#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 do you work? What's your favorite sport to watch? #HITsm @tjustincampbell |
| Healthcare Scene @HealthcareScene Welcome to this week's #HITsm chat hosted by @tjustincampbell from @GalenHealthcare on the topic of “Practical Applications of EMR Optimization Through Clinical Decision Support” Details: https://t.co/5HqgH05dq7 https://t.co/fJXFkze4Ji |
 | Justin Campbell @tjustincampbell Welcome everyone! Coming off an invigorating #NewEnglandHIMSS conference, I'm excited to host #HITsm today. We at @Galenhealthcare are very passionate about the opportunity #CDS provides to optimize and streamline #EMR, and improve #patientoutcomes. |
 | Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO RT @HealthcareScene: Welcome to this week's #HITsm chat hosted by @tjustincampbell from @GalenHealthcare on the topic of “Practical Applications of EMR Optimization Through Clinical Decision Support” Details: https://t.co/5HqgH05dq7 https://t.co/fJXFkze4Ji |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Chuck! Workflow! 3D printing! Virtual Reality! Here for #HITsm (CDS). Still buzzed from 9 hours in #socialVR yesterday during #WTFix! (my blog post re that: https://t.co/L6qjD1HGAE) TX to @QlikDork @bbhomebody @MI_turnaround @lisadbudzinski for attending! https://t.co/wyLVOpj5Sm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Fellow workflowista! Viva la workflow! #HITsm https://t.co/cBl5ALxluj |
 | Jeff Quinn @JQuinn_Buffalo First timer #hitsm I work in the marketing world of healthcare with an educational background more focused on cardiac rehab and wellness. Favorite sport to watch is Volleyball! Go @ESUWarriors |
 | Michelle Currie @mshlcurrie #Hitsm Michelle here, Quality/Improvement/HIT aficionado. HIT Consultant, CDS evangelist. I'm loving the Warriors right now! |
 | Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba Hello all. Mother Nature is being quite cruel today (4.8 inches of rain this morning) but I'm glad to stay inside and participate in #HITsm. I'm Shereese, HC strategist living in Md, working nationwide https://t.co/tW3TxTH8VB |
| Justin Campbell @tjustincampbell Justin Campbell, VP of strategy, @GalenHealthcare former Electrical Engineer, Current #HealthIT Nerd. I am a baseball junkie for life. Love the stats and analytics. Had the chance to see Billy Beane speak at #HASummit and it was incredible #HITsm |
| Justin Campbell @tjustincampbell @JQuinn_Buffalo @ESUWarriors Woot! Love First timers. Welcome to the tribe Jeff! #HITsm |
 | Michael Joseph, PMP @HealthData4All RT @HealthcareScene: Welcome to this week's #HITsm chat hosted by @tjustincampbell from @GalenHealthcare on the topic of “Practical Applications of EMR Optimization Through Clinical Decision Support” Details: https://t.co/5HqgH05dq7 https://t.co/fJXFkze4Ji |
| Michelle Currie @mshlcurrie @tjustincampbell @GalenHealthcare #hitsm Billy Bean made me a baseball fan! |
 | Jeffrey Becker @BeckerJMB Hi All! My name is Jeff Becker. I am a MEDITECH Optimization Consultant for BRG and former LT. Dan from HIStalk. Excited to be part of the conversation. #HITsm |
| Healthcare Scene @HealthcareScene T1: What experiences do you have with CDS implementation? What impacts (positive and negative) did it have? @tjustincampbell #HITsm https://t.co/dPeoPtONKf |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba Hello @mshlcurrie @MMSJennifer #HITsm https://t.co/HOn2Hz0bmu |
 | Matthew Loxton is also on Mastodon @mloxton Matthew reporting for duty at #Hitsm Breaker, maker, deconstructer. Doing monitoring & evaluation, quality assurance, and process improvement |
| Justin Campbell @tjustincampbell @ShereesePubHlth Welcome Shereese! Overcast skies can't hold back your bright and beaming personality. #HITsm |
 | Ashley Dauwer @amariedauwer Hi everyone! Ashley here, Public and Media Relations Manager @MEDITECH. I get bored watching sports on TV, but love attending NE sports games. Here’s a great shot from the Red Sox game last night! #HITsm https://t.co/h2ak8FdTGm |
| Michael Joseph, PMP @HealthData4All Excited to join #HITsm today. Hi all! |
| Michael Joseph, PMP @HealthData4All RT @tjustincampbell: Welcome everyone! Coming off an invigorating #NewEnglandHIMSS conference, I'm excited to host #HITsm today. We at @Galenhealthcare are very passionate about the opportunity #CDS provides to optimize and streamline #EMR, and improve #patientoutcomes. |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO T1 #HITsm wrote code accessing drug databases (local & web based: SOAP/XML), worked w/clinicians to customize workflows determining where, when & 4 whom clinical rules were invoked, applied & results displayed, helped clinicians write arbitrary rules accessing new/old DB data https://t.co/VHRixn0aEi |
| Justin Campbell @tjustincampbell @BeckerJMB Who brought the ringer to the conversation? ;) Welcome Jeff. Excited to have you share your expertise and experience! #HITsm |
| Justin Campbell @tjustincampbell @mloxton Welcome Matt. Love the 3 word description. #HITsm |
| Justin Campbell @tjustincampbell @amariedauwer @MEDITECH Nice photo Ashley. Welcome to the convo. #HITsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Main issue, at least in primary care domain, was physicians really felt they knew the rules they cared about and didn't need the reminders, and for the most part they were right #HITsm https://t.co/1PHLEsROmg |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @amariedauwer @MEDITECH Wouldn't you rather roll with a winner? #IbleedBlue #NYYankees #HITsm https://t.co/wqrQrqMELS |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @HealthcareScene: T1: T1: What experiences do you have with CDS implementation? What impacts (positive and negative) did it have? @tjustincampbell #HITsm https://t.co/dPeoPtONKf |
| Justin Campbell @tjustincampbell @wareFLO Always compelling to leverage existing libraries and deliver that capability to the point of care. No need to reinvent the wheel. Was it repeatable? #HITsm |
 | Christina Noël @Noel_social RT @BeckerJMB: Hi All! My name is Jeff Becker. I am a MEDITECH Optimization Consultant for BRG and former LT. Dan from HIStalk. Excited to be part of the conversation. #HITsm |
| Matthew Loxton is also on Mastodon @mloxton T1 assisted in the assessment of medication dosage and interaction alert system #Hitsm |
| Ashley Dauwer @amariedauwer @wareFLO So you’re a newbie? #HITsm https://t.co/eokZY8zjRV |
| Justin Campbell @tjustincampbell T1: For @MEDITECH clients, we crowd-sourced @GalenEnginuITy, a deliverable clinical content package that harvests the power of rules engine to streamline clinical workflow, drive care, and automate documentation. https://t.co/ACGGPdqBcG #HITsm |
 | Mandi Bishop @MandiBPro Happy #HITsm Friday! Can't stay but wanted to jump in and say HELLO! (And also plant a seed that clinical decision support on disease states in isolation of MCC complexity modeling and #sdoh analytics is only ever going to be meh...😎) |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO In what sense? #HITsm https://t.co/1qwblvaalz |
 | Patty Swisher @pmswish Joining late, Patty from Pittsburgh! Hello All! #HITsm |
| Justin Campbell @tjustincampbell @cericksonsail I am absolutely privileged to be a colleague of Christy's at @GalenHealthcare. Her passion, energy, and drive are contagious. #HITsm |
| Ashley Dauwer @amariedauwer @tjustincampbell @MEDITECH Thank you, Justin! Likely just lurking & learning, but happy to be here and connect with you all! #HITsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Perpetually!!!!! #HITsm (also, related, be able to look at any old stale situation with noob-ish eyes can be extremely useful!) https://t.co/0gpkfx4uDV |
| Michelle Currie @mshlcurrie #Hitsm A few years ago, as a #CQO in the Inpatient Setting, PN #CORE measures were awful. Created a "Blood draw status" alert for #ED #RNs that displayed when they #barcode #Antibiotics, allowing them to draw blood before admin if necessary. 100% in 1 week https://t.co/BYtUKaKyoK |
| Matthew Loxton is also on Mastodon @mloxton T1 positive effect was having a repeatable medication order checking process to support the pharmacist spot potential risks Negative was massive alert fatigue, leading to ignoring the alerts #Hitsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @pmswish How's your weather? #HITsm |
| Ashley Dauwer @amariedauwer RT @tjustincampbell: T1: T1: For @MEDITECH clients, we crowd-sourced @GalenEnginuITy, a deliverable clinical content package that harvests the power of rules engine to streamline clinical workflow, drive care, and automate documentation. https://t.co/ACGGPdqBcG #HITsm |
| Justin Campbell @tjustincampbell T1: eCalcs from @GalenHealthcare provides close to 100 clinical calculators integrated to the #EHR point of care: https://t.co/gFG7A8Kmcp #HITsm |
 | Brian Eastwood @Brian_Eastwood Brian from @ChilmarkHIT, joining in after running in circles at the local track. Basketball's my favorite mainstream sport to watch, though every 2 years I get sucked into the Olymics. #hitsm |
| Jeffrey Becker @BeckerJMB T1: Worked alongside providers spanning 32 specialties to deploy CDS within documentation templates. Positive impacts: reduced note bloat, improved charge capture, streamlined clinical risk score calculations. Negative: added to complexity of documentation workflows #HITsm |
 | Citizen G'Kar @Citizen_Gkar The latest Citizen G'kar Daily! https://t.co/ttDnPiQ6k5 Thanks to @whenpigsflyyy @SCClemons @RyanNewYork #hitsm #digitalhealth |
| Justin Campbell @tjustincampbell @pmswish Welcome Patty. Thanks for joining us! #HITsm |
| Brian Eastwood @Brian_Eastwood It's as if (looks at notes) there's no current incentive to bring all that information together. #HITsm https://t.co/UaIuIESI4B |
| Justin Campbell @tjustincampbell @wareFLO Delivered across multiple EMR implementations in practice? Did you automate implementation? #HITsm |
 | MasterControl @MCMasterControl Hi all! Will be popping in and out as it's a busy Friday 🙂 #hitsm |
| MasterControl @MCMasterControl RT @HealthcareScene: Welcome to this week's #HITsm chat hosted by @tjustincampbell from @GalenHealthcare on the topic of “Practical Applications of EMR Optimization Through Clinical Decision Support” Details: https://t.co/5HqgH05dq7 https://t.co/fJXFkze4Ji |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO familiar scenario, why need to separate rules from workflow, execute separately, improve separately IMO #HITsm https://t.co/PgxTMgRURs |
| MasterControl @MCMasterControl @amariedauwer @MEDITECH Those look like great seats! Right where the action is 👌#hitsm |
| Matthew Loxton is also on Mastodon @mloxton T1 did an assessment of a bed management system that provided alerts to bed cleaning teams (contractors). Was very effective at reducing bed turnaround time, and having right kit for the bed (eg MRSA). Downside was nurses learned to use it to choke inflow of new patients #Hitsm |
| Patty Swisher @pmswish T1: Only familiar with the topic, I have no direct experience with CDS. Interested to hear thoughts. #HITsm |
| Justin Campbell @tjustincampbell @Brian_Eastwood From your research at @ChilmarkHIT, how many #HCO actually are able to capture (or have plans to) #SDoH? #HITsm |
| Justin Campbell @tjustincampbell RT @BeckerJMB: T1: Worked alongside providers spanning 32 specialties to deploy CDS within documentation templates. Positive impacts: T1: Worked alongside providers spanning 32 specialties to deploy CDS within documentation templates. Positive impacts: reduced note bloat, improved charge capture, streamlined clinical risk score calculations. Negative: added to complexity of documentation workflows #HITsm |
| Michael Joseph, PMP @HealthData4All RT @wareFLO: Today's #HITsm tweetchat: Today's #HITsm tweetchat: types of CDS (including sepsis surveillance, risk calculators, drug interaction, among others), mechanisms to deliver CDS to the point of care, WORKFLOW and alert fatigue implications, and methods for sharing proven CDS libraries https://t.co/slTjeVIcpv https://t.co/MQPvnmXZTp |
| Healthcare Scene @HealthcareScene T2: How can CDS best be deployed to the point of care without exacerbating alert fatigue? @tjustincampbell #HITsm https://t.co/1iuQ9aGwyv |
 | Bob Brown @ReasObBob Bob Brown, @MosaicaPartners. On deadline for client work, but somehow, can't avoid logging in to #hitsm. |
| Justin Campbell @tjustincampbell RT @mloxton: T1 did an assessment of a bed management system that provided alerts to bed cleaning teams (contractors). Was very effective at reducing bed turnaround time, and having right kit for the bed (eg MRSA). Downside was nurses learned to use it to choke inflow of new patients #Hitsm |
| Michael Joseph, PMP @HealthData4All RT @HealthcareScene: T1: T1: What experiences do you have with CDS implementation? What impacts (positive and negative) did it have? @tjustincampbell #HITsm https://t.co/dPeoPtONKf |
| Michelle Currie @mshlcurrie #Hitsm @mloxton Had the EXACT same experience @KPShare in Northern CA and #HCA in San Jose! https://t.co/LzH6FE33wZ |
| Patty Swisher @pmswish RT @HealthcareScene: T2: T2: How can CDS best be deployed to the point of care without exacerbating alert fatigue? @tjustincampbell #HITsm https://t.co/1iuQ9aGwyv |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @tjustincampbell @GalenHealthcare I love the predictive analytics of their models #HITsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO CDS, no, but workflow yes. Base workflow definitions for doc & nurse were provided for each specialty. They could copy, customize, and share back to central repository. Hey, I'm into workflow; CDS, not so much (said in Sasha Baron Cohen accent) #HITsm https://t.co/EjexW0Nsi4 |
| MasterControl @MCMasterControl @ReasObBob @MosaicaPartners Same! Just too many good ideas at #hitsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO @BigDataCXO Yo! #HITsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @pmswish I'm good, Thanks. #HITsm |
| Justin Campbell @tjustincampbell T2: EHRs such as @Allscripts, through its @AllscriptsADP, offer extensibility and interoperability to deliver #CDS to the point of care by exposing #API. Integrating into, without disrupting, existing workflow is critical. Too bad #EHR vendors don't offer as robust an #API #HITsm |
| Brian Eastwood @Brian_Eastwood @tjustincampbell @ChilmarkHIT Honestly a good number of providers are capturing the info. Challenge is that data is unstructured and thus not integrated into care plan. #SDoH addressed ad hoc as a result. #HITsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @tjustincampbell: T2: T2: EHRs such as @Allscripts, through its @AllscriptsADP, offer extensibility and interoperability to deliver #CDS to the point of care by exposing #API. Integrating into, without disrupting, existing workflow is critical. Too bad #EHR vendors don't offer as robust an #API #HITsm |
| Matthew Loxton is also on Mastodon @mloxton T2 Firstly by making sure the frontline staff are involved and engaged in the development of requirements, selection of the system, and the implementation and configuration. Top down systems seldom work #Hitsm https://t.co/r1SyVC1HF5 |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Separate declarative, user-editable representations of workflow and rules, similar to how #BPM systems separate workflow management #BPMS from business rule management #BRMS, then let users customized workflows re access to when and where clinical rule application #HITsm T2 https://t.co/bi72oUK1UG |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @HealthcareScene: T2: T2: How can CDS best be deployed to the point of care without exacerbating alert fatigue? @tjustincampbell #HITsm https://t.co/1iuQ9aGwyv |
| Justin Campbell @tjustincampbell @ReasObBob @MosaicaPartners Welcome Bob. It is a tribe that yields serious #FOMO ;) #HITsm |
| Michelle Currie @mshlcurrie #Hitsm T2: Make sure they are to the right person in the #workflow, at the right time/sequence in the #workflow, with the right information (Actionable), to help support the right behavior for the patient. IMO lack of sensitivity and specificity cause alert fatigue https://t.co/tSJLDDRkXl |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @mshlcurrie: #Hitsm T2: Make sure they are to the right person in the #workflow, at the right time/sequence in the #workflow, with the right information (Actionable), to help support the right behavior for the patient. IMO lack of sensitivity and specificity cause alert fatigue https://t.co/tSJLDDRkXl |
| Matthew Loxton is also on Mastodon @mloxton T2 Ensure that the system aligns with organizational goals, and that current workflow is evaluated and updated to make the best use of the new functionality. Many fail bc they layer new workflow on top of old workflow. #Hitsm Hey @wareFLO , see what I did there? |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO "I arrived in America's airport with clothings, US dollars, and a jar of gypsy tears to protect me from AIDS" #HITsm (that's the least embarrassing #Borat quote I could find) https://t.co/22L0eYuOj2 |
| Michael Joseph, PMP @HealthData4All @HealthcareScene @tjustincampbell Developed soution using #CDS Hooks @SMARTHealthIT @HL7 #FHIR Connectathon https://t.co/OASvFXztO5 @PrimeDimensions #Zika @Cerner @Allscripts @SmartHealthIT #EpicSystems #HITsm |
| Jeffrey Becker @BeckerJMB #HITsm |
| Justin Campbell @tjustincampbell @mshlcurrie Spot on Michelle. This is especially true for #sepsis detection https://t.co/wwDq6kyiCL Providers seldom want to add more #CDS if its going to increase the overwhelming amount of alerts they already face. Almost like alert audit & cleanup is necessary #HITsm |
| Justin Campbell @tjustincampbell RT @HealthData4All: @HealthcareScene @tjustincampbell Developed soution using #CDS Hooks @SMARTHealthIT @HL7 #FHIR Connectathon https://t.co/OASvFXztO5 @PrimeDimensions #Zika @Cerner @Allscripts @SmartHealthIT #EpicSystems #HITsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Meh. You speak of workflow. Me think you should speak of workflow technology. #HITsm https://t.co/5znivSRBto |
| Michelle Currie @mshlcurrie #Hitsm @mloxton "layer new workflow on top of old workflow on top of legacy bad paper process.... https://t.co/z0lMhHSXn7 |
| Michael Joseph, PMP @HealthData4All @HealthcareScene @tjustincampbell T1: Developed soution using #CDS Hooks @SMARTHealthIT @HL7 #FHIR Connectathon https://t.co/OASvFXztO5 @PrimeDimensions #Zika @Cerner @Allscripts @SmartHealthIT #EpicSystems #HITsm |
| Bob Brown @ReasObBob @mshlcurrie @mloxton On top of cow paths. #HITsm |
| Justin Campbell @tjustincampbell @HealthData4All @HealthcareScene @SMARTHealthIT @HL7 @PrimeDimensions @Cerner @Allscripts Love it when public standards are leveraged. This addresses another question in the tweetchat. By using standards like #FHIR, makes it repeatable and shareable to other #HCO (at least in theory - comes down to #EHR vendor capability) #HITsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO AAAAAND what is the best platform for doing this? What used to be called a workflow management system, but is now called a business process management suite (don't be off-put by "business", could be called clinical process management suite) #HITsm #SeparateRulesToIntegrateRules https://t.co/cQP52w63I0 |
| Michael Joseph, PMP @HealthData4All RT @tjustincampbell: @HealthData4All @HealthcareScene @SMARTHealthIT @HL7 @PrimeDimensions @Cerner @Allscripts Love it when public standards are leveraged. This addresses another question in the tweetchat. By using standards like #FHIR, makes it repeatable and shareable to other #HCO (at least in theory - comes down to #EHR vendor capability) #HITsm |
| Michelle Currie @mshlcurrie #Hitsm ABSOLUTELY. In the case of #CDS, less is more. Need more #elegant solutions & less throwing #spaghetti on the wall designs. #designthinking https://t.co/ZMULSkjuz2 |
| Ashley Dauwer @amariedauwer @ShereesePubHlth @MEDITECH I’ve got to say, my generation has gotten pretty lucky here in NE #HITSm https://t.co/7L95wn7B8I |
| Matthew Loxton is also on Mastodon @mloxton @mshlcurrie Ha, yes. It becomes like an archeological dig - layers and layers of old SOPs, workflow, edicts, policies, etc. Most of which are lost to memory or fixed something long gone. ;) #hitsm |
| Jeffrey Becker @BeckerJMB T2 - I've worked with hospitals that measure the impact of CDS by analyzing alert response data. There was a 40 percent reduction in configured alerts post-go live based on data proving out that they were a burden rather than a help #HITsm |
 | Jon McBride 🌴 @jamcbride RT @mloxton: T2 Ensure that the system aligns with organizational goals, and that current workflow is evaluated and updated to make the best use of the new functionality. Many fail bc they layer new workflow on top of old workflow. #Hitsm Hey @wareFLO , see what I did there? |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba T2 "Healthcare organizations are more likely to follow technical recommendations with EHRs than those that “require workflow and process enhancements"-Liz snell. We need to help HC org become more confident and develop comprehenside policies for CDSS #HItsm |
| Jon McBride 🌴 @jamcbride RT @mshlcurrie: #Hitsm ABSOLUTELY. In the case of #CDS, less is more. Need more #elegant solutions & less throwing #spaghetti on the wall designs. #designthinking https://t.co/ZMULSkjuz2 |
| Matthew Loxton is also on Mastodon @mloxton @wareFLO That's YOUR cue ;) #Hitsm |
| Healthcare Scene @HealthcareScene T3: How are different types of CDS initiatives (VTE, sepsis detection & prevention; clinical pathways implementation; risk calculation) prioritized? @tjustincampbell #HITsm https://t.co/dB9yRzwYhh |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Net (and I don't mean nyet in a #Borat access), this is the issue. #HITsm https://t.co/M9MU8yWyee |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @BeckerJMB: T2 - I've worked with hospitals that measure the impact of CDS by analyzing alert response data. There was a 40 percent reduction in configured alerts post-go live based on data proving out that they were a burden rather than a help #HITsm |
| Justin Campbell @tjustincampbell @BeckerJMB There's gold in them #EMR audit logs, right @wareflo? Data-driven decisions. Metadata shall set you free #HITsm |
| Bob Brown @ReasObBob @wareFLO Yes. And, done right, will be able to harmoniously integrate and support the six super flows that converge at the point of care. #HITsm |
| Michelle Currie @mshlcurrie @mloxton #Hitsm I often hear "I don't know" in response to questions like "why are you doing THAT, and why in THAT way?" |
| Justin Campbell @tjustincampbell RT @BeckerJMB: T2 - I've worked with hospitals that measure the impact of CDS by analyzing alert response data. There was a 40 percent reduction in configured alerts post-go live based on data proving out that they were a burden rather than a help #HITsm |
| Michael Joseph, PMP @HealthData4All @tjustincampbell @HealthcareScene @SMARTHealthIT @HL7 @PrimeDimensions @Cerner @Allscripts Thanks, Justin. Admittedly, it's been a while since our demonstration, but we're building out a scalable model around #fhir APIs, #devops & #Microservices. Available to discuss w/you. #HITsm |
| Matthew Loxton is also on Mastodon @mloxton T3 they are prioritized according to how powerful or mean the sponsor is. Usually. #hitsm https://t.co/VJNWBdumND |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Just think if all of those layers were represented in declarative, standardized formats, executed by wonderful workflows... Just think about how much less complex the introduction of new workflow would be. Just think. #HITsm https://t.co/E8ZuHsetBI |
| Justin Campbell @tjustincampbell T3: #Sepsis remains a priority: 1 out of every 2 to 3 patient deaths. About 69% of the 95 providers polled by @KLASResearch say hospital surveillance technology for #sepsis detection led to improved patient safety outcomes, with some reporting a 50% drop in mortality. #HITsm |
| Brian Eastwood @Brian_Eastwood T3 💲💲💲💲 #hitsm |
| Jeffrey Becker @BeckerJMB T2 - I am also a big fan of more passive alerts, such as patient-specific guidance or reminders placed on the screen, rather than a pop-up alert or anything requiring additional clicks. @MEDITECH does a great job with this using calculate rules and results queries. #HITsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Meh. You speak of standard workflow models. Me think you need to speak of workflow technology architecture. #HITsm https://t.co/JA7ps9R0Vw |
| Michael Joseph, PMP @HealthData4All RT @HealthcareScene: T2: T2: How can CDS best be deployed to the point of care without exacerbating alert fatigue? @tjustincampbell #HITsm https://t.co/1iuQ9aGwyv |
| Justin Campbell @tjustincampbell RT @BeckerJMB: T2 - I am also a big fan of more passive alerts, such as patient-specific guidance or reminders placed on the screen, rather than a pop-up alert or anything requiring additional clicks. @MEDITECH does a great job with this using calculate rules and results queries. #HITsm |
| Matthew Loxton is also on Mastodon @mloxton right, but yet often defended to the death. Sometimes becomes taboo to mention that it looks cockeyed, and mentioning that it is taboo, is taboo :) Shades of Chris Argyris #Hitsm https://t.co/rE3TFP2sV9 |
 | Jeremy Coleman @jeremycoleman T3: Is this supposed to mean something thats NOT the new bright shiny object administrators are chasing? #hitsm https://t.co/xNQuBuKN7z |
| Bob Brown @ReasObBob @mshlcurrie @mloxton And yet, they continue doing what they are doing. Look up Learned helplessness. It is rampant in the healthcare information ecosystem. #HITsm. |
| Matthew Loxton is also on Mastodon @mloxton RT @mshlcurrie: @mloxton #Hitsm I often hear "I don't know" in response to questions like "why are you doing THAT, and why in THAT way?" |
 | KLAS Research @KLASresearch RT @tjustincampbell: T3: #Sepsis remains a priority: T3: #Sepsis remains a priority: 1 out of every 2 to 3 patient deaths. About 69% of the 95 providers polled by @KLASResearch say hospital surveillance technology for #sepsis detection led to improved patient safety outcomes, with some reporting a 50% drop in mortality. #HITsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @ReasObBob: @mshlcurrie @mloxton And yet, they continue doing what they are doing. Look up Learned helplessness. It is rampant in the healthcare information ecosystem. #HITsm. |
| Ashley Dauwer @amariedauwer RT @tjustincampbell: T3: #Sepsis remains a priority: T3: #Sepsis remains a priority: 1 out of every 2 to 3 patient deaths. About 69% of the 95 providers polled by @KLASResearch say hospital surveillance technology for #sepsis detection led to improved patient safety outcomes, with some reporting a 50% drop in mortality. #HITsm |
 | The HealthCare IT Experts Blog @HCITExpert [Today] #HITsm TweetChat, on Twitter at - May 18, 2018 at 10:30PM IST | Topics | @HealthcareScene - https://t.co/K7wh2zv2MQ |
| Justin Campbell @tjustincampbell @Brian_Eastwood That can't be the only incentive to prioritize, can it? What about #PatientOutcomes? That said, our research of publicly available #CMS data found that #hospitals can save $300K annually by addressing #VTE: https://t.co/BieFdZhEDd #HITsm |
| Ashley Dauwer @amariedauwer RT @BeckerJMB: T2 - I am also a big fan of more passive alerts, such as patient-specific guidance or reminders placed on the screen, rather than a pop-up alert or anything requiring additional clicks. @MEDITECH does a great job with this using calculate rules and results queries. #HITsm |
| Bob Brown @ReasObBob @wareFLO We may not be in complete agreement on that. But happy to continue the conversation. #HITsm |
 | IHE International @IHEIntl A new #mhealth app was able to identify #epilepsy or offer an accurate alternative diagnosis in almost 87 percent of patient cases in a recent study. Further vetting is needed before it can be used as a clinical decision support tool. https://t.co/qmSYgscmgO #hitsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @HealthcareScene: T3: T3: How are different types of CDS initiatives (VTE, sepsis detection & prevention; clinical pathways implementation; risk calculation) prioritized? @tjustincampbell #HITsm https://t.co/dB9yRzwYhh |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO @tjustincampbell @BeckerJMB From my 2012 presentation on #ProcessMining EHR log event data slide video (pls watch!) https://t.co/kEEwCj5gtp complete proceedings paper: EHR BUSINESS PROCESS MANAGEMENT: FROM PROCESS MINING TO PROCESS IMPROVEMENT TO PROCESS USABILITY https://t.co/unefKzhmPv #HITsm cc @mloxton https://t.co/21hbwUocUy |
 | EpMatch @epstrong RT @IHEIntl: A new #mhealth app was able to identify #epilepsy or offer an accurate alternative diagnosis in almost 87 percent of patient cases in a recent study. Further vetting is needed before it can be used as a clinical decision support tool. https://t.co/qmSYgscmgO #hitsm |
| Justin Campbell @tjustincampbell RT @wareFLO: @tjustincampbell @BeckerJMB From my 2012 presentation on #ProcessMining EHR log event data slide video (pls watch!) https://t.co/kEEwCj5gtp complete proceedings paper: EHR BUSINESS PROCESS MANAGEMENT: FROM PROCESS MINING TO PROCESS IMPROVEMENT TO PROCESS USABILITY https://t.co/unefKzhmPv #HITsm cc @mloxton https://t.co/21hbwUocUy |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Ha! Now there is something we can finally agree about! We disagree! #HITsm https://t.co/u7dDCDVg6V |
| Michael Joseph, PMP @HealthData4All @HealthcareScene @tjustincampbell T2 The goal is individualized risk-based rules engines that prioritize alerts based on urgency, impact & probability, integrated seamlessly w/in clinical #workflow. Need data virtualization, #DataLiquidity & #microservices for predictive models & #ai algorithms. #HITsm |
 | Michael Crone @LeadGenMike RT @HCITExpert: [Today] #HITsm TweetChat, on Twitter at - May 18, 2018 at 10:30PM IST | Topics | @HealthcareScene - https://t.co/K7wh2zv2MQ |
| Michelle Currie @mshlcurrie #Hitsm T3: I've seen many ways to prioritize used. I've found the decision matrix from #IHI the most useful, it can be found here https://t.co/eKwztkpfz0 #justdoit #dontjustdosomething,standthere https://t.co/m1xeyzS4Wx |
| Michelle Currie @mshlcurrie @mloxton #hitsm Ha ha. #TheStruggleIsReal |
| Brian Eastwood @Brian_Eastwood @tjustincampbell It's not the only reason, but sadly it's the primary motivator. #HITsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @wareFLO: @tjustincampbell @BeckerJMB From my 2012 presentation on #ProcessMining EHR log event data slide video (pls watch!) https://t.co/kEEwCj5gtp complete proceedings paper: EHR BUSINESS PROCESS MANAGEMENT: FROM PROCESS MINING TO PROCESS IMPROVEMENT TO PROCESS USABILITY https://t.co/unefKzhmPv #HITsm cc @mloxton https://t.co/21hbwUocUy |
| Healthcare Scene @HealthcareScene T4: Is CDS best suited to be managed by EMR vendors or can CDS be shared across vendors? How? @tjustincampbell #HITsm https://t.co/PS40b5CInM |
| Michael Joseph, PMP @HealthData4All RT @HealthcareScene: T4: T4: Is CDS best suited to be managed by EMR vendors or can CDS be shared across vendors? How? @tjustincampbell #HITsm https://t.co/PS40b5CInM |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Back when I did this stuff, our EHR just had about two or three (drug DB, vaccine DB, custom DB) however I did write this paper (and present in #CapeTown #SouthAfrica cc @_FaceSA ) describing a patient event framework for triggering clinical alerts https://t.co/o2dtH61DY2 #HITsm https://t.co/pCzo8J4chE |
| Michael Joseph, PMP @HealthData4All RT @tjustincampbell: @Brian_Eastwood That can't be the only incentive to prioritize, can it? What about #PatientOutcomes? That said, our research of publicly available #CMS data found that #hospitals can save $300K annually by addressing #VTE: https://t.co/BieFdZhEDd #HITsm |
| Jeffrey Becker @BeckerJMB T3 - In my experience, CDS prioritization varies widely based on perspective. Clinical leaders prioritized CDS that reduce administrative burden on providers, HIM leaders prioritizes rules that drive compliant documentation, business leaders prioritize revenue recognition #HITsm |
| Michael Joseph, PMP @HealthData4All RT @HealthcareScene: T3: T3: How are different types of CDS initiatives (VTE, sepsis detection & prevention; clinical pathways implementation; risk calculation) prioritized? @tjustincampbell #HITsm https://t.co/dB9yRzwYhh |
| Justin Campbell @tjustincampbell RT @HealthData4All: @HealthcareScene @tjustincampbell T2 The goal is individualized risk-based rules engines that prioritize alerts based on urgency, impact & probability, integrated seamlessly w/in clinical #workflow. Need data virtualization, #DataLiquidity & #microservices for predictive models & #ai algorithms. #HITsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO I imagine there may be a bit of turf issue here... it probably depends... but I'll listen to what others say, and maybe comment... #HITsm https://t.co/eosX3JxTyy |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @BeckerJMB: T3 - In my experience, CDS prioritization varies widely based on perspective. Clinical leaders prioritized CDS that reduce administrative burden on providers, HIM leaders prioritizes rules that drive compliant documentation, business leaders prioritize revenue recognition #HITsm |
| Justin Campbell @tjustincampbell T4: Wouldn't it be nice if there was a common coding language used across vendors for #CDS? @bfm of @apervita is also working in this initiative https://t.co/UvCEwnXzYU #HITsm |
| Matthew Loxton is also on Mastodon @mloxton RT @mshlcurrie: #Hitsm T3: I've seen many ways to prioritize used. I've found the decision matrix from #IHI the most useful, it can be found here https://t.co/eKwztkpfz0 #justdoit #dontjustdosomething,standthere https://t.co/m1xeyzS4Wx |
 | CareMo @caring_mobile RT @IHEIntl: A new #mhealth app was able to identify #epilepsy or offer an accurate alternative diagnosis in almost 87 percent of patient cases in a recent study. Further vetting is needed before it can be used as a clinical decision support tool. https://t.co/qmSYgscmgO #hitsm |
| Justin Campbell @tjustincampbell @BeckerJMB That's a different way of thinking about it aside from just monetary motiviations as @Brian_Eastwood alluded to. In this case, what is the least burdensome and cumbersome #CDS initiative to pursue that delivers high-value #HITsm |
| Michelle Currie @mshlcurrie #HITsm @cericksonsail LOVE the 5 WHY's. Someone needs to make % Why Socks! https://t.co/i6CrIVvw1C |
| Bob Brown @ReasObBob @BeckerJMB Where would one find the healthcare community's agreed upon list principles, standards and criteria for clinical support systems. The one we use as a basis for discussion on the efficacy of CDS? Surely by now, we have such a list. #HITsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @tjustincampbell @bfm @apervita Dare to dream. I've been shouting about this for some time #HITsm https://t.co/1vs3adp1gd |
| Patty Swisher @pmswish RT @HealthcareScene: T4: T4: Is CDS best suited to be managed by EMR vendors or can CDS be shared across vendors? How? @tjustincampbell #HITsm https://t.co/PS40b5CInM |
| Bob Brown @ReasObBob @mshlcurrie @cericksonsail As long time consultant, agree it's exactly the right approach -- unless the person you are asking is ether ignorant, or fears retaliation of some sort and so clams up. #HITsm |
| Michelle Currie @mshlcurrie #hitsm Prioritization in absence of #improvement #strategy usually goes to whomever yells the loudest, or the meanest ;) @mloxton https://t.co/41uddSU5uH |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO @BeckySHaruyama @QlikDork @jamcbride @JWarbington @burtrosen @WheezyNurse @bbhomebody @lisadbudzinski @MI_turnaround @kimberlyanngeo @GraceCordovano @Colin_Hung @AltspaceVR Ha! *I* was in #socialVR for NINE continuous hours yesterday during #WTFix! See my post about it: I Spent Nine Hours In Social Virtual Reality and It Was Weird But Wonderful! https://t.co/HFyzxFUHVh Proud 👊 to note I got a half dozen #HITsm tweeps to come in for a while! https://t.co/OgLgtsbK7G |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @mshlcurrie: #hitsm Prioritization in absence of #improvement #strategy usually goes to whomever yells the loudest, or the meanest ;) @mloxton https://t.co/41uddSU5uH |
| Jeremy Coleman @jeremycoleman T4: If CDS is supposed to be a set of best practices, then its cruel to patients to see #EHR vendors basically monetizing better outcomes. #hitsm https://t.co/Vif6bcQhwc |
| Jeremy Coleman @jeremycoleman The differentiator for #EHR's is how they fold CDS into the workflow in a minimally disruptive way. #hitsm |
| Justin Campbell @tjustincampbell T4: Depending on the vendor, #CDS manifests itself within the #EMR through specific modules, frameworks or tools, notification and alerting, surveillance dashboards, & custom solutions. However, @bdpatty used @wkhealth for reasons stated https://t.co/j9Ho7BW2gt #HITsm |
| Justin Campbell @tjustincampbell RT @jeremycoleman: T4: T4: If CDS is supposed to be a set of best practices, then its cruel to patients to see #EHR vendors basically monetizing better outcomes. #hitsm https://t.co/Vif6bcQhwc |
 | Kimberly George @kimberlyanngeo RT @wareFLO: @BeckySHaruyama @QlikDork @jamcbride @JWarbington @burtrosen @WheezyNurse @bbhomebody @lisadbudzinski @MI_turnaround @kimberlyanngeo @GraceCordovano @Colin_Hung @AltspaceVR Ha! *I* was in #socialVR for NINE continuous hours yesterday during #WTFix! See my post about it: I Spent Nine Hours In Social Virtual Reality and It Was Weird But Wonderful! https://t.co/HFyzxFUHVh Proud 👊 to note I got a half dozen #HITsm tweeps to come in for a while! https://t.co/OgLgtsbK7G |
| Justin Campbell @tjustincampbell RT @jeremycoleman: The differentiator for #EHR's is how they fold CDS into the workflow in a minimally disruptive way. #hitsm |
| Brian Eastwood @Brian_Eastwood @BeckerJMB @tjustincampbell I mean, yeah, if you want a more thorough and thoughtful explanation than a bunch of emojis, sure. #HITsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Two, temporary, after effects. After nine hours with a fish eye view of life, I had tunnel vision for about 5 minutes (like looking thru low power binoculars), and, b/c #socialVR is so brightly colorful, the real world looked incredibly drab! But also went away in 5 min #HITsm https://t.co/EM3lkjB8ry |
| Healthcare Scene @HealthcareScene T5: What are strategies to manage to CDS code and clinical peer review and rating? @tjustincampbell #HITsm https://t.co/zRiedkg80x |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Agree. #HITsm https://t.co/AW7e9cbYaB |
 | Carol Flagg @carolflagg RT @healthblawg: Internet on the radio! (Or vice versa.) Have a listen. You’ll be glad you did. #HCnowRadio #HarlowOnHC #hcldr #HITsm #hcsm #HealthIT #healthcare #innovation #podcast https://t.co/QLQE8SEtfz |
| Michael Joseph, PMP @HealthData4All @HealthcareScene @tjustincampbell T4 IMHO, with data virtualization tools & cloud deployments, we can achieve semantic #Interoperability by leveraging #FHIR standards & @SMARTHealthIT to create seamless user experience for CDS solutions across disparate EMRs, HIEs & 3rd party apps. #HITsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Interested in current best practices! #HITsm https://t.co/QiExgpIlcF |
 | Lisa Davis Budzinski @lisadbudzinski RT @wareFLO: Chuck! Workflow! 3D printing! Virtual Reality! Here for #HITsm (CDS). Still buzzed from 9 hours in #socialVR yesterday during #WTFix! (my blog post re that: https://t.co/L6qjD1HGAE) TX to @QlikDork @bbhomebody @MI_turnaround @lisadbudzinski for attending! https://t.co/wyLVOpj5Sm |
| Matthew Loxton is also on Mastodon @mloxton RT @ReasObBob: @mshlcurrie @mloxton And yet, they continue doing what they are doing. Look up Learned helplessness. It is rampant in the healthcare information ecosystem. #HITsm. |
| Lisa Davis Budzinski @lisadbudzinski RT @wareFLO: @BeckySHaruyama @QlikDork @jamcbride @JWarbington @burtrosen @WheezyNurse @bbhomebody @lisadbudzinski @MI_turnaround @kimberlyanngeo @GraceCordovano @Colin_Hung @AltspaceVR Ha! *I* was in #socialVR for NINE continuous hours yesterday during #WTFix! See my post about it: I Spent Nine Hours In Social Virtual Reality and It Was Weird But Wonderful! https://t.co/HFyzxFUHVh Proud 👊 to note I got a half dozen #HITsm tweeps to come in for a while! https://t.co/OgLgtsbK7G |
| Michelle Currie @mshlcurrie #Hitsm @tjustincampbell #ONC's Clinical Quaity Framework Initiative is doing just that. It woud be great to have new members from #Hitsm https://t.co/mLWDWpJ3eF https://t.co/aBk6acXAlN |
| Justin Campbell @tjustincampbell T5: Do folks have experience with @Allscripts SCM (Medical Logic Modules) or @MEDITECH rules engine, where CDS can be imported/exported or shared via other means? #HITsm |
| Michael Joseph, PMP @HealthData4All RT @HealthcareScene: T5: T5: What are strategies to manage to CDS code and clinical peer review and rating? @tjustincampbell #HITsm https://t.co/zRiedkg80x |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @HealthData4All: @HealthcareScene @tjustincampbell T4 IMHO, with data virtualization tools & cloud deployments, we can achieve semantic #Interoperability by leveraging #FHIR standards & @SMARTHealthIT to create seamless user experience for CDS solutions across disparate EMRs, HIEs & 3rd party apps. #HITsm |
| Michael Joseph, PMP @HealthData4All RT @mshlcurrie: #Hitsm @tjustincampbell #ONC's Clinical Quaity Framework Initiative is doing just that. It woud be great to have new members from #Hitsm https://t.co/mLWDWpJ3eF https://t.co/aBk6acXAlN |
| Michael Joseph, PMP @HealthData4All RT @tjustincampbell: T4: T4: Wouldn't it be nice if there was a common coding language used across vendors for #CDS? @bfm of @apervita is also working in this initiative https://t.co/UvCEwnXzYU #HITsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO @cericksonsail @mshlcurrie @mloxton The five whys of CDS are virtually identical to many definitions of workflow #HITsm |
| Justin Campbell @tjustincampbell @HealthData4All @HealthcareScene @SMARTHealthIT The ideal would be being able to tap-into established cloud-based #CDS and deliver that to the #POC. We can dream #HITsm |
| Michelle Currie @mshlcurrie #Hitsm #ONC Clinical Quality Framework Initiative is working on this. https://t.co/mLWDWpJ3eF https://t.co/U4Q70gozCv |
| Justin Campbell @tjustincampbell RT @mshlcurrie: #Hitsm @tjustincampbell #ONC's Clinical Quaity Framework Initiative is doing just that. It woud be great to have new members from #Hitsm https://t.co/mLWDWpJ3eF https://t.co/aBk6acXAlN |
| Michael Joseph, PMP @HealthData4All RT @tjustincampbell: @HealthData4All @HealthcareScene @SMARTHealthIT The ideal would be being able to tap-into established cloud-based #CDS and deliver that to the #POC. We can dream #HITsm |
 | Mazen Jawarneh 17k @mazenjawarneh1 RT @OptimumHIT: If you are attending the #HealthITExpo in New Orleans, stop by table 8 to learn how @OptimumHIT can help you reach your #HealthIT goals. #HITsm #HITExpo https://t.co/2hHDFlzuiR https://t.co/iVopzawfCB |
| Jeremy Coleman @jeremycoleman T5: Why not have a repository, think like First Data Bank, where you can subscribe and download different algorithms into a sort of OpenAPI framework. #canIbemorevague #hitsm https://t.co/kpPf4i145x |
| Bob Brown @ReasObBob @mshlcurrie Will review. Thanks. #HITsm |
| Justin Campbell @tjustincampbell RT @jeremycoleman: T5: T5: Why not have a repository, think like First Data Bank, where you can subscribe and download different algorithms into a sort of OpenAPI framework. #canIbemorevague #hitsm https://t.co/kpPf4i145x |
| Michael Joseph, PMP @HealthData4All RT @tjustincampbell: T4: T4: Depending on the vendor, #CDS manifests itself within the #EMR through specific modules, frameworks or tools, notification and alerting, surveillance dashboards, & custom solutions. However, @bdpatty used @wkhealth for reasons stated https://t.co/j9Ho7BW2gt #HITsm |
| Jeffrey Becker @BeckerJMB T4 - CDS concepts can be shared across vendors - not always the underlying logic unless someone wants to write a massive script ;). @ABIMFoundation does a great job with Choosing Wisely - specialty specific lists of CDS concepts curated by providers, for providers. #HITsm |
| Justin Campbell @tjustincampbell @mshlcurrie Thank you Michelle. A plethora of resources I didn't know was available! Ask and though shall receive! Low and behold, it's on @github https://t.co/EkKYBphvYW #HITsm |
| Michael Joseph, PMP @HealthData4All RT @wareFLO: @BeckySHaruyama @QlikDork @jamcbride @JWarbington @burtrosen @WheezyNurse @bbhomebody @lisadbudzinski @MI_turnaround @kimberlyanngeo @GraceCordovano @Colin_Hung @AltspaceVR Ha! *I* was in #socialVR for NINE continuous hours yesterday during #WTFix! See my post about it: I Spent Nine Hours In Social Virtual Reality and It Was Weird But Wonderful! https://t.co/HFyzxFUHVh Proud 👊 to note I got a half dozen #HITsm tweeps to come in for a while! https://t.co/OgLgtsbK7G |
| Michael Joseph, PMP @HealthData4All RT @ShereesePubHlth: @tjustincampbell @bfm @apervita Dare to dream. I've been shouting about this for some time #HITsm https://t.co/1vs3adp1gd |
| Justin Campbell @tjustincampbell @mshlcurrie @github This does beg the question, how many #EHR vendors leverage #CQL in practice? #HITsm |
| Justin Campbell @tjustincampbell RT @BeckerJMB: T4 - CDS concepts can be shared across vendors - not always the underlying logic unless someone wants to write a massive script ;). @ABIMFoundation does a great job with Choosing Wisely - specialty specific lists of CDS concepts curated by providers, for providers. #HITsm |
| Michelle Currie @mshlcurrie #HITSM https://t.co/WzOQSQZjwk is doing some interesting work in this space Hopefully #APIs will help. https://t.co/iHTHxXJ1k4 |
| Justin Campbell @tjustincampbell RT @mshlcurrie: #HITSM https://t.co/WzOQSQZjwk is doing some interesting work in this space Hopefully #APIs will help. https://t.co/iHTHxXJ1k4 |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Bub-bye all! Please come to my #HealthSystemsChat in #socialVR event in a couple weeks! (Nothing next week, am traveling) The subject is augmented reality in healthcare, coinciding w/#AWE2018 & #HITexpo https://t.co/8PsAmqueQM #HITsm https://t.co/E6zespVDST |
| Michelle Currie @mshlcurrie @tjustincampbell @github #Hitsm It's a great resource. Also check out https://t.co/WzOQSQZjwk #github |
| Healthcare Scene @HealthcareScene Bonus: What are mechanisms for making knowledge artifacts for CDS shareable? @tjustincampbell #HITsm https://t.co/NAHDPLXTr3 |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO And they are using a #BPM engine, the last time I checked! #HITsm https://t.co/fdLh6WoLuk |
 | Darin Vander Well @DarinVanderWell @HealthcareScene @tjustincampbell It depends on who "owns" the code, particularly re: clinical peer review. None of this stuff is free, but gonna be hard to get clinicians invested in something that looks like "true open source." Non-profit org in charge would be an interesting model. #HITsm |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Separate clinical rules from clinical workflows. Traditionally CDS systems conflated these. Much easier to systematically improve workflow, or rules, if clearly separate concerns, former is re efficiency from users perspective, later is more related to substantive outcomes #HITsm https://t.co/y8bya1u6Kk |
| Justin Campbell @tjustincampbell RT @DarinVanderWell: @HealthcareScene @tjustincampbell It depends on who "owns" the code, particularly re: @HealthcareScene @tjustincampbell It depends on who "owns" the code, particularly re: clinical peer review. None of this stuff is free, but gonna be hard to get clinicians invested in something that looks like "true open source." Non-profit org in charge would be an interesting model. #HITsm |
| Justin Campbell @tjustincampbell RT @wareFLO: Separate clinical rules from clinical workflows. Traditionally CDS systems conflated these. Much easier to systematically improve workflow, or rules, if clearly separate concerns, former is re efficiency from users perspective, later is more related to substantive outcomes #HITsm https://t.co/y8bya1u6Kk |
| Michael Joseph, PMP @HealthData4All @HealthcareScene @tjustincampbell T5 It just seems reasonable & efficient to make validated, best-in-class CDS tools available to any provider thru a nominal subscription fee or licensing model. Is that happening at scale? #HITsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @mshlcurrie: #HITSM https://t.co/WzOQSQZjwk is doing some interesting work in this space Hopefully #APIs will help. https://t.co/iHTHxXJ1k4 |
| Michelle Currie @mshlcurrie #HITsm @tjustincampbell Like everything else, the cart has been put before the horse with #hits #standards. Hopefully getting the word out will create enough momentum to get us to a #tippingpoint We need more #hitsm representation on this work to help! https://t.co/XyFlWsWb2j |
| Matthew Loxton is also on Mastodon @mloxton Friday #AI #CDS Entertainment. #HITsm https://t.co/yDjSJOSaif |
| Justin Campbell @tjustincampbell Bonus: As @mshlcurrie alluded to: #CQL is a #HL7 standard for the expression of clinical knowledge. This repository contains documentation, examples, and tooling in support of the CQL specification, including a CQL verifier/translator. https://t.co/EkKYBphvYW #HITsm |
#HITsm content from Twitter.