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IT and Affordability, Care for the Poor, Population Health in Low-income Areas – #HITsm Chat Topic

Posted on June 19, 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, 6/22 at Noon ET (9 AM PT). This week’s chat will be hosted by Lenny Liebmann (@LennyLiebmann) on the topic of “IT and Affordability, Care for the Poor, Population Health in Low-income Areas.”

Technology can do a lot for healthcare delivery. But can technology—and technologists—specifically improve delivery for the economically disadvantaged and under-served? Or are the financial incentives in our industry too heavily stacked against such efforts?

Please join us this Friday, June 22 from noon to 1PM Eastern time for an interactive online discussion about the role technology can play in democratizing healthcare as costs rise and income disparity widens.

The following are the questions we’ll discuss during the hour chat:

T1: Please introduce yourself to the group and let us know if you have any particular interest in the topic of better healthcare for lower-income families. #HITsm

T2: Should health technologists purposefully prioritize initiatives that improve care for the poor—or is improved care an innate result of the improved efficiencies and efficacies generally enabled by IT? #HITsm

T3: Can you share any specific examples you’ve seen of technology specifically helping lower-income patients achieve better health outcomes? #HITsm

TQ4: Any ideas about how healthcare providers can leverage tech to improve population health in low-income neighborhoods—above and beyond better serving low-income individuals and families? #HITsm

T5: Do the economics of healthcare appropriately incentivize the use of technology to benefit the poor? Or do those economics actually disincentivize such efforts? #HITsm

Bonus: Any other thoughts about the relationship between technology innovation in healthcare and the needs of low-income citizens? #HITsm

Upcoming #HITsm Chat Schedule
6/29 – How Nursing Informatics is Changing the Healthcare Landscape
Hosted by Cathy Turner (@MEDITECH_Nurses) and Ashley Dauwer (@amariedauwer) from @MEDITECH

7/6 – What’s the Future of Patient Communication?
Hosted by Lea Chatham (@LeaChatham)

7/13 – TBD
Hosted by TBD

7/20 – TBD
Hosted by Jared Jeffery (@Jk_Jeffery)

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.

Doctors at the Nurses Station – Fun Friday

Posted on June 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.

Time for a little Fun Friday as we head into the weekend. This week’s Fun Friday is a video from ZDoggMD as his alter ego, Doc Vader. In this video Doc Vader spends time at the nurses station. There’s some funny truth to the idea of doctors trying to do the work that nurses do. Always important to remember how important every person in a healthcare organization is to the success of the healthcare organization. Enjoy the video and the weekend!

CMS Wants Interoperability. Should Patient Data Access Champions Cheer – or Not? – #HITsm Chat Topic

Posted on June 12, 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, 6/15 at Noon ET (9 AM PT). This week’s chat will be hosted by Janice McCallum (@janicemccallum) on the topic of “CMS Wants Interoperability. Should Patient Data Access Champions Cheer – or Not?.”

Earlier this year at HIMSS18 and HealthDataPalooza, Seema Verma, CMS Administrator, announced the MyHealthEData initiative that places a priority on interoperability of EHRs, a long desired objective of health data enthusiasts.

The MyHealthEData initiative proposes open APIs with common data standards that will facilitate access to EHR data for software developers, although the business terms for accessing the data aren’t yet clear. In today’s #HITsm chat, I’d like to focus on how the MyHealthEData initiative will—or will not– benefit patients directly. I have more questions than answers and look forward to input from a range of healthIT and data management experts, patient data access advocates, innovation enthusiasts, and more.

First, some background materials:

This is the official announcement of MyHealthEData: https://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-releases/2018-Press-releases-items/2018-03-06.html.  Note, the initiative is not intended to give consumers direct access to their data from their healthcare providers; rather, it gives them the ability to choose a “provider that best meets their needs and then give that provider secure access to their data, leading to greater competition and reducing costs. ” In this case, “provider” means a technology provider that will likely charge an initial fee and an ongoing fee for data management.

From ONC director, Don Rucker on interoperability, transparency and an API ecosystem: https://www.healthit.gov/buzz-blog/interoperability/apis-path-putting-patients-center/

Adrian Gropper, MD, in a comment on Rucker’s post on the Health Care Blog, questions whether patient-friendly and cost-effective developers will have full access to APIs:

The issue is fairly simple and was well documented by the API Task Force: Can a small, independent startup serving patients or physicians have access to the FHIR API if the patient says it should – period? http://thehealthcareblog.com/blog/2018/04/24/apis-a-path-to-putting-patients-at-the-center/

Finally, some insights from the current state of the Apple Health app that may give us reason to question how quickly something close to full data access and ongoing data liquidity will occur: https://corepointhealth.com/apple-health-fhir

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

T1 : Does anyone see any downside to the latest data and API standards? Is anything missing from CMS announcements and fact sheets? Or, should we all be cheering? #HITsm

T2: Health IT vendors that focus on patient engagement and patient data management should be happy about MyHealthEData. Who among the existing patient data app developers do you think will benefit most from an API ecosystem? Who might be hurt? #HITsm

T3: Do you think patient access to full health records will be more affordable due to MyHealthEData? #HITsm

T4: How long do you think it will take to make the apps useful to patients with complex conditions, given the current state of data availability via Apple Health app and early patient portals? #HITsm

T5: What’s the likely business model for the app developers? #HITsm
Here are some possibilities to discuss:
(1) app developers charge low price to patients; revenue will come from businesses that want to buy access to aggregate data.
2) Full fee paid by patients.
3) An advertising model?
4) Access to app is given as a benefit to existing customers, e.g., Google can afford to offer app for free/low cost to existing customers, because it sells other services; health insurers can subsidize costs to incentivize patients to better manage their health status via health data apps.
5) Other revenue/business models?

Bonus: How do you think healthcare providers will react to the requirement that they “ensure data sharing”? How will it affect small physician practices v. hospitals? #HITsm

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

6/29 – How Nursing Informatics is Changing the Healthcare Landscape
Hosted by Cathy Turner (@MEDITECH_Nurses) and Ashley Dauwer (@amariedauwer) from @MEDITECH

7/6 – What’s the Future of Patient Communication?
Hosted by Lea Chatham (@LeaChatham)

7/13 – TBD
Hosted by TBD

7/20 – TBD
Hosted by Jared Jeffery (@Jk_Jeffery)

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 Technology and Healthcare Should Gracefully Collide to Provide the Best Patient Experience – #HITsm Chat Topic

Posted on June 5, 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, 6/8 at Noon ET (9 AM PT). This week’s chat will be hosted by Jeanne Bliss (@jeannebliss) and Michelle Chaffee (@mdchaffee) on the topic of “How Technology and Healthcare Should Gracefully Collide to Provide the Best Patient Experience.”

Enhancing patient engagement and improving patient experience are priorities for many hospitals and health systems. And customer experience in healthcare must be a balance of human care and technical care – only when it enhances and improved human care. In this chat we’ll discuss the critical balance of the two and how high tech must enable and support high human touch, as well as best practices and the companies who are enabling technology support for human care delivery.

Reference Materials:

What Is Patient Experience?

Association of Patient Experience

Healthcare Systems Should Start Thinking “Would You Do That to Your Mother?”

Next-gen patient engagement: Applied intelligence and omni-channel messaging

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

T1: What strategies can healthcare patients, caregivers, clinical service providers, and payers employ to leverage technology to enhance the patient experience? #HITsm

T2: What are the touchpoints that can impact patient experience and what do you think are some of the best ways to utilize technology at each touchpoint? #HITsm

T3: What are some non-medical needs and opportunities for enhancing health outcomes and how can technology support these opportunities? #HITsm

T4: What are some examples how other industries outside of healthcare have used technology to support a good customer experience? #HITsm

T5: How can social media and the ‘sharing & collaboration’ tools that have grown so rapidly over the last 6-8 years enhance the patient experience? #HITsm

Bonus: What are some examples of the worst patient experience involving technology that you or someone you know has ever experienced? #HITsm

Upcoming #HITsm Chat Schedule
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.

What Will 5G Mean for Healthcare?

Posted on May 29, 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.

The above tweet also included an image, but I decided it was too disturbing to embed on this blog. Yeah, I know that means you all just clicked through to see it. While a bit disturbing, the picture definitely made me stop and ask the question, “What does 5G mean for healthcare?”

I’m not sure how many people have been following 5G, but it’s getting really close to becoming a reality. For those not familiar with the technology, here’s an anecdote that highlights how fast 5G can be “In testing, the transfer speeds for the “5G” network sent data at 1.056 Gbit/s to a distance of up to 2 kilometers.”

1 Gig per second. What would it mean that you could transfer 1 Gig per second wirelessly? Now, I should note that it’s going to take some time for the devices to be able to support these kinds of speeds. Plus, it will also take the applications time to figure out what to do with this type of speed. However, it changes how we think about what we’re streaming completely.

In healthcare, those radiology images that are so big would be nothing to share with anyone anywhere anytime. You could literally have multiple HD cameras filming your healthcare experience live in real time with no issues at that speed. Genomic data is huge, but it could easily be shared with these types of speeds to anyone that needs it anywhere.

This is just the obvious stuff. What’s so incredible about reaching new types of breakthrough speeds like this is that it enables us to discover new opportunities that we couldn’t even think of previously because the speeds made that type of thinking impossible. When you look at the volume of data that sensors will be streaming about our lives, you can see why these speeds could be extremely valuable. Plus, at these speeds, federated data becomes much easier to stomach because you know even large data sources are available with ease.

What do you think of 5G data? How do you think it will impact healthcare? It’s amazing how broadband changed so many things we do online and enabled so many new services. 5G could and likely will do the same.

Memorial Day – #VegasStrong

Posted on May 28, 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.

This Memorial Day has a little extra meaning for those of us that live in Las Vegas. It’s the first memorial day since the tragedy that happened on the strip in Las Vegas. The above photo is a memorial that’s been set up for the victims of the tragedy about 1/2 a mile from my house. It’s a stark reminder of an enormous tragedy. However, on Memorial Day it’s also a reminder of the thousands who have given their lives for the freedoms we do enjoy. I’m grateful for their sacrifice and appreciate them and all those who have passed on in defending freedom.

I hope everyone has an enjoyable Memorial Day and slows down enough to hug their family and friends and let them know how much you love them.

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 – How Technology and Healthcare Should Gracefully Collide to Provide the Best Patient Experience
Hosted by Jeanne Bliss (@jeannebliss) and Michelle Chaffee (@mdchaffee)

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.

Coworker Humor – Fun Friday

Posted on May 18, 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.

It’s Friday! Time to get ready for the weekend with a little co-worker humor:

Good teammates definitely feel like a mythical creature. They’re really really hard to find. So, once you find them, be extremely grateful. It’s amazing how much your teammates impact you. I love that this tweet was about gamers, but it’s true in work and life as well.

Healthcare AI Needs a Breadth and Depth of Data

Posted on May 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.

Today I’m enjoying the New England HIMSS Spring Conference including an amazing keynote session by Dale Sanders from Health Catalyst. Next week I’ll be following up this blog post with some other insights that Dale shared at the New England HIMSS event, but today I just wanted to highlight one powerful concept that he shared:

Healthcare AI Needs a Breadth and Depth of Data

As part of this idea, Dale shared the following image to illustrate how much data is really needed for AI to effectively assess our health:

Dale pointed out that in healthcare today we really only have access to the data in the bottom right corner. That’s not enough data for AI to be able to properly assess someone’s health. Dale also suggested the following about EHR data:

Long story short, the EHR data is not going to be enough to truly assess someone’s health. As Google recently proved, a simple algorithm with more data is much more powerful than a sophisticated algorithm with less data. While we think we have a lot of data in healthcare, we really don’t have that much data. Dale Sanders made a great case for why we need more data if we want AI to be effective in healthcare.

What are you doing in your organization to collect data? What are you doing to get access to this data? Does collection of all of this data scare anyone? How far away are we from this data driven, AI future? Let us know your thoughts in the comments.

Strong Statements from Vinod Khosla at HLTH

Posted on May 16, 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.

Last week I had the opportunity to attend a small piece of the new HLTH conference in Las Vegas. My time at the event was cut extremely short as I had to head to Science Camp with 80 5th graders (including my daughter), but I was able to hear the opening keynotes on Sunday. I was most interested in hearing from Vinod Khosla who I don’t always agree with, but he often causes me to look at something a little different or to see the future in a new way. As usual, that’s what he delivered on stage (Between pitches for his companies of course). Here’s a look at some of the pictures and tweets I shared from Vinod’s talk at HLTH.


Needless to say, HLTH was a big event. When you pour $5 million into an event, it better be big. Not to mention the marketing they did for the event. I’m glad to not see HLTH ads on every website I visit now. The turnout for the event seemed good. I saw a lot of social media people there that I know. I was surprised by how many young people were at the conference. Maybe the CEOs they reference in their marketing were a lot of startup CEOs.


This was an extremely powerful and thought provoking statement for me. His assertion is that instead of treating people based on their symptoms, the devices and sensors we use to monitor and measure our health will be so good that these health measurements will drive medicine and not the symptoms we experience. Chew on that concept for a while and you’ll see how it’s not that far fetched even if it is still a ways away.


I’m no expert on medical education, but this does bring up some challenging questions for medical schools. In many ways, it’s similar to what I feel about elementary school for my kids. Sure, there’s a baseline of knowledge that is helpful to understand. However, when it comes to diagnosis, treatment, etc, we’re going to have to seriously consider how we train future doctors. New skills are going to be required to effectively treat a patient. I can’t imagine most medical schools are going to be ready to adapt to this change.


I tweeted this after Vinod talked about all the various tests, labs, etc he’s getting. He sees it as research and suggests that it’s not something that other people should be doing. Vinod seems to have a similar view of health testing as Mark Cuban. Mark Cuban controversial suggested that those who can afford it should do regular blood tests. Opponents argue that it drives unnecessary procedures, unnecessary health fears, and plenty of other issues from over testing. I’ve always felt like there was a balance and it was important for Vinod and Mark to understand these possibilities as they test regularly. However, having this baseline of information could be extremely valuable in discovering what really influences our health.

Some pretty interesting things to think about. Is it very practical for a health IT professional? Probably not and that’s probably why I didn’t see any health IT professionals, CIOs, or other people like that at the HLTH conference. That’s not the goal of the conference really. It seems like there will be another HLTH in 2019. Will be interesting to see what vendors return and who doesn’t.

Of course, some people got distracted at HLTH by the wedding chapel:


Then again, maybe a HLTH Wedding might be a great outcome for some people.