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A Little #AHIMACon14 Twitter Roundup

Posted on September 29, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 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’m in San Diego today at the AHIMA Annual Convention. It’s a great event that brings together some really passionate and wonderful Health Information Management professionals. There’s been some interesting Twitter activity at the event. Here’s a roundup of some of the interesting tweets:

Some really great insights. I’d love to hear your thoughts on the tweets above.

NY Med Social Media Firing

Posted on June 27, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 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.

Update: Katie Duke stopped by and left the following comment that’s worth noting:

Thank you for this article and review. I did not violate any aspect of the social media policy or HIPPAA and was technically fired for what my manager calls “we just don’t want you working here anymore and you’re insensitive” (as referring to the post)

I have been in the spotlight for several years and thoroughly respect the rules and regulations of our profession and it’s presence on social media. My goal is to change the portrayal of nursing in the media. We all make mistakes and we must learn from them. Do I feel it was a terminable offense? No- I feel I should have been counseled or even given some constructive criticism. After all- I am a great nurse and was with NYP for 7 years and of their motto is to put patients first then they should advocate more for the retention and growth of the nurses they have. Nurses are NOT disposable. Thank you for this venue to get the dialogue going about this rather controversial and taboo topic.

I applaud Katie’s efforts since I’ve often commented how nurses are an afterthought during an EHR selection and implementation process and that’s a pity since they’re such an important part of the organization. I imagine this same thing applies to other hospital policies. Thanks for your added comments Katie.

Last night was the premiere of the second season of NY Med on ABC. I saw the previous season and enjoyed it and so I was interested to see the new season. I like all of the show except for Dr. Oz who is obviously there because he has a big name and not because he’s actually practicing medicine. I love the quote I read online “Dr. Oz is a fake even when he’s scrubbing in. His mask isn’t on while he’s fake scrubbing.” All of the Dr. Oz parts felt very contrived so they could get him involved in the show. When real cardiology was being practiced, he called in the leading expert, or at least someone who actually could help the patient.

Dr. Oz part aside, the 3 ER nurses are my favorite part of the show. I remembered 2 of the 3 from last season and so I was really glad to see that they were back. Those are some firecracker nurses that always face interesting situations in the ER.

While the show isn’t perfect since as soon as you turn a camera on, people change, it’s still an interesting look into the challenges that many doctors and nurses face on the front lines of healthcare. While Grey’s Anatomy is a well written, entertaining drama and sometimes taps trending topics for its story, it’s not a good depiction of reality.

With the above review, I was particularly intrigued last night when Katie Duke, one of the ER nurses, got Fired from the hospital for posting a picture on Instagram. It was pretty interesting to see both the other ER nurses and Katie’s first hand response to her being fired and escorted from the building.

Since this is EMR and HIPAA, let’s talk about the HIPAA implications of what Katie did. They didn’t show the picture she posted for very long, but there were no people in the picture. Just a room after they’d had a trauma case in the ER. Basically, at quick glance I can’t imagine there’s any HIPAA violation with the picture. She did tag the picture with a number of hashtags. The only one that seemed in question was the “#Man vs 6 train” one, but that’s not a HIPAA violation either or would be an enormous stretch to make the case that it is a violation.

I think it’s fair to say she didn’t violate HIPAA with her instagram post. However, that doesn’t mean she didn’t violate a hospital social media policy. I’d be interested to see New York Presbyterian’s (the hospital who fired her) social media policy. It’s hard to guess at what the policy might include. I’ve seen really strict social media policies, really open social media policies and organizations with no policy (that’s scary). Given their policy, it might very well have been appropriate to fire her. In fact, if it wasn’t, Katie Duke seems like someone who would fight back in court if it wasn’t appropriate.

While Katie Duke was fired from New York Presbyterian, she was hired at Roosevelt on the West Side. I wonder what they said to Katie about social media when they hired her. In the NY Med episode they show her doing well. Although, they noted that she was great with patients, but was having a challenge getting up to speed on their computer system. Makes me wonder what EHR they use in their ED. Although, I think it’s safe to say that this could be said about any ER nurse in any ER regardless of the computer system they use. It just takes some time to get up to speed on an EHR.

In case you’re wondering, Katie Duke has launched a website and on July 1st she’s launching a YouTube show, she has an endorsement deal with Dickies and Cherokee scrubs, has speaking engagements around the country, and a line of merchandise around the phrase “Deal With It.” I guess that’s how she’s chosen to deal with the firing. If you look at her Twitter account, you can see a lot of nurses who really look up to her and appreciate her.

The discussion of social media in the workplace is an important one and it’s really important that you understand your employer’s views on the subject if you’re going to take part in it. Although, I think we all have to appreciate the irony of a hospital firing someone for posting a picture to instagram while that same hospital has a bunch of cameras video recording in their hospital for a TV show on ABC. Feels pretty hypocritical, do as I say, not as I do.

What do you think? Did you see the show? Where will social media sharing take us in healthcare and what will be the good and bad consequences of it?

You might be an #HITNerd If…

Posted on April 13, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 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.

You might be an #HITNerd If…

you can’t write your middle name in cursive, but you can touch type.

Find all our #HITNerd references on: EMR and EHR & EMR and HIPAA.

NEW: Check out the #HITNerd store to purchase an #HITNerd t-shirt of cell phone case.

Note: Much like Jeff Foxworthy is a redneck. I’m well aware that I’m an #HITNerd.

You might be an #HITNerd If…

Posted on March 30, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 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.

You might be an #HITNerd If…

you know that blue button is not a funny ICD-10 code.

Find all our #HITNerd references on: EMR and EHR & EMR and HIPAA.

NEW: Check out the #HITNerd store to purchase an #HITNerd t-shirt of cell phone case.

Note: Much like Jeff Foxworthy is a redneck. I’m well aware that I’m an #HITNerd.

You might be an #HITNerd If…

Posted on March 16, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 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.

You might be an #HITNerd If…

you remember people’s Twitter handle, but can’t remember their name, what they do, or where they’re from.

Find all our #HITNerd references on: EMR and EHR & EMR and HIPAA.

NEW: Check out the #HITNerd store to purchase an #HITNerd t-shirt of cell phone case.

Note: Much like Jeff Foxworthy is a redneck. I’m well aware that I’m an #HITNerd.

You might be an #HITNerd If…

Posted on March 2, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 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.

You might be an #HITNerd If…

you use the term Direct Message as a double entendre.

Find all our #HITNerd references on: EMR and EHR & EMR and HIPAA.

NEW: Check out the #HITNerd store to purchase an #HITNerd t-shirt of cell phone case.

Note: Much like Jeff Foxworthy is a redneck. I’m well aware that I’m an #HITNerd.

How #HealthIT Affects Social Media, Communications and Relationships – #HITsm Chat Highlights

Posted on July 14, 2013 I Written By

Katie Clark is originally from Colorado and currently lives in Utah with her husband and son. She writes primarily for Smart Phone Health Care, but contributes to several Health Care Scene blogs, including EMR Thoughts, EMR and EHR, and EMR and HIPAA. She enjoys learning about Health IT and mHealth, and finding ways to improve her own health along the way.

Topic One: How has #HealthIT utilized research in social networks (e.g., http://t.co/68HIycMwrT) in design of #EHR & #HIT systems? #HITsm


Topic Two: Social Media & Social Networks: How is #HealthIT most impactful with many:many communication/relationships? #HITsm

Topic Three: What can #Healthcare learn from #HealthIT & #IT generally? #HITsm

Topic Four: What #HIT trends will affect decision support for patients/providers? What has not been considered, but should? #HITsm

EHR Expert Jobs, Healthcare Social Media, MU Attestation Data

Posted on March 31, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 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 guess Cleveland Clinic doesn’t think the government trained EHR workforce. I know a lot of them that can’t get a job in any EHR position.


This story is a crazy one and spiral out of control is the right term. Although, this post by Amanda Blum is the best look at the issues from my point of view. Dr. Nick is right that you do have to be careful. In fact, the case above wasn’t even something that happened on social media. It was something that happened in person at a conference and then social media blew it up. So, I’d actually argue that it’s more important than ever for you to be involved in social media. That way if something does blow up, you see it and can deal with the situation before it spins out of control.

What I do hate most about the story is the lack of civility and not giving people the benefit of the doubt. I hate that part of the way society is heading. Communication can solve a lot of issues if people would just use it. Instead, we assume the worst in people. That’s unfortunate.


Evan’s opening line to the blog post says, “CMS just released the December 2012 attestation data, and one thing is abundantly clear—many EHR vendors will not be around to see Stage 2.” I don’t agree with his conclusion. I expect we’ll have nearly as many in meaningful use stage 2 as we did in stage 1. Meaningful Use stage 3 is likely where we’re going to see fallout. Although, it does beg the question of how many EHR vendors will stay in business without EHR incentive money?

I’ve often said that it’s surprising how good of a business you can run with just a few thousand doctors.

Using Healthcare Social Media Effectively

Posted on February 6, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 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 most of you probably know, Shahid Shah and I recently did a webinar on “how to differentiate your products and services.” In case you missed it, we have an archive of the presentation on the Influential Networks website (The webinar auto plays). I think we do a pretty good job talking at a high level about many of the mistakes that we see companies making when they’re trying to communicate their message.

Turns out that pretty much everything that we talked about in the webinar could be applied to all of social media. Many people try to make social media too complex. At the end of the day social media is simply a platform to connect and communicate with people.

Once you realize that social media connects people, then you realize why many people call it the social media community. It really is a a community of people and just like in person communities they have social norms and expectations. One of the big messages we shared in the webinar above was that the smartest strategy is to Be a Good Member of the Community.

Much like in real life, those on social media are going to quickly make judgments about your involvement in social media. Are you going to be one who gives before you get or are you going to be someone there just trying to sale something. You can imagine which strategy works best.

The idea of give before you get is a powerful one and not always easy to accomplish. By our very nature we start thinking about what we can get out of a situation. The ironic thing is that if you approach social media with a give before you get mentality, you end up getting much more than you give away. Many think that the idea of give before you get is an altruistic type of mentality when in fact it’s really not. It’s incredibly selfish.

The difference with give before you get and altruism is that there’s no transactional relationship. You’re not giving something of value to someone with a fixed requirement that they give something of value in return. Instead you’re giving something of value to multiple members of the community over time and over time the community will return the favor. This is a hard concept for many organizations to understand. It’s a long term investment in community that doesn’t have a direct ROI. Therefore, it makes it difficult for a marketing or PR manager to sell it to their company.

Full Disclosure: The idea of “Give Before You Get” was taken from Brad Feld‘s awesome book called Startup Communities. I don’t think Brad imagined them being applied to online communities, but it’s amazing to see how the philosophy is the same offline as it is online.

With some of the healthcare social media strategies laid out, I want to offer some practical suggestions on how to participate in Healthcare Social media.

My number one social media tool (and the only one I pay to use) is HootSuite. It’s worth every dollar I pay for it (Although, it has a fully functional Free 30 Day Trial and a limited, but useful free version). Here are some of the top features for me:

Supports Multiple Social Media Accounts – I have multiple Twitter accounts and so I find this extremely useful, but you can also use it to manage Twitter, Facebook, LinkedIn, and Google+ all from one interface. I also love that it’s all web based, so regardless of which computer I’m using the interface is the same for me to be able to monitor and participate in social media.

#Hashtag Tracking – I love the way that you can add a stream to your Hootsuite interface for specific hashtags. For example, I have the #HITsm hashtag stored in my Hootsuite account under my @ehrandhit Twitter page. I’ll soon be adding the #HIMSS13 hashtag as we get closer to HIMSS. There are plenty of other ways to track hashtags, but Hootsuite is my favorite. Plus, it makes it easy to reply and/or RT messages using the hashtag.

Mobile – I’ve used a number of mobile interfaces (mostly for Twitter) and all of them were disappointing to me until I found Hootsuite. This is particularly true when you have multiple accounts. It’s really the only social media app I need on my mobile phone.

Scheduled Messages – While most of my tweets are sent when I think of them, there are also times when I don’t want a message to go out until a certain moment in time. The ability to schedule tweets to appear in the future is a real benefit to Hootsuite. For example, before HIMSS, I’m planning to schedule some messages about the New Media Meetup I’ll be hosting on Tuesday (more details tomorrow). It’s much easier to create these messages from my computer before HIMSS than trying to send them out during the business of HIMSS.

Auto Post – I mostly use dlvr.it to automatically send out my blog posts to my social media profiles, but Hootsuite can be used for this as well. I think that dlvr.it does a better job for this, but I do use Hootsuite to auto post to some social media channels that dlvr.it doesn’t support.

Social Analytics – I haven’t used this piece of Hootsuite as much since I have a lot of other analytics programs that I use. However, if I was a large organization trying to justify my social media spend, I’d be looking into the deep reporting that’s possible from Hootsuite.

Collaboration – Hootsuite provides a powerful set of tools for organizations to collaborate on social media. The best way for an organization to do social media is to involve a large portion of the company in the social media efforts. One of the biggest challenges with this approach is knowing who has done what on social media so you don’t have an overlap of effort which wastes time and can be embarrassing. Hootsuite’s team function is a great way to know who responded to which social media message and if there’s a message that still needs a response. Plus, you can do other things like assigning tasks to certain team members. Every organization that has more than one person participating in social media should take a look at these features.

I used Hootsuite’s feature set as a way for me to describe some different ways to use social media. Certainly each of the functions above can be found in many other social media tools. I’ve just found HootSuite to be the best implementation of all these features in one package, but at the end of the day it’s just a tool like many others. However, these tools can make your participation in the healthcare social media community much more efficient and effective.

Taking a Healthy Risk: Best Practices and Creative Use of Social Media in Healthcare

Posted on January 8, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 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 mentioned previously that I was a part of a panel on healthcare social media at the Digital Health Conference in New York City. The video from the healthcare social media panel was just posted on YouTube and so I thought I’d share it with those who weren’t able to attend the Digital Health Conference. It was a pretty diverse panel that offered a number of different perspectives and insights in how to use social media in healthcare. The names of the panelists are listed below the video.

Panelists from left to right:
John Lynn — Founder, HealthcareScene.com and Physia.com (@techguy @ehrandhit)

Wen Dombrowski, MD — Healthcare Innovation, Informatics, and Social Media Consulting, Resonate Health LLC (@HealthcareWen)

Amy Dixon, BSN, RN, HNB-BC — Nurse Blogger, Visiting Nurse Service of New York (@amyrnbsn @VNSNY_News)

Brian Ahier — Health IT Evangelist, Mid-Columbia Medical Center; President, Gorge Health Connect, Inc. (@ahier @MCMCHealth)