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How Can Small Practices Thrive with MACRA?

Posted on June 29, 2016 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.

2016 July - How Small Practices Can Thrive with MACRA - Headshots

On Thursday, July 7, 2016 at 3:30 PM ET (12:30 PM PT) I’ll be hosting a live video interview with the Chief Medical Officers of both Modernizing Medicine and Kareo. All of healthcare has been hit with the MACRA legislation and many talking heads are saying that MACRA is going to be a challenge for small practices. In this discussion, we’ll talk about how small practices can thrive within the changes that MACRA provides.

The great part is that you can join my live conversation with this panel of experts and even add your own comments to the discussion or ask them questions. All you need to do to watch live is visit this blog post on Thursday, July 7, 2016 at 3:30 PM ET (12:30 PM PT) and watch the video embed at the bottom of the post or you can subscribe to the blab directly. We’ll be doing a more formal interview for the first 30 minutes and then open up the Blab to others who want to add to the conversation or ask us questions. The conversation will be recorded as well and available on this post after the interview.

Here are a few more details about our panelists:

We hope you’ll join us live or enjoy the recorded version of our conversation. Plus, considering the length of the MACRA legislation, we welcome you to come and provide your insights into what the MACRA legislation means for small practices. We hope this will be an open discussion of the legislation and what impact it will have on small practices. Dr. Giannulli and Dr. Sherling are very well versed on the topic and will provide some tremendous insight into what to expect from MACRA.

If you’d like to see the archives of Healthcare Scene’s past interviews, you can find and subscribe to all of Healthcare Scene’s interviews on YouTube.

Finally, if you’d like to learn more about MACRA for small practices, I’ll be doing a detailed webinar on what we know about MACRA on July 13th at 1 PM ET (10 AM PT).

Applying Geospatial Analysis to Population Health

Posted on June 28, 2016 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 post is sponsored by Samsung Business. All thoughts and opinions are my own.

Megan Williams wrote a very interesting piece called “Geospatial Analysis: The Next Era of Population Health” in which she highlighted Kaiser’s efforts to use geospatial analysis as part of their population health efforts. Here’s her description of their project:

This means using data to inform policy adjustments and create intervention programs that lead to meaningful change. One of the best examples of this lies with healthcare giant Kaiser Permanente. In April, they launched a database that gave researchers the ability to examine patient DNA and bump it against behavioral and environmental health factors. The goal of the project is to pull information from half a million patients and use it to build one of the most “diverse repositories of environmental, genetic and health data in the world,” which could then be used to inform research around conditions including diabetes and cancer and their relationships to issues including localized violence, pollution, access to quality food and other factors.

This type of effort from Kaiser is quite incredible and I believe will truly be part of the way we shift the cost curve on healthcare costs. One challenge to this effort is that Kaiser has a very different business model than the rest of the healthcare system. They’re in a unique position where their business benefits from these types of population health efforts. Plus, Kaiser is very geographically oriented.

While Kaiser’s business model is currently very different, one could argue that the rest of healthcare is moving towards the Kaiser model. The shift to value based care and accountable care organizations is going to require the same geospatial analysis that Kaiser is building out today. Plus, hospital consolidation is providing real geographic dominance that wasn’t previously available. Will these shifting reimbursement models motivate all of the healthcare systems to care about the 99% of time patients spend outside of our care? I think they will and large healthcare organizations won’t have any choice in the matter.

There are a number of publicly and privately available data stores that are going to help in the geospatial analysis of a population’s health, but I don’t believe that’s going to be enough. In order to discover the real golden insights into a population, we’re going to have to look at the crossroads of data stores (behavioral, environmental, genomic, etc) combined together with personal health data. Some of that personal health data will come from things like EHR software, but I believe that the most powerful geospatial personal health data is going to come from an individual’s cell phone.

This isn’t a hard vision to see. Most of us now carry around a cell phone that knows a lot more about our health than we realize. Plus, it has a GPS where all of those actions can be plotted geospatially. Combine this personally collected health data with these large data stores and we’re likely to get a dramatically different understanding of your health.

While this is an exciting area of healthcare, I think we’d be wise to take a lesson from “big data” in healthcare. Far too many health systems spent millions of dollars building up these massive data warehouses of enterprise health data. Once they were built, they had no idea how to get value from them. Since then, we’ve seen a shift to “skinny data” as one vendor called it. Minimum viable data sets with specific action items tied to that data.

We should likely do the same with geospatial data and population health and focus on the minimum set of data that will provide actual results. We should start with the skinny data that delivers an improvement in health. Over time, those skinny data sets will combine into a population health platform that truly leverages big data in healthcare.

Where do you see geospatial data being used in healthcare? Where would you like to see it being used? What are the untapped opportunities that are waiting for us?

For more content like this, follow Samsung on Insights, Twitter, LinkedIn , YouTube and SlideShare.

Are You Ready for Stage 2 HIPAA Audits?

Posted on June 27, 2016 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.

Many organizations probably didn’t even realize that OCR (HHS’ department in charge of HIPAA) had put in place HIPAA audits since the pilot program only audited 115 covered entities. That’s likely to change for a lot more healthcare organizations (including business associates) as Stage 2 HIPAA Audits are rolled out. Is your organization ready for a HIPAA Audit?

After spending about 2 months scouring the Stage 2 HIPAA Audit prototol, HIPAA One put together a great comparison of the simplicity of stage 1 HIPAA audits versus stage 2 HIPAA audits:

What it was – Phase 1 of the OCR’s Privacy, Security and Breach Notification Audit Program:
  1. HITECH added Breach Notification to HIPAA and endorsed the OCR‘s Audit Program.
  2. Contained 169 total protocols.
  3. Pilot program included 115 covered entities.
What it is now – the HIPAA Audit Program-Phase 2:
  1. OCR is implementing Phase 2 to include both CEs and business associates (every covered entity and business associate is eligible for an audit)
  2. Provides an opportunity for the OCR to identify best practices, risks and issues before they result in bigger problems (e.g. resulting in a breach) through the expanded random audit program.
  3. 180 Enhanced protocols (groups of instructions) which contain the following updates:
    1. Privacy – 708 updates (individual lines of instructions)
      1. Most notable changes are more policies and procedures surrounding the HIPAA Privacy Officer as well as some changes for Health Plans and Business Associates.
    2. Security – 880 updates (individual lines of instructions)
      1. Most notable changes are that Health Plans must have assurances from their plan sponsors and all companies now have to get proof of HIPAA compliance from their business associates, vendors and subcontractors.

That’s a lot of changes that are going to impact a lot of organizations. How many organizations have spent the time seeing which of these changes are going to impact their organization? I’m sure the answer to that is not many since “ignorance is bliss” is the mantra of many healthcare organizations when it comes to HIPAA compliance.

Particularly interesting is that HIPAA One points out that many of the checklists, books, commercial compliance software, and even ONC’s own SRA tool are likely outdated for these new changes to the HIPAA audit protocol. They’re probably right, so make sure whatever tool you’re using to do a HIPAA SRA takes into account the new HIPAA audit protocol.

Just so we’re clear, there actually hasn’t been a change to the HIPAA Omnibus update in 2013. However, the HIPAA audit protocol clarifies how the HIPAA law will be interpreted during an audit. That means that many of the gray areas in the law have been clarified through the audit protocol.

In HIPAA One’s blog post, they outline some important next steps for healthcare organizations. I won’t replicate it here, but go and check it out if you’re a HIPAA compliance officer for your organization or forward it to your HIPAA compliance officer if you’re not. The first suggestion is a really key one since you want to make sure you’re getting your HIPAA audit emails from OCR.

It’s taken HHS and OCR a while to roll out the full HIPAA audit program. However, it’s fully functioning now and I expect 2016 will be a real wake-up call for many organizations that aren’t prepared for a HIPAA audit. Plus, many others will be woken up when their friends fail their HIPAA audit.

Is your organization ready for a HIPAA audit?

Full Disclosure: HIPAA One is an advertiser on Healthcare Scene.

Philips Breathless Choir Video

Posted on June 24, 2016 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.

It’s Friday and so I always like to share something a little bit lighter or fun. This week I want to share this incredible video from Philips that documents the “Breathless Choir” that they put together:

What a brilliant idea (I guess I need to invite Philips marketing department to speak at my healthcare marketing conference) and a great story! In many ways it reminds me of the “Singing Sisters” which I covered when they were on America’s Got Talent. They both had cystic fibrosis and totally killed it singing on stage despite their unique challenges even just trying to breathe.

No doubt Philips did this partly as a way to promote their various medical devices like the SimplyGo Mini which is a portable oxygen concentrator, but the story is still beautiful. Many corporate products really can make patients’ lives better while a corporation makes a profit too. I have a great friend who has cystic fibrosis and I’m sure he’d enjoy a device that was as portable as this. Not to mention something much more stylish than that ugly green oxygen container I’ve seen him lugging around.

Considering the video above has gotten 8.4 million views, it’s fair to say that this story has resonated with millions of people. For me personally, it reminded me of the importance of the work we’re doing. When we do it well, we can improve patients’ lives and give them freedoms they didn’t think were possible. When we do it poorly, it can have the opposite impact. Thanks Philips for putting together this video.

AMA’s Digital Health ‘Snake Oil’ Claim Creates Needless Conflict

Posted on June 22, 2016 I Written By

Anne Zieger is a healthcare journalist who has written about the industry for 30 years. Her work has appeared in all of the leading healthcare industry publications, and she's served as editor in chief of several healthcare B2B sites.

Earlier this month, the head of the American Medical Association issued a challenge which should resonate for years to come. At this year’s annual meeting, Dr. James Madara argued that many direct-to-consumer digital health products, apps and even EMRs were “the digital snake oil of the early 21st century,” and that doctors will need to serve as gatekeepers to the industry.

His comments, which have been controversial, weren’t quite as immoderate as some critics have suggested. He argued that some digital health tools were “potentially magnificent,” and called on doctors to separate useful products from “so-called advancements that don’t have an appropriate evidence base, or that just don’t work that well – or that actually impede care, confuse patients, and waste our time.”

It certainly makes sense to sort the digital wheat from the chaff. After all, as of late last year there were more than 165,000 mobile health apps on the market, more than double that available in 2013, according to a study by IMS Institute for Healthcare Informatics. And despite the increasing proliferation of wearable health trackers, there is little research available to suggest that they offer concrete health benefits or promote sustainable behavior change.

That being said, the term “snake oil” has a loaded historical meaning, and we should hold Dr. Madara accountable for using it. According to Wikipedia, “snake oil” is an expression associated with products that offer questionable or unverifiable quality or benefits – which may or may not be fair. But let’s take things a bit further. In the same entry, Wikipedia defines a snake oil salesman “is someone who knowingly sells fraudulent goods or who is themselves a fraud, quack or charlatan.” And that’s a pretty harsh way to describe digital health entrepreneurs.

Ultimately, though, the issue isn’t whether Dr. Madara hurt someone’s feelings. What troubles me about his comments is they create conflict where none needs to exist.

Back in the 1850s, when what can charitably be called “entrepreneurs” were selling useless or toxic elixirs, many were doubtless aware that the products they sold had no benefit or might even harm consumers. And if what I’ve read about that era is true, I doubt they cared.

But today’s digital health entrepreneurs, in contrast, desperately want to get it right. These innovators – and digital health product line leaders within firms like Samsung and Apple – are very open to working with clinicians. In fact, most if not all work directly with both staff doctors and clinicians in community practice, and are always open to getting guidance on how to support the practice of medicine.

So while Dr. Madara’s comments aren’t precisely wrong, they suggest a fear and distrust of technology which doesn’t become any 21st century professional organization.

Think I’m wrong? Well, then why didn’t the AMA leader announce the formation of an investment fund to back the “potentially magnificent” advances he admits exist? If the AMA did that, it would demonstrate that even a 169-year-old organization can adapt and grow. But otherwise, his words suggest that the venerable trade group still holds disappointingly Luddite views better suited for the dustbin of history.

Sansoro Hopes Its Health Record API Will Unite Them All

Posted on June 20, 2016 I Written By

Andy Oram is an editor at O'Reilly Media, a highly respected book publisher and technology information provider. An employee of the company since 1992, Andy currently specializes in open source, software engineering, and health IT, but his editorial output has ranged from a legal guide covering intellectual property to a graphic novel about teenage hackers. His articles have appeared often on EMR & EHR and other blogs in the health IT space. Andy also writes often for O'Reilly's Radar site (http://oreilly.com/) and other publications on policy issues related to the Internet and on trends affecting technical innovation and its effects on society. Print publications where his work has appeared include The Economist, Communications of the ACM, Copyright World, the Journal of Information Technology & Politics, Vanguardia Dossier, and Internet Law and Business. Conferences where he has presented talks include O'Reilly's Open Source Convention, FISL (Brazil), FOSDEM, and DebConf.

After some seven years of watching the US government push interoperability among health records, and hearing how far we are from achieving it, I assumed that fundamental divergences among electronic health records at different sites posed problems of staggering complexity. I pricked up my ears, therefore, when John Orosco, CTO of Sansoro Health, said that they could get EHRs to expose real-time web services in a few hours, or at most a couple days.

What does Sansoro do? Its goal, like the FHIR standard, is to give health care providers and third-party developers a single go-to API where they can run their apps on any supported EHR. Done right, this service cuts down development costs and saves the developers from having to distribute a different version of their app for different customers. Note that the SMART project tries to achieve a similar goal by providing an API layer on top of EHRs for producing user interfaces, whereas Sansoro offers an API at a lower level on particular data items, like FHIR.

Sansoro was formed in the summer of 2014. Researching EHRs, its founders recognized that even though the vendors differed in many superficial ways (including the purportedly standard CCDs they create), all EHRs dealt at bottom with the same fields. Diagnoses, lab orders, allergies, medications, etc. are the same throughout the industry, so familiar items turn up under the varying semantics.

FHIR was just starting at that time, and is still maturing. Therefore, while planning to support FHIR as it becomes ready, Sansoro designed their own data model and API to meet industry’s needs right now. They are gradually adding FHIR interfaces that they consider mature to their Emissary application.

Sansoro aimed first at the acute care market, and is expanding to support ambulatory EHR platforms. At the beginning, based on market share, Sansoro chose to focus on the Cerner and Epic EHRs, both of which offer limited web services modules to their customers. Then, listening to customer needs, Sansoro added MEDITECH and Allscripts; it will continue to follow customer priorities.

Although Orosco acknowledged that EHR vendors are already moving toward interoperability, their services are currently limited and focus on their own platforms. For various reasons, they may implement the FHIR specification differently. (Health IT experts hope that Argonaut project will ensure semantic interoperability for at least the most common FHIR items.) Sansoro, in contrast can expose any field in the EHR using its APIs, thus serving the health care community’s immediate needs in an EHR-agnostic manner. Emissary may prevent the field from ending up again the way the CCD has fared, where each vendor can implement a different API and claim to be compliant.

This kind of fragmented interface is a constant risk in markets in which proprietary companies are rapidly entering an competing. There is also a risk, therefore, that many competitors will enter the API market as Sansoro has done, reproducing the minor and annoying differences between EHR vendors at a higher level.

But Orosco reminded me that Google, Facebook, and Microsoft all have competing APIs for messaging, identity management, and other services. The benefits of competition, even when people have to use different interfaces, drives a field forward, and the same can happen in healthcare. Two directions face us: to allow rapid entry of multiple vendors and learn from experience, or to spend a long time trying to develop a robust standard in an open manner for all to use. Luckily, given Sansoro and FHIR, we have both options.

Dear Nurses – Fun Friday

Posted on June 17, 2016 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 my cousin sent me a message late at night on Facebook. She’s a nurse and had just experienced her first patient who coded on her. Needless to say it was a traumatic experience and she was reeling from the experience. I’m not sure how much I helped her, but I tried to show some empathy and at least be there to listen to her in her time of need.

This experience reminded me of what a challenging job it is to be a nurse. We certainly don’t show them enough appreciation. With this in mind, it seemed fitting for this Fun Friday post to share ZDoggMD’s “Dear Nurses” parody of Tupac Shakur’s “Dear Mama.”

A big thank you to all the nurses out there that make healthcare great and don’t get nearly the recognition they deserve.

The 4 Learning Metrics Linked to Successful EHR Adoption – Breakaway Thinking

Posted on June 16, 2016 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.

The following is a guest blog post by Shawn Mazur, Instructional Writer at The Breakaway Group (A Xerox Company). Check out all of the blog posts in the Breakaway Thinking series.
Shawn Mazur - The Breakaway Group
There seems to be a trend in the education processes of a go-live for large EHR implementations: they’re scary. For large hospitals, the task of providing learning to hundreds, if not thousands, of employees for a go-live is daunting, and no matter how much time and resources you pour into designing the perfect curriculum and planning out a detailed schedule, you may quickly end up feeling like your learning effort is falling short. Learning metrics can play a vital role in making the task of creating and managing learning for a big go-live a little less scary.

Despite high levels of EHR implementations since the HITECH Act, many organizations still have significant go-live events in their future. A majority of learners are at least somewhat familiar with EHR systems, so education needs to be focused on making learners comfortable with a new, or advanced, EHR rather than teaching all there is to know about the systems. Since 2014, the number of buyers replacing existing EHR software has increased 59%, according to a 2015 EHR BuyerView report. It was also reported that challenges facing an organization were not overcome by the implementation of a new EHR. A lack of education for any go-live event will discount the value behind a new EHR.

Having the perfect plan for EHR education from the beginning is not the only key to successfully preparing your employees for go-live. Additionally, you should implement a plan to monitor the training process, completing learning metrics as you go, and then be flexible in how you carry out the remainder of your learning. So, you decide to be flexible in the information you provide to learners, but when do you know it’s time for a change in direction? Going beyond the summary of what your users should learn if they complete all of their learning, the following four metrics tell you how learners are reacting to the content.

1. Completion Summary
A simple but effective metric that lets you know how much progress your users have made in their learning objectives. This metric is especially important with e-learning and with self-paced learning. Collecting this data will also help you identify problems with different learning roles throughout your organization. Flagler Hospital, a regional hospital, kept completion summary metrics throughout their large switch from Meditech to Allscripts. They reported that their completion metrics began to show users were completing their learning much faster than expected. This data allowed Flagler to actualize their education plan to make remarkable reductions in training schedule, time, and cost from their original plan. Had Flagler’s completion summary shown less than satisfactory numbers, it would have also provided an opportunity for changes to be made. Low completion rates may mean that one role’s users are getting stuck at a certain point of their learning or struggling to even begin. In these cases, use completion metrics to push learning requirements along in time for go-live.

2. Assessment Summary
If your organization isn’t planning on testing users on the education they’ve received, it may be time to consider doing so. Using a step-by-step simulated assessment is the easiest way to put a solid number on how prepared your users are for navigating workflows in the live system. After implementing tests, compile metrics on them at a high level, including how many learners took their test, how many times each user attempted a test, and of course, the percentage of assigned learners who successfully passed their test. Flagler hospital also used assessment metrics alongside their completion summary. As a result, they saw that that their completion summary aligned with their assessment summary. Along with the fast pace at which they were completing learning, Flagler’s learners had average testing scores of 94 percent. The high test scores solidified their decision to make changes to the original learning schedule.

3. Assessment Audits
After implementing step-by-step testing of your user’s knowledge, dig deeper into your testing scores to pinpoint exactly where users are falling short. You will often find that a deficiency in learning curriculum leads to users missing the same steps during their test. For example, let’s say you break down your scores by step and see that over 60 percent of users clicked the incorrect button for documenting current vitals. This is an advantage over less effective traditional testing methods, like multiple choice formats. From this metric, it is clear that you should delegate additional learning resources on best practices for entering vitals before your go-live approaches.

When you test users without using the metrics to facilitate better learning, your learners will feel frustrated with their lack of proficiency. In his book, Why High Tech Products Drive us Crazy, Alan Cooper defines two types of learners. He says, “Learners either feel frustrated and stupid for failing, or giddy with power at overcoming the extreme difficulty. These powerful emotions force people into being either an ‘apologist’ or a ‘survivor.’ They either adopt cognitive friction as a lifestyle, or they go underground and accept it as a necessary evil.” Auditing your tests by step gives you the opportunity to return to your curriculum to elaborate on topics with low testing proficiency. Pinning down topics that require additional learning will eliminate the frustration and feeling of defeat among learners failing their assessments.

4. Knowledge and Confidence Level
Confident learners are a good thing, but not always the best come go-live. It is important that your learners not only have confidence, but also the knowledge to back it up. When knowledge and confidence are not aligned, the user is in a bad place for not only lacking proficiency in the system, but for their education going forward. Users who are pushed to use the live system before they feel confident enough will be far from proficient in the system, and will feel a resentment against the organization moving forward. Equally so, users confident to get in the system but lacking the knowledge to be proficient will also fail, and be quick to blame it on poor learning. In his book, Cooper also says, “Users only care about achieving their goals.” When learners can’t achieve their goals for the learning, they are quick to find a way to reach their goal, defining their own workflows and workarounds instead of sticking to best practices outlined by your organization. Collecting data from your learners, usually through a survey-like format, on how confident they are to start working in the live system and how knowledgeable they feel about the information taught, will help you gauge how ready users are for go-live. When aligning this with your other learning metrics, you will quickly see how ready your users are to proficiently use the live system.

It is often the case that the education plans you spent countless amounts of time and resources on leaves learners feeling distant with the EHR. Think about how you can use metrics to track your learning and be flexible to make changes using those metrics to benefit your learners in the long run.

Xerox is a sponsor of the Breakaway Thinking series of blog posts. The Breakaway Group is a leader in EHR and Health IT training.

Value Based Reimbursement Research Results in Time for #AHIPInstitute

Posted on June 15, 2016 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.

McKesson Health Solutions has commissioned a new National Research study on Value Based Reimbursement. Here’s a quick summary of some of the findings:

The rapid pace of change in healthcare payment continues unabated, with payers reporting they are 58% along the continuum towards full value-based reimbursement, a 10% leap since 2014. Hospitals aren’t far behind, reporting they’re now 50% along the value continuum, up 4% in the past two years.

Those numbers were a bit shocking to me. It doesn’t feel like we’ve gotten that far in the shift to value based reimbursement. Does it feel like it to you? I knew we were headed that direction, but definitely thought we had just begun. These numbers paint a much different story.

This week I’m excited to attend my first AHIP Institute. I’ll be exploring this shift in all its gory details.

Along with this study and with AHIP starting tomorrow, McKesson has been sharing a number of cartoons about the healthcare industry. Here are a few of them they tweeted out:

Healthcare Costs

Healthcare Payment Pathway

A Great Look Into Healthcare Quality Improvement

Posted on June 14, 2016 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 think back on the evolution of EHR software and healthcare IT, it’s been incredible to see how EHR has moved from being something that could help improve your billing to now trying to be something to improve the quality of healthcare that’s being provided. In fact, I’ve long argued that the expectation of EHR was far ahead of the EHR reality. EHRs weren’t designed for quality and so it was a mistake for many to believe that it would improve quality.

While that’s the reality of history, going forward the new EHR reality is that they better figure out how to improve healthcare quality. In fact, the ones that are able to do this are going to be the most successful.

As we shift our focus to healthcare quality, I was intrigued by this video animation by Doc Mike Evans describing healthcare quality. It’s fascinating to look at the history and consider healthcare quality going forward.

What do you think of Doc Mike Evans’ thoughts on Healthcare Quality Improvement? Is he spot on? Is there something he’s missing?