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Début du rassemblement à #Lille contre la #PPL Garrot. Il y a déjà pas mal de monde à mon arrivée, surtout des internes et externes. Bonne présence des journalistes, locaux comme nationaux, pour cette déclinaison en région.

Cet après-midi, la #MSP est fermée en soutien. Parce que la #coercition en situation de pénurie, ça ne fonctionne pas (aggravation des inégalités territoriales et de la pénurie), parce que les #MG, installés et remplaçants font déjà le max pour la population. #Grève

#Ecuador🔴Corrupción en la compra de insumo médicos, así lo denuncia la Comisión Nacional Anticorrupción, que señala anomalías en 42 procesos de contratación, por un monto de $34 millones, en el período 2024 - 2025, en hospitales del #IESS y el #MSP.

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Packed up my rolly-walker and went over to the rally at the Minnesota State Capitol in St. Paul today. No camera on me bc I didn't know what kind of protest it was going to be, but it was packed! Easily 10k!

If I did have a sign it would've said, "It's So Bad Even The Spoonies Are Marching"

Edit: over 25K according to AP/MPR!

mprnews.org/story/2025/04/05/h

MPR News · Protesters tee off against Trump and Musk in ‘Hands Off!’ rallies across the USPar The Associated Press
#MSP#Minnesota#StPaul

We’ve had growing crowds every week at the MSP #TeslaTakedown in Golden Valley, MN: 100-some, then 200-some, then ~350–380…. This weekend is supposed to be a really big one worldwide — every dealership, big crowds, really get some attention — but tomorrow’s weather forecast in MN looks kind of dismal.

I worry…but then I know we’re not so easily deterred. Let’s show them how it gets done here in Minnesota.

There are 4 Minnesota locations to protest, and many more worldwide. Find them here, and please show up if you can! teslatakedown.com

Tesla TakedownTesla Takedown | Take action at Tesla showrooms everywhere.The stakes couldn’t be higher. No one is coming to save us—not politicians, not the media.

#Recherche en #SoinsPrimaires : vecteur de la démarche qualité en #MSP.

Mise en place et évaluation d'un projet de #CBSM (cognitive behavior stress management) par Pauline Girard, recherche action en soins primaires. Planification et adaptation du projet au territoire. Objectif : prévenir les troubles de santé mentale chez les internes. Ateliers avec support papier. Évaluation qualitative +/- quantitative.
#AVECSanté

Suite du fil

And #TeslaTakedown events continue nationwide, on an ongoing basis. Search for ones near you here:
teslatakedown.com

#MSP folks, we have a local rally in Golden Valley (just off 55 & Ottawa) this Saturday, March 8, 11am until…1:00? or whenever? And it looks like they’re going pretty much every Saturday now.

2/3

Tesla TakedownTesla Takedown | Take action at Tesla showrooms everywhere.The stakes couldn’t be higher. No one is coming to save us—not politicians, not the media.

Heads up, InfoSec friends in the US - HIPAA
 

It is hard to believe that the HIPAA rule was passed almost 30 years ago. And, to me, it is surprising that the folks at HHS/OCR are just now getting around to correcting one fundamental mistake in the security rules. If you follow this regulatory area, you know that some of the security rules are mandatory and some of them are “addressable”. What does addressable mean? It means you *should* do it, but you don’t have to. In the security world we know what that means. If you don’t have to do it, you probably won’t. And that’s exactly what happened – health care data breaches have just increased over time. Recently we saw the massive Change Healthcare breach with about 100 million (!) records lost.
 
HHS/OCR is now planning on an update to HIPAA security rules related to encryption and some other areas. This Notice of Proposed Rulemaking (NPRM) just arrived in my inbox this week:
 
hhs.gov/hipaa/for-professional
 
It takes time for this to work through the bureaucratic process, but given the history of losses of Protected Health Information (PHI and ePHI), I think this will eventually become the rule. Notice that the distinction between “mandatory” and “addressable” is going away. Also notice the focus on encryption of data at rest.
 
Most health organizations (Covered Entities and Business Associates in HIPAA lingo) have done work to encrypt laptops but that is not where the juicy stuff resides. It’s in those big medical application databases. So, this will be a big change.
 
If you provide IT and/or security expertise to an organization covered by HIPAA, I suggest the following initial steps:
 
·      Map the healthcare data flows. You will need this to implement an encryption strategy, and it will be required under the proposed rules.

·      Start talking to your software vendors. Companies like Epic and Cerner (from Oracle) will address this through software updates and you will need to know their proposed schedules. In my experience it is the smaller software vendors who will need prodding. Make a list and give them a call.

·      Assess the impact on your hardware environment. Encryption may require upgrades to handle increased demand on CPUs.

·      Encryption key management with a proper KMS is probably the biggest challenge to an encryption strategy. Understand best practices in this area and be sure your vendors line up. Getting this right at the beginning will save a lot of headaches later.

·      Start talking to management right now. This will be a significant change and they should get prepared.
 
 Yes, I know – encryption is not a perfect solution. No security solution that we deploy is perfect. But it can substantially reduce the loss of unprotected healthcare data.
 
I will try to post more about this as the proposed rule-making proceeds.
 
#HIPAA #InfoSec #Security #IT #MSP #MSSP