#HITsm Transcript
Healthcare social media transcript of the #HITsm hashtag.
– ().
See #HITsm Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Jim Tate @jimtate Welcome to this week’s chat. I’m Jim Tate of EMR Advocate https://t.co/dQUcce26uV & MIPS Consulting https://t.co/qk6UiKtrWi. I’m looking forward to today’s discussion on #MIPS & #MACRA #hitsm |
 | Healthcare Scene @HealthcareScene RT @jimtate: Welcome to this week’s chat. I’m Jim Tate of EMR Advocate https://t.co/dQUcce26uV & MIPS Consulting https://t.co/qk6UiKtrWi. I’m looking forward to today’s discussion on #MIPS & #MACRA #hitsm |
 | Medical-Billing.com @MedBillExperts The latest https://t.co/Z8ghP6Rwu2 Daily Monitor! https://t.co/B0rDC7LYDr Thanks to @ForTheRecordmag #healthit #hitsm |
| Jim Tate @jimtate Feel free to introduce yourself as we wait for the room to fill #hitsm |
 | EMR, EHR and HIT @ehrandhit Welcome to today's #HITsm chat hosted by @jimtate on "MACRA/MIPS: Chutes & Ladders 2.0" Details: https://t.co/EyE7DUCXX3 https://t.co/WrQD18qSc7 |
| Healthcare Scene @HealthcareScene Welcome to today's #HITsm chat hosted by @jimtate on "MACRA/MIPS: Chutes & Ladders 2.0" Details: https://t.co/MEBTVFl2tQ https://t.co/QLmi01hZzA |
| EMR, EHR and HIT @ehrandhit Let's take 5 min to introduce ourselves. What do you do? Where are you from? Where do you work? And share the most ethical thing you've ever seen someone do at your work. #HITsm @jimtate |
 | Monica Stout, She/Her/Hers @MI_turnaround RT @HealthcareScene: Welcome to today's #HITsm chat hosted by @jimtate on "MACRA/MIPS: Chutes & Ladders 2.0" Details: Welcome to today's #HITsm chat hosted by @jimtate on "MACRA/MIPS: Chutes & Ladders 2.0" Details: https://t.co/MEBTVFl2tQ https://t.co/QLmi01hZzA |
| Healthcare Scene @HealthcareScene Let's take 5 min to introduce ourselves. What do you do? Where are you from? Where do you work? And share the most ethical thing you've ever seen someone do at your work. #HITsm @jimtate |
 | Mandi Bishop @MandiBPro Happy #HITsm Friday, all! Haven't been able to join for quite a while. Looking forward to today's MACRA and MIPS convo! Mandi from Jax, FL, here. :) |
 | Matt Fisher @Matt_R_Fisher Hello #HITsm, Matt, healthcare lawyer from Worcester. Work at law firm. Ethical decisions happen all the time, part of our role as counselors. Hard to pick just one. |
| Monica Stout, She/Her/Hers @MI_turnaround Monica here from Michigan! I'm ready to chat. Happy Friday! 😀 #HITsm https://t.co/6v2iIKd86r |
| Jim Tate @jimtate Hi Monica, Matt, Mandi #HITsm |
 | Darena Solutions @DarenaSolutions Hello everyone! This is Anshu from joining from the Show-Me State. Joining after a long time. Hope to catch-up w/ some old tweeps #hitsm |
 | Judith Lindsay @judithconsult RT @FogoDataCenters: The Client IS the Brand! Great podcast: STEPS to Value- Episode #42: The Value of the Client in the C-Suite, Pt. 2 - @HIMSS https://t.co/eM62KgFFVH #HITsm #CustomerExperience |
| Mandi Bishop @MandiBPro Reminds me of the old AOL A/S/L construct. Mandi, new Gartner healthcare research director, live/work in Jax, and I've had great luck working with a LOT of ethical people, so that's too hard. Also, 280 characters? #HITsm https://t.co/22wFq0neIg |
| Matt Fisher @Matt_R_Fisher @jimtate Good to see you Jim. It's been a while. #HITsm |
| Jim Tate @jimtate Hi Anshu, I know you will have some #MIPS insights #hitsm |
| Mandi Bishop @MandiBPro RT @HealthcareScene: Welcome to today's #HITsm chat hosted by @jimtate on "MACRA/MIPS: Chutes & Ladders 2.0" Details: Welcome to today's #HITsm chat hosted by @jimtate on "MACRA/MIPS: Chutes & Ladders 2.0" Details: https://t.co/MEBTVFl2tQ https://t.co/QLmi01hZzA |
| Judith Lindsay @judithconsult RT @wareFLO: #eClinicalWorks sued for nearly $1 billion for inaccurate medical records https://t.co/fKPjr18iN4 #HITsm #BPM #HCLDR #DigitalHealth #HealthTech #HealthIT #ehr https://t.co/ELSWKAYD9F |
 | John Lynn @techguy Hey everyone! I'm John. I blog @healthcarescene and organize the @HITMarketingPR and @HealthITExpo conferences. I'm reminded of when @jimtate came to me at HIMSS and said "You have a platform, and you better use it for good." Thus the question :-) #HITsm https://t.co/eTOSgz0wB8 |
 | Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO @MandiBPro @HDMmagazine @EricTopol @ahier @nxtstop1 @SusannahFox *Me too! I am but a humble vessel for carrying message of better workflow in healthcare thru better workflow tech #BPM ... PS I’m looking forward to #HIMSS18! PSS Here for #HITsm tweetchat on #MACRA! *30 HIT experts to follow on Twitter per @HealthDataMgt https://t.co/Z7d0wdKzRW https://t.co/gMPJBTDpsu |
| Darena Solutions @DarenaSolutions @MandiBPro Hi Mandi! Long time.... Remember me.. @AnshuBJindal ? #hitsm |
 | Amanda G @LAlupusLady RT @MandiBPro: Reminds me of the old AOL A/S/L construct. Mandi, new Gartner healthcare research director, live/work in Jax, and I've had great luck working with a LOT of ethical people, so that's too hard. Also, 280 characters? #HITsm https://t.co/22wFq0neIg |
| EMR, EHR and HIT @ehrandhit T1: Is MACRA/MIPS fair to providers? @jimtate #hitsm https://t.co/DYvA7LWNRG |
| Healthcare Scene @HealthcareScene T1: Is MACRA/MIPS fair to providers? @jimtate #hitsm https://t.co/6lBxNgLWSB |
| Jim Tate @jimtate Most ethical thing? Resigning from an ER corp that was not patient/provider focused. #hitsm |
| John Lynn @techguy @MandiBPro lol...I remember those days so well. Wow. #flashback We like to force you to be creative to fit it! 280 is easier than 140 #HITsm |
 | Joy Rios @askjoyrios Good morning #HITsm and @jimtate. Happy to talk #MIPS/MACRA today! |
| Mandi Bishop @MandiBPro If the question were about the most UNethical thing I've ever witnessed, that would be a far easier answer. #HITsm https://t.co/01bRgacw3i |
| Monica Stout, She/Her/Hers @MI_turnaround @HealthcareScene @jimtate Monica here. Marketing Dir at MedicaSoft. From MI, but lived all over the country. Most ethical thing? Probably admitting when when something is not in our wheelhouse instead of overpromising. #HITsm |
| Matt Fisher @Matt_R_Fisher @techguy @MandiBPro I'm a growing fan of 280 for tweet chats. Helps avoid misunderstandings and confusion. #HITsm |
| Jim Tate @jimtate T1 reminds me of the book Animal Farm. "All the animals are equal but some are more equal?.#hitsm |
| Monica Stout, She/Her/Hers @MI_turnaround @techguy @MandiBPro I don't know what to do with all these characters!!! I kinda miss AIM. #HITsm https://t.co/7BYrZHNC8o |
| Mandi Bishop @MandiBPro "Fair" is a difficult question. The admin burden of the reporting will further consolidate provider market, as large health systems have more human and IT resources to manage.#HITsm https://t.co/1JN2bU1FyH |
| Monica Stout, She/Her/Hers @MI_turnaround RT @HealthcareScene: T1: T1: Is MACRA/MIPS fair to providers? @jimtate #hitsm https://t.co/6lBxNgLWSB |
| Matt Fisher @Matt_R_Fisher @jimtate Certainly brings home the point that not everyone can be a winner. Question how physicians will feel if all improving, but only those improving quickest rewarded. #HITsm |
| Darena Solutions @DarenaSolutions @Matt_R_Fisher @techguy @MandiBPro You make a great point Matt! #hitsm |
| John Lynn @techguy Fair is such a challenging question. They're paying the providers so they can do it. For me the issue isn't about fairness, but is about them asking for things that don't move the needle for anyone. That's unfair. #HITsm https://t.co/02suMYbAaK |
| John Lynn @techguy @bbhomebody @Cpnervecenter Glad you could make it Becky! #HITsm |
| Mandi Bishop @MandiBPro AIM is how I learned to type without looking at they keyboard! #HITsm https://t.co/EeBP71Aegl |
| Jim Tate @jimtate T1: #MIPS is tilted in favor those who have the resources to come up with the best strategies. #HITsm |
| John Lynn @techguy Woot! I was hoping you'd join us. I figured you'd like the topic. #HITsm https://t.co/NgwvFuFFMb |
| John Lynn @techguy Thus why journalist cover the negative more than the positive. #HITsm https://t.co/ZSohvV7Fnf |
| Monica Stout, She/Her/Hers @MI_turnaround T1: For everyone? Not sure. Seems like smaller rural & critical access hospitals won't be able to participate or receive rewards from lack of resources or not a large enough patient population. #HITsm |
| Mandi Bishop @MandiBPro Ah, but the ability to be concise AND pithy was something I sought in my tweet chat fave participants... #HITsm https://t.co/HWWiB0J6M2 |
| Jim Tate @jimtate Hey Joy, I know you have some opinons. #hitsm |
| John Lynn @techguy I'm a fan as well. I just wonder if we need to move down to 4 questions though. #HITsm https://t.co/tO8M0K23KT |
 | Lisa Davis Budzinski @lisadbudzinski Lisa here from Florida, Co-founder of @Cpnervecenter Will be learning from the sidelines today ref Macra/MIPS #HITsm |
| Matt Fisher @Matt_R_Fisher To @techguy point about what is "fair" hard see it when still driving to arguably artificial goals. #HITsm |
 | JhonDAi @aibot28 #Houston #Dallas #Hacked #Atlanta #NSA #business #Macra #HIT #OHio #ColumbusOhio #B2B #EHR #EMR #IOT #bigdata #hitsm #martech #NYC #MIPS https://t.co/0aWtfUrbvs |
| John Lynn @techguy Wow. Quite interesting to chew on this. #HITsm https://t.co/EsTtICfrHR |
| Monica Stout, She/Her/Hers @MI_turnaround @MandiBPro I wonder what my WPM were back in the heyday of AIM. 😂 #HITsm |
 | CP Nerve Center @Cpnervecenter @techguy @bbhomebody Hi John. Thanks! I'll be lurking and learning from you professionals 🖑 #HITsm |
| Mandi Bishop @MandiBPro ...and who have the IT and informatics resources to support implementing it. #HITsm https://t.co/wYBcDoDS6y |
| Matt Fisher @Matt_R_Fisher @MandiBPro The growth in tweet storms seems to have been ending that ability. I still can't follow those. #HITsm |
| Joy Rios @askjoyrios @techguy I'm multi-tasking, but didn't want to miss this one. #HITsm |
 | Gus Bekdash @Gus_Bekdash T1: Is MACRA/MIPS fair to providers? #HITsm Many of my friend doctors tell me they have to do many procedures to be able to make money; that's how the incentives are constructed. So, you can argue the CURRENT SYSTEM IS UNFAIR. It's forcing them to do things they don't want to do |
| Gus Bekdash @Gus_Bekdash T1: Is MACRA/MIPS fair to providers? #HITsm It's a change in objectives, not a change in evaluation procedures. Europe spends almost 1/2 what we do & get equivalent or better outcomes. I wouldn't say fair. I'd say different. #Healthcare |
| Monica Stout, She/Her/Hers @MI_turnaround RT @jimtate: T1: T1: #MIPS is tilted in favor those who have the resources to come up with the best strategies. #HITsm |
| EMR, EHR and HIT @ehrandhit RT @jimtate: T1: T1: #MIPS is tilted in favor those who have the resources to come up with the best strategies. #HITsm |
| EMR, EHR and HIT @ehrandhit RT @MandiBPro: ...and who have the IT and informatics resources to support implementing it. #HITsm https://t.co/wYBcDoDS6y |
| Mandi Bishop @MandiBPro Human nature. Bad news transmitted 9Xs more often than good news. (Stat that I remember reading on the internet sometime, so MUST be true!) #HITsm https://t.co/eonYeoLKt9 |
| Healthcare Scene @HealthcareScene @Chinhom Thanks for hanging out with us. #HITsm |
| Jim Tate @jimtate Probably good to move on to topic # 2 Topic 2: How prepared are Eligible Clinicians for MACRA/MIPS? #hitsm |
| Mandi Bishop @MandiBPro After an extended hiatus from anything resembling real-time Twitter engagement, I'm rusty on following ANYTHING! But shall work on regaining my chops. #HITsm https://t.co/ZcxJzW8MVN |
| Healthcare Scene @HealthcareScene Just thought it would be interesting to hear about ethical decisions people made in their careers or saw made. #HITsm https://t.co/KytehnEnH6 |
| Joy Rios @askjoyrios @jimtate My initial reaction to Q1 is that at least CMS is making an effort to be transparent about what they want. And they offer multiple paths to success. It's up to providers to decide if it's worth it or not to move in the direction CMS is pushing. #HITsm |
 | Ryan Gaines @GRyanGINS RT @wareFLO: #eClinicalWorks sued for nearly $1 billion for inaccurate medical records https://t.co/fKPjr18iN4 #HITsm #BPM #HCLDR #DigitalHealth #HealthTech #HealthIT #ehr https://t.co/ELSWKAYD9F |
| Mandi Bishop @MandiBPro RT @Gus_Bekdash: T1: T1: Is MACRA/MIPS fair to providers? #HITsm It's a change in objectives, not a change in evaluation procedures. Europe spends almost 1/2 what we do & get equivalent or better outcomes. I wouldn't say fair. I'd say different. #Healthcare |
| Matt Fisher @Matt_R_Fisher @askjoyrios @jimtate Are there too many options? Honest question. Worry about dilution effect. #HITsm |
| Mandi Bishop @MandiBPro RT @Gus_Bekdash: T1: T1: Is MACRA/MIPS fair to providers? #HITsm Many of my friend doctors tell me they have to do many procedures to be able to make money; that's how the incentives are constructed. So, you can argue the CURRENT SYSTEM IS UNFAIR. It's forcing them to do things they don't want to do |
| John Lynn @techguy @askjoyrios I've got 3 windows open. Does that count as multi-tasking too? #HITsm |
| Joy Rios @askjoyrios @MandiBPro Ditto! #HITsm |
 | Gabe Charbonneau, MD @gabrieldane RT @MandiBPro: "Fair" is a difficult question. The admin burden of the reporting will further consolidate provider market, as large health systems have more human and IT resources to manage.#HITsm https://t.co/1JN2bU1FyH |
| Jim Tate @jimtate Topic 2: Are ECs prepared for #MACRA #MIPS? I think not. #hitsm |
| John Lynn @techguy Good example. That can be hard for many businesses, but is actually the best thing to do for your business too. #HITsm https://t.co/WXloeFficq |
| Lisa Davis Budzinski @lisadbudzinski @MI_turnaround @MandiBPro When changing typewriter ribbons, & no Auto correct; correct words per minute was of the utmost importance. It was just awful to use that white correcting fluid 😄#HITsm |
| Monica Stout, She/Her/Hers @MI_turnaround @techguy @askjoyrios But are you also chewing gum, John? #inquiringmindsmustknow #HITsm |
| Matt Fisher @Matt_R_Fisher @jimtate That assessment, unfortunately, applies to many regulatory reqs. Especially small/individual provider offices. #HITsm |
| EMR, EHR and HIT @ehrandhit T2: How prepared are Eligible Clinicians for MACRA/MIPS? @jimtate #hitsm https://t.co/aLmR1i5KLs |
| Healthcare Scene @HealthcareScene T2: How prepared are Eligible Clinicians for MACRA/MIPS? @jimtate #hitsm https://t.co/hlJZ92yV3u |
| Monica Stout, She/Her/Hers @MI_turnaround T2: This article says only 27% of provider respondents surveyed said they are prepared for MACRA. https://t.co/6Cnep81kb8 Yikes. #HITsm |
 | Mishka Alarcon @MishkaAlarcon RT @Colin_Hung: Healthcare once again on center stage at #IBMDIF Now up Dr Ted Scott @Chief_Innovator at @HamHealthSci #HITsm #hcsmca https://t.co/d2E9KBPrK4 |
| Joy Rios @askjoyrios Q2: A Practice Administrator told me this week, verbatim: "If a doc did #MU and #PQRS, then #MIPS should be easy." I *kind of* agree, but there are so many details that could affect how they score. And having so many choices can confuse folks. #HITsm |
| John Lynn @techguy Kind of reminds me of the analogy of polishing a turd. #HITsm https://t.co/xRaNtZpVxO |
| Mandi Bishop @MandiBPro But IS it transparent? There are consistent statements from HHS about rolling back reporting measures and data-sharing requirements, while at the same time CMS pushing forward with regulation. #HITsm https://t.co/mI9Wvg2VXf |
| John Lynn @techguy That's true, but will any of the MIPS measurements lead to improvement? #HITsm https://t.co/G36Xne94Sm |
| Mandi Bishop @MandiBPro RT @askjoyrios: Q2: A Practice Administrator told me this week, verbatim: Q2: A Practice Administrator told me this week, verbatim: "If a doc did #MU and #PQRS, then #MIPS should be easy." I *kind of* agree, but there are so many details that could affect how they score. And having so many choices can confuse folks. #HITsm |
| Healthcare Scene @HealthcareScene @MandiBPro We're really glad to have you back! You were missed. #HITsm |
| Joy Rios @askjoyrios @LeaChatham @jimtate Nice to see you too @LeaChatham! It's been awhile! #HITsm |
| Monica Stout, She/Her/Hers @MI_turnaround @lisadbudzinski @MandiBPro I was actually the last graduating class in my HS to still be formally taught on a typewriter. 😂 #datingmyself #HITsm |
| Mandi Bishop @MandiBPro That is so true! It's very professional looking, for a "blogger". ;) #HITsm https://t.co/K4jAYicJlB |
| John Lynn @techguy @MI_turnaround @askjoyrios Not really a gum chewer. Too much work. I am getting ready for a meeting I have at 10. #HITsm |
| Mandi Bishop @MandiBPro RT @MI_turnaround: T2: T2: This article says only 27% of provider respondents surveyed said they are prepared for MACRA. https://t.co/6Cnep81kb8 Yikes. #HITsm |
| Monica Stout, She/Her/Hers @MI_turnaround @LeaChatham That's great! Do you find it's taking a lot of resources to track? #HITsm |
| Amanda G @LAlupusLady 30 HIT experts to follow on Twitter including @MMaxwellStroud and @MandiBPro https://t.co/39VN821Pgk #HITsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Or 💄 on a 🐖? #hitsm https://t.co/yLwyPh5iRO |
| John Lynn @techguy @ShimCode @HealthcareScene @HITMarketingPR @HealthITExpo @jimtate Thanks. I wasn't sure about it, but I said who cares. I needed a new one. And I think all of my @techguy profile pics were just me. #HITsm |
| Mandi Bishop @MandiBPro Likely depends on the size of the practice. Hospital-owned physician practices w/ access to centralized/shared IT resources and #EHR likely to be more prepared than independent practices. #HITsm https://t.co/v5PPqCgxka |
| John Lynn @techguy @MandiBPro I asked someone if I should get one with me more dressed up. They said that it was appropriate for a blogger. #HITsm |
| Jim Tate @jimtate T2: Many ECs think they are prepared because the are picking the "Test Option". That will be regretted. #hitsm |
| Matt Fisher @Matt_R_Fisher T2: As @MandiBPro said, size very likely big driver on preparedness. If resources, can pay attn. #HITsm |
| Joy Rios @askjoyrios Being biased, @MiracaHealthIT clients are very well prepared for #MIPS. We have several with scores in the 90's and 100. MDs who are just starting, we see scores very low, and it's a little late in the year to bring them up significanlty. #HITsm |
| Mandi Bishop @MandiBPro I still used a typewriter at my first job (even though they HAD computers...or, at least, one...). #HITsm https://t.co/Fvlb0FUxCb |
| Monica Stout, She/Her/Hers @MI_turnaround @MTL613 Only when I'm en route somewhere! I'm on HootSuite. :) #HITsm |
| John Lynn @techguy I've said this as well. Should is the key word. It's still quite a bit of hoop jumping though. It's just similar to the hoops they've jumped through before. #HITsm https://t.co/yKGiZxnoSD |
| Jim Tate @jimtate Glad you are not recommending the Test Option which even the AMA is pushing #hitsm https://t.co/ycWpLb0Z9R |
| Mandi Bishop @MandiBPro Just as long as you're wearing your salmon pants (even though we can't see them, which is a pity). #HITsm https://t.co/1z8yXGZlz6 |
| Matt Fisher @Matt_R_Fisher @jimtate How many ECs are you seeing trying to fit themselves into not having to worry? Recall expanded exception criteria. #HITsm |
| John Lynn @techguy If you defined prepared as ready to fully attest. Most aren't prepared. If you define prepared as ready to avoid penalties. Most will be fine. Day of reckoning in 2019 when they're behind? #HITsm https://t.co/WN5PhhY1iE |
| Joy Rios @askjoyrios @Matt_R_Fisher @MandiBPro Absolutely. The smaller practices struggle with having enough resources. Their PM's have a full plate as it is and then are tasked with knowing the in's and out's of a whole new payment system. It's a challenge, for sure. #HITsm |
| Healthcare Scene @HealthcareScene RT @techguy: That's true, but will any of the MIPS measurements lead to improvement? #HITsm https://t.co/G36Xne94Sm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO I’m not sure what you mean. Could you elaborate? At length? #hitsm https://t.co/eymBAqPNhO |
| Jim Tate @jimtate Single payor? That is a whole other bone to choose. #HITsm https://t.co/2NipebQzcC |
| Healthcare Scene @HealthcareScene RT @MandiBPro: But IS it transparent? There are consistent statements from HHS about rolling back reporting measures and data-sharing requirements, while at the same time CMS pushing forward with regulation. #HITsm https://t.co/mI9Wvg2VXf |
| EMR, EHR and HIT @ehrandhit RT @askjoyrios: Q2: A Practice Administrator told me this week, verbatim: Q2: A Practice Administrator told me this week, verbatim: "If a doc did #MU and #PQRS, then #MIPS should be easy." I *kind of* agree, but there are so many details that could affect how they score. And having so many choices can confuse folks. #HITsm |
| Healthcare Scene @HealthcareScene RT @MI_turnaround: T2: T2: This article says only 27% of provider respondents surveyed said they are prepared for MACRA. https://t.co/6Cnep81kb8 Yikes. #HITsm |
| Monica Stout, She/Her/Hers @MI_turnaround RT @techguy: If you defined prepared as ready to fully attest. Most aren't prepared. If you define prepared as ready to avoid penalties. Most will be fine. Day of reckoning in 2019 when they're behind? #HITsm https://t.co/WN5PhhY1iE |
| Matt Fisher @Matt_R_Fisher @askjoyrios @MandiBPro That is the challenge on all fronts with small practices. Don't have capacity & don't want spend resources for help. #HITsm |
| Lisa Davis Budzinski @lisadbudzinski @techguy @MandiBPro Well done sir! 👏👏👏 #HITsm |
| Healthcare Scene @HealthcareScene RT @jimtate: Glad you are not recommending the Test Option which even the AMA is pushing #hitsm https://t.co/ycWpLb0Z9R |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Ah, but virtual groups of #MACRA reporting practices will fix that... riiight... #hitsm https://t.co/BgQhXh4A1E |
| Joy Rios @askjoyrios @jimtate It makes me cringe that the AMA made this recommendation to their members. It's like getting a tattoo that says "No Regrats" and having to look at the misspelling forever. #HITsm |
| EMR, EHR and HIT @ehrandhit RT @techguy: I've said this as well. Should is the key word. It's still quite a bit of hoop jumping though. It's just similar to the hoops they've jumped through before. #HITsm https://t.co/yKGiZxnoSD |
| Jim Tate @jimtate You bet #hitsm https://t.co/LnD3ueToV2 |
| EMR, EHR and HIT @ehrandhit RT @askjoyrios: Being biased, @MiracaHealthIT clients are very well prepared for #MIPS. We have several with scores in the 90's and 100. MDs who are just starting, we see scores very low, and it's a little late in the year to bring them up significanlty. #HITsm |
| Healthcare Scene @HealthcareScene RT @Matt_R_Fisher: T2: T2: As @MandiBPro said, size very likely big driver on preparedness. If resources, can pay attn. #HITsm |
| Healthcare Scene @HealthcareScene RT @jimtate: T2: T2: Many ECs think they are prepared because the are picking the "Test Option". That will be regretted. #hitsm |
| Healthcare Scene @HealthcareScene RT @MandiBPro: Likely depends on the size of the practice. Hospital-owned physician practices w/ access to centralized/shared IT resources and #EHR likely to be more prepared than independent practices. #HITsm https://t.co/v5PPqCgxka |
| Mandi Bishop @MandiBPro The only way to truly move from FFS (most VBC models still cousins of FFS, in bundled/attributed constructs) is to disrupt commercial business of healthcare delivery. #nevahgonnahappen #HITsm https://t.co/xbXz7hLskN |
| Matt Fisher @Matt_R_Fisher @MandiBPro Certainly not in current political climate. Beyond MIPS, feels like retrenchment to FFS occurring. #HITsm |
| Mandi Bishop @MandiBPro My husband and I reference that tattoo mistake all the time (wasn't it from We Are The Millers?). #HITsm https://t.co/JR1OZVVFVK |
| Healthcare Scene @HealthcareScene T3: What are the potential impacts of the MIPS Composite Performance Scores being made public? @jimtate #hitsm https://t.co/s9DiBimibl |
| EMR, EHR and HIT @ehrandhit T3: What are the potential impacts of the MIPS Composite Performance Scores being made public? @jimtate #hitsm https://t.co/kfSlmm3mJp |
| John Lynn @techguy Do you think if enough people do the test option, that CMS will change the 2018 requirements? #HITsm #MACRA cc: @AislingMcDL @ONC_HealthIT https://t.co/xYBcnOC1LN |
| Jim Tate @jimtate T2: The QIOs are not tasked with helping ECs like the RECs were on MU. No provider specific milestones. #hitsm |
| Lisa Davis Budzinski @lisadbudzinski @Matt_R_Fisher @askjoyrios @MandiBPro My hema/onco Dr retired due to being a 1 Dr office & all the new forms & tech coming about was just too much #HITsm |
 | 🌟 Sherry Reynolds ✨ Person-Centered Health @Cascadia @HealthcareScene @jimtate T2 Between alternative payment models and small practice exemptions, only 39% of 1.5 million Medicare clinicians now billing under Medicare will be complying with MIPS, according to @CMSgov. https://t.co/KsIdTWSITs #hitsm |
| Healthcare Scene @HealthcareScene @drsxr Definitely! Glad you could join us. #HITsm |
| Jim Tate @jimtate T3: The initial release of #MIPS scores will be an eathquake. #HITsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO @drsxr Dunno, can you? 😂 #hitsm (sorry, #MeaningfulUse and now #MACRA tend to make me feel exceptionally snarky...) |
| Mandi Bishop @MandiBPro Love what @upmc doing with their focus on reducing occupied hospital beds. (You go, @RasuShrestha!) But that is certainly exception, not rule. #HITsm https://t.co/bqyTfnuTo7 |
| John Lynn @techguy If MACRA/MIPS was moving the needle on healthcare, why haven't the commercial payers adopted it? #HITsm https://t.co/eVExMcPb6a |
| Monica Stout, She/Her/Hers @MI_turnaround @lisadbudzinski @Matt_R_Fisher @askjoyrios @MandiBPro It has to be overwhelming to 1-doc shops! #HITsm |
| Healthcare Scene @HealthcareScene RT @jimtate: T2: T2: The QIOs are not tasked with helping ECs like the RECs were on MU. No provider specific milestones. #hitsm |
| Matt Fisher @Matt_R_Fisher @techguy Let me be cynical on this one: because everyone wants their own measures. Why hundreds of quality measures out there? #HITsm |
| Joy Rios @askjoyrios @wareFLO Ha ha! I see Virtual Groups as just one more way to confuse people at the moment! CMS: Sign up for this new/innovative thing that we don't yet know how will work out. Quick! The deadline is coming up & oh yeah, you can't change your mind. #HITsm |
| Healthcare Scene @HealthcareScene RT @Cascadia: @HealthcareScene @jimtate T2 Between alternative payment models and small practice exemptions, only 39% of 1.5 million Medicare clinicians now billing under Medicare will be complying with MIPS, according to @CMSgov. https://t.co/KsIdTWSITs #hitsm |
| Jim Tate @jimtate T 3: When those #MIPS scores are posted there will be an immediate impact on professional reputation and practice value. #hitsm |
| Mandi Bishop @MandiBPro Coming on heels of chemotherapy bombshell earlier this year. Not sure why stent findings so surprising; been hearing that from cardiologists for a long while. Quality should measure treatment efficacy in outcome improvement. #HITsm https://t.co/konSEKUkcJ |
| Monica Stout, She/Her/Hers @MI_turnaround RT @HealthcareScene: T3: T3: What are the potential impacts of the MIPS Composite Performance Scores being made public? @jimtate #hitsm https://t.co/s9DiBimibl |
 | Melody Smith @TheSameMel Survey indicates that most health systems are at risk of falling short on maximizing quality payment incentives because of data and reporting issues https://t.co/QpzL9obbMC #hitsm #bigdata |
| Monica Stout, She/Her/Hers @MI_turnaround T3: Reputations are on the line. Since the information is public, third party review sites, vendors, consumers, and other physicians can see it. Positive or negative ratings can impact reputations ... and later finances. #HITsm |
| 🌟 Sherry Reynolds ✨ Person-Centered Health @Cascadia @MandiBPro Actually it is happening - in Washington State @WA_Health_Care 90% of state-finance health care (both employees and Medicaid) will be value based by 2021 #HITSM https://t.co/NEF4sSMM7v |
| Darena Solutions @DarenaSolutions RT @jimtate: T2: T2: The QIOs are not tasked with helping ECs like the RECs were on MU. No provider specific milestones. #hitsm |
| John Lynn @techguy Depends how well they're taken by industry and propagated. My guess is they will be collected and shared on consumer sites and it will hurt many practices. #HITsm https://t.co/DlIrPAolmN |
| Healthcare Scene @HealthcareScene RT @techguy: If MACRA/MIPS was moving the needle on healthcare, why haven't the commercial payers adopted it? #HITsm https://t.co/eVExMcPb6a |
| Healthcare Scene @HealthcareScene RT @Matt_R_Fisher: @techguy Let me be cynical on this one: @techguy Let me be cynical on this one: because everyone wants their own measures. Why hundreds of quality measures out there? #HITsm |
| Healthcare Scene @HealthcareScene RT @askjoyrios: @wareFLO Ha ha! I see Virtual Groups as just one more way to confuse people at the moment! CMS: @wareFLO Ha ha! I see Virtual Groups as just one more way to confuse people at the moment! CMS: Sign up for this new/innovative thing that we don't yet know how will work out. Quick! The deadline is coming up & oh yeah, you can't change your mind. #HITsm |
| Mandi Bishop @MandiBPro Commercial payers have the same legacy tech/process debt that providers have (worse, in many cases, as they invested in tech long before most providers). Most foundational systems not agile enough to handle VBC constructs. #HITsm https://t.co/7HNXxeAdfQ |
| Healthcare Scene @HealthcareScene RT @jimtate: T 3: T 3: When those #MIPS scores are posted there will be an immediate impact on professional reputation and practice value. #hitsm |
| EMR, EHR and HIT @ehrandhit RT @MelSmithJones: Survey indicates that most health systems are at risk of falling short on maximizing quality payment incentives because of data and reporting issues https://t.co/QpzL9obbMC #hitsm #bigdata |
| Matt Fisher @Matt_R_Fisher @techguy Which ties to format in which they are presented. If follow star rating could see bigger impact. If more nuanced, harder make pithy story. #HITsm |
| Jim Tate @jimtate T3: Hospital compete and push their rankings and awards, I expect the same for ECs. #HITsm |
| Mandi Bishop @MandiBPro ...but from a business model standpoint, many/most are trying to move significant % of their network contracts to risk-bearing arrangements. Challenge is in the administration of those agreements, once executed. #HITsm https://t.co/7HNXxeAdfQ |
| John Lynn @techguy Interesting comment, but even if they didn't have the technical debt, would MACRA/MIPS be the VBC constructs they'd adopt? #HITsm https://t.co/i5E2CKalRM |
 | Jamey Edwards @jameyedwards RT @jameyedwards: Check out this fresh off the presses interview w/ the @ideamensch team. Topics included #entrepreneurship, #startuplife & #humanizing #healthcare. Would love to hear thoughts! https://t.co/5xXs5P3M7y @CloudbreakHLTH @startuphealth #hcldr #hitsm #pinksocks #humanizehealthcare https://t.co/vQHQk0PjaY |
| Healthcare Scene @HealthcareScene RT @MI_turnaround: T3: T3: Reputations are on the line. Since the information is public, third party review sites, vendors, consumers, and other physicians can see it. Positive or negative ratings can impact reputations ... and later finances. #HITsm |
| Lisa Davis Budzinski @lisadbudzinski @MI_turnaround @Matt_R_Fisher @askjoyrios @MandiBPro It will be devastating when my GP retires. We’ve been together for 37 yrs. He’s also a small office #HITsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO In fact (note to self) don’t get me going... #HITsm Oh, what the heck! #GoodhartsLaw (Wikipedia "When a measure becomes a target, it ceases to be a good measure.") greatly afflicted #MeaningfulUse & will afflict #MACRA as well! https://t.co/0Fdn9Tdkdc https://t.co/RO3YG721Dr |
| Lisa Davis Budzinski @lisadbudzinski RT @wareFLO: In fact (note to self) don’t get me going... #HITsm Oh, what the heck! #GoodhartsLaw (Wikipedia "When a measure becomes a target, it ceases to be a good measure.") greatly afflicted #MeaningfulUse & will afflict #MACRA as well! https://t.co/0Fdn9Tdkdc https://t.co/RO3YG721Dr |
| Mandi Bishop @MandiBPro I'll posit that, unless they're shared on Yelp! or attached to Google/Facebook reviews of practices, the general public won't catch on to their meaning. We, the people, need our education integrated into the apps where we live. #HITsm https://t.co/jdUbraufdG |
| Mandi Bishop @MandiBPro RT @wareFLO: In fact (note to self) don’t get me going... #HITsm Oh, what the heck! #GoodhartsLaw (Wikipedia "When a measure becomes a target, it ceases to be a good measure.") greatly afflicted #MeaningfulUse & will afflict #MACRA as well! https://t.co/0Fdn9Tdkdc https://t.co/RO3YG721Dr |
| Joy Rios @askjoyrios @jimtate Yep. Docs are still not familiar with their Physician Compare profile page. They say who looks at this stuff? I say, well CMS sends this resource out as part of their welcome packet to their 10,000 new Medicare participants per day, so you know... lots of people. #HITsm |
| John Lynn @techguy This will be really interesting. Especially from a #HITMC standpoint. Those that get good scores will promote it. If you're not promoting it, then you must have gotten bad scores. #ManyWillAssume #HITsm https://t.co/dF2zNNnA1J |
| Jim Tate @jimtate T3: For the lawyers on the #hitsm chat. What might be the effect on a malpractice defendent with a low #MIPS score? |
| Melody Smith @TheSameMel @askjoyrios @jimtate Which would actually be an addictive tool for physicians since it caters to their competitive nature. #hitsm |
| Monica Stout, She/Her/Hers @MI_turnaround @lisadbudzinski @Matt_R_Fisher @askjoyrios @MandiBPro Oh man, that's rough. :( #HITsm |
| Healthcare Scene @HealthcareScene RT @askjoyrios: @jimtate Yep. Docs are still not familiar with their Physician Compare profile page. They say who looks at this stuff? I say, well CMS sends this resource out as part of their welcome packet to their 10,000 new Medicare participants per day, so you know... lots of people. #HITsm |
| Mandi Bishop @MandiBPro They usually do adopt the measures/reimbursement framework from CMS to inform their contracts, so yes, at least in part. But given the wishy-washy nature of the HHS/CMS commitment to VBC, commercial more reluctant than usual to follow. #HITsm https://t.co/3ul1QALpIU |
 | Michael Joseph, PMP @HealthData4All @Chinhom T2: Some form of value-based pymts or #pay4performance are long overdue. #MIPS is well-intended but explore refinements. Govt could also impose price controls. #hitsm https://t.co/ezQD3quLYY |
| Matt Fisher @Matt_R_Fisher @jimtate That would be interesting. Malpractice generally looking at standard of care, not necessarily "quality." However, bet claims will be tried. Throws lot at the wall, see what sticks. #HITsm |
| John Lynn @techguy @MandiBPro That's what I'm suggesting. I can easily see the Yelps/Angie's List/ZocDoc's of the world incorporating the MIPS score into their websites as a "Quality Score" #HITsm |
| Michael Joseph, PMP @HealthData4All Joining #HITsm late. Hi everyone. |
 | Mighty #HeathenSlut Casey🇺🇦🌟 @MightyCasey RT @MandiBPro: Commercial payers have the same legacy tech/process debt that providers have (worse, in many cases, as they invested in tech long before most providers). Most foundational systems not agile enough to handle VBC constructs. #HITsm https://t.co/7HNXxeAdfQ |
| Jim Tate @jimtate The public will not understand but they love numbers and ranking. #hitsm https://t.co/mFB5izWCks |
| Healthcare Scene @HealthcareScene T4: Part B drugs will be included in MIPS eligibility and reimbursement calculations. What are the possible consequences? @jimtate #hitsm https://t.co/2p1rmGVqDM |
| EMR, EHR and HIT @ehrandhit T4: Part B drugs will be included in MIPS eligibility and reimbursement calculations. What are the possible consequences? @jimtate #hitsm https://t.co/jM1ilQn82R |
| John Lynn @techguy @AislingMcDL @techguy @ONC_HealthIT I know you're not at CMS. That's why I valued your thoughts even more ;-) With the right pressure they could always change the rule though, no? #HITsm |
| Lisa Davis Budzinski @lisadbudzinski RT @HealthcareScene: T4: T4: Part B drugs will be included in MIPS eligibility and reimbursement calculations. What are the possible consequences? @jimtate #hitsm https://t.co/2p1rmGVqDM |
| Michael Joseph, PMP @HealthData4All RT @MandiBPro: The only way to truly move from FFS (most VBC models still cousins of FFS, in bundled/attributed constructs) is to disrupt commercial business of healthcare delivery. #nevahgonnahappen #HITsm https://t.co/xbXz7hLskN |
| Mandi Bishop @MandiBPro That would be an interesting idea! Of course, then providers who tailor their care plan to individuals rather than the 80% rule required to up checkbox scores on quality measures would be dinged when their outcomes excellent... #HITsm https://t.co/KIA4kKNLJL |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO An attempted and ineffective fix, of a self-inflicted problem (if I was the cynical sort 🤑 I’d almost surmise it was intentionally foisted on us to make some folks a whole lot of money, but me, cynical? No way, not possible!) #HITsm https://t.co/4LL9vRv9mi |
| Joy Rios @askjoyrios @MelSmithJones @jimtate Except it references data from 2 years ago, for the most part. So docs need to start connecting the dots that #MIPS is a long game, and they'll get the reputational benefits from participating now down the line. #HITsm |
 | Anshu Jindal @AnshuBJindal @HealthcareScene @jimtate T3: Some ECs don't care reg. current patients, but will definitely impact the prospective patients, and #physicians who are looking to join the group #hitsm |
| Jim Tate @jimtate T4: I talked to a practice last week that had 1 million in Part B services and 5 million in Part B drugs. You bet the want a high score. #hitsm |
| Healthcare Scene @HealthcareScene Great question. #HITsm https://t.co/l1dfxbJQUq |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO @drsxr @ribbonfarm Don’t know I saw that, gotta link? #hitsm |
| Mandi Bishop @MandiBPro I'm not familiar enough w/ specifics around drug measures in #MIPS to answer. Anyone got a 280 character primer? #HITsm https://t.co/Nn7oyr3vtZ |
| Darena Solutions @DarenaSolutions RT @MI_turnaround: T3: T3: Reputations are on the line. Since the information is public, third party review sites, vendors, consumers, and other physicians can see it. Positive or negative ratings can impact reputations ... and later finances. #HITsm |
| Matt Fisher @Matt_R_Fisher T4: Kind of feels like including Part B drugs is like the widely panned proposal to change that drug reimbursement overall. #HITsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO RT @askjoyrios: @wareFLO Ha ha! I see Virtual Groups as just one more way to confuse people at the moment! CMS: @wareFLO Ha ha! I see Virtual Groups as just one more way to confuse people at the moment! CMS: Sign up for this new/innovative thing that we don't yet know how will work out. Quick! The deadline is coming up & oh yeah, you can't change your mind. #HITsm |
| John Lynn @techguy @MandiBPro That's kind of my point. They usually do follow them and haven't. Says something about MIPS and MACRA and I'm not sure it's just attributed to the wishy-washy nature of it. #HITsm |
| Matt Fisher @Matt_R_Fisher @HealthcareScene Threw out my quick assessment few tweets back. Not sure MIPS score goes to standard of care, but sure will show up in a claim forcing a defense. #HITsm |
| John Lynn @techguy A lot of incentive on the line there even if they only get 1%. #HITsm https://t.co/AkEz49wqJh |
| Melody Smith @TheSameMel @askjoyrios @jimtate Yes! I’m pretty sure we could look at most of the problems we find in healthcare and find a data problem at its core. #HITsm |
| Healthcare Scene @HealthcareScene RT @jimtate: The public will not understand but they love numbers and ranking. #hitsm https://t.co/mFB5izWCks |
| Healthcare Scene @HealthcareScene RT @techguy: @MandiBPro That's what I'm suggesting. I can easily see the Yelps/Angie's List/ZocDoc's of the world incorporating the MIPS score into their websites as a "Quality Score" #HITsm |
| Lisa Davis Budzinski @lisadbudzinski @ShimCode @MandiBPro I️ so wish there was a way to change that perception. Positive should be applauded. Nowadays it’s all about the tabloid effect✨ #HITsm |
| Michael Joseph, PMP @HealthData4All @MandiBPro Data sharing & tech enablement between payers & providers are essential. #hitsm |
| Jim Tate @jimtate T4: Part B drugs are ones that are often administered in a clinical setting. Chemo drugs, etc. Often very expensive. This is a big deal. Here is post I did: https://t.co/ozVdSHBHdh #hitsm |
| John Lynn @techguy It's totally unfair because the public has no idea how to process a MIPS score. Maybe they have a MIPS score of 0 because they can't participate (ie. volume). Will the websites show that? Probably not. #HITsm https://t.co/3GNzm7rpP7 |
| Monica Stout, She/Her/Hers @MI_turnaround RT @jimtate: T4: T4: Part B drugs are ones that are often administered in a clinical setting. Chemo drugs, etc. Often very expensive. This is a big deal. Here is post I did: https://t.co/ozVdSHBHdh #hitsm |
| John Lynn @techguy @Matt_R_Fisher @jimtate Can a low MIPS Quality score be used to discredit a doctor in a malpractice case? #HITsm |
| Mandi Bishop @MandiBPro I'm getting spoiled by someone else on my team being responsible for government programs. I'm falling behind on what's new with the regs! Will need a primer... #HITsm https://t.co/ThRc7sLsNQ |
 | Bernadette Keefe MD @nxtstop1 RT @jimtate: T4: T4: Part B drugs are ones that are often administered in a clinical setting. Chemo drugs, etc. Often very expensive. This is a big deal. Here is post I did: https://t.co/ozVdSHBHdh #hitsm |
| Jim Tate @jimtate If an EC is excluded they will not have a MIPS score. #hitsm https://t.co/iutgIAeSnz |
| Lisa Davis Budzinski @lisadbudzinski @ShimCode @MandiBPro Oh good gravy alive! Sorry about the “I️” #HITsm |
| Matt Fisher @Matt_R_Fisher @techguy Isn't that the argument against pretty much any rating system? #HITsm |
 | MarTech Bot @mtechbot RT @aibot28: #Houston #Dallas #Hacked #Atlanta #NSA #business #Macra #HIT #OHio #ColumbusOhio #B2B #EHR #EMR #IOT #bigdata #hitsm #martech #NYC #MIPS https://t.co/0aWtfUrbvs |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO PSA 90 per cent of the people I follow don’t follow me. (This is b/c most people I follow are not in the #HITsm community) Do I let that bother me? Nope. Twitter is not Facebook. It is an asymmetric interest graph, not a symmetric graph based on reciprocal social connections. https://t.co/C5EFkR5xBv |
| Mandi Bishop @MandiBPro RT @HealthData4All: @MandiBPro Data sharing & tech enablement between payers & providers are essential. #hitsm |
 | Ñick van Terheyden, MD -Dr Ñiçk 🇺🇸🇬🇧🇮🇪🇳🇬🌍 @drnic1 RT @MandiBPro: Commercial payers have the same legacy tech/process debt that providers have (worse, in many cases, as they invested in tech long before most providers). Most foundational systems not agile enough to handle VBC constructs. #HITsm https://t.co/7HNXxeAdfQ |
| Mandi Bishop @MandiBPro Amen, #MythicalUnicorn sistah. #HITsm https://t.co/MaYx5JbzR2 |
| Monica Stout, She/Her/Hers @MI_turnaround @techguy And a little dangerous since the public will make decisions based on information they don't really understand ... #HITsm |
| John Lynn @techguy I'm suggesting that the physician ratings websites might display a "No score" in a way that makes the physician look bad. #HITsm https://t.co/REG1pAcPgx |
| Matt Fisher @Matt_R_Fisher @techguy @jimtate My gut feeling is no. The measures may be completely inapplicable to the alleged malpractice. Would need to look at admissibility overall. Rules of evidence govern court. #HITsm |
| Anshu Jindal @AnshuBJindal @HealthcareScene @jimtate For practices w/ substantial #Medicare Part B drug payments, the payment adjustments would be bigger too. Unless ECs want to be excluded short term ....#Hitsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO I don’t. #HITsm (no, not a conspiracy either, but as wrong headed as #MeaningfulUse was and is) https://t.co/H7Skaat8TF |
| Joy Rios @askjoyrios @LeaChatham @jimtate It's pretty easy to understand for a layperson - CMS writes it up at an 8th grade reading level intentionally. However, the question about whether what is shown on the site is a TRUE reflection of the quality of care they provide. #HITsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO #hitsm https://t.co/7aG7i66J78 |
| Mandi Bishop @MandiBPro ...especially true when we're amidst an epistemic challenge. If we can't even agree on facts, we certainly can't be expected to agree on the interpretation of unevenly applied quality measures. :) #HITsm https://t.co/wJ9x4QpOcw |
| Lisa Davis Budzinski @lisadbudzinski @ShimCode @MandiBPro Ah good point. So it could be shifting with that generation coming of age✨ #HITsm |
| Healthcare Scene @HealthcareScene @AislingMcDL Glad you could join us! How's your recovery going? Did you do a 12 step program or some other approach to recovery? ;-) #HITsm |
| Joy Rios @askjoyrios @jimtate This is a HUGE deal! Any doc who prescribes biologix will be greatly affected (derms, uro's, hem/onc etc.) #HITsm |
| Jim Tate @jimtate The #MIPS scoring is very precise but quality is fuzzy. #HITsm |
| Healthcare Scene @HealthcareScene RT @Matt_R_Fisher: @techguy @jimtate My gut feeling is no. The measures may be completely inapplicable to the alleged malpractice. Would need to look at admissibility overall. Rules of evidence govern court. #HITsm |
| EMR, EHR and HIT @ehrandhit RT @techguy: I'm suggesting that the physician ratings websites might display a "No score" in a way that makes the physician look bad. #HITsm https://t.co/REG1pAcPgx |
| Lisa Davis Budzinski @lisadbudzinski RT @MandiBPro: I'm not familiar enough w/ specifics around drug measures in #MIPS to answer. Anyone got a 280 character primer? #HITsm https://t.co/Nn7oyr3vtZ |
| Healthcare Scene @HealthcareScene RT @MI_turnaround: @techguy And a little dangerous since the public will make decisions based on information they don't really understand ... #HITsm |
| Anshu Jindal @AnshuBJindal @techguy The ECs who do get the higher score would ensure that prospective patients know what their competitor's score is - esp. if it's not good #hitsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Ditto! PS, might it be a #blockchain? ⛓⛓⛓⛓⛓⛓⛓⛓ #hitsm https://t.co/lyMgYYVduM |
| Matt Fisher @Matt_R_Fisher @AislingMcDL @MandiBPro Do you recall the increase in numbers of how many would then fall outside? Recall being quite high. #HITsm |
| EMR, EHR and HIT @ehrandhit T5: Will MACRA/MIPS deliver better care at a lower cost? @jimtate #hitsm https://t.co/fELMUCMFok |
| Healthcare Scene @HealthcareScene T5: Will MACRA/MIPS deliver better care at a lower cost? @jimtate #hitsm https://t.co/sEO84HePa3 |
| Monica Stout, She/Her/Hers @MI_turnaround RT @HealthcareScene: T5: T5: Will MACRA/MIPS deliver better care at a lower cost? @jimtate #hitsm https://t.co/sEO84HePa3 |
 | MEQAPI @meqapi Lurking on #HITSM bc review work |
| Joy Rios @askjoyrios @techguy Currently, if a physician did not particpate in Meaningful Use, there's just a "missing" green check mark from their Physician Compare profile. The green check mark is only there for folks who participated. #HITsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Probably not. #hitsm https://t.co/BUisQ0nHtU |
| John Lynn @techguy No. I think it will have little impact or possible increase costs. #HITsm https://t.co/7NbrSgu58y |
| Lisa Davis Budzinski @lisadbudzinski RT @wareFLO: Probably not. #hitsm https://t.co/BUisQ0nHtU |
| Matt Fisher @Matt_R_Fisher T5: Agree with @wareflo. MIPS is just another step in the road. Will be slow gradual process to better quality, lower cost care. #HITsm |
 | Stoltenberg Con Inc. @StoltenbergCon T2: Providers are still struggling to understand their EHR system capabilities for QPP reporting needs #HITsm https://t.co/qMWaIyrcIi |
| Monica Stout, She/Her/Hers @MI_turnaround T5: Time will tell! #HITsm https://t.co/awg87Wt60L |
| Jim Tate @jimtate T5: Cost will be lower but will it be better? The jury is out for a few years. #hitsm https://t.co/pe7YZftgFF |
| Anshu Jindal @AnshuBJindal @Matt_R_Fisher @techguy Exactly! I've found myself narrowing down the #physician for my family based on how they rank on my #HealthInsurance website #hitsm |
| Lisa Davis Budzinski @lisadbudzinski @AislingMcDL @HealthcareScene Thank you for the link!! #HITsm |
| MEQAPI @meqapi Glad to see that quality improvement is part of MACRA, but not enthusiastic about it being punitive #HITsm |
| Mandi Bishop @MandiBPro Now that there is funny! (Imagining that amazing support group of post-gov #healthcare rockstars - @ASlavitt @Farzad_MD @KBDeSalvo @Jacobr @Fridsma @SusannahFox having talk therapy on policy.) #HITsm https://t.co/EK93tnkNVH |
| John Lynn @techguy Here's my summary from @jimtate's content: https://t.co/8SeDRQJqv8 #HITsm https://t.co/l1AGjAG230 |
| John Lynn @techguy @askjoyrios Others might implement it differently. However, even with physician compare, will many think that no green check mark = bad doctor? #HITsm |
| Lisa Davis Budzinski @lisadbudzinski @ShimCode @MandiBPro I think every parent should. There’s a deep dark hole you do not want them to know about. Not to mention surface predators & such. Keep them safe any way you can✨ #HITsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Matt, you are an exceedingly likable and charitable lawyerly member of the #hitsm community https://t.co/lx5KJGBuga |
| Mandi Bishop @MandiBPro And WILL the cost be lower? The investment in the workflow modifications and tech enablement, alone, will be significant and will be reflected in net patient revenue goals. Payer reimbursement may change, but cost? I'm not convinced. #HITsm https://t.co/5KcReBju1f |
| Joy Rios @askjoyrios @techguy Q5: I think of it like we're trying to turn a barge around. It'll take some time. Maybe we'll see positive impact in 5-10 years? IDK, I *hope* for continuous improvement. #HITsm |
| Mandi Bishop @MandiBPro Bookmarking! #HITsm https://t.co/fHzzb7ICyQ |
| Matt Fisher @Matt_R_Fisher @AislingMcDL @MandiBPro That is quite significant. Ties to ability to impact overall system. #HITsm |
| Lisa Davis Budzinski @lisadbudzinski RT @HealthcareScene: T5: T5: Will MACRA/MIPS deliver better care at a lower cost? @jimtate #hitsm https://t.co/sEO84HePa3 |
| Jim Tate @jimtate The 36% included will still be doing the majority of Part B billing. #hitsm https://t.co/gjoKzbkM2v |
| John Lynn @techguy RT @StoltenbergCon: T2: T2: Providers are still struggling to understand their EHR system capabilities for QPP reporting needs #HITsm https://t.co/qMWaIyrcIi |
| Joy Rios @askjoyrios @AnshuBJindal @techguy Absolutely! Expect to see more and more physicians using their score, if they're good, in marketing collatoral and as bragging rights. #HITsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO nyuk nyuk nyuk #hitsm https://t.co/HaIjtLuy7U |
| Matt Fisher @Matt_R_Fisher @wareFLO That is very kind of you. I definitely feel I learn more from the #HITsm community than I could possibly contribute. |
| John Lynn @techguy Sounds like a Coping Cabana that @melissaxxmccool could start for #HITsm people :-) https://t.co/AMhTiZeWNw |
| Anshu Jindal @AnshuBJindal @meqapi It's like receiving a present that one doesn't like. We are quick to complain that it's not good enough and fail to see that it's still a present..or bonus in case of #MIPS #HITsm |
| John Lynn @techguy Amazing to consider! #HITsm https://t.co/SOtxkPgOhV |
| 🌟 Sherry Reynolds ✨ Person-Centered Health @Cascadia Half of all of docs in US have same EHR (Epic) and most of those are in large practices covered by MACRA/MIPS - Has anyone heard +/- for them? #HITsm |
| Mandi Bishop @MandiBPro Meanwhile, patients urgently need high quality treatment to better their health for a reasonable price. #HITsm https://t.co/EMIQcoMDwn |
| Jim Tate @jimtate Does that include the Part B drugs? #hitsm https://t.co/M2ykRVByco |
| Lisa Davis Budzinski @lisadbudzinski @techguy @jimtate Thank you John! I️ believe the more pts should understand how the Drs world is affected. Be able to understand & talk intelligently about it with them #HITsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO #WorkflowSighting! #hitsm https://t.co/Wi9zgEocW2 |
| Joy Rios @askjoyrios @techguy If they connect the dots maybe. But that might be a detail that gets overlooked. #HITsm |
| John Lynn @techguy Have to run to another meeting. Sorry to leave #HITsm early. Thanks @jimtate for hosting. |
| Mandi Bishop @MandiBPro Made sure I put that in there for you, Chuck! It's ALL about the #workflow! #HITsm https://t.co/At2auZkilP |
| Matt Fisher @Matt_R_Fisher That is positively optimistic. Can hope so. #HITsm https://t.co/gk4OdrM5YW |
| Mandi Bishop @MandiBPro Gotta prep for my next meeting, but glad I finally had the chance to pop in to #HITsm after a long absence. Take care and have a great weekend, all! |
| Jim Tate @jimtate T5: Ordering high cost imaging will soon have to supported by clinical decison support technology to receive Medicare payment. That must lower the costs. #hitsm |
| Healthcare Scene @HealthcareScene Bonus: If you had the power to change anything, what would you change with MACRA/MIPS? @jimtate #HITsm https://t.co/neXpmEN50d |
| EMR, EHR and HIT @ehrandhit Bonus: If you had the power to change anything, what would you change with MACRA/MIPS? @jimtate #HITsm https://t.co/tfXix3KPO8 |
| Stoltenberg Con Inc. @StoltenbergCon Definitely. And the flip side, if it's not so great, they need to be cognizant that it will be out there and expelled longer/further than they realize onto 3rd party sites #HITsm https://t.co/gZPZkTZq39 |
| Matt Fisher @Matt_R_Fisher @AislingMcDL @MandiBPro If don't nudge and/or shove, will never get change. Hate to say it, but need force small practices or will coast as always have. #HITsm |
| Lisa Davis Budzinski @lisadbudzinski RT @HealthcareScene: Bonus: Bonus: If you had the power to change anything, what would you change with MACRA/MIPS? @jimtate #HITsm https://t.co/neXpmEN50d |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO I have one final thought regarding #MACRA: MERP! (Google it... ) #hitsm https://t.co/XSxShLuWJK |
| Joy Rios @askjoyrios @jimtate Also, the $90,000 / 200 Medicare Part B exclusion criteria applies to individual eligible clinicians. If they want to opt-in, they can report as a group. With this option, there may be more than 36% participation. #HITsm |
| Jim Tate @jimtate Bonus Topic: Would have been good if the REC model was used to support ECs. #hitsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO RT @MandiBPro: Made sure I put that in there for you, Chuck! It's ALL about the #workflow! #HITsm https://t.co/At2auZkilP |
| MEQAPI @meqapi Bonus: I would tone down the punitive parts of MACRA quality improvement, and focus on systematic and continuous improvement #HITsm |
| Matt Fisher @Matt_R_Fisher @drsxr No question. Getting the tools to be able to do something with the data is a gating issue among many though. #HITsm |
| Monica Stout, She/Her/Hers @MI_turnaround Bonus: There are so many demands on clinicians beyond caring for patients – it’s going to take time & resources to track this data. With my magic wand, I’d give give each EC the resources to do it (both staff & tech) so there are less impacts to their valuable time. #HITsm https://t.co/eKDM14daj2 |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Another #WorkflowSighting! #hitsm (hmm, are workflow sightings workflow sightings?) https://t.co/AevbBIG92N |
| Monica Stout, She/Her/Hers @MI_turnaround @wareFLO 😂😂😂 #HITsm |
| Anshu Jindal @AnshuBJindal @MandiBPro #HealthIT investments will be reqd in short term. There are leaks at multiple levels that impact #healthcare costs. We can begin w/ #healthIT investments being meaningful - e.g. #Interoperable #EHR #HITsm |
| Matt Fisher @Matt_R_Fisher Thank you to everyone, especially @jimtate, for great #HITsm today. Hope everyone has a great weekend and Thanksgiving next week. |
| MEQAPI @meqapi @AnshuBJindal Yes, good point, and hopefully we see quality improvement #HITsm |
| Jim Tate @jimtate Thanks everyone for joining and providing your input. I can be contacted at jimtate@emradvocate.com and I’m blogging on #MIPS & #MACRA at https://t.co/7cXLIsy3Qz #HITsm |
| Melody Smith @TheSameMel Have a great weekend everyone! This community lights up my life for sure. #hitsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Weird. I actually intended to go out of my way to avoid today’s #hitsm ... Oh well, guess I cain’t quit you #hitsm! |
| Melody Smith @TheSameMel @wareFLO As much as you try...we will always magnetize you back. #hitsm |
| Joy Rios @askjoyrios Great chatting today! #HITsm Thanks @jimtate and @techguy for leading the discussion. Enjoy your weekend, all! |
| Stoltenberg Con Inc. @StoltenbergCon Similar to CHIME's concern- There will be struggle with the increase in the Cost weight and full-year reporting #HITsm https://t.co/lkEWFEaUKx |
| Healthcare Scene @HealthcareScene Next week there is no #HITsm chat since we're taking it off for Thanksgiving. We do encourage you to spend some time thanking those in the #HITsm community who have helped you this year. We're back 12/1 w/ @gabrieldane hosting the chat on "Using Technology to Fight EHR Burnout" |
| Healthcare Scene @HealthcareScene That's all she wrote. A massive thank you to @jimtate for hosting today's #HITsm chat. Plus, thank you to each of you who participated! https://t.co/YvSo63rbYX |
| Monica Stout, She/Her/Hers @MI_turnaround Thanks for the chat, #HITsm -ers! Have a great weekend! |
| EMR, EHR and HIT @ehrandhit Next week there is no #HITsm chat since we're taking it off for Thanksgiving. We do encourage you to spend some time thanking those in the #HITsm community who have helped you this year. We're back 12/1 w/ @gabrieldane hosting the chat on "Using Technology to Fight EHR Burnout" |
| EMR, EHR and HIT @ehrandhit That's all she wrote. A massive thank you to @jimtate for hosting today's #HITsm chat. Plus, thank you to each of you who participated! https://t.co/QfeZjEVcND |
| Jim Tate @jimtate Over and out #hitsm |
| Anshu Jindal @AnshuBJindal @ShimCode But how do you determine high quality to join a virtual group? ...It's tougher in the initial year with no precedent. #physicians can base it on the expected #MIPS score if they're proactive #HITsm |
| Joy Rios @askjoyrios @AislingMcDL @jimtate It's the same idea. Must exceed the low-volume threshold as an individual or as a group to be able to particapte in a virtual group. #HITsm |
| Ñick van Terheyden, MD -Dr Ñiçk 🇺🇸🇬🇧🇮🇪🇳🇬🌍 @drnic1 RT @wareFLO: An attempted and ineffective fix, of a self-inflicted problem (if I was the cynical sort 🤑 I’d almost surmise it was intentionally foisted on us to make some folks a whole lot of money, but me, cynical? No way, not possible!) #HITsm https://t.co/4LL9vRv9mi |
 | Jon McBride 🌴 @jamcbride RT @MandiBPro: Commercial payers have the same legacy tech/process debt that providers have (worse, in many cases, as they invested in tech long before most providers). Most foundational systems not agile enough to handle VBC constructs. #HITsm https://t.co/7HNXxeAdfQ |
| Joy Rios @askjoyrios @AnshuBJindal @ShimCode Exactly! Folks entering a virtual group in 2018 must be *extremely* well prepared to do so. I read that CMS expects only about 20 virtual groups in total for the 2018 performance year. #HITsm |
| Anshu Jindal @AnshuBJindal @ShimCode :-) Have a fun Friday Steve! It was great to catch up after a long time. #hitsm |
| Anshu Jindal @AnshuBJindal @askjoyrios @ShimCode That’s a very small number. Could you please share the source? #HITsm |
| Anshu Jindal @AnshuBJindal Thank you @HealthcareScene @techguy @jimtate for this insightful chat on #MACRA #MIPS. Have a fun weekend! #hitsm |
| Anshu Jindal @AnshuBJindal @drsxr @Matt_R_Fisher ..or the end goal is not clear, and that inhibits motivation to use the tools available. #HITsm |
#HITsm content from Twitter.