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Patient Engagement and Collaborative Care with Drex DeFord

Posted on August 7, 2017 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.

#Paid content sponsored by Intel.

You don’t see guys like Drex DeFord every day in the health IT world. Rather than following the traditional IT career path, he began his career as a rock ‘n roll disc jockey. He then served as a US Air Force officer for 20 years — where his assignments included service as regional CIO for 12 hospitals across the southern US and CTO for Air Force Health — before focusing on private-sector HIT.

After leaving the Air Force, he served as CIO of Scripps Health, Seattle Children’s Hospital and Steward Health before forming drexio digital health (he describes himself as a “recovering CIO”). Drex is also a board member for a number of companies and was on the HIMSS National board and the Chairman of CHIME.

Given this extensive background in healthcare IT leadership, we wanted to get Drex’s insights into patient engagement and collaborative care. As organizations have shifted to value based reimbursement, this has become a very important topic to understand and implement in an organization. Have you created a culture of collaborative care in your organization? If not, this interview with Drex will shed some light on what you need to do to build that culture.

You can watch the full video interview embedded below or click from this list of topics to skip to the section of the video that interests you most:

What are you doing in your organization to engage patients? How are you using technology to facilitate collaborative care?

What’s Happening with HIM and Clinical Documentation Improvement (CDI) – HIM Scene

Posted on August 2, 2017 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.

This post is part of the HIM Series of blog posts. If you’d like to receive future HIM posts in your inbox, you can subscribe to future HIM Scene posts here.

The world of HIM is constantly changing. It’s important for every HIM professional to stay on top of trends happening in the industry. With this in mind, I was excited to interview Steve Robinson, MS-HSM, PA-O, RN, SSBB, CDIP, who is the VP of Clinical Revenue Integrity at RecordsOne and ask him the following questions:

  • What’s the most exciting thing you see happening in the HIM world?
  • What’s the scariest thing people aren’t paying enough attention to in HIM?
  • What’s been the impact of CDI on healthcare and what will it be in the future?
  • How do you see the role of HIM changing in the next 5-10 years?
  • Make a big 20 years from now prediction for healthcare

Check out the full video interview we did with Steve Robinson to learn more about Steve’s perspectives on What’s Happening with HIM and CDI:

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

The Evolution of Forms in Healthcare – Working to Empower the Patient

Posted on July 31, 2017 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.

I recently had a chance to see a demo of the new FormFast Connect product which empowers the patient to complete all their healthcare forms at home or wherever they may be.  Talking with FormFast was really informative since they are the experts at healthcare forms with over 1100 customers using their technology to handle the sometimes messy job of healthcare forms management.

It’s worth taking a second to look at the evolution of forms in healthcare.  Everyone remembers the stack of pre-printed forms at registration and the nursing station.  Then, over time, FormFast and others started creating bar coded forms that could easily be scanned and integrated into your IT systems using document workflow management software.  Shortly after that we started to see forms generated on demand with patient information printed dynamically.  Then, we moved to electronic forms and eSignature capabilities which converted the analog paper form model into a digital one.  The natural next step in the evolution of forms is to push the forms out to the patient outside of the four walls of the hospital.  That’s what FormFast Connect does and is a great evolution of the FormFast product.

We all know that filling out forms in the doctor’s office or hospital registration area is suboptimal.  Many patients don’t have the information with them to fill the forms out completely and the waiting room or registration desk often create a rushed environment to complete the forms.  In fact, many organizations have resorted to making time consuming, expensive phone calls to patients in order to collect the pre-registration paper work they need from the patient.

This is why an online form solution, like FormFast Connect, that is completed by the patient before the visit is going to be an important tool for every hospital.  The reality is that patients are starting to expect the same kind of online conveniences they experience in their normal life in healthcare.  Filling out forms electronically before a patient visit is one area where healthcare can provide a much improved online experience that mirrors the conveniences provided by other industries.

The real question is why has it taken so long for healthcare to create and adopt these solutions?  Many EHR vendors offer some half baked form options in their patient portal, but that’s exactly the problem.  A half baked form option in your patient portal doesn’t really address the issue.  Forms management is a challenging problem and most EHR vendors have been too busy worrying about regulations and other requirements that they haven’t created a high quality forms management solution.

For example, we know that the majority of patients now have some sort of cell phone or mobile device that they would like to use when filling out pre-registration forms.  Any form solution that pushes to the patient outside of the hospital needs to provide a mobile optimized option for the patient or it will likely fail to engage the patient in completing the forms.  Most EHR vendor forms aren’t mobile optimized and thus fail to achieve the desired outcome.  Plus, it’s not enough for the form to be mobile optimized for the patient.  The form must also create an output that is legally structured for the provider and the legal medical record.  Sounds easy, but I assure you it is not and EHR vendors haven’t executed across all these areas in the forms they offer.

One exciting part of a mobile optimized form solution is it opens up a number of opportunities that were a challenge previously.  For example, mobile devices can easily snap a picture of the patient’s insurance card as part of the form completion process.  The same goes for an electronic signature which is easily captured on a mobile device thanks to all the great touch screen technology found in all our mobile devices these days.  I’m also interested to see how smart form technology continues to evolve and improve as data becomes more liquid in healthcare and certain portions of the form can auto complete for you.

It’s great that we’re finally pushing form completion out to the patient where they can do it in a convenient, comfortable environment.  This is valuable to the patient who enjoys a better experience and for the hospital who receives better quality information.  Plus, even if the patient elects not to fill out the forms before the visit, this is one more opportunity for the hospital to build a relationship with the patient outside of the hospital.  That relationship is going to be key in the new world of value based reimbursement.

FormFast is a proud sponsor of Healthcare Scene. 

With 25 years exclusively focused on healthcare needs and over 1100 hospital clients, FormFast is recognized as the industry leader in electronic forms and document workflow technology. FormFast’s enterprise software platform integrates with EHRs and other core systems to automate required documents, capturing data and accelerating workflows associated with them. By using FormFast, healthcare organizations achieve new levels of standardization and operational efficiency, allowing them to focus on their core mission – delivering quality care. Learn more about FormFast at formfast.com.

CXO Scene Episode 2: EMR As a Commodity, Shadow IT, Health IT Training, and Printer Security

Posted on July 28, 2017 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.

In case you missed the live taping of the second CXO Scene podcast with David Chou, Vice President and Chief Information and Digital Officer at Children’s Mercy Kansas City and John Lynn, Founder of HealthcareScene.com, the video recording is now available below.

Here were the 4 topics we discussed on the 2nd CXO Scene podcast:
* Did Meaningful Use Turn EMRs Into a Commodity?

* Shadow IT – How should healthcare leaders deal with Shadow IT?

* The EHR Dress Rehearsal – Should this be a best practice for every health IT implementation?

* Printer Security – Where do printers and print devices rank on security risks for an organization?

You can watch the full CXO Scene video podcast on the Healthcare Scene YouTube Channel already:

Note: We’re still working on distributing CXO Scene on your favorite podcasting platform. We’ll update this post once we finally have those podcast options in place.

Take a look back at past CXO Scene podcasts and posts and join us for the live recording of future CXO Scene podcasts.

New Healthcare CXO Scene Podcast

Posted on July 17, 2017 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.

We recently did the inaugural recording of our new bi-weekly Healthcare CXO Scene podcast where David Chou, Vice President and Chief Information and Digital Officer at Children’s Mercy Kansas City and John Lynn, Founder of HealthcareScene.com sit down to talk about the latest happenings in Healthcare IT. We expect CXO Scene to be a lively, but practical look at the topics that matter most to Healthcare CXOs.

Here were our 3 topics for the inaugural CXO Scene podcast:
* Petya – Ransomware and HIT Security are keeping us all up at night
* MACRA – A look at the new proposed rule
* Organizational Blindness – Not becoming desensitized to your organization’s weaknesses

You can watch the full CXO Scene video podcast on the Healthcare Scene YouTube Channel already:

Note: We’re still working on distributing CXO Scene on your favorite podcasting platform. We’ll update this post once we finally have those podcast options in place.

Resources from CXO Scene #1:
http://www.emrandhipaa.com/emr-and-hipaa/2017/07/03/the-petya-global-malware-incident-hitting-nuance-merck-and-many-others/
http://www.hospitalemrandehr.com/2017/07/03/wannacry-will-make-a-cio-cry/
http://www.emrandehr.com/2017/06/26/2018-qpp-proposed-rule-what-it-means-for-mips-quantifying-the-impact-on-specialty-practices-macra-monday/
http://www.hospitalemrandehr.com/2017/06/26/are-you-desensitized-to-whats-happening-in-your-organization/

We’ll be holding the 2nd CXO Scene podcast on July 20th at 1 PM ET (10 AM PT). You can watch the CXO Scene #2 live stream recording on YouTube where you can also chime in during the recording with your own comments and questions. Plus, we welcome your feedback on how we can make CXO Scene more valuable to you or if there are any topics you’d really like us to cover. Just let us know on our Contact Us page.

If you’d like to receive future health care CXO Scene content in your inbox, you can subscribe to future Health Care CXO Scene content here.

A Look at HIM and the Impact of ICD-10 – HIM Scene

Posted on July 6, 2017 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.

This post is part of the HIM Series of blog posts. If you’d like to receive future HIM posts in your inbox, you can subscribe to future HIM Scene posts here.

After all of the noise that was made around the move to ICD-10, I’m now talking to more and more people about what impact the switch to ICD-10 has had on their organizations.  The reality for many organizations is they don’t really know what the new normal is under ICD-10.  So, they’ve had a hard time evaluating if their ICD-10 work has been going well or not.

With this in mind, I was excited to talk with Eileen Dano Tkacik, Director of Operations & Information Technology at AVIANCE Suite Inc, about a survey they did that looked at ICD-10 accuracy and productivity.  Learn more about the results of this survey in the video below and review the full survey results. Also, check out their 2017 ICD-10 coding contest which includes $5000 in prizes and begins July 17, 2017.

Eileen is so right that the transition to ICD-10 definitely sucked up people’s time and the QA process suffered. I hope now that ICD-10 has been around for almost 2 years that more efforts will go back to QA. We’re going to need to given the ICD-10 accuracy results from their survey.

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

Are You Desensitized to What’s Happening In Your Organization?

Posted on June 26, 2017 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.

What a great Monday Motivation fron Jake Poore. We’ve all seen what Jake is talking about. Once we get into our daily habits we stop noticing the details of the things around us.

Jake also mentioned Patient Experience in his tweet and becoming desensitized to the patient experience is a great example of what he’s talking about. I remember one CIO telling me that his enemy is the “we’ve always done it this way” culture at his hospital. Someone responding that way is the epitome of someone who has become desensitized to the world around them. Patients suffer when this becomes the modes operandi.

However, this principle goes well beyond just the way we see and interact with patients. It also happens in the way we interact with each other. An organization’s workflows and processes become such a part of their culture that it’s hard to disrupt them. We become desensitized to their weaknesses because they’re the devil we know. Adopting a new technology or a new process that will disrupt our normal processes causes us to wonder what new devils will we discover and do we want to deal with those? The fear of those unknown are often much stronger than the benefits new opportunities can offer us.

I’ve seen many organizations that have become desensitized to the follies of their EHR. Some are dealing with awful workflows and awful setups, but most have given up trying to change it. They no longer feel how awful they are in their lives. They’ve become desensitized to these pains and just consider them part of doing business. How awful is that to consider?

What can we do to overcome these challenges?

The best thing you can do is to get outside of your box and talk to other people. Meeting other people who have different experiences and perspective can reopen your eyes to the things you no longer see. This is why I think EHR user groups are so valuable. You can hear from other people who suffered through the challenges you’re facing and often even find a solution.

With that said, user groups can often be about commiseration as opposed to rectification and solutions. That’s why I think we need a place for true peer connection across EHR vendors. You’d think this would happen at a place like HIMSS, but it usually doesn’t. It’s so large that people flock together in their usual groups.

What do you do to make sure you don’t become desensitized?

The Important Role of HIM in Healthcare Cybersecurity – HIM Scene

Posted on June 21, 2017 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.

This post is part of the HIM Series of blog posts. If you’d like to receive future HIM posts in your inbox, you can subscribe to future HIM Scene posts here.

Healthcare organizations that rely on their CSO (Chief Security Officer) to handle cybersecurity in their organizations always annoy me. Cybersecurity requires everyone at the organization to be involved in the effort. One person can have a large influence, but your healthcare organization will never be secure if you don’t have everyone working their best to ensure your organization is secure.

A great example of someone who’s often forgotten in healthcare cybersecurity efforts are HIM professionals. Organizations that do this, do so at their own peril. If you’re not involving your HIM professionals in your cybersecurity efforts, I exhort you to do so today.

One of the best reasons to involve HIM professionals in your security efforts is that they’re often experts on the patchwork of healthcare privacy and security laws. It’s not enough to just ensure you’re being HIPAA compliant. That’s essential, but not sufficient.

Healthcare privacy and security are so important, there are multiple layers of laws trying to protect your health information. Or maybe the laws just aren’t well planned and that’s why we have so many. I’ll let you decide. Either way, in your privacy and security efforts you’re going to need to know HIPAA, HITECH, MACRA, and of course don’t forget the state specific privacy and security laws. No doubt there are more and your HIM professionals are likely some of the people in your organization that knows these laws the best.

Beyond the fact that HIM professionals know the privacy and security laws, HIM professionals are usually well versed in ensuring the right access to the right information in your system. One of the biggest form of breaches is internal breaches from people who were given the wrong permissions on your IT systems.

Making sure someone is auditing and monitoring these permissions is a very important part of your cybersecurity efforts. Plus, don’t forget to have a solid process for removing users when they leave your organization as well. Those zombie user accounts are a ticking time bomb in your security efforts. When your employees verify that their records are in order before they leave with HIM, that might be a good time to remove their access.

Another place HIM professionals can help with healthcare cybersecurity efforts is around information governance. More specifically, HIM can help you properly manage your health data and legacy systems. HIM can ensure that your legacy systems are properly managed until their end of life. No doubt this will be done in tandem with your IT professionals who have to keep these legacy systems secure (not always an easy task). However, an HIM professional can assist with your information governance efforts that impact cybersecurity.

In what other ways can HIM be involved in healthcare cybersecurity?

Cybersecurity is always going to be a team effort. That’s why it’s shocking to me when healthcare organizations don’t involve every part of their team. HIM professionals should step up and make the case for why they should be involved in healthcare’s cybersecurity efforts. However, when they don’t, a great leader will make sure HIM is involved just the same.

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

A Look Into the Future of HIM with Rita Bowen – HIM Scene

Posted on June 14, 2017 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.

This post is part of the HIM Series of blog posts. If you’d like to receive future HIM posts in your inbox, you can subscribe to future HIM Scene posts here.

One of my favorite people in the HIM world is Rita Bowen. She is currently Vice President, Privacy, Compliance and HIM Policy at MRO, but she has a really impressive HIM resume previous to MRO and a deep understanding of the evolution of HIM and their role in healthcare.

With this experience in mind, I was excited to interview her on the current state of HIM and where HIM is heading in the future. Here are the list of questions I asked Rita if you want to skip to a specific question or you can just watch the full video interview embedded at the bottom of this post.

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

Genomics is Going to Really Blow Up Our Interoperability Issues

Posted on June 12, 2017 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 slipped over to the Precision Medicine Summit in Boston that’s hosted by HIMSS Media. I heard some good speakers which I’ll write about in the future including legal issues related to genomics and gene editing. However, this tweet from the conference really stuck with me:

This is a sad example of the reality of healthcare interoperability today. Healthcare organizations have problems even sharing something as standard and simple as a PDF. Once we have real genomic data and the markers behind them, EHRs won’t have any idea how to handle them. We’ll need a whole new model and approach or our current interoperability problems will look like child’s play.

By the time we figured that out, our proverbial child might be graduating high school.