As a former Dean and appointed Distinguished University Professor and Endowed Department Chair, Dr. David Edward Marcinko MBA was a NYSE broker and investment banker for a decade who was respected for his unique perspectives, balanced contrarian thinking and measured judgment to influence key decision makers in strategic education, health economics, finance, investing and public policy management.
Dr. Marcinko is originally from Loyola University MD, Temple University in Philadelphia and the Milton S. Hershey Medical Center in PA; as well as Oglethorpe University and Emory University in Georgia, the Atlanta Hospital & Medical Center; Kellogg-Keller Graduate School of Business and Management in Chicago, and the Aachen City University Hospital, Koln-Germany. He became one of the most innovative global thought leaders in medical business entrepreneurship today by leveraging and adding value with strategies to grow revenues and EBITDA while reducing non-essential expenditures and improving dated operational in-efficiencies.
Professor David Marcinko was a board certified surgical fellow, hospital medical staff President, public and population health advocate, and Chief Executive & Education Officer with more than 425 published papers; 5,150 op-ed pieces and over 135+ domestic / international presentations to his credit; including the top ten [10] biggest drug, DME and pharmaceutical companies and financial services firms in the nation. He is also a best-selling Amazon author with 30 published academic text books in four languages [National Institute of Health, Library of Congress and Library of Medicine].
Dr. David E. Marcinko is past Editor-in-Chief of the prestigious “Journal of Health Care Finance”, and a former Certified Financial Planner® who was named “Health Economist of the Year” in 2010. He is a Federal and State court approved expert witness featured in hundreds of peer reviewed medical, business, economics trade journals and publications [AMA, ADA, APMA, AAOS, Physicians Practice, Investment Advisor, Physician’s Money Digest and MD News] etc.
Later, Dr. Marcinko was a vital recruited BOD member of several innovative companies like Physicians Nexus, First Global Financial Advisors and the Physician Services Group Inc; as well as mentor and coach for Deloitte-Touche and other start-up firms in Silicon Valley, CA.
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Assessment
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Filed under: Information Technology, LifeStyle | Tagged: dental records, eDRs, EMRs | Leave a comment »
Electronic Dental Records [EDR] Security?
By Darrell K. Pruitt DDS
“Terrifying Truth: Ransomware is Everywhere – At its basest level, ransomware is a form of kidnapping. Hackers effectively ‘kidnap’ a business’s data and information systems and threaten to destroy it unless the business pays a ransom for its safe return.”
Todd Lewis for Nibletz [October 24, 2017]
http://www.nibletz.com/security/ransomware
Lewis: “Healthcare and hospital networks are prime targets for these attacks. A patient whose medical service provider is unable to access critical patient information can be in a life-or-death situation unless the healthcare network is rapidly recovered and brought back on line. Cyberattackers take advantage of this urgency and realize that hospitals have greater incentives to pay a ransom to recover their systems and operations. Moreover, hospital networks operate on a 24-hour basis and are rarely taken down for maintenance and updating that might include patches for security holes. Ransomware attacks frequently take advantage of holes in networks that have not been patched with regular updates, and hospitals and medical centers are more likely than businesses in other industries to have failed to close those holes.”
ADA: “Dentists will have a more complete data set of the patient they are treating, enabling better care.”
Dr. Robert H. Ahlstrom, representing the American Dental Association and by default, all US dentists, in testimony before the National Committee on Vital and Health Statistics (NCVHS) on the benefits of EHRs in dentistry. His testimony is featured in an official document titled “Testimony of the American Dental Association, National Committee on Vital and Health Statistics Subcommittee on Standards and Security July 31, 2007.”
https://www.ncvhs.hhs.gov/wp-content/uploads/2014/05/070731p08.pdf
Conclusion
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Filed under: Information Technology, Op-Editorials, Pruitt's Platform | Tagged: American Dental Association, D. Kellus Pruitt DDS, Did ADA leaders mislead Congress about security?, Dr. Robert H. Ahlstrom, eDRs, National Committee on Vital and Health Statistics, Todd Lewis | 2 Comments »
Dental EHRs are Coming to an End
By Darrell Pruitt DDS
The reckless third-party push for adoption of increasingly dangerous dental EHR systems is the most harmful scam in the history of dentistry.
But it’s almost over, Doc. Equifax was hacked.
“If a company like Equifax can make significant investments, have every incentive to keep the most sensitive kind of information secure, but still experience a breach … it stands to reason that our playbook needs a revision,”
Josh Mayfield: [Platform Specialist at Firemon Immediate Insight]. (See: “Equifax, U.S. consumers alike will struggle to overcome massive hack” By Tim Johnson for Mcclatchy, September 8, 2017).
Http://www.mcclatchydc.com/news/nation-world/national/national-security/article172078982.html
Why should anyone assume electronic dental records are any more secure than Equifax records?
Not only do digital health records subject Americans to increasing risk of medical identity theft – which can be lethal – but they are increasingly more expensive than paper dental records.
What’s more, electronic dental records offer dental patients NO TANGIBLE BENEFITS: When is the last time you witnessed a practice advertise the benefits of digital records? On the other hand, you may have also noticed the appearance of paper files in the backgrounds of promotional photos.
A decade ago, I tried to persuade American Dental Association leadership to consider de-identification of dentists’ primary dental records. After all, if identities are unavailable, they simply cannot be stolen. ADA leadership summarily discarded the idea in favor of full disk encryption – which dentists summarily rejected in favor of luck …. And so here we are, Doc. “First, do no harm.”
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Dental EHR vendors simply will not survive transparency without fundamental changes in how patients’ welfare is guarded – which will further increase their cost and liability.
The future is obvious, yet I am the only dentist in the nation openly warning of the inevitable collapse of the electronic dental record industry. Unlike physicians, who treat four to five times as many patients a day and depend on quick interoperability with other physicians, dentists can safely return to paper. They won’t like the inconvenience of carbon paper, but following the Equifax breach of almost half of the nation’s consumers – virtually every one of them mad as hell – dentists will have no choice. Ehrs have become too costly.
Assessment
This week, a dentist on Facebook who tried but failed to defend the censorship habits of a popular dental consultant said I was on a “one-man crusade.” I don’t think he meant it in the good way. I ask you to remember that remark for future reference.
Conclusion
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Filed under: Information Technology, Pruitt's Platform | Tagged: Darrell K. Pruitt DDS, Dental EHRs are Coming to an End?, eDRs, EHRs | 3 Comments »
2015 … Really?
By Darrell K. Pruitt DDS
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“By 2015, health care is scheduled to be chartless. The federal National Health Information Infrastructure (NHII) is already formulating the parameters for this future. Chartless records are not a choice. The year 2015 is less than seven years away. We have seen hospitals, physicians’ offices, and other health-care providers moving in this direction.
In dentistry, only about 25% of practices are using computers chairside and only 1% is chartless. The American Dental Association is taking a proactive role in NHII. Individual dentists must also take part in the coming changes or once again be victims to others’ choices.”
-Patti DiGangi, RDH, BS
[Dental Economics, 2009]
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Conclusion
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Filed under: iMBA, Inc. | Tagged: ADA Department of Dental Informatics, eDRs, electronic dental records, EMRs | Leave a comment »
Read for yourself why dental patients will soon prefer paper-based over paperless
[By Kellus Pruitt DDS]
Recently, Marianne Kolbasuk McGee (HealthInfoSec) posted, “Analysis: Are HHS Cybersecurity Recommendations Achievable? Experts Sort Through New Task Force Report.”
McGee:
“A new Department of Health and Human Services report to Congress containing more than 100 recommendations for how healthcare can better address cybersecurity threats is stirring debate over whether smaller organizations will be able to take the recommended actions.”
Cha-ching!
Privacy attorney David Holtzman, vice president of compliance at the consultancy CynergisTek, tells Healthinfosec:
“The majority of information systems that create or maintain personally identifiable health information are owned and managed by small organizations whose capability or access to the people or technology to secure information systems is limited by financial constraints or ability to attract well-trained human resources,” he says. “At first glance, it is difficult to see how these small organizations can translate the recommendations in the report into tangible progress.”
As large, juicy healthcare organizations successfully harden their cyber-defenses, small healthcare entities – like dental offices – will attract identity thieves with smaller, juicy low-hanging fruit.
Or, as suggested in the article, taxpayers can subsidize cyber-protection for dentists and other small healthcare organizations. In my opinion, that simply won’t happen.
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Wary dental patients – many of whom have received breach notifications or have learned about identity theft the hard way – will find it increasingly easy to find a new dentist who does not put their identities on computers. After all, electronic dental records offer dental patients no tangible benefits anyway.
Assessment
If dental patients’ identities are unavailable, they cannot be stolen …. Still too early for de-identification, Doc? Give it time. I’ve got patience.
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Conclusion
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Filed under: Information Technology, Practice Management, Pruitt's Platform | Tagged: ADA, D. Kellus Pruitt DDS, dental electronic records, dental records, eDRs | 4 Comments »
Paper Medical Records Become Popular Again?
[By Kellus Pruitt DDS]
Starting long ago, I warned that as more dental patients are notified of data breaches – some more than once – we are likely to witness an event mandate stakeholders said would never happen: A migration of patients to paper-based dentists.
Now, because of the rapidly escalating costs and liabilities, defiant, slow adopters of electronic dental records [EDRs] can not only expect to provide dental care at a lower cost than “paperless practices,” but patients are on course to learn that some dentists do not put their patients at risk of medical identity theft by putting identities on computers.
Just sit back and watch!
The Ponemon Institute
In February, the Ponemon Institute published their “Fifth Annual Study on Medical Identity Theft.”
“Consumers expect healthcare providers to be proactive in preventing and detecting medical identity theft. Although many respondents are not confident in the security practices of their healthcare provider, 79 percent of respondents say it is important for healthcare providers to ensure the privacy of their health records. Forty-eight percent say they would consider changing healthcare providers if their medical records were lost or stolen. If such a breach occurred, 40 percent say prompt notification by the organization responsible for safeguarding this information is important.”
The Paper-Gold Standard?
So if your patients start asking you not to put their identities – including medical records – on your computers, what will you do, Doc?
Since encryption is a non-starter in dentistry for solid, business reasons, and will make paperless practices even less competitive with paper-based, would you consider employing staff which knows how to use pegboard, ledger cards and lots of carbon paper (The gold standard of security)?
Or, would you prefer not to give up computerization, yet keep your patients safe?
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More:
Assessment
De-identification of primary electronic dental records is sounding better all the time. Am I right? If patients’ identities are not available, they cannot be hacked.
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Conclusion
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Filed under: Information Technology, Practice Management, Pruitt's Platform, Risk Management | Tagged: Are Dentists Satisfied with their EDRs?, D. Kellus Pruitt DDS, De-identification, digital medical records, eDRs | 4 Comments »
Saving Electronic Health Record Interoperability?
By D. Kellus Pruitt DDS
If HHS successfully persuades Americans to use happy names for its bad ideas, will the cheap trick save electronic health record interoperability which is critical to the success of Obamacare?
Healthcare Lexicon
According to the government’s modernized healthcare lexicon, doctors have been demoted to “providers,” insurance companies, including Medicare/Medicaid, have been promoted to “payers,” and patients’ position in the hierarchy has diminished from “principals” to “stakeholders” – a rank on par with 3rd parties such as insurers, HHS and other unaccountable parasites.
Wall of Shame
Ominously, HHS recently changed the contentious name “Wall of Shame” to a more innocuous“ breach reporting tool,” to describe the public list of data breaches involving the medical records of more than 500 patients. It turns out that the growing list of major data breaches is unexpectedly shaming far too many providers and payers – including Medicare/Medicaid. Imagine that!
In fact, since Americans’ growing disgust with privacy breaches threatens the very success of Obamacare, there is evidence that HHS has turned to betraying its lawful obligation to the nation by hiding breaches from those who are most vulnerable – Americans.
HIPAA Failure
The half-baked plan to shame providers who experience data breaches – perhaps through no fault of their own – is not working out like HHS had hoped. Due to HIPAA’s abysmal failure to halt data breaches, the Wall of Shame has become a national embarrassment and an obstacle to EHR adoption. I expect the public listing of major breaches to be quietly scrapped soon in favor of keeping patients in the dark concerning their risks of identity theft.
Dentistry
In dentistry, on the other hand, common sense as well as market resistance evidently caused HHS and other stakeholders to give up trying to prohibit use of the 8 syllable “electronic dental records” in favor of the 14 syllable “electronic health records for dental practices.”
Nevertheless, holdouts (including Dissent Doe) still occasionally feel it is important to correct this dentists when I use “EDR” instead of “EHR.” You got to love ‘em.
Assessment
Transparent silliness suggests that HHS is failing in its duties. Due to lack of accountability, we can expect EHRs and EDRs to become even more expensive and more dangerous, possibly bringing an end to Obamacare.
Conclusion
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Filed under: Information Technology, Pruitt's Platform | Tagged: ACA, Darrell K. Pruitt DDS, dental records, Dissent Doe, eDRs, EHRs, electronic dental records, electronic medical records, HIPAA, ObamaCare, PP-ACA | 22 Comments »
