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ONC’s Interoperability Standards Advisory Twitter Chat Summary

Posted on September 2, 2016 I Written By

The following is a guest blog post by Steve Sisko (@ShimCode and

Yesterday the Office of the National Coordinator for Health Information Technology (ONC) hosted an open chat to discuss their DRAFT 2017 Interoperability Standards Advisory (ISA) artifacts.  The chat was moderated by Steven Posnak, Director, Office of Standards and Technology at Office of the National Coordinator for Health Information and used the #ISAchat hashtag under the @HealthIT_Policy account. The @ONC_HealthIT Twitter account also weighed in.

It was encouraging to see that the ONC hosted a tweetchat to share information and solicit feedback and questions from interested parties. After a little bit of a rough start and clarification of the objectives of the chat, the pace of interactions increased and some good information and ideas were exchanged. In addition, some questions were raised; some of which were answered by Steven Posnak and some of which were not addressed.

What’s This All About?

This post summarizes all of the tweets from the #ISAchat. I’ve organized the tweets as best as I could and I’ve excluded re-tweets and most ‘salutatory’ and ‘thank you’ tweets.

Note: The @hitechanswers  account shared a partial summary of the #ISAchat on 8/31/16 but it included less than half of the tweets shared in this post. So you’re getting the complete scoop here.

Topic 1: Tell us about the ISA (Interoperability Standards Advisory)
Account Tweet Time
@gratefull080504 Question: What is the objective of #ISAchat?   12:04:35
@onc_healthit To spread the word and help people better understand what the ISA is about 12:05:00
@gratefull080504 Question: What are today’s objectives, please? 12:08:43
@onc_healthit Our objective is to educate interested parties. Answer questions & hear from the creators 12:11:02
@johnklimek “What’s this I hear about interoperability?” 12:12:00
@cperezmha What is #PPDX? What is #HIE? What is interoperability? What is interface? #providers need to know the differences. Most do not. 12:14:41
@techguy Who is the target audience for these documents? 12:44:06
@healthit_policy HITdevs, CIOs, start-ups, fed/state gov’t prog admins. Those that have a need to align standards 4 use #ISAchat 12:46:18
@ahier No one should have to use proprietary standards to connect to public data #ISAchat 12:46:19
@shimcode Reference Materials on ISA
Ok then, here’s the “2016 Interoperability Standards Advisory”
@shimcode And here’s “Draft 2017 Interoperability Standards Advisory” 12:07:38
@stephenkonya #ICYMI Here’s the link to the @ONC_HealthIT 2017 DRAFT Interoperability Standards Advisory (ISA): 12:10:57
@techguy Question: Do you have a good summary blog post that summarizes what’s available in the ISA? 12:52:15
@onc_healthit We do! Authored by @HealthIT_Policy and Chris Muir – both of whom are in the room for #ISAchat 12:53:15
@healthit_policy Good? – The ISA can help folks better understand what standards are being implemented & at what level 12:06:29
@healthit_policy Getting more detailed compared to prior versions due largely to HITSC & public comments 12:29:48
@healthit_policy More work this fall on our side to make that come to fruition. In future, we’re aiming for a “standards wikipedia” approach 12:33:03
@survivorshipit It would be particularly helpful to include cited full documents to facilitate patient, consumer participation 12:40:22
@davisjamie77 Seeing lots of references to plans to “explore inclusion” of certain data. Will progress updates be provided? 12:50:00
@healthit_policy 1/ Our next milestone will be release of final 2017 ISA in Dec. That will rep’snt full transition to web 12:51:15
@healthit_policy 2/ after that future ISA will be updated more regularly & hopefully with stakeholder involved curation 12:52:21
@bjrstn Topic:  How does the ISA link to the Interoperability Roadmap? 12:51:38
@cnsicorp How will #ISA impact Nationwide Interoperability Roadmap & already established priorities? 12:10:49
@healthit_policy ISA was 1st major deliverable concurrent w/ Roadmap. Will continue to b strong/underlying support to work 12:13:49
@healthit_policy ISA is 1 part of tech & policy section of Roadmap. Helps add transparency & provides common landscape 12:53:55
@healthit_policy Exciting thing for me is the initiated transition from PDF to a web-based/interactive experience w/ ISA 12:30:51
@onc_healthit Web-based version of the ISA can be found here: We welcome comments! 12:32:04
@techguy Little <HSML> From a Participant on the Ease of Consuming ISA Artifacts
So easy to consume!
@healthit_policy If I knew you better I’d sense some sarcasm :) that said, working on better nav approaches too 12:43:36
@techguy You know me well. It’s kind of like the challenge of EHRs. You can only make it so usable given the reqs. 12:45:36
@shimcode I think John forgot to enclose his tweet with <HSML> tags (Hyper Sarcasm Markup Language) 12:46:48
@ahier Don ‘t Use My Toothbrush!
OH (Overheard) at conference “Standards are like toothbrushes, everyone has one and no one wants to use yours”
Topic 2: What makes this ISA different than the previous drafts you have issued?
Account Tweet Time
@cnsicorp #Interoperability for rural communities priority 12:32:40
@healthit_policy Rural, underserved, LTPAC and other pieces of the interoperability puzzle all important #ISAchat 12:35:33
@cnsicorp “more efficient, closer to real-time updates and comments…, hyperlinks to projects…” 12:47:15
@shimcode Question: So you’re not providing any guidance on the implementation of interoperability standards? Hmm… 12:21:10
@gratefull080504 Question: Are implementation pilots planned? 12:22:51
@healthit_policy ISA reflects what’s out there, being used & worked on. Pointer to other resources, especially into future #ISAchat 12:24:10
@ahier The future is here it’s just not evenly distributed (yet) #ISAchat 12:25:15
@healthit_policy Yes, we put out 2 FOAs for High Impact Pilots & Standards Exploration Awards 12:25:56
@healthit_policy HHS Announces $1.5 Million in Funding Opportunities to Advance Common Health Data Standards. Info here:
Topic 3: If you had to pick one of your favorite parts of the ISA, what would it be?
Account Tweet Time
@shimcode The “Responses to Comments Requiring Additional Consideration” section. Helps me understand ONC’s thinking. 12:45:32
@healthit_policy Our aim is to help convey forward trajectory for ISA, as we shift to web, will be easier/efficient engagement 12:47:47
@healthit_policy Depends on sections. Some, like #FHIR, @LOINC, SNOMED-CT are pointed to a bunch. 12:49:15
@gratefull080504 Question: What can patients do to support the objectives of #ISAchat ? 12:07:02
@gratefull080504 Question: Isn’t #ISAChat for patients? Don’t set low expectations for patients 12:10:44
@gratefull080504 I am a patient + I suffer the consequences of lack of #interoperability 12:12:26
@healthit_policy Certainly want that perspective, would love thoughts on how to get more feedback from patients on ISA 12:12:35
@gratefull080504 What about patients? 12:13:03
@gratefull080504 First step is to ensure they have been invited. I am happy to help you after this chat 12:13:57
@survivorshipit Think partly to do w/cascade of knowledge–>as pts know more about tech, better able to advocate 12:15:21
@healthit_policy Open door, numerous oppty for comment, and representation on advisory committees. #MoreTheMerrier 12:15:52
@gratefull080504 I am currently on @ONC_HealthIT Consumer Advisory Task Force Happy to contribute further 12:17:08
@healthit_policy 1 / The ISA is technical in nature, & we haven’t gotten any comments on ISA before from patient groups 12:08:54
@healthit_policy 2/ but as we look to pt generated health data & other examples of bi-directional interop, we’d like to represent those uses in ISA 12:09:51
@resultant TYVM all! Trying to learn all i can about #interoperability & why we’re not making progress patients expect 13:09:22
@shimcode Question: Are use cases being developed in parallel with the Interoperability Standards? 12:13:28
@shimcode Value of standards don’t lie in level of adoption of std as a whole, but rather in implementation for a particular use case. 12:16:33
@healthit_policy We are trying to represent broader uses at this point in the “interoperability need” framing in ISA 12:18:58
@healthit_policy 2/ would be great into the future to have more detailed use case -> interop standards in the ISA with details 12:19:49
@healthit_policy Indeed, royal we will learn a lot from “doing” 12:20:40
@shimcode IHE Profiles provide a common language to discuss integration needs of healthcare sites and… Info here: 12:29:12
@techguy I’d love to see them take 1 section (say allergies) and translate where we’d see the standards in the wild. 12:59:04
@techguy Or some example use cases where people want to implement a standard and how to use ISA to guide it. 13:00:38
@healthit_policy Check out links now in ISA to the Interop Proving Ground – projects using #ISAchat standards. Info here: 13:02:54
@healthit_policy Thx for feedback, agree on need to translate from ISA to people seeing standards implemented in real life 13:01:08
@healthit_policy Commenting on ISA Artifacts
We want to make the #ISA more accessible, available, and update-able to be more current compared to 1x/yr publication
@cperezmha #interoperability lowers cost and shows better outcomes changing the culture of healthcare to be tech savvy is key 12:35:10
@healthit_policy One new feature we want to add to web ISA is citation ability to help document what’s happ’n with standards 12:37:12
@shimcode A “discussion forum” mechanism where individual aspects can be discussed & rated would be good. 12:39:53
@healthit_policy Good feedback. We’re looking at that kind of approach as an option. ISA will hopefully prompt debate 12:40:50
@shimcode Having to scroll through all those PDF’s and then open them 1 by 1 only to have to scroll some more is VERY inefficient. 12:41:25
@shimcode Well, I wouldn’t look/think too long about it. Adding that capability is ‘cheap’ & can make it way easier on all. 12:43:48
@shimcode Question: What Can Be Learned About Interoperability from the Private Sector?
Maybe @ONC_HealthIT can get input from Apple’s latest #healthIT purchase/Gliimpse? What do they know of interoperability?
@healthit_policy > interest from big tech cos and more mainstream awareness is good + more innovation Apple iOS has CCDA sprt 12:22:59
@drewivan Testing & Tools
I haven’t had time to count, but does anyone know approximately how many different standards are included in the document?
@healthit_policy Don’t know stat off had, but we do identify and provide links for test tools as available. 12:56:31
@drewivan And what percentage of them have test tools available? 12:54:38
@shimcode According to the 2017 ISA stds just released, a tiny fraction of them have test tools. See here: 12:58:02
@shimcode I take back “tiny faction” comment on test tools. I count 92 don’t have test tools, 46 do. No assessment of tool quality though. 13:08:31
@healthit_policy Testing def an area for pub-private improvement, would love to see # increase, with freely available too 12:59:10
@techguy A topic near and dear to @interopguy’s heart! 12:59:54
@resultant Perhaps we could replace a couple days of HIMSS one year with #interoperability testing? #OutsideBox 13:02:30
Walk on Topic: Promotion of ISA (Thank you @cperezmha)
What can HIE clinics do to help other non-users get on board? Is there a certain resource we should point them too to implement?
Account Tweet Time
@davisjamie77 Liking the idea of an interactive resource library. How will you promote it to grow use? 12:35:57
@healthit_policy A tweetchat of course! ;) Also web ISA now linking to projects in the Interoperability Proving Ground 12:39:04
@davisjamie77 Lol! Of course! Just seeing if RECs, HIEs, other #HIT programs might help promote. 12:40:44
@healthit_policy Exactly… opportunities to use existing relationships and comm channels ONC has to spread the word 12:41:28
@stephenkonya Question: How can we better align public vs private #healthcare delivery systems through #interoperability standards? 12:42:23
Miscellaneous Feedback from Participants
Account Tweet Time
@ahier Restful APIs & using JSON and other modern technologies 12:54:03
@waynekubick Wayne Kubick joining from #HL7 anxious to hear how #FHIR and #CCDA can help further advance #interoperability. 12:11:30
@resultant We all do! The great fail of #MU was that we spent $38B and did not get #interoperability 12:14:21
@waynekubick SMART on #FHIR can help patients access and gain insights from their own health data — and share it with care providers. 12:17:44
@resultant I think throwing money at it is the only solution… IMHO providers are not going to move to do it on their own… 12:20:44
@shimcode @Search_E_O your automatic RT’s of the #ISAChat tweets are just clouding up the stream. Why? smh 12:08:30
Do you see #blockchain making it into future ISA
@healthit_policy Phew… toughy. lots of potential directions for it. Going to segue my response into T2 12:28:58
@hitpol #blockchain for healthcare! ➡ @ONC_HealthIT blockchain challenge. Info here: 12:31:33
@healthit_policy That’s All Folks!
Thank you everyone for joining our #ISAchat! Don’t forget to leave comments.
PDF version

About Steve Sisko
Steve Sisko has over 20 years of experience in the healthcare industry and is a consultant focused on healthcare data, technology and services – mainly for health plans, payers and risk-bearing providers. Steve is known as @ShimCode on Twitter and runs a blog at You can learn more about Steve at his LinkedIn page and he can be contacted at

Are ACOs More About Good Accounting and Reporting Than Improving Care?

Posted on August 28, 2015 I Written By

John Lynn is the Founder of the 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 and 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 was recently reading David Harlow’s analysis of the recently released data from CMS on ACO performance and found a lot to chew on. Most people have found the results underwhelming unless they’re big proponents of ACOs and value based reimbursement and then they’re trying to spin it as “early on” and “this is just the start.” I agree with both perspectives. Everyone is trying to figure out how to reimburse for value based care, and so far we haven’t really figured it out.

These programs aside, after reading David Harlow’s post, I asked the following question:

The thing I can’t figure out with ACOs is if they’re really changing the cost of healthcare or if they’re mostly a game of good accounting and reporting. Basically, do the measures they’re requiring really cause organizations to change how they care for patients or does it just change how organizations document and report what they’re doing?

I think this is a massive challenge with value based reimbursement. We require certain data to “prove” that there’s been a change in how organizations manage patients. However, I can imagine hundreds of scenarios where the organization just spends time managing how they collect the data as opposed to actually changing the way they care for patients in order to improve the data.

Certainly there’s value in organizations getting their heads around their performance data. So, I don’t want to say that collecting the right data won’t be helpful. However, the healthcare system as a whole isn’t going to benefit from lower costs if most ACOs are just about collecting data as opposed to making changes that influence the data in the right way. The problem is that the former is a program you can build. The later is much harder to build and track.

Plus, this doesn’t even take into account that we may be asking them to collect the wrong data. Do we really know which data we need to collect in order to lower the costs of healthcare and improve the health of patients? There is likely some low hanging fruit, but once we get past that low hanging fruit, then what?

In response to my comment, David Harlow brought up a great point about many of the ACO program successes not being reproducible. Why does an ACO in one area improve quality and reduce costs and in another it doesn’t?

All of this reminds me of the question that Steve Sisko posed in yesterday’s #KareoChat:

There are a lot of things that seem to make sense until you dig into what’s really happening. We still have a lot of digging left to do in healthcare. Although, like Steve, I’m optimistic that many of the things we’re doing with ACOs and value based care will provide benefits. How could they not?

Voting for the #HIT99 Starts Now!

Posted on July 6, 2015 I Written By

John Lynn is the Founder of the 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 and John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

A few of my healthcare social media friends were talking about why there was no #HIT100 this year and suggested that in true social media fashion someone should pick it up and run with it and I was nominated. I’m always happy to run with a good idea. Especially when @ShimCode offered to take care of the hard work. We also wanted to respect that we didn’t start the #HIT100 and so we created our modified version called the #HIT99. In open source we’d call that a fork of the original project. Hopefully we can still have the same spirit of fun and healthcare social media discovery that was embodied by the original #HIT100 (See last year’s unofficial list).

The first #HIT100 was started by @theEHRGuy 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. This summer we hope we can do the same with the #HIT99.

If you missed past versions, the #HIT99 is a way for you to recognize your peers, friends, and heroes who have been contributing to the #HealthIT, #HITsm, #hcsm, #HITchicks, #hcldr, 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. Plus, we’re looking at having a great #HIT99 celebration/meetup at 2016 HIMSS in Las Vegas as well.

In order to make the nominations more meaningful, we ask that all nominations include the person being nominated, the #HIT99 hashtag, and a short phrase or hashtag identifying why you’re nominating that person. Explaining “Why” is not required, but you’ll receive bonus points from the person you’re nominating and the rest of the community for doing so.

Here’s an example nomination: “I nominate @HITConfGuy to the #HIT99 list, because he makes it easy for me to filter through the mass of tweets during HIMSS.”

We’ll be using the following rules for counting nominations:
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 Chilean 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 (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 and the final list of 99 healthcare social media influencers. Plus, I can’t wait for all the tweets joking that they’re part of the 99.

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.
Thanks @Matt_R_Fisher

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

Unofficial 2014 #HIT100 Rankings

Posted on July 9, 2014 I Written By

John Lynn is the Founder of the 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 and 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 –

2012 – #HIT100 List –

2013 – #HIT100 List –