{"id":4103,"date":"2020-04-14T15:01:47","date_gmt":"2020-04-14T07:01:47","guid":{"rendered":"https:\/\/infolaw.iias.sinica.edu.tw\/?p=4103"},"modified":"2024-01-15T13:22:50","modified_gmt":"2024-01-15T05:22:50","slug":"%e4%bb%a5%e8%87%a8%e5%ba%8a%e6%b1%ba%e7%ad%96%e8%bc%94%e5%8a%a9%e8%ad%a6%e7%a4%ba%ef%bc%88cds-alerts%ef%bc%89%e3%80%8c%e4%bf%83%e4%bd%bf%e3%80%8d%e9%86%ab%e5%b8%ab%e9%96%8b%e7%ab%8b%e7%89%b9%e5%ae%9a","status":"publish","type":"post","link":"https:\/\/infolaw.iias.sinica.edu.tw\/?p=4103","title":{"rendered":"\u4ee5\u81e8\u5e8a\u6c7a\u7b56\u8f14\u52a9\u8b66\u793a\uff08CDS alerts\uff09\u300c\u4fc3\u4f7f\u300d\u91ab\u5e2b\u958b\u7acb\u7279\u5b9a\u85e5\u54c1 &#8212; \u7f8e\u5546Practice Fusion\u4ee5\u65b0\u53f0\u5e6343\u5104\u5143\u8207\u7f8e\u570b\u53f8\u6cd5\u90e8\u9054\u6210\u548c\u89e3"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2848 size-full\" src=\"https:\/\/infolaw.iias.sinica.edu.tw\/wp-content\/uploads\/2019\/11\/iconfinder_User_4200482-e1700259960986.png\" alt=\"\" width=\"20\" height=\"20\" \/>\u00a0<a href=\"https:\/\/infolaw.iias.sinica.edu.tw\/?page_id=1958\" target=\"_blank\" rel=\"noopener noreferrer\">\u9867\u9577\u82b8<\/a><br \/><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2850 size-full\" src=\"https:\/\/infolaw.iias.sinica.edu.tw\/wp-content\/uploads\/2019\/11\/iconfinder_calendar-month-day-booking-date_3209363-e1703755019939.png\" alt=\"\" width=\"20\" height=\"20\" \/> 2020\u5e7404\u670814\u65e5<\/p>\n\n\n<p>\u96fb\u5b50\u75c5\u6b77\uff08Electronic Health Record\uff0c\u5f8c\u7a31EHR\uff09\u8edf\u9ad4\u5546Practice Fusion\uff0c\u56e0\u6536\u53d7\u67d0\u85e5\u5ee0\uff08Pharma Co. X\uff09\u5831\u916c\uff0c\u4ee5\u5176EHR\u7cfb\u7d71\u4e2d\u7684CDS alerts \uff08Clinical Decision Support alerts, \u81e8\u5e8a\u6c7a\u7b56\u8f14\u52a9\u8b66\u793a\uff09\uff0c\u300c\u4fc3\u4f7f\u300d\u91ab\u5e2b\u63a1\u53d6\u958b\u7acbERO\uff08Extended Release Opioid, \u7de9\u91cb\u578b\u9d09\u7247\u985e\u85e5\u7269\uff09\uff0c\u589e\u52a0\u67d0\u85e5\u5ee0ERO\u92b7\u91cf\uff0c\u906d\u63a7\u9055\u53cd\u53cd\u56de\u6263\u6cd5\uff08Anti-Kickback Status, 42 U.S.C. \u00a71320a-7(b)\uff09\u3002\u4eca\u5e741\u670827\u65e5\uff0cPractice Fusion\u8207\u4f5b\u8499\u7279\u8f44\u5340\u806f\u90a6\u6aa2\u5bdf\u5b98\uff08United States Attorney\u2019s Office for the District of Vermont\uff09\u9054\u6210\u5211\u4e8b\u7de9\u8d77\u8a34\u5354\u8b70\uff08Deferred Prosecution Agreement\uff09\u8207\u6c11\u4e8b\u548c\u89e3\u5354\u8b70\uff08Settlement Agreement\uff09\uff0c\u5176\u7f70\u91d1\u7e3d\u8a08\u70ba1\u51044\u53435\u767e\u842c\u7f8e\u5143\uff08\u7d04\u53f0\u5e6343\u51048\u5343\u842c\u5143\uff09\u3002\u4f9dDOJ\u65b0\u805e\u7a3f\uff08U.S. Department of Justice, Press Release\uff09\uff0c\u6b64\u70ba\u7f8e\u570b\u7b2c\u4e00\u500bEHR\u8edf\u9ad4\u5546\u906d\u5230\u5211\u4e8b\u8abf\u67e5\u4e4b\u6848\u4ef6\uff0c\u4e14\u5176\u7f70\u6b3e\u91d1\u984d\u70ba\u8a72\u806f\u90a6\u8f44\u5340\u53f2\u4e0a\u6700\u9ad8\u3002<\/p>\n\n\n\n<p>\u7f8e\u570bFDA\uff08U.S. Food and Drug Administration\uff09CDSS\u8349\u7a3f\u6307\u4ee4\uff08CDS Software, Draft Guidance 2019\uff09\u6307\u51fa\uff0cCDS\u4e00\u8a5e\u53ef\u7528\u65bc\u591a\u7a2e\u7bc4\u570d\uff0c\u800c\u5176\u4e3b\u8981\u529f\u80fd\u70ba\u5c0d\u91ab\u8b77\u5c08\u696d\u4eba\u54e1\uff08Health Care Professionals\uff09\u8207\u75c5\u60a3\uff0c\u63d0\u4f9b\u77e5\u8b58\u8207\u500b\u4eba\u7279\u6b8a\u8cc7\u8a0a\uff08person-specific information\uff09\uff0c\u4e26\u65bc\u9069\u7576\u6642\u6a5f\u667a\u80fd\u5730\uff08intellectually\uff09\u904e\u6ffe\u8207\u5448\u73fe\u9019\u4e9b\u8cc7\u8a0a\uff0c\u4ee5\u63d0\u5347\u5065\u5eb7\u8207\u91ab\u7642\u7167\u8b77\u3002\u4f9d\u7f8e\u570bFDASIA\uff08Food and Drug Administration Safety and Innovation Act\uff09\u4e4bHealth IT Report 2014\uff0cCDS\u7bc4\u570d\u5305\u62ec\u7d66\u4e88\u91ab\u8b77\u4eba\u54e1\u8207\u75c5\u60a3\u7684\u96fb\u8166\u8b66\u793a\u6216\u63d0\u9192\u3001\u81e8\u5e8a\u6307\u5f15\u3001\u7279\u6b8a\u75c7\u72c0\u6307\u4ee4\u96c6\uff08condition-specific order sets\uff09\u3001\u7126\u9ede\u75c5\u60a3\u8cc7\u6599\u8207\u6458\u8981\u3001\u6587\u4ef6\u6a21\u677f\u3001\u8a3a\u65b7\u8f14\u52a9\uff08diagnosis support\uff09\u548c\u8108\u7d61\u76f8\u95dc\u53c3\u8003\u8cc7\u8a0a\uff08contextual relevant reference information\uff09\u7b49\u591a\u7a2e\u4e0d\u540c\u7684\u5de5\u5177\uff08tools\uff09\u3002\u6280\u8853\u4e0a\uff0c\u4f9d\u7f8e\u570b\u570b\u5bb6\u885b\u751f\u8cc7\u8a0a\u79d1\u6280\u5354\u8abf\u8fa6\u516c\u5ba4\uff08Office of the National Coordinator for Health Information Technology, ONC\uff09\u8aaa\u660e\uff0cCDS\u70ba\u4e00\u8907\u96dc\u7684\u885b\u751f\u8cc7\u8a0a\u79d1\u6280\u7d44\u4ef6\uff08health IT component\uff09\uff0c\u9700\u8981\u53ef\u8a08\u7b97\u7684\uff08computable\uff09\u751f\u7269\u91ab\u5b78\u8cc7\u8a0a\u3001\u500b\u4eba\u7279\u5b9a\u8cc7\u6599\u3001\u4ee5\u53ca\u4e00\u63a8\u8ad6\u6216\u63a8\u65b7\u4e4b\u6a5f\u5236\uff08mechanism\uff09\u7528\u4f86\u7d50\u5408\u77e5\u8b58\u8207\u8cc7\u6599\uff0c\u4ee5\u7522\u751f\u4e26\u5448\u73fe\u51fa\u6709\u52a9\u65bc\u81e8\u5e8a\u91ab\u5e2b\u6b63\u5728\u7d66\u4e88\u7167\u8b77\u6642\u4e4b\u8cc7\u8a0a\uff1b\u5927\u591a\u6578CDS\u4e4b\u61c9\u7528\u70baEHR\u7cfb\u7d71\u4e4b\u90e8\u5206\uff0c\u4f46\u4e5f\u6709\u500b\u5225\u7684CDS\u7cfb\u7d71\u3002<\/p>\n\n\n\n<p>\u4f9d\u7de9\u8d77\u8a34\u5354\u8b70\uff08\u9644\u4ef6Exhibit B\uff1aInformation\uff09\uff0cPractice Fusion\u63d0\u4f9b\u6578\u5341\u842c\u540d\u7f8e\u570b\u91ab\u5e2b\u514d\u8cbb\u4f7f\u7528\u5176EHR\u8edf\u9ad4\uff0c\u6bcf\u6708\u66ff\u4e0a\u767e\u842c\u540d\u75c5\u60a3\u63d0\u4f9b\u91ab\u7642\u670d\u52d9\u3002Practice Fusion\u8207\u67d0\u85e5\u5ee0\u65bc2013\u5e74\u958b\u59cb\u8a0e\u8ad6\u4f7f\u7528Pain CDS alerts\u4ee5\u63d0\u5347\u8a72\u85e5\u5ee0ERO\u85e5\u54c1\u92b7\u91cf\u7684\u8a08\u756b\uff1b\u96d9\u65b9\u65bc2015\u5e74\u7c3d\u8a02\u5408\u7d04\u4e26\u5171\u540c\u8a2d\u8a08Pain CDS\u5167\u5bb9\uff0c\u5305\u62ec\u75bc\u75db\u6307\u6578\uff08pain score\uff09\u3001\u7c21\u6613\u75bc\u75db\u91cf\u8868\uff08brief pain inventory\uff09\u3001\u5f8c\u7e8c\u7167\u8b77\u9078\u9805\u3001Pain CDS\u7684\u8a2d\u8a08\u908f\u8f2f\u7b49\u3002\u67d0\u85e5\u5ee0\u65bc2016\u5e743\u6708\u652f\u4ed8\u8fd1\u7f8e\u91d196\u842c\u5143\uff08\u7d04\u53f0\u5e632\u53438\u767e\u842c\u5143\uff09\uff0c\u4f5c\u70ba\u63db\u53d6\u7f6e\u5165Pain CDS alerts\u7684\u4ee3\u50f9\uff0cPain CDS alerts\u4e26\u65bc\u540c\u5e747\u6708\u6b63\u5f0f\u4e0a\u7dda\u3002\u4f9d\u7de9\u8d77\u8a34\u5354\u8b70\uff08\u9644\u4ef6Exhibit C\uff1aStatement of Facts\uff09Practice Fusion\u5167\u90e8\u8a55\u4f30\uff0c\u4f7f\u7528Pain CDS alerts\u53ef\u8b93\u67d0\u85e5\u5ee0\u589e\u52a02,777\u540d\u75c5\u60a3\u4e26\u7372\u5f97\u7d04850\u842c\u81f31100\u842c\u7f8e\u5143\uff08\u7d04\u65b0\u53f0\u5e632\u51045\u5343\u842c\u81f33\u51043\u5343\u842c\u5143\uff09\u7684\u71df\u6536\u3002Pain CDS\u65bc2016\u5e747\u6708\u81f32019\u5e744\u6708\u9593\uff0c\u5171\u63d0\u51fa\u8d85\u904e2\u51043\u5343\u842c\u6b21\u7684Pain CDS alerts\u3002<\/p>\n\n\n\n<p>\u4f9d\u7de9\u8d77\u8a34\u5354\u8b70\uff08\u9644\u4ef6Exhibit B\uff1aInformation\uff09\uff0cPractice Fusion EHR\u7cfb\u7d71\u7684\u57fa\u672cCDS alerts\u904b\u4f5c\u65b9\u5f0f\uff0c\u662f\u5728\u91ab\u5e2b\u9032\u884c\u8a3a\u65b7\u6cbb\u7642\u7684\u300c\u7576\u4e0b\u300d\uff0c\u4ee5\u8a0a\u606f\u7684\u65b9\u5f0f\uff0c\u63d0\u9192\u91ab\u5e2b\u6709\u95dc\u7279\u6b8a\u500b\u4eba\u5065\u5eb7\u8cc7\u8a0a\u8207\u75c5\u60a3\u60c5\u6cc1\uff0c\u4e26\u63d0\u4f9b\u91ab\u5e2b\u61c9\u8003\u91cf\u4e4b\u7279\u6b8a\u81e8\u5e8a\u8cc7\u8a0a\u3001\u63a1\u53d6\u7279\u6b8a\u6aa2\u9a57\u8207\u8a55\u4f30\u3001\u6216\u61c9\u5b8c\u6210\u7684\u7279\u5b9a\u6587\u4ef6\u3002Pain CDS alerts\u7684\u8a2d\u8a08\uff0c\u4e3b\u8981\u91dd\u5c0d\u5177\u6709\u6162\u6027\u75bc\u75db\u4f46\u672a\u66fe\u4f7f\u7528\u904e\u9d09\u7247\u985e\u6b62\u75db\u85e5\u7269\u7684\u75c5\u60a3\uff08opioid na\u00efve patient\uff09\uff0c\u4ee5\u53ca\u6709\u4f7f\u7528IRO\uff08Immediate Release Opioid\uff09\u4e4b\u75c5\u60a3\uff0c\u63d0\u51fa\u8b66\u793a\uff1b\u5176\u5177\u6709\u4e09\u7a2e\u4e0d\u540c\u529f\u80fd\u63d0\u793a\u3002\u7b2c\u4e00\u7a2e\u63d0\u793a\u662f\u9f13\u52f5\u91ab\u5e2b\u8a18\u9304\u75c5\u60a3\u75bc\u75db\u6307\u6578\uff1b\u7b2c\u4e8c\u7a2e\u63d0\u793a\u662f\u5efa\u8b70\u91ab\u5e2b\u4f7f\u7528\u7c21\u6613\u75bc\u75db\u91cf\u8868\uff0c\u7d00\u9304\u88ab\u8a3a\u65b7\u70ba\u6162\u6027\u75bc\u75db\u60a3\u8005\uff0c\u6216\u65bc\u524d\u4e09\u500b\u6708\u5177\u6709\u5169\u7a2e\u4ee5\u4e0a\u75bc\u75db\u3001\u4e14\u5176\u75bc\u75db\u6307\u6578\u9054\u52304\u5206\uff081\u81f310\u5206\u6a19\u6e96\uff09\u4ee5\u4e0a\u4e4b\u75c5\u60a3\uff1b\u7c21\u6613\u75bc\u75db\u91cf\u8868\u5c07\u4f7f\u91ab\u5e2b\u5c08\u6ce8\u65bc\u75c5\u60a3\u75bc\u75db\u7684\u75c7\u72c0\uff0c\u4e14\u63d0\u51fa\u4e00\u9023\u4e32\u95dc\u65bc\u75c5\u60a3\u75bc\u75db\u7684\u56b4\u91cd\u7a0b\u5ea6\u8207\u5f71\u97ff\u4e4b\u554f\u984c\uff0c\u7531\u75c5\u60a3\u81ea\u8ff0\u517624\u5c0f\u6642\u5167\u7684\u75bc\u75db\u75c7\u72c0\u3002\u7b2c\u4e09\u7a2e\u63d0\u793a\uff0c\u5247\u63d0\u9192\u91ab\u5e2b\u61c9\u5efa\u7acb\u6cbb\u7642\u75c5\u60a3\u75bc\u75db\u7684\u5f8c\u7e8c\u8ffd\u8e64\u8a08\u756b\uff0c\u6b64\u8b66\u793a\u50c5\u51fa\u73fe\u65bc\u8fd1\u56db\u500b\u6708\u5167\u75c5\u60a3\u81ea\u8ff0\u8d85\u904e\u5169\u6b21\u7b49\u7d1a4\u4ee5\u4e0a\u4e4b\u75bc\u75db\u8005\uff0c\u6216\u6709\u6162\u6027\u75bc\u75db\u4e14\u5df2\u5b8c\u6210\u7c21\u6613\u75bc\u75db\u91cf\u8868\u8005\uff1b\u5f8c\u7e8c\u8ffd\u8e64\u8a08\u756b\u4ee5\u4e0b\u62c9\u5f0f\u9078\u55ae\u7684\u65b9\u5f0f\u8868\u5217\u53ef\u80fd\u7684\u7269\u7406\u6cbb\u7642\u8207\u85e5\u7269\u9078\u9805\uff0c\u800cERO\u4fbf\u8207\u5176\u4ed6\u6cbb\u7642\u9078\u9805\u4e26\u5217\u3002\u4f9d\u64da\u7de9\u8d77\u8a34\u5354\u8b70\uff08\u9644\u4ef6Exhibit C\uff1aStatement of Facts\uff09\uff0cPractice Fusion\u5728Pain CDS alerts\u5be6\u969b\u4e0a\u7dda\u56db\u500b\u6708\u5f8c\u7684\u5167\u90e8\u5206\u6790\uff0c\u63a5\u6536\u5230Pain CDS alerts\u7684\u91ab\u5e2b\uff0c\u7684\u78ba\u6bd4\u672a\u63a5\u6536\u8005\uff0c\u6bcf\u6708\u589e\u52a04800\u81f36300\u4ef6\u7684\u75bc\u75db\u7167\u8b77\u8a08\u756b\uff0c\u958b\u7acb\u66f4\u591aERO\u8655\u65b9\uff0c\u4e26\u6709\u6548\u4fc3\u4f7f\u91ab\u5e2b\u7531IRO\u6539\u70baERO\u8655\u65b9\u3002<\/p>\n\n\n\n<p>\u4f9d\u7de9\u8d77\u8a34\u5354\u8b70\uff08\u9644\u4ef6Exhibit B\uff1aInformation\uff09\uff0c\u57fa\u65bcERO\u85e5\u54c1\u6709\u90e8\u5206\u6216\u5168\u90e8\u662f\u7531\u806f\u90a6\u6216\u5dde\u653f\u5e9c\u900f\u904e\u4fdd\u96aa\u6240\u652f\u4ed8\uff0c\u4f8b\u5982\u806f\u90a6\u91ab\u7642\u4fdd\u96aa\uff08Medicare\uff09\u3001\u806f\u90a6\u91ab\u7642\u88dc\u52a9\uff08Medicaid\uff09\u6216\u8ecd\u4eba\u4fdd\u96aa\uff08TRICARE\uff09\uff0c\u5c6c\u65bc\u806f\u90a6\u5065\u5eb7\u7167\u8b77\u8a08\u756b\uff08Federal health care program\uff09\u7bc4\u570d\uff1aPractice Fusion\u77e5\u60c5\u4e26\u81ea\u9858\u5730\u7d22\u53d6\u6216\u6536\u5230\u67d0\u85e5\u5ee0\u4e4b\u5831\u916c\uff0c\u4ee5\u63db\u53d6\u63a8\u85a6\u8cfc\u8cb7\u6216\u8a02\u8cfc\u67d0\u5546\u54c1\u6216\u7269\u54c1\u4e4b\u5b89\u6392\uff0c\u800c\u5176\u70ba\u7531\u806f\u90a6\u7167\u8b77\u8a08\u756b\u652f\u4ed8\u5168\u90e8\u6216\u90e8\u5206\uff0c\u6545\u9055\u53cd\u806f\u90a6\u53cd\u56de\u6263\u6cd5\uff0c\u4e26\u4e14\u57fa\u65bc\u70ba\u5169\u4eba\u4ee5\u4e0a\u5411\u7f8e\u570b\u653f\u5e9c\u9032\u884c\u5171\u8b00\u6216\u8a50\u6b3a\uff0c\u540c\u6642\u89f8\u72af\u5171\u8b00\u7f6a\uff0818 U.S. Code \u00a7371\uff09\u3002\u540c\u6642\uff0c\u4f9d\u548c\u89e3\u5354\u8b70\uff0cPractice Fusion\u88ab\u6307\u63a7\u8207\u591a\u5bb6\u85e5\u5ee0\u9054\u6210\u5171\u8a0814\u4ef6\u4e4bCDS alerts\u5354\u8b70\uff0c\u5c0e\u81f4\u81ea2014\u5e744\u6708\u81f32019\u5e744\u6708\u671f\u9593\uff0c\u4f7f\u7528\u8a72\u8edf\u9ad4\u958b\u7acb\u4e4bERO\u8655\u65b9\u4e26\u7533\u8acb\u806f\u90a6\u7167\u8b77\u8a08\u756b\u652f\u4ed8\u8005\uff0c\u8207\u53e6\u4f7f\u7528Practice Fusion\u4e0d\u5408\u683cEHR\u8edf\u9ad4\u800c\u7533\u8acbEHR\u734e\u52f5\u8a08\u756b\uff08EHR Incentive Payment Programs\uff09\u4e4b\u91ab\u5e2b\uff0c\u7686\u505a\u51fa\u865b\u5047\u9673\u8ff0\uff08false claims\uff09\u3002\u4f9d\u7de9\u8d77\u8a34\u5354\u8b70\uff0c\u9664\u652f\u4ed8\u5211\u4e8b\u8207\u6c11\u4e8b\u7f70\u6b3e\u5916\uff0cPractice Fusion\u9808\u627f\u8a8d\u5176\u932f\u8aa4\u884c\u70ba\u4e14\u81ea\u884c\u516c\u544a\u65bc\u7db2\u7ad9\uff0c\u65bc\u4e09\u5e74\u5167\u5b8c\u5168\u914d\u5408\u6aa2\u5bdf\u5b98\u76f8\u95dc\u8abf\u67e5\uff0c\u5be6\u65bdCDS\u9075\u5b88\u8a08\u756b\uff08Compliance Program\uff09\uff0c\u4e26\u63a5\u53d7\u76e3\u7763\u7d44\u7e54\uff08Oversight Organization\uff09\u4e4b\u67e5\u6838\u3002<br>\n\u672c\u6848\u5f15\u8d77\u7b46\u8005\u6ce8\u610f\u7684\uff0c\u4e26\u975e\u8edf\u9ad4\u5546\u6536\u53d6\u56de\u6263\u4e4b\u72af\u7f6a\u884c\u70ba\uff0c\u800c\u662f\u7de9\u8d77\u8a34\u5354\u8b70\u4e2d\u8edf\u9ad4\u5546\u4ee5CDS alerts\u5f71\u97ff\u91ab\u5e2b\u7684\u300c\u65b9\u5f0f\u300d\u3002R. H. Thaler\u8207C. R. Sunstein\u5c07\u300cNudge\u300d\uff08\u8f15\u63a8\uff09\u5b9a\u7fa9\u70ba\u300c\u9078\u64c7\u67b6\u69cb\uff08choice architecture\uff09\u7684\u4efb\u4f55\u9762\u5411\uff0c\u4ee5\u53ef\u9810\u671f\u7684\u65b9\u5f0f\u6539\u8b8a\u4eba\u5011\u7684\u884c\u70ba\uff0c\u800c\u7121\u9700\u7981\u6b62\u5176\u4efb\u4f55\u9078\u64c7\u6216\u662f\u986f\u8457\u5730\u6539\u8b8a\u5176\u7d93\u6fdf\u8a98\u56e0\uff08economic incentives\uff09\u300d\u3002\u672c\u6848\u8edf\u9ad4\u5546\u900f\u904eCDS alerts\u300c\u8f15\u63a8\u300d\u91ab\u5e2b\u63a1\u53d6\u7279\u6b8a\u884c\u70ba\uff0c\u800c\u7de9\u8d77\u8a34\u5354\u8b70\uff08\u9644\u4ef6Exhibit C\uff1aStatement of Facts\uff09\u66f4\u5f62\u5bb9\u8a72CDS alerts\u53ef\u300c\u5f71\u97ff\uff08influence\uff09\u91ab\u5e2b\u4e26\u8a98\u5c0e\uff08induce\uff09\u958b\u7acbERO\u300d\uff0c\u4e14\u5c31\u5176\u5be6\u969b\u7d50\u679c\u800c\u8a00\uff0c\u6b64\u65b9\u6cd5\u78ba\u5be6\u5c0d\u91ab\u5e2b\u7522\u751f\u5f71\u97ff\u3002\u5118\u7ba1\uff0c\u8a72\u8edf\u9ad4\u5546\u65bc\u672c\u6848\u4e26\u672a\u56e0\u6b64\u300c\u8f15\u63a8\u4e4b\u8a2d\u8a08\u300d\u89f8\u72af\u6cd5\u5f8b\uff0c\u4f46\uff0c\u900f\u904e\u672c\u6848\u6211\u5011\u4f3c\u4e4e\u53ef\u4ee5\u53bb\u601d\u8003\u9019\u6a23\u4e00\u500b\u554f\u984c\uff1a\u8edf\u9ad4\u5546\u900f\u904e\u8edf\u9ad4\u6216\u6f14\u7b97\u6cd5\u800c\u9020\u6210\u7684\u300c\u8f15\u63a8\u300d\u884c\u70ba\uff0c\u5728\u70ba\u4e0d\u7576\u76ee\u7684\u800c\u8a2d\u8a08\uff0c\u4e14\u9020\u6210\u7576\u4e8b\u4eba\u6216\u4ed6\u4eba\u4e0d\u5229\u5f8c\u679c\u7684\u60c5\u6cc1\u4e0b\uff0c\u662f\u5426\uff0c\u8edf\u9ad4\u5546\u9808\u70ba\u6b64\u65b9\u5f0f\u8ca0\u8d77\u76f8\u61c9\u7a0b\u5ea6\u4e4b\u6cd5\u5f8b\u8cac\u4efb\uff1f\u63db\u8a00\u4e4b\uff0c\u7269\u7406\u4e16\u754c\u4e2d\u7684\u300c\u6559\u5506\u300d\u3001\u300c\u717d\u52d5\u300d\u3001\u300c\u5f15\u8a98\u300d\u7b49\u5171\u72af\u7f6a\u8cac\uff0c\u5728\u6578\u4f4d\u4e16\u754c\u4e2d\uff0c\u7576\u8edf\u9ad4\u5546\u53ef\u900f\u904e\u8edf\u9ad4\u8a2d\u8a08\u800c\u7522\u751f\u76f8\u540c\u6548\u679c\u7684\u6642\u5019\uff0c\u662f\u5426\u4e5f\u61c9\u8ffd\u7a76\u5176\u8cac\u4efb\uff1f<\/p>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/infolaw.iias.sinica.edu.tw\/wp-content\/uploads\/2020\/04\/pexels-negative-space-48604-1024x653.jpg\" alt=\"\" class=\"wp-image-4269\" width=\"1053\" height=\"672\" srcset=\"https:\/\/infolaw.iias.sinica.edu.tw\/wp-content\/uploads\/2020\/04\/pexels-negative-space-48604-1024x653.jpg 1024w, https:\/\/infolaw.iias.sinica.edu.tw\/wp-content\/uploads\/2020\/04\/pexels-negative-space-48604-300x191.jpg 300w, https:\/\/infolaw.iias.sinica.edu.tw\/wp-content\/uploads\/2020\/04\/pexels-negative-space-48604-768x490.jpg 768w, https:\/\/infolaw.iias.sinica.edu.tw\/wp-content\/uploads\/2020\/04\/pexels-negative-space-48604-200x128.jpg 200w, https:\/\/infolaw.iias.sinica.edu.tw\/wp-content\/uploads\/2020\/04\/pexels-negative-space-48604-690x440.jpg 690w\" sizes=\"auto, (max-width: 1053px) 100vw, 1053px\" \/><figcaption>Photo by <a rel=\"noreferrer noopener\" aria-label=\"Negative Space (\u5728\u65b0\u5206\u9801\u4e2d\u958b\u555f)\" href=\"https:\/\/www.pexels.com\/@negativespace\" target=\"_blank\">Negative Space<\/a> from <a href=\"https:\/\/www.pexels.com\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"Pexels (\u5728\u65b0\u5206\u9801\u4e2d\u958b\u555f)\">Pexels<\/a><\/figcaption><\/figure><\/div>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>\u8cc7\u6599\u4f86\u6e90<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\"><li>U.S. Department of Justice. Electronic Health Records Vendor to Pay Largest Criminal Fine in Vermont History and A Total of $145 Million to Resolve Criminal and Civil Investigation.\uff08Jan 27, 2020. Press Release, Deferred Prosecution Agreement and Settlement Agreement\uff09\uff08<a rel=\"noreferrer noopener\" aria-label=\" (\u5728\u65b0\u5206\u9801\u4e2d\u958b\u555f)\" href=\"https:\/\/www.justice.gov\/usao-vt\/pr\/electronic-health-records-vendor-pay-largest-criminal-fine-vermont-history-and-total-145\" target=\"_blank\">https:\/\/www.justice.gov\/usao-vt\/pr\/electronic-health-records-vendor-pay-largest-criminal-fine-vermont-history-and-total-145<\/a>\uff09<\/li><li>Official Website of The Office of the National Coordinator for Health Information Technology\uff08ONC\uff09, Clinical Decision Support. <a href=\"https:\/\/www.healthit.gov\/topic\/safety\/clinical-decision-support\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (\u5728\u65b0\u5206\u9801\u4e2d\u958b\u555f)\">https:\/\/www.healthit.gov\/topic\/safety\/clinical-decision-support<\/a><\/li><li>U.S. Food &amp; Drug Administration. Clinical Decision Support Software: Draft Guidance for Industry and Food and Drug Administration Staff. \uff08Sep. 27, 2019\uff09<\/li><li>Christopher Brown. Opioid Case Spotlights Use of AI for Health-Care Fraud. \uff08Bloomberg Law, Jan. 29, 2020\uff09<\/li><li>Brian Mann. Health Care Software Firm Fined $145M in Opioid Scheme With Drug Companies. \uff08NPR, Feb. 1, 2020\uff09<\/li><li>Rujul Desai, Stefanie Doebler, Anna Kraus and Shanya J. Dingle. Electronic Health Record Company Settles Department of Justice Kickback Probe. \uff08Covington &amp; Burling LLP. Feb.26, 2020\uff09<\/li><li>Jack Murtha. After a $145 Million Opioid Kickback Settlement, Can We Trust Our Doctors? \uff08Filter Magazine, Jan.31, 2020\uff09<\/li><li>Mike Spector and Tom Hals. Exclusive: OxyContin maker Purdue is \u2018Pharma Co X\u2019 in U.S. opioid kickback probe-sources. \uff08Reuters, Jan. 29, 2020\uff09<\/li><li>Eliser Reuter. Practice Fusion Allegedly Weaponized EHRs in Kickback Scheme. \uff08MedCity News, Jan. 28, 2020\uff09<\/li><li>Jaclyn Jaeger. Practice Fusion To Overhaul Compliance After $145M Kickback Resolution. \uff08Compliance Week, Feb. 6, 2020\uff09<\/li><li>Mary Inman, Esq. and Anne Hayes Hartman, Esq.. EHR Vendor Settles Landmark Case Alleging Acceptance of Kickbacks from pharma Company to Steer Opioid Prescriptions. \uff08RAC monitor, Mar.4, 2020\uff09<\/li><li>Jackie Drees. Allscripts Agrees to $145M Settlement Over Practice Fusion HIPAA, meaningful use investigation. \uff08Backer\u2019s Hospital Review, Aug. 9, 2019\uff09<\/li><li>Rocco Maglio. Tech Talk: Software Company Punished for Pushing Opioids.&nbsp; \uff08Hernando Sun, Mar. 3, 2020\uff09<\/li><li>Ted Anderson. S.F-based Practice Fusion Inc. Admits to Opioid Kickback Scheme. \uff08San Francisco Business Times, Jan. 28, 2020\uff09<\/li><li>Heather Landi. Practice Fusion to Pay $145M Settlement for Taking Kickbacks Aimed at Increasing Opioid Prescriptions. \uff08Fierce Healthcare, Jan. 27, 2020\uff09<\/li><li>Katyanna Quach. SF Tech Biz Forks Out $146m in Fines, Settlements after Painkiller Makers Bribed It to Design Medical Software that Pushed Opioids to Patients.\uff08The Register UK, Jan. 31, 2020\uff09<\/li><li>Vanessa Szalapski. $145 Million Settlement Shows the Depth of Government\u2019s Effort to Combat Opioid Crisis And Its Interest In Fraud Actions Against Electronic Health Records Companies.\uff08Dorsey &amp; Whitney LLP, Mar. 5, 2020\uff09<\/li><li>Mark Hayward. Opioid Maker Allegedly Paid Kickbacks to Access Electronic Health Records. \uff08Union Leader, Feb. 3, 2020\uff09<\/li><li>Matthew Rozsa. Oxycontin Makers Gave Kickbacks to Medical Software Company that Pushed Doctors to Prescribe Opioids. \uff08Salon, Jan. 30, 2020\uff09<\/li><li>Janice Hopkins Tanne. US Electronic Records Company Fined $145 Million for Pushing Doctors to Prescribe Opioids. \uff08BMJ, Jan. 31, 2020\uff09<\/li><li>Elizabeth Murray. Vermont U.S. Attorney\u2019s Office: Health Records Vendor will Pay $145 Million in Kickback Scheme. \uff08Burlington Free Press, Jan. 28, 2020\uff09<\/li><li>Susan Morse. Allscripts Pays $145 Million to Settle Practice Fusion Civil and Criminal Investigation.\uff08Healthcare IT News, Aug. 09, 2020\uff09<\/li><li>Enid Montasgue. Electronic Health Records Need an Ethical Turn-Up. \uff08Scientific American Blog Network, Mar. 24, 2020\uff09<\/li><li>Kim Lyons. Your Doctor\u2019s Computer May Have Suggested Opioids Because Drugmakers Paid to Tweak the Software, DOJ says. \uff08The Verge, Jan. 31, 2020\uff09<\/li><li>Robert Dillard. Electronic Health Records Company Practice Fusion Inc. to Pay $145 Million After Admitting to Opioid Prescriptions Kickback Scheme. \uff08Docwire News, Jan.30, 2020\uff09<\/li><\/ul>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>\u5ef6\u4f38\u95b1\u8b80<\/strong><\/h4>\n\n\n\n<p>\u7121<\/p>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>\u4f5c\u8005<\/strong><\/h4>\n\n\n\n<p><a rel=\"noreferrer noopener\" href=\"https:\/\/infolaw.iias.sinica.edu.tw\/?page_id=1958\" target=\"_blank\">\u9867\u9577\u82b8\u3000\u4e2d\u592e\u7814\u7a76\u9662\u6cd5\u5f8b\u5b78\u7814\u7a76\u6240<\/a><br>\u672c\u7814\u7a76\u611f\u8b1d\u300c\u8cc7\u6599\u5b89\u5168\u7814\u767c\u53ca\u4eba\u624d\u57f9\u80b2\u8a08\u756b\u300d\u652f\u6301\n\n<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0\u9867\u9577\u82b8 2020\u5e7404\u670814\u65e5 \u96fb\u5b50\u75c5\u6b77\uff08Electron<br \/><a class=\"read-more\" style=\"color:#843700\" href=\"https:\/\/infolaw.iias.sinica.edu.tw\/?p=4103\">[ Read More ]<\/a><\/p>\n","protected":false},"author":5,"featured_media":4269,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"categories":[39,41],"tags":[344,273,57,343],"class_list":["post-4103","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","category-legal-news","tag-344","tag-273","tag-57","tag-343","post-item clearfix"],"_links":{"self":[{"href":"https:\/\/infolaw.iias.sinica.edu.tw\/index.php?rest_route=\/wp\/v2\/posts\/4103","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/infolaw.iias.sinica.edu.tw\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/infolaw.iias.sinica.edu.tw\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/infolaw.iias.sinica.edu.tw\/index.php?rest_route=\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/infolaw.iias.sinica.edu.tw\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4103"}],"version-history":[{"count":8,"href":"https:\/\/infolaw.iias.sinica.edu.tw\/index.php?rest_route=\/wp\/v2\/posts\/4103\/revisions"}],"predecessor-version":[{"id":5484,"href":"https:\/\/infolaw.iias.sinica.edu.tw\/index.php?rest_route=\/wp\/v2\/posts\/4103\/revisions\/5484"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/infolaw.iias.sinica.edu.tw\/index.php?rest_route=\/wp\/v2\/media\/4269"}],"wp:attachment":[{"href":"https:\/\/infolaw.iias.sinica.edu.tw\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4103"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/infolaw.iias.sinica.edu.tw\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4103"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/infolaw.iias.sinica.edu.tw\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4103"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}