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Early returns from the Health Care Innovation Awards, a CMS initiative that tests new payment and service delivery models, already "show a wide range of experiences that have resulted in tangible benefits for patients" and have helped the agency develop better policies, said CMS Chief Medical Officer Patrick Conway, MD.

Heritage Group announced this month the closing of its latest Healthcare Innovation Fund, backed by 15 leading healthcare organizations, at $220 million.

IBM plans to launch a cloud-based version of Watson's cognitive computing technology, designed solely to zero in on cybersecurity language, as a part of a year-long research project, the company announced Tuesday. The Watson for Cyber Security platform is touted as the first technology to offer cognition of security data. Watson will pull the majority of its cognitive data from the X-Force research library: a threat intelligence platform with 20 years of security research, details on 8 million spam and phishing attacks and more than 100,000 documented vulnerabilities. "Even if the industry was able to fill the estimated 1.5 million open cybersecurity jobs by 2020, we'd still have a skills crisis in security," Marc van Zadelhoff, general manager of IBM Security said in a statement. "The volume and velocity of data in security is one of our greatest challenges in dealing with cybercrime." [Also: IBM Watson offers free storage to Apple ResearchKit developers] Beginning in the fall, IBM will also collaborate with eight universities to expand the amount of security data the company has already inputted into the platform. California State Polytechnic University, Pomona; Pennsylvania State University; Massachusetts Institute of Technology; and New York University are among the institutions who will work with IBM to contribute to Watson's training. The students will also train Watson on cybersecurity language, while working close with IBM's security experts to learn how to read security intelligence to gain first-hand experience in cognitive security. IBM plans to process up to 15,000 security documents – threat intelligence reports, cybercrime strategies, threat databases – each month over the next training stages in collaboration will all stakeholders. Watson for Cybersecurity will not only provide insights on any emerging threats, it will also make recommendations on how to stop them. Additionally, the system will use data mining techniques to find outliers. IBM will begin beta production deployments later this year. "By leveraging Watson’s ability to bring context to staggering amounts of unstructured data, impossible for people alone to process, we will bring new insights, recommendations and knowledge to security professionals," said van Zadelhoff, "bringing greater speed and precision to the most advanced cybersecurity analysts, and providing novice analysts with on-the-job training."

Implementation of MACRA will impact not only physicians, but also the hospitals with whom they partner, the American Hospital Association told Andy Slavitt, acting administrator of CMS, and the U.S. House Ways and Means Subcommittee on Health on Wednesday. Health Subcommittee members met with Slavitt Wednesday on the implementation of the Medicare Access and the CHIP Reauthorization Act of 2015. MACRA's Quality Payment Program, released by CMS on April 27, consolidates a patchwork of programs into two paths for physicians receiving Medicare payments: the Merit-based Incentive Payment Systems (MIPS); and an Advanced Alternative Payment Model (APM). The AHA said it applauds MACRA's streamlining of the physician reporting burden, but still has concerns, especially for smaller practices, and is disappointed the federal government is providing no financial incentives for upfront investments in technology to meet the demands of implementation. The estimated investment is $11.6 million for a small accountable care organization and $26.1 million for a medium ACO, the AHA said. [See also: A deep dive on the 'overwhelmingly complex' MACRA proposed rule.] "Hospitals that employ physicians directly may bear the cost of implementation of an ongoing compliance with the new physician performance reporting requirements under the Merit-based Incentive Payment Systems, as well as be at risk for any payment adjustments," the AHA said in a statement. "Moreover, hospitals may be called upon to participate in alternative payment models so that the physicians with whom they partner can qualify for bonus payments and exemption from MIPS reporting requirements that accompanies the APM 'track.'" House Ways and Means Subcommittee on Health Chairman Pat Tiberi, R-Ohio, asked Slavitt about concerns he's heard about the difficulty smaller practices may have coming into compliance, saying the rural provider, and one or two-person provider group "has a bunch of angst right now." Slavitt said the data shows that smaller and solo practices can succeed as well as physicians in larger-size groups as long as they report. It's up to CMS to make the reporting burden as easy as possible, Slavitt said. "Importantly we are looking for additional steps and ideas as people review the rules, but I will say that we are focusing on technical assistance, providing access to medical home models, opportunities to report in groups and using a reporting process that automatically feeds data, reduces the number of measures and overall lowers the burden for small practices," Slavitt said. Small physicians can report in groups and other physicians may not have to report at all because they're under a minimum threshold for the number of Medicare patients they see, Slavitt said. Slavitt said he's heard from physicians that they want to focus on care, not reporting. Congress has provided funding for MACRA technical assistance to small practices, rural practices and others, he said. MACRA replaces the sustainable growth rate and changes the way physicians and providers are paid, moving the healthcare system closer to CMS's goal of tying 50 percent of Medicare payments to alternative payment models by 2018. CMS is taking comment on the MACRA proposal for 60 days. "Success will come from adopting approaches that are practice-driven," Slavitt said. "It is our intent to align the MIPS and the Advanced APM components of the Quality Payment Program, allowing maximum flexibility for clinicians to switch between MIPS and participation in Advanced APMS based on what works best for them and their patients." To spur motivation, MACRA established an 11-member independent advisory committee, the Physician-Focused Payment Model Technical Advisory Committee, PTAC, that will meet quarterly to review payment models. [See also: A deep dive on the 'overwhelmingly complex' MACRA proposed rule.] The AHA has formed its own clinical advisory group to identify  important policy and operational implications of MIPS and APMS for hospitals. The AHA recommends hospital-based physicians be able to use their hospital's quality reporting and pay-for-performance program to measure performance in MIPS; employ risk adjustment rigorously, including for sociodemographics to ensure providers do not perform poorly simply because they care for more complex patients; and align EHR Incentive Program changes for physicians with those of eligible hospitals. The AHA applauded CMS's proposal to reduce the number of measures for quality reporting from nine to six, and also for its recent work with private insurers and physician groups to reach agreement on a common set of physician quality measures that can be used in both CMS and private payer pay-for-performance programs. "Physicians and hospitals alike spend significant resources reporting on multiple versions of measures assessing the same aspect of care to meet the differing requirements of CMS and individual private payers," the AHA said. The AHA is disappointed CMS has proposed a narrow definition of financial risk in advanced APMs for purposes of MACRA bonus payments, in not recognizing the upfront investment made by providers to implement alternative payment models. The AHA also said fraud and abuse laws need to be modified for a "legal safe zone" where physicians and hospitals can share information Twitter: @SusanJMorse

A healthcare attorney spotlights big problems and offers advice on ways to navigate around the pitfalls, from cybersecurity insurance to HIPAA, social media to patient access. 

The federal regulatory environment has not kept pace with the progress of mobile health, which is driven by consumers who expect to have all sorts of information, including health data, on their phones.

The Agency for Healthcare Research and Quality will dedicate nearly $2 million for the creation of the PCOR Clinical Decision Support Learning Network, aiming to address the barriers hindering the incorporation of patient-centered outcomes research into CDS tools.

The HIMSS Innovation Center is presenting a display to Florence Nightingale on the anniversary of her birthday, May 12, which is also Nursing Informatics Awareness Day. She was born in 1820. Nightingale is considered to be the founder of modern nursing, and many people in the field of healthcare look to her as having built the foundation for nursing informatics. The display features a letter signed by Florence Nightingale, as well as a book she owned, donated by Maureen Mitchell, RN, associate professor, graduate program director, School of Nursing, Cleveland State University. The items are on loan to HIMSS for two years. Learn more about Nighingale’s life and contributions to nursing: "Florence Nightingale’s focus on hygiene and cleanliness was vital to patient safety," said Joyce Sensmeier, RN, vice president, informatics, HIMSS North America. "Her methods resulted in drastically lowered mortality rates, and improved overall hospital performance. Her ideas and reforms changed healthcare on a global scale. HIMSS strives to emulate Nightingale’s dedication to patient care and the advancement of healthcare." Learn more about the background of the artifacts donated by Mitchell. Listen to Mitchell’s discussion about Florence Nightingale and nursing informatics.

Nashville-based Ardent Health Services, which operates hospitals in Oklahoma, New Mexico and Texas, plans to unite all its hospitals and physician groups on an Epic Systems EHR platform.

After years of dwelling in the shadows of healthcare, the long-term and post-acute care industry may finally be ready to join its hospital colleagues in the IT spotlight.