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EMR & Patient Safety, Meaningful EHR Measures, and the Patient Portal “Switch”

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What an important topic of discussion. In fact, it makes me want to look at writing a whole series of articles on the patient safety issues using an EMR and also the patient safety issues of not using an EMR. Much of it I’ll be covering in my EHR benefits series, but quite a different angle. Although, the ethics side of it could be really interested. I’m glad Dr. Wes is starting this discussion.


I keep wishing it was interoperability, but I do think we could go way too far when it comes to adding more measures and end up with measures that provide little to no value if we’re not careful.


I love that people think that implementing a patient portal is as easy as flipping a switch. I can have a full EMR at my fingertips in 2 minutes by signing up at one of the Free EHR, but that misses so many important parts of implementing an EMR. The same goes for a portal. It takes a little more thought to implement a patient portal than just flipping a switch.

January 20, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and @ehrandhit and Google Plus.

The Role of Health IT in ACOs — #HITsm Chat Highlights

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Because of Thanksgiving weekend, the #HITsm chat took a break. However, it was back this week, and there were five questions, rather than the usual four. The topics came from @2healthguru, and revolved around the role of HIT in ACOs.

The first question asked was: Many accept at face value that HIT is essential for effective #ACO implementation, do you agree? Why? Why not?  There weren’t a lot of responses to this first question Many accept at face value that HIT is essential for effective #ACO implementation, do you agree? Why? Why not?

There weren’t as many responses to this question as there sometimes are, but here are a few of the tweets that seemed most popular:

 

The next topic focused on this: Where does culture fit in the mix? Can you graft ‘coordinated care’ onto a cowboy (or cowgirl) referral network? This question sparked a lively discussion with a lot of good points made. It was hard to pick just a few, but here is a conversation I feel is worth noting. Another participant called out for @BangorBeacon’s thoughts on this topic, because apparently it’s his area of expertise. Although he didn’t seem to have a lot of time during the chat today, he did have something to say. Here is one of the conversations I saw.

 

 

 

 

 

The next item on the agenda was, how important is understanding culture and organizational workflows to achieve coordinated, seamless care? This was another interesting topic, with equally interesting responses. I thought this way a unique way of expressing the idea.

I also thought this tweet went well with the topic:

Topic four was: What will it take for the #ACO and #HealthIT system to work as developed? When I saw this, I predicted there would be a lot of different answers, and I was right. Here are a few of the suggestions that stood out to me:

And finally (still with me?), the extra question — which is a little more up my alley: Can social media ‘detect and amplify’ (preconfigure) preferred community referral interactions to grease the skids of an #ACO? 

I think that most everyone had checked out by this point, but this is my favorite response:

 

December 1, 2012 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.

EHR Reimbursement, Health Data Security, and Innovation – #HITsm Chat Highlights

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Every week, HL7 Standards, hosts a #HITsm Tweet Chat and poses four questions “on current topics that are influencing healthcare technology, health IT, and the use of social media in healthcare.” It’s always a great discussion and also a great chance to meet a wide variety of people that are passionate about healthcare IT.

In case you missed it, or are curious about what went on this week, we’ve put together the list of topics with some of the best responses for each topic. There were some interesting topics this week, as well as some great responses. If you have any opinions on any of these topics, feel free to continue the discussion in the comments. This chats take place every Friday at 11AM CST. You’ll find members of Healthcare Scene regularly participating in the chat under some of the following Twitter accounts: @techguy@ehrandhit@hospitalEHR, and @smyrnagirl.

Topic One: Politics #EHR reimbursement will likely reach $20 billion. Why is this big govt initiative exempt from critics?

Topic Two: Health data security: What does health data security look like and how is it different than financial data security?

Topic Three: Clash of the #Health IT Titans: What is most beneficial patients, #HIEs or #ACOs? 

Topic Four: Innovation in #healthIT: What are some examples of innovative groups/ideas that may disrupt the current system? 

September 22, 2012 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.

Should EHR Vendors Integrate Google Search Into Their Software?

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One thing I love about Twitter is the on the ground insight you can get into healthcare. Here’s a tweet example of this:

When I read the tweet, I was fascinated by the shift that Eric Topol observed by his residents. I’m sure many doctors out there are cringing at the idea that Google instead of some “trusted” source of information is where new doctors are turning for health information.

I think this view is a little short sighted and ignores the sophisticated ways that people are using Google. I find myself doing this more and more as well as I search out information on the internet. When I’m searching, I don’t always select the top Google result. Instead, I regularly find myself checking the website for that result to see if that website is what I would consider a trusted source. I’m sure that many residents do the same thing as well.

Certainly this shift is not without its pitfalls. Some likely don’t look to see if the Google result is a trusted source. Even what may look like a trusted source might not be trusted. However, I believe this is the minority of people searching (in particular residents).

One other change that’s happening is that many people are triangulating the results from their search. Instead of blindly looking at a result from Google, when you’re making a decision like a doctor is making you’ll often take a look at multiple sources and compare how the results and information compares. Instead of treating Epocrates like the Bible, they’re looking at Epocrates and Medscape and Google and triangulating all that information into what is the best course of action or the best information. This is a very good shift and many in the latest generation just do this naturally.

Since this is largely an EHR site, it makes me wonder if more EHR vendors should be integrating Google searches into their EHR. It wouldn’t have to be blatantly Google. I think the web browser is likely the right implementation to consider. If you highlight a word in the Google Chrome web browser and then right click, it will do a Google search on the highlighted word. Seems like it wouldn’t be too hard to do the same within an EHR.

While the tweet might indicate that companies like Epocrates and Medscape our in trouble (see my post about Taking Down the Epocrates Monopoly), there’s no reason that these health information companies can’t capitalize on Google search results as well. They’ll just have to learn how to get their information listed in Google as opposed to stuck in an app.

September 18, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and @ehrandhit and Google Plus.

Vendor Collaboration, Communicating Interoperability, and Healthcare Politics – #HITsm Chat Highlights

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Every week, HL7 Standards, hosts a #HITsm Tweet Chat and poses four questions “on current topics that are influencing healthcare technology, health IT, and the use of social media in healthcare.” It’s always a great discussion and also a great chance to meet a wide variety of people that are passionate about healthcare IT.

In case you missed it, or are curious about what went on this week, we’ve put together the list of topics with some of the best responses for each topic. There were some interesting topics this week, as well as some great responses. If you have any opinions on any of these topics, feel free to continue the discussion in the comments. This chats take place every Friday at 11AM CST. You’ll find members of Healthcare Scene regularly participating in the chat under some of the following Twitter accounts: @techguy@ehrandhit@hospitalEHR, and @smyrnagirl.

Topic One: Will vendors begin to collaborate more now that HL7 is making their standards free to non-members? 

 

 

 

Topic Two: How can #healthIT professionals “simplify the message” to better communicate interoperability

 

 

 

 

Topic Three: Why are #healthIT initiatives missing from the current political discourse? 

 

 

 

Topic Four: Health IT Free for all: What news or info has most interested you the past week?

 

September 8, 2012 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.

Community Versus Large Providers, Health IT Tools, Roadblocks to Success, and ACOs – #HITsm Chat Highlights

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Every week, HL7 Standards, hosts a #HITsm Tweet Chat and poses four questions “on current topics that are influencing healthcare technology, health IT, and the use of social media in healthcare.” It’s always a great discussion and also a great chance to meet a wide variety of people that are passionate about healthcare IT.

In case you missed it, or are curious about what went on this week, we’ve put together the list of topics with some of the best responses for each topic. There were some interesting topics this week, as well as some great responses. If you have any opinions on any of these topics, feel free to continue the discussion in the comments. This chats take place every Friday at 11AM CST. You’ll find members of Healthcare Scene regularly participating in the chat under some of the following Twitter accounts: @techguy@ehrandhit@hospitalEHR, and @smyrnagirl.

Topic One: Do community providers play larger role in population health than large providers? What is social media’s role?

Topic Two: What health IT tools are most essential for population health management? 

Topic Three: What is the likelihood that health IT can guide or manage an entire population of patients? What are the roadblocks to success? 

Topic Four: Compare and contrast accountable care with population health. Are they the same? What are the differences? 

August 11, 2012 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.

Reverse Innovation, Health IT Adoption, and Mobile Health – #HITsm Chat Highlights

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Every week, HL7 Standards, hosts a #HITsm Tweet Chat and poses four questions “on current topics that are influencing healthcare technology, health IT, and the use of social media in healthcare.” It’s always a great discussion and also a great chance to meet a wide variety of people that are passionate about healthcare IT.

In case you missed it, or are curious about what went on this week, we’ve put together the list of topics with some of the best responses for each topic. There were some interesting topics this week, as well as some great responses. If you have any opinions on any of these topics, feel free to continue the discussion in the comments. This chats take place every Friday at 11AM CST. You’ll find members of Healthcare Scene regularly participating in the chat under some of the following Twitter accounts: @techguy@ehrandhit@hospitalEHR, and @smyrnagirl.

Topic One: ‘Reverse innovation’ is effective for community health organizations. Can health IT facilitate a return to basics for the overall system?

 

 

 

 

Topic Two: Why have allied health professionals adopted health IT faster, overall, than physicians? Can these practices be transferred to patients?

 

 

 

 

 

 

Topic Three: What are some uses of mobile health that you feel aren’t receiving enough care or attention?

 

 

 

Topic Four: Free for all. What Health IT topic has interested you most this week? Why?

 

 

 

August 4, 2012 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.

Highlights From This Weeks #HITsm Tweet Chat

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Every week, HL7 Standards, hosts a #HITsm Tweet Chat and poses four questions “on current topics that are influencing healthcare technology, health IT, and the use of social media in healthcare.” It’s always a great discussion and also a great chance to meet a wide variety of people that are passionate about healthcare IT.

In case you missed it, or are curious about what went on this week, we’ve put together the list of topics with some of the best responses for each topic. There were some interesting topics this week, as well as some great responses. If you have any opinions on any of these topics, feel free to continue the discussion in the comments. This chats take place every Friday at 11AM CST. You’ll find members of Healthcare Scene regularly participating in the chat under some of the following Twitter accounts: @techguy, @ehrandhit, @hospitalEHR, and @smyrnagirl.

Topic One: The future of telehealth — What can increase innovation and acceptance? What barriers exist?

Topic Two: A survey reports that physicians are having mostly positive EHR experiences. What will it take for the good reviews to outnumber the negative?

Topic Three: Costs of Care — Does technology focused on reducing medical costs distract physicians from providing the best possible care?

Topic Four: How can health technology — both for provider and the for patient — be ‘humanized’ to earn users’ trust?

Grab Bag:

July 27, 2012 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.

EMR Only Doctors, Average EMR Price, Most Wired Hospitals, and Healthcare Social Media

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Before I get to my Twitter round up of EMR and Health IT tweets, I thought at least a few of you would be interested in a short update on my previous post.

Mom and baby are home and doing really well. We’re still adapting to life with 4 children, but we feel really blessed. Thanks to everyone for the kind words on social media. Of course, how could I mention my new baby boy and not provide a picture of Gianluca:

Now on to some interesting EMR and Health IT tweets:


This wasn’t the tweet I meant to embed, but it seems that Dr. Zaphiris must have deleted the one I was going to embed. It talked about how Dr. Zaphiris had used EMR for so long she didn’t remember paper (or something like that). It made me wonder how many doctors today have only known EMR charting. Certainly it’s not a majority or even close, but I bet the number is higher than most would realize. If you add in doctors that don’t really remember paper charting, the number is even higher. This is the shift that’s occurring. We’ll call them EMR natives.


Where on earth did they get these numbers? These numbers remind me of when I started posting about EHR software on this blog 6+ years ago. That can’t be the average, can it?


The Twittersphere has been abuzz with the “Most Wired Hospitals” list that was put out last week. This tweet is one hospital that’s making the most of the list. I made my thoughts clear on lists. I think I heard someone say that those that make the most wired hospital list are better at PR than they are at tech. Those that love the tech don’t worry about some list. Although, I’m sure many at the hospitals on the list are enjoying the pat on the back.


I’d only change the would can to could. I think social media can benefit anything an organization wants to do. The real question is should you use social media to accomplish that purpose. In many cases the answer is no. Often it’s no because it’s not the right tool. Often it’s no because the company culture isn’t amenable to it.

July 15, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and @ehrandhit and Google Plus.

Health IT List Season – A List of Lists

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Everyone on the internet loves a good list. I know that when I see a list tweeted by someone I feel that natural impulse to click and see who made the list. There’s something about a list that is captivating and fascinating. Plus, if there’s a potential that we could be on the list, then our interest in that list skyrockets. Most of the time the order of the list doesn’t matter. There’s little need to put any sort of rigor into who makes the list or not. People are naturally attracted to lists. I’m sure there’s some cultural reason for this, but regardless of the why it’s just the current state of affairs.

Over the past couple weeks, it seems like it’s the season of the Health IT lists. Every other day or so another health IT list comes out. I predictably click through to see who or what’s made the list. Every once in a while I even make a list and I must admit that it’s quite exciting. There’s something beautiful about having your name in lights. Add in the social media response that often accompanies making a list, and it’s really quite intoxicating. I of course try not to inhale.

I actually partially questioned one of the current list making efforts, the #HIT100, near the end of the #HITsm chat this week. I tweeted, “That’s the real problem with the #HIT100 It’s hard to really rank it and is easily gamed. #HITsm” Michael Planchart that puts together the #HIT100 replied, “I don’t understand why it would be easily gamed? #HIT100 #HITsm” Instead of sharing how people could game the ranking, I instead replied, “It’s not a large enough community to really do a ranking. The list is interesting regardless of how they are ranked #HIT100 #HITsm”

Interestingly enough, someone who saw our conversation privately sent me this message, “Here’s some reasons: New accounts created to vote. Non-industry people voting, staff voting en masse for boss, Mom voting, etc.” and then this follow up “We all have out pet projects and little ego things! :’) Thinking of a blog post about this – but don’t want to alienate #HIT100 friends :)” He was right about treading lightly (a challenge for me) so you don’t alienate others in the Health IT community. Although, by doing so we also miss out on some really meaningful conversations.

Michael also responded, “The purpose of the list is to introduce #HealthIT folks to each other. The ranking is just the fun part of it. #HIT100″

I agree with Michael that it’s a great way to learn about new #HealthIT people on Twitter. Although, I think Michael underestimates the power of the rankings. As I described above, being ranked and where you rank has a much bigger impact on people both consciously and unconsciously. To be honest, it’s part of the reason why I haven’t actually nominated anyone to the #HIT100….yet(?). I’d probably have to sit down and nominate 100 health IT people myself to do it justice. There’s just so many good ones, that I’m not sure where I’d start.

I actually like the way that Michelle McNickle (I’ve fallen in love with her work lately) handled her list of 10 Health IT bloggers on Healthcare IT News. Instead trying to rank them and instead of trying to be complete, she just said that these were “some of the best HIT bloggers actively using Twitter.” The ironic thing was that similar to that telephone game we’d play as kids, the list got tweeted as “Top 10 Health IT Bloggers.”

I also loved that Kristi Ellis (one of the @HealthyComms Twins) took the #HIT100 and made it into a blog post. I hope that the #HIT100 spawns more lists like this from people in the industry. One thing I would have loved to see in that blog post was a short description of why Kristi added that person to her list.

We need more blog interaction like Kristi is doing and now to some extent I’m doing with this post. I’ve discussed this a bit before, but I think in the age of Twitter were losing out on some of the deeper conversations. Instead of putting together a thoughtful blog post reply to someone else’s blog post we just post it on Twitter with 2 words or hit the retweet button and move on. Each of those has its place, but a part of me still yearns for those blog responses which add depth to the conversation.

There you have it. A few thoughts on the various health IT lists I’ve seen being passed around. What do you think? I know I can’t wait until I see the next list. Let me know if you know of others.

July 11, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and @ehrandhit and Google Plus.