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The Role of Patient Engagement and Advocacy in HIT – #HIStalking Tweet Chat Tuesday, April 7 at 11 am ET

April 5, 2015 News Comments Off on The Role of Patient Engagement and Advocacy in HIT – #HIStalking Tweet Chat Tuesday, April 7 at 11 am ET

Join @JennHIStalk and HIStalk’s HIMSS15 patient advocate scholarship winners – @LAlupusLady, @leffet_papillon, @CarlyRM, @woodymatters and @bostonheartmom -  for a discussion on patient engagement, advocacy, and healthcare IT. You can check out their backgrounds here, preview discussion questions below, and brush up on how to participate in a tweet chat towards the end of this post.

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#HIStalking Discussion Questions

Q1 from @bostonheartmom: How can we use HIT to democratize our data, giving patients and MDs equal access? EHR #UX have role to play? #HIStalking

Q2 from @LAlupusLady: How can HIT include patients in the development and design process? #HIStalking

Q3 from @CarlyRM: How might we use HIT to reinforce human connection and the expertise of patients across the world? #HIStalking

Q4 from @woodymatters: How can technology assist in post-market safety of drugs from a consumer perspective? #HIStalking

Q5 from @leffet_papillon: How can online patient communities improve the quality of patients’ lives, and their care? #HIStalking

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Join us on Tuesday, April 7 at 11 am ET for the #HIStalking tweet chat, and then look for @bostonheartmom @leffet_papillon @CarlyRM and @LAlupusLady in #HIStalking shirts at #HIMSS15.


Tweet Chat Instructions

It’s easy to join the Twitter conversation by logging into TweetChat, which automatically keeps you in the conversation by tagging all tweets with the #HIStalking hash tag. If you are unable to access the TweetChat room, simply search in Twitter for #HIStalking and follow the conversation. To contribute, be sure and tag your tweets with #HIStalking so they can be seen by other chat participants.


Contacts

JenniferMr. H, Lorre, Dr. Jayne, Dr. Gregg, Lt. Dan

More news: HIStalk, HIStalk Connect.

Get HIStalk Practice  updates.
Contact us online.
Become a sponsor.

JennHIStalk

News 4/2/15

April 1, 2015 News Comments Off on News 4/2/15

Top News

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Marlin Equity Partners acquires PM/EHR vendor e-MDs and merges the company with another of its portfolio holdings, revenue cycle services vendor MDeverywhere. E-MDs founder and CEO David Winn, MD will retire.


HIStalk Practice Announcements and Requests

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The RSA Conference bans scantily clad booth babes from the exhibit hall, specifically mandating business attire that doesn’t include tops that display excess cleavage, miniskirts, and Lycra body suits. I don’t think I need to go into too much detail as to why this is a good thing for women and humanity in general. I don’t recall seeing too many booth babes at last year’s HIMSS, though the dancing duo at the Medecision booth did catch my eye. If you’re going to don Lycra, I suppose this is the most tasteful way to do it.

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Check out the great painting Regina Holliday created for the T-shirts our HIStalking patient advocate scholarship winners will wear at HIMSS. Brush up on their backgrounds here, and then join me Tuesday, April 7 at 11 am ET for a #HIStalking tweet chat. All five scholarship winners will be there, posing questions related to patient engagement, advocacy and healthcare IT. 

Patient Engagement Pet Peeve: In an effort to organize my health data, I messaged my PCP to ask if she could upload my most recent test results to the patient portal. I like to have a digital history of medical encounters that I can go back and review as needed. My attempts to retain verbal explanations of the results, or those written on scraps of paper found at the bottom of my purse have proven unsuccessful. I was a tad frustrated when her nurse called to relay the information to me over the phone, forcing me to grab the very pen and paper I had tried so hard to avoid.

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Several April Fool’s Day-related messages crossed my inbox and Twitter feed yesterday. I especially liked the these two.

Watching: It doesn’t have to be April Fool’s Day for me to enjoy the comedy of Tim Hawkins. Check out his bit on visiting the doctor’s office for a glaucoma test.


Webinars

April 8 (Wednesday) noon ET. “Leveraging Evidence and Mobile Collaboration to Improve Patient Care Transitions.” Sponsored by Zynx Health. Presenter: Grant Campbell, MSN, RN, senior director of nursing strategy and informatics, Zynx Health. With mounting regulatory requirements focused on readmission prevention and the growing complexity of care delivery, ACOs, hospitals, and community-based organizations are under pressure to effectively and efficiently manage patient transitions. This webinar will explore the ways in which people, process, and technology influence patient care and how organizations can optimize these areas to enhance communication, increase operational efficiency, and improve care coordination across the continuum.

Here’s MedData’s webinar from Tuesday titled “Best Practices for Increasing Patient Payments.” You can also check out the tweet recap here.


Announcements and Implementations

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MultiCare Connected Care, a Washington-based commercial ACO, will implement Sandlot Connect from Sandlot Solutions to support its community-wide information gathering and exchange. Once up and running, the Clinically Integrated Network will connect employed and independent physicians who offer care to members of the ACO.

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Nationwide cancer treatment service provider 21st Century Oncology selects Navigating Cancer’s patient engagement and management platform.

Regional HIE Georgia Health Connect joins the statewide Georgia Health Information Network, which itself made news last November when it connected to South Carolina’s SCHIEx statewide HIE.

Meditech, Merge, Kareo, Surgical Information Systems, and PointClickCare join the CommonWell Alliance health information exchange platform. With the new partners, CommonWell reports that its platform covers 70 percent of the acute care market and 20 percent of the ambulatory market. The organization named its first executive director, Jitin Asnaani, earlier this week.

Clinical trial patient recruitment company EPatientFinder joins the Greenway Health online marketplace of value-added sellers.


Telemedicine

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San Francisco-based Spruce raises $15 million in Series A financing led by Kleiner Perkins Caufield & Byers with participation from Baseline Ventures, Cowboy Ventures, and Google Ventures. The company’s online dermatology app is available to patients in California, New York, Florida, and Pennsylvania. The new funds will no doubt enable it to scale to other states in the near future. It’s worth noting that the investment is Kleiner’s first since winning a high-profile sexual discrimination suit last week. As Fortune noted, “With this latest investment, Kleiner can show that it is returning to some semblance of business as usual after the court room drama of the past month.” The Spruce investment is not Kleiner’s first in a telemedicine company. The VC firm made similar commitments to Teladoc in 2011.

Delaware moves forward in its attempts to improve upon the “F” rating the American Telemedicine Association gave it last year for telemedicine services under private insurance coverage. A bill to expand such services is released by a State House Committee for a vote in the House of Representatives.


People

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Charles Christian (St. Francis Hospital) joins the Indiana HIE as vice president of technology and engagement beginning May 1.


Research and Innovation

AHRQ releases a white paper on “Using Health Information Technology to Support Quality Improvement in Primary Care.”


Government and Politics

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ONC reminds everyone that comments are nearly due on its Interoperability Roadmap. Is it wishful thinking to hope it will pen a final draft in time for HIMSS?


Other

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Sad: Nine providers are among 23 defendants named in a 199-count indictment that alleges they participated in a massive Medicaid and Medicare fraud scheme in which they lured poor and homeless people to corrupt medical clinics for unnecessary tests with the promise of free footwear.

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The New York Times publishes a piece highlighting the OpenNotes movement and calling for broader patient access to medical records data.


Sponsor Updates

  • ADP AdvancedMD offers “4 Foolproof Tips to Collect More Patient Payments.”
  • Culbert Healthcare Solutions offers “Improving Patient Satisfaction.”
  • HX360 names Clockwise.MD as one of four finalists in its innovation competition at HIMSS15.
  • Healthwise offers “Creating a Group Health Culture Where Shared Decision Making is the Norm.”
  • The latest episode in Nordic’s Making the Cut video series covers preparing for cutover and the role of operational management.

Contacts

JenniferMr. H, Lorre, Dr. Jayne, Dr. Gregg, Lt. Dan, Dr. Travis

More news: HIStalk, HIStalk Connect.

Get HIStalk Practice  updates.
Contact us online.
Become a sponsor.

JennHIStalk

News 3/31/15

March 30, 2015 News Comments Off on News 3/31/15

Top News

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The Senate delays review of the House-passed doc fix bill until after its two-week recess ends on April 13. The bill made news last week when the Congressional Budget Office reported that it would add $141 billion to the federal deficit. Rep. Renee Ellmers, RN (R-NC), who reintroduced the Flexibility in Health IT Reporting Act earlier this year, has argued that the bill will in fact create savings, while MGMA President and CEO Halee Fischer-Wright has urged members to write to their senators in favor of the bill, and expressed similar enthusiasm for the fix: “The House of Representatives has voted to remove the dark cloud of financial uncertainty over physician group practices. Medicare innovation has been hampered far too long by the SGR. The Senate is one vote away from returning stability to patients and physicians in Medicare. MGMA urges the Senate to immediately vote to repeal the SGR.”

Assuming the Senate picks up discussion on the 14th, HIMSS attendees can look forward to some SGR-flavored show-floor buzz during the last few days of the conference.


HIStalk Practice Announcements and Requests

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I always enjoy chatting with healthcare innovation executive and strategist Justin Barnes, and my recent appearance on his “This Just In” podcast was no different. We had a good time talking about HIMSS15 expectations, plans, and parties. You can check out the full show here, and see his live broadcast from the HIMSS Venture+ Forum in Chicago on April 12 from 4-5:30 CT.

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And speaking of parties at HIMSS, I may be ordering a pair of shoes for HIStalkapalooza from Volvorii, a Lithuania-based startup that has developed technology that can change a shoe’s color and pattern with the help of an app. (Thanks to @janicemccallum for alerting me to this potentially life-changing development.)

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And speaking of HIStalkapalooza, we couldn’t put on such a fabulous party without help from our esteemed sponsors including Elsevier, Santa Rosa Holdings, Divurgent, Sagacious Consultants, Aventura, CommVault, Falcon Consulting Group, Greenway Health, PatientSafe Solutions, Sunquest, Thrasys, and Validic. Stay on top of the fun (and share your shoe selfies) via the #HIStalkapalooza hashtag on Twitter.


Webinars

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March 31 (Tuesday) 1:00 ET. “Best Practices for Increasing Patient Collections.” Sponsored by MedData. Presenter: Jason Bird, director of client operations, MedData. Healthcare is perhaps the last major industry where the consumer does not generally have access to what they owe and how they can pay for their services. Collecting from patients is estimated to cost up to four times more than collecting from payers and patient pay responsibility is projected to climb to 50 percent of the healthcare dollar by the end of the decade. Learn how creating a consumer-focused culture, one that emphasizes patient satisfaction over collections, can streamline your revenue cycle process and directly impact your bottom line.

April 8 (Wednesday) noon ET. “Leveraging Evidence and Mobile Collaboration to Improve Patient Care Transitions.” Sponsored by Zynx Health. Presenter: Grant Campbell, MSN, RN, senior director of nursing strategy and informatics, Zynx Health. With mounting regulatory requirements focused on readmission prevention and the growing complexity of care delivery, ACOs, hospitals, and community-based organizations are under pressure to effectively and efficiently manage patient transitions. This webinar will explore the ways in which people, process, and technology influence patient care and how organizations can optimize these areas to enhance communication, increase operational efficiency, and improve care coordination across the continuum.


Acquisitions, Funding, Business, and Stock

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The New York Times profiles Iora Health, a chain of 11 primary care practices that seems to be on its way to mass replication of quality primary health care. It raised $28 million in its third round of venture capital financing,which it will use to open at least 10 more practices this year and refine its home-grown EHR.

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The local business paper highlights Athenahealth’s new office in Austin, TX and the perks it will offer startups in the area via its More Disruption Please accelerator program.


Announcements and Implementations

Elmhurst Radiologists SC (IL) selects McKesson Business Performance Services for RCM and consulting services for its 12-physician practice.

Galen Healthcare Solutions becomes a VAR for the PinpointCare patient engagement, care coordination, and management platform. The ties between the companies are strong: Galen assisted in the development of the PinpointCare platform under the direction of former CEO Joel Splan, who as of last week moved from interim to permanent CEO of Pinpoint.

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EClinicalWorks subsidiary Healow announces integration with several wearable and fitness tracker products.


Research and Innovation

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A global survey of 3,000 patients finds that personal interaction (eye contact, time for discussion, etc.) is more essential to quality medical care than technology, though over half of respondents believe it has positively impacted their care experience.

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A report on the adoption of healthcare IT in Canada finds that health information exchange is far behind where it needs to be, considering Canada’s “ambitious” efforts to implement EHRs across care settings. Just 12 percent of PCPs are notified electronically of patient interactions with hospitals, or send and receive e-referrals for specialist appointments. Less than a third have access to digital data about a patient who has been seen by a different health organization.

A TransUnion Healthcare survey finds that two-thirds of recent patients (with a heavy representation of younger ones) would avoid a provider that has experienced a data breach.


Government and Politics

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HHS Secretary Sylvia Burwell announces that HHS CTO Bryan Sivak will leave the department at the end of April.

A HHS audit finds that Maryland’s Health Connection insurance exchange – one of the first approved by the federal government – improperly billed the feds $28.4 million. Auditors believe the exchange used a 2013 and 2014 federal grant to cover the exchange’s costs when it should have used funds from a Medicaid program jointly financed by Maryland and the federal government. The audit recommends the state pay back the money, then reapply for the funds through the correct channels.


Telemedicine

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This article profiles the BabyTalk program, a partnership between Stanford University and the Weingarten Children’s Center that uses telemedicine and iPads to care for young children with cochlear implants living in rural and underserved areas.

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The Colorado Dept. of Health Care Policy and Financing’s Accountable Care Collaborative selects Community Health Center (CT) to serve as a model for the state’s new chronic disease pain management telehealth program. HCPF will sponsor 60 PCPs to serve as “telehealth pioneers,” giving them full access to CHC’s already successful Chronic Pain Telehealth Program, including video-conferencing tools and pain experts from the Integrative Pain Center of Arizona. 


Other

The City of Baltimore uses its Netsmart EHR to remind employees who are treating heroin addicts to test them for HIV and refer them to HIV care if positive.

An Australian physician cries foul when an EHR software glitch identifies his role as “meat inspector.” Australia’s national EHR project, launched in 2012 to the tune of $1 billion, continues to draw criticism for its poor ease of use and subsequently low adoption rates.

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You know EHRs have gone mainstream when a consumer zine like Shape devotes several paragraphs to the topic. The headline is a bit misleading, though, as the article covers privacy risks associated with both EHRs and consumer Internet searches on sites like WebMD.


Contacts

JenniferMr. H, Lorre, Dr. Jayne, Dr. Gregg, Lt. Dan, Dr. Travis

More news: HIStalk, HIStalk Connect.

Get HIStalk Practice  updates.
Contact us online.
Become a sponsor.

JennHIStalk

5 Questions with Karen Schogel, MD Health Informatics Director, Genesis Medical Associates

March 30, 2015 News Comments Off on 5 Questions with Karen Schogel, MD Health Informatics Director, Genesis Medical Associates

Karen Schogel, MD is health informatics director at Genesis Medical Associates (PA). It employs 200 clinical and ancillary staff to care for over 143,000 patients each year across the practices, hospitals, nursing homes, and personal care homes it serves. The organization, which uses the GE Centricity CPS 12.0.7 EHR platform, will attest to Stage 2 of Meaningful Use this year, and has been certified as a Level 3 Patient-Centered Medical Home. It launched Pittsburgh’s first Medicare ACO, Keystone Clinical Partners, late last year with nearby Preferred Primary Care Physicians.

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How is the ACO with Preferred Primary Care Physicians coming along? Are patients receptive?
We have 2,500-plus patients enrolled and they are all receptive. Our board and committees (clinical, quality, and finance) are very active. All physicians are engaged.

How has IT played a part in getting the ACO up and running?
Utilizing our IT will make it possible for us to track patients by disease, results, and consults. We’re waiting for specific roster, cost, and quality data from Medicare.

Is GMA looking at participating in population health management programs, or eyeing any PHM-specific IT at the moment? If so, what other organizations are you working with on this?
Yes. Via MU2, we are reporting Immunization status to Pennsylvania. We are working with a local healthcare system, Allegheny Health Network, to become involved in their Tapestry HIE.

How has GMA staff reacted to Stage 3 Meaningful Use criteria? 
We have not yet attested for MU2 and are not aware of the MU3 suggested guidelines. Our biggest challenge remains the measure that relates to patient use of their data online. Each office is being creative to get patients enrolled on our portal, and to encourage them to then view their data. We are using eZaccess from Strategic Business Systems as our patient portal. To help meet MU2, we have begun working with Treatspace in two ways. First, we use their Patient Network product as a means to reach out to patients over a clinical social media-like platform. Secondly, and more importantly, we’re using Treatspace Referral Network as a tool to manage the referral process with specialists and diagnostic facilities. The management of referrals is critical to report on PCMH measures, and as a means to control costs. As a group, we have not tackled MU3 yet.

How have you seen GMA’s business model change to keep up with the rise in retail and urgent care clinics?
This is a big challenge for all primary care providers. Each office has expanded its available hours (i.e. early a.m., lunchtime or after hours). We have advertised the concept of “Call us First” via our website and social media channels to remind patients that PCP involvement in all healthcare encounters is pivotal to their overall health, and to remind patients that we understand all of their concerns, even the simplest. We will have our first smartphone app in June, which will provide secure texting for the purpose of same-day office scheduling.


Contacts

JenniferMr. H, Lorre, Dr. Jayne, Dr. Gregg, Lt. Dan, Dr. Travis

More news: HIStalk, HIStalk Connect.

Get HIStalk Practice  updates.
Contact us online.
Become a sponsor.

JennHIStalk

Readers Write: Patients Are Looking for Retail Experience … And They’ll Switch Providers to Get It

March 25, 2015 News Comments Off on Readers Write: Patients Are Looking for Retail Experience … And They’ll Switch Providers to Get It

Patients Are Looking for Retail Experience … And They’ll Switch Providers to Get It
By Tom Giannulli, MD, MS

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Like the retail sector, healthcare is in motion. Money talks, and when people aren’t happy they take their money elsewhere. Nearly 60 percent of patients switch physicians because of better service or treatment. Even more striking is that two thirds of patients say they would switch just to get a provider with an EHR and patient portal.

As a result, physicians have to look at how they find and keep patients in a new way. Patients are no longer just patients; they are healthcare consumers. Service, access, and cost all play a role in who they choose for their provider. To adapt to these changing conditions and stay competitive with larger healthcare systems and retail clinics, independent practices need to understand patient expectations and meet them head on.

Today, 60 percent of patients say digital services play an important role when choosing a physician. Specifically, many are interested in having a provider who offers online scheduling, secure online communication, and text and email reminders and recalls. Beyond that, patients are looking online for information, reviews, and resources. Specifically, they are checking you out on social media. Over 40 percent of consumers say that information found via social media affects the way they deal with their health.

A recent survey conducted by Kareo found that practices are taking notice of these trends. Forty-two percent said they were looking to add social media and online reputation management in 2015. In addition, 36 percent were planning to add text or email reminders, and 21 percent were planning to offer online scheduling.

For providers looking to make these changes, there are some basic steps to take to getting these tools in place.

Before looking at new vendors, practices should always look at current solutions. The PM, billing, and EHR software may already have some of these key features or provide an integrated third-party solution. With so much to do, it is easy for staff to miss news about updates and features.

Since 73 percent of patients are more loyal when there is access to a patient portal, this is a good place to start. The EHR may already offer a patient portal, and it might have some of the key features like secure online communication, an appointment request or online scheduling feature, and other beneficial tools like online bill pay. The PM system might also offer email reminders. If these features are not in existing software, providers should ask about integrated practice marketing tools. An existing vendor partnership could mean valuable discounts and time-saving integration.

If a practice can’t get everything through an existing source, here are some tips to get the most from a third party. Look for a single solution that offers many features. It might not be everything, but perhaps the practice can find an option that provides the top three or four features patients most want:

  1. Forty percent of patients prefer to be contacted online or via text or emails, so a solution that can offer text and email reminders and recalls, as well as options for post-visit follow up like surveys is critical.
  2. 2. Online scheduling, which over 50 percent of patients think is important, is another key feature. A simple widget on the website can be enough, but this needs to be supported by a good website and SEO so that new patients can find the practice.
  3. 3. Since two-thirds of patients used online search prior to booking an appointment, patients need to be able to find the practice. A vendor that offers help with website, SEO, social media, and/or reviews and ratings is a must.

Providers should keep in mind that a small investment for these services will pay off in increased revenue as well as patient satisfaction. Reminders can reduce no-shows and last-minute cancellations by 30-50 percent, and online scheduling can help fill empty appointment slots. If the average practice can prevent one no-show and add one new appointment a day, it can increase revenue by up to $50,000 a year.

It is time for providers to start thinking a little more like retailers. Top stores do everything they can to stay connected to their customers, find out what they want, and offer it. It increases satisfaction and loyalty. Practices can do the same by taking advantage of solutions that may already be available or by finding a practice marketing platform that makes up the difference. The payoff will be more than worth the investment.

Tom Giannulli, MD, MS is CMIO at Kareo of Irvine, CA.


Contacts

JenniferMr. H, Lorre, Dr. Jayne, Dr. Gregg, Lt. Dan, Dr. Travis

More news: HIStalk, HIStalk Connect.

Get HIStalk Practice  updates.
Contact us online.
Become a sponsor.

JennHIStalk

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