Topic One: Obama’s re-election secures the future of the #ACA, but what changes/concessions are we likely to see during its rollout?
T1: Many religious institutions are fighting the requirement for birth control coverage. Anyone think concessions will be made there? #HITsm
— Ken Congdon (@KenOnHIT) November 9, 2012
T1. I doubt if we see many significant changes or concessions going forward. ACA is now law of the land, so to speak. #HITsm
— Elin Silveous (@ElinSilveous) November 9, 2012
T1 – seems like a game of chicken is about to occur in a few states regarding the HIX and ind mandate. Imagine other states watching #HITsm
— jeffrey zinger (@jdzinger) November 9, 2012
T1: Does anyone know ACA well enough yet to know if they make changes.I think it will still be discovering the details of ACA #HITsm
— EMR, EHR and HIT(@ehrandhit) November 9, 2012
T1: House still controls the purse strings and it’s controlled by ppl that are not pro #ACA curious to see what, if anything, changes #HITsm
— Stephen Jones MRIs (@StephenMRIs) November 9, 2012
Topic Two: What #healthIT strengths and weaknesses did Hurricane Sandy expose?
T2: HIT Weakness is that IT still requires electricity. DR planning needs to be updated to include HIT power requirements. #HITsm
— Peter Gilbert (@PeterNGilbert) November 9, 2012
T2: There were definitely some failures in disaster planning.Generator on the roof isn’t enough if fuel pumps are underwater. #HITsm
— Keith W. Boone (@motorcycle_guy) November 9, 2012
T2: Unlike Katrina where paper records were lost forever, it was encouraging to see that EHR data could be recovered after #Sandy. #HITsm
— Ken Congdon (@KenOnHIT) November 9, 2012
The strengths seen in #Sandy was in the amazing people.I also loved the NYeC discussion of their HIE working and they also learned. #HITsm
— EMR, EHR and HIT(@ehrandhit) November 9, 2012
T2. Certainly the #HIT strengths were heroic stories of people using mobile, iPhone lights to deliver healthcare. #HITsm
— Elin Silveous (@ElinSilveous) November 9, 2012
T2. Additional strengths included the use of Social Media to inform, coordinate during the #Sandy crises. #HITsm
— Elin Silveous (@ElinSilveous) November 9, 2012
Topic Three: What business continuity/disaster recovery strides do health providers still need to make?
T3 There was so much confusion about who was supposed to admit or discharge who. Wonder if there could have been a fix. #hitsm
— Ryan Lucas (@dz45tr) November 9, 2012
T3: To serve the community, you need people, space, transportation, communications, power, data, in about that order.(1/2)… #HITsm
— Keith W. Boone (@motorcycle_guy) November 9, 2012
T3: … Business continuity tends to address these in the reverse order (2/2) #HITsm
— Keith W. Boone (@motorcycle_guy) November 9, 2012
T3: Redundant data centers in disparate locations. Some hospitals with power lost EHR access because data center was hit by storm. #HITsm
— Ken Congdon (@KenOnHIT) November 9, 2012
T3: Since mobile is so valuable, any considerations on solar, or a smaller-scale generator power dedicated to charging devices? #HITsm
— Loran Cook (@loranstefani) November 9, 2012
Topic Four: A national #HIE would have come in handy during #Sandy, so why does the industry still fail to embrace interoperability?
T4. It’s the how, not the why, that is the barrier to #HIE interoperability. #HITsm
— Elin Silveous (@ElinSilveous) November 9, 2012
T4. Same reason it hasn’t happened b4 now, because there still isn’t much of a business case for interoperability. But it’s coming. #hitsm
— Leonard Kish (@leonardkish) November 9, 2012
T4: Interoperability and HIE are like motherhood and apple pie. No one is against them. Just not a high enough priority now. #HITsm
— Peter Gilbert (@PeterNGilbert) November 9, 2012
T4: Old way: How would you like to make it easier for patients to go elsewhere? New way: Easier for pts to come to you + analytics? #hitsm
— Leonard Kish (@leonardkish) November 9, 2012
T4: Why is the “industry” defining the terms that the patients have for THEIR data? There is the problem. (con’t) #HITsm
— Stephen Jones MRIs (@StephenMRIs) November 9, 2012