Security in Data Migration, and When Not to Migrate

There’s no turning back on the cloud computing revolution. By 2020, more than 90 percent of data center traffic will be cloud traffic, according to Cisco’s Global Cloud Index forecast.

Separate analysis from 451 Research finds enterprise spending on hosting and cloud services up by 26 percent in 2017 over 2016, outpacing a 12 percent increase in total IT budgets during the same span. “Hosting and cloud services are becoming a focus of IT investment, via both new projects and the migration of existing workloads,” observes Liam Eagle, research manager at the firm.

In healthcare, 76 percent of new or existing workloads are moving to the cloud, in areas such as data archiving, backups/disaster recovery, back-office applications and server virtualization.

Some might even say the transition to cloud is happening too quickly. In fact, the simplicity of initiating cloud projects has raised eyebrows among industry observers — especially since protected health information (PHI) is at stake. “The ease of spinning up a cloud application can create, in and of itself, a risk,” says Shane Whitlatch, enterprise vice president at data security firm FairWarning. “Because cloud projects are easy to start, it’s also easy to just leave them there and not monitor them.”

Does he have a point?

Setting the record straight

Without a doubt, companies across all industries have made some missteps in migrating data to the cloud. In certain cases, organizations have viewed data migration as a one-time event rather a process that will likely be repeated over the years. Therefore, it’s important to analyze whether an IT infrastructure can hold up to the demands of a full-scale migration, reports HealthITInfrastructure.

Closer to home in healthcare, organizations often fail to assess data-quality issues before embarking on a migration. This might come into play, for example, when moving data from a legacy electronic health record (EHR) system to a new EHR application.

And while it’s certainly possible for a healthcare provider to fall victim to the scenario Whitlatch envisions (e.g., gathering PHI for research purposes and later abandoning that data outside established controls on a cloud-based platform), most organizations would avoid that type of vulnerability through due diligence. They recognize that cybersecurity is a shared responsibility between cloud provider and customer. HIPAA’s Security Rule, for instance, applies in equal force to data protection whether the data resides in on-premise systems or in the cloud.

Additionally, above all other factors, healthcare organizations are concerned about adherence to regulatory requirements such as HIPAA when selecting a cloud services provider, according to a 2016 study conducted by HIMSS Analytics.

NetDirector’s HealthData Exchange, a cloud-based platform for exchanging data between healthcare entities, has been certified as HIPAA-compliant under audit by a third-party security and compliance solutions provider. This certification “strengthens the trust that our clients place in us to safely integrate their platforms and transform their data,” explains NetDirector CEO Harry Beisswenger.

For more information on the HealthData Exchange platform, please contact us or request a free demo.

What Can We Learn from eClinicalWorks’ Big Mistake?

Electronic health record (EHR) vendor eClinicalWorks (eCW) and several of its executives are on the hook for $155 million to resolve a False Claims Act lawsuit alleging that the company misrepresented the capabilities of its software. The U.S. Department of Justice announced the settlement on May 31.

Resolution of the case also required eCW to enter into a Corporate Integrity Agreement (CIA) with the Office of the Inspector General at the U.S. Department of Health and Human Services (HHS-OIG), which oversees “meaningful use” incentive payments to healthcare providers relating to their adoption and implementation of certified EHR technology.

According to the government, eCW concealed that its software was “hardcoded” to meet certification requirements for standardized drug codes instead of actually retrieving the proper drug codes from a complete database. Other cited faults in eCW’s software included:

  • not having an audit log for accurate recording of user actions;
  • not reliably recording diagnostic imaging orders;
  • not reliably performing drug interaction checks; and
  • failing to satisfy data portability requirements for transferring patient data from eCW’s system to other vendors’ software.

All told, because of the deficiencies, “eCW caused the submission of false claims for federal incentive payments based on the use of eCW’s software,” HHS-OIG charged. $125 million of the company’s fines will go to repay Medicare and Medicaid for incentive disbursements under their respective meaningful use programs. (eCW customers who successfully attested to meaningful use in good faith will not be linked in on the government repayments.)

Aside from the financial penalties, eCW’s CIA, which extends for five years, requires the company to retain an independent oversight organization to assess its software quality control systems, with semi-annual written reports to be filed with HHS-OIG. The CIA also mandates that eCW allow its customers to obtain free software updates; customers also have the option of transferring their data to another EHR vendor without penalties or service charges.

Industry fallout

eCW agreed to the settlement without acknowledging any wrongdoing. The company said it did so to avoid lengthy and costly litigation. eCW’s EHR system remains certified under the meaningful use program. Nonetheless, the underlying facts of the case appear to have cast a broad shadow across the health IT landscape.

A report compiled by market research firm Reaction Data after announcement of the settlement found 71 percent of respondents saying they would be extremely unlikely to consider eCW in the future. What’s more, 27 percent indicated that the case had lowered confidence in their current EHR vendor, and 35 percent reported being “significantly more suspicious” of other EHR vendors.

Healthcare attorney Bob Ramsey told Healthcare Informatics that the eCW allegations may be an extreme case, but added, “Interoperability and data portability is viewed as necessary in the health world, but it’s easier said than done.”

Peter DeVault, vice president of interoperability at EHR vendor Epic, recently noted that healthcare providers would be well served to rely less on EHR certifications moving forward and to concentrate more heavily on demonstrated benefits.

NetDirector’s vendor-neutral approach to data exchange elevates providers’ ability to achieve EHR interoperability while working toward meaningful use incentives. In an environment currently clouded by skepticism, the HealthData Exchange platform automates integrations in a manner that exceeds industry standards.

NetDirector CEO Harry Beisswenger puts the technology in perspective: “It’s important for us to aid healthcare providers and vendors in reaching meaningful use benchmarks because we know that ultimately impacts the level of patient care.”

For more information, please contact us or request a free demo.

How Technology Can Aid the Opioid Crisis in America

More than 52,000 Americans died of drug overdoses in 2015 (up from about 47,000 the prior year). Among those fatalities, 63 percent were linked to opioids. The Centers for Disease Control and Prevention (CDC) reports sharp increases in deaths across many states involving heroin and synthetic opioids (largely, illicitly manufactured fentanyl) in what the agency describes as an ongoing epidemic requiring “intense attention and action.”

At the same time, prescription opioids are being misused in nonmedical ways that carry their own dangers and raise significant risk for subsequent heroin use.

CDC calls for a multifaceted response including prevention programs as well as enhanced access to treatment and harm-reduction services, while law enforcement focuses on reducing illegal opioid supply lines.

Technology plays an integral role, too — for example, streamlining access to and use of prescription drug-monitoring programs and analyzing public health data to deepen knowledge of overdose demographics.

What the numbers say

Researchers at health IT firm athenahealth studied records of more than 2 million patient visits and 500,000 opioid prescriptions written each quarter from 2014 through 2016. The analysis revealed that primary care providers write 50 percent of opioid prescriptions — far and away the most by physician type.  However, the share of primary care patients with an opioid prescription decreased from 10.6 percent at the beginning of 2014 to 9.1 percent at the end of 2016. The study also found the dosage strength of opioid prescriptions to be dropping, while the duration of prescriptions remained steady at about 23 days. According to the sample, patients over the age of 46 receive the largest share of opioid prescriptions.

A separate study conducted by the CDC, the Food and Drug Administration and the National Highway Traffic Safety Administration assessed trends and factors contributing to multiple naloxone administrations (NMAs), which are used by first responders to treat overdose patients. (Naloxone helps restore patient breathing and prevents respiratory arrest.) Tracing the MNA data enables researchers to identify when and where high-potency opioids have been introduced into a community. The findings: Significantly higher-than-expected MNAs were reported in the West, Northeast, and Midwest Census regions. “Local-level public health officials have used EMS data to create hot-spot maps of opioid overdoses and those maps are shared with program officials managing opioid overdose prevention programs,” the report states.

Automating treatment

Another key part of battling the scourge of opioid abuse is aligning recovering patients with proper medical treatment. NetDirector recently applied its integration services expertise in partnership with Addiction Care 101 (A101), which offers a platform for opioid users to anonymously go through treatment and recovery without notification of family members or employers.

NetDirector’s integration platform gives A101 the ability to accurately monitor patients’ compliance and ensure that they are not seeking drugs outside their treatment program. A101 drug counselors receive immediate alerts on out-of-compliance patients as indicated by lab testing partners within its network.

The behind-the-scenes technology integrates multiple network labs with practitioners and counselors. It supplies timely, actionable information while freeing caregivers from system-level concerns so they can concentrate on delivering needed care.

Learn more about NetDirector’s cloud-based data and document exchange solution here or request a free demo.

Midyear Healthcare and Technology Progress Report

High availability, interoperability, and utility in population health management all figured prominently in an early 2017 forecast of areas where healthcare CIOs expect information technology (IT) to deliver significant impact for their organizations.

Here’s a look at how things are shaping up at the year’s midpoint.

Systems availability

While natural disasters or cyber-attacks can knock out — or lock out — critical IT systems without warning, healthcare entities still need to prepare for such events. In fact, the HIPAA Security Rule requires health care covered entities to have a contingency plan for responding to unavailability of electronic health information systems.

The Department of Health and Human Services’ Inspector General reported last year in a survey of 400 hospitals that about two-thirds have contingency plans addressing data backup, disaster recovery, emergency mode operations and testing/ revision procedures. Nonetheless, over half of the surveyed hospitals confirmed an unplanned disruption to their electronic health record (EHR) system, and about a quarter of those experienced delays in patient care as a result.

So far this year, EHR outages continue to make headlines:

  • An April 2017 poll, conducted by online physician community Sermo, found that 55 percent of 1,678 responding U.S. doctors had experienced an EHR outage or malfunction that jeopardized the health or safety of a patient.
  • Also in April, Erie County Medical Center and an associated long-term care facility experienced a system-wide shutdown attributed to a ransomware attack. The hospital’s backup process prevented loss of any patient records or financial data, but its EHR was taken offline for six weeks, during which time activities such as patient admissions and prescription writing had to be handled manually.
  • In a separate incident at the end of February, an ophthalmology-specific EHR experienced “technical difficulties” due to outages of Amazon’s S3 cloud-based hosting service.

Data center and cloud services provider Peak 10 recommends that healthcare entities not only review their IT privacy and security policies and procedures but also insist that their service level agreements with technology providers specify agreed-upon security objectives and how compliance will be ensured.

Interoperability

In late March, the Office of the National Coordinator for Health IT (ONC) shared several examples of what it described as “interoperability in action from coast to coast.” Among the programs ONC showcased:

  • An app that imports patient data — including personal and medical device data, remote monitoring and reminders — into a comprehensive family health dashboard.
  • A solution that allows clinicians to create customizable push notifications that can be tailored to individual patients or groups.
  • A smartphone app that allows patients to grant or revoke permission for providers to access, send or receive health information electronically.
  • A secure system for users to seamlessly store and share data with trusted care professionals.

Additional projects outside of ONC’s purview are taking aim at other aspects of interoperability. In April, Ascension Health, Cedars-Sinai Health System and Hospital Corporation of America opened the Center for Medical Interoperability. The lab will provide resources for researchers to test data-sharing connections for medical devices and EHRs. In February, the Personal Connected Health Alliance agreed to partner with the Integrating the Healthcare Enterprise initiative in efforts to improve health data exchange through conformity testing and certification with a focus on standards-based, open specifications.

Population health

No single type of data serves as a comprehensive source of information for population health management. For example, claims data includes patient demographics, diagnosis codes, and dates and costs of services; however, the information is retrospective and limited to just billable aspects of care, explains a recent HealthITAnalytics report. Likewise, EHR systems provide clinical details but often contain unstructured, free-text descriptions that are difficult to extract and analyze.

Still, healthcare organizations continue to press forward with population health initiatives. Vanderbilt University just released a report card — the first of its kind in the nation — intended to guide the planning, implementation, and evaluation of programs and policies to improve men’s health across the entire state of Tennessee. It identifies heart disease and cancer as the leading causes of death in the state and reveals a deficit in men having a personal health provider. Meanwhile, Stanford University’s Center for Population Health Sciences has awarded $275,000 in pilot grants to fund studies seeking to improve population and community health, including a mobile surveillance system that will map autism and gaps in treatment services.

Efforts such as these will help drive discovery of what works in real-world practice of population health management. “As an industry, we can increase the socialization of toolkits and case studies so that healthcare organizations can more clearly define all aspects of population health management model design,” observes Jennifer Rogers, an analyst at Chilmark Research. She adds that optimal IT deployment will speed up gains in value for current and future adopters of population health models.

Availability, interoperability, and population health projects face a balance of challenges and opportunities as we enter the second half of 2017. NetDirector continues to innovate with cloud-based, foundational integration solutions that will help healthcare organizations seamlessly handle the electronic exchange of information in each of these areas within their respective ecosystems. For more information, please contact us or request a free demo.

Addiction Care 101 Partners with NetDirector to Automate Key Pieces of the Opioid Addiction Recovery Process

Tampa, FL – June 13, 2017 – NetDirector, a cloud-based data exchange and integration platform, continues to solidify their presence in the healthcare industry as a leading provider of integration services. Most recently, NetDirector has partnered with Addiction Care 101 to aid in the delivery of treatment for the growing opioid crisis around the country.

Addiction Care 101 (A101) is a cloud-based software platform that assists doctors in performing Medication-Assisted Treatment (MAT) for people with prescription opioid and heroin use disorders. Medications (such as Suboxone) are used to prevent the patient from experiencing opioid withdrawal while they receive the necessary treatment, provided via telemedicine by their network of doctors and therapists to assist their recovery.

The software is based on a proven, successful model delivered on a solid platform of risk management and compliance to physicians and patients. The A101 platform allows for users to anonymously go through treatment and recovery without requiring family or employers to know. Technology including telemedicine and e-prescribing allows members (assisted by the network of doctors, drug counselors, and the A101 team) to pursue sobriety without having to worry about being seen in an addiction care facility.

Laurie Peregoy JD, Director of Program Compliance, states that “NetDirector’s cutting edge integration technology allows A101 to more accurately monitor their member’s compliance. Specifically, the ease in which we are able to routinely access the Controlled Substance Database using their automated process gives A101 the critical assurance that members are not seeking drugs beyond their treatment program.”

By providing an automated integration to Controlled Substance Databases, NetDirector helps prevent “medication farming” – a major contributor to the abuse of opioid recovery drugs that has hindered the opioid rehabilitation efforts in the past.

William Beasley, one of A101’s network of Drug Counselors, further stated “NetDirector’s bidirectional integration with our lab testing partners makes my job of treating my patients more thorough due to immediate alerts to both myself and my patient if the results expose compliance or other potentially life-threatening outcomes.”

By integrating with labs via a cloud-based, one-to-many style integration, NetDirector allows the practitioners and counselors that are part of the A101 network to stay informed and to expand their ability to treat opioid addiction disorders in recovery patients with greater accuracy. The compliance gains noted by A101 are a key benefit to the integration, as well, so that the program can continue to function while maintaining the highest levels of transparency and discretion when needed.

Company Bio:

NetDirector provides a secure cloud-based data and document exchange solution for the healthcare and mortgage banking industries to deliver seamless data integration between parties. NetDirector bridges gaps created by disparate systems & technologies by allowing companies at any location to share data & documents securely over a single internet connection with any other member of the ecosystem. Our approach allows trading partners to collaborate and exchange data in a seamless, bi-directional, real-time manner. With security and longevity as a focus, NetDirector is a certified HIPAA Compliant company, a 6-year member of the prominent Inc. 5000, and currently processes more than 9 million transactions per month.

When a Health IT Rollout Runs Off the Rails

If ever a large-scale health IT project needed a reboot, it was the rollout of Healthcare.gov. Fortunately, it got one — in the form of an emergency, behind-the-scenes “tech surge” assembled to salvage the government’s new health insurance portal after a halting launch.

To recap, only six people completed the online enrollment process on Oct. 1, 2013, the day Healthcare.gov officially opened for business, according to notes from war room meetings at the Center for Medicare and Medicaid Services (CMS), the agency charged with implementing the site. Things didn’t improve much the next two days, with a cumulative total of 248 enrollments successfully submitted and at times up to 40,000 consumers stuck in a waiting stage.

Malfunctions crashed Healthcare.gov twice more the last week of October, the second time while Kathleen Sebelius, Secretary of Health and Human Services (HHS), the parent department of CMS, was testifying before Congress about the website’s problems.

Administration officials advised consumers who experienced trouble with the online process to apply by phone — or even mail in a hard copy form.

President Obama called it a “well-documented disaster” and pundits had a field day.

“Only the government could come up with a website that’s slower than sending something by mail.” — Jay Leno

“If you are in need of healthcare, you have two choices: You can wait for them to get the site fixed, or you can enroll in medical school, graduate, and then just take care of yourself.” — Jimmy Kimmel

“People are getting a busy signal when they try to apply over the phone. You can’t use the Internet and you can’t use the phone. So now fax machines are like, ‘Look who’s come crawling back!’” — Jimmy Fallon

To its credit, the administration retooled and relaunched the site by December 2013 and hit its stated goal of signing up 7 million people by the end of the first quarter of 2014. Nonetheless, substantial damage had already been done. Hundreds of millions of dollars had been spent, and by April 2014 Sebelius had resigned after taking ultimate responsibility for the launch debacle.

What went wrong

In retrospect, the management and technical problems that plagued Healthcare.gov throughout its development seem fairly apparent.

A February 2016 report issued by HHS’ Office of the Inspector General stated that the most critical misstep made by the project team leading up to launch was “absence of clear leadership, which caused delays in decision-making, lack of clarity in project tasks and the inability of CMS to recognize the magnitude of problems as the project deteriorated.” Other contributing factors included devoting too much time to policy issues rather than to actual site development, poor technical decisions and improper management of the key development contract. The report also criticized CMS’ organizational structure and culture, which hampered coordination, pushed back against warnings of “bad news” and failed to alter plans in the face of problems.

The Government Accountability Office (GAO), in a separate analysis, pointed out CMS shortcomings in the areas of capacity planning for the site, as well as failure to correct software coding errors and implement full functionality prior to launch. Additionally, GAO said, “Healthcare.gov and its supporting systems were not fully tested prior to launch, and test documentation was missing key elements such as criteria for determining whether a system passed a test.”

A CIO retrospective summarized the project’s faults and how the fiasco could have been prevented: “Healthcare.gov was a single, Big Bang rollout that couldn’t be stopped.” The huge undertaking should have been tracked forward in incremental stages, with early and complete testing, and a more flexible scope to find areas of risk before they unexpectedly appeared.

Not a singular instance

Despite all the negative fallout, perhaps we shouldn’t be surprised with Healthcare.gov’s early-phase stumbles. Standish Group, an advisory firm focusing on software project performance, studied 3,555 projects from 2003 through 2012 that had labor costs of at least $10 million.

The takeaway: Only about 6 percent were deemed successful. A majority, 52 percent were “challenged” — meaning over budget, behind schedule or failed to meet user expectations. The rest, about 42 percent, were either scrapped or started anew from scratch.

Further research, from Forrester Consulting, shows that less than 40 percent of IT executives believe their internal IT organizations can regularly deliver projects on time and within budget, due in large part to continually changing user requirements and overburdened departmental resources.

In general commercial environments, such a low success rate may be accepted as a “cost of doing business,” and the worst outcome could be scope creep or project delays. In healthcare, the stakes are higher, with patient lives potentially on the line when IT systems don’t work or aren’t available when needed. That’s why many healthcare entities are looking for trusted third-party help in gaining control over their interconnected systems and expanding ecosystems.

NetDirector has been around for almost 15 years, offering cloud-based services that are now considered a staple solution for data integration in healthcare and other industries. Learn more about the HealthData Exchange platform here or request a free demo.

NetDirector Enables Next-Generation Integration in Radiology with American Health Imaging

Tampa, FL – May 24, 2017 – NetDirector, a cloud-based data exchange and integration platform, has engaged in a rapid expansion strategy in the healthcare industry over the last few years. Recently, the Integration-Platform-as-a-Service (iPaaS) has completed implementation with American Health Imaging, a regional network of radiology providers across multiple states, to provide increased accessibility and data utility in their company.

American Health Imaging (AHI) began providing diagnostic imaging services in Decatur, Georgia, in 1998, and has since expanded to 21 locations. In each area, they distinguished themselves by providing excellent customer service and high quality diagnostic imaging for their patients and referring physicians. By partnering with NetDirector to provide cloud-based integration services, it is the goal of AHI to create an automation platform that will increase overall customer satisfaction through streamlined processes and to create internal manpower savings through enhancing their ability to scale the business without having to add staff.

“We want to provide the best possible patient care, to the maximum number of patients, while minimizing the need for human intervention in the process,” said Dan Balentine, Chief Operating Officer at AHI. “By utilizing the NetDirector integration, it has allowed us to take our staff’s focus off of the day to day busywork, and shift focus to providing unmatched patient care.”

With traditional integrations, a company like AHI could be paying upwards of $20,000 plus an 18% annual maintenance fee for each vendor that would be integrated with AHI’s EMR and other in-house systems. For AHI, this was clearly not the optimum solution. Several vendors might not have the volume of transactions to justify the integration cost, creating a system built around the exception and not the constant. NetDirector’s one-to-many integration approach allowed AHI to integrate once with NetDirector, and use that single integration to connect to the entire hub of HealthData Exchange participants.

Three main technologies formed the backbone of the AHI-NetDirector integration – HealthLogix, Exchange EDI, and IntScripts.

HealthLogix Integration – Patient Check-In, Appointment Confirmation, Patient Billing

AHI utilizes a patient engagement platform called HealthLogix to help follow up with patients after exams or appointments, confirm scheduling, prompt for surveys, create a seamless check-in process, and more. The cloud-based integration model helped AHI bring this information directly into their Fuji Radiology Information System (RIS) and patient billing databases, to keep patient records current and to leverage the data they were collecting most efficiently, and allowed the utilization of HealthLogix’s full functionality such as automating check-in procedures at a digital kiosk, and more.

Exchange EDI Integration – Insurance Coverage Confirmation & Verification

Additionally, in a time where high-deductible insurance policies are increasingly commonplace, insurance confirmation simply isn’t enough information. AHI utilized NetDirector to connect with Exchange EDI, which not only confirms the participation in an insurance policy or group but analyzes policy levels and remaining deductibles. This allows patients and providers alike to understand the patient’s responsibility up front – the transparency provided by this data allows for accurate collection of copays during visits, reduced collection costs down the line, and overall reduced revenue leakage for providers.

IntScripts Integration – Physician Referrals and Radiology Communication Integration

Finally, it was critical to make the ordering process for their referring physician population as simple as possible, so an integration was performed with IntScripts, which provided the ability to directly receive orders from the referrer’s EHR and have the results automatically dropped right into the patient’s chart.  This automation eliminates the traditional manual processes that were previously encountered by both AHI and referring physicians.

For patients, the NetDirector integration platform provides not only an elevated level of understanding of their coverage and responsibility through stronger integration between provider and vendor, but also makes life easier for their primary care doctor or other referring physician to communicate and refer patients. This increases the likelihood of single-service care, as primary care physicians are more likely to refer patients as needed, and patients can trust they are receiving the right treatment for them.

“The integration that we have created for American Health Imaging is a model case for the value of cloud-based integration in healthcare,” said Harry Beisswenger, NetDirector CEO. “When we set out to enter the healthcare industry, our primary goals were to reduce costs for providers, increase potential care level provided to patients, and create an environment of data transparency and communication. AHI’s integration has accomplished all of this and more.”

Company Bio:

NetDirector provides a secure cloud-based data and document exchange solution for the healthcare and mortgage banking industries to deliver seamless data integration between parties. NetDirector bridges gaps created by disparate systems & technologies by allowing companies at any location to share data & documents securely over a single internet connection with any other member of the ecosystem. Our approach allows trading partners to collaborate and exchange data in a seamless, bi-directional, real-time manner. With security and longevity as a focus, NetDirector is a certified HIPAA Compliant company, a 6-year member of the prominent Inc. 5000, and currently processes more than 8 million transactions per month.

Healthcare Innovation: New Threats, New Technology

On the heels of the May 12 WannaCry malware attack that infected more than 300,000 computers in at least 150 countries — the largest hack in nearly a decade — investigators continue to evaluate what happened while victims assess the resulting damage.

The exploit emerged as ransomware, which encrypted files stored in unprotected computers and effectively held them hostage to demands for money in exchange for decryption.

“The suspected syndicated attack is … using a particularly nasty form of malware that can move through a corporate network from a single entry point,” noted Simon Crosby, chief technology officer of cybersecurity firm Bromium. He added that healthcare organizations, governments, police and fire departments and military organizations are “massively vulnerable.

The outbreak started in Europe and in one of the most significant impact zones affected about 20 percent of the United Kingdom’s publicly funded National Health Service. Routine surgeries and outpatient appointments were canceled, while seven hospitals had to divert emergency patients due to disruptions, BBC reported, although media accounts said patient data had not been accessed.

WannaCry manipulated flaws in Microsoft’s Windows operating system that had not been updated by many of the targets. While analysts believe elements of the malicious software had been leaked by a hacking group from a trove of cyber-attack tools held by the U.S. National Security Agency (NSA), Microsoft reportedly was aware of the Windows weakness and had issued a free fix on March 14.

“Say what you want to say about the NSA or disclosure process, but this is one in which what’s broken is the system by which we fix,” commented Zeynep Tufeki, a professor at the University of North Carolina.

Hackers target healthcare

The 2017 Healthcare Breach Report, compiled by data protection firm Bitglass from U.S. Department of Health and Human Services records, reveals that 328 U.S. healthcare organizations disclosed data breaches in 2016, up from 268 the prior year. All five of the largest breaches were the result of hacking and IT incidents in 2016, according to the report. What’s more, network servers were almost always the targets for hacking-related breaches.

Robert Herjavec, CEO of a global information security company (but perhaps more widely known as one of the venture capitalist investors on the television show Shark Tank), recently told Healthcare IT News that the industry needs to prioritize a proactive approach to security.

Herjavec emphasized that providers are vulnerable to hacks in part because they are highly dependent on information systems, but it is difficult to keep them up-to-date and refreshed with current security patches. He added that large projects “can take years, and security considerations and proactive protection often fall by the wayside during these transitions.”

In general terms, he recommends increased use of account access management tools while restricting access to HIM systems to the greatest extent possible. Additionally, as shown in the WannaCry incident, operating systems must be updated regularly and endpoints patched aggressively — all while staff and clinicians receive training on cybersecurity risks and challenges.

NetDirector recognizes that unknowns in cybersecurity will always create gaps between emerging exploits and preventive measures. That’s all the more reason for the company to stay ahead of the curve in its technology development. With its HealthData Exchange platform, for example, clinical and financial data move electronically among disparate systems via a cloud-based solution that fully complies with HIPAA and SOC2 standards. NetDirector securely processes over 10 million data and document transactions per month for its healthcare clients.

For more information, please contact us or request a free demo.

NetDirector Launches Powerful Integration with Equator® for Orders and Deliverables

Tampa, FL – May 9, 2017 – NetDirector, a cloud-based data exchange and integration platform, has spent several months working alongside Equator, the leading provider of default software solutions for servicers, real estate agents, vendors and other mortgage and real estate industry professionals. The work has yielded a powerful zero-footprint integration option for default servicing firms utilizing Equator.

Equator’s infrastructure software as a service (iSaaS) solutions include EQ Workstation®, EQ Marketplace®, Midsource™ and EQAgent®/EQVendor® portals, which can be used a la carte or as an end-to-end solution. Equator’s REO, short sale and loss mitigation modules processed over $21 billion in transactions in 2015, and have processed more than $315 billion in transactions since its inception. Currently, 4 of the top 5 U.S servicers and the largest holder of real estate are on the Equator platform. With such a high volume of mortgage banking transactions taking place with Equator, it was an easy next step for NetDirector to develop the one-to-many style integration that has fueled their integration platform-as-a-service (iPaaS) business model tailored to the Equator platform.

“NetDirector has worked very closely with us to not only develop, but to thoroughly test this powerful integration suite for default servicing attorneys,” said James N. Vinci, Chief Technology Officer of the Equator business. “We’re excited to collaborate with them, and we believe this collaboration will generate serious efficiency for attorney firms utilizing Equator.”

The initial integration launch includes “Orders” and “Deliverables”, which resemble the referrals and events that are utilized by other industry standard software interfaces in the default servicing sphere. The “Deliverables” also allow for certain documents to be uploaded and other transactions and processes are on the table for future development. Automating these transactions through a cloud-based integration platform provides increases to efficiency through reduced data entry and automated processes. It also significantly reduces the labor stresses of developing and maintaining the integration internally at the attorney’s cost.

“Our ecosystem continues to expand with yet another powerhouse in the industry as we welcome Equator as a new participant,” said Harry Beisswenger, NetDirector CEO. “Our goal is to provide the integrations to default servicing firms that offer the most value, and there has been a major demand for this service. We look forward to the prospect of further data and document integration with the Equator platform in the future.”

Company Bio:

NetDirector provides a secure cloud-based data and document exchange solution for the healthcare and mortgage banking industries to deliver seamless data integration between parties. NetDirector bridges gaps created by disparate systems & technologies by allowing companies at any location to share data & documents securely over a single internet connection with any other member of the ecosystem. Our approach allows trading partners to collaborate and exchange data in a seamless, bi-directional, real-time manner. With security and longevity as a focus, NetDirector is a certified SOC 2 Type II Compliant company, a 6-year member of the prominent Inc. 5000, and currently, processes more than 8 million transactions per month.

Integration Can Power the Tools for Patient Engagement

Roughly 70 percent of health systems, hospitals and physician practices proactively work toward getting patients more involved in their own care, according to a 2016 NEJM Catalyst survey. However, considering the drive to implement and deliver value-based care, industry observers are wondering why that number isn’t closer to 100 percent.

“[We] need to engage patients outside the exam room with frequent, creative interactions that do not have to always include their physicians,” according to Kevin Volpp, MD, PhD, and Namita Mohta, MD, who analyzed the survey results.

Patient portals, secure email, online/mobile scheduling, patient-generated data and social networks lead the way among engagement initiatives currently being used at scale, according to respondents.

Nonetheless, portals in particular tend to be “systems of record, not systems of engagement,” observes analyst Brian Eastwood of Chilmark Research, a health IT advisory firm. Today’s portals aren’t optimized for value-based care or population health management because they’re geared toward the individual and don’t encourage behavior change, he adds.

Forward-looking solutions must be built on a broader engagement model that loops in coordinated community care teams and enables bi-directional information flow, Eastwood explains. “The point solutions that consumers use to access the healthcare system will get bigger,” he continues. “We need to try to connect to these solutions in some way — and integration is the best we can hope for.”

A pathway to future success

Design and usability will be the main drivers of behavior changes in patient engagement, predicts Sean Duffy, CEO of Omada Health, a tech-based company targeting diabetes care through analytically identified trends.

“It’s about fine-tuning and personalization, [which will spawn] an incredible wave of potential in the way we work to improve the health of the country,” Duffy tells FierceHealthcare. Optimizing the way patients interact with engagement technology is a core part of the process so that a wide range of individuals can be effectively served.

And there’s good reason to expect positive patient response to emerging engagement technology. CDW’s 2017 Patient Engagement Perspective Study finds 70 percent of patient respondents saying they’ve become more knowledgeable about their personal medical information because of online access. Half of the same sample said they’ve noticed increased engagement with their own healthcare.

At the same time, it’s essential to view patient engagement as a two-way street. To wit, 67 percent of providers surveyed by CDW consider patient engagement to be an important part of improving overall care and the top motivating factor in spurring their respective organizations into action.

Indeed, leading healthcare institutions such as Johns Hopkins Medicine are making sure employees understand patient data and know how to communicate it. That behavior is “becoming very ingrained in the way we do our work,” says chief patient experience officer Lisa Allen.

NetDirector’s HealthData Exchange platform supports such initiatives by electronically moving clinical and financial data among disparate systems — transparently mapping it to the correct format of the recipient. In this way, HealthData Exchange serves as an engine for integrating engagement technologies, increasing the likelihood of not only utilization, but also the accuracy of data circulating in multiple environments without human intervention.

For more information, please contact us or request a free demo.