iiinova — where your digital self keeps evolving

Randa Perkins, MD, MBA, FAMIA @randaperkinsmd.bsky.social · 17/04/2026

Recruiting for a CNIO! :) Know anyone who might be interested?? careers-dartmouth-hitchcock.icims.com/jobs/38933/c...

careers-dartmouth-hitchcock.icims.com

Randa Perkins, MD, MBA, FAMIA @randaperkinsmd.bsky.social · 11/02/2026

Since my plane needs new brakes… grateful for the ASTP livestream and the BOS wifi. Tempted to do a running commentary, MSTK3-style.

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Randa Perkins, MD, MBA, FAMIA @randaperkinsmd.bsky.social · 10/02/2026

Return of the ASTP - We’re back online y’all. See you in DC, or you can livestream with free registration, agenda and more here: www.astpannualmeeting.com

astpannualmeeting.com

ASTP Annual Meeting

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Dartmouth Health @dartmouthhealth.bsky.social · 10/02/2026

Interested in learning more about the Political Drivers of Health? Register now for our next Project ECHO: Policies to Advance the Health & Economic Prosperity of NH Communities! iecho.org/public/program/PRGM176781…

Online course titled "The Political Drivers of Health" by Dartmouth Health and Project Echo. Sessions aim to advance health & economic prosperity in New Hampshire communities. It begins on February 12, 2026. Several NH partner organizations are listed.

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tthomopoulos @tthomopoulos.bsky.social · 03/09/2025

NASA's Mars Perseverance rover acquired this image using its Right Mastcam-Z camera. Acquired on Aug. 31, 2025 (Sol 1611) at the local mean solar time of 11:22:22. Image Credit: NASA/JPL-Caltech/ASU/Thomas Thomopoulos AI processed

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Scott McGrath @smcgrath.phd · 22/05/2025

@julia-adler-mils.bsky.social covering a framework for developing measures for AI monitoring a little earlier than planned (we had a couple of speakers who weren't able to attend). "Regulatory infrastructure may eventually catch up, but we can't wait" 1/6🧵 #CIC25 🩺💻 #MLSky

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Nick Genes @genes.bsky.social · 22/05/2025

Classic talk on informatics ROI #CIC25 - organizations like to say they’re data-driven but gravity will pull them toward data-naive or data-dismissiveness. Informaticists must capture their impact on outcomes, financial benefit, efficiencies and (harder to measure) cultural impact - Dr. Joel Gordon

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Nick Genes @genes.bsky.social · 21/05/2025

At #CIC25 Drs Priyanka Solanki and Jonah Feldman present the @nyulangone.bsky.social approach to involving clinicians in editing Gen AI discharge summaries, beyond error-checking it ensures the human aspects of care shine through

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Randa Perkins, MD, MBA, FAMIA @randaperkinsmd.bsky.social · 22/05/2025

Some of the awesome AMIA #CIC25 crew. Fueled by coffee, some large chunks of cauliflower, and about a dozen churros. :) @vlily.bsky.social

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Randa Perkins, MD, MBA, FAMIA @randaperkinsmd.bsky.social · 22/05/2025

Best thing about an AMIA conference? (Aside from catching up with my brilliant colleagues??) “Oh look, they’re having the same issues we are! We aren’t alone!” Toughest part? “Omg, they’re having the same issues we are. I was really hoping someone had solved this already…“ #CIC25

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Randa Perkins, MD, MBA, FAMIA @randaperkinsmd.bsky.social · 21/05/2025

Alerts on the record telling docs they’re responsible for the documentation they’re signing feels redundant at best. Those who bother to read that statement are the ones already editing their notes. Also, AI warnings/labels are the new Prop 65; discuss. #CIC25 (p.s. Read b4 you sign!!)

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Scott McGrath @smcgrath.phd · 20/05/2025

Bumping this post for #CIC25. This was a general guide that I made for the Annual Symposium, but a lot of this will be relevant to people at the Clinical Informatics Conference, where I will be recruiting from to help boost our numbers here! 🩺💻

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Scott McGrath @smcgrath.phd · 20/05/2025

Level 3 studies - Healthbench, which was released last week as a white paper. Link to the paper here: openai.com/index/health... #MLSky 🩺💻 #CIC25

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Scott McGrath @smcgrath.phd · 20/05/2025

@julia-adler-mils.bsky.social: For a medical workforce and the merging of AI into workflows, we can't just "train" our way out of this challenge. She also introduces the CODEX project she is affiliated with. #CIC25 🩺💻

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Scott McGrath @smcgrath.phd · 20/05/2025

Some projects, current in the works, and some on the horizon from CODEX on how to empower clinicians with AI and avoid things like deskilling #CIC25 🩺💻 #MLSky

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Randa Perkins, MD, MBA, FAMIA @randaperkinsmd.bsky.social · 30/04/2025

Tis the season where I avoid all social media out of pure FOMO. Thanks so much to @colinformatics.bsky.social for making sure I stay green with envy! IYKYK. 🤦‍♀️

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Randa Perkins, MD, MBA, FAMIA @randaperkinsmd.bsky.social · 24/04/2025

Awesome brief summary of what got us to this point in EMRs, let alone a discussion on Epic. Credit to @vlily.bsky.social for the find! podcasts.apple.com/us/podcast/a...

podcasts.apple.com

Epic Systems (MyChart)

Podcast Episode · Acquired · 04/21/2025 · 3h 57m

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Randa Perkins, MD, MBA, FAMIA @randaperkinsmd.bsky.social · 11/04/2025

Purely for academic reasons, I need a list of fonts that do not differentiate between the capital letter “i” and the number one. And a list of some that gradually progress to greater differences. Again, purely for academic reasons.

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Randa Perkins, MD, MBA, FAMIA @randaperkinsmd.bsky.social · 20/01/2025

www.nytimes.com/2025/01/20/u... I’m a tad jealous of the skills, but also just want this crew on speed-dial.

nytimes.com

Twelve Dudes and a Hype Tunnel: Scenes from the ‘Super Bowl for Excel Nerds’

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Reimena Yee 🦇 @reimenayee.com · 10/12/2024

1 surprising thing I learned when I was writing my manifesto for the Comics Devices Library is that reading comics - or rather, reading images in sequence to construct and apprehend meaning - is itself a difficult and unique literacy + comprehension skill that does not come naturally to most people.

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Sam Roods @samuelcroods.bsky.social · 11/12/2024

Some #BREAKING news HTI-2 Final Rule is published. Big move from Assistant Secretary for Technology Policy. Worth noting that they have spun out the Protecting Care Access information blocking exception into a separate rule, currently in review at OMB. www.healthit.gov/topic/laws-r...

healthit.gov

Health Data, Technology, and Interoperability: Trusted Exchange Framework and Common Agreement (HTI-2) Final Rule | HealthIT.gov

ASTP’s HTI-2 final rule finalizes certain Trusted Exchange Framework and Common AgreementTM (TEFCATM)-related proposals from the HTI-2 proposed rule to advance interoperability and support the access,...

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Keith W. Boone @motorcycle-guy.bsky.social · 11/12/2024

So, #HTI2 just dropped. You can find my feedback on what's in the rule here: motorcycleguy.blogspot.com/2024/12/hti2...

motorcycleguy.blogspot.com

HTI2 just dropped ... light reading for the holidays

Newest from ASTP (formerly ONC) is a light little Christmas present

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Randa Perkins, MD, MBA, FAMIA @randaperkinsmd.bsky.social · 10/12/2024

www.beckershospitalreview.com/healthcare-i... I can happily attest to this. We have a great IT leadership team that advocates for our colleagues and the work we do.

beckershospitalreview.com

Top places to work in IT: 17 health systems rank in 2025

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Scott McGrath @smcgrath.phd · 06/12/2024

🧪 Mayo Clinic integrated genetic test insights into EHRs for 100,000+ patients, identifying 2,000 with risk variants. A new genetic data repository aims to drive research and innovation. 🧬🖥️

beckershospitalreview.com

Mayo Clinic adds genetic test action items to EHR for 100,000 patients

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Senator Ron Wyden @wyden.senate.gov · 05/12/2024

Wow, turns out the facial recognition company that claims to be the most unbiased is actually biased. Who could have seen that coming? (I have a bill that would help end these biases by the way)

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Science News @scinews.bsky.social · 05/12/2024

What is the best time of the month to treat breast cancer? #Nature "Breast Cancer: Menstrual cycle may affect chemotherapy sensitivity" Open Access www.nature.com/articles/s41...

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Brittany Trang @brittanytrang.com · 05/12/2024

An absolutely nuts graph — especially when you remember than 100 million of the 2024 column are from just the Change Healthcare cyberattack. @katiepalmer.bsky.social explores the record-high number of people affected by health data breaches and what it means: 🖥️🩺 www.statnews.com/2024/12/05/c...

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Randa Perkins, MD, MBA, FAMIA @randaperkinsmd.bsky.social · 05/12/2024

#ASTP2024 - "Piecing Together the Future of Clinical Trials Infrastructure" - Paula Braun, entrepreneur, ARPA-H: Goal of having 90% of Americans being able to participate in clinical trials within 30 min of where they live.

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Dave Pyke @loftwyr.bsky.social · 05/12/2024

ACF trying to emphasize use of the tools as a tool for human decisions. People have to own the decision that an AI makes and justify it. Hallucinations look real. You have to be discerning. #ASTP2024

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Randa Perkins, MD, MBA, FAMIA @randaperkinsmd.bsky.social · 05/12/2024

“‘Come talk to me about AI for an hour.’” & “AI is about getting humans back to doing human work.” - Kevin Duval, CTO, ACF #ASTP2024

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cakensas.bsky.social @cakensas.bsky.social · 05/12/2024

Health IT heavy weights talking about how messy healthcare data seems to directly highlight some big public health challenges. If 90% of your time is spent cleaning the data in a low resource environment, that is an even bigger problem, especially across many healthcare data sources. #ASTP2024

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Jason Moore @moorejh.bsky.social · 04/12/2024

Great comment made at our AI symposium about the 2-3 year funding cycle of the NIH & how it can't possibly be effective given how rapidly AI is changing. Side note: where are the AI RFAs???

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Dave Pyke @loftwyr.bsky.social · 05/12/2024

Generative AI is being trained on medical histories, and are biased due to that data. How do you measure bias in AI? How do I monitor based on that definition? You can't manage what you don't know, so transparency is criticial. #ASTP2024

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Ryan Radecki MD MS @www.evidencetriage.com · 04/12/2024

Mildly entertained by this demonstration – particularly the simulated case review in which cases with uneventful outcomes were rated as appropriate care 100% of the time, but cases with poor outcomes were rated as appropriate only 15% of the time. Almost too human! ai.nejm.org/doi/10.1056/...

ai.nejm.org

Cognitive Biases and Artificial Intelligence

Generative artificial intelligence (AI) models are increasingly utilized for medical applications. We tested whether such models are prone to human-like cognitive biases when offering medical recom...

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Randa Perkins, MD, MBA, FAMIA @randaperkinsmd.bsky.social · 05/12/2024

Thank you to all 180 members of the ASTP, including @mickytripathi.bsky.social , who keep moving things forward to the benefit of all of us, especially our patients! #ASTP2024

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Chris Harrop @chris-harrop.bsky.social · 05/12/2024

Good thread on Tripathi remarks at #ASTP2024

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Sam Roods @samuelcroods.bsky.social · 05/12/2024

Complementing the barriers to care continuity outlined yesterday by @gracecordovano.bsky.social, @mickytripathi.bsky.social outlines what (absolutely needs) to come next. #ASTP2024

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Sam Roods @samuelcroods.bsky.social · 04/12/2024

“You can build the pipes but if there’s no water flowing through them, then you’ve done nothing” from Dr. Jim Jirjis of OPHDST, CDC)

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Ryan Radecki MD MS @www.evidencetriage.com · 04/12/2024

More patient safety research with @deansittig.bsky.social focusing on the Emergency Department – demonstrating the use of "e-Triggers" to maximize the yield of retrospective evaluations for recurrent classes of "missed opportunities for diagnosis". #medsky #patientsafety www.emlitofnote.com?p=4740

emlitofnote.com

Getting Triggered By Errors in the Emergency Department

The emergency department is a place of risk and errors. Those who work in the ED are acutely aware of this, and it conjures up tremendous cognitive pressures on staff every shift. Every ED clinicia…

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Sam Roods @samuelcroods.bsky.social · 04/12/2024

Hey #MedSky if you are a Provider, HIE/HIN, HealthIT Developer, and therefore subject to the #InformationBlocking Rule, you NEED this resource developed by the Sequoia Project Information Sharing Workgroup to inform your compliance work. sequoiaproject.org/the-sequoia-...

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Randa Perkins, MD, MBA, FAMIA @randaperkinsmd.bsky.social · 04/12/2024

Fellow HITAC-er, Rochelle Prosser, asking some incredible & tough questions about patient consent and access at the “Empowering Patients” panel at #ASTP2024 (She is a superb advocate; our Health IT regulatory landscape and patients benefit greatly from her service.)

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Sam Roods @samuelcroods.bsky.social · 04/12/2024

While it’s grainy, I’m so glad I got @gracecordovano.bsky.social in the same frame as this slide. 96% of thousands of surveyed patients want to see their test results *immediately*. #ASTP2024

Two women next to a large slide reading 96%
of surveyed patients want to see their results immediately

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Randa Perkins, MD, MBA, FAMIA @randaperkinsmd.bsky.social · 04/12/2024

Should CMIOs be more patient facing to help patients and families understand digital tools/AI, etc.? If not, who? Grateful to Dr. Grace Cordovano at #ASTP2024 for asking who to go to.

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