Topic One: Looking in the rearview mirror, what has been the history and rationale for “hoarding” data in health care?
T1: Data hoarding started perhaps was a result of HIPAA and fear of privacy? Fear kept people from sharing in early days IMHO #HITsm
— Colin Hung (@Colin_Hung) April 26, 2013
T1: strategic advantage, barrier to entry, domain knowledge, fear of someone else “beating you on your idea” #HITsm — Nicholas Magers, RD(@NicholasMagers) April 26, 2013
T1: In past, patients didn’t asked for their data too often, many still do not. Need shift in thinking and where data gathers. #HITsm — Jon Mertz (@jonmertz) April 26, 2013
T1: Along with the privacy & other concerns, sharing data hasn’t been easy in the pre-digital age & we’re not out of that yet! #hitsm
— Janice McCallum (@janicemccallum) April 26, 2013
Topic Two: “Open” has varying meanings. What elements/aspects do you think are the most important for healthcare?
T2: Open = being open minded enough to accept that you don’t have full picture or all the answers yourself. Need other data inputs #HITsm — Colin Hung (@Colin_Hung) April 26, 2013
T2: The key to openness is liquidity of data.We can transform it as needed, but we need to start with liquidity. #HITsm
— EMR, EHR and HIT(@ehrandhit) April 26, 2013
T2 Open to new perspectives. Making listening to patient, phone consults, reimbursable. @escapefire has gr8 examples 4 that #hitsm
— Anshu Jindal (@AnshuBJindal) April 26, 2013
T2. The freedom to 1. Access and 2. Reuse some resource. Questions need to be defined as to who and how much. #hitsm — Leonard Kish (@leonardkish) April 26, 2013
Topic Three: How can social media contribute to the transformation from hoarding to sharing? How should patients fit?
T3 SoMe great tool 4 creating awareness/ vehicle of education / chronic disease mgmt. @cdc_ehealth does it goo.gl/nrKMD #hitsm
— Anshu Jindal (@AnshuBJindal) April 26, 2013
T3: First rule of networks packet transmissions is to route around problems. In healthcare – social media = the “route” around. #hitsm — Dan Munro (@danmunro) April 26, 2013
T3: Let’s call social media what it really is: personally scalable communications! It’s what we’ve lost and what we need. #hitsm — Leonard Kish (@leonardkish) April 26, 2013
T3 If we can get Grumpy Cat to tell people that they own their patient data, we’re all set. #HITsm
— Brian Eastwood (@Brian_Eastwood) April 26, 2013
Topic Four: What providers/companies use open/collaborative technologies, pt care workflow, strategies, biz models, etc. Who are the stars?
T4 Take a new look at Stark Law. Ask docs who r NOT using the subsidized EMRs – WHY?#hitsm
— Anshu Jindal (@AnshuBJindal) April 26, 2013
T4: Workflow! Here’s my list of People & Organizations improving Workflow w/HIT #POWHIT ehrworkflow.com/powhit-index #HITsm twitter.com/EHRworkflow/st…
— Charles Webster, MD(@EHRworkflow) April 26, 2013
T4 Using an EMR that doesn’t fit a practice’s workflow leads to work-arounds which leads to medical errors. It almost cost me my life #hitsm
— Anshu Jindal (@AnshuBJindal) April 26, 2013
T4: The best companies in this regard are those that own the continuum of care and so they have financial benefits to collaborate. #HITsm
— EMR, EHR and HIT(@ehrandhit) April 26, 2013
Topic Five: What lessons can #healthcare learn about openness from other industries? What’s most likely to work in healthcare?
T5: Tap phone, exchange data. Log in, download financial data into portfolio. Lessons in exchange and access. #HITsm
— Jon Mertz (@jonmertz) April 26, 2013
But, IMHO, important to recognize open source is just one element of open. NOT the same thing.#HITsm
— Vince Kuraitis (@VinceKuraitis) April 26, 2013
T5:There R interesting devlpm’ts in #VRM (vendor relationship mgmt) world; consumers take control of data: ow.ly/ksEYo #HITsm
— Janice McCallum (@janicemccallum) April 26, 2013
T5. Need to find a resource or wheel everyone is recreating, then share it. LAMP stack good example. EHRs #hitsm
— Leonard Kish (@leonardkish) April 26, 2013
