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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 @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.

Practical Health IT Innovation Conference

Posted on February 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.

For those regular readers, you’ve probably been seeing some of the promotion we’ve been doing for a new healthcare IT conference called Health IT Expo. Yes, this is our first time hosting a healthcare IT Conference of our own, but we are in our 5th year organizing the Healthcare IT Marketing and PR Conference. While we attend and enjoy attending ~30 healthcare IT conferences per year, we think there’s something missing in these conferences that we can address at Health IT Expo.

Hundreds of people over the years have suggested that we should host our own healthcare IT conference. I’d always resisted doing so because I didn’t want to just create another me too conference. In many ways, it felt like there were enough conferences. However, having attended hundreds of conference over the years, I realized that something really big was missing at these conferences: practical innovation.

Most healthcare IT conferences are short on practical innovation and long on useless platitudes.

Last month I wrote that Health IT Expo was the Anti Moonshot Conference. Not that there’s anything wrong with people working on moonshot ideas. That’s a lot of fun and really exciting. However, if you’re a healthcare IT professional that’s overwhelmed by operational minutiea, listening to moonshot ideas ends up leaving you empty and longing for practical innovations that can improve your work life.

Long story short, we’ll be focusing the conference on the following 5 areas of healthcare IT innovation to start:

  • Security and Privacy
  • Analytics
  • Communication and Patient Engagement
  • IT Dev Ops
  • Operational Alignment and Support

We want to take everything we’ve learned attending conferences and organizing one for 5 years and make Health IT Expo a one of a kind experience for those working in these 5 areas.

As part of this conference, we also want to extend the innovation that’s shared over the 2 day event well beyond the conference. One of the other major challenges in healthcare IT is that innovations aren’t shared between organizations. Unlike healthcare data, we don’t mind sharing innovations in healthcare IT. However, there hasn’t been a great platform for this sharing.

For example, how does an IT professional at a hospital share a unique way they implemented 1000 new virtual desktops and saved their organization time and money? The sad answer is they don’t. How does a healthcare IT professional learn about a new company that can solve their physician communication problems? In many cases they don’t.

One of our goals is to use Healthcare Scene and this new conference to create a platform for innovation sharing. As a simple example, we’re finalizing resource pages around each of the 5 topics listed above. These pages will list companies that are innovating in each spaceso they’re easy to find. I’ve been blogging for 12 years and published over 12,000 blog posts and even I was surprised by some of the companies we found. We’ll do a future post linking to those pages once they’re published.

At the end of the day, we have one major goal. How can we make healthcare IT professionals lives better so we improve healthcare?

If that goal interests you, take a minute to check out Health IT Expo. If you’re a healthcare IT professional that wants to be part of this community, reach out to us on our contact us page. Share your experience with us and we’ll give you a special discount code to attend the conference where it doesn’t break your budget.