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With advice from Darius Tahir and Mohana Ravindranath

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BIG HEALTH IT RULES ARE READY TO RUMBA: A proposed CMS aphorism on bloom IT interoperability has been submitted for OMB review, afterward ONC’s long-awaited aphorism defining adequate advice blocking, which was beatific over to the White House beforehand aftermost week. Once these two rules appearing from the December 2016 21st Century Cures Act appear — it could be a amount of days, weeks or at best a brace months — we’ll acquire the big account of the Trump administration’s affairs for acclimation bloom IT.

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… To date, that angel has been a bit blurry, although the accepted outlines are there. ONC Chief Don Rucker has fabricated bright he is not a big fan of government adjustment and at times has accustomed the consequence he’d rather not acquire to ascertain advice blocking at all. Over at CMS, Administrator Seema Verma has seemed somewhat added aggressive. Her bureau has focused on aggravating to ensure greater accommodating admission to abstracts beneath its MyHealthEData initiative, but at the aforementioned time it has adumbrated a alertness to cut bloom affliction networks out of the Medicare affairs if they don’t acquire interoperability mandates.

… It’s all acutely activity to depend on the accomplished print.

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WILL PRIVACY LAW SURVIVE?: As Pro subscribers who acquire been afterward advantage by Morning eHealth’s Darius Tahir of 42 CFR Allotment 2 (see actuality and here) know, the approaching of the federal aloofness law accoutrement annal accompanying to a patient’s ysis for actuality corruption is absolute abundant up for grabs. It’s one of the best acrimonious capacity of agitation in the final opioid acknowledgment bill that conferees from the Senate and House acquire been aggravating to adamant out back the Senate aftermost anniversary anesthetized its adaptation of the bill.

… The House adaptation (H.R. 6 (115)) allows clinicians and added providers to see those records— while acutely chastening any disclosures alfresco the bloom sphere. Advocates, including abounding Democrats and best Republicans, see the changes as key to enabling ysis of opioid abusers. Aloofness advocates anguish that such a change would abuse to advance acute bloom advice to the four apprehension and in accomplishing so, abash bodies from gluttonous treatment.

… The Senate HELP Committee’s top Democrat, Patty Murray, has apparent some attrition to the aphorism change. But her agents told us Friday that she did not absolute argue it, and ability be accommodating to abutment a aberration that assured aloofness protections.

Tweet of the day: Ben Moscovitch @benmoscovitch This aphorism — accompanying with one from ONC on APIs additionally @ OMB — could atom a axis point in the abstraction & use of data. But, alone if these rules can advice ample the gaps (eg which abstracts elements) & finer abode the barriers. Looking advanced to seeing the capacity #healthIT

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Welcome to Monday Morning eHealth. We’re autograph this on the alternation from NYC, area we saw the #GermCity display at the Museum of the City of New York, a aiguille vaccine alarmist experience. It included a box of the absolute ivory credibility acclimated for smallpox anesthetic in the backward 19th and aboriginal 20th centuries. Fabricated my deltoids creep aloof to see ‘em! Share your vaccine and bloom IT nerdistry with [email protected], or cheep it @arthurallen202, @dariustahir, @ravindranize, @POLITICOPro and @Morning_eHealth.

PRESIDENT DONALD TRUMP SAYS A RED WAVE IS COMING ON ELECTION DAY. Is he appropriate or will the course about-face blue? Compete adjoin the nation’s top political minds in the POLITICO Playbook Election Challenge, by accurately acrimonious the acceptable candidates in some of the best aggressive House, Senate and gubernatorial contest in the country! Win alarming prizes and abiding aloof rights. Sign up today! Appointment politico.com/playbookelectionchallenge to play.

YOU’RE INVITED Advice us bless the barrage of POLITICO Pro Canada at a appropriate breakfast accident on Sept. 26 at the University of Toronto’s Munk School of All-around Affairs. “Navigating the New Washington” will affection an intelligence conference by POLITICO reporters who awning trade, bread-and-er policy, the White House, and the midterm elections—and an all-embracing chat with Canadian Ambassador to the U.S., David MacNaughton. Send us questions you’d like us to ask and RSVP here: https://bit.ly/2NIb19Y

THIS WEEK accompany POLITICO at The Liaison Capitol Hill on Sept. 27 for the AI Summit: Innovation & Governance, a all-around administering acquisition of action makers, business leaders, and experts for solutions-driven conversations on the appulse of AI on governments, industries, and society. Doors accessible at 8:30 a.m. Register here.

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WITHHOLDING THE DATA FROM ICE: The Trump administering has proposed accretion its crackdown on clearing by abstinent blooming cards to acknowledged immigrants if they or their audience acquire accustomed assertive forms of government assistance. The “public charge” aphorism acquaint by the Department of Homeland Security on Saturday allows it to abjure address alike back an immigrant’s kids acquire gotten allowances — or if the government anticipates they may do so in the future.

… We’re audition that this and added alarming account for the immigrant association may be blurred the accuracy of abstracts entered into EHRs. Kathy Zeisel, an clearing advocate who works with clinics in Washington D.C., told me afresh that attorneys acquire been admonishing doctors not to accommodate abstracts about any government advice immigrant families are getting—though advice about such allowances is allotment of the “social determinants of health” appraisal apparent as key to affliction coordination. Clearing authorities can appropriate cyberbanking bloom annal as allotment of their investigations, Zeisel says. The District of Columbia provides bloom allowance for undocumented immigrants, but bodies anguish that demography allowance could affect their clearing status.

… Added to the point, the aphorism could force bodies to abandon medical visits until they are so ailing they charge to admission emergency departments, active up the amount of hospital affliction for everyone, said Bruce Siegel, CEO of America’s Essential Hospitals, in a release. Associates of the accumulation generally accommodate ysis for poor acknowledged immigrants.

QUANTUM LEAPS TO THE WHITE HOUSE: Google, Microsoft and AT&T will be amid the added than 100 attendees at Monday’s White House acme on breakthrough advice science, Pro’s Stephen Overby reports. The affair comes at an abnormally advancing time for the tech area and President Donald Trump, who has accused internet and amusing media companies of actuality biased adjoin conservatives. His administering has additionally imposed backbreaking tariffs that industry leaders say will accession prices and abate U.S. competitiveness. Added actuality for pros.

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IN THE JOURNALS: Speaking of amusing determinants, a abstraction performed in the Duke University Bloom Arrangement and appear in JAMA Arrangement Accessible begin that amalgam advice about a patient’s socioeconomic cachet into their cyberbanking bloom almanac doesn’t accomplish it easier to adumbrate their accident of ER appointment or hospitalization. The authors advised about 90,000 patients from 2009 to 2016 and begin those active in poorer neighborhoods were, as expected, added acceptable to appointment or be accepted to the hospital for accidents, asthma, influenza, affection advance or stroke. But overall, the patients’ risks of all those altitude and hospital visits were aloof as calmly acquired from EHR data.

… Putting an EHR into an orthopedic dispensary reduces ability and abundance while abbreviation time spent with patients—even afterwards an antecedent six-month accomplishing period, according to a abstraction in the Journal of Bone & Joint Surgery.

… Now for the acceptable news: Medical scribes were associated with decreased physician EHR affidavit burden, bigger assignment efficiency, and bigger appointment interactions, according to a address in JAMA Internal Medicine. It looked at two Kaiser-Permanente accessories in Northern California from July 2016 to July 2017 area scribes were implemented. “Scribed periods were associated with beneath self-reported after-hours EHR documentation” and a college likelihood of primary physicians spending added than 75 percent of the appointment interacting with the patient. Patients were additionally blessed with scribes: alone 2.4 percent gave them abrogating reviews.

PAIGING MSK, PAIGING MSK: Memorial Sloan Kettering Blight Center’s administering has beatific an email to advisers arresting itself from a Friday New York Times/Pro Publica address that it gave for-profit Artificial Intelligence startup Paige.AI absolute admission to its 25 actor anatomy slides in acknowledgment for an disinterestedness pale for itself and several centermost admiral The bloom arrangement said it was not administration slides, alone de-identified accommodating data, and said lath associates and adroitness who own pieces of the affiliation won’t be accustomed to booty allotment in decisions by the company.

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CANCER DATA NETWORK GETS NEW MEMBERS: Ascension, Banner Health, Inova Health, LSU Health, OhioHealth and Seoul National University Hospital acquire anniversary committed to administration real-world affirmation aloft aing the Syapse Learning Bloom Network. They will accompany founding associates Aurora Bloom Care, Catholic Bloom Initiatives, Dignity Health, Henry Ford Bloom Arrangement and Providence St. Joseph Health. The network, appear at a White House accident in 2016, is a attention oncology abstracts administration arrangement aimed at extending advanced blight affliction above bookish medical centers.

DATA PROVISIONS OF PAHPA: A final adaptation of the Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018, H.R. 6378 (115), is due for House vote on Tuesday, Pro aide Sarah Owermohle reports. The bill would reauthorize key HHS programs to advance responses to pandemics and biological threats. Amid added measures, it requires the FDA to column on its website added capacity for drugmakers to appeal authoritative administration plans, so companies can get bureau acknowledgment as they advance medicines and vaccine countermeasures. It additionally calls on HHS to assemble experts to yze how genomic engineering can be acclimated in the biodefense realm.

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Medical Futurist: How autocracies could abusage agenda bloom innovations

Health Abstracts Management: EHR implementations charge to absorb doctors

CT Mirror: Docs say Connecticut HIE could advice with opioid epidemic

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