Here are the final two topics #5 & #6 from the #HITsm tweetchat held on Friday, June 17, 2016: “Addressing Healthcare via Non-Medical, Community-Based Resources and Tools.” In previous posts I shared curated tweets from Topic #1, Topic #2, Topic #3 & Topic #4.
@matt_r_fisher: Get the systems to talk with each other. Right now likely exist in completely different spheres.
@stuckonsw: Hospital / community service tech agreements??
@shimcode: Tech can be used to automatically share info between care coordinators and patient medical records
@ochotex: For provider-patient care, I think I agree. Would be nice if it was as easy to use as Slack.
@jimmie_vanagon: Yes and in small office IMHO the best tool for this is a #HealthCRM co-managed by 1 great employee who knows every pt, nurse
@jimmie_vanagon: Not all #portals or #CRM s the same, we commonly hear how easy our portal is to use think the #CRM space will grow
@mandibpro: …and CCDA sent to more than 1 external #EHR (and THAT one could be a test #DirectProject address).
@jwander14: Agree – SMART apps and plugins
@jimmie_vanagon: IMHO it is best to have messaging from pts coming in via password protected/archivable format like #CRM Portal
@jimmie_vanagon: Otherwise how do you keep the messaging organized and coupled with the #EHR too messy otherwise
@shivam_mundra: Setting up messaging infrastructure which allows providers communicate to such programs/community
@shereesepubhlth: Smart phones! And that’s no joke. I think it says something that we get smart phones into hands of Srs but not preventive care
@jimmie_vanagon: Yes and make sure the #ptportal provided for your patients is #smartphone compatible
@shawnmyersrn: I think #FHIR Has a lot of promise here. New apps can help community organizations collaborate with medical.
Actionable Information That’s Easy to Consume
@uiandme: Where consumable means multi-platform (including print) and accessible (findable, readable, etc.) https://t.co/WJGYD2WGer
@shimcode: Anything to decrease time difference between identification of need and receipt of benefits will help.
@shimcode: Make stuff easy to process and recall! Cognitive load of materials given out to help people is often enormous.
@scottyweitzman: Think and act at compute speeds as well deliver the resources info in a much more consumable manner to pts
@cathysusk: the tech part of data sharing is easy but regulatory hurdles would be hard
@glhc_hie: You mean like w/ #HIE! We’re working on it! Your check is in the mail Matt!
@glhc_hie: Please refer to my first answer to T1! I’m starting to feel a little like Chuck (@wareFLO) “All HIE, All the time!”
@glhc_hie: I give you the “Virtual Integrated Patient Record – REAL-TIME longitudinal patient data!: https://t.co/G5Qc6Cyfl4 #HIE
Analytics & Insight
@stuckonsw: How can care managers/nurses get involved in #FHIR & give “boots on the ground” perspective on these probs?
@shereesepubhlth: I do love all the protected tech emerging applications.
@stuckonsw: Matt did you also see @CrisisTextLine got a huge funding boost and will be baked into FB messenger @sarahmlavoie @mloxton
@nxtstop1: Carers, if baby boomers likely have a superb grasp of #technology and able to well handle tech outreach strategies.
@scottyweitzman: Constant availability. Could take down admin workloads, insurance issues, appts, etc.
@shimcode: Tech can be used to assist w/ “life care planning” based on currently available, local resources.
@mandibpro: Yes – but #FHIR currently-anointed cross-#EHR standard for ingesting data INTO system (not exporting).
Enable & Support Communities of Care
@ochotex: I think a lot of communities built networks post-9/11 for emergencies. Could they unite for health?
@shimcode: Tech can be used to support ‘Virtual Patient Communities’ to provide caregiver support
@jimmie_vanagon: There are some incredible apps available now, my nurse finds the #CRM containing #portal helpful
@uiandme: Concentrate on probs common to underserved 1st: hrt disease, cancer, liver disease, kidney disease, skin infections, pneumonia and TB
Fit into Caregivers Daily Routine/Workflow
@shimcode: Tech can help track services provided/interventions and help measure health and well-being improvements. Assign ‘value/savings’
@uiandme: Onboarding for a transient population? HC resources that can be accessed at library or HC facility.
@scottyweitzman: Taking down workloads may relieve stress, promote new studies, better care. IMO
@jimmie_vanagon: Share #EHR at point of care on wall mounted screen so pt has ability to view & edit together with doc #ProjectedEHR
Support the Caregiver Too
@shawnmyersrn: We need to provide education to address care providers’ needs, as well as patients.
@ebukstel: Sometimes the caregivers in underserved areas are also need food stamps to get by / effect on HC
@shereesepubhlth: Caregivers need HIT options that address stress and socio-economic fears associated w/ providign care to loved-ones. Huge MH segment
@shawnmyersrn: Opennotes is a good model https://t.co/NiFVVJkqXS
@ebukstel: Well here’s an app that helps the homeless shed unwanted calories https://t.co/PAP0UPRy6D
@ochotex: Look no further than Africa where smart phones are incredible tools. Less requirements allow loose PHI sharing.
@jimmie_vanagon: So the PHQ-9 questionnaire4depression can be shared on large screen, filled out together, results graphed over time helps
@jimmie_vanagon: Yes and one of the best new upgrades on my #EHR is having the PHQ-9 available and immediately saved to chart 2see response to Rx
That’s All Folks!