#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? Where are you from? And what's your biggest pet peeve? #HITsm |
| Healthcare Scene @HealthcareScene Welcome to today's #HITsm chat hosted by @techguy on the topic of "Government Regulations for Healthcare – Where Are We At and Where Are We Headed?" Details: https://t.co/xAEkAQ5XBO https://t.co/FQzAQPtqKL |
 | Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Me? My parents taught me to never discuss sex, religion, or politics. (On either my personal or professional Twitter accounts.) That said, I do have opinions about all of those topics & do not begrudge others from expressing their views! #HITsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO RT @HealthcareScene: Welcome to today's #HITsm chat hosted by @techguy on the topic of "Government Regulations for Healthcare – Where Are We At and Where Are We Headed?" Details: https://t.co/xAEkAQ5XBO https://t.co/FQzAQPtqKL |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Chuck! Workflow, 3D printing & virtual reality*! Here for #HITsm tweetchat on government regulation of health IT. *PS Shoutout to Dalton & his new #OculusGo! Looking forward to his #socialVR events on data analytics, physician burnout & #SDOH of loneliness https://t.co/7MdLGKI0sg |
 | Matt Fisher @Matt_R_Fisher Good afternoon/morning #HITsm. Like today's topic and expect lots of opinions on it. Matt, healthcare lawyer from central MA. current pet peeve is children deliberately ignoring me when try to talk to them. |
 | Michelle Currie @mshlcurrie #hitsm Michelle here, finally have a Friday to breathe. I'm so excited to be here!! My pet peeve is clients who think they can pay next to nothing for expert informatics consulting. |
 | Joy Rios @askjoyrios Hi #HITsm peeps. Happy Friday from San Diego. Currently working on a deck to help clinicians finish the year strong with #MIPS. How timely for this chat. :) |
 | David Rice @bigdatadavid13 David in Tampa, back again. Looking forward to observing as much as contributing for this chat. 🙂 #hitsm |
 | Justin Campbell @tjustincampbell Justin Campbell, VP, Strategy, @GalenHealthcare joining from #Boston. #HITsm. Excited to discuss the shift from #FFS to #VBC. |
 | Ashley Dauwer @amariedauwer @Matt_R_Fisher Hi Matt! 👋🏼 Happy to connect with you today! #HITsm |
| Matt Fisher @Matt_R_Fisher @amariedauwer Good to see you here Ashley. Hopefully we'll cross paths at a conference soon. #HITsm |
| Healthcare Scene @HealthcareScene T1: What government regulations take up the majority of a healthcare organization’s time? What has you concerned about those regulations? @techguy #HITsm https://t.co/O6lE12F14V |
| Matt Fisher @Matt_R_Fisher T1: Don't get the headlines, but general conditions of participation in #Medicare likely take up more time than #HIPAA or fraud and abuse regs. Cover all areas of ops. #HITsm |
 | Brian Mack @BFMack @HealthcareScene @techguy Hey #HITSM Peeps! I'm Brian, MarComm Dude at @GLHC_HIE in Grand Rapids, MI. My pet peeves include rude people, smoking in public places, and the conspiracy against consumers perpetrated by hot dog producers and hot dog roll bakeries! https://t.co/HakjIIocxZ |
| Justin Campbell @tjustincampbell T1: From @jhalamka via @healthsystemcio: @ONC_HealthIT & @CMSGov #HiTech act #MU program: "every stage HAS to escalate, HAS to be harder, more rigorous." Problem with that is clinicians burdened by data entry & admin activities & are burned out; https://t.co/zlmSxagUFz #HITsm |
| Justin Campbell @tjustincampbell T1: Last thing we need is another stage of #MU with even more burdened. @ONC_HEalthIT & @CMS replaced #MU with narrowly focused program "The Promoting Interoperability Program" - part of 2600 page rule published a few weeks ago. @jhalamka summarizes in two slides: #HITsm https://t.co/XFj6ip609L |
| Justin Campbell @tjustincampbell T1: Draft #TEFCA guidance contains policies, procedures, & technical standards that @HHSCTO @HHSGov views as on-ramp to #interoperability; Expected to bridge gap between providers’ & patients’ #HIS & enable interoperability across disparate #HIN. https://t.co/Hbe78hLklt #HITsm |
| Ashley Dauwer @amariedauwer @Matt_R_Fisher I would love that! It would be great to meet IRL :) #HITsm |
 | Kez! @denniskenez Hello #HITsmer's. Dennis from midway between Balto & DC joining for today's chat re: gov regs. Should be enlightening! #hitsm |
| Justin Campbell @tjustincampbell @BFMack @HealthcareScene @techguy @GLHC_HIE The dude abides #HITsm. Smoking in public places = "Mark it a zero!!!!" |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO While not technically directly due to government regulation, the hoops healthcare organizations have to go through to get paid are at least partly due to governmental policies. #HITsm |
 | Jared Jeffery @Jk_Jeffery RT @Matt_R_Fisher: T1: T1: Don't get the headlines, but general conditions of participation in #Medicare likely take up more time than #HIPAA or fraud and abuse regs. Cover all areas of ops. #HITsm |
| Ashley Dauwer @amariedauwer Hello everyone, Ashley here from the marketing side of the house. I’m going to be lurking and learning during today’s #HITsm chat. One of my biggest pet peeves is sleeping with the TV on. |
| Brian Mack @BFMack @askjoyrios Hey Joy! Are your ears burning? You and @HITLikeAGirlPod came up in conversation among my female colleagues yesterday! I of course was quick to say, "Hey! I know Joy!" #HITSM |
| Matt Fisher @Matt_R_Fisher @tjustincampbell @HHSCTO @HHSGov The issues that you're pointing certainly underscore the difficulty of trying to regulate details, but be broad enough to cover the whole country. #HITsm |
| Michelle Currie @mshlcurrie #hitsm I am encouraged by CMSs efforts to reduce and streamline quality reporting through programs like these! https://t.co/tP6HmSdaNz |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO What a slow-motion train crash meaningful use was. #HITsm |
| Ashley Dauwer @amariedauwer @BFMack @HealthcareScene @techguy @GLHC_HIE People smoking in public places while holding their children hands drives me insane! #HITsm |
| Jared Jeffery @Jk_Jeffery @tjustincampbell @BFMack @HealthcareScene @techguy @GLHC_HIE Oh man. I was hiking a trail to a waterfall the other day. Surrounding by wonderful nature. Fresh air, sunshine, birds chirping.... aaaand 2 yahoos smoking the entire way up the trail. (So much for the fresh air...) #HITsm |
| Justin Campbell @tjustincampbell @wareFLO Mission accomplished though? Got providers to use #EMR? Albeit the end solution they are using is questionable at best #workflow #digitizationOfBadProcess #HITsm |
| Jared Jeffery @Jk_Jeffery @BFMack @askjoyrios @hitlikeagirlpod Has anyone commented on how clever @hitlikeagirlpod is for a Podcast name, btw? It's great. I love it. #HITsm |
| Matt Fisher @Matt_R_Fisher Another way regulations take up time is rushing into an activity without understanding the regs. If have to redo work, then adds unnecessary time and cost. #HITsm |
| Kez! @denniskenez @wareFLO #HITsm you mean like this Chuck? https://t.co/tZjBGzclqZ |
| David Rice @bigdatadavid13 Were we supposed to do a pet peeve? I missed it. People who use airquotes excessively and abuse of the word "literally" when describing every situation can get out of my face any day now. 😒 #hitsm |
 | Colin Hung @Colin_Hung Hello #HITsm Colin from Toronto. Joining in the chat for a little bit. |
| Brian Mack @BFMack T1: The selection is so abundant it's hard to just pick one... THAT, in effect, is the problem. Healthcare pros are constantly assaulted by ever-changing reg requirements from the HITECH to the ACA, to MU, to MACRA/MIPS, and now TEFCA... Sheesh! #HITSM https://t.co/ckSZsZnP8N |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO My pet peeve is when my neighbor's cat sneaks into our apartment via our shared balcony and repeatedly does this #HITsm https://t.co/TKmnNfhyIB |
| Joy Rios @askjoyrios @BFMack @hitlikeagirlpod Been editing episodes all week. It's been such a fun venture. Glad folks like it! #HITsm |
| Michelle Currie @mshlcurrie #hitsm See THIS over and over! |
| Jared Jeffery @Jk_Jeffery @tjustincampbell @wareFLO It's true, they did go digital. But the arguement could be made that digital was going to come anyway, and - had it come organically - would have been much, much better. #HITsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO If their mission was to cement 10s of billions of frozen workflow into place, they succeeded. #HITsm |
 | David Harlow @healthblawg ICYMI> Adrian Gropper and the HIE of One – Harlow on Healthcare #digitalhealth #hcldr #hitsm https://t.co/drXquDplA3 https://t.co/TvC3rgzeG1 |
| Joy Rios @askjoyrios @Jk_Jeffery @BFMack @hitlikeagirlpod Thanks! #HITlikeagirlpod - Not to be confused with the girls-only drumming contest. #HITsm |
| Healthcare Scene @HealthcareScene T2: How are MACRA and MIPS impacting your organization? What are you doing to make sure you’re compliant? @techguy #HITsm https://t.co/gAaVQo1gaN |
| Brian Mack @BFMack T1: From the Provider's perspective, what we here pretty consistently is that all of these requirements suck up massive amounts of time and energy that takes away from the focus on the patient and actual care delivery. #HITSM |
| Ashley Dauwer @amariedauwer @Jk_Jeffery @tjustincampbell @wareFLO I go both ways with this. While I agree that I think it was a good push, and a push that was needed, there was so much focus on the minute details that it left little room for innovation. #HITsm (I guess I lied when I said I was just going to be lurking) |
| Justin Campbell @tjustincampbell @Jk_Jeffery @wareFLO That's why why have initiatives like @KLASresearch #ArchCollaborative to crowd-source the most efficient and effective #EHR #workflows. Telemetry data is a powerful thing. #PhysicianBurnout #HITsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Seen at least two studies that considered what would have happened if the meaningful use EHR program never existed. Both agreed. Would have gotten to widespread use of more usable EHRs 3-4 years later than we got to current relatviely unusable EHRs. #HITsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Ha! #HITsm |
| Colin Hung @Colin_Hung @Jk_Jeffery @tjustincampbell @wareFLO It's an interesting debate because I agree that the tools would have likely been better if organically left to evolve BUT I wonder if adoption would still have been like molasses. Just look at LTPAC (no incentives) which is still has relatively low EHR adoption #HITsm |
| Ashley Dauwer @amariedauwer @askjoyrios @Jk_Jeffery @BFMack @hitlikeagirlpod Yes! I couldn't agree more - it's amazing! #HITlikeagirlpod 👊🏽 #HITsm |
 | Enlightening Results 💡 @GraceCordovano Happy Friday #HITsm! Grace, private patient Advocate & #PtExp enhancer joining from a train on the way home from #Connect2Health. Pet peeves: fax machines, trying to find the moment when an avocado’s ripe with no blacks spots 🥑🎯 |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Actually I was thinking of that scene in The Fugitive ... (the one with H Ford) #HITsm |
| Joy Rios @askjoyrios @BFMack We often joke that the government is already writing new regulations before the ink is dry on the old ones. It's enough to make your head spin. #HITsm |
| Colin Hung @Colin_Hung @BFMack T1 Wait you mean MIPS reporting doesn't enhance patient care? <sarcastic voice> #HITsm |
| Justin Campbell @tjustincampbell @amariedauwer @Jk_Jeffery @wareFLO Good point @amariedauwer. I didn't offer a pet peeve in the beginning, so I'll offer what annoyed me the most about #MU. No incentive put in place for #interoperability. And now we are left with a collection of data silos https://t.co/9ACFE0j879 #HITsm |
| Jared Jeffery @Jk_Jeffery @amariedauwer @tjustincampbell @wareFLO I wish we'd seen more standard-setting in terms of connection. Love @Bob_Wachter's analogy in #DigitalDoctor. AUS has different sized railroad tracks. Everyone swaps trains mid-trip because of it. AUS needed a standard "sandbox" to play in. HIT could use it too! #HITsm #FHIR? |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO And guess what? I've heard what they do have in place more naturually fits LTPAC workflow (wrote a post about this, see if I can find) #HITsm |
| Ashley Dauwer @amariedauwer @Colin_Hung Hello Colin! Paging @techguy - late for your own chat?! haha #HITsm https://t.co/XdUzqiqiwg |
| Brian Mack @BFMack @Jk_Jeffery @tjustincampbell @wareFLO Digitization would certainly have come organically. But the operative word in your statement Jare, is EVENTUALLY! Ain't nobody got time for that! LOL! #HITSM https://t.co/M8OTvSblbW |
| Joy Rios @askjoyrios @Jk_Jeffery @BFMack @hitlikeagirlpod Oh man, I'd love to mash something up with this small rockstar: https://t.co/jOAGZQs5tT #HITsm |
| Matt Fisher @Matt_R_Fisher @askjoyrios @BFMack That's what happens when the legislative and regulatory cycles are far behind actual needs. Not most responsive systems. #HITsm |
| Colin Hung @Colin_Hung @amariedauwer @techguy I think @techguy has had enough of causing me FOMO this week so he's staying quiet on today's chat :) #HITsm |
 | Matthew Loxton is also on Mastodon @mloxton Lurking on #HITsm |
| Enlightening Results 💡 @GraceCordovano @amariedauwer Hi Ashley! Yes, I can’t fall asleep with the TV. The more tired I get, the louder & brighter it seems 😆 #HITsm |
| Jared Jeffery @Jk_Jeffery @Colin_Hung @tjustincampbell @wareFLO Behavioral health is the same way. Looking at the current BH market is like looking at Acute care 10 years ago. Many cite that they just don't have the funds to install a proper BH EHR. (Many may argue back that EHRs are artificially costly RE: influx of govt $) #HITsm |
| David Rice @bigdatadavid13 RT @tjustincampbell: @amariedauwer @Jk_Jeffery @wareFLO Good point @amariedauwer. I didn't offer a pet peeve in the beginning, so I'll offer what annoyed me the most about #MU. No incentive put in place for #interoperability. And now we are left with a collection of data silos https://t.co/9ACFE0j879 #HITsm |
| Kez! @denniskenez RT @BFMack: T1: T1: The selection is so abundant it's hard to just pick one... THAT, in effect, is the problem. Healthcare pros are constantly assaulted by ever-changing reg requirements from the HITECH to the ACA, to MU, to MACRA/MIPS, and now TEFCA... Sheesh! #HITSM https://t.co/ckSZsZnP8N |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO For-profit consulting initiatives grading EHRs have their own "regulatory capture"-like problems (scoring schemes tend to reflect what while make the consulting outfit the most money, and that allows old-guard vendors undue influence) #HITsm |
| Ashley Dauwer @amariedauwer @Jk_Jeffery @tjustincampbell @wareFLO @Bob_Wachter Yes, I agree. There are so many one-offs in this regard but I do think we're slowly in the right direction with CommonWell, Carequality and now APIs #HITsm |
| Enlightening Results 💡 @GraceCordovano @Matt_R_Fisher Hi Matt! I know exactly what you are talking about. #HItsm |
| Brian Mack @BFMack @tjustincampbell @amariedauwer @Jk_Jeffery @wareFLO The number of gaps in MU are enough to drive a fleet of trucks through! How about excluding LTPAC providers from MU incentives & penalties?!? HELLO!!! Which segment of the delivery continuum generates the largest percentage of expense?!? #SMH #HITSM |
| Colin Hung @Colin_Hung @wareFLO Totally agree that their EHRs are more adapted to their environments and their workflows BUT adoption has been much slower than anticipated. #HITsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Been on both sides of this, scoring our own software against list of features and functionality, as well as having created such lists for comparing EHR workflow capability #HITsm |
| Jared Jeffery @Jk_Jeffery @amariedauwer @tjustincampbell @wareFLO @Bob_Wachter Thankfully yes! I heard a few veteran providers chatting the other day, "#Interoperability has been 5 years away for the last 15 years." But (I'm hopeful) that we're ACTUALLY getting closer now. #HITsm |
| Matt Fisher @Matt_R_Fisher @BFMack @tjustincampbell @amariedauwer @Jk_Jeffery @wareFLO To some degree, IMO, the issue there is that hospitals and physicians have biggest public profile. SNFs, LTPAC, others don't show up in the news, unless it's bad news. #hitsm |
 | Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba Hi guys. Im lurking while awaiting a flight #hitsm https://t.co/YsJNNQSK6C |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO And this is a good thing #HITsm (Reminded of the old joke about a restaurant review: "Their food is absolutely vile! And their portions are so small!") #HITsm |
| Enlightening Results 💡 @GraceCordovano @Colin_Hung @amariedauwer @techguy Hey Colin! How you holding up? You were at #Connect2Health w/us in spirit. #HITsm |
| Colin Hung @Colin_Hung @Jk_Jeffery @tjustincampbell @wareFLO YES! So while I think we all agree the incentive program could have been better. The main goal of getting everyone digital was mostly achieved. Now we can wrestle with #interop #usability, etc. In a strange way maybe it's a good problem? #HITsm |
| Ashley Dauwer @amariedauwer @Colin_Hung @techguy Or maybe he's crying somewhere about how much he already misses me? #HITsm |
| Matthew Loxton is also on Mastodon @mloxton @blestab Yah, with you there. I got data to do 😎 #hitsm |
| Joy Rios @askjoyrios @Jk_Jeffery @Colin_Hung @tjustincampbell @wareFLO Is there a best of class BH EHR? Which one is it, anyone know? #HITsm |
| Healthcare Scene @HealthcareScene T3: What regulations do you think will be changed soon or which regulations would you like to see changed/updated? @techguy #HITsm https://t.co/aKxBaWuEmu |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO The problems with meaningful use were not fixable. It was the entire concept that was flawed. #HITsm |
| Justin Campbell @tjustincampbell @Colin_Hung @wareFLO And I think its why @jhalamka pointed out that @CMSGov & @ONC_HealthIT are narrowing the program. Adoption has caused #Burnout. An #EHR that was deployed in a rush to meet #MU incentives is a glorified billing system and likely doesn't leverage capabilities like #CDS #HITsm |
| Colin Hung @Colin_Hung @GraceCordovano @amariedauwer @techguy My FOMO is getting better. But I am a bit under the weather this week. So much fun to see all the pics and tweets from #MDCIO2018 #Connect2Health #SPM2018 this week. #HITsm |
| Ashley Dauwer @amariedauwer @GraceCordovano Right?! We have a lot in common, Grace :) The worst part is that my husband is the complete opposite and loved the TV on before bed. It's a struggle haha #HITsm |
| Jared Jeffery @Jk_Jeffery @Colin_Hung @tjustincampbell @wareFLO And, hopefully, the solutions to those problems are easily portable to LTPAC and BH so the full continuum of care doesn't need waste time reinventing the wheel. #HITsm |
| Enlightening Results 💡 @GraceCordovano @ShereesePubHlth Hi Shereese! Safe travels home! See you Saturday at @FutureOfCareNYC 🎯🎉🚀 #HITsm |
| Colin Hung @Colin_Hung @askjoyrios @Jk_Jeffery @tjustincampbell @wareFLO I'm sure @Jk_Jeffery can tell us :) I've only ever used @NetsmartTech #HITsm |
| Jared Jeffery @Jk_Jeffery @askjoyrios @Colin_Hung @tjustincampbell @wareFLO So, @KLASresearch has only recently begun to dive into the BH EHR space. So far, it's not pretty. Overall BH EHR is the 2nd lowest performing market segment of anything KLAS tracks. #HITsm |
| Enlightening Results 💡 @GraceCordovano @Colin_Hung @amariedauwer @techguy Feel better soon! #hitsm |
| Matt Fisher @Matt_R_Fisher T3: The question seems to suggest that regulations healthcare aren't updated all of the time. Fee schedule result in tweaks every year, which can make it hard to follow and stay up to date. #HITsm |
| Brian Mack @BFMack @Matt_R_Fisher @tjustincampbell @amariedauwer @Jk_Jeffery @wareFLO Couldn't agree more Matt. It also reflects a huge lack of understanding by legislators in Washington DC. Back in 2010 I heard LOTS of assumptions that the regs would trickle down from Acute care to the rest of the continuum...NOT! #HITSM |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Workflow Platform Themes at the 2013 Long-Term and Post-Acute Care Health IT Summit: Let’s Get Started! https://t.co/Heho2D4UH2 #HITsm https://t.co/0FGAb946Az |
 | KLAS Research @KLASresearch RT @tjustincampbell: @Jk_Jeffery @wareFLO That's why why have initiatives like @KLASresearch #ArchCollaborative to crowd-source the most efficient and effective #EHR #workflows. Telemetry data is a powerful thing. #PhysicianBurnout #HITsm |
| KLAS Research @KLASresearch @tjustincampbell @Jk_Jeffery @wareFLO It's true. We're sitting at over 50,000 responses from clinicians. The #ArchCollaborative is a powerful data-set for improving #EHR #workflows. #HITsm |
| Justin Campbell @tjustincampbell T3: "Acceleration in #convergence (of #payers, #providers, #employers) in last 18 months; move from #VBC to #FFS. @UHC bought @DaVitaMedical #PrimaryCare network & now has largest # of docs on salary than anyone else in the county." via @ChilmarkHIT https://t.co/tAsdorVtNE #HITsm https://t.co/q0oWjeYTc7 |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Doubling down... #HITsm |
| Ashley Dauwer @amariedauwer @BFMack @tjustincampbell @Jk_Jeffery @wareFLO I agree! @cparent44 discussed this specific topic in a recent #HCdejour podcast with @Matt_R_Fisher: https://t.co/0PefrdVimg #HITsm |
| Matt Fisher @Matt_R_Fisher @BFMack @tjustincampbell @amariedauwer @Jk_Jeffery @wareFLO Certainly not when money is put behind the trickle down expectation. Could get some minor financial support from upstream entity, but that was tight. #HITsm |
| Colin Hung @Colin_Hung T3 Really like to see #ptsafety reporting standardized at federal level. Right now only certain states are doing it and it's all over the map. Here I think gov't standardization on adverse event and #mederror reporting would be a good thing. Help us all learn to improve #HITsm |
| Justin Campbell @tjustincampbell T3: Speaking of trains @wareFLO, train has left the station with shift from #FFS to #VBC. @CMSgov taking more aggressive stance with #providers taking downside risk in draft #MSSP #ACO via @John_Chilmark, @ChilmarkHIT https://t.co/tAsdorVtNE #HITsm https://t.co/j2MZ7OXrX1 |
 | The HealthCare IT Experts Blog @HCITExpert [Today] #HITsm TweetChat, on Twitter at - October 19, 2018 at 10:30PM IST | Topics | @HealthcareScene - https://t.co/K7wh2zv2MQ |
| Brian Mack @BFMack @HealthcareScene @techguy T3: The biggest regulatory whale on the horizon for us is #TEFCA... Unfortunately, there is far more smoke than light that has been offered there thus far. BIG questions remain as to how this rules will be implemented. #HITSM |
| Enlightening Results 💡 @GraceCordovano RT @Colin_Hung: T3 Really like to see #ptsafety reporting standardized at federal level. Right now only certain states are doing it and it's all over the map. Here I think gov't standardization on adverse event and #mederror reporting would be a good thing. Help us all learn to improve #HITsm |
| Justin Campbell @tjustincampbell RT @KLASresearch: @tjustincampbell @Jk_Jeffery @wareFLO It's true. We're sitting at over 50,000 responses from clinicians. The #ArchCollaborative is a powerful data-set for improving #EHR #workflows. #HITsm |
| Justin Campbell @tjustincampbell RT @BFMack: @HealthcareScene @techguy T3: @HealthcareScene @techguy T3: The biggest regulatory whale on the horizon for us is #TEFCA... Unfortunately, there is far more smoke than light that has been offered there thus far. BIG questions remain as to how this rules will be implemented. #HITSM |
| Joy Rios @askjoyrios @Jk_Jeffery @Colin_Hung @tjustincampbell @wareFLO @KLASresearch Ouch, that stings, especially considering the opioid epidemic & how much help these folks need. #HITsm |
| Brian Mack @BFMack #HITSM |
| Ashley Dauwer @amariedauwer @blestab Blessed, you're a Twitter powerhouse! So wonderful to connect with you again #HITsm |
| Matt Fisher @Matt_R_Fisher @BFMack @HealthcareScene @techguy If you're talking whales, I've got my eye on #HIPAA regs for accounting of disclosures and sharing in civil penalties. Both long overdue and allegedly on OCR reg agenda. #HITsm |
 | Pillars of Health @pillarsofhealth #hitsm We're the Pillars of Health team for UofT in Toronto, Canada! Excited to be here for the chat today! |
| Colin Hung @Colin_Hung @pillarsofhealth Welcome to the #HITsm chat. Glad you are here. We need more Torontonians. Looking forward to the event in a few weeks. |
 | Michael Crone @LeadGenMike RT @HCITExpert: [Today] #HITsm TweetChat, on Twitter at - October 19, 2018 at 10:30PM IST | Topics | @HealthcareScene - https://t.co/K7wh2zv2MQ |
| Brian Mack @BFMack T3: As a first CRITICAL step, I would REALLY like to see @HHSGov & the @ONC_HealthIT focus on getting EVERY state in the nation talking out of the same playbook. National Interoperability is just a pipe dream until we level the playing field across the country #HITSM |
| Colin Hung @Colin_Hung @Matt_R_Fisher @BFMack @HealthcareScene @techguy T3 Thanks for pointing that out Matt. #HIPAA definitely needs a little clarification and modernization #HITsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @GraceCordovano @FutureOfCareNYC Thanks Grace. See you tomorrow 🛫#hitsm |
| Ashley Dauwer @amariedauwer @GraceCordovano I spend WAY too much time squeezing the avocados at the super market 😂 #HITsm |
| Healthcare Scene @HealthcareScene T4: What’s happening with value based care and the shift from fee for service? What are you doing to make sure you’re ready for it? @techguy #HITsm https://t.co/6UtP7stdqX |
| Enlightening Results 💡 @GraceCordovano @amariedauwer Is there an algorithm for this? There must be an easier way? #AI #avocados #HItsm |
| Colin Hung @Colin_Hung @amariedauwer @GraceCordovano Love Avocados! Do you know the red onion hack to keep cut avocados from going brown too quickly? #HITsm |
| Matt Fisher @Matt_R_Fisher @Colin_Hung @BFMack @HealthcareScene @techguy Don't know if those will modernize #HIPAA, nor am I sold on how much change is there. However, getting more on rights will be good. #HITsm |
| Enlightening Results 💡 @GraceCordovano @Colin_Hung @amariedauwer OMG NO?! Do tell. #HITsm |
| Colin Hung @Colin_Hung @GraceCordovano @amariedauwer LOL. John's going to love that I'm hijacking #HITsm to talk about an avocado hack! |
| Brian Mack @BFMack @Matt_R_Fisher @HealthcareScene @techguy Keep fighting the good fight Matt! Your leadership in driving #HIPAA understanding and transparency is SO needed! I'm constantly AMAZED how many healthcare professionals misunderstand HIPAA regs. It's mind boggling! #HITSM |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO @Colin_Hung @amariedauwer @GraceCordovano Or lemon juice! #HITsm https://t.co/tJHrL72gTX |
| David Rice @bigdatadavid13 @amariedauwer @GraceCordovano Peel the stem off, if it's green underneath, it should be good. If it's brown, it's probably over ripe. At least that's what I always heard. Sorry, I've provided nothing but avocado tips today. #HITsm |
| Justin Campbell @tjustincampbell @BFMack @HHSGov @ONC_HealthIT What is your opinion about a national patient identifier #EMPI (currently illegal)? Should it be left to market to determine? @Experian has offered to provide solution @MikeLGagnon suggested #BlockChain be used for housing patient identifier https://t.co/9nimFTnI85. #HITsm |
| Matt Fisher @Matt_R_Fisher T4: Getting creative with existing regs is one way to get ready for #valuebasedcare. New models not always aligned with FFS-based fraud regs, but doable. #HITsm |
| Justin Campbell @tjustincampbell T4: 3 challenges in transition from #FFS to #VBS (#convergence of #payers, #providers, #employers) 1. Immature #HealthIT 2. Complex Multi-Payer Env. 3. Culture & Trust - via @john_chilmark, @ChilmarkHIT https://t.co/tAsdorVtNE #HITsm https://t.co/lh2JAJub26 |
| Ashley Dauwer @amariedauwer @Colin_Hung @GraceCordovano I think after the #FOMO he caused this week you can do whatever you want. Plus, could it be worse than the toilet talk a couple of weeks ago with @Jk_Jeffery? #HITsm https://t.co/N3n5YmNduV |
| Colin Hung @Colin_Hung @GraceCordovano @amariedauwer If you have left-over avocado, put a few rings of red onion in the container alongside the avocado. It will help keep it green for 2-3 days in the fridge. I've found best result when using airtight containers, but even in a ziplock it works. #HITsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO @blestab @amariedauwer Did some consulting for a health system in south africa, fascinating! #HITsm https://t.co/F6OP8lr1Z6 |
 | John Lynn @techguy Sorry to join #hitsm so late. Got stuck at #Connect2Health Looks like the conversation has been amazing regardless. |
| Jared Jeffery @Jk_Jeffery @askjoyrios @Colin_Hung @tjustincampbell @wareFLO @KLASresearch It's not a pretty picture. The market's a wild-west: lots of best-of-breed players. And while some of the #EHR giants are there, it takes quite a bit of lifting to get a traditional EHR to align with unique BH workflows. #GroupTherapy isn't exactly something a PCP does. #HITsm |
| David Harlow @healthblawg Oh, hi, #HITsm! Did someone say #HIPAA? Pass the avocado, @colin_hung. |
| Enlightening Results 💡 @GraceCordovano @Colin_Hung @amariedauwer This is everything. 🙏🥑 #lifehack #avocados #HITsm |
| Jared Jeffery @Jk_Jeffery @amariedauwer @Colin_Hung @GraceCordovano I regret everything. #HITsm https://t.co/zqrXhi3MtQ |
| Joy Rios @askjoyrios @Colin_Hung @GraceCordovano @amariedauwer Also, California Native & avocado-lover here... If you're only using half an avocado, keep the seed in the leftover half. It'll stay green longer. #hijack #HITsm |
| Ashley Dauwer @amariedauwer @bigdatadavid13 @GraceCordovano Totally mindblown. Govt regulations < Perfect avocado finding tips. #HITsm https://t.co/EKB7DrL5b5 |
| Colin Hung @Colin_Hung T4 Personally, I've been asking a lot of people questions about value-based care at all the conferences I go to. It really helps to get a more grounded look at this shift vs what gets written about. The good news is that there is a lot of activity. #HITsm |
| Matt Fisher @Matt_R_Fisher @BFMack @HealthcareScene @techguy Unfortunately at #ValueBased2018 yesterday, heard comment about legal blocking developments. To me, that means not getting good advice. Lawyer should help find way to get business idea done, if possible. #HITsm |
| Enlightening Results 💡 @GraceCordovano @bigdatadavid13 @amariedauwer Isn’t this like real meaningful use though? 🤔👊 #HItsm |
| Brian Mack @BFMack @tjustincampbell @HHSGov @ONC_HealthIT @Experian @MikeLGagnon Justin, I'm working on a blog post about this issue RIGHT NOW! There is no question that regulatory reform is absolutely necessary with regard to #NPI! Yet another area where political gamesmanship in Washington is prioritized above common sense! #HITSM |
| Joy Rios @askjoyrios @Jk_Jeffery @Colin_Hung @tjustincampbell @wareFLO @KLASresearch Good point. #HITsm |
| Matt Fisher @Matt_R_Fisher @Colin_Hung Good conference focused on #valuebasedcare happening across street from #connect2health. Spoke at that one yesterday, lot of real world examples of efforts. #hitsm |
| Ashley Dauwer @amariedauwer @ShereesePubHlth Hey Shereese! Have a great flight! Until next time! #HITsm |
| Brian Mack @BFMack @healthblawg @Colin_Hung Hey David! #HITSM |
| David Rice @bigdatadavid13 @GraceCordovano @amariedauwer Lol. Fair point. Getting the right avocado could be the most meaningufl part of the day. #healthyfats #HITsm |
| Colin Hung @Colin_Hung @healthblawg Hello David! So nice to see you in the pics from this week's activities in Boston. #HITsm |
| John Lynn @techguy @Matt_R_Fisher @Colin_Hung I stopped by that event today too. Looked like good people. #HITsm I think #ValueBasedCare regs are coming, but I don't think anyone knows what it will look like. |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO @Jk_Jeffery @askjoyrios @Colin_Hung @tjustincampbell @KLASresearch An aside: During my 12-week psychiatric clerkship was put in charge of twice-weekly group therapy meeting (How did that make you feel? Does anyone else want to share something?) I'm finding I'm using those skills in #HealthSystemsChat in #socialVR! #HITsm https://t.co/X1Sw3IKCTW |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @amariedauwer Thanks Ashley. We missed you at the after party last night #HITsm |
| Ashley Dauwer @amariedauwer @Colin_Hung @GraceCordovano Now I wish I had a ripe avocado to experiment #HITsm |
| Colin Hung @Colin_Hung RT @tjustincampbell: T4: T4: 3 challenges in transition from #FFS to #VBS (#convergence of #payers, #providers, #employers) 1. Immature #HealthIT 2. Complex Multi-Payer Env. 3. Culture & Trust - via @john_chilmark, @ChilmarkHIT https://t.co/tAsdorVtNE #HITsm https://t.co/lh2JAJub26 |
| Matt Fisher @Matt_R_Fisher @bigdatadavid13 @GraceCordovano @amariedauwer Not to divert from actual #HITsm topics, but check out episode on avocados on @Gastropodcast. Should really just listen to all of them. On science and history of food. |
| Brian Mack @BFMack T4: (1 of 2) My observations regarding Volume to Value are all over the map... On the plus side, my own PCP (who is part of a large system) recently told me that he has seen his daily workload reduced in order to spend more time w/each pt. #HITSM |
| Colin Hung @Colin_Hung @amariedauwer @GraceCordovano Full Disclosure: I am being paid by the Avocado Growers Association...just kidding, but if they are listening please send samples! #HITsm |
| Ashley Dauwer @amariedauwer @Jk_Jeffery @Colin_Hung @GraceCordovano You always get me to really lol - #HITsm is my favorite part about Fridays |
| Enlightening Results 💡 @GraceCordovano @Matt_R_Fisher @bigdatadavid13 @amariedauwer @Gastropodcast Thank you 😊 added. #hitsm |
| John Lynn @techguy Actually, I think this is the perfect example of the #HITsm culture. #SideBarsWelcome |
| Healthcare Scene @HealthcareScene T5: What insurance regulations are hitting your organization? How are they impacting you? What other regulation changes should you be watching? @techguy #HITsm https://t.co/Dvyn4h0JNy |
| David Harlow @healthblawg @HealthcareScene @techguy T4 My concern is that there's still more talk than productive action. Much is still accounted for through #FFS accounting and payment mechanisms at the provider level even if there is #VBP at the macro level #HITsm |
| Enlightening Results 💡 @GraceCordovano @Colin_Hung @amariedauwer #TeamAvocados #Hitsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO IMO I'm not a touchy-feely person, so I was sort of gobsmacked by some of the intimate details folks often share in #socialVR (b/c participation is anonymous). Only thing I could figure out to do was fall back on those group therapy moderator reflexes! #HITsm |
| Ashley Dauwer @amariedauwer @ShereesePubHlth I missed you guys too! I was dancing with you all in my dreams #HITsm |
| Justin Campbell @tjustincampbell @techguy @Matt_R_Fisher @Colin_Hung Great update on current state of #FFS to #VBC transition by @John_CHilmark of @ChilmarkHIT. Staggering to me that #Physician led #ACO reduced spending while #Hospital led #ACO less successful https://t.co/tAsdorVtNE #HITsm https://t.co/A4Wnby88Ji |
| David Harlow @healthblawg @Colin_Hung Nice to see YOU in the pics too :) #HITsm |
| Colin Hung @Colin_Hung @BFMack T4 WOW. That's actually pretty incredible that more pt time is happening as a result of the shift! #HITsm |
| Brian Mack @BFMack T4: (2 of 2) On the negative side, I know that there are independent practices here in MI (even ones who have created their own networks) who are still running as hard as possible to assure sufficient revenue to cover costs... It seems to be VERY uneven. #HITSM |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO I should note that therapist who usually ran the group therapy session sat in the back and observed... #HITsm |
| Colin Hung @Colin_Hung RT @healthblawg: @HealthcareScene @techguy T4 My concern is that there's still more talk than productive action. Much is still accounted for through #FFS accounting and payment mechanisms at the provider level even if there is #VBP at the macro level #HITsm |
| Joy Rios @askjoyrios A4: Just found out about a new Aetna FDR attestation hitting several of my clients. It's for their Medicare Advantage plan & requires training for the whole staff. https://t.co/HPA4SStfI7 #HITsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO ANYWAY! Hmmm... Software for group therapy! Interesting idea. @StuckonSW? Thoughts? #HITsm |
| John Lynn @techguy I'm really interested to see how healthcare organizations are going to react to the changes to E&M coding. Will they use it? What will be the impact? Will commercial payers follow suit? #HITsm |
| Brian Mack @BFMack T4: I also still pretty regularly see friends from across the country sharing stories about waiting 90-120 days to see a provider, and sitting in waiting rooms WELL PAST scheduled appointment times. We still have a ways to go it seems... #HITSM |
| Matt Fisher @Matt_R_Fisher @BFMack Having to wait is a broad issue. Starts with not giving physicians enough time to see patients, then snowballs when patient there and wants discuss many issues beyond "purpose" for appt. #HITsm |
| Colin Hung @Colin_Hung @BFMack T4 That sounds suspiciously like CANADA...hmmm #HITsm |
| David Harlow @healthblawg @HealthcareScene @techguy Some more thoughts on #VBP https://t.co/B1wBLSBwmX #HITsm |
 | OnlineCouponsCourse @UdemyForfree100 RT @GraceCordovano: @Colin_Hung @amariedauwer This is everything. 🙏🥑 #lifehack #avocados #HITsm |
| Colin Hung @Colin_Hung @Matt_R_Fisher @BFMack If that were the only reason for the wait, I'd probably be okay with that. I wonder though if the wait is sometimes b/c of overbooking vs spending more time with each patient. #HITsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Interesting to note apparently a bunch of mid-level private universities are planning to start their own medical schools. Why? Yes, impending physician shortages. But also, docs give generously to their alma maters & these schools see a two-fer! #HITsm |
 | OZ Digital Consulting @GoFollowOz RT @thegr8chalupa: What Makes a Strong Wearable? A Conversation with Rosalind Picard, Part 2 https://t.co/QJF54QUN7V via @HCA_News #healthIT #hitsm #wearables |
| Justin Campbell @tjustincampbell T5: Not an observation of insurance regulation, but interesting that more investment made in #MedicareAdvantage. @DevotedHealth and others like @OscarHealth & @MyBrightHealth investing in technology to differentiate. The best part about #MA it is it has bipartisan support #HITsm |
| Matt Fisher @Matt_R_Fisher That likely happens too. Was likely much to short with suggested reasons. One I highlighted is what often happens with my wife and she gets frustrated when her patients have to wait. #HITsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO @blestab @amariedauwer Please do, Blessed! #HITsm https://t.co/USzlAsFNPx |
| Justin Campbell @tjustincampbell RT @healthblawg: @HealthcareScene @techguy Some more thoughts on #VBP https://t.co/B1wBLSBwmX #HITsm |
| Healthcare Scene @HealthcareScene Bonus: If you could make any healthcare regulation and have it instantly put in place, what would it be? @techguy #HITsm https://t.co/1QHwAifZaW |
| Colin Hung @Colin_Hung @wareFLO Huh. I never really thought of that #HITsm |
| Brian Mack @BFMack T5: From an #HIE perspective, the challenge we see most is not regs put upon https://t.co/o20PEt1YhI's that payers largely remain behind the curve in engaging real-time data to outcomes. Either that, or they are lobbying the state to make it HARDER to share data! #HITSM https://t.co/SUWwPpFlPB |
| Colin Hung @Colin_Hung Bonus: I'd love to see a regulation that says you can't use HIPAA as the excuse not to share data with patients. #wishfulthinking #HITsm |
| Matt Fisher @Matt_R_Fisher Bonus: Not a new one, but would love to see current regulations aligned and consistent. Medicare regs can include completely opposing ideas in different sections. #hitsm |
| John Lynn @techguy Who came up with this question? :-) What an impossible question to answer. I really can't wait to hear other people's answers though. #HITsm |
| Jared Jeffery @Jk_Jeffery @amariedauwer @Colin_Hung @GraceCordovano Me too! Though I am occasionally torn apart by guilt for hijacking #HITsm. I probably owe John lunch at this point. |
| John Lynn @techguy Or that you can't use HIPAA as an excuse for anything. #HITsm |
| David Harlow @healthblawg @Colin_Hung Dream on! But cheer up, other healthcare regs are regularly used as excuses not to do other things (unrelated to those other regs) #HITsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Another great #HITsm! Have a great fall weekend! (How are your leaves?) And consider joining me during our next #HealthSystemsChat in #SocialVR during #AMIA2018! (11/5, 1PM ET) We're talking about Virtual Reality & Medical Informatics! https://t.co/pZXYuNhDlQ |
| Pillars of Health @pillarsofhealth #hitsm We don't have an answer to this one - such a huge question! But we'd love to hear everyone in the chat's responses as well as our followers and anyone coming ot #pillarsofhealthTO! What are everyone's regulatory dreams? What would help you help patients? |
 | Kistein Monkhouse, MPA @KisteinM @ShereesePubHlth Have a safe flight Shereese! You and @techguy were INCREDIBLE..#HItsm ☺️ https://t.co/ZaOZTQLWlS |
| Brian Mack @BFMack @Colin_Hung PREACH! #HITSM https://t.co/mMVhdW0YWA |
| Colin Hung @Colin_Hung Have a great afternoon and weekend everyone! Enjoyed the chat today! #HITsm |
| Matt Fisher @Matt_R_Fisher Good #HITsm today. Have a good weekend everyone. Nice to connect with everyone, getting on chats has been quite inconsistent for me this year. |
 | Ted Chan @upwardmobility @HealthcareScene @techguy I'm jumping in late but for me it would be a standard way of explaining cost as part of a Patient Bill of Rights. #HITsm |
| David Harlow @healthblawg @techguy Clearly there should be a rule that allocates 1% of all value-based care bonus payments to the #HITsm discretionary avocado fund. |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO 15 already signed up! #HITsm https://t.co/Pad8TSLB3d |
| Healthcare Scene @HealthcareScene Join us for next week's #HITsm chat hosted by @bigdatadavid13 on the topic of "The Health IT Education Landscape" |
| Healthcare Scene @HealthcareScene That's all folks. Let's give a thank you to @techguy for hosting this week's #HITsm chat and to each of you who participated and shared your insights. https://t.co/hyfonPhcKc |
| John Lynn @techguy @Jk_Jeffery @amariedauwer @Colin_Hung @GraceCordovano I don't think that's true, but I'm going to act like it is cause that sounds like a great outcome. #HITsm |
| David Rice @bigdatadavid13 @Jk_Jeffery @amariedauwer @Colin_Hung @GraceCordovano Started to tell my wife about the toilet convo... Wife: "YOU had a conversation that ended in toilet jokes? You don't say...." #HITsm Me: "Okay, but it's not what you're thinking. I swear." |
| John Lynn @techguy @KisteinM @ShereesePubHlth We had a great person interviewing us. So, it made it easy. #HITsm |
| John Lynn @techguy Good news. I made it to the #HITsm chat before Lea, so that means I wasn't late, right? |
| Brian Mack @BFMack Bonus: I already tipped my hand here, but I would magically like to level the playing field w/ regard to regulatory environment and technical capacity across EVERY state in the Union! If we build it, they will share! #HITSM https://t.co/XHUdaswzIx |
| David Rice @bigdatadavid13 Have a good week everyone! I'm off to make guacamole after this chat. #hitsm |
| Jared Jeffery @Jk_Jeffery @bigdatadavid13 @amariedauwer @Colin_Hung @GraceCordovano "It was about the Internet of Things and it was kind of cool okay!!" -- I think we might've had the same conversation with our spouses David. 🤣#HITsm |
| John Lynn @techguy @bigdatadavid13 @Jk_Jeffery @amariedauwer @Colin_Hung @GraceCordovano The proper response was, "I was working hard." :-) #HITsm |
| Jared Jeffery @Jk_Jeffery @techguy @amariedauwer @Colin_Hung @GraceCordovano And just like that, John's brought us back to the discussion about reactions to #Regulatory promises. #HITsm |
| John Lynn @techguy Nice one. This would be really good. A pain to implement, but might encourage them to improve things. #HITsm |
| John Lynn @techguy Thanks everyone for taking part in the chat and for being an amazing community. #HITsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @techguy @amariedauwer Thanks John. We must make that happen #HITsm |
 | Janae Sharp @CoherenceMed RT @thegr8chalupa: What Makes a Strong Wearable? A Conversation with Rosalind Picard, Part 2 https://t.co/QJF54QUN7V via @HCA_News #healthIT #hitsm #wearables |
| Healthcare Scene @HealthcareScene In case you're lame (like @techguy) and showed up late or missed the #HITsm chat for some other really important reason, you can read the full transcript of today's chat here: https://t.co/LidFOazH4M |
| Brian Mack @BFMack Time to Jet peeps! Thanks to #Techguy, in the guise of @Colin_Hung (Look no strings!) for bringing it yet again! Take a bow guys! Have a GREAT weekend and #GORedSox!!! #HITSM https://t.co/7r1AkAHep9 |
| Ted Chan @upwardmobility @techguy I think once you defined the parameters in an easy way, all the RCM/EMR/insurance systems could kick it out in a standard way within 12 months. #HITsm |
| John Lynn @techguy This is definitely a must read and reply for me. #HITsm |
| John Lynn @techguy @upwardmobility When there's a reg, there's a way. #HITsm |
| Kistein Monkhouse, MPA @KisteinM @techguy @ShereesePubHlth ☺️ #thankyou #HITsm https://t.co/K7ScTb4W9Y |
| Ted Chan @upwardmobility @techguy If defined well, data would be standard and structured and help create transparency that would reduce overall cost. #hitsm Suspect a number of players would fight it to the death. |
 | FDB (First Databank Inc.) @FDB_US As we've said before, @histalk readers are the brightest minds in #healthIT and we're happy just to be among them #Hitsm |
 | Susana Arganaraz @SusanArganaraz RT @wareFLO: Another great #HITsm! Have a great fall weekend! (How are your leaves?) And consider joining me during our next #HealthSystemsChat in #SocialVR during #AMIA2018! (11/5, 1PM ET) We're talking about Virtual Reality & Medical Informatics! https://t.co/pZXYuNhDlQ |
#HITsm content from Twitter.