#HITsm Transcript
Healthcare social media transcript of the #HITsm hashtag.
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See #HITsm Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Healthcare Scene @HealthcareScene Let's take 5 min to introduce ourselves. Who are you? What do you do? What's your favorite place to go hiking? @Brian_Eastwood #HITsm |
| Healthcare Scene @HealthcareScene Welcome to today's #HITsm chat hosted by @Brian_Eastwood on the topic “Chronic Care Management” Details: https://t.co/QlmSTfHYeS https://t.co/A8AzMDQW4B |
 | John Lynn @techguy RT @HealthcareScene: Welcome to today's #HITsm chat hosted by @Brian_Eastwood on the topic “Chronic Care Management” Details: Welcome to today's #HITsm chat hosted by @Brian_Eastwood on the topic “Chronic Care Management” Details: https://t.co/QlmSTfHYeS https://t.co/A8AzMDQW4B |
 | Vince Kuraitis @VinceKuraitis Hi all, Vince here in Boise, ID. I’m a veteran of the carve-out “Disease Management” era of late 90s & 00s. Many mistakes made & now being repeated. TY for hosting @Brian_Eastwood #HITsm |
| John Lynn @techguy Hey Everyone! Excited for today's #HITsm chat with @Brian_Eastwood at the wheel. There's a 95.959% chance this is going to be awesome. My favorite place to hike is Sentiero degli Dei. Although, Utah is a close second. |
 | Brian Eastwood @Brian_Eastwood Brian, senior health care content strategist at @WorldCongress here. This here is my favorite place to hike - @WhiteMountainNF and the area around it. #HITsm https://t.co/XNtJSpVjQi |
| Vince Kuraitis @VinceKuraitis Factoid: Idaho has largest wilderness area in continental US -- Frank Church River of No Return. You can backpack for a week w/o seeing anyone else. #HITsm |
| John Lynn @techguy @Brian_Eastwood The new interface is terrible. I had to go back to @hootsuite since the new interface doesn't update enough. #HITsm |
| Brian Eastwood @Brian_Eastwood @VinceKuraitis I enjoy hiking and getting away, but perhaps not THAT much... #HITsm |
| John Lynn @techguy Thanks for joining Vince. Can't wait to hear about those mistakes and how to avoid repeating them. #HITsm |
 | Boston Software Systems @Bossoft When you're toggling between two systems, your #EHR doesn't connect. Decrease #burnout-Enhance #usability - Connect ALL data. https://t.co/Q45M6oW5Bh #HITsm #datamigration https://t.co/TjvTUYzHt5 |
 | EMR, EHR and HIT @ehrandhit RT @Brian_Eastwood: Brian, senior health care content strategist at @WorldCongress here. This here is my favorite place to hike - @WhiteMountainNF and the area around it. #HITsm https://t.co/XNtJSpVjQi |
| Healthcare Scene @HealthcareScene T1: What is the biggest roadblock to improved chronic care management in today’s health care ecosystem – and what needs to happen in order to solve the problem? @Brian_Eastwood #HITsm https://t.co/Gg6y4xjGid |
| Vince Kuraitis @VinceKuraitis T1: Biggest roadblock is lack of $$ incentives to coordinate care. Full stop. #HITsm |
| Boston Software Systems @Bossoft RT @HealthcareScene: T1: T1: What is the biggest roadblock to improved chronic care management in today’s health care ecosystem – and what needs to happen in order to solve the problem? @Brian_Eastwood #HITsm https://t.co/Gg6y4xjGid |
 | World Congress @WorldCongress RT @Brian_Eastwood: Brian, senior health care content strategist at @WorldCongress here. This here is my favorite place to hike - @WhiteMountainNF and the area around it. #HITsm https://t.co/XNtJSpVjQi |
| John Lynn @techguy I think the incentives for many in healthcare to appropriately manage chronic care still aren't there. Or at least there's still enough money in the "old approach" that there's no real force that requires a new approach. #HITsm |
| Brian Eastwood @Brian_Eastwood I was going to prepare a really eloquent response, but this pretty much hits the nail on the head. #HITsm |
| Vince Kuraitis @VinceKuraitis RT @Brian_Eastwood: I was going to prepare a really eloquent response, but this pretty much hits the nail on the head. #HITsm |
 | Healthcare IT Today @hcittoday RT @Brian_Eastwood: I was going to prepare a really eloquent response, but this pretty much hits the nail on the head. #HITsm |
| Boston Software Systems @Bossoft T1: Access to data in disparate systems is a HUGE roadblock. We are behind every other industry in terms of connectivity and #automation. In order to achieve optimal results, we must have access to all data. #HITsm |
| Vince Kuraitis @VinceKuraitis Everybody out hiking? #HITsm |
| Boston Software Systems @Bossoft RT @Brian_Eastwood: I was going to prepare a really eloquent response, but this pretty much hits the nail on the head. #HITsm |
| Brian Eastwood @Brian_Eastwood This was the other point that I was going to make. I really like it when the participants make the job of the moderator nice and easy. #HITsm |
| Vince Kuraitis @VinceKuraitis RT @Brian_Eastwood: This was the other point that I was going to make. I really like it when the participants make the job of the moderator nice and easy. #HITsm |
| John Lynn @techguy @VinceKuraitis Summers are definitely slower chats. #HITsm |
 | Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba Hi all. I'm Shereese, healthcare strategist and pediatric advocate. My absolute favorite place to hike is @ChimneyRockpark It's gorgeous & if anyone's checking, the elevator reopened. I actually hiked it while pregnant. Go for the rock; stay for #Asheville #HITsm https://t.co/o4e5SXE9rt |
| Brian Eastwood @Brian_Eastwood @techguy @VinceKuraitis I'm saving my hike for tomorrow. #HITsm |
 | Janet Kennedy @GetSocialHealth @Bossoft And know what to do with it. Does the #clinician have time for more data? Can it be presented in a way that provides *actionable* insights? #hitsm |
| Boston Software Systems @Bossoft @techguy T1: We have become a healthcare system focused on incentives rather than patients. #HITsm |
| Boston Software Systems @Bossoft @GetSocialHealth Absolutely agree! #HITsm |
| John Lynn @techguy I'm not sure I fully agree with this. I think we want all the data and we can use all the data if it's available, but we don't have to have all the data to do chronic care management. That's often used as an excuse for inactivity. #HITsm |
| Brian Eastwood @Brian_Eastwood @GetSocialHealth @Bossoft Right - so much of the data that best complements care coordination is unstructured. #HITsm |
| Vince Kuraitis @VinceKuraitis 80% of healthcare data is unstructured. #HITsm |
| John Lynn @techguy This looks amazing. I'm going to have to check it out sometime. My wife once hiked Diamond Head in Hawaii pregnant. Ok. It was twice. She really wanted that baby out (didn't work). #HITsm https://t.co/Y2kdlu7bYK |
 | Inspire @InspireIsHealth RT @HealthcareScene: T1: T1: What is the biggest roadblock to improved chronic care management in today’s health care ecosystem – and what needs to happen in order to solve the problem? @Brian_Eastwood #HITsm https://t.co/Gg6y4xjGid |
| John Lynn @techguy Is the clinician even the right person to be doing chronic care management? #HITsm https://t.co/GkBmbk7qez |
| Boston Software Systems @Bossoft @Brian_Eastwood @GetSocialHealth And many vendors only bring over the structured parts, or even "part" of the structured parts, when more information is needed. #HITsm |
| Janet Kennedy @GetSocialHealth @techguy Good question. Who's really doing it now? The #patient? #HITsm |
| John Lynn @techguy I'm increasingly seeing how the heart has been taken out of healthcare. Healthcare always wanted to be profitable, but now there's a sad focus on profits over patients which is starkly different. #HITsm https://t.co/rvWc3PcZFI |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba I think doctors are still very confused by coding and payment models. This is a serious roadblock. I've been advocating for dashboards and subscription services for practices. They need ongoing support to optimize #chronicCare modeling. #HITsm https://t.co/rClTEOQB2l |
| Brian Eastwood @Brian_Eastwood @techguy Do we think that's a "paralysis by analysis" situation - i.e. I don't know every single detail so I'm not going to decide? Or just a cover for not wanting to act, for lack of incentive etc.? #HITsm |
| Boston Software Systems @Bossoft @techguy T1: If the chronic care management data resides in a legacy system, kiosk or portal and is unavailable, it matters...:) #HITsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba lol #hitsm |
| John Lynn @techguy Can we do chronic care management effectively if we don't have a way to handle unstructured data? #HITsm https://t.co/lITnbgGdWV |
| Boston Software Systems @Bossoft RT @techguy: I'm increasingly seeing how the heart has been taken out of healthcare. Healthcare always wanted to be profitable, but now there's a sad focus on profits over patients which is starkly different. #HITsm https://t.co/rvWc3PcZFI |
 | Mike Schardein @CoachSchardein RT @Brian_Eastwood: This was the other point that I was going to make. I really like it when the participants make the job of the moderator nice and easy. #HITsm |
| Mike Schardein @CoachSchardein RT @VinceKuraitis: 80% of healthcare data is unstructured. #HITsm |
| Healthcare Scene @HealthcareScene T2: What will it take for initiatives like precision medicine and digital therapeutics to deliver on the promise to provide more targeted treatment options? Which conditions are poised to see the biggest impact? @Brian_Eastwood #HITsm https://t.co/32xeQgNFE7 |
 | David Harlow @healthblawg Hey #HITsm I'm just back from a trip to Grand Teton & Yellowstone NPs - Awesome hiking there; here's an early AM pic by the Snake River: https://t.co/azRA2clGhl |
| John Lynn @techguy I think this is a big reason why many aren't embracing new reimbursement models for chronic care. I heard someone once say that practices and their doctors weren't trained to be risk managers like insurance companies. Yet, that's needed now. #HITsm https://t.co/tRyOIvEGZ0 |
| Brian Eastwood @Brian_Eastwood @techguy I think we can - but it takes time and energy, which as you noted both sadly seem to be lacking. Unless you're in a DPC or downside risk model, you have little incentive to sit down with a patient and talk about their needs. #HITsm |
 | MonumentalHealthsys @MonumentalSys T1 We're just starting our journey and it's all a bit confusing, especially incentives. #HITsm |
| John Lynn @techguy @Brian_Eastwood I think it's an excuse not to act. It's like when they say HIPAA won't allow something because they don't want to do that something. #HITsm |
| Janet Kennedy @GetSocialHealth @HealthcareScene @Brian_Eastwood Is it cynical to say the health conditions with the biggest #Patientadvocacy group or national nonprofit association behind them will see the biggest impact? #HITsm |
| David Harlow @healthblawg T1 Medicare (and others) are now starting to pay for care coordination. I suppose the jury is still out on whether the $ is sufficient. Even with $, tho', the tech needs to be there to support the work. #HITsm |
| Vince Kuraitis @VinceKuraitis T2: Precision med & digital therapeutics are flea flicker plays. Chronic care management is a BLOCKING & TACKLING challenge. #HITsm |
| John Lynn @techguy @GetSocialHealth I think we need care managers that are more closely linked to social workers than doctors. Right now some patients are doing it, but many don't have the skills, energy, etc. #HITsm |
| Brian Eastwood @Brian_Eastwood @GetSocialHealth @HealthcareScene Maybe only a little. I think you're right, unfortunately. #HITsm |
| Boston Software Systems @Bossoft @Telmediq @GetSocialHealth Providers need to automate the process of identifying patients & manage the care team workflow effectively to ensure both proper follow-up & billing #automation #HITsm |
| Boston Software Systems @Bossoft RT @techguy: @GetSocialHealth I think we need care managers that are more closely linked to social workers than doctors. Right now some patients are doing it, but many don't have the skills, energy, etc. #HITsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba You guys need @chirpybirdhit. I'll DM you. #HITsm |
| John Lynn @techguy @MonumentalSys Where have you chosen to start the journey? #HITsm |
| Brian Eastwood @Brian_Eastwood @VinceKuraitis But when I played Tecmo Bowl, I ran the flea flicker every play! (This may explain why I wasn't very good.) #HITsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba So true. Doctors are stressed enough without the added pressure of learning the nuances of these programs. #hitsm |
| Boston Software Systems @Bossoft @techguy Absolutely! #HITsm |
| John Lynn @techguy I'm still not sure how this will all finally make its way into average, every day healthcare. The only thing that's clear to me is that the EHR vendor won't be doing precision medicine. #HITsm |
| John Lynn @techguy @GetSocialHealth @HealthcareScene @Brian_Eastwood Cynically realistic? #HITsm |
| David Harlow @healthblawg T2 Need a better-defined and -executed data model before this can happen on a commodity basis. Right now, this is happening in scattered (large and small) walled gardens. #HITsm |
| Brian Eastwood @Brian_Eastwood @Bossoft @Telmediq @GetSocialHealth I maintain that the bulk of the use cases for automation in health care are these less "sexy" but much more impactful processes. (And by "I" I mean "pretty much everyone who knows anything.") #HITsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @techguy @GetSocialHealth @HealthcareScene @Brian_Eastwood What he said. #HITsm https://t.co/fBzHA9Z2wN |
| Boston Software Systems @Bossoft RT @HealthcareScene: T2: T2: What will it take for initiatives like precision medicine and digital therapeutics to deliver on the promise to provide more targeted treatment options? Which conditions are poised to see the biggest impact? @Brian_Eastwood #HITsm https://t.co/32xeQgNFE7 |
| John Lynn @techguy Hard to blame them when they're faced with a guaranteed return vs a risk sharing profile. Takes a real entrepreneur to choose the later. #HITsm https://t.co/w21MoU4GTr |
| Brian Eastwood @Brian_Eastwood @ShereesePubHlth @techguy @GetSocialHealth @HealthcareScene I think John has a new Twitter bio now. #HITsm |
| Vince Kuraitis @VinceKuraitis @Brian_Eastwood Chronic care management challenges are: silos takes time human interactions can be hard changing behaviors Tech supports but not a panacea. #HITsm |
| John Lynn @techguy @Brian_Eastwood @ShereesePubHlth @GetSocialHealth @HealthcareScene What's that? #ShereeseApproved Good idea. I should add that. #HITsm |
| Boston Software Systems @Bossoft @Brian_Eastwood @Telmediq @GetSocialHealth You're right, Brian. The "under the covers" stuff that actually makes everything work cohesively, and brings data to the people who need it via the system they need it in. #HITsm |
| John Lynn @techguy #HITsm |
| Boston Software Systems @Bossoft RT @VinceKuraitis: @Brian_Eastwood Chronic care management challenges are: silos takes time human interactions can be hard changing behaviors Tech supports but not a panacea. #HITsm |
| Brian Eastwood @Brian_Eastwood RT @VinceKuraitis: @Brian_Eastwood Chronic care management challenges are: silos takes time human interactions can be hard changing behaviors Tech supports but not a panacea. #HITsm |
| John Lynn @techguy @Brian_Eastwood @Bossoft @Telmediq @GetSocialHealth I guess it goes back to @VinceKuraitis's comment that chronic care management is the block and tackling (ie. the non-sexy stuff). #HITsm |
| Healthcare Scene @HealthcareScene T3: Many employers and health plans have embraced so-called disaggregator platforms for consumer-led chronic care management. What will convince health systems to do the same, and when will it happen? @Brian_Eastwood #HITsm https://t.co/4iyWfs27LQ |
| Boston Software Systems @Bossoft RT @techguy: @Brian_Eastwood @Bossoft @Telmediq @GetSocialHealth I guess it goes back to @VinceKuraitis's comment that chronic care management is the block and tackling (ie. the non-sexy stuff). #HITsm |
| EMR, EHR and HIT @ehrandhit RT @VinceKuraitis: @Brian_Eastwood Chronic care management challenges are: silos takes time human interactions can be hard changing behaviors Tech supports but not a panacea. #HITsm |
 | Edward Bukstel @ebukstel RT @VinceKuraitis: @Brian_Eastwood Chronic care management challenges are: silos takes time human interactions can be hard changing behaviors Tech supports but not a panacea. #HITsm |
| Brian Eastwood @Brian_Eastwood @techguy @Bossoft @Telmediq @GetSocialHealth @VinceKuraitis Look, Ma, I figured out how GIFs work!! #HITsm https://t.co/UOwrnxszIZ |
| Boston Software Systems @Bossoft RT @HealthcareScene: T3: T3: Many employers and health plans have embraced so-called disaggregator platforms for consumer-led chronic care management. What will convince health systems to do the same, and when will it happen? @Brian_Eastwood #HITsm https://t.co/4iyWfs27LQ |
| Vince Kuraitis @VinceKuraitis One of the biggest mistakes of DM era was “cost reduction” as the major driver of chronic disease management. For many high cost/risk patients, getting them back into the health delivery system INCREASES COSTS in the short-med term. #HITsm |
| John Lynn @techguy If it was easy...it would have been done a long time ago. #HITsm Most of what ales healthcare is hard work to fix. |
| Janet Kennedy @GetSocialHealth @HealthcareScene @Brian_Eastwood Being "cynically realistic" - when it's proven that will save money implementing it. #HITsm |
| John Lynn @techguy I'm not convinced they will. Not sure the value the health system gets from embracing it. #HITsm |
 | Lisa Danielpour @LisaDani @GetSocialHealth @techguy Some specialists who really care & give the time does care coordination but prob more often the patient or family members in my experience as Mom of son w severe Crohns. We need better care coordination from professional who cares, has expertise and isn’t tied to insurance #hitsm |
| John Lynn @techguy Great insight. Definitely requires a long term vs short term view. #HITsm |
| David Harlow @healthblawg T2 Historically, targeted interventions have been limited to disease states that have generated lots of structured data; the promise / opportunity is to use new tools to delve productively into other arenas. #HITsm |
| Janet Kennedy @GetSocialHealth @2healthguru @VinceKuraitis @Brian_Eastwood @theAMGA @jpenso1 @Chetspeed Saving to listen later. Thanks, @2healthguru #HITsm |
| Boston Software Systems @Bossoft @HealthcareScene @Brian_Eastwood T3: Most of the CCM plans are looking to adopt patient-centered medical home models to provide better continuity of care. We need to bring things back to the physician office (and make things digital) to create sustainable/usable models that include all patients. #SDOH #HITsm |
| John Lynn @techguy How do we change this so a specialist doesn't just do this because they're a good human, but also because it's the best thing for them to do for their business? #HITsm https://t.co/yE2gnEpnve |
 | Pat Rich @pat_health Favourite new place to hike but since it’s in Iceland I doubt I will be getting much chance to do so #hitsm https://t.co/mj3GyUADId |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @Brian_Eastwood @techguy @GetSocialHealth @HealthcareScene lol #HITsm |
| Boston Software Systems @Bossoft @Brian_Eastwood @techguy @Telmediq @GetSocialHealth @VinceKuraitis LOL #NationalTellAJokeDay #HITsm |
| John Lynn @techguy @misterchambo Then they have to learn to be marketers. #PickYourPoison #HITsm |
| Brian Eastwood @Brian_Eastwood @Bossoft @HealthcareScene Right. Otherwise it's just a nuisance at best for the clinical staff. #HITsm |
 | The HealthCare IT Experts Blog @HCITExpert [Today] #HITsm TweetChat, on Twitter at - August 16, 2019 at 10:30PM IST | Topics | @HealthcareScene - https://t.co/K7wh2zv2MQ |
| Edward Bukstel @ebukstel @techguy Lurking in #HITsm. It was done a while ago. In the 90s it was called disease management |
| Janet Kennedy @GetSocialHealth RT @techguy: How do we change this so a specialist doesn't just do this because they're a good human, but also because it's the best thing for them to do for their business? #HITsm https://t.co/yE2gnEpnve |
| John Lynn @techguy @ebukstel So are you suggesting that it's the wrong fix? Or is something going to be different this time around? #HITsm |
| Vince Kuraitis @VinceKuraitis True only in long-term. This is high-hanging fruit. #HITsm |
| Boston Software Systems @Bossoft @techguy Change payment structures. CHange reimbursement models. #HITsm |
 | Spencer Health Solutions @spencerhealth RT @techguy: How do we change this so a specialist doesn't just do this because they're a good human, but also because it's the best thing for them to do for their business? #HITsm https://t.co/yE2gnEpnve |
| Pat Rich @pat_health T1 In Canada at least it’s the persistence of the fee of service pay model for physicians #hitsm |
| Boston Software Systems @Bossoft This truly is.#Diabetes care for example....huge potential, yet marginalized results. #HITsm |
| Edward Bukstel @ebukstel @techguy Unfortunately, we're seeing the same shitty outcomes. Just different packaging/labeling. #HITsm |
| John Lynn @techguy @healthblawg So, do you think it's the data that's still holding us back and by getting the data it would change things? #HITsm |
| Brian Eastwood @Brian_Eastwood T3 I *think* the scenario where this *may* happen is when employers have achieved direct contracting success with *both* health systems *and* third party vendors. In other words, caveats a-plenty. #HITsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @Bossoft @HealthcareScene @Brian_Eastwood You know, I'm going to go ahead and throw this out there. On the one hand, the patient-centered medical home was an admirable effort to gather in one place all the disparate and disorganized clinical and social supports the patient needs . . . , #HITsm |
| Brian Eastwood @Brian_Eastwood @ebukstel @techguy Yeah but we have smartphones now! (ducks) #HITsm |
| John Lynn @techguy @ebukstel Any thoughts on what needs to be changed to fix the outcomes? Is it our approach? Is it the data? Is is the treatment options? What needs to be changed? #HITsm |
| Healthcare Scene @HealthcareScene T4: Which non-clinical services represent the biggest unmet needs for those who require chronic care management, and how can technology be applied to meet these needs? @Brian_Eastwood #HITsm https://t.co/f79cXRuq2Y |
| David Harlow @healthblawg @techguy Need a perfect storm: Data, useful algorithms, $ incentives, attuned and trained clinical, tech & admin staffs. (Not asking for much.) #HITsm |
| Boston Software Systems @Bossoft @techguy @healthblawg Getting the necessary data is a starting point on the clinical side. Changing behaviors, is critical on the patient side. Gamification helps. Digital/ Mobile helps. But we have a long way to go to coordinate all. Especially to reimbursement. #HITsm |
| Vince Kuraitis @VinceKuraitis Another huge mistake of DM era was creating a new system, driven mostly by health plans -- that was parallel, not integrated -- to patients PCP. #HITsm |
| Boston Software Systems @Bossoft RT @HealthcareScene: T4: T4: Which non-clinical services represent the biggest unmet needs for those who require chronic care management, and how can technology be applied to meet these needs? @Brian_Eastwood #HITsm https://t.co/f79cXRuq2Y |
 | Bonnie C. Sheeren, BCPA @bonniesheeren RT @ShereesePubHlth: So true. Doctors are stressed enough without the added pressure of learning the nuances of these programs. #hitsm |
| Boston Software Systems @Bossoft #hitsm |
| Brian Eastwood @Brian_Eastwood @healthblawg @techguy While you're at it, I wouldn't mind a new car. It can be nice and practical - I drive in the city, after all. #HITsm |
| Healthcare IT Today @hcittoday RT @healthblawg: @techguy Need a perfect storm: @techguy Need a perfect storm: Data, useful algorithms, $ incentives, attuned and trained clinical, tech & admin staffs. (Not asking for much.) #HITsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @Bossoft @HealthcareScene @Brian_Eastwood . . . , But what resulted IMHO, were higher costs due to one-stop services that were unneeded & the management/compliance of these PCMHs are marginal at best. Yeah, I said it! #HITsm https://t.co/r4w04ZXyt8 |
| David Harlow @healthblawg @Brian_Eastwood @techguy I'll throw in a pony, too. #HITsm |
| Vince Kuraitis @VinceKuraitis @Brian_Eastwood @healthblawg @techguy Tried hiking? #HITsm |
| John Lynn @techguy RT @healthblawg: @techguy Need a perfect storm: @techguy Need a perfect storm: Data, useful algorithms, $ incentives, attuned and trained clinical, tech & admin staffs. (Not asking for much.) #HITsm |
| Edward Bukstel @ebukstel @healthblawg @techguy Very true. Patient incentives have been out of alignment for some time, and too many patients actually wanna live their lives instead of constantly doing the right things to manage their condition. Very unfortunate. #HITsm |
| Brian Eastwood @Brian_Eastwood T4 I'm going to suggest that it's knowing what the heck to do and where the heck to go, at a very basic level. #HITsm |
| John Lynn @techguy @healthblawg @Brian_Eastwood The pony would be easier than a car in Boston traffic. #HITsm |
| Boston Software Systems @Bossoft Too fast on the enter key! T4: Nutrition and exercise are two areas that need to be included in an overall plan for #patients, and hold promise for huge results, however, no one is incentivized to promote #wellness programs, or very little if they do. #notime #hitsm #burnout |
| Brian Eastwood @Brian_Eastwood @VinceKuraitis @healthblawg @techguy I need to DRIVE to the White Mountains. :) #HITsm |
| Vince Kuraitis @VinceKuraitis @ShereesePubHlth @Bossoft @HealthcareScene @Brian_Eastwood "Was" ?? PCMH alive and kicking (albeit w/ struggles) IMO #HITsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @Bossoft That's exactly what I've been saying about PCMHs and their tx of diabetic pops. Marginal results , yet take a place like Jai Medical, patients lined around the block (literally) but their needs are not being met in any measurable way. #HITsm |
| Boston Software Systems @Bossoft @ShereesePubHlth @HealthcareScene @Brian_Eastwood Agree! It was a great 1st step. #HITsm |
| John Lynn @techguy @Brian_Eastwood @VinceKuraitis @healthblawg If you were a runner, you'd run there and then hike and then run home. #HITsm |
| Brian Eastwood @Brian_Eastwood @techguy @VinceKuraitis @healthblawg That would be quite the long run. #HITsm |
| John Lynn @techguy @ShereesePubHlth @Bossoft @HealthcareScene @Brian_Eastwood Are they marginal because of how they were implemented? How they were reimbursed? Or just because it's a bad model regardless? #HITsm |
| David Harlow @healthblawg T4 #SDOH anyone? Food, housing, all that good stuff. #HITsm |
| Edward Bukstel @ebukstel @2healthguru @VinceKuraitis @fsgoldstein I remember in 1992 we were grabbing all HgB A1c from labs, all meds from PBMs, and all claims from a 300k managed care plan in #philly and merged those jawns together. #HITsm 😜😜 |
| Boston Software Systems @Bossoft ABSOLUTELY AGREE! My daughter is a #Type2. She was seen at one of these "#diabetes mills". The MD knew NO one, it was a churn & burn, wo any semblance of care coordination. #sad #diabetes #HITsm |
| Edward Bukstel @ebukstel RT @VinceKuraitis: Another huge mistake of DM era was creating a new system, driven mostly by health plans -- that was parallel, not integrated -- to patients PCP. #HITsm |
| John Lynn @techguy @Brian_Eastwood @VinceKuraitis @healthblawg Watching my friends running 50s and 100s (miles) is giving me new perspective on distance running. #HITsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @techguy @Bossoft @HealthcareScene @Brian_Eastwood I feel it's implementation. #HITsm https://t.co/KP0ZNMM6my |
| Vince Kuraitis @VinceKuraitis @2healthguru @fsgoldstein I'm a contrarian re: whole #pophealth movement. Hospitals/MDs don't have the expertise, $$ incentives. 80-90% of "health" has nothing to do w/ healthcare. #HITsm |
| Pat Rich @pat_health T4 Thinking issues like nutrition and mental health which can be challenging to address well in the context of chronic disease #HITsm |
| Brian Eastwood @Brian_Eastwood @techguy @VinceKuraitis @healthblawg I MAY get there at some point. First I want to keep running marathons until there is no longer any hope that I will get faster. #HITsm |
| John Lynn @techguy @ShereesePubHlth @Bossoft @HealthcareScene @Brian_Eastwood And I imagine reimbursement influenced how they implemented it. There's often a misalignment between what they're paying for and actually moving the needle on chronic care. #HITsm |
| Boston Software Systems @Bossoft @ShereesePubHlth @techguy @HealthcareScene @Brian_Eastwood Isn't is always? But it includes ALL of the above. #HITsm |
| Boston Software Systems @Bossoft BOOM! #HITsm |
| Edward Bukstel @ebukstel @healthblawg Ugh 😑 Let's proclaim 2020. "The Year of The Patient" AGAIN. #HITsm |
| Brian Eastwood @Brian_Eastwood RT @pat_health: T4 Thinking issues like nutrition and mental health which can be challenging to address well in the context of chronic disease #HITsm |
| John Lynn @techguy It's kind of sad that we'd have to have a "Year of the Patient" in healthcare. Shouldn't healthcare just be always about the patient? Goes back to the previous tweet about profits over patients. The problem is that I'm not sure how we roll that back now. #HITsm |
| Vince Kuraitis @VinceKuraitis PCMH was well intentioned but thinly guised mechanism to put family practice/IM docs back in control. #HITsm |
| David Harlow @healthblawg RT @VinceKuraitis: Another huge mistake of DM era was creating a new system, driven mostly by health plans -- that was parallel, not integrated -- to patients PCP. #HITsm |
| Janet Kennedy @GetSocialHealth @ebukstel @healthblawg And again, and again until we get it right! #HITsm |
| Brian Eastwood @Brian_Eastwood @VinceKuraitis @2healthguru @fsgoldstein paging @ebukstel and @healthblawg ... #HITsm |
| Lisa Danielpour @LisaDani @VinceKuraitis This! So much. For patients like my son expensive biologics keep them out of hospital & living best life possible. Yet so many have to fight insurance for medications despite living in hospital and downward spiral so much more expensive. Cost of drugs & clinician expertise #HITsm |
| Healthcare Scene @HealthcareScene T5: How can technology stakeholders ensure that they best meet the needs of patients and their caregivers through the complex process of chronic care management? @Brian_Eastwood #HITsm https://t.co/qCjHJBGWrL |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @techguy @Bossoft @HealthcareScene @Brian_Eastwood See, that's why I worship you; you totally get it. #HITsm https://t.co/8MZvqhzA6o |
| Boston Software Systems @Bossoft Getting the data is paramount. My daughter was constantly asked the same questions, bc there was no coordination of her #diabetes care. But there's also nutrition, wellness, proactive reminders, medication reminders, there's an entire city of things to connect. #HITsm |
| John Lynn @techguy It starts with simply caring about the patients and focusing on their needs. #HITsm |
| Vince Kuraitis @VinceKuraitis RT @Bossoft: Getting the data is paramount. My daughter was constantly asked the same questions, bc there was no coordination of her #diabetes care. But there's also nutrition, wellness, proactive reminders, medication reminders, there's an entire city of things to connect. #HITsm |
 | Rhonda Okamoto @rhondaokamoto Wow what a wonderful picture. Thanks for sharing Shereese. |
| Edward Bukstel @ebukstel @techguy I believe that the people that spend the most time with patients, the Personal Care Assistants, that pay super low wages has to be restructured and given a higher level of professionalism. #HITsm |
| David Harlow @healthblawg T5 Need to ask patients and caregivers what they need and want (and need to listen); need to truly involve these stakeholders in the design process. #HITsm |
| Lisa Danielpour @LisaDani @techguy Exactly. Long term view for many patients w chronic disease is early intervention at all turns to deter disease progression. In long run it reduces costs and gives best quality of life but our systems don’t reward that. #HITsm |
 | Michael Hale @Michael31354794 RT @ebukstel: @techguy I believe that the people that spend the most time with patients, the Personal Care Assistants, that pay super low wages has to be restructured and given a higher level of professionalism. #HITsm |
| Brian Eastwood @Brian_Eastwood @ebukstel @techguy Right. It's insane how little they get paid. #HITsm |
| Boston Software Systems @Bossoft RT @VinceKuraitis: Another huge mistake of DM era was creating a new system, driven mostly by health plans -- that was parallel, not integrated -- to patients PCP. #HITsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @LisaDani @techguy "There's no money in healthy patients," said the stockholder. We need to change our thinking on "health" care. #HITsm https://t.co/oAEVed53Ku |
| Spencer Health Solutions @spencerhealth RT @ebukstel: @techguy I believe that the people that spend the most time with patients, the Personal Care Assistants, that pay super low wages has to be restructured and given a higher level of professionalism. #HITsm |
| Boston Software Systems @Bossoft And it did. Lack of care coordination, from the #diabetes mill, to PCP, to OB, to my daughter was non-existent. In the long run, her care ended up costing more (ED visits, multiple prescriptions not covered, non-compliance with meds bc she could not receive them). #HITsm |
| Vince Kuraitis @VinceKuraitis Another lesson from DM era of 90s/00s is fragmented health insurance system. Health plans have 20% turnover in 1 yr, 50% in 3 years. No incentive for long-term chronic care investment. #HITsm |
 | 🌟 Sherry Reynolds ✨ Person-Centered Health @Cascadia @ShereesePubHlth @LisaDani @techguy Or change who the stakeholder is - employers have a vested interest in keeping people healthy and 150 million have employer sponsored health coverage #HITsm |
| John Lynn @techguy @LisaDani The challenge is that the long term math often feels more like art than science. #HITsm |
 | Matthew Holt @boltyboy @VinceKuraitis Boy, are you a boring old man who remembers everything! #HITsm |
| Boston Software Systems @Bossoft AGAIN! 2020 you're ON! #PatientsIncluded #CCM #HITsm |
| Vince Kuraitis @VinceKuraitis @boltyboy LOL. Takes one to know one. #HITsm |
| John Lynn @techguy This is why the employer health side of things is so interesting for me. The opposite is true for the emplower: "There's a lot of money in healthy patients." #HITsm |
| Brian Eastwood @Brian_Eastwood @VinceKuraitis It's like the average big box retailer and its general unwillingness to invest much of anything in employee training / retention / benefits. #HITsm |
| Matthew Holt @boltyboy @VinceKuraitis Hey, I'm only 56. Nearing my prime! :) #HITsm |
| Lisa Danielpour @LisaDani @techguy Agreed. Changing to truly patient centered care and technology that supports that takes commitment and open hearts and voices from one person and as many as possible. Many orgs like @BerylInstitute stand for this and like @HIMSS can support it. Not an easy fix for sure. #HITsm |
| Brian Eastwood @Brian_Eastwood @ebukstel @techguy @DanyDeGrave (scribbles down notes) Thanks! #hitsm |
| 🌟 Sherry Reynolds ✨ Person-Centered Health @Cascadia @Brian_Eastwood @ebukstel @techguy 48 million people are also family caregivers and very very few of them are paid at all - at the very least give them a tax credit like for childcare #HITsm |
| Lisa Danielpour @LisaDani @ShereesePubHlth @techguy Good points you both make! #hitsm |
| John Lynn @techguy This is why any chronic care management program must include some sort of member loyalty as part of the effort. That's one big thing we learned @CareCognitics #HITsm |
| Lisa Danielpour @LisaDani RT @Cascadia: @ShereesePubHlth @LisaDani @techguy Or change who the stakeholder is - employers have a vested interest in keeping people healthy and 150 million have employer sponsored health coverage #HITsm |
| Spencer Health Solutions @spencerhealth RT @Cascadia: @Brian_Eastwood @ebukstel @techguy 48 million people are also family caregivers and very very few of them are paid at all - at the very least give them a tax credit like for childcare #HITsm |
| Lisa Danielpour @LisaDani RT @ShereesePubHlth: @LisaDani @techguy "There's no money in healthy patients," said the stockholder. We need to change our thinking on "health" care. #HITsm https://t.co/oAEVed53Ku |
| Healthcare Scene @HealthcareScene Bonus: Who is the one person who has taught you the most about what it means to improve chronic care management and delivery, and why? @Brian_Eastwood #HITsm https://t.co/3jwLGJ6rGI |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba I say we drag all these models into a brighter light & look at true cost v. present value #HITsm https://t.co/ogtDn9vnUk |
| Boston Software Systems @Bossoft @VinceKuraitis @boltyboy Agree! We could also add #NationalTellAJokeDay to "in my prime"....lol #HITsm |
| John Lynn @techguy I'd probably say @SunnyTaraVegas since we're talking about this topic all the time. #HITsm |
| Vince Kuraitis @VinceKuraitis Bonus Q: Kudos to Al Lewis @whynobodybeliev has often been referred to the “Father of Disease Management”. #HITsm |
| Boston Software Systems @Bossoft RT @HealthcareScene: Bonus: Bonus: Who is the one person who has taught you the most about what it means to improve chronic care management and delivery, and why? @Brian_Eastwood #HITsm https://t.co/3jwLGJ6rGI |
| EMR, EHR and HIT @ehrandhit RT @techguy: This is why any chronic care management program must include some sort of member loyalty as part of the effort. That's one big thing we learned @CareCognitics #HITsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba Have a great weekend everyone #hitsm https://t.co/S3V7J0nxwM |
| Brian Eastwood @Brian_Eastwood Have to give a shout out here to @boissyad and her emphasis on empathy and compassion. #hitsm |
| John Lynn @techguy @Brian_Eastwood @boissyad Great choice. #HITsm |
| Edward Bukstel @ebukstel Only 45 staff running 9000 nurses. Hundreds of millions $$$ saved. How bout them apples? #HITsm Buurtzorg can teach the US a lot about care. https://t.co/apbsX0VdQx |
| John Lynn @techguy @ShereesePubHlth Thanks for joining us Shereese. And for sharing all those pics from Boston that make me jealous. When do I get to see you next? Nashville? #HITsm |
| Brian Eastwood @Brian_Eastwood @boltyboy @VinceKuraitis @whynobodybeliev ...at least he's not a Man U fan? (This has been Brian Celebrates #TellAJokeDay.) #HITsm |
| Janet Kennedy @GetSocialHealth Gotta scoot. Have a great weekend #HITsm |
| Boston Software Systems @Bossoft @HealthcareScene @Brian_Eastwood Bonus: Hands down? My Mom. In the year 2000. The lack of chronic care management is what caused me to go into #HealthIT. If you don't know the story, "My Mother's Scrap of Paper" read it. I dont get why we are still discussing the same in 2019. https://t.co/YlnqwHOIlE #HITsm |
| Vince Kuraitis @VinceKuraitis My two cents to @Brian_Eastwood: Take a hike! TY for hosting #HITsm chat. Good laughs today. |
| 🌟 Sherry Reynolds ✨ Person-Centered Health @Cascadia T5 Focus on all of the care (99%) that happens outside of clinics and hospitals. #HITsm |
| Healthcare Scene @HealthcareScene In case you missed today's #HITsm chat hosted by @Brian_Eastwood you can read through the full transcript of the chat here: https://t.co/glOfYslVZV |
| Healthcare Scene @HealthcareScene Join us for next week's #HITsm chat on "Applying AI, Machine Learning and Automation to Reduce Redundancies in Healthcare" It will be hosted by Linda Stotsky (@EMRAnswers) from @Bossoft |
| Healthcare Scene @HealthcareScene Let's give a massive thank you to @Brian_Eastwood for hosting this week's #HITsm chat and to each of you who participated. https://t.co/69lDa1SzVV |
 | Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO 5 days! Join us online in social virtual reality during Disney°o° Data & Analytics Conference: 'Once Upon a Time'👸 to 'Happily Ever After'📈 w/Data! #DDAC2019 Wed, Aug 21, 1PM ET W/or w/o #VirtualReality headset! https://t.co/wpYdQQdOv3 #SocialVR #HITsm https://t.co/CDsyHIyvFz |
 | Digital Salud @DigitalSalud1 RT @techguy: This is why any chronic care management program must include some sort of member loyalty as part of the effort. That's one big thing we learned @CareCognitics #HITsm |
| Boston Software Systems @Bossoft My Mom taught me that everyone needs an advocate. EVEN IN 2019. Because there is no care coordination, and no one who cares more about your outcomes than someone who loves you. Period. Sad but true. #HITsm |
| Brian Eastwood @Brian_Eastwood @VinceKuraitis Thank you for joining and for sharing your insight! Actually planning a hike up in New Hampshire for tomorrow. (Planned already - safety and preparation and whatnot.) #HITsm |
| Brian Eastwood @Brian_Eastwood RT @HealthcareScene: Join us for next week's #HITsm chat on "Applying AI, Machine Learning and Automation to Reduce Redundancies in Healthcare" It will be hosted by Linda Stotsky (@EMRAnswers) from @Bossoft |
| Lisa Danielpour @LisaDani @HealthcareScene @Brian_Eastwood My son from supporting him thru journey w severe Crohns starting at 13 yrs old. Learned so much from him, the best specialists/medical teams at @UHRainbowBabies and @NIHClinicalCntr and other difficult providers & situations. That’s why I’m a HIT, patient/family advocate #HITsm |
| EMR, EHR and HIT @ehrandhit RT @HealthcareScene: Join us for next week's #HITsm chat on "Applying AI, Machine Learning and Automation to Reduce Redundancies in Healthcare" It will be hosted by Linda Stotsky (@EMRAnswers) from @Bossoft |
 | Mary Gallagher @mgallagherUSA T5. Im a bit late for today's chat. Apologies. Saw this question and wanted to weigh in.... EMPATHY is KEY. #hitsm https://t.co/bAAZC6hhtw |
 | Santchi @SantchiWeb RT @HealthcareScene: Join us for next week's #HITsm chat on "Applying AI, Machine Learning and Automation to Reduce Redundancies in Healthcare" It will be hosted by Linda Stotsky (@EMRAnswers) from @Bossoft |
| Brian Eastwood @Brian_Eastwood @LisaDani @HealthcareScene @UHRainbowBabies @NIHClinicalCntr Thank you so much for sharing, and for doing all the work that you do. #HITsm |
| Boston Software Systems @Bossoft Woo Hoo! Hope you guys will join next week. Thanks for a great chat @Brian_Eastwood and @VinceKuraitis @techguy @ShereesePubHlth @ebukstel @LisaDani @Telmediq #HITsm Happy Weekend ALL! |
| John Lynn @techguy RT @mgallagherUSA: T5. Im a bit late for today's chat. Apologies. Saw this question and wanted to weigh in.... EMPATHY is KEY. #hitsm https://t.co/bAAZC6hhtw |
| Vince Kuraitis @VinceKuraitis @boltyboy @whynobodybeliev Yes! For the record Al did a 180 on the whole DM movement. A Founding Father of DM Astonishingly Declares: “My Kid is Ugly” https://t.co/SuFfutBmMa #HITsm |
| 🌟 Sherry Reynolds ✨ Person-Centered Health @Cascadia @2healthguru @conversahealth @healthloop I already follow both but thanks Gregg! There is also a growing movement and professionalism of family cargivers - follow Denise Brown @caregiving as well #HITsm. |
| Brian Eastwood @Brian_Eastwood @Bossoft @VinceKuraitis @techguy @ShereesePubHlth @ebukstel @LisaDani @Telmediq I am stating for the record that I will not be there - though I have a valid excuse, as I am getting married the next day. #HITsm #HolyCowItsInAWeek |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @techguy I'm trying to keep my appearances under wraps, but abso-freaking-lutely! #hitsm |
| Lisa Danielpour @LisaDani @Cascadia @Brian_Eastwood @ebukstel @techguy Thanks so much for that Sherry speaking as a family caregiver. I love now being involved as patient and family advocate but need more awareness that we merit financial support when we are speakers and help in other ways in improving the health system #HITsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @Brian_Eastwood @Bossoft @VinceKuraitis @techguy @ebukstel @LisaDani @Telmediq Congratulations! #hitsm https://t.co/3mGiPVi9DH |
| Mary Gallagher @mgallagherUSA T1.I think the 2word response is"change management" There can be inertia at boots on ground/on phone/on system level. How do you let them know that this is@ allowing them 2use tech to focus more on care for the patients, which is why care mgrs got in this biz in 1st place #HITsm |
 | Janae Sharp @CoherenceMed RT @Brian_Eastwood: I was going to prepare a really eloquent response, but this pretty much hits the nail on the head. #HITsm |
| Boston Software Systems @Bossoft RT @HealthcareScene: Join us for next week's #HITsm chat on "Applying AI, Machine Learning and Automation to Reduce Redundancies in Healthcare" It will be hosted by Linda Stotsky (@EMRAnswers) from @Bossoft |
| Janae Sharp @CoherenceMed @Brian_Eastwood @Bossoft @VinceKuraitis @techguy @ShereesePubHlth @ebukstel @LisaDani @Telmediq hooray! congratulations :) #HITSM |
| Mary Gallagher @mgallagherUSA RT @Cascadia: T5 Focus on all of the care (99%) that happens outside of clinics and hospitals. #HITsm |
| 🌟 Sherry Reynolds ✨ Person-Centered Health @Cascadia Congratulations Brian! One of the most rewarding projects ever. I can't decide if I should use #AI or just crowd-source a new spouse soon. I might have to lock down my twitter feed if I do though.;-) https://t.co/BJ87aqfS0p |
| Matthew Holt @boltyboy @VinceKuraitis @whynobodybeliev Well he's become rather more radical since then #HITsm |
| 🌟 Sherry Reynolds ✨ Person-Centered Health @Cascadia @LisaDani @Brian_Eastwood @ebukstel @techguy You are welcome. In sheer numbers, (48 million) family caregivers are the largest part of our health care system - and I wish the media covered it more #HITsm. cc @chrissyfarr |
| John Lynn @techguy @Brian_Eastwood @Bossoft @VinceKuraitis @ShereesePubHlth @ebukstel @LisaDani @Telmediq If we call it a bachelor party for your wedding, would you show? #HITsm Congrats! |
| John Lynn @techguy @ShereesePubHlth Let's be honest. Would it be a Taste-of-HITMC if you weren't there? #HITsm |
#HITsm content from Twitter.