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#HIMSS14 Day 2 – Future of EMR and EHR Market

Posted on February 25, 2014 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 is probably going to forever be the case, much of my experience at HIMSS gets to benefit from the beauty of social media. Today was no different as their was the #HITsm chat where we played #HITsm account bingo. Somehow I ended up on stage competing against my fellow EMR and EHR writer, Jennifer Dennard, for one of the prizes. Happily she won. I cheered for her over me too. All in all it was a fun time hearing about the various people in the HITsm social media community.

The evening of day 2 was also highlighted by the New Media Meetup event. This is our 5th year organizing the event and I believe we can call it a great success. A big thanks to Stericycle Communication Solutions for sponsoring the event, and for everyone that attended. For those I didn’t really get a chance to see and talk with, let’s make up for it tomorrow. Although, as I always tell people, the best part of the event is that there are hundreds of amazing people you can meet.

Here were two comments attendees made to me about the event, “That conversation right there was more valuable to me than any of the sessions at HIMSS.” And then this one from someone who’s been to at least four of the meetups, “This is always my favorite event.” What a blessing for me to take part in such a tremendous HIMSS social media community.

Enough with my social media experience at HIMSS. Today I had a number of really interesting conversations. Some of them I’ll be saving for future posts. However, one thing stood out to me today in my discussions with a new EHR vendor called Viztek and the multiple EHR vendor, Allscripts.

When I decided to meet with Viztek, I was intrigued by the fact that they were just launching a new EHR software. I wanted to see who wave brave (or crazy depending on perspective) enough to launch a new EHR software at this point in the game. Are 300+ EHR vendors not enough? Plus, I thought the market was suppose to be contracting and not growing.

I was actually impressed by what I found at Viztek. No doubt, in the short time I had during HIMSS, I didn’t have time to dig in really deep to evaluate the breadth of the EHR they’ve created, it’s usability and feature set. Instead, with our short time I wanted to understand the why and EMR market conditions that prompted them to build and launch another EHR software.

What’s particularly interesting about Viztek is that they have a full PACS and RIS software system that they’ve already been selling for a long time. They saw offering an EHR software as a natural extension to this offering. Considering there’s still some growth available in the ambulatory market, and in specialties where they have deep PACS needs (like ortho) I could see an opportunity. One of the most compelling reasons for a practice to go with the fully integrated PACs and EHR software is that it leaves only one vendor to look to when there are issues. Don’t underestimate the value of this. I’m not sure of the pricing of their EHR, but I won’t be surprised if like many other vendors the EHR is just a way to get access to and solidify their main revenue stream (in this case PACS).

On the other end of the spectrum was my meeting with Allscripts. In my discussion, I almost got the feeling (although, they certainly didn’t state this specifically), that EHR has become almost a commodity. The idea being that everyone is going to have an EHR and that the EHR market is going to be a heterogeneous environment. I assure you that the later is true and will be for the forseeable future. So, it makes a lot of sense why much of the focus of our conversation was around Allscripts efforts with DBMotion to provide a platform that brings together all the data from the heterogeneous EHR systems.

I was really intrigued by each of these companies and how far apart they are in their approach to EHR. At the one side of the spectrum I see a new EHR that’s still trying to provide the right EHR software for the physician. On the other hand, you have a vendor that’s always been known as an EHR vendor (and quite frankly still is with so many EHR software under one roof) is now shifting much of their focus to population health and ACO technology.

I’ve previously written that the Golden Age of EHR adoption is over. We’re entering into a much bumpier and brutal period of EHR transition. We’ll see if doctors get some relief from ONC on Thursday. Word at HIMSS is that on Thursday they’ll be announcing something important in regards to meaningful use (likely during one of the ONC/CMS keynotes). At the CHIME event they said something to the effect of, “we’ve heard you and we’re going to help.” I’ll be on a plane home, but no doubt the details will be tweeted live.

There you have it. A few of my thoughts from day 2 of HIMSS. Tomorrow’s my last day at the event. I have too many things scheduled, but we’ll do what we can to discover interesting content and share more with you tomorrow.

Also, be sure to check out my #HIMSS14 Twitter Roundup – Take Two

#HIMSS14 Day 1 – Interoperability, HIE and Social Media

Posted on February 24, 2014 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.

Well, this is technically my second or third day, but this is the first official day of HIMSS. It’s a mad house like you can imagine and the vendor hall is as big as you’d expect. You need about 3 weeks to go through it. I actually decided to do a walking meeting with someone and we basically walked the whole exhibit floor twice. Luckily, the conversation was good and we dove into some interesting topics. I also told them about my future mobile strategy for Healthcare Scene. She liked it. Hopefully I can roll it out in the next few months.

My day happened to start off with a lot of discussion on interoperability and HIE with MAeHC and then Orion Health. I think it’s really interesting to see the progress we’ve made when it comes to interoperability and HIE, but I also found it interesting that Micky Tripathi from MAeHC still described healthcare interoperability as being in its infancy. I largely agree with him and it’s really too bad. Although, it was also interesting to compare that to Orion Health talking about how they’ve proven that HIE can work. Plus, they also noted something I’ve written multiple times: Private HIEs are growing faster than the Public HIEs.

I’m still really torn on the business model for interoperability and HIEs. I don’t see a clear model in most situations. I even saw one tweet yesterday that talked about taxing on a per patient basis to pay for the HIE. I heard that in NY they’re actually literally working on a tax to fund it. However, I really think that calling it a per patient tax is a really bad way to describe the funding. I’ll certainly be covering more of my interoperability and HIE discussions in the future. Watch for those blog posts in the coming weeks.

I also did a lot of social media talk today. Together with Shahid Shah and Cari McLean we had a discussion about Social Media and Influence. It was great to see so many friendly faces in the audience. I feel lucky every chance I get to hear Shahid talk. He’s really good at reframing things in interesting ways. Plus, Cari has a unique perspective to offer from her perch on top of the HIMSS Social Media tower. I previously noted that social media has just become an integral part of HIMSS. What’s interesting is that most of the companies at HIMSS haven’t created it as an integral part of their company. Many are still learning, but it’s great to see them learn. I hope many will attend the Health IT Marketing and PR Conference where we dive in a lot deeper on these topics.

As I said to someone today, social media can provide value to every company, but not every company should do social media. Some companies aren’t ready to commit to doing social media the right way. Other companies aren’t ready to be that open and transparent. Social media is just one tool in the kit. Although, it’s a really powerful one if used properly. I’ve also been touched by the power of social media to help individuals. Social media has connected me to people that would have no doubt been back at their rooms or in the corner of the event wondering why they were there, but instead they’re out having a good time and connecting with other interesting people.

There you go. I talked about a number of other things today, but I’ll cover that over the weeks and months ahead. For now I’m calling my day today HIMSS HIE, Interoperability and Social Media day.

Be sure to also check out my #HIMSS14 Twitter Roundup and my post on Hospital EMR and EHR about the real cause of hospital readmissions. I think the later post will be a post I reference over and over as people continue to talk about solutions that reduce hospital readmissions.

My #HIMSS14 Preview

Posted on February 21, 2014 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 most of you know, I’ll be heading on my annual pilgrimage to Health IT Mecca (otherwise known as HIMSS14). HIMSS 2014 is taking place in Orlando and I have another jam packed schedule with ~20 confirmed meetings and ~10 possible evening socials. Of course, this doesn’t count any of the sessions I plan to attend or time I’ve set aside to discover what’s in the enormous exhibit hall.

In case you don’t read EMR and EHR (shame on you, but this can be corrected), yesterday I posted Some Frank #HIMSS14 Advice (plus some cool preview pictures of the event). If you’re going to HIMSS, it’s well worth a read. I think it also illustrates how important the people at HIMSS are to me. Maybe that’s why I love Social Media at HIMSS14 so much. In fact, you’ll see in my preview below a great mix of social media and interesting companies.

Now for a preview of some of the things I’m looking forward to at HIMSS 2014 and a few things that caught my eye (Apologies in advance to those things I forgot to mention).

#HealthyHIMSS14
If you check out that link, you’ll see the unofficial HIMSS 14 5k, a HIMSS Dance Meetup, a HIMSS Tennis Meetup and the official Yoga and Wellness Challenge. I love that there’s at least some effort to be healthy and have some fun at HIMSS. Should be some fun events. I’ll be attending the ones that aren’t way too early for a west coast blogger like myself.

Stoltenberg Consulting
I found Stoltenberg Consulting’s idea to ask attendees “What If…” during HIMSS. They’ll be offering the option in their booth, but you can also get started on social media using the hashtag #WhatIf4HIT. I imagine Stoltenberg plans to take those questions and see how they can help solve the problems which makes the idea even better. There are always plenty of people at HIMSS asking What If, but not nearly enough people making those What Ifs a reality.

#SocialMedia and Influence Meetup
This meetup will include the spectacular Cari Mclean and Shahid Shah and I’ll be tagging along as well. This will be a real interactive discussion between all the participants. So, come to the event ready to ask questions, get answers, and share your experiences and viewpoints. I hope that this will be a sliver of a preview of the Healthcare IT Marketing and PR Conference I’m organizing in April.

5th Annual New Media Meetup at HIMSS
Unfortunately, this event has reached capacity (as it does every year). Imagine 200 of the best and brightest in healthcare IT social media in the same room. Everywhere you turn you see an amazing blogger or someone you follow on Twitter. It’s awesome. A big thanks to Stericycle Communication Solutions for sponsoring the event.

Santa Rosa Consulting
Besides always having a great booth at HIMSS, they also offer a full suite of consulting services around all the topics you would expect: ICD-10, meaningful use, BI and analytics, and HIE. Plus, Santa Rosa Consulting’s part of the larger company which owns the HIE company, Sandlot Solutions. They’re announcing a new Sandlot Connect Lite product that serves as an entry-level electronic notification service, providing the first level of information sharing between ambulatory and inpatient healthcare settings as patients are admitted and discharged. You can find them at Booth 5689 and 5783.

#HITsm Meetup
Always fun to meet many of the people you’ve shared tweets with in person at the #HITsm meetup. I hear this year they’re going to do more interacting and meeting and less single stream discussion. This makes me happy. Plus, I hear they have some giveaways this year as well.

Capsule Tech
Props to KNB for holding a Google Plus video hangout HIMSS pre-brief with Capsule Tech. Then, I have to take the props away for them having me hold an embargo until Monday. However, Capsule Tech did provide me some insight that I’d never heard about hospital readmissions. Plus, I found their HIMSS announcement an interesting evolution in their work. Too bad I can’t tell you more. However, I’m hoping to have a post about it up on Hospital EMR and EHR on Monday.

Healthcare Analytics
You won’t have to look for this. In fact, this is a warning that this is going to be the top buzz word at HIMSS14. I don’t think it’s even going to be close. If someone has more time than me, I’d love to know what percentage of HIMSS exhibitors have a Healthcare Analytics package. I bet it’s huge. What does healthcare analytics even mean? I guess that’s why everyone has a package. No one knows what it means and so everyone has something that does “analytics.” I do analytics too, in excel spreadsheets.

Encore Health Resources
Over on Hospital EMR and EHR, I did an interview with Dana Sellers about the new product their launching at HIMSS: Encore Pay for Performance (P4P) Managed Services. You can read the interview for all the details, but I find it really interesting that a consulting company wants to start taking on some of the risk associated with an organization’s P4P program. I’ll be interested to hear attendees response to this approach and how this plays out over time. We’re at the really early stages of P4P. Also, the Encore Pub Nights at HIMSS are always a nice break after a long day as well. Check those out if you haven’t before.

NextGen Giveaways
Everyone likes a nice giveaway (unless you’re press and they don’t like to give stuff to you). I was impressed by the suite of giveaways that NextGen will be doing at HIMSS. The “selfie contest” is a fun one that leverages social media. I love the prize patrol one as well, but I prefer carrying my backpack instead of another bag. Plus, they’re giving out 4 Grand Prize Vacations. I’d personally want the 5 nights in Rome, Italy, but I’m biased since I lived in Italy for 2 years.

I’ll be interested to hear what other giveaways there are at HIMSS. In past years it seemed they weren’t giving as much away. Maybe I was just too busy in meetings. I did hear one vendor is giving out cool portable batteries to charge your cell phones. Those are nice if you don’t have one.

There you go. A few of the interesting things I’m looking forward to participating in and checking out at HIMSS. I’d love to hear what you find interesting and what you’re looking forward to see in the comments.

Full Disclosure: Santa Rosa Consulting and Stoltenberg Consulting both work with Healthcare IT Central posting jobs and sponsoring newsletters.