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Legacy EMR Bloggers

Posted on May 23, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Today I had an Italian friend of mine (I lived there for 2 years) find me on Facebook. I hadn’t seen or heard from the man in 10, almost 11 years. It was a joyous reunion and fun to catch up. I really hold relationships dear and truly love seeing people I haven’t seen in years.

One of the funny blogger stories I have was when I reached out to Christina Thielst from Christina’s Considerations. She loves to tell this story to people. First, you have to know that Christina’s blog was one of the first healthcare IT blogs I found when I began blogging 7.5 years ago. In fact, I must admit that I barely knew her name. I always just thought of her as the RHIO (there’s an old term for you) blogger.

Well, 6 years or so later I saw her name and picture on LinkedIn and so I decided to request that we connect. She politely replied that she declined my connection because she only connected with people she knew on LinkedIn. I was a little sad at the response, but replied that she probably had forgotten me and that we’d known each other’s blogs for many years. She then replied with a request to connect and an apology for not recognizing my name. It turns out she was like me and only knew the name of my blog and not my name.

As I thought about these long term relationships it’s fun for me to look back at which blogs were around when I first starting blogging about EMR. Here are a few that come to mind:

Neil Versel – I’m happy that I now consider Neil a friend, but when I first started blogging I looked to him and learned. He was and is a professional journalist and I was just a hack. I learned a lot from him and modeled a lot of what he was doing.

Healthcare Guy – I was always amazed at the stuff Shahid would write on his blog and enjoyed HITSphere which he created. Now he’s my partner in two businesses which we first talked about creating after we met in person at a HIMSS press room. I’m still amazed every time I’m on a call with Shahid. I like to just sit back, listen and learn from him.

HIStalk – I think Mr. H remembers those good old days. The funny thing is that when I first came across his posts they didn’t make much sense to me. They’re so full of industry jargon that it was like reading another language for me. Of course, now it’s often news and rumors I’ve already heard, but I still enjoy his wit. It’s like picking up the healthcare IT tabloids. You can’t look away. Plus, Inga is a sweetheart, even if she won’t tell me who she is. Maybe the Inga mystery is better.

Dalai’s PACS Blog – Sadly someone I have yet to meet in person. The PACS blog was and always has been an irreverent mix of many topics sprinkled with PACS talk. I have a feeling that the blog reflects the writer, which is why I’d love to one day meet him.

The Medical Quack – Barbara Duck has always been a good friend to me. I’ve always hated her blogger design, but she seems to like it. Barbara and I first met on the EMR Update forum (where I really cut my EMR teeth), and she’s always been a kind, but passionate lover of healthcare. I still remember how brave she was to be developing an EMR on her own (she’s since shut it down).

Candid CIO – Still one of my favorite blogs to read. I think Will is one of the smartest hospital CIOs that I’ve met. He has great insight and a great view of his job as CIO. Plus, I love a hospital CIO that’s willing to take time to blog.

The Healthcare Blog – I’m not sure if this one started a little after mine or if I just didn’t find it until after. Although, it was one of the early ones and had great writers like David Kibbe and Vince Kuraitis. Plus, the always interesting Matthew Holt. It’s not exclusively healthcare IT (which is my love), but a huge portion of it is about health IT.

When I think about all of these blogs that have been there since the beginning it’s fun to see so many of them still around and blogging today. That’s a special commitment. Although, I also realized that when it comes to blogs, you might call us the Legacy EMR bloggers. To use my own analogy, are we the Jabba the Hutt EMR bloggers? In some ways I think I am. The question is whether a blogger does better with age like a fine wine or if it just rots and gets thrown out.

The Impact of Healthcare Reform on Medicine

Posted on December 1, 2010 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I must admit that I don’t post that often about healthcare reform and the changing doctors practice. Not to mention things like the Accountable Care Organizations (ACO) and other trends in healthcare. Although, I do watch them peripherally and in many cases these changes are important in relation to EMR since they impact what the future of EMR might look like.

So, I was pretty interested in a post by Barbara Duck about the impact of Healthcare Reform on medicine as we know it today. Barbara has a quote which describes the change:

“Healthcare reform will usher in a new era of medicine in which physicians will largely cease to operate as full-time, independent, private practitioners accepting third party payments.”

Then, she quotes a study which describes how medicine will change and the four possible courses that physicians will take amidst all this change.
• Work as employees of increasingly larger medical groups or hospital systems
• Establish cash-only practices that eliminate third party payers
• Reduce their clinical roles by working part-time
• Opt out of medicine altogether by accepting non-clinical positions or by retiring.

This information isn’t all that new. I also have read many people who just see this as the same cycle that we’ve seen before. I think that’s probably true, but it’s still a cycle that should be considered going forward.

Assuming the above assumptions are correct, does that spell the end of the small practice EMR software? Essentially it would leave only EMR software that supports larger medical groups or hospital systems and EMR software that handles cash only practices (something every EMR vendor would probably love to do).

Personally I don’t see it as the end of small practice EMR software. Although, it definitely will see a shrinking of the market for that software. At least temporarily.