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Helping the Small Practice Physician Survive with Dr. Tom Giannulli – Google Plus Hangout

Posted on October 1, 2013 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.


Note: The above embed will be the live stream at the appointed time and then the recorded video immediately after. Subscribe Here to be notified of future hangouts and check out are list of scheduled Healthcare Scene hangouts.

What: A Google+ Video Hangout with Dr. Tom Giannulli, Chief Medical Information Officer at Kareo. Join us to hear the challenges facing small physician practices and ways they can continue to survive a midst pressures to be bought out.
Date: Thursday, October 3, 2013
Time: 1:00 – 1:30 p.m. EST
Location: About 5 minutes before the event, we’ll embed the video stream on this page or you can find the video stream on the Healthcare Scene Google+ page as well.

Subscribe Here to be notified of future EHR and Healthcare IT hangouts and check out are list of scheduled Healthcare Scene hangouts.

If you have any questions you’d like to pose before or during the hangout, send them to @ehrandhit on Twitter.

Dr. Tom Giannulli, Chief Medical Information Officer at Kareo
KAREO, INC. TOM GIANNULLI, MD, MS

Eyes Wide Shut – Is This Meaningful Use?

Posted on September 25, 2013 I Written By

Mandi Bishop is a hardcore health data geek with a Master's in English and a passion for big data analytics, which she brings to her role as Dell Health’s Analytics Solutions Lead. She fell in love with her PCjr at 9 when she learned to program in BASIC. Individual accountability zealot, patient engagement advocate, innovation lover and ceaseless dreamer. Relentless in pursuit of answers to the question: "How do we GET there from here?" More byte-sized commentary on Twitter: @MandiBPro.

Again and again, I find myself expounding upon the need to differentiate between the “letter of the law” and the “spirit of the law” of Meaningful Use Stage 2. I believe whole-heartedly in the transformative power of health IT, and support the future vision of the Meaningful Use objectives of patient empowerment and nationwide standards for records transmission and interoperability. The spirit of the “law” is a revolutionary movement towards a technology-enabled, patient-centric healthcare system, where clinical data can be shared and consumed instantly, whenever patient desires or requires it.

The letter of the “law” is daunting, and its implementation could be seen as not only counter-revolutionary, but detrimental to the very patient population it is designed to engage and empower.

Consider this acute care scenario:

You’re a hospital healthcare provider, discharging a patient, in compliance with the patient-specific education and Summary of Care measures. You log in to your EMR, complete the discharge instructions in the correlated workflow, print the discharge summary and any condition-specific educational information for the patient, revisit their room to insure that they can review the instructions and ask any questions, and you’re on to assessing the condition of the next patient in need of care. Right?

How many times did you have to close the “patient-specific education” suggestion windows that popped up, alerting you to available materials for download, keyed off diagnosis codes or lab results?

How many minutes did you spend looking for the HISP address of the patient’s cardiologist, so you could transmit the Summary of Care document to them via the Direct module of your EMR? How many clicks did you have to use to FIND the Direct module in your EMR? And how many minutes did you spend cursing the ONC for requiring Direct for Summary of Care transmission for 10% of your discharged patient population when the cardiologist’s address was rejected by the Direct module, giving you a message that the receiver is not DirectTrust-accredited?

How much time did the discharge process take you before your facility decided to attest to Meaningful Use Stage 2? How much time does it take you now?
Consider this ambulatory care scenario:

You’re support staff for a general practitioner, who is deploying a patient portal in support of patient engagement measures. At check-in (or check-out), you provide the patients with the URL for enrollment and access, give them information on the benefits of having their medical records available electronically, encourage them to communicate electronically with their provider with questions or concerns, and you send them on their empowered and engaged way.

How many minutes did you spend validating each portal account owner’s identity once their enrollment request came? How many minutes did you spend validating the relationship of the portal account owner to each of the patients he/she requests to associate with the account? How did you document the due diligence done to insure no medical records are improperly released per HIPAA and other federal guidelines, as in the case of custodial disputes, behavioral health patients, or emancipated minors?

How many minutes did you spend walking patients through the enrollment, login, medical records view, and secure message functions? How much time did you spend answering questions from patients about the portal, rather than the health concerns that prompted the visit?

How much time did the check-out process take before your GP decided to attest to Meaningful Use Stage 2? How much time does it take you now?

In both of these scenarios, did you or the patient see any measurable difference in care as a result of the EMR’s new functionality?

Now, consider the aggregate of these scenarios over an entire day – dozens of encounters, dozens of clicks, dozens of minutes spent engaging the EMR to record requisite “clicks” for attestation numerator reporting, rather than engaging the patient.

Is this meaningful use of a healthcare provider’s time and energy? Is this meaningful use of health IT, meeting very specific targets to obtain finite objectives rather than enabling innovation and deriving best practice long-term solutions?

Is this what the ONC intended?

Healthcare Big Data and Meaningful Use Challenges with Mandi Bishop – Google Plus Hangout

Posted on September 23, 2013 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.

Note: The following image will become the live video stream about 5 minutes before the start of the G+ hangout and then will be the recorded video after the hangout. Subscribe Here to be notified of future hangouts and check out are list of scheduled Healthcare Scene hangouts.

What: A Google+ Video Hangout with Mandi Bishop, Principal at Adaptive Project Solutions, discussing the latest happenings with the use of big data in healthcare. Plus, we’ll also dig into some of the challenges healthcare organizations are facing when it comes to meaningful use.
Note: Mandi is also a blogger at EMR and HIPAA.
Date: Thursday, September 26, 2013
Time: 1:00 – 1:30 p.m. EST
Location: About 5 minutes before the event, we’ll embed the video stream on this page or you can find the video stream on the Healthcare Scene Google+ page as well.

Subscribe Here to be notified of future EHR and Healthcare IT hangouts and check out are list of scheduled Healthcare Scene hangouts.

The video will be available to view live on this page and the recorded video will be embedded on this page after the hangout as well.

If you have any questions you’d like to pose before or during the hangout, send them to @ehrandhit on Twitter.

Mandi Bishop, Principal at Adaptive Project Solutions
Mandi Bishop