#KareoChat Transcript
Healthcare social media transcript of the #KareoChat hashtag.
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See #KareoChat Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Tebra @TebraOfficial Welcome to today's #KareoChat! Your host: The co-founder of @intrepid_NOW and #Interoperability expert, @Resultant! We'll launch our first question in 5. Let's see who's here! https://t.co/z6PkCzMhnV |
 | RCM Answers @RCMAnswers RT @HITECHAnswers: Join #KareoChat Tweet Chats on hot #healthcare topics every Thursday at 12 pm ET; Chats hosted by @drtom_kareo https://t.co/g6YBJngCIA |
 | Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO RT @GoKareo: Welcome to today's #KareoChat! Your host: Welcome to today's #KareoChat! Your host: The co-founder of @intrepid_NOW and #Interoperability expert, @Resultant! We'll launch our first question in 5. Let's see who's here! https://t.co/z6PkCzMhnV |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Chuck, #cbus, workflow. Here for #Kareochat on #interoperability w/@Resultant (fan of workflow management systems and #BPM!). See my ~ 20K word 10 part series #PragmaticInteroperability https://t.co/oYOP6CbTAp Finally seeing progress, especially looking forward 2 #HIMSS18! #HITsm https://t.co/xE2UbHQoiw |
 | Joe Lavelle @Resultant Good Morning All! Joe Lavelle, @Resultant, joining from sunny South Alabama and looking forward to chatting about #interoperability today! #KareoChat |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO #KareoChat! https://t.co/FHeOfRuWKV |
| Joe Lavelle @Resultant @wareFLO Hi Chuck! Thank you for joining and already creating value on #interoperability! #KareoChat |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Of course! #Kareochat https://t.co/xickTnzbDP |
| Tebra @TebraOfficial RT @Resultant: Good Morning All! Joe Lavelle, @Resultant, joining from sunny South Alabama and looking forward to chatting about #interoperability today! #KareoChat |
| Joe Lavelle @Resultant @InterSystems @GoKareo @intrepid_NOW @wareFLO Thank you for joining! This is going to be fun and way more informative with experts like y'all! #KareoChat |
| Tebra @TebraOfficial @Resultant We're thrilled to have you back as host Joe, especially on this topic. Welcome! #KareoChat #interoperability |
| RCM Answers @RCMAnswers RT @GoKareo: Welcome to today's #KareoChat! Your host: Welcome to today's #KareoChat! Your host: The co-founder of @intrepid_NOW and #Interoperability expert, @Resultant! We'll launch our first question in 5. Let's see who's here! https://t.co/z6PkCzMhnV |
| Tebra @TebraOfficial @wareFLO @Resultant Welcome Chuck! Thank you for sharing, and for joining! Your input is always appreciated at #KareoChat |
 | Enlightening Results 💡 @GraceCordovano Happy Thurs #kareochat! Grace, private cancer patient advocate, joining from glistening, snow covered NJ. #kareochat https://t.co/p9ZY6W6Ny2 |
 | Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba What? @Resultant and @wareFLO in one chat. It's a smorgasbord of fun fact follies. Hi Guys, Shereese checking in. #Kareochat https://t.co/32EtYDcRTn |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO One of the more sophisticated combiners of database and workflow management tech in healthcare IT: @InterSystems #kareochat https://t.co/bT9rk2iP82 https://t.co/bT9rk2iP82 |
| Enlightening Results 💡 @GraceCordovano @wareFLO Hey Chuck! Great to see you here today. #kareochat |
| Joe Lavelle @Resultant @ShereesePubHlth @wareFLO Hi Shereese! It's great to see you again! Twice in one week! I must be living good! #KareoChat |
| Enlightening Results 💡 @GraceCordovano @ShereesePubHlth @Resultant @wareFLO Hi Shereese! How are you today? #kareochat |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO @ShereesePubHlth @Resultant THE FUN FACT FOLLIES! #kareochat https://t.co/iPvNRZTdHi |
| Joe Lavelle @Resultant LOVE this! #KareoChat #WasItOverWhenTheGermansBombedPearlHarbor https://t.co/DyLzhNi0Qc |
 | InterSystems @InterSystems @wareFLO Thank you for the kind words! This is our first #KareoChat. Hopefully first of many! |
| Joe Lavelle @Resultant @ShimCode You will be missed Steve! #KareoChat |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @GraceCordovano @Resultant @wareFLO I'm good. How are you? #kareochat https://t.co/zSn9AQIT9C |
 | Angela Hemans is on Threads, LinkedIn, TikTok @AngelaHemans Reading and lurking about #KareoChat ! https://t.co/UgTIRPZeTV |
| Tebra @TebraOfficial Q1: How do you define #Interoperability? @Resultant #KareoChat #healthcare #HealthIT |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @GoKareo: Q1: Q1: How do you define #Interoperability? @Resultant #KareoChat #healthcare #HealthIT |
 | Matt Fisher @Matt_R_Fisher Almost forgot about #KareoChat. Thankfully saw some messages from @Resultant & @ShereesePubHlth start popping up. |
| Tebra @TebraOfficial @bbhomebody @Cpnervecenter Welcome Becky! :) So glad you could join us this morning. Coffee is perfect accompaniment to #KareoChat! |
| Joe Lavelle @Resultant T1: #Interoperability is the combining of data and workflows between information systems. True #interoperability in healthcare would allow for a patient to go to any provider and all providers would have equal access to that patients data. #KareoChat |
| Matt Fisher @Matt_R_Fisher To a non-technical person, #Interoperability would mean the ability for data to flow easily across systems and be where it's needed, when it's needed. #KareoChat |
| Enlightening Results 💡 @GraceCordovano @ShereesePubHlth @Resultant @wareFLO Doing great! Trying to stay productive & keep crossing off the to-do list. Lotta coffee, lotta chocolate. Joining in for a few before next call. #kareochat https://t.co/aSsRrYOs1d |
| Angela Hemans is on Threads, LinkedIn, TikTok @AngelaHemans @GoKareo Thanks! #KareoChat https://t.co/g64Cpc470t |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba A1 Interoperability in HC is our systems' ability to communicate and exchange data to the benefit of patients & providers. Whether we're doing that effectively & efficiently is another matter #kareochat https://t.co/txw7cZQYaT |
 | Kimberly George @kimberlyanngeo RT @wareFLO: One of the more sophisticated combiners of database and workflow management tech in healthcare IT: One of the more sophisticated combiners of database and workflow management tech in healthcare IT: @InterSystems #kareochat https://t.co/bT9rk2iP82 https://t.co/bT9rk2iP82 |
| Joe Lavelle @Resultant @Matt_R_Fisher @ShereesePubHlth Awesome! Great to have you hear Matt! #KareoChat |
| Angela Hemans is on Threads, LinkedIn, TikTok @AngelaHemans RT @GoKareo: Q1: Q1: How do you define #Interoperability? @Resultant #KareoChat #healthcare #HealthIT |
 | Anthony Leon @anthonynotleon @GoKareo @ShereesePubHlth @Resultant A1: Generally speaking, the ability to share information between systems. As a jaded optimist, the ability to allow EHRs and other HIS get out of their own way 😉#NoOffense #IdigKareo #kareochat |
| Matt Fisher @Matt_R_Fisher Is it necessary to also define layers of interoperability? For example, necessary to define intra and inter system interoperability? #KareoChat |
| Tebra @TebraOfficial RT @ShereesePubHlth: A1 Interoperability in HC is our systems' ability to communicate and exchange data to the benefit of patients & providers. Whether we're doing that effectively & efficiently is another matter #kareochat https://t.co/txw7cZQYaT |
| Enlightening Results 💡 @GraceCordovano T1: #Interoperability with #empathy: info flows seamlessly, w/integrity, actionably from & BACK to the person w/the diagnosis from who it was originally generated. More than connecting data, about connecting people/lives, to enlighten. #kareochat https://t.co/hYqeUDKJou |
| Tebra @TebraOfficial RT @Matt_R_Fisher: To a non-technical person, #Interoperability would mean the ability for data to flow easily across systems and be where it's needed, when it's needed. #KareoChat |
 | Melanie Hilliard @social_melanie #KareoChat hey friends, Melanie is lurking from the high-five state! |
| Tebra @TebraOfficial RT @Resultant: T1: T1: #Interoperability is the combining of data and workflows between information systems. True #interoperability in healthcare would allow for a patient to go to any provider and all providers would have equal access to that patients data. #KareoChat |
| Angela Hemans is on Threads, LinkedIn, TikTok @AngelaHemans RT @Resultant: T1: T1: #Interoperability is the combining of data and workflows between information systems. True #interoperability in healthcare would allow for a patient to go to any provider and all providers would have equal access to that patients data. #KareoChat |
| Angela Hemans is on Threads, LinkedIn, TikTok @AngelaHemans RT @Matt_R_Fisher: To a non-technical person, #Interoperability would mean the ability for data to flow easily across systems and be where it's needed, when it's needed. #KareoChat |
| Melanie Hilliard @social_melanie RT @Matt_R_Fisher: To a non-technical person, #Interoperability would mean the ability for data to flow easily across systems and be where it's needed, when it's needed. #KareoChat |
| Joe Lavelle @Resultant @anthonynotleon @GoKareo @ShereesePubHlth It's hard to not be "glass half empty" on this topic! #KareoChat |
| Tebra @TebraOfficial @anthonynotleon @ShereesePubHlth @Resultant Welcome Anthony! And no offense taken, sharing your opinion is what matters most at #KareoChat. |
 | Jenn @JennDennard Just popping in to say hi! Hope all is well during today's #KareoChat |
| Joe Lavelle @Resultant A1: Should #interoperability be a four letter word? https://t.co/4iFK0M0y7V #KareoChat |
| Enlightening Results 💡 @GraceCordovano @Matt_R_Fisher Important to define main goal of interoperability first. Layers of granularity will vary, complement, or conflict depending on main goal. #kareochat |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @GraceCordovano @Resultant @wareFLO I felt like a feign this morning; ordered two triple @Stabucks macchiatos at once but I really needed it. #espressoMe #kareochat https://t.co/oRTE5bACbs |
| Matt Fisher @Matt_R_Fisher @Resultant @anthonynotleon @GoKareo @ShereesePubHlth Can be hard to maintain optimism. At least there are active discussions. Even the White House is interested (though not sure if that's good or bad). #KareoChat |
| Tebra @TebraOfficial Q2: What is the state of #Interoperability at your current provider organization (or clients that are providers)? @Resultant #KareoChat #healthcare #healthIT #IoT #digitalhealth #EHR |
 | Sean Erreger, LCSW @StuckonSW RT @Resultant: T1: T1: #Interoperability is the combining of data and workflows between information systems. True #interoperability in healthcare would allow for a patient to go to any provider and all providers would have equal access to that patients data. #KareoChat |
| Angela Hemans is on Threads, LinkedIn, TikTok @AngelaHemans T1. This is something that U.S. hospital systems need for better patient care. Even more so since medical insurances are paying less for services. #kareoChat |
| Tebra @TebraOfficial RT @Resultant: A1: A1: Should #interoperability be a four letter word? https://t.co/4iFK0M0y7V #KareoChat |
| InterSystems @InterSystems A1: ...cont. new definition of #Interoperability is to see all the data that an individual or a population has in multiple systems, from one place (client-server) in real time: the composite record. #KareoChat https://t.co/yufST1Zpom |
| Sean Erreger, LCSW @StuckonSW RT @GoKareo: Welcome to today's #KareoChat! Your host: Welcome to today's #KareoChat! Your host: The co-founder of @intrepid_NOW and #Interoperability expert, @Resultant! We'll launch our first question in 5. Let's see who's here! https://t.co/z6PkCzMhnV |
| Angela Hemans is on Threads, LinkedIn, TikTok @AngelaHemans RT @ShereesePubHlth: A1 Interoperability in HC is our systems' ability to communicate and exchange data to the benefit of patients & providers. Whether we're doing that effectively & efficiently is another matter #kareochat https://t.co/txw7cZQYaT |
| Tebra @TebraOfficial RT @AngelaHemans: T1. This is something that U.S. hospital systems need for better patient care. Even more so since medical insurances are paying less for services. #kareoChat |
| Enlightening Results 💡 @GraceCordovano @ShereesePubHlth @Resultant @wareFLO @stabucks May I take your order please? Yes, I need a vat of macchiato. Now. #kareochat |
| Anthony Leon @anthonynotleon @GoKareo @ShereesePubHlth @Resultant Thanks Kareo! I've worked down the street from you for years and have come close to being an employee of yours. Nothing but love. #kareochat |
| Joe Lavelle @Resultant T2: Most of my provider clients can interoperate with all internal systems and some can interoperate with a local HIE or similar. #kareochat |
 | David Harlow @healthblawg Hi folks #kareochat |
| Matt Fisher @Matt_R_Fisher T2: To some degree all over the board when it comes to what clients able to do. Most at least tie into the MassHIWay (state HIE). #KareoChat |
| David Harlow @healthblawg A1 (on delay) Yes it is a four-letter word. Context is everything. #kareochat |
| Enlightening Results 💡 @GraceCordovano @Resultant We must look beyond data and look to connect people, all stakeholders. Changing the lens may clarify #interoperability gray areas and short-comings. #kareochat |
| Anthony Leon @anthonynotleon @Matt_R_Fisher @Resultant @GoKareo @ShereesePubHlth Having sold interop for years (open source might give away my former employer), it can be disheartening the amount of data hoarding and unwillingness to connect. Just had a call last week of an EHR refusing (not Kareo) to connect a vital system for their customer. #kareochat |
| InterSystems @InterSystems From our own work, we have clients who are successfully connecting the entire spectrum of care participants, beyond just connecting EHRs. #KareoChat #Interoperability https://t.co/q4xdPteN8u |
| Enlightening Results 💡 @GraceCordovano @bbhomebody @ShereesePubHlth @Resultant @wareFLO @stabucks Becky, i couldn't agree more! Shereese, brilliant choice #kareochat |
| Matt Fisher @Matt_R_Fisher @anthonynotleon @Resultant @GoKareo @ShereesePubHlth While it's easy to say that that is free market, need to look beyond sometimes. #KareoChat |
 | Don Lee @dflee30 Hey all. Joining late. T1: I define interoperabillity as the ability to move specific data to satisfy specific needs. We can't expect ubiquitous, semantic interop. It's not possible and not needed. #kareochat |
| Angela Hemans is on Threads, LinkedIn, TikTok @AngelaHemans RT @InterSystems: From our own work, we have clients who are successfully connecting the entire spectrum of care participants, beyond just connecting EHRs. #KareoChat #Interoperability https://t.co/q4xdPteN8u |
| Joe Lavelle @Resultant @InterSystems I like the new definition better. The key is that there a varying levels of #Interoperability and beauty (or ugliness in this case) is in the eye of the beholder (or the org paying for it!) #KareoChat |
| David Harlow @healthblawg A2 Plenty of nominal #interoperability But the real q is what do we mean by it? https://t.co/Hzm47AOwtc #kareochat |
| Tebra @TebraOfficial RT @GraceCordovano: @Resultant We must look beyond data and look to connect people, all stakeholders. Changing the lens may clarify #interoperability gray areas and short-comings. #kareochat |
| Tebra @TebraOfficial RT @Resultant: T2: T2: Most of my provider clients can interoperate with all internal systems and some can interoperate with a local HIE or similar. #kareochat |
| Tebra @TebraOfficial RT @Matt_R_Fisher: T2: T2: To some degree all over the board when it comes to what clients able to do. Most at least tie into the MassHIWay (state HIE). #KareoChat |
| Don Lee @dflee30 T2: I'm working mostly in the #HIE space. Lots of good data flowing, but data quality is a challenge. That's a big goal for HIEs across the country in 2018 (and really everyone else too). #kareochat |
| Matt Fisher @Matt_R_Fisher @dflee30 In that regard, any discussion/desire/ability to set up a national HIE? Is that too much at this point in time? #KareoChat |
| Joe Lavelle @Resultant As a patient, it is OUR DATA (and our health). The "system" (providers, vendors, etc) should BE obligated to make it ubiquitous IMHO #KareoChat https://t.co/mgbhXzbU5v |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @dflee30 I believe the quality of the data and the ability to make it truly about actionable data is one of our greatest challenges but will likely spawn our greatest rewards. #KareoChat |
| Tebra @TebraOfficial RT @dflee30: T2: T2: I'm working mostly in the #HIE space. Lots of good data flowing, but data quality is a challenge. That's a big goal for HIEs across the country in 2018 (and really everyone else too). #kareochat |
| Don Lee @dflee30 @Matt_R_Fisher I think it's too much right now and, honestly, I'm not sure we'd get commensurate value for the investment. People are mobile so it will definitely help some, but problem one is to at least connect at the community level. That's at least the 80% (in 80-20) for now. #KareoChat |
| Anthony Leon @anthonynotleon @GoKareo @Resultant Can I be that guy and ask you guys how you define interop in your own organization? I know your PM is open. #kareochat |
| Tebra @TebraOfficial RT @ShereesePubHlth: @dflee30 I believe the quality of the data and the ability to make it truly about actionable data is one of our greatest challenges but will likely spawn our greatest rewards. #KareoChat |
| Angela Hemans is on Threads, LinkedIn, TikTok @AngelaHemans RT @Resultant: As a patient, it is OUR DATA (and our health). The "system" (providers, vendors, etc) should BE obligated to make it ubiquitous IMHO #KareoChat https://t.co/mgbhXzbU5v |
| Tebra @TebraOfficial RT @Resultant: As a patient, it is OUR DATA (and our health). The "system" (providers, vendors, etc) should BE obligated to make it ubiquitous IMHO #KareoChat https://t.co/mgbhXzbU5v |
| Tebra @TebraOfficial Q3: What is your primary #EMR vendor’s role in #Interoperability? @Resultant #KareoChat #healthcare #HealthIT #digitalhealth #HIT |
| Joe Lavelle @Resultant @dflee30 HI Don! Thanks for joining and sharing your expertise! I see #HIEs having varying levels of success, but none providing #interoperability without some limitations. Would love to hear otherwise! #KareoChat |
| Don Lee @dflee30 @ShereesePubHlth Indeed. Data Quality has been on the back burner because few have data. Now that orgs are starting to gather it in reasonable quantities, we're really starting to understand the DQ needs. Lots of work to be done, but doable and yes... worth it. #KareoChat |
| David Harlow @healthblawg @InterSystems Your work on the "plumbing" for #interoperability is known and appreciated. The question though, often, is the business case (or lack thereof) among provider organizations #kareochat |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @Resultant "Obligation" has become too flexible a term in a country where we monetize health & data. We need to change how we see data (I feel like I've said this before). We used to beg orgs to see data as an asset; now we're like, "org, you don't own it" #KareoChat |
| Joe Lavelle @Resultant T3: Your EMR should make it easy to exchange data and workflow information with other systems. The EHR should have a workflow engine so that you can easily modify/customize all interactions. #KareoChat Can I get an AMEN from @wareFLO? |
| Angela Hemans is on Threads, LinkedIn, TikTok @AngelaHemans RT @Resultant: T3: T3: Your EMR should make it easy to exchange data and workflow information with other systems. The EHR should have a workflow engine so that you can easily modify/customize all interactions. #KareoChat Can I get an AMEN from @wareFLO? |
| Joe Lavelle @Resultant 3 Stages of #MU, $38B+ and we got this! This is a tragedy! Full #interoperability should have been a stage 1 requirement! #KareoChat https://t.co/CFuitgAhy2 |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @Resultant @wareFLO Strangely enough (or not), customization is the enemy of interoperability. It's why HIEs have been problamtic #KareoChat |
| InterSystems @InterSystems A3: EMR vendors are usually able to provide only part of the data about an individual. An estimated 2/3 of data is outside the EMR system #KareoChat https://t.co/MIeQxbJTUP |
| Don Lee @dflee30 @Resultant Definitely all have limitations. To date success has been scattered, but as VBP picks up steam interop finally becomes real business need. That need will ultimately drive people to the #HIE. Some think I'm nuts, but next few years (or more) will be #HIE golden age #KareoChat |
| Anthony Leon @anthonynotleon @dflee30 Having sold HIE solutions, I'm curious about your thoughts on the quality of the data and analytics being so popular. Would you say while everyone wants all the analytics, that can't be done until the quality is solved first? Curious on your thought of imporving? #kareochat |
| Joe Lavelle @Resultant @ShereesePubHlth @wareFLO Only because the major vendor systems are working on top of 1980's systems architecture. The vendor that builds an EMR on top of a 2020 workflow engine will get lots of investment from me! I'd get a 2nd mortgage and go all in! #KareoChat |
| Matt Fisher @Matt_R_Fisher @Resultant How do you define ubiquitous? That could be an impt point since privacy & security could be thrown up as an issue. #KareoChat |
| InterSystems @InterSystems Also, many individuals have data in more than one EMR system - acute care, clinics, multiple hospitals, etc. #KareoChat https://t.co/MIeQxbJTUP |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba Abso-freaking-lutely! #KareoChat https://t.co/x5frICMeZ5 |
| Joe Lavelle @Resultant @dflee30 I agree with that Don. We can't go straight to Utopia. We have to walk (HIE connectivity) before we run (ubiquitous interop). #KareoChat |
| Don Lee @dflee30 @anthonynotleon You are 100% correct. Most of the analytics sold today is pretty pictures. Then you have to get the data. That's hard. Then you have to clean it up (standardize, normalize, de-duplicate, etc). That's harder. Then you can do something useful. #KareoChat |
| Don Lee @dflee30 @anthonynotleon And yes I do see it improving. It's going to take time, but again, VBP finally gives us a business model. You're going to start to see improvements in pockets in 2018. Momentum builds from there. #KareoChat |
| Joe Lavelle @Resultant @Matt_R_Fisher As a patient, I expect that any provider that I go to have access to all my data. That simple. Now the implementation with EMR vendors that are data hogs, and many other issues is not simple. #KareoChat |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba T3 Successful and secure conversion! Many orgs are getting new EMR vendors. As we evolve, those vendors need to carry the responsibility of efficacy-based & secure conversions #KareoChat |
| Anthony Leon @anthonynotleon @Resultant @ShereesePubHlth @wareFLO Someone should also tell them that throwing that architecture and workflow in AWS does not make it modern 🙊 #kareochat |
| Matt Fisher @Matt_R_Fisher @Resultant Don't disagree that would like all providers to have all data. However, then raises question if providers in same network/system/etc. IMO likely more than a tech issue. #KareoChat |
| Don Lee @dflee30 @ShereesePubHlth @Resultant Obligation leads to crappy check-box checked implementations. Patients don't need any more of that. IMO demand has to come from the patients choosing the provider orgs and health plans that do it right #KareoChat |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba #kareochat https://t.co/s6tZoBKDua |
| Tebra @TebraOfficial Q4: What is your experience with organizations that provide some level of #Interoperability? (HIEs, #Sequoia, #Commonwealth, #Carin, #ExperianHealth, etc) @Resultant #KareoChat #healthcare #healthIT |
| Tebra @TebraOfficial RT @ShereesePubHlth: T3 Successful and secure conversion! Many orgs are getting new EMR vendors. As we evolve, those vendors need to carry the responsibility of efficacy-based & secure conversions #KareoChat |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @anthonynotleon @Resultant @wareFLO Scream it from the rooftops #kareochat https://t.co/bgclU83eq6 |
| Joe Lavelle @Resultant @Matt_R_Fisher Yes but .... not an issue in military health. Your record is your record. So maybe the tech would be easy if we didn't have competing health systems hoarding data from competitors. #KareoChat |
| Tebra @TebraOfficial RT @Resultant: T3: T3: Your EMR should make it easy to exchange data and workflow information with other systems. The EHR should have a workflow engine so that you can easily modify/customize all interactions. #KareoChat Can I get an AMEN from @wareFLO? |
| Joe Lavelle @Resultant RT @dflee30: @ShereesePubHlth @Resultant Obligation leads to crappy check-box checked implementations. Patients don't need any more of that. IMO demand has to come from the patients choosing the provider orgs and health plans that do it right #KareoChat |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @GoKareo: Q4: Q4: What is your experience with organizations that provide some level of #Interoperability? (HIEs, #Sequoia, #Commonwealth, #Carin, #ExperianHealth, etc) @Resultant #KareoChat #healthcare #healthIT |
 | Stephanie Crabb @stephaniecrabb Data governance and interoperability go hand-in-hand. Good #datagov hits data quality head-on. #kareochat https://t.co/BzYVALmFLD |
| Joe Lavelle @Resultant Love this! I choose the provider/plan that allows for ubiquitous access! (if only ther were one) #KareoChat https://t.co/UPVoMrT0Jn |
| InterSystems @InterSystems A4: In US, public HIEs like @RIQI_Org's CurrentCare or @Hixny in New York connect the entire spectrum of care participants successfully in their regions. #KareoChat https://t.co/zd0fhpQMrv |
| Anthony Leon @anthonynotleon @GoKareo @Resultant A4: While I like what some of them do. I was angered when a customer that had connected with one of these groups before, had to update the connector years later because of software updates, and one of these companies charged them $14k to "validate" it. #kareochat |
| David Harlow @healthblawg @Resultant @Matt_R_Fisher And I'd like a pony #kareochat https://t.co/L37jzyqWL9 |
| Don Lee @dflee30 Q3: #EMR responsibility in interop 1. Produce a clean, standard CCDA 2. Make it easy for your customers to produce, send and consume them 3. Make additional APIs available as it makes sense (i.e. #FHIR) 4. Make some money on it, but don't gouge and don't take forever #kareochat |
| Stephanie Crabb @stephaniecrabb Q4: Processes work better. Workflow works. A big part of interoperability starts with the data itself. Can you establish standards? So people understand the data itself and its use. #kareochat https://t.co/OS6DZSHLVq |
| Joe Lavelle @Resultant T4: Some orgs are more effective than others, but it seems to me that we are adding one more "integration" with these orgs rather than talking about true #interoperability #KareoChat |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba A4 .@CarequalityNet IMHO is doing #interoperability right. Watch for them. I wish @BFMack could weigh in on this #KareoChat |
| Tebra @TebraOfficial RT @stephaniecrabb: Q4: Q4: Processes work better. Workflow works. A big part of interoperability starts with the data itself. Can you establish standards? So people understand the data itself and its use. #kareochat https://t.co/OS6DZSHLVq |
| Don Lee @dflee30 @Resultant I know. That's the problem right now. I'll tell you what tho... my High-deductible plan has me asking lots more questions than I used to and I'm not alone. Smart orgs are seeing that and will respond when the time is right. #KareoChat |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @Resultant Well, interoperability frameworks are only as good as the policies written to support them. Policy is still lacking IMHO #KareoChat |
| David Harlow @healthblawg @Resultant In the future, post- #EHR, individual fields of data could be linked together by #patient identifier and shared/not shared based on the individual data type and individual user (or user type) as decided by the patient. #blockchain #maybesomeday #kareochat |
| Joe Lavelle @Resultant @healthblawg @Matt_R_Fisher Thanks for the laugh! What color pony? And where can I have the nice folks at @goKareo send it? :) #KareoChat |
| Don Lee @dflee30 @Matt_R_Fisher @Resultant Absolutely. #KareoChat |
| Tebra @TebraOfficial RT @Resultant: T4: T4: Some orgs are more effective than others, but it seems to me that we are adding one more "integration" with these orgs rather than talking about true #interoperability #KareoChat |
| Tebra @TebraOfficial RT @ShereesePubHlth: A4 .@CarequalityNet IMHO is doing #interoperability right. Watch for them. I wish @BFMack could weigh in on this #KareoChat |
| Tebra @TebraOfficial RT @dflee30: Q3: Q3: #EMR responsibility in interop 1. Produce a clean, standard CCDA 2. Make it easy for your customers to produce, send and consume them 3. Make additional APIs available as it makes sense (i.e. #FHIR) 4. Make some money on it, but don't gouge and don't take forever #kareochat |
| Tebra @TebraOfficial RT @InterSystems: A4: A4: In US, public HIEs like @RIQI_Org's CurrentCare or @Hixny in New York connect the entire spectrum of care participants successfully in their regions. #KareoChat https://t.co/zd0fhpQMrv |
| Matt Fisher @Matt_R_Fisher @ShereesePubHlth @Resultant Unfortunately, suspect no good policy will be forthcoming anytime soon either, at least federally. Would state be enough? #KareoChat |
| Tebra @TebraOfficial RT @healthblawg: @Resultant In the future, post- #EHR, individual fields of data could be linked together by #patient identifier and shared/not shared based on the individual data type and individual user (or user type) as decided by the patient. #blockchain #maybesomeday #kareochat |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba A4 If we're being honest, the market will ultimately determine if interoperability, regardless of the org, is successful. #kareochat https://t.co/ksHLJkVQPC |
| Anthony Leon @anthonynotleon @Matt_R_Fisher @ShereesePubHlth @Resultant If that state was Wisconsin maybe we would see a change in tune? 😇 #kareochat |
| Joe Lavelle @Resultant I absolutely act differently now. I tell providers that I don't have insurance (although I do only for catastrophic coverage) but that's for another chat! #KareoChat https://t.co/zWm8bF0qyh |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @Matt_R_Fisher @Resultant State guidance on this might be okay but I'd like to see independent orgs take ownership of this. You shouldn't need a mandate to design efficient systems. Am I right? #KareoChat |
| Tebra @TebraOfficial Q5: What advice would you give today to a #provider that hasn’t started any efforts on #Interoperability? @Resultant #KareoChat #healthcare #HealthIT #EHR #EMR #digitalhealth #tech |
| Don Lee @dflee30 @anthonynotleon @GoKareo @Resultant The economics can be frustrating, but the vendors can't future-proof everything and they can't work for free. We can hope for reasonable and fair, but f they gotta apply resources then they should be compensated. #KareoChat |
| Matt Fisher @Matt_R_Fisher @ShereesePubHlth @Resultant Certainly independent orgs trying to take the lead, but competing ones there could muddy waters too. #KareoChat |
| Stephanie Crabb @stephaniecrabb T4: We look for small wins in #interoperability when we are engaged in #datagov, #infogov and enterprise info management engagements. Two systems at a time. Two stakeholders at a time. Getting the data right. #kareochat |
| David Harlow @healthblawg A4 #interoperability is (often) good as far as it goes. It just never goes quite far enough. Always some #walledgarden or another. #ACO #IDN #EIEIO That's why we're even having this convo. If & when it works it will be invisible & we'll have nothing to say about it. #kareochat |
 | John Lynn @techguy I'm interested in the companies that are turning interoperability into a revenue center for their company. #KareoChat https://t.co/Eq5my9KqGe |
| Stephanie Crabb @stephaniecrabb T5: I think this answer works for Q5 too! #kareochat https://t.co/xYjk164gqV |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @anthonynotleon @Matt_R_Fisher @Resultant I think Vermont might be better at interop than most other states. What's your opinion? #KareoChat |
| InterSystems @InterSystems A1: Good one - Look for a platform for #interoperability that allows you to thrive in the hybrid-standards environment of the future, w/ data in many systems, in different standards formats and to access that data like @HL7 #FHIR. #KareoChat https://t.co/NCyr7f2M3y |
| John Lynn @techguy Create interoperability partnerships with key organizations, or get ready to sell your practice to them. #KareoChat https://t.co/cfnjIJIvGC |
| Don Lee @dflee30 RT @stephaniecrabb: T4: T4: We look for small wins in #interoperability when we are engaged in #datagov, #infogov and enterprise info management engagements. Two systems at a time. Two stakeholders at a time. Getting the data right. #kareochat |
| John Lynn @techguy The key word in your tweets is "fair" #KareoChat https://t.co/4WTrI9UZ2U |
| Joe Lavelle @Resultant T5: 1st provider must learn what is available from EMR vendor, local HIEs and national orgs; then map how their needs can be best met by combo of above; Get a consultant if no expertise #KareoChat |
| John Lynn @techguy The market has already largely made it clear they don't want to be interoperable. The orgs paying for healthcare will have to change reimbursement to change that dynamic. #KareoChat https://t.co/WX6fKiVnjB |
 | SoberTaco coming soon @SoberTaco RT @GoKareo: Welcome to today's #KareoChat! Your host: Welcome to today's #KareoChat! Your host: The co-founder of @intrepid_NOW and #Interoperability expert, @Resultant! We'll launch our first question in 5. Let's see who's here! https://t.co/z6PkCzMhnV |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @techguy I'm not sure if @CarequalityNet is non-profit or not but check them out. #KareoChat |
| David Harlow @healthblawg @techguy Uphill battle unless and until provider orgs recognize they can do well by doing good (i.e. by not worrying about hoarding) #kareochat |
| John Lynn @techguy Good point. Many orgs don't want to be intereroperable because then it will show all their "warts." #KareoChat https://t.co/EnyqXCcjqL |
| Don Lee @dflee30 T5: First, focus on use cases. Make sure you know what specific problem(s) you are trying to solve. Solve only for those. Connect to your local #HIE first. Fill gaps with key partners after that. #KareoChat https://t.co/0A7Ap81vxl |
| Tebra @TebraOfficial RT @techguy: The market has already largely made it clear they don't want to be interoperable. The orgs paying for healthcare will have to change reimbursement to change that dynamic. #KareoChat https://t.co/WX6fKiVnjB |
| Tebra @TebraOfficial RT @techguy: Create interoperability partnerships with key organizations, or get ready to sell your practice to them. #KareoChat https://t.co/cfnjIJIvGC |
| Stephanie Crabb @stephaniecrabb @ShereesePubHlth @anthonynotleon @Matt_R_Fisher @Resultant Based on our work there, I think they would say they have a lot of work to do still. There is no doubt that states like VT, DE, RI have some unique opportunities because of size and demographics. #kareochat |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @techguy You really think the market shuns interoperability? What about the resolve to live healthier, which the market is starting to embrace in terms of innovation #kareochat |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO True. In fact, I would go further and say that interoperability is more about application architecture and standard data formats. #PragmaticInteroperability #KareoChat HIT's boil the ocean approach to data, at the expense of workflow, was, and is, doomed to failure. https://t.co/mPuKbTcf2K |
| Tebra @TebraOfficial Q1: How do you define #Interoperability? #KareoChat @Resultant #healthcare #HealthIT #EHR #digitalhealth |
| Angela Hemans is on Threads, LinkedIn, TikTok @AngelaHemans RT @Resultant: T5: T5: 1st provider must learn what is available from EMR vendor, local HIEs and national orgs; then map how their needs can be best met by combo of above; Get a consultant if no expertise #KareoChat |
| Angela Hemans is on Threads, LinkedIn, TikTok @AngelaHemans RT @GoKareo: Q5: Q5: What advice would you give today to a #provider that hasn’t started any efforts on #Interoperability? @Resultant #KareoChat #healthcare #HealthIT #EHR #EMR #digitalhealth #tech |
| Angela Hemans is on Threads, LinkedIn, TikTok @AngelaHemans RT @techguy: Create interoperability partnerships with key organizations, or get ready to sell your practice to them. #KareoChat https://t.co/cfnjIJIvGC |
| Joe Lavelle @Resultant @techguy I agree totally John. But patients would want #interoperability if they knew what it was and how it would improve HC #KareoChat |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @Resultant: @techguy I agree totally John. But patients would want #interoperability if they knew what it was and how it would improve HC #KareoChat |
| Angela Hemans is on Threads, LinkedIn, TikTok @AngelaHemans RT @dflee30: T5: T5: First, focus on use cases. Make sure you know what specific problem(s) you are trying to solve. Solve only for those. Connect to your local #HIE first. Fill gaps with key partners after that. #KareoChat https://t.co/0A7Ap81vxl |
| Anthony Leon @anthonynotleon @techguy I've mentioned this to you before but coming from an interop company that provided revenue to EHR company that acquired it, I received no love. I left the top sales person of entire organization, selling open source (in essence) but they don't see it as important. #kareochat |
| John Lynn @techguy See this example: https://t.co/kw7fqGoTaw I agree it's changing some. #KareoChat https://t.co/4AtUwSZXJB |
| Joe Lavelle @Resultant RT @techguy: Create interoperability partnerships with key organizations, or get ready to sell your practice to them. #KareoChat https://t.co/cfnjIJIvGC |
| Tebra @TebraOfficial RT @wareFLO: True. In fact, I would go further and say that interoperability is more about application architecture and standard data formats. #PragmaticInteroperability #KareoChat HIT's boil the ocean approach to data, at the expense of workflow, was, and is, doomed to failure. https://t.co/mPuKbTcf2K |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO @Resultant @ShereesePubHlth Lots of folks have suggested this (and to me, oh the Twitter threads I could show you...). Unfortunately, not gonna happen, best we can hope for is workarounds & layers relegating EHRs to plumbing. ()BTW, exactly what is happening.) #KareoChat https://t.co/omDVK3svsx |
| John Lynn @techguy Agreed. I think most patients think that interoperability in healthcare already occurs. Patients are ignorant to the fact that it's not happening. #KareoChat https://t.co/Zt9faLx2SI |
| Stephanie Crabb @stephaniecrabb I am and always have been bullish on #HIE, but we have got to solve basic data issues first and/or revisit HIE data architecture/infrastructure to better position for analytics. #kareochat https://t.co/3rLAynjod6 |
| Matt Fisher @Matt_R_Fisher @healthblawg @techguy Or until the industry consolidates down into just a couple of really big providers. [/sarcasm] #KareoChat |
| Joe Lavelle @Resultant @stephaniecrabb @ShereesePubHlth @anthonynotleon @Matt_R_Fisher Thanks for joining Stephanie! Great to see you here! #KareoChat |
| Angela Hemans is on Threads, LinkedIn, TikTok @AngelaHemans 💯💯👈🏾 We would! #KareoChat https://t.co/BpuWbirT9z |
| David Harlow @healthblawg A5 "Time's up!" #kareochat |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO @ShereesePubHlth @Resultant On the right platform, one which is explicitly designed to accommodate customizability, customization is not the enemy of interoperability #KareoChat https://t.co/EY5D7SaTUE |
| Stephanie Crabb @stephaniecrabb Right on. #kareochat https://t.co/EMSLwxRTYX |
| Tebra @TebraOfficial BONUS! Q6: When (what year) will we achieve true #Interoperability? And why? #KareoChat @Resultant #healthcare #HealthIT #EHR #digitalhealth #bigdata #IoT |
 | Jennifer Michelle, MPH (she) @MMSJennifer RT @ShereesePubHlth: @Resultant "Obligation" has become too flexible a term in a country where we monetize health & data. We need to change how we see data (I feel like I've said this before). We used to beg orgs to see data as an asset; now we're like, "org, you don't own it" #KareoChat |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Amen. #KareoChat #HIMSS18 https://t.co/Jr0HzgyHgZ |
| Joe Lavelle @Resultant Not yet! Thanks Steve! #KareoChat https://t.co/E8yvrMOfrS |
| John Lynn @techguy @Matt_R_Fisher @healthblawg The irony there is that many of them still have multiple EHR vendors and they're unlikely to consolidate to 1 EHR. So, the interop problem will become very real for them. #KareoChat |
| Stephanie Crabb @stephaniecrabb @Resultant @ShereesePubHlth @anthonynotleon @Matt_R_Fisher Been missing you! #kareochat |
| Matt Fisher @Matt_R_Fisher @techguy @healthblawg So true. Seen it with my clients. #KareoChat |
| Don Lee @dflee30 @techguy My thought as well. People are shocked when I tell them how it works. Then again, that's true for almost everything in this business :) #KareoChat |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO "more about application architecture []THAN] standard data formats" #Kareochat https://t.co/A0QL20rhNM |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @wareFLO @Resultant Perhaps but, If I design my system for me and you design your system for you, who's to say initiatives will align so they can communicate effectively w/ each other? #KareoChat https://t.co/uVNzYcYY22 |
| Joe Lavelle @Resultant Bonus: For the reasons suggested by @techguy and @ShereesePubHlth (market not motivated) we may never achieve true #interoperability. If I were president, I would put everyone on Medicare on the same EMR first. Then decide the next step after that... #KareoChat |
| Anthony Leon @anthonynotleon #Kareochat what were people's thoughts on this piece? I had my opinions but I'll reserve them at the moment https://t.co/bZO29odU2E |
| John Lynn @techguy This tweet could have said anything and I'd have loved it with this gif. Can't wait for the next one to come out. cc: @MandiBPro #KareoChat https://t.co/RUg8XVf4D6 |
| Joe Lavelle @Resultant @wareFLO @ShereesePubHlth Work-around = Sh#ty workflow and frustration for all! #KareoChat |
| Matt Fisher @Matt_R_Fisher Been a great #KareoChat. Hope everyone has a good rest of the day. Thanks for the topic @Resultant. |
| Don Lee @dflee30 @stephaniecrabb That's starting to happen now. Lots of work to do, but many of the HIEs have a head start over anyone else who might try to do it in their region. #KareoChat |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Big difference between designing systems and customizing parameters within systems designed to allow customizing parameters. #KareoChat https://t.co/EurN9Xf1rP |
| Tebra @TebraOfficial Thank you all for joining us for today's #KareoChat with @Resultant! Absolutely thrilled to see the type of conversation and debate the topic of #interoperability sparked with our attendees. Thank you Joe for leading the way! https://t.co/DDwnjuyVYb |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @Resultant @wareFLO I have come to loathe the term "workaround" , the enemy of efficient workflow IMHO #KareoChat |
| David Harlow @healthblawg A pleasure as always - Thanks Joe @Resultant and everyone else. Enjoy the rest of your day! #kareochat |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Pretty much the case everywhere in EHR world #KareoChat https://t.co/5PztJzWd4T |
| Joe Lavelle @Resultant Thank you all for joining and sharing your brains on #interoperability! We may not get to the Holy Grail, but we can approach it more each year! Happy Holidays All! #KareoChat https://t.co/Mgfqt7Xg0U |
| Don Lee @dflee30 Bonus: Semantic, ubiquitous interop that industry is usually talking about will never happen in current model. Someday another model will emerge (10-20 years???). Most likely candidate is @youbaseio type solution where everyone holds their own. #kareochat |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Workarounds are useful symptoms of inefficient workflows. They can be useful in designing efficient workflows. #KareoChat https://t.co/0j1AaQtVGN |
| Joe Lavelle @Resultant @ShereesePubHlth @wareFLO Amen Sister Shereese! #KareoChat |
| Don Lee @dflee30 @Resultant Thanks Joe (and everyone)! Have a great day. #KareoChat |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @wareFLO Oh Doc, you and I may have to have a great debate on this. You get your team; I'll get mine. We'll call it the "Interop takedown breakdown; when great doctors believe the hype!" lol #kareochat https://t.co/TgZNhrmNzG |
| David Harlow @healthblawg So #kareochat peeps ~ A few of us on the chat are #HIMSS18 #socialmedia ambassadors. We welcome your input on themes to focus on this year in #HealthIT and #interoperability is certainly one of them. Please join the #HIMSS18 conversation. |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba Have a great weekend everyone. This was truly fun #kareochat https://t.co/KGpjPjsxwi |
 | Gerry Bannister @gbannisternp RT @InterSystems: A1: A1: ...cont. new definition of #Interoperability is to see all the data that an individual or a population has in multiple systems, from one place (client-server) in real time: the composite record. #KareoChat https://t.co/yufST1Zpom |
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