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How Health IT Helps and Hurts Patients – #HITsm Chat Topic

Posted on May 23, 2018 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.

We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 5/25 at Noon ET (9 AM PT). This week’s chat will be hosted by Amanda (@LALupusLady) on the topic of “How Health IT Helps and Hurts Patients (Especially Those with Chronic Conditions).”

Health IT is a powerful tool. It has changed the way patients, especially people with chronic illnesses live with and manage their care. As a woman living with multiple autoimmune illnesses for over three decades, my perspective is unique as I have seen the shift and how providers have been eager to adopt technology into their practice and recently experienced a doctor’s office where the fax machine is still the primary means of communication.

In my patient experience, I have chosen to adopt and use Health IT to assist me in managing my chronic care. Whether I am tracking my symptoms, keeping a food diary, or putting on a VR headset to help me relieve my pain, Health IT has improved my patient experience. While at the same time, the fact that with all the advances in Health IT that not every advance is a step forward for healthcare. There is frustration by patients that (in 2018) EHR developers have not yet developed a way for various platforms and institutions to connect to create one complete healthcare record for one patient.

Next week, I am proud that I will be at #HITExpo to share my patient experience at Healthcare Scene’s inaugural event in New Orleans. Understanding the value and insight that patients have can build an empathy, which I feel will directly improve the way Health IT collaborations work together.

Join me for this week’s #HITsm chat. Let’s start the conversation.

T1: How is Health IT (Apps, Devices and New Technology) helping streamline the patient experience (especially for people living with chronic conditions)? #HITsm

T2: How is Health IT hindering (hurting) the patient experience (especially for people living with chronic conditions)? #HITsm

T3: What Health IT companies/developers have made a positive impact on your life? How? If you are a patient, what Health IT has directly improved your patient experience? #HITsm

T4: How can Health IT work together with patient communities to improve outcomes and engagement? #HITsm

T5: What can you do to support Health IT “collaborations that work” with patients, especially those living with chronic conditions? #HITsm

Bonus: What are you most looking forward to at #HITExpo? #HITsm

Wishing you a Healthy and Happy Lupus Awareness Month. Can’t wait to chat together.

Upcoming #HITsm Chat Schedule
6/1 – #HITExpo Hiatus
The #HITsm chat will be on hiatus this week with the Health IT Expo happening in New Orleans. Please join in on the conversation happening on the #HITExpo conference hashtag.

6/8 – TBD
Hosted by Jeanne Bliss (@jeannebliss)

6/15 – TBD
Hosted by Janice McCallum (@janicemccallum)

6/22 – IT and Affordability, Care for the Poor, Population Health in Low-income Areas
Hosted by Lenny Liebmann (@LennyLiebmann)

6/29 – TBD
Hosted by Cathy Turner (@MEDITECH_Nurses) from @MEDITECH

7/6 – TBD
Hosted by Lea Chatham (@LeaChatham)

We look forward to learning from the #HITsm community! As always, let us know if you’d like to host a future #HITsm chat or if you know someone you think we should invite to host.

If you’re searching for the latest #HITsm chat, you can always find the latest #HITsm chat and schedule of chats here.

Practical Applications of EMR Optimization Through Clinical Decision Support – #HITsm Chat Topic

Posted on May 15, 2018 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.

We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 5/18 at Noon ET (9 AM PT). This week’s chat will be hosted by Justin Campbell (@tjustincampbell) from @GalenHealthcare on the topic of “Practical Applications of EMR Optimization Through Clinical Decision Support”


As a primer for the upcoming Health IT Expo, we will be discussing practical applications of EMR optimization through clinical decision support. Optimization dominates Health IT leaders’ list of priorities as they seek to rationalize EMR investment and harness its capabilities for improving efficiency, care and outcomes. However, boil-the-ocean approaches to EMR optimization can be counterproductive and stifle progress. Instead, Health IT leaders would be best served to focus on practical applications of optimization – specifically through clinical decision support, which serves as a lynchpin to clinical quality improvement initiatives.

Clinical decision support (CDS) provides clinicians, staff, patients or other individuals with knowledge and person-specific information, intelligently filtered or presented at appropriate times, to enhance health and health care.

CDS has a number of important benefits, including:

  • Increased quality of care and enhanced health outcomes
  • Avoidance of errors and adverse events
  • Improved efficiency, cost-benefit, and provider and patient satisfaction

CDS encompasses a variety of tools to enhance decision-making in the clinical workflow. These tools include:

  • Computerized alerts and reminders to care providers and patients
  • Clinical guidelines
  • Condition-specific order sets
  • Focused patient data reports and summaries
  • Documentation templates
  • Diagnostic support, and contextually relevant reference information

The majority of CDS applications operate as components of comprehensive EHR systems, although stand-alone CDS systems are also used. Many modern EMRs contain CDS capabilities such as rule engines, predictive modeling languages, and alert and order set authoring. However, the development and use of effective CDS within the EMR requires significant clinical, IT, and knowledge management resources that many organizations do not possess. This has led an increasing number of organizations to use compartmentalized decision support platforms other than EMR to drive portions of their CDS programs.

Ideally, CDS tools will be readily accessible to a wide array of caregivers where and when they need them, irrespective of what electronic health record they’re using. One such initiative emerging to share CDS resources is the AHRQ-funded CDS Consortium Project, which has demonstrated successfully that CDS from Partners Healthcare could be delivered to disparate EMRs across the country.

In an age of overwhelming data access and rapid technological development, ensuring clinicians have the clinical decision support tools to sift through a sea of information to find what is most relevant to their patient’s needs is vital to optimizing health outcomes.

In this tweetchat, we will discuss types of CDS (including sepsis surveillance, risk calculators, drug interaction, among others), mechanisms to deliver CDS to the point of care, workflow and alert fatigue implications, and methods for sharing proven CDS libraries.

Resources and Other EMR Optimization & CDS Reading:

  1. EMR Optimization Whitepaper
  2. EMR Optimization Infographic
  3. HealthIT.gov Clinical Decision Support
  4. CDS in the Cloud: Deploying a CDC Guideline for National Use
  5. Almost 20 Percent of CDS Alert Dismissals May Be Inappropriate
  6. EHR vendors, AHIMA push use of clinical decision support to prevent patient falls
  7. EMR Sepsis Surveillance – Achieving Optimal Sepsis Sensitivity & Specificity
  8. Integrated Health Calculators Whitepaper

Join us for this week’s #HITsm chat where we’ll discuss the following:

T1: What experiences do you have with CDS implementation? What impacts (positive and negative) did it have? #HITsm

T2: How can CDS best be deployed to the point of care without exacerbating alert fatigue? #HITsm

T3: How are different types of CDS initiatives (VTE, sepsis detection & prevention; clinical pathways implementation; risk calculation) prioritized? #HITsm

T4: Is CDS best suited to be managed by EMR vendors or can CDS be shared across vendors? How? #HITsm

T5: What are strategies to manage to CDS code and clinical peer review and rating? #HITsm

Bonus: What are mechanisms for making knowledge artifacts for CDS shareable? #HITsm

Upcoming #HITsm Chat Schedule
5/25 – TBD
Hosted by Amanda (@LALupusLady)

6/1 – #HITExpo Hiatus
The #HITsm chat will be on hiatus this week with the Health IT Expo happening in New Orleans. Please join in on the conversation happening on the #HITExpo conference hashtag.

6/8 – TBD
Hosted by Jeanne Bliss (@jeannebliss)

We look forward to learning from the #HITsm community! As always, let us know if you’d like to host a future #HITsm chat or if you know someone you think we should invite to host.

If you’re searching for the latest #HITsm chat, you can always find the latest #HITsm chat and schedule of chats here.

Using Technology to Coordinate Care and Improve Outcomes in Behavioral Health – #HITsm Chat Topic

Posted on May 8, 2018 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.

We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 5/11 at Noon ET (9 AM PT). This week’s chat will be hosted by Bryan Wempen (@bryanwempen) from Netsmart on the topic of “Using Technology to Coordinate Care and Improve Outcomes in Behavioral Health.”

Technology is advancing rapidly and access to individual health and mental health data is starting to become more readily accessible to care providers; reimagining how care will be delivered and supported is a priority.  Example: mobile crisis team on the move utilizing mobile technology as they are rolling down streets and neighborhoods to assist those who need services and care the most.  In order to keep the supply of care matched to demand, it’s critical that we consider how information technology can help to extend quality care outside the four-walls of physical service locations.

As a healthcare technology professional, I’m always excited and curious to jump into a conversation about behavioral health care technology and services – exploring where an industry, ‘solution’ or program has been, where it’s at today, and what its future may bring. I look forward to hosting the #HITsm chat.

Reference Materials

Please join us for this week’s #HITsm chat as we discuss the following questions:

T1: What are some of the ways technology can be used to reduce barriers to behavioral health care and why has technology not been more widely adopted in the mental and behavioral health space? #HITsm

T2: How can technology be used to identify at-risk individuals and provide appropriate behavioral health care before need escalates? #HITsm

T3: What are some ways technology can be used to coordinate primary care and behavioral health services? #HITsm

T4: How can technology improve engagement and collaboration between patients, behavioral health service providers, payers and 3rd parties? #HITsm

T5: What is the future of coordinating care across the whole person experience (mental health, substance recovery, corrections, primary care)? #HITsm

Bonus: What are some of the challenges and nuances of integrating tele behavioral health into the outpatient setting?  #HITsm

Upcoming #HITsm Chat Schedule
5/18 – Practical Applications of EMR Optimization Through Clinical Decision Support
Hosted by Justin Campbell (@tjustincampbell) from @GalenHealthcare

5/25 – TBD
Hosted by Amanda (@LALupusLady)

6/1 – TBD
Hosted by TBD

6/8 – TBD
Hosted by TBD

6/15 – TBD
Hosted by Janice McCallum (@janicemccallum)

6/22 – TBD
Hosted by Lenny Liebmann (@LennyLiebmann)

We look forward to learning from the #HITsm community! As always, let us know if you’d like to host a future #HITsm chat or if you know someone you think we should invite to host.

If you’re searching for the latest #HITsm chat, you can always find the latest #HITsm chat and schedule of chats here.

Organization Structure: Should We Break Up the Traditional Pyramid? – #HITsm Chat Topic

Posted on May 1, 2018 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.

We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 5/4 at Noon ET (9 AM PT). This week’s chat will be hosted by David Chou (@dchou1107) on the topic of “Organization Structure: Should We Break Up the Traditional Pyramid?”

One of the big challenges in healthcare is the organizational structure. As many people have been sharing recently, the organization of healthcare is producing exactly the results it was designed to produce. Does this mean it’s time for a change?

Join us for this month’s chat as we discuss healthcare’s organizational structure. We’ll look at the good and the bad parts. We’ll discuss integrated healthcare and the traditional pyramid model. Plus, we’ll discuss what things could be changed to the structure to improve healthcare.

Please join us for this week’s #HITsm chat as we discuss the following questions:

T1: Do you believe in the traditional pyramid model for healthcare? #HITsm

T2: We talk a lot about integrated care delivery but our structure is not set up in an integrated care fashion? Thoughts? #HITsm

T3: Are you seeing any unique organization model that’s different in the market currently? #HITsm

T4: If we are thinking about a different operating model who do you believe should lead this? #HITsm

T5: What type of structure would you like to see? #HITsm

Bonus: Share your worst organizational structure experience? #HITsm

Upcoming #HITsm Chat Schedule
5/11 – Using Technology to Coordinate Care and Improve Outcomes in Behavioral Health
Hosted by Bryan Wempen (@bryanwempen) from Netsmart

5/18 – Practical Applications of EMR Optimization Through Clinical Decision Support
Hosted by Justin Campbell (@tjustincampbell) from @GalenHealthcare

We look forward to learning from the #HITsm community! As always, let us know if you’d like to host a future #HITsm chat or if you know someone you think we should invite to host.

If you’re searching for the latest #HITsm chat, you can always find the latest #HITsm chat and schedule of chats here.

Dreaming BIG for Health IT – #HITsm Chat Topic

Posted on April 24, 2018 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.

We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 4/27 at Noon ET (9 AM PT). This week’s chat will be hosted by Erica Johansen (@thegr8chalupa) on the topic of “Dreaming BIG for Health IT”.

I’m from Texas and Texas is known for BIG things. Big skies, big ranches, and big hair… “Everything is bigger in Texas,” after all. Texas is no stranger to big ideas either and some exciting things are taking place in the Lone Star State, even as it relates to health IT.

I will be hosting the chat from onsite at the Texas Regional HIMSS conference from Dallas. The conference is a BIG deal for folks in the Texas region, and thanks to the beauty of social media, the conversation doesn’t have to be local. We invite you to dream BIG and discuss what makes health IT an exciting industry to be a part of.

Please join us for this week’s #HITsm chat as we discuss the following:

T1: What ideas are we not thinking big enough about? Should we expand our thinking? #HITsm

T2: What are we thinking too big about and should we think smaller? #HITsm

T3: Are healthcare organizations becoming too big? Should we have smaller organizations or larger ones? #HITsm

T4: Is healthcare data big enough? Why? Why not? #HITsm

T5: Where do you look for big innovations in and out of healthcare? What do you foresee as a big influencer to the healthcare space in the coming years? #HITsm

Bonus: Dream big about healthcare technology – What big things do you see materializing in the future? #HITsm

Upcoming #HITsm Chat Schedule
5/4 – Organization Structure: Should We Break Up the Traditional Pyramid?
Hosted by David Chou (@dchou1107)

5/11 – Using Technology to Coordinate Care and Improve Outcomes in Behavioral Health
Hosted by Bryan Wempen (@bryanwempen) from Netsmart

5/18 – TBD
Hosted by Justin Campbell (@tjustincampbell) from @GalenHealthcare

We look forward to learning from the #HITsm community! As always, let us know if you’d like to host a future #HITsm chat or if you know someone you think we should invite to host.

If you’re searching for the latest #HITsm chat, you can always find the latest #HITsm chat and schedule of chats here.

The Power of Story – #HITsm Chat Topic

Posted on April 17, 2018 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.

We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 4/20 at Noon ET (9 AM PT). This week’s chat will be hosted by @DesignInHealth (led by Kijana-Knight Torres), Burt Rosen (@burtrosen), and the #WTFix team on the topic of “The Power of Story”.

We are within one month of What’s the Fix? happening on May 17, 2018. What’s the Fix? (#WTFix) is a movement and an event that Healthsparq started in 2017 to help the industry learn from people. Most health care conferences focus on industry insiders talking to each other. What’s the Fix? highlights real people with real stories of overcoming health care challenges and driving change to the system as a result. The conference is about being human, being empathetic, and using story telling as a way to drive change in an industry that really needs help.

For the 2018 event, we’re excited to be accredited by Patients Included and to welcome new partners the Design Institute for Health at Dell Medical School. You can join the conference virtually for free, and new this year, we’ll also offer workshops on May 16th. If you LOVE the topic of story and want to learn more… One of the workshops is led by Kijana-Knight Torres of the Design Institute for Health is: “Lead with the Story: How to capture hearts, change minds, and inspire action.”

So let’s talk about the power of story.

There are numerous ways to convince people of our ideas. Stories have the power to open hearts and minds. Stories move people to action. Stories can help us breathe our intention into others so that they see what we see and feel what we feel. Stories can move people from “I know” to “I understand”.

Everyone has a story – yes even you! Your experience is the key to creating movement and change. Crafting compelling stories can enable people to escape their comfort zones and share a new perspective.

Let’s talk about what makes good stories tick and how stories help make meaningful connections with others, and how stories have the power to transform healthcare – and health.

A few of our favorite references on storytelling:

Please join us for this week’s #HITsm chat as we discuss the following:

T1: What makes a story compelling for you? #HITsm

T2: Has a story ever changed your mind or your perspective – or your health? #HITsm

T3: What’s the most effective way to share really personal stories on social media? #HITsm

T4: What fears arise when telling your story? #HITsm

T5: How can patients share their stories in a way that providers listen? What role does HIPAA play in patient storytelling? #HITsm

Bonus: You have the ear of people who can make change, what experience would you most like to transform through the power of story? Do you have one of these stories to share? #HITsm

Upcoming #HITsm Chat Schedule
4/27 – Dreaming BIG for Health IT
Hosted by Erica Johansen (@thegr8chalupa)

5/4 – TBD
Hosted by TBD

5/11 – TBD
Hosted by TBD

5/18 – TBD
Hosted by Justin Campbell (@tjustincampbell) from @GalenHealthcare

We look forward to learning from the #HITsm community! As always, let us know if you’d like to host a future #HITsm chat or if you know someone you think we should invite to host.

If you’re searching for the latest #HITsm chat, you can always find the latest #HITsm chat and schedule of chats here.

How to Evolve Healthcare Conferences in the 21st Century – #HITsm Chat Topic

Posted on April 11, 2018 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.

We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 4/13 at Noon ET (9 AM PT). This week’s chat will be hosted by Steve Sisko (@shimcode) on the topic of “How to Evolve Healthcare Conferences in the 21st Century”.

The general purpose of a conference is to bring people together in one place where they can discover and share information, insight and ideas on a specific theme. And then, hopefully, leave the event with energy and focus. Our brains can only take in a limited number of stimuli at any given time. With 1000’s and even 10’s of 1000’s of attendees – and 100’s or as many as 1,000 exhibitors at some events – today’s conference attendee can easily end up leaving a conference exhausted and overwhelmed.

But what really makes a good conference? Is it the content itself? The people who present the content? The location and venue of the conference? The atmosphere of the conference? The social events and opportunities for networking? Or something else?

Like with everything in life, different individuals have different needs and wants. And with advancements in presentation, collaboration and communication technologies, there are new options for enhancing and extending the conference experience. With an ever-increasing number of conferences, forums and events throughout the year, conference organizers MUST evolve if they want their events to remain relevant.

The purpose of this tweetchat is to share information and personal experience as to what constitutes a ‘good conference’ and offer ideas for addressing and improving the various elements that make up a conference.

A Little Reference Material

  1. Top Event Tech Trends for 2018: http://www.tsnn.com/blog/top-event-tech-trends-2018
  2. How Technologies Shape the Future of Medical Conferences: http://medicalfuturist.com/how-technologies-shape-the-future-of-medical-conferences/
  3. How to Plan and Run A Great Conference Experience: https://www.smashingmagazine.com/2014/08/plan-and-run-a-great-conference
  4. 7 Secrets of Awe-Inspiring Events: https://www.studionorth.com/wp-content/uploads/2017/10/7-Secrets-of-Awe-Inspiring-Events.pdf

Note: For the purpose of this chat, “content” means any and all materials created, curated or otherwise originating from the organizers of a conference and the vendor exhibitors, speakers, panelists and others involved with a conference event.

Please join us for this week’s #HITsm chat as we discuss the following:

T1: What can conference organizers do to provide tangible value to conference registrants – and those considering registering for the conference – BEFORE the event starts? #HITsm

T2: What are some of the most interesting and useful ways you’ve seen conference speakers and panelists share information to, or interact with, conference attendees? #HITsm

T3: What technology-based approaches can conference organizers and exhibitors use to create new or enhance existing opportunities for content identification, acquisition, and dissemination? #HITsm

T4: How can those physically attending a conference and those ‘following along remotely’ originate, share and/or discuss conference-related content? #HITsm

T5: What can conference organizers and exhibitors do to provide additional value to conference attendees and others AFTER the conference is over? #HITsm

Bonus: What are some of worst examples of a conference organizer ‘dropping the ball’ that you’ve ever experienced or heard about? #HITsm

Upcoming #HITsm Chat Schedule
4/20 – The Power of Story
Hosted by @DesignInHealth (led by Kijana-Knight Torres), Burt Rosen (@burtrosen), and the #WTFix team

4/27 – TBD
Hosted by Erica Johansen (@thegr8chalupa)

We look forward to learning from the #HITsm community! As always, let us know if you’d like to host a future #HITsm chat or if you know someone you think we should invite to host.

If you’re searching for the latest #HITsm chat, you can always find the latest #HITsm chat and schedule of chats here.

Apple’s Full-Court Move Into Healthcare – Game Changer or Flash In the Pan? – #HITsm Chat Topic

Posted on April 3, 2018 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.

We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 4/6 at Noon ET (9 AM PT). This week’s chat will be hosted by Joe Babaian (@JoeBabaian) on the topic of “Apple’s Full-Court Move Into Healthcare – Game Changer or Flash In the Pan?”.

The past week has been filled with excitement about @Apple’s move into healthcare. For the followers of #HITsm, #hcldr & #HITMC this has been one of our top topics! We all care about access and ownership of our healthcare data in a coherent and interoperable way. We hang on the various new initiatives, promises, and false starts offering the opportunity to finally pull all this together.

Apple has laid down the gauntlet: @chrissyfarr writing for @CNBC “Apple’s plan to put health records on your phone has huge implications for medicine”

  • Apple announced on that it has expanded its health records product to 40 health systems and 300 hospitals, and it’s opening it up to all iOS users.
  • “Doctors put patients in charge,” Apple’s news release reads.
  • “We view the future as consumers owning their own health data,” Apple Chief Operating Officer Jeff Williams, said in a recent interview with CNBC.


The reaction has been enormous:

  • Apple is changing the game, breaking the mold.
  • Apple is hyping a partial measure to a select group only within a walled garden.
  • Apple is laying the groundwork for flipping the paradigm going forward.
  • Apple is promoting Apple.

These are just some of the comments I’ve been hearing. In some ways, the reaction is almost political and veers away from sober reckoning and gets close to Apple “fanboys” vs. everyone else. This isn’t the approach we should take during a time of disruption – we must dive more deeply and look for the pros and cons while putting aside our preconceived notions. With a powerful foundation, Apple is one of the few organizations with the ability to pull something like this off – both logistically (40 systems / 300 hospitals!) and technologically. By this same token, Apple has been known to embrace their own vision and expect everyone else to do the same – right or wrong.

Please join us for this week’s #HITsm chat as we discuss the following:

T1: How is Apple’s plan for health records truly altruistic and game-changing or just a flash in the pan? #HITsm

T2: How might Apple’s entry into 40 systems & 300 hospitals make this effort successful by the very nature of the massive roll out? #HITsm

T3: Why have so many other health record / access initiatives with similar goals failed to catch fire and truly succeed? #HITsm

T4: What will be needed for Apple’s push to reach the majority of patients in an effective way? Or is this impossible? #HITsm

T5: What will you do when presented with an iPad upon admission and instructions for using your iPhone for total access to your health records and care? #HITsm

Bonus: Does it matter if the solution for health records and data lives on iOS or Android? Shouldn’t we all get behind what works with the right vision versus looking to pick things apart? #HITsm

Upcoming #HITsm Chat Schedule
4/13 – How to Evolve Healthcare Conferences in the 21st Century
Hosted by Steve Sisko (@shimcode)

4/20 – TBD
Hosted by Burt Rosen (@burtrosen) and the #WTFix team

4/27 – TBD
Hosted by TBD

We look forward to learning from the #HITsm community! As always, let us know if you’d like to host a future #HITsm chat or if you know someone you think we should invite to host.

If you’re searching for the latest #HITsm chat, you can always find the latest #HITsm chat and schedule of chats here.

What is Patient – Centric Care? – #HITsm Chat Topic

Posted on March 27, 2018 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.

We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 3/30 at Noon ET (9 AM PT). This week’s chat will be hosted by Linda Stotsky (@EMRAnswers).

There was a lot of discussion about patient-centric care at #HIMSS18. What is it? Have we changed our approach to patient-centric design and communication?

Enabling patients to feel respected, valued as a person, is a multi-faceted task that involves more than HIPAA compliance. “Being treated with dignity and being involved in decisions are independently associated with positive outcomes”, according to a 2005 abstract in the Annals of Family Medicine. We talk about best practice guidelines and principals, yet how far have we come in the last 13 years since that statement was released?

Patient-centric care is defined as “respectful of and responsive” of individual patient preferences, needs and values. These values guide shared decision making, communication and treatment options, balancing clinical knowledge with patients’ wants, needs, and opinions. There is no “one size fits all” approach.

Patient-centric healthcare changes the paradigm from information and interactions that emanate with the provider, to information and interactions that begin and end with the patient, respecting his/her cultural values, practices and autonomy. Processes of care, progress and prognosis, plus an ability to recognize and respond to a patient empathically, communicate a desire to understand the patient perspective.

Do our present systems limit involvement from a time perspective?  Are we too busy clicking data boxes that we forget to pull away from the screen to engage in a two-way discussion?

Key patient-centered principals include:

  • Respect for the patient voice
  • Care coordination
  • Educational resources
  • Physical and emotional support (empathy)
  • Patient Safety
  • Access to all aspects of care (data, physical access, and communication)

Please join us for this week’s #HITsm chat as we discuss the following:

T1: What is a persistent patient centric approach? #HITsm

T2: Why are we still struggling to meet the educational needs of all patients? #HITsm

T3: How can we close the gaps in care management? #HITsm

T4: Who should carry the patient-centric care flag and lead the progress forward? Payers? DPC? HC Orgs? #HITsm

T5: What are a few “short wins” we can do NOW to improve patient-centric care? #HITsm

Bonus: What do you do when you experience care that is less than patient centric? #HITsm

Upcoming #HITsm Chat Schedule
4/6 – Apple’s Full-Court Move Into Healthcare – Game Changer or Flash In the Pan?
Hosted by Joe Babaian (@JoeBabaian)

4/13 – TBD
Hosted by TBD

4/20 – TBD
Hosted by Burt Rosen (@burtrosen) and the #WTFix team

4/27 – TBD
Hosted by TBD

We look forward to learning from the #HITsm community! As always, let us know if you’d like to host a future #HITsm chat or if you know someone you think we should invite to host.

If you’re searching for the latest #HITsm chat, you can always find the latest #HITsm chat and schedule of chats here.

Healthcare Identity and Interoperability – #HITsm Chat Topic

Posted on March 21, 2018 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.

We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 3/23 at Noon ET (9 AM PT). This week’s chat will be hosted by Julie Maas (@JulieWMaas) from EMR Direct on the topic of “Healthcare Identity and Interoperability”.

There is a lot of discussion about healthcare identity in the industry recently, since:

  • Patient data is now available via public APIs from Health IT vendors that are moving into production with 2015 Edition compliant software
  • Patient matching problems persist, with no national identifier on the horizon
  • New NIST 800-63-3 identity proofing requirements and GDPR are coming onto the scene
  • Now even Jared Kushner is demanding patient access to data
  • Apple and Google are starting to take healthcare data seriously and a new class of third party “Client App” developers, managing health data, is emerging
  • TEFCA

All health data managed by healthcare providers carries legal (both federal and state) restrictions about who can access it. Data holders want to be sure they are making health data available to the right patients (who have rights to that data or have been made an authorized patient representative) and to the right providers and payers (certain assertions simplify this).  Initiatives like TEFCA and consumer-mediated exchange and the underlying technologies they typically reference are helping to clarify and expand the ways that better use of health data can improve health care delivery. What this translates to is a huge ask on the part of technologists to dramatically expand the volume of digital data that can be shared as well as the entities with whom it can be shared, while maintaining patient privacy and data security.

Important considerations that need to be addressed in the immediate short term to handle these developments are:

  • How to manage the identity and associated credentials of a querying entity (patient, provider, or payer) that is accessing their own personal health data or large volumes of data and what minimum bar is necessary to authorize such a transaction?
  • Similar question but for a patient app developer
  • Similar question for the patient who either through an in-person visit ONLY or alternatively via an entirely online interaction, obtains a credential for access to their own data
  • How do all of the above change, if at all, when 800-63-3 is brought under the lens? Can the above credentials still be generated through an online-only process considering the hefty restrictions of 800-63-3?

Please join us for this week’s #HITsm chat as we talk about the following questions:

T1: What does interoperability mean to you? Big asks/personal stories? #HITsm

T2: Ever heard (from a friend) of health data leaving 1 health system and being utilized in a different EMR? How did this help the patient? What personal information would patients be willing to make shareable between orgs in order to help providers “make sure you’re you”? #HITsm

T3: Does every provider already have the exact interoperability they want? Why or why not? If not, what is the biggest gap? #HITsm

T4: What do patients need to know about a patient facing application before allowing it to access their health data through an open API? #HITsm
(Want to really get into the weeds? See this and this)

T5: Is it a useful first pass for a patient to be able to share all health data from a given provider, or are special “valet keys” to limit sharing to certain data categories needed? #HITsm

Bonus: Do you have any ideas to improve measure reporting in order to reduce the burden on providers? #HITsm
(See this)

Upcoming #HITsm Chat Schedule
3/30 – What is Patient – Centric Care?
Hosted by Linda Stotsky (@EMRAnswers)

4/6 – TBD
Hosted by TBD

4/13 – TBD
Hosted by TBD

We look forward to learning from the #HITsm community! As always, let us know if you’d like to host a future #HITsm chat or if you know someone you think we should invite to host.

If you’re searching for the latest #HITsm chat, you can always find the latest #HITsm chat and schedule of chats here.