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How Can Organizations Leverage the Increased Specificity of ICD-10 Codes?

Posted on October 30, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 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.

Edifecs did a survey of more than 450 healthcare industry representatives to find out how they plan to use the increased specificity of ICD-10 codes. Here are the results of their survey:
ICD10CodedData-01

What do you think of these areas of ICD-10 benefit? How does your organization plan to benefit from ICD-10 coding?

Hospital of the Rising Sun Video – CT Lin, MD at #CHIME14

Posted on October 29, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 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.

I always love when a doctor pulls out a guitar (or in this case a ukulele) and sings a healthcare IT parody song. You can see my full list of funny healthcare IT videos. This one is by Dr. CT Lin from Colorado at CHIME 2014:

Looking forward to the CHIME Fall Forum

Posted on October 27, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 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.

Tomorrow I’ll be heading to the CHIME Fall Forum. It’s the premiere meeting of healthcare CIOs. I love the opportunity to sit down with CIO’s and talk about what’s happening with them. The event is in San Antonio, so let me know if you’ll be there so we can meet and say hi.

I think the topics are going to be pretty predictable at the event. I’m sure there will be plenty of meaningful use and ICD-10 discussions, but I think that analytics and what they’re doing with it will also be extremely popular. I’m also interested to hear what people are doing as far as security and privacy. Things like the Bash vulnerability were a major deal and I’ll be interested to see if people really dealt with it appropriately. I’m afraid I’ll meet some who ask me what vulnerability I’m talking about. That will be sad, very sad.

What do you think are the hot topics in healthcare IT? I’m interested to know if these hospital CIOs can focus on anything but the regulatory related projects. If they are, I’ll be interested to hear what projects they are taking on next. Are they doing secure text messaging? Are they focused on revenue cycle? What about patient engagement?

The battle to stay on top of everything that’s happening in healthcare IT never ends. I’ll be interested to hear where the battle is heading next. If you have thoughts, I’d love to hear them in the comments.

Just Epic Salary Info Survey

Posted on October 24, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 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.

One of our most popular posts was one about Epic Salaries. Although, that was focused on what Epic payed its employees. Many people are interested in what Epic experts are getting paid as full time employees at hospitals or as Epic EHR consultants.

In an effort to better understand what Epic experts can expect to get paid, someone has put together a survey they call JESI (Just Epic Salary Information). I love transparency and so I want to support their efforts to gather as many Epic Salaries as possible. So, if you are an Epic expert, help us out and fill out the quick Epic Salary Information form. Don’t worry. They don’t ask for your contact information, organization name, or anything else.

The other reason I want to support this effort is that all of the aggregate information will be published for free on JustEpicSalary.info. I’ll be interested to see the results of the survey.

Do you know of any other sources of Epic salary information? How do you decide what you pay your Epic experts?

This also reminds me of a recent discussion I had. This hospital CIO told me that they were talking with their doctor about their Epic implementation. The doctor was complaining about how much time they were spending to get Epic working the right way. The doctor asked why some Epic consultants couldn’t just do this for him. Turns out, the doctor was the cheap resource. Having an Epic consultant do it, would have been much more expensive. Doctors don’t hear that very often.

Insightful Healthcare Factoids from Health Catalyst

Posted on October 22, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 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.

Who doesn’t like a good set of healthcare IT stats and facts? Obviously, you have to be careful looking at the context of the statistic and how it was collected. However, when done right, you can learn a lot from what Health Catalyst is calling a Healthcare Factoid. They shared a bunch of Factoids during their Healthcare Analytics Summit and then packaged them into a nice slide presentation below.

Which healthcare factoids stand out for you?

How Do You Change the HIPAA Culture of Your Hospital?

Posted on October 20, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 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.

Over on EMR and HIPAA, I wrote an article about the “Just Enough” culture of HIPAA compliance. I’m sure that many of you reading this post will be very familiar with this culture. Unfortunately, it’s rampant in so many hospitals across the nation. Even when a few people in the organization are hyper focused on doing more about HIPAA compliance, they’re often stifled by others who want to do just enough.

In response to this post, Christopher Gebhardt, offered these suggestions on when a hospital’s culture has a “funny” way of changing:
– Through the genuine interest of senior executives leading the charge.
– After being slapped with a violation.
– When OCR shows up at your door. The latter defeats the “it can’t happen here” mentality.
– When OCR takes action, repeatedly, for known violations against your competitors.

I think you could define Christopher’s description as a reactionary approach to HIPAA compliance. I think it’s fair to say that along with being a “just enough” culture of HIPAA compliance, healthcare is also very reactionary. There are some notable exceptions to this, but HIPAA and security compliance are very reactionary in most hospitals.

Culture is a hard thing to change at any organization. However, I think we’re entering a new era where a culture of security and compliance is going to be very important to every healthcare organization. With social media, there’s no where to hide any more. An investment in the right hospital security and privacy culture will likely pay off greatly in the long term.

Hospitals and Ebola

Posted on October 17, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 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.

It seems like you can’t turn your head anywhere without hearing something about Ebola these days. I heard one TV station in Dallas being called the Ebola news. It’s probably pretty accurate considering it’s been the epicenter of the news coverage. Although, the coverage has seemed to be a little all over the place. In fact, the coverage for Ebola has hit so many places, that I’ve basically avoided almost all of the coverage. I’ve only gotten a little bit of coverage from the sources that I ready regularly. I guess I’ve also seen a few headlines on social media.

With that said, I have dug a little deeper on what’s happened with the EHR and Ebola discussions. Although, that story seems to be even more convoluted and misunderstood than the larger Ebola story. If you want something really valuable (notice the sarcasm font), check out this just released joint statement from the AMA, AHA, and ANA that basically says “We’re working together on it.” If I were a member of any of these organizations, I’d have to consider quitting.

Here’s my short synopsis on what we should know about Ebola:

1. Be thoughtful in how you avoid any communicable disease (Ebola included). That doesn’t mean you have to lock yourself in your house and never go out.
2. We need to get Ebola under control in Africa. If we don’t, then we could have Ebola become a real issue in the US.
3. EHR software can help healthcare professionals identify and track Ebola if configured properly.

There are a number of groups and organizations trying to come together to spread the EHR best practices when it comes to Ebola. I’ll be interested to hear what they find.

Those are my general thoughts on what’s happening. As I said, I’m not an all encompassing expert on the topic. Let’s all share what we know and what we’re doing in the comments.

The Changing Health IT Consulting Job Market

Posted on October 15, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 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.

Cassie Sturdevant has a great post up on Healthcare IT Today titled “The New Health IT Consulting Skill Set.” In the post, she talks about the changing Health IT market for consultants. She’s absolutely right that between 2010-2012 it was a white hot market and that the market has since cooled down. As she mentions, that means that clients can be much more selective in who their hire. Then, she outlines a few ways to differentiate yourself as a consultant:

  1. Operations or Clinical Background
  2. Communication Skills
  3. Multi-Faceted Knowledge

Those are some good suggestions and if you read the full article, you can find more details from Cassie on each suggestion. If I were to summarize Cassie’s suggestions, it would be that healthcare organizations will need someone with a much deeper knowledge of EHR and Healthcare IT than they had to have previously.

As I look at the healthcare consulting market going forward, I see two major areas of opportunities: EHR switching and EHR optimization.

EHR Switching – Since the majority of hospitals have now implemented some form of EHR, the new EHR implementation market is drying up. However, that’s not to say that we won’t see a lot of new EHR purchases. These new EHR Purchases will instead be hospitals that are buying a new EHR. This EHR switching takes a lot of effort and skills to do it properly. Plus, it takes an organization that has a deep understanding of both the legacy and new EHR software. Watch for the EHR switching to really spike post-meaningful use.

EHR Optimization – This is a really broad area of work. However, so many of the EHR implementations were done on shortened timelines that almost no EHR optimization occurred during the implementation. This presents a major opportunity. Every organization is going to be looking for ways that they can extract more value out of their EHR investment. Consultants that have deep knowledge about how to get this value will be in high demand.

It’s still an exciting time to be in healthcare IT with lots of opportunities. It’s not the gold rush that it was, but there is still plenty of opportunity to do amazing things with an organization’s healthcare IT.

If you’re looking for a healthcare IT job, be sure to check out these Health IT company job postings:

If your organization is looking for some healthcare IT talent, check out our Healthcare IT central career website.

Is Healthcare So Distracted by the Trees That We Can’t See the Forest?

Posted on October 14, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 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.

I was listening to a healthcare IT professional talk recently about the challenges they face in the trenches. In a somewhat exasperated way they said more or less that “We have to be careful that we don’t get so distracted by the trees that we can’t see what’s happening with the forest.

What an amazing insight! As a healthcare IT professional, it’s really easy to get bogged down in the operational day to day requirements. Whether you’re dealing with meaningful use requirements, prepping for ICD-10, upgrading your EHR software, managing your patient portal, updating your CDS rules, or any of the myriad of regular IT support like desktop replacements, network upgrades, firewall management, etc etc etc, it’s easy to get bogged down in this more operationally focused work. How many healthcare IT professionals keep an eye on what’s happening with healthcare in general?

Unfortunately, I think far too many of them are completely overwhelmed with operations. Most of them don’t realize the movement towards a more engaged patient. A lot of them don’t know about the shifting reimbursement towards a new value based reimbursement model. Most are up to date on the ICD-10 delays, but few understand if the ICD-10 delays are a good or a bad thing for healthcare.

In some ways, that’s not a terrible thing. There’s a real power in being focused on the project at hand and executing it at the highest level possible. Especially if you have a great leadership organization that’s keeping a keen eye on macro healthcare trends that need to be considered by your hospital.

However, even the very best leaders can learn and benefit from a highly involved workforce that understands not only the immediate operational needs of the organization, but that also have a broader understanding of why certain projects matter to an organization in the bigger picture. There’s nothing more challenging to a leader than to push forward a project which isn’t understood as being important by their staff.

Like in most things in life, it takes balance. Finding that balance in your organization can provide some amazing results.

Investor Wants to Take Down Epic

Posted on October 13, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 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.

I recently came across a really interesting comment from Chamath Palihapitiya, a venture capitalist (made his money working at Facebook), who commented on the healthcare industry and how he wanted to invest in a startup company that would take down Facebook. I embedded the full video below. His comments about EHR and Epic start at about 52:38 or you can click here to see it.

Here’s a great quote for those who can’t watch the video:

“Somebody has to go after the electronic medical record market in a really big way. Let’s go and take down this company call Epic which is this massive, old conglomerate. It’s like the IBM of healthcare.”

After saying this, he talks about how he and other VC investors like John Doerr could call people from Obama (for meaningful use stage 3) to Mayo Clinic to help a startup company try and take down Epic. He even asserts that he’d call Mayo Clinic and suggest that they should rip out Epic and go with this startup company.

Everyone reading this blog know that it won’t be nearly this simple to convince any hospital that’s on Epic to leave it behind. I agree with Chamath that it will happen at some point, but it won’t be nearly as easy as what he describes. Chamath also suggested that it might take $100 million and you might fail, but what a way to fail.

It certainly provides an interesting view into the way these venture capitalists and many startup companies approach a problem. However, I take a more nuance and practical approach of how I think that Epic will be disrupted. I think that it will require a mix of a new technology paired with a dynamic CIO that’s friends with the hospital IT leadership. You need that mix of amazing technology with insider credibility or it won’t be a success. Plus, you’re not going to go straight in and take out Epic. You’re going to start with a hospital department and create something amazing. Then, that will make the rest of the hospital jealous and you’ll expand from there until you can replace Epic. That’s how I see it playing out, but it likely won’t happen until after the MU dollars are spent.

Chamath’s comments were also interesting, because it shows that he doesn’t know the healthcare market very well. First, he said that meaningful use was part of ACA, but meaningful use is part of ARRA (the HITECH Act) and not ACA. This is a common error by many and doesn’t really impact the points he made. Second, he said that Epic is a big conglomerate. Epic is the farthest thing from a conglomerate that you can find. Has Epic ever acquired any company or technology? Cerner, McKesson, GE, etc could be called conglomerates, but Epic is not. Again, a subtle thing, but shows Chamath’s depth of understanding in the industry. It makes sense though. He isn’t an expert in healthcare IT. He’s an expert in seeing market opportunities. No doubt, disrupting Epic and Cerner would make for a massive company.