Becker's Hospital Review

47 CIO / HEALTH IT Mayo completes Epic transition with Arizona, Florida go-lives By Julie Spitzer R ochester, Minn.-based Mayo Clinic completed its "Plummer Project," the name giv- en to its systemwide rollout of a new Epic EHR, the health system confirmed Oct. 8. The final three sites — Mayo's campuses in Jacksonville, Fla., and Phoenix and Scott- sdale, Ariz. — went live on Epic Oct. 6, placing all Mayo locations on a single integrated EHR and revenue cycle management system. About 52,000 Mayo employees are using Epic in 90 hospitals and clinics throughout the health system. Mayo Clinic began its transition to Epic at its Wisconsin locations in July 2017, followed by some of its Minnesota locations in November 2017. Its headquarters in Rochester, Minn., implemented the EHR in May. "The commitment and expertise of outstanding Mayo staff, Epic colleagues and imple- mentation partners brought us to this day," said Richard Gray, MD, co-chair of the initiative. "We envision even greater collaboration among experts in delivering the patient care, re- search and education that are hallmarks of Mayo." The project was named to honor Henry Plummer, MD, who created the first patient-cen- tered health record at Mayo Clinic more than a century ago. n 3 Boston hospitals fined nearly $1M for letting 'Boston Trauma' film on-site, breaching HIPAA By Julie Spitzer H HS' Office for Civil Rights fined three Boston-based hospitals — Boston Medical Center, Brigham and Women's Hospital and Massa- chusetts General Hospital — a total of $999,000 to settle a potential HIPAA violation aer they allowed the TV show "Save My Life: Boston Trauma" to film on premise. is marks the second HIPAA case in- volving an ABC medical documentary series. In 2016, OCR fined New York City-based New York-Presbyterian Hos- pital over the filming of "NY Med." Here is a breakdown of the three fines: 1. Boston Medical Center: $100,000 2. Brigham and Women's Hospital: $384,000 3. Massachusetts General Hospital: $515,000 Each organization is required to re-train its workforce, such as reviewing OCR's guidelines for disclosing health informa- tion to film and media, as part of a cor- rective action plan. "Patients in hospitals expect to encounter doctors and nurses when getting treat- ment, not film crews recording them at their most private and vulnerable mo- ments," Roger Severino, OCR director, said in a news release. "Hospitals must get authorization from patients before allowing strangers to have access to pa- tients and their medical information." n Health plans increasingly cover telemedicine services, despite low adoption By Julie Spitzer M ore employer health plans are offering telemedicine coverage, and employ- ees are increasingly enrolling in plans that cover the service, according to data from the Kaiser Family Foundation. In a corresponding brief to its 2018 Employer Health Benefit Survey, KFF analyzed medical claims from 2010-16 that the foundation obtained from the Truven Health Ana- lytics MarketScan Commercial Claims and Encounters Database. The database contains claims information from large employers through 2016. Here are six highlights from KFF's brief: 1. Across all employers, 67 percent say telemedicine is offered under their health plan with the largest enrollment. 2. Of large employers offering health benefits, the share of firms that report their larg- est plan covers telemedicine has steadily increased each year from 27 percent in 2015 to 74 percent in 2018, according to KFF's analysis. 3. Large employers — those with 5,000 or more workers — are most likely to cover telemedicine (83 percent), compared with firms with 50 to 199 workers (65 percent). 4. Twenty-six percent of firms offer enrollees an incentive to use telemedicine, up from 14 percent in 2016. 5. Among people with coverage from large employers, the number of telemedicine visits increased significantly from 2010 (24,000 visits) to 2016 (429,000 visits), accord- ing to Truven Health Analytics MarketScan. 6. Telemedicine adoption rates are low among both urban (0.52 percent) and rural (0.41 percent) enrollees in large employer health plans. n

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