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Top News

A federal grand jury indicts a foreign suspect for using employee information obtained in the 2014 hacking of UPMC’s computer systems to file 900 fraudulent federal tax returns that netted a group of conspirators $1.5 million.


Reader Comments

From FM: “Re: Brian Weiss’s article. Great article, Brian. The ‘HIE of one’ is the most simple, and most disruptive, way to achieve interoperability, and all enabled by simple technical building blocks (Direct, C-CDA) plus our inalienable civil rights. All we have to do now is ask. #GetMyHealthData.” I’m doing my own HIE of one, as you’ll read in the next paragraph. I invite readers to do the same and report their results. We keep talking about information blocking, so let’s name names in trying to wrest an electronically transmitted C-CDA from providers who have eagerly lapped from the Meaningful Use trough and therefore should be able to provide one.


HIStalk Announcements and Requests

I am accepting Brian Weiss’s suggestion that we all become Open Provider Authorized Testing Bodies in requesting an electronic copy of my discharge summary from my one and only hospital admission, which lasted less than a day. It’s an EMRAM Stage 7, Epic-using, MU2-attesting medical center that should be able to send a C-CDA to my newly created Direct address (via Carebox, signup for which took 10 seconds). I suspect clashes with a clueless bureaucracy are in my future as I’ve already had to print a confusing HIM-centric paper form, fill it out (minus my medical record number, since it’s ridiculous that they expect patients to know that), and fax it back (using a free Internet fax service since I don’t even have a landline, much less a fax machine). I’ll be interested to see how they verify my identity and respond to my request for an electronic copy, which could be either easier or harder since they use an outsourced release of information company. The form didn’t even ask what method of delivery I preferred, so if it weren’t for the fact that they’ll probably call up wanting a per-page fee paid before sending me my records, I would probably get a package of paper in the mail by default.

Speaking of Brian’s article, I’ll offer a counterpoint to his suggestion that getting a copy of your own C-CDA means the sender’s EHR is open. That’s a great start, but it doesn’t do a whole lot for interoperability with other providers. It’s annoying for health systems and practices to send out C-CDAs to patients, but it’s downright threatening for them to open up their full patient information to competitors, which is what you would want as the subject of the overused “unconscious in the ED” scenario.

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Poll respondents are split as to whether the EXTREME criteria adequately define open, Read more from originating source…