Steven Lane, MD, MPH

I’ve been given advice that the fastest way to monetize HER Heard without charging the end user (woman) is trackers and selling data. Instead, I’d like to build something more trustworthy. I don’t want to be in a headline like this. If you are not paying, then you are the product (you/your data are being sold). There are newer ways to deindentify data or even to aggregate things women search for that can be of interest to various stakeholders. In theory that could be okay to sell, but in a post-Roe world with laws encouraging bounty hunting, I am vetting the choices ahead. I am all for moving fast, without breaking things.

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Member Highlight Alert! Ali Modaressi from Los Angeles Network for Enhanced Services (LANES) sheds light on the invaluable insights health data sharing brings to clinical practice and patient care. Delve into the clinician's perspective and discover the transformative impact of data sharing on patient outcomes. Check out the full story here: https://lnkd.in/gkuEpQi6

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Here are 5️⃣ critical evaluation points to include in your next Maternal Health Equity solution RFP to ensure you select the right partner for your organization: 1. Integrates seamlessly with existing systems, EHRs, and workflows 🔄 2. Captures actionable Social Determinants of Health (SDOH) information 📊 3. Augments staff through patient navigation support to Community-Based Organizations (CBOs) to support food insecurity, transportation needs, and more 🤝 4. Addresses “whole person” health needs 🌟 5. Promotes high patient or member engagement rates with relevant education to empower their health 💪 Download our full Maternal Health Equity RFP template and let's improve maternal health outcomes, reduce complications, and build a healthier community together! 💜 Download now: https://lnkd.in/eUx5_38G #MaternalHealthEquity #HealthcareInnovation #RFPTemplate

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A new #EBHC scoping review explores how health service and delivery systems in high-income countries define and operationalise #HealthEquity. 👉 https://ow.ly/ZxaY50ShGWU

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Just released! Our #SDOH and #HealthEquity Workgroup has published "Recommendations for Determinant Capture," suggested guidelines for standardizing how domain risk is captured in #EHRs. "Absence of clear guidelines for risk assessment and standardized representation of risks in EHRs hinders effective data exchange to inform interactions at the point of care," writes the Workgroup. Click here to download: https://ow.ly/WTaj50RpvuC

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Information Systems Research (ISR) has recently published a new article to the Articles in Advance page:   Article Title "How Hospitals Differentiate Health Information Technology Portfolios for Clinical Care Efficiency: Insights from the HITECH Act"   Authors Jessica Pye (deceased), Arizona State University Arun Rai, Georgia State University John Qi Dong, National Technological University, Singapore   Problem definition We examine how hospitals differentiate their HIT portfolios in response to cost inefficiencies in clinical care processes and HIT policy uncertainty.   Relevance Adapting HIT portfolios to address cost-based shortfalls and policy uncertainty is crucial in shaping service delivery and impacting care costs, making it a key concern for policymakers and hospital decision-makers. Theoretical foundations We combine behavioral theory and institutional theory to explain how hospitals differentiate their HIT portfolios through idiosyncratic learning in response to cost-based performance shortfalls and shifting isomorphic pressures from changes in HIT policy uncertainty.   Methodology We constructed a panel dataset of 11,316 hospital-year observations from 3,319 U.S. hospitals over 2007–2014 to investigate how hospitals’ HIT search differentiation is influenced by cost-based performance shortfalls and policy uncertainty during the phases of the HITECH Act, from conceptualization to enactment to enforcement.   Results Our research provides a key insight: Moderate policy uncertainty, particularly during the HITECH Act's phases, significantly shapes hospitals' search for novel HIT solutions to address performance shortfalls. Hospitals enhance their search differentiation when uncertainty decreases from conceptualization to enactment but reduce it as uncertainty diminishes from enactment to enforcement.   Contributions Our findings surface the utility of combining the behavioral theory of the firm with institutional theory to explain the interdependence among a hospital’s cost-based performance shortfalls, HIT policy uncertainty, and HIT search differentiation. They show how hospital managers and policymakers can reorient their strategies to leverage the interdependencies among these elements, thereby encouraging the pursuit of innovative HIT systems over widespread imitation, to effectively address cost-based performance shortfalls in hospitals.   Short quote Unlocking Healthcare Innovation: hospitals excel in deploying new technologies through peer benchmarking and navigating moderate regulatory uncertainty. Dive into our research to see the transformative impact of this benchmarking strategy combined with moderate policy uncertainty!"   #HealthcareInnovation #HITECHAct #PolicyImpact   Keywords search differentiation, health information technology, performance shortfalls, policy uncertainty, behavioral theory of the firm, institutional theory   Link to article: https://lnkd.in/djh84uad

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Discover how leveraging data can lead to the ultimate success of #CalAIM and drive a positive impact on health equity in the latest ITUP Issue Brief! https://lnkd.in/g6Nh6Pg5.

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In #healthcare #interoperability news, The U.S. Department of Health and Human Services (HHS), through the Office of the National Coordinator for Health Information Technology (ONC) and its Recognized Coordinating Entity (RCE), The Sequoia Project, announced that the Trusted Exchange Framework and Common Agreement #TEFCA Version 2.0 (CA v2.0) has been released! "These enhancements and updates mark a huge step forward for TEFCA as it meets the promise of seamless nationwide exchange at scale." 🌐 What Is It? The U.S. Department of Health and Human Services (HHS) has released Common Agreement Version 2.0 (CA v2.0). This agreement sets the rules for securely sharing health information across different networks 🔑 Key Points: 🔸 TEFCA Exchange via FHIR: CA v2.0 now requires support for Fast Healthcare Interoperability Resources (FHIR). This means easier information exchange between health networks and better access to personal health data via apps. 🔸 Qualified Health Information Networks (QHINs): Seven designated QHINs can adopt and implement this new version. 🔸 Terms of Participation: Participants and Subparticipants must comply with specific requirements to join TEFCA. 🔸 Big Step Forward: CA v2.0 brings us closer to seamless nationwide health data exchange. 🚀 Why It Matters: This release enhances healthcare connectivity, making it easier for everyone to access and share vital health information. 🌟 Read more in this press release from ONC! 🔗 https://lnkd.in/eZPczt8e

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The American Medical Association (AMA) has issued its detailed explanation of recommendations to improve maternal health outcomes in the U.S.  A key focus in their detailed recommendations is on the use of remote monitoring technologies to improve patient outcomes and ensure equitable access to care. “The AMA believes that telehealth and remote patient monitoring are a critical part of the future of effective, efficient, and equitable delivery of health care in the United States and advocates for comprehensive Medicaid coverage of virtual maternal health care services.” At Marani, we believe that remote monitoring puts power into the hands of those who can make the most impact on maternal outcomes---the patient and their care team. We are thrilled to see the momentum for delivering these necessary tools and services growing at the highest levels. Learn more about Marani’s advanced digital health platform and the ways we empower patients and providers committed to improving maternal outcomes.     #maternalhealthcrisis #remotemonitoring #empowerment #womeninhealthcare #transforminghealthcare #healthcareaccess #healthequity 

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To meet CMS’ commitment to have all #Medicare beneficiaries in value-based payments (VBP) by 2030, payers have to dig deeper into #VBP design flaws and explore new strategies like: •Creating a coordinated set of VBP model designs to cut wasteful or inefficient spending without asking one participant to forgo all the revenue. •Introducing real savings requirements for shared savings, or implementing a risk-score growth cap to encourage better care practices. •Leaning into mandatory participation in new VBP programs to help ALL types of Medicare beneficiaries – not just larger-scale organizations. Read more about how these solutions can help accelerate VBP adoption in a recent Health Affairs article I wrote with Amol S Navathe and Daniel Shenfeld (linked in comments) #HealthcareonLinkedIn

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Come join me tonight for an update on the Furture of AI in healthcare. We will be discussing how technology will be implemented in the healthcare field and how emerging tech innovations will advance patient outcomes. Register now. #hoodai #healthinformatics #ai #machinelearning #healthcare https://lnkd.in/d_erz_Mf

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Manatt, Phelps & Phillips, LLP's take got me: "CMS is recognizing the role of digitally enabled care in improving access and outcomes." They also propose these new models "present health tech companies with opportunities to target new markets" because of the new/extra funding—such as viewing state Medicaid offices as new partner opportunities, which I've been seeing a lot of talk about recently in my feed. What do you think? I guess being in New Mexico, where almost half of our state is covered by Medicaid, Medicaid and MCOs have been a primary strategic partner/target market for 15+ years, and a somewhat omnipotent source driving most investment and initiatives. ------------------ More about the models: The Transforming Maternal Health (TMaH) model will issue agreements to up to 15 state Medicaid agencies to develop and implement a whole-person approach to pregnancy, childbirth, and postpartum care. The Innovation in Behavioral Health (IBH) model will develop and implement state-administered approaches which integrate behavioral, physical, and social supports to coordinate and manage care for Medicare and Medicaid beneficiaries with moderate-to-severe mental health conditions or substance-use disorders (SUD). I thought to myself, "wait, aren't we already doing that?" But they clarified: through the new models, CMS is encouraging states and providers to invest in technology and supporting infrastructure. ------------------ 🎉 What I'm excited about: Continued support for entities to get connected and the continued case for HIEs to expand their capabilities. Specifically, EHRs, HIEs, and remote patient monitoring (RPM). AND.... 🎉 "Additionally, CMS will support states with implementing data infrastructure to enable collection of Health-Related Social Needs (HRSN) data and referral to support resources." ------------------ 🤯 What I didn't realize: "It is estimated that only 6% of behavioral health facilities and 29% of substance use disorder treatment centers in the U.S. utilize EHRs, whereas nearly 4 in 5 office-based physicians (78%) leverage an EHR platform today 🤯 I'm having a hard time following along with all the new models coming out of CMMI, though 😉 Interesting piece all around, good info.

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And why? With the EPIC vs Particle Health debate, the business-side of the situation is just being pushed even more towards the front. TEFCA participation is voluntary. Regional HIE participation is voluntary. Even Care Everywhere is voluntary for EPIC-using systems. You know what is mandatory? Patient access. Why are we depending on competing businesses to make it work? The patient has the most at stake and has the most interest in information flowing and getting the best outcome. Give them the power to participate. The framework is already there. IYKYK, but that's what we do at Primary Record and that's why we do it.

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How to improve healthcare by marrying value analysis with clinical outcomes to elevate patient care. Dr. Hudson Garrett, FACHDM, FAHVAP, FACHE, FSHEA, FNAP, FIDSA, Karen Niven and Anne Marie Orlando explore this intersection in there insightful upcoming article coming next week! #HealthDataManagement #ValueAnalysis #ClinicalOutcomes #EvidenceBased #HealthcareExcellence. 

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The Association of Healthcare Value Analysis Professionals (AHVAP) appreciates our ongoing collaboration with Health Data Management and Mitchell Josephson, FACHDM as we advance safety across the healthcare continuum. Check out our next article highlighting the utilization of evidence-based medicine in the evaluation of new products and technologies as part of the clinical value analysis process. #AHVAP #HDM #valueanalysis #clinicaloutcomes #valuebasedcare #EBM #EBP #evidencebasedcare

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PicassoMD and Eventus WholeHealth Announce Partnership to set a new standard in healthcare innovation and patient-centered services for individuals in long-term care settings PicassoMD, Inc., a platform that connects healthcare providers for real-time clinical decision support, referrals, and care coordination, and Eventus WholeHealth, the country’s leading provider of primary care and mental health services for medically vulnerable adults, are proud to announce a new partnership that will enable their strategic clinical care teams to connect with local and remote specialists in real-time. PicassoMD and Eventus WholeHealth share a common goal of making access to healthcare available to those who are medically vulnerable. Co-founded by a cardiologist, PicassoMD has revolutionized the way Primary Care Providers (PCPs) deliver care. The platform enables PCPs to access real-time clinical consultations with specialists across more than 30 specialties in under 30 seconds, significantly improving patient outcomes and reducing costs. Additionally, if a referral is necessary, PicassoMD helps seamlessly transition the patient from the PCP to a local specialist, ensuring continuity of care and enhancing patient satisfaction. This partnership has already shown impressive results for Eventus patients: * 70% of Emergency Department (ED) visits were avoided. * 77% of specialist referrals were avoided. * 70% of cases saw a change in clinical behavior based on real-time specialist input. * The average time to connect with a specialist was just 12 seconds. "Through our strategic partnership, Eventus WholeHealth and PicassoMD are setting a new standard in healthcare innovation for individuals in long-term care," said Dr. Reza Sanai, founder and Co-CEO of PicassoMD. "We are dedicated to enhancing patient outcomes and streamlining care coordination, demonstrating our commitment to transforming healthcare with compassion and excellence." “Eventus’ partnership with PicassoMD has been amazing! It allows our clinicians to securely message specialty providers for consultation about difficult cases. I’ve personally connected with various specialists and within minutes had a plan of care to implement the same day. This app enables real-time patient treatment instead of waiting months for an appointment,” said Cathy Parker, NP, VP of Value Based Care Outcomes at Eventus WholeHealth. “These curbside consults directly affect value-based care by providing real-time solutions, coordinating care, and decreasing ER transfers, leading to better quality and cost-effective care for our patients.”

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Ismelda Garza, CIO of Cuero Regional Hospital and Senior Consultant at CereCore, is dedicated to serving those who work in rural health. Read in this Digital Health Insights article how her people-first approach to leadership and change management encourages momentum and positivity, even during an #EHR replacement and #technology change. https://hubs.li/Q02yGwgY0

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Walmart Exits Healthcare Market: RPM Steps Up to Fill the Gap... Walmart's departure from the healthcare market, including its virtual health care services, will leave a void in care services for underserved communities. While hospitals and primary care providers (PCPs) remain the backbone of our healthcare ecosystem, their resilience is rooted in the trust relationships they've built with patients. This trust is a cornerstone of effective care, and RPM can help hospitals and PCPs extend their reach. RPM uses digital technologies to monitor patients' vital signs, health data, and other relevant information remotely, enabling healthcare providers to deliver timely interventions and preventive care. By leveraging RPM, we can: - Increase access to care for underserved communities - Detect health issues early, preventing complications - Deliver personalized care plans - Reduce healthcare costs - Empower patients to take a more active role in their healthcare As we move forward, RPM can help address the disparities in healthcare access and ensure that everyone has access to quality care, regardless of their zip code or background. Let's harness the power of RPM to create a more equitable and accessible healthcare ecosystem! #RemotePatientMonitoring #Telehealth #DigitalHealth #HealthcareAccess https://lnkd.in/eD7CcaEm

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What equity frameworks does your organization use? Have you seen the Agency for Healthcare Research and Quality's "Practical Guide for Implementing the Digital Healthcare Equity Framework"? AHRQ takes an intentional approach to considering equity throughout the digital healthcare lifecycle aims to promote improvement in: • Clinical outcomes such as mortality, morbidity, and health/quality of life • Process outcomes such as care continuity, care coordination, and care quality • Healthcare experiences such as patient satisfaction/engagement and provider satisfaction/engagement #HealthcareEquity #ClinicalOutcomes #PatientExperience https://lnkd.in/eTA9d9Gn

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