University Hospitals in Cleveland transitioned to a new EHR system, Epic, after determining that their previous systems, including Allscripts and Cerner, were unsustainable. The decision was made about five years ago, with a focus on avoiding market pressure-driven changes. To support the $400 million investment, CIO Robert Eardley and former CFO Michael Szubski presented a business case to the board that highlighted potential financial benefits of around $120 million and projected payback periods of 2.5 to 4.9 years. The planning phase began in early 2020, involving evaluations of the major EHR vendors and a detailed analysis encompassing 15 benefit categories.

University Hospitals Transitions to Epic EHR, Projecting $120 Million Benefits Becker's Hospital Review

Significant investments have improved the digital infrastructure of the U.S. healthcare system, particularly in EHRs and interoperability, writes Micky Tripathi, Acting Chief Artificial Intelligence Officer at the HHS. However, reports of potential legal violations related to information sharing raise concerns about data exchange efficacy. The 21st Century Cures Act mandates the use of application programming interfaces (APIs) for certified EHRs to enhance data accessibility. While more than 96% of hospitals and 78% of physician offices utilize certified EHRs with standardized FHIR APIs, challenges remain, including difficulties in accessing API documentation, high fees from certified developers, and hurdles in connecting with providers. The primary barriers to progress seem to be behavioral rather than technological, highlighting the need for better support and resources for API users.

Healthcare's Digital Leap Hindered by Information Sharing Barriers HealthIT.gov

During the HFMA Annual Conference, Rod Hanners, CEO of Keck Medicine of USC, highlighted the need for a people-first approach to address workforce challenges in healthcare. He emphasized that while traditional metrics like turnover rates are important, prioritizing employee satisfaction can lead to better clinical and financial outcomes. Keck Medicine has initiated programs that emphasize professionalism and well-being, such as the Daily Incident Reporting System, which encourages open communication about workplace concerns. Hanners also pointed out the vital role of middle management in cultural change, advocating for support systems to help these leaders navigate their responsibilities effectively.

Transforming Healthcare: Embracing a People-First Workforce Strategy HealthLeaders

The U.S. Department of Health and Human Services has alerted the healthcare industry about Trinity ransomware, a new strain detected in May 2024 that has already affected multiple victims, including healthcare providers in the U.S. and the U.K. Trinity ransomware encrypts files with a “trinitylock” extension and poses significant data theft risks, as illustrated by one gastroenterology provider's loss of 330 GB of data. The ransomware exploits system vulnerabilities and spreads laterally within networks, with victims facing an urgent demand for payment in cryptocurrency to prevent data leaks. Experts have noted similarities between Trinity and previous ransomware strains, indicating possible links among the attackers.

HHS Warns Healthcare Sector of New Trinity Ransomware Threat The Record