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August 31, 2011
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At a Glance |
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CHIME Notes |
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Welcome to the August edition of the CHIME healthcare IT executive newsletter.
This publication helps readers stay up-to-date on what is happening in the industry.
CHIME is the professional association for chief information officers and other senior
healthcare IT leaders. CHIME enables its members and business partners to collaborate;
exchange ideas; develop professionally; and advocate the effective use of information
management to improve the health and healthcare in the communities they serve. Read on
to find out what 1,400 healthcare CIOs already know, CHIME is the CIO’s voice in the industry.
Learn more.
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CHIME News |
It’s Not Too Late to Become a CHIME Member and Attend CHIME11
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The CHIME Fall CIO Forum always offers an incredible educational value for healthcare CIOs, including national
thought-leaders, peer-reviewed track sessions, CIO focus groups, peer-to-peer networking, and more. This year is no
exception. Only CHIME members are eligible to attend the premier educational event for CIOs – join CHIME today!
The CHIME11 Fall CIO Forum will be held October 25-28, 2011 in San Antonio, Texas at the JW Marriott Hill Country.
CHIME11 Keynote Speakers
Clayton Christensen Bio
Robert and Jane Cizik Professor of Business Administration at the Harvard Business School and best-selling author of The Innovator’s Dilemma and The Innovator’s Prescription
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The Honorable Michael O. Leavitt Bio
Founder and Chairman of Leavitt Partners, Former Administrator of the EPA and Secretary of Health and Human Services, and three-time elected Governor of Utah
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Craig Schiefelbein Bio
President and CEO of Paragon Development Systems, Inc., IT expert, and the best-selling author of Get Out of I.T. While You Can
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Sir Ken Robinson, PhD Bio
Creativity expert and best-selling author of The Element: How Finding Your Passion Changes Everything
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In addition to these exciting keynotes, CHIME11 also features 16 peer-reviewed, peer-presented educational track sessions.
| Thursday, October 27, 2011 |
| 4 Educational Topics * 4 Sessions Each |
| Attendees can earn CEUs for The CHCIO Program by attending Track Sessions during CHIME11. Attendance at each track session earns 1 CEU. |
| Strategy and Leadership |
Organizational Performance Improvement |
Business and Care Transformation |
Emerging Issues in Healthcare and Health Information Technology |
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CHIME Partners with New Jersey & Delaware Valley HIMSS Chapters to Offer CHCIO Exam
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 CHIME is pleased to announce that the Certified Healthcare CIO Examination will be offered during the New Jersey-Delaware Valley HIMSS Fall Conference on Wednesday, September 21.
The conference will be held at Caesars Atlantic City in Atlantic City, NJ, September 21 - 23. All CHIME members and Affiliates are eligible to take the CHCIO exam and do not have to be current members of the New Jersey or Delaware Valley HIMSS Chapters.
“I strongly encourage our members in the New Jersey and Delaware area to take advantage of this opportunity and raise the bar professionally,” said 2011 CHCIO Program Chair Gary Barnes, FCHIME, CHCIO, CIO at Medical Center Health System. “I would also like to express my appreciation to the New Jersey and Delaware Valley HIMSS Chapters for recognizing the budding influence that the CHIME CHCIO designation is having in our industry.”
CHCIO registration is $395, which includes the CHCIO Program application fee and the cost of the exam. CHIME members and Affiliates that register for the exam (who are not New Jersey or Delaware Valley HIMSS members) are also eligible to register and participate in the conference.
Conference cost for non-New Jersey or Delaware Valley HIMSS members is $300. Click here to view the agenda.
To register now, visit this link. Registration will be handled by the Delaware Valley HIMSS Chapter; however members with additional questions should contact the CHIME Certification Team at chcio@cio-chime.org.
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CHIME Seeks Modifications to Proposed HIPAA Privacy Rule Requirements
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 Recommended changes to HIPAA establish standards that would be difficult for providers to meet and should be scaled back, according CHIME.
In a comment letter filed July 21 on the proposed HIPAA Privacy Rule concerning the accounting of disclosures and access reports requirements, CHIME told the HHS Office for Civil Rights the rules rely too much on technical capabilities that are not widely available and fail to acknowledge the amount of human intervention that will be necessary to achieve compliance.
In particular, a provision of the 2002 HIPAA Privacy Rule says that covered entities are responsible for protected health information (PHI) contained within a designated record set, or DRS, and the current proposed rule would extend that requirement to include a new right to a consolidated access report.
“CHIME believes the concept of DRSs remain too broadly defined and too variable in today’s health IT environment,” the comment letter noted. “Moreover, the ability to aggregate hundreds or even thousands of access events in any automated fashion is not realistic for most covered entities.”
For these and other reasons, CHIME is urging rule-makers not to include access report requirements into the final rule. Should access reports in the new rules be incorporated, CHIME believes that only data gathered through certified EHRs, not the full array of designated record sets, should be expected to populate such reports.
“CHIME is extremely concerned about the entire concept of access reports,” said Pam McNutt, Senior vice president and chief information officer at Dallas-based Methodist Health System and chair of CHIME’s Policy Steering Committee. “We believe the access logs, report filters, and other technical specifications needed to generate an access report would be inconsistent or nonexistent across many clinical data sources that might be considered part of a DRS.”
The HHS Office for Civil Rights published the notice for proposed rulemaking (NPRM) on May 31 and plans to publish the final rule later this year. For accounting of disclosures, the NPRM addressed a statutory requirement under the Health Information Technology for Economic and Clinical Health (HITECH) Act to extend requirements to electronic health records.
CHIME supports a number of changes in the proposed accounting of disclosures rule, especially in areas where the rule clarifies and simplifies compliance requirements. For instance, the NPRM would limit the types of disclosures subject to the accounting requirement, rather than the current practice of listing exemptions to the requirement. But the organization states that rule-makers need to extend implementation and production timelines.
“Generating an accounting of disclosures is today largely a manual process for most covered entities, and we believe it will remain so for some time to come,” the comment letter notes. “Producing limited or customized reports of the kind described in this NPRM could be difficult and time-consuming.”
CHIME also suggests that the current 60-day timeline for responding to accounting of disclosure requests be retained, not shortened to 30 days as suggested by the proposed rule.
Access reports would detail who has accessed individual’s protected health information to enable individuals to learn if specific persons have accessed information from their records. Because these access reports would not differentiate between uses of that information for care delivery and disclosures of the information, many legitimate access events could occur across clinical systems that fall outside certified EHRs, complicating any requirement to deliver a consolidate report or allowing for customized views.
“The proposed rule seems to overestimate the technical capabilities currently available for producing a consolidated access report,” said George “Buddy” Hickman FCHIME, executive vice president and chief information officer at Albany (N.Y.) Medical Center. “To aggregate information for an access report, both across the covered entity and incorporating information from business associates, would require the purchase of new and expensive software tools, additional data storage and multiple FTEs dedicated to pulling and consolidating logs from disparate systems.”
In addition to CHIME’s overall concerns with access reports, the letter also voiced concern about releasing the names of staff members who have accessed a patient’s information. “With access reports, disclosing every name has the potential to expose employees to unnecessary scrutiny or other negative consequences. This could be viewed as a violation of employee rights.”
As an alternative, CHIME recommends that patients seeking information about past access to their protected information provide a covered entity with specific names of those who may have inappropriately accessed their information.
A copy of CHIME’s comments on the proposed HIPAA Privacy Rule can be accessed here.
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CHIME Education Programs |
CHIME Assists ACPE with New HIT Certificate
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A new certificate program from the American College of Physician Executives (ACPE) has been developed to help healthcare leaders gain the needed knowledge and skills to effectively lead healthcare IT changes.
Assisting with the program’s course development was CHIME, who served as a key partner in the ACPE’s Health IT Leadership Certificate Program, among Carnegie Mellon, AMIA and Dearborn Advisors.
CHIME members Tim Stettheimer, PhD, FCHIME, CHCIO, Sr. Vice President and Regional CIO at St. Vincent's Health System, and Russ Branzell, FCHIME, CHCIO, Vice President and CIO at Poudre Valley Health System, created and taught the course, entitled, “The CMO-CIO Partnership.” Poudre Valley Health System‘s Chief Medical Officer, William Neff, MD, also participated in the course lesson, which examines the current business case for IT in healthcare and the complementary roles of the CIO and the CMO.
For a limited-time, CHIME members may preview the first certificate course of the program, “Informatics and Meaningful Use of Electronic Health Records,” at www.acpe.org/HITM.
The certificate requires 40 course hours and concludes with a two-day Health IT Certificate Capstone program at an ACPE Fall Institute. During the Capstone program, students will present the results of an IT project of their choice completed within their organizations.
All certificate courses are offered online through ACPE's InterAct Express distance education, and can be completed at one’s own pace.
For more information, visit www.acpe.org/HITM or contact Avery Bredice at ACPE at abredice@acpe.org.
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CHIME Releases New Form of the CHCIO Examination
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 One of the primary goals of the CHCIO Program is to identify current and future leaders in the healthcare CIO role. In order to achieve this, it is necessary to ensure that the examination reflects the most current challenges a CIO is likely to face in his or her daily tasks.
The healthcare IT industry has changed dramatically since 2009 with the introduction of ARRA, rules related to meaningful use, as well as changes to HIPAA regulations and the ICD-10 conversion.
In order to maintain the integrity and relevancy of the CHCIO Exam, CHIME CIO subject matter experts convened for an item development meeting in June to review updates to the next version of the exam and discuss emerging issues and topics in the industry.
Beginning this October, CHIME members and Affiliates will take the second version of the CHCIO Exam that has been updated to be more inclusive of these emerging issues.
In addition to making changes to the content of the questions, the new version will start incorporating changes to the format. Based on feedback from CHCIOs who passed the first form of the exam, candidates found that scenario-based questions were a more valuable way to test candidates on real-world situations. As such, the second version of the exam will include one more scenario and fewer stand-alone multiple choice items. As newer versions of the CHCIO Exam are released, CHIME will continue to introduce more scenarios while reducing the number of individual multiple choice questions.
For more information about the CHCIO Program, visit www.cio-chime.org/CHCIO.
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CHIME Member Exclusive Benefits |
Career Resource Center offers CIO Job Postings & Relevant Career Advice
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The Career Resource Center (CRC) was designed to provide CIOs with meaningful career-related tools, including recent job postings, an area to post your resume, and provide relevant career advice.
CIO Job Postings
One of the benefits of being a CHIME member is that executive search firms and hospital systems look to CHIME in order to identify qualified candidates for open CIO positions across the country. This past week, CHIME distributed five CIO job postings to members.
Sample Job posting distributed last week
Position: Chief Information Officer
Organization: Confidential
Location: Michigan
Position
In conjunction with leadership, work effectively on the organization's strategic planning process. In depth understanding of the industry / market critically important; Instrumental in budget planning, delivering the business value required, meeting business and financial objectives, and ensuring budget policies and procedures are followed; Identify the key strategic IT implications and opportunities resulting from major corporate strategies and change initiatives. Create / lead the direction technology must take to support the business.
Must be able to anticipate business needs in order to develop effective IT strategies, lead the development of effective networks of internal and external customers,
suppliers, the technical community, vendors, and consultants, and identify opportunities to enhance the business performance of the health system. This position may require significant organization and/or process redesign.
Effectively motivate the local IT organization. Possess a broad knowledge of all technical areas including development, operations, infrastructure, disaster recovery, contingency planning, and security. Effectively manage the overall direction of all IT staff (approximately 75). Work to enhance/expand leverage of resources across region/local teams.
Qualifications
Ideal candidates will have 15+ years in a IT leadership role within healthcare/ including prior CIO; Experience in a multi-layered, matrixed environment; Demonstrated large project implementation and governance experience in clinical systems; Previous experience managing a large budget; $40M or larger; Experience in collaborating with clinical and physician leadership; ability to demonstrate IT and clinical transformation partnerships; Strong communication skills-verbal and written; CPOE program management or oversight responsibilities; ARRA meaningful use understanding and planning experience; and HIE experience.
Career-Advice Column for CIOs
To assist in the professional growth and development of today’s healthcare CIOs and IT executives, CHIME has teamed up with experienced recruiters to provide our members with meaningful, career-related guidance.
In collaboration with experts from Kirby Partners, Witt/Kieffer and DIVURGENT, CHIME features a series of monthly columns tailored specifically for our members. These editorials provide expert advice to CIOs on a variety of occupational-related issues, including career evaluation, advancement, reporting challenges, networking, resume writing, interview techniques, salary negotiation, and job search tips.
The Career Resource Center is just one of the many benefits of CHIME membership. To find out more, join today at www.cio-chime.org/joinCHIME.
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