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Hospitals Aren’t Getting Much ROI From RCM Technology

Posted on July 24, 2017 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.

If your IT investments aren’t paying off, your revenue cycle management process is clunky and consumers are defaulting on their bills, you’re in a pretty rocky situation financially. Unfortunately, that’s just the position hospitals find themselves in lately, according to a new study.

The study, which was conducted by the Healthcare Financial Management Association and Navigant, surveyed 125 hospital health system chief financial officers and revenue cycle executives.

When they looked at the data, researchers saw that hospitals are being hit with a double whammy. On the one hand, the RCM systems hospitals have in place don’t seem to be cutting it, and on the other, the hospitals are struggling to collect from patients.

Nearly three out of four respondents said that their RCM technology budgets were increasing, with 32% reporting that they were increasing spending by 5% or more. Seventy-seven percent of hospitals with less than 100 beds and 78% of hospitals with 100 to 500 beds plan to increase such spending, the survey found.

The hospital leaders expect that technology investments will improve their RCM capabilities, with 79% considering business intelligence analytics, EHR-enabled workflow or reporting, revenue integrity, coding and physician/clinician documentation options.

Unfortunately, the software infrastructure underneath these apps isn’t performing as well as they’d like. Fifty-one percent of respondents said that their organizations had trouble keeping up with EHR upgrades, or weren’t getting the most out of functional, workflow and reporting improvements. Given these obstacles, which limit hospitals’ overall tech capabilities, these execs have little chance of seeing much ROI from RCM investments.

Not only that, CFOs and RCM leaders weren’t sure how much impact existing technology was having on their organizations. In fact, 41% said they didn’t have methods in place to track how effective their technology enhancements have been.

To address RCM issues, hospital leaders are looking beyond technology. Some said they were tightening up their revenue integrity process, which is designed to ensure that coding and charge capture processes work well and pricing for services is reasonable. Such programs are designed to support reliable financial reporting and efficient operations.

Forty-four percent of respondents said their organizations had established revenue integrity programs, and 22% said revenue integrity was a top RCM focus area for the coming year. Meanwhile, execs whose organizations already had revenue integrity programs in place said that the programs offered significant benefits, including increased net collections (68%), greater charge capture (61%) and reduced compliance risks (61%).

Still, even if a hospital has its RCM house in order, that’s far from the only revenue drain it’s likely to face. More than 90% of respondents think the steady increase in consumer responsibility for care will have an impact on their organizations, particularly rural hospital executives, the study found.

In effort to turn the tide, hospital financial execs are making it easier for consumers to pay their bills, with 93% of respondents offering an online payment portal and 63% rolling out cost-of-care estimation tools. But few hospitals are conducting sophisticated collections initiatives. Only 14% of respondents said they were using advanced modeling tools for predicting propensity to pay, researchers said.

Healthcare Cybersecurity Cartoon – Fun Friday

Posted on July 21, 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’s Fun Friday comes from the #IoMTchat (Internet of Medical Things) and was shared by Rasu Shrestha. This cartoon has so many good elements including the great password sticky note. As in most humor, this isn’t too far from the truth.

Rasu is spot on in his tweet too. Key to cybersecurity in healthcare is understanding employee behaviors and motivators. You’ll never change the culture and improve cybersecurity if you don’t understand your employees’ needs.

One Hospital Faces Rebuild After Brutal Cyberattack

Posted on July 20, 2017 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.

Countless businesses were hit hard by the recent Petya ransomware attack, but few as hard as Princeton, West Virginia-based Princeton Community Hospital. After struggling with the aftermath of the Petya attack, the hospital had to rebuild its entire network and reinstall its core systems.

The Petya assault, which hit in late June, pounded large firms across the globe, including Nuance, Merck, advertiser WPP, Danish shipping and transport firm Maersk and legal firm DLA Piper.  The list of Petya victims also includes PCH, a 267-bed facility based in the southern part of the state.

After the attack, IT staffers first concluded that the hospital had emerged from the attack relatively unscathed. Hospital leaders noted that they are continuing to provide all inpatient care and services, as well as all other patient care services such as surgeries, therapeutics, diagnostics, lab and radiology, but was experiencing some delays in processing radiology information for non-emergent patients. Also, for a while the hospital diverted all non-emergency ambulance visits away from its emergency department.

However, within a few days executives found that its IT troubles weren’t over. “Our data appears secure, intact, and not hacked into; yet we are unable to access the data from the old devices in the network,” said the hospital in a post on Facebook.

To recover from the Petya attack, PCH decided that it had to install 53 new computers throughout the hospital offering clean access to its Meditech EMR system, as well as installing new hard drives on all devices throughout the system and building out an entirely new network.

When you consider how much time its IT staff must’ve logged bringing basic systems online, rebuilding computers and network infrastructure, it seems clear that the hospital took a major financial blow when Petya hit.

Not only that, I have little doubt that PCH faces doubts in the community about its security.  Few patients understand much, if anything, about cyberattacks, but they do want to feel that their hospital has things under control. Having to admit that your network has been compromised isn’t good for business, even if much bigger companies in and outside the healthcare business were brought to the knees by the same attack. It may not be fair, but that’s the way it is.

That being said, PCH seems to have done a good job keeping the community it serves aware what was going on after the Petya dust settled. It also made the almost certainly painful decision to rebuild key IT assets relatively quickly, which might not have been feasible for a bigger organization.

All told, it seems that PCH survived Petya successfully as any other business might have, and better than some. Let’s hope the pace of global cyberattacks doesn’t speed up further. While PCH might have rebounded successfully after Petya, there’s only so much any hospital can take.

Meeting the Patient Where They Are – #HITsm Chat Topic

Posted on July 18, 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, 7/21 at Noon ET (9 AM PT). This week’s chat will be hosted by Melody Smith Jones (@MelSmithJones) from HYP3R on the topic of “Meeting the Patient Where They Are.”

Every day, decision-makers across the healthcare industry sit in boardrooms charting the course for the future of patient engagement.

At the same time, individual patients are turning to new sources for health information, researching symptoms online and crowdsourcing answers from friends on social media.

More than ever, healthcare providers need to meet patients where they are.

Join this Twitter chat to explore how healthcare decision-makers can get out of the confines of the boardroom and truly understand the patient experience of today.

Questions we will explore in this week’s #HITsm chat include:
T1: As the healthcare consumer turns away from traditional media & towards digital channels, how can we meet the patient where they are? #HITsm

T2: Since financial literacy and price transparency have a steep learning curve, how can we meet the patient where they are? #HITsm

T3: As healthcare consumers continue to become avid researchers in their own right, how can we meet the patient where they are? #HITsm

T4: As the patient stares blankly at the available patient portal, how can we meet the patient where they are? #HITsm

T5: As patients and families bring digital devices with them into the care setting, how can we meet the patient where they are? #HITsm

Bonus: As the worlds of social media and intelligence continue to merge, how can we meet the patient where they are? #HITsm

Upcoming #HITsm Chat Schedule
7/28 – How Does Age Impact Patient Satisfaction & Provider Switching?
Hosted by Lea Chatham (@leachatham) from @SolutionReach

8/4 – TBD
Hosted by Alan Portela (@AlanWPortela) from Airstrip

8/11 – TBD
Hosted by TBD

8/18 – Diversity in HIT
Hosted by Jeanmarie Loria (@JeanmarieLoria) from @advizehealth

8/25 – TBD
Hosted by TBD

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 Digital Juxtaposition – Fun Friday

Posted on July 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.

Eric Topol shared these 2 cartoons showing the interesting juxtaposition of technology in our lives:

I’m sure many of my readers will hate the 2nd cartoon which helps to perpetuate the stereotype that older people don’t want to use technology. So, I’ll just head that off by saying that many older people are great users of technology and love it. However, there is still a difference between youth that are glued to technology and the older generation that uses technology, but often prefers something printed. Finding the balance is tough.

What I’ve found interesting is watching my kids and technology. They certainly love technology and they love playing games, watching Netflix, etc. However, I’ve also realized that they still have a lot to learn when it comes to learning technology. They’re not unlike the older generation in that regard. The only difference is that they are generally more open to learning the technology. However, they’ve had such well done experiences in their games and entertainment that I think the younger generation gets really frustrated when they come across technology with a poor user experience.

A little something to chew on this Friday. Any other observations you’d add to this digital juxtaposition?

Best Practices for Patient Engagement

Posted on July 13, 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.

The following is a guest blog post by Brittany Quemby, Marketing Strategist for Stericycle Communication Solutions, as part of the Communication Solutions Series of blog posts. Follow and engage with them on Twitter: @StericycleComms
Brittany Quemby - Stericycle
Knowledge is power… so the saying goes.  When it comes to patient engagement, it couldn’t be more true. Being “in tune” is the key to unlocking the ultimate patient experience. Knowing what your patients need and want allows you to close the gap and deliver on those desires, while developing a deeper connection through effective patient engagement.

Here at Stericycle Communication Solutions, we are a group of individuals with all different types of needs and wants as patients. Below are some of the best practices that we preach to our doctors and healthcare providers when it comes to patient engagement and the patient experience:

Connect with meaning – Reach us where we spend most of our time. Roughly two-thirds of us own a smartphone, meaning we have access at our fingertips.  We expect an interactive and omni experience with our healthcare providers. We are looking for simple ways to connect with our doctors, schedule appointments, and prepare for important appointments.  By engaging on these terms, healthcare practices can be sure to connect to patients on a deeper level and encourage repeat visits to their health system.

Engage through multiple and preferred channels – We expect our healthcare experience to fit seamlessly into the rest of our lives. This means integrating with the technologies that we prefer including online, in person, and on our devices.

Did you know that:

  • 91% of us email daily
  • 77% of us set up appointments with their primary care provider via phone call
  • Text messages have a 98% open rate

These simple touch points, enables you to effectively engage using more than one mode of communication, ensuring you connect with us the right way each time!

Get personal! – Patients are no different than the everyday consumer.  We love personalization. In fact, 47% of us said we wanted “personalized experiences” when it comes to our health. Communicating based on our specific needs and wants gets noticed and evokes action! This allows providers to not only connect on a more personal level with us, but also empowers us to take an active role in own healthcare.

Involve Us! – Keep us in the loop! We are more involved in our own health than ever before.  Use of health apps and wearables have doubled in the last two years. We want to play an active role when it comes to important healthcare related moments.  Both US consumers (77%) and doctors (85%) agree that the use of health apps and wearables helps patients engage in their health. We want to be involved; take advantage!

To learn more about effective patient engagement, download this patient engagement whitepaper.

The Communication Solutions Series of blog posts is sponsored by Stericycle Communication Solutions, a leading provider of high quality call center & telephone answering servicespatient access services and automated communication technology. Stericycle Communication Solutions combines a human touch with innovative technology to deliver best-in-class communication services.  Connect with Stericycle Communication Solutions on social media: @StericycleComms

Healthcare Data Integration Cutting Room Floor: Cluttered with Valuable Unused and ‘Laundered’ Data – #HITsm Chat Topic

Posted on July 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.

We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 7/14 at Noon ET (9 AM PT). This week’s chat will be hosted by Bill Fox (@FoxBigData) of @MarkLogic on the topic of “Healthcare Data Integration Cutting Room Floor: Cluttered with valuable unused and ‘laundered’ data.”

Improving healthcare data integration, flexibility, agility and time to market for development and implementation starts with ingesting data and ends with analytics and insights-an operationalize before you analyze best practice approach.

How healthcare data is captured, represented, secured and made available to the application services intended to support the value-based models of care everyone expects to improve patient outcomes, while addressing escalating costs, is a fundamental necessity for digitally transforming today’s healthcare organizations.

Thankfully, operational data integration technologies have rapidly emerged that address and support the critical functionality healthcare providers, health plans and ancillary organizations need to support the healthcare consumers and patients, and effect true health care outcome improvement and cost containment challenges.

The intention of this chat is to share ideas, facts, thoughts, and opinions on the theme of whether the legacy technology that still dominates most IT shops in healthcare supports reform and innovation initiatives or not. Quite simply, are we leaving too much valuable, unused and ‘laundered’ healthcare data” on the ‘Cutting Room Floor’ of the very healthcare organizations we’re all counting on to best leverage that data? Our hope is that this chat helps to surface how healthcare organizations – providers, payers, 3rd parties and vendors – can get the most from our respective investment in our healthcare data platforms.

Reference & Resources:

This Week’s Topics
T1: What’s your biggest, most expensive health data “hairball” or pain point in combining data across domains or multiple systems? #HITsm

T2: What is the most valuable data that’s not being used today in #healthcare due to cost / complexity of integration? #HITsm

T3: What data impacts #healthcare consumer / member / patient experience and service the most? #HITsm

T4: 80% of all data is unstructured. What types of unstructured data can help improve service, outcomes & lower costs the most? #HITsm

T5: Why should scarce resources be invested in analytics before combining, enriching, harmonizing and operationalizing data first? #HITsm

Bonus: Why do firms continue using legacy ETL & tools vs adopting a “next gen” data integration platform approach? #HITsm

Upcoming #HITsm Chat Schedule
7/21 – Meeting the Patient Where They Are
Hosted by Melody Smith Jones (@MelSmithJones) from HYP3R

7/28 – How Does Age Impact Patient Satisfaction & Provider Switching?
Hosted by Lea Chatham (@leachatham) from @SolutionReach

8/4 – TBD
Hosted by Alan Portela (@AlanWPortela) from Airstrip

8/11 – TBD
Hosted by TBD

8/18 – Diversity in HIT
Hosted by Jeanmarie Loria (@JeanmarieLoria) from @advizehealth

8/25 – TBD
Hosted by TBD

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 Fight For Patient Health Data Access Is Just Beginning

Posted on July 11, 2017 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.

When some of us fight to give patients more access to their health records, we pitch everyone on the benefits it can offer — and act as though everyone feels the same way.  But as most of us know, in their heart of hearts, many healthcare industry groups aren’t exactly thrilled about sharing their clinical data.

I’ve seen this first hand, far too many times. As I noted in a previous column, some providers all but refuse to provide me with my health data, and others act like they’re doing me a big favor by deigning to share it. Yet others have put daunting processes in place for collecting your records or make you wait weeks or months for your data. Unfortunately, the truth, however inconvenient it may be, is that they have reasons to act this way.

Sure, in public, hospital execs argue for sharing data with both patients and other institutions. They all know that this can increase patient engagement and boost population health. But in private, they worry that sharing such data will encourage patients to go to other hospitals at will, and possibly arm their competitors in their battle for market share.

Medical groups have their own concerns. Physicians understand that putting data in patient’s hands can lead to better patient self-management, which can tangibly improve outcomes. That’s pretty important in an era when government and commercial payers are demanding measurably improved outcomes.

Still, though they might not admit it, doctors don’t want to deluge patients with a flood of data which could cause them to worry about inconsequential issues, or feel that data-equipped patients will challenge their judgment. And can we please admit that some simply don’t like ceding power over their domain?

Given all of this, I wasn’t surprised to read that several groups are working to improve patients’ access to their health data. Nor was it news to me that such groups are struggling (though it was interesting to hear what they’re doing to help).

MedCity News spoke to the cofounder of one such group, Share for Cures, which works to encourage patients to share their health data for medical research. The group also hopes to foster other forms of patient health data sharing.

Cofounder Jennifer King told MCN that patients face a technology barrier to accessing such records. For example, she notes, existing digital health tools may offer limited interoperability with other data sets, and patients may not be sure how to use portals. Her group is working to remove these obstacles, but “it’s still not easy,” King told a reporter.

Meanwhile, she notes, almost every hospital has implemented a customized medical record, which can often block data sharing even if the hospitals buy EMRs from the same vendor. Meanwhile, if patients have multiple doctors, at least a few will have EMRs that don’t play well with others, so sharing records between them may not be possible, King said.

To address such data sharing issues, King’s nonprofit has created a platform called SHARE, an acronym for System for Health and Research Data Exchange. SHARE lets users collect and aggregate health and wellness data from multiple sources, including physician EMRs, drug stores, mobile health apps and almost half the hospitals in the U.S.

Not only does SHARE make it easy for patients to access their own data, it’s also simple to share that data with medical research teams. This approach offers researchers an important set of benefits, notably the ability to be sure patients have consented to having their data used, King notes. “One of the ways around [HIPAA] is that patient are the true owners,” she said. “With direct patient authorization…it’s not a HIPAA issue because it’s not the doctor sharing it with someone else. It’s the patient sharing it.”

Unfortunately (and this is me talking again) the platform faces the same challenges as any other data sharing initiative.

In this case, the problem is that like other interoperability solutions, SHARE can only amass data that providers are actually able to share, and that leaves a lot of them out of the picture. In other words, it can’t do much to solve the underlying problem. Another major issue is that if patients are reluctant to use even something as simplified as a portal, they’re not to likely to use SHARE either.

I’m all in favor of pushing for greater patient data access, for personal as well as professional reasons. And I’m glad to hear that there are groups springing up to address the problem, which is obviously pretty substantial. I suspect, though, that this is just the beginning of the fight for patient data access.

Until someone comes up with a solution that makes it easy and comfortable for providers to share data, while diffusing their competitive concerns, it’s just going to be more of the same old, same old. I’m not going to hold my breath waiting for that to happen.

International EHR Adoption: Challenges and Solutions – #HITsm Chat Topic

Posted on July 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 excited to share the topic and questions for this week’s #HITsm chat happening Friday, 7/7 at Noon ET (9 AM PT). This week’s chat will be hosted by Stefan Buttigieg, MD (@stefanbuttigieg) on the topic of “International EHR Adoption: Challenges and Solutions.”

EHR Adoption around the world is still a contentious issue which a large number of healthcare providers still struggle with, especially in continents like Europe. Healthcare I.T Professionals, many time struggle to convince senior management amidst spiralling costs, significant changes in Healthcare System Legislations and Cybersecurity challenges. 59% of 27 EU Member States have an implemented electronic health record whilst the US has a 67% Adoption rate, what can we do better?

Please join us for this week’s #HITsm chat focused on International EHR Adoption. We’ll use the following 6 questions as the framework for the discussion:

This Week’s Topics
T1: What are your EHR Adoption Success Stories? #HITsm

T2: What lessons have you learnt from your EHR Adoption? #HITsm

T3: What challenges are you facing within your country for EHR Adoption? #HITsm

T4: How has legislation supported EHR Adoption in your country? #HITsm

T5: Open-Source, Off-the-Shelf or Custom? #HITsm

Bonus: Economic Incentives or not? Do they work? #HITsm

Upcoming #HITsm Chat Schedule
7/14 – Healthcare Integration Cutting Room Floor: Cluttered with valuable unused and ‘laundered’ data
Hosted by Bill Fox (@FoxBigData) of @MarkLogic

7/21 – Meeting the Patient Where They Are
Hosted by Melody Smith Jones (@MelSmithJones) from HYP3R

7/28 – How Does Age Impact Patient Satisfaction & Provider Switching?
Hosted by Lea Chatham (@leachatham) from @SolutionReach

8/4 – TBD
Hosted by Alan Portela (@AlanWPortela) from Airstrip

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.

Voting for the 2017 #HIT100 Starts Now!

Posted on July 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.

It’s the fourth of July and that has traditionally been the start of the #HIT100 nominations. The first #HIT100 was started by Michael Planchart, the person behind the Twitter handle formerly known as @theEHRGuy (he gave custodian of the Twitter account to someone else and Michael seems to have gone anonymous for some reason), as a great way to celebrate the Fourth of July holiday and turned out to be a fun way to get to know many of the various healthcare social media influencers throughout the summer. Even with Michael now off social media, we hope we can carry on the tradition that Michael started by continuing to encourage people to participate in the nominations for the #HIT100.

If you missed past versions, the #HIT100 is a way for you to recognize your peers, friends, and heroes who have been contributing to the #HealthIT, #HITsm, #hcsm, #HITchicks, #hcldr, #HITMC and other related communities through their tweets, blogs, books, etc. Your nomination is a small reward for their efforts and all of the nominations in aggregate make for an amazing list of people working to improve healthcare.

In order to make the nominations meaningful, we ask that all nominations include the person being nominated, the #HIT100 hashtag, and a short phrase or hashtag identifying why you’re nominating that person. You don’t have to explain why you’re nominating someone, but if you don’t do it then it generally lacks meaning and looks like you’re just trying to game the nomination process. Take the time and make your nominations something that provides value to the person you’re nominating.

Also, if you really want to go the extra mile, Michael has asked people to do what they can to support the challenges the Venezuelan people face right now where many people are starving and can’t get medications. I really like Michael’s idea of doing even more with our #HIT100 nominations. So, even if you don’t connect with his Venezuelan request, think about ways you can better help those in healthcare who need it the most.

Here’s an example nomination: “I nominate @MandiBPro to the #HIT100 list because she’s a sincere advocate for the patient and doing what’s right in healthcare.”

We’ll be using the following rules for how we’ll be counting nominations (others in the community are welcome to use their own methods):
1. Twitter accounts must have existed prior to today.
2. The nomination process is completely socially biased, but we’ll filter obvious abuse where reasonable (Did the Nigerian Princess with no followers really nominate you?).
3. RTs will be counted if they include the required elements.
4. Thank you RTs by the person being nominated will not be counted, but we do encourage sincere gratitude being expressed to those who nominate you. If you remove the nomination from your tweet you’ll have more room to show thanks without cluttering the stream.
5. There will only be one round of voting.
6. Please do not include the #HITsm or other hashtags unless they apply to the person(s) being nominated. Let’s be conscious of unnecessarily adding tweets to everyone’s stream.
7. Nominations will be counted at the sole discretion of the hosts and anyone else is welcome to chop up, analyze, the nominations however they see fit as well. This is for fun anyway, so don’t stress it.
8. Last but not least, you must have lots of fun!

I’m looking forward to seeing all the nominations. Plus, we’ll publish a list of the top 100 nominations and a number of other lists that come out of the nominations as well.

Legal Disclaimer: By submitting a nomination, you agree that any statements are your own opinion otherwise you would not have written or tweeted the message. All statements, whether funny or not, are your own information and thoughts. Funny tweets add no weight to your vote, but if you make us laugh we’ll love you for it. All other generic disclaimers apply, we just couldn’t take up any more words to state them.
Legally disclaimer originally offered by @Matt_R_Fisher and reused here for your entertainment.

Past #HIT100 Lists:
2016 #HIT100
2015 #HIT100
2014 #HIT100
2013 #HIT100
2012 #HIT100
2011 #HIT100