Free Hospital EMR and EHR Newsletter Want to receive the latest news on EMR, Meaningful Use, ARRA and Healthcare IT sent straight to your email? Join thousands of healthcare pros who subscribe to Hospital EMR and EHR for FREE!

3 EHR Gaps That Hinder Systematic Chronic Disease Management

Posted on May 2, 2016 I Written By

3 EHR Gaps That Hinder Systematic Chronic Disease Management

The following is a guest blog post by Andrei Khomushka.

An EHR typically contains multiple highlights of patients’ health, including observations, lab results, diagnoses and treatment plans. However, this data might be insufficient for systematic chronic care management, and there are 3 key reasons for that.

1. Interrupted care setting

Most EHRs are built around the idea that patients control their conditions to the extent that they can arrange timely appointments with their doctors should disturbing symptoms arise. However, the no-shows rate is still high (up to 55%, according to Family Medicine, 2013), and chronic patients often tend to overlook and mistreat symptoms. Leading to occasional appointments in acute situations. This breaks patient data and thus care delivery. So, EHRs can’t show the real picture of a disease progression.

Only continuous care and health tracking can help prevent, or at least detect early complications and exacerbations. As EHRs simply don’t have the tracking functionality, providers need additional solutions bound to their EHRs. For example, mobile patient apps connect individuals and caregivers, allowing the former to sync medical devices and continuously share their health data with doctors, thus ensuring remote monitoring of health status. Then, this information is automatically analyzed and aligned with the EHR so it’s always up-to-date.

2. Lack of patient engagement

As individuals can’t access EHRs directly, they don’t provide any patient engagement elements. Patients can only interact with the EHR data (to some extent) by visiting the patient portal. Here is your chance to engage them. With the standard functionality, such as appointment scheduling, e-billing, lab results checking, portals allow setting goals, sharing achievements across social media, exploring interactive learning materials and more.

However, systematic chronic care is more effective when a technology is proactive and connected to a patient’s daily life (patient portals can’t beat mobile patient apps here). This way, when multiple personal encouragements, guidelines and notifications are already in your pocket, it’s easier to control a chronic condition.

3. Patient-generated data missing

Most EHRs can’t collect and store patient-generated information such as physical activity, nutrition, daily subjective and objective. To benefit from daily updates of patients’ health statuses, we suggest implementing a separate solution integrated with the EHR. This will automatically process and analyze data to identify condition changes that require a physician’s attention. Then, the solution will notify both the patient and the health specialist about the disturbing patterns and suggest scheduling an appointment or test.

Afterword: Reducing the gaps

Overcoming these limitations is essential for a systematic care of chronic patients in the comfort of their homes. However, a thorough rebuild of an EHR is not realistic. Instead of investing substantial time and budget in making the EHR something it is not supposed to be, we recommend creating a holistic solution based on a chronic disease management system (CDMS), which will be connected to the mobile patient application and the EHR. You can find more about CDMS and its benefits in our recent chronic disease management entry.

Telemedicine A Growing Priority For Hospitals

Posted on April 29, 2016 I Written By

Anne Zieger is veteran healthcare editor and analyst with 25 years of industry experience. Zieger formerly served as editor-in-chief of FierceHealthcare.com 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. She can be reached at @ziegerhealth or www.ziegerhealthcare.com.

Telemedicine programs are not new to hospitals. In fact, tele-stroke and tele-ICU programs have gained significant ground over the past several years, and other subspecialties, such as tele-psychiatry, seem likely to grow in popularity.

In coming years, telemedicine will go from being a one-off strategy to an integral part of hospital care delivery, if a new survey is any indication. Government and private insurers are gradually agreeing to pay for telemedicine services, knocking down the biggest obstacle to rolling out such programs. And while integrating telemedicine services with EMRs poses major challenges, hospital leaders seem determined to address them.

Virtually all of the hospitals responding to the survey, which was conducted by telemedicine vendor ReachHealth, told researchers that they were busy planning and preparing for telemedicine programs. Twenty-two percent of survey respondents, which also included some medical practices, said that rolling out telemedicine programs was one of their top priorities, and another 44% said that it was a high priority. Health systems averaged 5.51 telemedicine service lines, up almost 20% from last year.

I was interested to note that 96% of respondents were planning to roll out telemedicine because they felt it would improve patient outcomes. I’m not aware that there’s any substantial body of evidence demonstrating that telemedicine can have this effect, but clearly this is a widespread belief.

Also, it was a bit surprising to read that “improving financial returns” was a very low priority for providers when developing telemedicine programs. On the other hand, as researchers point out, hospitals and practices to see improved patient satisfaction as a driver of ROI. Apparently, execs responding to this survey are convinced that telemedicine to have a substantial effect on satisfaction and outcomes, though to date, only 55% said telemedicine was improving outcomes and 44% felt it was boosting patient satisfaction.

Researchers also found that providers that dedicate more resources to telemedicine are seeing more success than those that don’t. Specifically, hospitals and clinics that have a 100% dedicated telemedicine program manager in place were doing better with their initiatives.

In fact, two thirds of respondents with a dedicated program manager in place ranked their efforts to be “highly successful,” while only 46% of programs without a dedicated program manager met that description. (The programs were most successful when a VP or director was put in charge of telemedicine efforts, but only slightly more than when a CEO or coordinator was in charge.)

That being said, it seems that the highest barriers to telemedicine success are technical. The respondents complained that the lack of common EMR in hub and spoke hospitals, and the lack of integration between telemedicine and their current EMR, were still standing in their way. Many were also concerned about the lack of native telemedicine capabilities in their EMR.

Despite all of the obstacles to creating a flourishing telemedicine program, hospitals and clinics have continued to make progress. In fact, 36% have had a tele-stroke program in place for more than three years, 23% tele-radiology for three years plus, and 22 percent have had neurology and psychiatry telemedicine programs for three years or more. ReachHealth researchers note that service lines requiring access to specialists are growing more rapidly than other service lines, but contend that this is likely to shift given pending shortages of primary care physicians.

Admittedly, any survey published by telemedicine vendor is likely to be biased. Still, I thought these statistics were worth discussing. Do they track with what you’re seeing out there? And do you think EMR vendors will do more to support telemedicine anytime soon?

An Acronym Look at MACRA QPP

Posted on April 28, 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.

The proposed rule for the MACRA program has been announced. Here’s an acronym laden summary of what MACRA did (Worth noting that CHIP is the C in MACRA for those keeping track of acronyms at home).

MACRA creates a QPP.

MACRA ends SGR

MACRA creates two paths: MIPS and APMs.

MIPS and APMs timeline from 2015 through 2021.

MIPS combines PQRS, VM (or VBPM if you prefer), and Medicare EHR (MU and Certified EHR) into 1 program.

APMs include ACOs, PCMH, and bundled payments.

MU is now ACI.

If you’re not sure about some of the acronyms above, you can find their longer names here. Good thing they simplified and streamlined the various programs!

We’ll be becoming friends with the acronyms MIPS and APMs. Here’s a good summary PDF of MACRA as well. More details to come.

UPDATE: In a bit or irony, Andy Slavitt posted this acronym free video about MACRA:

Health IT Software Must Be Meaningful and Pleasurable

Posted on April 27, 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.

One of the most dynamic healthcare CIO’s is Shafiq Rab, MD, MPH, Vice President and CIO at Hackensack UMC. Healthcare Scene was lucky enough to talk with him at the DataMotion Health booth during HIMSS 2016. Dr. Rab talked with us about Hackensack UMC’s approach to healthcare IT innovation. He offered some great insights into how to approach any healthcare IT project, about Hackensack University Medical Center’s “selfie” app, and their efforts to use Direct and FHIR to empower the patient.

I love that Dr. Rab leads off the discussion with the idea that healthcare IT software that they implement must be meaningful and pleasurable. Far too many health IT software miss these important goals. They aren’t very meaningful and they’re definitely not pleasurable.

Dr. Rab’s focus on the patient is also worth highlighting. Health IT would be in a much better place if there was a great focus on the patient along with making health IT software meaningful and pleasurable. Thanks Dr. Rab and DataMotion Health for doing this interview with us.

It’s Time For A New HIE Model

Posted on April 25, 2016 I Written By

Anne Zieger is veteran healthcare editor and analyst with 25 years of industry experience. Zieger formerly served as editor-in-chief of FierceHealthcare.com 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. She can be reached at @ziegerhealth or www.ziegerhealthcare.com.

Over the decade or so I’ve been writing about HIEs, critics have predicted their death countless times – and with good reason. Though their supporters have never backed down, it’s increasingly clear that the model has many flaws, some of them quite possibly fatal.

One is the lack of a sustainable business model. Countless publicly-funded HIEs, jumpstarted by state or federal grants, have stumbled badly and closed their doors when the funding dried up. As it turns out, it’s quite difficult to get hospitals to pay for such services. Whether this is due to fears of sharing data with the competition or a simple reluctance to pay for something new, hospitals haven’t moved much on this issue.

Another reason HIEs aren’t likely to stay alive is that none can offer true interoperability, which diminishes the benefits they offer. Admittedly, some groups won’t concede this issue. For example, I was intrigued to see that DirectTrust, a collaborative embracing 145 health IT and provider organizations, is working to provide interoperability via Direct message protocols. But Direct messaging and true bilateral health information exchange are two different things. (I know, I’m a spoilsport.)

Yet another reason why HIEs have continued to struggle is due to variations in state privacy rules, which add another layer of complexity to managing HIEs. Simply complying with HIPAA can be challenging; adding state requirements to the mix can be a big headache. State laws vary as to when providers can disclose PHI, to whom it can be disclosed and for what purpose, and building an HIE that meets these requirements is a big deal.

Still, given that MACRA demands the industry achieve “widespread interoperability” by 2018, we have to have something in place that might work. One model, proposed by Dr. Donald Voltz, is to turn to a middleware solution. This approach, Voltz notes, has worked in industries like banking and retail, which have solved their data interoperability problems (at least to a greater degree than healthcare).

Voltz isn’t proposing that healthcare organizations rely on building middleware that connects directly to their proprietary EMR, but rather, that they build an independent solution. The idea isn’t incredibly popular yet — just 16% of hospital systems reported that they were considering middleware, according to Black Book – but the idea is gaining popularity, Voltz suggests. And given that hospitals face continued challenges in integrating new inputs, like mobile app and medical device data, next-generation middleware may be a good solution.

Other possible HIE alternatives include health record banks and clearinghouses. These have the advantage of being centralized, connected to yet independent of providers and relatively flexible. There are some substantial obstacles to substituting either for an HIE, such as getting consumers to consistently upload their records to the record banks. Still, it’s likely that neither would be as costly nor as resource-intensive as building EMR-specific interoperability.

That being said, none of these approaches are a pushbutton solution to data exchange problems. To foster health data sharing will take significant time and effort, and the transition to implementing any of these models won’t be easy. But if the existing HIE model is collapsing (and I contend this is the case) hospitals will need to do something. If you think the models I’ve listed don’t work, what do you suggest?

The “Feature List” Disconnect from Healthcare Problems

Posted on April 22, 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.

One of the big takeaways coming out of the Healthcare IT Marketing and PR Conference is that most health IT companies are still spouting out the features they offer and very few actually talk about the problems they solve. This is a huge mistake for a health IT company, but it’s also a big reason why most hospital executives don’t want to hear from you.

As a healthcare executive you’re inundated with marketing and sales pitches and after a while they all start to look the same. Plus, many (some might say most) of those pitches require the hospital executive to try and translate a long list of features into the problems that executive is trying to solve. It’s no wonder that most hospital executives barely look at these pitches and often aren’t aware of the opportunities for innovation that exist for the problems they’re trying to solve.

Think about how many healthcare IT companies could list the following set of features in their sales and marketing:

  • Data Analytics
  • FHIR Enabled
  • HIPAA Compliant
  • EHR Integration
  • Machine Learning
  • Mobile Optimized
  • Real Time Processing
  • etc

I could keep going on, but you get the point. I’m reminded of something Shahid Shah said at our session at HIMSS. No one in healthcare has an interoperability problem. His point isn’t that interoperability isn’t important or valuable. His point was that no one is trying to solve interoperability. They have other problems they are trying to solve and data sharing (ie. interoperability) might be the solution. However, when they think about their problems and challenges interoperability is not on that list.

Hospital systems definitely have plenty of problems they’re trying to solve. Here’s just a few examples to give you a flavor of problems hospital executives are working to solve:

  • Improving HCAPHS Scores
  • Reducing Hospital Readmissions
  • Improving Provider Efficiency
  • Ensuring Accurate Patient Identification
  • Lowering Sepsis Numbers
  • etc

This list never ends. These are problems that hospital executives are working to solve and understanding which problems are vexing a hospital executive is key to getting them interested in the solutions. I think this small change would make it so hospital executives dread the wave of marketing and sales pitches a little less. The reality is that most of these executives are looking for great solutions. It’s just often hard for them to know what problems your company can really solve.

Of course, the next challenge is showing proof of your ability to solve the problem. However, at least that gets a hospital executive one step closer to finding solutions to their problems and challenges.

Can HIM Professionals Become Clinical Documentation Improvement Specialists?

Posted on April 21, 2016 I Written By

Erin Head is the Director of Health Information Management (HIM) and Quality for an acute care hospital in Titusville, FL. She is a renowned speaker on a variety of healthcare and social media topics and currently serves as CCHIIM Commissioner for AHIMA. She is heavily involved in many HIM and HIT initiatives such as information governance, health data analytics, and ICD-10 advocacy. She is active on social media on Twitter @ErinHead_HIM and LinkedIn. Subscribe to Erin's latest HIM Scene posts here.

Most acute care hospitals have implemented a clinical documentation improvement (CDI) program to drive appropriate reimbursement and clarification of documentation. These roles typically live (and should live) within the HIM department. Clinical Documentation Specialists (CDS) work closely with the medical staff and coders to ensure proper documentation and must have an understanding of coding and reimbursement methodologies along with clinical knowledge.

Certain aspects of the CDI or CDS role require in-depth clinical knowledge and experience to read and understand what documentation is already in the chart and find what is missing. Some diagnoses may be hiding in ambiguous documentation and it is up to the CDS to gather consensus from the medical staff to clarify through front-end queries. There are many tools available to assist in this process by creating worklists and documentation suggestions based on diagnosis criteria and best practices. The focus of CDI is not entirely on reimbursement, although it is a nice reward to receive appropriate reimbursement for the treatment provided while obtaining compliant documentation for regulatory purposes.

Determining or changing the potential DRG prior to discharging a patient provides a secondary data source for many healthcare functions such as case management, the plan of care, decision support, and alternative payment models. For these reasons, a CDS must know the coding guidelines for selecting a principal diagnosis that will ultimately determine the DRG.

Inpatient coders also have the foundational skills to perform this role. Coders and HIM professionals are required to have advanced knowledge of anatomy and physiology, pharmacology, and clinical documentation. Therefore, to answer my original question “Can HIM professionals become Clinical Documentation Improvement Specialists?”, the answer is absolutely. But I will say that it depends on the organization as to whether nursing licensure and clinical experience is required in the job description.

Some organizations have mixed CDI teams consisting of coders and nurses while others may allow only nurses to qualify for this role. The impact of who performs the CDS role in the CDI program all lies in the understanding of the documentation, knowledge of coding guidelines, and detective work to remedy missing or conflicting documentation.

If you’d like to receive future HIM posts by Erin in your inbox, you can subscribe to future HIM Scene posts here.

CPOE Alerts Still Vex Doctors

Posted on April 20, 2016 I Written By

Anne Zieger is veteran healthcare editor and analyst with 25 years of industry experience. Zieger formerly served as editor-in-chief of FierceHealthcare.com 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. She can be reached at @ziegerhealth or www.ziegerhealthcare.com.

A new study by Castlight Health has found that while nearly all hospitals have implemented CPOE systems, those systems are far from perfect. And that may be because too many clinicians find system alerts to be a distracting annoyance.

The research, based on an analysis of data collected by The Leapfrog Group, found that 96% of hospitals reported use of a CPOE system, up from 33% in 2010 in a scant 2% in 2001.  This data is drawn from the 2015 Leapfrog Hospital Survey of 1,750 U.S. hospitals.

But while the high adoption rate might be good news, it comes with bad news as well. The Castlight analysis found that even where hospitals had CPOE systems in place, 39% of possibly harmful drug orders and 13% of potentially fatal orders weren’t flagged by the system in place.

The most common errors that didn’t get flagged included when clinicians prescribed the wrong meds for the patient’s condition, or the wrong dose or meds entirely inappropriate for kidney function, and the failure to display a reminder to test drug levels after issuing medication.

These errors are occurring despite the fact that many of the hospitals studied by Leapfrog (64%) met its CPOE standard. To do so, the hospitals had to alert physicians about a minimum of 50% of common, serious prescribing errors. Also, physicians had to order at least 75% of inpatient medication orders through a CPOE system.

So if the CPOE system is being used actively, and performing as it should in most cases, why would nearly 40 percent of potentially harmful drug errors slip by? The answer may be that fairly or not, CPOE alerting is still seen as a hindrance rather than a help by many physicians.

While I don’t have hard statistical evidence to this effect, the anecdotes doctors share suggest that some click through alerts as quickly as possible. One physician blogger shared that he was quite frustrated by the alert generated when he wanted to prescribe 81mg baby aspirin tablets, which patients can buy over the counter. I understand his frustration (and even what seems like wounded pride).  And if it took several clicks to dismiss the related prompts, I’m sure it was indeed annoying.

On the other hand, as my colleague John Lynn rightfully notes, doctors aren’t going to blog or tweet about the time the CPOE system alert saved them from making a major prescribing error. So there is a bias to comments and blog postings since they only cover the negative side of CPOE and not the positive side. Perhaps the doctors who are working with these alerts successfully are simply going about their business and feel no need to vent. (Please note: I’m not suggesting that those who do vent are out of line in some way.)

Still, it seems quite clear that there’s considerable work to do in improving the workflow around physician alerting. If hospitals with CPOE in place are still seeing this level of potentially harmful or fatal prescribing, after many years to adapt to alerts, they need to do more to accommodate physicians.

P.S. They might want to start with a look at how Montefiore Medical Center succeeded with its CPOE rollout.

The Misconceptions of Social Media in Healthcare

Posted on April 18, 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.

Today I came across this blog post on the Cisco blog about an employee’s entry into the world of Twitter and social media. She offers a number of great points that are worthy of highlighting:

  • It’s Not Stupid
  • You Don’t Have to Be All-In
  • Twitter is a Great Equalizer
  • You Be You

This is all some great advice. Except I would argue that some parts of Twitter are stupid. However, that’s true of most things of value. There’s a lot of email in this world that is terribly stupid. That doesn’t diminish the value of email.

Although, as I read through the list, I recognized the real problem with social media is that people have the wrong perception of what social media is and how it can benefit them. Sure, social media can be a marketing tool for your company. Social media can be a way for you to broadcast what you eat and when you sleep and when you see a beautiful pink flower. It literally can be anything you want it to be. However, if you don’t want it to be those things, then it won’t be those things.

Twitter is literally what you make of it. If you want it to be about food, then you can follow the kind of people that post about food. If you want to enjoy pictures of flowers, then you can find someone who posts pictures of flowers. However, if those topics don’t interest you, then don’t follow those types of accounts. On just my @techguy account I’m somewhere around 22,696 tweets in and I can only remember 3-4 pictures that included food ever. There might be a flower picture in there somewhere, but it’s likely in the background.

Of course, if you don’t care about healthcare IT, then you probably don’t want to follow me either. I’ve sent a lot of tweets about healthcare IT and had a lot of conversations with people about EHR. The point is that if there’s a topic you enjoy or a topic that’s needed for your work, you’ll find it on social media and on Twitter. Sure, there’s plenty of other junk, but you really won’t see it if you’re following the right people. Plus, if you get the random food picture, I can promise you that it won’t hurt you. In fact, some randomness is part of the fun of Twitter.

So far I’ve really only talked about social media consumption. That’s the beauty of social media as well. There’s no requirement that you ever actually broadcast anything yourself. More and more people are just using social media for content curation and education. They never send a tweet. They don’t know what a retweet or favorite is. They don’t DM. They don’t use hashtags. They just consume the social media others create.

While I think there’s some missed value if all you’re doing is consuming content and not interacting on social media, that doesn’t mean there’s not a lot of value available on social media even if all you’re doing is consuming. It can be incredibly valuable. You can learn a lot to help your career. You can learn a lot about people. You can learn a lot about a company or your competitor. There’s so much value that can be obtained through simply consuming information shared on social media.

With that said, the blogger linked at the top of this post is right. Social media is the great equalizer. This is especially true if you’re a nobody at a small company. How many times do you get an audience with the CEO of your company. Probably not very much. However, on social media you have the open opportunity for them to see what you’re doing and you to engage them on topics that matter to you. Much of this can happen naturally. Just be yourself and you’ll be surprised how effective that can be.

Of course, like I’ve always said. Not everyone should do social media, but everyone could benefit from using social media. However, don’t let the misconceptions of what social media “is” deter you from trying it out and seeing where and how it can provide value. You can make it work for you.

HealthIT Trends from Healthcare Marketing Leaders

Posted on April 15, 2016 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 is a true believer in #HealthIT, social media and empowered patients. Colin speaks, tweets and blogs regularly about healthcare, technology, marketing and leadership. He currently leads the marketing efforts for @PatientPrompt, a Stericycle product. Colin’s Twitter handle is: @Colin_Hung

Last week 180+ HealthIT Marketers gathered in Atlanta for the #HITMC conference hosted by John Lynn and Shahid Shah. This annual event brings together content creators, editors, graphics artists, strategists, analysts and managers from across the healthcare industry. It is a truly unique opportunity to learn from those that work at marketing agencies, publications, provider organizations, HealthIT companies and marketing vendors.

One of the things I love to do at #HITMC is ask fellow marketers what topics they are being asked to write about and create content for. This informal poll is a fantastic way to gain insight into what will be trending over the next few months in healthcare. Why? Because if someone in the #HITMC audience is writing about it, you can rest assured it’ll be something you will soon see in your Twitter, LinkedIn, RSS or Facebook feed.

Here is a sampling of the responses I gathered at #HITMC:

Chris Slocumb @CSlocumb – CQ Marketing

“We’re doing a lot of work on security. From the provider side we’re talking about whether the right safeguards are in place and from the vendor side we’re writing about how their tools can help with securing an organization. Analytics, HIEs and interoperability are also topics we are creating content for. Conversely we’re not seeing much in the area of patient engagement right now.”

Shereese Maynard MS @ShereesePubHlth – Envisioncare

“I find that I’m doing work in the area of Home Health right now. It’s something that providers are waking up to – the potential for care at home to help patients stay healthier at lower cost. Providers and patients alike are looking to read more on that topic. Personally I’m very interested in Direct Primary Care. I think it’s a topic that will bubble to the top soon.”

Scott CollinsAria Marketing

“Thought leadership is hot right now. It’s not exactly a specific topic, but I’m seeing a lot of companies hop onto the thought leadership bandwagon. It’s like vendors have suddenly woken up to the fact that getting ‘out there’ and demonstrating your expertise on a subject is going to lead to more business. It’s exciting. In terms of a topic, population health is something I’m seeing a lot of, but one level deeper than before. Instead of just defining it we’re going to be talking about how it will help specific communities. Oh and security is BIG.”

Beth Friedman @HealthITPR – Agency Ten22

“I’m seeing a lot of requests for content around bundled payments, revenue cycle and the new self-pay patient. The financial side of healthcare is changing.”

From the conversations at #HITMC, I would definitely say security and payment are the two hottest topics right now. Security isn’t really all that surprising given the number of recent ransomware attacks. The topic of payment and revenue cycle, however, caught me a little by surprise. I thought (hoped) interoperability or patient data access would have been a trending topic. Given the changes to reimbursement models, the movement to value-based care and the popularity of high-deductible health plans, it’s no wonder this is garnering a lot of readership/interest.

Shameless Plug: If you work in HealthIT marketing or for a HealthIT publication, I would strongly encourage you to attend #HITMC next year. Not only are the sessions educational, but by listening to the attendees you’ll get a pulse of what is trending in healthcare. Hopefully we’ll see you next year!