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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.

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.

Barriers to Better Healthcare Cybersecurity

Posted on May 4, 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 often say in healthcare that we need to learn from other industries. We try to do that as much as possible on this blog and this is one of those cases. HIPAAEx recently shared this image that illustrates many of the barriers that local governments face to better cybersecurity. Many of them are money issues like paying high prices cybersecurity salaries and hiring and training cybersecurity staff, but the largest barrier is lack of support. See the details below:

Does this sound like some of the same issues that we have when it comes to barriers to effective cybersecurity in healthcare? It does to me.

While healthcare does deal with these same challenges, I have to admit how drastic the change has been when it comes to support for cybersecurity efforts from healthcare leaders. It used to not even be an after thought. That’s still sadly true in many healthcare organizations. However, I’m seeing more and more healthcare organizations that have seen cybersecurity as a strategic priority.

Healthcare organizations know the damage that’s caused when they have a massive breach occur that shouldn’t happen. They’re finally starting to wake up to this fact. Most are taking a two fold approach: how do I prevent a breach from occurring and what’s my process when a breach occurs?

The problem with cybersecurity is that it’s never done. You can’t look at cybersecurity as a project that’s complete and now you can move on to something else. Cybersecurity is always changing and has to become part of the culture of your organization if you want to have any hope of keeping up and avoiding any major cybersecurity disasters.

How does this chart stack up with your experience? What are your barriers to healthcare cybersecurity? Please share your thoughts and experiences in the comments and with us on social media @HealthcareScene.

How Do You Make Health Data Useful to Individuals?

Posted on May 2, 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 healthcare world is flush with data and every health system seems to have a portal to access some of that data. However, far too often that data sits unused and never becomes useful for patients. At the #HIMSS18 conference, Healthcare Scene talked with Mike O’Neill, Chief Executive Officer at MedicaSoft, and Randy Farmer, Chief Operating Officer at Delaware Health Information Network (DHIN) to talk about their unique approach to the personal health record and how access to this data is beneficial to patients.

Mike and Randy address the questions of whether DHIN members find access to their data useful and in which ways they find it useful. We talk about HIE sustainability and how a proper patient portal that provides value to patients is one important element to becoming sustainable. If you want to learn more about how technology can help make data useful to individual patients, watch the video interview below:

What do you think of Medicasoft and DHIN’s approach? Do you wish more healthcare organizations and HIEs should be working similar to this? Is there something holding them back? Why haven’t most organizations embraced new technology and patient access to data? Please share your thoughts in the comments or on Twitter with @HealthcareScene and @MedicaSoftLLC

Want to find more great healthcare IT interviews, be sure to subscribe to Healthcare Scene on YouTube or peruse all of Healthcare Scene’s video interviews.

*Medicasoft is a sponsor of Healthcare Scene.

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.

HIT Software Upgrades and Telemedicine Humor – Fun Friday

Posted on April 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 heading into the weekend and so it’s time for another Fun Friday. This first cartoon is something that all EHR users and those involved in software updates will understand. What’s interesting is that many EHR users haven’t learned the lesson from Windows updates. So many healthcare organizations are working on outdated EHR software. Of course, there’s a good balance. I’ve been at the leading edge of EHR upgrades and gotten really burnt before too. Somewhere in the middle is best. Of course, if you’re on a true cloud based EHR, then you don’t really get a choice. Something that makes many people love cloud based EHR and some people hate them.

And now for some mental health telemedicine fun. There is some irony in the situation.

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.