »
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How Healthcare.gov Went Wrong
Here at DOBT we talk a lot about How To Fix Procurement, but you don’t hear a lot about why things go wrong. The Healthcare.gov Fiasco is instructive in that it highlights every piece of our procurement process that’s broken. How, with a half-trillion dollar a year spend, could something like this botch even happen? Here’s how: Read More »
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How The UN's 'Game-Changing' Internet Treaty Failed
Did you know that, for the past two weeks, the future of the Internet has been at stake? Yes, it has. Those two weeks hosted the World Conference on International Telecommunications [...]. And they hosted, as well, a fairly dramatic face-off -- often between blocs led by Iran, Russia, and China and blocs led by the United States, the UK, and Canada. Read More »
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IEEE Standards Association And W3C “Open Future Series” Champions More Collaborative, Interconnected Future During SXSW 2013
Global technology and open web standards development leaders unite to explore current and long-term implications of technologies like Augmented Reality, social robotics, and self-hacking... Read More »
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Issa Open Source Language Comes Under Criticism
Draft legislation proposed by Rep. Darrell Issa (R-Calif.) to overhaul federal information technology has drawn opposition for its section on open source software adoption. Read More »
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IT Iconoclasts: Experts Offer Dissent On Policy Issues, Technology Implementation
Each month, more hospitals and office-based physicians buy and use electronic medical records and other health information technologies as the U.S. presses on toward achieving the goal first articulated by President George W. Bush in 2004: providing most Americans with access to an electronic medical record within a decade... Read More »
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It’s Doctors Versus Hospitals Over Meaningful Use
The Massachusetts Medical Society may be the first to notice that Meaningful Use EHR mandates favor large providers and technology vendors. Control over the Nationwide Health Information Network sets the stage for how physicians refer, receive decision support, report quality, and interact with patients. Read More »
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Lessons From The ACA Health Insurance Marketplace Failure
One can’t pass a single day it seems without seeing in the news coverage of the problems with the Affordable Care Act’s Health Insurance Marketplace (HIM). But what is perhaps most surprising is not that the web site had problems, but that people are surprised that it had problems. [...] Read More »
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Let Startups Start Out Tax-Free
Small businesses represent 99.7 percent of all private-sector employers, provide great innovation and are the most potent force to revive America’s economy, which cannot grow at a healthy pace without them. Yet small businesses continue to face unnecessary obstacles to their success.
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Managed Cost, Mismanaged Care
This is the first in a series of articles examining the phenomenon by which health care policy has come to be dominated by a single-minded desire for cost control, while concerns about maximizing the quality of care have been downgraded or ignored entirely.
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mHealth Oversight Suggestions Nearing End Of The Beginning
The long and winding road to federal regulation or oversight of mHealth still has some ground to cover, but a key Food and Drug Administration Safety Innovation Act sub-workgroup has tentative suggestions that are about three organizational layers removed from the FDA. Read More »
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Millions Of Consumers Face Sticker Shock When 'Open Enrollment' Begins In October
President Barack Obama’s ambitious goal that all Americans have access to health care will take a huge step forward this fall with the opening of federal and state insurance exchanges. But it is too soon to tell whether these bold creations of the Affordable Care Act will actually bring “affordable” care to consumers... Read More »
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Mobile Health: What Should Be Regulated And What Not?
With the mHealth industry anxiously awaiting the U.S. Food and Drug Administration's final draft of guidelines for mobile medical apps (expected by this fall), the talk at that particular panel discussion focused on what should be regulated and what shouldn't. Bakul Patel, a policy adviser for the FDA's Center for Devices and Radiological Health, pointed out that the market is flooded with apps – many of them harmless, but some of them potentially dangerous and in need of regulation.
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