The Big Apple’s Cyber Nightmare

Failure to integrate information systems leaves New Yorkers seeking COVID-19 vaccination out of luck.

EDITOR’S NOTE: This is the first in a series of articles called “Cyber Watch,” produced by RACmonitor and authored by Edward Roche.

New York City is supposed to be one of the most advanced data processing centers in the world. Wall Street, banking, insurance – all of these sectors are heavy users of computing systems. The city also has a few pockets of technology innovation, and even a few start-ups.

One would think that when it comes to IT, the Big Apple would shine. But that’s not what’s happening now.

The hasty and ill-planned efforts to vaccinate New Yorkers has turned into an IT nightmare. Nothing seems to work. The New York City Health Department has set up a “vaccine finder” website designed to show the places where one can be vaccinated. There is a map display and list of locations, each with a “schedule an appointment” button. Sounds easy, right? The only problem is that it doesn’t seem to work well.

Each vaccination location is different. Each requires one to fill out a lengthy questionnaire about one’s eligibility, name, address, date of birth, email address, sex, race, whether or not you are Hispanic, what type of work you do, and so on. Many require that you register and get a login and password.

Every single one I tried would get to the stage where the system was going to send a verification email or SMS message as confirmation, then nothing happens. All the data lost; all the effort wasted.

Some have numbers to call. That yields no answer, or a long recorded message with irrelevant information.

Sometimes you can get to the last step, which is “schedule an appointment,” then, guess what – no appointments are available, even if you look as far out as June.

One wonders why the site is listed at all, if there are zero appointments available? One wonders why it asks for so much information if there are no appointments anyway.

So you go to another location. Go through the same thing again. Repeat.

My wife and I have been doing this over and over for two days, looking at locations in Manhattan, Queens, the Bronx, Brooklyn, and in other places I’ve never heard of.

Some people seem to be getting through. But how efficient is the system? As of tonight, New York City has used up 267,923 out of 793,000 vaccinations that were delivered. So around 525,000 doses are sitting in storage.

Things are not working well, at all.

The situation in New York City is a cyber crisis. It is the result of lack of planning and lack of coordination between different information systems. Citizens are wasting hours and hours re-entering the same data over and over, and finding out that nothing is available, over and over.

It is the result of using hundreds of information systems, when actually there should be only one.

What we see in New York City is not only a health disaster, but it is a cyber disaster. Hopefully New York is not becoming a model for other cities in the United States.

Facebook
Twitter
LinkedIn

Edward M. Roche, PhD, JD

Edward Roche is the director of scientific intelligence for Barraclough NY, LLC. Mr. Roche is also a member of the California Bar. Prior to his career in health law, he served as the chief research officer of the Gartner Group, a leading ICT advisory firm. He was chief scientist of the Concours Group, both leading IT consulting and research organizations. Mr. Roche is a member of the RACmonitor editorial board as an investigative reporter and is a popular panelist on Monitor Mondays.

Related Stories

EHI Export Requirements – Is Your EHR Ready?

EHI Export Requirements – Is Your EHR Ready?

EDITOR’S NOTE: Senior healthcare consultant, Rose Dunn, past president of AHIMA, reported this story today during her appearance on Talk Ten Tuesdays. The Electronic Health

Read More

Leave a Reply

Please log in to your account to comment on this article.

Featured Webcasts

The Cost of Ignoring Risk Adjustment: How HCCs Impact Revenue & Compliance

The Cost of Ignoring Risk Adjustment: How HCCs Impact Revenue & Compliance

Stop revenue leakage and boost hospital performance by mastering risk adjustment and HCCs. This essential webcast with expert Cheryl Ericson, RN, MS, CCDS, CDIP, will reveal how inaccurate patient acuity documentation leads to lost reimbursements through penalties from poor quality scores. Learn the critical differences between HCCs and traditional CCs/MCCs, adapt your CDI workflows, and ensure accurate payments in Medicare Advantage and value-based care models. Perfect for HIM leaders, coders, and CDI professionals.  Don’t miss this chance to protect your hospital’s revenue and reputation!

May 29, 2025
I050825

Mastering ICD-10-CM Coding for Diabetes and it’s Complications: Avoiding Denials & Ensuring Compliance

Struggling with ICD-10-CM coding for diabetes and complications? This expert-led webcast clarifies complex combination codes, documentation gaps, and sequencing rules to reduce denials and ensure compliance. Dr. Angela Comfort will provide actionable strategies to accurately link diabetes to complications, improve provider documentation, and optimize reimbursement—helping coders, CDI specialists, and HIM leaders minimize audit risks and strengthen revenue integrity. Don’t miss this chance to master diabetes coding with real-world case studies, key takeaways, and live Q&A!

May 8, 2025
2025 Coding Clinic Webcast Series

2025 ICD-10-CM/PCS Coding Clinic Update Webcast Series

Uncover critical guidance. HIM coding expert, Kay Piper, RHIA, CDIP, CCS, provides an interactive review on important information in each of the AHA’s 2025 ICD-10-CM/PCS Quarterly Coding Clinics in easy-to-access on-demand webcasts, available shortly after each official publication.

April 14, 2025

Trending News

Featured Webcasts

Medicare Advantage 2026: Navigating New Rules, Denial Protections & SDoH Shifts

Medicare Advantage 2026: Navigating New Rules, Denial Protections & SDoH Shifts

Stay ahead of Medicare Advantage’s 2025-2026 regulatory changes in this critical webcast featuring expert Tiffany Ferguson, LMSW, CMAC, ACM. Learn how new CMS rules limit MA plan denials, protect hospitals from retroactive claim reopenings, and modify Two-Midnight Rule enforcement—plus key insights on omitted SDoH mandates and heightened readmission scrutiny. Discover actionable strategies to safeguard revenue, ensure compliance, and adapt to evolving health equity priorities before the June 2025 deadline. Essential for hospitals, revenue cycle teams, and compliance professionals navigating MA’s shifting landscape.

May 28, 2025
Navigating the 3-Day & 1-Day Payment Window: Compliance, Billing, and Revenue Protection

Navigating the 3-Day & 1-Day Payment Window: Compliance, Billing, and Revenue Protection

Struggling with CMS’s 3-Day Payment Window? Join compliance expert Michael G. Calahan, PA, MBA, CCO, to master billing restrictions for pre-admission and inter-facility services. Learn how to avoid audit risks, optimize revenue cycle workflows, and ensure compliance across departments. Critical for C-suite leaders, providers, coders, revenue cycle teams, and compliance teams—this webcast delivers actionable strategies to protect reimbursements and meet federal regulations.

May 15, 2025
Audit-Proof Your Wound Care Procedures: Expert Insights on Compliance and Risk Mitigation

Audit-Proof Your Wound Care Procedures: Expert Insights on Compliance and Risk Mitigation

Providers face increasing Medicare audits when using skin substitute grafts, leaving many unprepared for claim denials and financial liabilities. Join veteran healthcare attorney Andrew B. Wachler, Esq., in this essential webcast and master the Medicare audit process, learn best practices for compliant billing and documentation, and mitigate fraud and abuse risks. With actionable insights and a live Q&A session, you’ll gain the tools to defend your practice and ensure compliance in this rapidly evolving landscape.

April 17, 2025
Utilization Review Essentials: What Every Professional Needs to Know About Medicare

Utilization Review Essentials: What Every Professional Needs to Know About Medicare

Dr. Ronald Hirsch dives into the basics of Medicare for clinicians to be successful as utilization review professionals. He’ll break down what Medicare does and doesn’t pay for, what services it provides and how hospitals get paid for providing those services – including both inpatient and outpatient. Learn how claims are prepared and how much patients must pay for their care. By attending our webcast, you will gain a new understanding of these issues and be better equipped to talk to patients, to their medical staff, and to their administrative team.

March 20, 2025

Trending News

Happy National Doctor’s Day! Learn how to get a complimentary webcast on ‘Decoding Social Admissions’ as a token of our heartfelt appreciation! Click here to learn more →

CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24