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How Will APIs Change Health IT? – #HITsm Chat Topic

Posted on May 23, 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, 5/26 at Noon ET (9 AM PT). This week’s chat will be hosted by Chad Johnson (@OchoTex) on the topic of “How Will APIs Change Health IT?.”

First, let’s define API: An application programming interface (API) is a set of standards that enable communication between multiple sources, most typically software applications. More specifically, an API is a set of routines, protocols, and data standards defined by a software vendor (an EHR for example) that specify how other vendor applications can contribute to or remove data from their database.

Other industries have profited from modern API integration, driven by the boost of internet technologies such as cloud applications and smart phones. Almost every consumer-facing technology runs on modern APIs – facebook, Twitter, Waze, Mint, etc. Facebook’s internal API, for example, pulls in data from all your friends’ FB feeds and displays it onto your feed. FB’s external API allows you to post items to your facebook feed using other applications, such as Instagram or Twitter.

Can you think of a popular/widespread/well known example of APIs in healthcare? No? Not surprisingly, healthcare has some catching up to do with APIs.

The good news for healthcare is that providers and vendors are realizing the potential impact modern APIs have on workflows, patient care, and… profits. The HL7 FHIR healthcare standard, along with Meaningful Use Stage 3 API requirements, have solidified the hype and marked API and cloud integration almost essential to understand.

Let’s discuss that in this week’s #HITsm chat.

T1: What barriers do you see for API adoption in hospitals? #HITsm

T2: Will EHRs eventually allow two-way API connectivity (read & write)? #HITsm

T3: Can API connectivity change perceptions about ‘siloed’ EHR patient databases? #HITsm

T4: Will APIs motivate hospitals to store their patient data in the cloud? #HITsm

T5: Will APIs open up the door to other vendors and applications? Or just broaden current EHR footprint? #HITsm

Bonus: What innovative solutions do you predict creative IT teams can employ for patients and caregivers? #HITsm

Upcoming #HITsm Chat Schedule
6/2 – Patient Stories, Not Just for Story Time Anymore
Hosted by the #WTFix Community

6/9 – TBD
Hosted by TBD

6/16 – TBD
Hosted by Danielle Siarri (@innonurse)

6/16 – TBD
Hosted by Megan Janas (@TextraHealth)

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.

The EHR Market – #HITsm Chat Topic

Posted on May 17, 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.

Note: We’re sorry to share that Anne Zieger (@annezieger) who was suppose to host this week’s chat had some health issues and so we had to change the topic and host. Anne is doing ok and we’ll be sure to have her back as host of a future chat.

We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 5/19 at Noon ET (9 AM PT). This week’s chat will be hosted by John Lynn (@hospitalEHR) on the topic of “The EHR Market.”

The EHR market has gotten very mature. Thanks to $36 billion in stimulus money fromt he government, most organizations have adopted an EHR. Depending on who you check for EHR market penetration numbers, in the hospital world EHR adoption looks to be well over 90%. The ambulatory world is further behind, but it’s well over 50% adoption now.

Given the maturity of the EHR market, I thought it would be fun to hold an #HITsm chat to discuss the future of the EHR market. Let’s talk about where it’s at today, where it’s going in the future, and what else we can expect from EHR vendors that will now be working in a largely saturated market. What does this mean for the industry and for you as a customer of these EHR vendors?

Join us on Friday May 19th at 12:00pm ET as we discuss the following questions on #HITsm:

The Questions
T1: How would you describe the state of the EHR market today? (specify ambulatory and/or hospital) #HITsm

T2: In what ways will the EHR market evolve over the next 5, 10, 20 years? #HITsm

T3: How much EHR switching do you expect to see in the future? What will be the impact to vendors and customers? #HITsm

T4: Where will we see EHR vendors expand as the market for EHR sales dries up? #HITsm

T5: What must have products will form alongside the EHR or even replace the EHR? #HITsm

Bonus: Which EHR vendors will be gone (or basically gone) in 10 years? #HITsm

Upcoming #HITsm Chat Schedule
5/26 – How APIs Will Change Health IT
Hosted by Chad Johnson (@OchoTex)

6/2 – TBD
Hosted by TBD

6/9 – TBD
Hosted by TBD

6/16 – TBD
Hosted by Danielle Siarri (@innonurse)

6/16 – TBD
Hosted by Megan Janas (@TextraHealth)

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.

ZDoggMD Talks Suicide

Posted on May 12, 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 was looking to do a Fun Friday post this week and so I went over to see if ZDoggMD had a new parody video I could share with the community. Instead of finding a Fun Friday video, I came across this episode of ZDogg’s Incident Report show and podcast that talks about suicide, mental health, and the new Netflix show called 13 Reasons Why.

No doubt this is just the start of the conversation, but I was really glad to see someone with a platform like ZDoggMD talking about mental health and suicide. Check out the conversation below:

I hope that ZDogg covers this topic more in the future and brings on some experts in the area. It’s a hard topic for him since his shows are usually so full of humor and sarcasm, but it’s ok for him to turn that off for a few shows here and there.

On the video, ZDogg talks about one of my friends that committed suicide in downtown vegas. It was a hard experience for many of us who knew him and had had no idea that he was suffering in silence. I know that many readers of this site have their own stories. Of course, I don’t think I need to mention how many doctors are suffering in silence as well. It’s a tragic thing and hopefully shows like the one above will help us talk about it more and find better solutions and support.

MUMPS and Healthcare

Posted on May 11, 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.

Leave it to David Chou to point out how odd it is to work in healthcare IT. What’s shocking about the image David Chou shared above is that there are so many languages listed. However, despite the vast number of languages listed, MUMPS is so far off the radar of most tech people that they literally didn’t care about it enough to add it to the chart. That’s pretty sad for those of us who care about healthcare.

If you want to get another view about the challenge of so much of healthcare being run on MUMPS, check out this MUMPS thread on Hacker News. For those not familiar with Hacker News, it’s a site that was started by YCombinator and has grown into a community of some of the most progressive tech startup people in the world. The Hacker News thread is really long, so for those who don’t want to read it all the message is simple: MUMPS? What’s that? That’s awful!

To be fair, there were a few dissenting voices who commented on the great features of MUMPS. However, I have to admit that these people sound a little bit like those who espouse the benefits of the fax machine. Sure, it has some extremely beneficial features, but it’s downsides far outweigh the benefits described.

The reality is that we’re not going to get away from MUMPS in healthcare. When you realize that Epic, MEDITECH, Vista (VA), and Intersystems all use some form of MUMPS (or M as they prefer to call it now), you can see why MUMPS will be part of healthcare for a long time to come.

What’s more disappointing to me after reading the Hacker News thread was how people described the culture of the EHR vendors that use MUMPS. They really described it as uninterested in even exploring other more modern options that could help them better able to innovate their products and serve their customers.

Plus, it also hurts to hear so many programmers in the thread talk about how they shunned healthcare because they saw working on something like MUMPS as a career killer. I’m sure this is a common refrain for most developers out there. It’s disheartening to think that many EHR vendors will never benefit from the best developers as long as we’re on MUMPS.

I’m sure MUMPS was great in its day. It seems to have been a wise choice by Epic to start using it when I was born back in 1979. However, can you imagine the technical debt that’s accumulated all these years? Is it any wonder that innovation in healthcare works so slow?

What’s a Patient?

Posted on May 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.

For quite a while I’ve been pushing the idea that healthcare needs to move beyond treating patients. Said another way, we need to move beyond just helping people who have health problems which are causing them to complain and move into treating patients that otherwise feel healthy.

Said another way, Wanda Health once told me “The definition of a healthy patient is someone who’s not been studied long enough.”

If you look long enough and hard enough, we all have health issues or we’re at risk for health issues. There’s always something that could be done to help all of us be healthier. That’s a principle that healthcare hasn’t embraced because our reimbursement models are focused on treating a patients’ chief complaint.

In another conversation with NantHealth, they suggested the idea that we should work towards knowing the patient so well that you know the treatment they need before you even physically see the patient.

These two ideas go naturally together and redefine our current definition of patient. In the above context, all of us would be considered patients since I have little doubt that all of us have health issues that could be addressed if we only knew the current state of our health better.

While NantHealth’s taken a number of stock hits lately for overpromising and under delivering, the concept I heard them describe is one that will become a reality. It could be fair to say that their company was too early for such a big vision, but it’s inspiring to think about creating technology and collecting enough data on a patient that you already know how to help the patient before they even come into the office. That would completely change the office visit paradox that we know today.

This is an ambitious vision, but it doesn’t seem like a massive stretch of the imagination either. That’s what makes it so exciting to me. Now imagine trying to do something like this in the previous paper chart world. Yeah, it’s pretty funny to just even think about it. Same goes with what we call clinical decision support today.

Accelerating Decision-Making in Healthcare: How Health Systems Choose Innovative Solutions – #HITsm Chat Topic

Posted on May 9, 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, 5/12 at Noon ET (9 AM PT). This week’s chat will be hosted by Bruce Brandes from Lucro Solutions on the topic of “Accelerating Decision-Making in Healthcare: How Health Systems Choose Innovative Solutions”.

To be competitive in today’s digital healthcare economy, providers, hospitals and health plans need to leverage existing and emerging products offered by a growing base of vendors. But the healthcare market is saturated with products and services with new vendors entering the market seemingly every day. The people involved with identifying and selecting appropriate products and services become overwhelmed by all that’s available. Cutting through the noise and separating the wheat from the chaff often results in scars when vendors oversell their offerings and ultimately under-deliver on their promises.

To be able to execute faster on innovation in healthcare, those charged with identifying, selecting and implementing healthcare products and services must filter the universe of shiny things and make better decisions faster. Mistakes can be costly. In the instance of certain products or services, mistakes could be fatal; literally.

In this tweetchat, we’ll explore topics related to the discovery, organization, collaboration and prioritization of healthcare products and services offered by vendors based on defined strategic initiatives and the healthcare organizations that purchase, implement and use them.

Join us on Friday May 12th at 12:00pm ET as we discuss the following questions on #HITsm:

The Questions
T1: How do you define and align organizational priorities for which you seek #HealthIT solutions? #HITsm

T2: How can you filter the “noise” to discover and evaluate #healthIT vendors relevant to your priorities? #HITsm

T3: What’s more efficient way to collaborate w/ trusted colleagues to support your decisions regarding #HealthIT products/services? #HITsm

T4: How do you leverage the scale and experience of your organization to drive standardization and “de-risk” decisions? #HITsm

T5: What type of vendor content, materials & actions help you reach a decision in the most expedient manner? #HITsm

Bonus: What are the advantages and disadvantages of your RFI / RFP process? #HITsm

Upcoming #HITsm Chat Schedule
5/19 – Patient Education Using Healthcare Social Media
Hosted by Anne Zieger (@annezieger)

5/26 – TBD
Hosted by Chad Johnson (@OchoTex)

We look forward to learning from the #HITsm community! As always let us know if you have ideas for how to make #HITsm better.

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

Healthcare Ransomware

Posted on May 8, 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.

Health Data Management has a nice article up with insights on healthcare ransomware from GreyCastle Security’s CEO, Reg Harnish. Reg made a great case for why healthcare is seeing so much ransomware:

He contends that healthcare isn’t any more vulnerable to ransomware than other industries. But Harnish observes that—given the value of patient data and medical records—providers are the focus of cyber criminals who are targeting them with file-encrypting malware.

“You take their data away, and it literally threatens lives, patient safety and patient care, so they are much more likely to pay a ransom,” he adds.

I think healthcare organizations do respond differently to ransomware than other organizations and that makes them more vulnerable to an attack since many healthcare organizations feel it’s their obligation to maintain patient safety and that the ransom is worth the money so they can do no harm to patients.

Reg also addressed whether paying the ransom in a ransomware incident was a good idea (it’s not):

On the question of whether or not organizations should give in to the demands of cyber criminals using ransomware, Harnish says that GreyCastle never recommends paying a ransom. “There’s no guarantee that the ransom will work,” he warns. “If you pay the ransom, you may not get decryption keys. And even if you do get decryption keys, they may not be the right ones.”

Further, Harnish cautions that those organizations that pay a ransom then get put on a list of victims who have complied with ransomware demands. As a result, he says they are much more likely to be targeted again as a “paying” customer. “None of our clients have ever paid a ransom,” he adds.

I agree that in 98% of cases, paying the ransomware is a bad idea. Plus, every healthcare organization that pays the ransomware makes it worse for other healthcare organizations. Instead, the key is to have a great backup and disaster recovery strategy if and when ransomware occurs in your organization.

As Reg also points out, ransomware most often comes into your organization through your users. So, it’s worth the investment to educate your end users on possible hacking/ransomware attempts. Education isn’t perfect, but it can help decrease your chances of a ransomware incident.

Employer Health Biosensor Cartoon – Fun Friday

Posted on May 5, 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 back again with our Fun Friday series of posts A little humor to start off your weekend. Although, we always try to include a simple lesson, insight or perspective with the cartoon as well. This week we tapped into another Dilbert cartoon which highlights the health sensor craze.

The irony of this cartoon is that the reality is the opposite. Most employees think that their employer wants all this data to screw them over (or some other negative thing) and most employers do very little with the data. The most advanced companies are trying to leverage it for lower insurance rates. Not much more from my experience.

I wouldn’t be so generous to employers to say that they do it because they care so much about their employees health either. They do care about their employees health because absent employees hurt business. Plus, unhealthy employees cost employers a lot of money. Too cynical for a Fun Friday? Maybe, but the cartoon is still pretty funny.

Long story short, we have a lot of work to do to make health data tracking something that everyone wants to do.

Software Choice Is Not the Key Success Factor

Posted on May 4, 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 look across the EHR market and think about the hundreds of healthcare organizations I’ve talked to, it’s become abundantly clear to me that the software you choose has very little to do with whether you’ll have a successful EHR implementation.

One way to illustrate this is to look at the EHR marketplace. Every single EHR out there has healthcare organizations successfully using their product. Sure, we could get into the nitty gritty of how hard it was to implement. We could dive into how one EHR may have an advantage in one area over another, but then the opposite is likely to occur in another area. The reality is that there are pros and cons to every EHR system out there. The real question isn’t can you successfully implement that EHR, but what are the problems you’re likely to have with the EHR you select.

Yes, all EHRs have problems.

I love the whitepaper that my sponsor, The Breakway Group put together on “Leadership Insights: Gaining Value from Technology Investments.” It’s worth reading the whole whitepaper, but one of the key insights from their research is that the biggest determining factor in a successful EHR implementation is leadership. Leadership matters more than anything else…even the software you choose.

I’m sure that many of you are looking at your EHR implementation and wondering if you agree with this insight or not. It’s easy to think about how the EHR selection process influences a successful implementation or not. If you get buy-in to the EHR selection process, then the EHR implementation goes much smoother. Others of you might be thinking about the process you used to implement the EHR and how that was extremely important to your successful (or not successful if you had a bad process) EHR implementation. I’m sure there are many more.

While these two items and many more influence a successful EHR implementation, what so many people miss is that each of these things mentioned is dramatically influenced by having an effective leader at the helm.

A great leader ensures that there’s buy-in by the staff during the EHR selection process. A great leader makes sure that the EHR is implemented in a way that is effective and takes into account the needs of the organization. We could go on and on. Great leadership will inspire everyone that’s involved in the EHR implementation. Nothing is more important.

Many of you reading this will probably look back and know all the issues you had in your EHR implementation that led to what you might considered a failed EHR implementation. You may even wish that you’d had the right leaders to avoid these problems. If that’s the case, the solution is still the same. A great leader can inspire an organization to overcome past failures and lead an organization down a path to make their EHR useful.

I think that organizations are finally realizing that EHR implementations aren’t a one time event. The EHR go-live is an important event, but it’s really just the start of the ongoing optimization that’s required to make the software as useful as possible for an organization. This takes thoughtful planning and you got it…inspired leadership.

Cybersecurity, MACRA, MIPS, HIPAA, and PCMH Training Workshops

Posted on May 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’ve been partnered with 4MedApproved for a long time offering healthcare IT training courses to my users. If you subscribe to a Healthcare Scene email list, then you’ve probably seen some emails offering a great discount on their training courses. 4Med really tries hard to listen to the community and create courses that are valuable to the healthcare IT professional.

They just sent me their list of upcoming courses and I was really impressed with the wide variety of courses that they’re offering between now and the end of July. Here’s a look a the courses they’re offering:

The good news is that by using any of the links above you’ll get a discount off of each of the courses for being a Healthcare Scene reader. Each of the above sessions is available as a live online training where you can ask the trainer questions. Also, if you miss one of the live sessions, then the recording will be made available to you after the event.

Also, for many of the courses, CEU are available to those who need them.

You can see on the list above that some of the most popular courses are around MACRA and healthcare security. Both are hugely important topics and there’s a lot of information to cover for both topics. If you’re dealing with either of them (which is most of you), these courses are a great resource for you to get up to speed on the latest.