D'Arcy Gue

Close Call for Healthcare.gov, ICD-10 Reporting Concerns, Interoperability Plans

September 5, 2014

Healthcare Industry, HIPAA & Security, ICD-10 1 Minute Read

Healthcare.gov is the latest victim of hacking.

A breach to the healthcare.gov database was detected last week. Thankfully, no consumer information was compromised. Instead, hackers installed software that was capable of initiating attacks on other websites from the federal insurance portal. Homeland Security indicated that the attack only impacted one machine.

Switch to ICD-10 may result in issues for adverse event reporting.

Research performed by the Journal of the American Medical Informatics Association found that ICD-10 poses the risk of under-reporting and over-reporting adverse events as a result of mismatches in codes for Patient Safety Indicators (PSIs).

Researchers at the University of Illinois at Chicago, looked at 23 types of PSIs. They found three had straightforward mapping between ICD-9 and ICD-10, but 15 had convoluted mapping and five had no mapping.

The authors of the report suggest that these findings expose issues that, if not addressed, could impact the potential improvements ICD-10 promises.

Karen DeSalvo remarks on the road to interoperability.

The Office of the National Coordinator for Health IT (ONC) intends to reassess the roadmap to interoperability. As a critical, but complex goal, it’s important that the plan work alongside the more general strategic roadmap.

“Within the Federal Health IT strategic plan, interoperability is one of those key strategic areas,” DeSalvo said. “The interoperability work will fold back into the plan eventually.” 

ONC has identified a JASON report task force to assist with the plans.


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