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MACRA/MIPS: Chutes & Ladders 2.0 – #HITsm Chat Topic

Posted on November 14, 2017 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 11/17 at Noon ET (9 AM PT). This week’s chat will be hosted by Jim Tate (@jimtate) from EMR Advocate and MIPS Consulting on the topic of “MACRA/MIPS: Chutes & Ladders 2.0.”

As Meaningful Use fades into the sunset we witness the arrival of the MACRA/MIPS program. The most significant change in Medicare Part B reimbursement in a generation has arrived. Fueled by the shift to “pay for value”, this zero-sum legislation guarantees there will be winners and losers. I am reminded of the childhood board game, Chutes & Ladders, where you were either climbing up or sliding down.

Join us as we dive into this topic during this week’s #HITsm chat using the following questions.

Topics for This Week’s #HITsm Chat:

T1: Is MACRA/MIPS fair to providers? #hitsm

T2: How prepared are Eligible Clinicians for MACRA/MIPS? #hitsm

T3: What are the potential impacts of the MIPS Composite Performance Scores being made public? #hitsm

T4: Part B drugs will be included in MIPS eligibility and reimbursement calculations. What are the possible consequences? #hitsm

T5: Will MACRA/MIPS deliver better care at a lower cost? #hitsm

Bonus: If you had the power to change anything, what would you change with MACRA/MIPS? #HITsm

Upcoming #HITsm Chat Schedule
11/24 – Thanksgiving Break!
Show some gratitude on Thanksgiving by thanking someone in the #HITsm community!

12/1 – Using Technology to Fight EHR Burnout
Hosted by Gabe Charbonneau, MD (@gabrieldane)

12/8 – TBD
Hosted by Homer Chin (@chinhom) and Amy Fellows (@afellowsamy) from @MyOpenNotes)

12/15 – TBD
Hosted by David Fuller (@genkidave)

12/22 – Holiday Break

12/29 – Holiday Break

We look forward to learning from the #HITsm community! As always, let us know if you’d like to host a future #HITsm chat or if you know someone you think we should invite to host.

If you’re searching for the latest #HITsm chat, you can always find the latest #HITsm chat and schedule of chats here.

Medical Data Impact to Financial Health, Disability and Job Protection – #HITsm Chat Topic

Posted on November 7, 2017 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 11/10 at Noon ET (9 AM PT). This week’s chat will be hosted by Kimberly George (@kimberlyanngeo) from @sedgwick on the topic of “Medical Data Impact to Financial Health, Disability and Job Protection.”

Short term disability, the Americans with Disabilities Act (ADA), the Family Medical Leave Act (FMLA) and similar leave of absence programs – including workers’ compensation – are designed to ensure the employment and income of the American worker is protected at a time of illness or injury. Regardless as to whether an employee is seeking wage reimbursement, a leave of absence, or a job accommodation, sufficient, accurate and timely medical documentation is required.

But what happens when accurate medical documentation is not received? Is incomplete? Or not received on a timely basis? The request for benefits is placed in a pending or denied status, wages are not paid or significantly delayed, and challenges mount for the patient.

While the burden to submit medical records, and supporting documentation falls to the patient, there is an uptick in payer and employer interest to help solve for the challenges of obtaining sufficient medical information on a timely basis. Medical documentation often requires diagnosis, subjective and objective medical information, including an assessment of functionality pertinent to the patient’s physical capabilities. This functional assessment is often defined by the benefit plan, law, and the employer’s policy.

Receipt of medical information on a timely basis is a major factor in the denial of disability benefits for people seeking support for a disability, leave of absence or workers compensation claim. Number one reason for a reversal of the denial is late receipt of the medical documentation.

The objective of this chat is for #HITsm community to share their insight, ideas and opinions about the identification, collection, and sharing of a patient’s medical and functional status with proper release of information to the payer directly. Quite simply, how can technology, process, policy and people speed up the process so patients and payers have the medical records needed to make accurate, timely and fair benefit decisions?

Reference Materials:

Join us as we dive into this topic during this week’s #HITsm chat using the following questions.

Topics for This Week’s #HITsm Chat:

T1: What issues, obstacles and/or missing capabilities prevent or hinder an individual’s ability to collect their medical records? #HITsm

T2: How are patients impacted when benefit approval requires medical documentation and medical records are not available? #HITsm

T3: How can patients, support networks, employers, government or others support the capture, storage & retrieval of medical records? #HITsm

T4: What technologies and/or new approaches can assist w/ capture, storage & retrieval of medical record data? #HITsm

T5: What reasonable policy and/or regulatory changes could be implemented to accelerate & expedite benefit processing on behalf of consumers? #HITsm

Bonus: What stakeholders, resources, & companies should be engaged to assist w/ building & delivering a medical records collection solution? #HITsm

Upcoming #HITsm Chat Schedule
11/17 – MACRA/MIPS: Chutes & Ladders 2.0
Hosted by Jim Tate (@jimtate) from EMR Advocate and MIPS Consulting.

11/24 – Thanksgiving Break!

12/1 – Using Technology to Fight EHR Burnout
Hosted by Gabe Charbonneau, MD (@gabrieldane)

12/8 – TBD
Hosted by Homer Chin (@chinhom) and Amy Fellows (@afellowsamy) from @MyOpenNotes)

12/15 – TBD
Hosted by David Fuller (@genkidave)

We look forward to learning from the #HITsm community! As always, let us know if you’d like to host a future #HITsm chat or if you know someone you think we should invite to host.

If you’re searching for the latest #HITsm chat, you can always find the latest #HITsm chat and schedule of chats here.

Second Opinions and Dr. Google – Fun Friday

Posted on November 3, 2017 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I have a feeling that this cartoon might rub some people the wrong way. Although, on Fun Friday’s I’m never one to not share something as funny as this.

The key discussion point in this cartoon is doctors’ frustration with patients who are already “self-diagnosed.” Rational people know that there’s a need for balance and respect, but not everyone is rational. Patients should respect the doctor and collaborate with them in their diagnosis process. If patients aren’t careful it’s easy to see how it can go too far and show a lack of respect to the doctor. That said….

It’s also easy to see how doctors can be disrespectful to patients. In today’s #HITsm chat, Erin Gilmer commented that patients wanted to be treated as equals. I suggested that “equals” wasn’t the right term since they weren’t equals. Doctors know some things that patients don’t know and patients know some things that doctors don’t know.

Erin then suggested the term “respected” which is what I used above and I think is a great term to describe how the doctor-patient interaction should be. They should equally respect each other. If that were the case, the above cartoon wouldn’t be so funny.

The State of the Healthcare CIO

Posted on November 2, 2017 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

As I’ve talked to hundreds of healthcare CIOs this week at the CHIME Fall Forum, a number of themes keep coming up. No doubt there’s always a lot of excitement in the air at a conference like this. In many ways, it’s great that there’s a good, optimistic energy at a conference. A conference wouldn’t be very good without that energy, but under the covers, there’s often more to the story. Here are some broad insights into the state of the healthcare CIO that goes beyond the natural excitement and energy of a conference.

No More Systems – Most of the CIOs who I’ve talked to feel like they have all the IT systems they need. In fact, most are trying to find ways to get rid of IT systems. They’re not looking to add any more IT systems to their mix. There’s a strong desire to simplify their current setup and to maximize the benefits their current IT systems. They don’t want to add new ones.

Do Want Solutions – While healthcare CIOs don’t want to add new systems, they do want to find solutions that will be complementary to their existing systems. There is a massive desire to optimize what they’re doing and show value from their current IT systems. Solutions that are proven and work on top of their existing infrastructure are welcomed by these CIOs.

Security Is Still a Concern – I have a feeling that this topic may never die. Security is still a huge concern for CIOs and something that will continue to be important for a long time to come. Most now have some kind of security strategy in place, but I haven’t met anyone that’s totally comfortable with their security strategy. It seems that this is what keeps CIOs up at night more than any other issue.

Analytics Is a Challenge – Most of the healthcare CIOs know that analytics is going to be an important part of their future. They can see the potential value that analytics can provide, but most don’t know where to find these analytics. Most organizations don’t have a clear analytics strategy or direction. We’re still just seeing anecdotal results for very specific solutions. There’s no clear direction that every healthcare CIO is following for analytics.

CIOs are Stressed – It was very appropriate that yesterday’s keynote presentation was on turning stress into a positive. Most of the healthcare CIOs I met are quite stressed. They have a lot on their plates and most don’t know how they’re going to manage it all. Plus, they’re still overwhelmed by all the changing regulations and reimbursement changes. The fact that there doesn’t seem to be any end in sight adds to that stress.

Turnover is Still High – It seems that there’s still a lot of turnover that’s happening with CIOs. This is a challenge when it comes to continuity at organizations. However, those CIOs that have been able to stay at an organization for a longer period of time are starting to see new opportunities to be more strategic. They’ve fought all the initial fires and cleaned up the processes and now they can start working on more strategic initiatives.

Holding On vs Embracing Change – I see two different views evolving by CIOs. Many are holding on tightly to the old Chief Infrastructure Officer versus embracing the new Chief Innovation Officer mindset. CHIME is certainly espousing the view of the CIO becoming a Chief Innovation Officer and it’s the view that I think is best as well. However, there are plenty of CIOs that just want to provide the technology to their organization. It will be interesting to see what happens to both of these approaches to the CIO position.

Those are some high-level thoughts from talking with CIOs at the CHIME Fall Forum. What are you seeing? Are you seeing or hearing anything different from what I described above? We’d love to hear your thoughts in the comments.

Making Stress Your Friend, Not Your Enemy – #CHIME17 Keynote Twitter Roundup

Posted on November 1, 2017 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

This week I’m at the CHIME 2017 Fall Forum in San Antonio. It’s a great event that is no doubt the largest gathering of healthcare CIOs in one place. Today they kicked off the event with a great keynote speech from Kelly McGonigal that reframed stress in a really unique way. Here are some of the tweets that captured the essence of Kelly’s message.

You can see there are some powerful reframes when it comes to stress. It’s amazing the impact that just thinking of stress as a positive thing in your life can have on the outcomes. That’s a lesson we can all use since we all experience stress.

Along with the keynote, CHIME also did a great tribute to Neal Patterson, CEO of Cerner who passed away recently. It was very nice to take a moment to talk about Neal and his impact on the healthcare IT industry.


Patient Burnout – #HITsm Chat Topic

Posted on October 31, 2017 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 11/3 at Noon ET (9 AM PT). This week’s chat will be hosted by Erin Gilmer (@GilmerHealthLaw) on the topic of “Patient Burnout.”

“We talk a lot about physician burnout. When do we talk about patient burnout?”

A few weeks ago I tweeted this out and it seems to have struck a nerve. Patient (and caregiver) burnout is a topic that is not addressed nearly enough outside of patient communities. However, burnout needs to be recognized and acknowledged in order to understand the patient experience and to create new solutions to improve health.

Patients are tasked with a lot to maintain and improve their health – things like scheduling appointments, dealing with insurance, managing multiple medications at the pharmacy, preparing for and going to appointments, communicating with healthcare providers, coordinating care between providers, and following care plans at home. All of this is in addition to their everyday lives – including family, work, social lives, and more – and dealing with sometimes very disabling conditions or while in great pain.

Providers who recognize this burnout may be able to understand why a patient might be “noncompliant” and find ways to address the patient’s needs. And those in HIT who want to create real change, can learn from the patient experience and work with patients to ease the burden patients face in managing their health.

Note: Before the chat, you might read: Rethinking the patient: using Burden of Treatment Theory to understand the changing dynamics of illness (open access).

Join us as we dive into this topic during this week’s #HITsm chat using the following questions.

Topics for This Week’s #HITsm Chat:

T1: What does patient burnout mean to you? #hitsm

T2: What would you like healthcare providers to know about patient burnout? #hitsm

T3: How could healthcare providers help you feel less burnt out? #hitsm

T4: What ways can technology help ease patient burnout? #hitsm

T5: What ways has technology made patient burnout worse? #hitsm

BONUS: What helps you deal with patient burnout? What advice would you give to other patients about burnout? Or what do you wish others had told you about burnout? #hitsm

Upcoming #HITsm Chat Schedule
11/10 – Medical Data Impact to Financial Health, Disability and Job Protection
Hosted by Kimberly George (@kimberlyanngeo) from @sedgwick

11/17 – TBD
Hosted by TBD

11/24 – Thanksgiving Break!

12/1 – Using Technology to Fight EHR Burnout
Hosted by Gabe Charbonneau, MD (@gabrieldane)

12/8 – TBD
Hosted by Homer Chin (@chinhom) and Amy Fellows (@afellowsamy) from @MyOpenNotes)

12/15 – TBD
Hosted by David Fuller (@genkidave)

We look forward to learning from the #HITsm community! As always, let us know if you’d like to host a future #HITsm chat or if you know someone you think we should invite to host.

If you’re searching for the latest #HITsm chat, you can always find the latest #HITsm chat and schedule of chats here.

HIPAA BAA Proliferation

Posted on October 30, 2017 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

There are a wide variety of forces at work in healthcare that are causing healthcare organizations to outsource more and more of their technology and services. No doubt the move to the cloud has brought in a number of new organizations that didn’t previously host PHI for a healthcare organization. This has added hundreds of outside companies who now have access to your patients’ PHI.

In a recent conversation I had with Rita Bowen and Anthony Murray from MRO at the AHIMA Annual Convention they also commented how many organizations were choosing to outsource their ROI and other services in order to keep their staffing ratios down. What a tremendous insight. We’ve all seen those charts (see the one at the left) that show the growth in provider count over time versus the growth in the number of administrators. We all see these charts and see it as a big problem in healthcare.

In order to combat this perception, it’s no surprise that healthcare organizations are trying to keep these admin to doctor ratios at a better level. One way they’re massaging those numbers is to outsource more of their services. We could talk about whether this is a good strategy or not, but that’s a topic for another blog post. The reality is that these ratios and many other drivers are causing organizations to work with a growing number of outside companies.

I was talking with a hospital CIO who told me that they had 300 different health IT systems. As healthcare organizations have brought on more health IT systems and outsourced many of their services, we have seen what I call HIPAA BAA (Business Associate Agreement) Proliferation. Each of these health IT organizations and outside health services will likely need to sign a BAA.

Healthcare organizations are now managing hundreds of business associate agreements with hundreds of partners. Plus, this doesn’t take into account that many of your BAs also have subcontractors for which they need BAAs and so forth down the line. This cascade of BAAs that are needed by a healthcare organization has to keep a lot of risk managers and HIPAA compliance officers up at night. Unfortunately, I don’t believe that most healthcare organizations are doing a great job managing the hundreds and thousands of BAAs that their organizations need.

Rita Bowen and Anthony Murray from MRO offered one suggestion that could help HIPAA compliance officers and risk managers that are charged with managing the overwhelming task of business associate agreement compliance. They suggested that the volume of BAAs has gotten so large that it’s time to start evaluate BAA vetting efforts based on the amount of information being shared with the business associate. An ROI (release of information) company who has access to all of your patients’ PHI should be vetted differently than an IT service company who may have some tangential access to PHI but has no direct access. Does your BAA vetting process take this into account? My experience is that it doesn’t, but given the volume it probably should.

As health data breaches become more and more common, putting in an effective BAA compliance plan that effectively vets your business associates both during the purchase process and then after purchase and implementation is going to be key. Analyzing a business associate’s access to PHI and risk of being compromised is one strategy healthcare organizations will need to use to better handle BAA proliferation in their organization.

What are you doing to handle BAA proliferation in your organization? Are you seeing this happen? Does this keep you up at night? Let us know your thoughts and experiences in the comments.

Aggregating the Patient Perspective and Incorporating It Into Software to Change Healthcare – #HITsm Chat Topic

Posted on October 24, 2017 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 10/27 at Noon ET (9 AM PT). This week’s chat will be hosted by CP Nerve Center (@Cpnervecenter), Lisa Davis Budzinski (@lisadbudzinski), and Becky Brandt, RN (@bbhomebody) on the topic of “Aggregating the Patient Perspective and Incorporating It Into Software to Change Healthcare.”

“Fragmented Care” is costly and common

The term “feed forward” refers to designing an information system to collect patient data in real time as care is delivered. Data collection occurs from the first visit, and moves with the patient.

*If we cannot understand patients within our systems of care, how are we going to improve? Perhaps these problems can be overcome by designing data-rich, patient-centric, feed-forward information environments with real-time feedback using a novel approach that is described below.

*The objective is to turn an individual’s data into useful information that can guide intelligent action and to aggregate this patient-level information to show quantifiable results within the clinical microsystem, the healthcare macrosystem, and the community.

Join us as we dive into this topic during this week’s #HITsm chat using the following questions.

Topics for This Week’s #HITsm Chat:

T1: What extra data should be collected @ appts, to improve outcomes, patient satisfaction & help future patients? #hitsm

T2: Share an example of how Feed-Forward clinical data sytms have helped or harmed you as a pt, Or in caring for a patient. #hitsm

T3: What incentives could be used to create & improve patient centric clinical data systems? How do we connect more facilities? #hitsm

T4: Would patient satisfaction outcomes improve if patients carried full EHR on a thumb drive (etc), to share & update at the end of each visit? #hitsm

T5: Does your Doctor ask for your perspective about your plan of care or how your care is going? And about your satisfaction? #hitsm

BONUS: Is patient-centric care occurring at your medical facility? Are you asked your opinion? #hitsm

Upcoming #HITsm Chat Schedule
11/3 – Patient Burnout
Hosted by the Erin Gilmer (@GilmerHealthLaw)

11/10 – TBD
Hosted by TBD

11/17 – TBD
Hosted by TBD

11/24 – Thanksgiving Break!

12/1 – Using Technology to Fight EHR Burnout
Hosted by Gabe Charbonneau, MD (@gabrieldane)

12/8 – TBD
Hosted by Homer Chin (@chinhom) and Amy Fellows (@afellowsamy) from @MyOpenNotes)

We look forward to learning from the #HITsm community! As always, let us know if you’d like to host a future #HITsm chat or if you know someone you think we should invite to host.

If you’re searching for the latest #HITsm chat, you can always find the latest #HITsm chat and schedule of chats here.

Role of Provider Engagement for Improving Data Accuracy – #HITsm Chat Topic

Posted on October 10, 2017 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 10/13 at Noon ET (9 AM PT). This week’s chat will be hosted by @CAQH on the topic of “Role of Provider Engagement for Improving Data Accuracy.”

Healthcare provider data forms the foundation of many important processes in the nation’s healthcare system, whether referring a patient to a specialist, paying insurance claims, credentialing providers or maintaining accurate provider directories. Yet access to accurate, timely provider data has remained elusive.

A lack of authoritative and reliable sources has resulted in a costly, piecemeal approach to acquiring and maintaining provider information. The commercial healthcare industry spends at least $2.1 billion annually on inefficient processes to maintain the data, according to a recent CAQH white paper.

While healthcare providers are important contributors of their professional and practice information, the task of submitting frequent updates to different organizations, through different channels, has created a significant administrative challenge.

Join @CAQH in a discussion about the role of provider engagement in improving data accuracy. Topics will cover strategies for collaboration and enhanced communication to ease the burdens on providers and users of provider data.

Reference Materials:

Topics for This Week’s #HITsm Chat:

T1: Stakeholders define provider data differently. How do you use provider data & in what role, i.e. payer, provider, consumer? #hitsm

T2: How does the shifting definition of “provider” (e.g. emerging provider types) impact data management? #hitsm

T3: How can the industry empower providers to participate more actively in data accuracy? #hitsm

T4: What can industry stakeholders do to reduce the administrative burden on providers? #hitsm

T5: What strategies would help providers and payers hold each other accountable for high-quality provider data? #hitsm

BONUS: What is the biggest opportunity you see for improving the quality of provider data right now? #hitsm

Upcoming #HITsm Chat Schedule
10/20 – Community Sharing Chat
Hosted by the #HITsm Community

10/27 – Aggregating the Patient Perspective and Incorporating It Into Software to Change Healthcare
Hosted by Lisa Davis Budzinski (@lisadbudzinski)

We look forward to learning from the #HITsm community! As always, let us know if you’d like to host a future #HITsm chat or if you know someone you think we should invite to host.

If you’re searching for the latest #HITsm chat, you can always find the latest #HITsm chat and schedule of chats here.