#HITsm Chat

Chat for May 29, 2015

dave chase    leonard kish

Moderated by Dave Chase & Leonard Kish, co-authors of 95 Theses for a New Healthcare Ecosystem

Topic: A New Health Ecosystem


Topics and Background

Dave Chase and Leonard Kish are working on a number of projects related to developing a coherent view of the new emerging healthcare  and what it might take to be effective in this new environment.

This week’s questions will be related to information contained in the following sites:

  • Health Rosetta – an optimized “benefits stack” that out-performs vs. standard benefits packages against the Quadruple Aim.(Underlying the focus on the health benefits stack is that when purchasers of healthcare services purchase an optimized stack, they naturally adopt modern technology approaches, value interoperability, etc.)
  • 95 Theses for a New Health Ecosystem – A set of guiding principles for new health products and services. Refer below to items #’s referenced within the 95 Theses.
  • Proposed documentary highlighting both the issues and the proven solutions that could fix healthcare. The objective is to catalyze a grassroots movement that partners clinicians and individual citizens who will demand change once they are educated on how much better the health ecosystem could be.
  • UnPatient.org: Organization to provide access and ownership of personal health information.

#HITsm T1: We know 80% outcomes are driven by non-clinical factors (behaviors, social determinants.) What are successful examples of providers/systems thinking beyond the 20% to improve outcomes (e.g., health literacy, less is more)?

#HITsm T2: A new medical science of tracking, big data and behavior is emerging. What will research and the science of health look like in 10 years? Theses #5.

#HITsm T3: Atul Gawande had a great New Yorker article recently call Overkill, on our epidemic of overtreatment and the “more is better” culture of medicine. What’s the best way to influence and educate patients and providers on the risks and costs of over-treatment?  (Thesis 48).

#HITsm T4: An individual working the last 30 years would have $1M in their retirement account if medical inflation tracked inflation overall, assuming the difference was invested in a S&P index fund. Despite the fact that at least 50% of healthcare spending doesn’t add value (source: PwC) and health benefits are most employers’ 2nd biggest cost (after wages,) employers seem to accept the status quo and we all pay by taking home less. How can we get employers to take a wiser approach to purchasing health benefits? (see Health Rosetta for more)?

#HITsm T5: Health Data Ownership, theses 57-66. How can we make an individual’s ownership  of their health data a reality? Do we need new laws, new tools, better enforcement? What else?


For those not familiar with #HITsm TweetChats, #HITsm is an acronym for “healthcare IT social media” and we focus on current topics that are influencing healthcare technology, health IT, and the use of social media in healthcare.

Chats are held at 11 a.m, CST, every Friday. Cancellations will be noted in Upcoming Chats, located on this page. During the chat, topics will be announced by the @HealthStandards Twitter account.

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