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Commentary

Bringing a Team Science Approach to Research Informatics

November 3, 2017     David Raths
The National Center for Data to Health hopes to build upon some of the successes in sharing across Clinical and Translational Science Award programs but in a more innovative and open-ended way.

At a Time of Unprecedented Uncertainty and Change, Innovators Will Thrive

October 30, 2017     Mark Hagland
At a time of mind-shattering change, focusing on innovation is one way to avoid getting stuck in the past. Do you have a story of innovation to share? Healthcare Informatics’ Innovator Awards Program is open for submissions—from both providers and vendors

With the Proposed CVS Bid for Aetna, Time for Healthcare Leaders to Think in Three-Dimensional Chess Terms

October 29, 2017     Mark Hagland
The proposed acquisition of health insurer Aetna by mega-retail pharmacy chain CVS may well signal a key turning point in the market-competitive landscape of U.S. healthcare—and provider leaders had better start engaging in scenario-planning for that new world

Using EHR Data to Automate Public Health Reporting, Analysis

October 26, 2017     David Raths
Michael Klompas, M.D., M.P.H, a professor of population medicine at Harvard University, spoke about his team’s work to use EHR data to automate reporting to public health agencies on notifiable diseases and chronic conditions.

MACRA 2018 Final Rule Considerations: What Could Change from the Proposal?

October 24, 2017     Rajiv Leventhal
The 2018 final rule for MACRA’s Quality Payment Program (QPP) should drop any day now, so this is as good a time as ever to review the proposed rule and see what might change in the finalized version.

Readmissions Readjustment: Time to Think Carefully about Any Impacts on Safety-Net Hospitals

October 24, 2017     Mark Hagland
A new study in The New England Journal of Medicine is shedding light on some of the complexity around Medicare’s readmissions reduction program, and reinforcing the importance of federal officials’ exercising very good discernment going forward

Connecting Patient-Reported Outcomes to EHRs? Consult This Users’ Guide

October 18, 2017     David Raths
As use of patient-reported outcomes becomes more common, many health systems want to integrate the data into electronic health records. A new guide helps steer clinical leaders through some of the challenges involved.

New CMS Data on ACOs: Maybe Not a High-Speed Train, But a Train Nonetheless

October 17, 2017     Mark Hagland
CMS’s release last week of data from the Pioneer and Next Gen ACO programs revealed genuine progress being made among participating ACOs—with lots of opportunity for ongoing improvements, of course

SHIN-NY 2020 Roadmap Seeks to Address ‘Perfect Storm of Reduced Support’

October 10, 2017     David Raths
A New York statewide health information exchange roadmap addresses funding challenges, value-based care, and provider interest in the types of data currently not available through the network.

During Health IT Week, Industry Leaders Discuss HIT Initiatives and Driving Policy Change

October 6, 2017     Heather Landi
At the tail end of National Health IT Week, a webinar focused on the industry leaders who are driving change, both by championing health IT initiatives or by advocating at the policy level, offered interesting insights on leadership and policy development.

How Early Sepsis Detection Can Save Lives: A Call for Help During National Health IT Week

October 5, 2017     Rajiv Leventhal
The story of Rory Staunton’s tragic death from sepsis in 2012 should serve as inspiration for the medical community to improve surveillance and monitoring technology.

Glass Half-Full or Half-Empty

October 2, 2017     Tim Tolan
It’s a disservice to a client to form an early opinion about a candidate just because of the way they think and process information.

Is Our Health System Limping Along or in the ICU?

September 29, 2017     David Raths
Debate premise: Is the U.S. healthcare system like a patient in the intensive care unit battling sepsis? Or is it more like someone in a skilled nursing facility recovering from a stroke?

Editor’s Notes: Exploring New Worlds—In Space and in U.S. Healthcare

September 29, 2017     Mark Hagland
Facilitating a shift in the U.S. healthcare delivery system from volume to value may be different from expanding the boundaries of space exploration; at the same time, there are real similarities.

Enterprise Imaging: Pathological Slide Wars?

September 28, 2017     Joe Marion
Digital Pathology is coming! Will your facility be ready?

For Documentation Reform, Innovative Processes Breed Better Outcomes

September 28, 2017     Rajiv Leventhal
At some point in their push for better quality, clinical and IT leaders realized that if their old processes around documentation weren’t etched in their workflows for the past several years, they would never have started that way.

The Implications for HIT Leaders of Accelerating Market Consolidation? There Are Many

September 27, 2017     Mark Hagland
Two new analyses of U.S. healthcare market concentration hold many implications for CIOs, CISOs, CTOs, CMIOs and other healthcare IT leaders, in terms of supporting usability, interoperability, and data security

Phishing in the Stream: Unlimited Bandwidth, Driverless Cars, and the Future of Health Data

September 20, 2017     Dave Levin, M.D.
There is a widespread belief, misguided in my judgement, that owning your own copy of the data has intrinsic value and gives organizations competitive advantages. In contrast, APIs promote a single source of truth approach by making the data available on-demand.

The “Point-Counterpoint” to End All Point-Counterpoints in the Healthcare IT Policy World?

September 12, 2017     Mark Hagland
The New England Journal of Medicine hosts contrasting op-ed articles written by, on the one hand, the four most recent National Coordinators, and on the other, two outspoken industry leaders—with a surprising level of agreement on some important points

Overcoming Barriers to Collecting Patient-Reported Outcomes

September 7, 2017     David Raths
Nine months ago I had to have surgery. Patient-reported outcome measures (PROMs) were not part of my follow-up care. A paper detailing Partners HealthCare's journey with PROMs details the challenges health systems have implementing them.

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