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Value Based Care Technology!

Value Based Care

Effective chronic disease management is the backbone of value based care and will be increasingly important in the coming decades. Value Based Care (VBC) has been getting a lot of press lately, currently it still represents a small fraction of revenue. This will likely be changing in the coming years as insurers look to reduce total spend and Medicare contracts with private enterprise increasingly rely on better chronic disease management to reduce complications.

Effective chronic disease management requires higher patient engagement and more frequent monitoring. These things typically require more time from clinical staff. There are increasing options to utilize different technologies to implement these programs, alleviating the burden on clinical teams while allowing them better insights to patient’s condition and better information to more effectively and quickly respond to changes.

There are a myriad of companies and apps promising to revolutionize chronic disease management, but how do they integrate? Does the intervention need to be all that complicated? What works for your patient population? If what works for your patient population is not available on the market today, can you effectively integrate remote monitoring technologies into your current environment?

Why do nurses always ask so many questions?!

Who knows your population better than your team of clinicians that works with them every day? They know what works and what doesn’t, the challenges patients face, the challenges they face in their daily practice. Building a whole platform can be complicated, and sometimes unnecessary. Monitoring weight for your heart failure patients can be accomplished with a scale, does the scale need to be connected? With that there will be a thousand more questions about the ability of the patient to have a connected device, want to know all the troubles? Ask the clinical staff, they already know, they’re already helping patients address these challenges.

Clinical teams can help get a remote monitoring program off the ground fairly quickly. The challenge? Getting the integration right. Rather than setting up a blue tooth connected scale, maybe it’s more effective to just text the patient every day and ask their weight. Simple, easy reminder, intuitive to use, doesn’t require a lot of support to get and stay connected.

Sometimes there is a ready made app for that. There’s an app for everything! Integrating and managing these different applications can be cumbersome. It can be beyond the expertise of IT teams who are focused on support and physical infrastructure. Poorly executed integration and support can reflect poorly on the organization, from the patient perspective and the clinician’s.

Getting the workflows right is key to digital adoption and getting the most out of IT investments. Partnering with clinical teams to get this right is key to a successful program, making sure information is going to the right place, getting to the right people, and being addressed in a timely manner.

Tido Inc. can help with a variety of digital packages, services like digital app management, custom mobile and web applications and EHR integration. For over ten years we’ve been partnering with health systems and practices on digital strategy, and systems monitoring. As more pressure is put on revenues, leveraging the most out of the current IT infrastructure will pay bigger dividends down the road, contact us and we’re happy to see how we can work with you.

Healthcare technology in 2023 and beyond!

Healthcare 2023

We’re not making definitive predictions here, but the rapid changes seen in healthcare have been remarkable these past years, and going into 2023 we can be certain there will be new challenges and opportunities. We do expect some themes to continue into 2023 and beyond.

Challenging margins for health systems and independent practices. As reimbursements to health care organizations has languished, the importance of ensuring the maximum returns on existing investments will be key. Over the past decade there have been massive investments in new systems and networks, every part of healthcare operations has been connected to a tech-enabled system. To realize the gains promised these networks need to be functional and reliable. Are your systems working like they’re supposed to? Or does the staff have the impression that ‘nothing works like it supposed to!’ Disconnected applications or unforeseen application issues can cause significant delays, frustrate staff, and waste valuable time. Applications and Integration monitoring can ensure those technology investments are pulling their weight and maximizing return, supporting clinical staff and powering seamless operations.

Healthcare worker burnout and moral injury are likely to be concerns into 2023 and beyond. Network reliability can be a source of frustration for clinicians, reliable systems are one component of providing a high quality experience, interfaces and tools that provide a better working environment will certainly be another. The proliferation of apps and tools to enhance user experience for both patient and clinician will likely continue, albeit at a slower rate than prior years. Having the best possible tools and apps can be a key strategy to keeping employees engaged and patient focused, whether it is a third party app or custom mobile and web applications, new solutions will continue to be front and center.

Over the past few years we have seen a massive shift in how healthcare is delivered, from a largely in-person environment toward more telehealth and virtual solutions than ever before. While there has been slowing in the market for many of these independent services, telehealth will continue to be a necessity for any health service moving forward. In a distributed clinical environment current systems may not be enough to have a fully functional clinic. EHRs optimized for in-person care may not work with distributed clinical staff, will other solutions be utilized? What portions of intake can be automated, how will those answers be populated into the EHR and get to right clinician at the right time? Is the right patient information populating over, medication history, allergies, radiology reports, the list can be daunting. If a new system is being implement over existing infrastructure ensuring adequate testing and integration will be key to enabling high quality patient care. Moving to a new EHR can pose even more challenges, migrating data is complex and requires a high degree of certainty. Managing these data sharing challenges will continue to be a priority as care becomes more distributed beyond a single physical site.

Maybe we’ll offer one prediction for 2023… Tido Inc. will be here and continue partnering with health systems and practices to face a challenging and changing technology landscape! Reach out today, we’re happy to work with you to face the healthcare challenges in this year, and beyond.

AI will revolutionize nursing! – Written by AI

AI in Healthcare

As we continue to advance in the field of artificial intelligence (AI), it’s becoming increasingly clear that this technology has the potential to revolutionize the way we approach healthcare, including the field of nursing. In the next few years, we can expect to see AI being used in a wide range of applications, from improving the accuracy of medical diagnoses to helping nurses manage their workloads more effectively.

One of the most exciting ways that AI is set to transform nursing is through its ability to improve the accuracy of medical diagnoses. AI algorithms are capable of analyzing vast amounts of data, including medical images and test results, to identify patterns and make predictions about a patient’s condition. This can help nurses to make more accurate diagnoses, and it can also help to identify potential health problems before they become more serious.

In addition to improving diagnostic accuracy, AI can also be used to help nurses manage their workloads more effectively. By analyzing data on patient visits and treatment outcomes, AI algorithms can help to identify trends and patterns that can be used to improve the efficiency of healthcare delivery. This can help to reduce wait times and improve patient outcomes, while also allowing nurses to focus on the patients who need their help the most.

Another way that AI is set to transform nursing is through its ability to improve the effectiveness of certain treatments. AI algorithms can be used to analyze the data from clinical trials and other studies to identify the most effective treatments for specific conditions. This can help nurses to make more informed decisions about which treatments to prescribe to their patients, which can lead to better health outcomes.

Overall, the potential of AI to transform nursing is enormous. As we continue to develop and refine these technologies, we can expect to see a wide range of benefits for both patients and nurses. Whether it’s improving diagnostic accuracy, helping nurses manage their workloads, or identifying the most effective treatments for specific conditions, AI has the potential to make a huge impact on the field of nursing.

**This blog post written by AI, I was busy and had holiday shopping to do.  Here was the request:  “Write a 500 word blog post on how AI will transform nursing in the style of Johnathan Klaus”

Tido Inc. can help with digital strategy and custom applications!

An app a day keeps the doctor away.

Healthcare applications on phone

Apps for digital health are proliferating throughout the healthcare ecosystem. Not just consumer facing, apps for clinical teams are growing as well. EHR companies have their own app stores, there’s the SMART App Gallery, and more apps are being created every day for use by healthcare professionals. As federal regulations start to kick in, the proliferation of digital apps for clinical use is only likely to increase. According to the ONC research, it shows more than 20% rise in the number of apps that integrate with certified electronic health records (EHRs) at end of 2020. The number of new clinical and administrative apps with SMART on FHIR integration is increasing at a very rapid rate.

There are many benefits of apps used by clinicians, better patient care and engagement, increased efficiencies, time management, records access, clinical decision support, education and training are just some of the tools available in app stores today. They have the potential to help clinical staff perform and manage their day better, improving patient care and staff satisfaction. It is widely reported that clinical staffing is becoming an increasing challenge to healthcare organizations, frustration with ineffective or difficult technology is just one of the issues, and it can be an important barrier to enabling staff to provide the best possible care to patients.

While there is a lot of news focused on the shortages of nurses and doctors, IT teams are also feeling pressure. Competition for healthcare IT personnel is increasing, new digital app developers, virtual first practices, and existing brick and mortars are just some of the employers seeking to hire experienced IT staff. Is there a plan to maximize the expertise and focus of these teams? What is the core competency of the healthcare organization’s IT team? Is it new app development and integration, or is it ensuring a safe and secure IT network and connectivity of existing physical infrastructure?

Much like patient care has become highly specialized, IT teams are becoming more focused to respond to increasing threats and internally connected equipment. Additional resources are often not allocated to allow IT teams to focus on adding to digital apps to the clinical toolbox. Doctors and clinical staff asking for more tools and integrations can often get lost in all the background noise, or are just told “we don’t have the bandwidth for that right now”, especially if its a small specialized department. Does the organization want to hire and train a professional team to assist in one-off choices or development?

Apps and other tools that do not meet the needs of clinical staff are a wasted use of increasingly scarce resources. Anyone working in Healthcare IT or Biomedical engineering can tell you, clinical staff are very creative when it comes using tools and equipment. Nurses and doctors will find all sorts of new uses for existing tools and infrastructure that was never envisioned by the creators, or it just won’t be used at all. But, they also have great ideas for new tools to help make their job easier and better. An organization seeking to harness this creative energy will likely need help managing the myriad of choices, or the creation of new tools.

How are new apps implemented? How are they supported? Maybe the Physical Therapy team has an idea that will save hours per day, how do we get that developed? Maybe there’s an existing app out there? If healthcare organizations are looking to increase employee engagement and efficiency, these are questions that will need to be answered moving forward. Whether a smaller physician practice, or a large multi-hospital system, retaining and maximizing existing staff resources will be key to success in the current healthcare environment. Apps and other tools can help improve efficiency and effectiveness, but getting them done right is just as important as getting them in the first place.

Tido can help healthcare organizations manage these questions. Check out Tido’s Digital Apps Strategy and Management and Custom Mobile and Web Applications solutions. See how Tido can help healthcare organizations implement existing tools, or help to harness the power and creativity already inside.

Is your digital front door open or closed?

Healthcare digital applicatioons

According to a recent JD Power survey the majority of their respondents have accessed telehealth services and for many services it is the preferred method of interaction. 80% of their respondents report that telehealth is the preferred method for prescription refills. 51% of providers offer an online scheduling option according to a recent survey from Optum. It doesn’t stop there, the digital front door is the modern gateway for health systems to welcome patients.

Imagine walking into a hospital or doctors office and finding a void or blank wall. Sounds a little dystopian, but it is quite possible this can be the experience of customers coming to a website and trying to enter an appointment.

A digital front door is the modern access point for healthcare, and it’s more than just a front a door. Digital strategies require a seamless digital experience for all services offered by the organization. A seamless transition from the digital to the physical front door if needed. Consider all the options available for enhancing the digital experience beyond the front door.

Is the health system going to be offering online appointment scheduling?

Want to steer patients away from the ER and towards Urgent Care with chatbots and digital symptom checkers connected to the first available appointment for telehealth or virtual urgent care?

Customers and the Federal Government clamoring for price transparency, is your system connected to health insurance and billing to offer price estimates?

SMS options offer easy appointment reminders and many other opportunities for engagement, are the messages going through?

Are you offering SMS or online intake questions to speed registration? Are they feeding over to the EHR for the receptionist to see?

Few would argue that the customer’s digital health experience should be as seamless and reliable possible, providing an early opportunity to build engagement and trust. The digital front door may be the first experience a customer has with the organization, if the digital experience is not seamless, doubt starts to creep in about the rest of the experience. Systems that have disrupted connections can lead to a rocky experience for the customer. If they’ve already filled out the registration information online, why do they need to do it again?

High reliability organizations require high reliability systems. While most networks are stable and function as expected, even a small glitch can have large consequences and disrupt the customer relationship. If the patient and clinician experience is that none of these systems work, or do not work consistently, why should they keep using them? Customers place a lot of trust with clinical staff, if the staff doesn’t have faith in the systems, they will steer customers away from digital solutions, negating the time and investment spent on these solutions.

Are you pro-actively monitoring for network disruptions? Is the IT system meeting the expectation of clinicians and staff? Pro-active monitoring, reporting and resolution of disruptions builds faith in the systems that support clinical staff and customers.

Healthcare should be welcoming, are you slamming your digital front door in the face of customers? Check out Tido’s end to end monitoring and digital apps test automation solutions, ensure your digital front door leads to the services your customers want and need.

Scheduling Your COVID-19 Vaccine

In this episode of This Week in Health Tech, Vik and Jimmy cover the timely topic of COVID-19 vaccine scheduling/distribution.

Here is what they discussed:

  • “What is the protocol for getting a vaccine?”
    • As the vaccine continues to be administered, Jimmy asks Vik what the protocol is on who gets the vaccine first. Vik lays out the protocol, starting with essential workers and the elderly getting it first.
  • “Phone lines are clogged up bad, and it’s starting to affect patients.”
    • More and more people are calling hospitals to gain information on vaccine scheduling. This has caused the phone lines to be clogged up, which could lead to other critical issues not getting the attention they need. Vik mentions a couple solutions to the problem of phone lines, such as using a robust intranet to give information, such as an FAQ.
  • “What do you think are some good FAQ questions?”
    • Jimmy asks Vik to lay out the types of questions that would help address questions related to vaccine scheduling, such as where/when to schedule.
  • “Use the technology at your hands to help people.”
    • Vik talks how Tido Inc. has helped hospital systems deal with the logistics of vaccines and using certain tools to make sure that the 1st and 2nd dose are administered for the correct time window.
  • “Lets try and use technology in healthcare to help with this really complex situation.”
    • On top of providing good healthcare, there has been a logistical issue that technology can help deal with. Vik mentions the importance of automation in making sure that vaccines are scheduled correctly.

Listen to the full episode:

Learn more about Tido’s Integration Packages:
Tido’s Integration Packages


Click below for more information regarding Tido’s test automation packages:

Test Automation Packages

Using wearables for preventive patient care

In this episode of This Week in Health Tech, Jimmy and Vik are joined by Dr. Michael Farmer, a Cardiologist and founder of Corverix. Michael discusses the importance of using wearables for preventive patient care.

Hear is what they discussed:

  • “I really feel strongly that the systems we have are completely reactive based with zero emphasis on prevention.”
    • Michael tells the duo his opinion on the state of healthcare and why he got into the business of wearables. He talks on how current wearables can provide preventive patient information to healthcare providers.
  • “Value-based care and wearables actually align quite well.”
    • Michael agrees with Vik on the ROI that wearables can give healthcare providers. Michael discusses how wearables can provide more accurate data for doctors to rely on, such as sleep. With the massive amounts of data that wearables can provide, Jimmy asks Michael what data points patients should be on the lookout for.
  • “We are seeing digital transformations in health systems happening overnight.”
    • Vik talks on how COVID-19 accelerated the need for digital integration in healthcare systems. They discuss methods for integrating wearable data into EHR’s. With Cure’s Act around the corner, Vik discusses the potential for accessing patient data.
  • “People can prolong their life with really simple lifestyle changes.”
    • Michael gives his recommendations how to to improve your health and the future of wearable technology.

Listen to the full episode:

For more information regarding Corverix, click link below:
https://corverix.com/pages/wearables

Learn more about Tido’s Digital Packages:
Tido’s Digital Packages

Learn more about Tido’s Integration Packages:
Tido’s Integration Packages

Test Automation in Healthcare

In this episode of This Week in Health Tech, Vik and Jimmy discuss the importance and growing need of test automation for EHR as well as testing for web/mobile applications.
They are joined by Laura O’Toole, who serves as President of Santa Rosa Consulting, and Ryan Neaves, VP of Care Applications at Novant Health.

Here is what they discussed:

  • “You can never have enough testing”.
    • As said by Vik himself, this illustrates the main talking point of this episode. The group elaborates on why rigorous and extensive testing must be done and continue to be done to ensure that the best healthcare can be provided.
  • “Test automation is the next iteration for the healthcare industry…”.
    • Ryan discusses the changing landscape of the healthcare industry regarding test automation. He explains that other industries have relied on test automation for decades, and the need for healthcare to transition to test automation continues to grow. Ryan and Laura also discuss the successful test automation implementation at Novant Health.
  • “It takes a change in mentality and culture…”.
    • The transition from in-person testing to test automation takes some getting used to. Vik talks side-effects of the test automation transition in relation to ROI. The group discusses how test automation can free up key personnel to work on more important tasks. Laura and Ryan elaborate on making sure the team has confidence when working with test automation and giving up control.
  • “How do you adapt and get better in the face of COVID-19”.
    • The group discuss how the COVID-19 pandemic has accelerated the use and need of test automation. Vik talks about how COVID-19 has made testing for digital apps more important. Patient engagement due to COVID-19 relies heavily over digital apps. Because the digital transformation is happening so fast under COVID-19, the need for test automation in areas other than EHR is high. Laura remarks on how COVID-19 threw the health industry into the frying pan and highlights on how it forced healthcare workers to focus their skills and utilize test automation.
  • “How do you pitch test automation to your C-suite? It’s easy.”
    • Ryan explains that his conversation with his C-suite was relatively seamless because the deliverables on it were highly sought after. The ability to scale very rapidly is a key selling point, especially given the current pandemic. Ryan delves into more detail into how COVID-19 is a great example of why test automation is so relevant and necessary.

Listen to the full podcast:


Click below for more information regarding Tido’s test automation packages:

Test Automation Packages

Empowering Patients with their Health Record in a Modern Health IT Economy

In this episode of This Week in Health Tech, Vik and Jimmy focus on the ONC’s Cures Act Final Rule and how it will benefit the patient and healthcare industry.

Here is what they discussed:

  • “The new rule puts the patients first in terms of health technology.”
    • Vik explains that by putting the patient first in terms of health technology enables the health care industry to give patients transparency into the cost and outcome of their care. The duo go over more benefits of the rule including: giving patients the option to shop around for healthcare, having convenient and reliable access to their medical records, and creating a boom in the app economy.
  • “I think innovation is going to go through the roof for smartphone apps.”
    • Vik elaborates on how the new rule gives room for innovation that developers can take advantage of. It can allow for a patient to choose from a number of apps that specifically caters to their healthcare needs.
  • “It’s going to improve the healthcare service provided to the patient…”
    • Jimmy asks how the new rule could affect clinics. Vik explains that the data will be accessible for everyone to see the outcomes of clinics, which will forces poorer performing clinics to improve their services. Vik and Jimmy discuss potential security and privacy concerns. Vik addresses these by discussing security protocols already used in other industries, such as banking, which can be used also in the healthcare industry.
  • “Is there any pushback to this rule?”
    • Vik explains that the majority of people are for this rule, especially Big Tech(Microsoft, Apple, Google, Amazon). Jimmy asks Vik about pushback from EHR’s.
  • “We are going to have a lot of apps for providers as well.”
    • Vik states that the innovation from the new rule will not benefit solely patients but providers as well. Healthcare providers will be able to find/transfer patient records with ease.

Listen to the full episode:

Click link below to learn more about ONC’s Cures Act Final Rule:
https://www.healthit.gov/curesrule/

Learn more about Tido’s Integration Packages:

Tido’s Integration Packages

Improving the Patient/Provider Telehealth Experience

In this episode of This Week in Health Tech Vik and Jimmy discuss making changes to telehealth and how the ongoing COVID pandemic has pushed telehealth to the forefront in focusing on how to provide the optimal user experience for patients and providers.

Hear is what they discussed:

  • “Telehealth is here to stay.”
    • Jimmy and Vik dive into the importance of telehealth and how the pandemic has created the necessity to improve the field.
  • “If you want your telehealth to be the best, you have to invest in good audio quality…”
    • Jimmy shares how improving audio quality is the most important aspect of providing engaging telehealth. Vik and Jimmy compare the pro’s and con’s of different types of microphones and audio equipment.
  • “Video quality can always be better.”
    • Jimmy recommends getting a dedicated web camera to be one the biggest improvements you can make for telehealth. Vik adds that your internet connection is more important than your video quality, and elaborates on how patients and providers can improve in that area. Jimmy gives his tips on how to improve your rooms at home/office for a better telehealth experience.
  • “How easy was it to schedule my virtual visit?”
    • Vik talks on the necessity for the telehealth system to be seamless. In particular, patients should have an easy and accessible way to make appointments.

Listen to the full episode:

Click below to learn more about Tido’s Digital Packages:

Tido’s Digital Packages

Click below to learn more about Tido’s Integration Packages:

Tido’s Integration Packages