Chris Toomer

Assuming the chart is accurate, or close. Let's realize that insurance provides no treatment and other than paying the bills does exactly nothing for health. They like to call themselves health plans, so we don't call them bill payers. Then there are many other forms of intermediary that also do not provide any care or health. The system has converted from transactions to financially support caregiving, into caregivers and patients supporting profit taking transactions. This is upside down.

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This is an interesting article because EHR companies, like Epic and Oracle's Cerner, have made siloing data a major part of their business model. Overall, I like EPIC’s ability to review records from other EPIC shops. It also has a nod to interoperability with its “Care Everywhere“ feature. However, this is often a disorganized and outdated collection of information. Using it requires a ninja level of both tech expertise and medical knowledge possessed mainly by younger physicians and chief residents. I am a fan (and advisor) of companies like Zus Health focused on user-friendly, comprehensive, and up-to-date interoperable health care data tools.

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70% of hospitals participate in healthcare interoperability. Healthcare #interoperability is growing across hospitals, but gaps remain, especially in data exchange with long-term care and behavioral health providers. CapMinds offered health information exchange(#hie) and health interoperability (#fhir, #hl7, #mirthconnect) to its various clients across the specilaity including #behavioralhealth #mentalhealth

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Strategy & Process Development are creative endeavors. It’s a dare to imagine what might be possible. It’s an extension beyond our selves to see from the perspectives of others. It’s telling the story with data and code that moves the mission forward. It’s a catalyst for business development and sustainability. Strategy & Process Development amplify the beautiful work already being done by so many and make the whole greater than the sum of its parts. We’re looking for team members who are willing to dive in and help us cultivate the ins and outs of some really impactful initiatives; from innovations in training to advances in usability.

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Mention Prior Authorizations and you will see a look like this. How many times have I had a provider ask if we could make AI do automatic PA's and keep their staff off of eternal hold? I wonder what MA's electronic prior authorization system will look like? This will be interesting since so much of Medicare and now Medicare Advantage is the forerunner of standard practice. Now a new bipartisan bill, the Improving Seniors' Timely Access to Care Act, seeks to streamline Medicare Advantage by improving the prior authorization process. Senator Tim Kaine noted the current administrative challenges in healthcare provision, emphasizing the necessity to reduce delays in care for seniors. The proposed changes aim to introduce an electronic prior authorization system, enhance transparency, and provide additional safeguards for beneficiaries. The bill also mandates regular reporting to Congress by the U.S. Department of Health and Human Services. Overall, this legislation aims to simplify the healthcare process for older Americans, ensuring timely access to necessary care while reducing administrative burdens on healthcare providers, representing progress towards a more efficient healthcare system under Medicare Advantage. Link to article in comments #PriorAuthorization #medicareadvantage #Salesforce #Healthcloud #Marshallbcapps #AI

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Top rural health IT challenges for healthcare organizations With constrained budgets, hospitals are tackling rural health IT hurdles through cloud-based EHRs, workforce training, grants and free cybersecurity resources. Your rural health organization could be benefitted from cost-effective or no-cost health-it applications using OpenEMR and CapMinds duo. If you want saas platform for your clinic, try with world's most cost-effective #ehr, Vozo #ruralhealth #ehr #telehealth #rcm #rpm

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Prior to the mass adoption of EHRs, healthcare data was siloed in paper charts and filing cabinets. 15 years on from the HITECH act and billions of dollars later, the interoperability challenge has a new face - with digitized data siloed in disparate formats and standards across hundreds of EHR systems. At Arcadia we are working to address this challenge head-on! Learn how to consolidate, normalize, and enrich data from many sources ➡️ https://ow.ly/7p8E50S8APk Join Arcadians, Brendan Smith-Elion, VP of Product Management, Joe Graffy, Director of Enterprise Partnerships, and Stephanie Orosz, Technical Solution Architect, for an overview of interoperability tools and strategies for health data integration. #interoperability #dataintegration #healthcare

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I began my healthcare marketing journey in 2009 at a visionary rural hospital that valued the role of marketing in staying competitive. Back then, owned data wasn't easily available, and the ability to access EHR data was out of the question. Creating segments was a slow process involving paid list vendors. The transformation since then has been incredible. Today, I’m thrilled to help bring cutting-edge technology to marketers with Salesforce. Check out my latest blog post on how Perficient empowers healthcare marketers with a 360° view using Salesforce Data Cloud, Health Cloud, and Marketing Cloud. Oh, how I wish I had these tools when I started! https://lnkd.in/eVmTqjUx

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🚀 Worried about your software getting more complex over time? 🤯 Learn how to keep your software agile and easy to change with these practical steps: 1. Create clear APIs and use contract tests for independent changes. 2. Align systems with business needs through a business capability model. 3. Utilize code analysis tools for better visualization and management. 4. Refactor code to decouple dependencies and build seams. 5. Consider rewriting components with modern engineering practices. Ready to streamline your software? Sign up for a free strategy session now! 💡 Include the following ref link in the post: https://lnkd.in/dQe7AEJU Follow @rajibimran for more insight #SoftwareDevelopment #AgileSoftware #TechStrategy

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Ci4CC Clinical Informatics Grand Round hosted by Douglas Fridsma We are holding a special makeup Clinical Informatics Grand Rounds event this Thursday at 3 PM Eastern. Presenter: Shannon McWeeney OHSU Knight Cancer Institute Title: “The Last Mile of Precision Oncology? Moving Algorithms & Models from Research to CLIA” When: Thursday, May 30th, 12 PM Pacific / 3 PM Eastern Abstract: With the rapid advances in molecular diagnostics and decision support, there is an incredibly tight coupling between computational algorithms and models with clinical assays. I will discuss our work on developing the processes and infrastructure for hardening and validating algorithms for clinical deployment. The creation of the role of Director of Medical Bioinformatics was done to serve as a bridge for research and innovation, facilitating the practical application of new technologies and methods. Key considerations that have shaped our work include not only consistency and safety but also evidence standards, interpretability and explainability.as well as cognitive accessibility. I will also discuss new challenges, not only for implementation but also for monitoring, due to the shift from unimodal to multimodal data and static to adaptive algorithms. #cancerresearch #ci4cc #informatics #ai #bioinformatics #cancercenters #precisiononcology Zoom Invite: https://lnkd.in/eEkP5Wi8 Meeting ID: 828 2974 9052 Passcode: 479544

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The 4/19 Healthcare Labyrinth Newsfeed is live. Click below to read. Major stories of the day: -- Impact of provider consolidation -- Cyberattack continues to impact providers and health plans -- Optum laying off hundreds or thousands over cyberattack -- HHS OIG to investigate drug price impact from vertical integration #healthcare #healthcarereform #healthinsurance #healthcarelabyrinth

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Argonaut's 2024 "FHIR Write" initiative launches today, focused on continuous glucose monitoring! We're streamlining standards-based integration of CGM data into EHRs to support collaborative diabetes management. Huge thanks to Redox, Rimidi, Rhapsody, Sensotrend, and Tidepool for helping me and Brett Marquard come up to speed ahead of the project launch. I also want to share my personal pre-launch exploration to learn about CGM: 1. Got a CGM prescription and began tracking my blood sugar. 2. Mapped my CGM readings to FHIR Observation and Device resources. 3. Calculated key metrics like "time in range" as FHIR Observations 4. Created a visualization PDF based on the Ambulatory Glucose Profile, and wrapped this in a FHIR DiagnosticReport 5. Published same visualization as an interactive web view 6. Packaged all this up in a SMART Health Link for secure, structured data sharing + built-in visualization This SMART Health Link represents my past 120 days of glucose history, updated automatically and covering all core data elements described in the Diabetes Technology Society (DTS)'s iCoDE data set: ** Josh's glucose SHLink: https://lnkd.in/g2TQb5tN ** Anyone with the SHLink can access the structured FHIR resources behind the visualization. In fact, the viewer itself is a SHLink client that knows how to render the data it finds. For a behind-the-scenes tour of the data set, see https://lnkd.in/gYpGuGEQ This proof of concept shows how FHIR can streamline CGM data flows. It can give clinicians structured data for analysis AND summary reports for record-keeping. I should note that this consumer-mediated direction is not necessarily the approach we'll focus on in this year's Argonaut project -- but it has been a great learning exercise for me. Check out the project and code: https://lnkd.in/gY2nwv2h #healthcare #diabetes #data #FHIR #ArgonautProject A final thought: Even with an "all green" glucose report, there's still much to learn from analyzing specific responses like post-meal glucose spikes. Right now, such subtle signals may be outside the standard clinical focus, but it highlights the wealth of potential insights hidden within raw data.

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One of the things I'm most excited about at Optimum is the work we're doing across platforms to streamline healthcare providers' tech stacks and processes. Our most recent target - onerous, time-consuming, and painful EHR test script development and testing. Imagine implementing a fast and seamless test management process without: ❌ Hard to manage hand-offs ❌ Confusing and opaque script and defect statuses  ❌ Overwhelmed IT and informatics teams ❌ Excel based testing workflows   Sounds too good to be true?    Most healthcare IT teams continue to rely on manual processes, disjointed Excel scripts and trackers, and inefficient communication and tracking methodologies.   This was the reality for our friends at Methodist Le Bonheur Healthcare (MLH) before they partnered with Optimum to transform their Epic test management process and create what our Epic counterparts described as one of the most successful integrated testing efforts they've ever seen.   Join MLH’s IT Testing Coordinator, @Connie Burse, myself, and Sr. Director of Customer Success, Natalie Tollefson, SPHR Tollefson, for our upcoming Healthy as Tech talk.   In this talk, you’ll hear: 👂 Real-life examples of challenges MLH faced with test management 👂 Steps they took to overcome those challenges 👂 3 things you can do right now to reduce testing time and increase accuracy and efficiency   Grab your (virtual) seat here: https://lnkd.in/dgCzEmfU #HealthyAsTech #Epic #TestManagement #emr

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🚀 Exciting Developments from the ONC Certification Program Roundtable! 🚀 The ONC's new "Decision Support Interventions" rule (§170.315(b)(11)) has targeted major EHR players like Epic Cerner Corporation and athenahealth, focusing on transparency in AI algorithm sourcing. This significant change replaces the old "clinical decision support" criteria to address uncertainty around predictive DSIs. 💡 Key Takeaways: New Transparency Requirements: EHRs must now reveal "source attributes" for predictive DSIs they develop collaboratively. Narrowed Scope: Only predictive DSIs supplied as part of a developer’s Health IT Module are impacted by these new rules. Implications for Non-Preferred Vendors: Ambient/AI startups can leverage the APIs developed by EHRs without the same regulatory burdens. They gain a competitive edge, and can innovate and deploy solutions faster. 🌟 What This Means: Non-preferred vendors can now use advanced APIs without facing stringent sourcing requirements. This #levelstheplayingfield, allows for rapid innovation and deployment. Health systems might still demand sourcing transparency, pushing for higher standards. This is a pivotal moment for ambient/AI startups, providing an incredible opportunity to thrive and innovate in healthcare! 🌐💼 #HealthIT #AI #ONC #Epic #Abridge #Innovation #HealthcareTech #DigitalHealth Abhinav Shashank Kanav Hasija Sandeep (Sandy) Gupta David Nace mike sutten

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The new U.S. Acute Care EHR Market Share 2024 report from KLAS shows one electronic health record vendor, Epic, pulling well ahead of the pack as it continues to add new hospital and health system clients. #Healthcare #KLAS #HealthRecord

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ICYMI: Our CEO Rajaie Batniji spoke at Fortune Brainstorm Health this week on value-based care and AI. Thanks to Christina Farr, Sachin H. Jain, MD, MBA, and Brent Nicholson for an insightful discussion! “So much of how we talk about AI in healthcare is focused on replacing humans, and I think that’s totally wrong. Our approach to AI development is to automate the routine tasks so that we can allow our care team to spend as much as possible with patients. Second, let’s automate the identification of which patients are going to benefit from certain services so that we can spend our time targeting the appropriate groups. That’s where you have step-change in improving access to care.” Watch the recording here: https://wymrk.co/3KdruPb

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Unlocking the differences between Electronic Health Records (EHR) and Electronic Medical Records (EMR): while often used interchangeably, there are subtle distinctions worth noting in the digital age of medical data storage. As these systems evolve, their functionalities converge, blurring the lines between EHRs and EMRs in modern medical practice. Learn about the best practice in EMR management. We share a passion for these topics. Learn about how iBridge can help at info@ibridgellc.com. #CloudFirst #DataMigration #EnterpriseTech #UnlockingPotential #DigitalInnovation #EHR #EMR #HealthTech #iBridge

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