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Keith W. Boone

@motorcycle-guy.bsky.social
533 followers 141 following 87 posts

A.k.a., motorcycle_guy on Twitter and @MotorcycleGuy@med-mastodon.com Patient, Standards Guru for @PointClickCare, threads represent my opinions.

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Keith W. Boone @motorcycle-guy.bsky.social · 03/06/2025
FWIW: Any day I get to send an XKCD cartoon to a federal agency like CMS is a good day. #CMSRFI
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Keith W. Boone @motorcycle-guy.bsky.social · 03/06/2025
I will share one though, on PC-10f (re: TEFCA) f. Are there redundant standards, ... that should be consolidated? There are always redundancies. QTF R1 is different from QTF R2, yet provides similar data, just at different granularity. Don’t try to consolidate standards. That just leads to:
From: https://xkcd.com/927 

Situation: There are 14 competing standards.

14?! Ridiculous! We need to develop one universal standard that covers everyone's use cases.
Yeah!

Soon: Situation: There are 15 competing standards.


Fortunately, the charging one has been solved now that we've all standardized on mini-USB. Or is it micro-USB? Shit.
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Keith W. Boone @motorcycle-guy.bsky.social · 03/06/2025
So, what I'm actually doing right now is writing my responses to the #CMSRFI in a Word Document. I'll ship it out as BlueSky posts when I can. I do have some #HL7 #Connectathon stuff going on over the next two days, so probably towards the end of the week.
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Keith W. Boone @motorcycle-guy.bsky.social · 02/06/2025
Commenting on the #CMSRFI is a little bit different than commenting on regulation. It's just a bunch of questions to respond to. I've gathered them up in a Google Doc you can download here: docs.google.com/document/d/1...
docs.google.com
CMS RFI Questions
1. Patient Needs PC-1. What health management or care navigation apps would help you understand and manage your (or your loved ones) health needs, as well as the actions you should take? a. What are t...
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Keith W. Boone @motorcycle-guy.bsky.social · 02/06/2025
I've been doing regulatory tweet throughs of CMS and ASTP (formerly ONC) rules for years. Today, I'm doing the same for the CMS RFI on the Health Technology Ecosystem (see www.federalregister.gov/documents/20...) but on BlueSky first. The hashtag for this will be #CMSRFI.
federalregister.gov
Request for Information; Health Technology Ecosystem
Effective and responsible adoption of technology can empower patients to make better decisions for their health and well-being. This request for information (RFI) seeks input from the public regarding...
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Keith W. Boone @motorcycle-guy.bsky.social · 28/05/2025
Yeah! Something I've been working towards for the last 5 years is going to happen. That's it, that's the subtweet. Sorry I cannot say more. 🎉🥳🍾
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Keith W. Boone @motorcycle-guy.bsky.social · 11/04/2025
PointClickCare's Dean Slawson talks about making AI Trustworthy. www.healthcareittoday.com/2025/03/19/a...
healthcareittoday.com
AI Hype vs. Reality: PointClickCare’s Approach to Creating Trustworthy Tech | Healthcare IT Today
AI in healthcare is advancing quickly, but without the right safeguards, trust in the technology could erode just as quickly. How can that be addressed? PointClickCare is focusing on baking in trustwo...
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Keith W. Boone @motorcycle-guy.bsky.social · 10/04/2025
I guess I've still got it. I was just notified that I'm on the FeedSpot Top 100 Healthcare Technology blogs. bloggers.feedspot.com/healthcare_t...
FeedSpot Top Healthcare Technology Blog
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Keith W. Boone @motorcycle-guy.bsky.social · 02/04/2025
Our team needs an outstanding Senior Health IT Policy and Communications Manager to work with us. You will get to work with me and our highly skilled team of professionals who work with Federal, State and regional agencies in Healthcare IT. Apply here: jobs.lever.co/pointclickca...
jobs.lever.co
PointClickCare - Senior Health IT Policy and Communications Manager
About the Role: The Senior Manager of Health IT Policy and Communications plays a critical role in shaping and executing the marketing and communications strategy for the Federal and Strategic Advisor...
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Keith W. Boone @motorcycle-guy.bsky.social · 27/02/2025
Are you attending #HIMSS25? Do you want to learn more about our Data Modernization tools? Catch up with me there, book a meeting via the HIMSS App, or through DMs here.
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Reposted by Keith W. Boone
Dave Kellett @davekellett.bsky.social · 31/01/2025
Today I got to use an Apple Vision Pro for like 30 minutes, and I came away with two, immediate thoughts right in a row: 1.) “This is, without doubt, one of the most stunning new technologies I’ve ever used. Absolutely extraordinary.” 2.) “I have absolutely zero uses for this in my work or life”
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Keith W. Boone @motorcycle-guy.bsky.social · 09/01/2025
I passed the test. Was there ever any doubt? Yes, actually. It's a challenging credential to earn.
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Keith W. Boone @motorcycle-guy.bsky.social · 08/01/2025
You could ask ChatGPT for a 500-word summary of the new #HIPAA NPRM or you could just read mine: motorcycleguy.blogspot.com/2025/01/hipa...
motorcycleguy.blogspot.com
HIPAA NPRM Summary
You could ask ChatGPT to give you a 500-word summary of the new HIPAA NPRM or you could just read mine.
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Keith W. Boone @motorcycle-guy.bsky.social · 08/01/2025
That's the end for now on my read of changes in #HIPAA. There will be more as I must do deeper analysis on at least 3 sections.
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Keith W. Boone @motorcycle-guy.bsky.social · 08/01/2025
Finally, #HIPAA 164.320 Severability adds a clause that basically says: If anything here is invalid or unenforceable, etc... it shall be interpreted to give the maximum effect & if necessary will be held separate so as to not affect anything else we said you gotta do.
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Keith W. Boone @motorcycle-guy.bsky.social · 08/01/2025
#HIPAA 164.318 Transition was previously about Compliance deadlines & remains so, but in proposed rule, the text gets more convoluted and has to do with existing renewals and deeming compliance based on existing contracts. Get your lawyers to explain it, I'm not gonna.
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Keith W. Boone @motorcycle-guy.bsky.social · 08/01/2025
#HIPAA 164.316 Documentation requirements is largely unchanged but somewhat restructured. The maintenance of documentation is strengthened from as needed to at least annually.
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Keith W. Boone @motorcycle-guy.bsky.social · 08/01/2025
Which brings us to section 314 Organizational requirements. I would say this is largely unchanged except the new requirement that any time an organization activates its contingency plan it must notify the organization or group health plan it has a BAA with w/in 24 hours.
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Keith W. Boone @motorcycle-guy.bsky.social · 08/01/2025
OK, #HIPAA Section 312 Technical Safeguards adds a lot of new content and is going to require deeper analysis.
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Keith W. Boone @motorcycle-guy.bsky.social · 08/01/2025
Moving on to #HIPAA Section 310, Physical Safeguards Mostly the same, ADDED annual maintenance requirement to each standard whereby you must review & test policies & procedures at least annually. And implementation specs for workstation use & technology assets (a.k.a., devices)
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Keith W. Boone @motorcycle-guy.bsky.social · 08/01/2025
#HIPAA Section § 164.308 Administrative safeguards is very little like its predecessor, although I imagine it includes all of the requirements of that, plus a lot more. I'm going to do a deeper review of the changes to #HIPAA 45 CFR 164.308 later.
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Keith W. Boone @motorcycle-guy.bsky.social · 08/01/2025
In #HIPAA, § 164.306 Security standards: General rules is revised a bit, but mostly unchanged EXCEPT (b)(2)(v) is added to require consideration effectiveness of the measure AND (c) requires both standards & implementation specifications and (d) drops [THIS IS A BIG CHANGE].
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Keith W. Boone @motorcycle-guy.bsky.social · 08/01/2025
Finally, 3 #HIPAA definitions changed: Access: Add delete, transmit, substitute "component of an information system" for "system resource" Malicious software: includes "firmware" with more description of the intent or impact Technical Safeguards: Clarified & included technical controls as a subtype
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Keith W. Boone @motorcycle-guy.bsky.social · 08/01/2025
With respect to "Reasonably educated", that includes neither lawyers nor regulatory pedants. Both are over-educated and so might actually care about the improved text in #HIPAA
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Keith W. Boone @motorcycle-guy.bsky.social · 08/01/2025
Some #HIPAA definitions were clarified, but not really functionally changed from the perspective of a reasonably educated person. * Administrative safeguards * Information System * Password * Physical Safeguards * Security or Security Measures * Security Incident * Workstation
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Keith W. Boone @motorcycle-guy.bsky.social · 08/01/2025
Definitions were added for the following key #HIPAA terms: * Deploy * Implement * Multifactor authentication * Risk * Technical Controls * Vulnerability
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Keith W. Boone @motorcycle-guy.bsky.social · 08/01/2025
And then we get to Subpart C, which is the remainder of the #HIPAA proposed rule changes First, the definitions get an update ...
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Keith W. Boone @motorcycle-guy.bsky.social · 08/01/2025
In the proposed #HIPAA security rule, A minor change to 45 CFR 160.103 simplifies the text of but expands the definition for Electronic Media.
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Keith W. Boone @motorcycle-guy.bsky.social · 08/01/2025
If you've been or catching up from hiding under a rock and getting back out from under after the holidays, there's a new #HIPAA Security Rule out for review. www.federalregister.gov/documents/20...
federalregister.gov
HIPAA Security Rule To Strengthen the Cybersecurity of Electronic Protected Health Information
The Department of Health and Human Services (HHS or "Department") is issuing this notice of proposed rulemaking (NPRM) to solicit comment on its proposal to modify the Security Standards for the Prote...
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Keith W. Boone @motorcycle-guy.bsky.social · 02/01/2025
Firing lasers… pew, pew, pew.
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Keith W. Boone @motorcycle-guy.bsky.social · 28/12/2024
I explain she can toss the first pile.
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Keith W. Boone @motorcycle-guy.bsky.social · 28/12/2024
Mom calls. Her old HP pavillion computer has died. What shouldn’t I recycle she asks. I explain she should remove her hard drive. She texts back:
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Keith W. Boone @motorcycle-guy.bsky.social · 27/12/2024
Today was the final two hours of dligjt lessons of the six I purchased myself for Christmas. We flew to nearby EWB for a touch and go. Sorry, no pics this time. I flew the Piper Warrior again.
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Keith W. Boone @motorcycle-guy.bsky.social · 25/12/2024
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Keith W. Boone @motorcycle-guy.bsky.social · 22/12/2024
The tree has been decorated, and Hans Gruber has fallen from Nakatomi Plaza. The holidays begin.
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Keith W. Boone @motorcycle-guy.bsky.social · 20/12/2024
Just saw this awesome job opening @ Leidos with 50% travel to an amazing place: careers.leidos.com/jobs/1539224...
careers.leidos.com
Leidos: Careers
Lab Supervisor - Antarctica in Remote, US (Hybrid Remote)
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Keith W. Boone @motorcycle-guy.bsky.social · 19/12/2024
Look, you can see my house from here
A picture of my house from the air.
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Keith W. Boone @motorcycle-guy.bsky.social · 19/12/2024
My office for the hour in this air
Dashboard and controls for a Cesna Skyhawk
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Keith W. Boone @motorcycle-guy.bsky.social · 19/12/2024
I flew again today, my "ride" was this Cesna Skyhawk
A white Cesna SkyHawk with red and gray striping
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Keith W. Boone @motorcycle-guy.bsky.social · 18/12/2024
Thank you AeroVenture for an awesome experience
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Keith W. Boone @motorcycle-guy.bsky.social · 18/12/2024
More flying pics
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Keith W. Boone @motorcycle-guy.bsky.social · 18/12/2024
And me in my office for the day
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Keith W. Boone @motorcycle-guy.bsky.social · 18/12/2024
This is actually my ride today
White Piper Warrior with Red striping
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Keith W. Boone @motorcycle-guy.bsky.social · 18/12/2024
Like my setup?
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Keith W. Boone @motorcycle-guy.bsky.social · 18/12/2024
I get to fly a plane today.
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Keith W. Boone @motorcycle-guy.bsky.social · 18/12/2024
One difference between a senior developer and others is in understanding the distinction between "I don't know how to accomplish this.", and "It cannot be done."
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Keith W. Boone @motorcycle-guy.bsky.social · 17/12/2024
You can read the rollup here: motorcycleguy.blogspot.com/2024/12/a-ch...
motorcycleguy.blogspot.com
A Christman present from ASTP
Just in time for Christmas 42 CFR 171.206 allows information blocking to protect patients and providers from legal action for Reproductive Care
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Keith W. Boone @motorcycle-guy.bsky.social · 17/12/2024
The Protecting Care Access part of #HTI2 truly is a Christmas present. Thank you ASTP!
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Keith W. Boone @motorcycle-guy.bsky.social · 17/12/2024
And Information Blocking is updated with 171.206 to permit blocking to protect "persons seeking, obtaining, providing, or facilitating reproductive health care are at risk of being potentially exposed to legal action ..." The text for it starts here federalregister.gov/d/2024-29683...
federalregister.gov
Health Data, Technology, and Interoperability: Protecting Care Access
This final rule has finalized certain proposals from the Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing, and Public Health Interoperability Proposed Rule (HTI-2...
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Keith W. Boone @motorcycle-guy.bsky.social · 17/12/2024
There's just two pages of regulatory text in Protecting Care Access part of #HTI2. A definition for "Reproductive Healthcare" is added to section 171 -- which explains in part the rationale for this rule. ...
federalregister.gov
Health Data, Technology, and Interoperability: Protecting Care Access
This final rule has finalized certain proposals from the Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing, and Public Health Interoperability Proposed Rule (HTI-2...
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