Four Massachusetts hospitals investigating patients' files left at public dump

  When there are so many moving parts, just how secure is patient data?

Four Massachusetts community hospitals are investigating how thousands of patient health records, some containing Social Security numbers and sensitive medical diagnoses, ended up in a pile at a public dump.

The unshredded records included pathology reports with patients’ names, addresses, and results of breast, bone, and skin cancer tests, as well as the results of lab work following miscarriages. By law, medical records and documents containing personal identifying information must be disposed of in a way that protects privacy, and leaving them at a dump is probably illegal, privacy lawyers and hospital officials said. Violators face steep fines.

A Globe photographer discovered the records July 26 when he was dumping his trash at the Georgetown Transfer Station. When he got out of his car, he said, he saw a huge pile of paper about 20 feet wide by 20 feet long. Upset that the paper wasn’t being recycled, he looked more closely.

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House strikes gift ban in effort to boost business

Reversing course on a new law aimed at diminishing the influence on doctors of pharmaceutical and medical device companies, the House on Wednesday voted to strike the so-called gift ban law, which critics say has hurt commerce in the medical and restaurant industries.

An amendment to preserve the ban attracted 40 votes, with 108 against. The elimination of the gift ban was included in economic development legislation that cleared the House 145-4 and now needs to be reconciled with a Senate bill in a conference committee.

Critics of the ban said it was discouraging out-of-state interests from doing business in Massachusetts and said the ban had not led to demonstrable reductions in health-care costs. Supporters of the ban said the state had already heavily invested itself in implementing it and needed to give the law more time to work itself out. Ban supporters also said other states were pursuing similar bans and predicted the law could help reduce health-care costs and ensure that the interests of patients, not drug and device makers, are the top priority for physicians.

Speaking against the ban were Reps. Garrett Bradley, Brian Dempsey and Barry Finegold. Pushing to preserve the ban were Reps. Alice Wolf, Rut...

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Hospital CIOs confused over e-health records rollout standards

Eight out of 10 hospital CIOs recently surveyed by PricewaterhouseCoopers (PwC) said they're concerned they will not be able to demonstrate "meaningful use" of electronic health records (EHRs) -- and therefore won't qualify for federal reimbursements for rolling out the technology.

Ninety-four percent of CIOs in the survey released Tuesday said they are concerned they can't meet government requirements about how to report meaningful use of EHRs, and 92 percent are concerned about a lack of clarity in the criteria used by the government.

Last year, the American Recovery and Reinvestment Act (ARRA) set aside $36 billion to help hospitals and doctors purchase equipment to computerize patient medical records, but even the most sophisticated hospitals in the country are struggling to qualify for the payments, PwC's study indicated. Clinicians and hospitals that deploy the technology and prove that it meets a set of government "meaningful use" standards showing it's being effectively used can receive up to $44,000 per doctor in reimbursement funds b...

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Massachusetts shows it's a leader in Health IT

As Massachusetts gets ready to deploy federal and state funds to set up a health information exchange (HIE) to link electronic medical records across the state, companies are clamoring to be a part of the action.

“There is definitely a gold rush out there,” said Marshall Votta, director of government affairs at Cambridge-based NaviNet Inc. The company, which is best-known for providing billing and administrative services, is expanding to add clinical data exchange to its arsenal. The company has offered its Web portal free to each of the 50 states, and its business model relies on payment from insurers per transaction, not providers...

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...Massachusetts was awarded $11.5 million by the federal government to implement an HIE, but has not received the funds as of yet. The state must first file a completed plan for the HIE and officials at the state Executive Office of Health and Human Services (EOHHS) said that they expect to issue RFPs to potential vendors in 2011. The state also has $12 million in state funds that were part of an original appropriation of $25 million two years ago. Budget cuts reduced that figure to $15 million, and so far $3 million has been spent to set up the administrative entity charged with establishing the statewide HIE, called the Massachusetts e-Health Institute. The state has until now been part of a p...

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Two N.E. health-care IT firms land stimulus funding

Health-care information technology efforts have won a $220 million shot in the arm from the Department of Health and Human Services, and a pair of New England companies have carved out a combined $28.7 million of that stimulus money. Rhode Island Quality Institute in Providence, R.I., was awarded $15.9 million in American Recovery and Reinvestment Act funds, and Eastern Maine Healthcare Systems in Brewer, Maine, was given $12.75 million.

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