#HITsm Transcript

Healthcare social media transcript of the #HITsm hashtag.
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See #HITsm Influencers/Analytics.

ProfileTweet
Monica Stout, She/Her/Hers @MI_turnaround
@ShereesePubHlth Good hubby! A keeper! :) #HITsm
Monica Stout, She/Her/Hers @MI_turnaround
RT @HealthcareScene: 15 min til today's #HITsm chat hosted by @janicemccallum on the topic of “CMS Wants Interoperability. Should Patient Data Access Champions Cheer – or Not?" Details: https://t.co/Z2EplMYbAP
Healthcare Scene @HealthcareScene
Let's take 5 min to introduce ourselves. Who are you? What do you do? Where are you from? And...what's your favorite thing about Boston? (Note: Our host @janicemccallum is from Boston) #HITsm
Healthcare Scene @HealthcareScene
Welcome to today's #HITsm chat hosted by @janicemccallum on the topic of “CMS Wants Interoperability. Should Patient Data Access Champions Cheer – or Not?" Details: https://t.co/Z2EplMYbAP https://t.co/Gb1q38xgh9
Janice McCallum @janicemccallum
@HealthHats Great to see you on the chat today, Danny! #hitsm
Monica Stout, She/Her/Hers @MI_turnaround
RT @HealthcareScene: Welcome to today's #HITsm chat hosted by @janicemccallum on the topic of “CMS Wants Interoperability. Should Patient Data Access Champions Cheer – or Not?" Details: https://t.co/Z2EplMYbAP https://t.co/Gb1q38xgh9
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
Chuck! Here 4 #HITsm after 2-week vacation hiatus! Workflow! 3D printing! #VR Especially #SocialVR! Looking forward 2 discussing interoperability w/@janicemccallum! PS Is Healthcare a Right? Discuss in social #VirtualReality during #AHIPinstitute Thursday! https://t.co/69xQ8xH57W https://t.co/VWrrz35A2b
Matt Fisher @Matt_R_Fisher
Hello #HITsm and @janicemccallum. Matt joining from Westborough today. Can’t narrow down one thing, but do like the history and “small town” feel of Boston.
Janice McCallum @janicemccallum
@wareFLO Chuck, glad you made it to the chat. Hope you're not too jetlagged! #hitsm
Michelle Currie @mshlcurrie
#HITsm good morning! Michelle here, clinician, informaticist, #interoperability evangelist. Looking forward to learning the patietns perspective at todays chat. https://t.co/GBbJQmxqso
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
I like the #Boston personality. Went to summer school at Boston U (Formal Languages and Automata!) I was standing in line reading a paper, guy behind me reads the headline & starts an argument w/me! My kind of town!!!! #HITsm https://t.co/PmiFKMYP3q
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
Hello all. I'm Shereese, here in Maryland #HITsm https://t.co/snZeHP2Br6
Heather McCullen @H_SalemOaks
Hi #HITsm, Heather representing @SalemOaks, I usually just lurk
Kevin Freiert @K_SalemOaks
Kevin from CT. Very interesting and charged topic today on #HITsm
Danny van Leeuwen @HealthHats
I write and consult about patient/caregiver activism especially in learning what works for people and communities through storytelling and research. I'm attending a @theNAMedicine day this month about persons access to their health data. #HITsm
Janice McCallum @janicemccallum
Welcome & great to see you here on the chat @matt_R_Fisher @mshlcurrie @emranswers @shereesePubHlth & everyone else signing on! #hitsm
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
Worse than jetlagged! Frankly I've been thinking more about architecture, archeology & art the last couple weeks, so it'll likely take me a while to get back into health-IT-workflow-everything-looks-like-a-nail-when-you-have-a-hammer shape, so too speak! Looking forward to #HITsm https://t.co/LATStjDy7i
Fogo Data Centers @FogoDataCenters
Lurking in today’s #HITsm chat with our friend @janicemccallum
Monica Stout, She/Her/Hers @MI_turnaround
Hey HITsm-ers! I feel like it's been a long time! I'm Monica. I'm the Marketing Director at MedicaSoft. I'm from all the places, but live in MI now. My favorite band @guster formed at @TuftsUniversity , so that's my favorite thing about (near) Boston! #HITsm
Healthcare Scene @HealthcareScene
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? @janicemccallum #HITsm https://t.co/wEDJG3JubH
Integrated Healthcare Association @IHAConvene
RT @janicemccallum: Welcome & great to see you here on the chat @matt_R_Fisher @mshlcurrie @emranswers @shereesePubHlth & everyone else signing on! #hitsm
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
I can do this! #HITsm https://t.co/Cs2xDazZjl
Janice McCallum @janicemccallum
@H_SalemOaks @SalemOaks Lurkers are welcome, but chime in today if you're inclined! #hitsm
Monica Stout, She/Her/Hers @MI_turnaround
@ShereesePubHlth Hey, friend! #HITsm https://t.co/iswo9n7VY7
Matt Fisher @Matt_R_Fisher
T1: Maybe I’ve missed something, but have there been specific details from CMS yet? Aren’t some regs still in process too? #HITsm
Medicomp Systems @MedicompSys
A1: The latest data and API standards are a step in the right direction, but most data standards aren’t built for use at the point of care, and many institutions aren’t making their #APIs easily available for use. #HITsm https://t.co/GBEwJ1FIuj
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
I don't have a clue! 😅 #HITsm (but am hoping this tweetchat will catch me up... ) https://t.co/1jkMnRdr9o
Monica Stout, She/Her/Hers @MI_turnaround
RT @HealthcareScene: T1: 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? @janicemccallum #HITsm https://t.co/wEDJG3JubH
John Lynn @techguy
@MI_turnaround @guster @TuftsUniversity Glad you could join. You've been missed. #HITsm
Michelle Currie @mshlcurrie
#HITsm T1: No downside to the standards, but in my experience, many organizations do not have knowledgeable resources that can put the standards to work to share/move data, even if they wanted to https://t.co/2fnVcvXpim
John Lynn @techguy
Sorry I was running a little late today for the #HITsm chat. Kids at home for the summer. I'm John. I work @HealthcareScene for @Colin_Hung My favorite thing in Boston is going to be 2 conferences next year. #HintHint
Karlea Abel @ruralhealthlady
RT @HealthcareScene: Welcome to today's #HITsm chat hosted by @janicemccallum on the topic of “CMS Wants Interoperability. Should Patient Data Access Champions Cheer – or Not?" Details: https://t.co/Z2EplMYbAP https://t.co/Gb1q38xgh9
Adrian Gropper @agropper
I'm with @PatientPrivacy and advocate for patients first in health information access and use. That means patients as first-class citizens with real market power. CMS is not there yet but I have hope. #HITsm
Julie Maas @JulieWMaas
Hello #HITsm, here from San Diego and my favorite thing about Boston (hard to choose...lived there for 6 years) is Dunkin Donuts' boston creams!!
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
Resonates.... regarding, for example, the usability of APIs, mandating them will just do to them what mandating meaningful use user requirements did to EHR usability, but then, I'm kinda jaded about govenment mandates.... #HITsm https://t.co/YMPEvHg7f9
Matt Fisher @Matt_R_Fisher
@mshlcurrie T1: Arguably there can be downsides to rigid regulatory standards if those standards aren’t flexible for future changes. #HITsm
Monica Stout, She/Her/Hers @MI_turnaround
T1: Any push toward interop/sharing of data is positive. Data should be able to move from apps to EHRs and vice versa, so docs & patients have a complete picture of their total health. Having interoperable APIs is a positive step. Having interoperable EHRs is better. #HITsm
Janice McCallum @janicemccallum
@GilmerHealthLaw @Matt_R_Fisher I'm pointing to existing announcements and proposals. #hitsm
Susan Houck Clark @SusanHouckClark
@mshlcurrie Almost exactly what I was about to say!! #hitsm
John Lynn @techguy
@janicemccallum @H_SalemOaks @SalemOaks What she said! #HITsm
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
MMMM! #HITsm https://t.co/wxeQUFFUBH
Monica Stout, She/Her/Hers @MI_turnaround
@techguy @guster @TuftsUniversity Thanks, John! Miss you guys! #HITsm
Karlea Abel @ruralhealthlady
Joining a little late. Hi #HITsm !
Matt Fisher @Matt_R_Fisher
@janicemccallum @GilmerHealthLaw To that point, most of those seem to be short on specific details. There are some good aspirations, but the devil is always in the details. #HITsm
John Lynn @techguy
I think the big thing missing is CMS having the power to really make this happen. They can cheer lead all they want, but they don't have any real power to make sure this happens. #HITsm https://t.co/13GFXLj3Zq
Monica Stout, She/Her/Hers @MI_turnaround
@Matt_R_Fisher @mshlcurrie Flexibility is so important for innovation to continue to happen! #HITsm
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
And likely will be in this case as well #HITsm https://t.co/fILHMEdsPp
Monica Stout, She/Her/Hers @MI_turnaround
RT @EMRAnswers:
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
GAWD NO! #HITsm https://t.co/Z37LDnXkb1
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
We can always count on John to bring the truth and I concur #HITsm https://t.co/5XEyfQJkd3
Michelle Currie @mshlcurrie
#hitsm We'll see if the government learns from it's mistakes under MU... https://t.co/dYxbDBWEWE
Danny van Leeuwen @HealthHats
A1 I'm concerned that the requirements are onerous for patients and clinicians #HITsm
Monica Stout, She/Her/Hers @MI_turnaround
Please, no! #HITsm https://t.co/o95h4HDvU7
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
I repeat #HITsm > Respectfully disagree. APIs in other industries not necessarily standardized. More important is API usability: API experts agree this #HITsm https://t.co/jmIAPIBTLd
Janice McCallum @janicemccallum
@mshlcurrie Michelle, don't you think provider orgs have had a lot of time to plan for data management and data exchange? #hitsm
Adrian Gropper @agropper
It's not time to cheer yet. CMS access under patient direction is restricted way beyond what the HHS API Task Force recommended. It's also incompatible with open source software projects for no reason at all. #HITsm https://t.co/DW9sZOLwSn
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
Meaningful use was a catastrophe for usability of EHR workflow... #hitsm (do we want to repeat the mistake relative to APIs?) https://t.co/xhGX9pTQZW
Monica Stout, She/Her/Hers @MI_turnaround
@GilmerHealthLaw Good point, any data sharing definitely needs patient input and ultimate control/ownership of the data! #HITsm
John Lynn @techguy
The good news is that many EHR vendors are more or less embracing this type of API philosophy anyway. Some more than others, but we've seen big improvement in this regard. Many realize that they can't be all things to everyone. #HITsm https://t.co/xPnnb0axvZ
Matt Fisher @Matt_R_Fisher
@janicemccallum @mshlcurrie While arguably have had lot of time, doesn’t mean could take advantage. Often pulled in many directions and anything involving provision of care will take priority. #HITsm
Monica Stout, She/Her/Hers @MI_turnaround
@GilmerHealthLaw Who knows your data better than you do? Nobody! #HITsm
Janice McCallum @janicemccallum
@ShereesePubHlth @techguy But #CMS has power when it comes to Medicare & Medicaid payments. #hitsm
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
Is there an echo in here? #HITsm https://t.co/grFiYWTPXp
John Lynn @techguy
Good insights. I also wonder if Commonwell and Carequality are going to become revenue engines as well. P.S. Don't forget the #HITsm hashtag :-) https://t.co/78OEIn87f2
Healthcare Scene @HealthcareScene
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? @janicemccallum #HITsm https://t.co/5b1O2bDkXU
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
T1 Nobody should be cheering, perhaps guardedly optimistic is a better reaction. What's missing is efficacy. #hitsm https://t.co/RA3TxC2Uva
Danny van Leeuwen @HealthHats
@GilmerHealthLaw #hitsm requiring registration with a US corporation
Monica Stout, She/Her/Hers @MI_turnaround
RT @HealthcareScene: T2: 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? @janicemccallum #HITsm https://t.co/5b1O2bDkXU
Matt Fisher @Matt_R_Fisher
@janicemccallum @ShereesePubHlth @techguy Good point. Even if falls under full HHS aegis, CMS has the opportunity to provide input. #HITsm
John Lynn @techguy
@GilmerHealthLaw Some of this goes to limited resources to make it happen as well, but you're right. #HITsm
David Harlow @healthblawg
ICYMI> Cybersecurity and Healthcare Panel Discussion with Government and Industry Experts #digitalhealth #hcldr #hitsm https://t.co/lmr3Ituzg3 https://t.co/OIr5qHxfAR
Monica Stout, She/Her/Hers @MI_turnaround
RT @EMRAnswers: T1:
Fogo Data Centers @FogoDataCenters
T1: It’s always a great idea to make #data easier to share- however there are a lot of considerations and processes to put in place 1st. #dataintegrity #access #standards #HITsm
Janice McCallum @janicemccallum
RT @wareFLO: I repeat #HITsm > Respectfully disagree. APIs in other industries not necessarily standardized. More important is API usability: API experts agree this #HITsm https://t.co/jmIAPIBTLd
Michelle Currie @mshlcurrie
@janicemccallum #hitsm Yes, and no. Most of the organizations I've worked with, and there have been many over the past 18 years, took a tactical approach. They did not think about reporting on data when they implemented their EMR, much less exchange of the data.
Karlea Abel @ruralhealthlady
I mean, Meaningful Use hasn't gone away. It just has a new name. For Medicaid providers, we still have our state run MU programs. #HITsm
Medicomp Systems @MedicompSys
Most patient data app vendors will benefit from MyHealthEData, but #data registries, clearinghouses and gateways that consolidate data from multiple systems will become more valuable, especially if they can effectively de-dup the data. #HITsm https://t.co/XQ5ZAAiNH4
John Lynn @techguy
@janicemccallum @ShereesePubHlth True that. They can say that if you want to get paid by Mediare/Medicaid you have to be open. Not sure they're brave enough to do that though. #HITsm
Matt Fisher @Matt_R_Fisher
T2: Arguably no one should be helped or hurt disproportionately. Good design and process will always attract users and adoption. #HITsm
Monica Stout, She/Her/Hers @MI_turnaround
RT @ShereesePubHlth: T1 Nobody should be cheering, perhaps guardedly optimistic is a better reaction. What's missing is efficacy. #hitsm https://t.co/RA3TxC2Uva
Mark A. Ulett @MarkAUlett
Want to engage your #healthcare team with a fun, free competition to win $1200 and prizes? Learn about emerging tech and the future of patient engagement with the @toeholdlearning Chatbot Challenge!. https://t.co/uEXByT8Her #hitsm #himss #digitalhealth #chatbots #mhealth #ahima https://t.co/WeY5gqlc24
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
Best article about API usability I ever read... in Dr. Dobbs (RIP) from 2004 https://t.co/jYOak56g18 #HITsm https://t.co/MZIwL1jeug
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
@techguy Yeah, I believe the EHR hate was premature. Granted past issues may rear their ugly head but those wiling to embrace this type of API have the probability of improving more so than others #HITsm
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
RT @ShereesePubHlth: @techguy Yeah, I believe the EHR hate was premature. Granted past issues may rear their ugly head but those wiling to embrace this type of API have the probability of improving more so than others #HITsm
Integrated Healthcare Association @IHAConvene
T2: Providers certainly don’t need another checkbox. #Workflow #HITsm https://t.co/8joA1i3ekz
Jared Jeffery @Jk_Jeffery
Jumping in a little late today! Hi all! #HITsm https://t.co/US3j2wFmQ0
Michelle Currie @mshlcurrie
@techguy @janicemccallum @ShereesePubHlth #hitsm That would require CMS to completely overhaul it's reimbursement/payment sytem in order to reimburse based on "openness." I don't see that happening any time soon
John Lynn @techguy
@mshlcurrie @janicemccallum So true! Reminds me of all the people that complain that billions was spent on EHR and it didn't solve the interoperability problem. That wasn't the intent of the money in the start. They weren't thinking about it or reporting on the data when they were implementing EHR. #HITsm
Jeremy Coleman @jeremycoleman
T2: Anyone that struggles to get data in realtime that exists outside HL7 v2.x will benefit from API's. #HITsm https://t.co/whxC8eKpYi
Janice McCallum @janicemccallum
@ShereesePubHlth You can put me in the 'guarded optimism' category! #hitsm
Janice McCallum @janicemccallum
RT @wareFLO: Best article about API usability I ever read... in Dr. Dobbs (RIP) from 2004 https://t.co/jYOak56g18 #HITsm https://t.co/MZIwL1jeug
Integrated Healthcare Association @IHAConvene
T2: #Usability, stakeholder involvement and development standards are all paramount to success. #HITsm
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
EHR hate is really MU hate. B4 MU, docs LOVED their EHRs! Wrote personal checks for them! Why? Great workflow! Workflow unperturbed by user requirements drafted by gov officials, policy wonks & academic clincial informaticists GRRRR don't get me going.... #HITsm https://t.co/pDvUlRvQUX
Patty Swisher @pmswish
@Jk_Jeffery me too! late to the p-a-r-t-y! #HITsm
Monica Stout, She/Her/Hers @MI_turnaround
@Jk_Jeffery Howdy, Jared! #HITsm https://t.co/xEUj1FBPKi
John Lynn @techguy
Such a challenging question. There will be some unforeseen consequences, but I think overall almost everyone benefits from an API ecosystem. #HITsm https://t.co/8v3Dc9WYAT
Jared Jeffery @Jk_Jeffery
RT @wareFLO: EHR hate is really MU hate. B4 MU, docs LOVED their EHRs! Wrote personal checks for them! Why? Great workflow! Workflow unperturbed by user requirements drafted by gov officials, policy wonks & academic clincial informaticists GRRRR don't get me going.... #HITsm https://t.co/pDvUlRvQUX
Danny van Leeuwen @HealthHats
@mshlcurrie @techguy @janicemccallum @ShereesePubHlth #hitsm I'm on a CMS TEP to recommend improvements to the value based measurement development system. We are looking at what it takes to have measures be more patient-centered: More longitudinal with shared accountability. They're listening. Not sure what will come of it.
CareMo @caring_mobile
RT @MarkAUlett: Want to engage your #healthcare team with a fun, free competition to win $1200 and prizes? Learn about emerging tech and the future of patient engagement with the @toeholdlearning Chatbot Challenge!. https://t.co/uEXByT8Her #hitsm #himss #digitalhealth #chatbots #mhealth #ahima https://t.co/WeY5gqlc24
John Lynn @techguy
I also wonder if what happened with Twitter will rear it's head with EHR APIs. (ie. EHRs competing with the 3rd party developers that built on their API). #HITsm https://t.co/hfcXjmZndP
Michelle Currie @mshlcurrie
@jeremycoleman #hitsm T2: Not necessarily, API's are dependent on RESTful and FHIR, and FHIR is a maturation of HL7v.2....
Jeremy Coleman @jeremycoleman
@techguy At least in the short term, integration resources that know both HL7 v2.x AND API's will be even harder to find and more expensive, but they teach web services in school. So there's that. #HITsm
John Lynn @techguy
@sassyconsu1tant Fear not! I'm 6 million #HITsm tweets in and I still forget sometimes.
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
RT @HealthHats: @mshlcurrie @techguy @janicemccallum @ShereesePubHlth #hitsm I'm on a CMS TEP to recommend improvements to the value based measurement development system. We are looking at what it takes to have measures be more patient-centered: More longitudinal with shared accountability. They're listening. Not sure what will come of it.
Karlea Abel @ruralhealthlady
T2: I will continue to complain that safety net providers like FQHCs are left behind, esp when requirements get more technical. We rarely are the target market for new developments but need the efficiency the most #HITsm
Michelle Currie @mshlcurrie
@HealthHats @techguy @janicemccallum @ShereesePubHlth #hitsm What is CMS "TEP"?
Monica Stout, She/Her/Hers @MI_turnaround
@wareFLO No more freedom to do what they want. Lots of rules, regs & requirements infringing on #workflow design. So, where do we find balance here between the rules/regs/req'ts that bind and docs loving their tech again? How do we fix that? #HITsm
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
@techguy Oh that's an excellent point. #hitsm
Edvaldo Martins Rosa @edy_chef
#NexstarFoundersDay #HITsm #PORESP #TravelSkills https://t.co/tklKWLqhjQ
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
If only we had a very special sort of time machine, one which could take an entire industry back to a critical, crucial fork in the road... instead of emphasizing data, what if we'd emphasized workflow? (We WOULD still have gotten the data! And been happier!) #HITsm https://t.co/r1iR4YHLE5
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
I believe we should all be in this category for now. #HITsm https://t.co/fh0cp8ZVDg
Monica Stout, She/Her/Hers @MI_turnaround
RT @techguy: Such a challenging question. There will be some unforeseen consequences, but I think overall almost everyone benefits from an API ecosystem. #HITsm https://t.co/8v3Dc9WYAT
Jeremy Coleman @jeremycoleman
I would only say the bright side could be that API's would make "integration as a service" much more plausible. #HITsm https://t.co/g8UBqFpneR
John Lynn @techguy
@SavageLucia @GilmerHealthLaw I think there's some confusion in what was being said. We were just saying that HHS and OCR, etc are under resourced. Not that they aren't HIPAA compliant. #HITsm
Healthcare Scene @HealthcareScene
T3: Do you think patient access to full health records will be more affordable due to MyHealthEData? @janicemccallum #HITsm https://t.co/5c17WbAmbW
Danny van Leeuwen @HealthHats
@mshlcurrie @techguy @janicemccallum @ShereesePubHlth #hitsm Technical Expert Panel. CMS convened a panel of 20 people (clinicians, NCQA, JCAHO, measure developers, patients) to advise them.
Michelle Currie @mshlcurrie
@jeremycoleman @techguy #hitsm Agree, moving to web services was a huge move in the right direction to address scarcity of resources!! Now need to address the resource constraints of those who understand HL7/FHIR.
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
Too late for EHRs. I'd no more try to reinvent the EHR than try to build a better MS Word. Best thing to do is make the EHR obsolete. #HITsm https://t.co/GdZgYzyzc2
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
@mshlcurrie @techguy @janicemccallum They're saying by 2019 but I don't see that either. That said, I honestly hope they can make this happen #HITsm
Monica Stout, She/Her/Hers @MI_turnaround
RT @HealthcareScene: T3: T3: Do you think patient access to full health records will be more affordable due to MyHealthEData? @janicemccallum #HITsm https://t.co/5c17WbAmbW
Matt Fisher @Matt_R_Fisher
T3: Shouldn’t and don’t really need MyHealthEData to make access more affordable. Clear #HIPAA based guidance on that front. #HITsm
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
RT @MI_turnaround: @wareFLO No more freedom to do what they want. Lots of rules, regs & requirements infringing on #workflow design. So, where do we find balance here between the rules/regs/req'ts that bind and docs loving their tech again? How do we fix that? #HITsm
John Lynn @techguy
RT @wareFLO: EHR hate is really MU hate. B4 MU, docs LOVED their EHRs! Wrote personal checks for them! Why? Great workflow! Workflow unperturbed by user requirements drafted by gov officials, policy wonks & academic clincial informaticists GRRRR don't get me going.... #HITsm https://t.co/pDvUlRvQUX
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
RT @EMRAnswers:
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
RT @Matt_R_Fisher: T3: T3: Shouldn’t and don’t really need MyHealthEData to make access more affordable. Clear #HIPAA based guidance on that front. #HITsm
Lucia Savage @SavageLucia
@HealthcareScene @janicemccallum #HITsm EHR vendor told me recently that even though CURES allows them to make #PHI directly available to individuals (using an API) they won't be doing that out of deference to their provider/hospital customers. Sad!
Chad Johnson @OchoTex
@techguy There will always be variance in how vendors adhere to a standard (there is always flexibility). Any sort of guidance from CMS is helpful, especially if those standards are included in future certifications. #HITsm
Healthcare Scene @HealthcareScene
Thanks for joining Stanley, but don't forget to add the #HITsm hashtag so everyone can see what you're sharing. https://t.co/K0QhInrRus
Monica Stout, She/Her/Hers @MI_turnaround
T3: is anything in healthcare "affordable?" 🤔🤔🤔 #HITsm https://t.co/K3tivlZRl4
Healthcare Scene @HealthcareScene
#HITsm https://t.co/23DWTguMgV
Laura Matuszak @MatuszakLaura
RT @wareFLO: EHR hate is really MU hate. B4 MU, docs LOVED their EHRs! Wrote personal checks for them! Why? Great workflow! Workflow unperturbed by user requirements drafted by gov officials, policy wonks & academic clincial informaticists GRRRR don't get me going.... #HITsm https://t.co/pDvUlRvQUX
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
@OchoTex @techguy And to be fair, @CMS guidance is always comprehensive and accessible #hitsm
Healthcare Scene @HealthcareScene
RT @SavageLucia: @HealthcareScene @janicemccallum #HITsm EHR vendor told me recently that even though CURES allows them to make #PHI directly available to individuals (using an API) they won't be doing that out of deference to their provider/hospital customers. Sad!
Karlea Abel @ruralhealthlady
"Yes, but" 😛 a lot of providers existed (cough, exist) half on paper half on EMR. Why should they get incentive money for the tech if they refuse to use it for what it is? (But then, EMR vendors make life hell, should hire more end users) #HITsm https://t.co/HcuBrVtC0k
Janice McCallum @janicemccallum
But @wareFLO were those EHRs using some sort of common data standards to facilitate data exchange beyond their org borders? #HITsm https://t.co/CLv8SwwKDq
John Lynn @techguy
I think many of the EHR vendors closedness is as much a reflection of their customers desires as the EHR vendor's desire. #HITsm #VerySad https://t.co/O7G9sPipAQ
Matt Fisher @Matt_R_Fisher
@wareFLO On that point, have talked with people developing new tools that could take place. Those are more interesting IMO. #HITsm
Jared Jeffery @Jk_Jeffery
@MI_turnaround I haven't gotten a bill for all the robo-calls my provider keeps sending me yet.... 🙄#HITsm
Monica Stout, She/Her/Hers @MI_turnaround
@wareFLO What do you see replacing the EHR, Chuck? What does the exam room of the future look like? #VR? #telehealth? #Alexa / #AI? Something else? #HITsm
Danny van Leeuwen @HealthHats
@SavageLucia @HealthcareScene @janicemccallum #hitsm It's not the hospitals we should be concerned about. It's physician practices. Little healthcare happens in the hospital %wise
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
oooo ... #HITsm https://t.co/uo1sl3A3aS
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
@MI_turnaround Elopement! It may be now be more affordable not to use the current healthcare system and face penalties. IMHO, #DirectPrimaryCare needs to emerge as a model and disrupt this nonsense #insurancereform #hitsm
Michelle Currie @mshlcurrie
@MI_turnaround @wareFLO #HITsm The ecosystem is bigger than "docs loving their tech." Granted it has to work for them as well to avoid burnout, etc. but they are not the only stakeholder... Again, it's a resource constraint of those who understand the big picture and can knit it together elegantly
John Lynn @techguy
I think the sad reality is that many EHR vendors look at interoperability as a new revenue source. #HITsm https://t.co/fJxFjhVnlx
Michelle Currie @mshlcurrie
@wareFLO #HITsm PREACH!!! :)
Jared Jeffery @Jk_Jeffery
I wouldn't be able to say - but I sincerely hope it will be. Used to work in disability and SO many people were denied necessary benefits because they were too poor to pay the printing fees for their MR. #HITsm https://t.co/cMshYiRmMd
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
@HealthHats @mshlcurrie @techguy @janicemccallum I won't go here today, lol #hitsm https://t.co/X9EMPlQ01W
Jeremy Coleman @jeremycoleman
@techguy Too many customers want to use vendors as a boogeyman that gives them, facilities, a badguy to blame. #HITsm
John Lynn @techguy
Reminds me of @interopguy's favorite topic of testing the API to ensure the standard has been met. If you don't test it, then that allows all sorts of "flexibility." #HITsm https://t.co/sPzJ3WOcrq
Stanley Nachimson @NachAdvisors
@HealthcareScene @janicemccallum #HITsm Great start, but I think what is missing is security/privacy protections and accuracy guarantees. Data is great unless its wrong!
Janice McCallum @janicemccallum
@MI_turnaround It's my new mantra: will it reduce costs? If not, it's not solving the most important problem. #hitsm
Matt Fisher @Matt_R_Fisher
Adding #HITsm so others don’t miss this. https://t.co/frb3puBPC1
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
Mixture of all those, plus other stuff, some not invented yet. BUT (who knew I was going to say this?) there is one technology which will be used to glue all these other technologies together? What is that tech? All together now.... #HITsm https://t.co/F8ZQgW8wqA
The HealthCare IT Experts Blog @HCITExpert
[Today] #HITsm TweetChat, on Twitter at - June 15, 2018 at 10:30PM IST | Topics | @HealthcareScene - https://t.co/K7wh2zv2MQ
Michelle Currie @mshlcurrie
@HealthHats @techguy @janicemccallum @ShereesePubHlth #HITsm Ha! And I somehow missed out! do you have a link to the work? I'm on every damn HIMSS workgroup there is and still am not hitting the target
Jeremy Coleman @jeremycoleman
I would agree with everything except the word "new" . #HITsm https://t.co/sBe3D0Ms8f
Matt Fisher @Matt_R_Fisher
@GilmerHealthLaw Yes, state law does set in some instances, but can’t allow a fee not “reasonable” under HIPAA. Know that can be open to interpretation, but the guidance does help set some parameters. #HITsm
John Lynn @techguy
@HealthHats @SavageLucia @HealthcareScene @janicemccallum Except that now most hospitals own hundreds of practices. #HITsm
Karlea Abel @ruralhealthlady
@MI_turnaround @wareFLO I hope it's voice recognition. "Alexa, chart Vitals, BP 140/90, remind me to recheck in 10 minutes" #hitsm #thefutureofhealthcare
Ben Moscovitch @benmoscovitch
RT @SavageLucia: @HealthcareScene @janicemccallum #HITsm EHR vendor told me recently that even though CURES allows them to make #PHI directly available to individuals (using an API) they won't be doing that out of deference to their provider/hospital customers. Sad!
Danny van Leeuwen @HealthHats
I agree with cost and access, but also the EHR doesn't contain much data that is important to me: personal health goals, other determinants of health, what works when I'm scared or in pain and what doesn't. My plan of care. #HITsm
Michelle Currie @mshlcurrie
@janicemccallum @wareFLO #HITsm NO THEY WEREN'T. That's the problem
John @joltdude
RT @techguy: I think the sad reality is that many EHR vendors look at interoperability as a new revenue source. #HITsm https://t.co/fJxFjhVnlx
Michael Crone @LeadGenMike
RT @HCITExpert: [Today] #HITsm TweetChat, on Twitter at - June 15, 2018 at 10:30PM IST | Topics | @HealthcareScene - https://t.co/K7wh2zv2MQ
Joe Babaian 🇺🇦 @JoeBabaian
RT @Jk_Jeffery: I wouldn't be able to say - but I sincerely hope it will be. Used to work in disability and SO many people were denied necessary benefits because they were too poor to pay the printing fees for their MR. #HITsm https://t.co/cMshYiRmMd
Monica Stout, She/Her/Hers @MI_turnaround
@ShereesePubHlth One of the things I love about the @CitizenHealthio model! 🙌 #HITsm
Stanley Nachimson @NachAdvisors
@HealthcareScene @janicemccallum #HITsm No reason to think so. There are costs in building new technologies to market this. And there is no guarantee that patients will use or pay for it. So far, PHR technology has been a bust. We need to show good reasons for patient access, not just provide it.
Integrated Healthcare Association @IHAConvene
RT @janicemccallum: @MI_turnaround It's my new mantra: @MI_turnaround It's my new mantra: will it reduce costs? If not, it's not solving the most important problem. #hitsm
Janice McCallum @janicemccallum
RT @Matt_R_Fisher: Adding #HITsm so others don’t miss this. https://t.co/HgrQiGlI25 Thanks Matt!
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
@wareFLO Doc!!! The shock of those words. It's far too early to give up on EHR's. Slow your roll, friend. EHRs are still in infancy, would you agree? We need to reassess & revise current EHRs, not abandon them #HITsm https://t.co/dJvrsW7ZBh
Jared Jeffery @Jk_Jeffery
@GilmerHealthLaw Exactly. Often times our firm would end up just picking up the tab on the MR fees. Just so the attorney didn't have to go argue disability empty-handed over something so silly. #HITsm
Karlea Abel @ruralhealthlady
Ugh. And again, without really putting the necessary functionality in it. #hitsm https://t.co/AnydfoSici
Healthcare Scene @HealthcareScene
RT @HealthHats: I agree with cost and access, but also the EHR doesn't contain much data that is important to me: I agree with cost and access, but also the EHR doesn't contain much data that is important to me: personal health goals, other determinants of health, what works when I'm scared or in pain and what doesn't. My plan of care. #HITsm
EMR, EHR and HIT @ehrandhit
RT @SavageLucia: @HealthcareScene @janicemccallum #HITsm EHR vendor told me recently that even though CURES allows them to make #PHI directly available to individuals (using an API) they won't be doing that out of deference to their provider/hospital customers. Sad!
Healthcare Scene @HealthcareScene
RT @sassyconsu1tant: @MI_turnaround @wareFLO I hope it's voice recognition. "Alexa, chart Vitals, BP 140/90, remind me to recheck in 10 minutes" #hitsm #thefutureofhealthcare
Healthcare Scene @HealthcareScene
RT @jeremycoleman: I would agree with everything except the word "new" . #HITsm https://t.co/sBe3D0Ms8f
Monica Stout, She/Her/Hers @MI_turnaround
@sassyconsu1tant @wareFLO No paper. No laptop. No iPad. No phone. Just Alexa saving all that data to the cloud. #HITsm
EMR, EHR and HIT @ehrandhit
More people connection and less HIMSS :-) #HITsm https://t.co/VJ0Mt4lUZu
Danny van Leeuwen @HealthHats
@mshlcurrie @techguy @janicemccallum @ShereesePubHlth #hitsm Here's a blog post where I wrote about it. https://t.co/IeyZWipi9t
Pas Moi @pmeganb
RT @techguy: I think the sad reality is that many EHR vendors look at interoperability as a new revenue source. #HITsm https://t.co/fJxFjhVnlx
Healthcare Scene @HealthcareScene
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? @janicemccallum #HITsm https://t.co/L4ASRPu5tS
Janice McCallum @janicemccallum
Sad, indeed! RT @SavageLucia: @HealthcareScene @janicemccallum #HITsm EHR vendor told me recently that even though CURES allows them to make #PHI directly available to individuals (using an API) they won't be doing that out of deference to their provider/hospital customers. Sad!
Healthcare Scene @HealthcareScene
RT @NachAdvisors: @HealthcareScene @janicemccallum #HITsm Great start, but I think what is missing is security/privacy protections and accuracy guarantees. Data is great unless its wrong!
Joe Babaian 🇺🇦 @JoeBabaian
@Jk_Jeffery A real barrier that many don't realize exists. For so many of us, it's just another expense. For others, it's an insurmountable barrier since they have no more $ to spend. Well said. #SDoH #HITsm
Michelle Currie @mshlcurrie
@techguy @interopguy #hitsm Don't get me started on how they tested that CCD/CCDA were compliant....
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
Regarding virtual reality as a user interface, this from a blog post I'm working on #HITsm (BTW VR authoring systems share lots in common w/workflow management systems. Non-programmers can create environments, then program behaviors via workflow editor-like VR behavior editors!) https://t.co/lxCD1k12Ht
Jared Jeffery @Jk_Jeffery
@MI_turnaround @sassyconsu1tant @wareFLO Take it one step further - Amazon's cashier-less grocery store. Just have AI-enabled cameras that watch and make notes based on activity in the room. No voice commands necessary at all as all devices would be linked to the EMR directly & smart enough to add relevant data. #HITsm
Monica Stout, She/Her/Hers @MI_turnaround
@ShereesePubHlth @wareFLO I think he's saying they need to evolve like any other technology. Look at computers from when they started to now. Look at EHRs from where they started, to now, to where they need to go to be a useful tool to anyone who touches them. #HITsm
Karlea Abel @ruralhealthlady
@EMRAnswers @janicemccallum At FQHCs, they can barely stay on top of the changes, upgrades, & patient safety notifications...& and that's just whatever is status quo right now! #hitsm
Stanley Nachimson @NachAdvisors
@wareFLO #HITsm We need to concern ourselves with patient workflow! Data no good unless I can use it easily.
Janice McCallum @janicemccallum
Wanted to RT comment from @Greg_Meyer93: Will miss #HITsm today, but love the topics (wish I could be there). One thought, APIs in their current context (at least for patient access and provider apps) are not #interoperability concepts, but instead EHR as platform enablers.
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
RT @HealthHats: @mshlcurrie @techguy @janicemccallum @ShereesePubHlth #hitsm Here's a blog post where I wrote about it. https://t.co/IeyZWipi9t
Jeremy Coleman @jeremycoleman
Greater interoperability makes the chances of accuracy higher. Interoperability is almost always more secure than the workarounds people create mostly with paper. #HITsm https://t.co/xbtKehos9f
Monica Stout, She/Her/Hers @MI_turnaround
RT @HealthcareScene: T4: 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? @janicemccallum #HITsm https://t.co/L4ASRPu5tS
Joe Babaian 🇺🇦 @JoeBabaian
@Jk_Jeffery @MI_turnaround I love the robo-calls reminding me to use the 'new' portal and to call in to request credentials to use said portal...... 😂 #HITsm
John Lynn @techguy
@mshlcurrie @interopguy When someone says "don't get me started" I instinctively need to get you started. That's usually when someone has the best insights. *grabs the popcorn* #HITsm
Jared Jeffery @Jk_Jeffery
@JoeBabaian Right? And that's ON TOP of the 2 hour drive they made just to GET to that doctor, with a friend's borrowed car and their last $20 in the gas tank. Only to be told it's $.10 per sheet on a 300pg. medical record. #HITsm
Integrated Healthcare Association @IHAConvene
It’s always important to stress usable data and data integrity = improved workflow, less busy work for providers & better patient outcomes. #value #API #interoperability #HITsm @janicemccallum
Medicomp Systems @MedicompSys
T4: It is going to take several years to make the data usable, because there are lots of existing problems with receiving data from API feeds, like de-duplicating, lack of negation or granularity in data standards, and lack of openness of systems like Apple Health. #HITsm
Karlea Abel @ruralhealthlady
@Jk_Jeffery @MI_turnaround @wareFLO Yes. I like this. Sounds like our new business plan. #hitsm
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
@sassyconsu1tant @MI_turnaround They'll be multimodal, meaning they'll shift automatics among different styles of user input, from voice to gesture to clicking to, yes, even typing! The trick will be them recognizing which option to present when during clinical workflow #HITsm https://t.co/24BFUjGucY
Stanley Nachimson @NachAdvisors
@jeremycoleman #HITsm Or greater interoperability let’s bad data spread more quickly!
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
Evolution is always a problem in healthcare because regulation rarely keeps up with innovation and patients adopt to change better/faster than systems #hitsm https://t.co/ilkdjgzAn5
Jeremy Coleman @jeremycoleman
T4: Patients will immediately find it useful. I'm more interested in figuring out how measure the impact on health outcomes. #HITsm https://t.co/3Y450K0IVg
John Lynn @techguy
RT @jeremycoleman: Greater interoperability makes the chances of accuracy higher. Interoperability is almost always more secure than the workarounds people create mostly with paper. #HITsm https://t.co/xbtKehos9f
Matt Fisher @Matt_R_Fisher
@MedicompSys Also need to remember that Apple represents minority of mobile devices too. Can be hard to remember, but Android far outpaces. #HITsm
Monica Stout, She/Her/Hers @MI_turnaround
T4: Apps for patients w/chronic/complex conditions is useful & we're probably close. Do those folks really want to be reminded constantly how ill they are? Isn't that a barrier to adoption currently? Yes, we always need to help patients w/ any condition ... (1/2) #HITsm
John Lynn @techguy
RT @sassyconsu1tant: @EMRAnswers @janicemccallum At FQHCs, they can barely stay on top of the changes, upgrades, & patient safety notifications...& and that's just whatever is status quo right now! #hitsm
Jeremy Coleman @jeremycoleman
While possible. I think the wikipedia model has already proven that this is a myth. #HITsm https://t.co/KREBeFMD4l
Jared Jeffery @Jk_Jeffery
@GilmerHealthLaw It's true. I spent 4 years doing in the disability law field and I eventually just couldn't hack it anymore. I was supposed to be a case manager, in reality I was a therapist talking people off the ledge, that also had to fight with SSA over benefits. #HITsm
Reed Abelson @ReedAbelson
RT @SavageLucia: @HealthcareScene @janicemccallum #HITsm EHR vendor told me recently that even though CURES allows them to make #PHI directly available to individuals (using an API) they won't be doing that out of deference to their provider/hospital customers. Sad!
Karlea Abel @ruralhealthlady
@Jk_Jeffery @JoeBabaian Yep, this is the world of FQHCs too. Understaffed medical records departments because no one pays for it but can't not do it! #hitsm
Danny van Leeuwen @HealthHats
@ShereesePubHlth #hitsm Be careful when talking about what patients can or will do. We are not the norm.
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
Workflow first. Data second. #HITsm Right now EHRs are essentially DB Mgmt Systems, but need WF Mgmt Systems! (much easier to add data functionality to WfMS, than add WF functionality to DBMS) https://t.co/peUvQlXhJY
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
RT @NachAdvisors: @wareFLO #HITsm We need to concern ourselves with patient workflow! Data no good unless I can use it easily.
Kimberly George @kimberlyanngeo
@Jk_Jeffery This was topic of a tweet chat I hosted in Nov. Receipt of medical is a significant issue impacting financial health of patients and job protection. Lack of medical = denial. Our clients ask us to secure the records on behalf of patient and it is horrendously difficult. #HITsm
Michelle Currie @mshlcurrie
@HealthcareScene @janicemccallum #HITsm There are many apps that are helping those with cc. Check out @LivongoHealth they are helping iwth DM
Fogo Data Centers @FogoDataCenters
RT @janicemccallum: Wanted to RT comment from @Greg_Meyer93: Wanted to RT comment from @Greg_Meyer93: Will miss #HITsm today, but love the topics (wish I could be there). One thought, APIs in their current context (at least for patient access and provider apps) are not #interoperability concepts, but instead EHR as platform enablers.
Jeremy Coleman @jeremycoleman
I think the education will create the value because patients will be able to use the data in a deeper way to see how this data is a true reflection of their health. #HITsm https://t.co/NrrYODru4Z
Patty Swisher @pmswish
T4. I think it depends on which patients, with which conditions whether or not they will find it useful. #HITsm
Janice McCallum @janicemccallum
@wareFLO Interesting re virtual reality as interface. We talked about Chatbots not long ago, but I look forward to moving to VR! #hitsm
Monica Stout, She/Her/Hers @MI_turnaround
T4: Cont'd: But we also need to help, guide, and motivate people on the cusp of sickness as well as the healthy folks in the world to stay in tune with their wellness and stay healthy. Are we close to that? There are apps to help. Tying it all together? Not yet. #HITsm
Kimberly George @kimberlyanngeo
@Jk_Jeffery @GilmerHealthLaw And another challenge with the disability process, especially with mental health claims, is the treating provider not submitting the appropriate documentation to substantiate the disability. #HITsm
John Lynn @techguy
@Jk_Jeffery @MI_turnaround @sassyconsu1tant @wareFLO I was talking with a startup I advise about implementing some technology like this in a practice. Is a paper-less check in process possible in a healthcare practice. Lots of great opportunities here to create an amazing patient experience. #HITsm
Janice McCallum @janicemccallum
@wareFLO Agree, we've expected too much from a basic database system. #EHRs are just a piece (a static piece) of a workflow system. #hitsm
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
"EHR" is now a curseword among physicians. And EHR workflow is effectively pinned by regulations and layers of other systems. Best we can hope for it is to become part of the data plumbing, never to darken docs doorways again.... muhahahah! #HITsm https://t.co/2O4ATdpUuy
David Harlow @healthblawg
Late to #HITsm tweetchat but wanted to drop some thoughts here ...
Geeky Fox @TechKitsune
Q4: A while, healthcare has a technology hurdle to get over. Fax machines are still being used for patient information. Until with develop and ADOPT new tech, and are willing to change, it will be a while. #hitsm
Stanley Nachimson @NachAdvisors
@HealthcareScene @janicemccallum There are already apps focused on certain complex conditions, some are quite usable. Should we be building general apps, condition specific apps? Do we need ways to share data from app to app? #HITsm
Joe Babaian 🇺🇦 @JoeBabaian
RT @Jk_Jeffery: @JoeBabaian Right? And that's ON TOP of the 2 hour drive they made just to GET to that doctor, with a friend's borrowed car and their last $20 in the gas tank. Only to be told it's $.10 per sheet on a 300pg. medical record. #HITsm
John Lynn @techguy
Some good points. However, putting off access to the data will just put off doing the work required to clean this up. So, we need to get started with this work now. #HITsm https://t.co/PExF7ilzQ5
Kimberly George @kimberlyanngeo
@Jk_Jeffery @GilmerHealthLaw The treating provider just sends notes without substantiation and when objective medical is needed to support the definition of disability per the disability plan the provider uses HIPAA as an excuse not to provide info. #HITsm
Jared Jeffery @Jk_Jeffery
@kimberlyanngeo So many forms.. and I can't remember the name of it now … SSA-827 for requesting medical records on a client's behalf?? I think that's the one. And each SSA office has a different expectation of when an 827 is considered "expired." Ugh. I'm having war flashbacks! #HITsm
Healthcare Scene @HealthcareScene
RT @mshlcurrie: @HealthcareScene @janicemccallum #HITsm There are many apps that are helping those with cc. Check out @LivongoHealth they are helping iwth DM
Karlea Abel @ruralhealthlady
Serious question: is there evidence that apps actually improve outcomes? Is there a database for that type of research? Haven't implemented one with a provider yet.#hitsm https://t.co/MhvJgBU1PK
Healthcare Scene @HealthcareScene
RT @kimberlyanngeo: @Jk_Jeffery @GilmerHealthLaw And another challenge with the disability process, especially with mental health claims, is the treating provider not submitting the appropriate documentation to substantiate the disability. #HITsm
Joe Babaian 🇺🇦 @JoeBabaian
@Jk_Jeffery Bingo! It's death by a 1000 cuts that many never see. It's heartbreaking & demoralizing. #HITsm #hcldr
EMR, EHR and HIT @ehrandhit
RT @MI_turnaround: T4: Cont'd: T4: Cont'd: But we also need to help, guide, and motivate people on the cusp of sickness as well as the healthy folks in the world to stay in tune with their wellness and stay healthy. Are we close to that? There are apps to help. Tying it all together? Not yet. #HITsm
Healthcare Scene @HealthcareScene
T5: What’s the likely business model for the app developers? @janicemccallum #HITsm https://t.co/1i5HdTi5oy
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
@wareFLO I agree but there is hope. If we remove the over-regulation, embrace patient-generate data, and improve workflows, EHRs have a place in exam rooms; they aren't the enemy, outside forces are #HITsm
Jared Jeffery @Jk_Jeffery
@kimberlyanngeo @GilmerHealthLaw It's like you're reading my mind. #HITsm https://t.co/IEUDm6UXLa
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
RT @HealthcareScene: T5: T5: What’s the likely business model for the app developers? @janicemccallum #HITsm https://t.co/1i5HdTi5oy
Healthcare Scene @HealthcareScene
RT @jeremycoleman: I think the education will create the value because patients will be able to use the data in a deeper way to see how this data is a true reflection of their health. #HITsm https://t.co/NrrYODru4Z
EMR, EHR and HIT @ehrandhit
RT @janicemccallum: Wanted to RT comment from @Greg_Meyer93: Wanted to RT comment from @Greg_Meyer93: Will miss #HITsm today, but love the topics (wish I could be there). One thought, APIs in their current context (at least for patient access and provider apps) are not #interoperability concepts, but instead EHR as platform enablers.
Stanley Nachimson @NachAdvisors
@MI_turnaround It would be good to have apps that allow caregivers to montior those chronic and complex condtions so patients don't have to #hitsm
Karlea Abel @ruralhealthlady
@NachAdvisors @HealthcareScene @janicemccallum Share data app to app, yes! My patient portal should talk to whatever chronic condition app I want as a patient #hitsm
Kimberly George @kimberlyanngeo
@Jk_Jeffery Exactly. In my company each employer may have multiple plans - one has over 27 - and forms, definitions, etc all vary. We must create an electronic solutions for patients, docs, and payers. #HITsm
Alec Pettifer @alecpett
RT @healthblawg: Late to #HITsm tweetchat but wanted to drop some thoughts here ...
Alec Pettifer @alecpett
RT @TechKitsune: Q4: Q4: A while, healthcare has a technology hurdle to get over. Fax machines are still being used for patient information. Until with develop and ADOPT new tech, and are willing to change, it will be a while. #hitsm
Alec Pettifer @alecpett
RT @techguy: Some good points. However, putting off access to the data will just put off doing the work required to clean this up. So, we need to get started with this work now. #HITsm https://t.co/PExF7ilzQ5
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
I counted over a hundred #HIMSS18 exhibitors who use workflow engines in some way. Some are pureplay #BPM (Business Process Mgmt) vendors coming into HC. Some are trad HIT (but non-EHR) vendors retrofiting WF tech. Guess where I did NOT find them? EHRs! Zip! Nada! Sad! SMH #HITsm https://t.co/STA9afgK2T
Alec Pettifer @alecpett
RT @sassyconsu1tant: Serious question: Serious question: is there evidence that apps actually improve outcomes? Is there a database for that type of research? Haven't implemented one with a provider yet.#hitsm https://t.co/MhvJgBU1PK
Danny van Leeuwen @HealthHats
@sassyconsu1tant #hitsm I'd have to check my reference database, but yes there are studies in JMIR over the past couple of years.
Alec Pettifer @alecpett
RT @HealthcareScene: T5: T5: What’s the likely business model for the app developers? @janicemccallum #HITsm https://t.co/1i5HdTi5oy
Michelle Currie @mshlcurrie
@NachAdvisors @jeremycoleman #HITsm YES. "Watch what you ask for, you just might get it!" The problem with increasing calls for #interoperability without understanding the core issues related to that demand
Healthcare Scene @HealthcareScene
RT @jeremycoleman: While possible. I think the wikipedia model has already proven that this is a myth. #HITsm https://t.co/KREBeFMD4l
Monica Stout, She/Her/Hers @MI_turnaround
@GilmerHealthLaw @Jk_Jeffery @JoeBabaian Oh, goodness. How much muscle did you build hauling all that around? Yikes. #HITsm https://t.co/ozwbzNqxFc
Jared Jeffery @Jk_Jeffery
You made sure to add back pain to your list of diagnoses after hauling all that around? Right? At least CDs are lightweight. . . #HITsm https://t.co/4L4dyTEaM8
Healthcare Scene @HealthcareScene
RT @Matt_R_Fisher: @MedicompSys Also need to remember that Apple represents minority of mobile devices too. Can be hard to remember, but Android far outpaces. #HITsm
Karlea Abel @ruralhealthlady
@TechKitsune I was wondering how long it would be before someone brought up fax machines 😂 #hitsm https://t.co/h7pY79H7dH
Matt Fisher @Matt_R_Fisher
Have to drop off #HITsm early, but enjoyed the conversation. Hope everyone has a good weekend. Thanks @janicemccallum for the topics. https://t.co/XVVR5BTLZ2
Healthcare IT Today @hcittoday
RT @jeremycoleman: Greater interoperability makes the chances of accuracy higher. Interoperability is almost always more secure than the workarounds people create mostly with paper. #HITsm https://t.co/xbtKehos9f
Stanley Nachimson @NachAdvisors
@SavageLucia @HealthcareScene @janicemccallum Better question is if there is a demand for such a function. Probably not, or providers would be asking for it. #hitsm
Jeremy Coleman @jeremycoleman
T5: I honestly believe that some developers could eventually be included in on at risk contracts. Why not? #HITsm https://t.co/X1s5BTS6tk
John Lynn @techguy
The challenging thing is that this is counter intuitive and so many people don't realize it. #HITsm https://t.co/TUfcCvx8vV
Michelle Currie @mshlcurrie
@jeremycoleman #HITsm GOOD POINT!
Danny van Leeuwen @HealthHats
@NachAdvisors @MI_turnaround #hitsm are you referring to paid or family caregivers? Maybe it doesn't matter. My experience is that caregivers of any sort usually don't have time for apps or a habit of using them
David Harlow @healthblawg
Tucked into back of Medicare hosp PPS NPRM is RFI re: making pt access to health records a condition of participation in Medicare. An enforcement mechanism the likes of which we have not seen. Yes, providers already supposed to do this, but this'll be quite the hammer #HITsm
Monica Stout, She/Her/Hers @MI_turnaround
@NachAdvisors Absolutely! Let patients decide who sees their data and give access to caregivers so they don't have to! #HITsm
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
T5 Collaborative model whereby they work with established vendors. Developers have the freedom & flexibility most HC vendors don't. Working together will meet at a place that's disruptive & beneficial to stakeholders #hitsm https://t.co/hnLr4Yq2NK
Medicomp Systems @MedicompSys
T5: 1 of the emerging business models is to have the data “coordination” managed by PHRs like CareSync, & paid by insurance companies through a dedicated CPT. Similarly, insurance plans & employers can subsidize specific clearinghouses or apps that offer such coordination. #hitsm
Monica Stout, She/Her/Hers @MI_turnaround
RT @ShereesePubHlth: T5 Collaborative model whereby they work with established vendors. Developers have the freedom & flexibility most HC vendors don't. Working together will meet at a place that's disruptive & beneficial to stakeholders #hitsm https://t.co/hnLr4Yq2NK
John Lynn @techguy
I know a number of startups that are happy to go at risk. They have extreme confidence in their ability to deliver and so going at risk is a great business model when your solution works well. #HITsm https://t.co/8Qo5ZwtvOG
Kimberly George @kimberlyanngeo
RT @ShereesePubHlth: T5 Collaborative model whereby they work with established vendors. Developers have the freedom & flexibility most HC vendors don't. Working together will meet at a place that's disruptive & beneficial to stakeholders #hitsm https://t.co/hnLr4Yq2NK
Jared Jeffery @Jk_Jeffery
@Matt_R_Fisher @janicemccallum #HITsm https://t.co/yWkHmlucYQ
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
If, if, if! My dad had a saying: If wishes were horses, beggars would ride; if wishes were watches, I'd wear one by my side. Whole lot of wishful thinking in the EHR industry.... #HITsm At the very least, "EHR" will likely be renamed, just hope not old wine in new bottles! https://t.co/5COPziglaR
Kimberly George @kimberlyanngeo
RT @Jk_Jeffery: I wouldn't be able to say - but I sincerely hope it will be. Used to work in disability and SO many people were denied necessary benefits because they were too poor to pay the printing fees for their MR. #HITsm https://t.co/cMshYiRmMd
Jeremy Coleman @jeremycoleman
@techguy We have to recognize that interoperability is happening. Too many times, its forced into a workflow of people and paper that a "not perfect, but better" electronic process would vastly improve. #HITsm
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
RT @wareFLO: If, if, if! My dad had a saying: If, if, if! My dad had a saying: If wishes were horses, beggars would ride; if wishes were watches, I'd wear one by my side. Whole lot of wishful thinking in the EHR industry.... #HITsm At the very least, "EHR" will likely be renamed, just hope not old wine in new bottles! https://t.co/5COPziglaR
Michelle Currie @mshlcurrie
#HITsm sometimes I wish there were less questions on tweetchats. We just get into the meat, and then another question comes up. Am I just too slow? hahahaha
Janice McCallum @janicemccallum
@Jk_Jeffery Thanks for illustrating my concerns about costs with your examples! https://t.co/yCJsnekl7Y #HITsm
Fogo Data Centers @FogoDataCenters
RT @TechKitsune: Q4: Q4: A while, healthcare has a technology hurdle to get over. Fax machines are still being used for patient information. Until with develop and ADOPT new tech, and are willing to change, it will be a while. #hitsm
Stanley Nachimson @NachAdvisors
@HealthHats @MI_turnaround Good point which goes back to the workflow issue. We need apps to make care easier, not just add more work. #HITsm
John Lynn @techguy
@Jk_Jeffery Side Note: I'm going to be up in Utah in 2 weeks. Shall we do an #HITsm #hcldr #HITMC #pinksocks meetup while I'm there?
David Harlow @healthblawg
Connecting the EHR API to a patient facing app is good, of course, but is not the last word. Need to create engagement services using the data and other resources #HITsm
Jeremy Coleman @jeremycoleman
@techguy Ask it the other way. Why would you want to partner with someone that would NOT want to go at risk? #HITsm
Monica Stout, She/Her/Hers @MI_turnaround
@mshlcurrie You're not too slow! I feel like this for EVERY chat! #HITsm
Michelle Currie @mshlcurrie
@healthblawg #hitsm it dosen't say "how." Most hospitals would say printing out a copy of the chart for a patient would meet this requirement
Janice McCallum @janicemccallum
@mshlcurrie Michelle, I agree, esp today. I can't keep up with all the threads! But, it will be good to review the tweet stream. #hitsm
Karlea Abel @ruralhealthlady
@pmswish True! I guess my mind just goes to the patients who grumble about even using their patient portal. It's on us to demonstrate the value of the tech, but they probably would be more satisfied with a pt centric app! #hitsm
Michelle Currie @mshlcurrie
@MI_turnaround #hitsm thank goodness I'm not a slow poke.....
John Lynn @techguy
@kimberlyanngeo @Jk_Jeffery I'm sure you've had a ton of experience with large Release of Information vendors like @mrocorp and @CioxHealth and others. I'd be interested to know if getting records from them is better or worse. #HITsm
Jared Jeffery @Jk_Jeffery
@techguy Of course! We just did lunch with @CoherenceMed and some of the good folks from @advancedmd earlier this week - I'm sure we can drum up a good crowd. What's bringing you to Utah? #HITsm
Stanley Nachimson @NachAdvisors
@wareFLO Let's get the "use cases" identified and then apply the technology! #hitsm
Michelle Currie @mshlcurrie
@techguy #HITsm All clients should require this from their suppliers. Put your money where your mouth is. Vaporware and most of the shiny new objects would disappear allowing us to focus on what really works!
David Harlow @healthblawg
@ShimCode Some, Steve, but my point here is that they're talking about making this stuff enforceable in the framework of their enforcement of healthcare standards rather than HIT standards. Different. More serious from the provider perspective. #HITsm
Monica Stout, She/Her/Hers @MI_turnaround
@GilmerHealthLaw @Jk_Jeffery @JoeBabaian I don't know what we'd do without the cloud. #HITsm https://t.co/Jokz2TnspR
CareCognitics @CareCognitics
Doctors don't have the bandwidth to do this. So, we need another model where another provider does this and informs the doctor through the EHR. We've seen some success doing something similar to this with the CCM program. #HITsm https://t.co/p0EacI0tgD
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
Look at how @Allscripts is moving forward. Developers can have business models that look to work with already established companies that need to explore free-thinking developer modeling. Self-incorporate and let your freak flag fly. Who knows what problems we can solve #HITsm
Jeremy Coleman @jeremycoleman
@ShimCode @techguy Like the story about the old guy that fixed the ship's engine with 2 taps of a hammer. Sometimes its worth to everyone by paying the right people a seemingly high price. #HITsm
FrancieGrace @FrancieGrace
RT @Jk_Jeffery: I wouldn't be able to say - but I sincerely hope it will be. Used to work in disability and SO many people were denied necessary benefits because they were too poor to pay the printing fees for their MR. #HITsm https://t.co/cMshYiRmMd
FrancieGrace @FrancieGrace
RT @Jk_Jeffery: @JoeBabaian Right? And that's ON TOP of the 2 hour drive they made just to GET to that doctor, with a friend's borrowed car and their last $20 in the gas tank. Only to be told it's $.10 per sheet on a 300pg. medical record. #HITsm
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
@janicemccallum Been spending lot more time in social #VirtualReality! & I'm starting to see an occasional #HITsm #HCLDR tweep there recently! Next #HealthSystemsChat in #SocialVR event I'm hosting during #AHIPInstitute #AHIP2018 Is Healthcare A Right? (please attend!) https://t.co/69xQ8xH57W
Kimberly George @kimberlyanngeo
@techguy @Jk_Jeffery @MROCorp @CioxHealth No better. The release is less of an issue (we have it signed and comprehensive). The issue is having treatment providers submit the necessary documentation in the med record. Receipt of medical that does not document per the plan requirement is useless. #HITsm
Healthcare Scene @HealthcareScene
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? @janicemccallum #HITsm https://t.co/sh195ogrAf
Kimberly George @kimberlyanngeo
@techguy @Jk_Jeffery @MROCorp @CioxHealth BTW - great question. #HITsm
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
Amen! #hitsm https://t.co/InYQEBcTog
Jared Jeffery @Jk_Jeffery
@ShimCode @mshlcurrie You know - I think that IS a good idea! Maybe we shoot for something like this in mid-July? #HITsm
Danny van Leeuwen @HealthHats
@NachAdvisors @wareFLO #hitsm I'd work with you on use cases. I find it critical in my role as a Rosetta Stone in the Babel of healthcare
John Lynn @techguy
Reminds me of @dflee30's amazing comments on interoperability coming out of #HITExpo https://t.co/dupDdw9SZM He breaks down the different types of interoperability and what's achievable. #HITsm https://t.co/eABQX5d7cF
Kimberly George @kimberlyanngeo
Great tweet chat and hate to leave. Running to catch a flight. Keep the receipt of medical convo alive and let’s solve for this. #HITsm
Stanley Nachimson @NachAdvisors
@ShimCode #HITsm This is the continuing quandry of ROI for these technologies - who benefits, who pays. If the patient is getting a service, why shouldn't they pay? If the health plan saves money, why shouldn't they pay? Real problem has been identifying the ROI, both short and long.
Geeky Fox @TechKitsune
Q5: Including clinicians in the user interface and design while also including consumers that are targets of the app will help immensely. Developers love a challenge. #hitsm
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
Bonus: Initially there will be widespread pushback, as we love to complain. That said, all org. types need to see the value in the new policies and get on board sooner than later #hitsm https://t.co/X14WJfrwSZ
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
Let's use technology that uses declarative representations of use cases, and then executes them w/a use case engine! If we don't like behavior, can change use case rep to change use case behavior! What is this magic? Workflow technology! #HITsm https://t.co/yZJzQVag5c
Kimberly George @kimberlyanngeo
RT @techguy: Reminds me of @dflee30's amazing comments on interoperability coming out of #HITExpo https://t.co/dupDdw9SZM He breaks down the different types of interoperability and what's achievable. #HITsm https://t.co/eABQX5d7cF
Janice McCallum @janicemccallum
T5: Wish we had more time. Business models for data is my speciality, but we'd need a whole hour for that, right @shimcode? #hitsm
Jared Jeffery @Jk_Jeffery
@kimberlyanngeo @techguy @MROCorp @CioxHealth This was part of the reason that if the advocacy group I worked for came across a diagnosed schizophrenia patient, we jumped on it. More often than not the records align perfectly with the SSA disability reqs. Made for quick cases & got those individuals help fast. #HITsm
Medicomp Systems @MedicompSys
Sharing the data will require methods to redact sensitive information. The bigger problem is making sense & being responsible for all of the data when you receive it. Clinicians are going to need tools to help them find what they need as the patient walks into their room. #HITsm https://t.co/KkDGZBY3s8
John Lynn @techguy
Providers get excited about vendors going at risk until they realize how much the vendor gets paid if they're successful. Then, they try to claw it back and want a different model. That's what makes it challenging. See @shimcode's tweet. #HITsm https://t.co/wNUR1ezgat
Fogo Data Centers @FogoDataCenters
RT @EMRAnswers:
Michelle Currie @mshlcurrie
@techguy @dflee30 #HITsm Thank you for sharing this!!
Monica Stout, She/Her/Hers @MI_turnaround
@GilmerHealthLaw @Jk_Jeffery @JoeBabaian Makes me wonder what's coming next for digital storage after the cloud. The atmosphere? The planet? The space? The galaxy? 🤔 What will we think of/use next? #HITsm
Stanley Nachimson @NachAdvisors
@HealthHats @wareFLO Let’s do it! #hitsm
Karlea Abel @ruralhealthlady
Well. Since most FQHCs don't ever worry about anyone "stealing" our patients... 🙃 Sign us up! Make it easy, allow us & patients to control which data are shared, & we will be there. (But really, it has to be easy. No API developers on staff) #hitsm https://t.co/b4WOZ0HtyV
John Lynn @techguy
@kimberlyanngeo @Jk_Jeffery @MROCorp @CioxHealth I see. So, it's not so much the release of the info as much as it is the documentation being wrong in the first place when it comes to your needs. #HITsm
Jared Jeffery @Jk_Jeffery
@ShimCode @mshlcurrie Honestly you took the words right out of my mouth!! #HITsm
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
Bye! BTW my fav #Malta pics #HITsm (4th floor of Marx & Spencer dept store) https://t.co/8cpItJQpws
Healthcare Scene @HealthcareScene
Join us for next week's #HITsm chat where we're discussing "IT and Affordability, Care for the Poor, Population Health in Low-income Areas" Hosted by @LennyLiebmann
Healthcare Scene @HealthcareScene
Let's give a massive thank you to @janicemccallum for hosting this week's #HITsm chat and to each of you who participated! https://t.co/eGjtAwsZi4
Janice McCallum @janicemccallum
Yes, I reviewed @dflee30 comments when preparing for this chat. #HITsm https://t.co/G31PNRIIDm
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
Yes, the water really was that blue! #HITsm #Malta https://t.co/DyBcInwr8i
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
RT @HealthcareScene: Join us for next week's #HITsm chat where we're discussing "IT and Affordability, Care for the Poor, Population Health in Low-income Areas" Hosted by @LennyLiebmann
Alec Pettifer @alecpett
RT @sassyconsu1tant: Well. Since most FQHCs don't ever worry about anyone "stealing" our patients... 🙃 Sign us up! Make it easy, allow us & patients to control which data are shared, & we will be there. (But really, it has to be easy. No API developers on staff) #hitsm https://t.co/b4WOZ0HtyV
Danny van Leeuwen @HealthHats
Bye. Good chat #HITsm
Alec Pettifer @alecpett
RT @wareFLO: Bye! BTW my fav #Malta pics #HITsm (4th floor of Marx & Spencer dept store) https://t.co/8cpItJQpws
John Lynn @techguy
@Jk_Jeffery @CoherenceMed @advancedmd Sounds like we need to do a disc golf meetup. I usually hit the one in SLC. I've heard about the one in AF as well. However, the ski resort sounds like a lot of fun. We have one at the ski resort in Vegas and it was awesome. #HITsm
Alec Pettifer @alecpett
RT @HealthcareScene: Join us for next week's #HITsm chat where we're discussing "IT and Affordability, Care for the Poor, Population Health in Low-income Areas" Hosted by @LennyLiebmann
Alec Pettifer @alecpett
RT @janicemccallum: Yes, I reviewed @dflee30 comments when preparing for this chat. #HITsm https://t.co/G31PNRIIDm
Jared Jeffery @Jk_Jeffery
@MI_turnaround @GilmerHealthLaw @JoeBabaian No we'll go the other direction, like how phones were getting teeny-tiny and then did a hard 180 into "phablets." The next big thing will be "stone storage." https://t.co/d8RqRTgMWa #HITsm
Monica Stout, She/Her/Hers @MI_turnaround
RT @HealthcareScene: Let's give a massive thank you to @janicemccallum for hosting this week's #HITsm chat and to each of you who participated! https://t.co/eGjtAwsZi4
Alec Pettifer @alecpett
RT @HealthcareScene: Let's give a massive thank you to @janicemccallum for hosting this week's #HITsm chat and to each of you who participated! https://t.co/eGjtAwsZi4
Janice McCallum @janicemccallum
@HealthcareScene Thanks so much to everyone who joined the party! I really appreciate it & hope to continue the conversation! #hitsm
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
Have a good weekend all. #hitsm https://t.co/BQccll406x
Stanley Nachimson @NachAdvisors
@HealthcareScene @janicemccallum #hitsm Thanks Janice and all of the participants!
Savvy Cooperative | #AskPatients @savvy_coop
Apple's Health Record API released to third-party developers; is it safe? #digitalhealth #EHR #hitsm https://t.co/PR3GnTs7kb https://t.co/cuJKP8pbML
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
RT @savvy_coop: Apple's Health Record API released to third-party developers; is it safe? #digitalhealth #EHR #hitsm https://t.co/PR3GnTs7kb https://t.co/cuJKP8pbML
Jared Jeffery @Jk_Jeffery
@ShimCode @mshlcurrie Brings this old SNL skit to mind, but yes. #HITsm 😂 https://t.co/sLg2UyIjsV
David Harlow @healthblawg
The next #HIPAA Chat is coming soon ... #HITsm #hcldr #healthcare #cybersecurity #privacy #databreach https://t.co/TtM6hZD75W
Monica Stout, She/Her/Hers @MI_turnaround
Thanks @janicemccallum for hosting a great #HITsm chat. Until next time, y'all! Have a great weekend and Father's Day! https://t.co/sUp5gDFGue
Geeky Fox @TechKitsune
Bonus: Hestitant, there are those Providers that recognize the need for change. But, I have also met those who still believe the old ways are what's good and comfortable. Small practices may find that kind of change daunting, or needed. #hitsm
Michelle Currie @mshlcurrie
@techguy @ShimCode #HITsm You mean they want their cake and want to eat it too? I'm starting to go at risk with my self-insured clients. I help them save money on their healthcare claims, they pay me a % of savings
Janice McCallum @janicemccallum
RT @healthblawg: The next #HIPAA Chat is coming soon ... #HITsm #hcldr #healthcare #cybersecurity #privacy #databreach https://t.co/TtM6hZD75W
Monica Stout, She/Her/Hers @MI_turnaround
@Jk_Jeffery @GilmerHealthLaw @JoeBabaian Now that's interesting! #HITsm
Jared Jeffery @Jk_Jeffery
@techguy @CoherenceMed @advancedmd I think that settles it, Snowbird Disc Golf. I know a few of the KLAS folk have been itching to get out and stretch their throwing arms this summer. #HITsm
Alec Pettifer @alecpett
RT @techguy: Reminds me of @dflee30's amazing comments on interoperability coming out of #HITExpo https://t.co/dupDdw9SZM He breaks down the different types of interoperability and what's achievable. #HITsm https://t.co/eABQX5d7cF
Michelle Currie @mshlcurrie
#HITsm Thank you @janicemccallum for a great tweetchat! as always I leave more educated and optimistic. Great way to start my Friday :)
CareCognitics @CareCognitics
@ShimCode We'd love to learn more from your experience. #HITsm
John Lynn @techguy
Thanks @janicemccallum for hosting. Great #HITsm chat! https://t.co/9pTmZNSigA
John Lynn @techguy
Such an amazing insight. #HITsm https://t.co/cepnRq7YFR
Healthcare Scene @HealthcareScene
In case you missed today's #HITsm chat hosted by @janicemccallum you can read the full transcript of the chat: https://t.co/6tnkQtBGas
Healthcare Scene @HealthcareScene
RT @janicemccallum: @HealthcareScene Thanks so much to everyone who joined the party! I really appreciate it & hope to continue the conversation! #hitsm
John Lynn @techguy
RT @HealthcareScene: In case you missed today's #HITsm chat hosted by @janicemccallum you can read the full transcript of the chat: In case you missed today's #HITsm chat hosted by @janicemccallum you can read the full transcript of the chat: https://t.co/6tnkQtBGas
Janice McCallum @janicemccallum
Will be interesting to monitor. Through partnerships, at a minimum, some app developers will try risk contracts. #HITsm https://t.co/fg5aT8i097
Michelle Currie @mshlcurrie
@ShereesePubHlth @techguy @janicemccallum #hitsm Really? I hadn't heard that yet! We'll have to talk about it next week in MD.
#HITsm content from Twitter.