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What Kind of CIO Are You?

Posted on November 1, 2017 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.

Leave it up to David Chou to provide the perfect visual for the path that many healthcare CIOs find themselves on and what they need to do to get on the right path.

The problem that’s described in this graphic is real. I’ve met many healthcare CIOs that just want to “keep the lights on.” Their goal is to just provide the tech and let other people figure out the business. The problem with this thinking is that you’re just making yourself a commodity that’s easily replaceable since you’re not adding to the bottom line of the business.

What’s not illustrated in this graphic is how hard it is to get off the treadmill of putting out fires and starting to think strategically about where you need to take your organization. Those fires feel so pressing that it’s easy to fill all your time with things that don’t strategically help your organization in the long run.

The good news is that the solution is simple. Start allocating more time thinking strategically about what your IT organization is doing to improve your organization by increasing revenue, lowering costs, improving efficiency, and higher quality care. Yes, you still have to balance this with still maintaining the infrastructure. However, I see more and more CIOs delegating the infrastructure challenges so they can spend the time needed to make sure that IT is a strategic part of their organization and not just a commodity service.

The Sexiest Data in Health IT: Datapalooza 2017

Posted on May 15, 2017 I Written By

Healthcare as a Human Right. Physician Suicide Loss Survivor.
Janae writes about Artificial Intelligence, Virtual Reality, Data Analytics, Engagement and Investing in Healthcare.
twitter: @coherencemed

The data at this conference was the Best Data. The Biggest Data. No one has better data than this conference.

The sexiest data in all of healthIT was highlighted in Washington DC at Datapalooza April 27-28, 2017.  One of the main themes was how to deal with social determinants of health and the value of that data.  Sachin H. Jain, MD of Caremore Health reminded us that “If a patient doesn’t have food at home waiting for them they won’t get better” social data needs to be in the equation. Some of the chatter on the subject of healthcare reform has been criticism that providing mandatory coverage hasn’t always been paired with knowledge of the area. If a patient qualifies for Medicaid and has a lower paying job how can they afford to miss work and get care for their health issues?
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Rural areas also have access issues. Patient “Charles” works full time during the week and qualifies for Medicaid. He can’t afford to miss a lot of work but needs a half a day to get treatments which affect his ability to work. There is no public transportation in his town to the hospital in a city an hour and a half away. Charles can’t afford the gas or unpaid time off work for his treatment.

Urban patient “Haley” returns to her local ER department more than once a week with Asthma attacks.  Her treatments are failing because she lives in an apartment with mold in the walls. As Craig Kartchner from the Intermountain Healthcare team responded to the #datapalooza  hashtag online- These can be the most difficult things to change.

The 2016 report to Congress addresses the difficulty of the intersection between social factors and providing quality healthcare in terms of Social Determinants of Health:

“If beneficiaries with social risk factors have worse health outcomes because the providers they see provide low quality care, value based purchasing could be a powerful tool to drive improvements in care and reduce health disparities. However, if beneficiaries with social risk factors have worse health outcomes because of elements beyond the quality of care provided, such as the social risk factors themselves, value based payment models could do just the opposite. If providers have limited ability to influence health outcomes for beneficiaries with social risk factors, they may become reluctant to care for beneficiaries with social risk factors, out of fear of incurring penalties due to factors they have limited ability to influence.”

Innovaccer just launched a free tool to help care teams track and monitor Medicare advantage plans. I went to their website and looked at my county and found data about the strengths in Salt Lake where I’m located. They included:

  • Low prevalence of smoking
  • Low Unemployed Percentage
  • Low prevalence of physically inactive adults

Challenges for my area?

  • Low graduation rate
  • High average of daily Air pollution
  • High income inequality
  • High Violent crime rate per 100,000 population

Salt Lake actually has some really bad inversion problems during the winter months and some days the particulate matter in the air creates problems for respiratory problems. During the 2016-2017 winter there were 18 days of red air quality and 28 days of yellow air quality. A smart solution for addressing social determinants of health that negatively impact patients in this area could be addressing decreasing air pollution through increased public transportation. Healthcare systems will see an increase in cost of care during those times and long term population health challenges can emerge. You can look at your county after you enter your email address on their site. This kind of social data visualization can give high level insights into the social factors your population faces.

One of the themes of HealthDataPalooza was how to use system change to navigate the intersection between taking care of patients and not finding way to exclude groups. During his panel discussion of predictive analytics, Craig Monson the medical director for analytics and reporting discussed how “data analytics is the shiny new toy of healthcare.”    In addition to winning the unofficial datapalooza award for the most quotes and one liners – Craig presented the Clinical Risk Prediction Initiative (CRISPI).  This is a multi variable logistic regression model with data from the Atrius health data warehouse. His questions for systems to remember in their data analysis selection are “Who is the population you are serving? What is the outcome you need? What is the intervention you should implement?”

Warning- Craig reminds us that in a world of increasing sexy artificial intelligence coding a lot of the value analysis can be done with regression. Based on that statement alone I think he can be trusted. I still need to see his data.

CRISPI analyzed the relative utility of certain types of data, and didn’t have a large jump in utility when adding Social Determinant Data. This data was one of the most popular data sets during Datapalooza discussions but the reality of making actionable insights into system improvement? Craig’s analysis said it was lacking. Does this mean social determinant data isn’t significant or that it needs to be handled with a combination of traditional modeling and other methods?  Craig’s assertion seemed to fly in the face of the hot new trend of Social Determinants of Health data from the surface.

Do we have too much data or the wrong use of the data? Most of the companies investing into this space used data sources outside the traditional definition to help create solutions with social determinate of health and Patient outcomes. They differed in how they analyzed social determinant data. Traditional data sources for the social determinants of health are well defined within the public health research.  The conditions in which you work and live impact your health.

Datapalooza had some of the greatest minds in data analytics and speakers addressed gaps in data usefulness. Knowing that a certain large county wide population has a problem with air quality might not be enough to improve patient outcomes. There is need for analysis of traditional data sources in this realm and how they can get meaningful impact for patients and communities. Healthcare innovators need to look at different data sources.  Nick Dawson, Executive director of Johns-Hopkins Sibley Innovation Hub responded to the conversation about food at home with the data about Washington DC.  “DC like many cities has open public data on food scarcity. But it’s not part of a clinical record. The two datasets never touch.” Data about food scarcity can help hospital systems collaborate with SNAP and Government as well as local food programs. Dawson leads an innovation lab at Johns Hopkins Sibley where managers, directors, VPs and C Suite leaders are responsible for working with 4 innovation projects each year.

Audun Utengen, the Co Founder of Symplur said “There’s so much gold in the social media data if you choose to see it.” Social data available online helps providers meet patients where they are and collect valuable data.  Social media data is another source to collect data about patient preferences and interactions for reaching healthcare populations providers are trying to serve. With so much data available sorting through relevant and helpful data provides a new challenge for healthcare systems and providers.

New Data sources can be paired with a consultative model for improving the intersection of accountable care and lack of access due to social factors. We have more sophisticated analytic tools than ever for providing high value care in the intersection between provider responsibility and social collaboration. This proactive collaboration needs to occur on local and national levels.  “It’s the social determinants of health and the behavioral aspects that we need to fund and will change healthcare” we were reminded. Finding local community programs that have success and helping develop a strategy for approaching Social Determinants of Health is on the mind of healthIT professionals.

A number of companies examine data from sources such as social media and internet usage or behavioral data to design improvements for social determinants of health outcomes.   They seek to bridge the gaps mentioned by Dawson. Data sets exist that could help build programs for social determinants of health.  Mandi Bishop started Lifely Insights centered around building custom community plans with behavioral insights into social determinant data. Health in all Policies is a government initiative supporting increased structure and guidelines in these areas. They support local and State initiatives with a focus on prevention.

I’m looking forward to seeing how the data landscape evolves this year. Government Challenges such as the Healthy Behavior Data Challenge launched at Datapalooza will help fund great improvements. All the data people will get together and determine meaningful data sets for building programs addressing the social determinants of health. They will have visualization tools with Tableau. They will find ways to get food to patients at home so those patients will get better. Programs will find a way to get care to rural patients with financial difficulty and build safe housing.

From a healthcare delivery perspective the idea of collaborating about data models can help improve community health and decrease provider and payer cost. The social determinants of health can cost healthcare organizations more money than data modeling and proactive community collaboration.

Great regressions, saving money and improving outcomes?

That is Datapalooza.

First Time HIMSS: Parker Redding, Banyan Social

Posted on March 10, 2017 I Written By

Healthcare as a Human Right. Physician Suicide Loss Survivor.
Janae writes about Artificial Intelligence, Virtual Reality, Data Analytics, Engagement and Investing in Healthcare.
twitter: @coherencemed

One of the main themes of HIMSS was using digital tools to manage your patient engagement and social engagement online. Banyan Social was there for their first conference introducing their digital solution for storing patient permissions to post reviews or photos online. I spoke with Parker Redding from Banyan Social. They were a first time Exhibitor at HIMSS and I wanted to hear what their impressions were from the conference.  Banyan Social is a platform with marketing tools for providers including digital storage of HIPAA forms and integration with Google reviews. From their website:  “Extend your reach and grow your practice with real-time reviews, HIPAA-compliant social media posts and automated practice listings.”

What was your first health IT conference like?

“Honestly, I thought it was pretty cool. It was almost overwhelming how many people were there. It was the biggest event I’ve ever been to. It was cool to see how many people are in the Health IT space. We were constantly busy at our booth and with how many people came to our booth we didn’t really have the opportunity to explore in depth. We are unique in the Health IT space and aren’t always the perfect fit for these database guys and those kinds of people but they were always willing to refer us to the right people and who to talk to.

One thing that I liked about this event is that even if they don’t think it’s a good fit everyone is willing to be open and have a conversation. Everyone there is trying to learn more and share knowledge it’s not just “I’m trying to get my CE credits and leave.”  It’s about learning something new – about gaining knowledge.

A lot of the people who were first time exhibitors that we talked to told us how it was crazy how big it was and how many people were there. The conference was really diverse in terms of experts from different countries.  It was cool to see the big EMR or the IBM booth and to see how much effort they put into their space.

What were your goals?

Our main goal was to create partnerships with other companies in the healthcare industry and to learn more about the healthcare IT industry and how our business fits in with this. We wanted to share our HIPAA approved social media app and how doctors/clinics can use social media and reviews to engage patients.

What was your favorite part of HIMSS?

Honestly, speaking with a pediatrician that owns multiple practices the last day and learning about why he’s been in the medical industry.  Learning about how much he cared about his patients and how he knew he could make more money in another industry. It’s amazing to see how passionate people are about healthcare and being positive. He gives up money because he’s passionate about helping with children.

What did you learn about Health IT?

Bunch of nerds.  Just kidding.  I love the nerds and the developers those are my people.

What do you wish you could do differently?

I would bring more people to have at our booth. We had a consistent flow of people stopping to talk with us that we didn’t get to spend the time we wanted to connect with other companies and learn more about the IT healthcare world. You can’t complain about having a busy booth.  I would take an Uber to the conference. Trying to find a parking spot and walking a mile to get to your booth was difficult.

First Time HIMSS: Hospital CEO John Kurvink

Posted on March 7, 2017 I Written By

Healthcare as a Human Right. Physician Suicide Loss Survivor.
Janae writes about Artificial Intelligence, Virtual Reality, Data Analytics, Engagement and Investing in Healthcare.
twitter: @coherencemed

I met John Kurvink from Georgian Bay General Hospital at the Salesforce party at HIMSS this year. We discussed the relative value of a VIP pass vs a regular guest pass. As a hospital CEO, John was wearing a shiny VIP necklace complete with sparkling flashing lights. We found the flashing light wands together and discussed how HIMSS was going for them.

John has the ability to motivate staff and managers to develop their potential and participated in the Intermountain Healthcare video series on healthcare in November 2016.  It was immediately clear that he was there with his team, to maximize the HIMSS experience. I wanted to hear more about the decision making process and differentiating between sales pitches on the exhibitor floor and value for Hopital CFO and CEOs. I asked if I could walk the exhibit floor a bit with their team.  After the show John shared his insights about his first visit to HIMSS.

What was your first health IT conference like?

It was a good experience.  Overwhelming at first.  It took a day to get my conference legs under me.

What were your goals?

See some of the latest health IT projects.  Connect with some of the vendors we do business with.

What was your favorite part of HIMSS?

Networking with other attendees and vendors.  I met some very interesting smart people

What did you learn about Health IT?

There are so many vendors who all appear to be offering the same solutions.  Differentiating between them is a challenge.

What did you learn?

I learned that as a hospital we have lots of options as far as technology solutions.  Need to be very careful before making a commitment.

What was your least favorite part of HIMSS?

Not having a plan which meant I wasted a lot of time walking back and forth arriving late for sessions.

What do people need to know about Health IT from HIMSS?

You need to be sure to have a plan before you arrive.  Know what you want to learn about and focus on executing instead of being caught up with the “new shiny object”.

Many vendors have similar offerings or business solutions and making buying decisions for a hospital or healthcare group can be overwhelming. Brenda and Elizabeth from the Georgian Bay were intelligent and hilarious. Georgian Bay had proposals from patient security partners and other vendors and walking the exhibit floor with John helped me see how vendors interact with Hospital CEOs. They are more aggressive and less technical in their product description. There are more invited dinners with sales pitches. His consideration for his team and ability to see past the “new shiny object” were impressive.

Here’s to many more years of learning with John and his team.

Selecting the Right AI Partner in Healthcare Requires a Human Network

Posted on March 1, 2017 I Written By

Healthcare as a Human Right. Physician Suicide Loss Survivor.
Janae writes about Artificial Intelligence, Virtual Reality, Data Analytics, Engagement and Investing in Healthcare.
twitter: @coherencemed

Artificial Intelligence, or AI for short, does not always equate to high intelligence and this can have a high cost for healthcare systems. Navigating the intersection of AI and healthcare requires more than clinical operations expertise; it requires advanced knowledge in business motivation, partnerships, legal considerations, and ethics.

Learning to Dance at HIMSS17

This year I had the pleasure of attending a meetup for people interested in and working with AI for healthcare at the Healthcare Information and Management Systems Society (HIMSS) annual meeting in Orlando, Florida. At the beginning of the meetup Wen Dombrowski, MD, asked everyone to stand up and participate in a partner led movement activity. Not your average trust fall, this was designed to teach about AI and machine leaning while pushing most of us out of our comfort zones and to spark participants to realize AI-related lessons. One partner led and the other partner followed their actions.

Dedicated computer scientists, business professionals, and proud data geeks tested their dancing skills. My partner quit when it was my turn to lead the movement. About half of the participants avoided eye contact and reluctantly shuffled their feet while they half nursed their coffee. But however awkward, half the participants felt the activity was a creative way to get us thinking about what it takes for machines to ‘learn’. Notably Daniel Rothman of MyMee had some great dance moves.

I found both the varying feedback and equally varying willingness to participate interesting. One of the participants said the activity was a “waste of time.” They must have come from the half of the room that didn’t follow mirroring instructions. I wonder if I could gather data about what code languages were the specialty of those most resistant. Were the Python coders bad at dancing? I hope not. My professional training is actually as a licensed foreign language teacher so I immediately corroborated the instructional design effectiveness of starting with a movement activity.

There is evidence that participating in physical activity preceding learning makes learners more receptive and allows them to retain the experience longer. “Physical activity breaks throughout the day can improve both student behavior and learning (Trost 2007)” (Reilly, Buskist, and Gross, 2012). I assumed that knowledge of movement and learning capacity was common knowledge. Many of the instructional design comments Dr. Dombrowski received while helpful, revealed participants’ lack of knowledge about teaching and cognitive learning theory.

I could have used some help at the onset in choosing a dance partner that would have matched and anticipated my every move. The same goes for healthcare organizations and their AI solutions.  While they may be a highly respected institution employing some of the most brilliant medical minds, they need to also become or find a skilled matchmaker to bring the right AI partner (our mix of partners) to the dance floor.

AI’s Slow Rise from Publicity to Potential

Artificial Intelligence has experienced a difficult and flashy transition into the medical field. For example, AI computing has been used to establish consensus with imaging for radiologists. While these tools have helped reduce false positives for breast cancer patients, errors remain and not every company entering AI has equal computing abilities. The battle cry that suggested physicians be replaced with robots seems to have slowed robots. While AI is gaining steam, the potential is still catching up with the publicity.

Even if an AI company has stellar computing ability, buyers should question if they also have the same design for outcome. Are they dedicated to protecting your patients and providing better outcomes, or simply making as much profit as possible? Human FTE budgets have been replaced by computing AI costs, and in some instances at the expense of patient and data security.  When I was asking CIOs and smaller companies about their experiences, many were reluctant to criticize a company they had a non-disclosure agreement with.

Learning From the IBM Watson and MD Anderson Breakup

During HIMSS week, the announcement that the MD Anderson and IBM Watson dance party was put on hold was called a setback for AI in medicine by Forbes columnist Matthew Herper. In addition, a scathing report detailing the procurement process written by the University of Texas System Administration Audit System reads more like a contest for the highest consulting fees. This suggests to me that perhaps one of the biggest threats to patient data security when it comes to AI is a corporation’s need to profit from the data.

Moving on, reports of the MD Anderson breakup also mention mismanagement including failing to integrate data from the hospital’s Epic migration. Epic is interoperable with Watson but in this case integration of new data was included in Price Waterhouse Cooper’s scope of work. If poor implementation stopped the project, should a technology partner be punished? Here is an excerpt from the IBM statement on the failed partnership:

 “The recent report regarding this relationship, published by the University of Texas System Administration (“Special Review of Procurement Procedures Related to the M.D. Anderson Cancer Center Oncology Expert Advisor Project”), assessed procurement practices. The report did not assess the value or functionality of the OEA system. As stated in the report’s executive summary, “results stated herein are based on documented procurement activities and recollections by staff, and should not be interpreted as an opinion on the scientific basis or functional capabilities of the system in its current state.”

With non-disclosure agreements and ongoing lawsuits in place, it’s unclear whether this recent example will and should impact future decisions about AI healthcare partners. With multiple companies and interests represented no one wants to be the fall guy when a project fails or has ethical breaches of trust. The consulting firm of Price Waterhouse Coopers owned many of the portions of the project that failed as well as many of the questionable procurement portions.

I spoke with Christine Douglas part of IBM Watson’s communications team and her comments about the early adoption of AI were interesting. She said “you have to train the system. There’s a very big difference between the Watson that’s available commercially today and what was available with MD Anderson in 2012.”  Of course that goes for any machine learning solution large or small as the longer the models have to ‘learn’ the better or more accurate the outcome should be.

Large project success and potential project failure have shown that not all AI is created equally, and not every business aspect of a partnership is dedicated to publicly shared goals. I’ve seen similar proposals from big data computing companies inviting research centers to pay for use of AI computing that also allowed the computing partner to lease the patient data used to other parties for things like clinical trials. How’s that for patient privacy! For the same cost, that research center could put an entire team of developers through graduate school at Stanford or MIT. By the way, I’m completely available for that team! I would love to study coding more than I do now.

Finding a Trusted Partner

So what can healthcare organizations and AI partners learn from this experience? They should ask themselves what their data is being used for. Look at the complaint in the MD Anderson report stating that procurement was questionable. While competitive bidding or outside consulting can help, in this case it appears that it crippled the project. The layers of business fees and how they were paid kept the project from moving forward.

Profiting from patient data is the part of AI no one seems willing to discuss. Maybe an AI system is being used to determine how high fees need to be to obtain board approval for hospital networks.

Healthcare organizations need to ask the tough questions before selecting any AI solution. Building a human network of trusted experts with no financial stake and speaking to competitors about AI proposals as well as personal learning is important for CMIOs, CIOs and healthcare security professionals. Competitive analysis of industry partners and coding classes has become a necessary part of healthcare professionals. Trust is imperative and will have a direct impact on patient outcomes and healthcare organization costs. Meetups like the networking event at HIMSS allow professionals to expand their community and add more data points, gathered through real human interaction, to their evaluation of and AI solutions for healthcare. Nardo Manaloto discussed the meetup and how the group could move forward on Linkedin you can join the conversation.

Not everyone in artificial intelligence and healthcare is able to evaluate the relative intelligence and effectiveness of machine learning. If your organization is struggling, find someone who can help, but be cognizant of the value of the consulting fees they’ll charge along the way.

Back to the dancing. Artificial does not equal high intelligence. Not everyone involved in our movement activity realized it was actually increasing our cognitive ability. Even those who quit, like my partner did, may have learned to dance just a little bit better.

 

Resources

California Department of Education. 2002. Physical fitness testing and SAT9 Retrieved May 20, 2003, from www.cde.ca.gov/statetests/pe/pe.html

Carter, A. 1998. Mapping the mind, Berkeley: University of California Press.

Czerner, T. B. 2001. What makes you tick: The brain in plain English, New York: John Wiley.

Dennison, P. E. and Dennison, G. E. 1998. Brain gym, Ventura, CA: Edu-Kinesthetics.

Dienstbier, R. 1989. Periodic adrenalin arousal boosts health, coping. New Sense Bulletin, : 14.9A

Dwyer, T., Sallis, J. F., Blizzard, L., Lazarus, R. and Dean, K. 2001. Relation of academic performance to physical activity and fitness in children. Pediatric Exercise Science, 13: 225–237. [CrossRef], [Web of Science ®]

Gavin, J. 1992. The exercise habit, Champaign, IL: Human Kinetics.

Hannaford, C. 1995. Smart moves: Why learning is not all in your head, Arlington, VA: Great Ocean.

Howard, P. J. 2000. The owner’s manual for the brain, Austin, TX: Bard.

Jarvik, E. 1998. Young and sleepless. Deseret News, July 27: C1

Jensen, E. 1998. Teaching with the brain in mind, Alexandria, VA: Association for Supervision and Curriculum Development.

Jensen, E. 2000a. Brain-based learning, San Diego: The Brain Store.

Reilly, E., Buskist, C., & Gross, M. K. (2012). Movement in the Classroom: Boosting Brain Power, Fighting Obesity. Kappa Delta Pi Record, 48(2), 62-66. doi:10.1080/00228958.2012.680365.

A Missing and Ignored Patient Narrative

Posted on February 24, 2017 I Written By

Healthcare as a Human Right. Physician Suicide Loss Survivor.
Janae writes about Artificial Intelligence, Virtual Reality, Data Analytics, Engagement and Investing in Healthcare.
twitter: @coherencemed

Sometimes I feel like the discussion of the patient narrative and open notes make me want to scream.  Step away from the new Health trend and back to improving access for every patient. Patient Experience and specifically Patient Narrative has been a theme of the HIMSS healthcare conference this year, from patient data and records to open notes and patient advocates. I have to admit- I love watching what people have done and what companies think of.

It reminds me of my German class on the Literature of the Holocaust. Our professor stood up and introduced the Holocaust as unique because the German Jews could read and write, so they had records. Without records, the voices of countless have been lost. Their voices died with them. Patient Narrative is similar. It’s teaching us so much about better workflow and records and getting better outcomes. Max Stroud gave a great presentation about her sister’s experience with lung cancer and managing patient records. They both admitted that it was difficult for them despite being well educated and knowledgeable about healthcare.

At HIMSS everyone looks at shiny new products with novelty pens and some alternate universe where it makes sense that we all need another plug in to our electronic medical record to really “make a difference” for patient health.

Right before HIMSS some of my late husband’s medical school classmates came to visit me and go to ongoing education in Park City. I asked them what they thought about patient involvement and one of them discussed the reality of emergency room care in impoverished areas.  They discussed losing faith in patients and how to deal with trauma patients. I remember the jokes about drug seekers. I told them about being at dinner in suburban Utah when an acquaintance casually mentioned we should do Molly on our way to yoga. The doctors I told laughed it off and said Molly really wasn’t that serious. Those narratives aren’t on our health records and the healthcare system is hemorrhaging cost with its lack of ability to treat them. Patients in some rural areas have access to care issues that telehealth doesn’t always bridge the gap for.

Is patient narrative just the next buzzword so we can distract ourselves from poverty and violence and human trafficking and corporate identity theft? Are we just talking louder to drown out the patients that healthcare is failing? Not every company or hospital group can afford to go to HIMSS. Participants have relatively good access to care and a lifestyle of relative privilege. Exhibitors are selling something and it certainly isn’t about the unglamorous parts of medicine.  The undocumented patient narrative will never climb the walls of privilege in a system with an entire industry of payor complexity and government regulation.  There were so many companies and even in telemedicine in rural areas and patient narrative presentations I didn’t see the patient stories like the ones I heard from my friends.

We are distracting ourselves from the complete lack of availability of care for economically disadvantaged patients by geeking out over the shiny data with our fellow zealots.  We can learn new things and find interesting new companies and many places are getting better, but we need a new record and involvement from a group that could never come to HIMSS. A narrative for the illiterate, uninformed, impoverished forgotten stories.

 

#HIMSS17 Mix Tape

Posted on January 24, 2017 I Written By

Colin Hung is the co-founder of the #hcldr (healthcare leadership) tweetchat one of the most popular and active healthcare social media communities on Twitter. Colin speaks, tweets and blogs regularly about healthcare, technology, marketing and leadership. He is currently an independent marketing consultant working with leading healthIT companies. Colin is a member of #TheWalkingGallery. His Twitter handle is: @Colin_Hung.


On February 19th 2017, the annual HIMSS conference (#HIMSS17) will be held in Orlando FL. It will once again be the largest gathering of Healthcare IT folks in North America with over 45,000 people expected.

Every year I look forward to HIMSS. It is the best place to see what is happening in the industry, hear the challenges that lay ahead and see what the smart minds in #healthIT are investing in. Although the sessions, keynotes and exhibit hall are all amazing, the best part of the conference is meeting people face to face – especially at the meetups and spontaneous get-togethers. I love catching up with friends that I haven’t seen in a year and meeting new ones for the first time.

For the past couple of years, I have used HIMSS as an opportunity to compile a soundtrack for healthcare – a Mix Tape that can be enjoyed during the conference (see last year’s Mix Tape here). This annual HIMSS Mix Tape is a fun way to reflect on where we have been and where we are going. As with prior years, I asked friends and colleagues on social media for the song they believe best represents healthcare. I also asked them to explain their selection.

Below are the songs chosen for the #HIMSS17 Mix Tape. What would your selection be? Let us know in the comments.

Enjoy.

You’ll be back – Hamilton. Chosen by Regina Holliday @ReginaHolliday.

Because that song could be the words of any doctor who wants his patient compliant and silent and any government that denies care. Hence we must have revolution.

Shine – Camouflage. Chosen by Nick Van Terheyden @drnic1.

After many potential choices ranging from the deep and dark Wadruna by Helvegen through “America” by Young the Giant that celebrates the immigration to the uplifting dance song that captured what seemed to transpire for the year was “Don’t Stop the Madness” by DJ Hush and featuring Fatman Scoop (what an awesome name) I settled on Shine. That captured the spirit of what I need this year: This is the world where we have to live / there’s so much that we have to give / so try to Shine Shine Shine within your mind / Shine from the Inside / if you Shine Shine Shine within your mind.

Can’t you hear me knockin – Rolling Stones. Chosen by Linda Sotsky @EMRAnswers.

In my own life, I started my Mothers  fight for data 17 years ago. As collective patients, caregivers and advocates we are STILL  knockin and screamin “give me my damned data” Can’t you hear us knockin?

Faith – George Michael. Chosen by Rasu Shrestha MD @RasuShrestha.

My HIMSS17 playlist is inspired by some of the best singers we said goodbye to in the last 12 months – an acknowledgement that, even as we continue to push the envelope in healthcare in so many ways, life is fragile, beautiful and melodious in every one of our ups and downs. Other finalists: When Doves Cry (Prince), Rebel Rebel (David Bowie) and The Heat is On (Glenn Frey)

We’re not Gonna Take It – Twisted Sister. Chosen by Mandi Bishop @MandiBPro.

The disenfranchised, the chronically or severely ill, the caregivers, and the underserved communities will rise up and be heard in the face of healthcare weaponization. We will not remain silent. We will not take it.

Sit Still Look Pretty – Daya. Chosen by Geeta Nayer MD @gnayyar

I chose this to represent the HIT chicks movement in health tech. Increasingly women are coming to the table and taking senior leadership roles in health tech which we so very much need as women remain the primary healthcare decision maker in the home with “doctor mom” being the go to for any and every illness first! Spouses rely on their wife to be the care takers when parents get older and when kids are sick and need to run to the pediatrician etc. Also, HIMSS for the first time is giving the women in tech awards which itself is a big statement.

Bring on the Rain – Jo Dee Messina and Tim McGraw. Chosen by John Lynn @techguy

We’ve got challenges all around us in healthcare, but I say “Tomorrow’s Another day, and I’m thirsty anyway, so Bring on the Rain.”  Things will get better in healthcare because so many amazing people work in healthcare and battle through the rain.

Cautionary Tale – Dylan LeBlanc. Chosen by Steve Sisko @ShimCode

A cautionary tale is a story with a moral message warning of the consequences of certain actions, inactions, or character flaws. Healthcare players – CMS, other government agencies, large vendor companies, special interest groups and others – seem to be stuck in a continual cycle of Dictate, Demand, Deviate and Destroy. Half-baked programs, ‘standards,’ reimbursement schemes, “quality measures,” and other mandates are dictated to providers, health plans and others on the receiving end.  Then revisions, waivers and deviations are made over the course of a year or two before they’re eventually destroyed. When will we learn from these cautionary tales? Don’t offer up help that you know that I won’t be needin’ / Cause I do it to myself, like I never get tired of bleedin’

You Can’t Always Get What You Want – Rolling Stones. Chosen by Don Lee @dflee30

Too often in healthcare we only want to look at solutions that solve for 100% of the possibilities, have proven ROI and that are already being used by our peers. That severely limits the possibilities for improvement. There’s no such thing as a sure thing. So, for 2017 I hope we can break this cycle and focus on incremental improvements. Take some shots. Be willing to fail. Think: “what can I do today that won’t require a huge budget and 1000 meetings, but might make something 5, 10 or 20% better?”.5% better today is better than “we might possibly be able to be 100% better 36-48 months from now”. So, “you can’t always get what you want, but if you try, sometime you find, you get what you need”

Livin’ On The Edge – Aerosmith. Chosen by Matt Fisher @Matt_R_Fisher

The whole healthcare industry is balancing on a razor’s edge in many respects. What will happen with the ACA, can EMRs meet their promise and what will value based cared do? All of these unanswered questions mean that these lyrics hold true: Tell me what you think about our situation / Complication, aggravation / Is getting to you

One Step Away – Casting Crowns. Chosen by Jennifer Dennard @JennDennard

While it’s a praise song at its core, its title makes me think of how close the healthcare industry is to interoperability. And yet there are still a few “small” hurdles we need to overcome. (Plus, my daughter is singing this song in her school talent show, so I have developed quite a soft spot for it!)

Record Year – Eric Church. Chosen by Joe Lavelle @Resultant

In hope that all my #HealthIT / #PatientAdvocate / #SoMe / #ThoughtLeader colleagues ignore and overcome the nonsense of the current political climate to keep making HUGE progress on the most important healthcare initiatives like Telemedicine, Interoperability, a National Patient ID,  Care Coordination, alternate payment models like Direct Primary Care, and more.  Let’s all have a Record Year in 2017!

Fight Song – Rachel Platten. Chosen by Max Stroud @MMaxwellStroud

This goes out to all the people in HealthIT that are working diligently for their vision of the future of healthcare.   In a year of major political shifts and possible policy changes, it will be important to maintain focus on our passions and continuing to move toward innovation and improvement of HealthIT.   This goes out to patient advocates from #epatients to the walking gallery, To the folks living the #startupgrind because of thier passion for a better tomorrow, and to the #HealthITChicks working towards gender parity. Like a small boat / On the ocean / Sending big waves / Into motion / Like how a single word / Can make a heart open / I might only have one match / But I can make an explosion”

Crosseyed and Painless – Talking Heads. Chosen by David Harlow @healthblawg.

There was a line/ There was a formula. But we are now in a post-factual environment. Facts all come with points of view/ Facts don’t do what I want them to/ Facts just twist the truth around. We need to focus on achievable goals, on implementing solutions that make sense independent of regulatory engines that have driven so much of health IT over the past eight years.

What Do You Mean – Justin Bieber. Chosen by Lygeia Ricciardi @Lygeia

There’s a lot of talk in health IT that you can’t take it at face value. For example, everyone says they support interoperability, and yet… we’re not there yet. Also, there’s a lot of talk about patient engagement, but is it really about involving patients in their care… or just getting them to better “comply”? Finally, is Trump really going to get rid of Obamacare, or just rebrand it? What *do* you mean?

Addicted to Love – Raymond Penfield. Chosen by Charles Webster MD @wareFLO

Raymond Penfield was 94 when he recorded Addicted to Love and became an Youtube sensation. He made it to 98. Here is his obituary. BTW he was a graduate from the University of Illinois as was I! I hope I have as much energy and spirit and health into my 90s!

Video Killed the Radio Star – Buggles. Chosen by Joe Babaian @JoeBabaian

Why? Because times are changing and status quo is being cast aside.

Truckin’ – Grateful Dead. Chosen by Brian Ahier @ahier

Because this ♫♪♪♪♫♪? ♫♪ What a long strange trip it’s been ♫♪♪♪♫♪?

Under Pressure – David Bowie and Queen. Chosen by Colin Hung @Colin_Hung

Healthcare in the US and around the world has never been under more pressure than it has now. Patients are expecting more (as they should!), governments are trying to regulate everything from drug prices to reimbursements, employers are looking to curb healthcare costs and there is tremendous pressure on the healthIT industry to work together. To me, this song is the perfect collaboration – an example of what happens when two amazing artists come together. We need more of this type of collaboration in healthcare. Plus there is one verse that is very applicable to 2017: And love dares you to care for / The people on the (People on streets) edge of the night / And loves (People on streets) dares you to change our way of / Caring about ourselves

For a full #HIMSS17 Mix Tape Playlist on Spotify, click here or play the embedded player below.

Fall Health IT Conference Schedule

Posted on September 29, 2016 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.

As usual, Healthcare Scene has a really full fall schedule of Healthcare IT Conferences (We’re doing local healthcare marketing meetups at most of them too). The sad thing is that there’s pretty much a conference every week which we’d like to attend and we have to say no to so many. That said, we’re extremely excited by all the events we’ll be attending this Fall. We can’t wait to mix and mingle with some of the smartest people in healthcare IT.

I’m particularly excited by the return of the Digital Health Conference in New York City December 2016. We’ve been working with NYeC, who organizes the conference, since the very beginning to help promote the event. It’s a great event that always brings out the New York healthcare community and others from around the country to talk about digital health and where it’s headed. They always have great keynote speakers and amazing innovations on stage. For example, I saw my first ever live streamed surgery on Google Glass at this conference.

This year they have keynotes from Robert Watcher, MD which many will know for his book “The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine’s Computer Age” and Steven Johnson who wrote “How We Got to Now” and “Where Good Ideas Come From.” I think both speakers will provide some interesting insights into healthcare. I’m particularly excited to hear Steven Johnson talk about innovations and where they come from. We can use more of that in healthcare. It will be interesting to think about how healthcare is suppressing those good ideas.

There’s a lot more that gets me excited about the event. They have a session focused on SHIN-NY (The Statewide Health Information Network for New York). You might remember my previous post about the SHIN-NY getting funded as a kind of “public utility” funding model. I’m interested in learning how that’s progressed. I also noticed sessions on 3D printing and the Cancer Moonshot which should be interesting. You can check out the full conference program here.

Since Healthcare Scene is a partner with the conference, we’ve gotten them to offer our readers a 15% discount to attend the Digital Health Conference. All you need to do is use the promo code HCS to get a 15% discount off your registration. The early bird pricing for the event ends October 14, 2016, so be sure to take advantage of the lower price now.

We hope to see a lot of readers at the NYC event or at one of the other EHR and Health IT conferences we’ll be attending. There are few things we enjoy more than meeting readers in person. So, don’t be shy. Let us know if you’ll be there so we can say hi in person.

Physician Data Paradox

Posted on June 29, 2016 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.

“[Doctors] are overloaded on data entry and yet rampantly under-informed.”
-Andy Slavitt at Health Datapalooza

This quote from Andy Slavitt at Health Datapalooza has really stuck with me. He calls it the physician data paradox. It’s an ugly paradox and is at the heart of so many doctors discontent with EHR software. Andy Slavitt is spot on with his analysis. Doctors spend hours entering all of this data and get very little return value from that data or the volume of health data that is being captured.

My friend Dr. Michael Koriwchak has made an interesting request. In a recent blab interview he was on he said that CMS should only require the collection of data they’re actually going to use.

My guess is that the majority of meaningful use data would not need to be collected if Dr. Koriwchak’s rule was in place. CMS hasn’t really even collected the data from doctors, so they’re certainly not using it. Some of the principles of meaningful use would still exist like interoperability and ePrescribing, but we wouldn’t be turning our doctors into data entry clerks of data that’s not being used.

Think about the reality of meaningful use data collection: CMS doesn’t use the data. Clinicians don’t use the data.

We’ve basically asked doctors and other medical staff to spend millions of hours collecting a bunch of data that’s not being used. Does that make sense to anyone? You could make the argument that the data collection is creating a platform for the future. There’s some value in this thinking, but that’s pretty speculative spending. Why not do this type of speculative data collection with small groups who get paid for their efforts and then as they discover new healthcare opportunities? We can expand the data collection requirement to all of healthcare once doctors can do something meaningful with the data they’re being required to collect.

In fact, what if we paid docs for telling CMS or their EHR vendor how EHR data could be used to benefit patients? I’d see this similar to how IT companies pay people who submit bug reports. Not using health data the right way is kind of like reporting a bug in the health system. Currently, there’s no financial incentive for users to share their best practices and discoveries. Sure, some of them do it at user conferences or other conferences, but imagine how much more interested they’d be in finding and sharing health data discoveries if they were paid for it.

If we finally want to start putting all this health data to work, we’re going to have to solve the physician data paradox. Leveraging the power of the crowd could be a great way to improve the 2nd part of the paradox.

The Best Healthcare Conferences Coming Up in 2016

Posted on June 2, 2016 I Written By

The following is a guest blog post by Brooke Chaplan.

Healthcare facilities the world over have to constantly maintain competent and knowledgeable staff and need to be aware of recent health care advances, discoveries, and much more. Attending a health care conference allows you an educational experience that could be vital to your career. Listed below are multiple health care conferences that will be upcoming in the year of 2016 and are some of the best to attend (See also Healthcare Scene’s list of conferences).

Medical Informatics World Conference
Location: Boston at Seaport World Trade Center
Date: Register in 2016, but the conference is April 4-5th of 2017
The Medical Informatics World Conference focuses mainly on patient engagement and satisfaction. Another topic spoke during this conference is predictive analytics. Leading researchers, scientists, and technology experts will be speaking at this conference. This specific event is geared towards hospital/health care, government, and academic employees.

Quality Grampian Conference
Location: Suttie Centre at the University of Aberdeen in Scotland. For the
(Americans reading this, traveling may be far, but you deserve a vacation, and though the 2016 date has passed, there are similar events already scheduled for January 2017 for robotic surgery and more!)
Date: May 23rd, 2016 at 8:45 a.m. until 4:30 p.m.
The Quality Grampian Conference focuses on quality and safety in the health care field. Quality Grampian’s fifth annual conference is geared specifically towards health care students and professionals. Quality Grampian is presented by the University of Aberdeen, NHS Grampian, and Robert Gordon University. There is absolutely no charge to attend this health care conference, except maybe some travel costs.

The Digital Health Summit Conferences
Location: Moscone Center, San Fransicso, CA
Date: June 6-7 2016
(This date may be coming up, but look for the Las Vegas Conference hosted in January 2017.)
The digital world is already changing so much about healthcare and jobs in the industry and this conference hopes to show new business owners and entrepreneurs the new world of digital, high-tech health. Full of insightful keynote speakers, panel engagements, workshop sessions and product launches this educational conference goes over the trends and needed technology for making a new venture or clinic successful.

The Future of Medicine – Technology and the Role of the Doctor in 2025
Location: Variable
Date: May 19th, 2016
This conference discussion focused on medicine and its evolving discoveries within the next 10 years. The event was aimed to educate health care professionals and employees and presentations were shown by leading health care experts and doctors. Your clinical staff who may only have bachelor degrees will benefit since it will be going into a lot of new technologies as well. Though it already happened, you can find reviews on what was discussed.

Attending a health care conference is an excellent way to maintain knowledge about leading health care advances. Continuing and furthering education shows true dedication to your profession, which is greatly appreciated no matter what industry you are in.

About Brooke Chaplan
Brooke Chaplan is a freelance writer and blogger. She lives and works out of her home in Los Lunas, New Mexico. She loves the outdoors and spends most her time hiking, biking and gardening. For more information on improving health education or gaining a bachelor degree in health information management check out courses online at the University of Cincinnati. Brooke is available via Twitter @BrookeChaplan.