tag:blogger.com,1999:blog-55537959650389062812024-02-21T01:01:40.908-08:00The Healthcare Data, Technology & Services BlogInsight, Ideas, Opinions, Information & Ramblings about Healthcare Data, Services and TechnologiesShimCodehttp://www.blogger.com/profile/13111347121021451188noreply@blogger.comBlogger295125tag:blogger.com,1999:blog-5553795965038906281.post-33426821198890275722020-08-01T16:27:00.000-07:002024-02-05T13:32:26.340-08:00A Path Back to In-Person Healthcare Conferences: Federated-Hybrid Conference Model<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjZNUEX1z2JAre9dJdijrFhoMPXKJRE2NiMoRgIAxt4g9EYl-Xef4adZmROCcCQ76zqTJwB_S7Uo8jgt0sdSSeH5oOlwC05g9rOVjWclvTErNH0MIrzn1XV2e_coLgbkS7AZYV_JlYwYZgg/s1600/shimcode-post-healthcare-path-back-to-in-person-healthcare-conferences-1.PNG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img alt="A Path Back to In-Person Healthcare Conferences: Federated-Hybrid Conference Model" border="0" data-original-height="726" data-original-width="1288" height="225" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjZNUEX1z2JAre9dJdijrFhoMPXKJRE2NiMoRgIAxt4g9EYl-Xef4adZmROCcCQ76zqTJwB_S7Uo8jgt0sdSSeH5oOlwC05g9rOVjWclvTErNH0MIrzn1XV2e_coLgbkS7AZYV_JlYwYZgg/s400/shimcode-post-healthcare-path-back-to-in-person-healthcare-conferences-1.PNG" title="" width="400" /></a></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">In-person healthcare conferences ceased to exist about two months ago.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">And “virtual conferences” – often just glorified webinars – have largely taken their place. </span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">And many 'attractive locations' around the United States are still under 'stay-at-home mandates' from local authorities; employers have put a kibosh on non-essential business travel.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">We're Not Going Back Anytime Soon</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">A return to the <i>glory days of in-person, mass gatherings</i> will likely be a long way off. And probably come in dribs and drabs. With some pioneers taking arrows in their back.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">What are some of the ways we can get real-life conference events back in an accommodative, intelligent, measured, and cost-effective way?</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">My Idea: ‘Federated-Hybrid Conference</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">This blog post proposes the idea of a ‘Federated-Hybrid Conference’ as a means for conference organizers to address:</span></div>
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Need for physical, face-to-face networking opportunities</div>
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Minimize the need for costly, time-consuming travel</div>
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Offer meaningful virtual opportunities</div>
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Comply with ‘mass gathering restrictions’</div>
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Address individual concerns about coronavirus</div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">What is a ‘Federated-Hybrid Conference Model?’</span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">A conference simultaneously presented to both in-person and remote attendees in a coordinated fashion across multiple locations. General sessions and keynotes are simultaneously are shared in real-time to all locations via multiple digital channels. </span></div>
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" 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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />Breakout sessions (workgroups) at each satellite location expound on the overall conference theme. And proceedings from each location are curated and presented back to all in-person and remote attendees.</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">What is the Structure of a ‘Federated-Hybrid Conference Model?’</span></h3>
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<a href="https://www.blogger.com/blogger.g?blogID=5553795965038906281" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">My proposed Federated-Hybrid Conference Model consists of two or more physical locations connected by multi-media technologies. Physical locations are selected based on your target attendees, unique aspects of the venue, and its location. And also in consideration of local regulations and orders pertaining to mass gatherings.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Maximizing attendance of target attendees and minimizing attendee travel requirements are key considerations in selecting a location. Even if a miraculous cure for COVID-19 were available yesterday, it's likely the budgetary, psyche, and practical aspects of large-scale attendance at conferences just aren't going to take place anytime soon.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Gotta Start Small & Accommodate All-Comers</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Additionally, location selection can accommodate keynote speakers and take advantage of location-specific, 'regulatory,' venue offerings, and seasonal benefits of the location and venue.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />One of the locations is designated as the ‘home location’ that drives all event programming and communications with one or more satellite locations. </span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Presentations and content from all locations is captured digitally and made available to other locations and individuals who may participate exclusively via virtual means.</span></div>
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<a href="https://www.blogger.com/blogger.g?blogID=5553795965038906281" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Considerations for Attracting Attendees</span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">The number of attendees at each location can be targeted and perhaps somewhat controlled based on any combination of several considerations:</span></div>
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<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Limiting attendees per location</span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Considerations related to local restrictions </span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Attractive aspects of each location</span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Venue accommodations - Including space offered by sponsors, partners, & others</span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Local attractions and reasons to get out</span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Potential pre/post-event recreation &entertainment options</span></li>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Let's face it, over the next year or two, who's going to want to fly to major cities? With all due respect, people will take a Pasadena on going to San Francisco and New York City, at least nowadays.</span><br />
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<a href="https://www.blogger.com/blogger.g?blogID=5553795965038906281" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">How is Content Created & Shared in a ‘Federated-Hybrid Conference?’</span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Keynotes and general sessions are simultaneously delivered via multi-media channels - live and <i>intelligently pre-recorded</i> and presented - to all locations.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />Time not allocated to keynotes and general sessions is used to promote networking opportunities to all attendees. And to present, curate, and distribute content originating from each location.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Each location - including the home location - would also include a ‘regional workgroup’ addressing a subset of the topic(s) supporting the primary conference theme. Offering networking opportunities and also the opportunity for participants at each location to join workgroups from other locations via a location-specific live-stream.<br /><br />Content created and presented in each satellite location would be curated summarized and presented via live-feed back to all locations and/or packaged for subsequent on-demand use.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Additional Opportunities & Considerations</span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Each location would have a person serving in information collection, coordination, and distribution role. </span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">As noted above, each individual attendee would have the ability to participate virtually in other locations ‘workgroups’ based on their specific topical interests.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Overall attendance can be increased by adding locations, adding workgroup breakout sessions, and a few other ways.<br /><br />Time zone differences across locations could be leveraged to facilitate capture and access to content originating at each location.</span></div>
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<i><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">I.e. one location may participate virtually with another location’s workgroup while their home location is eating lunch, and/or before or after other locations. And then vice-versa.</span></i></div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />Information and insight origination from each location can be re-purposed and used to develop an interest in, participation, and complimentary event topic/programming in other regions. </span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">This proposed conference model addresses aspects of a physical, in-person event:</span><br />
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<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"> Face to face networking opportunities</span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"> Food and drink</span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"> Maintain compliance with local regulations regarding mass gatherings</span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Address the undesirable physical aspects:</span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"> Large crowds</span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"> Risk in long-distance travel</span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Minimizes and even eliminates the need for long-distance travel</span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Reach Out to Me - I Have Other Ideas - Let Me Share Them </span></li>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="mailto:steve.sisko@shimcode.com" target="_blank">Reach Out for More Ideas and Assistance</a></span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="mailto:steve.sisko@shimcode.com" target="_blank">Contact me</a> for specific information as to how I may assist with helping you to fix your healthcare conference conundrum. You can also <a href="http://www.twitter.com/shimcode" target="_blank">follow me on Twitter</a> where I share more about healthcare, information technology, and some unrelated stuff you may or may not want to read.</span></div>
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ShimCodehttp://www.blogger.com/profile/13111347121021451188noreply@blogger.com0tag:blogger.com,1999:blog-5553795965038906281.post-45992970918325052432019-11-24T08:33:00.001-08:002020-01-23T13:41:47.088-08:00Collection of Healthcare Predictions & Trends for 2020<div class="separator" style="clear: both; text-align: center;">
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<span style="color: red; font-family: "georgia" , "times new roman" , serif; font-size: large;">** Updated January 23, 2020 **</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">November has historically marked the start of "Prediction Season" when healthcare experts, thought leaders, consultants, and others with some connection to the healthcare industry share predictions and trends they expect in 2020 and beyond.<o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">For the fifth year in a row – I’m sharing a list of lists I believe are fit for sharing. As you might predict, many of these lists are created by large research and consultancies like Deloitte, Forrester, Frost & Sullivan, Gartner, and PWC. Others come from journalists and industry leaders like Michael Rogers and Dr. Sachin Jain.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><i>Note: Some lists are cleverly veiled marketing pieces or other largely worthless itemizations with a click-bait title. These types of lists are not included in my list.</i></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Previous Lists of Healthcare Predictions Most Popular of All My Blog Posts</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">The following four lists of healthcare predictions and trends have been among my most popular blog posts over the last four years. And I get that sharing links to other's work is no special feat on my account - just a service I provide for others.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.shimcode.com/2018/12/collection-of-healthcare-healthcare.html" style="text-align: center;" target="_blank">2019 Collection</a> <a href="https://www.shimcode.com/2017/11/collection-of-predictions-and-trends.html" target="_blank">2018 Collection</a></span></h4>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.shimcode.com/2016/12/collection-of-predictions-about.html" target="_blank">2017 Collection</a> <a href="https://www.shimcode.com/2015/12/collection-of-predictions-about.html" target="_blank">2016 Collection</a></span></h4>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Healthcare Predictions & Trends - 2020 & Beyond</span></h3>
<br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://healthmanagement.org/c/healthmanagement/issuearticle/2020-another-year-of-radical-change-in-healthcare?utm_source=shimcode.com&utm_medium=blogpost" target="_blank">2020:Another Year of Radical Change in Healthcare</a><br /><br /><a href="https://www.fiercehealthcare.com/tech/chime19-7-predictions-for-what-lies-ahead-for-health-it-2020?utm_source=shimcode.com&utm_medium=blogpost" target="_blank">7 predictions from health IT execs about what lies ahead in 2020</a><br /><br /><a href="https://www.forbes.com/sites/sachinjain/2019/11/23/top-10-health-care-industry-predictions-for-the-year-2020?utm_source=shimcode.com&utm_medium=blogpost" target="_blank">10 Health Care Industry Predictions For The Year 2020</a><br /><br /><a href="https://healthcareweekly.com/health-technologies/?utm_source=shimcode.com&utm_medium=blogpost" target="_blank">9 health technologies every executive should be excited about in 2020</a><br /><br /><a href="https://www.iconmedicalnetwork.com/single-post/Healthcare-Predictions-for-2020-and-Beyond-Part-1?utm_source=shimcode.com&utm_medium=blogpost" target="_blank">9 Healthcare Predictions for 2020 and Beyond (Part 1)</a><br /><br /><a href="https://www.beckershospitalreview.com/healthcare-information-technology/9-predictions-for-digital-health-in-2020.html?utm_source=shimcode.com&utm_medium=blogpost" target="_blank">9 predictions for digital health in 2020</a><br /><br /><a href="https://www.healthcareitnews.com/news/futurist-predicts-what-healthcare-will-look-late-2020s?utm_source=shimcode.com&utm_medium=blogpost" target="_blank">A futurist predicts what healthcare will look like in the late 2020s</a><br /><br /><a href="https://www.healthcaremindxchange.com/digital-health-predictions-and-trends-what-to-expect-in-2020/2019/?utm_source=shimcode.com&utm_medium=blogpost" target="_blank">Digital Health Predictions and Trends—What to Expect in 2020</a><br /><br /><a href="https://www.gartner.com/smarterwithgartner/gartner-top-strategic-predictions-for-2020-and-beyond/?utm_source=shimcode.com&utm_medium=blogpost" target="_blank">Gartner Top Strategic Predictions for 2020 and Beyond</a><br /><br /><a href="https://www2.deloitte.com/cn/en/pages/life-sciences-and-healthcare/articles/healthcare-and-life-sciences-predictions-2020.html?utm_source=shimcode.com&utm_medium=blogpost" target="_blank">Healthcare and Life Sciences Predictions 2020</a><br /><br /><a href="https://www.hcinnovationgroup.com/population-health-management/article/21114668/healthcare-trends-predictions-and-challenges-for-2020?utm_source=shimcode.com&utm_medium=blogpost" target="_blank">Healthcare Trends, Predictions and Challenges for 2020</a><br /><br /><a href="https://www.fiercehealthcare.com/practices/mgma19-7-predictions-for-what-lies-ahead-healthcare-2020?utm_source=shimcode.com&utm_medium=blogpost" target="_blank">MGMA19: 7 predictions for what lies ahead in healthcare in 2020</a><br /><br /><a href="https://go.forrester.com/blogs/predictions-2020-healthcare/?utm_source=shimcode.com&utm_medium=blogpost">Predictions 2020: Medicare, Price Transparency, And Virtual </a><a href="https://go.forrester.com/blogs/predictions-2020-healthcare/?utm_source=shimcode.com&utm_medium=blogpost" target="_blank">Care Take Center Stage In Healthcare</a><br /><br /><a href="https://www.zdnet.com/article/predictions-2020-uncertainty-equals-opportunity-for-the-cio/?utm_source=shimcode.com&utm_medium=blogpost" target="_blank">Predictions 2020: Uncertainty equals opportunity for the CIO</a><br /><br /><a href="https://www.beckershospitalreview.com/hospital-management-administration/s-p-7-healthcare-trends-to-watch-in-2020.html" target="_blank">S&P: 7 healthcare trends to watch in 2020</a><br /><br /><a href="https://hitconsultant.net/2019/12/02/the-future-of-healthcare-3-predictions-for-the-next-five-years" target="_blank">The Future of Healthcare: 3 Predictions for the Next Five Years</a> <span style="color: red;">(Added 12/3/19)</span><br /><br /><a href="https://www.pointclearsolutions.com/top-tech-trends-2020/" target="_blank">To 2020 And Beyond: Top Tech Trends</a> <span style="color: red;">(Added 12/3/19)</span><br /><br /><a href="https://www.forbes.com/sites/reenitadas/2019/12/04/top-8-predictions-that-will-disrupt-healthcare-in-2020/" target="_blank">Top 8 Predictions That Will Disrupt Healthcare in 2020</a> <span style="color: red;">(Added 12/4/19)</span><br /><br /><a href="https://www.healthdatamanagement.com/list/healthcare-trends-that-will-rock-medical-care-in-the-2020s" target="_blank">Healthcare trends that will rock medical care in the 2020s</a> <span style="color: red;">(Added 12/5/19)</span><br /><br /><a href="https://www.novu.com/corporate/blog/novuhealth-ceo-tom-wickas-top-4-predictions-for-2020/" target="_blank">NovuHealth CEO Tom Wicka’s top 4 predictions for 2020 </a><span style="color: red;"> (Added 12/6/19)</span></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="http://emag.medicalexpo.com/new-decade-new-disruption-the-2020-healthcare-trends/" target="_blank">2020: New Decade, New Disruption</a> </span><span style="color: red; font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 12/16/19)</span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><a href="https://www.beckershospitalreview.com/healthcare-information-technology/50-hospital-c-level-execs-share-advice-innovations-2020-predictions-and-more.html" target="_blank">50 hospital C-level execs share advice, innovations, 2020 predictions and more</a> </span><span style="color: red; font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 12/16/19)</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><br /><a href="https://blog.encompasshealth.com/2019/12/10/mark-tarrs-2020-healthcare-predictions/" target="_blank">Mark Tarr's 2020 healthcare predictions</a> </span><span style="color: red; font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 12/16/19)</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><br /><a href="https://www.forbes.com/sites/scottlenet/2019/12/15/a-dozen-innovation-predictions-for-the-coming-decade" target="_blank">A Dozen Innovation Predictions For The Coming Decade</a> </span><span style="color: red; font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 12/16/19)</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><br /><a href="https://kaloramainformation.com/top-10-life-science-and-healthcare-market-predictions-for-2020" target="_blank">Top 10 Life Science and Healthcare Market Predictions for 2020</a> </span><span style="color: red; font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 12/16/19)</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><br /><a href="https://www.linkedin.com/pulse/my-2019-healthcare-takeaways-plus-2020-predictions-dave-chase" target="_blank">My 2019 Healthcare Takeaways, Plus 2020 Predictions</a> </span><span style="color: red; font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 12/16/19)</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><br /><a href="https://www.forbes.com/sites/ritanumerof/2019/12/13/disruption-defined-healthcare-in-2019-2020-will-be-about-acceleration" target="_blank">‘Disruption’ Defined Healthcare in 2019. 2020 Will Be About Acceleration</a> </span><span style="color: red; font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 12/16/19)</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><br /><a href="https://www.beckershospitalreview.com/strategy/what-healthcare-will-look-like-in-2020-6-predictions.html" target="_blank">What healthcare will look like in 2020: 6 predictions</a> </span><span style="color: red; font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 12/16/19)</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><br /><a href="https://www.linkedin.com/pulse/predictions-from-leaders-trends-healthcare-2020-jack-hueter/" target="_blank">Predictions from IT Leaders about Trends in Healthcare in 2020</a> </span><span style="color: red; font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 12/16/19)</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><br /><a href="https://www.nature.com/articles/s41591-019-0693-y.epdf?shared_access_token=cfViCmRYVrkhqwFjenMMJ9RgN0jAjWel9jnR3ZoTv0O0Nnn4io8Va8Rc8DY3bXBo-o18Mgp3_BwMaFY67WmRjgREwCS0nt8mOqS47y6oZIke7DxLhtQcNlJVElgyQVVJH4r1XaB8bteMUOmwxxQLgg%3D%3D" target="_blank">Looking forward 25 years: the future of medicine</a> </span><span style="color: red; font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 12/16/19)</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://fortune.com/2019/12/06/10-healthcare-predictions-2020/" target="_blank">Commentary: 10 Healthcare Predictions for 2020</a> </span><span style="color: red; font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 12/16/19)</span></span><br />
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<span style="color: red; font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://blog.definitivehc.com/2019-healthcare-technology-trends" target="_blank">2019 Healthcare Technology Trends: Year in Review</a> </span><span style="color: red; font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 12/23/19)</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://blog.rodhochmanmd.org/10-health-care-trends-to-watch-in-2020" target="_blank">10 health care trends to watch in 2020</a> </span><span style="color: red; font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 12/23/19)</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://medium.com/hims-hers/the-top-trends-in-digital-health-for-2020-5c212db0b384" target="_blank">The Top Trends in Digital Health for 2020</a> </span><span style="color: red; font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 12/23/19)</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.chilmarkresearch.com/predictions-whats-in-store-for-2020/" target="_blank">Predictions: What’s in Store for 2020?</a> </span><span style="color: red; font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 12/23/19)</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.cio.com/article/3509462/healthcare-s-digital-transformation-5-predictions-for-2020.html" target="_blank">Healthcare’s digital transformation: 5 predictions for 2020</a> </span><span style="color: red; font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 12/23/19)</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.digitalauthority.me/resources/state-of-digital-transformation-healthcare/" target="_blank">Digital Transformation in Healthcare in 2020: 7 Key Trends</a> </span><span style="color: red; font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 12/23/19)</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.forbes.com/sites/robertpearl/2019/12/16/big-tech/" target="_blank">Why Big Tech Companies Won’t Solve Healthcare’s Biggest Challenges</a> </span><span style="color: red; font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 12/23/19)</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.linkedin.com/pulse/rewards-risks-technology-healthcare-predictions-2020-dr-chris-stout/" target="_blank">The Rewards (and the Risks) of Technology and Healthcare: Predictions for 2020</a> </span><span style="color: red; font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 12/23/19)</span></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.healthcarebusinesstoday.com/5-digital-healthcare-trends-predictions-in-2020/" target="_blank">5 Digital Healthcare Trends/Predictions in 2020</a> </span><span style="color: red; font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 12/24/19)</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.fiercehealthcare.com/payer/top-5-trends-and-issues-to-watch-insurance-industry-2020" target="_blank">5 trends and issues to watch in the insurance industry in 2020</a> </span><span style="color: red; font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 12/24/19)</span></span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><a href="https://www.healthitoutcomes.com/doc/trends-predictions-and-promising-applications-for-technology-and-healthcare-0001">2020 Trends, Predictions, And Promising Applications For Technology And Healthcare</a> (Added 12/24/19)<br /><br /><a href="https://hitconsultant.net/2019/12/31/executive-insights-top-healthcare-predictions-trends-to-watch-in-2020/#.XgzHu0dKiUk">Executive Insights: Top Healthcare Predictions & Trends to Watch in 2020</a> (Added 1/6/2020)<br /><br /><a href="https://www.healthdatamanagement.com/list/healthcare-trends-that-will-rock-medical-care-in-the-2020s">Healthcare trends that will rock medical care in the 2020s</a> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 1/6/2020)</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><br /><a href="https://www.healthleadersmedia.com/finance/healthcare-executives-topics-follow-2020">Healthcare Executives on Topics to Follow in 2020</a> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 1/6/2020)</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><br /><a href="https://medcitynews.com/2020/01/health-it-predictions-for-2020-trust-takes-center-stage/?rf=1">Health IT predictions for 2020: Trust takes center stage</a> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 1/6/2020)</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><br /><a href="https://hitconsultant.net/2019/12/31/executive-insights-top-healthcare-predictions-trends-to-watch-in-2020/#.XgtzDkdKiUk">Executive Insights: Top Healthcare Predictions & Trends to Watch in 2020</a> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 1/6/2020)</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><br /><a href="https://www.benefitspro.com/2019/12/05/reading-the-tea-leaves-insights-and-predictions-on-benefits-and-health-care-in-2020/?cmp=share_twitter&slreturn=20191126134432">Reading the tea leaves: Insights and predictions on benefits and health care in 2020</a> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 1/6/2020)</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><br /> <a href="https://myemail.constantcontact.com/Healthcare-Predictions-for-2020.html?soid=1131059755368&aid=cVCRK8-Q-eE">Healthcare Predictions for 2020</a> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 1/6/2020)</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.teamhgs.com/blog/2020-vision-9-trends-heart-tomorrows-healthcare" target="_blank">20/20 Vision: 9 Trends at the Heart of Tomorrow’s Healthcare</a> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 1/23/2020)</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://blogs.3ds.com/northamerica/2020-digital-health-predictions/" target="_blank">2020 Digital Health Predictions</a> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 1/23/2020)</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://go.thekarisgroup.com/blog/ceos-corner-health-leaders-reflect-on-2019-look-ahead-to-2020" target="_blank">CEO's Corner: Health Leaders Reflect on 2019 & Look Ahead to 2020</a> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 1/23/2020)</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.forbes.com/sites/greglicholai/2020/01/14/digital-healthcare-growth-drivers-in-2020" target="_blank">Digital Healthcare Growth Drivers In 2020</a> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 1/23/2020)</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.mdmag.com/medical-news/healthcare-2020-video-vaping-and-value-and-more" target="_blank">Healthcare 2020: Video, Vaping, Value and More</a> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 1/23/2020)</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.dotmed.com/news/story/49538" target="_blank">Looking ahead to 2020: The next big thing in healthcare</a> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 1/23/2020)</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://thedeductible.com/2020/01/08/seven-for-the-twenties-a-futurist-looks-at-the-next-decade/" target="_blank">Seven for the Twenties: A Futurist Looks at the Next Decade – [d.] the deductible</a> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 1/23/2020)</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.forbes.com/sites/robertpearl/2020/01/13/boldest-healthcare-prediction" target="_blank">The Boldest Healthcare Prediction For 2020: Business As Usual</a> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 1/23/2020)</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><span style="font-family: "georgia" , "times new roman" , serif;">Niche A</span><span style="font-family: "georgia" , "times new roman" , serif;">rea Healthcare Predictions & Trends</span></span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: medium;"><a href="https://www.healthleadersmedia.com/innovation/cleveland-clinic-predicts-top-10-medical-innovations-2020?utm_source=shimcode.com&utm_medium=blogpost">Cleveland Clinic Predicts Top 10 Medical Innovations For 2020</a></span><br /><br /><a href="https://www.fiercehealthcare.com/tech/data-analytics-precision-medicine-key-to-value-based-care-but-providers-struggle-how-to-pay?utm_source=shimcode.com&utm_medium=blogpost">Top of Mind for Top Health Systems 2019</a><br /><br /><a href="https://www.nationalgeographic.com/magazine/2019/01/12-innovations-technology-revolutionize-future-medicine/?utm_source=shimcode.com&utm_medium=blogpost">12 innovations that will revolutionize the future of medicine</a><br /><br /><a href="https://www.beckersasc.com/asc-coding-billing-and-collections/4-trends-and-concepts-on-healthcare-reform.html?utm_source=shimcode.com&utm_medium=blogpost">4 trends and concepts on healthcare reform</a><br /><br /><a href="https://www.healthitoutcomes.com/doc/trends-in-healthcare-cloud-computing-for-0001?utm_source=shimcode.com&utm_medium=blogpost">5 Trends In Healthcare Cloud Computing For 2020</a><br /><br /><a href="https://www.pwc.com/us/en/industries/health-industries/library/behind-the-numbers.html?utm_source=shimcode.com&utm_medium=blogpost">Medical cost trend: Behind the numbers 2020</a><br /><br /><a href="https://www.capgemini.com/wp-content/uploads/2019/11/Health_Insurance_Trends_2020.pdf?utm_source=shimcode.com&utm_medium=blogpost">Top Trends in Health Insurance</a><br /><br /><a href="https://www.beckershospitalreview.com/hospital-management-administration/what-s-the-future-of-the-hospital-4-healthcare-executives-on-the-biggest-challenges-facing-healthcare-in-2020.html?utm_source=shimcode.com&utm_medium=blogpost">What's the future of the hospital? 4 healthcare executives on the biggest challenges facing healthcare in 2020</a><br /><br /><a href="https://securelist.com/healthcare-predictions-2020/95385/">Cybersecurity of connected healthcare 2020: Overview and predictions</a> (Added 12/3/19)<br /><br /><a href="https://www.medtechintelligence.com/news_article/iot-artificial-intelligence-and-device-design-2020-healthcare-predictions/">IoT, Artificial Intelligence and Device Design: 2020 Healthcare Predictions</a> (Added 12/3/19)<br /><br /><a href="https://www.rtinsights.com/hiveio-cloud-ai-2020/">Top 5 IT Predictions For 2020</a> (Added 12/3/19)<br /><br /><a href="https://morningconsult.com/2019/12/16/top-5-health-policy-predictions-for-2020/">Top 5 Health Policy Predictions for 2020</a> (Added 12/23/19)<br /><br /><a href="https://www.managedhealthcareexecutive.com/technology/4-population-health-predictions-2020">4 Population Health Predictions for 2020</a> (Added 12/24/19)<br /><br /><a href="https://homehealthcarenews.com/2019/12/home-health-executive-forecast-2020-trends-challenges-and-opportunities/">Home Health Executive Forecast: 2020 Trends, Challenges & Opportunities</a> (Added 12/24/19)<br /><br /><a href="https://www.managedhealthcareexecutive.com/news/8-policy-changes-expect-2020">8 Policy Changes to Expect in 2020</a> (Added 12/5/19)<br /><br /><a href="https://hitconsultant.net/2019/12/17/social-determinants-of-health-trends-in-2020-the-end-of-the-beginning">Social Determinants of Health Trends in 2020: The End of the Beginning?</a> (Added 12/23/19)<br /><br /><a href="https://todayheadline.co/2019/12/23/andreessen-horowitz-vc-julie-yoo-healthcare-predictions-for-2020/">Andreessen Horowitz VC Julie Yoo healthcare predictions for 2020</a> (Added 12/23/19)<br /><br /><a href="https://www.beckershospitalreview.com/cybersecurity/3-cybersecurity-predictions-for-2020.html">3 cybersecurity predictions for 2020</a> (Added 1/6/2020)<br /><br /><a href="https://bert.substack.com/p/blockchain-and-healthcare-predictions?utm_campaign=post&utm_medium=email&utm_source=twitter">Blockchain and healthcare predictions for 2020</a> (Added 1/6/2020)<br /><br /><a href="https://www.digitalhealth.net/2020/01/health-tech-suppliers-2020-predictions/?utm_content=110833917&utm_medium=social&utm_source=twitter&hss_channel=tw-1338645654">2020 predictions: Health tech suppliers on what’s in store</a> (Added 1/6/2020)<br /><br /><a href="https://www.jdsupra.com/legalnews/10-predictions-for-healthcare-95779/">10 Predictions for Healthcare Regulation and Legislation in 2020</a> (Added 1/6/2020)</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="http://www.mondaq.com/unitedstates/x/879822/Healthcare/10+Predictions+For+Healthcare+Regulation+And+Legislation+In+2020" target="_blank">10 Predictions For Healthcare Regulation And Legislation In 2020 - Food, Drugs, Healthcare, Life Sciences</a> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 1/23/2020)</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.digitalhealth.net/2020/01/health-tech-suppliers-2020-predictions/" target="_blank">2020 predictions: Health tech suppliers on what’s in store</a> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 1/23/2020)</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.inovalon.com/inovalon-insights-blog/healthcare-technology-trends-to-watch" target="_blank">5 Healthcare Technology Trends to Watch in 2020</a> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 1/23/2020)</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.healthlawadvisor.com/2020/01/09/7-hot-health-care-industry-sectors-for-investment-growth-consolidation-in-2020/" target="_blank">7 Hot Health Care Industry Sectors for Investment, Growth & Consolidation in 2020 </a> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 1/23/2020)</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://pharmaphorum.com/views-analysis-patients/patient-centricity-in-pharma-predictions-for-2020-and-beyond/" target="_blank">Patient centricity in pharma: Predictions for 2020 and beyond</a> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 1/23/2020)</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://homehealthcarenews.com/2020/01/the-top-home-health-trends-of-2020%ef%bb%bf/" target="_blank">The Top Home Health Trends of 2020?</a> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 1/23/2020)</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.blogger.com/goog_1723849711"><span id="goog_1723849712"></span>Health Care in 2019: Year in Review</a> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 1/23/2020)</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">More Healthcare Predictions & Trends Coming Soon</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">One prediction you can be sure to come true is that more <i>‘Top Healthcare Predictions & Trends’ </i>lists will be released over the next few weeks as 2019 winds down.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">As in previous posts, I’ll update this post with new information as I find them. So bookmark this page – or better yet – subscribe to this blog and/or </span><a href="http://www.twitter.com/shimcode" style="font-family: Georgia, "Times New Roman", serif; font-size: x-large;" target="_blank">follow me on Twitter</a><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"> so you’re easily kept in the loop on what to expect in 2020 and beyond.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Share Your List of Healthcare Predictions</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">If you have any of your own predictions or know of lists that I can add to this post, please share them in the comments or send them to me at </span><a href="mailto:info@shimcode.com" style="font-family: Georgia, "Times New Roman", serif; font-size: x-large;" target="_blank">info@shimcode.com</a><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">. I'll add them and attribute them to you - if you want me to do so.</span></div>
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ShimCodehttp://www.blogger.com/profile/13111347121021451188noreply@blogger.com0tag:blogger.com,1999:blog-5553795965038906281.post-73725160353596111042019-05-21T13:46:00.002-07:002019-05-21T17:52:13.198-07:00Scalability of Home-Based, Non-Medical Services is a Non-Trivial Challenge<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhZJ3J4fk-xopbB2YADUbpJHCMmJgkWvG8Pza7uHPm5FPnYcGcRH_C5mT1caA8s3fPi4GPdYyt9PgEmyuEaMEtb7b61ln4l49f21hCl9-P_7r-m8Otx5N1la-OxoayBB2w17fZpBTj9zztU/s1600/shimcode-sdoh-scalability-social-determinants-of-health-header-2.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img alt="Scalability of Home-Based, Non-Medical Services. SDOH: Social Determinants of Health. Medicare Advantage. Non-clinical supports and services patients members. Supplemental Benefits for the Chronically Ill (SSBCI)" border="0" data-original-height="770" data-original-width="1600" height="192" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhZJ3J4fk-xopbB2YADUbpJHCMmJgkWvG8Pza7uHPm5FPnYcGcRH_C5mT1caA8s3fPi4GPdYyt9PgEmyuEaMEtb7b61ln4l49f21hCl9-P_7r-m8Otx5N1la-OxoayBB2w17fZpBTj9zztU/s400/shimcode-sdoh-scalability-social-determinants-of-health-header-2.png" title="" width="400" /></a></div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Popular wisdom claims <a href="https://www.shimcode.com/2015/05/importance-of-social-determinants-of.html" target="_blank">80% of our health is impacted by social determinants</a> that can be barriers to the care we’re provided and the outcomes
associated with the care we receive. And over the last four to five years, healthcare
industry players – providers, health systems, health plans, HHS/CMS, and other
parties responsible for the delivery of health care - have finally woken to the
importance of addressing social determinants as barriers by providing non-clinical
supports and services to their patients and members.<o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><span style="font-family: "georgia" , "times new roman" , serif;">It seems there’s not a vendor serving the healthcare market who’s
not in the process of developing, positioning and </span><span style="font-family: "georgia" , "times new roman" , serif;">promoting their product and
service offerings as a means of </span></span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">addressing social determinants of health.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"> Build It and You’ll Have to Deliver It, Deploy It, and Support It</span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />With any vendor’s offering, success depends on someone’s willingness to pay for their offering and their ability to deliver and
depl</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">oy their specific offering to a large – and growing - user base willing to
actually use their product or service. It’s not enough to prove the ‘success’
and value of a product or service via a pilot with a few dozen or even a few hundred
individuals unless the outcomes and lessons learned from the pilot confirm that
the offering can scale to address the needs of thousands, tens of thousands and
greater sized groups.</span><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjE9q6wbGeQ0wl3ujvUZd3Ww2LEk46vuP3Yc1x7iRIg4uIOB5-XtSa-VJGB9KnsEgk1DCHg7ifvVNfhzsZsf411AzVJq0VvwwgMVIZdUkOmfAxPy88qlQreMSpU4FqbEoVOoykNpDzkUbbL/s1600/shimcode-sdoh-scalability-social-determinants-of-health-resources-2.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img alt="Scalability of Home-Based, Non-Medical Services. SDOH: Social Determinants of Health. Medicare Advantage. Non-clinical supports and services patients members. Supplemental Benefits for the Chronically Ill (SSBCI)" border="0" data-original-height="677" data-original-width="960" height="281" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjE9q6wbGeQ0wl3ujvUZd3Ww2LEk46vuP3Yc1x7iRIg4uIOB5-XtSa-VJGB9KnsEgk1DCHg7ifvVNfhzsZsf411AzVJq0VvwwgMVIZdUkOmfAxPy88qlQreMSpU4FqbEoVOoykNpDzkUbbL/s400/shimcode-sdoh-scalability-social-determinants-of-health-resources-2.jpg" title="" width="400" /></a></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Accordingly, it’s no surprise that “scalability” has become a hot
buzzword among vendors and others touting SDOH-related offerings aimed at
addressing barriers to improved health outcomes. Service-related product ideas
are notoriously hard to scale.</span></div>
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<i><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Definition of Scalability: Scalability is the property of a system to handle a growing amount
of work by <b>adding resources</b> to the system.</span></i></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">But just what does scalability mean in the context of delivering, deploying, and supporting SDOH-related services? Especially those considered non-medical in nature?</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">New Players Bring New Challenges to Scaling Services in the Healthcare Industry</span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />Scaling delivery of products and services that are largely technology-based and deployed with little to no human involvement from a centralized location by a closely managed group of largely professional resources is an entirely different matter than scaling the deployment, configuration, and support of ‘non-technology products’ by non-medical providers across 1000’s of decentralized service locations.</span><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi4Qxxl5lu3NfLEFC1J8ugxoASWgFjGbWm-313GChRMwJtCVk_Tmxwj8hH_fkkh8v5h4mk5CciVloxY8e7rAtMkihPmToBaCXVDTKUtm3p55L5YLbrEzL1H0Dusb7QzyJq0CqOMlwZ7q9fu/s1600/shimcode-sdoh-scalability-social-determinants-of-health-services-1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img alt="Scalability of Home-Based, Non-Medical Services. SDOH: Social Determinants of Health. Medicare Advantage. Non-clinical supports and services patients members. Supplemental Benefits for the Chronically Ill (SSBCI)" border="0" data-original-height="914" data-original-width="1280" height="285" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi4Qxxl5lu3NfLEFC1J8ugxoASWgFjGbWm-313GChRMwJtCVk_Tmxwj8hH_fkkh8v5h4mk5CciVloxY8e7rAtMkihPmToBaCXVDTKUtm3p55L5YLbrEzL1H0Dusb7QzyJq0CqOMlwZ7q9fu/s400/shimcode-sdoh-scalability-social-determinants-of-health-services-1.jpg" title="" width="400" /></a></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Consider some of the new products and services that Medicare
Advantage health plans are approved to provide their members under the recent
<a href="https://www.bettermedicarealliance.org/newsroom/bma-news/cms-details-supplemental-benefits-chronically-ill-enrollees-2020" target="_blank">Special Supplemental Benefits for the Chronically Ill</a> (SSBCI) legislation:<o:p></o:p></span></div>
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<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Food and Produce</span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Transportation for Non-Medical Needs</span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Indoor Air Quality Equipment and Services</span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Assistive Devices and Home Modifications</span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Pest Control</span></li>
</ul>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">All of the above are services are likely to be provided by non-medical providers with various levels of skill, subject to various local regulations in a beneficiary’s home. Scaling the delivery and ongoing support of these types of services and products to large groups of individuals presents new and unique considerations and challenges to healthcare industry players.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Considerations for Scaling Delivery of Non-Medical Products & Services</span></h2>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />There are more than a few unique considerations and challenges related to scaling the delivery of non-medical products and services including:</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Many SDOH-related Offerings are New Ground for Health Plans, Health Systems, & Providers</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />With the possible exception of non-emergency medical transportation (NEMT) and care coordination services, most of the non-medical products and services envisioned as reducing or eliminating barriers to health are unchartered territory for the health plans, health systems, and provider practices whose members and patients may enjoy their benefit.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh4Aoy0_k4uy88w4pOULNbVoJkkZx3NvhV3oUr6S8XeyBNYQszS2hSc4rcQw8Lr47ZuKjRUW8-cX6PqujDnv0ykNVyB9VINs82mQ9RN8W4t-2Cay7MYgZpNV5mZFwu270VmMdHIH6ZSWHeF/s1600/shimcode-sdoh-scalability-social-determinants-of-health-challenges-1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img alt="Scalability of Home-Based, Non-Medical Services. SDOH: Social Determinants of Health. Medicare Advantage. Non-clinical supports and services patients members. Supplemental Benefits for the Chronically Ill (SSBCI)" border="0" data-original-height="426" data-original-width="640" height="266" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh4Aoy0_k4uy88w4pOULNbVoJkkZx3NvhV3oUr6S8XeyBNYQszS2hSc4rcQw8Lr47ZuKjRUW8-cX6PqujDnv0ykNVyB9VINs82mQ9RN8W4t-2Cay7MYgZpNV5mZFwu270VmMdHIH6ZSWHeF/s400/shimcode-sdoh-scalability-social-determinants-of-health-challenges-1.jpg" title="" width="400" /></a></span></div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />While the general consensus is that plan members and health system patients will benefit from these services, they are largely preventive in nature and their impact on outcomes and their return on investment are not well known. Until a more developed evidence base showcasing the benefits of SDOH-initiatives is available, healthcare organizations will be hesitant to commit significant investment.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Non-Medical Providers Dominate Delivery of SDOH-related Products & Services</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />The traditional healthcare services model where a patient commutes to a centralized location where services are provided by one or more skilled resources is turned upside down. <br /><br />For many of the services intended to break down SDOH-related barriers, the provider (medical or non-medical) travels to a patient home (decentralized location) and provides their product and/or service on the recipient’s turf and timeframe.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgt5Z2-i2YtXR-4MQOPJj1wm9DMqMOoyvyAxaKc0Pkj_-_-Z1NUbYGARRu3Py6lYf7JxmottgZRV7YoEGyCvsQRJCmEVNQM2FRu3SX9tuTcPEzA1Jd83AXzAESPEp4zy31WJFONyfLPn8Hl/s1600/determicare-medicare-supplemental-bathroom-generic1-1.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img alt="Scalability of Home-Based, Non-Medical Services. SDOH: Social Determinants of Health. Medicare Advantage. Non-clinical supports and services patients members. Supplemental Benefits for the Chronically Ill (SSBCI)" border="0" data-original-height="949" data-original-width="1280" height="296" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgt5Z2-i2YtXR-4MQOPJj1wm9DMqMOoyvyAxaKc0Pkj_-_-Z1NUbYGARRu3Py6lYf7JxmottgZRV7YoEGyCvsQRJCmEVNQM2FRu3SX9tuTcPEzA1Jd83AXzAESPEp4zy31WJFONyfLPn8Hl/s400/determicare-medicare-supplemental-bathroom-generic1-1.png" title="" width="400" /></a></span></div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />And issues with delays, availability of needed resources, and unforeseen issues preventing completion of the service event generally impact the service provider more than the patient – which is pretty much the opposite of the traditional healthcare services model.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Established Networks of Vetted Non-Medical Service Providers Do Not Widely Exist</span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />Health plans simply do not currently have meaningful networks of providers to support the non-medical, SDOH-related service needs of their members and existing medical network providers.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjiWU4_DMVukTJxAprs1-UxdDy-Ps9DZ-ymXJloDDPj-Tlb8knmgm2-Rhkrnk_wnDXHOJF86Mlp1XH9mM3Mp3HZqjkPM7POvxA6GMbqdVca52RKInaXr61RKCNZ98wuIGj18aaV-uumgucM/s1600/shimcode-sdoh-scalability-social-determinants-of-health-provider-networks-1.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img alt="Scalability of Home-Based, Non-Medical Services. SDOH: Social Determinants of Health. Medicare Advantage. Non-clinical supports and services patients members. Supplemental Benefits for the Chronically Ill (SSBCI)" border="0" data-original-height="449" data-original-width="640" height="280" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjiWU4_DMVukTJxAprs1-UxdDy-Ps9DZ-ymXJloDDPj-Tlb8knmgm2-Rhkrnk_wnDXHOJF86Mlp1XH9mM3Mp3HZqjkPM7POvxA6GMbqdVca52RKInaXr61RKCNZ98wuIGj18aaV-uumgucM/s400/shimcode-sdoh-scalability-social-determinants-of-health-provider-networks-1.png" title="" width="400" /></a></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">While there are a few new startups in this space, <a href="https://www.uniteus.com/" target="_blank">UniteUS</a>, <a href="https://www.healthify.us/" target="_blank">Healthify</a>, and <a href="https://soleranetwork.com/" target="_blank">Solera Health Network</a> come to mind, they’re mostly unproven and they’re mostly addressing front-end (assessment & referral) and back-end (payment and reporting) functions; the part that technology and contractual relationships go a long way in scaling.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">‘Pre-Delivery’ Identification and Selection Assessment Can't Always Be Automated</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Given the relative infancy and lack of historical financial experience and quality measures on which to gauge the value of certain SDOH-related offerings, healthcare organizations are looking for objective criteria to help them determine which of their members and patients may benefit the most from SDOH-related products and services. </span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgE2WKJUbRX7XxOFOouhdkQK2S7nZ9Zn6YHHO7EaqnKBDmyIQ8nJseR1HhcEUzTiXqiJ0m2EwQ9hVoF1FxE3LHoSPdrFFWgHpy0cZx5W_mCZccYxcjQDNbR5-angSZuOw1sb152u8NcOsi-/s1600/shimcode-sdoh-scalability-social-determinants-of-health-automation-1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img alt="Scalability of Home-Based, Non-Medical Services. SDOH: Social Determinants of Health. Medicare Advantage. Non-clinical supports and services patients members. Supplemental Benefits for the Chronically Ill (SSBCI)" border="0" data-original-height="428" data-original-width="640" height="267" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgE2WKJUbRX7XxOFOouhdkQK2S7nZ9Zn6YHHO7EaqnKBDmyIQ8nJseR1HhcEUzTiXqiJ0m2EwQ9hVoF1FxE3LHoSPdrFFWgHpy0cZx5W_mCZccYxcjQDNbR5-angSZuOw1sb152u8NcOsi-/s400/shimcode-sdoh-scalability-social-determinants-of-health-automation-1.jpg" title="" width="400" /></a></div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />Knowing which member or patient to invest in ’upfront’ is not only a smart business decision but in some cases like Medicare, a requirement to <a href="https://medium.com/patchwiselabs/the-2020-opportunity-medicare-advantage-as-a-market-for-sdoh-innovation-b337e7685cdb" target="_blank">document how beneficiaries are selected to receive supplemental benefits</a>.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Some Processes Just Can't be Effectively Automated</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">While artificial intelligence, predictive analytics, and other ‘black box’ technologies can certainly assist with scalability in this front-end function, many SDOH barriers to health must be physically assessed by a skilled resource. Traditionally, medical professionals may ‘guess’ as to which non-medical benefits their patients may benefit from in their home. In many instances, occupational therapists may need to provide this guidance via in-home visits.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Again, home-based visits to assess need will impact the ability to scale.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Different SDOH-Related Barriers Require Different, Sometimes Scarce Skill Levels</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Some SDOH-related services, like non-emergency medical transportation for example, generally require only a licensed driver with auto insurance able to pass a cursory background check. Other services like addressing indoor air quality and installing safety equipment require more specialized, skilled or semi-skilled technical knowledge. On-site home assessments may demand more highly-skilled resources like an occupational therapist.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh2HRH1YQI1P_R7hpGZZKmxj7hVS7ux4Muhv_q8yFODjXds2aAXiVd4_FxEFJgKDNZsOGfKPHtZk12qql0_qJttzS6kz5pXEz5XtGTDJpYBgU0y0_ZAg2h6DvTUDJ41Tfl1vTFpfm3UdYs0/s1600/shimcode-sdoh-scalability-social-determinants-of-health-skills-1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img alt="Scalability of Home-Based, Non-Medical Services. SDOH: Social Determinants of Health. Medicare Advantage. Non-clinical supports and services patients members. Supplemental Benefits for the Chronically Ill (SSBCI)" border="0" data-original-height="253" data-original-width="640" height="157" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh2HRH1YQI1P_R7hpGZZKmxj7hVS7ux4Muhv_q8yFODjXds2aAXiVd4_FxEFJgKDNZsOGfKPHtZk12qql0_qJttzS6kz5pXEz5XtGTDJpYBgU0y0_ZAg2h6DvTUDJ41Tfl1vTFpfm3UdYs0/s400/shimcode-sdoh-scalability-social-determinants-of-health-skills-1.jpg" title="" width="400" /></a></span></div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />In all cases, the increasingly tight labor market and a dearth of skilled and semi-skilled labor resources will hamper scalability. Remember the definition of ‘scalability’ noted above?</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Products & Services Can Be Subject to Local, County & State Licensing & Regulations</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Individuals and companies wanting to provide non-medical products and services able to address barriers to health must meet various levels of licensing and regulations from local city, county, state, and even federal entities. Some of these ‘credentialing needs’ for non-medical providers include:</span></div>
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<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Valid driver licensing and auto insurance verification </span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Background checks of various levels </span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Compliance with local, county, state and federal licensing </span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Bonding and insurance </span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Certification in various skills, disciplines, and capabilities </span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Good standing with the registrar of contracts or local residential licensing boards</span></li>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Deploying Products & Services in the Field (Home) Can Involve Significant Overhead </span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />For services other than non-medical emergency transportation, traveling to and from a health plan member’s or health system patient’s place of residence can add significant overhead to what might otherwise be a straightforward service provision. And when any myriad of issues arises as they most certainly will, a second trip - or even third or fourth trip - to complete a specific service call can greatly impact the delivery schedule and financial viability to the non-medical provider. <br /><br />Best Buy’s <a href="https://www.modernhealthcare.com/article/20180815/NEWS/180819947/best-buy-to-acquire-greatcall-for-800-million" target="_blank">purchase of GreatCall</a> was an ingenious move that not only opened up Best Buy’s retail channels to Great Calls product but also positioned <a href="https://www.modernhealthcare.com/article/20180815/NEWS/180819947/best-buy-to-acquire-greatcall-for-800-million" target="_blank">Best Buy’s Geek Squad</a> to support various levels of virtual and in-person, in-home support of Great Call’s personal emergency response systems.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />On the back end, it’s critical to all those involved in receiving, providing, and paying for these new non-medical services to be able to identify, capture, track and understand how they each benefit. Payers will be loath to pay for services without some understanding of the return on investment obtained.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjmcb0vyYHMZM5tyO2cYtosvEBCdfIQvHeOoZJDOQPAItsk7vASOXUN0dePAl1HysB1_zLaYPJuqKJVjykfuTIyIgFLe7XezIOPNmKmHFhBAtOBqWdlY1xLkclYclSqGQfDSd2T4UFe3rax/s1600/shimcode-sdoh-scalability-social-determinants-of-health-feedback1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img alt="Scalability of Home-Based, Non-Medical Services. SDOH: Social Determinants of Health. Medicare Advantage. Non-clinical supports and services patients members. Supplemental Benefits for the Chronically Ill (SSBCI)" border="0" data-original-height="426" data-original-width="1280" height="132" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjmcb0vyYHMZM5tyO2cYtosvEBCdfIQvHeOoZJDOQPAItsk7vASOXUN0dePAl1HysB1_zLaYPJuqKJVjykfuTIyIgFLe7XezIOPNmKmHFhBAtOBqWdlY1xLkclYclSqGQfDSd2T4UFe3rax/s400/shimcode-sdoh-scalability-social-determinants-of-health-feedback1.jpg" title="" width="400" /></a></span></div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />So, while a lot of front-end beneficiary selection, service scheduling, and back-end reporting may be addressed via scalable automation, a good part of the front-end assessment and post-service referral closure reporting will likely entail a significant manual component – further impacting scalability.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Contracting and Payment for Non-Medical Products & Services </span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />Contracting with non-medical providers and processing payments for the services and products they provide is new ground for healthcare organizations. While it’s expected that a process similar to the traditional method of claim-based billing will be used, there are a lot of moving parts in regard to payment for non-medical services.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjU3yi7tl5ZpELCOVUJ9pd7PvW0Bxkwiu3T7YF6Uc2NXGTvC_JqEqCvjv48SGG4AmoQ66CXgDJiyE-8L35JGNMB1_vvr9S1Ug1wEctpVV4KzZtBkwns_2Q8bbHd9gzIDq5arOZb4FEVbe6_/s1600/shimcode-sdoh-scalability-social-determinants-of-health-contracting-1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img alt="Scalability of Home-Based, Non-Medical Services. SDOH: Social Determinants of Health. Medicare Advantage. Non-clinical supports and services patients members. Supplemental Benefits for the Chronically Ill (SSBCI)" border="0" data-original-height="851" data-original-width="1280" height="265" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjU3yi7tl5ZpELCOVUJ9pd7PvW0Bxkwiu3T7YF6Uc2NXGTvC_JqEqCvjv48SGG4AmoQ66CXgDJiyE-8L35JGNMB1_vvr9S1Ug1wEctpVV4KzZtBkwns_2Q8bbHd9gzIDq5arOZb4FEVbe6_/s400/shimcode-sdoh-scalability-social-determinants-of-health-contracting-1.jpg" title="" width="400" /></a></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">And the new cohort of non-medical providers responsible for billing and collecting for their services will need to rapidly climb the often-convoluted healthcare billing curve. <br /><br />RELATED: <a href="https://medium.com/patchwiselabs/who-what-how-understanding-mas-new-sdoh-payments-7e4243a84941">Who, What, & How: Understanding New SDOH Payments in Medicare Advantage</a> </span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Specific Actions, Thoughts & Ideas to Scale Delivery of Non-Medical Products & Services </span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />In a following post, I’ll share some actions, thoughts, and ideas on how to address what I’ve presented above. In the meantime, consider f<a href="http://www.twitter.com/shimcode" target="_blank">ollowing me on Twitter</a> and <a href="mailto:steve.sisko@determicare.com" target="_blank">reach out to me here</a> if you’re a health plan, health system, healthcare provider - or even just an individual - with a specific question or need regarding how simple, non-medical products and services can help improve or maintain health outcomes.</span><br />
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ShimCodehttp://www.blogger.com/profile/13111347121021451188noreply@blogger.com0tag:blogger.com,1999:blog-5553795965038906281.post-81362158486108355002019-05-06T17:05:00.003-07:002019-05-13T08:07:28.410-07:00Insight on Expanding ICD-10 Codes to Support Social Determinants of Health<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg9v3M6omHRbIkT4ghZXWaIZeJFn6dtSkCQMdR-CWlrkDElpJ_cJzrcb-KAXluFod8dvLkg_uzKlSdAjFJDbCfcEqV7TRd__76TAmpvzKsuTaY_UHpOjs4x7ZMAP-Y4h5e0rYQrjlNWI16S/s1600/shimcode-whcc-whcc19-sdoh-UHC-Sheila-1a.PNG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="512" data-original-width="1024" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg9v3M6omHRbIkT4ghZXWaIZeJFn6dtSkCQMdR-CWlrkDElpJ_cJzrcb-KAXluFod8dvLkg_uzKlSdAjFJDbCfcEqV7TRd__76TAmpvzKsuTaY_UHpOjs4x7ZMAP-Y4h5e0rYQrjlNWI16S/s400/shimcode-whcc-whcc19-sdoh-UHC-Sheila-1a.PNG" width="400" /></a></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">The <a href="https://www.worldhealthcarecongress.com/" target="_blank">16th Annual WorldHealth Care Congress</a> (WHCC19) took place in Washington DC last week. </span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">What a great mix of people sharing ideas, opinions, policies, technologies, and regulations - and other thoughts on their minds - for transforming our screwed-up healthcare system in the United States! </span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">And I was given the
opportunity to attend and participate in this gathering of healthcare leaders, champions, thought-leaders, media personalities, influencers and others attending the WHCC19 event.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Social Determinants of Health - aka. Barriers to Health</span></h3>
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<span style="font-size: large;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: medium;">As has been the case for most healthcare-related conferences
over the past few years, ‘social determinants of health’ (</span><a href="https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health" style="font-family: georgia, "times new roman", serif;" target="_blank">SDOH</a></span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">) were one of the
hot topics – if not THE hottest topic at the event.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Small Sample of Previous Shares on SDOH</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Given my personal interest in addressing social determinants of health and the barriers to care they present, I’m going to share some information about
social determinants of health that I observed at the WHCC19 event. </span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">What was
shared in sessions, what I heard in the hallways, and what journalists and others
shared during and after this year’s WHCC event.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;"><span style="font-size: small;">RELATED: More Social Determinants of Health</span></span></h3>
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<a href="https://www.shimcode.com/2018/10/a-discussion-about-social-determinants.html" target="_blank">A Discussion About Social Determinants of Health, Post-Acute Care & Chronic Care Act </a></div>
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<a href="https://www.shimcode.com/2015/05/importance-of-social-determinants-of.html" target="_blank">Importance of Social Determinants of Health Data to Improved Patient Outcomes </a></div>
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<a href="https://www.shimcode.com/2016/06/how-can-tech-be-used-to-reach-out-to.html" target="_blank">How Tech Can Be Used to Reach Out to SDOH Barriers</a></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">WHCC TV Shares Great Insight in Snackable Bites</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">My first share will be a transcript
of<a href="https://www.youtube.com/watch?v=wHL6HwCNz3o" target="_blank"> Mabel Jong’s interview with Sheila K. Shapiro</a>, SVP of National
Strategic Partnerships - Clinical Services at <a href="https://www.uhc.com/" target="_blank">United Healthcar</a>e. </span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">I’ll add some
links and commentary to this post to hopefully add some context and value to Mabel Jong's interview.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;"><i>[For other Healthcare Conference
Goers like me, you’re probably aware of the trend that started about 5-6 years ago
where conference organizers do live interviews during their events. While we
all have our favorite interviewers, it would be hard for anyone to argue that
<a href="https://www.linkedin.com/in/mabel-jong-7346/" target="_blank">Mabel Jong</a> is NOT among the best true journalist interviewers: smart, engaging, and not <b>giggling </b>all the time.]<o:p></o:p></i></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><i>Need for Coding Social Determinants Explored at WHCC19</i></span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Mabel Jong:<o:p></o:p></b></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><i>Good morning, I'm Mabel Jong. Thanks
for watching continuing coverage of the World Health Care Congress here on <a href="https://www.youtube.com/channel/UCEptIZTN61CQ4nGHF4hFBpA" target="_blank">WHCCTV</a>. </i></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><i>We're going to be talking about the work with [medical] codes and we're going to do that with <a href="https://www.linkedin.com/in/sheila-shapiro-94b2b123" target="_blank">Sheila Shapiro</a> who's Senior Vice President - National Strategic Partnerships - Clinical Services at United Healthcare. Sheila thank you so much for your time.</i></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Sheila K. Shapiro:<o:p></o:p></b></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Gosh thank you for having me.<o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Mabel Jong:<o:p></o:p></b></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">S<i>o, you spent a lot of your time at
United Healthcare thinking about [medical] codes and working with those. Tell me where
you're at with that now and why it's significant.</i><o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Sheila K. Shapiro:<o:p></o:p></b></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Well at United Healthcare we're
really looking at redefining healthcare to whole person health. And one of the
things that we've been doing over the last several years is looking at how we
can capture information related to social determinants of health and take
action on that information. <o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Yes! We Need to Speak a Common Language</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">And one of the key things that need
to be done in order to utilize information is to have a common language. And that the common language that we are promoting is the use of ICD-10 coding - those are
diagnosis codes that physicians and the healthcare community use to share
information with each other about an individual. <o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Just like when you go to the doctor
and they diagnosed you with some condition - maybe diabetes.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Now everyone
within the healthcare system can understand what that condition is and work to
solve that problem. The same thing goes with the [diagnoses] codes that we have
been asked - that we have requested from the <a href="https://www.cms.gov/Medicare/Coding/ICD9ProviderDiagnosticCodes/meetings.html" target="_blank">ICD-10 committee</a> to assist the
industry in getting that common language by expanding those codes for social determinants
of health.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Y'all Cool with United Health Care Setting the Agenda?</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Mabel Jong:<o:p></o:p></b></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><i>Okay. Why is United Health Care
taking the lead on this?<o:p></o:p></i></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Sheila K. Shapiro:<o:p></o:p></b></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Well, we believe that every individual
regardless of whether they are uninsured or underinsured should have access to
care. And that care includes social determinants of health. So, we believe
taking that information and being able to utilize it to help our members lead
healthier lives is part of our mission. <o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">And in that regard, we have already had members tell us that they need assistance. And over 2 million of them so far have asked for that help and we've been able to make referrals for over a million people already. That equates to over a quarter of a billion dollars of social value to the people that we're trying to serve.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Who’s Involved With Defining ICD-10 Codes for SDOH?</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
<b><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Mabel Jong:</span></b><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><i>Is the rest
of the <a href="https://www.healthleadersmedia.com/clinical-care/unitedhealthcare-ama-push-new-icd-10-codes-social-determinants-health" target="_blank">healthcare community</a> happy to let United [United Health Care] take the
lead in establishing the codes for the social determinants of health area? <span style="color: red;"><o:p></o:p></span></i></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Sheila K. Shapiro:</b><o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">We are partnering with many different
organizations. We have a collaboration with the <a href="https://www.ama-assn.org/" target="_blank">American Medical Association</a>, the
National Association of Quality Assurance [Sic: per transcript]- now <a href="https://www.ncqa.org/" target="_blank">NCQA</a>. And many state regulators
- one of them being the Medicaid agency in Arizona known as <a href="https://www.azahcccs.gov/AHCCCS/AboutUs/" target="_blank">AHCCCS</a>. </span></div>
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<span style="color: orange; font-family: "georgia" , "times new roman" , serif;"><i><b>[Comment from Steve: Oh Boy! Now we know we're hosed because the AMA wants to somehow start collecting royalties on SDOH coding!]</b></i></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">RELATED: <a href="https://www.azahcccs.gov/PlansProviders/Downloads/FFSProviderManual/Exhibit_4-1SocialDeterminantsHealthICD-10List.pdf" target="_blank">ICD-10 Codes Covering SDOH</a> - From AHCCS.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">We have the
<a href="http://www.nachc.org/" target="_blank">National Association of Community Health Centers</a> and many other organizations -
including payers - are coming together to really think about <b style="mso-bidi-font-weight: normal;">how we simplify this work</b> so it can fit
into the workflow of not only health payers but providers. So, leveraging those
ICD-10 codes that are used today for diagnosis actually create that common language
for the industry.<o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Another Patented Algorithm from Large Payers & American
Medical Association?</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Mabel Jong:</b></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><i>Okay. How
far into the work are you now and where do you want to end up?<o:p></o:p></i></span></div>
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<span style="color: red;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Sheila K. Shapiro:<o:p></o:p></b></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">So, we know at UnitedHealthcare that
this is a journey and we have just begun to think about how to incorporate
social determinants of health into whole person care. </span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">And we believe that redefining healthcare is part of our
mission. As we have done this work, we've begun to partner with various
social and governmental agencies to provide those referrals. That's where that
<i>social evaluation </i>also begins to play a critical component. <o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">So, we have a <b style="mso-bidi-font-weight: normal;">patent-pending imputed market price social valuation model</b> that
allows us to take that information around a referral and that fulfillment of
that service and understand how that affects people's overall quality. </span></div>
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<span style="color: orange; font-family: "georgia" , "times new roman" , serif;"><i><b>[Comment from Steve: Oh Shit! Another 'patented algorithm' from a corporate entity!]</b></i></span></div>
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<span style="color: orange; font-family: "georgia" , "times new roman" , serif; font-size: large;"><i><b><br /></b></i></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">And the
outcomes that we're trying to achieve for the populations that we're here to
serve.<o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
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<span style="color: orange; font-family: "georgia" , "times new roman" , serif;"><i><b>[Comment from Steve: Who does UHC serve? Shareholders or executives? Members?]</b></i></span></div>
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<h2 style="tab-stops: .25in;">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Impact of ICD-10 Codes for Social Determinants of
Health<o:p></o:p></span></h2>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><b>Mabel Jong:</b></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><i>Would that replace anything that's already
in place now or it would become a completely new tool?<o:p></o:p></i></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Sheila K. Shapiro:<o:p></o:p></b></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;"><span style="font-size: large;">It's not a new tool at all and that
was really what we were striving to stay away from because we know that the
system is taxed and our providers are already have a significant workload - which
is why we were looking at the <a href="https://medium.com/patchwiselabs/at-a-glance-new-z-codes-for-sdoh-5368f354c769" target="_blank">ICD-10 codes to leverage</a>. </span><span style="color: orange;">[i.e. Codes to track SDOH, mostly so-called 'Z-Codes.']</span></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">There are existing codes around social determinants
that many doctors already bill on their claim forms. The codes that we are
asking for really are an extension of that - to allow all of us within the
system to help each other. </span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">So, when we make a referral today, we're able to
share that information back with our providers through existing mechanisms - not
new tools.<o:p></o:p></span></div>
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<h3 style="tab-stops: .25in;">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Social Determinants of Health at WHCC19</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Mabel Jong:<o:p></o:p></b></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><i>Alright Sheila Shapiro. Thank you so
much. May I ask how you're enjoying the conference?<o:p></o:p></i></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Sheila K. Shapiro:<o:p></o:p></b></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">So far I love the conference. You
know I think all the speakers are great. We really appreciate the World Health
Care Congress allowing us to come participate. United Healthcare knows that social
determinants are a critical part of people's overall health. <o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">And we are anxious to see that whole
person care become a reality.<o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Mabel Jong:<o:p></o:p></b></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><i>All right Sheila. Thank you again.
And I'm Mabel John thanks for tuning in.<o:p></o:p></i></span></div>
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ShimCodehttp://www.blogger.com/profile/13111347121021451188noreply@blogger.com0tag:blogger.com,1999:blog-5553795965038906281.post-7719285071178839572018-12-09T14:46:00.002-08:002019-01-04T08:57:29.440-08:00Collection of Healthcare & Healthcare Technology Predictions & Trends for 2019<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhmcLEp_nScE1yYY0vNlB625Nig7yZ_eM7t3kA7dr4P_fOJA2UZkOb95NnI0OEmzLh14Bsiq79FRaff47JdW_Q9dKyx4TotwY4u09zvmn70gvy0rEh6E64k73hS_jPkF_A_mD9JurxXasWC/s1600/shimcode-blog-post-2019-healthcare-predictions-trends-list-1.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img alt="healthcare predictions and trends for 2019 healthtech digitalhealth" border="0" data-original-height="512" data-original-width="1024" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhmcLEp_nScE1yYY0vNlB625Nig7yZ_eM7t3kA7dr4P_fOJA2UZkOb95NnI0OEmzLh14Bsiq79FRaff47JdW_Q9dKyx4TotwY4u09zvmn70gvy0rEh6E64k73hS_jPkF_A_mD9JurxXasWC/s400/shimcode-blog-post-2019-healthcare-predictions-trends-list-1.png" title="" width="400" /></a></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">It’s prediction season and all of the experts, thought leaders, consultants and others operating in and around the edges of the healthcare industry are sharing their lists of predictions and trends expected to take place in 2019 and beyond.<o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">For the fourth year in a row – I’m sharing a list of lists I believe are fit for sharing. That means lists that are no</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">t ALL overly broad and that are detailed enough to provide some level of value to you the reader.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Previous Lists of Healthcare Predictions Most Popular of All My Blog Posts</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">The following three lists of healthcare predictions and trends have been among my most popular blog posts over the last three years.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.shimcode.com/2017/11/collection-of-predictions-and-trends.html" target="_blank">Collection of Predictions and Trends About Healthcare & Healthcare Information Technology in 2018</a><o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.shimcode.com/2016/12/collection-of-predictions-about.html" target="_blank">Collection of Predictions about Healthcare & Healthcare Technology in 2017</a><o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.shimcode.com/2015/12/collection-of-predictions-about.html" target="_blank">Collection of Predictions About Healthcare & Healthcare Technology in 2016</a></span></div>
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<span style="color: white; font-family: "georgia" , "times new roman" , serif; font-size: large;"><i>{I get that sharing others work is no special feat on my account}</i></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">More Healthcare Predictions & Trends are Coming Soon</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">One prediction you can be sure to come true is that more <i>‘Top Healthcare Predictions & Trends’ </i>lists will be released over the next few weeks as 2018 winds down. </span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">As in previous posts, I’ll update this post with new information as I find them. So bookmark this page – or better yet – subscribe to this blog and/or <a href="http://www.twitter.com/shimcode" target="_blank">follow me on Twitter</a> so you’re easily kept in the loop on what to expect in 2019 and beyond.<o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">General Predictions & Trends on Healthcare in 2019</span></h3>
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<u><span style="color: #0563c1; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.mdlinx.com/physiciansense/five-big-healthcare-business-trends-for-2019/" target="_blank">Five Big Healthcare Business Trends for 2019</a><o:p></o:p></span></span></u></div>
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<u><span style="color: #0563c1; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.novu.com/corporate/blog/novuhealth-ceo-tom-wickas-top-3-predictions-for-2019/" target="_blank">NovuHealth CEO Tom Wicka’s top 3 predictions for 2019</a><o:p></o:p></span></span></u></div>
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<u><span style="color: #0563c1; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;"><br /></span></u></div>
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<u><span style="color: #0563c1; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.healthworkscollective.com/these-2019-healthcare-trends-indicate-a-digital-transformation/" target="_blank">These 2019 Healthcare Trends Indicate A Digital Transformation</a><o:p></o:p></span></span></u></div>
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<u><span style="color: #0563c1; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;"><br /></span></u></div>
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<u><span style="color: #0563c1; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.prweek.com/article/1499088/need-know-health-comms-2019-beyond%20" target="_blank">What You Need to Know About Health Comms for 2019 & Beyond</a><o:p></o:p></span></span></u><br />
<u><span style="color: #0563c1; font-family: "georgia" , "times new roman" , serif; font-size: large; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;"><br /></span></u> <span style="color: red; line-height: 107%;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.forbes.com/sites/sachinjain/2018/12/11/the-crystal-ball-10-healthcare-industry-predictions-for-2019/#701e7fbc7327" target="_blank">The Crystal Ball: 10 Healthcare Industry Predictions for 2019</a> - Added 12/15/18</span></span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span> <span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><span style="color: red; line-height: 107%;"><a href="https://www.athenahealth.com/insight/4-predictions-healthcare-2019" target="_blank">4 healthcare predictions for 2019</a> </span><span style="color: red;">- Added 12/15/18</span></span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span> <span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><span style="color: red; line-height: 107%;"><a href="https://www.chilmarkresearch.com/2019-predictions/" target="_blank">2019 Predictions: M&A, Big Tech, and the Fate of ACOs</a> </span><span style="color: red;">- Added 12/15/18</span></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><span style="color: red; line-height: 107%;"><a href="https://www.bdo.com/insights/industries/healthcare/bdo-health-and-life-sciences-rx-2019-predictions" target="_blank">BDO Health and Life Sciences RX - 2019 Predictions</a> </span><span style="color: red;">- Added 12/15/18</span></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><span style="color: red; font-family: "georgia" , "times new roman" , serif;"><a href="https://www.cnbc.com/2018/12/26/health-tech-predictions-for-2019.html" target="_blank">Amazon gets into health insurance — and more 2019 health-tech predictions from top experts</a> - Added 12/28/18</span></span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: medium;"><span style="color: red;"><br /></span></span> <span style="font-family: "georgia" , "times new roman" , serif; font-size: medium;"><span style="color: red;"><a href="https://www.beckershospitalreview.com/healthcare-information-technology/the-top-digital-health-trends-of-2019.html" target="_blank">5 Healthcare trends to watch in 2019</a> </span></span><span style="color: red; font-family: "georgia" , "times new roman" , serif; font-size: medium;">- Added 12/28/18</span></span><br />
<span style="color: red; font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span> <span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.mmm-online.com/home/channel/features/healthcare-predictions-industry-execs-on-2019-trends-events-and-policies/" target="_blank">Healthcare predictions: Industry execs on 2019 trends, events, and policies</a> <span style="color: red;">- Added 01/04/19 </span></span><br />
<span style="color: red;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></span> <span style="font-family: "georgia" , "times new roman" , serif;"><span style="font-size: large;"><a href="https://isalushealthcare.com/blog-all/postid/565/2019-happy-new-year-top-5-healthcare-trends-to-watch-for" target="_blank">2019 Happy New Year: Top 5 Healthcare Trends to Watch For</a> - </span><span style="color: red; font-size: large;">Added 01/04/19 </span></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Healthcare Technology-Related Predictions & Trends</span></h3>
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<u><span style="color: #0563c1; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://ww2.frost.com/event/calendar/2019-healthcare-predictions-unleashed-growth-opportunities-technology-and-trends" target="_blank">2019 Healthcare Predictions Unleashed – Growth Opportunities, Technology, and Trends</a><o:p></o:p></span></span></u></div>
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<u><span style="color: #0563c1; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.sdglobaltech.com/blog/5-technology-trends-that-will-transform-healthcare-in-2019" target="_blank">5 Technology Trends that will Transform Healthcare on 2019</a><o:p></o:p></span></span></u></div>
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<u><span style="color: #0563c1; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.dogtownmedia.com/7-top-health-tech-predictions-for-2019/" target="_blank">7 Top Health Tech Predictions for 2019</a><o:p></o:p></span></span></u></div>
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<u><span style="color: #0563c1; font-family: "georgia" , "times new roman" , serif; font-size: large; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;"><br /></span></u></div>
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<u><span style="color: #0563c1; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.connectedmed.com/blog/content/top-of-mind-2019-interoperability-cybersecurity-telehealth" target="_blank">Executives Reveal the Most Impactful Areas of Health IT</a><o:p></o:p></span></span></u></div>
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<u><span style="color: #0563c1; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.cio.com/article/3325331/health-care-industry/healthcare-technology-markets-5-predictions-for-2019.html" target="_blank">Healthcare technology markets: 5 predictions for 2019</a><o:p></o:p></span></span></u></div>
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<u><span style="color: #0563c1; font-family: "georgia" , "times new roman" , serif; font-size: large; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;"><br /></span></u></div>
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<u><span style="color: #0563c1; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.technology.org/2018/11/24/healthcare-5-digital-trends-for-2019-and-beyond/" target="_blank">Healthcare: 5 Digital Trends for 2019 and Beyond</a><o:p></o:p></span></span></u></div>
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<u><span style="color: #0563c1; font-family: "georgia" , "times new roman" , serif; font-size: large; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;"><br /></span></u></div>
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<u><span style="color: #0563c1; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.datapine.com/blog/technology-buzzwords/%20" target="_blank">Top 10 IT & Technology Buzzwords You Won’t Be Able to Avoid In 2019</a><o:p></o:p></span></span></u></div>
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<u><span style="color: #0563c1; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;"><span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><a href="https://connectedmed.com/documents/tom2019/CCM_Top_of_Mind_2019_Research_Report_FINAL.pdf%20" target="_blank">Top of Mind for Top Health Systems 2019</a><o:p></o:p></span></span></u></div>
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<u><span style="color: #0563c1; font-family: Georgia, Times New Roman, serif; font-size: large; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;"><br /></span></u></div>
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<td nowrap="" style="height: .2in; padding: 0in 5.4pt 0in 5.4pt; width: 496.0pt;" valign="bottom" width="661"><span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><a href="https://envoc.com/think/trends-in-technology-for-2019">Top Technology Trends You Need to Prepare for in 2019 [By Industry]</a> <br /><br /><a href="https://readwrite.com/2018/12/19/3-insurance-technology-trends-that-will-rule-the-roost-in-2019/">3 Insurance Technology Trends That Will Rule The Roost in 2019</a> - Added 12/28/18<br /><br /><a href="https://www.beckershospitalreview.com/healthcare-information-technology/the-top-digital-health-trends-of-2019.html">The top digital health trends of 2019</a> - Added 12/28/18<br /><br /><a href="https://medcitynews.com/2018/12/five-innovation-trends-that-will-impact-the-healthcare-industry-in-2019/">Five innovation trends that will impact the healthcare industry in 2019</a> - Added 01/04/19<br /><br /><a href="http://blog.softheon.com/top-5-technology-trends-to-reshape-healthcare-in-2019">Top 5 Technology Trends to Reshape Healthcare in 2019</a> - Added 01/04/19<br /><br /><a href="https://www.healthdatamanagement.com/list/12-trends-that-will-dominate-healthcare-it-in-2019">12 trends that will dominate healthcare IT in 2019</a> - Added 12/28/18</span></td></tr>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Predictions & Trends on Subsets of Healthcare</span></h3>
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<u><span style="color: #0563c1; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.alegeus.com/news/press-releases/1286-alegeus-shares-five-predictions-for-the-consumer-driven-healthcare-market-in-2019" target="_blank"><span style="font-family: "georgia" , "times new roman" , serif;">Five Predictions for the Consumer-Driven Healthcare Market in 2019</span></a><span style="font-family: "georgia" , "times new roman" , serif;"><o:p></o:p></span></span></span></u></div>
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<u><span style="color: #0563c1; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.hitechanswers.net/healthcare-privacy-and-security-predictions-for-2019/" target="_blank">Healthcare Privacy and Security—Predictions for 2019</a><o:p></o:p></span></span></u></div>
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<u><span style="color: #0563c1; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.pharmacytimes.com/conferences/ashpmidyear2018/5-health-system-pharmacy-trends" target="_blank">5 Health-System Pharmacy Trends to Watch in 2019</a><o:p></o:p></span></span></u></div>
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<u><span style="color: #0563c1; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://go.forrester.com/blogs/healthcare-predictions-2019/" target="_blank">Predictions 2019: In Healthcare, CX Measurement Frameworks, Virtual Care, And AI Come to The Fore</a><o:p></o:p></span></span></u></div>
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<u><span style="color: #0563c1; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></span></u> <span style="color: red; line-height: 107%;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://rubygarage.org/blog/healthcare-technology-trends" target="_blank">5 Healthcare Technology Trends That Will Shape Industry in 2019</a> - Added 12/15/18</span></span><br />
<u><span style="color: #0563c1; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></span></u> <span style="color: red; line-height: 107%;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.plansponsor.com/predictions-employer-actions-reduce-health-care-costs-2019/" target="_blank">Predictions for Employer Actions to Reduce Health Care Costs in 2019</a> - Added 12/15/18</span></span><br />
<span style="color: red; line-height: 107%;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></span> <span style="color: red; line-height: 107%;"><span style="line-height: 107%;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.freshbenies.com/node/649" target="_blank">Benefits & Healthcare in 2019: 10 Predictions</a> - Added 12/15/18</span></span></span><br />
<span style="color: red; line-height: 107%;"><span style="line-height: 107%;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></span></span> <span style="color: red; line-height: 107%;"><span style="line-height: 107%;"><span style="line-height: 107%;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.healthsystemtracker.org/chart-collection/recent-forecasted-trends-prescription-drug-spending" target="_blank">What are the recent and forecasted trends in prescription drug spending?</a> - Added 12/15/18</span></span></span></span><br />
<span style="color: red; line-height: 107%;"><span style="line-height: 107%;"><span style="line-height: 107%;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></span></span></span> <span style="color: red; line-height: 107%;"><span style="line-height: 107%;"><span style="line-height: 107%;"><span style="line-height: 107%;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://healthitsecurity.com/news/ai-iot-medical-devices-top-health-cybersecurity-predictions-for-2019" target="_blank">AI, IoT, Medical Devices Top Health Cybersecurity Predictions for 2019</a> - Added 12/15/18</span></span></span></span></span><br />
<span style="color: red; line-height: 107%;"><span style="line-height: 107%;"><span style="line-height: 107%;"><span style="line-height: 107%;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></span></span></span></span> <span style="color: red; line-height: 107%;"><span style="line-height: 107%;"><span style="line-height: 107%;"><span style="line-height: 107%;"><span style="line-height: 107%;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://healthbox.com/blog/posts/3-predictions-for-blockchain-in-healthcare-in-2019" target="_blank">3 Predictions for Blockchain in Healthcare in 2019</a> - Added 12/15/18</span></span></span></span></span></span><br />
<span style="color: red; line-height: 107%;"><span style="line-height: 107%;"><span style="line-height: 107%;"><span style="line-height: 107%;"><span style="line-height: 107%;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></span></span></span></span></span> <span style="line-height: 107%;"><span style="line-height: 107%;"><span style="line-height: 107%;"><span style="line-height: 107%;"><span style="line-height: 107%;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.intouchsol.com/blog/the-health-and-tech-trends-that-will-shape-pharma-marketing-in-2019/" target="_blank">The Health and Tech Trends That Will Shape Pharma Marketing in 2019</a> </span></span></span></span></span></span><span style="color: red; font-family: "georgia" , "times new roman" , serif; font-size: large;">Added 12/28/18</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Share What You Find</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">If you have any of your own predictions or know of lists that I can add to this post, please share them in the comments or send them to me at <a href="mailto:info@shimcode.com" target="_blank">info@shimcode.com</a>. I'll add them and attribute them to you - if you want me to do so.</span></div>
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ShimCodehttp://www.blogger.com/profile/13111347121021451188noreply@blogger.com0tag:blogger.com,1999:blog-5553795965038906281.post-13995579922926171212018-10-19T10:50:00.000-07:002018-11-09T08:07:27.500-08:00A Discussion About Social Determinants of Health, Post-Acute Care & Chronic Care Act<div class="MsoNormal" style="border: none; mso-border-shadow: yes; mso-padding-alt: 31.0pt 31.0pt 31.0pt 31.0pt; mso-pagination: none;">
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi4Rw7UEMV1t7BJbqvsHPRCQYsxaKwiu9NcQuvCdeXyNaaWSZkmGo2YAdLPR7zIvCZcmAqY-5hWw5YqAV7mStoQtSmli2TNcdZAXXcDlDBaTyIZ0P8efl6SYhwrfcethdmoNnwJ_pcdixbG/s1600/HCEG+Livestream_Twitter.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="900" data-original-width="1600" height="225" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi4Rw7UEMV1t7BJbqvsHPRCQYsxaKwiu9NcQuvCdeXyNaaWSZkmGo2YAdLPR7zIvCZcmAqY-5hWw5YqAV7mStoQtSmli2TNcdZAXXcDlDBaTyIZ0P8efl6SYhwrfcethdmoNnwJ_pcdixbG/s400/HCEG+Livestream_Twitter.jpg" width="400" /></a></div>
<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Anyone who’s read this blog and/or seen my shares in <a href="https://twitter.com/shimcode" target="_blank">social media channels</a> know that social determinants of health and Medicare are two topics near and dear to me. I’ve spent a lot of my time and effort over the last 4-5 years researching, creating, curating and sharing information about how non-medical conditions impact our health and quality of life. <o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><i>See the end of this post for additional information on this claim.</i></span></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Insight from Dr. Michael Cantor at HCEG's 2018 Annual Forum</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Last month, I had the privilege of interviewing Dr. Michael Cantor MD – <a href="https://www.carecentrix.com/about-us/dr-michael-cantor" target="_blank">Chief Medical Officer of CareCentrix</a> - at the <a href="https://hceg.org/2018-annual-forum/" target="_blank">2018 Annual Forum</a> of the HealthCare Executive Group (<a href="http://www.hceg.org/" target="_blank">HCEG</a>). The interview was <a href="https://youtu.be/oLSZxsbw6zA" target="_blank">live-streamed</a> by <a href="https://www.carecentrix.com/" target="_blank">CareCentrix </a>via Twitter’s Periscope tool and has so far been viewed over 28k+ times.</span></div>
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<tr><td class="tr-caption" style="text-align: center;">Dr. Michael Cantor, MD (right) shares his insight with Steve Sisko at the 2018 HCEG Annual Forum</td></tr>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />Transcript of My Interview w/ Dr. Michael Cantor </span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span> <span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">This blog post is a transcript of my interview with Dr. Cantor as he shared his thoughts on HCEG’s Annual Forum, the importance of addressing <a href="https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health" target="_blank">social determinants of health</a>, using artificial intelligence and machine language to scale post-acute and chronic care services, and his thoughts about how supplemental </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">non-medical </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">services authorized under the <a href="https://www.congress.gov/bill/115th-congress/senate-bill/870" target="_blank">Chronic Care Act </a>can help to improve outcomes for Medicare Advantage beneficiaries.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Transcript from Live-Streamed Interview</span></h3>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Steve: </b><o:p></o:p></span></span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgRAleUxRY6ZWu68eMH1-loQAtLSaXoc0uAWkerhWSyoyiNQjCCVlpMKioBtKTyG_4-8MRnfMqihoG3KFhKaGFERP2p7iSWGT4R4eEmytPlK1ze_f1rWnzRA66gLTb3P22MkvFQWVwgiMrb/s1600/Post-HCEG-Image-1.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" data-original-height="1067" data-original-width="1600" height="212" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgRAleUxRY6ZWu68eMH1-loQAtLSaXoc0uAWkerhWSyoyiNQjCCVlpMKioBtKTyG_4-8MRnfMqihoG3KFhKaGFERP2p7iSWGT4R4eEmytPlK1ze_f1rWnzRA66gLTb3P22MkvFQWVwgiMrb/s320/Post-HCEG-Image-1.jpg" width="320" /></a><span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Hello everyone. I'm Steve Sisko with the HealthCare Executive Group here in Minneapolis at the Healthcare Executive Group’s 2018 Annual Forum - celebrating its <a href="http://hceg.org/overview/#AnnualForum" target="_blank">30th year anniversary</a>.</span></span><br />
<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></span> <span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">I'm with Dr. Michael Cantor, the Chief Medical Officer of CareCentrix and like to talk with Dr. Cantor tonight about a few of the things that have happened over the last couple days and get his perspective on some of his observations. <o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Good evening, Dr. Cantor. Mike.<o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Dr. Mike:</b><o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Alright, great to be here. So, it's been an interesting couple day here at the conference. <o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Steve:</b><o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">And what in the in the last couple days has stood out to you in terms of, you know, your background as a geriatrician and what you've observed in the conference related to your areas of interest? <o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Dr. Mike:</b><o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Well, first I want to say it's just been a great discussion. There have been really interesting people both who are presenting and also participating in the audience discussions. People from the payer-provider communities, vendors and also people from outside of healthcare. So, it's been interesting to have all those different perspectives and to have so many articulate discussions about the challenges and the opportunities for improvement.</span></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Universal Agreement That Healthcare is Broken</span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span> <span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">And what’s been the really interesting thing is the recognition - it's pretty universal - that our healthcare system is fundamentally broken and needs to change.</span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Over the last day and a half, we spent a lot of time talking not just about whether or not it's broken, we all agree on that. But really the acceptance that the change will come and that there's hope and that by doing things like incorporating social determinants of health and overcoming the barriers to accessing them. <o:p></o:p></span></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">By focusing on the <a href="https://www.bluezonesproject.com/" target="_blank">Blue Zones</a> where people can live longer by making healthy choices. <i>By making sure that we are making the investments that are not only needed to provide returns to the investors but also guided by social criteria to make sure that those investments are having a positive impact on communities.</i> When you put that all together it really speaks to the fact that we recognize that there's a need </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">for change. But there's momentum and that change is coming.</span></span><br />
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<b><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Steve:</span></b></h3>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><span style="font-family: "georgia" , "times new roman" , serif;">The Health Care Executive Group, its annual forum and its regional events have drawn a wide variety of people: payers, health plan providers, and various vendors of different types. </span><span style="font-family: "georgia" , "times new roman" , serif;"><o:p></o:p></span></span></span></div>
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<i><span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Was there anything that you expected to see, that you didn't see or didn't hear over the last couple of days?<o:p></o:p></b></span></span></i></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Dr. Mike:</b><o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">So, one thing that really wasn't discussed was, <i>“What's the future of the Affordable Care Act, also known as ObamaCare?” </i>I've been in so many conferences in the last two years where it's been all about <i>“So what's going to happen? Is Congress going to act?” </i><o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">I think there's just recognition that we have to wait and see what happens with midterm elections. And it just doesn't make sense to speculate until the outcome of those elections is clear. <o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">The other thing that I didn't hear as much about is post-acute care. Normally we hear a lot about opportunities to reduce waste. That's what we focus on at CareCentrix. You know reducing days in nursing homes, reducing nursing home use, reducing readmissions. Really wasn't much discussion about that at all in the last day and a half.</span></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">The Only Certainty: Healthcare Policy Remains Uncertain</span></h3>
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<b style="font-family: georgia, "times new roman", serif;"><span style="font-size: large;">Steve:</span></b></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Yeah. And the uncertainty in health care was a topic that <a href="https://twitter.com/aslavitt" target="_blank">Andy Slavitt</a>, one of the speakers yesterday, brought up. And you know as a geriatrician, you spend a lot of time with the aging and that cohort. <a href="https://www.linkedin.com/in/dan-buettner-9735984/" target="_blank">Dan Buettner</a>, who was also a keynote speaker brought up the idea of improving healthy aging in individuals and communities. <o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>As a geriatrician, what did you take away from Dan's speech and share today that could be applied to individuals or communities? <o:p></o:p></b></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Dr. Mike:<o:p></o:p></b></span></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Yeah, Dan act</span><span style="font-size: large;"><span style="font-family: "georgia" , "times new roman" , serif;">ua</span></span><span style="font-size: large;"><span style="font-family: "georgia" , "times new roman" , serif;">lly had a lot of really interesting things to say, and he did a fantastic job of presenting the research that he's been doing on Blue Zones. Blue Zones, or those areas of the world where people have an excessive life expectancy, in other words, they live a lot longer than the rest of us. And what he's been doing over the last 10 or 15 years is actually doing the research necessary to understand, “<i>What are those keys that happen in those Blue Zon</i></span><span style="font-family: "georgia" , "times new roman" , serif;"><i>es that aren't happening in as many places?”</i></span></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">The biggest takeaway for me is that if we can change the living environment, change the community, they'll have much more of an impact to be much more effective than just targeting individual behavior change, or coaching people to change their diet or exercise more. If you can make the healthy choice, the only choice, not just the easy choice but the only choice, that's way more effective in trying to people that they should do things differently and change.</span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">For example, if you go out to eat, and Dan talked about this, the average restaurant meal is usually about 300 calories more than what you would eat at home. So, either you don't go out to eat, which for Americans probably isn't going to happen, or you change what happens when people go out to eat. You reduce the number of fast-food restaurants, you work with the restaurants in the community to offer half-size entree portions. <o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">You make it so that even the [menu item] names talk to you.<o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Steve:</b><o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">He mentioned the idea of “tasty” or “crispy”. And they didn't change the recipe at all. But sales went up. <o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Dr. Mike:</b><o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Right. Dan said, “<i>basically if we call something healthy, no one's going to eat it, so take that right off the menu. And change it to crispy or crunchy, or whatever it's supposed to be.</i>” <o:p></o:p></span></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Five Things That Make a Difference in Your Health</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><span lang="EN">The bottom line is that there are five things that he's described that really make a difference for individuals.</span> </span></div>
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<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Having a sense of purpose when you wake up in the morning. Do you know why you're doing something? You have something to look forward to.</span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Eat wisely, so don't be stupid about how much you eat.</span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Choose your friends or your tribe wisely, because it turns out that your friend’s health behaviors influence your health behaviors. So, if you hang out with people who eat too much, exercise too little, complain a lot, don't like to hang out with other people, your health could be adversely affected by that.</span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Move naturally, which means not just doing long bike rides or marathons. But every day in your life, can you park a little further away, and walk a few more steps? Can you take the stairs instead of taking the elevator? Those small changes add up.</span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">And finally, live in the right community, or make it the right community, by doing the things that he and his team are actually doing around the country.</span></li>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">No Silver Bullet but a Silver Shotgun Approach</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span> <span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Here in the U.S, they're putti</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">ng in pedestrian lanes. They're putting in bike lanes. They're making it easier for people to walk downtown, instead of having to take their cars or mass transportation. It's really restructuring the community.</span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Everything, including smoking cessation and bans of smoking public places, all of those things add up. <i>It's not one magic bullet, but lots of little changes to really make a huge difference for the life expectanc</i>y, and I would argue, the q</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">uality of life, for the people who are living in that community.</span></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">AI & Machine Learning Are Not Magic Bullets!</span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span> <span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">You know, it was interesting, because Dan talked about how they analyzed which communities th</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">ey would go into and what they could do. And I didn't hear anything about artificial intelligence or machine language from Dan. But I heard a lot about artificial intelligence and machine language from all the other speakers.</span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Steve:</b><o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">So, what's your perspective, or take, on the idea of the use of artificial intelligence and machine language? In terms of improving opportunities for patients and also providers, and the payers? <o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Dr. Mike:</b><o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">So artificial intelligence, which really is using machines to figure out, “How do we improve processes? How do we identify the right patients to target? How do we, in other words, use the computers to do the thinking for us, and enable us to have tools which will make us more efficient?</span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">That actually has a lot of potential in healthcare.</span></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Examples of Using AI & Machine Learning in Healthcare</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">At CareCentrix we actually use artificial intelligence and machine learning today. So, for example, when we're thinking about discharging patients from the hospital and sending them home, we have a tool that tells us, “For a patient like this, there's 82 years old, has Parkinson's, was admitted due to a fall. So, the right path of care may be that they don't need a nursing home? They can go home with home health assistance. This is the right home health agency because they have good experience with Parkinson's. </span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">And we can lower readmission rates, and lower use of home health services for people who are just like that specific patient.</span><br />
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Human Intelligence & Empathy Supplemented by Machine Learning</span></span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span> <span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Dr. Michael Cantor continues:</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">The only way to really figure out in a massive dataset with 10 million records, “<i>What's the right path for that patient?”</i> is to have machines with artificial intelligence to be able to do that, because neither you nor I could ever figure out how to do all that correlation.</span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">The other thing we do is in our call centers, we actually have <i>natural language processing that's listening for certain keywords</i>. If those keywords come up it generates a score and we have people standing by. Supervisors in real time waiting to get on that call, listening into the call, making it much more efficient and much more a much better experience for the caller who's getting frustrated because you don't have to wait for the person to go get their supervisor. Our supervisors, already, they're part of the conversation because the machine is letting that supervisor look at 50 different conversations at once.<o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">So, it's assisting them. It's <i>taken on some of the grunt work and doing some of the background processing for them</i>, particularly with the idea that you know all the discrete data.</span></span><br />
<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></span> <span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">But then also the more nebulous data in terms of social determinants of health. You know, all of us patients, providers and payers, we all need that assistance. And social determinants of health is a big buzzword. I mean it's been that way for years now and getting a lot of attention. <o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Removing Barriers to Care: Non-Medical & Medical</span></span></h3>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Steve:</b><o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">What's your impression or take on some of the topics regarding the social determinants of health that were discussed in the forum yesterday and today?<o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Dr. Mike:</b><o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">We really appreciate the opportunity to listen in on those [HCEG Annual Forum] panels because I learned a lot about what's happening, what's on the cutting edge in this area. The term 'social determinants of health' is not helpful. It's, it's sort of, and <a href="https://www.linkedin.com/in/brendaschmidtsolera" target="_blank">Brenda Schmidt</a> from <a href="http://soleranetwork.com/" target="_blank">Solera </a>mentioned, <i>another way to think of social determinants of health is removing barriers to care.</i></span></span><br />
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Steve:</b></span></span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">I think she said that.</span><br />
<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></span> <span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Dr. Mike:</b></span></span><br />
<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">So, if you think about barriers to care, what are they? </span></span><br />
<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></span> <span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">It's things like you don't have transportation, so even if I have a doctor's appointment or you need to go to the hospital, you can't get there. That's a problem. It’s lack of medically tailored nutrition so you don't have the meals to treat your diabetes or heart failure the right way.<o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">So, the food you eat can actually make you sick. She talked about statistics; like at the end of the month, something like admission rates can go up as much as 27% in certain communities because people have to choose between having their medicines, food or shelter. If that's the case people are going to make the choices that put food and shelter ahead of medicine, and so they're going to end up going back to the hospital. <o:p></o:p></span></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Services to Improve Health Outcomes Are Changing</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Dr. Michael Cantor continues:</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">There's clearly momentum and recognition throughout the payer community as well as government and I think, increasingly, even among patients and people themselves, that we need this kind of help to stay healthy.</span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">And so, we're seeing changes now where health plans, not just Medicaid plans, where this has traditionally been covered, for even Medicare plans or commercial plans beginning to identify those patients, perhaps using artificial intelligence that could benefit from tools and services to overcome barriers to care that actually really have a major impact on them and deliver return on investment. <o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">So, CMS, the agency that runs Medicare & Medicaid in their so-called <a href="https://www.congress.gov/bill/115th-congress/senate-bill/870" target="_blank">Chronic Care Act</a>, recently decided that they'll start reimbursing for non-medical services such, as you know, nutrition and transportation. And also care coordination and in-home modifications that are not typically the domain of the clinician or the service for the doctor. <o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">The Chronic Care Act: A Game-Changing Move!</span></span></h3>
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<b style="font-family: georgia, "times new roman", serif; font-size: x-large;">Steve:</b></div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">So, can you explain how these supplemental benefits might work and again, to be clear, we're talking about <a href="https://www.medicare.gov/sign-up-change-plans/types-of-medicare-health-plans/medicare-advantage-plans">Medicare Advantage</a> population. I suspect that we're going to see this expand to traditional Medicare and then into the commercial world - as things typically happen in the healthcare world. <br /><br /><b>Dr. Mike:</b><br />Exactly. So, basically, Congress passed a law, the <a href="https://www.congress.gov/bill/115th-congress/senate-bill/870">Chronic Care Act</a> that you mentioned. It said for the first time ever that health plans can offer non-medical benefits; in this case for Medicare Advantage plans. So, it's not for typical Medicare fee-for-service. The idea is that, I think, does let the health plans make mistakes and then the government can learn from them to figure out how to change the larger Medicare program.</span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">So, it's an interesting policy strategy, but basically what they said is, <i>“As long as it's health-related and as long as it either maintains the person's health or prevents a decline in health, you can cover it.”</i> </span></span><br />
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Surprise! Non-Medical Services Actually Help People!</span></span></h3>
<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></span> <span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">In the past, and this is over 50 years, Medicare has always required that any health-related expenditure had to improve the person's health. So, the second piece is uniform benefits where every person had to</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"> get the same benefits everywhere. This new law changes that. <o:p></o:p></span></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Dr. Michael Cantor continues:</span><br />
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<span lang="EN" style="font-family: "georgia" , "times new roman" , serif;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Now the new law [Chronic Care Act] doesn't go effect realistically until - until 2020, but next year health plans can begin to make these changes. Because CMS put out </span><span style="font-family: "georgia" , "times new roman" , serif;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">regulations in a letter in March that said [Medicare Advantage] health plans for 2019 can do this because they've reinterpreted what the statute meant. Now that only gave the plans six or eight weeks between when that was announced, </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">maybe 12 weeks, and when they had to put in their plans for 2019. <o:p></o:p></span></span></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Largest and Smallest Medicare Advantage Plans Might Offer Something in 2019</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">So, I don't think we're going to see much change for 2019 unless it’s some of the larger plans, the <a href="https://www.humana.com/" target="_blank">Humana’s</a> and <a href="https://www.uhc.com/" target="_blank">United’s</a> of the world, where they've been working on this for a while. You might also see some of the smaller newer plans that are just entering the Medicare Advantage market. These sort of startup plans who have to differentiate themselves begin to do more of this, and that's really the question for the health plan is, <i>“Will there be enough sort of gain and market share or enrollment to justify the financial risk?”</i></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">T</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><span style="font-family: "georgia" , "times new roman" , serif;">here are challenges for health plans, there will be adverse selection, right? People who are sicker might choose plans with extra benefits, and yes, that transportation benefit might help them, but will it help them enough to overcome the increasing level of burden of that health plan's population? These are questions that we're going to have to see how they play out over time. </span><span style="font-family: "georgia" , "times new roman" , serif;"><o:p></o:p></span></span></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Use Next Months to Determine Care That'll Provide Most Benefit</span></h3>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Steve:</b><o:p></o:p></span></span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhF8ppCwaOIG5NIuTilBUV6Nz7oDICeKBcJKL3ArPd884hJCExUJTH5n7_wMn8v-pMo2WmQ9bkZPsxG3e8L5X6jGDnIbgOj_RFFfebBlRQxoeSBQm9coaKfeDsc0qR1i-as1MqjUICqUwi7/s1600/shimcode-post-healthcare-chronic-care-act-1.png" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" data-original-height="1016" data-original-width="1280" height="254" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhF8ppCwaOIG5NIuTilBUV6Nz7oDICeKBcJKL3ArPd884hJCExUJTH5n7_wMn8v-pMo2WmQ9bkZPsxG3e8L5X6jGDnIbgOj_RFFfebBlRQxoeSBQm9coaKfeDsc0qR1i-as1MqjUICqUwi7/s320/shimcode-post-healthcare-chronic-care-act-1.png" width="320" /></a><span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">So, I think the idea that CMS is allowing some custom benefits for subgroups within a plan, and y</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">ou're exactly right, I think they're using Medicare Advantage as a pilot. So, what you bring up in terms of its [MA’s non-medical supplemental benefits] are probably not going to be a big deal in 2019. But we'll be using the early months of 2019 and we'll expect to see the 2020 Medicare Advantage bids increasingly include these non-medical supplemental benefits. <o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Dr. Mike:</b><o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Yeah, I think that's exactly right, and in terms of which benefits are going to be covered, because as you mentioned, there's a whole array of them. I think we'll see nutrition and we'll see transportation. I don't think we're going to see much in terms of the chronic home health aides, which is what a lot of people in the home health industry are hoping for. I don't think we're going to see much in terms of respite care or palliative care services. <o:p></o:p></span></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">New Types of Providers Serving Health Plan Members</span></h3>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">We might see home modification because there's evidence and literature that supports that. But I think health plans by nature are cautious, and so we're going to see a slow incremental change in 2019. And 2020, I think, is we're going to see much more expansion. I would argue that means for some health plans, they should be using now, the time in 2019, to set up pilot programs and figure out how are they going to operate this. </span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">How are they going to work out the bugs? Because they're going to have to contract with organizations that they've never contracted with before: Transportation companies, nutrition providers.<o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">They're going to have to figure out for non-credential, non-healthcare providers, how do they make sure that they're delivering what they say they're going to deliver? The fear of fraud, waste, and abuse which we've seen in the Medicaid programs, especially from home health providers, I think is giving insurance companies a lot of pause, which is legitimate. <o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Steve:</b><o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Right. You know, this is really interesting and I think the last couple of days here at the HealthCare Executive Group that we've touched on a lot of these different topics that we're talking here with Dr. Michael Cantor. And let's close it out with a personal question. <o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><i><b>What did you like most about Minneapolis and the Healthcare Executive Group’s annual forum over the last couple days?<o:p></o:p></b></i></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Dr. Mike:</b><o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">So, the forum, I enjoy meeting a lot of really nice new people who are very very good at what they do. In terms of being great healthcare thinkers, providers, payers, and some really entrepreneurial people who are thinking outside the box and trying to make the changes that we need to have a better healthcare system. <o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">From a personal perspective, my brother Bruce lives here in Minneapolis, and so I got to see him last night, and I enjoyed seeing him and his family. And he and I got to go watch the Yankees lose to the Twins, which is a real privilege for Red Sox fan like me. So, it was excellent. <o:p></o:p></span></span><br />
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<tr><td class="tr-caption" style="text-align: center;">Dr. Michael Cantor, MD shares insight with HCEG Annual Forum Participants</td></tr>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Steve:</b><o:p></o:p></span></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Yeah, there was a lot of sports talk intermittently over the last 36 hours. So, we're wrapping up here today. We're at the Healthcare Executive Group's 30th annual forum. And if you're looking for more information on what we've talked about today, you can check out <a href="http://carecentrix.com/" target="_blank">CareCentrix.com</a>. That’s CareCentrix with an X at the end.</span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">And you can also check out the HealthCare Executive Group at <a href="http://hceg.org/" target="_blank">HCEG.org</a>. And you can look at the conference proceedings including all of the presentations and other material. I think we've got some videos and other stuff out there. So, thanks for tuning in, and we appreciate it. <o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Dr. Mike:</b><o:p></o:p></span></span></div>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Thanks Steve. All right, take care!<o:p></o:p></span></span><br />
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">More information on Social Determinants of Health</span></span></h3>
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<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">As I noted up front, I've been focusing on SDOH for years. Consider connecting with <a href="https://www.linkedin.com/in/stevesisko/" target="_blank">me on LinkedIn</a> and maybe following me on <a href="http://www.twitter.com/shimcode" target="_blank">Twitter</a>.</span></span><br />
<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></span> <span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">And check out these posts I've made about social determinants of health and using non-medical resources to improve health outcomes:</span></span><br />
<span lang="EN"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></span> <span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="http://www.shimcode.com/2016/06/addressing-healthcare-via-non-medical.html" target="_blank">Addressing Healthcare via Non-medical, Community-based Resources and Tools </a></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="http://www.shimcode.com/2016/06/addressing-healthcare-via-non-medical_19.html" target="_blank">Addressing Healthcare via Non-Medical, Community-Based Resources & Tools' - #HITsm Topic #1</a> </span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span> <span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="http://www.shimcode.com/2016/06/more-curated-info-from-addressing.html" target="_blank">More curated info from 'Addressing Healthcare via Non-Medical, Community-Based Resources & Tools' - #HITsm Topic #2</a></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="http://www.shimcode.com/2016/06/how-can-tech-be-used-to-reach-out-to.html" target="_blank">How can tech be used to reach out to people who may not seek help or sign up to receive it? </a></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="http://www.shimcode.com/2016/06/curated-tweets-from-recent-hitsm.html" target="_blank">Curated Tweets from Recent #HITsm Tweetchat on Non-Medical Tools & Resources - Topic #4</a></span><br />
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<a href="http://www.shimcode.com/2015/05/importance-of-social-determinants-of.html" style="font-family: georgia, "times new roman", serif; font-size: x-large;" target="_blank">Importance of Social Determinants of Health Data to Improved Patient Outcomes</a></div>
ShimCodehttp://www.blogger.com/profile/13111347121021451188noreply@blogger.com1tag:blogger.com,1999:blog-5553795965038906281.post-69816816109027572712018-07-26T18:26:00.003-07:002018-08-06T15:48:31.084-07:00How to Use Twitter Moments to Bookmark & Organize Tweets<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgAhYQHcbOgb9MhYNkuUc0pF5sSxlKR8ZvWSJO8zX6QjaV-IDIkCLDsKHta2-pOe5yJMJsz3QnEaURrkwd-oZnXVMo9PNEgN-MV7RSd2D6XRAKN2XndZdrKthY3pf-VAl41bOBGHi9G38uB/s1600/_Post-How-to-Use-twitter-Moments-Example-00.PNG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="869" data-original-width="1600" height="215" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgAhYQHcbOgb9MhYNkuUc0pF5sSxlKR8ZvWSJO8zX6QjaV-IDIkCLDsKHta2-pOe5yJMJsz3QnEaURrkwd-oZnXVMo9PNEgN-MV7RSd2D6XRAKN2XndZdrKthY3pf-VAl41bOBGHi9G38uB/s400/_Post-How-to-Use-twitter-Moments-Example-00.PNG" width="400" /></a></div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span> <span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b><i>This is a hack that will save you lots of time and make you a more productive knowledge worker. It's very easy to setup and use.</i></b></span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b><br /></b></span> <span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">How many times do you come across a tweet that you don’t have time to read at the moment or that you want to share with someone and keep a record of? For years, people have used Twitter’s ‘Like’ button to bookmark tweets. But this system has several drawbacks including:<br /><br />1. Others can see the tweet’s you’ve liked - your list of favorited tweets are accessible to everyone<br /><br />2. Likes indicate a positive sentiment and what you save may be misinterpreted by others<br /><br />3. People are alerted to tweets that you like<br /><br />4. There’s no way to group tweets – they are all just in one big bucket<br /><br />5. There’s no way to annotate the collection of tweets<br /><br />6. You can’t easily share the tweets you’ve bookmarked with others<br /><br />Historically, Twitter users have created all manner of workarounds to bookmark their tweets. Typically they either send the tweet to their email, copy and paste them to a document they review later or they DM them to someone else – even themselves.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Twitter to the Rescue! Sort of…</span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />Earlier this year, Twitter released a new way to bookmark tweets. While an improvement over the previously non-existent way to bookmark tweets for future review, this new bookmark feature is still very limited, only works with Twitter’s mobile app and doesn’t address the drawbacks noted above.<br /><br />If you’re using Twitters mobile app, this new approach Twitter came up with allowed you to do the following:</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEic4ufENNU9d_eNwmMtPFjLFJSUN4GWbGdR-FGf5YHgd4gk3hIQRz2fDGGIuRHX5ERXErf0jWl78rfO-ffQdsdiwEAgSrR_nEEcPWvAgfzaZ-MXGIjWdzTxjilbshChfbCV1h2dEC5-GjTF/s1600/_Post-How-to-Use-twitter-Moments-Example-0.PNG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="212" data-original-width="393" height="172" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEic4ufENNU9d_eNwmMtPFjLFJSUN4GWbGdR-FGf5YHgd4gk3hIQRz2fDGGIuRHX5ERXErf0jWl78rfO-ffQdsdiwEAgSrR_nEEcPWvAgfzaZ-MXGIjWdzTxjilbshChfbCV1h2dEC5-GjTF/s320/_Post-How-to-Use-twitter-Moments-Example-0.PNG" width="320" /></a></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">But this is not available for Twitter desktop version. You have to update the 'www.twitter.com/handle' URL by replacing ‘www.’ with ‘m.' so you use 'm.twitter.com/handle' so you access Twitter's 'mobile' code set. Otherwise you're limited to the following functionality. </span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhkgEOdDYIf55WxxAnda0lvTpd5nPoFEjqjMotECivzjjQZSSg9c2XmE7OJuPgoaNcDpw24cl7U4VjyguYkom6j5YOAWmEc2n3Eh-nhfBdIuvZOdcM1I4czs3YVXAq3mmuwKjK5zQex6oQR/s1600/_Post-How-to-Use-twitter-Moments-Example-0a.PNG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="235" data-original-width="258" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhkgEOdDYIf55WxxAnda0lvTpd5nPoFEjqjMotECivzjjQZSSg9c2XmE7OJuPgoaNcDpw24cl7U4VjyguYkom6j5YOAWmEc2n3Eh-nhfBdIuvZOdcM1I4czs3YVXAq3mmuwKjK5zQex6oQR/s1600/_Post-How-to-Use-twitter-Moments-Example-0a.PNG" /></a></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Notice that you’ve now lost the ability to ‘Share Tweet via…”</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Do You Have a Moment? Here’s How to Use Unpublished Twitter Moments to Bookmark Your Tweets</span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />Twitter’s Moment feature provides a very powerful way to bookmark tweets that address ALL of the limitations described above. I call this <i>Bookmark Moments</i> and here’s how it works. <br /><br />1. Create a Twitter Moment <br /><br />2. Give the Twitter Moment a name<br /><br />3. Add a short description (optional)<br /><br />4. Add an image to the Moment (optional)<br /><br />5. Decide whether you want to share your bookmarks with others<br /><br />If you want to share your ‘bookmarked’ tweets, go ahead and ‘Publish’ the Moment, otherwise leave it unpublished to keep your bookmarks private. <br /><br />6. Repeat the above steps for each ‘bookmark folder’ you want to create. <br /><br />See below for some sample bookmark categories.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Bookmark Away!</span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />Now, whenever you encounter a tweet that you want to bookmark to read later and/or share with someone else, simply add the tweet to one (or more) of the Twitter Moments you’ve created as follows:<br /><br />1. Click on the “V” to the right of the tweet</span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span> <span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"> Desktop Version</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiQFCAfzpErkeLRmZqaxJPUYsRz2ZdGXXxX22Kbg6J6goNkC_34c-vtLVp2cfybAftlGmStZsMRv2SyacON9nvxAoZtEn7pMZB_GBe6uazgczaP6upMB3UHo2oX3p8GaZEp0rOXyUNy8zKW/s1600/_Post-How-to-Use-twitter-Moments-Example-1.PNG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="135" data-original-width="584" height="91" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiQFCAfzpErkeLRmZqaxJPUYsRz2ZdGXXxX22Kbg6J6goNkC_34c-vtLVp2cfybAftlGmStZsMRv2SyacON9nvxAoZtEn7pMZB_GBe6uazgczaP6upMB3UHo2oX3p8GaZEp0rOXyUNy8zKW/s400/_Post-How-to-Use-twitter-Moments-Example-1.PNG" width="400" /></a></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"> Mobile Version - Android</span><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj7E5nGiS0OUHzYLpkTZGN0MX4iwfgunQnS7Cyf-lGcvOTxtMvVjnJ7jvLIjB-XisLO5n1EdMZJyJTH8HVx_GpK2uXVroE3lN9MRVRQvLs-SKVys2sno7pQrNDYI3V0uAAmLMk7XtU7-7xp/s1600/_Post-How-to-Use-twitter-Moments-Example-6.PNG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="639" data-original-width="539" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj7E5nGiS0OUHzYLpkTZGN0MX4iwfgunQnS7Cyf-lGcvOTxtMvVjnJ7jvLIjB-XisLO5n1EdMZJyJTH8HVx_GpK2uXVroE3lN9MRVRQvLs-SKVys2sno7pQrNDYI3V0uAAmLMk7XtU7-7xp/s320/_Post-How-to-Use-twitter-Moments-Example-6.PNG" width="269" /></a></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />2. Add the tweet to one of the Moments you’ve created.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Desktop Version</span><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhnZdBCalb1i8JOZyBNfAVIy1ptpzqxRooV1yqVw5NqZ1nEnRtQG9Iu8DupQ5cE2KeTc-kcif4H6qRXoT2Y-zM3y5vfcMbOoILLn6-qWF0LOAJzteDTwsCmGu6oi-FRJJYywG601LUeNt08/s1600/_Post-How-to-Use-twitter-Moments-Example-7.PNG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="302" data-original-width="220" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhnZdBCalb1i8JOZyBNfAVIy1ptpzqxRooV1yqVw5NqZ1nEnRtQG9Iu8DupQ5cE2KeTc-kcif4H6qRXoT2Y-zM3y5vfcMbOoILLn6-qWF0LOAJzteDTwsCmGu6oi-FRJJYywG601LUeNt08/s1600/_Post-How-to-Use-twitter-Moments-Example-7.PNG" /></a></div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span> <span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"> Mobile Version - Android</span><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhuayldWBsyzkl8LoLirUxcMU37xtuG3yumTsDjw2oloJhvcim6TzMRBZO5ebnSIwLS32bLNZPHjw8HaKNT0rM-cQBR7l4KuyKC-mcaVWd4cJ1EL83qTosiCq8UtKKc9PDZsqNdhmbzAsDh/s1600/_Post-How-to-Use-twitter-Moments-Example-5.PNG" imageanchor="1" style="font-family: "Times New Roman"; font-size: medium; margin-left: 1em; margin-right: 1em; text-align: center;"><img border="0" data-original-height="908" data-original-width="528" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhuayldWBsyzkl8LoLirUxcMU37xtuG3yumTsDjw2oloJhvcim6TzMRBZO5ebnSIwLS32bLNZPHjw8HaKNT0rM-cQBR7l4KuyKC-mcaVWd4cJ1EL83qTosiCq8UtKKc9PDZsqNdhmbzAsDh/s320/_Post-How-to-Use-twitter-Moments-Example-5.PNG" width="186" /></a></div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />You can browse to any of the Moments you’ve created or even create a new Moment on the fly.</span><br />
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Viewing your “Bookmark Moments”</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Later on, when you want to review the tweet, simply browse to the Moment you created! No futzing with changing the URL in the desktop client. And no browsing through a potentially huge list of uncategorized tweets!</span><br />
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Maintaining Your “Bookmark Moments”</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">You can access your Twitter Moments via the Twitter menu:</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjg2SWklDs4jfjVyTDpVnIz7_Ry4c6FjSnnikI5QgIuG3TBbAvb93Nm4j3wGMLHRP16iKGKNjX5KuHHEn7DxnS9R0S-C_RN645AYSvbkevNqDGamnTEDB8DrGyZ9zPsAie2Jkv-MTHB5iEZ/s1600/_Post-How-to-Use-twitter-Moments-Example-2.PNG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="125" data-original-width="459" height="108" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjg2SWklDs4jfjVyTDpVnIz7_Ry4c6FjSnnikI5QgIuG3TBbAvb93Nm4j3wGMLHRP16iKGKNjX5KuHHEn7DxnS9R0S-C_RN645AYSvbkevNqDGamnTEDB8DrGyZ9zPsAie2Jkv-MTHB5iEZ/s400/_Post-How-to-Use-twitter-Moments-Example-2.PNG" width="400" /></a></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"> <b>To remove tweets from a </b></span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Bookmark</b> <b>Moment</b>, simply delete it from the Moment.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><b>Move tweets between </b><b>Bookmarks</b> <b>Moment </b>by accessing the Moment and using existing Moment maintenance functions.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><b>Share your Bookmark Moment</b> by simply publishing the Moment.<br /><br /><b>Embed Your Bookmarked Moments in a Web Page</b></span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />Another cool feature of Bookmark Moments is that Twitter generates HTML code that allows you to easily embed any</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Twitter Moment’s you create in a web site. This offers all kinds of additional flexibility.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Save & Organize Your Tweets in Unlimited Ways</span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />Create a Twitter Moment to categorize each of the types o</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">f tweets you want to keep. Think of these as folders. </span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">I’m not aware of any limitations as to the number of Twitter Moments you can create. While everyone has their own unique requirements, the following are probably useful for most people:</span><br />
<ul><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">
<li>To Share with Others</li>
<li>To Read – High Priority</li>
<li>To Read – Low Priority</li>
<li>Reference/Evergreen Content</li>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">I’ve created dozens of Bookmark Moments in a number of categories. Here are some of them:</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span><br />
<ul><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">
<li>Conference Related</li>
<li>Content for Client ABC</li>
<li>Content for Client XYZ</li>
<li>General Catch-All</li>
<li>HITConfGuy & Related</li>
<li>Share with Family</li>
<li>Social Determinants of Health</li>
<li>Social Media & Marketing</li>
<li>To Share With Others</li>
<li>Tools & Resources</li>
<li>Tweetchat Topics</li>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">There You Have It! Easy Peasy!</span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />The above approach is quite simple to set up and use. Most importantly, it addresses all of the issues with the current approach for bookmarking tweets.</span><br />
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<li>Tweets you bookmark can be kept private</li>
<li>You can choose to share your bookmarks with others</li>
<li>People won’t interpret a Tweet you’ve bookmarked as something you ‘Like’</li>
<li>People won’t be alerted each time you bookmark a tweet</li>
<li>You can categorize tweets – and even add a description and an image if you want</li>
<li>Your bookmarked tweets will be available wherever you have access to your Twitter account – which is everywhere you have an Internet connection. </li>
</span></ul>
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ShimCodehttp://www.blogger.com/profile/13111347121021451188noreply@blogger.com0tag:blogger.com,1999:blog-5553795965038906281.post-2750670160623733752018-05-02T20:18:00.000-07:002018-05-11T20:10:06.851-07:00Why Does the Value of a Healthcare Conference Almost Always End When It’s Over? <div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhJfrwbFYo-AB-l1IkrGmDcusAw4CZOtyVOnLcxvXJH1oQDMJxM3xJiSyQT6sy3DMK7hKzf2TjcpITqP0is4mdd4jnqCzw-6aXhyphenhyphenUm2ZYhB0N0cv4zuDjRBqRHP8cTJZHE5h-RaoF2riFZs/s1600/shimcode-healthcare-conferences-tips-event-apps-AFTER-Header-1.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="800" data-original-width="1200" height="266" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhJfrwbFYo-AB-l1IkrGmDcusAw4CZOtyVOnLcxvXJH1oQDMJxM3xJiSyQT6sy3DMK7hKzf2TjcpITqP0is4mdd4jnqCzw-6aXhyphenhyphenUm2ZYhB0N0cv4zuDjRBqRHP8cTJZHE5h-RaoF2riFZs/s400/shimcode-healthcare-conferences-tips-event-apps-AFTER-Header-1.JPG" width="400" /></a></div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Why must most all of the value of a healthcare conference essentially cease flowing late in the day on which the conference ends? Why don’t more conference organizers, speakers, exhibitors and conference attendees keep the information, insight and ideas generated by 100’s and 1000’s of conference participants - and their often million$ of combined investment dollars - flowing AFTER the event is over?</span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span><span style="color: yellow; font-family: "georgia" , "times new roman" , serif; font-size: large;">Read this post and learn how to keep the value generated by a healthcare conference going long AFTER it's over.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">This is the fourth and final post recapping information, insight and ideas shared by participants of the <a href="https://www.emrandhipaa.com/emr-and-hipaa/2018/04/11/how-to-evolve-healthcare-conferences-in-the-21st-century-hitsm-chat-topic/" target="_blank">Health Information Technology Social Media</a> (<a href="https://twitter.com/hashtag/hitsm" target="_blank">#HITsm</a>) chat on April 13th. You can check out the three previous posts here:</span><br />
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<li><a href="http://www.shimcode.com/2018/04/insight-into-how-healthcare-conferences.html" target="_blank"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">BEFORE </span></a></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="http://www.shimcode.com/2018/04/ideas-for-adding-value-to-healthcare.html" target="_blank">DURING-1</a> </span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="http://www.shimcode.com/2018/04/50-more-ideas-for-adding-value-to.html" target="_blank">DURING-2.</a> </span></li>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><i><span style="font-family: "georgia" , "times new roman" , serif;">Note: To make it easy on the reader – and me – I’ve </span><span style="font-family: "georgia" , "times new roman" , serif;">removed all the Twitter handles, hashtags and, in less than a handful of instances, corrected a few tweets to make them easier to read. You can read the </span><a href="https://www.symplur.com/healthcare-hashtags/HITsm/transcript/?hashtag=HITsm&fdate=4%2F13%2F2018&shour=9&smin=0&tdate=4%2F13%2F2018&thour=10&tmin=0" style="font-family: georgia, "times new roman", serif;" target="_blank">entire, verbatim transcript here.</a></i></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Keeping Engagement Going After the Healthcare Conference Ends</span></h3>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiLdlUAGtdaej8MT8FEVyz7mEWQK3WkHXlEmuh-tO9XmZZKRckSb2XtHFTFDkcBhxN7MKsCOCo1X4iLDaItiD6-ZEeKxUcWG8MQRClVhlT3LgXUpoW3J7CMvfUjqMXaKNMPiFtCLOEz_p7e/s1600/shimcode-healthcare-conferences-tips-event-apps-AFTER-extend-1.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="640" data-original-width="960" height="266" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiLdlUAGtdaej8MT8FEVyz7mEWQK3WkHXlEmuh-tO9XmZZKRckSb2XtHFTFDkcBhxN7MKsCOCo1X4iLDaItiD6-ZEeKxUcWG8MQRClVhlT3LgXUpoW3J7CMvfUjqMXaKNMPiFtCLOEz_p7e/s400/shimcode-healthcare-conferences-tips-event-apps-AFTER-extend-1.JPG" width="400" /></a></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />Agree that conference should be continuation of constant content and value. IMO, don't like one and done approaches. <br /><br />They (conference organizers) could provide digital version of the sessions (videos and presentations) to attendees <br /><br />A consolidated library of resources to include presentations, forums, captured Q&A from conference, and, dare I say, a library of IP that can be shared among <a href="https://twitter.com/hashtag/hco?f=tweets&vertical=default&lang=en" target="_blank">#HCO</a>. For instance, sharing Medical Logic Module code, RFP templates, <a href="https://twitter.com/hashtag/cdi?f=tweets&vertical=default&lang=en" target="_blank">#CDI</a> approach documentation. <br /><br />YES!! Love this idea! I was stoked that the good folks at <a href="https://twitter.com/hashtag/hitmc?f=tweets&vertical=default&lang=en" target="_blank">#HITMC</a> were able to get us almost all the slides from the event from each presenter. Can't be everywhere at once but so much great information provided in each session. <br /><br />A follow-up Twitter chat could be interesting. People can share new things they learned, ask questions about anything they've been pondering since the conference, share new ideas influenced by the conference. <br /><br />Encourage attendees and those who couldn't attend to host mini meet-ups in their geographic areas or when they're attending other conferences to reinforce your conference community. <br /><br />If a topic takes off, live impromptu workshops/round tables can occur post talk incorporating ideas from virtual guests. <br /><br />Additionally, they (organizers) can encourage networking, creating a list of emails of the attendees, but ONLY of those who would like their information to be shared among other attendees for business connecting purposes. No one likes too many emails either!</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Conference Speakers & Presenters – and Exhibitors Too!</span></h3>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgid1LaKdLIPHH_hyphenhyphenCkXK7Is5VEFzXOmhK40ccf0jiV_5zjCJXRZ6hsOIaf9povtw4vnEEsiBFmYviQyqMsKVeS82gTnBUdl83ENzrthY3EDJShBfONF_cVrWAieFDTnKbG-i9Y__wLNXTf/s1600/shimcode-healthcare-conferences-tips-event-apps-AFTER-speakers-1.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="332" data-original-width="500" height="265" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgid1LaKdLIPHH_hyphenhyphenCkXK7Is5VEFzXOmhK40ccf0jiV_5zjCJXRZ6hsOIaf9povtw4vnEEsiBFmYviQyqMsKVeS82gTnBUdl83ENzrthY3EDJShBfONF_cVrWAieFDTnKbG-i9Y__wLNXTf/s400/shimcode-healthcare-conferences-tips-event-apps-AFTER-speakers-1.JPG" width="400" /></a></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />Provide a link to published slides, recorded sessions, and related artifacts (playbook, eBook, guide, documentation, source code). Organize a tweet-chat post-event to re-cap key insights and identify actionable next steps of collaboration. <br /><br />Follow up with any slides and links that were referenced in the presentations, post video of the <br /><br />As opposed to simply sharing slide-decks, what other artifacts or resources can be shared that the attendee can take away and use to implement at their organization. <br /><br />Good stuff to share in the days after a conference event: Videos, Demos, Case, Studies, Infographics, Webinars. And slide decks, White papers or e-books. Articles or blog posts. Spec sheets. Special offers <br /><br />Any way that you can push out information, without requiring much effort on attendees is key. Why make it complicated?</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">How Conference Attendees Can Extend Conference Value</span></h3>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjs2IDDCHyWQw7RDnZO0jFoniW6ekPMG0baGz6CTgBAeiaJUoGv2bPKs320dhEelTnlQsLdQfNS6uPZGv9zFrktbiVhzhXUxMQhQmYJNhlOIMIubsLrEhmQvXyFZUrhv_QMq-eCzZlzmAL0/s1600/shimcode-healthcare-conferences-tips-event-apps-AFTER-Sharing-1.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="640" data-original-width="960" height="266" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjs2IDDCHyWQw7RDnZO0jFoniW6ekPMG0baGz6CTgBAeiaJUoGv2bPKs320dhEelTnlQsLdQfNS6uPZGv9zFrktbiVhzhXUxMQhQmYJNhlOIMIubsLrEhmQvXyFZUrhv_QMq-eCzZlzmAL0/s400/shimcode-healthcare-conferences-tips-event-apps-AFTER-Sharing-1.JPG" width="400" /></a></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />I like to see "After Action" type content from attendees to get other's impressions of their experience. So much the better when that content is aggregated and curated by the conference organizer! <br /><br />In the Twittersphere, of course! Or connect on LinkedIn and keep the conversations going in a group. <br /><br />So/me is often a labor of love, and of the sweat equity variety. If peeps add value to your event via amplification and reach, recognize them via s/o. Follow their work, and share their content. It ain't only about YOU. <br /><br />Follow up post conference with actionable information; no fluff, all stuff </span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Post-Conference Summaries – In High Demand and Low Supply</span></h3>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhou3RNvuufrHWtRLnv9d2MwyPnbgakiUqmpTuvX5knc7PUvsuOBRYe5Qt30vjb9CE_CVx7ZwIGOnOIW-n48uWfQpdcX2hp6O0u9gKeuYgW0T2aaN9Dtlj5OlZvJGYi2xZj1lJZeuztgklA/s1600/shimcode-healthcare-conferences-tips-event-apps-AFTER-sumamry-1.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="799" data-original-width="1200" height="266" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhou3RNvuufrHWtRLnv9d2MwyPnbgakiUqmpTuvX5knc7PUvsuOBRYe5Qt30vjb9CE_CVx7ZwIGOnOIW-n48uWfQpdcX2hp6O0u9gKeuYgW0T2aaN9Dtlj5OlZvJGYi2xZj1lJZeuztgklA/s400/shimcode-healthcare-conferences-tips-event-apps-AFTER-sumamry-1.JPG" width="400" /></a></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />Share a good recap of the event with all session artifacts - and supporting materials. On your website of course. This could be a huge attraction that provides value long after the conference is over. And be used for promoting the next event. <br /><br />After conference, recaps can also be leveraged with writeups to be posted and shared on social media <br /><br />Also, as <a href="http://www.twitter.com/JulianaRuizCobo" target="_blank">@JulianaRuizCobo</a> mentioned, they could also create a post-conference writeup covering main takeaways from the event and provide digital assets to compliment writeup <br /><br />For <a href="http://www.twitter.com/HealthITExpo" target="_blank">@HealthITExpo</a>, we're going to create an e-Book with an actionable takeaway slide from every <br /><br />Brilliant. We are really looking forward to <a href="https://twitter.com/hashtag/HITExpo?f=tweets&vertical=default&lang=en" target="_blank">#HITExpo</a>. Curated content is where it’s at. Distill the most salient insights to summarize, but also highlight novel approaches that deserve additional awareness. <br /><br />I like social media recap emails. Pull some of the best tweets from the day and email for each day. Effective and easy. <br /><br />To me, it's all about community and keeping in contact with people you connected with. Have a next step already planned out that you can announce at the end of the conference. Like - a recapapolooza tweet chat!</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Healthcare Conference Feedback – Make it Easy & Bidirectional</span></h3>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhk4qnU_kD7EA-xaj3N_qHNyqL5JXGXjpVgJEIcUdP_De7TM3fnShpVvgilxZTx5XA-G3gMxjhZI4ecdO1i1XB6ocRlzFR8EjtX7N9wMAzwiE_y9i-QQ0AZbLaiNwwvhPF_U3zCsridngp-/s1600/shimcode-healthit-conferences-hitsm-feedback-1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="183" data-original-width="275" height="266" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhk4qnU_kD7EA-xaj3N_qHNyqL5JXGXjpVgJEIcUdP_De7TM3fnShpVvgilxZTx5XA-G3gMxjhZI4ecdO1i1XB6ocRlzFR8EjtX7N9wMAzwiE_y9i-QQ0AZbLaiNwwvhPF_U3zCsridngp-/s400/shimcode-healthit-conferences-hitsm-feedback-1.jpg" width="400" /></a></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Survey attendees to get additional feedback and work in recommendations to next year's planning; share recorded events with attendees so they have an opportunity to listen to any sessions they may have missed. <br /><br />Use post conference survey data to drive content throughout the yr. Was there a conf session or panel everyone loved or that generated a ton of discussion? Maybe that speaker/those speakers should broaden the audience & continue the discussion with a Part 2 tweetchat! <br /><br />Be cool if session surveys were available real-time and online during the session. No one wants to complete a survey when they have another session/event to run to. Or will remember the detailed nuances a week later. <br /><br /><b>Conference Surveys or BINGO Cards?</b></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgFBcUOsIDkevVjZ3mSEJT48bnOUVbG9KLtnRuYsFJW23R4Fa3r9QRqKc-P8_cgjpWFA5gymJIrrvMgRu8nZya2taFQ1_mZ0riTaHDwpKRLhJJ45YzVrystvlgTxHmS8aLI_UypcKdDGiQr/s1600/shimcode-healthcare-conferences-tips-event-apps-AFTER-survey-1.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="183" data-original-width="275" height="266" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgFBcUOsIDkevVjZ3mSEJT48bnOUVbG9KLtnRuYsFJW23R4Fa3r9QRqKc-P8_cgjpWFA5gymJIrrvMgRu8nZya2taFQ1_mZ0riTaHDwpKRLhJJ45YzVrystvlgTxHmS8aLI_UypcKdDGiQr/s400/shimcode-healthcare-conferences-tips-event-apps-AFTER-survey-1.JPG" width="400" /></a></b></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Instead of a post-session rating questionnaire, maybe just give each attendee a bingo card upon entrance? The attached are rather funny - and spot on! <br /><br />Ok that’s really good! And give great prizes when someone yells BINGO! <br /><br />Exactly! And Precisely why my completed survey is here at home in my conference folder 2 months later! OOPS. <br /><br />I like that idea! Or a customer panel that can share their feedback on a new product or service <br /><br />Respond to feedback & incorporate it on an ongoing basis. Deliver an amazing experience, but always strive to be better & seek for where you're missing the mark. Be candid, be honest, be open to creating something with your attendees, not just what you think they want. <br /><br />After conference FEEDBACK to speakers on their prezo <br /><br />Agreed! Did you see this, too? <a href="https://t.co/7Hq1uT7SxP">https://t.co/7Hq1uT7SxP</a> <a href="http://www.twitter.com/StudioNorthUSA" target="_blank">@StudioNorthUSA's</a> take on the survey data. <br /><br />One of the most valuable items from <a href="https://twitter.com/hashtag/hitmc?f=tweets&vertical=default&lang=en" target="_blank">#HITMC </a>this year was the "State of HITMC" survey. Benchmarking data driven by surveying is critical to understand how your organization compares and what adjustments you may consider <br /><br />Bonus: At <a href="https://twitter.com/hashtag/himss18?f=tweets&vertical=default&lang=en" target="_blank">#HIMSS18</a> last month, a moderator went on and on about being respectful, silencing your phone and not tweeting. Then his phone went off 5 minutes later and he had a hard time turning it off. <br /><br />Bonus: Once I overheard a conference leader scold one of their own sponsors for something that didn’t even matter. I walked away as fast as I could once I discovered what it was about. </span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Those Were the Thoughts of 66 People, What Do You Think? </span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />This post and the previous three posts summarized the information, insight and ideas 66 participants shared in over 500 tweets during the HITsm chat on April 13th. <span style="color: yellow;">What information, insight and ideas do you have to share? </span></span></div>
ShimCodehttp://www.blogger.com/profile/13111347121021451188noreply@blogger.com0tag:blogger.com,1999:blog-5553795965038906281.post-7032699082677243682018-04-28T11:50:00.000-07:002018-04-28T11:50:31.804-07:0050+ MORE Ideas for Adding Value to Healthcare Conferences DURING the Event<div class="separator" style="clear: both; text-align: center;">
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhIfYGZbe8hB3y8Y4TFYuqNFBVZlaQAr0JX-wbNPgKQSVBsYjm9CgFUjq1TH5Zbncc6ee3Z6qPronjfDd2i3Qo2HjhdS3_4jTpSw2EONhtxn1vqPUbNc8UmZ-k2-l29bOPzaI2mvI8Gympe/s1600/HITsm-Healthcare-Conference-0-Content-1.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em; text-align: center;"><img border="0" data-original-height="648" data-original-width="1000" height="258" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhIfYGZbe8hB3y8Y4TFYuqNFBVZlaQAr0JX-wbNPgKQSVBsYjm9CgFUjq1TH5Zbncc6ee3Z6qPronjfDd2i3Qo2HjhdS3_4jTpSw2EONhtxn1vqPUbNc8UmZ-k2-l29bOPzaI2mvI8Gympe/s400/HITsm-Healthcare-Conference-0-Content-1.png" width="400" /></a></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">There are many different ways people extract value from a healthcare conference. On April 13th, participants of the <a href="https://www.emrandhipaa.com/emr-and-hipaa/2018/04/11/how-to-evolve-healthcare-conferences-in-the-21st-century-hitsm-chat-topic/" target="_blank">Health Information Technology Social Media</a> (<a href="https://twitter.com/hashtag/hitsm" target="_blank">#HITsm</a>) shared their ideas, experiences and thoughts about what healthcare conference organizers, presenters, exhibitors and attendees can do BEFORE, DURING and AFTER a conference to make the event more valuable. </span><br />
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br />In <a href="http://www.shimcode.com/2018/04/insight-into-how-healthcare-conferences.html" target="_blank">part one</a> of this four-part blog series, I shared information about the BEFORE part of a conference sequence. In <a href="http://www.shimcode.com/2018/04/ideas-for-adding-value-to-healthcare.html" target="_blank">part two</a> I shared the first half of the DURING. In this third post, I share the remainder of what #HITsm chat participants thought about value that can be obtained DURING a conference. </span><div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">In a final post, I’ll share what participants offered up regarding ways to make the most of a conference AFTER it’s over. <br /><br /><i>Note: To make it easy on the reader – and me – I’ve removed all the Twitter handles, hashtags and, in less than a handful of instances, corrected a few tweets to make them easier to read. You can read the <a href="https://www.symplur.com/healthcare-hashtags/HITsm/transcript/?hashtag=HITsm&fdate=4%2F13%2F2018&shour=9&smin=0&tdate=4%2F13%2F2018&thour=10&tmin=0" target="_blank">entire, verbatim transcript here.</a></i></span></div>
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<span style="font-family: Georgia, "Times New Roman", serif; font-size: large;">Using Social Media to Engage Others at Healthcare Conferences</span></h3>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br />Websites, #hashtags, Twitter chats, YouTube, Facebook and all the other social medias. Its mobile easy to share and people can carry the info with them on a mobile device where ever they go. <br /><br />We've found that it's best to use the technology they're already using. Twitter is the best example, but LinkedIn, Facebook, Snapchat are other options. <br /><br />Great question - We've actually been considering setting up a "Twitter table" at KLAS events and invite the Twittersphere to join in on the problem-solving breakout sessions we typically have at each event. Love to hear opinions: good idea? bad idea? why? <br /><br />Social Media Ambassadors are pretty cool too! <br /><br />Any way that you can push out information, without requiring much effort on attendees is key <br /><br />Open-access input and bidirectional communication between speaker and audience. . . I like it. <br /><br />What if there was a shared Google doc that people could all take notes in who are watching? <br /><br />What a great idea!!! Take a risk and try it out! Maybe have a central thread in a Google doc or something for the problem solving. I wonder if that would be easier to brainstorm in vs. tweets. <br /><br />I wonder, would we be able to drive people to engage in the Google doc? People at the conference, perhaps, but those who are just listening in and not in attendance? <br /><br />I loved the one (Google Doc) you started at <a href="https://twitter.com/hashtag/hitmc" target="_blank">#HITMC</a> last year. It was a brilliant idea to capture the unconference dialogue in that session!</span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Networking is One of the Primary Reasons People Attend Healthcare Conferences</span></h3>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><a href="https://twitter.com/hashtag/himss18" target="_blank">#HIMSS18 </a>had a Women in HIT Roundtable event Thursday. Upon arrival, there were 30+ small tables on different topics that you could join. The <a href="https://twitter.com/hashtag/entrepreneurs" target="_blank">#Entrepreneur</a>s table is continuing to meet offline to continue what we started there. <br /><br />Host breakout sessions during the session so that people have an opportunity to "group think" and then share findings with the group. <br /><br />Provide attendees with contact information so they can follow up with any additional questions. <br /><br />Provide a way for both physical and virtual attendees to connect and interact with others based on topics both are interested in. Provide tools that encourage interaction in the event environment. Some event apps do this. <br /><br />It is so easy to make it seem like you are in attendance even if not. Have even used this to ping people I know are there and get questions answered <br /><br />Perhaps presenters/vendors/etc. could share opportunities to get involved with outside of the conference? To keep the momentum going? <br /><br />Use lead retrievals to capture the information of people who visit your booth; ensure you develop a consistent way for classifying their information, and upload content to a CRM system - ensure you follow up with any potential leads! <br /><br />Don't underestimate the power of a quick email at the conference to engage people as well. <br /><br />Bonus: When a presenter is not able to attend and they just cancel the session instead of have a discussion or a backup presenter. Also, I have seen a conference organizer go off on an exhibitor because they wanted to close down early due to low attendance at their event. <br /><br />"Ways to interact with conference attendees" <a href="https://t.co/hYAA3QlZYa">https://t.co/hYAA3QlZYa</a> Via <a href="http://www.twitter.com/StudioNorth" target="_blank">@StudioNorth</a></span></div>
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<span style="font-family: Georgia, "Times New Roman", serif; font-size: large;">Event Apps Have Become Table Stakes for Healthcare Conferences</span></h3>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br />An app created specifically for the conference, with all the events and info laid out and even a communication tool within the app could be one way to get attendees more involved and informed <br /><br />Have you seen the app that Disney World uses for their parks? Something similar to that would be wonderful. <br /><br />Many of these apps have SERIOUS <a href="https://twitter.com/hashtag/usability" target="_blank">#Usability</a> issues <br /><br />Communication tool within the app could be one way to get attendees more involved and informed <br /><br /><a href="http://www.twitter.com/healthcatalyst" target="_blank">@HealthCatalyst</a> does a tremendous job of providing real-time engagement, surveying and analytics through use of the conference app. <a href="http://www.twitter.com/slidoapp" target="_blank">@Slidoapp</a> is a great app to facilitate this. <br /><br />Recently at <a href="http://www.twitter.com/klasresearch" target="_blank">@KLASresearch</a> hosted events, we've been loading all of our conference collateral into an app. Because of the nature of our events (tight-knit, specific attendee lists) we put in bios on each attendee to facilitate networking time. </span><h3>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Video & Live-Streaming are Recent Additions to Many Healthcare Conferences</span></h3>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br />Live interviews, podcasts and now TV are apparently standard conference items now. <br /><br />I wish big conferences like <a href="https://twitter.com/hashtag/himss" target="_blank">#HIMSS</a> would video tape all sessions so I can go back later to watch ones I missed. I only see an average of 5-6 the whole week if I'm lucky <br /><br />Here is 360 video of the #HITMC awards in #NewOrleans. (It starts w/big applause for <a href="http://www.twitter.com/techguy" target="_blank">@techguy</a>!) At the time, it was live. If you watched w/ one of the 4 dozen #HIMSSVR glasses I sent, you felt "immersed", as if you were actually, physically present! <a href="https://t.co/pjZwfx0vhW">https://t.co/pjZwfx0vhW</a> <br /><br />Utilize @TwitterVideo #Twitterlists and hashtags. <br /><br />Off the top of my head - if you were livestreaming, people offsite could participate real time. I think the taking of notes should be done by whomever is watching. Then, share the recap with all. - Kind of like a tweetchat recap! <br /><br />Definitely live streaming as well as tweeting and providing speaker content / videos as a post-conference follow up.... <br /><br />This is worth repeating. FREE live streaming & smart hashtags. Increase access means fuller conversations. Example - <a href="https://twitter.com/hashtag/medx" target="_blank">#Medx</a> <br /><br />Live streaming is a beautiful thing! We have offices in Europe and it certainly comes in handy during company-wide meetings <br /><br />I also like to live stream from sessions so those who are far can be a part of things. <br /><br />Many of the World Health Care Congress events are live-streamed. But I think they charge. <br /><br />That doesn't make sense. Their conversations could be so much more interesting if it was free. <br /><br />App to stream. Be bold, you matter too. Find confidence to engage our 'high priests' with no clothes. </span><h3>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Could Virtual Reality & Augmented Reality Eventually Replace In-Person Attendance at Healthcare Conferences?</span></h3>
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<span style="font-family: Georgia, "Times New Roman", serif; font-size: large;">I would also like to see more Virtual Reality (VR) incorporated into conferences! Has anyone used it at a conference, and what was it used for? </span></div>
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br />Virtual Reality is breaking new grounds and is an experience people walk away talking about. VR has many opportunities for all these things. <br /><br />VR all the way! Makes sitting at home exciting! Interactive polls and open Mic Q&A's with home viewers would be great. <br /><br />I love the idea of <a href="https://twitter.com/hashtag/vr" target="_blank">#VR</a> conference attendance for those not able to attend in person. What <a href="http://www.twitter.com/wareflo" target="_blank">@wareFLO</a> did during the recent #VR conference was amazingly brilliant and can’t want until I can participate in more like that and maybe host one someday myself <br /><br />VR is an amazing way to watch events, just ask @wareFLO ??. <a href="http://www.twitter.com/savvypuppets" target="_blank">@savvypuppets</a> is another very fun approach. <br /><br />I liked how <a href="http://www.twitter.com/BrennanSpiegel" target="_blank">@BrennanSpiegel</a> did #VR as well as @wareFLO for the live-streaming event at the #VR conference. Very interactive for so many miles away? <br /><br />I'm a little torn on a lot of these ideas. Growing interaction for all is great. However, also need to consider resources available to conference. Size/scope will greatly influence what can be done. <br /><br />"Five Ways to Use Interactive Technology to Create Great Customer Experiences" <a href="https://t.co/IxCjjFwjSN">https://t.co/IxCjjFwjSN</a> <br /><br />"Five ways VR & mixed reality are set to transform how we do business" (and do conferences too!) <a href="https://www.technative.io/five-ways-vr-mixed-reality-are-set-to-transform-how-we-do-business/">https://www.technative.io/five-ways-vr-mixed-reality-are-set-to-transform-how-we-do-business/</a> <br /><br /> </span><h3>
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Healthcare Conference Attendees Do Not Live on Tchotchke Alone</span></h3>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br />Never underestimate conference meals! They really set the tone of the conference. We've participated in conferences where meals have been poor in quality, or not sufficient for everyone attending. No one can pay attention with an empty stomach. <br /><br />Attendees love to be fed. Also, freebies from exhibitors and contact lists of the exhibitors and speakers. So tangible items and contact info to help build valuable lists of different professions. <br /><br />It's a little thing, but the gift bag can be powerful when done correctly. Ex: We give #BestinKLAS lapel pins to vendors that attend our award ceremony. More than anything else, they LOVE the pins. They take them on sales calls. Swag that adds value is good swag. </span><h3>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Support Services at Healthcare Conferences</span></h3>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br />I just saw how this conference organizer offers: 'Babysitting and Youth/Teen Programs (per child, per session)' What do people think of this? I think it's a good thing <br /><br />AGREED!! Baby mommas and daddy’s can attend with a little support for their kiddos. Baby sitters and places to nurse and change diapers. <br /><br />The baby sitting is a hard one. Especially since different people approach it differently. However, having a nursing room and diaper room is easy and so valuable to those who need it. <br /><br /> </span><h3>
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">More Insight and Ideas About Making Healthcare Conferences Great Again </span></h3>
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br />In the next and final post, I’ll share the balance of the information shared by #HITsm chat participants about what conference organizers, exhibitors and attendees can do to add value AFTER a healthcare conference including: <br /><br /><ul>
<li>How Conference Organizers, Exhibitors & Attendees Can Share Content AFTER a Healthcare Conference </li>
<li>The Value of Recapping Healthcare Conferences </li>
<li>Ideas for Continuing Engagement After a Healthcare Conference </li>
<li>How Conference Organizers & Speakers Can Collect Feedback </li>
<li>And a few other random ideas, thoughts and criticisms about Healthcare Conferences </li>
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In the meantime, and as always, consider following me on Twitter where I share information about healthcare data, technology, and services as <a href="http://www.twitter.com/shimcode" target="_blank">@ShimCode</a>.</span></div>
ShimCodehttp://www.blogger.com/profile/13111347121021451188noreply@blogger.com0tag:blogger.com,1999:blog-5553795965038906281.post-9238616550823118022018-04-23T19:15:00.000-07:002018-04-24T15:07:17.219-07:00NatCon18 – A Healthcare Conference Like None I’ve Ever Attended Before<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
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<tr><td class="tr-caption" style="text-align: center;">Photo Credit: @AdamJBecker</td></tr>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">The 2018 National Council for Behavioral Health Conference (NatCon18) taking place at the <a href="https://www.nationalharbor.com/gaylord-national/">Gaylord National Resort & Convention Center</a> renewed my excitement for healthcare conferences. The venue was very clean, well appointed and accessible, the ‘conference content’ was attractive and interesting, conference ‘support opportunities’ were quite unique, and the attendees were - at least to me - atypical; to paraphrase Wallace of <a href="https://en.wikipedia.org/wiki/Wallace_and_Gromit">‘Wallace & Gromit’</a> fame: '<i>the NatCon18 event was like no conference I’ve ever attended.'</i></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">What Made the NatCon18 Event a Unique Healthcare Event?</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">In this post I’ll share why I claim the above and some resources that interested parties can access to learn more about this year’s NatCon18 conference.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">A Nice, Accessible & Reasonable Healthcare Conference Venue</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">The Gaylord National venue is just right for the 5000+ attendees of the NatCon18 event: it’s a very nice hotel/conference property close to a major airport, has lots of dining, entertainment and retail options all within easy walking distance of the hotel, and offers plenty of meeting and networking space for conference attendees.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Behavioral Healthcare Conference Content </span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">What I’ve been able to experience of the NatCon18 event and explore so far is information, insight and ideas conveyed via largely well-designed, well-located and useful event signage and printed materials. And there were plenty of 'blue-scarved/blue-tied docents,' navigator stations and the always detailed conference information and bag of materials provided upon registration. </span></div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />The sessions covered a good mix of both ‘business’ and technical topics share via various digital and hardcopy format. One thing I’m looking forward to are the poster sessions available of the huge touch screens located in the ballroom lobby area. <br /><br />The following are some resources to learn more about the NatCon18 event: <br /> </span></div>
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<a href="https://natcon18.thenationalcouncil.org/" target="_blank"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">2018 National Council on Behavioral Health Conference Site</span></a></div>
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<a href="https://www.thenationalcouncil.org/" target="_blank"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">National Council on Behavioral Health Web Site</span></a></div>
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<a href="https://twitter.com/NationalCouncil" target="_blank"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">National Council on Behavioral Health Twitter Account</span></a></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><a href="https://twitter.com/hashtag/natcon18?vertical=default&lang=en" target="_blank">Top #NatCon18 Tweets </a></span></div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><a href="https://twitter.com/hashtag/natcon18?f=tweets&vertical=default&lang=en" target="_blank">#NatCon18 Tweets</a> </span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Support Services – Becoming More Common at Healthcare Conferences </span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">One of the interesting aspects of the NatCon18 event was that the organizers provided a good range of ‘support services’ that I’ve only recently begun to see at other larger events. The following are among the services I’m talking about:</span></div>
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<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Wellness Rooms </span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">A Mother’s Room </span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Free Headshots – and not just cheapies but attendees were fawned over by makeup artists from Nordstroms </span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Free Massages </span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Manicures and Hair Stylists - Relache Spa</span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">An Oxygen Bar</span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Take-a-Break Lounge - with lava lamps!</span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">LinkedIn Bar - To help enhance personal profiles</span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Film Festival - showing behavioral health movies</span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Quiet Spaces – An entire set of rooms were available for people to use on-demand</span></li>
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<tr><td class="tr-caption" style="text-align: center;">Photo Credit: @NationalCouncil</td></tr>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Non-Traditional Services & Diversions Not Seen at Healthcare Conferences</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">The NatCon18 event organizers also offered additional opportunities and services for attendees to de-stress, center themselves and interact with others:</span></div>
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<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">AA Meetings </span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Transcendental Meditation Sessions </span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">‘Pet-a-Pup’ Park</span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">A pseudo-sandy beach – Complete with Adirondack chairs, beach balls and a view of the Potomac river </span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">A couple billiard and ping-pong tables </span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Corn Hole game </span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">A Coloring Wall </span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Bocce Ball lane</span></li>
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And Cheap Psychiatric Help – actually really good lemonade - that was free – not 5 cents as most psychiatrists charge. :)</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">A Note About NatCon18 Event Attendees, Speakers & Exhibitors </span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Not that it’s here nor there, but the attendees, speakers and exhibitors at the 2018 National Council for Behavioral Health conference were quite different than those I’ve typically met at other healthcare conferences - particularly HIMSS and AHIP Institute. The mix between ‘business’ and technical disciplines was an obvious difference. And my impression was that conference attendees were mostly older, seemingly business-focused and pre-dominantly female. The level of interaction with others at this event - vs. individuals walking around heads down on their smart phones was quite noticeable.</span></div>
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<b><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">See this post about <a href="http://www.shimcode.com/2018/04/ideas-for-adding-value-to-healthcare.html" target="_blank">'</a></span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="http://www.shimcode.com/2018/04/ideas-for-adding-value-to-healthcare.html" target="_blank">Ideas for Adding Value to Healthcare Conferences DURING the Event'</a></span></b></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Moreover, in the conference sessions I attended, the speakers were not touting the latest and ‘greatest’ technology and spewing 'solutions-oriented mumbo-jumbo' as much as they were sharing information about the business of behavioral health and their insight and ideas about opportunities for technology to help address an scale behavioral health needs. <br /><br />The NatCon18 event gave me the impression that it was a more informative, openly sharing and consultative experience rather than the more technology-focused, hard sell often experienced at many of today’s healthcare conferences.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">More About the 2018 National Council for Behavioral Health Conference </span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">In a following post I’ll share more details about the NatCon18 event including more links to available conference content, information created and shared by other NatCon18 attendees, some social media highlights and any interesting pictures and graphics I can find. </span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">In the meantime, be sure to follow the #NatCon18 hashtag, the <a href="https://www.twitter.com/NationalCouncil" target="_blank">@NationalCouncil</a> Twitter account, the <a href="https://www.facebook.com/TheNationalCouncil/" target="_blank">National Council Facebook account</a>, and the 2018 National Council of Behavioral Health <a href="https://twitter.com/nationalcouncil/status/971750964054110208" target="_blank">social media ambassadors</a>. </span></div>
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ShimCodehttp://www.blogger.com/profile/13111347121021451188noreply@blogger.com0tag:blogger.com,1999:blog-5553795965038906281.post-40590442205157913422018-04-21T11:13:00.001-07:002018-04-21T11:13:28.104-07:00Ideas for Adding Value to Healthcare Conferences DURING the Event<div class="separator" style="clear: both; text-align: center;">
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Smart healthcare conference organizers are evolving their events to provide a greater range of value to a wider range of people – both physically present at a venue and also remotely located.</span><div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">In <a href="http://www.shimcode.com/2018/04/insight-into-how-healthcare-conferences.html" target="_blank">part one</a> of this now four-part series recapping the <a href="https://www.emrandhipaa.com/emr-and-hipaa/2018/04/11/how-to-evolve-healthcare-conferences-in-the-21st-century-hitsm-chat-topic/" target="_blank">Health Information Technology Social Media</a> (#HITsm) tweetchat of April 13th, I shared information about what chat participants thought healthcare conference organizers, exhibitors and attendees can do BEFORE a conference to make their event more valuable. </span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">In this second post, I’ll share about half of the insight, ideas and comments shared by tweet chat participants about what conference organizers, exhibitors and attendees can do DURING a healthcare conference to increase overall value for everyone involved. There are just too many good ideas to include in one post – without turning this into a War & Peace length post. </span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i>Note: To make it easy on the reader – and most importantly ME – I’ve removed all the Twitter handles, hashtags and, in less than a handful of instances, corrected a few tweets to make them easier to read. You can read the <a href="https://www.symplur.com/healthcare-hashtags/HITsm/transcript/?hashtag=HITsm&fdate=4%2F13%2F2018&shour=9&smin=0&tdate=4%2F13%2F2018&thour=10&tmin=0" target="_blank">entire, verbatim transcript here.</a> </i> </span><h3>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Should Healthcare Hosts Have a Hashtag?</span></h3>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">A well promoted and used hashtag on Twitter has been the best I've seen. The problem many conferences have is not promoting their hashtag well. <br /><br />Include Twitter handle as a start. if they don't have, organizer should set up. Tweet out deck, so all can follow including any linked videos. <br /><br />Using hashtags, simultaneous Twitter chats or live (fb or periscope or YouTube) chats, also having time for q/a with presenters after their session on stage, so chat with the online participants, posting interviews from attendees and exhibitors is helpful too <br /><br />This is such a great thing to do. Many conferences don't have a great hashtag which is a shame since it can build community. <br /><br />I've recently learned that a well-placed hashtag is amazingly effective! I'm a late bloomer?</span></div>
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<br />We've talked about a lot of them. Clear conference hashtags. Sub-hashtags for specific topics or sessions. (Notice how this is very Twitter heavy?) <br /><br />What about those who are only on LinkedIn and beyond? Central place on a conference website, too. Or LinkedIn group. <br /><br /><b>Hashtag Printer Draws in the Social Crowd</b></span></div>
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<span style="font-family: Georgia, "Times New Roman", serif; font-size: large;">People love to share photos, especially when they're in them. I think <a href="http://www.twitter.com/StudioNorthUSA" target="_blank">@StudioNorthUSA</a> eBook shared idea of a hashtag printer? People upload selfies with event hashtag, then swing by booth to get a branded print-out. </span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br />I think that <a href="https://t.co/3QRT9Y9ccI">https://t.co/3QRT9Y9ccI</a> is an example of this Hashtag printer idea. <br /><br />YEP!!! We love our @TagPrints partners! They do GREAT event photo activations!!!!! <br /><br />Yep! That was a great way to draw people to the booth! Acted like a virtual crowd gatherer! <br /><br />Bonus: When organizers don't use Social Media. The worst is when they're no official hashtag & attendees are tweeting so many variations of the "official" hashtag that it's impossible to follow conversations. You miss great commentary w/ too many rogue hashtags.</span></div>
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<span style="font-family: Georgia, "Times New Roman", serif; font-size: large;">Healthcare Conferences Need Engaging Speakers & Exhibitors</span></h3>
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br />Conferences need to be a place where failure can be discussed & celebrated. Especially true as patients are now designers. </span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br />So true - People are hesitant to talk about failures, but if they don't other may make the same mistakes! </span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span><span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Talking about consumers/patients/people without having anyone normal (outside the industry) in the room <br /><br />Presentations, engage with actionable items in other projects throughout the year that draw learners back to the great resources presented, and keep the convo growing/going <br /><br />Larry Chu has a great saying "if it's not broke, break it". As a patient storyteller I don't think we have reached the full potential of SoMe yet. We can break PowerPoints w/o reinventing the world <br /><br />Engaging attendees on social, and providing event-specific landing pages are also to create different opportunities <br /><br />It's amazing how many conference organizers don't appreciate that their sponsors can add value to conference attendees. <br /><br />This is a hard question. Really depends on type of presentation. Ultimately, a common theme I like is make it practical. How can I apply topic to what I'm doing?</span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Healthcare Content Shared at Conferences Must Be Easy to Consume - And Visual</span></h3>
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br />Sometimes I will say at the beginning of a talk that I will share a link to a text-heavy version of my slides at the end of the talk (my slides are always pictures and few words) so people can listen and live-tweet or whatever. Never share text in advance. <br /><br />A presenter who didn't kick off her presentation by reading directly from her slides but rather sung the intro material from the first few slides to the attendees. Sort of a "PowerPoint Karaoke' if you will. <br /><br />Agree. Astute conference goers often don't window shop, but are drawn in by value or resources you can deliver to their organization <br /><br />Self-described data geek, I always appreciate when presenters share insights grounded in data and research. A "teach-me-how-to-fish" session is always appreciated. Take for instance <a href="http://www.twitter.com/AlgorexHealth" target="_blank">@AlgorexHealth</a> approach to being a resource: <a href="https://t.co/rLaTG5TP1T">https://t.co/rLaTG5TP1T</a> <br /><br />Silly little thing for speakers - put your #hashtag in the footer of your slides, along with your handle so people can tweet at you during the session. AND - follow up individually on the mentions. <br /><br />Text-lite slides should be mandatory. The more words on a slide, the more the presenter seems to just read it. If that's the case, could do it alone. <br /><br />Agree! And make it plain English, not the typical, repetitive mumbo jumbo of 'solutions oriented' tech speak. <br /><br />I know I may be a nerd, but it would be fun to have a big group pic from an event. Love photo meetups! <br /><br />I really like this idea. <a href="http://www.twitter.com/Colin_Hung" target="_blank">@Colin_Hung</a> and <a href="http://www.twitter.com/techguy" target="_blank">@techguy </a>did this at HIMSS, as well. I agree graphics (or images) are key! SO much more engaging than just a tweet. <br /><br />The <a href="http://www.twitter.com/virtualmedconf" target="_blank">@virtualmedconf</a> was engaging every speaker had incredible visuals that helped tell the story... <a href="http://www.twitter.com/Osso_VR" target="_blank">@Osso_VR</a> demonstrated a Virtual knee replacement.</span></div>
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<span style="font-family: Georgia, "Times New Roman", serif; font-size: large;">Engage Healthcare Conference Attendees w/ Games, Contests & Current Events</span></h3>
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br />Don't just use games to create attention and draw visitors, they should educate, facilitate networking or fill another attendee need. <br /><br />I love when there are bingo cards or other contests to help pay attention through the sessions & w exhibitors. I also love when the panelist is interactive & when there is a take-a-way that is helpful. <br /><br />We once had a TMJ specialist speak for us and afterwards took patients to a breakout room to test if individuals had any issues with the TMJD. People really felt like they got a free appointment and was worth their time to attend. <br /><br />INTENTIONALLY share information, interact, and engage directly and personally. Lead with sincerity and a desire to build a connection. <br /><br />Tie their presentation to an event that happened 24-48 hours immediately before their presentation and somehow meaningfully tie the event to their presentation. Not just a passing reference. <br /><br /> </span><h3>
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><b>Using Tablets Pre-loaded with Healthcare Conference Materials </b></span></h3>
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br />For the <a href="http://www.twitter.com/HCExecGroup" target="_blank">@HCExecGroup</a>'s Annual Forum, we preloaded tablets for each participant with our digital program, and attendee and speaker roster <br /><br />We preloaded tablets for each participant with our digital program, and attendee and speaker roster. We were even able to poll attendees, share conference updates, and push out messages, etc. Great tool for the conference! <br /><br />Using the preloaded tables at the @HCExecGroup's Annual Forum was VERY well received with attendees and participants <br /><br />Yes of course attendees kept the pre-loaded tablets we provided them. :) A little token of appreciation!</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjJS-qytitHg57m25be0gW8M9a9NeszK0S-JDTUHgLKd__qCCiO_K7_dIZWZ-1yuz9hUXquAbruEh5yFq6nLavPvYuorMAmE-2dE4o0POELOxCp2FARryek4vrtBi960Sx-YM_wu5w_EV9O/s1600/HITSM-Healthcare-Conferences-Shimcode-2.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1148" data-original-width="1400" height="327" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjJS-qytitHg57m25be0gW8M9a9NeszK0S-JDTUHgLKd__qCCiO_K7_dIZWZ-1yuz9hUXquAbruEh5yFq6nLavPvYuorMAmE-2dE4o0POELOxCp2FARryek4vrtBi960Sx-YM_wu5w_EV9O/s400/HITSM-Healthcare-Conferences-Shimcode-2.png" width="400" /></a></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Engaging Healthcare Conference Attendees & Non-Attendees Via Social Media </span></h3>
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br />Social Media, particularly Twitter of course, is a great way to follow along with the conferences. It requires planning from the organizers in selecting hashtags and continuously prompting attendees <br /><br />Record or host the session live via webinar. Provide remote folks with an opportunity to ask questions and leave time at the end of the presentation to address questions. <br /><br />IMO this is really a matter of just being engaged. If in person, share what seeing/learning. If remote, see what people there saw and take advantage of more time/freedom to add outside content. <br /><br />Share social info so that attendees can live tweet or run @Facebook live sessions. <br /><br />Love the idea of engaging a live presentation audience with a virtual one via Twitter, Skype, FB Live, etc. The challenge in my experience, has been getting a NON-MarCom audience engaged enough to make it work effectively. <br /><br /></span><h3>
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Live-Tweeting Healthcare Conferences – Loved by Many </span></h3>
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br />Live Tweet your session. Or have someone from your team Live Tweet during your presentation to connect with a wider audience. Prepare a list of key quotes and facts before the session. <br /><br />I'm a big fan of (the speaker) live tweeting during the session. I saw <a href="http://www.twitter.com/drnic1" target="_blank">@drnic1</a> do that once and loved it, so I did it the next year. Of course, you need a partner to send the tweets out for you. Or schedule them ahead of time. With graphics! <br /><br />I love the idea of engaging a live presentation audience with a virtual one via Twitter, Skype, FB Live, <br /><br />We ran a live tweet chat during the preso to illustrate <br /><br />It takes some coordination but can be really valuable to everyone involved. <br /><br />Did the speaker seem distracted at all to be tweeting while they were speaking?</span></div>
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<br />Speakers can craft their tweets ahead of time and then have a partner in crime to send them out for you. <br /><br />You can also just schedule them ... But don't do what I once did and forget that you’re speaking in a different time zone! <br /><br />Better hope you're not running late ;) but a great way to engage folks online! <br /><br />Curated tweet wall to net our spammers and offensive content. Edgy and frank tweets whether flattering or challenging narrative should be encouraged. I mean really, we've failed for decades to manage and deliver a sustainable healthcare economy. Conferences not exempt. <br /><br />"6 things to Tweet when attending a conference" <a href="https://t.co/WaMhsZjP3c">https://t.co/WaMhsZjP3c</a> <br /><br />Live-tweeting conversations including onsite & offsite folks; FB live; post-conf tweetchats; sometimes a project arises from a session that involves people at the session as well as people who were offsite ... but anything like that is driven by lots of communication.</span></div>
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<span style="font-family: Georgia, "Times New Roman", serif; font-size: large;">More Insight and Ideas About Making Healthcare Conferences Great Again</span></h3>
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br />In the next post I’ll share the balance of the information shared by #HITsm chat participants about what conference organizers, exhibitors and attendees can do to add value DURING a healthcare conference including:<br /><ul>
<li>Importance of ‘Handouts’ including electricity, drinks, meals and general assistance </li>
<li>Networking Needs DURING the Event </li>
<li>New & Emerging Technology for Healthcare Conferences</li>
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I’ll then wrap up the series with a post sharing what chat participants suggested could be done AFTER a healthcare conference. <br /><br />In the meantime, and as always, consider following me on Twitter where I share information about healthcare data, technology, and services as <a href="http://www.twitter.com/shimcode" target="_blank">@ShimCode</a>. </span><br /> </div>
ShimCodehttp://www.blogger.com/profile/13111347121021451188noreply@blogger.com0tag:blogger.com,1999:blog-5553795965038906281.post-18095478147838698052018-04-20T19:50:00.001-07:002018-04-21T10:33:48.743-07:00Insight into How Healthcare Conferences Must Evolve in Order to Remain Relevant – Part 1<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjny_NIoUGA5ZOfUNzNdxBO3jcJZsJ0BJT23fWIkWdxX01Hn_2lRjODHUvkCwnRr1LnSeNCsmhp6oivdaUPr1BIxnCk8F4QI7tEqgz02cxqM6Nmg84mTfvC4x0CdYSs2bdTM1_6Lz6U-H8J/s1600/HITSM-Healthcare-Conferences-Group-0.png" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="720" data-original-width="960" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjny_NIoUGA5ZOfUNzNdxBO3jcJZsJ0BJT23fWIkWdxX01Hn_2lRjODHUvkCwnRr1LnSeNCsmhp6oivdaUPr1BIxnCk8F4QI7tEqgz02cxqM6Nmg84mTfvC4x0CdYSs2bdTM1_6Lz6U-H8J/s400/HITSM-Healthcare-Conferences-Group-0.png" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">This is supposed to remind you of a Jetson's-like 21st Century Registration Desk</td></tr>
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<span style="font-family: "georgia" , "times new roman" , serif;"><span style="font-size: large;">Healthcare conferences are popular ways to bring people together in one place where they can discover and share information, insight and ideas on a specific theme; and create or extend personal relationships. And suck the money and time from literally 100’s of 1000’s of attendees. Anyone who been to more than a handful of healthcare conferences over the last decade knows it’s time for a change. </span><br /><br /><span style="font-size: large;">Last Friday, April 13th I hosted the weekly Health Information Technology Social Media (<a href="https://www.symplur.com/healthcare-hashtags/HITsm/analytics/?hashtag=HITsm&fdate=4%2F13%2F2018&shour=9&smin=0&tdate=4%2F13%2F2018&thour=10&tmin=0" target="_blank">#HITsm</a>) tweetchat and the theme of the chat was <i><b>‘How to Evolve Healthcare Conferences in the 21st Century.’</b></i> </span></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif;"><span style="font-size: large;">During the hour-long chat, 66 participants shared 540 tweets on the topics <a href="https://www.emrandhipaa.com/emr-and-hipaa/2018/04/11/how-to-evolve-healthcare-conferences-in-the-21st-century-hitsm-chat-topic/" target="_blank">listed here</a>. </span><br /><br /><span style="font-size: large;">In this first post of a four-part series, I’ll share information about what chat participants thought healthcare conference organizers, exhibitors and attendees can do BEFORE a conference to make their event more valuable. The topics included those physically attending the event AND those who may follow along remotely. </span></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;"><span style="font-size: large;">In the following three posts I’ll share chat participant insight about the DURING (two posts) and AFTER of a healthcare conference. </span><br /><br /><i>Note: To make it easy on the reader – and most importantly ME – I’ve removed all the Twitter handles, hashtags and in less than a handful of instances, corrected a few tweets to make them easier to read. You can read the <a href="https://www.symplur.com/healthcare-hashtags/HITsm/transcript/?hashtag=HITsm&fdate=4%2F13%2F2018&shour=9&smin=0&tdate=4%2F13%2F2018&thour=10&tmin=0" target="_blank">entire, verbatim transcript here</a>.</i></span><br />
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<span style="color: orange; font-family: "georgia" , "times new roman" , serif; font-size: large;">What Should Healthcare Conference Organizers Consider When Planning Their Event? </span></h3>
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<span style="font-family: georgia, "times new roman", serif; font-size: large;">Smart organizers will recognize two things: 1) clever marketing notwithstanding the audience pool is larger externally than in room, 2) Matter more during, before and after the event. A one and done event fades fast. </span></div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />One key we've found to any conference strategy is the importance of getting the right people in the room that understand the culture you want to create. Everything else just accelerates that key effort.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Most tangible value is relevant information. Consistent and clear information that communicates the value of the conference and provides attendees a sense of what to expect <br /><br />Stale content is not well-received and wastes time. Before launching an event, it's imperative for conference organizer to ensure that it is not redundant and truly differentiated in its approach. Creativity with bringing tech to bear is critical.<br /><br />Have a good understanding of the target audience. Not every conference is for everyone. That being said, if make content known, can get let unexpected attendees assess potential value. <br /><br />Enlist down to earth people to provide their insight into their specific needs and why they want to attend the specific conference. I'm rather tired of caricatures of Big Shot CEO's but little else. <br /><br />I know it's a business. But taking long view, delivering value over long term, can make a conference stand out on the year's calendar. I could go from HC conference to conference like I was following the Grateful Dead, but <br /><br />Make sure there is a focus or theme to a conference. Make clear what differentiates this conferences from others. What are the top 3 things attendees can expect to gain from the event? <br /><br />Depends on objectives of organizers. Offer value. No more 'me too' programs with usual suspects saying the same things to the same audience. Less talk, more action? #boring <br /><br />Show point of how conference is distinct from others, also show how this year's conference is distinct from prior years. <br /><br />I agree with the gestalt here - any conference is best positioned as part of a broader conversation, and the organizer should create pathways to & for the conversation before, during & after the IRL event (without worrying too much about monetizing everything)</span><br />
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<span style="color: orange; font-family: "georgia" , "times new roman" , serif; font-size: large;">Healthcare Conference Organizers: Stop Demanding Speaker Proposals So Early </span></h3>
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<span style="font-family: georgia, "times new roman", serif; font-size: large;">You know what's interesting - you submit your prospectus months before the conference. For me, my topic evolves over time. Wish I could edit and give more info closer to the event. </span></div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />This is so true. I understand why it's necessary to have deadlines, but it is really hard to predict that far in advance. <br /><br />To that point, one thing that gets me is having to submit proposals so far in advance. If conference does "hot" topics, hard to predict 7-9 months in advance. </span><br />
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<span style="color: orange; font-family: "georgia" , "times new roman" , serif; font-size: large;">Include More Patients and Authentic People Who Work in Healthcare’s Trenches </span></h3>
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Have meaningful and authentic pathways for patient participation and travel. That's how you provide value. <br /><br />Provide scholarships & financial aid to patients. Have a smart hashtag & live stream the conference for FREE! Knowledge is a human right. <br /><br />Have meaningful and authentic pathways for patient participation and travel. That's how you provide value. <br /><br />Put real Patients on panels. Have patients lead panels. Put patients in leadership positions on organizing committees. <br /><br />If conference hosted by an organization, identify ways people can volunteer or become involved with the org. How I've got in with a couple of places. </span><br />
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<span style="color: orange; font-family: "georgia" , "times new roman" , serif; font-size: large;">What About Fees & Incentives for Attendees of Healthcare Conferences? </span></h3>
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<span style="font-family: georgia, "times new roman", serif; font-size: large;">Offer early bird registration and ensure everyone knows what's included with it. Make sure the agenda is posted early and offer networking opportunities. </span></div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />And perhaps offer them a discount for providing some referrals, content or other general value to the organizer, attendees, prospective attendees or others? <br /><br />Make sure that speakers get free registration - and maybe more. <br /><br />Prizes are always a great incentive! Whether it's door prizes to get them there, swag to shower them with, or even offering a prize to a lucky winner that registers by a certain date. <br /><br />Incorporate fun material about the event and the host city, too. Provide some insight into how attendees can leverage their travel and lodging expenses.</span></div>
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<span style="color: orange; font-family: "georgia" , "times new roman" , serif; font-size: large;">Share Value via a Comprehensive Healthcare Conference Agenda </span></h3>
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<span style="font-family: georgia, "times new roman", serif; font-size: large;">Allow more detailed exploration into the details of what will be shared by presenters. The typical short paragraph and three sentences about "What You'll Learn" is too little. </span></div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />Provide Basic, Intermediate, Advanced program listings, so you don't go into something over your head <br /><br />Share educational literature and info graphics along with mapping of the facility and surrounding. <br /><br />Part of the responsibility of making a conference a great experience lies with the attendee to do their research and preparation. <br /><br />I love when conference organizers put agenda & speakers out so I can research topics & develop questions prior but I also love when I get local details & can study the logistical map & where I will be going throughout day so I can preplan - I only have so many energy pennies <br /><br />Organizers could provide recent experience of speakers. Not a fan of attending sessions only to find I'm more informed than the speaker. <br /><br />Email reference material early. It's nice to research the speakers, content, bills, laws, etc surrounding the event before arriving. <br /><br />BONUS: Confession Time - I once published & distributed a conference agenda to attendees at the event; only to discover that I had gotten EVERY room # wrong! The devil is in the details! Check your work people!</span></div>
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<span style="color: orange; font-family: "georgia" , "times new roman" , serif; font-size: large;">Make ALL Conference Content Available Digitally! </span></h3>
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<span style="font-family: georgia, "times new roman", serif; font-size: large;">Create comprehensive digital agendas that are easy to read and digest, and allow attendees to plan their conference strategy meticulously </span></div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />Our digital agendas provide for direct connection between attendees, speakers and influencers (speaker/attendee bios hyperlinked to social media accounts) <br /><br />Distributing slides to attendees online. Sharing speaker info or profiles. Putting things like Twitter handles directly on badges to enhance name/face/human-to-human recognition. <br /><br />We've also created branded conference landing pages that only attendees can access with all conference details and files available</span></div>
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<span style="color: orange; font-family: "georgia" , "times new roman" , serif; font-size: large;">Make Everything Your Healthcare Conference Offers Easy to Find </span></h3>
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<span style="font-family: georgia, "times new roman", serif; font-size: large;">Create a hashtag, RSS feed, live blog, and/or other means that attendees and prospective attendees can use to monitor conference developments and engage with others. </span></div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />Don't make me download an app or sign up for a conference-specific site to get access. <br /><br />Follow the lead from Auto Malls and group exhibitors based on their functional focus. i.e. keep similar vendors in the same area. I shouldn't have to jump all over a huge hall to visit with similar vendors. <br /><br />An interactive guide that gets attendees familiar with talks that will be given, keynote speakers, a look at technology that will be featured. Get them excited to attend! <br /><br />Establish the conference hashtag in advance! If it's changing from previous years, let people know! <br /><br />Have regular tweetchats leading up the event is great and can unveil topics of interest. Sharing speaker Twitter/LinkedIn profiles also helpful. <br /><br />I like the idea of hosting a webinar for newbies to the event (especially large ones). Get them acclimated beforehand and give them a place to ask questions. It's like appointment TV - tune in together!</span></div>
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<span style="font-family: georgia, "times new roman", serif; font-size: large;">Conferences are best for Social Networking - not online. Anything that they can do to help "birds of a feather" to meet in person </span></div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />I'm a big fan of knowing who is presenting, sponsoring, AND who else is already REGISTERED to attend, in advance. It makes planning a whole lot easier, and even creates a sense of FOMO that can drive attendance growth. <br /><br />The conference should be a piece of an ongoing conversation, never just a onetime event <br /><br />There are reason$ why only the sponsors of conferences get the attendee email lists. That's what they're paying for by sponsoring the conference <br /><br />A large value of the conference from a vendor’s perspective are pre-arranged meetings outside of conference program schedule. Provides a time to re-engage with clients and deep-dive into problem- solving and brainstorming. <br /><br />Reach out to attendees tweeting the conference hashtag. Invite them to schedule a product demo at your booth or register for your speaking session or after party. <br /><br />Participate in the social and digital community (channels, blogs, webinars, local events, etc.) in a meaningful way year-round. Not just in the months leading up to the event.</span></div>
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<span style="color: orange; font-family: "georgia" , "times new roman" , serif; font-size: large;">More Insight on Healthcare Conferences</span></h3>
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<span style="font-family: georgia, "times new roman", serif; font-size: large;">If you thought the above was helpful, wait until you see the next post cover the ‘DURING of Healthcare Conferences!’ Over 110+ ideas, experiences, needs, and desires shared by #HITsm chat participants will be shared across the following general categories: </span></div>
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<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Conference Content – Including speaker materials, graphics, video and sharing to attendees </span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Speaker Qualities – What makes a good speaker? What do they do different than the boring presenter? </span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Sharing & Engaging with Physical & Remote Attendees including social media, live-streaming and new approaches </span></li>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">And a bunch of other stuff! <br /><br />In the meantime and as always, consider following me on Twitter where I share information about healthcare data, technology, and services as <a href="http://www.twitter.com/ShimCode" target="_blank">@ShimCode</a><br /> </span></div>
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ShimCodehttp://www.blogger.com/profile/13111347121021451188noreply@blogger.com0tag:blogger.com,1999:blog-5553795965038906281.post-88350148863440104562017-12-25T09:52:00.000-08:002017-12-25T09:52:15.405-08:00Top Healthcare & Healthcare Information Technology-Related Posts for 2017<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi4T2WpPvgy6nf9QbHQAgrnf3oKsP6b223WYGV2Bta99_SKoB24RJjrHwrX940TfxZKTP6UZAEUVtTTzbgDppSuuR0ZHM9ALh2EmWucCZuhAVyK6t83N9yH-ih11uf373gCRv0X9nIlI0Za/s1600/new-year-1939120_1920.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1236" data-original-width="1600" height="308" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi4T2WpPvgy6nf9QbHQAgrnf3oKsP6b223WYGV2Bta99_SKoB24RJjrHwrX940TfxZKTP6UZAEUVtTTzbgDppSuuR0ZHM9ALh2EmWucCZuhAVyK6t83N9yH-ih11uf373gCRv0X9nIlI0Za/s400/new-year-1939120_1920.jpg" width="400" /></a></div>
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br />At this time of year, the social sphere emits a seemingly <a href="http://www.shimcode.com/2017/11/collection-of-predictions-and-trends.html" target="_blank">unending list of predictions and trends to expect in the coming year.</a> And summaries of what was popular over the past year. </span><div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Keeping with this popular year-end approach of looking forward to the coming year and backward as the current year passes and the new year arrives, I’m sharing a list of my Top 10 blog posts from 2017.<br /><br />The following are measured by unique hits. Each one of the following received over 1000 unique hits – the three at the top received 4500+, 2100+ and 1700+ respectively.<br /></span><h3>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">My Top Blog Posts of 2017</span></h3>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><a href="http://www.shimcode.com/2017/02/newest-list-of-collections-of.html" target="_blank">Newest List of Collections of Healthcare Data, Technology & Services-related Conten</a>t (2/4/17)<br /><br /><a href="http://www.shimcode.com/2017/02/what-do-you-want-himss17-attendees-to.html" target="_blank">What Do You Want #HIMSS17 Attendees to Share? And What's Your Single Most Important Takeaway?</a> (2/14/17)<br /><br /><a href="http://www.shimcode.com/2017/02/top-things-himss-conference-attendees.html" target="_blank">Top ‘Things’ HIMSS Conference Attendees Expect to Obtain with Sources and Tips for Getting Them</a> (2/12/17)<br /><br /><a href="http://www.shimcode.com/2017/04/70-bits-of-wisdom-on-healthcare-content.html" target="_blank">70+ Bits of Wisdom on Healthcare Content Creation from HITMC Event</a> (4/12/17)<br /><br /><a href="http://www.shimcode.com/2017/06/zdoggmd-at-14th-annual-world-healthcare.html" target="_blank">ZDoggMD at the 14th Annual World Healthcare Congress - That's Two G's!</a> (6/2/17)<br /><br /><a href="http://www.shimcode.com/2017/02/stand-out-topics-technologies.html" target="_blank">Stand Out Topics, Technologies, Presentations & Exhibitors at #HIMSS17</a> (2/12/17)<br /><br /><a href="http://www.shimcode.com/2016/01/content-insight-opinions-tips-bit-of.html" target="_blank">Content, Insight, Opinions, Tips & a Bit of Wackiness from #HITMC</a> (4/11/17)<br /><br /><a href="http://www.shimcode.com/2017/04/thoughts-ideas-tips-for-pitching.html" target="_blank">Thoughts, Ideas, & Tips for ‘Pitching’ Healthcare Products & Services</a> (4/12/17)<br /><br /><a href="http://www.shimcode.com/2017/03/anatomy-of-successful-customer-service.html" target="_blank">Anatomy of a Successful Customer Service Event Handled Via Social Media</a> (3/21/17)<br /><br /><a href="http://www.shimcode.com/2017/04/32-miscellaneous-tweets-on-marketing.html" target="_blank">32+ Miscellaneous Thoughts on Marketing Healthcare IT Products & Services</a> (4/13/17)<br /></span><div class="MsoNormal">
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">You can see that popular topics for 2017 were my posts about
the long-running <a href="http://www.himssconference.org/" target="_blank">HIMSS Conference & Exhibition</a> (#HIMSS), the relatively new
<a href="http://www.healthitmarketingconference.com/" target="_blank">Health IT Marketing & PR Community Conference</a> (#HITMC) and my own thoughts, ideas,
& tips on marketing healthcare IT products & services.<o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Stay Tuned. There's More to Come</span></h3>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Consider subscribing to this blog and <a href="http://www.twitter.com/shimcode" target="_blank">following me on Twitter </a>where I share on healthcare data, technology and services topics on a regular basis.</span></div>
ShimCodehttp://www.blogger.com/profile/13111347121021451188noreply@blogger.com0tag:blogger.com,1999:blog-5553795965038906281.post-19708587633608402212017-12-13T09:40:00.000-08:002017-12-13T09:46:20.412-08:00Collection of Tips, Ideas, How-To’s, Caveats & Other Stuff about the HIMSS Conference & Exhibition <div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiMSjBPxENm8JaA3tFUvpmfrZ8b9us2Tow2B0JuaHaudzvW8HSoNp60kcDlxTPfSK6RgIEzpDkLMUkCnzphiRiWOmTXcXHVIqhZ9uRI8shNYY53_6NYAd1aBNzZDSyU1Dz3px6BocEg7xuf/s1600/Collection+of+Tips-Ideas-How-To-Caveats-Other-Stuff-about-the+HIMSS+Conference-Exhibition-1.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="800" data-original-width="800" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiMSjBPxENm8JaA3tFUvpmfrZ8b9us2Tow2B0JuaHaudzvW8HSoNp60kcDlxTPfSK6RgIEzpDkLMUkCnzphiRiWOmTXcXHVIqhZ9uRI8shNYY53_6NYAd1aBNzZDSyU1Dz3px6BocEg7xuf/s400/Collection+of+Tips-Ideas-How-To-Caveats-Other-Stuff-about-the+HIMSS+Conference-Exhibition-1.png" width="400" /></a></div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Here’s a list of all the various HIMSS Conference & Exhibition related blog posts I’ve written over the years. My first HIMSS Conference was in 1993 – the same year I started my long career in Healthcare Information Technology and Services.<br /><br />Thanks to 2018 HIMSS Social Media Ambassador Matt Fisher (<a href="http://www.twitter.com/matt_r_fisher" target="_blank">@Matt_R_Fisher</a>) for providing me the inspiration this morning.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">General Tips and Ideas</span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><a href="http://www.shimcode.com/2016/02/over-125-ideas-tips-practices-for.html" target="_blank">Over 125 Ideas, Tips & Practices for Before, During & After the 2016 HIMSS Conference</a><br /><br /><a href="http://www.hitconfguy.com/2017/01/collection-of-tips-guides-how-tos-other.html" target="_blank">Collection of Tips, Guides, How-To's & Other Information for HIMSS Attendees</a><br /><br /><a href="http://www.hitconfguy.com/2016/01/almost-30-tips-for-attending-2016-himss.html" target="_blank">Almost 30 Tips for Attending the 2016 HIMSS Conference (Or Any Conference)</a><br /><br /><a href="http://www.shimcode.com/2016/02/collection-of-himss16hacks-to-help-you.html" target="_blank">Collection of #HIMSS16Hacks to Help You Get the Most Out of Your #HIMSS16 Conference Experience</a><br /><br /><a href="http://www.shimcode.com/2017/02/top-things-himss-conference-attendees.html" target="_blank">Top ‘Things’ HIMSS Conference Attendees Expect to Obtain with Sources and Tips for Getting Them</a><br /></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Taking Care of Yourself at the HIMSS Conference </span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="http://www.hitconfguy.com/2015/03/ideas-tips-for-maximizing-most.html" target="_blank">Ideas & Tips for Maximizing the Most Important Conference Asset: You!</a><br /><br /><a href="http://www.hitconfguy.com/2015/03/consider-physical-aspects-of-attending.html" target="_blank">Consider the Physical Aspects of Attending the #HIMSS Conference</a></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Interacting with Other Attendees, Speakers and Exhibitors</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="http://www.hitconfguy.com/2015/03/preparing-your-elevator-pitch.html" target="_blank">Preparing Your Elevator Pitch & Networking Questions for the HIMSS Conference </a></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><a href="http://www.hitconfguy.com/2015/03/suggestions-and-ideas-for-meeting-and.html" target="_blank">Suggestions and Ideas for Meeting and Socializing at the HIMSS Conference</a></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="http://www.hitconfguy.com/2015/04/questions-to-ask-software-product.html" target="_blank">Questions to Ask Software Product Vendors at the HIMSS Conference</a></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="http://www.hitconfguy.com/2015/03/six-tips-for-networking-at-himss15.html" target="_blank">Six Tips for Networking at the #HIMSS15 Conference</a></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="http://www.hitconfguy.com/2015/03/more-tips-for-connecting-with-new.html" target="_blank">More Tips for Connecting with New People at HIMSS</a></span></div>
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<a href="http://www.hitconfguy.com/2015/04/how-to-gracefully-exit-conversation.html" target="_blank"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">How to Gracefully Exit a Conversation That’s Going Nowhere at #HIMSS Conference </span></a></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><a href="http://www.hitconfguy.com/2015/04/the-complete-guide-to-himss15-related.html" target="_blank">The Complete Guide to HIMSS15-Related Conference Guides </a></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="http://www.hitconfguy.com/2015/04/unofficial-himss15-meetups-tweetups.html" target="_blank">Unofficial #HIMSS15 Meetups & Tweetups </a></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Content-Related</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="http://www.hitconfguy.com/2016/01/tips-for-sharing-content-at-2016-himss.html" target="_blank">Tips for Sharing Content at the 2016 HIMSS Conference</a><br /><br /><a href="http://www.shimcode.com/2017/02/live-streaming-live-tweeting-and.html" target="_blank">Live-Streaming, Live-Tweeting, and Internet Services at Conferences Like #HIMSS17</a><br /><br /><a href="http://www.hitconfguy.com/2015/03/some-tips-for-making-your-himss15.html" target="_blank">Some Tips for Making Your #HIMSS15 Tweets Memorable & Retweetable”</a></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="http://www.shimcode.com/2016/12/thoughts-ideas-experiences-opinions.html" target="_blank">Thoughts, Ideas, Experiences & Opinions About Healthcare Social Media Ambassadors</a><br /><br /><a href="http://www.shimcode.com/2016/02/blogging-platforms-of-2016-himss-social.html" target="_blank">Blogging Platforms of the 2016 HIMSS Social Media Ambassadors</a><br /><br /><a href="http://www.shimcode.com/2016/01/why-follow-himss16-social-media.html" target="_blank">Why Follow a #HIMSS16 Social Media Ambassador like @ShimCode?</a><br /><br /><a href="http://www.shimcode.com/2017/02/what-do-you-want-himss17-attendees-to.html" target="_blank">What Do You Want #HIMSS17 Attendees to Share? And What's Your Single Most Important Takeaway?</a></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="http://www.shimcode.com/2015/03/shimcode-interviews-hitconfguy-about.html" target="_blank">@ShimCode Interviews @HITConfGuy About the 2015 HIMSS Conference in Chicago</a></span></div>
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<a href="http://www.hitconfguy.com/2015/12/why-should-you-follow-hitconfguy.html" style="font-family: Georgia, "Times New Roman", serif;" target="_blank"><span style="font-size: large;">Why should you follow the @HITConfGuy Twitter Account before and during #HIMSS16?</span></a></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="http://www.hitconfguy.com/2016/12/one-way-to-obtain-good-himss-conference.html" target="_blank">One Way to Obtain Good HIMSS Conference-related Information via Twitter</a></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Stats and Info About Speakers & Social Media Ambassadors</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="http://www.hitconfguy.com/2015/03/twitter-statistics-for-speakers-at-2015.html" target="_blank">Twitter Statistics for Speakers at 2015 HIMSS Conference </a></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="http://www.hitconfguy.com/2014/09/twitter-statistics-for-2015-himss.html" target="_blank">More Twitter Statistics for 2015 HIMSS Speakers</a><br /><br /><a href="http://www.shimcode.com/2016/02/twitter-stats-on-2016-himss-conference.html" target="_blank">Twitter Stats on 2016 HIMSS Conference Social Media Ambassadors</a></span></div>
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<a href="http://www.hitconfguy.com/2016/01/the-totally-unofficial-himss16-hashtag.html" target="_blank"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">The Totally Unofficial #HIMSS16 Hashtag Guide</span></a></div>
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<a href="http://www.hitconfguy.com/2015/03/the-totally-unofficial-guide-to-himss15.html" target="_blank"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">The Totally Unofficial Guide to #HIMSS15 Hashtags </span></a></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="http://www.hitconfguy.com/2016/01/the-best-places-and-things-to-do-in-las.html" target="_blank">'The Best' Places to See and Things to Eat and Do in Las Vegas </a><br /> </span><br />
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<a href="http://www.hitconfguy.com/2015/04/free-news-release-template-for-himss15.html" target="_blank"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large; font-weight: normal;">Free: News Release Template for #HIMSS15 Vendors </span></a></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="http://www.hitconfguy.com/2015/04/in-case-you-missed-them-here-are-some.html" target="_blank">23 Listicles Shared During the #HIMSS15 Conference in Chicago </a></span><br />
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<span style="font-size: large;"><span style="font-family: "georgia" , "times new roman" , serif;">For more information, ideas, insight and commentary on healthcare and information technology - including the 2018 HIMSS Conference & Exhibition, consider following me on Twitter where I share as </span><a href="http://www.twitter.com/shimcode" style="font-family: Georgia, "Times New Roman", serif;" target="_blank">@ShimCode</a><span style="font-family: "georgia" , "times new roman" , serif;"> and </span><a href="http://www.twitter.com/hitconfguy" style="font-family: Georgia, "Times New Roman", serif;" target="_blank">@HITConfGuy</a><span style="font-family: "georgia" , "times new roman" , serif;">. If you have any tips, ideas and/or content you'd like to share, send it to me at info@shimcode.com. Thanks!</span></span></div>
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ShimCodehttp://www.blogger.com/profile/13111347121021451188noreply@blogger.com0tag:blogger.com,1999:blog-5553795965038906281.post-68172849960246914672017-11-17T18:51:00.002-08:002018-01-19T15:35:36.946-08:00Collection of Predictions and Trends About Healthcare & Healthcare Information Technology in 2018<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiB5ZW4-XUVhPVuNF6mqkJ9LZUkzK3J9f3P7LJSql9vlEcpmAi6dOW2WasmFcODOIQPguD47efcno7w14cZXjnW6zfW0znZHfj5QQjCjl_GL-rkr5PUG0p2UGelZTOLfXoNz5hOFGbCd705/s1600/Collection+of+Predictions+and+Trends+About+Healthcare+and+Health+Information+Technology+in+2018.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img alt="healthcare predictions trends healthit healthtech future technology" border="0" data-original-height="683" data-original-width="1024" height="266" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiB5ZW4-XUVhPVuNF6mqkJ9LZUkzK3J9f3P7LJSql9vlEcpmAi6dOW2WasmFcODOIQPguD47efcno7w14cZXjnW6zfW0znZHfj5QQjCjl_GL-rkr5PUG0p2UGelZTOLfXoNz5hOFGbCd705/s400/Collection+of+Predictions+and+Trends+About+Healthcare+and+Health+Information+Technology+in+2018.jpg" title="" width="400" /></a></div>
<span style="color: orange; font-family: "georgia" , "times new roman" , serif; font-size: medium;"><i><b>I've added dozens of additional lists since original post was made on 11/17/17</b></i></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Have you noticed the recent uptick in <i>predictions and trends about healthcare and healthcare information technology</i> in 2018?</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">It's the time of year when Christmas decorations invade retail stores and healthcare executives, thought leaders, media pundits, consultants, technology profits (er... prophets,) clairvoyants, pundits and dozens of doyens release their annual <i>predictions and trends about healthcare and healthcare information technology</i> for the following year.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">As I've shared in <a href="http://www.shimcode.com/2015/12/collection-of-predictions-about.html" target="_blank">2015 </a>and <a href="http://www.shimcode.com/2016/12/collection-of-predictions-about.html" target="_blank">2016</a>, I'm now sharing a post summarizing all the Healthcare Predictions and Trends that I can find for 2018. At least all those that I think have value to the executives, thought leaders and others who typically make the strategic, tactical and operational decisions to ensure the survival of their company in 2018 and beyond. </span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">My posts from <a href="http://www.shimcode.com/2016/12/collection-of-predictions-about.html" target="_blank">2016 </a>& <a href="http://www.shimcode.com/2015/12/collection-of-predictions-about.html" target="_blank">2015 </a>were among my most 'popular' posts of all time, so I thought" "Why not continue a good service?" I hope you find this centralized collection of posts useful. Feel free to comment and share any I've missed.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: x-large;">More To Come</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">As in previous posts, I’ll update this post with new information as it's released and as I find it. Unlike the likelihood of many of these predictions, I'm 100% sure there'll be many more predictions coming our way soon. So bookmark this page – or better yet – subscribe to this blog so you’re easily kept in the loop on what to expect in 2018 and beyond.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">General Healthcare Predictions & Trends for 2018</span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><span style="font-family: "georgia" , "times new roman" , serif;"><a href="https://www.forbes.com/sites/annabelacton/2017/08/18/5-important-healthcare-predictions-for-2018" target="_blank">5 Important Healthcare Predictions For 2018</a><br /><br /><a href="https://www.elitechgroup.com/2017/09/07/healthcare-predictions-2018/" target="_blank">Healthcare Predictions 2018</a><br /><br /><a href="https://www.televox.com/six-trends-shaping-healthcare-in-2018/" target="_blank">Six Trends Shaping Healthcare in 2018</a><br /><br /><a href="https://www2.deloitte.com/content/dam/Deloitte/uk/Documents/life-sciences-health-care/deloitte-uk-life-sciences-health-care-predictions-2022.PDF" target="_blank">The Future Awakens: Life Sciences and Health Care Predictions 2022</a><br /><br /><a href="https://idc-community.com/idc_futurescape_worldwide_2017_predictions/top_10_health_industry_predictions~1" target="_blank">Top 10 Health Industry Predictions</a></span></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://nexter.org/7-shocking-healthcare-predictions-for-2018-you-need-to-know" target="_blank">7 Shocking Healthcare Predictions for 2018 You Need to Know</a> (Added 11/16/17)</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.cioreview.com/news/health-it-predictions-for-2018-nid-25288-cid-31.html" target="_blank">Worldwide Health Industry 2018 Predictions</a> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 11/16/17)</span></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.healthcaredive.com/news/5-payer-trends-to-watch-in-2018/510136/" target="_blank">5 payer trends to watch in 2018</a> (Added 12/1/17)</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="http://www.chilmarkresearch.com/2018-predictions/" target="_blank">Back to the Crystal Ball: Our 2018 Healthcare IT Market Predictions</a> (Added 12/15/17)</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.pwc.com/us/en/health-industries/top-health-industry-issues/artificial-intelligence.html" target="_blank">Top health industry issues of 2018</a> (Added 12/15/17)</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.benefitnews.com/opinion/2018-predictions-insurance-mergers-healthcare-consolidation-and-new-pharmacy-rules" target="_blank">2018 predictions: Insurance mergers, healthcare consolidation and new pharmacy rules</a> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 12/15/17)</span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><a href="https://www.beckershospitalreview.com/hospital-management-administration/michael-dowling-4-most-important-healthcare-trends-in-2018.html" target="_blank">4 most important healthcare trends in 2018</a> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 12/21/17)</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><br /><a href="http://faichi.com/blog/2018-global-healthcare-market-predictions" target="_blank">2018 Global Healthcare Market Predictions</a> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><span style="font-family: "georgia" , "times new roman" , serif;">(Added 12/21/17)</span><br /><span style="font-family: "georgia" , "times new roman" , serif;"><br /><a href="https://nexter.org/7-shocking-healthcare-predictions-for-2018-you-need-to-know" target="_blank">7 Shocking Healthcare Predictions for 2018 You Need to Know</a> (Added 12/21/17)</span></span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><a href="http://hitconsultant.net/2017/12/27/10-trends-can-expect-healthcare-2018/" target="_blank">10 Trends You Can Expect from Healthcare in 2018</a> (Added 12/30/17)</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="http://www.healthcarebusinesstech.com/2018-healthcare-predictions/" target="_blank">2018 healthcare predictions</a> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 12/30/17)</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><br /><a href="https://healthpayerintelligence.com/news/member-engagement-medicare-advantage-growth-top-2018-payer-trends" target="_blank">Member Engagement, Medicare Advantage Growth Top 2018 Payer Trends</a> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 12/30/17)</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><br /><a href="http://www.healthcarefinancenews.com/news/navigant-execs-identify-trends-watch-2018" target="_blank">Navigant execs identify trends to watch for in 2018</a> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 12/30/17)</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><br /><a href="http://hceg.org/hceg-top-ten/" target="_blank">Top 10 Opportunities, Challenges & Issues for #Healthcare Executives in 2018</a> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 12/30/17)</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><a href="https://go.forrester.com/blogs/healthcare-predictions-2018/" target="_blank">Healthcare Predictions 2018</a> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(Added 12/30/17)</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.fiercehealthcare.com/payer/year-preview-predictions-politics-aca-mergers" style="font-family: georgia, "times new roman", serif;" target="_blank">From premiums to politics: 5 predictions for the health insurance industry in 2018</a><span style="font-family: "georgia" , "times new roman" , serif;"> (Added 1/5/18) </span><br /><br /><a href="https://www.forbes.com/sites/reenitadas/2017/12/21/top-10-predictions-for-the-global-healthcare-market-to-cross-the-1-85-trillion-mark-in-2018/#60f3d9b27a4e" style="font-family: georgia, "times new roman", serif;" target="_blank">10 Predictions For A Global Healthcare Market Set To Cross The $1.85 Trillion Mark In 2018</a><span style="font-family: "georgia" , "times new roman" , serif;"> (Added 1/5/18) </span><br /><br /><span style="font-family: "georgia" , "times new roman" , serif;"><a href="https://www.hitechanswers.net/2018-predictions-healthcare-leaders-across-country/" target="_blank">2018 Predictions from Healthcare Leaders Across the Country</a> (Added 1/5/18)</span></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.healthcare-informatics.com/blogs/david-levin/value-based-care/seven-healthcare-predictions-2018" target="_blank">Seven Healthcare Predictions for 2018</a><span style="font-family: "georgia" , "times new roman" , serif; font-size: medium;"> (Added 1/5/18)</span></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.manatt.com/Insights/Newsletters/Manatt-on-Health/Whats-Ahead-in-2018" target="_blank">What’s Ahead in 2018</a> (Added 1/14/18)<o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.medpagetoday.com/publichealthpolicy/healthpolicy/70421" target="_blank">Ten Trends to Watch in 2018</a> (Added 1/14/18)<o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.governanceinstitute.com/?page=EBriefings_V15N1#hide1" target="_blank">Healthcare Forecast 2018: 10 Trends (and Implications) BoardLeaders Need to Know</a> (Added 1/14/18)</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www2.deloitte.com/us/en/pages/life-sciences-and-health-care/articles/health-care-current-january9-2018.html" target="_blank">Happy New Year!What’s ahead for us? (in the US healthcare industry)</a> (Added 1/14/18) </span> </div>
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</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><span style="font-family: "georgia" , "times new roman" , serif;">Healthcare Information T</span><span style="font-family: "georgia" , "times new roman" , serif;">echnology Predictions & Trends for 2018</span></span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><a href="http://www.healthcareitnews.com/news/10-health-it-predictions-2018-al-blockchain-robotics-and-100-million-class-action-suit">10 Health IT predictions for 2018: Al, blockchain, robotics and a $100 million class-action suit</a><br /><br /><a href="https://healthcareinamerica.us/4-trends-in-digital-health-to-keep-an-eye-on-in-2018-a3f4aea3c4b9">4 Trends In Digital Health To Keep An Eye On In 2018</a><br /><br /><a href="http://www.infosysblogs.com/healthcare/2017/06/whats_next_for_health_it_-_tre.html">What's next for Health IT - Trends for 2018</a><br /><br /><a href="http://www.healthtechzone.com/topics/healthcare/articles/2017/11/29/435716-4-trends-digital-health-keep-an-eye-2018.htm">4 Trends in Digital Health to Keep an Eye On in 2018</a> (Added 12/1/17)<br /><br /><a href="https://connectedmed.com/HealthIT-Research-TopofMind2018">Top U.S. Health Systems in 2018: Health IT Trends</a> (Added 12/15/17)<br /><br /><a href="https://www.geneia.com/blog/2017/december/geneias-healthit-predictions-for-2018">2018 Health IT Predictions</a> (Added 12/15/17)<br /><br /><a href="https://www.connexica.com/2017/12/2018-healthcare-technology-predictions/">2018 Healthcare Technology Predictions</a> (Added 12/15/17)<br /><br /><a href="https://www.cio.com/article/3241472/healthcare/4-predictions-for-health-care-it-2018-steady-as-she-goes.html">4 predictions for health care IT 2018: steady as she goes</a> (Added 12/15/17)<br /><br /><a href="https://www.enolalabs.com/blog/archives/5-expert-health-tech-predictions-for-2018">5 Expert Health Tech Predictions for 2018</a> (Added 12/15/17) <br /><br /><a href="https://www.capgemini.com/wp-content/uploads/2017/11/health-insurance-trends-2018.pdf">Top 10Technology Trends in Health Insurance: 2018</a> (Added 12/21/17)<br /><br /><a href="https://connect.blogs.xerox.com/2017/12/22/18-technology-predictions-for-2018-from-parc-research-staff/#.WkE2at-nGUk">18 Technology Predictions for 2018 from PARC Researchers</a> (Added 12/30/17)<br /><br /><a href="http://www.healthcareitnews.com/news/2018-industry-predictions-women-health-it-leaders">2018 industry predictions from women in health IT leaders</a> (Added 1/5/18) <br /><br /><a href="http://electronichealthreporter.com/2018-will-year-hypercompetition-disruption-healthcare-tech/">2018 Will Be the Year of Hypercompetition and Disruption In Healthcare Tech</a> (Added 1/5/18) <br /><br /><a href="http://hitconsultant.net/2017/12/05/digital-health-innovation-trends-2018/">5 Digital Health Innovation Trends That Will Matter in 2018</a> (Added 12/15/17)<br /><br /><a href="https://www.fiercehealthcare.com/regulatory/health-it-predictions-2018-digital-health-telemedicine-cybersecurity-information">5 health IT predictions for 2018: Telemedicine's final push,EHRs remain in the legal crosshairs</a> (Added 1/5/18) <br /><br /><a href="https://www.healthdatamanagement.com/opinion/three-rising-technologies-that-will-impact-healthcare-in-2018">Three rising technologies that will impacthealthcare in 2018</a> (Added 1/5/18) </span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="http://www.gl-hc.org/deja-vu-all-over-again-trends-in-health-it-and-information-exchange-for-2018-part-1/" target="_blank">Déjà vu All Over Again – Trends in Health IT and Information Exchange for 2018 Part 1</a> (Added 1/5/18)</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: medium;"><a href="http://www.gl-hc.org/deja-vu-all-over-again-trends-in-health-it-and-information-exchange-for-2018-part-2/" target="_blank">Déjà vu All Over Again – Trends in Health IT and Information Exchange for 2018 Part 2</a> </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: medium;">(Added 1/5/18)</span></span></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: medium;"><a href="http://www.himss.org/news/predictions-himss-2018-expected-be-year-value" target="_blank">Predictions from HIMSS: 2018 Expected to be a Year of Value</a><span style="font-family: "georgia" , "times new roman" , serif; font-size: small;"> (Added
1/14/18) </span></span></span><br />
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><u style="color: #0000ee;"><a href="https://www.cnbc.com/2018/01/14/bessemers-steve-kraus-makes-his-digital-health-predictions-for-2018.html" target="_blank">6 digital health predictions for 2018</a> </u>(Added 1/18/18)</span><br />
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><a href="http://hitconsultant.net/2018/01/19/healthcare-software-trends-to-watch/" target="_blank">4 Healthcare Software Trends to Watch in 2018</a><span style="font-family: georgia, "times new roman", serif; font-size: medium;"> (Added 1/19/18)</span></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><a href="https://medium.com/@PULSEMC/whats-ahead-for-digital-health-in-2018-3d5f9443933b" target="_blank">What’s ahead for digital health in 2018?</a> (Added 1/19/18) </span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: medium;"><a href="http://electronichealthreporter.com/2018-will-year-hypercompetition-disruption-healthcare-tech" target="_blank">2018 Will Be the Year of Hyper-Competition and Disruption in Healthcare Tech</a> (Added 1/19/18) </span></span><br />
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><a href="http://medicalfuturist.com/what-to-expect-from-digital-health-2018" target="_blank">What to Expect From Digital Health In 2018?</a> (Added 1/19/18)</span><br />
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><a href="https://www.healthdatamanagement.com/list/the-rising-adoption-of-artificial-intelligence-will-enhance-physician-decisionmaking" target="_blank"><span style="font-family: "georgia" , "times new roman" , serif; font-size: medium;"><br /></span></a>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: medium;"><a href="https://www.healthdatamanagement.com/list/the-rising-adoption-of-artificial-intelligence-will-enhance-physician-decisionmaking" target="_blank">15 top healthcare information technology trends for 2018</a> (Added 1/19/18)</span></span></div>
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<b><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><span style="font-family: "georgia" , "times new roman" , serif;">Healthcare Artificial Intelligence, Machine Lea</span><span style="font-family: "georgia" , "times new roman" , serif;">rning and </span></span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Related Predictions & Trends for 2018</span></b></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><a href="https://researchcenter.paloaltonetworks.com/2017/11/2018-predictions-recommendations-advances-machine-learning-will-improve-patient-care-cybersecurity/" target="_blank">2018 Predictions & Recommendations: Advances in Machine Learning Will Improve Both Patient Care and Cybersecurity</a><br /><br /><a href="https://www.exastax.com/artificial-intelligence/the-future-of-artificial-intelligence-predictions/" target="_blank">The Future of Artificial Intelligence: Predictions For 2018</a></span></div>
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<span style="font-size: large;"><span style="font-family: "georgia" , "times new roman" , serif;">Mobile Health, IoT and Connected Health Predictions & Trends</span></span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><a href="https://blogs.gartner.com/werner-goertz/2017/11/13/dozen-ways-personal-technologies-will-disrupt-healthcare-2018/" target="_blank">11 Ways How Personal Technologies Will Disrupt Healthcare in 2018</a><br /><br /><a href="https://www.eztalks.com/healthcare/mobile-health-trends-and-predictions.html" target="_blank">Mobile Health Trends and Predictions in 2018</a><br /><br /><a href="https://validic.com/on-demand-the-2018-state-of-connected-health-critical-trends-to-watch/" target="_blank">On-Demand: The 2018 State of Connected Health: Critical Trends to Watch</a></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Healthcare Provider-Related Predictions & Trends</span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><a href="https://www.fiercehealthcare.com/practices/mgma-2017-anders-gilberg-predictions-mips-macra-ehr-aca" target="_blank">MGMA 2017: Anders Gilberg offers 6 predictions for healthcare in 2018</a><br /><br /><a href="https://www.softwareadvice.com/resources/healthcare-predictions/" target="_blank">The Future of Medicine: Top Predictions That Came True for Small Practices</a><br /><br /><a href="https://stateofreform.com/uncategorized/2017/06/two-major-trends-health-care/" target="_blank">Two major trends in health care</a></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">General Technology Predictions & Trends</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><span style="font-family: "georgia" , "times new roman" , serif;"><a href="https://www.networkworld.com/article/3217750/internet-of-things/5-iot-trends-that-will-define-2018.html" target="_blank">5 IoT trends that will define 2018</a><br /><br /><a href="https://www.gartner.com/smarterwithgartner/gartner-top-10-strategic-technology-trends-for-2018/" target="_blank">Gartner Top 10 Strategic Technology Trends for 2018</a><br /><br /><a href="https://www.information-management.com/news/top-10-predictions-for-it-in-2018-and-beyond" target="_blank">Top 10 predictions for IT in 2018 and beyond</a></span></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.gartner.com/technology/research/predicts/" target="_blank">Top Strategic Predictions for 2018 and Beyond</a> (Added 11/26/17)</span><o:p></o:p></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: x-large;"><b>Let's All Share & Collaborate!</b></span></h2>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">I'm not going to ask you to follow me, subscribe to this blog or whatever. You decide if what I share is useful and make your own decision. Share your insight about 2018 in the comments below.</span></div>
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ShimCodehttp://www.blogger.com/profile/13111347121021451188noreply@blogger.com0tag:blogger.com,1999:blog-5553795965038906281.post-73446467809120247822017-11-09T16:43:00.002-08:002017-12-21T20:25:20.921-08:00Disrupting Thoughts from GuideWell Insights Lounge at Oliver Wyman Health Innovation Summit 2017<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgGqZf1sNnpqTlI12zwLi7YE2K09YL5dMx4tXCjFbMKZJfYAJDMs7HhBoGrsiI7xvbtSEAYccqwfSBdZV07dQA16rUZI9cWXnhhnBMhb9_E3iS7dVe0dm7tLstZXkKhIse-65lC-2rTl4Xp/s1600/Blog-guidewell-insights-lounge-oliver-wyman-health-innovation-summit-owhic-1.PNG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="410" data-original-width="630" height="260" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgGqZf1sNnpqTlI12zwLi7YE2K09YL5dMx4tXCjFbMKZJfYAJDMs7HhBoGrsiI7xvbtSEAYccqwfSBdZV07dQA16rUZI9cWXnhhnBMhb9_E3iS7dVe0dm7tLstZXkKhIse-65lC-2rTl4Xp/s400/Blog-guidewell-insights-lounge-oliver-wyman-health-innovation-summit-owhic-1.PNG" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Source: GuideWell YouTube Video</td></tr>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">The <a href="http://www.oliverwyman.com/our-expertise/events/2017/nov/owhic-2017.html" target="_blank">Oliver Wyman Health Innovation Summit 2017</a> kicked off in Dallas, TX this past Monday, November 6th and, as has taken place at previous summits, the <a href="https://www.youtube.com/channel/UCKOBcwq3mpy7V3xAZm205hQhttps://www.youtube.com/channel/UCKOBcwq3mpy7V3xAZm205hQ" target="_blank">GuideWell Insights Lounge</a> was interviewing summit keynoters, presenters and other healthcare thought leaders. From my rough count, GuideWell's <a href="http://www.twitter.com/mkatewarnock" target="_blank">Kate Warnock</a> managed to complete 27 interviews in the two-and-a-half-day summit. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><span style="font-size: large;"><span style="font-family: "georgia" , "times new roman" , serif;"><br />While I haven’t watched all of them yet, G</span><span style="font-family: "georgia" , "times new roman" , serif;">uideWell’s videos range about 4 to 10 minutes in length and have always been great sources of insight with Kate keeping the speakers engaged and the tempo fluent. I highly recommend checking them out on </span><a href="https://www.youtube.com/channel/UCKOBcwq3mpy7V3xAZm205hQ" style="font-family: georgia, "times new roman", serif;" target="_blank">GuideWell’s YouTube Channel</a><span style="font-family: "georgia" , "times new roman" , serif;">. I like to queue up a bunch to watch while I give my wife a massage on the best Mother’s Day present she says she ever got from me: a massage table!</span><br /><br /><span style="font-family: "georgia" , "times new roman" , serif;">Here are some highlights from a hand full of videos that I watched earlier today. And yes, while giving providing masseuse duty.</span></span><br /><br /><span style="font-family: "georgia" , "times new roman" , serif; font-size: x-large;"><a href="https://www.youtube.com/watch?v=5zwYRV_y4Ps" target="_blank">Video:</a> Helen Leis – <a href="http://www.oliverwyman.com/our-culture/our-people/helen-leis.html" target="_blank">Health & Life Sciences Partner</a> at Oliver Wyman - <a href="http://www.twitter.com/helen_leis" target="_blank">@Helen_Leis</a> </span></span><br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgum1PkUn_CQIo1_BhD1cmAdvUbI2sdy03Z1pVk7DZLXHW-K1ojD-IT8n8nA87Yk01nk33_hn7CFMW8UsP6GQD2xVUtq7mpR-MIrE5Hz2AYkcb3ZD4V6cJFgVHty1QFmuQRpBtd7fKYP3Vz/s1600/Blog-guidewell-insights-lounge-oliver-wyman-health-innovation-summit-owhic-helel_leis.PNG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="443" data-original-width="733" height="241" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgum1PkUn_CQIo1_BhD1cmAdvUbI2sdy03Z1pVk7DZLXHW-K1ojD-IT8n8nA87Yk01nk33_hn7CFMW8UsP6GQD2xVUtq7mpR-MIrE5Hz2AYkcb3ZD4V6cJFgVHty1QFmuQRpBtd7fKYP3Vz/s400/Blog-guidewell-insights-lounge-oliver-wyman-health-innovation-summit-owhic-helel_leis.PNG" width="400" /></a></td></tr>
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<tr><td class="tr-caption" style="font-size: 12.8px;">Source: GuideWell YouTube Video</td></tr>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Will Payer Assets Be Relevant?</span></h3>
<span style="font-family: "georgia" , "times new roman" , serif;"><span style="font-size: large;"><br /><i>“Payers and provider today need to really be thinking: ‘are the assets and the capabilities that I have today going to be relevant? Are these assets still going to be able to create economic value in the future? Are they going to help me control the consumer relationship in the future?</i><br /><br /><i>"The question isn’t 'Am I close to the consumer. It’s, 'am I closer to the consumer than Amazon or Uber is?''”</i></span><i><br /></i><br /><span style="font-size: x-large;"><a href="https://www.youtube.com/watch?v=fK7R_60A30w" target="_blank">Video:</a> Dennis A. Robbins - <a href="http://www.dennisrobbins.com/" target="_blank">Health Innovator, Thought Leader, and Activist</a></span></span><br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgD-47VLuhr0zlpbDM1JsxNEX70U82CekJz3K3YRCIbx6Bn5gfURFCkMH6TUg8DNUdkqh7rhigltqrGtQUdrW6ltru2TLNcfepW-hVyYxAWhyphenhyphenPZ2C_E9arIrzDU4oSRn3yhwe8cx7W9hYEH/s1600/Blog-guidewell-insights-lounge-oliver-wyman-health-innovation-summit-owhic-dennis-robbins.PNG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="423" data-original-width="709" height="237" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgD-47VLuhr0zlpbDM1JsxNEX70U82CekJz3K3YRCIbx6Bn5gfURFCkMH6TUg8DNUdkqh7rhigltqrGtQUdrW6ltru2TLNcfepW-hVyYxAWhyphenhyphenPZ2C_E9arIrzDU4oSRn3yhwe8cx7W9hYEH/s400/Blog-guidewell-insights-lounge-oliver-wyman-health-innovation-summit-owhic-dennis-robbins.PNG" width="400" /></a></td></tr>
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<tr><td class="tr-caption" style="font-size: 12.8px;">Source: GuideWell YouTube Video</td></tr>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />Person-Centric Care – Not Patient-Centric Care</span></h3>
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<i style="font-family: georgia, "times new roman", serif;"><span style="font-size: large;">“Patients are passive, subservient, wounded, vulnerable, they’re often on unequal footing. Even the system often puts them in the situation of enforced hopelessness. Yet we want them to be adherent, we want them to change their behavior, we want them to change their life.”</span></i></div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><i>“It’s never going to happen as a patient. Those things happen as a person. If something is sufficiently meaningful to us, if it matters, if it’s important enough to us, then and only then will we change. Person-centric isn’t about health – it’s about the way we live our lives.”</i></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;"><br /><span style="font-size: x-large;"><a href="https://www.youtube.com/watch?v=5Hhu46LsqGc" target="_blank">Video:</a> Bob Moesta - CEO of <a href="http://www.therewiredgroup.com/" target="_blank">Re-Wired Group</a> - <a href="http://www.twitter.com/bmoesta" target="_blank">@bmoesta</a></span></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;"><span style="font-size: large;">Note: I especially enjoyed this interview and will have to listen to it at least one more time, probably a couple times because Bob is a rapid-fire thinker. </span></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;"><span style="font-size: large;"><br /></span></span></div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><i>"People don’t buy products or services, they hire them."</i></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Tips for dealing with Amazon, Apple and Google</span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><i>“Focus on the consumer struggling moments. The more you can focus on high-impact struggling moments, the faster you’ll be able to innovate.”</i><br /><br /><i>“Figure out how to prototype faster. Healthcare companies take way too long to do a rep (development cycle). Many times, you’ll need dozens of reps to get innovation right.”</i></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">On Addressing the Lower End of the Market</span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><i>“By starting at the low end of the market, you can do a lot more a lot faster. Most people don't want to be at the low end of the market, when in fact, the low end of the market is the most under-served and actually the people who need the most progress. So, in a lot of cases, figuring out how to serve the lower end of the market is actually where I think the opportunity lies.”</i></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><i><br /></i></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">QUESTION: What do you think of Bob's comment at </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(2:56-3:09) <i>“make it (the product/service?) worse but it does it better” </i></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Check Out the GuideWell Insight Lounge </span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">GuideWell has great video interviews from the 2017 Oliver Wyman Health Innovation Summit and other healthcare conference events. Be sure to <a href="https://www.youtube.com/channel/UCKOBcwq3mpy7V3xAZm205hQ" target="_blank">check them out</a> on YouTube.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Related Posts:</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="http://www.shimcode.com/2016/10/guidewell-ceo-dr-rene-lerer-talks-about.html" target="_blank">GuideWell CEO Dr. René Lerer Talks About Innovation in Population Health</a></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">
<a href="http://www.shimcode.com/2016/11/community-health-improvement.html" target="_blank">Population Health, Community Health & Who’s Going to Make Transformative Changes?</a></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><a href="http://www.shimcode.com/2016/09/healthcare-innovation-x-factors-sms.html" target="_blank">Healthcare Innovation: The X Factors, SMS Nudges & The Three C’s: Cost, Compression and Consequence</a></span><br />
<div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><a href="http://www.shimcode.com/2016/09/healthcares-transition-from-b2b-to-b2c.html" target="_blank"> Healthcare’s Transition from B2B to B2B2C and B2C Business Models</a></span></div>
</div>
ShimCodehttp://www.blogger.com/profile/13111347121021451188noreply@blogger.com0tag:blogger.com,1999:blog-5553795965038906281.post-68967382351724570882017-11-08T17:31:00.000-08:002017-11-08T17:31:46.489-08:00Insight from Day Two of Oliver Wyman's 2017 Health Innovation Summit<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhgs5JnvB0xhn1Pet4O6F3oQ4roaaKTizXOSNb6HKHCvlnqlZg18w2tQt0TIDAXT424VgPdzleTYNYK5BdbFqGiiydmSXOq9jvguU9uHvVsgMcpqYRN6N0yjpSH_Mlf5FsmV-fRX9zpi2xQ/s1600/Healthcare-Oliver-Wyman-OWHIX-Conference-Social-Media-Venture-Capital.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="720" data-original-width="720" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhgs5JnvB0xhn1Pet4O6F3oQ4roaaKTizXOSNb6HKHCvlnqlZg18w2tQt0TIDAXT424VgPdzleTYNYK5BdbFqGiiydmSXOq9jvguU9uHvVsgMcpqYRN6N0yjpSH_Mlf5FsmV-fRX9zpi2xQ/s400/Healthcare-Oliver-Wyman-OWHIX-Conference-Social-Media-Venture-Capital.png" width="400" /></a></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Yesterday
was Day Two of <a href="http://www.oliverwyman.com/our-expertise/events/2017/nov/owhic-2017.html" target="_blank">Oliver Wyman’s Health Innovation Summit</a>: <i>Industry Interrupted: Delivering on the
Promise of Change. </i> </span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Clear
themes could be seen in the content being shared:</span></div>
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<ol>
<li><span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Importance of people over
technology and process</span></li>
<li><span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Impact of social determinants of health </span></li>
<li><span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Rise of artificial intelligence</span></li>
<li><span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Entry of non-healthcare companies like Amazon</span></li>
<li><span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Increased venture capital activity in digital health space</span></li>
<li><span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Sea change disruption impacting the future of
healthcare </span></li>
</ol>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">This
blog post shares select tweets from Health Innovation Summit attendees on the above
themes. You can see information from <a href="http://www.shimcode.com/2017/11/top-tweets-from-day-one-of-oliver-wyman.html" target="_blank">Day One here</a> and check back tomorrow for
more insight and opinion from the final Day Three of Oliver Wyman’s 2017 event.<o:p></o:p></span></div>
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<h2 style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="font-family: Georgia, Times New Roman, serif; font-size: x-large;">Change and Disruption</span></b></h2>
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<b><span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Person - Handle<o:p></o:p></span></b></div>
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<b><span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Tweet<o:p></o:p></span></b></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Grace
Terrell - @gracet22<o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Today,
now, this very moment, is the SLOWEST pace of change you will experience in
the rest of your life.<o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Jacqueline
DiChiara - @jacqueline_says<o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">@bmoesta
begins today’s executive session at #OWHIC on what #healthcare consumers
want. </span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i>“The struggling moment is the seed of innovation.”</i><o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Partha
Bose - @parthabose<o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">@Helen_Leis
asks #OWHIC: </span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i>"are we as close to our customers as @amazon and @Uber
are?" </i></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">What needs to happen?<o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Reena
Pande - @reena_pande<o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">@Helen_Leis
of @OliverWyman highlights areas for disruption in healthcare: new 'front
doors,' no more one size fits all, AI @ scale<o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Jacqueline
DiChiara - @jacqueline_says<o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">@SarahKrevans,
CEO of @SutterHealth at #OWHIC says to @SamOnHealth:</span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i>“Our unfair advantage is
our location where we are surrounded by people looking to change the world.” </i><o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">stilenius
- @stilenius<o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">@Walmart
will offer $40 PCP visits #OWHIC, @amazon will distribute scripts via drones,
becoming a PBM and use #Alexa for healthcare services<o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Steve
Szaraz - @scs61<o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Healthcare
distribution disruption executive discussion - <i>"you're playing offense
or you're playing defense but it's game on" </i><o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Ari
Tulla - @umbar<o:p></o:p></span></div>
</td>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Healthcare
industry is acknowledging that the disruption will come outside. Think
Amazon, Google and the next big thing in garage. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
</tr>
<tr>
<td nowrap="" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 98.75pt;" valign="top" width="132">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Partha
Bose - @parthabose<o:p></o:p></span></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 319.5pt;" valign="top" width="426">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">In
Japan, for a token fee, postmen check on the elderly and let family know how
they are doing <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
</tr>
<tr>
<td nowrap="" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 98.75pt;" valign="top" width="132">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Grace
Terrell - @gracet22<o:p></o:p></span></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 319.5pt;" valign="top" width="426">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Nigel
Morris: disruption is coming to health care— from the outside— think consumer
not your process—think open think transparency <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
</tr>
<tr>
<td nowrap="" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 98.75pt;" valign="top" width="132">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Jacqueline
DiChiara - @jacqueline_says<o:p></o:p></span></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 319.5pt;" valign="top" width="426">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Overheard
at #OWHIC from @WIRED’s co-founder:<i> </i></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i><br /></i></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i>“Healthcare is highly resistant to
disruption. The transformation has to come from within.”</i><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
</tr>
<tr>
<td nowrap="" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 98.75pt;" valign="top" width="132">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Jacqueline
DiChiara - @jacqueline_says<o:p></o:p></span></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 319.5pt;" valign="top" width="426">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Says
Helen Leis of @OliverWyman at #OWHIC: </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i><br /></i></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i>“Incumbents will have to learn how to
shift mental paradigms and play by new rules.” </i><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
</tr>
<tr>
<td nowrap="" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 98.75pt;" valign="top" width="132">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Jacqueline
DiChiara - @jacqueline_says<o:p></o:p></span></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 319.5pt;" valign="top" width="426">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Says
Jo Ann Jenkins, CEO of @AARP, at #OWHIC: </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i><br /></i></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i>“We need to move from physical and
mental diminishment to physical and mental #health.” </i><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
</tr>
<tr>
<td nowrap="" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 98.75pt;" valign="top" width="132">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Jacqueline
DiChiara - @jacqueline_says<o:p></o:p></span></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 319.5pt;" valign="top" width="426">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Says
Nigel Morris at #OWHIC: </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i><br /></i></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i>“We need banking, but we don’t need banks. We need healthcare, but not in the way it’s been delivered.” </i><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0in 5.4pt 0in 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr>
<td colspan="2" nowrap="" style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 418.25pt;" valign="top" width="558"><h2 style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="font-family: Georgia, Times New Roman, serif; font-size: x-large;">Data and Artificial Intelligence</span></b></h2>
</td>
</tr>
<tr>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Person - Handle<o:p></o:p></span></b></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 319.5pt;" valign="top" width="426">
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<b><span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></b></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Tweet<o:p></o:p></span></b></div>
</td>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Oliver
Wyman Health - @owhealtheditor<o:p></o:p></span></div>
</td>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">#Data
will inevitably impact #healthcare. How does that make you feel? (Concerned
of Excited?) <a href="https://t.co/LrRUWm4Bcz">https://t.co/LrRUWm4Bcz</a> <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
</tr>
<tr>
<td nowrap="" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 98.75pt;" valign="top" width="132">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Tom
Spann - @tomspann<o:p></o:p></span></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 319.5pt;" valign="top" width="426">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">@Helen_Leis
- Other industries have taught us that <i>“consumers will prefer AI-driven
personalization” </i><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
</tr>
<tr>
<td nowrap="" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 98.75pt;" valign="top" width="132">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Reena
Pande - @reena_pande<o:p></o:p></span></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 319.5pt;" valign="top" width="426">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">@Helen_Leis
- Ask yourself: Are my current assets relevant?<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
</tr>
<tr>
<td nowrap="" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 98.75pt;" valign="top" width="132">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Partha
Bose - @parthabose<o:p></o:p></span></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 319.5pt;" valign="top" width="426">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">@SamOnHealth
<i>"who will be the primary care physician" in the world of AI,
platforms and Big Data? </i><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
</tr>
<tr>
<td nowrap="" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 98.75pt;" valign="top" width="132">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Jacqueline
DiChiara - @jacqueline_says<o:p></o:p></span></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 319.5pt;" valign="top" width="426">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">@skymindio’s
CEO at #OWHIC: </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i><br /></i></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i>“How do you teach an algorithm to do something better than
you? You create an algorithm that learns.” </i><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
</tr>
<tr>
<td nowrap="" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 98.75pt;" valign="top" width="132">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Jacqueline
DiChiara - @jacqueline_says<o:p></o:p></span></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 319.5pt;" valign="top" width="426">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i>“Align
your data with your outcomes and #AI can do something for you.” </i></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">@skymindio’s
CEO at #OWHIC. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
</tr>
<tr>
<td nowrap="" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 98.75pt;" valign="top" width="132">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Jacqueline
DiChiara - @jacqueline_says<o:p></o:p></span></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 319.5pt;" valign="top" width="426">
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">CEO
of @skymindio at #OWHIC:</span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i>“We’re moving from business intelligence to
artificial intelligence.” </i><o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">GuideWell
- @_guidewell<o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i>“Don't
outsource analytics: have your own expertise to leverage #bigdata”</i> - @helen_leis
<o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Jacqueline
DiChiara - @jacqueline_says<o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Says
@SamOnHealth of @OliverWyman at #OWHIC: </span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i><br /></i></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i>“We’re talking a lot about #AI
because that’s where the money is.” ”But there’s a difference between taking
price out and taking cost out.” </i><o:p></o:p></span></div>
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<h2 style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="font-family: Georgia, Times New Roman, serif; font-size: x-large;">The Future of Healthcare </span></b></h2>
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<b><span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Person - Handle<o:p></o:p></span></b></div>
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<b><span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></b></div>
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<b><span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Tweet<o:p></o:p></span></b></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Alison
Trinidad - @alisontrinidad<o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Customers
of the future: in an on-demand life, “right now” is already late. <a href="https://t.co/0bG1M1gMqE">https://t.co/0bG1M1gMqE</a> <o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Alison
Trinidad - @alisontrinidad<o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Customers
of the future: information overload, tracking others and being tracked. <o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Steve
Szaraz - @scs61<o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">If
you're turning 65 this year you've got a one in three chances of turning 100 <o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Grace
Terrell - @gracet22<o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Sam
Glick: who will be the PCP of an increasingly mobile population? It will be a
technology enabled high touch care high care model <o:p></o:p></span></div>
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<h2 style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="font-family: Georgia, Times New Roman, serif; font-size: x-large;">General Comments</span></b></h2>
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<b><span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Person - Handle<o:p></o:p></span></b></div>
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<b><span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Tweet<o:p></o:p></span></b></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Reena
Pande - @reena_pande<o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">@SamOnHealth
kicking things off at #OWHIC: </span></div>
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<i><span style="font-family: Georgia, Times New Roman, serif; font-size: large;">"</span><span style="font-family: Georgia, "Times New Roman", serif; font-size: large;">The ideas are great. But the system is broken.
Can we trust one another and make things better?"</span></i></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Tom
Spann - @tomspann<o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">@tgoetz
: <i>“Health plans can’t reach their members”</i> </span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">@VentureValkyrie : <i>“just pay their
claims wrong”</i>. </span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Yep. @Accolade can reach them. <o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Sam
Glick - @samonhealth<o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">@TonyW
of @Color: Don’t confuse cost savings with cost prevention. <a href="https://t.co/lwBB9GYPjO">https://t.co/lwBB9GYPjO</a> <o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Mason
Moore - @masonwmoore<o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i>“No
more one size fits all in health care.”</i> @Helen_Leis <o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Dave
Chase - @chasedave<o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">+1
@iorahealth is 80+; Health plans have lowest NPS of any industry (avg 5);
Cleveland Clinic highest of established health systems (51) <o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Nina
Kjellson - @nkjellson<o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">In
healthcare, NPS is new EPS. Amazon’s is 69. <o:p></o:p></span></div>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Esteban
López, MD - @drestebanlopez<o:p></o:p></span></div>
</td>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Comment
by Charles Boorady of HealthCatalystCapital:<i> </i></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i><br /></i></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i>“I went to the #urgentcare for a
cut on my finger and got upsold a tetanus shot” </i><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Oliver
Wyman - @oliverwyman<o:p></o:p></span></div>
</td>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Dr.
Krishna Yeshwant @gvteam: </span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i><br /></i></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i>"We each approach healthcare from different
silos. Not many approach it from multiple backgrounds." </i><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Alignment
Healthcare - @alignmenthealth<o:p></o:p></span></div>
</td>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Is
it possible to find harmony between high touch and high reach #healthcare
models? Let’s discuss! <o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
</tr>
<tr>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Reena
Pande - @reena_pande<o:p></o:p></span></div>
</td>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">It
doesn't matter how much you practice. It matters how you practice. Be
thoughtful. @SamOnHealth <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
</tr>
<tr>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Reena
Pande - @reena_pande<o:p></o:p></span></div>
</td>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Nigel
Harris from @QEDInvestors at #OWHIC: </span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i><br /></i></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i>'We need healthcare. We just don't need
it in the way it's being delivered today.' </i><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
</tr>
</tbody></table>
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<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0in 5.4pt 0in 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
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<h2 style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="font-family: Georgia, Times New Roman, serif; font-size: x-large;">People</span></b></h2>
</td>
</tr>
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<b><span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Person - Handle<o:p></o:p></span></b></div>
</td>
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<b><span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></b></div>
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<b><span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Tweet<o:p></o:p></span></b></div>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Grace
Terrell - @gracet22<o:p></o:p></span></div>
</td>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">The real uncertainty isn’t the technology it
is the human being.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
</tr>
<tr>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Partha
Bose - @parthabose<o:p></o:p></span></div>
</td>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Think
consumers. Don't focus on your process, technology. @QEDInvestor Nigel Morris
advice from #FinancialServices for #healthcare <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
</tr>
<tr>
<td nowrap="" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 98.75pt;" valign="top" width="132">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Alison
Trinidad - @alisontrinidad<o:p></o:p></span></div>
</td>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">95%
of people can be identified on just 4 locations they’ve visited. Customers of
the future live a transparent existence. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
</tr>
<tr>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Mason
Moore - @masonwmoore<o:p></o:p></span></div>
</td>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i>“90%
of people 65+ want to age in place.”</i> - Jo Ann Jenkins<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
</tr>
<tr>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Brandon
Ballinger - @bballinger<o:p></o:p></span></div>
</td>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">80%
of people over the age of 65 have a mobile device now. Important to discard
outdated stereotypes about the elderly and health. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
</tr>
<tr>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Jacqueline
DiChiara - @jacqueline_says<o:p></o:p></span></div>
</td>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">@SamOnHealth
at #OWHIC: The combination of infrastructure & humanity is at the core of
the conundrum we’ve run into in #healthcare. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
</tr>
<tr>
<td nowrap="" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 98.75pt;" valign="top" width="132">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Jacqueline
DiChiara - @jacqueline_says<o:p></o:p></span></div>
</td>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Says
@AARP’s CEO at #OWHIC: </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i><br /></i></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i>“We have a personal responsibility to start taking
care of ourselves at a younger age.”</i><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
</tr>
<tr>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Reena
Pande - @reena_pande<o:p></o:p></span></div>
</td>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">@SamOnHealth
wisely asks:</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i>"Why in healthcare 'the sequence of human judgments fundamentally
impacts the outcome?"<o:p></o:p></i></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
</tr>
<tr>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Partha
Bose - @parthabose<o:p></o:p></span></div>
</td>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">@JoAnn_Jenkins
@AARP says only 25% of those with hearing issues do something about it <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
</tr>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Jacqueline
DiChiara - @jacqueline_says<o:p></o:p></span></div>
</td>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">@SarahKrevans,
CEO of @SutterHealth at #OWHIC: </span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i><br /></i></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i>“There’s not enough discussion about whether
the 18-year-old wants a different care model than the 80-year-old.”</i></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<br /></div>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">stilenius
- @stilenius<o:p></o:p></span></div>
</td>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i>“At
the end of the day, healthcare is a behavior business”</i> from Jared at Google
Verily<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Esteban
López, MD - @drestebanlopez<o:p></o:p></span></div>
</td>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">10,000
people/day turning 65! By 2060 25% of US pop >65. 1/3 folks turning 65
today will get to age 100 yrs! @JoAnn_Jenkins <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">GuideWell
- @_guidewell<o:p></o:p></span></div>
</td>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Ambient
#healthcare. Millennials =change agents. People as "pilots" of
their own health. Catch our #OWHIC #InsightsLounge w/ @sklasko <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
</tr>
<tr>
<td nowrap="" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 98.75pt;" valign="top" width="132">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Ivor
Horn - @drivorhorn<o:p></o:p></span></div>
</td>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Digital
solutions are not just for millennials. @AARP <o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Jay
Gerhart - @jaygerhart<o:p></o:p></span></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 319.5pt;" valign="top" width="426">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Understanding
consumer’s Job to be Done accelerates your journey away from one size fits
all. @bmoesta <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
</tr>
</tbody></table>
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<h2 style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="font-family: Georgia, Times New Roman, serif; font-size: x-large;">Social Determinants of Health</span></b></h2>
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<b><span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Person - Handle<o:p></o:p></span></b></div>
</td>
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<b><span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></b></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Tweet<o:p></o:p></span></b></div>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Reena
Pande - @reena_pande<o:p></o:p></span></div>
</td>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">@humananews's
Busy Burr: </span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i>"Factors outside our current healthcare system (e.g. social
determinants) have a major impact on health" </i><o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
</tr>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Partha
Bose - @parthabose<o:p></o:p></span></div>
</td>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">@VentureValkyrie: "Doctors when they meet patients don't ask '<i>do you make enough to be able
to eat?'"</i></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"> <o:p></o:p></span></div>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Reena
Pande - @reena_pande<o:p></o:p></span></div>
</td>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">60%
of impact on health outcomes from social, environmental, behavioral factors.
Indeed. <o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
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<h2 style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="font-family: Georgia, Times New Roman, serif; font-size: x-large;">Venture Capital</span></b></h2>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Partha
Bose - @parthabose<o:p></o:p></span></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 319.5pt;" valign="top" width="426">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">@kyeshwant
: in healthcare now not about finding the Instagram or Uber but about the
next Cisco<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
</tr>
<tr>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Jacqueline
DiChiara - @jacqueline_says<o:p></o:p></span></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 319.5pt;" valign="top" width="426">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Krishna
Yeshwant at #OWHIC:</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i><br /></i></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><i>“Companies are trying to be the Instagram or Uber of
#healthcare. We’re still trying to get the basics down.” </i><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
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<tr>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">GuideWell
- @_guidewell<o:p></o:p></span></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 319.5pt;" valign="top" width="426">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Not
terrified by @amazon? You should be - @Helen_Leis @OliverWyman on the
disruption to #health industry incumbents. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
</tr>
<tr>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">GuideWell
- @_guidewell<o:p></o:p></span></div>
</td>
<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt 0in 5.4pt; width: 319.5pt;" valign="top" width="426">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Will
@amazon be the new front door to #healthcare? @Helen_Leis @OliverWyman provides
evidence at #OWHIC. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
</tr>
<tr>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Oliver
Wyman - @oliverwyman<o:p></o:p></span></div>
</td>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Where
does the #healthcare industry go from here? What's your take? <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
</td>
</tr>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Oliver
Wyman - @oliverwyman<o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">#OWHIC
speaker @VentureValkyrie of @GE_Ventures shared her VC predictions earlier
this year. Read them here: <a href="https://t.co/lk3OyxJeOE">https://t.co/lk3OyxJeOE</a>
<o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">AHIP
- @ahipcoverage<o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Don’t
miss the full recap of our CEO Marilyn Tavenner’s remarks <a href="https://t.co/0iiEmkpuDr">https://t.co/0iiEmkpuDr</a> <o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">For more information on healthcare information technology and related topics, consider following me on Twitter where I post as <a href="http://www.twitter.com/shimcode" target="_blank">@ShimCode</a>. And also look at <a href="http://www.twitter.com/hitconfguy" target="_blank">@HITConfGuy</a> where I share information about Healthcare conferences and events.</span>ShimCodehttp://www.blogger.com/profile/13111347121021451188noreply@blogger.com0tag:blogger.com,1999:blog-5553795965038906281.post-69008782198315359482017-11-07T11:52:00.001-08:002017-11-07T14:57:24.023-08:00Top Tweets from Day One of Oliver Wyman Health Innovation Summit 2017<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgFzvc3qhF9y_OJjjetMLF2jyZw9cXiIRPvvJ7VZJ9oULOABBEsioo9CH2eyygpPIJrnlufZ03Ts6tvz1nXqVC3fo1sjaFOxG7P9iJs_MWzUC2L_qfG3WxHDKwk1mQJYPPfphyphenhyphenmIYslLpl7/s1600/_Post-Shimcode-owHIC-conference-1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="720" data-original-width="926" height="310" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgFzvc3qhF9y_OJjjetMLF2jyZw9cXiIRPvvJ7VZJ9oULOABBEsioo9CH2eyygpPIJrnlufZ03Ts6tvz1nXqVC3fo1sjaFOxG7P9iJs_MWzUC2L_qfG3WxHDKwk1mQJYPPfphyphenhyphenmIYslLpl7/s400/_Post-Shimcode-owHIC-conference-1.jpg" width="400" /></a></div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">The <a href="http://www.oliverwyman.com/our-expertise/events/2017/nov/owhic-2017.html" target="_blank">Oliver Wyman Health Innovation Summit 2017</a> kicked off yesterday in Dallas, TX. The tag line of this year's summit was <i>Industry Interrupted: Delivering on the Promise of Change</i>. As is happening more and more at healthcare conferences and real-life events, the conference host and a number of attendees shared some of the highlights and commentary from the summit via their social media accounts.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">The hashtag for the summit was <a href="https://twitter.com/hashtag/owhic" target="_blank">#OWHIC</a> and this post presents the most shared tweets and also those tweets having particular interest and content value (as perceived by me). :) </span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Look for another summary of tweets from Day Two and Day Three of the summit later this week.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Top Tweets from Day One</b></span></h2>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Partha Bose <a href="http://www.twitter.com/parthabose" target="_blank">@parthabose</a><o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">1 in 9 people in the US work in Healthcare - most not in
consumer facing jobs. Will AI change that? <o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">GuideWell <a href="http://www.twitter.com/_Guidewell" target="_blank">@_guidewell</a><o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Consolidation, net promoter score, #futureofwork @lsilverwoman
challenges @AHIPCoverage’s MTavenner @Highmark’s DHolmberg to an #OWHIC game.
<a href="https://t.co/Ac1sLOKjh1">https://t.co/Ac1sLOKjh1</a> <o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Tawana Davis <a href="http://www.twitter.com/tawanaldavis" target="_blank">@tawanaldavis</a><o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Get to know more about the "bedless hospital" + how it
can bridge us to #valuebasedcare h/t @RasuShrestha #xmed <a href="https://t.co/PumDrJMbb9">https://t.co/PumDrJMbb9</a> <o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">GuideWell @_guidewell<o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">How money became the measure of everything, by @Peeloi <a href="https://t.co/cxkOYYqBkL">https://t.co/cxkOYYqBkL</a> <o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Thorsten Kampp <a href="http://www.twitter.com/thorstenkampp" target="_blank">@thorstenkampp</a><o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Success factors for accelerating #innovation through strategic
partnerships @OWHealthEditor @fiercehealthcare <a href="https://t.co/mdwHDIZFep">https://t.co/mdwHDIZFep</a> <a href="https://t.co/TWXIlSRJWO">https://t.co/TWXIlSRJWO</a>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Select Tweets from Day One</span></h2>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Oliver Wyman Health <a href="http://www.twitter.com/owhealtheditor" target="_blank">@owhealtheditor</a><o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">#OWHealth Journal: @color on how genetics can cut treatment
costs by getting services to those most at risk. <a href="https://t.co/e2HdaWlu2v">https://t.co/e2HdaWlu2v</a> <a href="https://t.co/s9nm9PANeo">https://t.co/s9nm9PANeo</a>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Oliver Wyman Health @owhealtheditor<o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">#OWHealth Journal: As one of the highest costs in HC, #pharma
must develop a metric to explain pricing. <a href="https://t.co/tJSgoZrCoG">https://t.co/tJSgoZrCoG</a>
<a href="https://t.co/JUuesk8yVo">https://t.co/JUuesk8yVo</a>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Niyum Gandhi <a href="http://www.twitter.com/niyumgandhi" target="_blank">@niyumgandhi</a><o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">@Highmark CEO David Holmberg challenges insurance industry: <i>“The
days of aggregating lives and paying claims being enough are over” </i><o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Oliver Wyman Health @owhealtheditor<o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Health Innovation Journal: Perspectives on how healthcare could
be reshaped & how to prepare <a href="https://t.co/oDihTHJCfg">https://t.co/oDihTHJCfg</a>
<a href="https://t.co/zu4Bkn58vn">https://t.co/zu4Bkn58vn</a>
<o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Oliver Wyman <a href="http://www.twitter.com/oliverwyman" target="_blank">@oliverwyman</a><o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Heard at #OWHIC: <i>"The Affordable Care Act is far beyond the
exchanges."</i> - @AHIPCoverage Marilyn Tavenner <a href="https://t.co/jWgb2pyMtT">https://t.co/jWgb2pyMtT</a> <o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Oliver Wyman @oliverwyman<o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Heard at #OWHIC: <i>"We have to find a way for healthcare to
be affordable for it to be sustainable."</i> - @Highmark David Holmberg <a href="https://t.co/hTG85lKGXX">https://t.co/hTG85lKGXX</a> <o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Oliver Wyman Health @owhealtheditor<o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Heard at #OWHIC: (On the #ACA)<i> "It's not about how many
people we cover, it's about changing the model." - </i>@AHIPCoverage <a href="https://t.co/qzU070XfW2">https://t.co/qzU070XfW2</a> <o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Christie Hyde DeNave <a href="http://www.twitter.com/christiesays" target="_blank">@christiesays</a><o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">How do we integrate #AI into #healthcare when fax machines are
still an integral part of it? @SamOnHealth shares his thoughts in @_GuideWell
Insights Lounge at #OWHIC<o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Oliver Wyman @oliverwyman</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />For more information on healthcare information technology and related topics, consider following me on Twitter where I post as <a href="http://www.twitter.com/shimcode" target="_blank">@ShimCode</a>. And also look at <a href="http://www.twitter.com/hitconfguy" target="_blank">@HITConfGuy</a> where I share information about Healthcare conferences and events.</span><br />
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<br />ShimCodehttp://www.blogger.com/profile/13111347121021451188noreply@blogger.com0tag:blogger.com,1999:blog-5553795965038906281.post-73187355591967625322017-10-23T13:57:00.000-07:002017-11-07T13:59:34.327-08:00Everything You Need to Know About Healthcare Open Enrollment<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjC7tuC8HEFo7Bg-X__xEdmQT5nF6NJJYfD1-x4_aTlp_L_L6HxKrqMmo3paJV6165NABn71fLtKi6kA6i7-ghB09sTdeUXCowGzqEl10ti-fJ5E13cDsQA627wFvTI-4deyy7eULzrSTMY/s1600/_post-shimcode-open-enrollment-season-2018-1.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="347" data-original-width="484" height="286" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjC7tuC8HEFo7Bg-X__xEdmQT5nF6NJJYfD1-x4_aTlp_L_L6HxKrqMmo3paJV6165NABn71fLtKi6kA6i7-ghB09sTdeUXCowGzqEl10ti-fJ5E13cDsQA627wFvTI-4deyy7eULzrSTMY/s400/_post-shimcode-open-enrollment-season-2018-1.JPG" width="400" /></a></div>
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Open enrollment season is upon us and if you’re like most people, you’ve got questions, concerns and unique needs that require some sort of assistance. This blog post presents 20+ sources of good information regarding identifying, selecting, and enrolling in healthcare coverage for the 2018 plan year.</span><div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">If I’ve missed anything that you feel should be included, please let me know via the comment section. Happy Enrolling!</span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">General Information on Enrollment</span></h2>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span><span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><a href="http://www.thinkadvisor.com/2016/10/28/aca-definitions-enrollment-period-basics" target="_blank">“ACA definitions: Enrollment period basics (A glossary of health insurance signup terms)”</a></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /><a href="http://www.thinkadvisor.com/2015/10/29/10-questions-to-ask-at-open-enrollment-time" target="_blank">“10 Questions to Ask at Open Enrollment Time”</a><br /><br /><a href="http://www.insurance.pa.gov/Coverage/Documents/ACA%20Open%20Enrollment/10%20Things%20to%20Know%20for%20Open%20Enrollment%202018%20final.pdf" target="_blank">“10 Things to Know for Open Enrollment 2018” </a><br /><br /><a href="https://www.kiplinger.com/article/insurance/T027-C001-S003-health-insurance-open-enrollment.html" target="_blank">“10 Things You Need to Know About Health Insurance Open Enrollment”</a><br /><br /><a href="http://money.cnn.com/2017/11/01/news/economy/obamacare-open-enrollment-2018/index.html" target="_blank">"5 Changes for Obamacare Open Enrollment for 2018”</a><br /><br /><a href="https://nwlc.org/wp-content/uploads/2017/10/Open-Enrollment-Toolkit-2017.pdf" target="_blank">“Coverage Matters: What You Need to Know for Open Enrollment”</a><br /><br /><a href="http://chirblog.org/what-to-expect-when-youre-enrolling-a-preview-of-open-enrollment-season-4/" target="_blank">“What to Expect When You’re Enrolling: A Preview of Open Enrollment Season 4”</a><br /> </span><h2>
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Special Enrollment Periods</span></h2>
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<a href="http://news.regence.com/blog/3-essential-medicare-enrollment-periods-you-need-to-know-about" target="_blank"><span style="font-family: Georgia, Times New Roman, serif; font-size: large;">“3 Essential Medicare Enrollment Periods You Need to Know About”</span></a></div>
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /><a href="http://chirblog.org/new-rules-on-special-enrollment-periods-what-do-they-mean-for-consumers-and-the-assisters-who-help-them/" target="_blank">“New Rules on Special Enrollment Periods: What Do They Mean for Consumers & Assisters Who Help Them?”</a></span><h2>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Tips & Best Practices for Open Enrollment</span></h2>
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /><a href="http://www.wnyc.org/story/4-tips-for-making-the-most-of-medicares-open-enrollment/" target="_blank">“4 Tips for Making the Most of Medicare’s Open Enrollment”</a><br /><br /><a href="https://studentloanhero.com/featured/open-enrollment-health-insurance-ways-take-stress/" target="_blank">“5 Ways to Take the Stress Out of Open Enrollment for Health Insurance”</a><br /><br /><a href="https://healthcareqo.com/affordable-care-act-enrollment-5-money-saving-tips-for-2018/" target="_blank">“Affordable Care Act Enrollment: 5 Money-Saving Tips for 2018”</a><br /><br /><a href="http://www.medicarerights.org/fliers/Plan-Finder-Tools/Medicare-Rights-Center-Fall-Open-Enrollment-Tools.pdf" target="_blank">“Useful Tools to Help with Medicare Open Enrollment”</a><br /><br /></span><h2>
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Caveats & Warnings About Open Enrollment</span></h2>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><a href="http://www.statesmanjournal.com/story/news/health/2014/11/13/open-enrollment-health-insurance-surprises-avoid/19000921/" target="_blank">"Open Enrollment: 5 Health Insurance Surprises to Avoid" </a><br /><br /><a href="https://www.forbes.com/sites/kateashford/2016/10/29/health-plan" target="_blank">“1 In 5 Don't Know What Kind of Health Plan They Have”</a><br /><br /><a href="https://www.marketwatch.com/story/10-things-your-health-insurance-wont-tell-you-2014-10-10" target="_blank">“10 Things Your Health Insurance Company Won’t Tell You” </a><br /><br /><a href="https://www.cbsnews.com/news/open-enrollment-how-to-avoid-costly-mistakes/" target="_blank">“How to Avoid Costly Open-Enrollment Mistakes” </a><br /><br /><a href="https://www.cnbc.com/2017/11/03/what-to-watch-out-for-during-open-enrollment.html" target="_blank">“What to Watch Out for During Open Enrollment”</a><br /><br /><a href="https://www.beckershospitalreview.com/payer-issues/5-quick-facts-about-tiered-marketplace-health-plans.html" target="_blank">"5 Quick Facts About Tiered Marketplace Health Plans"</a><br /><br /></span><h2>
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Assistance & Navigation with Open Enrollment</span></h2>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><a href="http://www.benefitspro.com/2017/08/16/4-ways-brokers-can-help-clients-navigate-open-enro" target="_blank">"4 Ways Brokers Can Help Clients Navigate Open Enrollment"</a><br /><br /><a href="https://www.kff.org/health-reform/issue-brief/connecting-consumers-to-coverage-lessons-learned-from-assisters-for-successful-outreach-and-enrollment/" target="_blank">"Connecting Consumers to Coverage: Lessons Learned from Assisters for Successful Outreach and Enrollment" </a><br /><br /><a href="https://www.beckershospitalreview.com/payer-issues/medicare-assisters-the-key-to-enrollment.html" target="_blank">"Medicare Assisters: The Key to Enrollment?"</a><br /><br /><a href="http://ow.ly/ElN6a" target="_blank">"Operational Tips for Agents/Brokers Assisting Consumers w/ Health Insurance Enrollments"</a><br /> <br /></span><h2>
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">There's Always More!</span></h2>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">For more information on healthcare benefits, maximizing the value of your healthcare coverage and to learn how to be a better healthcare consumer and patient, check out these collections of info that I maintain on a regular basis.</span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><a href="https://twitter.com/ShimCode/timelines/521383634356699136" target="_blank">Health Insurance Tips</a></span></div>
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<a href="https://twitter.com/ShimCode/timelines/523171580432510976" style="font-family: Georgia, "Times New Roman", serif;" target="_blank"><span style="font-size: large;">Healthcare Literacy</span></a></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">You may also want to consider following me on Twitter when I share healthcare related information, tips, ideas and commentary as <a href="http://www.twitter.com/shimcode" target="_blank">@ShimCode</a><br /></span></div>
ShimCodehttp://www.blogger.com/profile/13111347121021451188noreply@blogger.com0tag:blogger.com,1999:blog-5553795965038906281.post-81190825895134934672017-10-04T20:00:00.002-07:002017-10-05T19:38:01.681-07:00Hiding Behind the Label of a ‘Patient’ vs. a ‘Consumer’ <div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh1ohPWP7WaXTqyP1b9Xhqp8jrARFojyM7Gjg7_Ronfu5jDKsWajICQ4q86zCDYCW9bKiEho95J6lRx4ranfet8IC_fXySi_gEpTlc4sOxfu4FbuDNHNIKThjvDrGv8OcmKvLSA-YZeX6uE/s1600/Hiding-behind-patient-vs-consumer.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="242" data-original-width="326" height="296" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh1ohPWP7WaXTqyP1b9Xhqp8jrARFojyM7Gjg7_Ronfu5jDKsWajICQ4q86zCDYCW9bKiEho95J6lRx4ranfet8IC_fXySi_gEpTlc4sOxfu4FbuDNHNIKThjvDrGv8OcmKvLSA-YZeX6uE/s400/Hiding-behind-patient-vs-consumer.jpg" width="400" /></a></div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">An Anecdotal Story Every Day!</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Tonight, I had a rather '<i>clouded exchange'</i> on Twitter, with a person who shall remain nameless, about the difference between a healthcare <i><b>patient </b></i>and a healthcare <i><b>consumer.</b></i></span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><i><b><br /></b></i></span>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Is there really any difference? Yes. There is.</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">After more than a few tweets, I had enough. I signed off and took the garbage and recycling cans to the street. It's pickup day tomorrow. Then as I poured the can from my office into the 'black container' I got a second wind. I rebooted and here's my take on the exchange I had.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">I challenge any reader to comment below and educate me about the difference between a healthcare patient and a healthcare consumer. And how the feel-good phrase of "healthcare is a right" applies to the 'consumers' in the story below.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">There's Most Certainly a Difference</span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Then I recalled a conversation I had earlier today with a very close 'family friend/associate' that, in my opinion, is a perfect example of the point I was trying to make: <i><b>that most people are healthcare consumers – not patients - that people often make personal choices that often negate their status as a ‘patient.’</b></i> That there's a difference between true patients and healthcare consumers.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">That people who 'consume' a lot of healthcare services often lean on the label of ‘patient’ as some way out of not being labeled a ‘consumer.’<i> "I can't help myself. I NEED these expensive services! I have not choice! I'm a patient!"</i></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Here's a Story About Being a Healthcare Patient vs. a Healthcare Consumer</span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">This post is for that person I just had a long interaction with on Twitter. </span><br />
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<i><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(To be sure, this story is certainly not unique, I’ve witnessed it before many times. I’m sure you have too. Unfortunately, I’m sure it’s repeated by 100’s of 1000’s of people every day.)</span></i><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">A Healthcare Consumer Walks into a Bank:</span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><i>“A lady I work with is a teller at the bank.”</i></span><br />
<i><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></i>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><i>“She’s about 60 years old and she weighs about 250 lbs. She's about 5 foot tall”</i></span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><i><br /></i></span>
<i><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">“She’s a self-described diabetic.”</span></i><br />
<i><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></i>
<i><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">"Every week she calls out at least one day because she has a doctor's appointment. She said she once spent 30 days in the hospital"</span></i><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Suck up the Sugar!</span></h3>
<i><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></i>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><i>“Every day she walks in to work with a ‘Big Q Drink’”</i></span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(I think the Big Q from QT is a 64oz drink. That’s 64 ounces – a HALF GALLON! With 700+ calories and 6+ ounces of sugar. SIX OUNCES of SUGAR… For breakfast! Read on…apparently just the wake up drink BEFORE THE REAL BREAKFAST!)</span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<i><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">“Every day she brings an 8-pack of muffins, a box of cookies or some other ‘dessert. She sits down in the break room an washes down 3 or 4 muffins with her Big Q drink.’”</span></i><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(How much more sugar is contained in these muffins? Does she share any of those or eat all of them. I didn't ask.)</span><br />
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<h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Don't Kid Yourself, Your Choices Impact Others!</span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><i>“In the last two months, she has ‘called out’ of work over 20 times. At first, it created a lot of hassle for the rest of us. We had to fill in, we had to cover for her.</i></span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><i><br /></i></span>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(I assume that ’20 times’ over two months means 20 work days? Apparently 50% of her work schedule?)</span><br />
<div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><i>"And after a while we began to expect it. And the managers wouldn’t do anything. They told us "We have to accommodate her. One manager said she'd love to fire her but would get in trouble. This lady got away with things none of us younger people would get slack on”</i></span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(Remember how healthcare issues impact productivity? Our collective well-being? Well this true story should be a wake up call.)</span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
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<h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Healthcare Consumption Patterns Run in the Family!</span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><i><br /></i></span>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><i>"Her husband has had bypass surgery three times."</i></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><i><br /></i></span></div>
<i><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">“Her husband often brings a bag of lunch from McDonalds for her."</span></i><br />
<i><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></i>
<i><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">"He's often wheeled into the bank in a chair."</span></i><br />
<i><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></i>
<i><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">"One time he got out of his chair and fell. It was huge deal because we had to call an ambulance and basically put the bank on lockdown while we all waited for the ambulance to come and take him away."</span></i><br />
<i><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></i>
<i><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">"Of course she also left work that day so the rest of us had to cover for her”</span></i><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
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<h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Taxpayers Support this Lunacy!</b></span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<i><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">“This lady told us that her husband is retired from a career with the city of <Not Saying.> That he was a 'public servant and has 'excellent healthcare' - and that "I'm so glad that we don't have to pay ANYTHING for our healthcare!'</span></i><br />
<i><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></i>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(Right! Excellent healthcare. Paid for by the taxpayers of <Not Saying!></span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">To the Caffeniated Mommy I bantered with earlier tonight on Twitter: I ask you: Is this lady a healthcare patient? Or a consumer?</span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
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<h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Healthcare is NOT A RIGHT!</span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">It's time we all woke up about the very limited Healthcare Resources available. And how much certain people consume. And how their actions have direct and indirect impact to the rest of us. And who are NOT acting like a 'patient.' </span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Who still thinks healthcare is a right? Unfettered. Without any personal responsibility? I don't!</span>ShimCodehttp://www.blogger.com/profile/13111347121021451188noreply@blogger.com0tag:blogger.com,1999:blog-5553795965038906281.post-19023909245882603802017-09-26T18:15:00.002-07:002017-09-27T12:08:20.081-07:00Why I Won't Play with Old-Fashioned, Rude Healthcare IT Recruiters<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh4m7i7vdqa7lY55kV2SQqpNSWTlJwuxZuuia3LIz6hGMIkhNAvd22TIC2EHLOinVbqR8VmcdQ0VjGr3MA9xA3AqHvVIMYb6t_NJ93yxu8HsYFs-hXoY0bhvIiWUyCYPzcapGhWLSoGtcMy/s1600/_ShimCode-Waiting-For-Recruiter-Reply.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1245" data-original-width="1600" height="310" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh4m7i7vdqa7lY55kV2SQqpNSWTlJwuxZuuia3LIz6hGMIkhNAvd22TIC2EHLOinVbqR8VmcdQ0VjGr3MA9xA3AqHvVIMYb6t_NJ93yxu8HsYFs-hXoY0bhvIiWUyCYPzcapGhWLSoGtcMy/s400/_ShimCode-Waiting-For-Recruiter-Reply.jpg" width="400" /></a></div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Like many experienced people in healthcare IT, software product management, and advisory consulting services, I get more than a few inquiries - cold and warm - from recruiters about opportunities that <i>“are a perfect fit for you based on my assessment of your LinkedIn profile. You're a great candidate for this high-paying position just a few blocks from your home and we have great benefits! And you can bring your dog to work in your underwear!”</i> </span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Historically I've ignored most of these. To be sure, I do like working in my underwear. (Sorry for that image) </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">But I do ignore these silly offers, especially nowadays, because I’m not looking for full-time employment. I do the work I want to do and I’ve been happy with what I'm doing; all on my own, free from corporate BS. I'm paying my bills. I go on vacations every few months.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
<div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Always Be Open to Serendipitous Opportunities</b></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
<div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">So, a couple of weeks ago I got an email from a corporate recruiter with a specialty Electronic Health Records (EHR) company here in Phoenix. The email stood out. It was a non-traditional pitch for a product manager opportunity that seemed like a good fit; short and to the point. Its wording implied whoever wrote it had a unique way to reach this passive candidate. To be sure, it wasn’t the usual solicitation we all get:</span><br />
<ul><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">
<li>Templated response with mail merge errors </li>
<li>A request for salary history and three references</li>
<li>An offer for an entry level project manager position in the construction industry in Qatar - with commission opportunities!</li>
</span></ul>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjmn_rhSTINoUhmTnahF7JSOJih9L5Xm17BBUtL2jtyesC4FwLIAQBirDvoZVuhS8lUMrJgpRcwRLaHyshUyvmI9WzjQDXAUH57wURSAwd9kNh7tdjjV6X3ld7Hy_CWJeRDJ9NsJmjLYqpy/s1600/recruiters-email-cb-insights.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="433" data-original-width="816" height="211" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjmn_rhSTINoUhmTnahF7JSOJih9L5Xm17BBUtL2jtyesC4FwLIAQBirDvoZVuhS8lUMrJgpRcwRLaHyshUyvmI9WzjQDXAUH57wURSAwd9kNh7tdjjV6X3ld7Hy_CWJeRDJ9NsJmjLYqpy/s400/recruiters-email-cb-insights.png" width="400" /></a></div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">
So, I thought: Why not? I’ll give it a shot. At least I’ll likely meet some local healthcare IT people. At best I may hook up with a company where I can really add major value. What can I lose? I succumbed to the recruiter’s pithy email come-on and the out of the box “job description.”</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
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<b><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">But a Sucker is Resurrected Every Minute</span></b></div>
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<b><br /></b></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><i>Boy was I ever fooled! Here’s How:</i></span></div>
<div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />After some back and forth, a 'quick call' was scheduled. It lasted 45 minutes. The recruiter shared insight into what people like me want to know:</span></div>
<div>
<ul>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">What the key skills and qualities for the opportunity demand</span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Who the position would be interacting with and take direction from</span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">What most important business expertise and technical skills are required</span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">And more that I won't go into here</span></li>
</ul>
</div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjhhUT-7AZRMuvn1Yqs_gbT3BTNaSJIhppsbPA-vaoq4W3WDVEJEoc89rzE70LoTKmyAXKvlb8pKAkuUiIVJheOHrqJDilCOJWZNNWhxs-YkpqHScfKOwA28ZeePZHevfjtUEWTpGjdM4I7/s1600/Shimcode-Sucker.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="640" data-original-width="381" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjhhUT-7AZRMuvn1Yqs_gbT3BTNaSJIhppsbPA-vaoq4W3WDVEJEoc89rzE70LoTKmyAXKvlb8pKAkuUiIVJheOHrqJDilCOJWZNNWhxs-YkpqHScfKOwA28ZeePZHevfjtUEWTpGjdM4I7/s320/Shimcode-Sucker.png" width="188" /></a></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>She Hooked Me!</b></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b><br /></b></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">I got a good feeling about the opportunity. I started to think: <i>"How am I going to unravel the contracts I have with current clients?"</i> I was told this fast rising specialty EHR company was on a fast-track! They needed to fill this position quickly. They've been looking for a while and not finding anyone qualified! I received an emphatic “you seem like a perfect fit.” Yes! </span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">So I sent over a hastily updated resume. (Who actually has a resume these days? Another subject for another day) <br /><br /><b>Wait, Wait & Wait Some More</b></span></div>
<div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />Fast forward one week: no response. I thought "No big deal. They reached out to me.<br />I wait another week: Nada!<br />Now two weeks+ and I wait some more. Nada!<br /><br />So, after two+ weeks, this creative, out of the box, wear sandals and bring your dog to work cool software place, Dot-Com Wannabee EHR company can't even bear send an email to say: <i>"Bear with us as we continue our review."</i> </span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
<div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Not even a <i>"Can you tell us more about XYZ?"</i> </span></div>
<div>
<span style="font-size: large;"><span style="font-family: "georgia" , "times new roman" , serif;">Not even a </span><i style="font-family: Georgia, "Times New Roman", serif;">“Thanks but no thanks!” </i></span></div>
<div>
<span style="font-size: large;"><span style="font-family: "georgia" , "times new roman" , serif;">Not even a clever, witty response like </span><i style="font-family: Georgia, "Times New Roman", serif;">“Beat it raw fuzz nuts!” </i></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><b>Why Isn't Closure Provided to 'Candidates?'</b></span></div>
<div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />So, I inquired. I got a vague response to the effect of <i>“We have a new person involved and need more time.”</i><br /><br />Really? Two plus weeks for a senior position that YOU reached out to me about? After I clearly stated before we even spoke that I wasn't currently looking for a job? And this ‘seasoned recruiter’ doesn’t have the <i>common sense, basic courtesy </i>and <i>integrity</i> to take 30 seconds to send an email informing someone THEY reached out to as to the status of the opportunity? </span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Any company that treats strangers like this, that THEY reach out to so poorly, is a company that EVERYONE should be wary of working for.<br /><br />And this company splashes the word “Integrity” all over their job descriptions!<br /><br /><b>Nope. No integrity at all</b></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b><br /></b></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Now I know. If anyone is ever looking to work for an EHR vendor here in Phoenix – and there aren’t many – <a href="mailto:shimcode@gmail.com" target="_blank">shoot me an email</a> and I’ll let you know more about this company.<br /><br /> </span></div>
ShimCodehttp://www.blogger.com/profile/13111347121021451188noreply@blogger.com0tag:blogger.com,1999:blog-5553795965038906281.post-18344582675906313512017-08-31T08:00:00.000-07:002017-09-08T16:25:26.015-07:00Rock Health’s Survey on Streamlining Enterprise Sales in Digital Health - Part 1<div class="separator" style="clear: both; text-align: center;">
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Anyone who’s been involved with ideating, defining, creating, selling or implementing software products and services for any length of time knows that selling to health plans, health systems and other healthcare enterprises is a ‘tough game across the board.” The sales cycle is long, you have to deal with the oft times quasi-governmental structure of a large, corporate enterprise and you have to be able to think on your feet and pivot quickly.<br /><br /><b>Digital Health Entrepreneurs and Healthcare Enterprise Executives</b></span><div>
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><b><br /></b></span></div>
<div>
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Early last week, <a href="https://rockhealth.com/">Rock Health</a> – an organization that exists to fund and support entrepreneurs working at the intersection of healthcare and technology – released a summary of results from a survey they conducted titled <a href="https://rockhealth.com/reports/streamlining-enterprise-sales-in-digital-health/">Streamlining Enterprise Sales in Digital Health</a>. 80+ digital health founders and enterprise healthcare leaders responded to the survey, providing their perspective on three key questions aimed at better understanding successful B2B business practices in digital health:</span><div>
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><ol>
<li>What type of relationship do enterprise customers want with startups—and how should startups approach potential customers?</li>
<li>What are pilots for—and are they being used correctly?</li>
<li><span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Healthcare sales cycles are long. </span>How can startups get their pitches to the right enterprise buyers quickly?</li>
</ol>
</span></div>
<div>
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">This blog post is the first part of a two-part curated summary of responses to the three questions posed by the survey. </span></div>
<div>
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
<div>
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Much of the content in this post is taken from <a href="https://rockhealth.com/reports/streamlining-enterprise-sales-in-digital-health/">this post</a> on the Rock Health website. I'm merely presenting it in a format and order in which I believe may help many readers absorb the material.</span></div>
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<b style="font-family: Georgia, "Times New Roman", serif; font-size: x-large;"><br /></b></h3>
<h3>
<b style="font-family: Georgia, "Times New Roman", serif; font-size: x-large;">Relationship Between Enterprise Customers and Entrepreneurs</b></h3>
<div>
<div>
<span style="font-family: Georgia, "Times New Roman", serif; font-size: large;"><br /></span></div>
<div>
<span style="font-family: Georgia, "Times New Roman", serif; font-size: large;">Enterprise buyers noted that startups who pitch them often fail to realize that digital health startups exist in a potentially crowded space.</span></div>
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br />Enterprise buyers want—and expect—startups to demonstrate differentiated offerings from the customer’s perspective; to craft their pitch and “tune out the noise of what’s not relevant [to their unique value proposition] and align [the enterprise customer to] what your priorities are.”</span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br /></span></div>
<h3>
<span style="font-family: Georgia, "Times New Roman", serif; font-size: large;">Experience with Pilots</span></h3>
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<span style="font-family: Georgia, "Times New Roman", serif; font-size: large;"><br /></span></div>
<div>
<span style="font-family: Georgia, "Times New Roman", serif; font-size: large;">The survey reports that almost 70% of enterprise pilots converted to paying customers. Key considerations noted include:</span></div>
<div>
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br />69% of pilots had an active user within six months of the “handshake.” i.e. the time period from closing the deal to their first active user in the pilot.<br /><br />Another 20% of pilots took between seven months and one year to engage their first user after the deal was made.<br /><br />After a first, essential pilot that’s often needed to get an offering off the ground, startups must be sure to strategically time-box the pilot pitch process for subsequent pilots; or risk wasting a lot of time and lost opportunity.</span></div>
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<h3>
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Pilots Can Be Distracting</span></h3>
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The pursuit of pilots can dilute a startups efforts. If you’re going to do pilots, don’t do more than one or two and make sure they convert into cash. Otherwise, pitching a pilot versus a sale is just diluting your efforts.<br /><br />Startups should consider pricing pilots higher than the cost of a standard customer license. This can help to create aligned incentives.<br /><br />Better to focus on deeper engagements with potential partners than spreading yourself thin. <br /><br /><img height="266" src="https://media.licdn.com/mpr/mpr/AAEAAQAAAAAAAAnGAAAAJGJmM2RjZjdjLTY5MzgtNDMzMC05Y2RhLTU1ZDQwNDhkZTM5Mg.jpg" width="400" /><br /></span><h3>
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">It Won’t Go as Fast as You Think</span></h3>
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It takes at least 18 months to contract with a health plan:</span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><ul>
<li>6 months generating interest or a pilot</li>
<li>couple months to find an executive sponsor/business owner to push it through</li>
<li>6 to 8 months for a technical security assessment</li>
<li>4 to 6 months for contracting.</li>
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Even when a startup launches and has a contract with an enterprise customer, it doesn’t mean their enterprise pilot customer will be ready to implement—it could just mean the startup is a queue.</span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Build it Before They Come?</span></h3>
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Avoid being tempted to oversell your product before it’s fully ready to go. Or maybe not?<br /><br />39% of CEOs in the Rock Health survey approached customers for a pilot before their minimum viable product (MVP) was ready.<br /><br />Enterprise customers want something that solves their pain points and scales fast. A lot of startups aren’t ready for rapid growth even if the pilot goes well.</span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">How Startups Can Pitch to the Right Enterprise Buyers Quickly</span></h3>
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Know that sales cycles are long, requiring patience and a knack for relationship building. Finding the right buyer in a big organization can be disorienting.<br /><br />Crafting the pitch is tricky when talking to a complex, multi-faceted enterprise customer.<br /><br />Knowing your competition is important but knowing “who your competitors are targeting” is not generally a factor in closing deals. Startups should assume enterprise customers know the competitive landscape (even if they don’t let on!).<br /><br />Know your customer is more important: Several enterprise buyers felt that startups approach them with insufficient knowledge about their priorities, challenges, or knowledge of their organization’s role.</span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">Make It Personal and All About the Enterprise</span></h3>
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Every customer wants to feel unique; no one wants a “one size fits all” pitch. Differentiating your offering among competitors will strengthen the credibility of your product and sales pitch.<br /><br />Entrepreneurs need to make their customer feel special by personalizing their pitch. The key to personalizing an approach is learning about the customer. An easy way to understand the basics of your customer include:</span></div>
<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><ol>
<li>Prioritize well-researched quality interactions over quantity.</li>
<li>Read the most recent SEC filings – annual reports - and familiarize themselves with the customer’s product portfolio.</li>
<li>Carefully review the LinkedIn profile for every customer on the sales call.</li>
<li>Consider involving the enterprise customer as a co-developer so long as they have the right approach—and are the right partner.</li>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">More Coming Soon</span></h3>
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The 2nd blog post will summarize the remaining information resulted from the Rock Health survey. Again, you can read the entire survey here. I'm merely presenting the results of the Rock Health survey in an alternate format that may or may not help you appreciate its value.</span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><br />For more information on developing a relationship with healthcare enterprises, see this post I wrote <a href="http://www.shimcode.com/2016/10/developing-relationships-with-corporate.html">“Developing Relationships with Corporate Enterprises: Questions, Considerations & Approaches for Entrepreneurs”</a><br /><br />For more on digital healthcare, check out my blog at <a href="http://www.shimcode.com/">www.shimcode.com</a> and consider following me on Twitter where I share as <a href="http://www.twitter.com/shimcode">@ShimCode</a>.</span></div>
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ShimCodehttp://www.blogger.com/profile/13111347121021451188noreply@blogger.com0tag:blogger.com,1999:blog-5553795965038906281.post-40637724547056630162017-08-18T16:10:00.000-07:002017-09-29T08:22:27.758-07:00Basic Technical Skills Needed to Become Health Literate <div class="separator" style="clear: both; text-align: center;">
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Hardly a day goes by when I don't see, hear or read something about the need to increase health literacy of patients and healthcare consumers. There's almost always some mention of basic technical skills required to even begin to gain a level of healthcare literacy. Practically speaking, increasing literacy about any subject – whether it's health, literacy, healthcare literacy, literacy about personal finance or anything for that matter – demands a basic level of technical skills.<br /><br />Moreover, as print media and traditional approaches to education and training give way to new technology-based methods, it's more important than ever to obtain a basic level of proficiency using personal computers, tablets and smartphones to further the opportunity to improve health literacy.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: x-large;">What Basic Technical Skills Are Needed?</span></h2>
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Here are some of the basic technical skills I believe are needed to become literate on any topic in today’s world.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Keyboarding</span></h4>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">1. Understand basic input methods including traditional keyboarding, “swype-ing,” touch screens and voice to text</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">2. Navigate file folders, create new folders and storage location's</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">3. Download files to specific folders</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><br />Here's some <a href="http://spclc.org/curricula-resources/computer-curriculum" target="_blank">lesson modules</a> covering basic computer skills. And one other <a href="https://www.wisc-online.com/courses/computerskills" target="_blank">set of online courses</a> that I recommend.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Accessing, Reading and Creating Documents</span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />Create, read, edit (when appropriate) and save documents in popular formats including:</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">1. Word processing (doc/docx file types. i.e. Microsoft Wor\</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">2. Spreadsheets (xls/xlsx file types. i.e. Microsoft Excel)</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><i>People largely need the ability to navigate around a spreadsheet and perhaps add data to a spreadsheet (or online form), not necessarily have the ability to create and format a spreadsheet</i></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">3. Presentations (ppt/pptx files types. i.e. Powerpoint)</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><i>The ability to view presentations is essential</i></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />4. Finished documents (PDF. i.e. Adobe PDF)<br /><br /><i>People will primarily need the capacity to read and save PDFs</i></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Navigate Online (i.e. The Internet)</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Navigating online and being able to access information is critical. </span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">1. Recognize, understand and use hyperlinks (aka URLs)<br /><br />2. Recognize and use email addresses and various social media handles – like @ShimCode<br /><br />3. Use a search engine (e.g., Google, Bing, or Yahoo)</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">4. Bookmarking information</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Here are some <a href="https://www.gcflearnfree.org/internetbasics/" target="_blank">online courses on navigating the internet</a> that I recommend.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Communicate & Share Online</span></h3>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Besides being able to navigate the internet, locate and access information, it's important to be able to share information with others. Here are some basic skills in this area:</span></div>
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1. Via email<br /><br />2. Via instant messaging or chat<br /><br />3. Via web uploads<br /><br />4. Commenting on blog posts and articles<br /><br />5. Via social media accounts</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Participate in Online Activities</span></h3>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />More and more information is becoming available online in various, “rich formats” - often presented in an interactive way customized to specific end user needs. Nowadays, becoming more literate means being able to attend or participate in:<br /><br />1. Webinars<br /><br />2. Video conferences – live streamed and pre-recorded<br /><br />3. Tweet Chats</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Here's some information on <a href="http://www.shimcode.com/2015/02/how-to-participate-in-tweet-chat-like.html" target="_blank">How to Participate in a Tweetchat</a>. </span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: x-large;">What Else?</span></h2>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Health literacy and healthcare literacy are important. What other other skills, technical or otherwise - are needed to become health literate? </span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Check out this <a href="https://twitter.com/ShimCode/timelines/523171580432510976" target="_blank">collection of articles, blog posts, tips and ideas</a> about Health Literacy. Consider subscribing to this blog (See 'Subscribe via email" on right side of this page) and following me on Twitter where I share as <a href="http://www.twitter.com/shimcode" target="_blank">@ShimCode</a>.</span></div>
ShimCodehttp://www.blogger.com/profile/13111347121021451188noreply@blogger.com0tag:blogger.com,1999:blog-5553795965038906281.post-40996753248268429082017-07-20T09:52:00.002-07:002017-07-22T09:30:53.359-07:00More on the Value of a Worthwhile #HIT100 Nominee <div class="separator" style="clear: both; text-align: center;">
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<span style="font-size: large;"><span style="font-family: "georgia" , "times new roman" , serif;">Today’s </span><a href="http://histalk2.com/2017/07/18/news-71917" style="font-family: georgia, "times new roman", serif;" target="_blank">HIStalk newsletter</a><span style="font-family: "georgia" , "times new roman" , serif;"> included a short piece from one of their often anonymous contributors -‘Expanding Paunch’ - who called into question the ‘worthiness’ of those who’ll be ranked among the <a href="https://www.symplur.com/healthcare-hashtags/hit100/" target="_blank">#HIT100</a>. </span></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">[For those not familiar with what #HIT100 is all about, <a href="http://www.emrandhipaa.com/emr-and-hipaa/2017/07/04/voting-for-the-2017-hit100-starts-now/" target="_blank">here's some info</a> on this year's event.]</span><br />
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<b><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Scoring a #HIT100 Nominee - The </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Expanding Paunch</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"> Scale</span></b><br />
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;"><i>From Expanding Paunch: </i></span><br />
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;"><i>“Re: HIT100. I’d like to see the winners scored on real-life experience and accomplishments instead of chronic Twitterhea.” I spent way too much time thinking about this idea, coming up with a scoring methodology that reflects what I look for in assessing someone’s accomplishments in deciding whether they are therefore qualified to render healthcare-related opinions. Here’s my first pass – score yourself and your peers and tell me which criteria you would change. I’ll grade the HIT100 once they are named, using the self-reported information (often inflated) from their LinkedIn profiles since everything should be right there. The scores I tested tracked pretty closely to my assessments of some of our industry’s more prolific pundits, ranging from 0.5 points to over 70. I was kind in deleting an additional metric that deducted points for using self-styled, questionably accurate labels such as thought leader, visionary, thinker, innovator, and entrepreneur.</i></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>Education & Work Experience - Analytical Approach</b></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Expanding Paunch shared an interesting commentary about being worthy of the #HIT100 ranking and his/her accompanying ‘spreadsheet rating’ chart offered some good metrics for supporting for her/his position. Education and work experience are key requirements for being a good source of "HIT" information, ideas and opinions.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>What does #HIT100 stand for?</b><br />To be clear, “HIT” means “Health Information Technology.” I think most people who’ve been active in health IT and social media for any length of time understand that the #HIT100 event was borne based on the idea of acknowledging one’s healthcare IT knowledge, skills, experience AND social abilities relative to the creation, curation AND dissemination of insight, ideas, opinions and occasional facts regarding healthcare information technology products, services, challenges, opportunities and issues - via social channels.<br /><br /><b>What Makes a ‘Good’ #HIT100 Nominee?</b><br />For some reason, ‘Expanding Paunch’ doesn’t appreciate the value that a solid background in information technology, a 'non-clinical' background, experience with content creation and curation, and the ability to share content across a range of social channels can have. </span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">I've shared my take on <a href="http://www.shimcode.com/2017/07/what-makes-hit100-nominee.html" target="_blank">What Makes a Good #HIT100 Nominee</a> and <a href="http://www.shimcode.com/2014/07/11-qualities-of-good-hit100-nominee.html" target="_blank">11 Qualities of a Good #HIT100 Nominee</a>.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><b>Non-IT, Clinical Management Expertise Only?</b><br />‘Expanding Paunch’ apparently believes that a <i>worthwhile</i> health information technology social media “persona” can only be attributed to someone possessing an advanced clinical background in “management.”</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Two major omissions in this ranking methodology are:</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">1. Penalizes those who aren't a "provider of clinical care" and/or not having a direct patient clinical care focus. </span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">I get the fact that ultimately it's all about the patient and providing clinical services. But the reality is that administrative, financial, communication and other 'non-clinical services' provided by people other than physicians are important parts of healthcare.</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">2. Doesn't include any acknowledgement of a person's social footprint.</span><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgCV8etW-xb9DSUHofipqUcwg_6Ad42LJugwn0Ivzn6veEr14F7VGNolm7MFmQlpVFznLTMaByauPy2ZC4E2WnRz-lS2ojuEx8Vbup55CPUFDIrcf2C48YNJvZDXkVK3dQV6HtTfNncb9iJ/s1600/HIT100-were-not-worthy.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="314" data-original-width="573" height="218" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgCV8etW-xb9DSUHofipqUcwg_6Ad42LJugwn0Ivzn6veEr14F7VGNolm7MFmQlpVFznLTMaByauPy2ZC4E2WnRz-lS2ojuEx8Vbup55CPUFDIrcf2C48YNJvZDXkVK3dQV6HtTfNncb9iJ/s400/HIT100-were-not-worthy.png" width="400" /></a></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><b>What's an Ideal #HIT100 Nominee?</b><br />I guess a practicing physician who’s a CMIO at a vendor with some sort of 'informatics only' role is considered the ideal #HIT100 prospect? Regardless as to whether they actively share their knowledge via social channels, conferences, podcasts, etc.<br /><br /><b>How Do You Rank on the Expanding Paunch Scale?</b></span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">I did a one minute calculation of my ‘#HIT100 worthiness’ based on the ‘Expanding Paunch' algorithm and </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">I garnered about 20 points - </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">apparently I’m not worthy. </span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">I'm looking forward to ‘Expanding Paunch’s’ rating of the HIT100 ‘winners.’ And </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">I’d like to know more about how ‘Expanding Paunch’ ranks himself too.</span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />Steve S - ShimCode</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><span style="font-family: "georgia" , "times new roman" , serif;">P.S. In the past, I spent a lot of time tabulating and sharing #HIT100 info and commentary when others wouldn’t or weren’t able to tabulate and/or share. This post is my contribution to this year's #HIT100 event.</span></span><br />
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<b style="font-family: Georgia, "Times New Roman", serif;"><span style="font-size: x-large;">Previous Blog Posts on the #HIT100</span></b></div>
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<span style="font-family: "georgia" , "times new roman" , serif;"><br /><span style="font-size: large;"><a href="http://www.shimcode.com/2014/07/how-to-win-hit100-and-become-hitsm.html" target="_blank">How to Win the #HIT100 and Become an #HITSM Superstar in Your Own Mind</a></span></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="http://www.shimcode.com/2013/07/thoughts-on-hit100-good-bad-ugly-part-1.html" target="_blank">Thoughts on #HIT100 – The Good, The Bad & The Ugly – Part 1 (The Good)</a><br /><br /><a href="http://www.shimcode.com/2013/07/thoughts-on-hit100-good-bad-ugly-part-2.html" target="_blank">Thoughts on #HIT100 – The Good, The Bad & The Ugly – Part 2 (The Bad)</a><br /><br /><a href="http://www.shimcode.com/2013/08/thoughts-on-hit100-good-bad-ugly-part-3.html" target="_blank">Thoughts on #HIT100 – The Good, The Bad & The Ugly – Part 3 (The Ugly)</a></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif;"><span style="font-size: large;"><a href="http://www.shimcode.com/2016/07/my-tally-of-2016-hit100-results.html" target="_blank">My Tally of 2016 #HIT100 Results</a><br /><br /><a href="http://www.shimcode.com/2016/07/some-statistics-on-recent-hit100-event.html" target="_blank">Some Statistics on Recent #HIT100 Event</a><br /><br /><a href="http://www.shimcode.com/2016/07/invert-hit100-list-help-me-turn-health.html" target="_blank">Invert the #HIT100 List! Help Turn Health IT Upside Down!</a><br /><br /><a href="http://www.shimcode.com/2016/08/healthcares-unsung-among-hit100.html" target="_blank">Healthcare's Unsung Among the #HIT100 – Introduction</a></span></span></div>
ShimCodehttp://www.blogger.com/profile/13111347121021451188noreply@blogger.com0tag:blogger.com,1999:blog-5553795965038906281.post-89980596907489781762017-07-06T18:41:00.001-07:002017-07-20T19:20:27.492-07:00What Makes a Good #HIT100 Nominee?<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjsarVxjYLEbhOrYSVMED6hx4VttE71HBXx4qP9qhm8BLSRFZlW7rgKMwoWd3bjanBS37hjOSDECp3jFNTloKaYWzAS3W7-rkA5YjYC5Gru1nzQAigk7xDChfOdVilIZJS9Dru-aIF-87_2/s1600/Backslapping_hit100-hcldr-hitsm-goofs.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="160" data-original-width="315" height="203" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjsarVxjYLEbhOrYSVMED6hx4VttE71HBXx4qP9qhm8BLSRFZlW7rgKMwoWd3bjanBS37hjOSDECp3jFNTloKaYWzAS3W7-rkA5YjYC5Gru1nzQAigk7xDChfOdVilIZJS9Dru-aIF-87_2/s400/Backslapping_hit100-hcldr-hitsm-goofs.jpg" width="400" /></a></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: x-large;">The popular 2017 #HIT100 backslapping contest started the other day on July 4th - Independence Day. </span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: x-large;"><b>How apropos!</b></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">All those who've lived in healthcare, information technology and social media space for any length of time in the short world of social media, must surely be chuckling about how many of those being nominated for the #HIT100 are largely devoid of any reasonable reason for their nomination.</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: x-large;"><b>Why Should You Be Nominated to the #HIT100?</b></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: x-large;"><b>Role & Presence</b></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;"><span style="font-size: large;">What is your role in the healthcare space and specifically healthcare IT? </span><br /><span style="font-size: large;">What social channels do you have a presence on? </span><br /><span style="font-size: large;">How has your social media presence grown over the past 1, 2, 4, 6, 8 years? </span><br /><span style="font-size: large;">How many people connected to healthcare and IT ‘follow’ you on your various social channels? </span><br /><br /><b><span style="font-size: x-large;">What Value Do You Regularly Provide to Others? </span></b><br /><br /><span style="font-size: large;">How often do you include URLs and other 3rd party information in your tweets? </span><br /><span style="font-size: large;">How often do people engage & reach out to you on your social channels? </span><br /><span style="font-size: large;">How often do you respond to those who comment on/reach out to you on your social channels? Always? Often? Never? No one reaches out to you? </span><br /><span style="font-size: large;">How often do you post? </span><br /><br /><b><span style="font-size: x-large;">Engagement! </span></b><br /><br /><span style="font-size: large;">How many times have you been interviewed? On podcasts? Print media? Otherwise? </span><br /><span style="font-size: large;">How often do people comment on your blog posts? </span><br /><span style="font-size: large;">How often do you comment on other’s blog posts? </span><br /><span style="font-size: large;">How often are you quoted in trade magazines and periodicals? </span><br /><span style="font-size: large;">How often have you presented at healthcare IT-related conferences? </span><br /><br /><b><span style="font-size: x-large;">Personal Investment </span></b><br /><span style="font-size: large;">How often do you attend healthcare IT-related conferences? And what is your role at those conferences? </span><br /><span style="font-size: large;">How do you directly support healthcare IT-related associations and non-profit organizations? </span><br /><span style="font-size: large;">Have you ever been a Social Media Ambassador at a major healthcare IT conference? Which ones?</span></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;"><br /><br /><b><span style="font-size: x-large;">Who Wants to Hear from You? </span></b></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: medium;"><span style="font-size: large;">How many associations, non-profits, and others not selling a for-profit product have you supported? How? </span><br /><span style="font-size: large;">How many times have you hosted tweetchat? </span><br /><br /><b><span style="font-size: x-large;">Is It All About You?</span></b></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">How much of your ‘Social Presence’ is self-promotion versus sharing information, ideas and opinions with others? </span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: x-large;"><b>This is What it Is!</b></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">I hope these somewhat pointed questions don't get you too mad at me. If so, please call me out and share your perspective. </span></div>
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ShimCodehttp://www.blogger.com/profile/13111347121021451188noreply@blogger.com0