A couple of the Health IT regulars got together again this week to video chat during the #HITsm Chat Highlights. Here are some of their thoughts. If you want to participate, be sure to comment!
Topic One: How far off is a solution to the problem of #healthIT interoperability? Is one actually within reach?
T1: within a fee for service model. #HITsm
— Ryan Lucas (@dz45tr) June 7, 2013
T1. The solution to the problem of interoperability is economic, not technical. #hitsm
— Leonard Kish (@leonardkish) June 7, 2013
It would seem necessary to differentiate between basic interoperability and true interoperability (i.e., semantic) #HITsm
— EHR Intelligence (@EHRIntel) June 7, 2013
T1: _A_ solution implies that interoperability is ONE problem, but we know otherwise.Different problems take different efforts #HITsm
— Keith W. Boone (@motorcycle_guy) June 7, 2013
Topic Two: Is patient consent being overshadowed by sustainability as the most significant obstacle to #HIE?
T2: Entities exchanging HI should be #HIPAA covered. Consent stds should be the same as for paper exchange.#HITsm
— Dan Haley (@DanHaley5) June 7, 2013
T2: Good topic Kyle. Another facet of same: Differing state consumer/Pt protection laws turn interstate #HIE into a rats nest too #HITsm
— Don Fluckinger (@DonFluckinger) June 7, 2013
Consent problem solved by BOTTOM UP coalition (e.g., Commonwell and/or NYeC) have enuf market clout to set standards #HITsm
— Vince Kuraitis (@VinceKuraitis) June 7, 2013
Topic 3: What is the role of #telehealth and #mHealth in #healthcare reform and patient engagement?
t3: keeping costs lower and improving the quality of care. What role do they not serve might be the more appropriate question #hitsm
— Clark Lagemann (@ClarkLagemann) June 7, 2013
T3: Until we fix interstate issues, tele-health only extends the physicians reach into the next county. #hitsm
— Anshu Jindal (@AnshuBJindal) June 7, 2013
T3: Jumping in bc T3 is so important to us! #Mhealth & #telehealth is getting patients engaged and more importantly, empowered. #HITsm
— Vocera, Inc. (@VoceraCom) June 7, 2013
Topic Four: Are competing deadlines (e.g., Stage 2 Meaningful Use v. ICD-10) going to be responsible for undermining healthcare reform?
T4: There is no incentive for Big Healthcare to reform.Legislation is the only lever that’s working right now #hitsm
— Anshu Jindal (@AnshuBJindal) June 7, 2013
The carrot exists, not for the payer, or the provider, but for the patient(s). Solution has to come from there. #HITsm
— Ryan Lucas (@dz45tr) June 7, 2013
Did docs break down minutiae of each visit 50 years ago, or were they paid for overall procedure/materials needed? Honest question. #HITSM
— Mandi Bishop (@MandiBPro) June 7, 2013
Everyone is dependent on mobile devices to get their info and to communicate. Why would it be different when it comes to healthcare? #hitsm
— HOW (@HOWinnovates) June 7, 2013
Topic Five: Who or what will be most influential in determining the next phase in the evolution of #healthIT?
T5:Q for group. Anyone see a scenario where State #HIE can pull out of nose dive? #HITsm
— Vince Kuraitis (@VinceKuraitis) June 7, 2013
Social media is absolutely the new frontier: patients look for simple, quick, ways to find information/appointments. #HITsm
— Save On Medical (@SaveonMedical) June 7, 2013
T5 The change will come when the patients speak up. After that, docs and providers will have no choice but to follow and accomodate #hitsm
— HOW (@HOWinnovates) June 7, 2013
T5: evolution of #healthit depends on whether we keep subsidizing tech laggards or finally fix incentives and get real market going #hitsm
— Stephanie Zaremba (@s_zaremba) June 7, 2013
