From the Executive Summary of a newly released report:
WHAT WE FOUND
Nearly all hospitals with EHR technology had RTI-recommended audit functions in place, but they may not be using them to their full extent. In addition, all hospitals employed a variety of RTI-recommended user authorization and access controls. Nearly all hospitals were using RTI-recommended data transfer safeguards. Almost half of hospitals had begun implementing RTI-recommended tools to include patient involvement in anti-fraud efforts. Finally, only about one quarter of hospitals had policies regarding the use of the copy-paste feature in EHR technology, which, if used improperly, could pose a fraud vulnerability.
WHAT WE RECOMMEND
We recommend that audit logs be operational whenever EHR technology is available for updates or viewing. We also recommend that ONC and CMS strengthen their collaborative efforts to develop a comprehensive plan to address fraud vulnerabilities in EHRs. Finally, we recommend that CMS develop guidance on the use of the copy-paste feature in EHR technology. CMS and ONC concurred with all of our recommendations.
You can access the full report here (pdf, 30 pp.)
h/t, Rebecca Herald