Issue link: https://beckershealthcare.uberflip.com/i/1179082
55 CIO / HEALTH IT Don't put cybersecurity on CISOs' shoulders — Why board members aren't doing enough By Mackenzie Garrity Corporate board members should be held more accountable to verify cybersecurity risks and ask questions about cyber efforts, governance experts told e Wall Street Journal. While board members say they are more informed, they often fail at asking specific ques- tions on management. Additionally, board members don't demand metrics to measure the effectiveness of cybersecurity efforts, according to speakers at a meeting of the National Association of Corporate Directors on Sept. 24. Rather than simply putting all cybersecurity efforts into the hands of the chief information secu- rity officers, all directors and executives need to take on more responsibility. Starbucks' CISO David Estlick recommended directors quiz their security teams and business executives about cybersecurity processes and procedures. is, he said, can change the company's culture. Abhi Shah, vice chairman of legal consultancy Morae Global Corp., recommended boards and executives vet the information they are given by hiring outside firms to conduct penetration tests. "ere's a lot of patting ourselves on our backs that we've gotten this far," said Valerie Abend, managing director of Accenture's security division, according to WSJ. "If you think the CISO alone is going to protect our organization, you're mistaken." n EHR data doesn't always reflect physician exams, study finds By Jackie Drees S ome EHR documentation of patient visits to the emer- gency department may not always accurately represent phy- sicians' actions and exams during patient encounters, according to a study published in JAMA. University of California Los An- geles researchers led a study of nine licensed emergency physi- cian residents and 12 observers to determine the accuracy of physician documentation in the EHR. Researchers observed 180 patient encounters. The study was performed at two EDs in academic medical centers between 2016 and 2018. Patient encounters were observed to compare performance with clin- ical documentation. The resident physicians were shadowed by trained observers for 20 total encounters, which translated to 10 encounters per physician per site, to gather real-time observa- tional data. Associated EHR data was reviewed and used to mea- sure accuracy. Results of the study showed 38.5 percent of documented reviews of systems were confirmed by audio recording data and 53.2 percent of physical examination systems were confirmed by con- current observation. Study authors concluded that be- cause there were inconsistencies between ROS documentation and PE findings in the EHR, some of the EHR documentation may not accurately represent physi- cians' actions. The researchers recommended expanding stud- ies to determine whether this oc- currence is widespread. n AHA report: 3 shifts providers must make to embrace digital health By Andrea Park D igital tools have the potential to make healthcare more preventive, person- alized and participatory, as long as providers can evolve toward a more con- sumer-centric model as well. According to a new report from the American Hospital Association's Center for Health Innovation and EY, there are three shifts providers will need to make as part of an ongoing digital transformation in order to achieve this vision of participatory health: a future grounded in patient engagement, with a focus on overall wellness, near-con- stant access to care and digital connections. 1. Convenient care anywhere, anytime: With convenience as a core pillar of participatory health, virtual care will only continue to grow in popularity. Providers must not only expand telemedicine and sensor-based care options, but also serve as a "data-driven conductor" to help patients use a variety of digital tools and services to manage their holistic well-being. 2. Moving from digital to smart: Advanced analytics and artificial intelligence algorithms are crucial for achieving seamless and connected care. These "smart" systems will manage patient and other clinical data to improve both patient and clinician experience by streamlining care delivery and predicting issues before they arise. 3. Manage social determinants, not just clinical care: Providers can play a vital role in using clinical data to address factors well outside the clinic that impact health. Partnerships with community organizations will improve providers' abilities to leverage clinical resources to develop population health management solutions. n