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HIMSS #NHITWeek e-Book

Posted on September 18, 2012 I Written By

John Lynn is the Founder of the 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 and 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 was happy to be invited to participate in the HIMSS #NHITWeek e-Book. They just recently posted the HIMSS ProBook (PDF) which includes mine and 17 other health IT experts responses. It’s nice to see my name alongside wonderful health IT pros like Regina Holliday, John Moore, and Eric J. Topol (to name a few). You can find my responses on page 26-27 in the e-book or I’ve posted my responses below.  I kind of got this last minute, so my responses are a bit off the cuff.  I’d love to hear your thoughts or your responses to these questions.

1. How has the conversation about health IT evolved and / or progressed since last year’s National Health IT Week?

With the announcement of meaningful use stage 2, we’re starting to see a real dividing line between those healthcare organizations that plan to show meaningful use of a certified EHR and those organizations that plan to stay far away from it. All but a few smaller hospitals are getting on board with EHR because the EHR incentive money is so large. In smaller practices, many are still afraid that EHR will slow them down, decrease their productivity, and cause them more headache than the value it will provide.

With EHR incentive money dominating the EHR discussions, ACOs are also drawing a lot of attention and discussion in the world of health IT. Everyone seems to realize that if we’re going to make ACOs a reality, then it’s going to take a heavy dose of well implemented health IT. The increase in discussion happening around health data warehouses has really increased and more and more health organizations are trying to find was to pull value out of all the data that’s now being stored in their health IT systems.

Mobile Health is still the wild wild west. Mobile health apps are popping up in every corner of the mobile world. However, we still don’t have any breakout mobile health app superstars which have captivated the imagination of the world. Considering the number of apps, one of them is bound to reach that point soon.

2. What are the major challenges to hospitals and healthcare providers as we move toward a new century of health technology?

I’ve often said that health IT is the great magnifier. Health IT will take the good and make it better, but it will also point out the bad just as easily. What I think the implementation of health IT has done is caused many healthcare organizations wake up to some of the problems they never realized they had. Overcoming much of the built in healthcare problems is going to be the biggest challenge to the implementation of health technology.

Along similar lines, the biggest built in problem in healthcare IT is the walled gardens which create incredibly difficult to access data silos. Much like a President once famously said, “Healthcare, take down your walls.” Unfortunately, there doesn’t seem to be any authority that can make such a strong statement. Breaking down the walls surrounding healthcare data is going to be an almost insurmountable challenge.

One other major challenge we’ll see and we’re starting to see already is how to handle the literal flood of healthcare data. Floods of data will be pointed at health care providers from HIEs, PHR’s, medical devices, genomics, etc. Creating IT systems which process all the data into a digestible format will be key to the future of healthcare.

3. How can we increase adoption and meaningful use of health IT in hospitals and health systems across the U.S.?

I think we need a fundamental change in how we define meaningful use. The current definition of meaningful use might provide benefits to healthcare in general, but I know very few hospitals and health systems that see value in what HITECH has defined as meaningful use.

The hospitals and health systems I talk to see meaningful use of an EHR as improved patient care, improved revenue integrity, and streamlined processes. This is a much different definition of “meaningful” use of EHR. Once EHR vendors achieve this type of meaningful, healthcare won’t know how to live without it.

4. What advice would you give to the next generation of health IT leaders and their role in improving our healthcare system through advancement of IT?

My advice is that “when you’re a hammer, everything looks like a nail.” To make the comparison, just because you’re an IT leader doesn’t mean that IT is always the solution. Sometimes the solution is to fix the process first. Applying IT to bad processes just makes things worse. Be thoughtful in when and where you implement health IT. IT has tremendous potential, but only when applied the right way to the right problems.

5. What’s one thing the general public should know about health IT that they do not already, and what’s an easy way for them to get involved?

I believe the general public doesn’t realize the power they yield. Patient demand is likely the most powerful force in healthcare. If enough patients requested online patient scheduling, we’d see more doctors providing online patient scheduling. If more patients demanded e-visits, we’d see more e-visits. Patients need to stop accepting the current method of care delivery and start caring more about the healthcare services they receive.

6. What’s one health technology you are most excited about?

I’m absolutely fascinated with non-obtrusive health monitoring devices. It’s amazing how much health data can be collected with a simple cell phone camera. Everything from pulse, blood pressure, and cholesterol can potentially be monitored with a digital camera. Plus, we’re just at the beginning of the health monitoring that will occur using a person’s cell phone.

7. Fill in the blank. Health IT is _________________
Health IT is integral to the future of healthcare.

Those were my responses. You can find the other 17 responses to these questions in the HIMSS ProBook (PDF).

The Immortal Life of Healthcare IT

Posted on September 5, 2012 I Written By

As Social Marketing Director at Billian, Jennifer Dennard is responsible for the continuing development and implementation of the company's social media strategies for Billian's HealthDATA and Porter Research. She is a regular contributor to a number of healthcare blogs and currently manages social marketing channels for the Health IT Leadership Summit and Technology Association of Georgia’s Health Society. You can find her on Twitter @JennDennard.

As any one of my family or friends will tell you, I’m a voracious reader. I’ll read anything I can get my hands on – blogs, online news, books, magazines. I’ll even confess that after a week of keeping up with healthcare IT editorial, I typically enjoy a good, diverting issue of Entertainment Weekly on the weekend. Having an e-reader in the house has only increased my propensity to check out books from my local library, thanks to its new e-book lending program. Mobile technology has certainly aided and abetted my habit.

That being said, I find myself juggling two books right now – “The Immortal Life of Henrietta Lacks,” by Rebecca Skloot (great New York Times book review here); and “Healthcare Business Intelligence: a Guide to Empowering Successful Data Reporting and Analytics,” by Laura B. Madsen. One is for pleasure, while the other is to help me better understand the buzz behind BI. Both have much to say on the subject of healthcare. In the simplest of terms, they are two sides of the same coin. Skloot’s work of non-fiction tells the tale of what happens when patients and their families are kept in the dark, while Madsen’s guide denotes the possibilities that come with dissecting data in meaningful ways for patient benefit – freeing information, if you will, from silos for the benefit of better clinical outcomes.

I’m not too far into The Immortal Life, but one paragraph has jumped out at me in light of the current state of heightened patient engagement in healthcare:

“… like most patients in the 1950s, she deferred to anything her doctors said. This was a time when ‘benevolent deception’ was a common practice – doctors often withheld even the most fundamental information from their patients, sometimes not giving them any diagnosis at all. They believed it was best not to confuse or upset patients with frightening terms they might not understand, like cancer. Doctors knew best, and most patients didn’t question that.”

My how times are changing. (Granted, you’d hope that in 60+ years they would.) Patients are seeking information out before they even think to call their doctor. And they are no longer afraid to question diagnoses, or even obtain second opinions. Patients are becoming more interested in the value of their care – is the financial outlay worth the result? And some are beginning to wonder when their doctors will catch up.

By pure coincidence, HIMSS is asking the question “How will health IT make a difference a year from now at the next National Health IT Week?” as part of its first annual blog carnival, in an effort to highlight the week’s activities and reflect on the strides healthcare IT has made in the six preceding years the event has been held.

I would have to say that as the next year passes, we’ll see healthcare IT increase patient engagement – digital or otherwise. More doctors will implement EHRs, participate in HIEs, sign up for ACOs. Along the way, they’ll find themselves confronted with patients who are used to having instant access to up-to-the-minute information on everything, and who think access to their personal health information should be no different.

Couple this with the increasing consumerization of healthcare and IT – be it the new iPhone, the smaller iPad, fitness and weight-loss apps, cars that help you keep up with your quantified self, and other gadgets that let you “check your body as often as your email,” and you’ve got a population of patients ripe for aiding and abetting this transformation of healthcare we’ve been hearing so much about.

How interesting it is to think that Henrietta Lacks’ cells are still alive today to inadvertently be a part of this movement, when she herself was kept in the dark by the systemic problems of a society that never thought to question its care.