#HITsm Transcript
Healthcare social media transcript of the #HITsm hashtag.
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See #HITsm Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Healthcare Scene @HealthcareScene Welcome to today's #HITsm chat hosted by @dflee30 and @CAQH on the topic of "The Cost Savings Opportunities on the Business Side of Healthcare" Details: https://t.co/cKPkuKRvQ0 https://t.co/q6XR3nc8bJ |
| Healthcare Scene @HealthcareScene Let's take 5 min to introduce ourselves. Who are you? What do you do? Where are you from? What's your favorite podcast (Health IT or otherwise)? @dflee30 @CAQH #HITsm |
 | Don Lee @dflee30 Hello everyone. Don Lee here from Buffalo (it's better than you think). I am a Health IT consultant that helps companies launch new products and services. I'm the host of The #HCBiz Show! I hate administrative waste. And my other favorite podcast is @Radiolab #HITsm |
 | George Walters @geo_walters RT @dflee30: Hello everyone. Don Lee here from Buffalo (it's better than you think). I am a Health IT consultant that helps companies launch new products and services. I'm the host of The #HCBiz Show! I hate administrative waste. And my other favorite podcast is @Radiolab #HITsm |
 | Jane Sarasohn-Kahn @healthythinker @HealthcareScene @dflee30 @CAQH Hi! I'm Jane, a health economist who #IHeartHIT to help drive the #TripleAim #QuadrupleAim. I've also collaborated with the gr8 team @CAQH on the Index from its inception. #hitsm |
| Don Lee @dflee30 Happy to be here with my friends at @CAQH! #HITsm |
 | CAQH @CAQH @HealthcareScene @dflee30 Welcome everybody! CAQH here in sunny Washington, DC. We create shared initiatives to streamline the business of #healthcare. Favorite podcast is @The_HCBiz run by @dflee30 - @kburnaska and @kisersolutions were featured this week! #hitsm |
| CAQH @CAQH RT @dflee30: Happy to be here with my friends at @CAQH! #HITsm |
| Don Lee @dflee30 @healthythinker @HealthcareScene @CAQH Hi Jane! Thanks for coming. The Index is awesome. Nice work! #HITsm |
 | John Lynn @techguy @healthythinker @HealthcareScene @dflee30 @CAQH Glad you could join today's #HITsm chat Jane! |
| CAQH @CAQH RT @healthythinker: @HealthcareScene @dflee30 @CAQH Hi! I'm Jane, a health economist who #IHeartHIT to help drive the #TripleAim #QuadrupleAim. I've also collaborated with the gr8 team @CAQH on the Index from its inception. #hitsm |
| Healthcare Scene @HealthcareScene T1: #Healthcare administrative costs have been projected to reach $315 billion by this year. What are some of the sources of these excessive admin costs? @dflee30 @CAQH #hitsm https://t.co/M0LL2NNxSI |
 | GLHC_HIE @GLHC_HIE Good afternoon #HITSM! @BFMack here on the #MarCom Bridge for GLHC in Grand Rapids, MI. Aside from the @HC_Biz Podcast, I'm a big fan of @Freakonomics and #MakeMeSmart from @Marketplace https://t.co/ODpmXwvYK6 |
 | Trenton Health Team @TrentonHealth @HealthcareScene @dflee30 @CAQH We are Trenton Health Team and we engage partners across industries to build a #cultureofhealth in the city of #Trenton. We like The Pulse from @whyy! #HITsm |
 | Janice McCallum @janicemccallum Pleased to join tweetchat w @dflee & @caqh today from 'burbs of Boston. V interested in topic, altho I'll be multitasking... #hitsm |
 | Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Can't make today's #HITSM HC cost tweetchat as I'm driving across PA, but nonetheless TX to @dflee30 @CAQH for hosting! PS My premed undergrad degree was cost accounting from #1 ranked school of #Accountancy so important topic to me! Be thinking of you all! https://t.co/ap91wnbshe |
| Don Lee @dflee30 @CAQH @HealthcareScene @The_HCBiz @kburnaska @kisersolutions You're too kind! But I'll take it :) #HITsm |
 | Bob Bowman @rbowman271 RT @dflee30: Happy to be here with my friends at @CAQH! #HITsm |
| GLHC_HIE @GLHC_HIE @healthythinker @HealthcareScene @dflee30 @CAQH Hi Jane! #HITSM |
 | Gina Veazey @ginaveazey Hi, I'm a verified healthcare data nerd, former @AHIPCoverage (magazine) editor and consultant to many #HIT start-ups and associations #hitsm |
| GLHC_HIE @GLHC_HIE @dflee30 @Radiolab Hey Don! #HITSM |
 | Patty Swisher @pmswish Hi All! I'll be listening in, while prep'ing for afternoon meetings! #HITsm |
| Don Lee @dflee30 @GLHC_HIE @BFMack @HC_Biz @Freakonomics @Marketplace What's up Brian? Freakonomics podcast (and books) is good stuff. #HITsm |
| John Lynn @techguy Hi everyone! I'm John. I blog @HealthcareScene and live in Vegas. I'm a fan of @RelentlesHealth @The_HCBiz @HITECHAnswers and @jaredpiano's https://t.co/CTZXOmBFog podcasts among so many others. Man, that's a hard question though. #HITsm |
| Don Lee @dflee30 @TrentonHealth @HealthcareScene @CAQH @whyy Welcome! #HITsm |
| CAQH @CAQH @HealthcareScene @dflee30 T1 There are many sources. A big one is the use of time-consuming manual business processes – phone, fax or mail – for day-to-day claims-related business between plans & providers. #hitsm |
| Don Lee @dflee30 @janicemccallum @dflee @CAQH Hi Janice. Thanks for squeezing us in! #HITsm |
| Trenton Health Team @TrentonHealth @HealthcareScene @dflee30 @CAQH A1: #Healthcare IT systems don’t talk to each other. There is a lot of work to do around #interoperability both within the walls of individual healthcare providers, and among organizations across the industry. #HITsm |
| Healthcare Scene @HealthcareScene RT @ginaveazey: Hi, I'm a verified healthcare data nerd, former @AHIPCoverage (magazine) editor and consultant to many #HIT start-ups and associations #hitsm |
| Don Lee @dflee30 @wareFLO @CAQH Be safe Chuck! #HITsm |
| John Lynn @techguy Glad you could join us! #HITsm https://t.co/yZThsDIUEr |
| GLHC_HIE @GLHC_HIE @techguy @HealthcareScene @RelentlesHealth @The_HCBiz @HITECHAnswers @jaredpiano Great list John! ALL favorites of mine too. SO many podcasts, so little time! LOL! #HITSM |
| Jane Sarasohn-Kahn @healthythinker As in all things #healthcare secret in sauce is data - heroes of @CAQH Index are so many #insurance #healthplans #physicians providers who share their data that help measure paper waste & automation that underpin #health administrative costs #HITSM @MGMA @AHIP @AmerMedicalAssn |
| Don Lee @dflee30 @ShimCode @joerogan @Resultant Good to see you my friend! #HITsm |
| John Lynn @techguy @GLHC_HIE @HealthcareScene @RelentlesHealth @The_HCBiz @HITECHAnswers @jaredpiano My favorite non-healthcare "podcast" to listen to is @TheHerd #HITsm |
| CAQH @CAQH @TrentonHealth @HealthcareScene @dflee30 Yes! There are issues on both the clinical and business sides. Increasingly important as these data sets are integrated in #valuebased payment models. #hitsm |
| Don Lee @dflee30 @TrentonHealth @HealthcareScene @CAQH So much to unpack there. Department to department redundancy and inefficiency is huge in almost every health system and payer I've got to know. And then you get outside of the org... so many opportunities. #HITsm |
| CAQH @CAQH RT @healthythinker: As in all things #healthcare secret in sauce is data - heroes of @CAQH Index are so many #insurance #healthplans #physicians providers who share their data that help measure paper waste & automation that underpin #health administrative costs #HITSM @MGMA @AHIP @AmerMedicalAssn |
| John Lynn @techguy @ShimCode Why is it that they "have" to follow? #HITsm |
| GLHC_HIE @GLHC_HIE @dflee30 @BFMack @HC_Biz @Freakonomics @Marketplace The list is LONG and that barely scratches the surface. But I agree, it's good stuff. I like Planet Money & Malcolm Gladwell's Pod for Sociological/economic analysis too. #HITSM |
| Don Lee @dflee30 I always start with this chart when I think of admin costs and complexity in healthcare. That's a whole lotta admins. Could you imagine that balance in any other industry? #HITsm https://t.co/AJJGJUCEdE |
| Janice McCallum @janicemccallum RT @healthythinker: As in all things #healthcare secret in sauce is data - heroes of @CAQH Index are so many #insurance #healthplans #physicians providers who share their data that help measure paper waste & automation that underpin #health administrative costs #HITSM @MGMA @AHIP @AmerMedicalAssn |
| CAQH @CAQH @healthythinker @MGMA @ahip @AmerMedicalAssn Thank you for your support, Jane! #hitsm |
| John Lynn @techguy My thoughts on this is that most of the regulations come from overreactions to bad situations and fears (many of which are unfounded). #HITsm https://t.co/1GyGMlkXDf |
| John Lynn @techguy I thought of this chart too, but what caused the change? #HITsm |
| Don Lee @dflee30 @ShimCode That's a fair and valid point. All of this extra work is, in theory, necessary to control costs in a complex market. But that complexity starts with policy, no? #HITsm |
 | Alireza Mansouri @DrAMansouri RT @RasuShrestha: Large online brain #cancer dataset—including #genomics and #imaging scans—released to the public https://t.co/UqrDSM0dBD #hcldr #HealthIT #hitsm #imagingIT |
 | Vince Kuraitis @VinceKuraitis @dflee30 I've been asking for someone/anyone to provide source of this info. Silence. I think general trend is right but I doubt the magnitude. #HITsm |
| Don Lee @dflee30 @ShimCode @techguy Also, because the providers tool up for it (so to speak) and then it becomes the path of least resistance (in so far as there is one) for the other payers. #HITsm |
| Trenton Health Team @TrentonHealth @dflee30 @HealthcareScene @CAQH Not to mention the impact on patients...redundant testing and all the admin issues that go along with it. #HITsm |
 | David Harlow @healthblawg ICYMI> Dave Chase and the Long March on Health Care Benefits – Harlow on Healthcare #digitalhealth #hcldr #hitsm https://t.co/u708t0ZGPt https://t.co/KhisSdVJJN |
 | Matthew Loxton is also on Mastodon @mloxton T1. Repeat work, variation in processes, inefficient processes, and processes that are designed to achieve outdated or misaligned goals. Then off course there is marketing, etc ;) #HITsm |
| Jane Sarasohn-Kahn @healthythinker @HealthcareScene @dflee30 @CAQH T1 important that @SeemaCMS passionately spoke about #faxmachines last week: for #healthcare her goal to eliminate faxes as #healthIT platform by 2020 https://t.co/0eTqvwrQro A noble if impossible goal as faxes are common #health networking tech for many small providers #Hitsm https://t.co/Oj2Y2R72Gy |
| Healthcare Scene @HealthcareScene T2: Why is it important to track progress related to admin costs? @dflee30@CAQH #hitsm https://t.co/gsg2R1xUJO |
| Vince Kuraitis @VinceKuraitis @CoherenceMed @dflee30 I've tried to trace the original source and can't find it. #Hitsm |
| Don Lee @dflee30 @techguy Agreed. We always think we have to do something. Speaking of podcasts, another great one is @ThisIsSethsBlog's Akimbo and he had a great show on this topic recently: https://t.co/DM7pQWiJk0 #HITsm |
| John Lynn @techguy @ShimCode I meant more in regards to payers following what Medicare does. #HITsm |
| Bob Bowman @rbowman271 RT @dflee30: I always start with this chart when I think of admin costs and complexity in healthcare. That's a whole lotta admins. Could you imagine that balance in any other industry? #HITsm https://t.co/AJJGJUCEdE |
 | Isobel Ndoro @Isobel_Ndoro RT @JennDennard: MT @MI_turnaround: MT @MI_turnaround: Hey #HITMC #HCLDR #HITsm #Healthitchicks #pinksocks friends - be a part of an online baby "sprinkle" for "Baby Bob" @CoherenceMed & @Mahek_MD! 🎁Let's sprinkle them w baby gifts & 💗 before November! Please share: https://t.co/ndumECMs48 https://t.co/VpzJbkg7ZU |
| GLHC_HIE @GLHC_HIE T1: To sum it up in 2 words => Bureaucracy and Regulation - "The scariest words in the English language: I'm from the government, and I'm here to help." - Ronald Reagan #HITSM |
| Don Lee @dflee30 @ColtonOrtolf Good point. What's the #1 simple thing people do today that can/should be automated in your opinion? #HITsm |
| Matthew Loxton is also on Mastodon @mloxton @CAQH @HealthcareScene @dflee30 Yes! Loads of thing are manual that should be automated. Even worse, many things that are done manually that are ALSO or ALREADY automated. Often human telling one machine what another machine said #hitsm |
| Don Lee @dflee30 @techguy Most common reaction I get to that chart is "Managed Care" #HITsm |
| John Lynn @techguy Oudated and misaligned goals. That's a good description of healthcare in a nutshell. The question is how do we change that? #HITsm |
| CAQH @CAQH @ColtonOrtolf Industry-driven solutions like operating rules can help automate across disparate systems. #hitsm |
| Trenton Health Team @TrentonHealth @HealthcareScene A2: Ballooning costs across the industry begs the question – where is all that money going? Tracking admin costs as they relate to overall costs to patients, providers, and insurance companies helps us determine the efficacy of care. #hitsm |
| Don Lee @dflee30 @VinceKuraitis @CoherenceMed Hmmm...Not sure and in this day and age you'd think I'd be more careful with that. I'll see what I can find. Thanks, Vince! #HITsm |
 | Integrated Healthcare Association @IHAConvene Checking in to the #hitsm chat today, if only for a while, to hear @dflee30 from @The_HCBiz discuss tracking administrative costs in #healthcare. #HITsm |
| John Lynn @techguy @healthythinker @HealthcareScene @dflee30 @CAQH @SeemaCMS Not sure if you saw my response to Seema's goal: https://t.co/NdrTouDVI2 #HITsm |
| Janice McCallum @janicemccallum Imagine if we included time/opportunity cost of patients & caregivers in the admin cost estimates? #hitsm |
 | Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba Hi guys. Shereese checking in from Maryland. #Hitsm https://t.co/tAMsEspgOp |
| Matthew Loxton is also on Mastodon @mloxton T2 Without monitoring and evaluation (tracking), admin costs tend to bloat over time as new admin processes get added atop old ones, and outdated and obsolete admin processes tend to persist #HITsm |
| John Lynn @techguy @TrentonHealth @HealthcareScene What's your answer to where all the money is going? #HITsm |
 | Michelle Barry, BSBM, MBA @CMichelleBarry RT @IHAConvene: Checking in to the #hitsm chat today, if only for a while, to hear @dflee30 from @The_HCBiz discuss tracking administrative costs in #healthcare. #HITsm |
 | Anthony Leon @anthonynotleon @HealthcareScene A2: See where your costs are going just as any other business. As you dig deeper, you may be able to find where inefficiencies are. #hitsm |
| John Lynn @techguy @janicemccallum Are you talking about time wasted in waiting rooms and things like that? #HITsm |
| CAQH @CAQH @HealthcareScene A2 How can you know if you are making progress, standing still or falling behind unless you look at the gauges now & then? #hitsm |
| Don Lee @dflee30 @mloxton @CAQH @HealthcareScene Sneaker net! Possibly trust issues? HealthIT doesn't have a pristine track record by any means and many providers doubt our answers. Similarly CAQH index found many providers would call for verification after getting answers from automated processes. #HITsm |
| Matthew Loxton is also on Mastodon @mloxton @techguy Unpopular answer, but basically - focus on patient outcomes. If something isn't adding value to achieving quality patient outcomes, it probably should be dumped #HITsm |
| Jane Sarasohn-Kahn @healthythinker @dflee30 T1 Also driving #healthcare administrative costs -> the rise of scribes in #heatlhcare to support #EHR implementations. Not seen in any other vertical industry. #hitsm @CAQH https://t.co/BCpTrtZaDS |
| GLHC_HIE @GLHC_HIE T2: Tracking is critical, because as often with Health IT, Administration is always at risk of losing focus and coming to believe that they are "the end", rather than a means to the end - optimal patient care. That chart really does speak volumes. #HITSM |
 | Angela Hemans is on Threads, LinkedIn, TikTok @AngelaHemans RT @MMSJennifer: Do you want to get more out of every trade show? Here is the definitive guide to #leadgen at healthcare trade shows. #HITMC #HITSM #femalefounders #healthIT #HIT #leadgen #mgma #rsna18 #tradeshows https://t.co/8ZQp6tVrTp |
 | Janae Sharp @CoherenceMed @HealthcareScene oh hi! lurking today with #HITSM chat- @dflee30 I think it's important to track progress related to all healthcare costs. because WHY WOULDN'T YOU TRACK PROGRESS AND COSTS. |
| Matthew Loxton is also on Mastodon @mloxton @ShereesePubHlth Hey Shereese! #HITsm |
| Don Lee @dflee30 @techguy @healthythinker @HealthcareScene @CAQH @SeemaCMS I love the bit about the CMS processes that only work via fax! We should keep an eye on that and see how long it takes them to adjust. #HITsm |
| Janice McCallum @janicemccallum @techguy John, I'm thinking of time sorting out bills and making appts, but wasted time at appts or in the hospital are valid, too. #hitsm |
 | Steve Sisko @ShimCode @HealthcareScene T2: One reason is to manage Medical Loss Ratio (MLR) which #ACA ‘regulations’ mandated be at a specific level. #HITsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @mloxton Matthew! How wonderful to run into you here. #HITsm https://t.co/JNMW7ixdYA |
| GLHC_HIE @GLHC_HIE @mloxton Hey Matthew! Easy on the Marketing! #HITSM https://t.co/7h2DThsNy3 |
| John Lynn @techguy The problem with this question is "important to who" The answer will differ if you're talking from a provider, payer, patient, etc perspective. #HITsm https://t.co/WMXIbOvGRF |
| John Lynn @techguy @dflee30 @healthythinker @HealthcareScene @CAQH @SeemaCMS It's easy to make statements. Hard to live by what you say. Do as I say, not as I do. #HITsm |
 | Kristine Burnaska @kburnaska @dflee30 @mloxton @CAQH @HealthcareScene Benchmarking is necessary when determining where to focus resources and efforts #hitsm |
| Janae Sharp @CoherenceMed @healthythinker @dflee30 @CAQH Do they increase productivity? I think of this from helping manage a law firm- do the most valuable activity. Attorneys don't do filing- their billable rate is too high. Also- my father applied this to a lot of his life. If I waste two hours to save $10- I'm bad at math. #HITSM |
| Don Lee @dflee30 @janicemccallum Absolutely! There are so many intangible benefits to the industry and society if we can streamline things. Unfortunately those don't make their way into our ROI calculations. Value to the whole is different from value to an org - that impedes org investment #HITsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba .@CAQH I have a bone to pick w/ you. I'll DM you. Nothing too serious. #hitsm https://t.co/s9BCIdA7lA |
| Steve Sisko @ShimCode T2: There are some fuzzy areas between ‘clinical’ and ‘administrative.’ I know that the #ACA specified certain things are admin that could be considered ‘care management’ #HITsm |
| John Lynn @techguy @janicemccallum Yep. I was thinking sorting out bills and appts as well. So much wasted time and energy. #HITsm |
 | Cred Collab Group @credcollab A2: Admin costs are important to know if you are moving in the right direction or you need to changes directions. Those changes could be adding or subtracting efficeincies/inefficiencies. #hitsm |
| Healthcare Scene @HealthcareScene T3: What are some barriers the #healthcare industry faces in reducing admin costs? @dflee30@CAQH #hitsm https://t.co/TSWo3Im52r |
 | EMR, EHR and HIT @ehrandhit RT @TrentonHealth: @HealthcareScene A2: @HealthcareScene A2: Ballooning costs across the industry begs the question – where is all that money going? Tracking admin costs as they relate to overall costs to patients, providers, and insurance companies helps us determine the efficacy of care. #hitsm |
| Gina Veazey @ginaveazey @mloxton @CAQH @HealthcareScene @dflee30 This is only getting worse #hitsm https://t.co/j5oEYyBDZQ |
| Jane Sarasohn-Kahn @healthythinker @ColtonOrtolf @dflee30 T1 A positive externality of enabling patients to schedule & check-in online is #patientsat which can increase #HCAHPS scores Very important to consider #design for #health #UXhealth #hitsm https://t.co/wbjFrFvuwI |
| Healthcare Scene @HealthcareScene RT @janicemccallum: Imagine if we included time/opportunity cost of patients & caregivers in the admin cost estimates? #hitsm |
 | Healthcare IT Today @hcittoday RT @mloxton: T2 Without monitoring and evaluation (tracking), admin costs tend to bloat over time as new admin processes get added atop old ones, and outdated and obsolete admin processes tend to persist #HITsm |
| Don Lee @dflee30 @mloxton Like one big, beautiful tinfoil ball #HITsm https://t.co/CelIV1pyVW |
| Janae Sharp @CoherenceMed @healthythinker @dflee30 @CAQH I've seen a man with a billable rate of over 500 an hour WASTE THREE HOURS TO SAVE 20 dollars. I wanted to shake him. #HITSM - and that's what we learned in my home growing up :) |
| Matthew Loxton is also on Mastodon @mloxton @dflee30 @CAQH @HealthcareScene Yeah, good point. The systems need to be trustworthy, and provably so. It always bugs me to see a nurse reading values off a BP cuff and typing them into an EHR, especially ewhen I can see the data port on the side that could be sending it automatically. #HITsm |
| Bob Bowman @rbowman271 RT @CAQH: @HealthcareScene @dflee30 T1 There are many sources. A big one is the use of time-consuming manual business processes – phone, fax or mail – for day-to-day claims-related business between plans & providers. #hitsm |
| Bob Bowman @rbowman271 RT @mloxton: @CAQH @HealthcareScene @dflee30 Yes! Loads of thing are manual that should be automated. Even worse, many things that are done manually that are ALSO or ALREADY automated. Often human telling one machine what another machine said #hitsm |
| Matthew Loxton is also on Mastodon @mloxton @ginaveazey @CAQH @HealthcareScene @dflee30 Ugh! #hitsm |
| Cred Collab Group @credcollab A3: GOVERMENT REGULATIONS! THE END! There is not enough characters to go off on this one. #hitsm |
| CAQH @CAQH RT @ginaveazey: @mloxton @CAQH @HealthcareScene @dflee30 This is only getting worse #hitsm https://t.co/j5oEYyBDZQ |
| CAQH @CAQH RT @credcollab: A2: A2: Admin costs are important to know if you are moving in the right direction or you need to changes directions. Those changes could be adding or subtracting efficeincies/inefficiencies. #hitsm |
| John Lynn @techguy @credcollab If that's true, then why didn't we change directions years ago? Admin costs have been high for a while. Did we just turn a blind eye to it? #HITsm |
| GLHC_HIE @GLHC_HIE @techguy That's valid John. But it's because we inherently begin from the point of our own self-interest, rather than looking at the common end goal. Don't er ALL agree that the Quadruple Aim is the ultimate goal? Is that just talk or are we REALLY serious? #HITSM |
| Bob Bowman @rbowman271 RT @kburnaska: @dflee30 @mloxton @CAQH @HealthcareScene Benchmarking is necessary when determining where to focus resources and efforts #hitsm |
| Trenton Health Team @TrentonHealth @HealthcareScene A3: There are high costs associated with sharing #healthcare data across the industry. Literally translating information from system to system takes a lot of time, money, and effort. #hitsm |
 | Colin Hung @Colin_Hung Hello #HITsm Colin here. Sorry I'm a bit late. Interesting chat! @dflee30 @CAQH |
| Don Lee @dflee30 @mloxton @techguy I agree. It's the only thing that makes sense for EVERYONE to focus on. Trouble of course is that our incentives don;t support that and are hard to change. If enough of us find a way to do the right thing on our own perhaps we can have a bottom up impact, #HITsm |
| Healthcare Scene @HealthcareScene Thanks for sharing! P.S. Don't forget to add the #HITsm hashtag so others can see what you share. https://t.co/yNBMN3m9BV |
 | Health Informatics @HI_Informatics RT @TrentonHealth: @HealthcareScene @dflee30 @CAQH A1: @HealthcareScene @dflee30 @CAQH A1: #Healthcare IT systems don’t talk to each other. There is a lot of work to do around #interoperability both within the walls of individual healthcare providers, and among organizations across the industry. #HITsm |
| Health Informatics @HI_Informatics RT @dflee30: @TrentonHealth @HealthcareScene @CAQH So much to unpack there. Department to department redundancy and inefficiency is huge in almost every health system and payer I've got to know. And then you get outside of the org... so many opportunities. #HITsm |
| Healthcare Scene @HealthcareScene RT @ginaveazey: @mloxton @CAQH @HealthcareScene @dflee30 This is only getting worse #hitsm https://t.co/j5oEYyBDZQ |
| Health Informatics @HI_Informatics RT @TrentonHealth: @dflee30 @HealthcareScene @CAQH Not to mention the impact on patients...redundant testing and all the admin issues that go along with it. #HITsm |
| CAQH @CAQH RT @kburnaska: @dflee30 @mloxton @CAQH @HealthcareScene Benchmarking is necessary when determining where to focus resources and efforts #hitsm |
| Health Informatics @HI_Informatics RT @mloxton: @CAQH @HealthcareScene @dflee30 Yes! Loads of thing are manual that should be automated. Even worse, many things that are done manually that are ALSO or ALREADY automated. Often human telling one machine what another machine said #hitsm |
| Cred Collab Group @credcollab @techguy In my opinion, yes we did. Lets hope we will move in a better direction. #HITsm |
| Janae Sharp @CoherenceMed @HealthcareScene barriers in reducing cost- lack of incentives to reduce cost. lack of business and technical talent. regulations #HITSM |
| John Lynn @techguy My favorite word to describe healthcare: Apathy. #HITsm |
| GLHC_HIE @GLHC_HIE @BigDataCXO Hi Prashant! Good to "see" you! #HITSM |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @dflee30 @Jim_TheRocktor Don, how are you? I always get the Doc's opinion. Let's see if he's up to sparring right now. He may be w/ patients #HITsm @Jim_TheRocktor https://t.co/65VxYIFzoj |
| GLHC_HIE @GLHC_HIE @credcollab PREACH! #HITSM |
| Colin Hung @Colin_Hung @TrentonHealth @HealthcareScene A3 Fields have different meaning in different organizations. What I call a "Code 5" might mean something completely different in another org's context #HITsm |
 | The HealthCare IT Experts Blog @HCITExpert [Today] #HITsm TweetChat, on Twitter at - August 17, 2018 at 10:30PM IST | Topics | @HealthcareScene - https://t.co/K7wh2zv2MQ |
| Don Lee @dflee30 @healthythinker @CAQH I'm not sold on that. What about para-legals? Or assistants in general? The idea is to keep the highly-capable focused on the things that bring the most value. Why not let the docs off the hook on data entry until the systems get better? #HITsm |
| John Lynn @techguy @GilmerHealthLaw HIPAA is the head whipping boy in healthcare. #HITsm |
| Matthew Loxton is also on Mastodon @mloxton T3 1. Reality 2. Misaligned focus 3. Perverse Incentives 4. Lack of QI focus 5. Hierarchical power structures 6. Bad workflow 7. Toxic "blame first" culture .. 7989. Government regulation #HITsm |
| Anthony Leon @anthonynotleon @HealthcareScene I'm not part of this product suite but dug this EHR dashboard from @emedapps . Looks at things not completed in EHR. What is being done instead of these items? Where can they make improvements, etc? #hitsm https://t.co/uLVuHshkTd |
| John Lynn @techguy @GLHC_HIE Just talk. #HITsm |
| Don Lee @dflee30 @ShimCode @VinceKuraitis Yup. And I just took it and ran with it. Good reminder. #HITsm |
| CAQH @CAQH @techguy @credcollab Think how the world has changed in the past 20yrs, esp. automation/computing. Lots of change for doctors & health plans too, but recent progress to automate has been only modest. #hitsm |
| Janice McCallum @janicemccallum @CoherenceMed @HealthcareScene TYJanae, you just posted what I was drafting! Regs are a problem, but need strong incentives, too. #hitsm |
| Janae Sharp @CoherenceMed @ShimCode @dflee30 yep. #HITSM https://t.co/DARYZe7mPr |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba T2 It's important because right now, even as we sit in #HITsm, hospitals are losing $7500 per day on just one segment of admin costs. And patients are footing the bill https://t.co/2aKa0wbNM1 |
| Colin Hung @Colin_Hung @dflee30 @healthythinker @CAQH Likely a cost thing? Too expensive to hire additional resources simply to do data entry (like the former transcriber roles that we used to have - dictaphones anyone?) #HITsm https://t.co/XygHjOqS1R |
| John Lynn @techguy So well said. I always ask people who want lower healthcare costs, "Who's going to take the cut?" #HITsm https://t.co/tHIraurC10 |
| Don Lee @dflee30 @GLHC_HIE @mloxton Ha! Seriously tho... #Marketing, when done properly, can be a huge value to patients. Get them the information they need to understand their condition and care; engage them between visits; etc. #HITsm |
| CAQH @CAQH T3 Providers sometimes have a hard time finding practice management systems or clearinghouse solutions that can automate all the processes they need. #hitsm |
| Healthcare Scene @HealthcareScene RT @Colin_Hung: @TrentonHealth @HealthcareScene A3 Fields have different meaning in different organizations. What I call a "Code 5" might mean something completely different in another org's context #HITsm |
| Janae Sharp @CoherenceMed @dflee30 @healthythinker @CAQH I said it first. just saying :) #HITSM |
| Cred Collab Group @credcollab @CAQH @techguy Do you think that will change to automate more? #HITsm |
| Colin Hung @Colin_Hung @CAQH A3 Too many to choose from? or more a case of not finding exactly what they need? #HITsm |
| Matthew Loxton is also on Mastodon @mloxton @BigDataCXO @dflee30 @ShimCode yeah, not so much. PBM's exist because they can skim from outrageous profit margins by vendors. If the average GPM was ~15%, PBMs would have no value proposition, regardless of government. #HITsm |
| Cred Collab Group @credcollab @CAQH Any good suggestions? #HITsm |
| John Lynn @techguy @credcollab @CAQH Do we have any choice? Seems like it's required to survive. #HITsm |
| Healthcare Scene @HealthcareScene T4: What can the #healthcare industry do to overcome these barriers and achieve significant cost savings? @dflee30@CAQH #hitsm https://t.co/jM7VLBE1bW |
| Matthew Loxton is also on Mastodon @mloxton @GLHC_HIE Marketing is such an easy target though ;) #HITsm |
| Healthcare Scene @HealthcareScene RT @mloxton: T3 1. Reality 2. Misaligned focus 3. Perverse Incentives 4. Lack of QI focus 5. Hierarchical power structures 6. Bad workflow 7. Toxic "blame first" culture .. 7989. Government regulation #HITsm |
| Matthew Loxton is also on Mastodon @mloxton RT @ginaveazey: @mloxton @CAQH @HealthcareScene @dflee30 This is only getting worse #hitsm https://t.co/j5oEYyBDZQ |
| Cred Collab Group @credcollab @techguy @CAQH I agree with you John, for sure. I am a big proponent of it. #HITsm |
| EMR, EHR and HIT @ehrandhit RT @dflee30: @healthythinker @CAQH I'm not sold on that. What about para-legals? Or assistants in general? The idea is to keep the highly-capable focused on the things that bring the most value. Why not let the docs off the hook on data entry until the systems get better? #HITsm |
| Don Lee @dflee30 @BigDataCXO Prashant! You're the man! Showing up at 2:30 with jet lag and all #HITsm |
| CAQH @CAQH @credcollab The CAQH Index continues to explore this. #hitsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @techguy @credcollab @CAQH Modest progress yields modest outcomes. #HITsm |
| Cred Collab Group @credcollab @CAQH Fantastic. We need it. Call me when you do! #hitsm |
| Matthew Loxton is also on Mastodon @mloxton @dflee30 @techguy Right, we know the answer, but can't do anything about shareholder value being a bigger goal than patient outcomes #HITsm |
| Trenton Health Team @TrentonHealth @HealthcareScene A4: We implemented the #TrentonHIE in 2014 to share data between key partners. When a provider can see past actions from a range of providers, they can reduce duplicative testing and increase savings. #hitsm |
| Don Lee @dflee30 @techguy @GLHC_HIE I think many people believe it, but to your earlier point, much easier to speak to something. Its a whole other thing to do something about it. #HITsm |
| The HealthCare IT Experts Blog @HCITExpert The #HIMSS18 Daily by @HCITExpert! https://t.co/X6fW4fJ0HD #HITsmIND via @CRN_Events @WeAreWIL @MobiHealthNews #hitsm #hcldr |
| Anthony Leon @anthonynotleon @techguy @GilmerHealthLaw #HITSM https://t.co/NfDJDKopj4 |
| Jane Sarasohn-Kahn @healthythinker A3 Emergence of #voice enabled #HIT may help overcome paper barrier. I don't mean to ove-hype @Amazon #Alexa & #voicetech but it's getting traction pretty quickly. See @BostonChildrens eg and other #healthcare providers piloting voice #HITSM data via Purple Orange Ventures https://t.co/hYQErSl3eY |
| Janae Sharp @CoherenceMed So many answers. Endless possibilities. All correct. #hitsm |
| Don Lee @dflee30 @TrentonHealth @HealthcareScene Yup. And that ain't changing any time soon unfortunately. So the question becomes, how do we do better despite that? #HITsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @credcollab @techguy @CAQH Any org still pushing back against automation has a plan for assured self destruction, IMHO. Patients and providers need faster, automated systems for credentialing, engagement, & follow-up #HITsm |
| CAQH @CAQH @HealthcareScene A4 Take stock of your org’s use of automation vs industry benchmarks. Set priorities. Make progress. Helpful tool for calculating cost savings potential: https://t.co/FmB9KmfFH1 #hitsm |
| Don Lee @dflee30 @CoherenceMed @HealthcareScene And because of all those, lack of time. It's a self-feeding system. #HITsm |
| John Lynn @techguy @ShereesePubHlth @credcollab @CAQH In most areas of healthcare I'll take modest outcomes. #HITsm |
| Matthew Loxton is also on Mastodon @mloxton T4. We need to face the reality of an imperfectable industry, but refocus on patient outcomes, and introduce monitoring and evaluation quality improvement processes to squeeze out waste and continuously improve quality and safety #HITsm |
| Don Lee @dflee30 @ShereesePubHlth @Jim_TheRocktor I'm a big fan of the good doctor! Thanks for unleashing him on us :) #HITsm |
| Janae Sharp @CoherenceMed @dflee30 @HealthcareScene lack of bandwidth is a huge challenge- also relates to how to improve it- there are so many things that need improvement with cost management it's hard to know where to start. #hitsm |
| Cred Collab Group @credcollab @ShereesePubHlth @techguy @CAQH I agree Shereese, but we can't forget about the insurance guys either. They need a faster, automated system as well. #HITsm |
| Vince Kuraitis @VinceKuraitis @dflee30 @ShimCode 97.4 % of people believe data they see in graphs. Source: I made it up. #HITsm |
| John Lynn @techguy @healthythinker @amazon @BostonChildrens The move to voice has been amazing. It's so natural for my children too. #HITsm |
| Kristine Burnaska @kburnaska @HealthcareScene Automating administrative transactions can lead to savings #hitsm #CAQHIndex |
 | Jared Jeffery @Jk_Jeffery This is almost exactly mirroring the "administrative boom" of colleges. (Another market with runaway rising costs.) Fascinating stuff! #hcldr #HITsm (https://t.co/kxQ8QNOsLQ See Figure 4 for reference) |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @dflee30 @TrentonHealth @HealthcareScene #Blockchain. You can use a commitment for all that data, and at significant savings, not to beat a dead horse. #hitsm https://t.co/O251yadkG9 |
| Don Lee @dflee30 @techguy @GilmerHealthLaw Every game has rules. #HIPAA is ours. People need to get over it and find ways to do what they need to do. #HITsm |
| GLHC_HIE @GLHC_HIE @credcollab @techguy @CAQH I think the key is to integrate automation WITHOUT removing the human element. It's obviously easier said than done. The technology can't keep up with our aspirations, and we are sold poor substitutes with disappointing results. #HITSM |
| Matthew Loxton is also on Mastodon @mloxton @ShimCode @BigDataCXO @dflee30 You are missing where the PBM's play. They largely play in the region where GPM is in the triple digits and higher. They are saprophytes to the patient, parasites to the industry. They feed where the fat is thick and flowing freely #HITsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @credcollab @techguy @CAQH Absolutely. #HITsm |
| Colin Hung @Colin_Hung @mloxton @ShimCode @BigDataCXO @dflee30 Wow. That's some powerful imagery there Matt! #HITsm |
 | The Roctor,MD @TheRoctor_MD @dflee30 @ShereesePubHlth Thanks y'all. Little busy right now. ✌️😎 #HITsm |
| Don Lee @dflee30 @mloxton Reality is #1 for you? How so #HITsm |
| GLHC_HIE @GLHC_HIE @ShereesePubHlth @dflee30 @TrentonHealth @HealthcareScene #HITSM https://t.co/vwazSgPmck |
| Jane Sarasohn-Kahn @healthythinker @dflee30 @CAQH Poorly designed #EHRs from big-iron vendors created need/market for #healthcare scribes, In healthcare we tend to add new tech w/o replacing the old (eg #fax). Also true for #clinicaltech #medtech but they have typically generated #reimbursement (tho' #overtreatment too) #hitsm |
| Anthony Leon @anthonynotleon @dflee30 @techguy @GLHC_HIE "Don't talk about it, be about it" #hitsm |
| Colin Hung @Colin_Hung @GLHC_HIE @credcollab @techguy @CAQH A3 I would qualify that slightly - non-value-add human elements should be eliminated in healthcare. Really no need for 10 person chain of custody for a lab test or extraneous re-entry of data held elsewhere #HITsm |
| Matthew Loxton is also on Mastodon @mloxton @CoherenceMed @dflee30 @HealthcareScene Every industry pretty much has faced that same paradox - takes time to save time. Healthcare often has massively inefficient processes and then refuses to fix them bc there isn't time #HITsm |
| Janae Sharp @CoherenceMed RT @mloxton: @CoherenceMed @dflee30 @HealthcareScene Every industry pretty much has faced that same paradox - takes time to save time. Healthcare often has massively inefficient processes and then refuses to fix them bc there isn't time #HITsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @Jim_TheRocktor @dflee30 I knew you were. busy; just wanted to see if I could bait you. Apologize to the patients and staff for us. We're all a little crazy here #hitsm https://t.co/ICa3KtNhwx |
| Cred Collab Group @credcollab A4: Technology, better automations, actual working processes. #hitsm |
| Don Lee @dflee30 @ShimCode @VinceKuraitis Ha. Thanks, but I didn't read it that way. It's a great point. Especially today. #HITsm |
| Healthcare Scene @HealthcareScene T5: How is the emerging #valuebased payment model impacting #healthcare administration and operations? @dflee30@CAQH #hitsm https://t.co/Qvf9DSOZEo |
| Don Lee @dflee30 @Colin_Hung @healthythinker @CAQH But if they can do it in a way that makes the doctors more efficient then it should add way more value than it removes. That could lower costs or help with doctor shortages or doctor burnout, etc. Lots of potential IMO. #HITsm |
| Don Lee @dflee30 RT @techguy: So well said. I always ask people who want lower healthcare costs, "Who's going to take the cut?" #HITsm https://t.co/tHIraurC10 |
| Cred Collab Group @credcollab @Colin_Hung @GLHC_HIE @techguy @CAQH If only I could like this 1,000 times! This is happening on the health insurance side as well. Not just the providers. They all need it. #HITsm |
| Matthew Loxton is also on Mastodon @mloxton Yes, but. The graph is alarming, but not necessarily showing anything wrong. While many administration jobs are the result of inefficiencies, the ratio or growth compared to physicians is not meaningful. /2 #HITsm |
| Colin Hung @Colin_Hung @VinceKuraitis @dflee30 @ShimCode That's the new normal isn't it? #HITsm A good-looking graph is all the credibility you need? |
| CAQH @CAQH @HealthcareScene A5 The rise of #valuebased payment models is certainly adding a layer of complexity to admin & operations. #hitsm |
| Colin Hung @Colin_Hung A5 In the short term it is increasing admin & ops costs - mostly because of the work to transition. Still have the old model while trying to put systems & processes in place for the new. It's a crazy time #HITsm |
| Cred Collab Group @credcollab A5: I personally think its adding way too many admin costs which in turn rises the cost of healthcare. #hitsm |
| Matthew Loxton is also on Mastodon @mloxton There will by necessity be more admin staff than physicians, that's just more efficient. Using physicians to unpack supplies, pack shelves, consolidate invoices, order supplies, etc would be inefficient use of resources. #hitsm |
| CAQH @CAQH RT @credcollab: A4: A4: Technology, better automations, actual working processes. #hitsm |
| Cred Collab Group @credcollab @Colin_Hung I agree. Do you think will ever even out in that model? #HITsm |
| John Lynn @techguy Too early to say for sure. However, I do see new organizations being created to address this. So, that seems like more administration. #HITsm |
| Healthcare Scene @HealthcareScene RT @mloxton: @CoherenceMed @dflee30 @HealthcareScene Every industry pretty much has faced that same paradox - takes time to save time. Healthcare often has massively inefficient processes and then refuses to fix them bc there isn't time #HITsm |
| GLHC_HIE @GLHC_HIE T5: I see glimmers of hope all around... GLHC is participating in several efforts across the state to build collaborative engagement around a holistic approach to meeting patient needs - Physical/Behavioral/Social #SDOH #HITSM https://t.co/CSK0g49clr |
| Matthew Loxton is also on Mastodon @mloxton T5 well it's forcing mergers, which is a kind of efficiency, I guess? Hopefully, it eventually leads to patient-focused goals, which really would lead to reduction in waste and admin costs that are misaligned. That's not a certainty though, it may inflate admin work #HITsm |
| Don Lee @dflee30 @GilmerHealthLaw @techguy Mostly just good governance. Which is annoying and costly upfront and gets no love when you saves you're bacon an unknowable number of times :) #HITsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @ShimCode @dflee30 @techguy @GilmerHealthLaw It's overdue anyway. Perhaps @judithconsult can keep us informed. #HITsm https://t.co/jIZumUnM5k |
| Integrated Healthcare Association @IHAConvene ICYMI: An administrative burden that we’re working to solve in #California. #dataintegrity #workflow #HITsm |
| Jared Jeffery @Jk_Jeffery @mloxton Fair point. I think the ratio of student to admin is more apt (as you would think admin only increases in response to increase in students needing to be administered to) - I think the Admin/Dr. ratio is more telling of how much IT has upped the complexity of Healthcare. #HITsm |
| Anthony Leon @anthonynotleon @HealthcareScene A5 - It's still in the reactionary phase so costs will increase for a bit. We are in that lower end of that J curve. But with that J curve, you need to have set the expectations of a different process, more work at first but stick it out and it will get better. #hitsm |
| John Lynn @techguy I've seen some hints around this as well. #HITsm |
| CAQH @CAQH @Colin_Hung #FFS systems and processes don’t align with needs of #valuebased. Example: VBP needs very precise, uniform data to support fluid collaboration among stakeholders. https://t.co/vFQGsGnYdC #hitsm |
| EMR, EHR and HIT @ehrandhit #HITsm https://t.co/fLlGqlUoZe |
| Matthew Loxton is also on Mastodon @mloxton @Colin_Hung @ShimCode @BigDataCXO @dflee30 PBM are a breed of maggot? #hitsm |
| Healthcare Scene @HealthcareScene Is that good or bad? #HITsm https://t.co/UPjrrfUP65 |
 | Mark Walls @wcmarkwalls RT @techguy: I've seen some hints around this as well. #HITsm |
| Steve Sisko @ShimCode @HealthcareScene T5: If anything, #valuebasedcare and reimbursement models are increasing administrative costs and additional operational complexity. All the ‘new’ measures, attribution, data collection and reporting take time and money. #HITsm |
 | KLAS Research @KLASresearch Really excited to see Mike Davis out spreading the word about our #ArchCollaborative initiative. Valuable data that leads to actual change for EHR end-users! #EHR #EMR #HITsm |
| Jane Sarasohn-Kahn @healthythinker A4 Bring #doctors #physicians #nurses & #patients into convo-they are at the frontlines of #healthcare delivery & can share what works. For too long #healthIT has been developed by folks who don't know #workflow (channeling @wareFLO!) #hitsm An old @Microsoft HealthVault pic! https://t.co/fHQc77zyWt |
| Colin Hung @Colin_Hung @credcollab A5 I think eventually the transition period will end and we'll reach a new steady-state. Unfortunately admin costs are often like a ratchet. Easy to go up, hard to come down. #HITsm |
| Colin Hung @Colin_Hung @mloxton @ShimCode @BigDataCXO @dflee30 I'm glad I haven't eaten lunch yet #hitsm |
| Healthcare Scene @HealthcareScene Bonus: What are other growing #healthcare administration and operations trends and how might they impact healthcare admin costs? @dflee30@CAQH #hitsm https://t.co/joHYHnSqHd |
| Colin Hung @Colin_Hung @ShimCode @HealthcareScene A5 Agree. The model is good, but there are a lot more reporting and monitoring requirements. Because it's new we're expending a lot more time/money/resources on it reight now #HITsm |
| EMR, EHR and HIT @ehrandhit RT @Colin_Hung: @ShimCode @HealthcareScene A5 Agree. The model is good, but there are a lot more reporting and monitoring requirements. Because it's new we're expending a lot more time/money/resources on it reight now #HITsm |
| GLHC_HIE @GLHC_HIE @Colin_Hung This is an important point... It's REALLY difficult to see the sun when you're walking through a forest of Redwoods. Progress (even incremental) toward the goal is still a net positive. #HITSM https://t.co/OftJTCWGMz |
| Matthew Loxton is also on Mastodon @mloxton @dflee30 Massively complex species with growing number of increasingly complex and costly treatments and testing. Not an environment in which solutions will be easy or intrinsically safe. We will ultimately have to accept that without just surrendering #hitsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @techguy Did they do a 2018 update? they were considering loosening "informing patients" rule. But perhaps we'll see this in Q1 2019 #Hitsm |
 | Stacey Tinianov (she/her) MPH, BCPA @coffeemommy Definitely spurring conversation. We, as a society and as a healthcare community, still haven't really defined #valuebased clearly. "Value" is different based on perspective. And desirable "outcomes" mean different things to different people. #hitsm #ptexp #SharedDecisionMaking |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @HealthcareScene: Bonus: Bonus: What are other growing #healthcare administration and operations trends and how might they impact healthcare admin costs? @dflee30@CAQH #hitsm https://t.co/joHYHnSqHd |
 | Kiser Solutions @kisersolutions @HealthcareScene Value by definition means quality/outcomes over costs. Challenges of #EHR interop and the challenges of admin transactions = difficult to tie clinical data to payment. Scalability of VBP will be difficult and will have to be retrospective review. #HITsm |
| Colin Hung @Colin_Hung @ShimCode @dflee30 ewwww! #hitsm Not after @mloxton comment about maggots. Ugh. Evil. |
| CAQH @CAQH @HealthcareScene Bonus: We’ve got to get a handle on #providerdata. Industry spends $2B annually but errors and problems with incomplete records persist. https://t.co/c7rOC01lYC #hitsm |
| Gina Veazey @ginaveazey A5 Five areas where improvement would help streamline #valuebased payment operations https://t.co/VGqsIO21Kf #hitsm |
| John Lynn @techguy @ShereesePubHlth I haven't seen any update yet. Just some speculation and talk about what should be updated. #HITsm |
| Matthew Loxton is also on Mastodon @mloxton @ShimCode @BigDataCXO @dflee30 Point taken. Just saying PBM value prop is where the profits are huge. They can't do much in low profit product lines #hitsm |
| Don Lee @dflee30 RT @healthythinker: A4 Bring #doctors #physicians #nurses & #patients into convo-they are at the frontlines of #healthcare delivery & can share what works. For too long #healthIT has been developed by folks who don't know #workflow (channeling @wareFLO!) #hitsm An old @Microsoft HealthVault pic! https://t.co/fHQc77zyWt |
 | Jon McBride 🌴 @jamcbride RT @dflee30: I always start with this chart when I think of admin costs and complexity in healthcare. That's a whole lotta admins. Could you imagine that balance in any other industry? #HITsm https://t.co/AJJGJUCEdE |
| GLHC_HIE @GLHC_HIE @GilmerHealthLaw @ShereesePubHlth @ShimCode @dflee30 @techguy @judithconsult Thanks Erin! Great stuff! #HITSM |
| Colin Hung @Colin_Hung Bonus - One cost I'm interested to track is insurance for admin/ops errors - Breach insurance, leadership insurance (against inappropriate behavior). HC is not immune to what is happening in other industries and these will add further costs to the system #HITsm |
| CAQH @CAQH @HealthcareScene Remains to be seen. The industry has an opportunity to come together to ensure uniformity and automation now - before proprietary processes become entrenched. #hitsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @CAQH: @HealthcareScene Bonus: @HealthcareScene Bonus: We’ve got to get a handle on #providerdata. Industry spends $2B annually but errors and problems with incomplete records persist. https://t.co/c7rOC01lYC #hitsm |
| Anthony Leon @anthonynotleon @HealthcareScene Bonus - More tech! Tech on Tech on Tech. It's more efficient if done correctly, but how many actually do it correctly? #hitsm |
| Trenton Health Team @TrentonHealth @HealthcareScene ABonus: We love the growing focus on #interoperability across the industry and sharing information through #HIE systems. Reducing duplicative work will produce costs savings. There are many innovative organizations trying to solve these problems! #hitsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @TrentonHealth: @HealthcareScene ABonus: @HealthcareScene ABonus: We love the growing focus on #interoperability across the industry and sharing information through #HIE systems. Reducing duplicative work will produce costs savings. There are many innovative organizations trying to solve these problems! #hitsm |
| Don Lee @dflee30 @coffeemommy Great point! Value based pop health vs. precision medicine that considers patient goals will be a source of debate and friction in our systems going forward #HITsm |
| Healthcare Scene @HealthcareScene Thanks everyone for joining today's #HITsm chat hosted by @dflee30 and @CAQH If you missed it or want to read the full chat transcript, you can find it here: https://t.co/LYUJvA9MaG |
| Matthew Loxton is also on Mastodon @mloxton @Jk_Jeffery In some areas, inefficient or ineffective IT is indeed to blame, but I think the comparison begs the question of what the optimum admin/physician ratio should be #hitsm |
 | Brad Justus @Brad_Justus KLAS says Epic leading advanced analytics integration, others making progress | Healthcare IT News - https://t.co/zFge24T67z #HealthIT #HITsm #HIMsocial |
| Colin Hung @Colin_Hung @anthonynotleon @HealthcareScene I'd like to add a side of Tech to what you're having Anthony! #HITsm |
 | Geneia @Geneia The internet of connected medical things (IoMT) e.g. #telemedicine + medication management, is expected to reach $158 billion by 2022, up from $41 billion last year: https://t.co/84Ia11jmpu. #IoT #hitsm |
| Healthcare Scene @HealthcareScene Join us for next week's #HITsm chat on "The Role of Technology in Chronic Disease Management" which will be hosted by @ColtonOrtolf |
| Healthcare Scene @HealthcareScene Let's give a massive thank you to @dflee30 and @CAQH for hosting today's #HITsm chat and to each of you who participated. https://t.co/mJ2mIpgGOJ |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba Glad I made it here today. Have a great weekend everyone #HITsm https://t.co/kobVbP5q97 |
 | Jennifer Michelle, MPH (she) @MMSJennifer Do you write white papers? Is it your job to get people excited about a white paper? Find out journalist tips and tricks from @MarnieHayutin in this podcast interview. #HCLeadGen #ContentMarketing #DigitalMarketing #HITMC #HITSM https://t.co/tc6tEVomA8 |
| Cred Collab Group @credcollab @anthonynotleon @HealthcareScene That’s the question. Is it really being done correctly? Some, not all. #HITsm |
| Stacey Tinianov (she/her) MPH, BCPA @coffeemommy Many HC entities trying to be one-stop shopping for cancer treatment centers. 💰While IDEAL from convenience perspective, it may be more effective AND efficient to collaborate w/ community & resources that ALREADY exist & are serving need. #HITsm #OneSizeFitsNoOne |
| Colin Hung @Colin_Hung Great chat today @CAQH @dflee30 Lots of interesting comments and insights. Have a great weekend everyone! #HITsm |
| Don Lee @dflee30 This is why we get along so well :) #HITsm |
| Jane Sarasohn-Kahn @healthythinker A5 Living in 2 #healthcare payment regimes creates complexity which drives cost - #hospitals & #doctors must engage staff to deal w 2 #reimbursement & #valuebased worlds which @seccurve pointed out years ago #HITSM https://t.co/NDUpcgOfDa |
| Trenton Health Team @TrentonHealth Great chat! Thank you for the opportunity. #HITsm |
| Matthew Loxton is also on Mastodon @mloxton @BigDataCXO @Colin_Hung @ShimCode @dflee30 Well the irony is that for patients, PBMs have value, bc they can force down prices. They just do it by parasitical action #HITsm |
| Gina Veazey @ginaveazey @HealthcareScene #HITsm The CAQH Index found lots of portal use and was not entirely clear what the effect was long term... 1/2 https://t.co/wnUdqQ2JkS |
 | Barby Ingle Official @BarbyIngle T1. Some we want... quality improvement programs Some are necessary... processing $, hiring & managing employees & maintaining HIT systems... & some we need ... coordination of care, but dont get... ie care managers #HITsm |
| Don Lee @dflee30 @techguy @ShereesePubHlth Is the speculation for loosening to "make things easier" or tightening to protect patients in the app market? #HITsm |
| CAQH @CAQH Thank YOU! This was a great #hitsm chat. So much to unpack in only an hour - wish we had more time to discuss admin costs! |
| Cred Collab Group @credcollab @CAQH @HealthcareScene YESSS! Directory updates are out of control. #HITsm |
| Kristine Burnaska @kburnaska @HealthcareScene Growing use of health plan portals. Are they a bridge or barrier to HIPAA standard transactions? #hitsm |
| GLHC_HIE @GLHC_HIE @CAQH @HealthcareScene Another critical point! IMHO, the federally mandated, top-down, "you can comment, but we don't have to listen" approach is REALLY slowing progress. Who knows best what data providers need at the point of care? The providers themselves, or the Fed bureaucracy?!? #SMH #HITSM |
| Matthew Loxton is also on Mastodon @mloxton @Colin_Hung @ShimCode @dflee30 Oh hey, one of those rice grains is wriggling #HITsm |
| Gina Veazey @ginaveazey @HealthcareScene #HITsm 2/2 https://t.co/TbaAOyyIzI |
| Cred Collab Group @credcollab @HealthcareScene @dflee30 @CAQH Thanks for hosting @dflee30 and @CAQH Always a pleasure. #HITsm |
| Don Lee @dflee30 RT @HealthcareScene: Thanks everyone for joining today's #HITsm chat hosted by @dflee30 and @CAQH If you missed it or want to read the full chat transcript, you can find it here: https://t.co/LYUJvA9MaG |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @dflee30 @techguy The propose changes seem to loosen requirements on the provider side IMHO #Hitsm |
| Don Lee @dflee30 RT @HealthcareScene: Join us for next week's #HITsm chat on "The Role of Technology in Chronic Disease Management" which will be hosted by @ColtonOrtolf |
| Anthony Leon @anthonynotleon @credcollab @HealthcareScene Coming from the vendor side, you see it often. Cool ideas but most of the time filling a gap, which is great. But so many times, promise from vendor does not equal what is delivered because rough implementation and horrible education and follow up on product. #hitsm |
| Jared Jeffery @Jk_Jeffery @mloxton Well, to hear the #AI acolytes talk, it will be 0:1 because the computers are going to take those administrative jobs here pretty quick. Sarcasm aside, I would hope IT eventually turns that ratio from a 10:1 into more like 2:1 #HITsm |
| Barby Ingle Official @BarbyIngle T2. Retention in provider teams improves longer outcomes for the patient and lowers overall treatment costs. Less doubling of testing, treatment trials, etc. The longer you can remain with the same care team, the better all the way around. #HITsm |
| Don Lee @dflee30 @HealthcareScene @CAQH Thanks everyone! It was great chatting with you today! #HITsm |
| Cred Collab Group @credcollab @anthonynotleon @HealthcareScene I have spent a lot of money going through this EXACT problem. I hope to find the good ones! #HITsm |
| GLHC_HIE @GLHC_HIE Thanks for a great chat today everyone! Great topic from @dflee30 & @CAQH. As always, thanks to @Techguy & @HealthcareScene for leading the band! Have a GREAT weekend everyone! #HITSM https://t.co/uHDdQ9NcYV |
| Barby Ingle Official @BarbyIngle T3. The biggest barriers I see r inability 2 share pt records quickly & effectively, lack of use of technology (the more we use the less it will cost overtime), lack of training 4 pros n areas of their pts dx (they dont have time or resources to know all that is needed) #HITsm |
| Matthew Loxton is also on Mastodon @mloxton @ShimCode @BigDataCXO @dflee30 From a patient pov, would you rather pay $350 or $150 for a drug that retails for $15 in the EU and costs $1.50 to bring to market? PBM can get you a wildly overpriced drug at a slightly lower overpriced amount #HITsm |
 | @healthprivacy @HealthPrivacy RT @coffeemommy: Many HC entities trying to be one-stop shopping for cancer treatment centers. 💰While IDEAL from convenience perspective, it may be more effective AND efficient to collaborate w/ community & resources that ALREADY exist & are serving need. #HITsm #OneSizeFitsNoOne |
| Anthony Leon @anthonynotleon @credcollab @HealthcareScene Starts from sales (I'm the sales guy). Are they telling you what you need without actually listening to your workflow? Do they have reference sites that didn't get it for free? What is their post installation training policy, etc? #hitsm |
| CAQH @CAQH RT @kburnaska: @HealthcareScene Growing use of health plan portals. Are they a bridge or barrier to HIPAA standard transactions? #hitsm |
| Barby Ingle Official @BarbyIngle T4. Universal Health Records, salaried providers, improve education 4 providers, better case managing of chronic patients, creating teams that include the pt in the decisions and discussions. Care should be between pro and pt, I see 2 many hands in the challenges existing #HITsm |
| Matthew Loxton is also on Mastodon @mloxton @Jk_Jeffery Understood, but this gets fiendish, very fast. If 10 admin people enable 1 physician to attend 10 patients instead on 1 in a given period of time, would we complain? #hitsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba "OCR is planning on removing some of the outdated and labor-intensive elements of HIPAA that provide little benefit to patients, although before HIPAA changes are made"- HIPAA Journal #HITsm https://t.co/nARpIuoEpb |
| Anthony Leon @anthonynotleon @credcollab @HealthcareScene My favorite one is "we have ____ (reputable group) as a customer." I always say that's great and start to dig a bit more. Then the "they plan to go live with it next year" 😑 #hitsm |
| Cred Collab Group @credcollab @anthonynotleon @HealthcareScene Oh yes I have heard this one before! Are you still in this industry? #HITsm |
| Barby Ingle Official @BarbyIngle T5. I see pros & cons n value based $ models. Pts should have a voice n care, but outcomes r subjective. I have had pros write stuff n my recs that is not accurate & was never addressed n the care they provided. I also know PTs who complain on everything, who's measuring #HITsm |
| CAQH @CAQH @ShimCode @HealthcareScene Great point! The rising volume of admin transactions are predicted to continue or accelerate. A growing number of patients are covered by complex insurance products like HDHPs. This is thought to drive use of eligibility and benefit and claim status transactions. #hitsm |
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