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Unofficial 2014 #HIT100 Rankings

Posted on July 9, 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.

Editor’s Notes: My Twitter friend, Steve Sisko (@ShimCode if you prefer), sent me his list of unofficial #HIT100 rankings and asked if I wanted to publish them. Always someone interested in a sneak peak at the final results, I was of course happy to publish his findings. Plus, it will be fun to compare them against @TheEHRGuy’s final list.

I made my feelings on the #HIT100 list quite clear in past years. I don’t feel any different now. The list as a whole is quite interesting and a great way to discover new and interesting people in healthcare IT. However, specific rank on the list is meaningless to me since it can easily be gamed. For example, if you nominate a lot of other people, then you’re very likely to get reciprocal nominations and be at the top of the list. Not to mention, with just my own Health IT related Twitter accounts I could get someone to the top 50 if I’d wanted. Although, I didn’t. I think I nominated two people who bought me chocolate shakes and cheesecake in the past. I guess you now know how to win me over.

What I think would be interesting is to dive into this list a little deeper and see who’s new, who dropped from the list and also to dive deeper into the story of the people on this list. Sounds like a good future project for my blogs. I might start with those on the bottom of the list.

Without further ado, enjoy the unofficial #HIT100 list.

For those who simply must know, here are the unofficial 2014 #HIT100 rankings.

Note: These are not the “official results” that should be coming from @TheEHRGuy. They were derived as and have the limitations listed below the table.

Unofficial Nominee 2014 Votes 2014 Rank True 2014 Rank 2013 Rank Comments
@Brad_Justus 58 1 1 3
@MandiBPro 49 2 2 9
@ahier 33 3 3 4
@EMRAnswers 33 4 3 5
@bhparrish 29 5 5 25
@Colin_Hung 28 6 6 79
@DodgeComm 28 7 7 80
@nrip 28 8 8 12
@HealthcareWen 27 9 9 1
@HITAdvisor 27 10 9 2
@PremierHA 27 11 9 #N/A
@JohnNosta 26 12 12 6
@OchoTex 24 13 13 18
@ReginaHolliday 24 14 14 7
@VinceKuraitis 23 15 15 38
@JennDennard 21 16 16 #N/A @SmyrnaGirl – 15th
@TheEHRGuy 21 17 16 30
@2healthguru 20 18 18 13
@DonFluckinger 20 19 18 66
@Brian_Eastwood 19 20 20 53
@laurencstill 19 21 20 #N/A
@CDW_Healthcare 17 22 22 19
@drtom_kareo 17 23 22 #N/A
@ElinSilveous 17 24 22 23
@HITConsultant 17 25 22 28
@ShimCode 17 26 22 29
@techguy 17 27 22 20
@ColeFACHE 16 28 28 26
@GovHITeditor 16 29 28 35
@dz45tr 15 30 30 57
@GaryPalgon 15 31 30 17
@GoKareo 15 32 30 #N/A
@nxtstop1 15 33 30 #N/A
@DSSHealthIT 14 34 34 #N/A
@gerryweider 14 35 34 #N/A
@HealthcareMBA 14 36 34 #N/A
@drnic1 13 37 37 46
@Farzad_MD 13 38 37 #N/A @Farzad_ONC – 21st
@KenOnHIT 13 39 37 36
@leonardkish 13 40 37 24
@MelSmithJones 13 41 37 #N/A
@Cascadia 12 42 42 41
@dirkstanley 12 43 42 34
@motorcycle_guy 12 44 42 10
@Paul_Sonnier 12 45 42 11
@wareFLO 12 46 42 #N/A
@westr 12 47 42 77
@giasison 11 48 48 #N/A
@healthythinker 10 49 49 70
@janicemccallum 10 50 49 39
@jennylaurello 10 51 49 #N/A
@JonMertz 10 52 49 22
@MichaelGaspar 10 53 49 #N/A
@danmunro 9 54 54 #N/A
@gnayyar 9 55 54 51
@RasuShrestha 9 56 54 #N/A
@drttsang 8 57 57 #N/A
@HITLeaders 8 58 57 #N/A
@JohnSharp 8 59 57 #N/A
@MightyCasey 8 60 57 #N/A
@Docweighsin 7 61 61 #N/A
@ePatientDave 7 62 61 47
@EricTopol 7 63 61 48
@Greg_Meyer93 7 64 61 #N/A
@HealthFusionKMc 7 65 61 #N/A
@lsaldanamd 7 66 61 #N/A
@NaomiFried 7 67 61 83
@askjoyrios 6 68 68 #N/A
@boltyboy 6 69 68 52
@dineshrs 6 70 68 #N/A
@ehrandhit 6 71 68 #N/A
@fredtrotter 6 72 68 49
@hjluks 6 73 68 89
@JBBC 6 74 68 #N/A
@jhalamka 6 75 68 42
@SusannahFox 6 76 68 45
@CancerGeek 5 77 77 #N/A
@carimclean 5 78 77 #N/A
@CyndyNayer 5 79 77 #N/A
@intakeme 5 80 77 #N/A
@john_chilmark 5 81 77 62
@kathymccoy 5 82 77 55
@KBDeSalvo 5 83 77 #N/A
@Lygeia 5 84 77 40
@mloxton 5 85 77 #N/A
@nursefriendly 5 86 77 #N/A
@nversel 5 87 77 44
@PracticalWisdom 5 88 77 31
@ShahidNShah 5 89 77 98
@skram 5 90 77 #N/A
@ThePatientSide 5 91 77 #N/A
@annelizhannan 4 92 92 65
@chasedave 4 93 92 54
@Christianassad 4 94 92 16
@cmaer 4 95 92 #N/A
@CMichaelGibson 4 96 92 #N/A
@danamlewis 4 97 92 #N/A
@DCPatient 4 98 92 #N/A
@haroldsmith3rd 4 99 92 #N/A
@HITNewsTweet 4 100 92 #N/A

 

Methodology and Disclaimers

  1. This is an unofficial list.
  2. Selected all tweets tagged with #HIT100 from 7/1/14 (12:00 EST) thru 7/8/14 (13:00 EST) that complied with the essence of the requested format and general rules.
  3. Eliminated all duplicate votes made by the same person for the same nominee
  4. Didn’t combine people with multiple Twitter accounts. Like @KathyMcCoy/@HealthFusionKMc and @techguy/@ehrandhit and
  5. Didn’t exclude anyone who had less than 6 months on Twitter. That would take a little scripting or manual effort I don’t have right now.
  6. Didn’t exclude anyone who isn’t “an active participant of both the #HealthIT and #HITsm channels” as I’m not sure how to determine that without being subjective.
  7. Also, note that comparison to 2013 rankings has a few holes in it due to people changing their handles since 2013. Like @Farzad_MD /@Farzad_ONC and a couple others.
  8. Accounts with same vote count were sorted alphabetically.

Previous #HIT100 Rankings:

2011 – #HIT100 List – http://nateosit.wordpress.com/2011/07/17/hit100-the-list/

2012 – #HIT100 List – http://www.healthcareitnews.com/news/hit100-2012-list-revealed

2013 – #HIT100 List – http://www.healthitoutcomes.com/doc/hit-100-list-unveiled-0001

#HIMSS14 Day 3 – Lack of Innovation

Posted on February 26, 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.

On the bus ride home from the HIMSS14 party at Universal Studios, I sat next to a hospital CIO. She summed up the conference perfectly, “I’m tired, but also energized to go forward and do great things.” There you have the HIMSS conference in a beautiful nutshell.

It’s always a really great experience to come to HIMSS and interact with amazing people. As long as intelligent, smart, fun, wonderful people keep coming to HIMSS, it will be worth it for me to attend.

While I love attending, this HIMSS I was pretty disappointed with the real lack of major innovation that I found at the event. As is usually the case, I had a few people ask me what I found that was really interesting and innovative at the event. This year I didn’t really have an answer. Much of the progress we’re seeing with healthcare IT has been around building to government regulations along with incremental progress.

Of course, I will offer the disclaimer that I was only able to meet and talk with ~40-50 companies (of the ~1300 vendors) and talk to a few hundred people over the main 3 days. So, maybe there was a lot of innovation out there and I just missed it. Maybe it was in one of those hundreds of HIMSS press releases I got and I somehow missed it. However, I heard a similar sentiment from other attendees.

It’s also worth commenting that I’m in touch with many of these companies now on a regular basis. Maybe when I come to HIMSS I’m just seeing the next generation of something I’ve often seen and heard was already coming and so it doesn’t feel like much of an innovation to me. However, with a broader view it is an incredible innovation that I’m taking for granted.

Innovation or not, I can assure you that there is a cloud of regulation that’s hanging over every piece of healthcare IT. It’s overwhelming to vendors, providers, hospital organizations, and quite frankly everyone in the industry. Healthcare has always been a highly regulated world, but I think this is much more regulation than health IT has ever experienced before.

While I was sad to not see major innovations, I do think we’re making incremental progress towards a better healthcare IT future. Exchanging healthcare data is feeling closer than its ever been before. The changing payment model is likely going to drive this to reality. We’re starting down a really exciting path to turning healthcare data into information (to steal from an old IBM line). It’s still going to take a number of years for both of these items to become a standard, but it’s starting to march down that path.

I still have major concerns for the physician #EHRbacklash. Many EHR vendors are still naive to this coming backlash and many aren’t doing what they need to do to avoid it. I also think ICD-10 is going to be a major train wreck for a large portion of healthcare.

As is usually the case in life, there are good and bad things. Life is about learning to deal with both in the best way possible. I’m still as optimistic as ever about the potential of EHR and Health IT. We’re not where we should be when it comes to really getting the value out of the technology, but I am confident we will get there. One of my favorite quotes from the movie Remember the Titans sums up my views well:

#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 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 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

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 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 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.

5th Annual New Media Meetup at HIMSS 2014 Sponsored by Stericycle Communication Solutions

Posted on January 24, 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.

For those of you planning to attend the annual HIMSS 2014 conference in Orlando, I’m excited to share the details of the 5th Annual New Media Meetup at HIMSS. Just last week I got a note from someone who attended the first New Meetup at HIMSS Atlanta (2010). It’s amazing the connections you can make at this event and that they’re still in tact 5 years later. No doubt this is why the New Media Meetup is the highlight of HIMSS for me.

We’ve secured a lovely venue for the event at the Tommy Bahama restaurant inside Pointe Orlando a short walk from the convention center. We’ll have the usual food, drinks, and lively conversation. Plus, you’ll get a chance to take multiple selfies with your favorite Health IT social media rock stars.

A heartfelt thanks to Stericycle Communication Solutions for sponsoring the New Media Meeetup and making it possible for those of us in New Media to enjoy a wonderful evening of food and drink together at HIMSS. I hope everyone will check out Stericycle Communication Solutions and thank them for sponsoring the event.

Also, those interested in this event will want to check out the full scale Health IT Marketing and PR Conference that we’re hosting in Las Vegas April 7-8, 2014. It’s going to be a special 2 days devoted to health IT marketing and PR.

Now for the details of the New Media Meetup at HIMSS 2014:

Register Here!

When: Tuesday 2/25 6:00-8:00 PM
Where: Tommy Bahama Pointe Orlando – 9101 International Dr, Orlando, FL 32819 MAP
Who: Anyone who uses or is interested in New Media (Blogs, Twitter, Social Media, etc)
What: Food, Drinks, and Amazing People

Note: We have limited space for the event and so like in past years, we’ll have to close registration once we reach capacity.

Sponsored by Stericycle Communication Solutions
SRCL Communication Solutions
Stericycle Communication Solutions help hospitals and providers acquire and retain patients through outsourced contact center services.

Our focus includes expanding patient access with one call resolution 24/7, identifying providers, scheduling appointments and helping consumers and patients to stay engaged in the health system while also meeting revenue objectives.

We also specialize in patient satisfaction and care compliance, including follow-up solutions after receiving care from physician, hospital, ED or other service provider. Learn more at www.stericyclecommunications.com

A really big thank you also goes out to all the members of Influential Networks and Healthcare Scene that help promote the New Media Meetup. This event was originally brought together through social media and still today is organized using social media.

Let me know if you have any questions and I look forward to seeing many of you in Orlando very soon!

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

Healthcare Unbound #HITsm Chat Thoughts

Posted on June 21, 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.

Most of you have seen that we’ve been working on a number of ways to stretch and deepen the amazing #HITsm community. Check out the EMR and HIPAA YouTube channel for some post #HITsm video chats we’ve done. Plus, we do our weekly #HITsm Twitter Roundups (Every other week our #HITsm roundup is on EMR and EHR). At the core of all of this is the weekly #HITsm twitter chat. If you’ve never participated, it’s an incredible community of people.

I’ve always wanted to do a blog post before the regularly scheduled #HITsm chat where I write some thoughts about the planned #HITsm topics. Leonard Kish (@leonardkish) got the topics for this week’s chat up early, so I thought it was the perfect opportunity for me to write a post based on his topics. Hopefully some can read it before the chat and it will enhance their chat experience.

Topic 1: So how long will it be before office visits are no longer the norm? (via Mark Blatt, MD, CMIO Intel)
This is a bit of a hard question because it depends on how you define office visit. Is an e-visit with the doctor considered an office visit. What if the visit is in a HealthSpot like kiosk? Is that an office visit. I’ll assume for the sake of this question that he means any visit where you didn’t have to go into the office. This could be a telemedicine visit or some other electronic method of interacting with a care provider.

My prediction is that it will probably be 3 years before it’s common for the early adopters to do an e-visit of some sort. It will probably be 6 years before someone like mom is doing an e-visit. Although, there’s a subtle caveat to my answer. Many office visit types will be perfect for an e-visit and some office visit types will never be possible in an e-visit. So, I’m mostly making my prediction based on the former visit type.

Topic 2: What technologies will lead the way?
The Google Plus hangout simplicity has made very clear to me that a video connection between two people is easily possible today. Of course, I’m not suggesting Google Plus will be used for a healthcare office visit, but video and audio using the off the shelf and built in cameras and microphones that come on every laptop, smartphone, and tablet is going to be the preferred method.

As for software, the early adoption is going to be based on which companies the insurance companies choose to reimburse. The insurance companies I’ve talked to are more than happy to have doctors reimbursed for an electronic visit. However, they need some way to know if an e-visit was actually done by the doctor. Even a small space for corruption can cost an insurance company billions of dollars because of their scale. Their method to battle this will be to reimburse only a few telemedicine companies for whom they’ve created deep ties.

Let’s also not count out secure text and secure email as a simple method to replace many unneeded visits.

Topic 3: How will these at-home and mobile technologies integrate with existing systems?
As Anne Zieger recently pointed out, Telemedicine is Not Connecting with EHRs. EHR vendors have so many interoperability challenges as is that integrating with Telemedicine is far down their list of priorities. Instead, I think we’ll see the insurance companies take the lead on integrating Telemedicine into their platforms. We may also see some PHR and patient portals work out deals with the companies that are recognized for reimbursement by the insurance companies.

The other beautiful area for this technology is the cash pay patients. I see a whole new group of cash pay patients emerging. Many people and companies will be willing to pay cash for an e-visit versus making the trip to a doctor’s office for a regular visit. The key question is how the company that provides these visits will get enough locally licensed doctors on board to make this happen, but someone will crack the nut.

Topic 4: Aetna’s CarePass will track customer behavior. Will this become the norm, is it a good thing?
I believe that this will be the norm. In fact, they’re already doing some of this customer behavior tracking already, but most people just don’t know about it. Things like CarePass will just be a public way to do it. I think many will hop on board. I think that this will be a good thing for insurance companies, a good thing for healthcare, and a good thing for many patients. However, a few patients will get really hurt by it.

Topic 5: We’ll need culture change to bring this massive about. what will it take to change culture?
1. Reimbursement 2. Medical Licensing Laws 3. Trusted Technology

If we figure out those 3 areas, we’re going to see the culture change that will unbind healthcare. I personally think we’re headed this direction already and I see nothing that will stop it. It’s just a question of how quickly we can get there.

Health IT Interoperability, HIE, and mHealth — #HITsm Chat Highlights

Posted on June 8, 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.

A couple of the Health IT regulars got together again this week to video chat during the #HITsm Chat Highlights. Here are some of their thoughts. If you want to participate, be sure to comment!


Topic One: How far off is a solution to the problem of #healthIT interoperability? Is one actually within reach?

Topic Two: Is patient consent being overshadowed by sustainability as the most significant obstacle to #HIE?

Topic 3: What is the role of #telehealth and #mHealth in #healthcare reform and patient engagement?


Topic Four: Are competing deadlines (e.g., Stage 2 Meaningful Use v. ICD-10) going to be responsible for undermining healthcare reform?

 

Topic Five: Who or what will be most influential in determining the next phase in the evolution of #healthIT?

Health IT and Cancer — #HITsm Chat Highlights

Posted on May 25, 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: What are the unique #HealthIT opportunities to improve cancer patients’ experience during treatment?

Topic 2: How can technology improve the lives of post-treatment #cancer survivors?

 

Topic Three: Where do patients fit into emerging models of personalized medicine driven by #bigdata?

Topic Four: Is there a role that #HealthIT can play in cancer prevention and early detection?

EHR Backlash, ACO, and Center of Care – #HITsm Chat Highlights

Posted on May 11, 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: What’s your take on the emerging #EHRBacklash? A post-Meaningful Use fad, or a movement with actual potential?

 

Topic Two: Will patients ever take their place at the center of the care team? Do they know that they should care about it?

 

Topic Three: What does #ACO mean to you? Does anyone understand what will make them sustainable? Does human behavior even permit such things?

 

Topic Four: Open Forum. What topics are you tuned into right now? #healthIT