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Healthcare IT Innovation – #HITsm Chat Topics

I’m excited to be hosting this week’s #HITsm chat. For those not familiar with it, every Friday at Noon EST we all follow the #HITsm tag on Twitter and participate in a Twitter chat covering 4-5 questions. If you want to participate you can just watch, or chime in with your own thoughts and questions. To do so, just add the #HITsm tag to your tweets. I’m the host this week and so I chose the topic and questions.

I’ve had healthcare IT innovation on my mind a lot lately, and so I thought it would make for an interesting topic. It might be worth reading my first LinkedIn post called “Why We Should be Optimistic in Healthcare.” In that post I outline why I think there’s a lot of innovation in healthcare that’s about to happen and that’s why I’m so optimistic.

I hope you’ll join me and a few hundred others on Twitter for the #HITsm chat. Here are the topics we’ll be discussing. Feel free to start the discussion early in the comments.

Topic 1: Can innovation happen within the current healthcare beauracracy or will innovation have to replace our current model?

Topic 2: What’s the most innovative thing you’ve seen in healthcare IT in the last 6 months?

Topic 3: What type of results will we see from the tricorder Xprize? Does innovation come from contests like this?

Topic 4: If you had a million dollars you had to invest in health IT, where or how would you invest it?

Topic 5: Think 5-10 years out, what will be the most exciting innovation in healthcare?

April 10, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.

Bold EMR Move, Universal Personal Medical Record, and Unified EMR


I’ll be really glad when the day arrives that this isn’t a bold move. Really, it’s a bold move to give patients access to the charts that they’ve always been able to request and get access to on paper?


I know dozens of companies working on this. Too bad I see so few patients adopting it. Although, if you go to the tweet itself (it may embed the whole conversation above as well), @nursefriendly and @JamieKaufmann have a nice conversation about security and privacy of this information. I’m definitely on @nursefriendly’s side of the conversation. I don’t agree with Jamie that a smart phone app with your health information is necessarily any less secure than an HIS system at a hospital. In fact, the value of hacking the HIS system is much more than hacking an individual record. So, I could easily argue that an HIS has a much higher risk.


I guess we can all dream.

June 9, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.

Women Unite at HIMSS13

I’ll admit it. I wasn’t quite sure what to expect when Julie Moffitt, the original #HITchick herself, asked me to host the first #HITchicks tweetup, at HIMSS13. What I envisioned as four or five gals gathering at a bar near the convention center turned into something so much more rewarding. Twenty-plus women (and two of the smartest men in healthcare IT) showed up and jumped right into a dialogue around the challenges of what it means to be a woman in healthcare.

You might think this topic a tired one, but it is still incredibly relevant, especially as women like Yahoo’s Melissa Mayer and Facebook’s Sheryl Sandberg put a new and divisive spin on what it takes to be successful women in tech.

The role of women in healthcare was also touched upon. When it comes to health – be it family or business – women definitely seem to be in the driver’s seat. Many in the audience noted that women make up a fair chunk of their C-suite – an ironic statement considering the off-putting presence of several scantily clad booth babes a few halls over. We’ve come so far, yet still have a ways to go.

I’m looking forward to gathering another fantastic group together at HIMSS next year, if not before then. In the meantime, take a look at a few of the tweets and pictures captured at HIMSS13:

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Mandi Bishop, Principal at Adaptive Product Solutions, and Brad Justus, ICD-10 Whisperer at KForce. Justus was joined by a second honorary #HITchick, Mark Palacio, Senior Manager, Media Relations – Healthcare IT at Siemens Healthcare.

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March 14, 2013 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.

Health Sensors Panel at SXSW

If you’ve been following @ehrandhit on Twitter, then you know that I’ve spent the past few days at the SXSW conference in Austin. It’s been quite the experience and I’ll no doubt write a lot more about my experience at the conference. For now, let’s take a look at many of the top takeaways from the health sensors panel.


While this doesn’t necessarily apply to sensors, I found it interesting that only 5 people raised their hands when asked who in the audience were patients. It’s kind of a stupid question since we’re all patients. I think most of us that heard the question assumed he meant patient advocate or possibly chronic patient. At least I bet that the 5 that raised their hands fit into those categories. Someone on Twitter said that maybe it’s because many of us don’t see ourselves as patients since we’re “healthy.”


Fascinating to consider all the data that our brain is processing. Plus, it should give us hope for what is possible with sensors. Needless to say, we have a long way to go.


This is really sad to consider and applies to many diseases. I think they’re point was that sensors can help us get at some of these diseases.


I’d never consider integrating environmental sensors in your healthcare. Those sensors could be indicators of why our health suffers. Interesting idea.


Seriously amazing technology…assuming it really works. I love people trying even if it doesn’t work out.


This was an important takeaway from my time at the mHealth Summit. We need new study methodologies that match the speed with which we can collect data using sensors and other tech.


I can’t wait for data to point out when we’re lying to ourselves and others.


People always say the wrong thing about Watson. At least right now, it’s not diagnosing. It’s just assisting and supporting the diagnosis.


This is definitely true and we haven’t even started to tap into the health data that’s possible. We’re going to need some amazing technology created to be able to make sense and filter the data down to only what matters.


It’s amazing how important the context is to the data. This is part of the challenge with the Watson technology and the volume of data mentioned above.


This is a fascinating differentiation. I think we’ll see this start to merge over time, but it is interesting to consider the various types of sensors and their intended use. I think until now we’ve focused mostly on sensors for disease. The idea of sensors for health is still such a nascent field of study.

March 13, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.

@HealthcareWen (Dr. Wen Dombrowski) – #HITsm Spotlight

I thought it would be fun to get to know some of the various personalities in the #HITsm community. @HealthcareWen is one of the great ones. With HIMSS 2013 started today, I think it’s perfect timing to highlight Dr. Wen. There is no one better to follow than her if you want to learn what she’s learning at HIMSS.

TELL US ABOUT YOURSELF:

I love the intersection of technology, business, policy, healthcare & social services. I enjoy figuring out high-level policy and strategic business goals, and then translating them into operational processes and product designs. I’m always thinking about “what is the best way to leverage technology?” for each situation, but realize that technology alone is usually an insufficient solution.

WHAT ARE YOU WORKING ON?

Lately I’ve been working on several small projects while completing a Global Executive MBA program at IE Business School — a program I highly recommend to others, by the way. I’m working with a hospice and homecare agency on EHR vendor selection and culture change to value decisions based on real-time data. I’m advising several medical software startups on product development—particularly on issues related to user experience, data structure, and strategy. I’m also helping several large nonprofit organizations that serve seniors and other underserved populations with understanding and adapting their strategy to the implications of healthcare reform, data availability, technology, and social media. And ever since Hurricane Sandy, I’ve been actively discussing how can technology and new media be leveraged to better prepare and respond to future emergencies with various community based organizations, government representatives, and medical providers.

Additionally, I see patients part-time by doing house calls. I love house calls because one can reach the sickest of patients – the patients who have the toughest time getting to their doctors’ offices. Seeing how patients live provides important clues about barriers to health and ways to personalize solutions. House calls and technology may seem like an odd combination of interests, but as Atul Gawande’s Hot Spotters article pointed out, the two complement each other in the goal to help the highest risk patients.

WHEN DID YOU GET INVOLVED IN SOCIAL MEDIA? WHAT GOT YOU STARTED WITH IT?

I’ve been on Facebook casually for years, mostly to share vacation and hobby photos with my family and to keep in touch with old friends.

I joined LinkedIn a couple years ago and it has been an invaluable tool to keep in touch with and find professional contacts. The search tool is especially useful when I am looking for people with specific expertise or geographic base. There are many interesting discussion Groups on LinkedIn, but I haven’t had time lately to read and interact with them.

Meetup has likewise been a useful site to find and create local affinity groups for in-person networking.

I didn’t consider myself “active” on social media until I started to actively use Twitter. I began using Twitter in 2011 to raise public awareness of the need for innovation in healthcare delivery, payment policy, patient engagement, and senior services. There seemed to be a lack of understanding about healthcare and aging, so I wanted to share some ideas as food for thought about tough topics.

WHAT BENEFITS HAVE YOU RECEIVED FROM SOCIAL MEDIA?

When I first started using Twitter, I really wasn’t expecting to get much out of it – I thought it would just be a chore to find and broadcast an article every once in a while. But then I realized it’s an incredibly powerful tool to find and engage other people that are likeminded or have different perspectives. It amazes me how Twitter brings together strangers and disparate stakeholders (such as patients, clinicians, technologists, and business executives) to dialogue about the evolving challenges of healthcare, technology, and society.

Personally, I have learned so much from the Twitter community – about topics that I was already passionate about – and introducing me to “new” concepts such as crowdsourcing, open data, and social enterprise. I love how Twitter enables serendipitous discovery of new gems, and appreciate the generosity of my Twitter friends who forward me interesting articles.

Beyond sharing articles and conversations, I’ve seen how Twitter and LinkedIn have been vital at connecting people with needs to relevant resources. For example, I remember the day after Hurricane Sandy I was volunteering in a shelter – the most needed item was dry socks, so I tweeted about it; I was stunned to learn an hour later someone anonymously dropped off a box of hundreds of brand new socks. This is just one small example of the larger potential that social media has to share info and resources.
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Twitter and LinkedIn have also led to the unexpected benefits of job offers, project collaborators, and speaking engagements. So Social Media has been indispensably valuable to me personally and professionally.

LOOKING AT THE WORLD OF HEALTHCARE IT, WHAT DO YOU SEE AS THE MOST IMPORTANT THINGS HAPPENING TODAY?

Lack of true data interoperability among different EHR’s and other healthcare applications is a key problem hindering health innovation and creating wasteful spending. Also, managed care utilization data, user-generated sensor data, and genomic data haven’t been integrated with provider clinical data. I think real-time, user-friendly views that combine these data sources are needed to optimize day-to-day clinical decisions, long term business planning, and operationalizing new payment models such as ACO’s.

Besides data interoperability and integration, usability and workflow are super-important in health I.T. but often neglected by vendors. EHR’s, patient apps, and other software programs need to be designed with a user interface that is intuitive and convenient to use. Any software or technology implementation needs to consider the impact on workflow and redesign processes to avoid new bottlenecks.

AS A DOCTOR, WHAT’S YOUR VIEW ON THE IDEA OF “PRESCRIBING” MOBILE HEALTH APPS?

I think there is potential for some mobile health apps to be very useful to patients and physicians. However, most physicians and patients find it overwhelming to choose the “best” app for their patient’s situation. There are too many apps right now that do similar things, or only have a partial set of features, or only target one specific disease. If a patient has Crohn’s, diabetes, and headaches – what is the best app for him? App developers should think about how to make apps better than what already exists by including comprehensive features that are easy to use for patients, caregivers, and providers… this may mean partnering with and enhancing existing products instead of separately developing the 101st medication tracker app, pain tracker app, diet app, etc.

AS SOMEONE WHO FOCUSES ON THE AGING POPULATION, WHAT’S IT GOING TO TAKE TO BRING HEALTH IT TO THE OLDER GENERATION OF PATIENTS?

Contrary to popular misconception, age is not the biggest barrier to technology adoption: usability is. Software and physical products need to be intuitive, user-friendly, and make people’s lives easier by solving real problems. Technology needs to integrate into the “workflow” of people’s daily lives, or else it’s a nuisance to use. Some special considerations when designing for older adults is keeping in mind some may have trouble with limited vision, tactile sense, or physical range of motion. These don’t preclude older adults from using technology – if technology is designed with these users in mind. I think companies designing for seniors have a lot to learn from the field of developmental disabilities that has a long tradition of inventing assistive technology. The good news is that increasingly more companies are taking human centered design approaches more seriously.

IF YOU COULD WAKE UP TOMORROW AND HAVE ONE PART OF HEALTHCARE SOLVED, WHAT WOULD IT BE?

I would change the way that healthcare gets paid for so that good care gets rewarded. Instead of paying hospitals for how many tests and surgeries are done, payments should reflect smart clinical decision making and coordination of care.

I would also love to see different data sources integrated into one application that can display the data in ways that are meaningful to different users, e.g. data views for patients, clinicians, and administrative users.

ANY FINAL THOUGHTS?

I hope policymakers, administrators, and developers always keep in mind the end-users’ needs and perspective (whether that’s a patient, caregiver, clinician, or anyone else).

March 4, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.

New Telemedicine Stats Bode Well for EMRs

With the recent projection that telemedicine will reach 1.8 million patients worldwide by 2017, I think it’s fitting to continue the discussion I started last week pertaining to the current ROI of EMRs. While current utilization based on scrambling to meet Meaningful Use for federal incentives may not be all it’s cracked up to be, I do believe EMRs will ultimately provide a fiscally sensible return on investment, especially if telemedicine technology becomes part of any given vendor’s standard EMR package/offering.

I decided to bounce the idea off Sande Olson, a Twitter friend (@sandeolson) and Senior Healthcare Consultant at Olson & Associates. Being a healthcare professional that has worked in telemedicine long enough to witness its evolution, Olson seemed a fitting expert to speak with on the subject of EMRs, telemedicine and the bottom line.

How have you seen the telemedicine landscape change over the last few years?
Olson: Until recently, telemedicine has been a niche industry. Early users recognized the potential value of telemedicine, but successful business models (showing a viable ROI) didn’t exist, and technology was costly. The challenge was reimbursement; who was going to pay for it?  Without reimbursement or a viable business model, telemedicine could not go viral.

The telemedicine landscape began to change with advancements in information and communication technology on the heels of The Affordable Care Act. The push for healthcare reform provided financial incentives to “nudge” healthcare providers towards EMRs. Reform mandates and the availability of government funding created new opportunities around technology. Telemedicine, a valuable if fledgling technology, became a buzzword around technology and healthcare reform.

Industries saw business opportunity as solution providers for an “industry poised to undergo radical change.” Entrepreneurs, inventors, investors and healthcare visionaries followed new and sometimes disruptive ideas. Care delivery tools moved from PCs to tablets, along with mobile apps.

The confluence of all these influencers is creating a potential tipping point for telemedicine; it only needs wider reimbursement and licensure portability. Our aging population and forecasted physician shortage will help continue to thrust telemedicine into the forefront of change. Telemedicine is already being used successfully; reimbursement is still a challenge. But, healthcare innovation is just getting started. We have challenging times ahead, but this is also the most exciting time to be in healthcare ever!

Do you think there’s been a trickle down effect from the Affordable Care Act in terms of increasing interest in and adoption of telemedicine?
There has been a trickle-down effect on telemedicine. The Affordable Care Act has increased interest in exploring the possibilities of telemedicine outside of previous niche markets. As I noted, it is the confluence of influencers around healthcare reform that continues to push the tipping point for telemedicine.

Do you think EMRs will prove their worth in the coming years by better facilitating more novel methods of healthcare delivery, like telemedicine, or integrating with consumer-friendly mobile health apps?
Will EMRs prove their worth? Well, data silos do not support healthcare’s philosophy of providing a continuum of care from cradle to grave. And, you cannot provide care without a medical record; you can’t measure outcomes. So, interoperability– across all silos– is critical to successful healthcare reform. EMRs today may fall a bit short, but they will create efficiencies and improve patient outcomes. They will get simpler to use. EMRs will assist in improving reimbursement and revenue cycles. And, future EMRs will push and pull data from HIEs, PHRs and mobile health apps; we are just not there yet.

January 24, 2013 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.

Social Networking Your Way to Better Healthcare Business Relationships

With everyone walking around with a smartphone or tablet, tweeting, updating, posting, sharing quite possibly 24 hours a day, seven days a week, the time has never been better – it’s never been easier – to jump into social networking. And looking at it from the healthcare perspective, there has never been a better time to share ideas, give opinions, pontificate, or sound off on the variety of healthcare issues we have to talk about today.

The opportunity is better than ever to create thought leadership by starting or joining in online conversations, and personal branding is easier than ever before in terms of tools available to help you spread your message and increase your exposure.

So with that being said, I’ll share a bit of my story as to how I’ve used social networking to create a personal brand, and open myself up to opportunities and business relationships that I might otherwise not have been exposed to.

My favorite social network is Twitter. I like it because it’s quick – 140 characters seems to be about my limit. I was very late to the Facebook party, and got on it only because at the time I couldn’t manage a brand page without a personal account. I still think Facebook can be a major time waster, and so I use it only to share news of my family with other family members and close friends.

Anyhow, my Twitter addiction really started during my second maternity leave. I spent a lot of time in a rocking chair, figuring out how to keep up with my professional colleagues while I was out of the corporate loop. I began to gain a small following, began doing the mommy blog thing, and went to a networking event or to just to keep myself relevant.

When I went back to working full time, my boss was gracious enough to go with my idea of using Twitter as part of our B2B healthcare marketing program. And this is where my brief story gets somewhat tangled, because at this point, my personal and professional social networking became very intertwined. I had my personal Twitter account, two business accounts, two Facebook pages, and personal and corporate LinkedIn accounts to manage.

At first I was what you’d consider a lurker. I hung out on Twitter and in various LinkedIn healthcare groups just to see how they worked, what the rules of etiquette were. Then as I got more confident in my knowledge of the industry, I began participating – posting comments, responding to people’s tweets, hoping that I sounded knowledgeable. And my following continued to grow. I began noticing that as I started sharing more healthcare-related content, more healthcare-related folks started following me.

I have a journalism degree from the University of Georgia, so I was creating blogs and articles for Porter Research and Billian’s HealthDATA, and sharing them out through my professional and personal social accounts, which also gave me some street cred. Eventually, I had unsolicited offers to blog for EMRandEHR.com. I jumped on that because it lets me flex my writing muscles, and reach an audience I might not otherwise get in front of. My activity, and especially my consistency within healthcare social networking continues to open up opportunities for me.

Now, all this wouldn’t be possible if I didn’t love what I’m doing. I love the opportunity social networking affords me to educate myself about healthcare, and especially to turn online relationships into real-life encounters.

So, as I mentioned, I have a favorite social network, and I believe one of the keys to successful social networking is using the platform that best aligns with your goals and desired audience – the social network that suits your tastes. Start with one that best suits you, your goals and the audience you’re trying to reach. Whether you’re just trying to educate yourself about a certain part of your industry, looking to connect with peers and other thought leaders, or perhaps even looking for new opportunities, make sure the social network lines up with your objectives. Start small, be consistent in your approach and in the folks you correspond with.  You’ll notice your personal brand evolving, almost organically.

November 6, 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.

Highlights From Dr. David J. Brailer at 2012 NYeC Digital Health Conference

While not everyone can make it to the NYeC 2012 Digital Health Conference, John is making sure everyone can enjoy parts of the conference from home. Dr. David J. Brailer, former National Coordinator for Health Information Technology and current Chairman of Health Evolution Partners, is a keynote speaker at this week’s conference, and spoke today on HIT.

Throughout the presentation, John live tweeted some highlights, as well as his own thoughts. Here are some of his tweets — if you want to see more, be sure to follow @EHRandHIT on Twitter.

If you present at the conference, what were some favorite insights from Dr. Brailer?

October 15, 2012 I Written By

Katie Clark is originally from Colorado and currently lives in Utah with her husband and son. She writes primarily for Smart Phone Health Care, but contributes to several Health Care Scene blogs, including EMR Thoughts, EMR and EHR, and EMR and HIPAA. She enjoys learning about Health IT and mHealth, and finding ways to improve her own health along the way.

EHR Incentives, Smart Bed Technology, and Remotoscope — #HITsm Chat Highlights

This weeks #HITsm chat was hosted by John, which was exciting to observe. If you’ve been keeping up with the different sites from Health Care Scene, some of these topics might seem similar. Be sure to tune in every Friday at noon EST, and join the conversation with #HITsm.

Topic One: A few in congress called for a halt on EHR incentives. Is this politics or something more? Are their observations founded? 

Topic Two: Allscripts is the 2nd EHR vendor to discontinue their small practice EHR (MyWay), is this a trend and what’s the impact of it? 

 Topic Three: Is the hospital bed the ultimate medical device monitor? What other med device monitors do you see on the horizon? 

Topic Four: What do you think of the remotoscope which allows you to diagnose ear infections at home using your iPhone? 

October 13, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.