White paper on information sharing between private industry and the public sector. From NH-ISAC Threat Intelligence Committee, by Jim Routh, CSO Aetna Global Security.

NH-ISAC – “The healthcare industry has been hit with two significant and subsequent cyber challenges in recent weeks (WannaCry and Petya) both of which caused business impact for several organizations and in both cases the damage was largely mitigated across the industry. This information is widely known; what is not widely known is what the role of information sharing was between private industry and the public sector specifically between the NH-ISAC Threat Intelligence Committee members (TIC) and the HHS Healthcare Cybersecurity Communications and Integration Center (HCCIC). In times of cyber crisis it is imperative for all enterprises to understand what the indicators of compromise (IOCs) are, how the malware works and spreads, and ultimately what controls are effective. These three steps appear to be simple but can be illusive without the right access to cyber communities that share resources and analysis. The HCCIC supported the emergency response team in the HHS Secretary’s Operations Center (SOC) throughout both the WannaCry and Petya incidents. The HCCIC is how HHS carries out its cybersecurity responsibilities as directed in Presidential Policy Directive 41 and the National Cyber Incident Response Plan from the US Computer Emergency Readiness Team or US-CERT. The NH-ISAC is the primary interface from the private sector for the HCCIC to share information and respond in times of business resiliency crisis.”

2016 white paper from Deloitte reviewing the results of their 2015 Survey of US Health Care Consumers.

2012 white paper from Cigna outlining medication adherence and how Cigna Pharmacy Management impacts adherence.

Kimber finally left when her husband tried to choke her and said he wished  she was dead.
The marriage started out well, she tells  her women’s shelter counselor, until he started drinking too much. Then the violence began. Today, she’s the mother of two young girls, without a job, a car, a home, personal security, family or social support. 

Fortunately for Kimber, the shelter  she found is part of Boulder County Department of Housing and Human Services’ integrated system of social services providers. She will only have to tell her story once, and the shelter worker will assess all her health needs—social, emotional, physical and financial. She’ll help Kimber sign up for Medicaid coverage for the family, apply for food and housing assistance, job training, mental health counseling, transportation and shelter. In Boulder County, they call this a no-wrongdoor approach to serving clients.

What’s more, Kimber’s assessment data will be entered, real-time, into an integrated data warehouse. Dozens of organizations— serving social, mental and physical health needs—will be able to find her in this system. They can add notes to the record as services are provided, or as case managers create a care plan—with Kimber—to help her achieve her goals. And Kimber can also access her information through a client portal—so she can track her own progress.

Connecting health care providers through an electronic records platform is not a new concept; about 99 percent of U.S. hospitals had partially or completely implemented electronic health records in 2016, with many allowing at least limited access  by contracted physician offices and  group practices.1 Less pervasive, but  not uncommon, are health information exchanges (HIEs) that allow health care providers and patients to access and securely share a patient’s medical information electronically. 

An S-HIE brings together the many community-based organizations that meet client needs for the social determinants of health—such as housing, food, safety, transportation and employment—and links them with organizations that provide mental, behavioral and physical health services as well. It’s a bridge connecting health care delivery and the real-life circumstances in which people live, work and play—the social determinants of health that contribute to our nation’s high health costs.
 

Cheng, Ingram, Keenan, and Choudhury (2015) investigate the role of handheld technologies in improving acute coronary syndrom medication adherence.

Literature review on general aspects of medication adherence from Brown and Bussell (2011.) The review surveys the findings of the indentified articles and presents various strategies and resources for improving medication adherence.

Perspective from Asch, Muller, and Volpp (2012) in the New England Journal of Medicine. Authors discuss the change of focus from the few hours a year with a doctor or nurse to the 5000 waking hours a year engaged in everything else. They review the potential of and developments in automated hovering.

Aricle from Jencks and Coleman (2009) in the New England Journal of Medicine analyzing Medicare claims data from 2003-2003 to describe the patterns of rehospitalization and the relation of rehospitalization to demographic characteristics of the patients and to characteristics of the hospitals.

An expert consensus document of the Society of Cardiovascular Computed Tomography (SCCT), the American College of Radiology (ACR) and the North American Society for Cardiovascular Imaging (NASCI). Endorsed by the American COllege of Cardiology. The intent of CAD-RADS e Coronary Artery Disease Reporting and Data System is to create a standardized method to communicate findings of coronary CT angiography (coronary CTA) in order to facilitate decision-making regarding further patient management. Cury et al. (2016) 

In response to widespread demand for an improved health care system, the Institute of Medicine (IOM) convened a committee to explore health care challenges and to recommend ways to create a continuously learning health care system. 2012 report brief.