Discover and read the best of Twitter Threads about #healthit

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NEW in #JAMIA:

Large assessment of 1,400 patient/family reports examining patient/family experiences and safety concerns related to visit notes.

Most common concerns:
✔️Description of symptoms
✔️Medications
✔️Health problems
academic.oup.com/jamia/advance-… #ptsafety #opennotes
@fcbourgeois @RasuShrestha @BIDMChealth @cmd418 @AtriumHealth @BostonChildrens @jhalamka @TheIHI @AMIAinformatics Paraphrase:

"About 1/4 of 😷/👨‍👩‍👦‍👦 using an online reporting system identified potential documentation inaccuracies in visit notes, of which more than half were considered 'important' by 😷/👨‍👩‍👦‍👦 AND 👩‍⚕️🏥."

👏 to @fcbourgeois and team.

#ptsafety #opennotes
@fcbourgeois @RasuShrestha @BIDMChealth @cmd418 @AtriumHealth @BostonChildrens @jhalamka @TheIHI @AMIAinformatics Why is this important?
"... highlights the possibility... clinicians & patients/families may further enhance the ability to effectively capture potential safety issues."

&

As #HealthIT transparency grows, orgs need ways to capture & respond to patient feedback about EHR errors.
Read 4 tweets
Today's article in @TheKenWeb contemplates "what ails" Indian #ECG Companies and concludes "Plenty as it turns out, starting with #healthcare providers themselves."

the-ken.com/story/what-ai-…

I have heard these sort of comments a lot in various flavours from different #HealthIT
What usually happens is a group of highly skilled, honest, hardworking Engineers or Management Graduates #Startups develop a product or service, test it and find it successfull but when they want to market is doctors don't buy
So
They start blaming doctors, directly or indirectly saying that this is a magic solution which will revolutionalise health and save 20 crores people per year, but this dull headed docs are not able to see the potential and / or afraid of technology
Read 44 tweets
1/

An interesting wrinkle of #CuresAct

Adhering to contractual requirements is *not* one of the 7 exceptions to information blocking.

Tagging the smartest health policy lawyers I know:

@HealthPrivacy @JodiDaniel @SavageLucia

(Joy Pritts has no Twitter handle?)
2/

Historically, when BAA terms or other contractual terms conflicted with rights possible under #HIPAA, BAA terms have been deemed to hold.

E.g., famously, even though a clearinghouse is a HIPAA CE & has all the rights and obligations of a CE...
3/

...Clearinghouses *also* act as BAs and receive data under a BAA.

Other #HealthIT entities are pure BAs but are also deemed #HealthIT by Cures and this NPRM
Read 8 tweets
Starting at page 221 with the regulation itself (see how I do this...I skip to the regs first, I’ll go back through the preface material later) #PatientAccess cms.gov/Center/Special…
In the following, mom is simply how I think about the phrase "Medicare Enrollee". It could be dad, uncle Fred, my buddy Glen et cetera. #PatientAccess is about the patient.
So, mom's MA organization has to provide APIs that allow her to use an app (after mom approves it) to access standardized claim data, adjudications, appeals, provider payments (remittances) and co-payments (cost-sharing) within one business day of claim processing. #PatientAccess
Read 182 tweets
1/

#CuresNPRM Information Blocking deep dive.

As a reminder, the PHSA defines "provider" broadly & "permitted purposes" are purposes that are, well, permitted.
2/
Therefore, unless there are specific exceptions noted, the legislative intent of #21CC could be interpreted that....
3/

...if I ask a, say, pharmacy or physical therapist for information to justify a CQM or risk score for a patient we both share (both permitted payment/operations uses)
Read 17 tweets
@RichDuszak 1- MT @Aiims1742 “This @katekelly article reads like a paid infomercial for EPIC (in fact, I actually looked for the “This is an advertisement” disclaimer). Would have been nice to have interviewed one or two end users of the chocolate factory product.”
nytimes.com/2018/12/20/bus…
@RichDuszak @Aiims1742 @katekelly 2- Nice digs, clever marketing spin, BUT Epic highly disliked by users. #EHR has significantly disrupted relationships w #patients, #ptexp, led to clinician & pt dissatisfaction, & is seen as one cause of #burnout. @JackMurtha hcanews.com/news/ehrs-are-… @BarbaraMcAneny @meggerber
Read 28 tweets
@Aiims1742 @katekelly Nice digs, clever marketing spin, but EPIC is highly disliked by end users. #EHR has significantly disrupted relationships with #patients, led to clinician & pt dissatisfaction, & is seen as one cause of #burnout. @choo_ek @darakass @tgoetz @tmprowell @cardiobrief @DrMJoyner
@Aiims1742 @katekelly @choo_ek @darakass @tgoetz @tmprowell @cardiobrief @DrMJoyner @GregT_156 @rgergelymd @matthewherper @charlesornstein @ddiamond @JeffYoung @sarahkliff @adamfeuerstein @dariustahir @ReasObBob @EJSMD “I began to see the insidious ways the software changed how people work together. They’d become more disconnected; less likely 2 see & help one another, & often less able to”–@Atul_Gawande newyorker.com/magazine/2018/… @GavinPrestonMD @agropper @joyclee @LaurentLantieri #EHR @BobLeeMD
Read 11 tweets
Read 22 tweets
Read 25 tweets
1/ There was a very important speech today by @SecAzar today at the @FedAmerHospital that I'm going to annotate for you.

Anyone who’s been waiting for a clear declaration of this Administrations beliefs and intentions re #ValueBasedCare - here it is

hhs.gov/about/leadersh…
2/ @SGottliebFDA is killing it at @US_FDA
and everyone loves @NIHDirector precision medicine stuff
who's to say @SeemaCMS can't make delivery reform happen faster?

---->"This is no time to be timid"
(translation, some people aren't going to like this, and we don't really care)
3/ Our spending on Medicare and Medicaid has tripled since I was last at the Humphreys Building, and while I understand that sounds fantastic to all you hospital folks, I assure you, we're not happy about it.
Read 20 tweets

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