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Maryland is poised to jump ahead of the rest of the nation in health information technology on Tuesday when Gov. Martin O'Malley signs a bill intended to coax doctors into using electronic medical records. The computerized files are seen as the foundation of a national health information network that proponents say will improve care, advance medical knowledge and save the country tens of billions of dollars annually. But with the startup costs to individual doctors in the tens of thousands of dollars, many smaller practices have been slow to move from clipboard to computer screen. With today's bill signing, Maryland will become the first state requiring private insurance companies to offer doctors financial incentives to adopt the technology, state officials say. Doctors who do not bring an electronic medical records system on line by 2015 could face penalties. "This is where government and private health care providers can come together to really improve not only the quality of care but also, hopefully, create some costs savings as well," O'Malley said. "Health IT is the future of health care in our country, and we want Maryland to lead the way."

A former Fannie Mae IT contractor has been indicted for planting a virus that would have nuked the mortgage agency's computers, caused millions of dollars in damages and even shut down operations. How'd this happen? The contractor was terminated, but his server privileges were not. Rajendrasinh Makwana was indicted on Tuesday in the U.S. District Court for Maryland (press report, complaint and indictment PDFs). From early 2006 to Oct. 24, Makwana was a contractor for Fannie Mae. According to the indictment, Makwana allegedly targeted Fannie Mae's network after he was terminated. The goal was to "cause damage to Fannie Mae's computer network by entering malicious code that was intended to execute on January 31, 2009." And given Fannie Mae-along with Freddie Mac-was nationalized in an effort to stabilize the mortgate market Makwana could caused a good bit of havoc. Makwana worked at Fannie Mae's data center in Urbana, MD as a Unix engineer as a contractor with a firm called OmniTech. He had root access to all Fannie Mae servers. The tale of Makwana malware bomb plot is a warning shot to all security teams and IT departments. Given the level of layoffs we've seen lately the ranks of disgruntled former employees is likely to grow. Is there any company NOT lopping off a big chunk of its workforce? And some of these workers may even have Makwana's access privileges and knowledge of the corporate network.

Johns Hopkins is alerting more than 10,000 of its hospital patients that they may have been victims of identity theft. An investigation suggests a former employee who worked in patient registration may have been linked to a scheme to create fake drivers' licenses in Virginia, according to this letter from Baltimore-based Hopkins to the Maryland attorney general's office. Most of the patients are at very low risk, the letter says - they're included because the former employee accessed their records in the course of her work. But a few dozen have already been identified as likely victims, and a few hundred who have Virginia mailing addresses and whose records were accessed by the former employee may also be at risk. Hopkins is offering those patients credit monitoring, fraud resolution and identity-theft reimbursement for certain expenses.