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Value Based Care: We Need a Better Health IT System to Measure It

Posted on April 16, 2018 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

At HIMSS this year in Las Vegas I looked at the nature of the EHR and if we have the current computing and data infrastructure to enable better value based care.  Our data capabilities are failing to allow providers to align reimbursement with great care delivery.

Under the premise of “what gets watched gets done”, we understand that improving care delivery will require us to align incentives with desired outcomes. The challenge is that, among the many ills plaguing our version of the truth mined from data found in electronic health records systems, reimbursement data presents the core issue for informatics departments across the country. To resolve this issue, we need documentation to reflect the care we are delivering, and we need care delivery to center around patient care. Health information management should be heavily involved in data capture. To truly improve care, we need better tools to measure it, and healthcare data is expanding to answer difficult questions about care delivery and cost.

Our first challenge is stemming the proliferation of extraneous documentation, and healthcare is still addressing this issue. What used to be written on a 3-by-5 index card (and sometimes via illegible doctor’s notes) is now a single point in a huge electronic record that is, surprisingly, not portable. Central to our issues around the cost of care, we have also seen that quantity is valued more than quality in care delivery.

Duplicated testing or unnecessary procedures are grimly accepted as standard practice within the business of medicine. Meaningless and siloed care delivery only helps this issue proliferate across the health of a population. To resolve these issues, our workflow and records need to capture the outcomes we are trying to obtain and must be customized for the incentives of every party.

Incentives for providers and hospital administrators should center around value: delivering the best outcomes, rather than doing more tests. Carefully mapping the processes of healthcare delivery and looking at the resource costs at the medical condition level, from the personnel costs of everyone involved to perform a medical procedure to the cost of the medical device itself, moves organizations closer to understanding total actual costs of care.  Maximizing value in healthcare–higher quality care at lower costs–involves a closer look and better understanding of costs at the medical condition level. Value and incentives alignment should provide the framework for health records infrastructure.

When you walk into Starbucks, your app will tell you what song is playing and offer options to get extra points based on what you usually order. Starbucks understands their value to the customer and the cost of their products to serve them. From the type of bean, to the seasonal paper cup, to the amount of time it takes to make the perfect pumpkin spice latte, Starbucks develops products with their audience in mind–and they know both how much this production costs and how much the user is willing to pay. The cost of each experience starts well before the purchase of the beverage. For Starbucks, they know their role is more than how many lattes they sell; it is to deliver a holistic experience; delight the customer each time.  

Healthcare has much to learn about careful cost analysis from the food and beverage retail industry, including how to use personalized medicine to deliver the best care. Value-Based Healthcare reporting will help the healthcare industry as a whole move beyond the catch-up game we currently play and be proactive in promoting health with a precise knowledge of individual needs and cost of care. The investment into quantifying healthcare delivery very precisely and defining personal treatment will have massive investments in the coming years and deliver better care at a lowered cost. Do current healthcare information systems and analytics have the capacity to record this type of cost analysis?

“Doctors want to deliver the best outcomes for their patients. They’re highly trained professionals. Value Based Healthcare allows you to implement a framework so every member of the care team operates at the top of his or her license.”

-Mahek Shah, MD of Harvard Business School.

These outcomes should be based on the population a given hospital serves, the group of people being treated, or at the medical condition level. Measures of good outcomes are dynamic and personalized to a population. One of the difficulties in healthcare is that while providers are working hard for the patient, healthcare systems are also working to make a profit.

It is possible to do well while doing good, but these two goals are seemingly in conflict within the billion dollar healthcare field. Providing as many services as possible in a fee-for-service-based system can obfuscate the goal of providing great healthcare. Many patients have seen multiple tests and unnecessary procedures that seem to be aligned with the incentive of getting more codes recorded for billing as opposed to better health outcomes for the patients.  

The work of Value Based Time Data Activity Based Costing can improve personalized delivery for delivery in underserved populations as well as for affluent populations. The World Health Organization (WHO) published the work of improving care delivery in Haiti. This picture of the care delivery team is population-specific. A young person after an accident will have different standards for what constitutes “right care right time right place” than a veteran with PTSD. Veterans might need different coverage than members of the general public, so value based care for a specific group of veterans might incorporate more mental health and behavioral health treatment than value based care serving the frail elderly, which could incorporate more palliative care and social (SDoH) care. Measuring costs with TDABC for that specific population would include not just the cost of specialists specific to each segment of the population, but of the entire team (social worker, nursing, nutritionist, psychologists) that is needed to deliver the right care, achieve the best outcomes, and meet the needs of the patient segment.

Healthcare systems are bombing providers and decision makers with information and trying to ferret out what that information really means. Where is it meaningful? Actionable? Process improvement teams for healthcare should look carefully at data with a solid strategy. This can start with cost analysis specific to given target populations. Frequently, the total cost of care delivery is not well understood, from the time spent at the clinic to prescribe a hip replacement to the time in the OR, to recovery time; capturing a better view includes accounting for every stage of care. Surgeons with better outcomes also have a lower total long-term cost of care, which impacts long-term expenses involved when viewing it through the lens of an entire care cycle. If you are a great surgeon–meaning your outcomes are better than others–you should get paid for it. The best care should be facilitated and compensated, rather than the greatest number of billing codes recorded. Capturing information about outcomes and care across multiple delivery areas means data must be more usable and more fluid than before.

Healthcare informatics systems should streamline the processes that are necessary to patient care and provider compensation. The beginning of this streamlined delivery involves capturing a picture of best care and mapping the cost of processes of care. The initial investment of TDABC in researching these care costs at the patient level can be a huge barrier for healthcare systems with small margins and limited resources. This alignment is an investment in your long-term viability and success.

Once you understand your underlying costs to deliver care, health systems will be better prepared to negotiate value-based payment contracts with payers and direct-to-employers. Pair your measurement of costs with your outcomes. Integrating care delivery with outcomes standards has improved in recent times through ICHOM. Medical systems need to incentivize health if healthy patients are a priority.  The analysis of specific costs to a system needs a better reporting system than a charge master or traditional EHR which is strongly designed toward recording fee for service work. We must align or incentives and our health IT with our desired outcomes in healthcare. The more billing codes I can create in an electronic health record, the more I am reimbursed. Reimbursement alignment should match desired outcomes and physicians operating at top of their license.

Under value-based care, health and well-being become a priority whereby often in the fee-for-service model, sickness can be the priority because you get paid by doing more interventions, which may not lead to the best outcomes. The careful measurement of care (i.e. TDABC) paired with standards of best care will improve care delivery and reduce the cost of that care delivery. Insights about improved models and standards of care for outcomes and healthcare delivery allow patients, providers, and administrators to align with the shared goal of healthier patient populations. I am looking forward to the data infrastructure to catch up with these goals of better care delivery and a great patient experience.


Self-Learning Analytics and Making Analytics Useful

Posted on April 2, 2018 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.

One of the shocks to me at HIMSS 2018 was that there wasn’t nearly as much discussion around healthcare analytics as I thought there would be. I thought for sure we’d see an explosion of proven analytics that healthcare organizations could start to take advantage of. Maybe I just missed it, but I certainly didn’t see anything all that new.

It’s too bad because that’s one of the huge opportunities I see for healthcare. I was looking through some old notes from conferences and saw a note where I wrote: “What you do with the data is the competitive differentiator, not the data.

Certainly, you need access to the data to be successful, but there are a lot of organizations out there which have access to health data and they’re not making any sort of dent. Many of the now defunct HIEs had access to the data, but they didn’t know what to do with all that data. I’m still on the search for more analytics which are useful.

One other idea I found in my notes was the concept of a self-learning analytic. Related to this was the discussion we had about black box analytics in a recent #HITsm Twitter chat. I don’t think they have to be the same, but I do think that the key to successful healthcare analytics is going to require some component of self-learning.

The concept is simple. The analytic should look at its past recommendations and then based on the results of past recommendations, the analytic should adjust future recommendations. Notice that I still call it recommendations which I think is still the right approach for most analytics. This approach to constantly learning and evolving analytics is why it’s so hard to regulate healthcare analytics. It’s hard to regulate moving targets and a self-learning analytic needs to be moving to be most effective.

This is possibly why we haven’t seen an explosion of healthcare analytics. It’s hard to get them right and to prove their effectiveness. Plus, they need to continually evolve and improve. That’s the opposite of what researchers want to hear.

This is why the future of healthcare analytics is going to require deep collaboration between healthcare analytics vendors and provider organizations. It’s not a black box that you can buy and implement. At least not yet.

What’s been your experience with healthcare analytics? Where are you seeing success? We’d love to hear your thoughts in the comments.

Comprehensive Health Record Vs. Connected Health Record

Posted on March 26, 2018 I Written By

Anne Zieger is veteran healthcare consultant and analyst with 20 years of industry experience. Zieger formerly served as editor-in-chief of and her commentaries have appeared in dozens of international business publications, including Forbes, Business Week and Information Week. She has also contributed content to hundreds of healthcare and health IT organizations, including several Fortune 500 companies. Contact her at @ziegerhealth on Twitter or visit her site at Zieger Healthcare.

The “comprehensive health record” model is quite in vogue these days. Epic, in particular, is championing this model, which supplants existing EHR verbiage and integrates social determinants of health. “Most health systems know they have to go beyond their walls,” Epic CEO Judy Faulkner told Healthcare IT News. A number of other EMR vendors have followed Epic’s lead.

To date, however, most clinicians have yet to embrace this model, perhaps because they’re out of patience with the requirements imposed by EHRs. What’s more, the broader healthcare industry hasn’t reached a consensus on the subject. For example, a team of experts from UCSF argues that healthcare needs a “connected health record,” a much different animal than vendors like Epic are proposing.

The authors see today’s EHR as an “electronic file cabinet” which is poorly equipped to handle health activities and use cases such as shared care planning, genomics and personalized medicine, population health and public health, remote monitoring and sensors.

They contend that to create an interoperable healthcare ecosystem, we will need to move far beyond point-to-point, EHR-to-EHR connections. Instead, they suggest adding connections with patients and family caregivers, non-clinical providers such as school clinics for youth and community health centers. (They do agree with Faulkner that incorporating data on social determinants of health is important.)

Their connected health record ties more professionals together and adapts to new models of care. It would foster connections between primary care physicians, multiple specialists, hospitals, clinics, pharmacies, laboratories, public health registries and new models of care such as ACOs. It would be adaptive rather than reactive.

For example, if the patient at home with cancer gets a fever, her temperature data would be transmitted to her primary care physician, her oncologist, her home care nurse and family caregiver. The care plan would evolve based on the recommendations of team members, and the revised vision would be accessible automatically to the entire care team. “A static, allegedly comprehensive health record misses the dynamics of an interactive, learning health system,” the authors say.

All that being said, this model still appears to be at the vision stage. Perhaps given its backing, the comprehensive health record seems to be getting far more attention. And arguably, attempting to integrate a good deal more data on patients into an EHR could be beneficial.

However, both models are largely untested, and both beg the question of whether building more content on an EHR skeleton can lead to transformation. On the other hand, while the concept of a connected health record is attractive, my sense is that the components needed to this happen have not matured yet.

Ultimately, it will be clinicians who decide which model actually works for them, not vendors or abstract thinkers. Let’s see which model makes the most sense to them.

Meet the #HIMSS18 Press – A Wrapup Discussion of the Conference

Posted on March 13, 2018 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.

This week most in the healthcare IT community are recovering from the massive healthcare IT conference we know as HIMSS. The conference brings together a wide variety of people from the healthcare IT community and everyone is guaranteed to miss something that they’d find interesting and valuable. With that in mind, we’re hosting this week’s #HITsm chat to talk about what we saw and heard at #HIMSS18. Be sure to join us and share your insights and perspectives since we all no doubt had unique experiences.

As I’d done once previously, on the last day of HIMSS I hopped on video with my friend and colleague, Neil Versel who now writes at Genome Web, to talk about what we saw at HIMSS 2018. While I’m attending my 9th HIMSS, this was Neil’s 17th. So, we have some experience and perspective to offer having attended HIMSS for a combined 26 years. Enjoy our wrap up discussion on the final day of HIMSS:

What was your experience at HIMSS18? If you didn’t attend, what would you have liked to see? Did you follow along on Twitter? What do you think of the trending topics we discussed. How will they impact your business? Let us know in the comments.

#HIMSS18 Exhibitors Shift Away from Glitz & Glamour in Vegas

Posted on March 9, 2018 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.

The crucible that is the #HIMSS18 exhibit hall is over. 1300+ vendors have taken down their booths and rushed off to catch flights home. In the quiet aftermath of the vendor exodus, I had the chance to reflect on the overall themes of this year’s exhibits.

AI was everywhere and nowhere

Going into #HIMSS18 I fully expected that artificial intelligence would be a dominant theme. It was…and then some. AI was splashed across banners and monitors as far as the eye could see. Michael Rothman PhD, Co-founder and Chief Science Officer at Pera Health summed it up best: “Artificial Intelligence was liberally sprinkled across the #HIMSS18 show floor. It was the pixie dust that blanketed everything.”

Yet after speaking with many vendors, it became apparent to me that the term was being used very broadly to include: machine learning, data mining and rules-based workflow. Worse, a few vendors I spoke to were unable to describe how the addition of AI made their products incrementally better than what they offered before. Will “AI” go the way of neural networks, hydrogen cars and 3D TV? Doubtful, but it is concerning how quickly the term has become a marketing buzzword.

Fewer brochures handed out

In years past, you couldn’t walk down the aisles at HIMSS without vendors handing you nicely printed marketing brochures. This year, there was a noticeable lack of brochures. Several vendors had no paper handouts whatsoever, electing instead to email materials directly to booth visitors rather than force bulky paper brochures into their hands.

In my mind this is a win-win-win. The environment wins because fewer trees are transformed into glossy brochures with smiling doctors staring at computer screens. HIMSS attendees win from not having to carry heavy brochures. HIMSS exhibitors win from not having to print and ship brochures.

Fewer tchotchke’s, more in-booth experiences

One of the staples of HIMSS has been the amazing promotional items given out by vendors in the exhibit hall. This year, however, vendors scaled back their giveaways, opting instead to invest more on in-booth experiences. I counted no fewer than 20 podcasting stations and 15 video/livestream setups embedded in vendor booths. The soundproof podcast studio in the Cerner booth was amazing.

Also notable were the number of in-booth theatres that dotted the exhibit floor. I stopped counting after reaching 250. What impressed me was that it was not just sales presentations that were happening on these stages. Many vendors featured panel discussions and live interviews of industry thought leaders as part of their programs.

In my mind the hands-down winner was the CDW Healthcare Jeopardy station. Every day there was a crowd of people actively participating in a game-show style contest that pitted up to 6 teams of participants against each other. The show host was particularly charming and engaging. He really got the crowd excited. Bonus: the questions were all healthcare based.

Special shout out to @MedicaSoftLCC @FogoDataCenters @NextGate @emedapps for gathering donations for SafeNest an organization that helps victims of domestic abuse in Las Vegas.

Booth Models becoming extinct

It’s one thing to hire an entertainer like a magician or look-alike to attract people to your booth. It’s quite another to hire an attractive model to do nothing more than to stand in your booth and be attractive. At HIMSS18 I noticed very few of these hired helpers. There were certainly models who were hired to play the part of a patient in mock exam rooms, but there were no scantily-clad flamingo girls or bare-chested tuxedo men handing out company brochures like in years past when HIMSS was in Las Vegas. I’m hoping this downward trend continues.

Smaller Booths

The most surprising aspect of the HIMSS18 exhibit floor was size of the booths themselves. There were the usual giant footprints from industry titans: Epic, Cerner, Allscripts and IBM Healthcare. But other than the new Change Health booth, it felt like most vendors chose smaller booth sizes. Salesforce, Oracle, Microsoft, Google, Amazon, DellEMC and Verizon had moderately-sized booths at HIMSS18 relative to the size of those companies.

Healthcare IT has never been about glitz and glamour. Despite being held in Las Vegas – the city that is the epitome of glitz – the vendors in the #HIMSS18 exhibit hall showed restraint and practicality. Hopefully this is a trend that continues next year at #HIMSS19

#HIMSS18 First Day:  A Haze Of Uncertainty

Posted on March 7, 2018 I Written By

Anne Zieger is veteran healthcare consultant and analyst with 20 years of industry experience. Zieger formerly served as editor-in-chief of and her commentaries have appeared in dozens of international business publications, including Forbes, Business Week and Information Week. She has also contributed content to hundreds of healthcare and health IT organizations, including several Fortune 500 companies. Contact her at @ziegerhealth on Twitter or visit her site at Zieger Healthcare.

Entering the HIMSS exhibit area always feels like walking straight into a hurricane. But if you know how to navigate the show, things usually start to come into focus.

There’s a bunch of young, scrappy and hungry startups clustered in a hive, a second tier of more-established but still emerging ventures and a scattering of non-healthcare contenders hoping to crack the market. And of course, there are the dream places put in place by usual suspects like Accenture, SAP and Citrix. (I also stumbled across a large data analytics company, the curiously-named splunk> — I kid you not – whose pillars of data-like moving color squares might have been the most spectacular display on the floor.)

The point I’m trying to make here is that as immense and overwhelming as a show like HIMSS can be, there’s a certain order amongst the chaos. And I usually leave with an idea of which technologies are on the ascendance, and which seem the closest to practical deployment. This time, not so much.

I may have missed something, but my sense on first glance that I was surrounded by solutions that were immature, off-target or backed by companies trying to be all things to all people. Also, surprisingly few even spoke the word “doctor” when describing their product.

For example, a smallish HIT company probably can’t address IoT, population health, social determinants data and care coordination in one swell foop, but I ran into more than one that was trying to do something like this.

All told, I came away with a feeling that many vendors are trapped in a haze of uncertainty right now. To be fair, I understand why. Most are trying to build solutions without knowing the answers to some important questions.

What are the best uses of blockchain, if any? What role should AI play in data analytics, care management and patient interaction? How do we best define population health management? How should much-needed care coordination technologies be architected, and how will they fit into physician workflow?

Yes, I know that vendors’ job is to sort these things like these out and solve the problems effectively. But this year, many seem to be struggling far more than usual.

Meanwhile, I should note that there seems to be a mismatch between what vendors showed up and what providers say that they want. Why so few vendors focused on RCM or cybersecurity, for example? I know that to some extent, HIMSS is about emerging tech rather than existing solutions, but the gap between practical and emerging solutions seemed larger than usual.

Don’t get me wrong – I’m learning a lot here. The wonderful buzz of excited conversations in the hall is as intense as always. And the show is epic and entertaining as always. Let’s hope that next year, the fog has cleared.

Does HIMSS Serve Practicing Doctors Well?

Posted on March 5, 2018 I Written By

Anne Zieger is veteran healthcare consultant and analyst with 20 years of industry experience. Zieger formerly served as editor-in-chief of and her commentaries have appeared in dozens of international business publications, including Forbes, Business Week and Information Week. She has also contributed content to hundreds of healthcare and health IT organizations, including several Fortune 500 companies. Contact her at @ziegerhealth on Twitter or visit her site at Zieger Healthcare.

Take a look around you at HIMSS18 and you will see a lot of different types. Of course, the biggest and flashiest presence will be the hordes of vendor marketing and salespeople. You’ll also run into C-suite and mid-level executives with health systems in hospitals or managing partners of large medical practices, along with a grab bag of consultants, researchers, attorneys and bloggers like myself.

What you seldom see, however — and this has been true for decades — are physicians active in day-to-day medical practice. I’m sure the reasons for this vary, including a reluctance to spend the time and money to attend and questions about the show’s immediate value, but regardless, practicing doctors are sorely underrepresented at the annual HIT blast.

In the past, I might’ve suggested that the reason they aren’t showing up was lack of interest. After all, in the past, most physicians had very little contact with their IT infrastructure. Sure, they interacted with billing and coding systems, and to a lesser extent practice management platforms, but that was about it.

That’s hardly the case today, though. For most doctors, it’s smartphones in the morning, tablets in the afternoon and EMRs all day. What’s more, some practices are integrating connected health monitoring and wearables data to the mix and some are rolling out telemedicine services.  While few doctors have to dig into the guts of these tools, they’re increasingly dependent upon them and in some cases, and hardly function without daily access.

Given the extent to which these tools are ultimately designed to serve clinicians at the point of care, it’s disconcerting how seldom HIMSS attendees seem to put clinicians’ IT challenges front and center.

Perhaps I’m being unfair, but my sense is that most of the show is designed to serve health systems CIOs, practice leaders with complex IT needs and to a lesser extent, the influencers that guide sales decisions (such as analyst firms). I’m not saying small-practice doctors get ignored, but from what I’ve seen they don’t get catered to either. In fact, many companies focused on small practices have stopped exhibiting at HIMSS because of this and instead focus on the various medical society conferences.

Sadly, this reflects the larger dynamic in which vendors work to strike deals with senior executives first, putting physician needs largely aside. Rather than seeing to it that the actual end users find the products to be workable, they accept the reality that most cases, non-physicians are calling the shots.

For the benefit of the entire health IT community, I hope that in successive years, HIMSS does far more to attract the 10-doctor and below practices that make up the backbone of the medical community. Letting the deepest pockets in health IT systems dictate everything is simply toxic.

How To Get Nothing Out Of #HIMSS18 And Go Home Empty

Posted on March 2, 2018 I Written By

Anne Zieger is veteran healthcare consultant and analyst with 20 years of industry experience. Zieger formerly served as editor-in-chief of and her commentaries have appeared in dozens of international business publications, including Forbes, Business Week and Information Week. She has also contributed content to hundreds of healthcare and health IT organizations, including several Fortune 500 companies. Contact her at @ziegerhealth on Twitter or visit her site at Zieger Healthcare.

Going to HIMSS can be a high-stakes game.  To get anything done at the show, it takes a pretty substantial investment of time, energy and if you’re a vendor, a huge marketing budget.  Unfortunately, though, some poor schmucks will end up squandering the great opportunities the show offers and go home with their tail between their legs.

If you want to be like them, and get nothing out of HIMSS18, here are a few ways to make it happen:

Spend all your time in chitchat

The show offers you a chance to meet amazing people accomplishing great things, and many are happy to talk about what they do. But you’re more comfortable sticking with your buddies from the home office who already know you. So why not talk about sports and office politics with the gang for most of the event? Learning about new things, meeting new people, and stretching yourself is scary and hard, right?

Confirm your prejudices

Shows like HIMSS18 offer fertile ground for creativity and collaboration. But that doesn’t work for everybody. If you’re a vendor, stick to your booth and your product as you know it. No need to check out anything new; your solution is obviously the best one. If you’re walking around the exhibit hall touring the scenery, assume you already have all the answers, and tune out anybody who challenges you. Tell yourself that this is not the time to rethink your strategy.

Be disorganized

If you make an effort, you can take in a ton of information and make a lot of contacts at HIMSS18. Want to be sure you don’t have to follow up? Stick people’s cards in your suit jacket pocket or the bottom of your purse then forget they’re there or forget to get the cards in the first place. Meanwhile, if absorbing new information isn’t your speed, be sure to leave your vendor fliers, e-books and white papers in your briefcase, unsorted and inaccessible. And by no means take notes!

Be jaded

At any HIT show, some of what you see won’t be completely new, but it’s pretty much a guarantee that you’ll be exposed to exciting proposals. But you can avoid being stimulated or bringing valuable ideas home.  It’s easy – just assume that you’ve seen it all before. Startups are run by silly dreamers and big companies are clumsy and slow, so why believe that anything in HIT will really change?

Of course, most people who go to HIMSS18 are there to learn, connect with their peers, talk about big ideas and go back to their jobs refreshed and inspired. Despite the investment required, going to shows like HIMSS18 can be immensely valuable. Just go with an open mind and you’ll be glad you were there.

10 Things I Look Forward to at HIMSS 2018 #HIMSS18

Posted on March 1, 2018 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

What are you looking forward to this year for HIMSS18? Since last year I won the award for best shoes, I’m not sure how this year could be better than last. However, here are 10 reasons this year might beat the year where I won “best shoes.”

Women in Health IT Mentor Meetup

Each year HIMSS releases a report on women in healthIT included wage disparities. The release of this report and support of women in healthIT has gained traction this year. There is a HIMSS Meetup Thursday morning addressing the challenges of women in Health IT. You can register for the event and be matched with leaders. Doyenne Connections is also having a meet up before the Monday Keynote from 3- 4:30 PM at Yardbirth Southern Table & Bar. Doyenne Connections is a group dedicated to creating opportunities for women in HealthIT to make meaningful connections and networking. I really enjoy the Women in Health IT events at HIMSS.


Catching up with friends and making new friends. I’m looking forward to seeing amazing thought leaders and finding out what they have been up to. I was going to put swag here (I actually really appreciate great swag) but really- the people I’ve met at HIMSS have been some of the best career inspirations and allies and I consider many close friends. It is also inspiring to see progress with increased access to mental healthcare and better patient communication through health IT.

I am lucky to have friends that are brilliant data scientists and working to provide better health. There is also a meetup at HIMSS for people who like #SciFi. With HealthTech Bookclub chats online we discovered that a LOT of people in HealthIT like scifi. Some of the predictions from older books that seemed to paint an impossible future now have prophetic impact from self driving cars to surgical robots. I am looking forward to meeting new friends who love data science and reading (and also swag).

Series A Pitch Competition Presentations

There is a contest at HIMSS! HIMSS VentureConnect has a pitch competition and I love contests and games. I am looking forward to the presentations and hearing more from investors about what they see as a great value proposition in HealthIT. I have seen Wellpepper for several years in the Patient Engagement space and admire Anne Weiler’s leadership as a female CEO and leader in business excellence. The pitch competition is Wednesday March 7 from 10:45 AM to 12:00 PM in Lido 3104.

Best in Klas Vendors

I have a lot of respect for the KLAS research team and I’m looking forward to meeting the vendors that are voted best in KLAS for 2018. I am planning to check out Lightning Bolt and their physician scheduling tools. Lightning Bolt helps manage physician scheduling and improve workflow. Who would you vote best in KLAS? Klas research has also started a cooperative that I am thrilled about, the arch collaborative. This group is working to improve physician satisfaction with their EMR and EHR experience.


I get to speak!  I was lucky enough to have the opportunity to speak at HIMSS18 about physician suicide and burnout with Melissa McCool, CEO and Founder of Stellicare. I am fortunate to have the opportunity to share some of the work we’ve done in memory of my late husband. John Madsen died of suicide in 2015 and I noticed a lack of resources for our three children. Most physicians know someone that has died and there aren’t really easy ways to talk about the loss.

Please share your stories at Yesterday we launched, collecting more information about burnout, including providing community support tools. The mission of providing a memory honoring such a personal loss is hard to talk about. I am hoping our newly forming non profit has more partners and sponsors for increasing care for physicians after HIMSS. Our session, “Physician Suicide and Clinician Engagement Tools,” takes place on March 8 at 4 p.m. PST at the Venetian Convention Center, Palazzo L.

Power Press Party

I love meeting press leaders in Health IT. On the eve of HIMSS I am looking forward to the Power Press Party. Every year we have a party celebrating great healthIT accomplishments in Media and have early meetings with vendors. If you are in the media and will be there Sunday Night- make sure you register HERE. This year it is at the Hyde Bellagio and celebrates Momcology as a charity partner. We get to celebrate the good news of HealthIT and support pediatric cancer.  The Power Press Party is Sunday, March 4 from 5:30 to 8:15 PM PST.

Telehealth Presentations

I am interested in a few presentations about Telehealth, One of them is A Framework to Support Measure Development for Telehealth with Jason Goldwater and Judd Hollander on Wednesday from 8:30-9:30 AM. The other is Behavioral Health: A Launchpad for Enterprise Telehealth with Nathaniel Lacktman and Sarah Sossong Tuesday from 4 PM to 5 PM. There are great possibilities for telehealth increasing access to providers and allowing better access to specialists. From rural populations with little access to specialists to underserved populations who need better behavioral health support, telehealth has increased access to care and will get bigger.  

Artificial Intelligence and Data Systems

Intersystems is a unified data platform for building scalable analytics platforms. They are also hosting workshops for FHIR and keynote speakers at their booth. I want to go see the presentation from Erid Widen, CEO of HBI solutions, about Predicting suicide and Opioid Abuse Using Clinical and Social Determinant Data. They are hosting this in their booth #4444 March 6 from 1 PM to 1:30 PM PST.  Innovation in Algorithms and data management is a key imperative to improving Health IT and HBI solutions has great innovations in data. If you know about companies that have great analytics I want to see what they are doing.  I will also go see CrossChx and meet their AI agent, Olive.

New Media Meetup

Some of my favorite people in HealthIT are the people who understand communication and marketing. They can translate a great algorithm to a message people understand. I call them the matchmakers, facilitating great solutions through faster connections. I’m looking forward to the New Media Meetup hosted by Care Cognitics. It is Wednesday from 6 PM to 8 PM at Senor Frogs. Register here. Communication is important in healthIT and @techguy hosts several meetups during HIMSS about the power of social media in healthcare, both to improve patient care and improve business. I go to as many of the Healthcarescene meetups as possible.


Wednesday at 4:30 Michael Joseph and Rasu Shrestha will launch Empathy.Health. Healthcare and patient leaders have observed an empathy gap, especially in the digital health arena, and believe that empathy must be a strategic and humane imperative and a core value for every health care delivery system. Physicians lose empathy during their training and frequently have a difficult time regaining that ability to relate. They will launch their work developing an increase in empathy and how to spread empathy in digital health. I am looking forward to being part of a group that recognizes the importance of healthy connections and understanding.

Those are a number of the things I’m most looking forward to at HIMSS18. What did I miss? What are you most excited to experience, see, or do at HIMSS? Let us know in the comments.

Top 10 Blog Posts on EMR and EHR from 2017

Posted on January 4, 2018 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.

As we kick off 2018, I thought it would be fun to look back at the top 10 blog posts (based on views) in 2017 for EMR and EHR. It’s always great to see what people found interesting and which topics were of interest to readers. Plus, I’m always fascinated to see what old articles are still of interest to people. Not to mention, to look at what has changed since the article was written.

Facebook in Healthcare – What’s amazing about this blog post is that it’s from 2014. Looking back 3+ years later, I haven’t really seen Facebook become a big player in healthcare. Sure, there are plenty of patient groups on Facebook, but it’s not really a Facebook product. Facebook has done a number of things in healthcare over the years to get the word out about organ donation and things like that, but I currently don’t see them as a big player in healthcare the same way Amazon, Google, and Apple are looking at healthcare.

What the EMR Industry Can Learn From Facebook – Amazing that another article about Facebook was in the Top 10 and this one from 2012 was written by Priya Ramchandran. Her vision of a world where a patients health record was just automatically pushed down to a server every time we have a health encounter has been far from realized. The challenge of the comparison for me is that Facebook has a reason to push all that data together. In healthcare, there are reasons why organizations don’t want to push the data out to the patient. Until we change those reasons, we won’t see this vision despite hundreds of companies efforts to try and accomplish it. Yes, even Apple is working on solving this problem now and I think they’ll fail.

Epic Launches FHIR-Based App Platform – Epic’s launch of the Epic App Orchard platform was big news in 2017. I’ll admit that I’m still a bit skeptical about Epic App Orchard. Many herald it as Epic opening up their EHR to developers. I personally am skeptical and fear that it’s really just making public the connections they were already creating and is more PR than anything. Epic App Orchard isn’t a truly open API that would allow innovators and entrepreneurs to build on top of the Epic EHR. Plus, I fear that Epic App Orchard is just a new revenue stream for Epic. Those are my fears that I’ll be exploring as I talk to people in 2018 about it.

Publicly Traded Health IT Companies – I wouldn’t have thought of this blog post as one that would have garnered a lot of attention. Maybe that means we should do more work covering the publicly traded healthcare IT companies on this blog. They seem to be increasingly dominating the landscape.

Artificial Intelligence in Healthcare: Medical Ethics and the Machine Revolution – One of the great additions to EMR and EHR this year was Janae Sharp and this blog post was an excellent example of her work. Understanding the impact of AI in healthcare is going to be an extremely important topic over the next decade. I’m glad she kicked off the conversation since it’s a challenging one. I still keep thinking about the question she asked, “Can a machine learn empathy?” Chew on that one for a while.

EHR Innovation & Regulation: Friends or Foes? – I’m really glad that this post by Stephen Dart from AdvancedMD did so well. I think most doctors don’t appreciate the challenging situation EHR vendors are in when it comes to balancing compliance and innovation. I believe it’s the core of what’s wrong with most EHR software out there and contributes to a lot of physician burnout.

Is Cerner Edging Up On Epic? – This post was from 2016, but the question is still a good one. The reality is that both Cerner and Epic are doing amazingly well. I don’t see anything on the horizon that’s going to change it. Both of them are behemoths that are doing incredibly well. I don’t really see either of them cutting into the progress of the other either. What do you think?

Is Your Health Data Unstructured? – Enabling an AI Powered Healthcare Future – I still love the insight shared in this article. Technology doesn’t solve your problems. Technology amplifies your current state. If you’re doing a good job, technology will accelerate the good. If you’re doing poorly on something, technology will accelerate and amplify the bad.

#HIMSS17 Mix Tape – This is just a fun post leading into HIMSS that Colin has done every year with us for a lot of years. The exciting part is that when Colin posted this he was still working at a Healthcare IT vendor. We’re lucky to now have him formally as part of the Healthcare Scene team. I’m quite sure Colin will be doing a #HIMSS18 Mix Tape shortly. So, if you have suggestions, reach out to him on Twitter.

12 Reasons Why EMRs Improve Patient Care – How amazing that this post from 2011 is still doing so well. I imagine it’s because so many people are trying to understand the value of the EHR. Especially as it related to improving patient care. This post really deserves a future dedicated blog post to look at the 12 ways EMR improve patient care and how many of them have been realized. I’ll put it on my to-do list for 2018.

There you have it. The top 10 blog posts on EMR and EHR for 2017. It’s always fun to look back and see what’s changed and what’s stayed the same. Thanks to each of you for reading and supporting the work we do here. Now on to an awesome 2018!